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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.
Effects of Postharvest Ethylene Treatment on Minimal Processing Suitability of ‘Kyoho’ Grape
Se Ra Hong,Yong-Joon Yang,Youn-Moon Park 한국원예학회 2010 Horticulture, Environment, and Biotechnology Vol.51 No.3
Effects of exogenous ethylene treatment were investigated to facilitate minimal processing of ‘Kyoho’ grape. Grapes were harvested at commercial maturity, exposed to 10 and 100 μℓ · ℓ?¹, and stored for 4 months at 0℃ before processing. After storage, grapes were processed into individual berry or segmented products and put on the shelf for 7 days at 7℃. Based on the incidence of decay and changes in flesh firmness, storage potential of grapes in the cluster form as processing material was in the range of 2 months regardless of the postharvest ethylene treatment. Postharvest ethylene treatment significantly stimulated berry shattering even after 3 days of induction. Weight loss during storage was higher in the control than in the ethylene-treated grapes. No critical deterioration of instrumental and sensory quality by the ethylene treatments was observed during 7-day shelf life. Taste and appearance were rather maintained better in berry products when using naturally shattered berries induced by the ethylene treatments. Overall results indicated that postharvest treatment of 10 μℓ · ℓ?¹ ethylene facilitated minimal processing of berry products without affecting storability of raw materials and shelf life of the product.
송세빈 ( Se Bin Song ),김양균 ( Yang Gyun Kim ),이설라 ( Sul Ra Lee ),이동영 ( Dong Young Lee ),정경환 ( Kyung Hwan Jeong ),문주영 ( Ju Young Moon ),이상호 ( Sang Ho Lee ),임천규 ( Chun Gyoo Ihm ),이태원 ( Tae Won Lee ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.5
목적: 경동맥의 내막-중간막 두께(carotid artery-intima-media thickness, cIMT)는 혈액 및 복막 투석을 받고 있는 만성 신부전 환자에서 심혈관 질환과 관련된 사망의 예측인자임은 이미 알려져 있으나 투석 전 만성신질환 환자에 대한 연구 결과는 부족하였다. 이에 만성신질환 환자들의 신기능 단계에 따른 경동맥의 내막-중간막 두께 변화를 확인하고자 본 연구를 계획하였다. 방법: 2005년 1월1일부터 2009년4월30일까지 경희대학교 부속병원에 내원한 사구체 여과율 60 ml/min/1.73m2 미만의 만성신질환 환자 중 고해상도 B모드 경동맥 초음파를 시행한 환자 88명 (남:여=49:39)을 대상으로 정상 신기능의 대조군 30명 (남:여=13:17)과 경동맥 내막-중간막 두께를 비교하였다. 결과: 경동맥의 평균 내막-중간막 두께는 사구체여과율의 감소에 따른 만성신질환의 단계가 증가될수록 통계적으로 유의하게 증가하였는데 그 두께는 만성신질환 단계가 3, 4, 5단계로 악화되면서 각각 0.82±0.19 mm, 0.93±0.13 mm, 그리고 1.04±0.27 mm로 증가하였다. 또한 정상 성인과 비교하여 모든 만성신질환 단계에서 경동맥 내막-중간막 두께가 통계적으로 유의하게 증가된 상태임을 확인하였다. (p=0.002). 당뇨성 신질환의 경우 비당뇨성 신질환에 비해 그 두께는 증가하였으나 통계적으로 유의하지 않았다. (0.96±0.32 vs. 0.92±0.20, p=0.142). 다중회귀분석에서는 나이와 사구체여과율, 만성신질환 단계가 경동맥 내막-중간막 두께와 유의한 상관성을 보였다. 결론: 만성신질환 환자에서 투석전 초기 신기능 저하 단계에서부터, 경동맥의 동맥경화는 진행되어 있었으며 경동맥의 내막-중간막 두께는 나이 및 사구체여과율 만성신질환 단계와 상관관계가 있었다. Purpose: Carotid artery intima-media thickness (cIMT) has been reported as the predictive factor of mortality of cardiovascular disease in dialysis patients but only a few reports are available on the patients with earlier stages. We compared cIMT according to the stage of chronic kidney disease, and analyzed the data in association with cardiovascular risk factors. Methods: Study subjects were 88 patients with chronic kidney disease less than 60 ml/min/1.73m2 of glomerular filtration rate. cIMT was measured by means of high- resolution B-mode ultrasonography. Cardiovascular risk factors and cIMT were analyzed and compared with 30 subjects with normal renal function. Results: cIMT was significantly increased with the stage of chronic kidney disease. When the stage was increased from 3 to 5, cIMT was increased (p=002). cIMT was further increased in all stages of chronic kidney disease than in patients with normal kidney function. But association of diabetic chronic kidney disease with non-diabetic chronic kidney disease was not significant (p=0.127). Multiple regression analysis showed that cIMT in patients with chronic kidney disease was significantly correlated to age, glomerular filtration rate, and the stage of chronic kidney disease. Conclusion: We suggest that carotid atherosclerosis could increase in no dialysis patients with early stage of chronic kidney disease. Carotid artery intima-media thickness was correlated with age, glomerular filtration rate, and the stage of chronic kidney disease.
‘캠벨얼리’ 포도의 낱알 가공상품 품질에 미치는 수확후 에틸렌 처리 효과
홍세라(Se Ra Hong),양용준(Yong-Joon Yang),박윤문(Youn-Moon Park) 한국원예학회 2009 원예과학기술지 Vol.27 No.3
‘캠벨얼리’ 낱알포도 가공 상품화를 위한 전처리 과정으로서 수확후 에틸렌 처리 효과를 조사하였다. 가공용 포도 시료는 시장출하 적숙기에 수확하여 10, 100μLㆍL?¹ 에틸렌 처리를 거친 후 4개월간 0℃에 저장하였다. 가공원료로서 저장력은 저장 4개월까지, 가공포도의 품질은 2개월까지 조사하였다. 탈립률은 에틸렌 처리에 의해 크게 증가하여 처리 후 상온 보관 3일이 경과한 시점에서 80-90%, 저온저장 1개월 후에는 98-99%에 도달하였다. 과방상태에서의 과립부패율은 처리와 무관하게 저장 2개월 까지는 8% 이하를 유지하다가 이후 급격히 증가하였다. 부패율을 반영한 가공원재로서의 저장한계기간은, 10μLㆍL?¹ 처리 포도는 2개월 미만, 무처리와 100μLㆍL?¹처리 포도는 3개월 미만으로 평가되었다. 수확후 에틸렌 처리가 낱알포도 가공상품의 이화학 품질 특성과 식미에 미치는 영향은 미미했던 반면, 탈립유형에 따라서는 자연탈립 낱알상품의 외관이 우수한 경향이었다. 본 연구결과, 수확후 10, 100μLㆍL?¹ 수준의 에틸렌 처리는 효과적으로 탈립을 유도하여 가공공정을 용이하게 하면서도 2개월까지 저온저장 후 가공한 상품 품질에는 큰 영향을 미치지 않는 것으로 나타났다. Effects of postharvest ethylene application were investigated as a pretreatment for minimal processing of ‘Campbell Early’ grape. Grapes were harvested at commercial maturity for fresh market, treated with 0, 10, 100 μLㆍL?¹ ethylene, and then stored at 0℃ for 4 months. Storage loss and shattering pattern of raw produce were examined at one-month intervals for 4 months while quality of processed product was estimated until 2-month storage. Berry shattering increased significantly by ethylene treatment reaching 80-90% even after 3 days at room temperature following the treatment and 98-99% after 1-month refrigerated storage at 0℃. Incidence of berry decay in the whole cluster was less than 8% until 2-month storage regardless of ethylene treatment, while it increased sharply between 2- and 3-month storage. Considering decay, storability of grape as a raw material seemed to be shorter than 2 months for 10 μLㆍL?¹ ethylene treatment and 3 months for control and 100 μLㆍL?¹ ethylene treatment. In processed berries, ethylene treatment had no consistent effects on the instrumental and eating quality. In contrast, appearance of the product was significantly improved by the induction of natural shattering. Overall results indicated that postharvest treatment of 10 and 100 μLㆍL?¹ ethylene effectively induced berry shattering and facilitated the processing procedure while avoiding quality deterioration until 2-month refrigerated storage.
붕루(崩漏)의 침치료(鍼治療)와 구치료(灸治療)에 대한 문헌적(文獻的) 고찰(考察)
권세라 ( Se Ra Kwon ),양승정 ( Seung Jeong Yang ),조성희 ( Seong Hee Jo ),진천식 ( Cheon Sik Jin ),김효은 ( Hyo Eun Kim ) 대한경락경혈학회 2002 Korean Journal of Acupuncture Vol.19 No.2
This study was designed to investigate acupunture and moxibustion for uterine bleeding through literature research. We extracted the parts about acupunture, moxibustion and both of acupunture and moxibustion for uterine bleeding from ancient and modern oriental medical literature. The results were summerized as follows; 1. The acupoints used on acupunture only were 58 acupoints. The acupoints used often were SP6, LR3, SP10, CV3, CV6 in order and the meridians used often were SP, CV, LV, KI in order. 2. The acupoints used on moxibustion only were 38 acupoints. The acupoints used often were SP10, SP1, SP6, CV4, CV6 in order and the meridians used often were SP, CV, KI, GV in order. 3. The acupoints used on both of acupunture and moxibustion were 22 acupoints. The acupoints used often were SP6, LR3, SP10, KI10 in order and the meridians used often were LV, SP, KI in order.