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윤정이 ( Jeong E Yun ),곽은주 ( Eun Joo Kwak ),남정자 ( Jung Ja Nam ),김혜련 ( Hye Ryun Kim ),최호순 ( Ho Soon Choi ),배상철 ( Sang Cheol Bae ) 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.4
Objective: Based on the data of National Health and Nutrition Survey (NHNS), which was conducted by Ministry of Health and Welfare in 1998, we analyzed nutritional status among arthritis patients in Korea. Method: Nutrition survey was performed through interview which was subdivided to food intake survey, frequency of food intake survey, and dietary habits survey. Nutrient intake was calculated from the recall of food ingested in previous 1-day. Overall, 1,025 patients with arthritis and 2,773 normal controls recorded a detailed dietary history. Information collected was analyzed for intake of energy, fats, protein, carbohydrate, vitamins and minerals, which was then statistically compared between the arthritis patients and the control group. Results: In patients with arthritis, body mass index (BMI) was significantly greater than in control in both men and women. Patients with arthritis ingested significantly less energy from fat and more energy from carbohydrates. They ingested less dietary intakes of the following nutrients: protein, fat, carbohydrates, calcium, iron, vitamin A, B1, B2, and niacin. Especially, the intake of calcium and vitamin B2 were only about 60% of the Reference Daily Intake (RDI). Deficiency of calcium intake was predominantly revealed in all age groups, even in normal controls. Female patients with arthritis seemed to take less dietary intake than male. Conclusion: Using these national data, we showed that the deficiency of calcium intake was revealed in our population, and female patient with arthritis had a tendency to ingest less nutrient intake.
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중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과
박영미,남금희,강기노,남정자,윤연옥,Park, Young Mi,Nam, Keum Hee,Kang, Ki Noh,Nam, Jeong Ja,Yun, Yeon Ok 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.2
Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.
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한국인 관절염의 본인인지 유병률과 역학적 특성: 『1998 국민건강,영양조사』
엄완식 ( Wan Sik Uhm ),윤정이 ( Jeong E Yun ),박용욱 ( Yong Wook Park ),김혜련 ( Hye Ryun Kim ),남정자 ( Jung Ja Nam ),이혜순 ( Hye Soon Lee ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),유대현 ( Dae Hyun Yoo ),배상철 ( Sang Ch 대한류마티스학회 2004 대한류마티스학회지 Vol.11 No.2
Objective: The aim of our study was to define the prevalence, demographic data, selection of the medical services and disability of the patients with self-reported arthritis which were based on the data of National Health and Nutrition Survey (NHNS) conducted by Korea Institute for Health and Social Affairs (KIHASA) and Ministry of Health and Welfare in 1998. Methods: By a stratified multistage probability sampling method, 200 sample districts which consisted of total 13,523 households were selected all over the country. The investigation started with a basic household survey which was completed in 12,189 households with exclusion of non-kinship family. The Health Interview Survey was subdivided to 5 parts including the basic household survey (n=39,060), the diseases survey (n=26,448), and the disability survey (n=694). Results: An estimated 8.0% of Koreans had some form of self-reported arthritis in 1998 and this proportion was higher than that of other chronic medical conditions such as peptic ulcer disease, hypertension, and diabetes mellitus (DM) -7.0%, 4.5%, and 2.2%, respectively. Arthritis was more prevalent among people with female, increasing age, lower income (less than 500 thousand ￦ per month), lower educational attainment (less than 9 years), and lower standard of living. Especially, arthritis ranked first in prevalence as the cause of the chronic disease in the population aged over 45 years, with the prevalence rate of 22.6%. People with arthritis were more likely to report functional limitations such as activities of daily living (ADL) and instrumental activities of daily living (IADL) (5.4%), compared with people who had other musculoskeletal diseases, such as low back pain (3.8%), and herniated intervertebral disc (2.8%). The loss of productivity from arthritis was estimated to reach 0.25% of gross domestic product (GDP) amounts to ￦ 1,133 billion per year which was remarkably higher than that of cardiovascular diseases or cancers. Conclusion: Arthritis has a major impact on the health profile of our population. High burden of arthritis in our society should be considered as an important factor in planning health care services and setting research priorities.
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오명성,남정자,황금만,이수택,김대곤,안득수 의과학연구소 1992 全北醫大論文集 Vol.16 No.1
We experienced a 36-year-old male patient showing unknown hepatitis fallowing enflurane anesthesia. Enflurane was commonly used in the patients with hepatic dysfunction due to its higher stability and lower hepatotoxicity by intermediate metabolities of enflurane rather than halothane. Enflurane-associated hepatitis has been reported uncommonly. In our case, hepatitis developed at 14th days after enflurane anesthesia. In the early phase, fever, eosinophilia and transaminases elevation were developed. In this point of view, clinical features of our case were similar to those of other reported cases. Patient's clinical symptoms and liver function such as levels of AST, ALT and total bilirubin were normalized within 4 weeks after enflurane anesthesia. But, 1 month later, the patient readmitted due to a severe jaundice. Jaundice was improved slowly for the next three months. The findings of liver biopsy showed a severe cholestatic hepatitis that were similar to viral hepatitis. So, we managed him with supportive treatment and he was slowly improved. We report this case with the review of relevant literature. (Key words : Enflurane, hepatitis)
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