• Journal of Nutrition and Health
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• 제24권4호
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• pp.308-313
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• 1991

초음파기(A-mode type, TATT, TH-500, Datoherutsu Co, Japan)를 이용하여 20-39세의 한국 사람들의 삼두박근, 견갑골하부, 장골위, 대퇴부의 피하지방을 측정하고, 이 피하지방 두께와 표준체중, 상대체중(relative body weight, RBW), body mass index(BMI), $R\ddot{o}hrer$지수와의 상관관계를 알아 보았다. 남성에서는 장골위의 피하지방 두께가 $9.04{\sim}9.51mm$로 가장 크고, 견갑골 아래가 $9.04{\sim}9.51mm$, 대퇴부가 $6.48{\sim}7.04mm$, 삼두박근이 3.48${\sim}$3.69mm이었다. 피하지방 두께와 여러 신체 지수와의 상관관계를 보면 삼두박근의 피하지방 두께와 BMI(r=0.618), $R\ddot{o}hrer$지수(r= 0.622)가, 장골위의 피하지방 두께와 체중(r=0.551). RBW(r=0.457), BMI(.= 0.478), $R\ddot{o}hrer$ 지수(r=0.418), 견갑골 하부의 피하지방 두께(r=0.433)가 양의 상관관계가 있었다. 여성에서는 대퇴부의 피하지방 두께가 $11.85{\sim}12.15mm$로 가장 크고 장골위가 $8.79{\sim}9.87mm$9.87mm, 견갑골하부 $6.21{\sim}6.91mm$, 삼두박근이 $4.80{\sim}4.93mm$이며, 대퇴부의 피하지방 두께가 RBW(r=0.339), BMI(r=0.347), $R\ddot{o}hrer$ 지수(r=0.330)와 양의 상관관계를 나타냈다. 남성의 경우 삼두박근의 피하지방 두께가 RBW, BMI, $R\ddot{o}hrer$지수와 상관관계가 있었고, 장골위의 피하지방 두께는 RBW, BMI, $R\ddot{o}hrer$ 지수외에 체중과도 상관관계가 있었으므로 초음파를 이용한 피하지방측정은, 남성은 장골위가 가장 유용함을 알 수 있었고, 여성의 경우는 대퇴부의 피하지방 두께가 RBW, BMI, $R\ddot{o}hrer$ 지수와 상관관계가 있었으므로 대퇴부의 피하지방 측정이 가장 유용함을 알 수 있었다. 비만 측정에서 초음파 장치는 여러 가지 장점이 있으므로 앞으로 이에 대한 연구가 있어야겠다.

• 한국보건간호학회지
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• 제14권2호
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• pp.191-202
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• 2000

This study was conducted for 39 patients who are recipients of allogeneic hemopoietic stem cell transplantation at BMT ward of St. Mary's hospital affiliated to Catholic University of Korea from April to September 1999. The subjects were devided into two groups; those who received both TEl and chemo therapy as conditioning regimen (TEl group). and those who used chemo agents as singular conditioning regimen (chemo group). The oral intake status of the two groups were compared through physical assessment and blood chemistry exam of the subjects, and factors influencing their nutritional change and oral intake were explored in each stage of the transplantation (six stages: admission, conditional stage, date of transplantation, one week after transplantation, two weeks after transplantation, and three weeks after transplantation). The prior aim of the study was to provide baseline data to minimize delayed treatment from nutritional deficiency of the subjects. The results were as follows: 1. TBI group was significantly decreased of oral calorie intake in two weeks after transplantation compared to admission and conditioning stage while that of chemo group was significantly decreased on the date of transplantation. 2. TBI group was significantly decreased of protein intake in two weeks after transplantation compared to admission and conditioning stage. In chemo group, protein intake was significantly decreased on the date of transplantation compared to admission. It was remarkable that TBI group showed lesser protein intake than chemo group. 3. Both group were significantly decreased of BMI in one week and three weeks after transplantation compared to admission. TBI group showed significantly higher BMI than chemo group. 4. Both group were significantly decreased of Triceps Skinfold Thickness (TST)on the date of transplantation compared to admission stage. 5. TBI group was significantly decreased of mid-arm muscle circumference (MAMC) in two weeks after transplantation compared to admission, conditioning, date of transplantation. 6. TBI group was significantly decreased of albumin level in two weeks after transplantation compared admission stage. In chemo group, it was significantly decreased on the date of transplantation compared to admission, three weeks after the transplantation. 7. TBI group was significantly decreased of transferrin level in two weeks after transplantation compared admission, conditioning, date of transplantation and one week after transplantation. In chemo group, it was decreased of transferrin level in 3 weeks after transplantation. 8. Oral intake of TEl group was impacted by vomiting before transplantation and gingivitis after transplantation. In chemo group, it was impacted by vomiting before transplantation and by two factors, gingivitis and nausea, after transplantation. The results showed oral calorie intake was not different between the two groups while protein intake was significantly lower in TBI group than chemo group. Oral intake was significantly impacted by vomiting before transplantation in both groups, but affected by oral gingivitis in TBI group and gingivitis and nausea in chemo group after transplantation. This findings present that standardized strategies to manage nutrition and gingivitis more effectively are desperately needed to enhance oral intake and protein intake of patients who receive TBI as conditioning regimen.

• 한국병원경영학회지
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• 제7권4호
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• pp.172-192
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• 2002

The purpose of this study is to ascertain whether the effect of introduction of OCS(Order Communication System) to the hospital is satisfied or not comparing the anticipated effect with the actual effect. For this purpose, a domestic hospital which has introduced and has been operating OCS for several years was chosen. Based on the internal data of S Hospital prepared before introducing OCS, researcher has analyzed the basic direction, design standard and status of operation after the introduction of OCS, etc. After analyzing the status of operations of several departments using OCS and interviewing with the chiefs of pertinent departments, a survey form was designed. Actual survey and interviews were conducted by the researcher for weeks to know whether doctors, nurses, medical technicians and clerks of the patient management dept. were satisfied with OCS and to find if they have any recommendations to improve OCS. Based on the analysis of survey, the effect of OCS was evaluated whether it has satisfied the anticipated effectiveness. For the question if they feel convenient in using OCS, doctors, nursing staffs in charge of ward and the staffs of billing dept. has answered that they were all satisfied(100%). The answers for the same question were relatively high in the case of nurses in charge of outpatient and staffs of radiography. Of course, there have been some nurses and staffs who complained for the inconvenience. However, overall satisfaction was high on the average. Some common problems occurred after the introduction of OCS were frequent errors due to instability of OCS system, paralysis of function of hardware on data back-up system and redundant investment due to erroneous choice of DB program in setting DB. It was also pointed out that lack of computer education and low participation of medical staffs has resulted in failure of developing effective software. As a result, it has lowered the efficiency of OCS. For example, some works have to be done by hands even after OCS. Based on the result of this research, recommendations to maximize the effect of OCS were presented as follows. First, strong leadership of CEO and active cooperation of doctors are mandatory. Second, all the process of hospital work should be analyzed and be redesigned in more efficient ways. Third, OCS should be designed to be user-based system which can be used efficiently by all staffs of the hospital. Forth, prior to the operation of OCS, proper tests of the program and trainings of the pertinent staff are required. Fifth, prior to the selection of hardware, BMT(Bench Marking Test) should be conducted. Sixth, before introducing OCS, staffs in charge of OCS should visit many hospitals operating the OCS system and take their cases into account.

• 대한한방내과학회지
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• 제27권3호
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• pp.555-560
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• 2006

Objectives : The objective of this study is to analyze what quality of life(QOL) scales are frequently used in cancer patients and lay a cornerstone to develop new QOL scales adequate for oriental medical anti-cancer treatment in the future. Methods : We searched 151 articles concerned with 'QOL and scale and cancer' from PubMed and classified them according to periods. nations. cancer types and symptoms. Results: 138 articles(91%) were published after 1996. 65 articles(43%) were published in USA. For breast. lung, prostate. esophageal cancer and melanoma. European Organization for Research and Treatment of Cancer-quiality of life questionaire(EORTC-QLQ) was used most frequently to evaluate quality of life. Functional Assessment of Cancer Treatment(FACT) for bladder cancer. Hospital Anxiety and Depression Scale(HADS) for colorectal cancer and of Washington Quality of Life questionnaire(UW-QOL) for Head & Neck cancer were used repeatedly. And for the patients with the symptoms such as bone marrow depression. depression. pain. dyspnea. nausea & vomiting and voice change. the investigators used EORTC-QLQ mainly to evaluate QOL. FACT-An(anemia) for anemia. FACT-BMT(bone marrow transplant) for bone marrow depression were applicated generally. Conclusions It is anticipated that further investigations will be performed to develop adequate QOL scales for oriental medical anti-cancer therapy.