http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
국가유공자를 간호하는 보훈병원 간호사의 자기자비, 적극적 대처 및 소극적 대처가 공감피로와 공감만족에 미치는 영향
이보람 ( Lee¸ Boram ),안숙희 ( Ahn¸ Sukhee ) 부산대학교 간호과학연구소 2021 글로벌 건강과 간호 Vol.11 No.2
Purpose: This study was conducted to present the levels of self-compassion, active coping, passive coping, and compassion fatigue and satisfaction, and explore the influence of self-compassion, active coping, and passive coping on compassion fatigue and satisfaction among nurses working at veterans’ hospitals. Methods: A correlational study design was used. The respondents were 148 staff nurses who had worked for more than a year in the general ward of four veterans’ hospitals in Korea. Data were collected from March to April 2019 via a self-administered questionnaire. Results: The respondents’ mean age was 31.49±6.85 and clinical experience 8.82±6.67 years. While compassion fatigue was significantly higher in nurses having veterans in the family (t=-2.59, p=.010), compassion satisfaction was significantly higher in those aged 41 and above (F=4.18, p=.018), married (t=-2.38, p=.018), having a higher monthly income (t=-2.59, p=.010), and having a hobby (t=-3.34, p=.001). There was a significant relationship between compassion fatigue and satisfaction (r=.21, p=.010). Regression analysis showed that the compassion fatigue score was higher when nurses had veterans in the family(β=.21, t=2.68, p=.008), with a 4.8% explained variance. Nurses engaging in more active coping (β=.34, t=3.70, p<.001) and less passive coping (β=-.24, t=-2.89, p=.004), and having a hobby (β=.19, t=2.50, p=.013) reported higher levels of compassion satisfaction. Conclusion: More active coping and less passive coping impacted compassion satisfaction significantly. Thus, there is a need to provide support to nurses so that they can utilize effective ways of coping with stress to improve their compassion satisfaction.
도시 및 농어촌 지역 거주 청중년 여성 1인가구의 건강수준 특성 비교 연구
김보람 ( Kim¸ Boram ),이경수 ( Lee¸ Kyung-soo ),정미영 ( Jung¸ Mi-yeong ) 한국도서(섬)학회 2021 韓國島嶼硏究 Vol.33 No.3
최근 부부와 자녀 중심으로 이루어진 가구 형태는 감소하고 1인가구가 급속하게 증가하고 있다. 1인가구는 라이프 스타일, 삶의 변화 등은 건강에 영향을 미치는 요인 중의 하나이다. 1인가구는 음주, 흡연, 비만 등의 건강생활행태에 있어 다인가구에 비해 상대적으로 위험성이 높은 집단으로 양극화, 고령화, 여성화의 특성을 가진다. 그러므로 이들은 신 건강취약계층으로 건강 사각지대에 놓일 가능성이 높아 향후 이들에 대한 사회경제적 비용이 점차 증가하게 될 것으로 예측하고 있다. 특히 여성 1인가구의 증가는 여성의 빈곤화를 초래할 수 있어 본 연구는 여성 1인가구를 대상으로 농어촌과 도시지역에 따른 두 집단 간의 건강특성을 분석하고자 하였다. 본 연구는 우리나라 청장년층 1인가구 여성들을 대상으로 이들의 건강한 삶에 영향을 주는 요인을 파악하기 위해 질병관리청으로부터 제공받은 2019년 지역사회 건강조사 원시자료를 활용하였다. 연구에 활용된 변수는 사회인구학적 특성, 건강수준 및 건강행태, 의료 이용, 정신건강, 사회적 연결망 및 사회활동 참여를 바탕으로 여성 1인가구의 거주지역에 따른 도시와 농어촌 두 집단 간 비교, 분석을 실시하였다. 여성 1인가구의 건강행태 및 수준을 보면, 청년은 생애주기 중 가장 건강한 시기이므로 농어촌과 도시 간 건강수준에 있어서 유의미한 차이를 보이지 않았으나, 중년의 경우, 주관적 불건강인지율(p<.001), 높은 현재흡연율(p=.013)과 고위험음주율(p=.038)의 불건강행태가 도시에서 높았고, 농어촌은 비만율(p<.001), 아침식사(주5-7회) 비율이 높았다(p=.009). 정신건강은 청년(p=.567)과 중년(p=.149) 모두 도시와 농어촌 두 집단간 스트레스 인지율의 유의미한 차이는 없었으나 우울감 경험율은 청년(p<.001)과 중년(p<.001) 모두 도시가 농어촌보다 높았고 유의미한 차이를 보였다. 사회적연결망 및 참여는 청년의 경우 농어촌이 친척(p<.001), 이웃(p<.001)과의 만남이 도시 보다 유의미하게 높게 나타났고, 사회활동은 친목활동(p=.040), 여가레저활동(p=.036), 자선단체 활동(p<.001)이 농어촌에 비해 도시가 더 활발하였다. 중년의 경우, 친척(p<.001), 이웃(p<.001)과의 만남이 농어촌이 도시보다 유의미하게 높게 나타났고, 사회활동은 종교활동(p=.102), 여가레저활동(p=.145)은 도시에서 높았던 반면 친목활동(p=.381)과 자선단체활동(p=.364)은 농어촌에서 높았으나 유의미한 차이는 없었다. 그 동안 노인 여성 1인가구를 중심으로 이루어진 연구가 많이 이루어져왔던 반면 청중년 여성 1인가구를 바탕으로 한 건강연구는 많이 이루어지고 있지 않았다는 점에서 본 연구의 의의가 있다. 따라서 본 연구결과는 청중년 여성 1인가구의 특성을 분석한 기초자료를 제공하며, 이들의 건강증진 및 유지를 위한 제언을 제시하고자 하였다. Recently, the number of households centered on couples and children has decreased and the number of single-person households has increased rapidly. Single-person households are one of the factors that affect health, such as lifestyle and life changes. Single-person households have the characteristics of polarization, aging, and feminization compared to multi-person households, so single-person households are likely to be in a health blind spot as one of a set of newly identified health vulnerable groups. Among them, the purpose is to analyze the health characteristics between the two main groups according to urban, farming, and fishing areas, especially focusing on single female households. According to the health behavior and level of single-woman households, young people showed no significant difference in health level among urban, farming, and fishing areas, because it is the healthiest time of their lives, but in middle age, subjective poor self-rated health(p<.001), high current smoking rates(p=.013) and high risk drinking rates(p=.038) was high in cities, and farming and fishing areas had an obesity rate of(p<.001), while breakfast consumption(5-7 times a week) rates were high(p=.009). Mental health in young people is(p=.567) and in middle-aged people recorded at(p=.149) There was no significant difference in stress recognition rates among urban, farming, and fishing areas, but both young people(p<.001) and middle-aged folk(p<.001) showed significant differences as cities were higher statistically than farming and fishing areas. Social networks and participation are related to young people in farming and fishing areas(p<.001) and meeting with neighbors(p<.001) were significantly higher than the city, while social activities were social activities(p=.040), leisure activities (p=.036), and charity work(p<.001) was more active in the city than in farming and fishing areas. In middle age, connection to relatives(p<.001) and neighbors(p<.001) was significantly higher than the city, and social activities such as religious activities(p=.102) and leisure activities(p=.145) were higher in the city while social activities(p=.381) and charity work(p=.364) was high in farming and fishing areas, but there was no significant difference. Based on the results of this study, it was intended to propose suggestions for the promotion and maintenance of health according to the characteristics of single female households in the target audience age group according to the region.
Bovine tuberculosis in an Asian small-clawed otter (<i>Aonyx cinerea</i>) in the Republic of Korea
Lee, Hyunkyoung,Kim, Jae-Myung,Jang, Yunho,Lee, Kyunghyun,Baek, Kanghyun,Lee, Boram,Kim, Ha-Young,Lee, Myoung-Heon,Ryoo, Soyoon,Bae, You-Chan,Choi, Eun-Jin,So, ByungJae SAGE Publications 2015 Journal of veterinary diagnostic investigation Vol.27 No.5
<P>Bovine tuberculosis caused by <I>Mycobacterium bovis</I> has a wide range of hosts including cattle and humans, but its incidence in otters is very rare. Our report describes a case of bovine tuberculosis in an Asian small-clawed otter (<I>Aonyx cinerea</I>). A deceased female otter ~2–3 years of age that was raised in an aquarium was submitted to the Animal and Plant Quarantine Agency (Anyang, Republic of Korea) for autopsy in June 2013. Following gross pathological examination, many white nodules were observed in the lungs and mesentery. The nodules showed central necrosis infiltrated with lymphocytes and macrophages and surrounded by fibrous tissue. Acid-fast bacteria were detected in the necrotic foci, but no fungi were observed. Molecular analysis led to the detection of <I>M. bovis</I>, which is identified in otters in some European countries such as Spain and France.</P>
Boram Lee,Jai Young Cho,Ho-Seong Han,Yoo-Seok Yoon,Hae Won Lee,Jun Suh Lee,Moonhwan Kim,YoungRok Choi 한국간담췌외과학회 2021 Annals of hepato-biliary-pancreatic surgery Vol.25 No.4
Although there is no established desensitization protocol for liver transplantation (LT), desensitization usually entails treatment with rituximab, plasmapheresis, splenectomy, and intravenous immunoglobulin (IVIG) infusion together with a local graft. The desensitization protocol is usually initiated 2 to 3 weeks before transplantation. Therefore, patients with acute liver failure warranting urgent LT are usually ineligible for ABO-incompatible (ABOi) LT. For these reasons, several attempts have been made to abridge the desensitization protocol and extend the indication for ABOi living donor LT (LDLT). Here we report a 40-year-old female diagnosed with chronic hepatitis B and acute-on-chronic liver failure (model for end-stage liver disease score, 31). In the absence of a suitable compatible liver donor, emergency ABOi LT was planned using a modified desensitization protocol. The preoperative isoagglutinin (IA) titer was 1 : 1,024 and the preoperative T- and B-cell cross-matches were positive. The patient received a single dose of rituximab (375 mg/㎡) and IVIG (0.8 g/kg) was administered from the anhepatic phase until three days after transplantation. Although the patient developed acute cellular rejection in the early stages after LT, she has maintained a stable graft function, even after 5 years. In summary, a modified desensitization protocol consisting of rituximab and IVIG is a feasible strategy for highly sensitized patients with elevated IA titers indicated for urgent LDLT.
Boram Lee,Sang Il Youn,Kanghaeng Lee,Yongjoon Won,Sahong Min,Yoon Taek Lee,Young Suk Park,Sang-Hoon Ahn,Do Joong Park,Hyung-Ho Kim 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.2
Purpose: Single-incision laparoscopic distal gastrectomy (SIDG) requires experienced camera operators for a stable image. Since it is difficult for skilled camera operators to participate in all SIDG, we began performing solo surgery using mechanical camera holders. We aimed to compare the short-term outcomes and cost between solo SIDG and conventional multiport laparoscopic distal gastrectomy (MLDG) for early gastric cancer (EGC). Methods: From January 2014 to December 2016, a total of 938 consecutive patients underwent laparoscopic gastrectomy for EGC. Solo SIDG (n = 99) and MLDG patients (n = 198) were selected and 1:2 propensity score matching was done to compare the quality of operation and cost-effectiveness. All solo SIDG was performed by a surgeon using a camera holder, without any assistant. Results: Mean operation time (120 ± 35.3 vs. 178 ± 53.4 minutes, P = 0.001) and estimated blood loss (24.6 ± 47.4 vs. 46.7 ± 66.5 mL, P = 0.001) were significantly lower in the solo SIDG group. Hospital stay, use of analgesics, and postoperative inflammatory markers (WBC, CRP) were similar between the 2 groups. The early (<30 days) complication rate in solo SIDG and MLDG groups was 21.2% and 23.7%, respectively (P = 0.240); the late (≥30 days) complication rate was 7.1% and 11.1%, respectively (P = 0.672). The manpower cost of solo SIDG was significantly lower than that of MLDG (P = 0.001). Conclusion: This study demonstrated that solo SIDG performed by experienced laparoscopic surgeons is safe and feasible for EGC. Solo SIDG is expected to be a promising potential treatment for EGC.
A case of tubo-ovarian abscess with arthritis at sacroiliac joint
( Boram Lee ),( Darae Lee ),( Chorong Kim ),( Heejoo Hong ),( Iseul Kim ),( Eun-jeong Park ),( Yoon Hyeon Hu ),( Yung-taek Ouh ),( Tae Gyu Ahn ),( Hyang Ah Lee ),( Jong Yun Hwang ),( Sunghun Na ),( Se 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-
Tubo-ovarian abscess (TOA) is an encapsulated, complex infectious mass of the adnexa that usually involves the fallopian tubes and ovaries, but may also involve other pelvic organs. A 44-year-old woman with a referred to the emergency room with low abdominal pain and left hip pain 5 days before visit. Since the insertion of an intrauterine device in 2008, she removed that device and was treated with antibiotics 5 days ago at local hospital. Except body temperature (38.0), other vital signs were all normal. In physical examination she had only remarkable for Lt. hip thigh tenderness. The blood tests showed elevated white cell count of 13,200/L with elevated C-reactive protein, 16.053mg/dL. Contrast-enhanced computed tomography (CT) showed multiloculated cystic lesion with thick enhancing wall and septa at left adenexa; a pelvic inflammatory disease with tubo-ovarian abscess was suspected, and the patient was admitted to the hospital for treatment. After admission, she was taken Magnetic Resonance Imaging (MRI), Sacroiliac(SI) joint due to left hip pain and the result was abnormal marrow signal intensity at left SI joint with enhancement, a left sacroilitis was suspected. The fever and left hip pain persisted despite of empirical antibiotics therapy and blood culture revealed the presence of gram-positive bacteria, thus surgical intervention was arranged. During the operation, there were adhesions between bowel and left adnexa and left adnexa mass was observed. She had pelviscopic left salpingo-oophorectomy and drainage insertion. After surgery, her lab findings were improved but left hip pain got worsen. So, she was taken MRI, SI joint again and the results was increased joint effusion with synovial thickening, with microabscess. After cunsultation with orthopedics doctor, she got surgery of incision and drainage at S-I joint. After surgery, her hip pain was improved, and she discharged.