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신생아에 대한 가열 비 활동화한 B형 간염백신의 안전성과 면역성에 대한 임상적 관찰
전정식,이익준,심규식,정승연,정진우,최규용,조규홍,강진환,김승조,선희식,성인경,정규원,정환국,김부성 대한감염학회 1987 감염 Vol.19 No.4
A new heat-inactivated HBV vaccine has been evaluated for safety and immunogenicity in 157 newborn recipients. Three(Group 3M), one and a half(Group 1.5M), and one(Group 1M) μgm(HBsAgprotein) doses were given at 0,1 and 2 months.Three(Group 3W) and(Group 1W) μgm doses were also given at 0,1 and 2 weeks. All vaccine was administered intramuscularly in the thigh muscle. An adequate follow-up observation was possible during the period of 6 months after birth in 33, 26, 28, 34 and 36 infants in Groups 3M, 1.5M, 1M, 3W and 1W, respectively. Side effects were minor with limited local reaction at the site of adminisration. The 3W group produced seroconversion earliest and most rapidly, showing the highest rate of 60% and 70% at 1 and 2 months of age, resectively. However, at the age of 3 months, the highest seroconversion rate of 91.7% was observed in Group 1.5M, followed by 84.6% in Group 3W, 66.7% in Group 3M, 61.5% in Group 1M and 57.1% in Group 1W. At the age of 6 months, 87.5% of Group 3W, 80.8% of Group 1M, 80.4% of Group 1.5M, 83.3% of Group 3M infants showed seroconversion. However, a drop to 44.4% seroconversion was seen in Group 1W. There was no significant differences in seroconversion rates between Groups 3W, 1M, 1.5M and 3M at 6 months of age. There was also very little difference between these 4 Group regarding to the value of antibody response in terms of geometric mean titer. The vaccine was found to be safe and highly immunogenic for newborn infants. It can be concluded that 1.5M schedule is optimum for the immunization of newborn infants in immunogenicity and economy, while the 3W schedule can induce the earliest and most rapid seroconversion.
Laparoscopic repair of a rectal fistula due to a benign ovarian dermoid cyst
( Ji Hye Kim ),( Gun Oh Chong ),( Da Som Chun ),( Soo Yeun Park ),( Yoon Hee Lee ),( Dae Gy Hong ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.4
Ovarian dermoid cysts are one of the most common benign neoplasms in women. Rectal fistula formation due to an ovarian dermoid cyst, particularly a benign dermoid cyst, is extremely rare. A 17-year-old girl with symptoms of lower abdominal pain, passage of sebaceous materials in the stool, and hematochezia was found to have an 11-cm dermoid cyst complicated with a rectal fistula formation. Laparoscopic repair of the rectal fistula was performed successfully with bilateral ovarian cystectomies. This case presents the rare formation of a fistula between a benign dermoid cyst and the rectum and its treatment using laparoscopic repair without laparotomy.
병원 교육전담간호사가 인지한 신규간호사 필수 간호술기와 실습 교육 개선방안
권소희(So-Hi Kwon),김수현(Su Hyun Kim),정선영(Sun Young Jung),모문희(Moon Hee Mo),전영미(Young Mi Chun),홍선연(Sun Yeun Hong),이우숙(Woo Sook Lee),박주영(Juyoung Park),박지현(Jihyun Park),이현주(Hyoun Ju Lee),손정태(Jung Tae Son) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.2
본 연구는 병원 교육전담간호사가 신규간호사 교육 경험을 통해 인지한 필수 간호술기와 간호학 실습교육의 개선방안에 대해 포커스 그룹 인터뷰와 설문조사의 혼합연구방법을 이용하여 탐색하였다. 총 119개의 간호술기 중에서 교육전담간호사 전원이 매우 중요하다고 평가한 간호술기가 23개였다. 또한 교육전담간호사들은 신규간호사가 실무적응의 어려움을 보이는 원인을 무균술을 포함한 기본 원칙의 준수와 조작의 미숙, 대상자 상황 이해의 어려움, 낯선 상황에서의 미숙한 대처, 간호사로서 태도의 미흡으로 인식하고 있었다. 신규간호사의 임상실무역량을 높이기 위해서는 간호교육에서 간호전문직 의식을 고취시키기 위한 사고력 증진 교육 강화와 더불어 임상실무 역량을 향상시키기 위한 임상 실습의 교육 체계 개선과 프로그램 개발이 필요하다. 본 연구의 결과는 향후 임상의 요구와 대학의 현실을 반영하는 실습내용과 방법을 구성하는데 있어 유용한 기준으로 활용될 수 있을 것으로 기대 한다. This study explored the essential nursing skills recognized by 6 clincal nurse educators through new graduate nurse education experiences and ways to improve nursing practice education using a mixture of focus group interviews and surveys. Of the total 119 nursing skills, 23 skills were evaluated as very important by all participants. In addition, clincal nurse educators pointed out that new graduate nurses fail to comply with basic principles such as the aseptic technique and that the manipulation of medical devices is immature. Clincal nurse educators recognized that new graduate nurses did not understand the patient’s situation well, that they were immature in dealing with unfamiliar situations, and that their attitude as a professional nurse was inappropriate. In order to improve the practical adaptability of new graduate nurses, it is necessary to improve the education system and develop programs for clinical practice education. The findings are expected to be a useful criterion for building practical content and methods of nursing education curriculum.