Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim`s technique and comparison to laparotomy

( Jeong Sook Kim ),( In Ok Lee ),( Kyung Jin Eoh ),( Young Shin Chung ),( Inha Lee ),( Jung-yun Lee ),( Eun Ji Nam ),( Sunghoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2

Objective This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim`s technique and to compare the surgical outcomes with those of laparotomy. Methods Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim`s technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. Results In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). Conclusion SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim`s technique could be a feasible solution to removing huge ovarian tumors.

급성심근경색후 발생한 심실중격결손 2례

김태희,이재호,김애란,허민영,문치숙,정수룡,김대경,김두일,김동수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Ventricular septal defect remains an infrequent but devastating complication of acute MI. Approximately 1∼3% of cases of acute myocardial infarction are complicated by ventricular septal rupture in the prethrombolytic era and the incidence has decreased to 0.2% with reperfusion therapy. This mechanical complication usually occurs within the first 10 to 14 days when necrotic tissue is most abundant and the collateral coronary circulation is not well developed. This lesion is generally associated with complete coronary obstruction rather than severe stenosis. Rupture of the ventricular septum is a severe mechanical complication of acute myocardial infarction, usually resulting in death unless surgical repair is performed. The bad prognosis of this event within the first 2 weeks indicates the need for early surgical rapair. This complication is more frequent after the first acute myocardial infarction in the elderly and secondary to a transmural myocardial infarction. We report two cases of ventricular septal rupture after acute myocardial infarction.

여성암 환자의 영적건강과 우울의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea),김혜나(Kim Hea Na),김혜은(Kim Hae Eun),김혜지(Kim Hea Ji),노영정(No Young Jeong) 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from women cancers. Methods: The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 106 in woman patients who were diagnosed with women cancer at one university hospitals and one general hospital. The instruments used for this study included, the Depression Scale developed by Zung(1965) and Spirituality Health Inventory developed by Highfieid(1992) and amended by Lee & Kim. The collected data were analyzed using Frequency, Percentage, t-test, ANOVA, Pearson s correlation coefficients. Results: 1) Depression score was middle, Spiritual Health score was middle 2) The Spiritual Health in women cancer patients indicated a significant negative correlation between spiritual health and depression was perceived with over moderate level(r=-.647, p=.000) 3) There were significant difference in spiritual health according to the Monthly income (F=4.30, p= .016), the degree of pain(F= 2.848,p= .041), the degree of fatigue(F= 3.415,p=.020),the frequency of attendance at worship services(F=3.285, p=.014) the effect of religion on personal life(F= 9.413, p=.000). 4) There were significant difference in depression, according to the residence type(F= .748, p=.012), the cancer insurance(t=7.859, p=.006), the degree of pain(F= 2.775,p= .045). Conclusions: It is needed strategies for intervention of improving the spiritual health to reduce depression in women cancer patients. The significant several characteristics of related to depression and spiritual health should consider in sociopsychological nursing intervention of women cancer patients

중년 남성의 결혼만족도에 미치는 영향요인

김희숙 ( Kim Hee Sook ),하태희 ( Ha Tae Hi ) 경북대학교 간호과학연구소 2010 경북간호과학지 Vol.14 No.1

Purpose: The purpose of this study was to investigate the influencing factors of marital satisfaction in middle-aged men. Method: Data collection was carried out May 2 through July 30 2005. In order to get the data by self-questionnaire, 427 subjects were selected. The instruments for this study were Kim's husband and wife compatibility scale, Rosenberg's self-esteem scale, Olson, Sprenkle, and Russel's ENRICH inventory, and Frazier and Bowden's marital satisfaction scale. The dada was analyzed by mean, standard deviation, t-test, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression using SPSS 12.0 program. Result: The main factors that affect marital satisfaction were husband and wife compatibility, communication, and self-esteem. These variables were account for 69.3% of marital satisfaction. Conclusion: It is necessary to develop a strategy to improve husband and wife compatibility and communication and increase self-esteem for marital satisfaction in middle-aged men Therefore, development of nursing program focus on gender role attitudes is needed.

비만 여성을 대상으로 한 해조류 추출물의 국부처치와 운동 병행을 통한 지방분해 효과의 임상적 검정

서태수,이인숙,변재철,김규호,박승한,김유영,김상국,김현정,김상기,신동철,성미영,박종석,김종기,박언휘 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.3

This study was carried out to test the body fat breakdown during topical seaweed extract treatment and in combination with the aerobic exercise. Of 20 female obesity subjects, ten treated a cream types of seaweed extract(control group) and ten treated a placebo cream(placebo group). Topical treatment of each sample was designed for 4 weeks, and treated with 2 times a day about 10ml on the abdomen and the thigh, respectively. All subjects were participated aerobic dance half hour a day and four times a week. After 4 weeks of topical treatment and exercise, they were measured body fat, skinfold thickness, body circumference. Then venous blood samples were taken and analyzed blood cells, serum enzymes, and serum lipids. There were reduction of body weight, % of body fat, antebrachium, brachium, chest, waist, thigh circumference and abdomen thickness between pre and post treatment in both group. Especially, body weight and % of body fat significantly reduced in the subjects treating the seaweed extract than those treating the placebo. There were significant decrement in total cholesterol and LDL whereas increment in HDL and TBIL in the control group, but no significant difference in the placebo group. In conclusion, there were 7.6% of body fat reduction during 4 weeks of aerobic exercise and 21% of body fat reducement in combination of topical seaweed treatment and exercise, respectively. These results suggest that the topical treatment of seaweed extract should be very effective for fat breakdown. Especially, the body fat breakdown maximized in the combination with the topical seaweed extracts treatment and the aerobic exercise.

간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인

태영숙(Tae Young-sook),김종선(Kim Jong-sun) 대한종양간호학회 2003 Asian Oncology Nursing Vol.3 No.2

Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to<br/> October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale, Kim's BSE attitude scale and Jung's BSE practice scale.<br/> The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise<br/> Regression using SPSS program.<br/> Result: 1. The mean score of BSE practice for the total sample was 7.25±4.62. 2. Statistically significant factors influencing the<br/> BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3.<br/> Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of<br/> significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00),<br/> frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in<br/> finding breast nodule(F=7.204, p=0.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE<br/> knowledge and practice was found(r=0.366 ,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the<br/> best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion:<br/> Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

여성암 환자의 영적 건강과 우울의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea) 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.2

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, “the Depression Scale” developed by Zung(1965) and “Spirituality Health Inventory” developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p=.016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.

기도이물에 관한 임상적 고찰

한찬수,김태정,김일호,김유재,김천숙,안기량 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

Aspiration of a foreign body in the airway is common cause of sudden obstructive breathing, crouping cough, hoarseness, and wheezing. Especially that caused serious problem in case of the young children. A past history of foreign body aspiration is itself an indication for bronchoscopic examination of the airway, because some children with aspirated foreign bodies are without symptoms and chest X-ray films may not show abnormalities. So the anesthesiologist should take a notice of removing foreign body in the anesthetic procedure. The author have experienced 36 cases removal of foreign bodies in the airway under general anesthesia from July, 1982 to January, 1996 in Chunan Hospital, College of Medicine, Soonchunhyang University. The results were as follows 1) Among the 36 cases, 25 cases(69.7%) were under the age of 5. The ratio of male and female was 1.8 : 1. 2) In duration of lodgement, there was most frequent within one day in 15 cases(41.7%) and the longest duration was 20 days. 3) The most common symptom, sign and auscultation finding were cough 19 cases(52.8%). chest retractions 7 cases(19.4%) and decreased breathing sound 20 cases(55.6%) 4) Abnormalities in the chest X-ray were found in 15 cases(41.7%) among 36 cases. 5) Vegetable foreign bodies, expecially peanut were the most common airway foreign body(28.7%), followed by plastic foreign body(14.4%) and mucous plug(11.3%). 6) The foreign body involved the right bronchus 16 cases(45.7), left bronchus 10 cases(28.6%), trachea 5 cases(14.3%), and larynx 4 cases(11.4%). 7) Foreign body induced complications occurred in 9 cases(25.0%); pneumonia 8 cases and pneumomediastinum 1 case, and all of postoperative complication was pneumonia(25.0%). 8) 34 foreign objects(94.4%) were removed by endoscopy but tracheostomy was required in two patients.

전자의무기록의 충실성 검토를 통한 미비기록 개선 활동

조윤정,김경숙,이향숙,이진영,김태민,김민순 한국의료QA학회 2008 한국의료질향상학회지 Vol.14 No.1

문제: 전자의무기록(EMR) 시행 후 의무기록 정리율의 저하와 질적인 측면에서의 충실성과 정확성에 대한 문제점이제기되었다. 목적: 전자의무기록의 정리율과 충실성 검토를 통하여 문제점을 파악하고개선점 찾아 의무기록 정리율을 향상시키고 충실성을 높이고자 하였다. 의료기관: 서울시에 소재한대학병원 의무기록과 질 향상 활동: 전자의무기록의 문제점을 개선히키 위하여 사용자 편의를 위한 EMR프로그램 수정 및 보완, 진단·수술 관련 작업, 업무개선, 교육, 홍보 등의 활동을실시하였다. 개선효과: 의무기록 정리율, 전자인증미비, 경과기록 기재일수, 퇴원요약주진단적합률, 기록지별 필수항목기 재율, 충실성에서 향상이 이루어졌다.

인유두종 바이러스 양성 및 음성 침윤성 자궁경부암종에서 p53, p21, mdm2 단백의 발현

박인서,한혜승,김태숙,한지영,김준미,주영채,황태숙 대한병리학회 2001 Journal of Pathology and Translational Medicine Vol.35 No.3