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정맥주입 전문간호사가 삽입한 말초삽입형 중심정맥관(PICC) 사용 결과에 대한 후향적 분석
박정윤,박광옥,백미경,김세라,권혜리,양수진 대한기초간호자연과학회 2004 Journal of korean biological nursing science Vol.6 No.1
Background : Intravenous(Ⅳ) access is becoming an increasingly important part of health care today. The current drive for clinical effectiveness and cost-effective health care serves to increase the need for reliable vascular access. Venous access devices were developed to overcome problems associated with limited peripheral access and frequent venipuncture in patients with long-term therapy. Although the peripherally inserted central catheter(PICC) have become popular during recent years in USA, its procedure is rare in Korea. Purpose : The goal of this study was to analyze the PICC inserted patient data by Ⅳ CNS intervention. Method : A Total of 62 PICCs were inserted into 51 patients by the Ⅳ CNS during a 10-month period form November, 14, 2002, to October 2, 2W2. Data was obtained retrospectively through chart review. Result : The patient population included 34(54.8%) men and 28(45.2%) women, with a mean age 50.6 years. The main indication for PICC placement was to access vein in poor peripheral venous status(40.3%). The mean served interval for PICC insertions was 16.7 days(range, 2~61 days). The reasons for removal were completed therapy in 18 cases(29.0%), patient death in 13 cases(21.0%), and mechanical or functional PICC problem in 10cases(16.1%). The three PICCs removed for presumed infection, and one had only positive tip cultures(0.2%). Conclusion : PICCs are rapidly growing popularity and required an extended course of Ⅳ therapy.
( Yun Mi Choi ),( Su Man Cha ),( Hyun Kang ),( Chong Wha Baek ),( Yong Hun Jung ),( Young Cheol Woo ),( Jin Yun Kim ),( Gill Hoi Koo ),( Sun Gyoo Park ) 대한마취과학회 2010 Korean Journal of Anesthesiology Vol.58 No.5
Background: The aim of this study was to compare the streamlined liner of the pharynx airway (SLIPA), a new supraglottic airway device (SGA), with the laryngeal mask airway ProSeal(TM) (PLMA) during general anesthesia. Methods: Sixty patients were randomly allocated to two groups; a PLMA group (n=30) or a SLIPA group (n=30). Ease of use, first insertion success rate, hemodynamic responses to insertion, ventilatory efficiency and positioning confirmed by fiberoptic bronchoscopy were assessed. Lung mechanics data were collected with side stream spirometry at 10 minutes after insertion. We also compared the incidence of blood stain, incidence and severity of postoperative sore throat and other complications. Results: First attempt success rates were 93.3% and 73.3%, and mean insertion time was 7.3 sec and 10.5 sec in PLMA and SLIPA. There was a significant rise in all of hemodynamic response from the pre-insertion value at one minute following insertion of SLIPA. But, insertion of PLMA was no significant rise in hemodynamic response. There was no statistically significant difference in the mean maximum sealing pressure, gas leakage, lung mechanics data, gastric distension, postoperative sore throat and other complication between the two groups. Blood stain were noted on the surface of the device in 40% (n=12) in the SLIPA vs. 6.7% (n=2) in the PLMA. Conclusions: The SLIPA is a useful alternative to the PLMA and have comparable efficacy and complication rates. If we acquire the skill to use, SLIPA may be considered as primary SGA devices during surgery under general anesthesia. (Korean J Anesthesiol 2010; 58: 450-457)
간호사의 업무 강도, 대인관계 갈등과 소진의 관계에서 회복탄력성의 조절 및 매개 효과
백윤미 ( Baek Yun Mi ),김숙영 ( Kim Souk Young ) 병원간호사회 2020 임상간호연구 Vol.26 No.3
Purpose: For this study the moderating and mediating effects of resilience on the relationships between work intensity, conflicts in interpersonal relationship and nurses' burnout were investigated. Methods: In this descriptive research 227 nurses who consented to participate in the study were surveyed. The tool included nurses' objective work intensity, subjective work intensity, conflicts in interpersonal relationships, resilience, and burnout. Data were collected from nurses in general hospitals in D city from July to August 2017. Collected data were analyzed using SPSS 23.0 program. Results: Participants' burnout showed a statistically significant difference according to age, marital status, total clinical experience, position, work pattern, frequency of night shifts, work department, and salary. Participants' burnout was significantly positively correlated with subjective work intensity and conflicts in interpersonal relationships, and significantly negatively correlated with resilience. Resilience moderated the relationship between participants' subjective work intensity and burnout, and mediated the relationship between conflicts in interpersonal relationships and burnout. Conclusion: Resilience had a moderating effect on the relationship between subjective work intensity and burnout, and a mediating effect on the relationship between conflicts in interpersonal relationships and burnout. Therefore, further efforts and diverse intervention measures are required to enhance resilience and reduce work intensity and conflicts in interpersonal relationships in order to prevent burnout in nurses.
한국피아노교수법학회논문집 : 한국의 민요 및 전래동요를 소재로 한 피아노 학습곡 개발 연구
백미연 ( Mi-yun Baek ) 한국피아노교수법학회 2008 음악교수법연구 Vol.4 No.-
In the past, Korean traditional music has been overlooked in piano education in Korea. Furthermore, when Korean traditional music pieces are taught, the pieces normally are taught in a scalar or melodic system of Western music, and therefore the unique scales or rhythms of Korean traditional music are not educated properly. Therefore, the aim of this study is to develop piano teaching pieces, which maximizes the primary features of Korean traditional music as well as naturally educate the theory system of Korean traditional music in order that people can learn Korean traditional music comprehensively. The proposed exercise book has the following criteria: First of all, the folk songs and nursery rhymes cited from the music text book of elementary school are used in order to associate with national music curriculum and to motivate piano lesson. Secondly, these piano teaching pieces are composed in four stages based on the degree of difficulty according to the system of piano pedagogy. Finally, these teaching pieces introduce the theory of western music as well as the theory of Korean traditional music such as each regional scale and ornament and Jangdan. In conclusion, this study will result in thirty teaching pieces according to the above mentioned criteria ranging from beginner to early intermediate level. The contribution of this study is in developing a Korean traditional piano teaching pieces by combining both the theory of western and Korean traditional music.
Jeong, Yun-Mi,Oh, Mi Hee,Kim, Su Yeon,Li, Hailan,Yun, Hye-Young,Baek, Kwang Jin,Kwon, Nyoun Soo,Kim, Won Yong,Kim, Dong-Seok Govi-Verlag Pharmazeutischer Verlag [etc.] ; Verla 2010 PHARMAZIE Vol.65 No.2
<P>Indole-3-acetic acid (IAA) and horseradish peroxidase (HRP) have emerged as a new strategy for cancer treatment. In the present study, we determined the effects of IAA/HRP treatment on TCCSUP human urinary bladder carcinoma cells. It was found that the IAA/HRP combination decreased cell viability of TCCSUP cells in a time- and dose-dependent manner, whereas IAA or HRP alone showed no such effect. In addition, the decreased cell viability was restored by pretreatment with ascorbic acid. To clarify the mechanism of death of TCCSUP cells by IAA/HRP, we investigated the signal transduction pathways related to the apoptosis. It was found that IAA/HRP activates p38 mitogen-activated protein (MAP) kinase and c-Jun N-terminal kinase (JNK). We further investigated the IAA/HRP-mediated apoptotic pathways and showed that IAA/HRP induces caspase-8 and caspase-9 activation, which results in caspase-3 activation and poly(ADP-ribose) polymerase (PARP) cleavage. To further confirm whether IAA/HRP induces apoptotic cell death, we performed a DNA fragmentation assay after IAA/HRP treatment and found that IAA/HRP-treated cells showed typical apoptotic DNA ladder formation. From these results, we suggest that IAA/HRP induces apoptosis of TCCSUP human urinary bladder carcinoma cells via both death receptor-mediated and mitochondrial apoptotic pathways.</P>
Mi-Ra Kim,Jung-Min Yon,Se-Ra Lee,In-Jeoung Baek,Yun-Bae Kim,Beom-Jun Lee,Young Won Yun,Sang-Yoon Nam 한국실험동물학회 2008 Laboratory Animal Research Vol.24 No.2
Ginseng is one of the most common herbal medicines in the Orient which has been used for the treatment of disease due to its wide spectrum of medicinal effects, such as tonic, immunomodulatory, antioxidant, and anti-aging activities. However, there are only a few reports on the effects of Korean ginseng on the reproductive organs in animals and humans. To understand the antioxidative effect of Korean ginseng on the male reproductive system, we analyzed the mRNA expression patterns of glutathione peroxidase (GPx) family [cytosolic (GPx1), gastrointestinal (GPx2), and phospholipid hydroperoxide (GPx4) types] in the testes, epididymes, prostates, and seminal vesicles of mice exposed to Korean ginseng. Korean ginseng extracts (20, 200, and 2,000 mg/kg body weight) were treated to 7-weekold male mice for 9 weeks daily per oral. Total RNAs were extracted from testis, epididymis, prostates, and seminal vesicles, and then RT-PCR was performed with the specific primers of each GPx genes. In testis, all type of GPx mRNA expression was similar to that of control group. However, the gene expression of GPx2 was decreased in the epididymis exposed to 2,000 ㎎/㎏ of Korean ginseng, but it was no significant difference. The gene expression of GPx1 in prostates was tend to decrease slightly compare to control group, but those of GPx2 and GPx4 were weakly increased by Korean ginseng treatments. On the contrary, the gene expressions of GPx2 and GPx4 in seminal vesicles were decreased slightly compare to control group. These findings suggest that Korean ginseng may influence the antioxidant system of male reproductive organs in a differential manner.