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국내 입원한 성인 암환자의 정맥영양 사용에 대한 후향적 연구
박효정 ( Hyo Jung Park ),손유민 ( You Min Sohn ),정지은 ( Jee Eun Chung ),김정태 ( Jung Tae Kim ),양진아 ( Jin A Yang ),배혜정 ( Hye Jung Bae ),성예원 ( Ye Won Sung ),김선화 ( Sun Hwa Kim ),조지윤 ( Ji Yoon Cho ),정경미 ( Kyung Mi 한국정맥경장영양학회 2020 한국정맥경장영양학회지 Vol.12 No.2
Purpose: There have been no clinical studies on the characteristics of parenteral nutrition (PN) for adult cancer inpatients in South Korea. The published evidence describing modern PN practices in these patients is also extremely limited. Therefore in this retrospective multicenter cross-sectional study, we aimed to investigate the PN support practice in hospitalized adult cancer patients. Methods: The study included adult cancer patients hospitalized in nine hospitals in South Korea and received PN, during the period from August 1st, 2017 to October 30th, 2017. We evaluated the relevant hospital-based PN practices in this group. Results: Among the 11,580 inpatient admissions during this period, 759 cancer patients received PN (6.6%). The majority of enrolled patients (97.2%) used commercially available PN and 71.2% of these used peripheral PN formulations. The average in-hospital PN duration was 16.1±19.9 days. Patients received only 65.4±25.4% calories of the recommended target calories. The in-hospital mortality of enrolled patients was 26.1%. Conclusion: We conclude that commercial PN is the most common form of PN administered to hospitalized adult cancer patients and the overall in-hospital mortality in the patients using PN is higher in South Korea compared to other countries.
한 말기 암환자와 의사와의 의사소통에 대한 대중의 반응: 3개의 온라인 기사 댓글에 대한 질적 연구
박송이,박경혜,Park, Song Yi,Park, Kyung Hye 연세대학교 의과대학 2022 의학교육논단 Vol.24 No.3
This study explored the public's response to an incident involving publicity about how physicians broke bad news to a terminal cancer patient by analyzing 1,960 comments from three online news websites that reported on this event using Braun and Clarke's theme analysis methods. Three themes and 10 subthemes emerged from the public's responses to the way the physicians broke the bad news. Theme 1 (a physician is a person who tells the facts) contained the following subthemes: physicians are responsible for delivering facts, but it is a matter of consideration for patients to deliver bad news to them, empathy and consolation should be expected from people other than physicians, and physicians who say what patients want to hear are cheaters. Theme 2 (there is a problem with physicians) included the following subthemes: the physicians' empathy or personality and problems with their communication methods. Theme 3 (there are obstacles to communication with dying patients) had the following subthemes: physicians become emotionally dull and find it very stressful to break bad news, giving hope to dying patients can lead to medical disputes, and empathy and consolation are also costly. When breaking bad news, the physicians delivered factual information, but they did so inappropriately, and emotional support for the patient was insufficient. In medical communication education, it is necessary to emphasize training in emotional support. In the medical field, an environment should be created where physicians can communicate as they have learned.
맥문동 중 Dimethoate와 Pyraclostrobin의 잔류 특성
박효경 ( Hyo Kyoung Park ),노현호 ( Hyun Ho Noh ),이재윤 ( Jae Yun Lee ),정혜림 ( Hye Rim Jeong ),이정우 ( Jung Woo Lee ),진미지 ( Me Jee Jin ),최황 ( Hwang Choi ),홍수명 ( Su Myeong Hong ),경기성 ( Kee Sung Kyung ) 한국환경농학회 2016 한국환경농학회 학술대회집 Vol.2016 No.-
소면적 재배 작물인 맥문동 중 dimethoate(46% EC)와 pyraclostrobin(11% SC)의 잔류특성을 구명하기 위하여 충남 청양에 위치한 맥문동 포장에서 시험을 수행하였다. Dimethoate는 1,000배 희석하여 수확 50일전부터 10일 간격으로 20일전까지 토양 관주 처리하였으며(50-40, 40-30, 30-20), pyraclostrobin 의 경우 수확 50일전부터 7일전까지(50-40-30, 40-30-21, 30-21-14, 21-14-7) 4,000배 희석액을 경엽살포하였다. 시료는 수확 예정일에 일시 수확하였으며, 채취한 시료는 고압 분무기로 세척하고 60℃ 순환식 열풍 건조기에서 48시간 건조하여 건조 맥문동을 조제한 후 잔류농약을 분석하였다. 또한 수확 예정일에 인접하여 살포한 처리구(dimethoate:30-20, pyraclostrobin:21-14-7)의 경우 건조 전 맥문동도 잔류농약을 분석한 후 건조 전과 후의 잔류량 비를 이용하여 가공계수를 산출하였다. 맥문동 중 dimethoate 의 회수율은 85.8-94.1%이었으며, pyraclostrobin과 대사체(BF 500-3)의 회수율은 각각 86.5-118.1과 90.4-117.1%이었다. 건조 맥문동 중 dimethoate의 잔류량은 50-40 처리구에서 검출한계인 0.004 mg/kg 이하이었고 40-30과 30-20 처리구에서 각각 0.012-0.013과 0.025-0.026 mg/kg이었다. 토양 관주처리한 침투성 pyraclostrobin은 뿌리에서 검출되었으며, 수확일에 인접하여 살포할수록 잔류량은 증가하였다. 또한, 최종 약제살포 처리구에서 수확한 시료의 가공계수는 0.104-0.107로 열풍 건조 과정을 거치면서 잔류량은 감소하였다. 이는 열을 가하면 분해되는 dimethoate의 이화학적 특성 때문인 것으로 판단되었다. 건조 전 맥문동 중 pyraclostrobin과 대사체의 잔류량은 각각0.006-0.007 mg/kg이었으나 건조 맥문동 중 잔류량은 모든 처리구에서 검출한계인 0.001과 0.0002 mg/kg 미만이었다. 잎에 살포될 경우 국부 침투성을 가지는 pyraclostrobin은 경엽 살포한 농약이 지하부 뿌리에서 일부 검출되었으며, 가공계수는 0.14-0.16으로 열풍 건조 과정을 거치면서 잔류량은 감소하였다. 이는 비교적 낮은 녹는점 (63.7-65.2℃)과 습한 조건에서 반감기가 짧은 농약의 특성 때문인 것으로 판단되었다.
뇌진탕 후 증후군의 중의치료에 대한 임상연구 동향 - CNKI검색을 중심으로
박미소,주아라,최요섭,백혜경,황보경,신동국,장승원,Park, Mi-so,Ju, Ah-ra,Choi, Yo-sup,Baek, Hye-kyung,Hwang, Bo-kyung,Shin, Dong-guk,Jang, Seung-won 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.6
Objectives: The aim of this study was to investigate the latest clinical studies on Korean medicine treatment of post-concussion syndrome (PCS) in the Chinese National Knowledge Infrastructure Database (CNKI). Methods: We searched the last 10 years of clinical studies discussing Oriental medicine-based treatments for PCS in the CNKI database. The search focused on the authors, publication year, type of study, purpose of the study, method and duration of treatment, evaluation criteria, and results of each article. Results: Of the 22 selected studies, 1 was a non-randomized controlled trial (nRCT), 2 were case series, and 19 were randomized controlled trials (RCTs). Treatments included oral herbal medicine in 16 studies, oriental medicine through external use in 2 studies, acupuncture in 3 studies, and traditional Chinese medicine injection in 2 studies. The most frequently used herb was Cnidii Rhizoma (川芎). All 22 studies confirmed the efficacy of Oriental medicine treatments. Conclusion: More varied and scientifically designed clinical studies are required to develop treatments for PCS. The results of this study could be used as basic data for further PCS studies.