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코로나19 팬데믹 이후 연하재활치료실 감염관리 교육에 대한 실태 파악과 수행도 조사
조유리,신원미,이윤정 고령자・치매작업치료학회 2022 고령자.치매작업치료학회지 Vol.16 No.2
Objective : The purpose of this study is to provide data for establishing specialized education and systems for hospital infection management in the swallowing rehabilitation room by identifying the actual status of hospital infection management education of occupational therapists after the COVID-19 pandemic. Methods : This study conducted a survey of occupational therapists working in Seoul and Gyeonggi-do from April 1 to April 13, 2022, and analyzed a total of 71 data, excluding 27 of the 98 copies that were collected. Frequency analysis and chi-square cross-analysis were performed using SPSS 25.0. Results : As a result of this study, when receiving hospital infection management education, hospital medical education was the highest at 78.5%, and video education was the highest at 49.2%. The performance of infection control related to swallowing rehabilitation treatment was lower than that of occupational therapists. In the question about the infection control status, the swallowing rehabilitation room was lower than the occupational therapy room. It was very necessary to ask the necessity of professional infection control education in the swallowing rehabilitation room, and 49.3% was the highest. Conclusion : After the COVID-19 pandemic, hospital infection management education did not reflect the specificity of swallowing rehabilitation treatment and was found to be not detailed, and the lack of a working institution system seems to have affected satisfaction and performance. In the future, this study will be the basic data that can be used when providing specialized infection control education and establishing a system, including the characteristics and details of swallowing rehabilitation treatment.
조유리,최진우,권훈,김건영,이병찬,추희호,이동현,이한아,김경민,오정석,현동호,이인준,임현철 대한간암학회 2023 대한간암학회지 Vol.23 No.2
Transarterial chemoembolization (TACE) was introduced in 1977 with the administration of chemotherapeutic agent to gelatin sponge particles through the hepatic artery in patients with hepatocellular carcinoma (HCC) and was established as conventional TACE using Lipiodol in the 1980s. In the 2000s, drug-eluting beads were developed and applied clinically. Currently, TACE is a commonly used non-surgical treatment modality for patients with HCC who are unsuitable for curative treatment. Considering the vital role of TACE in the management of HCC, it is crucial to organize current knowledge and expert opinions regarding patient preparation, procedural techniques, and post-treatment care in TACE, which can enhance therapeutic efficacy and safety. A group of 12 experts in the fields of interventional radiology and hepatology, convened by the Research Committee of the Korean Liver Cancer Association (KLCA), has developed expert consensus-based practical recommendations in TACE. These recommendations have been endorsed by the Korean Society of Interventional Radiology and provide useful information and direction in performing TACE procedure as well as pre- and post- procedural patient care.
조유리,김보현,김태현,고영환,박중원 대한간암학회 2023 대한간암학회지 Vol.23 No.1
Peritoneal seeding of hepatocellular carcinoma (HCC) is incurable and has poor prognosis. A 68-year-old man underwent surgical resection for a 3.5 cm single nodular HCC at the tip of segment 3 and transarterial chemoembolization for a 1.5 cm-sized recurrent HCC at the tip of segment 6. 3 months later, an increasing 1 cm pelvic nodule on the rectovesical pouch warranted radiotherapy. Although it stabilized, a new 2.7 cm-sized peritoneal nodule in the right upper quadrant (RUQ) omentum appeared 3.5 years after radiotherapy. Hence, omental mass and small bowel mesentery mass excision were performed. 3 years later, recurrent peritoneal metastases in the RUQ omentum and rectovesical pouch progressed. 33 cycles of atezolizumab and bevacizumab treatment elicited stable disease response. Finally, laparoscopic left pelvic peritonectomy was performed without tumor recurrence. Herein, we present a case of HCC with peritoneal seeding that was successfully treated with surgery after radiotherapy and systemic therapy, leading to complete remission.
조유리,김정환,김기호 대한피부과학회 2022 Annals of Dermatology Vol.34 No.4
Alopecia areata is a chronic organ-specific autoimmune disease and it could be associated with other autoimmune diseases. We, herein, report a case of alopecia areata in a patient with a thymoma without myasthenia gravis. Multiple hairless patches rapidly developed 6 weeks before the first visit on the patient who had been newly diagnosed with thymoma 2 weeks before the hairless patches occurred, and thymectomy was done 2 weeks before visit- ing dermatologic department. She had no symptoms associated with myasthenia gravis, and there were no abnormal findings on neurologic exams and acetylcholine receptor autoan- tibody was not detected in serum. Scalp biopsy showed numerous lymphocytic inflamma- tions around hair follicles and in immunohistochemical staining, the aggregation of CD4+ and CD8+ T cells was observed around hair follicles and FoxP3+ T lymphocytes were rarely observed around hair follicles. The patient refused any treatment and her hairless patches were completely recovered 3 months after thymectomy, without being recurred 3 years after thymectomy. On the basis of both clinical manifestations and histologic findings, we con- cluded that alopecia areata in the patient had developed in association with thymoma and was recovered rapidly after thymectomy.
탄력압박스타킹 적용이 병동간호사의 하지통증과 하지부종에 미치는 효과
조유리,김혜숙,Cho, Yu Ri,Kim, Hye Sook 국제문화기술진흥원 2018 The Journal of the Convergence on Culture Technolo Vol.4 No.3
본 연구는 탄력압박스타킹 적용이 장시간 서서 근무하는 병동간호사의 하지통증과 하지부종에 미치는 효과를 검증하기 위해 시도되었다. 연구설계는 비동등성 대조군 전후 설계를 이용한 유사실험 연구이며, 연구 대상자는 M시에 소재한 2개 종합병원에서 병동에 근무하는 간호사로 탄력압박스타킹을 적용한 실험군 35명, 대조군 30명으로 총 65명을 선정하였다. 결과는 제 1 가설 : "탄력압박스타킹을 적용한 실험군과 탄력압박스타킹을 적용하지 않은 대조군간 하지통증에 차이가 있을 것이다" 는 지지되었다(p<.001). 제 2 가설 : "탄력압박스타킹을 적용한 실험군과 탄력압박스타킹을 적용하지 않은 대조군간 하지부종에 차이가 있을 것이다" 는 지지되었다(p<.001). 결론은 병동간호사의 하지통증과 하지부종에 대한 관리의 한 방법으로 탄력압박스타킹을 적용하여 근무 중 탄력압박스타킹 적용이 하지통증과 하지부종에 관련된 증상을 완화하고, 하지 순환계의 건강문제를 예방하여 간호사의 건강을 증진시키고, 질적인 간호를 제공할 수 있도록 하는 효과적인 방법이 될 것으로 사료된다. The purpose of this study was to examine the effect of the application of elastic compression stocking during the stand for a long hours of works on edema and pain of lower extremities in ward nurses. Methods: The experimental group was subjected to elastic pressure tights for 5 days from the beginning to the end, and lower extremity edema and ankle and calf circumference were measured. Results: "There are significant differences in lower extremity pain the experimental group of elastic compression stocking and control group" was supported(p<.001). "There are significant differences in lower extremity edema the experimental group of elastic compression stocking and control group" was supported (p<.001). Conclusion: Applying elastic pressure stocking as a method of management of lower extremity pain and lower extremity edema in ward nurses, relieving symptoms related to lower extremity pain and lower extremity edema during work. This is an effective way to prevent problems and improve the health of nurses and provide quality nursing care.