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신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교
김지양,김영선,김춘실,박현숙,신미영,윤연숙,조유숙,박미미,유문숙 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2
Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception (4.07±.44) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors (3.57±.37). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.
주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4
Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)
음용수 중 유해화학물질에 대한 위해성 평가에 관한 연구 : Ⅱ 비발암성 화학물질을 중심으로
정용,신동천,김종만,박성은,양지연,이자경,황만식,박연신 한국환경독성학회 1995 환경독성보건학회지 Vol.10 No.1
The purpose of this research is to estimate a safe environmental level of human exposure to thresholding acting toxicants in drinking water and recommend the acceptable levels and management plans for maintaining good quality of drinking water and protecting health hazard. This research has been funded as a national project for three years from 1992 to 1995. This study(the second year, 1993-1994) was conducted to monitor 39 species of non-carcinogenic chemicals such as volatile organic compounds(VOCs), polynuclear aromatic hydrocarbons(PAHs), pesticides and heavy metals of drinking water at some area in six cities of Korea, and evaluate health risk due to these chemicals through four main steps (hazard identification, exposure assessment, dose-response assessment and risk characterization) of risk assessment in drinking water. In hazard identification, 39 species of non-carcinogenic chemicals were identified by the US EPA classification system. In the step of exposure assessment, sampling of tap water from the public water supply system had been conducted from 1993 to 1994, and 39 chemicals were analyzed. Indose-response assessment for non-carcinogens, reference doses(RfD) and lifetime health advisories (HAs) of lifetime acceptable levels were calculated. In risk characterization of detected chemicals, the hazard quotients of noncarcinogens were less than one except those of manganese and iron in D city.
도시거주자의 혈중 카드뮴 농도와 간 및 신장 기능과의 상관성 평가
김호현,임영욱,임종한,양지연,신동천 한국환경독성학회 2003 환경독성보건학회지 Vol.18 No.1
The possibility that liver and kidney function is adversely affected by current levels of environmental exposure to cadmium (Cd) as investigated in adult men and women in the general population in Seoul. From February to August in 2001, blood and morning spot urine samples were collected from 136 not occupationally exposed group (age range 20~75 years) at 4 survey sites throughout Seoul. Liver and kidney function parameters in serum and urine were examined by conventional methods. The questionnaire included factors, i.e. sex, age, smoking, alcohol, diet habit etc. The geometric mean values for Cd in blood (Cd-B) were 1.43 μg/l. It seemed prudent to conclude that liver and kidney function as not disturbed by the current environmental exposure to Cd in study.
[P5-51] Development of a Species Specific-PCR Method for Rapid Identification of Bacillus cereus
Ji Yeon Lee,Gun-Hee Kwon,Hwang A Lee,Ji Yeong Park,Chang Un Baek,Hyeon Deok Jo,Kang Wook Lee,Joo Yeon Kim,Chun-Seok Park,Dae Young Kwon,Jinkyu Lim,Jong-Sang Kim,Jeong Hwan Kim 한국식품영양과학회 2009 한국식품영양과학회 학술대회발표집 Vol.2009 No.11
Ji-Yeon Yang,Jin-Yong Kim,Ji-Young Jang,Gun-Woo Lee,Soo-Hwan Kim,Dong-Chun Shin,Young-Wook Lim 환경독성보건학회 2013 환경독성보건학회지 Vol.28 No.-
Objectives We investigated the particle mass size distribution and chemical properties of air pollution particulate matter (PM) in the urban area and its capacity to induce cytotoxicity in human bronchial epithelial (BEAS-2B) cells. Methods To characterize the mass size distributions and chemical concentrations associated with urban PM, PM samples were collected by a 10-stage Micro-Orifice Uniform Deposit Impactor close to nearby traffic in an urban area from December 2007 to December 2009. PM samples for in vitro cytotoxicity testing were collected by a mini-volume air sampler with PM10 and PM2.5 inlets. Results The PM size distributions were bi-modal, peaking at 0.18 to 0.32 and 1.8 to 3.2 ㎛. The mass concentrations of the metals in fine particles (0.1 to 1.8 ㎛) accounted for 45.6 to 80.4% of the mass concentrations of metals in PM10. The mass proportions of fine particles of the pollutants related to traffic emission, lead (80.4%), cadmium (69.0%), and chromium (63.8%) were higher than those of other metals. Iron was the dominant transition metal in the particles, accounting for 64.3% of the PM10 mass in all the samples. We observed PM concentration-dependent cytotoxic effects on BEAS-2B cells. Conclusions We found that exposure to PM2.5 and PM10 from a nearby traffic area induced significant increases in protein expression of inflammatory cytokines (IL-6 and IL-8). The cell death rate and release of cytokines in response to the PM2.5 treatment were higher than those with PM10. The combined results support the hypothesis that ultrafine particles from vehicular sources can induce inflammatory responses related to environmental respiratory injury.
( Ji Yeon Seo ),( Chang Hyun Lee ),( Ji Min Choi ),( Eun Hyo Jin ),( Sung Wook Hwang ),( Jaeyoung Chun ),( Jong Pil Im ),( Sang Gyun Kim ),( Joo Sung Kim ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Sessile serrated adenoma (SSA) and traditional serrated adenoma (TSA) are known as precancerous lesion with distinct pathogenesis from adenoma. The effi cacy and safety of endoscopic resection of colorectal cancer (CRC) from SSA or TSA are unknown. The aims of this study were to verify clinical characteristics and outcomes of endoscopically resected CRCs developed from SSA or TSA. Methods: Patients who had endoscopic resection of CRCs from 2008 to 2011 were reviewed retrospectively. CRCs with documented preexisting lesions were included and CRCs were classifi ed as CRC-adenoma, CRC-SSA or CRC-TSA according to the baseline lesions. Clinical characteristics such as patient demographics, polyp sizes, polyp locations, and pathologic diagnosis were collected. Results: Among 208 CRCs from 198 patients, 5 CRCs were in both CRC-SSA and CRC-TSA groups, respectively and 198 CRCs were in CRC-adenoma group. The CRCSSA group had signifi cantly more synchronous SSA/TSAs and had higher prevalence of high grade dysplasia. The CRC-TSA group showed some trends of distal location and protruding type dominant, but there were no statistical signifi cance. There was no local recurrence in the CRC-SSA or CRC-TSA groups during studied periods. However, the metachronous recurrences were detected in 2 cases for both CRC-SSA and CRCTSA groups, respectively. Conclusions: SSA with high grade dysplasia in the base of CRC is a direct evidence of serrated neoplasia pathway. CRCs with baseline SSA have higher risk of synchronous SSAs and missed or metachronous lesions were more frequent. Cautious observation and early endoscopic resection of SSA/TSA are necessary for decreasing interval cancers.
( Ji Yeon Lee ),( Ji Man Shin ),( Chung Eun Yeum ),( Gue Tae Chae ),( Myung Hoon Chun ),( Su Ja Oh ) 한국조직공학·재생의학회 2012 조직공학과 재생의학 Vol.9 No.5
The utility of a biodegradable hyaluronic acid (HyA)-based hydrogel as a tissue scaffold for intravitreal carriage of mesenchymal stem cells (MSCs) into the retina was tested. A rat model of retinal ischemia-reperfusion (IR) injury was used. DiI-labeled MSCs from three passages were loaded onto hydrogel and injected into the vitreous body of experimental and control eyeballs 1 week after IR. The neutral hydrogel was also modified to a basic pH. A control carrier, 0.01 M phosphate-buffered saline (pH 7.2; PBS) was compared. Retinal tissues were prepared 1 week and 2 weeks after MSCs application. MSCs localization and effects were evaluated on immunostained retinal preparations with confocal microscopy. MSCs localization was apparent in the retinas loaded onto hydrogels, adhering tightly to the inner limiting membrane, whereas those in PBS floated in the vitreous body. Nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) were expressed in the end feet of M?ller cells in the normal retina. NGF expression was slightly reduced 2 weeks IR, had expanded into the proximal processes 3 weeks IR, but it appeared reversely 1 week and 2 weeks after MSCs application, respectively. BDNF expression was higher in the ischemic and MSCs-treated ischemic retinas than in the normal and MSCs-treated control retinas, respectively. These findings demonstrate that HyA-based hydrogel is an efficient vehicle for intravitreal MSC transplantation into the retina, and that MSCs thus transplanted induce M?ller glial cells to produce growth factors concerned with the survival of retinal ganglion cells.