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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.
본 논고는 조선후기에 활동한 화가인 箕埜 李昉運(1761-1823 以後)이 1823년, 그의 나이 63세에 제작한 《癸未年韓中山水圖帖》 을 번역하고 소개하였다. 기야 이방운은 1761년에 태어나 아직 정확한 몰년이 밝혀지지 않았고, 많은 작품이 남아 있는 가운데 생애는 거의 알려진 바가 없다. 그러나 현재 전하는 이방운의 작품이 대략 230여 점에 이르고, 각각의 작품들은 장르의 경계 없이 다양하게 파악된다. 특히 그림뿐 아니라 글씨, 문장력까지 두루 능했다는 기록은 남아 있는 이방운의 작품과 비교해 보면 일맥상통하는 부분이 있다. 따라서 논고에서 주지하는 바는 이 첩의 연대를 통해 몰년의 하한을 재상정해보고, 노년의 기량이 농축된 이 첩의 서화(書畵)를 기준 삼아 이방운의 회화세계를 넓히는데 목적을 두었다. 《계미년 한중 산수도》 8폭 서화첩은 모두 13폭으로 중국의 명승도 7폭과 우리나라 금강산도 1폭, 그림에 붙인 시문 5폭으로 구성되어 있다. 본디 이 첩은 그림과 함께 시문이 위·아래에 나란히 표구된 병풍이었을 것으로 생각되나, 현재 시문 3폭이 유실된 채 13폭이 帖으로 개장改裝되어 있다. 이 첩의 중요한 지점은 그동안 ‘1815년 이후’로 추정했던 몰년을 적어도 63세까지 높여 본 것이다. 특히 이 작품은 고미술 감정안으로 이름이 높았던 松隱 李秉直(1896-1973)이 소장하였다는 題簽이 있음으로 해서 작품의 내력을 확실히 한다. 《계미년한중산수도첩》은 조선후기 문인들이 선호하던 주제인 망천도, 서호도, 무이구곡도 등 그림과 그에 상응하는 시문이 함께 수록되어 있다. 17세기에 들어서 조선의 문인들 사이에 명승유람과 遊記文學, 인문지리서 편찬이 성행하였고 중국의 산수화보들을 적극적으로 수용하는 양상들이 두드러지게 나타나는데, 이방운의 경우 우리나라는 물론 중국의 명승도도 많이 남겼다. 특히 이 첩은 중국에서 유입된 화본을 따르거나, 선대화가의 화풍을 따르지 않고 자신만의 해석을 가미하고, 노년의 능숙한 필치를 한껏 발휘하여 이방운의 후기작품의 기준으로 삼는데 이의의 여지가 없다. 따라서 이 첩의 발굴을 기회로 이방운의 화풍의 변화도 간단히 시도해 볼 수 있다. 후반기에 뚜렷이 나타나는 이방운의 화풍은 대상을 간략히 하고, 맑은 담채와 짧고 가는 선으로 이루어진 윤곽선등의 특징은 이제까지 이방운이 단순히 겸재, 현재, 표암의 영향하에 있던 화가라는 평가에서 벗어나 자신만의 회화세계를 확고히 한 화가로 재평가 해 볼 필요가 있다. This essay introduces Landscape of Korea and China in the Year of Gyemi (1823), a painting album that the late Joseon painter Yi Bang-un (1761- after 1823; sobriquet: Giya) produced at the age of 63, and translates related texts. Although Yi’s life and career are hardly known and the year of his death remains obscure, the works by and attributed to the artist still survive in large numbers. They amount approximately to 230, far from being confined within the boundaries of a specific genre. The wide range of extant works tallies in general with literary accounts that Yi was well versed not only in painting but also in writing and calligraphy. In this regard, my study aims to re-establish the terminus post quem for Yi’s death through the date of the album and to broaden our understanding of his art by examining the painting and calligraphy in the album that shows Yi’s mastery in his advanced age. The Landscape album consists of thirteen leaves in total: seven depicting renowned sceneries in China, one Mount Geumgang of Korea, and five leaves of a poem for a painting. Presumably the original format may have been a folding screen, each panel carrying a picture vertically between two poems, before being remounted in its present form, a thirteen-leaf album with a loss of three poem leaves. The significance of this album lies in the date of its production that allows to revise the year of Yi Bang-un’s death from a previous speculation “after 1815” into “after 1823” when the 63-year-old painter executed it. Moreover, the later history of the work is ascertained from an attached record establishing the ownership of Yi Byungjik (1896-1973) who is well known for his connoisseurship in antiquities. The 1823 album contains paintings of the subjects the late Joseon literati favored – the Wanchuan villa, the West Lake, and the Nine Turn Stream of the Wuyi mountains – and corresponding poems. Since the seventeenth century, Joseon literati have increasingly taken tours of scenic sites, published tourist literature, and adopted painting manuals from China. Such visual culture serves as a context in which Yi Bangun paints not only Korean views but also Chinese scenic spots in large numbers. Especially, this album shows a fully seasoned performance of brushwork and an original interpretation by the painter, establishing a standard for his later career that took liberty from both preceding painters’ styles and Chinese manuals. Thus the album provides a glimpse into the development and change of Yi’s pictorial style. The distinctive features of Yi’s later style are marked by simplified pictorial motifs, light coloring, and thin-and-short lines forming contours. These attributes help remove Yi’s stigma as an epigone of Jeong Seon (1676-1759), Sim Sajeong (1707-1769), and Gang Sehwang (1713-1791) and shed new light to his own art world.
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We explored the role of phosphodiesterase 4 (PDE4) on parathyroid (PTH)-induced signaling in osteoblasts. PTH was shown to increase the activity of PDE, mainly PDE4, in osteoblasts, which is partly attributable to elevated PDE4B and PDE4D mRNA expression. The use of PDE4 inhibitor strengthened the PTH-induced extracellular signal-regulated kinase (ERK) and p38 MAP kinase (MAPK) activation. Furthermore, the PDE4 inhibitor stimulated PTH-induced receptor activator of nuclear factor-κB ligand (RANKL) expression in osteoblasts, which in turn increased osteoclast formation. Taken together, these data suggest the negative role of PDE4 on PTH-induced signaling in osteoblasts.
Purpose: The purpose of this study was to examine the effects of hand press pellet on hand acupuncture point in elderly women with knee osteoarthritis. Methods: This study used a nonequivalent control group pretest-posttest design. The hand press pellet therapy was conducted 3 times a week for 6 weeks. Sixty-five participants were randomly allocated to an experimental group (n=33) and a control group (n=32). The Western Ontario and McMaster Universities Arthritis (WOMAC) Index and Geriatric Depression Scale (GDS) were used as measurement instruments. Data were analyzed with x² test (Fisher’s exact test), Shapiro-Wilk test, Mann-Whitney test, and Wilcoxon signed ranks test using the SPSS/WIN 25.0 program. Results: The hand press pellet therapy group had significant improvements in the knee joint pain (z=-4.32, p<.001), knee joint stiffness (z=-4.02, p<.001), difficulty of activity daily life (z=-4.74, p<.001), and depression score (z=-2.12, p=.034) compared with the control group. Conclusion: The hand press pellet therapy has been shown to be effective in knee joint pain, knee joint stiffness, difficulty of activity daily life and depression.
박효정 ( Hyo Jung Park ),이상훈 ( Sang Hoon Lee ),윤지혜 ( Ji Hye Yoon ),김현정 ( Hyun Jung Kim ),홍슬희 ( Seul Hee Hong ),김은주 ( Eun Ju Kim ),민자경 ( Ja Kyung Min ),김현정 ( Hyun Jung Kim ),정보경 ( Bo Kyung Jung ),오채연 ( Ch 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.3
Purpose: Intestinal failure (IF) is a complex clinical condition requiring a multi-disciplinary team approach. Our objective was to set up the treatment protocols and education documents for IF patients for development of intestinal rehabilitation programs in our hospital. Methods: We compared the number of inpatients, length of hospital stay, mode of nutrition and calorie supply at discharge, and the frequency of blood transfusions before and after quality improvement of multidisciplinary activities, in order to evaluate the indirect effects of new protocols and training materials and for development of the intestinal rehabilitation system. Results: We integrated eleven protocols for treatment and monitoring and seven educational materials for patients and caregivers. We compared indirect effects before and after the quality improvement activities. The number of IF patients hospitalized was reduced from 12 to 9. The mean days of hospital stay was decreased from 322 days to 73 days, the average number of monthly blood transfusions was also reduced from 1.8 to 0.3. In addition, the percentage of patients administered enteral nutrition and calories supplied was increased at discharge. Conclusion: By integrating IF protocols and education materials for IF patients, we found possible indirect effects of intestinal rehabilitation using a multidisciplinary team approach.
This study investigated the influence of the application of the career education programs related to the science of the elementary school on the career choice. For this study, a total of 32 lessons (4 units) utilizing the career education programs related the science curriculum were developed. The study subjects were 128 students from Y elementary school located in Incheon. A test with regard to the science related career choice and the science related career choice factors was performed before and after the lessons. For more detailed analysis, the experimental group was divided into two groups of female and male students; students who hope and do not hope career in science-related fields. As a result of the performance of career education programs, it showed a significant improvement in the ``science related career choice``. And, it also showed all significant improvements in ``science related major/department, education lecture selection``. It was possible to know that the students who do not wish science related jobs in the future also changed their mind on to the science. In addition, all the subcategories of the ``preference for science learning`` area such as ``preference for science subject``, ``preference for experiment``, ``recognition of science subject availability``, ``recognition of the impact of teacher`` showed a significant improvement. The ``perception about career related to science`` showed a significant improvement on the whole. There was no significant improvement on the whole in ``participation in science related activities``.
Cement is considered one of the most important building materials around the world. However, The cement industry contributes 5% of total global carbon dioxide emissions by cement production. There are many research about concrete of carbon emission reduction. In this research, concrete was modified for a new direction for CO2 capture and storage by using CO2 philic sorbent. Thermogravimetric analyses was used to estimate CO2 absorbtion quantity. Through the X-ray diffractometry, we found various CaCO3 crystal structures in concrete. Additionally, we confirmed the depth of concrete carbonation by phenolphthalein test. In this research, concrete that has CO2 binding sorbent was evaluated for carbon capture and storage.
Purpose: Intravenous glutamine may decrease complications arising out of infections, hospital length of stay, and mortality in critically ill patients who require parenteral nutrition (PN). The aim of this study was to evaluate the effects of administration of L-alanyl-L-glutamine on the clinical outcome and serum glutamine concentrations in these patients. Methods: In a population of critically ill patients who need PN at least for 5 days due to difficulty with oral/tube feeding, selected patients after inclusion were randomized into two groups: a study group (n=3) supplied with L-alanyl- L-glutamine administration and a control group (n=6) without it. Patients were supplied with 1.5 g/kg/day of amino acids and 20∼25 kcal/kg/day of energy. The study group received target amount of amino acids (1.5 g/kg/day) including 0.5 g/kg/day of L-alanyl-L-glutamine. The serum glutamine level and clinical outcomes were measured just before and after 4 and 8 days of PN administration. Results: We could not find out any significant differences of hospital stay, death at hospital, PN-induced complications, and serum glutamine concentrations between the two groups. In the study group, the number of deaths and intensive care unit (ICU) length of stay were much higher than the control group. Conclusion: Due to the lack of randomization in this study, the benefits from parenteral glutamine supplement have not been proved. However, it is the first study to measure serum glutamine concentrations of ICU patients in Korea. Further trials are needed to determine the exact effects of parenteral glutamine administration. (JKSPEN 2013;5(2):62-66)
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본 연구에서는 중학생들을 대상으로 부모와의 유대관계 유형에 따른 집단 간 감사와 학교적응을 비교 해보고자 하였다. 이를 위해 경상북도 포항시에 소재한 A남자 중학교와 B여자 중학교의 재학생 총 730명을 최종분석대상으로 하였다. 청소년들을 대상으로 변인들 간의 상관을 살펴보기 위해 Pearson의 적률상관분석을 수행한 결과, 부모유대관계의 ‘돌봄’ 요인은 감사와 학교적응의 모든 하위 요인들(교우관계, 학업, 교사-학생관계 그리고 일반적인 학교생활)과 유의한 정적 상관을 보인데 반해, ‘과보호’ 요인은 감사와 학교적응의 모든 하위요인들과 유의한 부적 상관을 보였다. 또한, 부모유대관계의 ‘돌봄’ 요인 과 ‘과보호’ 요인의 평균치를 토대로 부모관계유형을 4개 집단(애정적 제약, 바람직한 양육, 무관심한 양육, 애정결여 통제)으로 구분하여 이에 따른 감사와 학교적응에 차이가 나타나는지를 살펴보기 위해 일 원 변량 분석을 수행하였다. 그 결과, 부모유대관계의 유형에 따른 감사와 학교적응의 모든 하위 요인들에 서 유의미한 차이가 있는 것으로 나타났다. 구체적으로, 바람직한 양육집단의 학생들이 감사와 학교적응 의 모든 하위 요인들에서 유의하게 높게 나타났다. 이에, 부모로부터 애정적인 돌봄을 받되, 자율성과 독립성을 지나치게 통제받지 않는 바람직한 양육집단의 학생들이 감사하는 성향이 높으며, 학교생활에 적응을 잘하는 것임을 알 수 있다. This study was to examine the relationship between parental bonding, gratitude, and school adjustment in middle school students. 730 middle school students from Pohang city, Korea, completed and returned the questionnaires. Measures of parental bonding (i.e., care, and overprotection), gratitude, and school adjustment (i.e., friendship, school work, teacher-student relationship, school in general) were administered. Pearson’s product-moment coefficients indicated that parental bonding was statistically correlated with gratitude and school adjustment. Moreover, one-way analyses of variances indicated that statistically significant differences were observed on gratitude and school adjustment among the four types of parental bonding (i.e., Affectionate constraint, Optimal parenting, Neglectful parenting, Affectionless control). Particularly, the optimal parenting group showed higher gratitude and school adjustment ratings than the other three groups. Implications of the study were discussed in terms of parental bonding.