단백질 S 결핍증에 의한 장간막정맥혈전증 치험 1예

김용신,박창영,손정일,김병익,서원태,김명숙,전우규,정을순,김흥대 대한소화기학회 1999 대한소화기학회지 Vol.34 No.6

Mesenteric venous thrombosis is rare but clinically important because it can cause ischemia or infarction in the small intestine. Unless it is diagnosed in time, the patient die eventually. However, the diagnosis is difficult because patients often present with nonspecific abdominal symptoms. Furthermore, if it occurs in young individuals without any known predisposing factor, the diagnosis may become more difficult. Recently, the development of modern imaging techniques (particularly ultrasonography, duplex scanning, and computed tomography) have enabled early recognition of this disease. We report a case of mesenteric venous thrombosis and deep vein thrombosis of left lower extremity. A patient was admitted to our hospital due to continuous, dull abdominal pain. The simple abdomen examination showed abnormal gas pattern probably due to small bowel edema. Abdominal computerized tomography revealed mesenteric venous thrombosis with bowel wall thickenings. Bowel resection was performed and the patient was recovered soon. Mesenteric venous thrombosis was known to be secondary to protein S deficiency later.

안동호 주변 수계 저서성대형무척추동물의 군집변동 및 생물학적 수질평가

김순환,이지연,서을원,이종은 7개 국립대학교 환경연구 논문집 공동발행 위원회 2003 공업기술연구 Vol.3 No.-

A biological assessment of water quality was carried out in stream of the near Andong lake from June 2002 through March 2003. The benthic macroinvertebrates collected seasonally from 5 field sites were indentified mostly up to species level. The benthic macroinvertebrates collected from the surveyed sites were composed of 77 species, 62 genera, 44 families, 13 orders, 5 class, 4 phyla. Among these phyla, aquatic insects in Arthropoda were 69 species, 37 families, 8 orders. Dominant species occurring in all the field sites were mostly Chironomidae sp. 1, Baetiella fuscatus and Rhopalopsole mahunkai. The dominance indices(DI) showed the highest as 0.929 at site 3 and the lowest as 0.758 at site 5. The species diversity indices(H´) showed the highest as 1.964 at site 5 and the lowest as 1.128 at site 3. Ecological score of benthic macroinvertebrate(ESB) showed the highest as 33.3 at site 5 and the lowest as 17.8 at site 1. It was α-mesosaprobic in site 1 and site 3 the others was β-mesosaprobic that the water quality estimated by ecological score of benthic macroinvertebrate community.

전염성간염에 있어서 Cumaric Acid 및 Essential의 효과

金仁子,尹炳海,桂희순,朴乙順 中央醫學社 1973 中央醫學 Vol.25 No.5

A clinical study with cumaric acid for the treatment of infectious hepatitis patitis has been carried out. 1. Duration of hospitalization was 11. 3 days in cumaric acid group and that of control group was 15.2 days. 2. More rapid normalization of abnormal liver function was seen in cumaric acid group than control group, especially, totM ~bilirubin level, alkaline phosphatase activity, S-GOT and S-GPT values were more significant. 3. Prognosis were equally good in both group, no complication or recurrence was occurred in both group. 4. Only mild diarrhea developed in one case of cumaric acid group which was not so serious enough to discontinue cumaric acid medication.

성인들의 댄스스포츠 참여 동기와 만족도에 관한 연구

최형순,김을교 명지대학교 예술체육대학연구소 2004 藝體能論集 Vol.15 No.-

This study is to provide information on facilities, instructors, and partnership necessary to maximize astisfaction according to participation motivation of adults who take park in dance sports. The subjects of the research were 500 adults who participated in a program of A cultural center located in Kwanmyung City, and previous studies re-organized fit for the purpose of this study were emlpoyed as measuring tool. To analyze the data, cross-sectional analysis and Multivariate analysis of variance(MANOVA), and Scheff Test(post test) were used. As a result, we obtained the following findings. First, analysis of participation motivation in accordance with demographic characteristics showed that there were significant differences with sex, occupation. and educational backgrounds between groups. Second, as a result of analysis of differences between sex, occupation, and educational background to investigate satisfaction according to demographic characteristics, sex had a significant difference with partnership and educational background with facilities., while occupation showed significant differences with facilities instructors, and partnership. In conclusion, for the purpose of enhancing dance sports satisfaction it is essential to develop a wide range of dance sports programs which make continuous participation possible. Also, in the course of developing easier and interesting programs and teaching methods, technical competence as well as sex, occupation, and educational background of the participants in dance sports should be taken into consideration, together with changes in attitudes of the participants nd individual differences in performance.

牛乳및 乳製品中의 異種脂肪 檢出에 關한 硏究

정은자,이용억,김을상,신광순 韓國營養學會 1978 Journal of Nutrition and Health Vol.11 No.2

The ice cream, a type of freezing food of condensed state of milk, richer in nutritions and easily available in all seasons, is one of luxuary items. The fatty acids in the milk is the most important component of ice cream which not only improve the nutritional value but also is easier digestive, more rapidly absorbed than those of plant and also has influence up the quality of the goods. In order to see the fatty acid distribution of the fats in the ice cream on the market, the ice creams on the market were selected in accordance with things most in demands of each manufacture divided into the shape. and analyzed for the concentration of total lipid, acid value, iodine value and saponification value. For the compositional analysis of fatty acid of milk as basis and those gas liquid chromatography was also used. The following were the results obtained. 1) The average total lipids in milk and, the 3 kind of ice creams shaped carton, cone and bar were 3.04, 8.34, 6.41, and 5.4% respectively. 2) The average acid values of milk and each of 3-different type of ice creams shaped carton, cone and bar were 0.72, 0.62, 0.76, and 0.95 respectively. 3) The soponification values. Ranged from 180 to 260, varied great degree depending upon. the different manufactures, the average saponification value of the milk and each type of ice cream shaped carton, cone and bar were 208, 226, 226 and 215 respectively. 4) The iodine values varying great degree upon the different manufactures ranged from 10 to 32, the average values of milk and each type of ice cream shaped carton, cone and bar were 29, 20, 19 and 22 respectively. 5) The fatty acids analyzed for milk and ice cream, were 17-different kind, for the milk palmitic acid appeared principal constituents which valued 29.8%, whereas oleic acid were 27.1%. Since the compositions of fatty acid in ice creams for each different manufacture varied so great degree from manufacture to manufacture that the average values of those for the same shaped ice creams seems to have no meaning, if the compositions of fatty acid in the ice cream were considered according to the manufactures such as A, B, C, D and E companies. 27.4% lauric acid which was principal constituents, 17.8% palmitic acid and 11.8% oleic acid which was equal to 1/2 of that in the milk were found in the product of A company, 28.2% oleic acid and 27.8% palmitic acid which had similar pattern with the composition as that of milk in the product of B company, 25.5% palmitic acid, 22.7% oleic acid and 11.6% lauric acid in the product of C company, 34.4% lauric acid, 15.6% palmitic acid and 8.6% oleic acid which amounts to 1/3 of that in the milk in the product of D company, and 24.6% lauric acid and 18% palmitatic acid in the product of E company respectively. For the ratio of saturated to unsaturated fatty acid, these were 84 : 16 in the product of At 62 : 38 in the product of B, 68 : 32 in the product of C, 88 : 12 in the product of D, 79 : 21 in the product of E respectively, while this ratio for milk was 63 : 37. Although the compositional characteristic of fatty acids in the ice creams varied great degree according to the manufactures, all kinds of different shaped product showed the same pattern in composition regardless of the type of ice cream shaped in provided they were made in the same company. The lauric acid was more exuberant, however oleic acid, unsaturated fatty acid, was of less quantity than in the milk fat. In general, there was less quantity of unsaturated fatty acid in the ice creams compared with in milk.

Assessing Quality and Risk of Bias among Experimental Studies in Clinical Nursing

Jae Sim Jeong,Kyung Choon Lim,Jeong Soon Kwon,Chan Yeong Kwak,Kyung Hee Kim,Sung Jae Kim,Kyung-sook Lee,Kwang Ok Park,Joo Hyun Kim,Keum Soon Kim,Kyoung Eun Lee,Eul Soon Kim,Myoung Ae Choe 한국간호과학회 2011 한국간호과학회 학술대회 Vol.2011 No.10

‘임상간호연구’ 학술지 게재논문(1995-2008년)의 연구동향 분석

최명애,정재심,임경춘,김주현,김금순,권정순,김성재,김경희,곽찬영,박광옥,이경은,김을순,이경숙 병원간호사회 2010 임상간호연구 Vol.16 No.2

Purpose: The purpose of this study was to identify the research trend of 341 studies published in Journal of Korean Clinical Nursing Research from 1995 to 2008. Methods: This study was conducted from May to November, 2009. The tool for analysis developed through literature reviews and discussions of researchers consisted of 7 categories such as characteristics of researchers, research designs, subjects, data collection methods, ethical consideration, nursing interventions, and dependent variables. Data were analyzed by frequency and percentage. Results: The mean number of author per study was 4.7, and clinical nurses were the most frequent as the first author (79.7%) and as a corresponding author (67.1%). Quantitative study was 97.6% and nonexperimental study was 51.7%. The most frequently used research designs were quasi-experimental study (73.9%) among experimental studies and survey study (79.1%) among nonexperimental studies. Patients were the most frequent subjects for studies (55.8%). 46.1% of studies gathered data with questionnaire, 57.7% of studies had consent from patients, and 44.3% of studies used nursing skills for nursing interventions, and 60.0% of studies used clinical end points for dependent variables. Conclusion: The research trend of clinical nursing studies shows that clinical nurses mostly perform quasi-experimental researches to solve patients' problem and frequently use nursing skills for nursing intervention and explore the effect of nursing interventions on clinical end points.

건강검진 수진자 9,137 명에 대한 위내시경적 집단 검진 소견

김상훈,김명숙,박창영,전우규,정을순,손정일,김향,이상종,김병익,최윤상,성기철,심성춘 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.2

Background: A esophagogastroduodenoscopy is now considered to be one of the essential rnethods for diagnosis of upper gastrointestinal disease. Furthermore early detection of stomach cancer by such a mass screening techique is very important to increase the survival rate. Methods: A clinical analysis was conducted on 9,137 healthy subjects who had undergone a gastrofiberscopic examination for the secondary prevention, from January 1995 to December 1996, in Kangbuk Samsung hospital. Results: 1) Number of cases with normal finding was 764 (8.4%). 2) The most prevalent disease found was chronic gastritis (82%). The number of cases with superficial gastritis was 64.7%, erosive gastritis 9.0%, atrophic gastritis 6.4% and metaplastic gastritis 1.6%. Atrophic and metaplastic gastritis were more frequent in the older age group. 3) The prevalence of peptic ulcer was 13.9% and duodenal ulcers (8.1%) was more common than gastric ulcers (5.8%, p$lt;0.05) with a male to female ratio of 3.7: 1, and 2.1: 1 respectively. 4) Of the 10 cases with stomach cancer (0.11%), 5 cases (0.055%) were found to be advanced stomach cancer and the other 5 cases (0.055%) were early gastric cancer. The macroscopic type of early gastric cancer was type IIc in 4 cases and type IIb in another case, and 4 cases were limited in mucosa but another was in submucosa. The size of 4 cases were below 1 cm and there was no lymph node metastasis. Conclusion: Medically screened subjects were found to have many abnormalities, and therefore, it is recommanded that regular check ups using an endoscopy would be needed for early detection of early gastric cancer regardless of clinical symptoms.

욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발

김금순,김진아,김문숙,김을순,박광옥,송말순,이영희,이인옥,정연이,최윤경 병원간호사회 2009 임상간호연구 Vol.15 No.1

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

간호과정 적용 평가도구 개발 : 수분섭취/배설간호와 튜브간호를 중심으로

김금순,최윤경,최완희,안정원,김진아,박승미,최경옥,김을순 병원간호사회 2012 임상간호연구 Vol.18 No.1

Purpose: This study was conducted to develop standards ensuring nursing process-based fluid intake/output and tube care, and to develop a performance measurement tool evaluating the level of care according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel’s suggestions. Validity of the standards and the tool were examined using a survey of 293 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.86 and 4.02, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care for fluid intake/output and tubes. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for fluid intake/output and tube interventions, such as intravenous catheters, nasogastric tube and urinary catheters.