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박지훈,이상혁,김희,이재호,박성재,지삼룡,양성연,박은택,이연재,설상영,정정명,강미선 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Fungus such as Candida albicans is a normal flora that is frequently found in the oral cavity, gastrointestinal tract, genitourinary tract, vaginal mucosa in a normal person. However, candida can cause opportunistic infection in an immune compromised host. Candidiasis has broad spectrum of disease from mucocutaneous infection to invasive or disseminated infection. But, it is rarely reported that candida is associaed with gastrointestinal tract disease in a healthy adult. The case of gastric ulcer associated with candida particularly in a health adult is reported with relevant literature.
세 가지 구강간호방법에 따른 수술 후 환자의 갈증정도 및 구강상태 비교
김미영(Mi Young Kim),두미정(Mee Jung Doo),강수경(Su Kyeong Kang),임연호(Yean Ho Lim),김현미(Hyun Mi Kim),김미경(Mi Kyoung Kim),온지원(Ji Won On),설혜선(Hye Seon Seol),강정희(Jeong Hee Kang) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.3
Purpose: This study compared the effects of three oral care methods on thirst and oral status in patients after general anesthesia surgery. Methods: Sixty five surgical patients were prospectively randomized into three groups. Each group received one of three oral care methods: wet water gauze, frozen water gauze, or frozen normal saline gauze. The outcomes of thirst and oral status were assessed three times by trained investigators blinded to the oral care methods. Assessment times were right after a participant’s arrival to his/her room, and at 30 and 60 minutes after the pre-test. Results: The levels of thirst and oral status were significantly improved as time passed in all three oral care methods. While the level of thirst was not significantly different between the three groups, the level of oral status was significantly better with wet water gauze than frozen gauze groups, soaked in either water or normal saline. Conclusion: We recommend nurses choose one of three oral care methods based on patients’ preferences since all three oral care methods showed similar effects in improving postoperative patients’ levels of thirst and oral status.
병원분만과 조산원분만한 여성의 출산 경험에 대한 지각 비교
강미리,김선경,방주미,안지은,윤영,이설희,장혜경,정소영,차은지,김성남,이경혜 이화여자대학교 간호과학대학 2005 이화간호학회지 Vol.- No.39
Delivery experience to a woman is an important developmental stage which she recognizes the true identity of herself as she experiences meaning of life. Satisfactory delivery experience will increase her confidence as she begins her motherhood and increase her self-esteem as a mother. this research conducts the difference between the women who gave birth at the traditional hospital and the women sho gave birth at a midwife clinic to perceive the perception of the women from different clinics. This research will provide data base which will influence the perception of women about delivery method, place, and the environment. The data was collected at 4 midwife clinics, 8 general hospitals in Seoul and Kyonggi do from January 12 to January 27, 2005. The subjects were 117 women who had a traditional hospital deliveries and 120 women who selected the type of delivery they wanted at midwife clinic. So total 237 people was participated in this research. The instrument is 'Perception Of Birth Experience Scale'which was translated by cho, mi Young(1998) based on Marut & Mercer's(1997) tool and made up of 29 entries. The data was analyzed by using frequency, percentage, average, standard deviation, ANOVA, ANCOVA, T-test and Ducan's test with the SPSSWIN 12.0 program. The results of the study were as follows : 1. There were statistically significant differences in perception of delivery experience(p=.000) between two groups. Those women sho selected their type of delivery at midwife clinic(4.472) perceived delivery experience to be more satisfactory overall than those who had a traditional hospital delivery(3.153) 2. There were statistically significant differences in there two groups of women and how perceived the delivery experience related to obstetrical factor, delivery method, delivery location, medical staff, family and husband participation during labor and delivery. 1) those sho participated in childbirth education(3.909) had more favorable experience than those who didn't participate(3.730) in childbirth education(p=.045). 2) different positions during delivery has different perception for women(p=.000). Selected delivery type(4.446) showed highest satisfactory perception and water birth(4.409), sitting birth(wheel birth, 4.138) limited selected delivery(3.793), etc (3.545) and traditional hospital delivery(3.208) followed. 3) medical staff who delivered the babies also affected the delivery experience(p=.000), with the midwife(4.476) being more satisfactory than the OBGYN(3.160). 4) during the labor, In perception of delivery (p=.000) family participation(3.857, 4.061) eased the experience for the new mothers than those family who didn't(3.357, 3.112). when the husband was part of the experience, the involvement of the husband played a big role during the delivery experience(p=.000) very satisfactory(4.248), satisfactory(3.941), very unsatisfactory(3.104), and unsatisfactory (3.104). All of these-staff, type of delivery, family participation, child birth education play a role in delivery experience and perception of delivery. Those who had satisfactory experience with midwife had positive relationship with their child and increased self confidence as a mother. We can provide information about various type of delivery and different possible lacations for delivery th the womenwith normal pregnancy. Those who are in risky pregnancy need to be monitored by traditional hospital delivery method and decrease the risk and provide safe delivery environment. Based on the results of this study, the following recommendation were made : 1. Further research can be done to provide different family participation methods to increase positive delivery experience. 2. Information about various types of delivery and different possible locations for the delivery need to be included in these childbirth education programs. 3. Research comparing the maternal role performance and the self esteem of the mothers from two different locations for traditional hospital delivery and maternity hospital delivery.
성인 입원 환자에서의 영양치료 관련 합병증: 국내 다기관 연구
설은미 ( Eun-mi Seol ),권계숙 ( Kye Sook Kwon ),김정구 ( Jeong Goo Kim ),김정태 ( Jung-tae Kim ),김지훈 ( Jihoon Kim ),문선미 ( Sun-mi Moon ),박도중 ( Do Joong Park ),박정현 ( Jung Hyun Park ),박제훈 ( Je Hoon Park ),박지영 ( Ji Y 한국정맥경장영양학회 2019 한국정맥경장영양학회지 Vol.11 No.1
Purpose: Nutritional therapy (NT), such as enteral nutrition (EN) or parenteral nutrition (PN), is essential for the malnourished patients. Although the complications related to NT has been well described, multicenter data on symptoms in the patients with receiving NT during hospitalization are still lacking. Methods: Nutrition support team (NST) consultations, on which NT-related complications were described, were collected retrospectively for one year. The inclusion criteria were patients who were (1) older than 18 years, (2) hospitalized, and (3) receiving EN or PN at the time of NST consultation. The patients’ demographics (age, sex, body mass index [BMI]), type of NT and type of complication were collected. To compare the severity of each complication, the intensive care unit (ICU) admission, hospital stay, and type of discharge were also collected. Results: A total of 14,600 NT-related complications were collected from 13,418 cases from 27 hospitals in Korea. The mean age and BMI were 65.4 years and 21.8 kg/m<sup>2</sup>. The complications according to the type of NT, calorie deficiency (32.4%, n=1,229) and diarrhea (21.6%, n=820) were most common in EN. Similarly, calorie deficiency (56.8%, n=4,030) and GI problem except for diarrhea (8.6%, n=611) were most common in PN. Regarding the clinical outcomes, 18.7% (n=2,158) finally expired, 58.1% (n=7,027) were admitted to ICU, and the mean hospital days after NT-related complication were 31.3 days. Volume overload (odds ratio [OR]=3.48) and renal abnormality (OR=2.50) were closely associated with hospital death; hyperammonemia (OR=3.09) and renal abnormality (OR=2.77) were associated with ICU admission; “micronutrient and vitamin deficiency” (geometric mean [GM]=2.23) and volume overload (GM=1.61) were associated with a longer hospital stay. Conclusion: NT may induce or be associated with several complications, and some of them may seriously affect the patient’s outcome. NST personnel in each hospital should be aware of each problem during nutritional support.
Prediction Model for Screening Patients at Risk of Malnutrition after Gastric Cancer Surgery
Ji-Hyeon Park,Eunjung Kim,Eun-Mi Seol,Seong-Ho Kong,Do-Joong Park,Han-Kwang Yang,Jong-Ho Choi,Shin-Hoo Park,Hwi-Nyeong Choe,Meera Kweon,Jiwon Park,Yunhee Choi,Hyuk-Joon Lee 대한외과학회 2020 대한외과학회 학술대회 초록집 Vol.2020 No.11
Seol, Kuk-Hwan,Song, Ji-Hye,Prayad, Thirawong,Kim, Hyoun-Wook,Jang, Ae-Ra,Ham, Jun-Sang,Oh, Mi-Hwa,Kim, Dong-Hun,Lee, Moo-Ha Korean Society for Food Science of Animal Resource 2011 한국축산식품학회지 Vol.31 No.5
This study was performed to measure the angiotensin I-converting enzyme (ACE) inhibitory activity of peptide extracts derived from the enzymatic proteolysis of Hanwoo Musculus longissimus (M. longissimus) during cold storage. Thermolysin (80 ppm, w/w) and protease type XIII (100 ppm, w/w) were injected separately or in combination for the enzymatic proteolysis of sarcoplasmic and myofibrillar proteins prior to storage at $5^{\circ}C$ (T1) or at $-1^{\circ}C$ (T2) in a chilling room for 9 days. Beef injected with thermolysin (E2) and thermolysin+protease type XIII (E3) showed a significantly higher degree of hydrolysis at both storage temperatures (p<0.05). During the storage period, T1E2 at day 6 and T1E3 at day 9 showed the strongest ACE inhibitory activity with sarcoplasmic and myofibrillar protein proteolysates. Macromolecules greater than 10,000 Da were removed by ultra filtration, and the filtrates were separated into fractions using gel filtration. Five and three major fractions were collected from S-T1E2-6 and M-T1E3-9 extracts, respectively, and the $4^{th}$ fraction of the S-T1E2-6 extracts showed the highest ACE inhibitory rate of $61.96{\pm}7.41%$.
The First Case of Novel Influenza A (H1N1) Fatality in Korea
Seol, Hee-Yun,Eom, Jung-Seop,Kim, Mi-Hyun,Cho, Woo-Hyun,Kim, Ji-Eun,Kim, Ki-Uk,Jeon, Doo-Soo,Park, Hye-Kyung,Kim, Yun-Seong,Lee, Min-Ki,Park, Soon-Kew The Korean Academy of Tuberculosis and Respiratory 2010 Tuberculosis and Respiratory Diseases Vol.68 No.6
Here we report the first fatality caused by H1N1 influenza virus infection with acute respiratory distress syndrome in Korea. A 55-year-old man presented at our emergency department with dyspnea, fever, diffuse myalgia and malaise. Bilateral lung air-space consolidation was detected on his initial chest radiograph combined with severe hypoxemia. He was supported by mechanical ventilation and treated with antibiotics. A nasopharyngeal aspirate was positive for influenza A rapid antigen and oseltamivir was started on day 3 of admission. The nasal swab sample was positive for influenza H1N1 virus by real-time reverse-transcriptase polymerase chain reaction. Despite aggressive treatment, he had refractory hypoxemia and uncontrolled septic shock. On day 5 of admission he went into cardiac arrest and expired.
Ji-Yoon Kim,Yeon-Sil Kim,Mi-Ryung Ryu,Sung-Whan Kim,Chul-Seung Kay,Sei-Chul Yoon,Woo-Chan Park,Byung-Joo Song,Se-Jeong Oh,Sang-Seol Jung,Jong-Man Won,Seung-Nam Kim,Su-Mi Chung 대한암학회 2006 Cancer Research and Treatment Vol.38 No.1
Purpose: To evaluate the effect of the simulation method on recurrence among the patients who received radiotherapy after breast-conserving surgery (BCS) for early breast carcinoma.Methods and Materials: Between 1995 and 2000, 70 patients with stage I-II breast carcinoma underwent breast-conserving surgery and adjuvant radiotherapy. Twenty nine patients (41.4%) were simulated with the 2D contour-based method (September 1995 to August 1997) and 41 patients (58.6%) were simulated with the 3D CT-based method (September 1997 to February 2000). To analyze the effect of the simulation method, the patient and treatment characteristics were compared.Results: The characteristics were similar for the patients between the 2D contour-based simulation group and the 3D CT-based simulation group. During a median follow-up period of 75 months, 4 (13.8%) of 29 patients who were treated with 2D simulation and 1 (2.4%) of 41 patients who were treated with 3D simulation group developed treatment failure. The five-year survival rates were 89.2% and 95.1% between the 2D and 3D simulation groups (p=0.196). The five-year disease free survival (DFS) rates were 86.2% and 97.5% between the 2D and 3D simulation groups (p=0.0636). On univariate analysis, age 〉 40 (p= 0.0226) and the number of dissected axillary lymph node ≥ 10 (p=0.0435) were independent predictors of improved 5-year DFS. Conclusions: Although our data showed marginal significance for the DFS between the two groups, it is insufficient, due to the small number of patients in our study, to prove whether 3D CT-based simulation might improve the DFS and reduce the risk of recurrence when compared with 2D contour-based simulation. Further study is needed with a larger group of patients. (Cancer Res Treat. 2006;38:40-47)