http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Rojin Heo,Cheol Wan Park,Chan Jong You,Dae Han Choi,Kwangwoo Park,Young Bo Kim,김우경,Gi Taek Yee,Myeong Jin Kim,Jin-Hwan Oh 대한뇌혈관외과학회 2020 Journal of Cerebrovascular and Endovascular Neuros Vol.22 No.4
Objective: To compare short-term treatment outcomes at hospital discharge and hospital length of stay (LOS) in patients with spontaneous intracerebral hemorrhage (sICH) before and after introduction of resident physician work time limit (WTL). Methods: We retrospectively reviewed consecutive patients treated for sICH at our institution between 2016 and 2019. Then we dichotomized these patients into two groups, pre-WTL and post-WTL. We analyzed demographic elements and clinical features, and hospital length of stay (LOS). We evaluated short-term outcome using modified Rankin scale score at hospital discharge and then divided it into “good” and “poor” outcome groups. We subsequently, compared short-term treatment outcome and hospital LOS between the pre-WTL and post-WTL groups. Results: Out of 779 patients, 420 patients (53.9%) were included in the pre-WTL group, and 359 (46.1%) in post-WTL. The mortality rate in sICH patients was higher in the post-WTL group (pre-WTL; 13.6% vs. post-WTL; 17.3%), but there was no statistically significant difference in short-term outcome including mortality (p=0.332) between the groups. The LOS also, was not significantly different between the two groups (pre-WTL; 19.0 days vs. post-WTL; 20.2 days) (p=0.341). The initial Glasgow Coma Scale score, personal stroke history, and mean age were the only independent outcome predicting factors for patients with sICH. Conclusions: Some neurosurgeons may expect poorer outcome for sICH after implementation of the WTL of the K-MHW for resident physician however, enforcement of the WTL did not significantly influence the short-term outcome and hospital LOS for sICH in our hospital. Further well-designed multi-institutional prospective studies on the effects of WTL in sICH patient outcome, are anticipated.
전원선,이상철,김현정,배상병,김찬규,이남수,박노진,이규택,박성규,홍대식,박희숙,원종호 순천향의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.2
Thymoma is associated with myasthenia gravis, Pure red cell aplasia, and autoimmune diseases such as autoimmune hemolytic anemia, aplastic anemia, and hypogammaglobulinemia. It's association with aplastic anemia is rare and aplastic anemia appearing after surgical removal of thymoma is especially rare. The authors hereby report a case of aplastic anemia occuring in a patient who was diagnosed with thymoma and myasthenia gravis and had the tumor surgically removed. The patient was treated with anti-thymocyte globulin, cyclosporin, and prednisolone, and showed partial remission with hematologic improvements after 12 months.
의학전문대학원생의 진로설계 프로그램 모형에 따른 의학세부전공 선택 동기와 진로의식성숙도의 차이
허로진(Rojin Heo),박귀화(KwiHwa Park) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.4
의과대학생이 의학 전문분야를 선택하는 것은 대학의 전공을 선택하는 것만큼이나 중요한 진로의 사결정과정의 하나이다. 그러나 의대생을 대상으로 진로설계 프로그램을 개발하고 그 결과를 분석한 연구는 저조한 실정이다. 본 연구는 의전원 2학년 74명을 대상으로 진로설계 프로그램을 개발하고 그 효과를 분석하였다. 연구대상은 세 그룹이다. A그룹은 소그룹 토론식 프로그램을 수강한 그룹이며, B 그룹은 대그룹 강의식 프로그램을 수강한 그룹이며, C그룹은 프로그램을 수강하지 않은 그룹이었다. 프로그램 사전과 사후에 의학세부전공 선택 동기와 진로의식성숙 설문을 실시하였다. 사전 검사에서 세 집단의 동질성이 확보되었다(p〉0.05). 집단별 사전-사후 검사 결과, A그룹은 내적 동기 요인 (t=-2.600, p〈0.05)과 진로의식성숙의 하위요인 중 결정성(t=-2.575, p〈0.05)과 독립성(t=-2.244, p〈0.05) 이 유의미하게 높아졌다. B그룹은 진로의식성숙의 하위요인 중 독립성(t=2.202, p〈0.05)이 유의미하게 낮아졌다. 결론적으로 소규모 토론식 진로설계 프로그램이 내적동기와 진로의식성숙의 결정성과 독립성 향상에 효과가 있었다. The choice of a medical specialty by medical students is as important as the choice of a college major. However, there is a lack of research on the development of a career planning program for medical students. The purpose of this study was to develop a career design program and analyze the effects of this program in 74 second medical students. The subjects are classified into three groups : Group A was small group, Group B was large group, Group C did not take the program. In order to analyze the program effect, we conducted career motivation and career maturity questionnaire. Pre-test ensured homogeneity among the three groups (p〉 0.05). A group had a significantly higher internal motivation(t=-2.600, p〈0.05), and the decisiveness(t=-2.575, p〈0.05) and independence(t=-2.244, p〈0.05) of career maturity. B group had significantly lower independence. In conclusion, a small group based career planning program was effective in improving internal motivation for career choice, decisiveness and independence of career maturity.
Woo Yong Shin,Hae In Bang,Jung-Ah Kim,Jieun Kim,Rojin Park,Jeong Won Shin,Tae Youn Choi 대한진단검사정도관리협회 2024 Journal of Laboratory Medicine And Quality Assuran Vol.46 No.2
Background: Since the clinical application of flow cytometry, many clinical laboratories have utilized this method for diagnosing hematologic malignancies. However, delays in testing can occur due to various reasons. To address this issue, whole blood fixatives are occasionally administered. Hence, this study aimed to determine the impact of applying whole blood fixative on bone marrow specimens. Methods: Nine samples without lymphoma/leukemia bone marrow involvement were examined. Flow cytometry was performed using 17 common markers. The samples were stored at room temperature (RT) and 4°C without fixative treatment, stored at 4°C after TransFix (Cytomark, UK) treatment, and stored at RT after Cyto-Chex (Streck, USA) treatment. Subsequently, the samples were divided into groups and examined. A total of 13 tests were conducted on each sample for up to 5 days. Results: The neutrophil and monocyte fractions improved when the samples were stored at 4°C, while no significant difference was observed in the lymphocyte fractions. The fluorescence intensity of the markers varied depending on the marker and conditions, with the most stable markers observed when stored in TransFix at 4°C, followed by storage at 4°C, CytoChex RT, and RT. Conclusions: The use of fixative on bone marrow specimens maintained the stability of markers during delayed testing. Both fixatives are more effective in preserving marker intensity and cell fractions compared with RT storage. Refrigeration and the use of fixatives may be beneficial for examinations delayed beyond 72 hours.
Kim Jung-Ah,Bang Hae In,Shin Jeong Won,Park Yoonhye,Kim Saerom,Kim Mi-Young,Jang Eui Young,Shin Woo Yong,Kim Jieun,Park Rojin,Choi Tae Youn 대한진단검사의학회 2022 Annals of Laboratory Medicine Vol.42 No.6
Following the original severe acute respiratory syndrome coronavirus 2 strain (Wuhan-Hu-1) in December 2019, the Delta variant in May 2021 and the Omicron variant in December 2021 were classified as variants of concern. The pandemic has been ongoing for more than two years, and the three-dose vaccination rate has reached approximately 50% in Korea. We analyzed anti-S antibodies (Abs) and neutralizing Abs (NAbs) in 32 healthcare workers at a university hospital, focusing on the first to third doses of ChAdOx1-ChAdOx1-BNT162b2, which is the most common vaccination regimen in Korea. Antibodies were analyzed at eight time points according to the vaccine regimen. The first to third doses of ChAdOx1-ChAdOx1-BNT162b2 produced high Ab concentrations; NAb concentrations after the third dose were predicted to remain high for a longer period than those after the first and second doses. The effectiveness of a second dose of ChAdOx1 in the real world was demonstrated by analyzing samples collected during an outbreak that occurred in the study period, 4–5 months after the second dose. The relative risk ratio was 88.0%, and the efficacy of the second ChAdOx1 dose was 12.0% (P<0.05). Therefore, maintaining appropriate Ab concentrations through regular vaccination will help protect against coronavirus disease-19.