• Clinical and Experimental Pediatrics
• /
• 제57권8호
• /
• pp.351-356
• /
• 2014

Purpose: Among the many factors associated with acute intestinal mucosal infection, numerous studies have proposed the usefulness of fecal calprotectin. The aim of this study was to evaluate the usefulness of fecal calprotectin in the diagnosis of necrotizing enterocolitis (NEC). Methods: We collected 154 stool samples from 16 very low birth weight and premature newborns at the Konyang University Hospital neonatal intensive care unit or neonatal nursery. The stool samples were collected using the Calprest device, and the fecal calprotectin level was measured with the $B\ddot{U}HLMANN$ Calprotectin enzyme-linked immunosorbent assay kit. Results: Fecal calprotectin levels were significantly higher in the NEC group than in the non-NEC group (P=0.02). There was a significant positive linear relationship between the fecal calprotectin level and number of days after birth (P=0.00) in the gestational age <26 weeks group. There was a significant negative linear relationship between the calprotectin level and number of days after birth (P=0.03) in the gestational age ${\geq}26$ weeks and <30 weeks group. There was no difference in the calprotectin levels according to the type and method of feeding between the NEC and non-NEC groups. Conclusion: Fecal calprotectin levels were significantly increased in premature infants with NEC. The fecal calprotectin test is a noninvasive, easy, and useful tool for the diagnosis of NEC.

• 간호행정학회지
• /
• 제20권2호
• /
• pp.145-153
• /
• 2014

Purpose: The purpose of this study was to identify the relationship between the practice environment of nursing and the critical thinking disposition of clinical nurses in local general hospitals. Methods: A convenience sample of 468 registered nurses was obtained from three local general hospitals. Data were collected by a self-administered questionnaire during November, 2012. The survey tools were the K-PES-NWI verified by Cho et al (2011) and the critical thinking disposition instrument developed by Yoon (2004). Data were analyzed using descriptive statistics, one-way ANOVA with Scheff$\acute{e}$ test and multiple regression with SPSS/WIN 18.0. Results: The mean score for practice environment of nursing was $3.3{\pm}0.4$ and for critical thinking disposition, $2.3{\pm}0.4$. There were statistically significant differences in critical thinking disposition according to age, education, length of career, current position, and marital status. In multivariate analysis, factors related to critical thinking disposition were collegial nurse-physician relations and education level. Conclusion: The results of the study indicate that collegial nurse-physician relations in the nursing practice environment are related to nurses' critical thinking disposition, and thus, it is important to improve the practice environment as well using individual approaches including on-the-job training to improve nurses' critical thinking disposition.

• Safety and Health at Work
• /
• 제3권1호
• /
• pp.77-83
• /
• 2012

Zoonoses represent a public health risk recently pointed out by the spreading of previously unknown human infectious diseases emerging from animal reservoirs such as severe acute respiratory syndrome and avian influenza caused by H5N1-virus. These outbreaks have shown that animal breeding activities can pose a significant public health risk. Until now, the risk of zoonoses has probably been underestimated, particularly in occupational settings. The emergence or re-emergence of bacterial (Mycobacterium bovis and Brucella spp) or viral (hepatitis E virus) infections shows that zoonoses should be considered as emerging risks in agricultural and animal breeding and should be addressed by specific preventive interventions. Close cooperation and interaction between veterinarians, occupational health physicians and public health operators is necessary, for a worldwide strategy to expand interdisciplinary collaborations and communications in all aspects of health care for humans, animals and the environment. This is what the One Health Approach was intended to be.

• 대한장애인치과학회지
• /
• 제3권2호
• /
• pp.75-79
• /
• 2007

Background: Down's syndrome, or trisomy 21, is the commonest congenital chromosome anomaly. With improvement in medical care, these patients increasingly reach adulthood in spite of their physical maldevelopment and mental retardation. And, the number of those who required general anesthesia for dental treatment is increasing. Methods: We reviewed the 26 cases of 22 patients with Down's syndrome who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 22 years. They all had severe mental retardation and some had congenital heart anomaly, epilepsy, hypothyroidism, acute leukemia, autism, cleft palate, and chronic renal failure. For anesthesia induction, 4 cases was needed physical restriction, but others showed good or moderate cooperation. Drugs used for anesthesia induction was thiopental (17 cases) and sevoflurane (9 cases). All patients received nasotracheal intubation and 3 cases needed difficult airway management. Mean total anesthetic time was $166{\pm}60$ min and staying time at PACU was $92{\pm}48$ min. There was no death or long term hospitalization because of severe complications. Conclusion: If general anesthesia is needed, pertinent diagnostic tests and workup about anomaly, and appropriate anesthetic planning are essential for safety.

• 대한간호학회지
• /
• 제41권3호
• /
• pp.325-332
• /
• 2011

Purpose: To develop and test the validity and reliability of the Korean version of PES-NWI measuring nursing work environments in hospitals. Methods: The Korean version of the PES-NWI was developed through forward-backward translation techniques, and revision based on feedback from focus groups. An internal consistency reliability and construct validity using confirmatory factor analysis were conducted using SPSS WIN (16.0) and AMOS (18.0). Survey data were collected from 733 nurses who worked in three acute care hospitals in Seoul, South Korea. Results: The Korean version of PES-NWI showed reliable internal consistency with a Cronbach's alpha for the total scale of .93. Factor loadings of the 29 items on the five subscales ranged from .28 to .85. The five subscales model was validated by confirmatory factor analysis (RMR<.05, CFI >.9). Conclusion: The findings of this study demonstrate that the Korean version of PES-NWI has satisfactory construct validity and reliability to measure nursing work environments of hospitals in Korea.

• 성인간호학회지
• /
• 제22권5호
• /
• pp.466-476
• /
• 2010

Purpose: The purpose of this study was to examine the under-reporting rate and related factors after blood and body fluid (BBF) exposure among hospital employees. Methods: Fifteen hundred l employees were conveniently sampled from ten university and acute care hospitals. The survey questionnaire consisted of 37 items. Data were collected from September 10 to November 30, 2008. Results: The survey response rate was 88.7%. The 47.9% (638/1,331) of hospital employees were exposed to BBF and the mean number of exposure was $4.7{\pm}5.942$ within the previous year. Under-reporting rate after BBF exposure was 69.4% (443/638). By multi-variate logistic regression analysis, the exposure number, exposure type, infectious disease and hospital were independently related to the under-reporting of BBF among hospital employees. Conclusion: The under-reporting rate after being exposed to blood and body fluids was relatively high. To address this problem, educational programs are needed to decrease the under-reporting rate for healthcare workers. Further, it might be helpful if other factors related to under-reporting be investigated in future studies.

• 한국보육지원학회지
• /
• 제11권1호
• /
• pp.269-287
• /
• 2015

본 연구는 유아교사들이 인식하는 구성주의 교육 신념에 따라 유아 협동 활동에 대한 관심도와 실태가 상이한지를 알아보는데 목적이 있다. 연구 대상은 부산광역시 소재 유아교육기관에 근무하는 담임교사 210명이었으며, 이들을 대상으로 구성주의 교육신념을 측정하고 유아 협동 활동에 대한 관심도 및 실천수준을 조사하였다. 교사의 구성주의 신념에 따른 관심도 및 실천수준을 알아보기 위해 구성주의 신념 점수를 상, 중, 하로 구분한 후, ${\chi}^2$검증, 일원변량분석(ANOVA), Scheff$\acute{e}$ 검증을 실시하였다. 분석 결과, 구성주의 교육 신념이 높은 집단이 낮은 집단에 비해 유아 협동 활동에 대한 관심도와 실천 수준이 높은 것으로 나타났다. 본 연구 결과를 토대로 유아 협동 활동에 관한 체계적인 교사교육은 물론 교사들의 구성주의 교육신념을 형성 강화시키는 것이 유아교육현장에서의 유아 협동 활동을 활성화시킬 수 있는 하나의 방편이 될 수 있음을 제언하였다.

• 한국보육지원학회지
• /
• 제9권6호
• /
• pp.51-72
• /
• 2013

본 연구의 목적은 저소득가정 아동과 일반가정 아동간에 학교준비도가 차이가 있는지를 살펴보는 것이다. 특히 저소득가정 아동은 취약계층을 위한 교육지원사업인 드림스타트 참여 유무에 따라 학교준비도에 차이가 나타나는지를 살펴보고자 하였다. 그리고 아동의 연령과 성별에 따라 학교준비도에 차이가 나타나는지를 분석하였다. 연구대상은 만 4세, 만 5세 아동 184명을 대상으로 하여 학교준비도를 조사하였다. 수집된 자료는 기술통계, t검증, 일원변량분석, 이원변량분석, Scheff$\acute{e} $ 검증을 실시하여 분석하였다. 자료분석 결과, 학교준비도는 아동의 연령과 성별에 따른 상호작용효과가 나타났으며, 일반가정 아동의 학교준비도 수준이 저소득가정 아동보다 높게 나타났다. 그러나 저소득가정 아동 중에서 드림스타트 참여유무에 따라서는 차이가 나타나지 않았다. 이와 같은 결과를 통해 경제적으로 어려움이 있는 가정의 취학 전 아동이 학교준비도를 잘 갖출 수 있도록 적극적인 관심과 지원의 중요성을 강조하였다.

• 대한임상독성학회지
• /
• 제14권2호
• /
• pp.83-91
• /
• 2016

Purpose: This study was conducted to investigate the incidence, associated factors and clinical impact of hyperamylasemia in self-poisoning patients. Methods: This study was based on a toxicology case registry of patients treated from 2009 to 2013 at a tertiary care university hospital. We retrospectively investigated the demographics, clinical variables, laboratory variables and intoxicants. Hyperamylasemia was defined as an elevation in serum amylase level to above the upper normal limit within 24 hours after admission. We analyzed the predisposing factors and clinical outcomes of patients in the hyperamylasemia group. Results: Hyperamylasemia was identified in 49 (13.3%) of the 369 patients. Using multivariate logistic regression, the odds ratios for HA were 3.384 (95% confidence interval, 1.142-8.013, p=0.014), 3.261 (95% confidence interval, 1.163-9.143, p=0.025) and 0.351 (95% confidence interval, 0.154-0.802, p=0.013) for pesticides, multi-drug use and sedatives, respectively. In the hyperamylasemia group, the peak amylase levels during 72 hours were correlated with the peak lipase levels (r=0.469, p=0.002) and peak aspartate aminotransferase levels (r=0.352, p=0.013). Finally, none of these patients had confirmed acute pancreatitis. Conclusion: Hyperamylasemia occurred rarely in these self-poisoning patients, and pesticide and multi-drug use were independent predictors of hyperamylasemia. Peak amylase levels were correlated with the peak lipase and aspartate aminotransferase levels.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제15권1호
• /
• pp.31-34
• /
• 2015

Vascular injury caused by a central venous catheter (CVC) has been reported to be a rare complication, especially delayed vascular injury due to CVC has a few cases and it can be fatal because of delayed recognition and more serious complications. A 59-year-old woman with no available medical history was admitted for treatment of ovarian cancer. For the surgery, a triple-lumen CVC was placed through the left subclavian vein. Parenteral nutrition through the CVC was used for postoperative nutritional management in the first postoperative day. On the sixth postoperative day (POD), the patient suddenly complained of dyspnea. The CT revealed bilateral pleural effusion and irregular soft tissue density and air bubble in anterior mediastinum suggesting migration of the distal portion of the CVC into the anterior mediastium. In the intensive care unit (ICU) bilateral thoracentesis and percutaneous drainage were performed. She was discharged from the ICU in 3 days later and transferred to the general ward. This case emphasizes the possibility of the delayed vascular injury related to CVC and some strategies for prevention of vascular injury.