• 한국가톨릭병원협회지
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• 제31권
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• pp.60-67
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• 2001

• 한국가톨릭병원협회지
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• 제32권
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• pp.92-93
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• 2002

• 헬스앤미션
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• 통권25호
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• pp.9-13
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• 2011

• 동위원소뉴스
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• 4호통권64호
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• pp.2-5
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• 2002

• 호스피스
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• 통권42호
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• pp.21-24
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• 2008

• 병원약사회지
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• 제35권4호
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• pp.453-462
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• 2018

Background : The prevalence of chronic hepatitis C virus (HCV) tends to be higher in the elderly. Pegylated interferon and ribavirin therapy (Peg-IFN/RBV) was recommended as the first-line treatment in the past decades, but this regimen showed unsatisfactory results in terms of safety and efficacy especially in elderly patients. Recently, it was demonstrated that dual therapy with daclatasvir and asunaprevir was well tolerated and led to high sustained virological response (SVR) rates, irrespective of age. We conducted a study to evaluate the efficacy and safety of daclatasvir plus asunaprevir by involving elderly patients aged above 65 years. Methods : We retrospectively analyzed clinical data from chronic hepatitis C virus (HCV) genotype 1b patients treated with daclatasvir plus asunaprevir from September 2015 to December 2016 at Seoul St. Mary's hospital. The patients were divided into two groups as elderly patients (older than 65 years) and non-elderly patients (younger than 65 years) and compared the efficacy and safety. Results : A total of 112 patients were treated with daclatasvir plus asunaprevir for chronic hepatitis C. Among them, 101 patients completed the whole treatment, and in 88 patients the amount of HCV RNA was measured after 12 weeks of treatment. There was no significant difference in SVR at 12 weeks between both the groups (p=0.68). Typically, 91.4%(32/35) of elderly patients and 94.3%(50/53) of non-elderly patients achieved SVR12. Common adverse events included elevation in transaminase level, headache, and gastrointestinal disorders. There was no statistical difference in the symptoms between the two groups. Conclusions : The combination therapy with daclatasvir plus asunaprevir exhibited similar rates of SVR12 in HCV elderly patients without leading to further adverse events compared to non-elderly patients. Therefore, it is proposed that daclatasvir plus asunaprevir therapy could be considered as an effective and safe treatment, even in patients aged over 65 years.

• 한국가톨릭병원협회지
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• 제18권1호
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• pp.44-47
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• 1987

본 협회는 지난 5월 8일 여의도 소재 성모병원 강당에서 전국회원 70여명이 참석한 가운데 「가정의학제도 」를 주제로 세미나를 가지고 앞으로의 의료제도의 방향으로 유도되어 가고 있는 가정의학제도를 살펴보고 교회의료사업에서 본 가정의학의 의의를 모색했다. 전문의 위주의 세분화, 전문화된 의료제도는 지역주민과 가정에 대한 통합적, 지속적 건강관리에 장애가 됨으로서 외국에서는 이러한 문제를 해결하기 위하여 가정의제도가 발달되어 왔으며 우리나라에서도 이의 필요성을 느끼고 1985년에 가정의 제도를 도입하였다. 다음은 세미나에서 발표된 주제의 요약과 토의의 내용이다.

• 대한간호학회지
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• 제54권2호
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• pp.237-249
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• 2024

Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

• 호스피스
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• 통권63호
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• pp.14-15
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• 2017

• 헬스앤미션
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• 통권27호
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• pp.11-15
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• 2012