• 제목/요약/키워드: Medical Student

검색결과 922건 처리시간 0.029초

Association of Pre- and Perinatal Risk Factors With Tourette Syndrome or Chronic Tic Disorders in a Korean School-Age Population

  • Wooseok Choi;Soon-beom Hong;Johanna Inhynag Kim;Jung Lee;Soomin Jang;Yebin D Ahn;You Bin Lim;Sumin Kim;Mee Rim Oh;Bung-Nyun Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권1호
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    • pp.37-44
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    • 2023
  • Objectives: Tic disorders are highly heritable; however, growing evidence suggests that environmental factors play a significant role in their pathogenesis. Studies on these factors have been inconsistent, with conflicting results. Therefore, this study aimed to examine the associations of pre- and perinatal exposure to Tourette syndrome (TS) or chronic tic disorders (CTD) in Korean school-aged children. Methods: This case-control study used data from a large prospective cohort study. The primary outcome was TS/CTD diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version. Demographic, pre-, and perinatal information was obtained from the maternal questionnaires. Data between the TS/CTD and control groups were compared using the chi-squared or Student's t-test, as appropriate. Two-step logistic regression analyses were used to test the association between TS/CTD and pre- and perinatal risk factors. Results: We included of 223 children (78 with TS/CTD and 145 controls). Significant differences in the demographic data between the two groups were observed. The male sex ratio, mean parental age, parental final education level, and family history of tics were included as confounders. In the final adjusted multivariable model, TS/CTD was significantly associated with antiemetic exposure during pregnancy (odds ratio [OR]=16.61, 95% confidence interval [CI] 1.49-185.22, p=0.02) and medically assisted reproduction (OR=7.89, 95% CI 2.28-27.28, p=0.01). Conclusion: Antiemetic exposure and medically assisted reproduction are significantly associated with the risk of TS/CTD. These results should be replicated in future prospective and gene-by-environment studies.

학부모의 한의약 이용 경험에 따른 한의사 교의사업에 대한 인식 조사 - 초등학교 성교육을 중심으로 (Survey of the Perception of School Doctor Program of Korean Medicine according to the use of Korean Medicine - Focused on Elementary School Sex Education)

  • 박정수;성현경;고호연;이승환;이세연;신선미
    • 대한예방한의학회지
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    • 제26권3호
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    • pp.41-48
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    • 2022
  • Objectives : This study aimed to investigate the adequacy and satisfaction of the school doctor program of Korean medicine (especially sex education) for elementary school students, to examine differences in parents' perception or satisfaction according to the use of Korean Medicine. Methods : The participants were parents of one elementary school that provided sex education as the Seoul school doctor program of Korean medicine. A self-reported online survey was conducted. The questionnaire consisted of parents and children's experience in using Korean medicine, perception of the school doctor program of Korean Medicine, evaluation and satisfaction of school sex education. Results : The survey was conducted on May 14th, 2022 during the school doctor program of Korean Medicine briefing session. A total of 92 parents participated in the survey, and the 88 respondents analyzed who voluntarily gave consent. Of the experience of Korean Medicine, 71 parents (80.68%) had lifetime, 16 (18.18%) respondents had within the last three months, and 40 (45.45%) said their children had. Parents' experience of using Korean medicine was related to that of their children's, but there was no difference in the satisfaction the school doctor program of Korean Medicine. Conclusions : The survey showed that parents of an elementary school where Korean Medicine doctors carried out school doctor program evaluated that the school doctor program of Korean Medicine had a positive effect on students' health. There was no difference between parents' satisfaction on school doctor program by the use of Korean medicine.

간호대학생의 COVID-19에 대한 윤리적 의사결정, 도덕적 민감성 및 감염관리 수행도와의 관련성 (Relationship between Ethical Decision-Making, Moral Sensitivity and Infection Control Performance of Nursing Student's on COVID-19)

  • 이미향;이주연
    • 디지털융복합연구
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    • 제20권3호
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    • pp.359-366
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    • 2022
  • 본 연구는 COVID-19 유행상황에서 간호대학생의 윤리적 의사결정, 도덕적 민감성 및 감염관리 수행도와의 관계를 파악하여 간호대학생의 감염관리 수행도를 높이기 위한 중재방법의 기초자료를 제공하기 위함이다. 간호대학생 3,4학년을 대상으로 구조화된 설문지를 이용하여 일반적 특성, 전공 관련 특성, 윤리적 의사결정, 도덕적 민감성 및 수행도를 조사하였다. 자료분석은 IBM SPSS21.0 프로그램을 이용하여 기술통계, Indepentent t-test, One-way ANOVA, Pearson's correlation coefficient, Stepwise Multiple regression anlaysis를 하였다. 본 연구결과 COVID-19 감염관리 수행도에 영향을 미치는 요인으로 윤리적 의사결정에서 선행의 원칙, 도덕적 민감성에서 갈등과 환자중심간호로 나타났다. 앞으로 신종감염병이 출현할 가능성이 높은 상황에서 예비의료인인 간호대학생의 감염관리 수행도를 향상시키기 위해서는 환자중심의 간호윤리를 강화할 수 있는 실무중심의 융복합적인 교육프로그램을 개발하는 것이 필요하다.

성서에 언급된 채소류에 관한 연구 (A Study on the Vegetables Mentioned in the Bible)

  • 우자원
    • 한국식생활문화학회지
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    • 제22권1호
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    • pp.1-9
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    • 2007
  • This paper is intended to study what kinds of the vegetables are mentioned in the Bible and how they were used in those days. While one hundred and twenty-eight different plants are mentioned in the Bible, there are today 2,384 plant species in modem Israel, most of which have been introduced in recent centuries. These plants obviously did not exist there in biblical times and were only recently introduced from Australia and South America, respectively. This article will study only the vegetables mentioned in the Bible and known to have existed in the old and new testament times. Since the first book devoted exclusively to biblical botany was that of Levinus Lemmens in 1566, the modem systematic study of biblical plants, began with F. Hasselquist, a student of Linnaeus, the founder of modem botany. In 1928, Immanuel Loew approached the subject differently, reviewing all known data pertaining to biblical plants. His work not only discussed biblical plants, but also plants in later Jewish literature, particularly the Talmud. The British scholar G. E. Post provided a broad field study of modem plants in Palestine, Syria, Lebanon, and Jordan. More recent major treatments of the subject include those of A. and H. Moldenke (1952), M. Zohary (1982), N. Hareuveni (1984), and Y. J. Choi(1996). Today, articles on specific biblical plants listed in the Bible can be found in any number of encyclopedias. This study attempts to provide a synthesis of the work of a number of scholars who studied the vegetables and plants mentioned in the Bible. As a preliminary study on the culture of food in the biblical period, this study has focused on the identity and features of the vegetables of the Bible. In only a limited number of instances, because of the paucity of the informations and the broad and generic descriptions of the plants, we can't be certain about the identification of the vegetables named in the Bible. In many instances the traditions established by the Greek, Aramaic, and English translations are helpful, although sometimes they are misleading. This paper subdivides the vegetables into broad areas, the general vegetables and the flavoring herbs. Vegetables formed very important part of the diet in the biblical times. Two main types were used: those whose nutritious seeds could be easily stored and those which were eaten freshly gathered from gardens. Pulse seeds provided a useful source of vegetable protein, while fresh green vegetables were vitamin rich. Pulses could be eaten boiled, or their dried seeds could be ground up into flour and then made into nutritious soups. Fresh vegetables were eaten either raw or lightly cooked, usually by boiling in water. The general vegetables in the Bible are herbs(garden rocket), cucumber(snake cucumber), watermelon, leeks, chicory, and onions. Also the flavoring herbs in the Bible are rue, dill, cummin, black cummin, frankincense, cinnamon, cassia, myrrh, black mustard, coriander, mint, saffron, ginger grass, syrian hyssop, aloes(eagle wood), manna which have the flavor, aroma, and medical values.

코로나 19 감염병 상황에서 간호대학생이 경험한 임상실습에서의 의사소통 (Communication of Nursing College Students Experienced in Clinical Practice in the COVID 19 Situation)

  • 송미숙;이정숙
    • 문화기술의 융합
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    • 제9권5호
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    • pp.941-949
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    • 2023
  • 본 연구는 간호대학생 4학년의 코로나 19 감염병 상황에서 임상실습 의사소통 경험을 탐색하기 위한 질적연구이다. 자료수집은 2022년 12월 19일부터 2023년 2월 10일까지 임상실습에 참여한 간호대학생 4학년 87명의 참여자로부터 실습을 하고 난 후 자신의 경험을 서술식으로 자유롭게 작성하도록 한 성찰일지를 수집하였다. 성찰일지의 분석은 Braun과 Clarke 의 주제 분석 방법을 적용하였다. 연구 결과 코로나 19 감염병 상황에서 간호대학생의 임상실습에서의 의사소통 경험은 142개의 의미 있는 진술, 30개의 잠정적 주제, 9개의 하위 주제, 4개의 중심주제가 도출되었다. 4개의 중심 주제는 '언어장벽이 되어버린 마스크', '반쪽이 되어버린 의사소통', '간호의 질이 떨어지지 않을까 두려움', '어려움을 극복한 몸과 마음'으로 나타났다. 결론적으로 본 연구 결과는 코로나 19 감염병 상황에서 간호대 학생이 임상실습에서 경험하는 의사소통에 대한 이해를 가능하게 하였으며, 다양한 감염병 상황에서 착용해야 하는 의료장비로 인한 비효과적인 의사소통 개선과 더불어 감염병 상황에서의 간호대학생의 실습교육 전략의 기초자료로 활용 될 수 있을 것이다.

A novel method for determining dose distribution on panoramic reconstruction computed tomography images from radiotherapy computed tomography

  • Hiroyuki Okamoto;Madoka Sakuramachi;Wakako Yatsuoka;Takao Ueno;Kouji Katsura;Naoya Murakami;Satoshi Nakamura;Kotaro Iijima;Takahito Chiba;Hiroki Nakayama;Yasunori Shuto;Yuki Takano;Yuta Kobayashi;Hironori Kishida;Yuka Urago;Masato Nishitani;Shuka Nishina;Koushin Arai;Hiroshi Igaki
    • Imaging Science in Dentistry
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    • 제54권2호
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    • pp.129-137
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    • 2024
  • Purpose: Patients with head and neck cancer (HNC) who undergo dental procedures during radiotherapy (RT) face an increased risk of developing osteoradionecrosis (ORN). Accordingly, new tools must be developed to extract critical information regarding the dose delivered to the teeth and mandible. This article proposes a novel approach for visualizing 3-dimensional planned dose distributions on panoramic reconstruction computed tomography (pCT) images. Materials and Methods: Four patients with HNC who underwent volumetric modulated arc therapy were included. One patient experienced ORN and required the extraction of teeth after RT. In the study approach, the dental arch curve (DAC) was defined using an open-source platform. Subsequently, pCT images and dose distributions were generated based on the new coordinate system. All teeth and mandibles were delineated on both the original CT and pCT images. To evaluate the consistency of dose metrics, the Mann-Whitney U test and Student t-test were employed. Results: A total of 61 teeth and 4 mandibles were evaluated. The correlation coefficient between the 2 methods was 0.999, and no statistically significant difference was observed (P>0.05). This method facilitated a straightforward and intuitive understanding of the delivered dose. In 1 patient, ORN corresponded to the region of the root and the gum receiving a high dosage (approximately 70 Gy). Conclusion: The proposed method particularly benefits dentists involved in the management of patients with HNC. It enables the visualization of a 3-dimensional dose distribution in the teeth and mandible on pCT, enhancing the understanding of the dose delivered during RT.

사범대학 화학교육과 학생들의 로드맵을 통한 진로 목표와 대학 생활 계획 분석 (Analyzing Career Paths and College Life Plans of Department of Chemistry Education Students in Teacher's College Examined by Their Roadmaps)

  • 박종석;배성우
    • 대한화학회지
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    • 제56권6호
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    • pp.751-758
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    • 2012
  • 교사양성대학으로서 사범대학 화학교육과에 대한 학생들의 정체성을 알아보고자 대구시에 소재한 K대학교 사범대학 화학교육과 학생들을 대상으로 성별, 학년에 따른 진로목표와 대학 생활 계획의 차이를 분석하였다. 학생들에게 대학 생활 계획(로드맵)을 작성하게 하고, 이것을 분석하여 15개의 항목을 도출한 뒤, PASW18 프로그램을 사용하여 자료를 처리하였다. 연구결과 학생들의 성별에 따라 진로목표와 영어공부, 여행, 봉사활동 계획에서 유의한 차이가 있었는데, 여학생들이 남학생들에 비해 의학계 진로와 영어공부, 여행에 대한 관심이 더 높았다. 봉사활동에 대한 관심 또한 여학생들이 더 높았으나 전반적으로 남녀 모두 부족하였다. 학년에 따른 차이는 학년이 낮을수록 의학계진로에 대한 관심과 영어공부, 여행, 학점관리, 교환학생, 장학금에 대한 관심이 높았고, 학년이 높을수록 봉사활동과 스터디, 인터넷 강의에 대한 관심이 높았다. 진로목표에 따른 차이는 영어공부, 여행, 학점관리계획에서 유의한 차이가 있었는데, 의학계열 진학의 필수요소인 영어공부와 학점관리에 대한 관심이 사범계열 진학 학생들 보다 월등히 높았으며, 진로를 정하지 못한 학생들의 여행계획이 진로의 방향을 정한 학생들보다 많았다. 이러한 결과는 학년이 낮을수록, 남학생보다 여학생이 사범대학이 교원양성이라는 목적대학의 정체성을 크게 인식하지 않는다고 판단되며, 그에 따라 대학 생활 계획도 달라짐을 보여준다. 따라서 사범대학의 본래의 특성보다는 현실적인 진로 선택과 생활 계획을 우선시 하는 학생들에 대한 진로 상담 및 지도가 요구되며, 이러한 현실을 고려하여 교사양성대학으로서의 정체성을 갖출 수 있는 화학교육의 방향성을 재고할 필요가 있다.

간호센타 개발을 위한 건강증진 프로그램 요구사정 연구-유방자가검진 프로그램을 중심으로- (A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers - Breast Self Examination-)

  • 박인혜;강혜영;이정희;류현숙
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.21-36
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    • 2000
  • The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.

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대학교 재학생에서 Fatigue Severity Scale의 신뢰도 및 타당도 연구 (Reliability and Validity of the Fatigue Severity Scale among University Student in South Korea)

  • 이정현;정현석;임수미;조한별;마지영;고은;임주연;이선혜;배수진;이유진;류인균;정도언
    • 생물정신의학
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    • 제20권1호
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    • pp.6-11
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    • 2013
  • Objectives There are only a limited number of studies on instruments assessing fatigue in university students, although fatigue exerts negative influences on their health and academic performances and fatigue-related complaints are more frequently reported in young adults than middle-aged adults. The aim of this study was to validate the 9-item Fatigue Severity Scale (FSS) among university students including both undergraduate and graduate students in South Korea. Methods A total of 176 university students completed a battery of self-report questionnaires, including the FSS, the Brief Fatigue Inventory (BFI), the Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), the Medical Outcomes Study Short Form 36 version 2 (MOS-SF36v2), and the Inclusion of Community in the Self Scale (ICS). The data were collected from February of 2012 to June of 2012. The reliability, convergent validity, divergent validity, and exploratory factor analyses were conducted to assess psychometric properties of the FSS. Results The mean FSS score was 3.20 (standard deviation = 1.43). The FSS demonstrated an excellent internal consistency (Cronbach's ${\alpha}$ = 0.93) and item-total correlations ranged from 0.56 to 0.90. Correlations of the FSS with the BFI (r = 0.71, p < 0.01), BDI-II (r = 0.54, p < 0.01), BAI (r = 0.46, p < 0.01), MOS-SF36v2 physical component summary (r = -0.28, p < 0.01), MOS-SF36v2 mental component summary (r = -0.55, p < 0.01), and ICS (Spearman's rho = -0.07, p = 0.33) showed acceptable convergent and divergent validity. Exploratory factor analysis defined one underlying factor (eigenvalue = 5.67) that explained 93.50% of the total variance. Conclusions To the best of our knowledge, this is the first study to investigate reliability and validity of the FSS in university students. The FSS exhibits good psychometric properties for evaluation of fatigue among university students in South Korea. Since the FSS is easy to administer, score, and interpret, it could be a useful tool in research and practice for assessing fatigue among university students.

단일 병원에서 소아 중환자의 예후인자 예측을 위한 PIM2 (pediatric index of mortality 2)와 PRIMS III (pediatric risk of mortality)의 유효성 평가 - 후향적 조사 - (Performance effectiveness of pediatric index of mortality 2 (PIM2) and pediatricrisk of mortality III (PRISM III) in pediatric patients with intensive care in single institution: Retrospective study)

  • 황희승;이나영;한승범;곽가영;이수영;정승연;강진한;정대철
    • Clinical and Experimental Pediatrics
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    • 제51권11호
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    • pp.1158-1164
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    • 2008
  • 목 적: 저자들은 중환자실에 입원하는 환아들에 대한 소아사망률지표 2 (pediatric index of mortality 2, PIM2)와 소아사망위험도 III (pediatric risk of mortality III, PRISM III)의 유효성을 평가하고자 하였다. 방 법: 2003년 1월부터 2007년 12월까지 단일 기관 중환자실에 입실하여 치료받았던 환아의 의무기록을 후향적으로 조사하였다. 중환자실에 입실하여 2시간 이내에 사망하거나 절망적인 상태의 퇴원인 경우는 제외하였다. 환아들의 일반적인 특성에 대해서 Student's t-test와 ANOVA를, PIM2와 PRISM III 항목에 대해서 생존한 환아와 사망한 환아 사이에 상관분석을 시행하였다. 또한, 사망률 예측의 정도에 대한 정확성을 위해서 Hosmer-Lemeshow 적합도에 대한 다중회귀분석과 수용자 작업특성곡선을 사용하였으며 예측사망율의 과대 또는 과소 평가는 표준화된 사망비를 이용하여 검증하였다. 결 과: 193 증례의 의무기록을 검토하였으나 3예가 중환자실에 입실한 2시간이내에 사망하여 190예에 대하여 분석을 시행하였다. PIM2의 항목들은 수술이나 술기 후에 입원한 경우와 저위험군의 항목을 제외하고 생존과 연관성이 있었다. PRISM III에서는 심혈관/신경계 징후, 동맥혈가스분석의 항목이 관련성이 있었으나 생화학과 혈액학적 검사소견은 연관성이 유의하지 않았다. 수용자 작업특성곡선으로 확인한 예측도는 모두 의의가 있었으며 PIM2의 곡선하면적이 0.858 (95% 신뢰도: 0.779-0.938), PRISM III가 0.798 (95%신뢰도: 0.686-0.891)이었다. 또한, 표준화된 사망비는 두 가지 지표 모두 1에 가까웠으며 다중회귀분석을 이용한 Hosmer-Lemeshow 적합도에서 PRISM III가 ${\chi}^2(13)=12.899$, P=0.456이었으며, PIM2는 ${\chi}^2(13)=14.986$, P=0.308이었다. 그러나 PIM2가 가능도비검정에서 PRISM III보다 유의한 특성을 가지고 있었다(${\chi}^2(4)=55.3$, P<0.01). 결 론: 저자들은 중환자실에 입실하는 소아 환자에서 사망률을 예측하는 두 가지 지표(PIM2, PRISM III)가 의미가 있다는 사실을 확인하였다. 저자들은 PIM2가 PRISM III보다 보다 정확하고 적절하다고 생각된다.