일 종합병원 입원환자가 경험하는 불확실성에 관한 연구

김기미,김현옥 中央醫學社 1994 中央醫學 Vol.59 No.12

급성 충수염환자에 대한 임상적 관찰 및 간호

김기미 全北大學校 醫科大學附設 看護專門大學 1980 논문집 Vol.6 No.-

The data of 99 cases of acute appendicitis who were diagnosed by operation at Jeonbug National University Medical Hospital for 1 year from January 1, 1979 to December 31, 1979 have been analysed on various clinical aspects : 1) Among the 99 cases of acute appendicitis, 35 cases (35.4%) were complicated appendicitis, and the incidence of generalized peritonitis was highest(13.3%) in this complicated type. 2) The male to female ratio was about 1.2:1, and the incidence was highest in 2nd and 3rd decades. (49.5%) 3) The seasonal prevalence was highest in summer. (34.4%) 4) The mean duration of symptoms was 3.5 days. 5) The main symptoms and physical findings were R.L.Q. pain, tenderness and rebound tenderness and rebound tenderness, Nauses and/or vomiting, epigastric or periumbilical pain, Rovsing sign and others. 6) Leul cytosis over 10,000/ was observed in 80 cases (80.8%). 7) X-ray films showed the paralytic ileus in 72.7%, and the non-specific finding in 21.2%. 8) In the treatment of acute appendicitis, appendectomy with/without drainage procedure was performed most frequently(92.9%). Only drainage procedure was done in 6.1%, and right hemicolectomy in 1.0% 9) The rate of misdiagnosis was 2.0%(2 cases). 10) The complications developed in 30 cases (30.3%). They were wound infection (19 cases, 19.2%), pulmonary complications (8 cases, 8.1%), intraabdominal abscess(6 cases, 6.1%) and others. 11) In 74 (74.8%) among the 99 cases, oral feeding was tolerated within 2nd postoperative day. Remainders(25 cases, 25.2%) who were tolerated oral feeding after 2nd postoperative day were patients with complicated appendicitis almostly. 12) The mean duration of postoperative hospitalization was 10.8 days.

火傷患者(246例)의 看護와 臨床的 考察

金紀美 全北大學校 醫科大學附設 看護專門大學 1979 논문집 Vol.5 No.-

Depart of Nursing Affairs, Jeonbug University Medical School Hospital. A total of 246 patients with burn who were admitted to Jeonbug University Medical School Hospital from January, 1972 to July, 1979 were clinically reviewed and summarized as follows ; 1) The age and sex incidences of burn patients revealed a great prevalence in male, and the most abundant group of age was under 9 years with the ratio of 1.36 male to 1 female. 2) Seasonal incidence showed the highest frequency in spring. 3) An analysis of the causes in burn showed that scalding burns were 53.7%, flame burns were 30.1% and others of all cases. The age group of scalding burn was predominant under the age of 9 while flame burn was predominant above the age of 10. 4) Among 246 cases of burn patients, 101 cases(41.1%) had burns of within 10% of body surface, 99 cases(40.2%) had 11-30%, 28 cases(11.4%) had 31-50%, 5 cases(2.0%) had 51-70% and 13 cases(5.3%) had over 71%. 5) The most frequent period of interval between accident and arrival to hospital was witin 24 hours, 115 cases(46.7%) and 68 cases(27.6%) were 1 hour. 6) The wound infection was severe along the depth of wound. 7) The predominating organisms cultured cut from infected cases were hemolytic staphylococcus aureus 40 (16.3%) pseudomonas aeruginosa 32 (13.0%), klebsiella pneumoniae 26(10.6%), and alpha-hemolytic streptococcus 24(9.8%). 8) The autograft was performed in 66 cases and the most frequent period of grafting was during of 2 to 4 weeks. 9) The comlications of burns were wound infection(30.5%), scar contracture(6.9%), pulmonary complication(5.7%), septicemia and genitourinary infection(5.3% respectively), and G-I bleeding (4.5%), etc in order. 10) The overall mortality rate was 6.9%, and the causes of death were septicemia(61.5%), renal insufficiency (55.6%), pulmonary complication(28.6%), septic D.I.C.(100%) and G-I bleeding(9.1%) in order.

교대근무가 체온, 맥박 및 활동성의 Circadian Rhythm 변화에 미치는 영향

김기미,권영희,김명애,고성희 의과학연구소 1990 全北醫大論文集 Vol.14 No.4

노인환자의 의존성과 가족지지와의 관계연구

김기미(Kim Kee Mi),김현경(Kim Hyun Kyung) 한국성인간호학회 1996 성인간호학회지 Vol.8 No.1

Factors Influencing the Xerostomia Symptoms in the Patients with Temporomandibular Disorders

김기미,변진석,정재광,최재갑 대한안면통증∙구강내과학회 2016 Journal of Oral Medicine and Pain Vol.41 No.3

Purpose: This study investigated factors influencing the xerostomia symptoms in the patients with temporomandibular disorders (TMDs). Methods: Eighty-six participants over the age of twenty were randomly enrolled from patients with TMDs. The patients were diagnosed by Diagnostic Criteria-TMD (DC-TMD). Intensity of the pain and level of stress of the patients were recorded using TMD pain visual analogue scale (VAS) and stress VAS, respectively. The Symptom Checklist-90-Revised (SCL-90R), dry mouth symptom questionnaire, unstimulated salivary flow rate (USFR) and oral moisture were measured. Results: The patients who had above the mean of the TMD pain VAS had significantly higher scores on the stress VAS, subjective dry mouth symptoms and T-score of somatization. The patients who suffered from pain more than three months had significantly higher TMD pain VAS, subjective dry mouth symptoms and T-score of somatization. There were no significant differences in xerostomic symptoms according to the diagnosis of TMDs. Moreover, TMD pain VAS and the stress VAS did not correlated to USFR and oral moisture. Conclusions: The level of individuals’ TMD pain and stress significantly affect their subjective dry mouth symptoms, however, it did not affect USFR and oral moisture.

의사소통 가족치료이론을 적용한 간호사례연구 일례

김기미 의과학연구소 1992 全北醫大論文集 Vol.16 No.2

Non-Odontogenic Toothache Caused by Acute Maxillary Sinusitis: A Case Report

김기미,변진석,정재광,최재갑 대한안면통증∙구강내과학회 2016 Journal of Oral Medicine and Pain Vol.41 No.2

Non-odontogenic toothaches are frequently present and can be challenge to the dental clinician. A 41-year-old male patient with sharp and spontaneous pain on the right maxillary posterior dentition, which developed as like localized toothache 3 months ago, was finally treated with endoscope assisted sinus surgery on right maxillary sinus. Although the initial clinical characteristics are similar to odontogenic toothache in this patient, previous several treatment with the affected teeth did not alleviate the pain. Sinusitis around the facial structure is one of the common causes to make referred pain to maximally teeth and the sinus toothache resembles the pulpal or the periodontal toothache. The clinician should be well aware of various causes of the non-odontogenic toothache and be able to differentiate them.

The first record of Rhabdocoela, Alcha sinensis, Wang & Hu, 2019 (Platyhelminthes: Polycystididae) from Korea

김기미,Niels W. L. Van Steenkiste,Brian S. Leander,정종우 국립생물자원관 2020 Journal of species research Vol.9 No.3

In this study, a species of Rhabdocoela is reported from Korea for the first time. The kalyptorhynch Alcha sinensis Wang & Hu, 2019, was collected from the intertidal zone of Anmyeon Island. Compared to the original study on A. sinensis and previous studies on A. evelinae, we provide additional detail of these two species through pictures of the stylet and a improved description of the prostate stylet type III, which is composed of a bowtie-shaped base and two pairs of heteromorphic plates with fringed or serrated edges. Two plates are also provided with a rounded “blade”. Also, we discuss the importance of the prostate stylet type III as a diagnostic character. After a thorough comparison of the descriptions of A. evelinae Marcus, 1949, and A. sinensis, we conclude that the Korean specimens belong to the latter species. Finally, we discuss the difficulties of interpreting diagnostic characters of the small and complex prostate stylet type III within the genus Alcha.

In Vitro Inhibition of Helicobacter pylori Growth and of Adherence of cagA-Positive Strains to Gastric Epithelial Cells by Lactobacillus paraplantarum KNUC25 Isolated from Kimchi

기미란,김사열,홍일화,박진규,Kyung-Sook Hong,Ae-Ri Ji,정규식 한국식품영양과학회 2010 Journal of medicinal food Vol.13 No.3

Lactobacillus paraplantarum KNUC25 strain was isolated from overfermented kimchi, a Korean traditional food. The strain had a broad antimicrobial activity spectrum, from Gram-positive to Gram-negative bacteria. The aim of this study was to evaluate the activity of L. paraplantarum KNUC25 against Helicobacter pylori strains. Judged by a disc agar diffusion method, the anti-H. pylori activity existed in the cell-free supernatants (CFSs) of KNUC25. The mean diameters of growth inhibition by 10, 30, and 60μL of a 15-fold concentrated CFS per disc were 11.2, 17.7, and 23.7mm, respectively. The neutralized CFS lost its anti-H. pylori activity, suggesting that acidic pH in CFS may be responsible for the anti-H. pylori activity. Adherence was determined by urease activity of H. pylori adhered to gastric epithelial cell line AGS cells after co-incubation of AGS cells with CFS and H. pylori strain ATCC43504 (s1m1vacA/cagA+), ATCC51932 (s2m2vacA/cagA−), or SS1 (s2m2vacA/cagA+) in vitro followed by three washes by means of centrifugation with saline. Adherence of ATCC43504 or SS1 to AGS cells was reduced by about 70% after a 30-minute incubation with 30μL of a 15-fold concentrated KNUC25 CFS, whereas that of ATCC51932 to AGS cells was not. The results show KNUC25 CFS is effective in inhibiting the growth of H. pylori, which is related to pH and the adherence of cagA-positive H. pylori to gastric cells.