• Title/Summary/Keyword: 신부

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The Effects of Cool Dialysis on Pruritus of Chronic Renal Failure Patients (저온투석이 만성신부전 환자의 소양증에 미치는 영향)

  • Park, Ji-Young;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.12 no.1
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    • pp.31-38
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    • 2010
  • Purpose: The purpose of the study is to identify the effects of cool dialysis on pruritus of chronic renal failure patients. Methods: The degree of pruritus in 30 patients treated at Hemodialysis Unit in D Medical Center was examined by the itching NRS tool. The data were collected from February 1 to February 28, 2009 and analyzed by the student t-test. The 30 patients were divided into two groups, 15 of experimental group and the same number of control group. Results: The first Hypothesis, that after two hours of hemodialysis the degree of pruritus for the experimental group would be lower than that of the control group is rejected (t=0.726, p=.474). The second Hypothesis, that right after receiving hemodialysis the degree of pruritus would be lower for the experimental group than the control group, is also rejected (t=1.321, p=.199). Conclusion: The research on searching for the effective method of nursing intervention to relieve pruitus for the chronic renal failure patients who receive hemodialysis should be continued.

필리핀신부의 결혼관과 국제결혼 사례연구

  • Kim, Jeong-Seok
    • Korea journal of population studies
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    • v.32 no.2
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    • pp.1-27
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    • 2009
  • 이 연구는 필자가 2007년 하반기부터 1년간 필리핀에 머물면서, 여성들의 국제결혼에 관해 실시한 연구결과의 일부이다. 이미 한국에서 결혼생활을 하고 있는 외국인여성을 대상으로 한 국내연구와는 달리, 이 연구는 출국준비 중인 필리핀신부들을 대상으로 심층면접을 실시하고 있다. 특히 면접대상자가 일상적으로 사용하는 언어를 이용하고, 시집식구들을 의식할 필요 없는 자유로운 분위기에서 면접이 이루어졌다는 점, 그리고 출국이전의 상황과 심경을 알아보았다는 점 등은 이 연구가 가진 장점이다. 또한 한국으로 들어오게 된 과정을 역추적 하는 방식이 아니라, 결혼, 국내외배우자선택, 특정국적의 배우자선택 과정을 여성 개인의 시각에서 서술토록 한 것도 기존의 연구와 다른 점이다. 연구결과, 필리핀여성의 국제결혼은 미국, 캐나다, 일본 등을비롯해 다양한 국적의 배우자와 이루어지고 있으며, 한국은 그 중의 하나에 지나지 않음을 알 수 있다. 한편, 한국인 남편은 국제결혼알선업체를 통해 만나는 사례가 다수이지만, 한국에 취업이나 시집을 간 친지를 통해 만나는 경우, 취업이나 휴양을 위해 필리핀에 남편이 방문한 동안 만나는 경우, 온라인 교제싸이트를 통해 만나는 경우 등 만남의 경로가 다양함을 알 수 있다. 또한 만남의 경로에 따라 서로 다른 결혼관과 가족관이 발견된다. 이 연구의 결과들에 비추어, 국제이주노동에서 논의되는 이론들의 일부 요소들이 국제결혼현상에서도 어느 정도 설명력을 가진다고 판단된다. 이와 동시에 국가간 방문기회와 인터넷교제기회의 증가라는 전지구화 현상 또한 국제결혼의 또 다른 일면을 파악하는데 주요한 요소가 될 것으로 보인다.

Kidney reconstruction using kidney cell transplantation in kidney failure animal model

  • Kim, Sang-Soo;Park, Heung-Jae;Han, Joung-Ho;Choi, Cha-Yong;Kim, Byung-Soo
    • 한국생물공학회:학술대회논문집
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    • 2003.10a
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    • pp.347-350
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    • 2003
  • Dialysis and renal transplantation, the current therapies for end-stage renal disease (ESRD), have many limitations including severe complications, organ shortage, and graft failure. To overcome the limitations, the present study investigated the reconstruction of renal tissue in vivo by transplanting isolated fetal renal cells using fibrin gel to the kidney of renal failure rat model. After 4 weeks from the transplantation, blood urea nitrogen(BUN) and creatinine were examined from blood samples and histological examination of the implanted tissues revealed formation of renal-like structures and restoration of renal function.

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Focal Segmental Glomerulosclerosis in a Child with Prader-Willi Syndrome : A Case of Obesity-associated Focal Segmental Glomerulosclerosis

  • Cho Hee-Yeon;Chung Dae-Lim;Kang Ju-Hyung;Ha Il-Soo;Cheong Hae-Il;Choi Yong
    • Childhood Kidney Diseases
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    • v.8 no.2
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    • pp.244-249
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    • 2004
  • Obesity-associated focal segmental glomeruloscleropis(OB-FSGS) has been known to progress into advanced renal insufficiency, and its clinicopathological features Include obesity, FSGS lesions with glornerulomegaly and, nephrotic-range proteinuria without edema. A 14 year old girl with Prader-Willi syndrome showed nephrotic-range proteinuria without hypoalbuminemia or edema. The renal biopsy revealed focal segmental glomerulosclerosis together with glomerular hypertrophy and an increased mesangial matrix. We report here a case of OB-FSGS as one of the renal problems of Pradel-Willi syndrome, and we came to the conclusion that Prader-Willi syndrome is one of the Possible disease entities that can lead to renal insufficiency through obesity.

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A Case of Enuresis and Renal Failure by Tethered Cord Syndrome with Sacral Lipoma (계류 척수 증후군에 의한 야뇨증과 신부전 1례)

  • Lee Sang Hee;Lee Yoon Kyung;Kim Dong Un;Kim Young Hoon;Kim So Young;Han Seung-Hoon
    • Childhood Kidney Diseases
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    • v.6 no.1
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    • pp.109-113
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    • 2002
  • The tethered cord syndrome is characterized by sensory and motor disturbances of the lower extremities and incontinence. We report a 12-year-old boy with sacral lipoma and a tethered cord syndrome, whose chief complaint is enuresis. This complication of tethered cord syndrome was most likely due to a renal failure and hydronephrosis secondary to a neurogenic bladder. Thus, the spinal lesions have to be considered in patients with enuresis.(J Korean Soc Pediatr Nephrol 2002 ;6 : 109-13)

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A Case of Familial IgA Nephropathy (가족성 IgA 신병증 1례)

  • Kim, Yu-Jin;Kim, Wun-Kon;Yoon, Shin-Ae;Lee, Jin-Seok;Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • v.15 no.1
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    • pp.81-85
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    • 2011
  • IgA nephropathy is the most common form of primary glomerulonephritis and chronic glomerular disease worldwide including Korea. Familial gathering of IgA nephropathy suggests that genetic factors contribute to the development of this disease. Although there have been many reports on familial IgA nephropathy with genetic analysis and their pedigrees, there has been few reports in Korea. We reported a partial familial IgA nephropathy pedigree with a brief review of the literatures.

Chronic Renal Failure in Russell-Silver Syndrome (Russell-Silver 증후군에서의 만성 신부전)

  • Ahn, Yo-Han;Lee, Se-Eun;Kang, Hee-Gyung;Ha, Il-Soo;Cheong, Hae-Il;Choi, Yong
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.256-260
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    • 2009
  • The Russell-Silver syndrome (RSS) is a disease characterized by intrauterine growth retardation with preserved head circumference, facial dysmorphism and short stature. Reported renal and urinary manifestations of RSS include horseshoe kidney, renal tubular acidosis, hydronephrosis, ureteropelvic obstruction and vesicoureteral reflux. Here we report a case of end-stage renal disease associated with RSS, which, to the best of our knowledge, has not been reported yet.

Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease (투석 전 만성 신부전 환자의 삶의 질 구조 모형)

  • Kim, Hye Won;ChoiKwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.699-708
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    • 2012
  • Purpose: This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD). Methods: Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011. Results: In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI=.94 and CFI=.99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD. Conclusion: In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.

A Case of Infantile Spasm Associated with Acute Renal Failure and Kwashiorkor after Ketogenic Diet (케톤생성 식이요법 후 급성신부전 및 단백열량부족증 소견을 보인 영아성 경축 1례)

  • Kim, Young-Myoung;Kim, Tae-Hong;Jung, Jin-A;Hwang, Kyu-Geun
    • Clinical and Experimental Pediatrics
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    • v.46 no.11
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    • pp.1131-1134
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    • 2003
  • The ketogenic diet is a high-fat, low-protein, low-carbohydrate diet developed in the 1920s for the treatment of difficult-to-control seizures. Despite advances in both the pharmacotherapy and the surgery of epilepsy, many children continue to have difficult-to-control seizures. In this situation, a ketogenic diet should be considered as an alternative therapy. However, less attention has been paid to associated adverse events in the ketogenic diet. We report a case of infantile spasm associated with acute renal failure, lipoid pneumonitis and kwashiorkor after ketogenic diet. A better understanding of this adverse event profile will allow the pediatric neurologist to have a true informed consent discussion with the care giver when considering initiation of the ketogenic diet.

Development, Application and Evaluation of the Evidence-based Nursing Practice Guideline for Hemodialysis in the Patients with Risk of Bleeding (출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가)

  • Kim, Su-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.150-155
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    • 2010
  • Purpose: The purpose of this study is to develop evidence-based nursing practice guidelines for hemodialysis in the renal failure patients with risk of bleeding and to evaluate the guidelines by applying it to the practice. Method: Referring to the SIGN, the first draft for guidelines was developed based on the advices and recommendations obtained from the procedure of critical literature analysis. Then, the draft was modified by the procedures of the expert group evaluation and pilot application to the practice. The final draft was evaluated by the expert group using AGREE instrument. Result: The first draft of guidelines was developed through 8 stages of process and was evaluated by seven experts in terms of the appropriateness, applicability, and effectiveness using a 9 point scale. The mean score of 11 items was 7.90 or above. The quality of the final draft was evaluated by 5 experts using the AGREE instrument. The mean standard score was 73.0% or above in the 19 items. Conclusion: The clinical guidelines developed by this research can be utilized as systematic and scientific guidelines for hemodialysis in the renal failure patients with risk of bleeding. In addition, the research can contribute to improving care services.