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- 저자 : 박완범 (검색결과 155 건)
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박완범,이기덕,이창섭,장희창,김홍빈,김의종,오명돈,최강원,벅상원 대한감염학회 2004 Infection and Chemotherapy Vol.36 No.6
Background:Pertussis was long considered a childhood illness. However, in the last two decades, it has been reported as a cause of prolonged cough in adolescents and adults in other countries. Infection of Bordetella pertussis was prospectively searched among adults with a persistent cough. Materials and Methods:Adult patients, who visited either the outpatient clinic of a municipal hospital or a university health service center due to cough of more than six days' duration without underlying pulmonary disease, from September 2002 to May 2003, were enrolled. The culture and polymerase chain reaction (PCR) were used for confirming of B. pertussis infection. Results:102 adult patients with persistent cough were evaluated. 3 (2.9%) patients were PCR positive for B. pertussis. There were no patients with positive culture. All patients with positive PCR had one or more classic symptoms of pertussis and their cough persisted for 3-7 weeks. Conclusion:We confirmed the morbidity of pertussis in Korean adults with persistent cough. Pertussis should be considered as a differential diagnosis of chronic cough in adults. 목 적 : 백일해는 소아기에 발생하는 전염병으로 오랫동안 알려져 왔다. 그러나, 미국과 유럽에서는 1990년대에 들면서 성인에서도 백일해가 유행하며, 만성 기침 환자의 20% 정도가 백일해를 앓는 것으로 보고하고 있다. 저자들은 국내에서 성인 만성기침의 원인으로 백일해의 가능성을 확인하고자 하였다.재료 및 방법 : 2002년 9월부터 2003년 5월까지 서울의 일개 대학보건진료소 또는 일개 시립병원 외래를 방문한 환자 중 기저 폐질환 없이 1주 이상 기침을 하는 성인을 대상으로 Bordetella pertussis에 대한 배양검사와 중합효소 연쇄반응검사(PCR)를 시행하였다. 결 과 : 1주 이상의 기침을 하는 성인 102명 중 배양검사에서 양성인 환자는 없었으나 3명(2.7%)에서 PCR 양성이었으며 이들 모두 3주 이상 기침이 지속되었고 백일해의 특징적인 증상을 호소하였다. 결 론:국내에도 성인에서 백일해가 발생하고 있음을 확인하였고 따라서 성인 만성기침의 원인으로 백일해를 감별 진단해야 한다.
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박완범,전강일,김가연,최재필,이지영,천신혜,이창현,박준선,김연재,조준성,진범식,최평균,방지환,박상원,김남중,임동균,김연숙,오명돈,신형식 대한의학회 2018 Journal of Korean medical science Vol.33 No.24
This nationwide, prospective cohort study evaluated pulmonary function and radiological sequelae according to infection severity in 73 survivors from the 2015 Middle East respiratory syndrome (MERS) outbreak in Korea. Patients with severe pneumonia in MERS-coronavirus infection had more impaired pulmonary function than those with no or mild pneumonia at the 1-year follow-up, which was compatible with the radiological sequelae. Severe pneumonia significantly impairs pulmonary function and makes long radiological sequelae in MERS.
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Correlations of Communication and Interpersonal Skills between Medical Students and Residents
박완범,표세라,장은영,강석훈,명선정,신희영,신좌섭,이윤성 한국의학교육학회 2010 Korean journal of medical education Vol.22 No.4
Purpose: Medical students’ communication and interpersonal skills can be evaluated by standardized patients in a clinical performance examination (CPX). The purpose of this study is to investigate which communication and interpersonal skills are more closely correlated between medical students and residents. Methods: This study included 2nd-year residents in 2009 who took the eight-station CPX as 4th-year medical students in 2006. In-patients who were cared for by the residents were asked the seven items related to interpersonal and communication skills. The correlation between the scores of these seven items in the 2006 CPX and the scores in the 2009 patient survey was evaluated. Results: Twenty-six residents, 11 in medical wards and 15 in surgical wards, participated in the study. The medical students’ total scores tended to be correlated with the residents’ scores (r=0.381, p=0.055). There was significant correlation between the scores for students and residents for ‘Explaining more explicably’ (r=0.470, p=0.015), and marginally significant correlation (r=0.385, p=0.052) for ‘Listening attentively.’ There was no significant correlation for the other five items. Conclusion: ‘Explaining more explicably’ and ‘Listening attentively’, these skills were more closely correlated between medical students and residents. These basic communication skills should be included in graduate or licensing evaluations.
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박완범,장은영,서미성,표세라,강석훈,명선정,김남중,오명돈,신희영,신좌섭 한국의학교육학회 2011 Korean journal of medical education Vol.23 No.1
Purpose: The aim of this study was to describe our experience of a class, using a film that deals with the social issues of human immunodeficiency virus (HIV), and the results of surveys before and after the class. Methods: One hundred fifty-six second-year medical students were surveyed with self-questionnaires (9-point Likert scale) before,immediately after, and 2 years after a class that viewed a film ('Philadelphia', 1993). The same survey, comprising 4 items, was administered to 81 non-medical students in the same university. Results: In 156 medical students, 153 (98%) answered the questionnaires. Before the class, there was no significant difference between medical and non-medical students with regard to the cognition of social isolation of HIV-infected persons (4.13 vs. 4.43,p=0.307). immediately after the class, medical student' cognition changed significantly in the positive direction on all items,irrespective of age, sex, and course grade. Two years after the class, this positive effect remained significant on 2 items: 'social isolation of HIV-infected persons' and 'casual contact with an HIV-infected person.'Conclusion: A film can be used to reinforce medical education in the affective domain.
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‘환자·의사·사회' 교육과정 도입 전후 학생들의 인식 조사
박완범,김아름,신좌섭,이윤성,서미성 한국의학교육학회 2008 Korean journal of medical education Vol.20 No.4
Purpose: The purpose of this study is to evaluate cognitive changes in medical students before and after introduction of a ‘Patient-Doctor-Society’ course into the curriculum of a medical school. Methods: Self-questionnaires that evalutated medical student congnition in the areas of medical humanities and sociology were answered by graduates-to-be who had experienced a new or previously implemented curriculum. The questionnaires included 28 questions using seven Likert scales. Student t-test was used to compare the scores between students who were educated using the new or old curriculum. Results: In 405 medical students, 349(86%) answered the questionnaires. For nine(32%) questions, students who partook of the new curriculum had higher scores than those in the older curriculum, and in 19(68%) questions, there was no statistically significant difference. The questions that revealed differences between the groups were related to professionalism, care, personal and social communication, and ethics. Conclusion: Introduction of the ‘Patient-Doctor-Society’ course into the curriculum of a medical school was associated with cognitives change in medical students with regard to medical humanities and sociology.
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