• Journal of Gastric Cancer
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• v.8 no.3
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• pp.148-153
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• 2008

Purpose: Malignant bowel obstruction caused by recurrent gastric cancer must be treated appropriately to improve the effects of treatment and to prolong survival. We reviewed the surgical treatments for malignant bowel obstruction caused by recurrent gastric cancer. Materials and Methods: The subjects were patients with malignant bowel obstruction caused by recurrent gastric cancer and these patients were treated by surgical procedures at our hospital from 1998 to 2008. The patients were treated by resection, ostomy or bypass. The success of treatment was decided when the patients were able to tolerate more than a liquid diet. Results: 42 patients were treated 46 times by surgical procedures. Resection was done12 times, ostomy was done 24 times and bypass was done 10 times. The hospital stay and the period to liquid diet after the operation were shorter in the ostomy group. The post operative morbidity rate was 21.7% and the post operative death rate was 8.7%. There was no significant difference in survival according to the type of surgery. Conclusion: Ostomy is good choice for selected patients because it has a shorter hospital stay and period to liquid diet. There was no significant difference in survival according to the type of surgery because curative resection is difficult to perform in patients with malignant bowel obstruction.

• Proceedings of the KAIS Fall Conference
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• 2002.05a
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• pp.124-126
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• 2002

폴리우레탄의 특징을 이용하여 폴리우레탄에 흡습능력 과 탈취능력을 향상시키고 향의 서방성 능력을 첨가하여 장루 환자들이 사용하기에 적합한 패드의 특징을 테스트 후 분석하였다. 수분의 흡습능력, 변의 냄새제거 정도의 탈취 능력 , 향의 지속성을 측정하였다. 폴리우레탄만의 특징으로도 흡습능력과 탈취능력이 있지만 주흡습제 보조흡수제를 첨가하고, 소취 제와 보조제를 첨가하여 더욱 개선된 흡습능력과 탈취능력을 확인하였다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.9
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• pp.3412-3416
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• 2010

The purpose of this study was attempted to identify the effect of physical function on operative treatment of colorectal cancer patients. Colorectal cancer patients(110 persons) who visited a general hospital in Seoul were examined with questionnaires and interview from December 15, 2009 to January 30, 2010. The results of this study are as follows ; First, operative treatment side-effects were significantly higher in patients before ileostomy repair than in patients after ileostomy repair(t=5.284, p<0.001). Secondly, sexual satisfaction were higher in pre-operative radiotherapy patients than in post-operative radiotherapy patients(t=1.946, p<0.05). Thirdly, micturition problems were significantly higher in discomfort symptom of stoma patients than in nonstoma patients(t=1.537, p<0.05). In conclusion, in order to improve physical function on operative treatment of colorectal cancer patients, it is necessary to develop intervention program about the improvement of function status and discomfort symptoms.

• Proceedings of the KOR-BRONCHOESO Conference
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• 2003.09a
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• pp.108-108
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• 2003

식도 천공의 치료는 최근 치료법의 발전에도 불구하고 여전히 난해한 문제이다. 이 환자들은 천공의 원인이나 위치, 심한 정도가 다양한 이질적인 군이며, 반수 이상이 이미 식도에 기존의 질환을 가지고 있어 문제를 더욱 복잡하게 한다. 따라서 절대적이고 획일적인 치료방법은 아직 확립되어 있지 않으며 많은 다양한 방법들이 제시되고 있다. 2002년 11월부터 2003년 7월까지 총 8명의 환자가 식도 천공으로 동아대학교병원 흥부외과에서 치료를 받았으며, 원인별로는 의인성(iatrogenic) 손상이 6례, 자발성(spontaneous) 손상이 2례였고 부위별로는 경부가 3례, 흥부가 5례였다. 의인성 손상에는 내시경 검사중 정상 경부 식도에 발생한 1례, 부식성 식도협착 환자의 풍선 확장술과 스텐트 삽입시 흉부 식도에 발생한 경우가 각각 1례씩, 외상성 경추손상의 수술시 정상 경부 식도에 발생한 경우가 2례, 선천성 식도폐쇄증(esophageal atresia)의 술후 문합부 누출이 생긴 경우가 1례 있었으며, 자발성 손상에는 하부식도에 발생한 기압성(barogenic) 손상 1례와 상흉부 식도암 천공 1례가 있었다. 경부 식도 천공 3례는 모두 경부 배액(drainage)과 식이용 장루술(feeding jejunostomy)을 시행하였고, 부식성 식도협착이 있던 환자 2례는 식도절제술과 흉부내 식도-위 문합을 시행하였으며, Boerhaave씨 증후군 환자는 1차 봉합술, 술후 문합부 유출이 있었던 환자와 식도암 천공이 있었던 환자는 식도절제 및 경부 식도루(esophagostomy), 배액용 위루(gastrostomy), 식이용 장루술을 시행하였다. 모든 환자는 패혈증 등의 심각한 합병증으로의 진행 없이 회복되었다. 현재 위장관의 연속성이 유지 혹은 복원된 환자는 경구식이 중이며 그 외의 환자들은 장루를 통해 영양을 공급하며 식도재건술을 기다리고 있다. 식도 천공은 최근 항생제의 사용, 과영양요법(hyperalimentation), 술후 환자관리의 개선 등으로 치료에 많은 발전이 있었으나, 치료 방침에 있어서는 여전히 논란이 있으며 높은 사망률을 보이는 난제로 남아있다. 비록 일반적인 지침이 도움이 되겠지만, 치료 방침은 환자 개개인의 상황에 따라 적절하게 선택해야 하며, 임상경과에 따라 언제라도 방침을 변경할 수 있는 유연함이 필요하리라 생각한다.

• Journal of Korean Public Health Nursing
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• v.13 no.2
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• pp.215-226
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• 1999

The purpose of this study was to investigate the factors influencing self care in ostomates, to provide the basic data for self care promoting intervention, The subject of this study were 110 ostomates living in Deagu and Deajon, during the period from March to April. 1998. The instruments for this study were the self care scale developed by Lee Ji Sook(1990), the family support scale by Lee Ji Sook(1990), the self esteem scale by Rosenberg(1965) and the hope scale by Nowotny(1989). The instruments for this study were pretested on the ostomates for reliability and validity. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results are as follows : 1. The average score on the self care was 2.90. 2. There were significant positive correlations between self care and other factors self esteem(r=.652 P<.05), family support (r=.632 P<.05) and hope(r= .604 P<.05). 3. The variables that affected the self care of the subjects were self esteem, hope, family support, economical status, fecal control type and monthly participation in ostomate meetings in that order. These variance of self care was R2=62 percent by calculating the sum of those variables. The results of this study might help nurses and other health providers to develop interventions for the self care reinforcement of ostomates.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• Journal of Yeungnam Medical Science
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• v.30 no.1
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• pp.43-46
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• 2013

Gastrocolic fistula is a fistulous communication between the stomach and the colon. It is a passage between the gastric epithelium and the colonic epithelium. This uncommon complication is caused by benign and malignant diseases of the stomach or the colon. Its clinical manifestations include weight loss, diarrhea and fecal vomiting; occasionally, anemia, poor oral intake, fatigue and dizziness; and very rarely, gastrointestinal bleeding. In this paper, an unusual case of gastrocolic fistula accompanied by hematochezia, which was revealed to have been caused by colon cancer invasion, is described.

• Journal of Korean Clinical Nursing Research
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• v.22 no.2
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• pp.194-204
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• 2016

Purpose: The purpose of this study was to identify physiological functional status and unmet care needs among patients with chronic pulmonary disease, colorectal cancer, and strokes after discharge. Methods: A crosssectional study was conducted with 224 patients diagnosed with aforementioned diseases from January to July in 2014 in two different tertiary hospitals in Seoul and its suburban area. Physiological functional status and unmet care needs were collected using Karnofsky Performance Status (KPS) Scale and Problems After Discharge Questionnaire-English version(PADQ-E) respectively. Data were analyzed using SPSS/WIN 21.0 program. Results: Patients with chronic pulmonary disease and colorectal cancer showed a low level of physiological functional status (mean: 77.20 and 77.60 out of 100 respectively) and a high level of unmet care needs (mean 2.23 and 2.63 out of 4 respectively). Stroke patients showed a high level of unmet care needs in the category of 'counseling', 'physical complaints', and 'instructions'. Physiological functional status was significantly associated with unmet care needs in all three patient groups and it showed a significant effect on unmet care needs in patients with stroke. Conclusion: The results showed that patients after discharge were still having insufficient functional status and various unmet care needs. The results of this study suggest a development of nursing care service for patients with chronic diseases after discharge.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.467-483
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• 2017

The purpose of this study was to explore the role and meaning of smartphone in the context of daily life. This research focuses on the woman in twenties living in Hangzhou, China. As a result of research, smartphones affected the various parts of female users' daily lives such as consumption habits, ways of spending their times and ways of information gathering and communication. Nevertheless gender gap in smartphone use was much smaller than before in the quantitative aspect, women's use of smartphone in qualitative aspect such as the way of use and choice of contents showed previous gender role and gender value in society. Also, the results of the research, based on the case of China which emerges as a new IT powerhouse, have a significant implication for smartphone use in Korea.

• Advances in pediatric surgery
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• v.15 no.1
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• pp.18-26
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• 2009

The survival of Very Low Birth Weight (VLBW) infants has been improved with the advancement of neonatal intensive care. However, the incidence of accompanying gastrointestinal complications such as necrotizing enterocolitis has also been increasing. In intestinal perforation of the newborn, enterostomy with or without intestinal resection is a common practice, but there is no clear indication when to close the enterostomy. To determine the proper timing of enterostomy closure, the medical records of 12 VLBW infants who underwent enterostomy due to intestinal perforation between Jan. 2004 and Jul. 2007 were reviewed retrospectively. Enterostomy was closed when patients were weaned from ventilator, incubator-out and gaining adequate body weight. Pre-operative distal loop contrast radiographs were obtained to confirm the distal passage and complete removal of the contrast media within 24-hours. Until patients reached oral intake, all patients received central-alimentation. The mean gestational age of patients was $26^{+2}$ wks ($24^{+1}{\sim}33^{+0}$ wks) and the mean birth weight was 827 g (490~1450 g). The mean age and the mean body weight at the time of enterostomy formation were 15days (6~38 days) and 888 g (590~1870 g). The mean body weight gain was 18 g/day (14~25 g/day) with enterostomy. Enterostomy closure was performed on the average of 90days (30~123 days) after enterostomy formation. The mean age and the mean body weight were 105 days (43~136 days) and 2487 g (2290~2970 g) at the time of enterostomy closure. The mean body weight gain was 22 g/day after enterostomy closure. Major complications were not observed. In conclusion, the growth in VLBW infants having enterostomy was possible while supporting nutrition with central-alimentation and the enterostomy can be closed safely when the patient's body weights is more than 2.3 kg.