• Journal of Nutrition and Health
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• 제34권1호
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• pp.79-88
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• 2001

Management of nutrient intakes through behavior-mordification can be important for improving exercise performance in athletes. The purpose of this study was to determine the effectiveness of nutritional counseling for improving exercise performance capability in athletes. The subjects were seven golfers and fourteen ju-do athletes from Hoseo university, and they have nor received professional hel[ from dieticians. Prior to nutritional counseling, their dietary intakes, lifestyles and dietary habits were evaluated. Nutritional counseling sessions were conducted by a trained dietician every 2-3 weeks for 3-4 month. After 5 counseling sessions, nutrient intakes, lifestyle and dietary habits were re-evaluated. Exercise performance capability was measured by maximal exercise stress test using treadmills. Individual data were assessed as quality index represents the better nutritional status. The common dietary and lifestyle problems were overeating binging, overeating, snacking and drinking alcohol prior to the nutritional counseling. After counseling sessions, the quality index of dietary habits seemed to decrease, especially in ju-do athletes, representing nutritional problems were resolved. Body fat and body mass index decreased in ju-do athletes, but not in golfers. Both athletes have shown to increase oxygen uptake at anaerobic threshold and maximal oxygen uptake status, which represents that the athletic performance capacity was improved after counseling sessions. Their respiratory quotients were decreased. In conclusion, nutritional counseling sessions over five times are an effective and efficient approach to change dietary habits to improve exercise performance capacity. Furthermore, clients can have good dietary habits and learn how to manago muscle strength by behavior modification through multiple nutritional counseling sessions. (Korean J Nutrition 34(1):79-88, 2001)

• Clinical and Experimental Pediatrics
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• 제53권6호
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• pp.711-717
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• 2010

Purpose: Orphan lung diseases are defined as lung diseases with a prevalence of 1 or less in 2,000 individuals. Despite an increase in the numbers of patients with such diseases, few studies on Korean children have appeared. To obtain epidemiologic and demographic data on these diseases, we systematically reviewed reports on pediatric orphan lung diseases in Korea over the last 50 years. Methods: We reviewed 223 articles that have appeared since 1958 on orphan lung diseases in Korean children. These articles described a total of 519 patients aged between 0 and 18 years. We classified patients by year of publication, diagnosis, geographic region, and journal. Results: Of 519 patients, 401 had congenital cystic lung diseases and 66 had bronchiolitis obliterans. About 80% of patients were described in reports published in three journals, Pediatric Allergy and Respiratory Disease (Korea), the Korean Journal of Pediatrics, and the Korean Journal of Thoracic and Cardiovascular Surgery, in which papers on 157 (30.2%), 138 (26.6%), and 111 (21.4%) patients appeared, respectively. The frequency of publication of case reports has increased since 1990. Of the 519 patients, 401 (77.3%) were from Seoul/Gyeonggi-do and 72 (13.9%) from Busan/Gyeongsangnam-do. Conclusion: The prevalence of pediatric orphan lung disease has increased since 1990, and some provinces of Korea have a higher incidence of these diseases than do others. Studies exploring the incidence of pediatric orphan lung diseases in Korea are needed for effective disease management.

• 한국의료질향상학회지
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• 제9권1호
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• pp.34-51
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• 2002

Background : The purpose for this study is to develop a critical pathway of bullectomy for spontaneous pneumothorax patients. Methods : For this study a conceptual framework of critical pathway was developed through a review of the literature including five critical pathways which are currently being used in USA, and opinions of the critical pathway development team members at Y university hospital. In order to identify the service contents required by these patients and to draw up a preliminary critical pathway, 33 cases of medical records of patients who had received bullectomy for spontaneous pneumothorax between September, 2000 to August, 2001 at the Respiratory Center of Y university hospital in Seoul was analyzed. Results : In order to test the clinical validity of the preliminary critical pathway, it was applied to ten patients who had received bullectomy for spontaneous pneumothorax from October, 2001 to December, 2001. The average discharge day was 4.89th post operation day, six patients discharged on the fourth post operation day which was the expected day, one patients discharged one day earlier than the expected day, one patient discharged three days later than the expected day, and one patient discharged six days later than the expected day. There were variances between the critical pathway and the actual practice. The variances came from tests, medications, and treatments. One item that showed variance in clinical applications was complemented, and three items were decided not to be corrected for the final determination of the critical pathway. Conclusion : This critical pathway is applicable to the care of patients with bullectomy for spontaneous pneumothorax, but it needs more clinical applications to grasp varied variances.

• 대한기관식도과학회지
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• 제12권2호
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• pp.26-30
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• 2006

Backgroud and Objectives: Inhalation of foreign bodies in respiratory tract can be fatal to infants and child. After ventilating bronchoscopy technique was widelyused, most of the pediatric airway foreign bodies could be managed effectively. In this study, we aimed to analyze clinicalfeatures and outcomes of ventilating bronchoscopic removal of pediatric airway foreign bodies. Materials and Methods: One hundred twenty cases of ventilating bronchoscopy for pediatric airway foreign bodies at Seoul National University Hospital for the past 15 years were analyzed retrospectively. Results: In 120 cases, sex ratio (male: female) was 2.2:1 and mean age was 27.0 months. Most frequent type of airway foreign was peanut (60.2%). One hundred thirteen patients, in whom a foreign body was confirmed in the airway, were successfully managed by ventilating bronchoscopy. Delayed diagnosis and management made a significantly long postoperative hospital stay. Conclusion: Great care must be given when feeding young children, especially younger than 36 months, with nuts. Early intervention with ventilating bronchoscopy following a clinical suspicion is critical to successful treatment.

• Journal of Acupuncture Research
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• 제35권2호
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• pp.95-100
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• 2018

Background: The aim of this study is to assess the feasibility of acupuncture treatment for the management of subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures. Methods: A total of 30 participants who have undergone thoracotomy after traumatic multiple rib fractures will be recruited. Participants will be invited and equally randomised into acupuncture plus usual care and usual care alone groups. A computer-generated random number sequence will be used and concealed using opaque, sealed, sequentially numbered envelopes. Twelve sessions of manual and electrical acupuncture performed by Korean medicine doctors will be provided over a span of 3 months to participants allocated to the acupuncture group. Participants in the usual care group will continue pain medication, exercise and physical therapy as required. Study feasibility will be measured based on the proportion of patients who complete the measurement of pain at 12 or 24 weeks after baseline. The clinical outcomes will include; the average pain intensity over the recent week at rest, movement and cough, quality of life, patient's global assessment of recovery, respiratory function measured by the pulmonary function test and use of pain medication at 4, 8, 12 and 24 weeks after enrolment. Adverse events will be recorded for all participants. Written informed consent will be obtained from all participants. The local ethics committee has approved the study. This pilot trial will inform further studies investigating the potential role of acupuncture for subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures.

• 디지털융복합연구
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• 제16권6호
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• pp.417-426
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• 2018

본 연구는 고등학생의 안전의식과 재난안전교육 및 응급처치 지식 정도를 알아보고 안전의식과 응급처치 지식간의 관계를 파악하기 위함이다. 대상자는 G시 인문계 고등학교 3학년에 재학 중인 남학생 293명으로 2018년 3월 19일부터 3월 28일까지 자료수집 후 SPSS 21.0을 이용하여 분석하였다. 연구결과, 응급처치 지식 정답률은 40.15%였으며, 안전의식과 응급처치지식의 하위영역의 관련성에서 응급상황 시 행동요령(r=-.131, p=.025), 호흡계와 순환계(r=.213, p<.001), 드레싱과 붕대(r=.156, p=.008)와 관련성이 있었다. 본 연구는 안전사고에 대응할 수 있는 역량을 배양하기 위한 교육과정 구성의 기초자료로 활용하는데 기여하였으며, 응급처치지식 수준 향상과 다양한 상황에 따른 대처능력을 높이기 위해서 교육프로그램 개발 및 평가가 요구된다.

• 디지털융복합연구
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• 제18권11호
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• pp.417-425
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• 2020

본 연구의 목적은 간호대학생의 미세먼지 관련 지식, 태도 및 행위의 수준과 미세먼지 관련 행위의 영향요인을 파악하는 것이다. 본 연구는 서술적 조사연구로 G시에 소재하는 K대학 간호대학생 186명을 대상으로 2018년 5월 1일부터 14일까지 자료수집을 하였다. SPSS 18.0 프로그램을 사용하여 수집된 자료를 t-test, 일원분산분석, Pearson 상관분석 및 다중회귀분석으로 분석하였다. 본 연구결과 간호대학생의 미세먼지 관련 지식(10.6/15), 태도(59.94/75), 행위(42.56/60)는 모두 비교적 높았다. 미세먼지 행위의 유의한 예측인자는 태도(β=.591, p<.001), 흡연력(β=-.134, p=.049), 호흡기계 질환(β=.133, p=.025)이었고, 설명력은 40.1%이었다. 미세먼지 지식은 행위에 유의한 영향을 미치지 않았다(β=.067, p=.254). 간호대학생의 미세먼지 관련 건강 행위를 증진시키기 위해서 태도 변화에 초점을 둔 효과적인 미세먼지 교육 프로그램 개발이 요구된다.

• 대한소아치과학회지
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• 제33권4호
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• pp.710-716
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• 2006

소아치과에서 진정요법은 치과 환경에 대하여 공포를 가진 아동, 협조 전 단계의 아동, 장애를 가진 아동 그리고 구토반사 등을 보이는 환자에게 사용될 수 있다. 본 증례에서는 다발성 치아 우식증을 주소로 본원에 내원한 환아에서 1.0mg/kg 케타민과 $0.03{\sim}0.06mg/kg$ 미다졸람 그리고 아트로핀 정주 병용투여 하에 수복치료를 시행하였다. 치료시간의 연장과 적절한 진정 상태 유지를 위하여 케타민(0.33mg/kg)과 미다졸람 $1mg(0.03{\sim}0.05mg/kg)$을 혼합하거나 각각 추가 투여하였다. 지속적으로 환자의 활력징후를 관찰하면서 약물의 추가투여 용량을 결정하였다. 모니터링 장비로 맥박 산소 측정법(pulse oximetry), 전자심전도(electrocardiogram), 비혈관식혈압(NIBP : Noninvasive Blood Pressure)을 사용하여 맥박, 호흡수, 혈압, 산소 포화도 등을 측정하였다. 진료 과정동안 안전을 위해 미국 소아치과 학회(American Academy of Pediatric Dentistry ; AAPD)의 권고 사항을 준수하였다.

• 디지털융복합연구
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• 제16권2호
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• pp.421-430
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• 2018

본 연구에서는 대구지역의 사춘기청소년을 대상으로 건강위험행동에 대한 척도기준을 분석하는 데 있다. 연구방범은 우리나라 사춘기청소년의 건강특성에 맞는 건강위험행동 측정항목을 개발하고자, 기존 THI의 측정항목에 대한 내용 타당성(CVR)분석을 하고, 이후 확인적 요인분석을 통하여 구체화 한 건강위험행동의 척도를 비교 분석하였다. 분석결과, 요인분석을 통해 개발된 사춘기청소년들의 건강위험행동 척도에 대한 신뢰도 검증을 실시하여 전신상태, 호흡기, 순환기, 소화기, 정신건강 기타항목 등의 측정항목을 도출하였다. 개발된 건강위험행동 척도의 신뢰도와 타당도는 상당히 양호한 것으로 나타났다. 이러한 연구를 통해서 사춘기청소년들의 건강과 관련된 위험행동을 감소시킬 수 있는 예방프로그램을 개발하고, 정책수립에 기초적인 자료를 제공할 수 있는 전략을 고안해 낼 수 있을 것이다.

• 대한두경부종양학회지
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• 제12권2호
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• pp.188-192
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• 1996

점막형 악성흑색종 10례에 대한 임상분석 결과 비강에서 가장 호발하였고 증상은 비폐색이 가장 많았다. 치료 성적은 수술을 우선적으로 선택한 후 방사선요법을 시행한 경우군에서 평균생존기간이 20.8개월이었고 방사선치료를 우선적으로 선택한 경우군에서는 14.7개월로, 접막형 악성흑색종의 경우 광범위 절제술 후 방사선요법을 시행하는 것이 도움이 될 것으로 생각되나 윈격전이 6례를 포함한 8례의 환자에서 재발이 있어 예후가 극히 불량한 암종으로 생각된다.