• 제목/요약/키워드: 동산병원

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NEWS

  • 한국호스피스협회
    • 한국호스피스협회지
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    • 통권77호
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    • pp.4-4
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    • 2004
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영상의학과 의사가 꼭 알아야 할 관상동맥기형 (Coronary Artery Anomaly, What Radiologist Should Know?)

  • 이현진;김진영
    • 대한영상의학회지
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    • 제83권1호
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    • pp.84-101
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    • 2022
  • 심장 전산화단층촬영(이하 CT)은 현재 관상동맥기형을 진단하고, 평가하는 가장 정확한 진단 도구로 자리매김하였으며, 심장 CT 촬영 건수가 증가함에 따라 관상동맥기형을 종종 관찰할 수 있다. 본 종설은 관상동맥기형에서 영상의학과 의사들이 꼭 알아야 할 대표적인 기형의 CT 소견들에 대해 다루었다. 관상동맥기형의 종류를 3부분 즉, 기시부, 동맥 내, 그리고 연결 부위로 나누어 설명하였으며, 임상에서 볼 수 있는 대표적인 기형들 중심으로 다루었다. 특히 혈역학적 이상을 유발하거나, 급사의 위험이 있는 기형들의 CT상 위험한 해부학적 소견에 대해서는 자세히 기술하였다.

자체점검 도구 개발을 위한 지적사항 및 임상연구의 품질에 작용하는 요인 분석 (Analysis of Indicated Points and Main Factors Affecting the Quality of Clinical Research for the Development of Internal Audit Tools)

  • 장혜윤;장정희;이윤진
    • 대한기관윤리심의기구협의회지
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    • 제5권1호
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    • pp.14-20
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    • 2023
  • Purpose: To obtain fundamental data on selection tools for an internal audit and develop a new guideline. We scored the indicated points from the internal audit, identified the research progress and problems that occurred, and confirmed the validity of the risk factors involved. Methods: Of the 63 internal audits conducted by Keimyung University Dongsan Hospital from 2014 to 2021, we analyzed 55 clinical trials with an inspection checklist. We excluded 8 that failed to transfer data and refused to comply with the internal audit. The statistical summary of the collected data was verified and interpreted by using frequency analysis and a chi-square test. Result: Of total 55 cases included in the internal audit, sponsor-initiated trial (SIT) was 63.6% (vs. investigator-initiated trial [IIT]), clinical trial for investigational drug was 71.0% (vs. nonclinical or clinical trial for investigational device), domestic multicenter trial was 60.0% (vs. single center or multinational multicenter trial), and trial requisition for MFDS approval was 69.1% (vs. exception for MFDS approval). The 10 areas of the clinical trial inspection checklist (reports, protection of subjects, compliance with protocols, records, management of investigational drug and/or device, delegation of duties, qualification of investigators, management of specimen, contract-agreement and approval of protocols, and preservation of recorded documents) were weighted between 2 to 5 points. The average of the total points was 16.09±13.2 and 20 clinical trials were above the average. As a result of comparing the average of the total points weighted by year, the highest score was in 2020. The 4 factors that play significant roles in determining the internal quality were (1) principal subjects that initiated the clinical trials (p=0.049), (2) type (p=0.003), (3) phase of clinical trials (p=0.024), and (4) number of registered subjects reported at the time of continuing deliberation (p=0.019). Of the 10 areas of the clinical trial inspection checklist, 'record' was the most inappropriate and insufficient. We found more indicated points; the quality of performance declined in IIT, nonclinical trials, and other clinical trials that were not in phase I1-IV4, and the study of more than 30 registered subjects at the time of continuing review. Conclusion: If an institution has an internal audit selection tool that reflects the aforementioned risk factors, it will be possible to effectively manage high-risk studies; thereby, contributing to an efficient internal audit and improving the quality of clinical trials.

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플러스동행 - 전영준 대한결핵협회 대구.경북지회장

  • 박연숙
    • 보건세계
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    • 제63권2호
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    • pp.10-11
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    • 2014
  • 지난 3월 결핵예방의 날 기념식에서 전영준 동산병원 호흡기내과 교수이자 협회 대구 경북지회장이 국무총리 표창을 받았다. 정부는 매년 결핵예방의 날 우리나라 결핵사업에 기여도가 큰 인물을 선정하여 시상을 하고 있는데, 전영준 지회장은 공공과 민간 부분의 협력에 기여한 부분을 인정받아 이번 표창을 받게 됐다. 학교 일선에서 학생을 가르치는 교수이자, 학자로서의 지식을 국가결핵퇴치사업에 풀어내며, 협회 지회장으로서 지역 결핵사업 발전에도 큰 역할을 하고 있는 전영준 지회장을 만나보았다.

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경동맥 화학색전술을 위한 간동맥 혈관조영술에서 Ioversol 320과 비교한 Iopamidol 250의 영상 화질 비교 분석과 조영제 유해반응 평가 (Comparative Analysis of Image Quality and Adverse Events between Iopamidol 250 and Ioversol 320 in Hepatic Angiography for Transcatheter Arterial Chemoembolization)

  • 구민재;이재혁;김영환;이희정;강웅래;지승우
    • 대한영상의학회지
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    • 제81권1호
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    • pp.166-175
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    • 2020
  • 목적 간세포암의 화학색전술에 사용되는 조영제인 Ioversol 320과 Iopamidol 250을 영상 화질과 유해반응에서 차이가 있는지 비교 분석하고자 하였다. 대상과 방법 경동맥 화학색전술을 시행 받은 113명의 간세포암 환자를 대상으로 후향적으로 분석하였고, Iopamidol 250은 44명, Ioversol 320은 69명에게 주입하였다. 영상 화질은 혈관인지도 및 일치도로 평가하였다. 혈관인지도는 두 명의 영상의학과 전문의가 간동맥 혈관조영술에서 간세분엽동맥, 췌십이지장동맥, 우위동맥, 우위대망동맥이 보이는 인지도와 명확도에 따라 3단계로 점수화하였다. 일치도는 혈관조영술과 전산화단층촬영에서 발견된 간세포암 수를 비교하였다. 시술 전후 임상증상을 조사하여 조영제 유해반응을 평가하였다. 결과 혈관인지도의 평균 점수는 Iopamidol 250은 2.92점, Ioversol 320은 2.94점이었다. 일치도는 Iopamidol 250은 31명(70.5%), Ioversol 320은 46명(66.7%)이 일치했으며, 혈관인지도와 일치도는 통계적 유의한 차이가 없었다(p > 0.05). Iopamidol 250은 1명, Ioversol 320은 6명의 환자가 오심을 호소하였으며, 유해반응 빈도의 유의한 차이는 없었다(p = 0.24). 결론 간세포암 화학색전술에서 Iopamidol 250은 Ioversol 320과 영상의 화질 및 유해반응에 유의한 차이가 없이 사용될 수 있을 것으로 생각된다.

자살 위험성 및 자살 시도 방지에 대한 전기경련치료의 역할 (The Electroconvulsive Therapy in the Prevention of Suicide Risks and Attempts)

  • 김희철;정성훈;안용민;박승현;김용식;정인원
    • 생물정신의학
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    • 제27권2호
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    • pp.64-73
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    • 2020
  • Suicidality is the most serious complication of mood disorders and psychosis; effective treatment should reduce suicide rates. The Organization for Economic Cooperation and Development age-standardized suicide rate in Korea was 22.6 in 2018, much higher compared to other countries worldwide. As mental and psychiatric problems are the main reasons for suicide attempts, accounting for 31.6% in 2018, targeting such problems should be the focus of efforts to reduce suicide rates. However, the ability of current pharmacotherapeutic and psychotherapeutic interventions to reduce suicide rates is limited due to their delayed effects. Therefore, electroconvulsive therapy (ECT) has been proposed as an alternative treatment. This approach is effective for treating most mental disorders associated with high suicide rates, including severe depression, bipolar disorder, and intractable psychotic disorders; ECT is also effective for Parkinson's disease, which has the highest suicide rate among all disorders in Korea. The acute, long-term, and prophylactic effects of ECT on suicidality have been reported in the literature, and treatment guidelines outside of Korea recommend that ECT be used at an early stage for rapid reduction of suicide rates, as opposed to being applied as a treatment of last resort. However, only ~0.092 of every 10000 members of the Korean general population received ECT in 2018; this is much lower than the average rate worldwide, of 2.2 per 10000. Elimination of obstacles to the use of ECT, early crisis intervention involving administration of ECT for rapid stabilization, and maintenance ECT to prevent recurrence should reduce suicide rates.

중환자실 간호사가 지각하는 인간중심 중환자간호 수행 정도 및 요구도 (Performance and Needs of Person-Centered Care of Intensive Care Unit Nurses)

  • 임경령;박정숙
    • 임상간호연구
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    • 제27권3호
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    • pp.267-278
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    • 2021
  • Purpose: This study was attempted to identify the importance and performance of person-centered care in nurses in intensive care units (ICU) at general hospitals and to derive the priority of practical person-centered care needs and intervention by analysing their needs. Methods: A total of 156 ICU nurses who wrote a written consent participated in a survey questionnaire on person-centered critical care nursing (PCCN). The collected data were analyzed using paired t-test, Borich's needs assessment, and the Locus for Focus Model. Results: All 15 items of person-centered care in ICU nurses were found to be significantly higher in perception of importance than performance level (t=17.98, p<.001). According to the analysis of Borich's needs and the Locus of Focus Model, person-centered care items with highest priority in ICU were therapeutic contact, comfort words and actions, and efforts to empathize with patients in the compassion category. Conclusion: As a strategy to improve the person-centered nursing performance of ICU nurses in the 'individuality', it is necessary for ICU nurses to recognize the ICU patients as an individualized person, not as a disease or machine-dependent entity. Also, it is necessary to develop programs to improve the ICU nurses' compassion competence because 'compassion' was a top priority according to Borich's needs assessment model and the Locus for Focus Model.