위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

식이 Selenium 함량이 납중독 흰쥐 간조직의 항산화계와 세포 손상에 미치는 영향

임정교,이순재 동아시아식생활학회 2001 동아시아식생활학회지 Vol.11 No.4

This study was to investigate the effect of selenium on hepatic antioxidative defense system and oxidative damage in lead-administered rats. Male Sprague-Dawley rats weighing 140±5g were divided into one normal group(Se, 0 ppm) and three lead groups according to dietary levels of selenium supplementation: Pb0(Se, 0 ppm), PbS(Se, 0.5 ppm), and PbSS(Se, 1.0 ppm). All experimental groups were fed the experimental diet ad libitum for 4 weeks, and lead groups fed one containing 2,000 ppm lead acetate. Liver superoxide dismutase(SOD) activities in Pb0 group increased compared with other experimental groups. Liver gluthathione peroxidase(GSH-px) activities in Pb0 group decreased compared with normal group, but those of PbS and PbSS groups significantly increased compared with Pb0 group. Glutathione S-transferase(GST) activities decreased in Pb0 group and not significantly different from PbS and PbSS groups compared with normal group. Reduced glutathione(GSH) contents and GSH/GSSG of liver in Pb0 group were lower than those of other groups, Liver vitamin E contents in Pb0 group were about 50% of the normal group, but those of PbSS and PbS increased more than Pb0 group. Liver damage in electron microphotography process decreased in RER, showed an increase in lysosome and also an increase in swelling of mitochondria, and ordered as follows: PbSS. PbS, and Pb0. It was concluded that high levels of dietary selenium had protective effects on peroxidative damage of hepatic cell accompanied with increased antioxidative defense system in lead-administered rats.

맥문동 물 추출물의 식이가 Streptozotocin으로 유도한 당뇨 흰쥐의 혈당과 혈청 콜레스테롤 함량에 미치는 영향

임정교,강명수,박인경,김순동 동아시아식생활학회 2005 동아시아식생활학회지 Vol.15 No.1

The dietary effect of water extracts of Liriopis tuber(WELT) in the diabetic SD-rats on the level of blood sugar and serum cholesterol was investigated. The experimental plots divided into normal group(N), diabetic control(DC), 5% WELT-group(WELT-Ⅰ) and 10% WELT-group (WELT-Ⅱ). Each group was fed for 6 weeks, then continuously fed for 1 more week after streptozotocin injection. The loss of the body weight fed for one week after induction of the diabetes was 2.2~6.3% in the WELT-Ⅰ and -Ⅱ groups, but it was 18.6% in the DC-group. There was no significant difference in the feed intakes after diabetes induction between N-group and WELT-group, while it was significantly increased in DC-group. The feed efficiency ratios before diabetes induction were 1.70 in WELT-Ⅰgroup, 1.53~1.59 in the N, DC and WELT-Ⅱ group, while the ratios after diabetes induction were 0.92 in DC-group, 1.51~1.83 in the N, WELT-Ⅰ and -Ⅱ group. While the amounts of water intakes for one week after diabetes induction was 625.4 mL in the DC-group, and it were 364.3~371.1 mL in the WELT-groups showing no significant difference with N-group. The excretion amounts of urine were 431.96 mL in DC-group for one week after diabetes induction, and it was 182~192.84 mL in WELT-groups. The ratios of liver weight against body weight were 2.74% in N-group, 2.93~2.96% in WELT-groups, but it was 4.01% in DC-group. The level of blood glucose in WELT-groups fed for one week after diabetes induction were 136.8~138.6 ㎎/dL showing no significant difference with N-group, but it was 357.8 ㎎/dL in DC-group. The level of serum triacylglycerol and serum total cholesterol were 93.8 and 68.7 ㎎/dL in N-group, 120.1 and 101.6 ㎎/dL in DC-group, 97.4~100.6 and 60.8~67.7 ㎎/dL in WELT-groups, respectively, showing no significant difference between N-group and WELT-groups. HDL-cholesterolltotal cholesterol ratio were 0.63 in N-group, 0.57~0.67 in WELT-groups, which was significantly higher than that of DC-group(p<0.05). Atherogenic index were 0.58 in N-group, 0.49~0.74 in WELT-groups, but it was 1.32 in DC-group. The above results suggest that the WELT diets may have both preventive and curing effects against the diabetes.

바질 물추출물을 첨가한 두부의 품질특성

임정교,박인경,김순동 한국조리과학회 2004 한국식품조리과학회지 Vol.20 No.2

This study was conducted to investigate the quality characteristics and shelf-life of tofu added with basil water extract(BWE). BWE was selected from 11 kinds of herbs based on estimations of antimicrobial activity, taste and flavor. The amount of waster was 7 times treater than that of raw soybean, BWE concentration against soybean juice was 20㎎% and GDL concentration was 0.3% as the optimal preparation conditions of tofu added with BWE(BWE-tofu). Color L*, a* and b* values of BWE-tofu were 78.11, 0.78 and 19.10, respectively, indicating that light green color was lower in the L* value, and higher in the a* and b* values compared to control products. Savory taste and overall acceptability of the tofu were higher than those of control products evaluated by sensory test. Shelf-life of the tofu at 10℃ was 8 days, which was prolonged by 4 days compared to control products evaluated by pH, titratable acidity and total microbes.

CaO를 첨가한 Na고체전해질 센서의 CO_2가스 감도향상에 관한 연구

곽종식,서무교,최순돈,이덕동 한국센서학회 2002 센서학회지 Vol.11 No.4

CO_2 가스 감도를 높임과 동시에 감지거동을 안정화시키기 위하여 여러 함량의 CaO가 함유된 NASICON 전해질을 낮은 온도에서 소결하여 NASICON 센서를 제작하였다. 제조된 소자는 비교적 낮은 동작온도인 250℃ 정도에서도 양호한 감도와 안정된 출력특성을 나타내었다. NASICON sensors that the NASICON electrolytes with various CaO amounts were sintered at low temperatur(900℃), were fabricated to improve CO_2 sensitivity and stability in sensing behaviors. The manufactured device was shown good sensing characteristics and stability of output electromotive force at 250℃, comparatively low operating temperature.

정상 관동맥을 가진 심장 점액종 환자에서 발생한 급성 심근 경색증 1예

이정민,이현승,전은정,윤호중,정욱성,오용석,김철민,김재형,최규보,홍순조,이교영,심상인 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

노인전문요양원의 좌탁(座卓) 개발 연구

염순교(Soon-Gyo Yeoum),조숙경(Sook-Kyung Cho) 한국가구학회 2020 한국가구학회지 Vol.31 No.2

This study explores to develop tables safer and more comfortable when the old in the nursing home sit on the floor and have a meal. Seven students in the department of Living Furniture Design and three in the department of Nursing co-worked. Sitting tables as a dining table at nursing home were developed through a design process based on the research of physical and mental characteristics of the elderly. In particular, they were designed for the elderly with muscle rigidity and curved legs difficult to be stretched or bent. These prototypes of the sitting table were produced so that elderly’s legs were fit into the table top plate and also the table were able to be portable by folding. They were donated to the nursing home. Through this study, students increased their understanding of universal design for social consideration and also felt the need to develop living furniture for the increasing silver generation. Participants were able to foster creatively thinking ability beyond academic boundaries.

자궁적출술 후 여성의 성상담을 위한 성생활 양상과 성생활태도

염순교 ( Soon Gyo Yeoum ) 한국여성건강간호학회 2007 여성건강간호학회지 Vol.13 No.4

여성건강에 관한 연구 분석

염순교 ( Soon Gyo Yeoum ),박재순 ( Chai Soon Park ) 한국여성건강간호학회 2005 여성건강간호학회지 Vol.11 No.4

고등학생의 성역할 정체감과 우울

염순교 ( Soon Gyo Yeoum ),이종화 ( Jong Hwa Lee ) 대한보건협회 2014 대한보건연구 Vol.40 No.1

연구목적 : 본 연구는 고등학생들의 성역할 정체감과 우울정도를 알아보고, 성역할 정체감과 우울과의 관계를 파악하여, 청소년들의 건강에 도움을 주는 프로그램 개발의 기초자료를 제공하고자 시행되었다. 연구방법 : 본 연구를 위하여 서울, 경기, 대전의 편의 추출된 고등학생으로부터 수집된 665부의 설문지를 대상으로 SPSS 18.0을 이용하여 분석을 실시하였다. 연구결과 : 연구대상자의 성역할 정체감은 양성성이 31.1%로 가장 많았으며, 미분화 27.1%, 남성성 21.5%, 여성성 20.3%순이었고, 우울정도는 5점 척도에서 평균 2.14로 나타났다. 연구 결과 남녀고등학생 모두에서 양성성 유형이 우울정도가 낮고, 여성성과 미분화 유형이 우울정도가 높은 것이 확인되었다. 결론 : 본 연구결과를 바탕으로 여성성 및 미분화 성역할정체감을 가진 개인에 대한 우울 중재 프로그램 개발과 고등학생들에게 남성성과 여성성을 함께 발달시킬 수 있는 프로그램 개발을 제안한다. 본 연구는 성역할정체감이 고등학생들의 우울에 상관이 있는 하나의 요인임을 확인함으로써 청소년들의 교육에 있어서 성역할정체감을 활용할 근거기반을 마련하는데 기여하였다고 생각된다. 본 연구결과를 근거로 성역할정체감 영역이 포함된 청소년 우울 중재프로그램 개발과 그 효과를 확인하는 연구가 이루어지기를 기대한다. Objectives: This study was done to identify types of gender role identity in high school students and to investigate the relationship between types of gender role identity and depression. Methods: The research design for this study was a descriptive survey design using convenience sampling. Data were collected through self report questionnaires from 665 high school students. Data were analyzed using SPSS 18.0 program. Results: The androgyny gender role identity was most common (31.1%). Of the types of gender role identity that had a significant relationship with depression. Androgyny gender role identity had the lowest significant relationship to level of depression. Conclusion: This study confirmed that gender role identity perceived by adolescent is one of critical factors influencing their depression. Thus, it is necessary that school nurses and health teachers should provide individual and environmental interventions to help high school students develop gender role identity toward androgyny.