• 기본간호학회지
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• 제20권4호
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• pp.372-380
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• 2013

Purpose: This study was done to investigate nurses' perceived importance of, and performance of intravenous fluid therapy. Methods: Data were collected from a convenience sample of 234 nurses (return rate: 93%) working in 3 small-medium general hospitals. Results: The score for perceived importance of intravenous fluid therapy ($3.65{\pm}0.37$) was higher than that of performance ($3.45{\pm}0.39$). There were positive correlations between perceived importance and performance (r=.576, p<.001). There were 180 (80.8%) errors in intravenous fluid therapy. Perceived importance and performance scores were higher in nurses who had not experienced medication errors in intravenous fluid therapy. Conclusion: The results indicate a need to develop appropriate strategies to improve perceived importance and performance and enhance safety management during intravenous fluid therapy for nurses in small-medium general hospitals.

• Journal of Hospice and Palliative Care
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• 제13권4호
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• pp.243-251
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• 2010

목적: 본 연구는 말기 환자에게 실시하는 수액요법에 대한 간호사들의 인식과 수액요법 실태를 파악하기 위한 서술적 조사연구이다. 방법: 대상자는 서울에 소재한 3개 대학병원의 암 병동 간호사 87명과 보건복지부의 호스피스 시범사업 지원기관으로 선정된 1개 호스피스기관의 간호사 113명, 총 200명이었다. 자료는 구조화된 설문지를 이용하여 2008년 3월 10일부터 3월 31일까지 수집하였으며, 수액요법에 대한 호스피스기관 간호사와 암 병동 간호사의 인식 차이는 $x^2test$와 ANCOVA로 알아보았다. 결과: 호스피스기관의 간호사가 암 병동 간호사에 비해 '말기 환자에게 수액을 주입하면 전신무력감이 호전되지 않는다', '수액을 주입하여도 섬망이나 안절부절함, 의식장애가 완화되지 않는다', '수액을 제한하면 폐부종이 감소되고 기침, 가래, 호흡곤란이 감소된다', '수액을 제한하면 복수가 최소화된다’고 응답한 경우가 많았다. 말기 환자에게 실시하는 수액요법에 대한 심리사회적인 측면의 인식도는 암 병동 간호사가 호스피스기관 간호사보다 높아 긍정적이었다. 호스피스기관이 암병동보다 말기 환자에게 수액을 말초정맥 혈관이나 지속적 피하 점적주사로 주입하는 경우가 많았으며, 주입하는 하루 평균 수액양이 적었다. 말기 환자에게 수액 요법을 하는 이유로 호스피스 기관은 '환자나 가족이 원해서'가 가장 많았으며, '환자 및 가족에게 치료를 지속하고 있다는 안정감을 주므로'와 '수액요법이 기본적인 처방이므로' 순이었으나 종합병원의 암 병동은 '환자나 가족에게 치료를 지속하고 있다는 안정감을 주므로', '환자나 가족이 원해서', '탈수를 교정하기 위해서' 순이었다. 결론: 종합병원의 암 병동 간호사들은 호스피스기관 간호사에 비하여 말기 환자에게 실시하는 수액요법에 대하여 긍정적이었으며, 두 기관 모두 환자나 가족이 원하여 말기 환자에게 수액요법을 시행하는 경우가 많았으므로 불필요한 수액요법을 시행하지 않도록 간호사는 물론 환자와 가족을 대상으로 교육을 하는 것이 필요하다고 생각한다.

• 대한물리치료과학회지
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• 제9권2호
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• pp.151-157
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• 2002

This study examined the changes in body temperature through conductive heat applied to the body and clarified the influences of body fluid on the thermal effects. Body fluid was measured using the Segmental Bioelectrical Impedance Analysis method. The subjects consisted of 13 men and 14 women. TBW was 37.56 (4.35 L for men and 29.93 (3.12 L for women, with the former being significantly (p<0.01) higher. The amount of body fluid in the right and left legs was 6.46 (0.83 L and 6.39 (0.86 L for men and 4.78 (0.49 L and 4.78 (0.49 L for women, respectively, with men's values being significantly (p<0.01) higher than women's on both the right and left sides. The maximal change in the surface temperature was 33.93 (0.61(C at the start of a warm bath to 3407 (0.61(C after 14 min for men. In contrast, the maximal change was 33.38 (0.99(C at the start to 33.73 (0.86(C after 18 min for women. For the other sites, the maximal temperature in Depths 1 and 2 was attained earlier for men than for women. The decrease in body temperature after the end of warming was more remarkable for men. Men had fluid with a higher conductivity than women, indicating influences of body fluid on the changes in body temperature. There were few changes in body composition with a partial bath having a crossed effect, indicating that this is a safe therapeutic method for elderly people.

• 한국간담췌외과학회지
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• 제28권1호
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• pp.80-91
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• 2024

Backgrounds/Aims: Optimal intravenous fluid management during the perioperative period for patients undergoing pancreaticoduodenectomy (PD) within the framework of enhanced recovery after surgery (ERAS) is unclear. Studies have indicated that excessive total body salt and water can contribute to the development of oedema, leading to increased morbidity and extended hospital stays. This study aimed to assess the effects of an intravenous therapy regimen during postoperative day (POD) 0 to 2 in PD patients within ERAS. Methods: A retrospective interventional cohort study was conducted, and it involved all PD patients before and after implementation of ERAS (2009-2017). In the ERAS group, a targeted maintenance fluid regimen of 20 mL/kg/day with a sodium requirement of 0.5 mmoL/kg/day was administered. Outcome measures included the mmol of sodium and chloride administered, length of stay, and morbidity (postoperative pancreatic fistula, POPF; acute kidney injury, AKI; ileus). Results: The study included 169 patients, with a mean age of 64 ± 11.3 years. Following implementation of the intravenous fluid therapy protocol, there was a significant reduction in chloride and sodium loading. However, in the multivariable analysis, chloride administered (mmoL/kg) did not independently influence the length of stay; or rates of POPF, ileus, or AKI (p > 0.05). Conclusions: The findings suggested that a postoperative intravenous fluid therapy regimen did not significantly impact morbidity. Notably, there was a trend towards reduced length of stay within an increasingly comorbid patient cohort. This targeted fluid regimen appears to be safe for PD patients within the ERAS program. Further prospective research is needed to explore this area.

• 대한물리치료과학회지
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• 제10권1호
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• pp.140-148
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• 2003

This study examined the relationship between body fitness and body composition as well as the body fluid and intracellular fluid (ICF) of extremities to determine body composition's quantitative criteria for body fitness. Multiple-frequency segmental bioelectrical impedance analysis and the physical fitness test provided by the Ministry of Education, Culture, Sports, Science and Technology were used to measure body composition and physical fitness, respectively. The test results showed that in women in their fifties, the correlation between the amount of body fluid in the upper limbs and grip strength was r=.654 (p<0.01) for the right arm and r=.445 for the left while that between the amount of ICF in the upper limbs and grip strength was r=.708 (p<0.01) for the right and r=.323 for the left. Also, in women in their fifties, the correlation between the amount of body fluid in the lower limbs and the result of a repetitive side jump test was r=.730 for the right leg and r=.753 for the left (p<0.01 for both), and that between the amount of ICF and the counts for the right and left legs was even higher with r=.742 and r=.763, respectively (p<0.01 for both). The body fluid and ICF volumes in the right extremities exceeded those in the left, and physical fitness was correlated with both body fluid and ICF. These findings indicate a connection between physical fitness and body fluid and ICF, suggesting that body composition may help predict physical fitness.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2006년도 추계학술대회 및 정기총회
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• pp.166-197
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• 2006

Respiratory diseases in dogs and cats can be classified into respiratory problems brought about as a result of a specific abnormality of the respiratory system; so called primary respiratory disease, and bronchopulmonary problems which occur as a consequence of heart failure; so called secondary respiratory disease. This section will concentrate predominantly on considerations regarding the treatment of primary respiratory diseases. This includes agents used to facilitate bronchodilation, to reduce coughing and various expectorants and mucolytics. In addition, the optimal fluid therapy and various ways of oxygen delivery with complication will be discussed with emphasis In order to understand the indications for, and action of, various drugs used in the treatment of respiratory disease an understanding of normal respiratory physiology is important and these considerations is described in this section for helping to understand further for readers.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.428-434
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• 2001

Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

• 대한생식의학회:학술대회논문집
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• 대한불임학회 2006년도 The 5th Biannual Meeting of Pacific Rim Society for Fertility and Sterility
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• pp.156.1-156.1
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• 2006

• 한국임상수의학회지
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• 제34권2호
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• pp.98-102
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• 2017

A 7-year-old, intact, female Siberian husky presented with vomiting and diarrhea after a fight with a dog with which it lived. The bitch was diagnosed with pyometra and severe dehydration. The patient received IV fluid therapy for 2 day pre- and post-operatively. Four days post-surgery, the patient had a decreased level of consciousness and suffered a tonic-clonic generalized seizure. On magnetic resonance imaging and histopathological findings, a diagnosis of laminar cortical necrosis caused by fluid overload was made. This case provides important information on the potential for fluid overload in a dehydrated patient giving rise to critical condition and death.

• 대한물리치료과학회지
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• 제5권4호
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• pp.729-750
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• 1998

The purpose of this Review is to help activities of daily living by normalizing bodily functions through the use of negative pressure. Cupping therapy has been holding the important role as a form of treatment in ancient medicine of Oriental and Occidental country, and still being used widely due to it's effectiveness. Principle of Cupping therapy is to neutralize somatic dysfunctions by elimination of nonphysiological somatic fluid of hematoma through application of negative pressure on region of dermatomal meridian. The effectiveness of Cupping therapy as follows; 1) Effects on acid base balance of bodily fluid. 2) Through the reabsorption of subcutaneous hematoma, it affects on formation of immune system and produce the blood serum cleaning reaction. 3) By application of negative pressure on subcutaneous, induce renal system to produce steroid hormone. 4) By stimulating hemopoietic system, it maxmize the blood production level. Recently, Alternative medicine has been a focus due to it's nature of effectiveness and safety without adverse complication. Therefore, every family possess and use the cupping modality for preventive measure and/or treatment purpose in order to eliminate accumulated byproducts of body and clean the blood system.