• 중환자간호학회지
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• 제12권3호
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• pp.74-83
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• 2019

Purpose : The routine evaluation of gastric residuals (RGR) is considered standard care for premature infants. This study evaluated the usefulness of RGR in premature infants. Methods : The study retrospectively investigated 208 premature infants (gestational aged under 34 weeks) who underwent gavage feeding in a neonatal intensive care unit at a tertiary hospital. The patients were divided into two groups: RGR (n=104) and no-RGR (n=104). Those in the no-RGR group had their gastric residuals checked only if signs of feeding intolerance were present. Clinical outcomes, including the time to reach full enteral feeding (FEF) and the incidences of gastrointestinal disorders such as feeding intolerance (FI) and necrotizing enterocolitis (NEC), were compared. Data were analyzed with SPSS ver. 21, using a Mann-Whitney U test, chi-squared test, and Fisher's exact test. Results : There was no statistically significant difference for the time to FEF (z=-0.61, p=.541), incidence of FI ($X^2=0.38$, p=.540), and NEC ($X^2=1.42$, p=.234) between the two groups. Conclusion : No-RGR did not increase the risk for FI or NEC. These results suggest that RGR evaluation may not improve nutritional outcomes in premature infants. Recommendations for further research and practice guidelines will be provided.

• 한국간호교육학회지
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• 제30권3호
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• pp.242-252
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• 2024

Purpose: This study aimed to determine the influence of psychological factors such as highly sensitive person, intolerance of uncertainty, depression, and self-esteem on nurses' perceptions of gaslighting damage. Methods: The participants were 178 nurses working in hospitals nationwide. Data were collected through a non-face-to-face approach using an online survey platform (Google Forms) with self-reported questionnaires. Perceptions of gaslighting damage were measured using the victim gaslighting questionnaire (VGQ). The collected data were analyzed with statistical methods such as independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS 25.0. Results: Of the participants, 94.4% were female. The participants' average age was 32.7 years old, 60.2% were unmarried, and 86.0% were staff nurses. The mean score of the VGQ was 40.49. There were statistically significant differences in the VGQ according to marital status, participants' time in their current department, total clinical career, and type of medical institution. The perception of gaslighting damage was statistically significantly positively correlated with intolerance of uncertainty, highly sensitive person, depression, and self-esteem. The most influential factor on nurses' perception of gaslighting damage was intolerance of uncertainty (β=.32, p<.001), followed by depression (β=.30, p<.001) and highly sensitive person (β=.23, p=.001). The total explanation of these variables for the perception of gaslighting damage by nurses was about 75.0%. Conclusion: This study suggests that it is necessary to develop an intervention program to reduce negative psychological factors affecting gaslighting in nurses and to cultivate nurses' strength to overcome gaslighting damage.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4686-4693
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• 2012

본 연구는 성인 남성 근로자들의 고혈압 발생에 관련된 요인을 밝히고, 고혈압의 1차 예방대책을 실시하기 위한 과학적 근거를 제공할 목적으로 대전광역시의 모 건강검진센터에서 2011년에 건강검진을 받은 남성 근로자 2,230명을 대상으로 하였다. 조사는 대상자의 연령, 비만도, 내당능, 흡연 및 음주습관, 운동습관과 혈압수준과의 관계를 조사하였다. 연구결과, 전체 조사대상자의 연령계층별 고혈압 발생은 30대 18.8%, 40대 23.8%, 50대 33.0%를 보였으며, 고혈압 발생은 연령이 증가할수록, BMI가 증가할수록 높아지는 경향이었으며, 내당능 이상군, 상습음주군, 운동부족군에서 그렇지 않은 군보다 고혈압 발생이 유의하게 높았다. 고혈압 발생에 대한 관련변수의 위험비를 구한 결과 비만도의 경우 30대, 40대, 50대 연령층 모두 정상군에 비해 과체중군과 비만군에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 내당능 이상군은 정상군에 비해 40대와 50대 연령층에서, 흡연군은 비흡연군에 비해 30대 연령층에서, 상습음주군은 비상습음주군에 비해 30대 연령층에서, 비운동군은 운동군에 비해 40대와 50대 연령층에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 위와 같은 결과는 고혈압의 1차 예방대책으로 비만, 알코올섭취, 운동부족이 중요하므로 바람직한 음주습관, 정기적인 운동 및 적정 체중의 유지에 신경을 쓸 필요가 있음을 시사한다.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.497-508
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• 2014

본 연구는 진로정체감과 Krumboltz의 과제접근기술 중 낙관성, 위험감수, 불확실한 상황에 대한 인내가진로성숙도, 진로장벽, 진로포부에 미치는 영향에 대해서 살펴보았다. 연구대상은 서울, 경기, 그리고 충청지역 대학에 재학 중인 대학생 269명을 대상으로 진로정체감, 과제접근기술, 진로성숙도, 진로장벽, 진로포부 검사도구를 사용하여 상관분석과 중다회귀분석을 실시하였다. 연구결과에 따르면 첫째, 상관분석 결과 진로정체감은 진로성숙 진로포부와 정적상관을, 진로장벽과는 부적상관을 보였으며, 낙관성은 진로장벽과 부적상관을 보였다. 또한 불확실한 상황에 대한 인내는 진로성숙과는 정적상관을, 진로장벽과는 부적상관을 보였다. 둘째, 진로정체감과 과제접근기술이 진로성숙, 진로장벽, 진로포부에 미치는 영향을 살펴 본 결과, 진로성숙에는 진로정체감, 낙관성, 불확실한 상황에 대한 인내부족이 영향을 미치는 것으로 나타났으며, 진로장벽에는 진로정체감, 낙관성, 불확실한 상황에 대한 인내가 영향을 미치는 것으로 나타났다. 한편 진로포부에는 낙관성만이 영향을 미치는 것으로 나타났다. 이러한 결과는 진로상담에서 과제접근기술이 진로에 대한 태도, 진로장벽, 진로포부에 미치는 영향을 인식하고, 내담자들이 낙관성과 불확실한 상황에 대한 인내를 개발할 수 있도록 조력해야 함을 보여주었다. 이밖에도 본 연구에서는 연구결과의 의미와 제한점에 대해서 논의하였다.

• Asia Marketing Journal
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• 제13권1호
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• pp.113-141
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• 2011

소비자들의 다양한 욕구를 충족시켜주기 위한 기업들 간의 경쟁으로 인해 구매에 관련된 정보처리절차과정이 더욱 복잡해지면서 소비자들은 혼란을 경험하고 있다. 본 연구는 소비자 혼란으로 인해 야기되는 부정적 감정에 초점을 둔다. 소비자 혼란을 세 가지 하위 차원으로 분류하여 각 요소들이 구전과 신뢰에 미치는 영향을 부정적 감정(분노)의 매개효과를 통해 살펴보았다. 또한, 소비자 혼란과 부정적 감정 간의 관계에서 영향을 미칠 것으로 판단되는 두 가지의 소비자 특성, 부정적 감정 성향과 불확실성에 대한 인내력 부족의 조절효과도 함께 분석하였다. 실증연구를 위하여 대구에 거주하고 있는 250명의 소비자들을 대상으로 조사를 실시하였으며, 가설은 LISREL 8.70을 이용하여 검증하였다. 구체적인 검증 결과는 다음과 같다. 첫째, 소비자 혼란의 모든 차원은 분노에 양(+)의 영향을 주었다. 둘째, 분노는 구전에 양(+)의 영향을 주는 반면 신뢰에는 음(-)의 영향을 주었다. 셋째, 부정적 감정 성향은 과잉혼란, 모호혼란과 분노 간의 관계를 조절하는 것으로 나타났으며, 불확실성에 대한 인내력 부족은 과잉혼란과 분노 간의 관계만을 조절하는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구는 분노의 매개효과를 검증함으로써 기존 연구를 확장하였고, 조절변수 효과를 통해 부정적 감정에 대한 시각을 넓혔다. 또한 마케터에게는 소비자 혼란의 심각성과 그에 관련된 부정적 감정의 영향력을 살펴봄으로써 그들의 마케팅 전략 수립에 중요한 시사점을 제시하였다.

• 대한수의사회지
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• 제26권1호
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• pp.27-31
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• 1990

A dog which Showed dry muzzle, coughing, dyspnea, weight loss and exercise intolerance was clinically examined. Dirofilaria immitis infection was determined by hematological findings, radiographic evaluation and detection of microfilaria with modified Kno

• Annals of Clinical Neurophysiology
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• 제23권1호
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• pp.1-6
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• 2021

Postural tachycardia syndrome (POTS) is the most common form of orthostatic intolerance in young people. However, it is still considered an underrecognized disorder and so deserves more attention from clinicians. This review covers the diagnostic challenges, correlations between the symptoms, evidence of autoimmune involvement in the pathogenesis, and treatment strategies in POTS.

• BMB Reports
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• 제51권9호
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• pp.429-436
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• 2018

Fructose in the form of sucrose and high fructose corn syrup is absorbed by the intestinal transporter and mainly metabolized in the small intestine. However, excess intake of fructose overwhelms the absorptive capacity of the small intestine, leading to fructose malabsorption. Carbohydrate response element-binding protein (ChREBP) is a basic helix-loop-helix leucine zipper transcription factor that plays a key role in glycolytic and lipogenic gene expression in response to carbohydrate consumption. While ChREBP was initially identified as a glucose-responsive factor in the liver, recent evidence suggests that ChREBP is essential for fructose-induced lipogenesis and gluconeogenesis in the small intestine as well as in the liver. We recently identified that the loss of ChREBP leads to fructose intolerance via insufficient induction of genes involved in fructose transport and metabolism in the intestine. As fructose consumption is increasing and closely associated with metabolic and gastrointestinal diseases, a comprehensive understanding of cellular fructose sensing and metabolism via ChREBP may uncover new therapeutic opportunities. In this mini review, we briefly summarize recent progress in intestinal fructose metabolism, regulation and function of ChREBP by fructose, and delineate the potential mechanisms by which excessive fructose consumption may lead to irritable bowel syndrome.

• KSBB Journal
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• 제26권1호
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• pp.78-82
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• 2011

In this study, we investigated the effects of silybin on body weight and glucose tolerance in mice fed high fat diet mice. We found that body weight, plasma TG contents, fat size, glycerol, 3-hydroxybutyrate and total cholesterol were significantly decreased in silybin (500 mg/kg) supplemented groups compared to high fat diet group. Whereas, total food intake was not changed between high fat diet group and high fat diet plus silybin group. Futhermore, supplement of high fat elevated the glucose intolerance and was improved in silybin supplement group. Finally, we examined the effect of silybin on circulating adipocytokine level to explore the possible mechanism by which silybin improves high fat diet-induced obesity and diabetes. The silybin supplement significantly reduced the level of adipocytokine, such as leptin, resistin, IL-6, and MCP-1 induced by high fat diet. These results suggest that silybin can be used to improve obesity and diabetes.

• Child Health Nursing Research
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• 제22권2호
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• pp.79-86
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• 2016

Purpose: The purpose of this study was to identify breastfeeding practice with late preterm infants (LPIs), and to determine predictors of exclusive breastfeeding at the 12th week after discharge. Methods: The participants were 106 mothers of LPIs hospitalized in neonatal intensive care units at two university hospitals. Data were collected between February and October, 2013. Questionnaires included characteristics of LPIs, their mothers, and feeding-related characteristics. Feeding methods were exclusive breastfeeding, mixed feeding, and formula feeding. Results: Exclusive breastfeeding steadily increased from 5.7% at the 1st week to 19.8% at the 12th week, as did formula feeding from 27.3% to 67.9%. Contrarily, mixed feeding decreased from 67.0% at the 1st week to 12.3% at the 12th week. The ratio of formula feeding was higher than that of exclusive breastfeeding over time. Predictors for exclusive breastfeeding were the following: type of delivery (OR=2.96, 95%CI=1.07-8.14), feeding intolerance (OR=3.03, 95%CI=1.26-7.25) and feeding method during hospitalization (OR=7.84, 95%CI=3.15-19.53). Conclusion: In order to increase breastfeeding opportunities for LPIs, educational programs for gestational age-appropriate breastfeeding should be developed. The focus of breastfeeding education needs to be on mothers who delivered their LPIs through Cesarean-section and LPIs who had feeding intolerance or were fed only formula during hospitalization.