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      • KCI등재

        간호학 학사과정 내 중환자 간호학 교육의 운영 현황과 발전 방향

        이영희,연정,강지연,김복자,김정연,이윤미,최수정,최은희,이경,Yi, Young Hee,Son, Youn-Jung,Kang, Jiyeon,Kim, Bog Ja,Kim, Jung Yeon,Lee, Yun Mi,Choi, Su Jung,Choi, Eun Hee,Ha, Yi Kyung 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.3

        Purpose : This study examined the status of critical care nursing education in bachelor of science in nursing (BSN) to suggest future directions. Methods : The target of the survey was 185 BSN programs that were certified by the Korean Accreditation Board of Nursing Education as of October 31, 2016. We structurally reviewed the curriculums and the course syllabi. Results : Forty-eight courses of 42 BSN programs were analyzed. Only five programs offered both theoretical and practical courses in critical care nursing; 22 offered theoretical courses and 26 offered practical courses. Most courses were offered as electives with 1 or 2 credits, and were taught by faculty who were experts in adult health nursing. Conclusion : The results show that there is a quantitative shortage of critical care nursing education in the curriculum of BSN programs in Korea. The lack of knowledge and skills on critical care can lead to a burden of new intensive care unit nurses and is a threat to patients' health. It is necessary to develop a practical and integrative curriculum for critical care nursing education.

      • KCI등재

        증례 : 소화기; 내시경역행성췌담도조영술 중 발생한 간문맥 내 삽관 1예

        김창래 ( Chang Lae Kim ),하연정 ( Yeon Jung Ha ),엄상용 ( Sang Yong Om ),지원준 ( Won Jun Ji ),김태오 ( Tae Oh Kim ),최준호 ( Jun Ho Choi ),김명환 ( Myung Hwan Kim ) 대한내과학회 2014 대한내과학회지 Vol.86 No.4

        국내에서 내시경역행성췌담도조영술 시행 중 간문맥 삽관이 보고된 증례는 없었다. 황달이 발생한 췌장 두부암 환자에서 내시경역행성췌담도조영술 중 유도선을 따라 삽관캐뉼라를 삽입하였으나 간문맥 내 삽관이 발생하여 시술을 중단하고 보존적 치료를 통하여 회복된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A 68-year-old woman was admitted to our hospital with obstructive jaundice. Abdominal CT scan demonstrated a mass at the head of the pancreas. The patient was diagnosed as having obstructive jaundice caused by pancreatic cancer. We tried to relieve the bile duct obstruction by ERCP (endoscopic retrograde cholangiopancreatography). After several cannulation attempts, we thought that we had achieved deep cannulation of the bile duct and tried to place a biliary plastic stent. During ERCP, however, we noticed massive air in the portal venous system, indicating possible cannulation of the portal vein. The procedure was terminated immedi-ately and abdominal computed tomography revealed air in the portal venous system. Fortunately, there were no subsequent complications. The air in the portal vein had disappeared, ascertained by CT scan taken 5 days later. The patient underwent surgical resection for pancreatic cancer. Isolated portal vein cannulation per se does not usually result in mortality or serious morbidity. (Korean J Med 2014;86:462-465)

      • KCI등재

        증례 : Sunitinib 투여로 유발된 혈전성 혈소판 감소성 자반증 1예

        김은진 ( Eun Jin Kim ),최윤미 ( Yun Mi Choi ),이신원 ( Sin Won Lee ),하연정 ( Yeon Jung Ha ),이재련 ( Jae Lyun Lee ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2

        혈전성 혈소판 감소성 자반증 및 용혈성 요독성 증후군은 다발성 장기 손상 및 미세혈관병증 용혈빈혈을 보이는 급성 질환으로 치료하지 않을 경우 환자의 생명을 위협하는 치명적인 질환이다. 최근 VEGFR-TKI가 혈전성 혈소판 감소성 자반증을 유발할 수 있다는 보고가 나오고 있어, 저자들은 전이성 콩팥세포암종 환자에서 수니티닙을 사용한 뒤, 혈전성 혈소판 감소성 자반증이 발생한 1예를 경험하였기에 이를 보고하는 바이다. Thrombotic thrombocytopenic purpura and hemolytic uremic syndrome (TTP-HUS) is an acute condition with abnormalities of multiple organ systems. It is characterized by microangiopathic hemolytic anemia and thrombocytopenia. Several chemotherapeutic agents have been implicated in causing TTP-HUS. We report a case of TTP-HUS during treatment with sunitinib in a patient with metastatic renal cell carcinoma. A 53-year-old woman visited our hospital for fever and cough. She was diagnosed with sunitinib-induced TTP. Discontinuation of sunitinib and plasmapheresis improved her TTP. When she experienced disease progression after a prolonged period without treatment, sorafenib was tried, resulting in a partial response without recurrence of TTP-HUS. (Korean J Med 2013;84:303-307)

      • SCOPUSKCI등재

        담도암 진단을 위해 담도배액관에서 얻은 담즙세포진검사의 유용성에 관한 연구

        김진용 ( Jin Yong Kim ),최준혁 ( Joon Hyuk Choi ),김진희 ( Jin Hee Kim ),김창래 ( Chang Lae Kim ),배승현 ( Seung Hyeon Bae ),최영권 ( Young Kwon Choi ),하연정 ( Yeon Jung Ha ),송민주 ( Min Joo Song ),최준호 ( Jun Ho Choi ),홍승모 대한소화기학회 2014 대한소화기학회지 Vol.63 No.2

        Background/Aims: Biliary drainage is performed in many patients with cholangiocarcinoma (CCA) to relieve obstructive jaundice. For those who have undergone biliary drainage, bile cytology can be easily performed since the access is already achieved. This study aims to determine the clinical usefulness of bile cytology for the diagnosis of CCA and to evaluate factors affecting its diagnostic yield. Methods: A total of 766 consecutive patients with CCA underwent bile cytology via endoscopic nasobiliary drainage or percutaneous transhepatic biliary drainage from January 2000 to June 2012. Data were collected by retrospectively reviewing the medical records. We evaluated the diagnostic yield of bile cytology with/without other sampling methods including brush cytology and endobiliary forcep biopsy, and the optimal number of repeated bile sampling. Several factors affecting diagnostic yield were then analyzed. Results: The sensitivity of bile cytology, endobiliary forceps biopsy, and a combination of both sampling methods were 24.7% (189/766), 74.4% (259/348), and 77.9% (271/348), respectively. The cumulative positive rate of bile sampling increased from 40.7% (77/189) at first sampling to 93.1% (176/189) at third sampling. On multivariate analysis, factors associated with positive bile cytology were perihilar tumor location, intraductal growing tumor type, tumor extent ≥20 mm, poorly differentiated grade tumor, and three or more samplings. Conclusions: Although bile cytology itself has a low sensitivity in diagnosing CCA, it has an additive role when combined with endobiliary forceps biopsy. Due to the relative ease and low cost, bile cytology can be considered a reasonable complementary diagnostic tool for diagnosing CCA. (Korean J Gastroenterol 2014;63:107-113)

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