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심장질환자의 심리사회적 요인 및 증상 경험간의 관계 : 6개월 추적조사
김조자(Kim Cho-Ja),김기연(Kim Gi-Yon),노영숙(Roh Young-Sook),송은경(Song Eun-Kyeung),강석민(Kang Seok-Min),유명숙(Yoo Myung-Sook),손연정(Son Youn-Jung) 기본간호학회 2006 기본간호학회지 Vol.13 No.1
Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period. Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit. Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge. Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.
( You Sun Kim ),( Young Ho Kim ),( Joo Sung Kim ),( Seong Yeon Jeong ),( Soo Jeong Park ),( Jae Hee Cheon ),( Byong Duk Ye ),( Sung Ae Jung ),( Young Sook Park ),( Chang Hwan Choi ),( Kyeung Ok Kim ) 대한소화기학회 2014 Gut and Liver Vol.8 No.6
Background/Aims: Cytomegalovirus (CMV) reactivations are frequently observed in patients with active ulcerative colitis (UC), and ganciclovir therapy is effective in patients with steroid-refractory UC. This study aimed to determine the longterm outcomes of CMV reactivation and the long-term therapeutic efficacy of ganciclovir treatment. Methods: This retrospective multicenter study included a cohort of 72 patients with moderate-to-severe UC who were evaluated for CMV reactivation at the time of their initial UC flare. Colectomy, disease relapse, and the recurrence rate of CMV reactivation were investigated. Results: The mean duration of follow-up for the 72 patients was 43.16±19.78 months (range, 1 to 67 months). The cumulative colectomy (log-rank, p=0.025) and disease flare-up rates (log-rank, p=0.048) were significantly higher in the CMV-positive group. Of the 11 patients who were successfully treated with ganciclovir in the initial treatment, three patients (27.3%) experienced CMV reactivation, and six patients (54.5%) experienced poor outcomes, such as the need for colectomy or a steroid-dependent state. Conclusions: The patients who had CMV-reactivated UC showed poor outcomes at the long-term follow-up, and the long-term efficacy of ganciclovir therapy was marginal. Careful assessment is necessary for patients who exhibit evidence of CMV reactivation. (Gut Liver 2014;8:643-647)
김흥대,송선옥,이경숙 영남대학교 의과대학 1987 Yeungnam University Journal of Medicine Vol.4 No.1
경피요골동맥삽관후 수지괴사가 발생되어 손목을 절단한 1례를 보고하며, 동맥삽관후 수지괴사가 유발될 수 있는 요인으로는 사용된 카테터의 크기, 종류, 천자횟수, 삽관거치기간 및 카테터삽관후 유지방법외에도 환자의 혈액구성성분변화, 혈액응고장애, 심박출량감소상태, 성별 등을 들수가 있으며, 본원에서 발생된 예에서는 수술후 환자가 심히 움직여 끈으로 동맥삽관된 손목을 침대에 묶어 놓음으로써 카테터에 의한 혈관손상이 심했음이 가장 큰 원인일것으로 추측되며 그 외에도 혈액성분변화 및 응고장애에 의해 심한 혈전형성이나 heparin용액의 간헐적 관류시 발생될 수 있는 혈전의 전색도 가능성이 있을 것으로 사료된다. The technique of radial artery cannulation and its complications are well documented, but serious complications are rare. This is a report of one case of amputation of wrist due to finger necrosis developed from the radial artery cannulation in patient who had craniectomy surgery. This 52-year-old 70㎏ male underwent subdural hematoma removal surgery. Right radial artery cannulation was carried out percutaneously using 22 gauge Teflon extracath needle after modified Allen's test appeared to be positive. It was intermittently flushed by heparinized solution. His arterial blood pressure was maintained 100/70 - 110/80㎜Hg and 5 units of banked whole blood and 1 unit of fresh frozen plasma were transfused during 8-hours operation. Cannula was removed on the 9th hour after operation because that was obstructed. On the 12th hour after removal of cannula, his right hand noted to be cool and cyanotic. So, warm towel and hot bag applied continuonsly on the right hand and the right stellate ganglion block was carried out everyday for 4 times. However, on the 10th day after removal of cannula, necrotic change of all fingers of the right hand became worse and skin of fingers were shrunken. Therefore, disarticulation of the right wrist carried out on the 71th day of his hospitalization.
이산화탄소를 이용한 전신마취하의 복강경수술이 동맥혈 CO2 가스치 및 폐환기량의 변화에 미치는 영향
김흥대,김세연,이경숙 대한마취과학회 1992 Korean Journal of Anesthesiology Vol.25 No.5
Plasma CO₂ gas tension, tidal volume and peak inspiratory airway pressure were investigated before CO₂gas insufflation, 30 minutes and 60 minutes after gas insufflation in 32 laparoscopic surgery patients to study the effects of intraabdominal CO₂ gas insufflation during laparoscopic surgery under general endotracheal anesthesia with controlled ventilation. Our results were as follows 1) Arterial CO₂ gas tension values were significantly higher 30 minutes after CO₂ gas insufflation compared to before gas insufflation(36.8±4.2 mmHg vs. 28.3±6.8 mmHg). 2) Tidal volume was increased 30 minutes after CO₂ gas insufflation compared to before gas insufflation(505.1±78.2 ml vs. 462.0±83.2 ml). 3) Peak inspiratory airway pressure was significantly increased 30 minutes after CO₂ gas insufflation compared to before gas insufflation(16.4±1.7 cmH₂O vs. 9.8±1.0 cmH₂O). And these increasing states were maintained during laparoscopic surgery. As the above results show, during laparoscopic surgery using CO₂ gander general anesthesia with controlled ventilation, arterial CO₂ gas tension, tidal volume and peak inspiratory airway pressure were significantly increased 30 minutes after CO₂ gas insufflation. Cautions may be advised if laparoscopic surgery, by whatever operation, is indicated in subjects who are affected by increasing PaCO₂ and peak inspiratory airway pressure.
양경숙 ( Kyeung-sook Yang ),한은주 ( Eun-ju Han ),김행곤 ( Haeng-kon Kim ) 한국정보처리학회 2006 한국정보처리학회 학술대회논문집 Vol.13 No.2
각종 교육기관에서 교육받는 학생들의 출결관리는 교수-학습 및 생활지도 등의 선행단계로써 학습이 지속적으로 이루어질 수 있도록 교사가 수업시간마다 출석을 체크하여 출결여부를 알리고 있다. 기존의 온/오프라인 시스템은 업무시간이 지연되거나 능률이 떨어지고 있는 실정이다. 이를 개선하기 위해 다양한 인식기기를 이용한 자동출결시스템이 등장하였지만 비용이 많이 소요되어 보편화에 어려움이 많다. 본 논문에서는 교사의 업무에 도움이 될 수 있는 출결관리 시스템을 PDA(Personal Digital Assistant)상에서 구현하고자 컴포넌트 기반의 프로세스를 통하여 시스템을 분석 및 설계한다. 이는 차후 구현으로 이어져 교사의 업무시간을 단축시켜 업무의 효율성을 기대할 수 있다.
DTD 여과 및 질의 확장에 의한 효율적인 XML 문서의 정보 검색
김명숙 ( Myoung Sook Kim ),이경수 ( Kyeung Soo Lee ),공용해 ( Yong Hae Kong ) 한국정보처리학회 2004 한국정보처리학회 학술대회논문집 Vol.11 No.1
본 논문은 정보검색의 대상이 되는 XML 문서를 효율적으로 선별하기 위해 온톨로지를 기반으로 XML 문서를 여과하였으며, 여과된 XML 문서를 대상으로 문서에 내재한 정보를 효과적으로 검색하도록 XML 질의를 확장하였다. 이를 위해, 온톨로지로부터 포괄적 DTD를 생성하는 알고리즘을 개발하였고, XML 문서의 효과적인 정보 검색을 위해 온톨로지의 개념 구조와 연관 관계를 분석하여 XML 질의를 확장하는 알고리즘을 개발하였다. 제안한 문서 여과와 질의 확장 알고리즘의 효과를 샘플 XML 문서에 적용하였다.