우심방을 침범한 거대 비호지킨씨 림프종 1예

강상범,진승원,이은경,박용현,최용호,김용주,박준철,김재형,홍순조,최규보,권종범,원용순,박건,이은희 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

위암수술 환자에서의 cp 개발과 cp적용에 따른 질 향상 활동에 관한 연구

임은주,황순휘,박도중,하광일,배현주,김형호 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

Background : In an era of increasing medical costs, safe reduction in postoperative stay has become a major focus to optimize utilization of healthcare resources. The authors aimed to evaluate the clinical significance of the critical pathway(CP) for gastrectomy patients by implementing standardized postoperative management and electronic medical records. Method : From August 2006 to April 2007, critical pathways were introduced to inpatients and outpatients with gastric cancer. 60 consecutive patients undergoing distal gastrectomy were randomly divided into two groups; 30 CP group(A) and 30 non-CP group(B). Simultaneously, we also retrospectively reviewed the records of 438 patients(C:control group) who were able to be enrolled in CP program. We compared group(A) with (B), (C) in terms of hospital stay, complication rate, use of antibiotics and hospital costs. Patient satisfaction was surveyed by questionnaires. Result : There was no significant demographic difference between group(A) and (B). Of 30 patients in group(A), 5 drop-outs and 14 variances occurred. The mean postoperative hospital stays(Laparoscopy-assisted distal gastrectomy: LADG/Open distal gastrectomy: ODG) were 7.6/10.5 days for the group(A), 8.9/12.7 days for the group(B) and 12.6/14.5 days for the group(C) (p=0.02 in LADG). The total hospital cost of group(A) had a tendency to be less than that of group(B) and the amount of hospital cost per day in group(A) was significantly higher than that in group(B). The usage rates of the first generation antibiotics were 73.33%, 63.33%, and 59.2% in group(A), (B), and (C), respectively. Patients’ satisfaction had a tendency to be higher in the CP group than non-CP group. Conclusion : The mean hospital stay in LADG patients was shortened meaningfully and hospital cost per day was enlarged after introduction of clinical pathway. It is necessary to apply a number of patients to the critical pathway and to make an effort to reduce the variation and drop-out rates.

소비자-브랜드 관계가 확장된 브랜드 평가에 미치는 영향

박은아,김태형,성영신,강정석 한국소비자학회 2004 소비자학연구 Vol.15 No.4

본 연구에서는 소비자-브랜드 관계(BRQ)가 확장된 브랜드 평가에 미치는 영향력을 알아보고, 또한 소비자-브랜드 관계의 강도에 따라 확장된 브랜드에 대한 평가시에 적정한 불일치성 효과(MIE)가 나타나는지 검증하고자 하였다. 연구 결과 소비자-브랜드 관계 강도에 따라 확장된 브랜드에 대한 태도와 구매의도는 다른 것으로 나타났으며, BRQ의 여섯 개 하위차원 중에서 확장된 브랜드 평가에 직접 영향을 미치는 것은 관계의 질 차원과 사랑과 열정 차원인 것으로 분석되었다. 한편, BRQ가 높은 집단에서 확장된 브랜드에 대한 적정한 불일치성 효과는 나타나지 않았으며 속성 유사성 효과도 나타나지 않았다. 반면 BRQ가 낮은 집단에서는 기존의 연구들과 마찬가지로 속성 유사성에 따라 확장된 브랜드에 대한 평가가 다른 것으로 분석되었다. 본 연구의 결과는 확장된 브랜드에 대한 평가에는 기존 브랜드와의 BRQ가 중요하며, 관계가 강할 때에는 속성 유사성 정도에 관계없이 확장 브랜드에 대해 호의적인 평가가 일어날 수 있음을 시사하고 있다. We examined how consumer-brand relationship affects the evaluation of extended brands. Specifically, we investigated the effect of the sub-dimensions of consumer- brand relationship quality (BRQ) on the evaluation of extended brands and the existence of moderate incongruity effect (MIE) in high BRQ consumers. The results shows that the BRQ sub-dimensions have different effects to the attitude toward the extended brand and purchase intention to the extended brands. We tested MIE in high BRQ consumers, the result did not support of moderate incongruity effect in brand extension. It means that strong BRQ consumers evaluate positive to the extended brands regardless of the degrees of the product attribute similarities. For the weak BRQ consumers, the product attribute similarities with parent brands affect their attitudes and purchase intentions of extended brands in the same result of the previous study. These results showed that the strong consumer-brand relationship is key important factor to the favorable evaluations to the brand extensions. Finally, theoretical and practical implications and limitations of this study were discussed.

내시경적 조임근절개술후에 발생한 췌십이지장 가성동맥류 1예

박수영,김윤정,박진한,전현수,박시형,이영진,이은지,김지현 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

We reported a case of pancreatic pseudoaneurysm, involving pancreaticoduodenal artery, developed after endoscopic retrograde cholangiopancreatography(ERCP) with endoscopic sphinterotomy. A 54 year old woman was transferred to our hospital due to sustained hematochezia and hypovolemia. A week before admission, she underwent ERCP with endoscopic sphinterotomy for acute cholangitis in local clinics. She developed abdominal pain and hematochezia at 12 hours after the procedures. A post procedure contrast enhanced computed tomography of abdomen demonstrated a pseudoaneurysm in inferior portion of pancreatic head. This was not present on the pre procedure contrast enhanced computed tomography of abdomen and was thought to arise from the pancreaticoduodenal artery as a complication of the pre sphincterotomy. She was brought to our emergency room in a state of hypovolemia. A upper endoscopy showed active bleeding from ampula of vater. An celiac angiography demonstrated pancreatic pseudoaneurysm involving inferior pancreaticoduodenal artery and selective coil embolization of was performed.

전방경추부 응합술시 단피질 나사못과 양피질 나사못의 비교연구

박형천,윤승환,박현선,김은영 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.5

농산물 소독과정에서 브롬화메틸에 노출된 근로자에게 발생한 신경병 2례

박태혁,김정일,손지언,김종국,김형수,정갑열,김준연 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.4

목적 : 농산물 소독과정에서 브롬화메틸에 노출된 근로자에게 발생한 신경병 2례 보고. 방법 : 피로감, 전신무력감, 어지럼증, 보행장애 등의 증상을 주소로 내원한 브롬화메틸을 사용하여 방역작업에 종사하는 건강한 20세와 18세의 근로자를 대상으로 혈액검사, 신경정도 및 근전도검사, 뇌자기공명영상 등의 임상검사와 작업력조사를 시행하였다. 결과 : 1례에서 뇌자기공명영상에서 연수와 소뇌의 양측 측충부의 고신호강도가 관찰되었고 11일 후의 추적조사에서 동일 부위의 고신호강토가 감소된 소견이 관찰되었으며 뇌병증으로 최종 진단되었다. 다른 1례는 신경전도검사에서 다발성 신경병 소견과 뇌유발전위검사에서 우측 하부 뇌간부위 병소가 관찰되었고 뇌병증 및 말초신경 병으로 최종 진단되었다. 결론 : 근로자들의 증상은 소독과정에서 브롬화메틸 노출로 인한 신경 병으로 판단되며 훈증소독과방역작업에 종사하는 근로자들의 실태조사와 안전에 대한 대책이 시급하다고 하겠다. Objectives : To report two cases of neuropathy due to methyl bromide intoxication. Methods : Workers, engaged in the fumigating process, complained fatigue, general weakness, ataxia, and hypersomnia. We evaluated them with blood tests, neurophysiologic studies and MRI and investigated their occupational history. Results : Increased signal intensities were found in the medulla oblongata and paraver mian of cerebellum in MRI and after 11 days, high signal intensities were reduced in the following MRI. In the other case, polyneuropathy and rlght lower brainstem lesion were observed In the NCV and BAEP studies. Conclusions : We confirmed that worker's symptoms were related to methyl bromide exposure in the fumigation. It is necessary that we should evaluate present condition of fumigating process and prepare appropriate methods to protect workers engaged in the fumigation.

면역조직화학적 방법을 이용한 흰쥐 골격근 근섬유형의 비교연구

이종은,이원택,박승화,박경아 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.3

백내장 수술환자의 진료결과에 미치는 요인 : 사전 연구를 중심으로 Pilot study

박은철,홍영재,임승정,강형곤,최윤정,김한중,조우현,손명세 한국의료QA학회 1998 한국의료질향상학회지 Vol.5 No.1

Backgroud : This study is to identify preoperative patient characteristics associated with a lack of improvement on one or more measures perioperatively, postoperative 3-4 months, and postoperative 12 months. Methods : For the assessment, prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. The criteria of improvement were (1) Snellen visual acuity, (2) a cataract-related symptom score(possible range: 0. 0 of 6 symptoms present or bothersome, to 18. all 6 symptoms very bothersome), and (3) VF-14 score - a measure of functional impairment in patient with cataract - (possible range: 0, inability to perform any of the applicable activities, to 100, no difficulty in performing any of the applicable activities). Results : Although 14 patients (15.2%) failed to improve on one or more of the outcome measures assessed, no one failed to improve on all three measures. Both eyes of surgery than one eye, preoperative cataract symptom score of 1-4, 5 or higher than 0 were associated independently with the increased likelihood of improvement (odds ratio 8.95, 7.16, 8.87 respectively). And the preoperative level of Snellen visual acuity was not associated with the likelihood of improvement Conclusion : We conclude that specific preoperative characteristics (both eyes, cataract symptom score) are independent predictors of patient outcome after cataract surgery,

부신피질 기능저하증에 대한 치료 1례

김지은,박형진,송근호 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

A 11-year-old castrated mongrel dog with the hypoadrenocorticism was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. Hypoadrenocorticism was diagnosed by the clinical signs, the physical examination, laboratory examinations(complete blood count, serum chemistry), ACTH stimulation test and radiography. Clinical signs were improved after fludrocortisone treatment on the basis of ACTH stiluation test.

스트레스와 건강행위 실천과의 연관성

박은영,박형철,박경수,손석준 大韓家庭醫學會 2000 Korean Journal of Family Medicine Vol.21 No.11