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The Usefulness of the Evaluation of Gastric Residuals in Premature Infants (미숙아의 장관영양 시 위 잔류 확인의 유용성 평가)

  • Lee, Kyung Min;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.74-83
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    • 2019
  • Purpose : The routine evaluation of gastric residuals (RGR) is considered standard care for premature infants. This study evaluated the usefulness of RGR in premature infants. Methods : The study retrospectively investigated 208 premature infants (gestational aged under 34 weeks) who underwent gavage feeding in a neonatal intensive care unit at a tertiary hospital. The patients were divided into two groups: RGR (n=104) and no-RGR (n=104). Those in the no-RGR group had their gastric residuals checked only if signs of feeding intolerance were present. Clinical outcomes, including the time to reach full enteral feeding (FEF) and the incidences of gastrointestinal disorders such as feeding intolerance (FI) and necrotizing enterocolitis (NEC), were compared. Data were analyzed with SPSS ver. 21, using a Mann-Whitney U test, chi-squared test, and Fisher's exact test. Results : There was no statistically significant difference for the time to FEF (z=-0.61, p=.541), incidence of FI ($X^2=0.38$, p=.540), and NEC ($X^2=1.42$, p=.234) between the two groups. Conclusion : No-RGR did not increase the risk for FI or NEC. These results suggest that RGR evaluation may not improve nutritional outcomes in premature infants. Recommendations for further research and practice guidelines will be provided.

Psychological factors affecting nurses' perceptions of gaslighting damage (간호사의 가스라이팅 피해 인지에 영향을 미치는 심리적 요인)

  • Im, Nakyung;Son, Haeng-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.30 no.3
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    • pp.242-252
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    • 2024
  • Purpose: This study aimed to determine the influence of psychological factors such as highly sensitive person, intolerance of uncertainty, depression, and self-esteem on nurses' perceptions of gaslighting damage. Methods: The participants were 178 nurses working in hospitals nationwide. Data were collected through a non-face-to-face approach using an online survey platform (Google Forms) with self-reported questionnaires. Perceptions of gaslighting damage were measured using the victim gaslighting questionnaire (VGQ). The collected data were analyzed with statistical methods such as independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS 25.0. Results: Of the participants, 94.4% were female. The participants' average age was 32.7 years old, 60.2% were unmarried, and 86.0% were staff nurses. The mean score of the VGQ was 40.49. There were statistically significant differences in the VGQ according to marital status, participants' time in their current department, total clinical career, and type of medical institution. The perception of gaslighting damage was statistically significantly positively correlated with intolerance of uncertainty, highly sensitive person, depression, and self-esteem. The most influential factor on nurses' perception of gaslighting damage was intolerance of uncertainty (β=.32, p<.001), followed by depression (β=.30, p<.001) and highly sensitive person (β=.23, p=.001). The total explanation of these variables for the perception of gaslighting damage by nurses was about 75.0%. Conclusion: This study suggests that it is necessary to develop an intervention program to reduce negative psychological factors affecting gaslighting in nurses and to cultivate nurses' strength to overcome gaslighting damage.

Risk Factors for Hypertension of Middle Aged Male Workers using Data from Health Check-ups (중년 남성 근로자의 고혈압 발생에 관련된 요인의 검토)

  • Ahn, Kwon-Suk;Park, Sung-Kyeong;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4686-4693
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    • 2012
  • The present study was conducted to identify the factors related to the hypertension, and to offer the evidence of 1st prevention of hypertension. 2,230 male workers aged 30-59 years were observed the relationships between hypertension and age, BMI, glucose intolerance, smoking, alcohol drinking, regular exercise, eating habits using data from health check-ups in 2011. As a results, the incidence rate of hypertension was 18.8% of 30-39 year old group, 23.8% of 40-49 year old group, 33.0% of 40-49 year old group. The incidence rate of hypertension was significantly higher as age and BMI ascend, and it was higher in the group of abnormal glucose intolerance, regular alcohol intake, no regular exercise than their respective counterparts. The multivariable-adjusted odds ratio of hypertension increased significantly as there is an increase in age, and the group of abnormal glucose intolerance, smoking, regular alcohol intake, no regular exercise. In conclusion, obesity, glucose intolerance, alcohol intake, and physical inactivity are risk factors for hypertension, therefore we need the control of these factors for 1st prevention of hypertension.

The Effect of Career Identity and Krumboltz's Task Approach Skills on Career Maturity, Career Barriers, and Career Aspiration (진로정체감과 Krumboltz의 과제접근기술이 진로성숙도, 진로장벽, 진로포부에 미치는 영향)

  • Kim, Kyoung-Mi;Bae, Young-Kwang;Min, Yi-Seul;Jang, Sung-Hwa
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.497-508
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    • 2014
  • The current study examined the relationships between task-approach skills of optimism, bearability, intolerance of uncertainty, career identity, career maturity, career barriers, and career aspiration. Data was collected from two-hundred sixty nine college students who matriculated in colleges located in Seoul, Gyeoungi and Chungchung provinces in Korea. The correlation analysis and multiple linear regression were carried out to explore the relationship among the variables mentioned above. The results of this study were as follows: First, career identity was positively correlated with career maturity, aspiration and negatively with career barrier. optimism was negatively correlated with career barrier. in addition, intolerance of uncertanity was positively correlated with career maturity. and negatively with career barriers. Second, multiple linear regression revealed that career identity, optimism and lacking intolerance of uncertanity significantly influenced career maturity, career identity, optimism and intolerance of uncertanity significantly influnced career barriers. In addition, only optimism influnced career aspiration. These findings implied that career counselors need to assist clients developing optimism, flexibility, bearability and counselors should be aware of the effect of task-approach skills on career, barriers, and aspiration. Further discussions regarding results are included.

Effect of Consumer Confusion on Word of Mouth and Trust Through Anger: Focusing on The Moderation Effect of Consumer's Negative Affectivity and Intolerance of Uncertainty (소비자 혼란이 분노를 통해 구전, 신뢰에 미치는 영향: 소비자의 부정적 감정 성향과 불확실성 인내력 부족의 조절역할을 중심으로)

  • Moon, Sun-Jung;Kang, Bo-Hyeon;Lee, Soo-Hyung
    • Asia Marketing Journal
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    • v.13 no.1
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    • pp.113-141
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    • 2011
  • Companies are competing each other, and as the competitions became higher, consumer's information processing for purchase became more complicated. Consumer confusion problem is getting more serious, but there are still not much considerations on this problem. The purpose of this study is to find out that the consumer confusion can causes consumer's negative emotion(anger). This research studied the mediation effect of negative emotion on the relationship between consumer confusion, which was classified into three categories, and two consequences, word-of-mouth and trust. And also it concentrates on moderating effects of negative affectivity and intolerance of uncertainty in the relationship between consumer confusion and negative emotion. For the empirical study, we carried out a survey targeting consumers who live in the Dae-gu metropolitan area. The specific results of this study are as follows. First, all sub-dimensions of the consumer confusion had a positive effect on anger. Second, anger had a positive effect on word of mouth and on the other hand, anger had a negative effect on trust. Third, negative affectivity had a moderating effects on the links between overload and ambiguity confusion with anger, and intolerance of uncertainty only had a moderating effects on the links between overload confusion and anger.

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Updates in postural tachycardia syndrome

  • Moon, Jangsup
    • Annals of Clinical Neurophysiology
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    • v.23 no.1
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    • pp.1-6
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    • 2021
  • Postural tachycardia syndrome (POTS) is the most common form of orthostatic intolerance in young people. However, it is still considered an underrecognized disorder and so deserves more attention from clinicians. This review covers the diagnostic challenges, correlations between the symptoms, evidence of autoimmune involvement in the pathogenesis, and treatment strategies in POTS.

Recent insights into the role of ChREBP in intestinal fructose absorption and metabolism

  • Lee, Ho-Jae;Cha, Ji-Young
    • BMB Reports
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    • v.51 no.9
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    • pp.429-436
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    • 2018
  • Fructose in the form of sucrose and high fructose corn syrup is absorbed by the intestinal transporter and mainly metabolized in the small intestine. However, excess intake of fructose overwhelms the absorptive capacity of the small intestine, leading to fructose malabsorption. Carbohydrate response element-binding protein (ChREBP) is a basic helix-loop-helix leucine zipper transcription factor that plays a key role in glycolytic and lipogenic gene expression in response to carbohydrate consumption. While ChREBP was initially identified as a glucose-responsive factor in the liver, recent evidence suggests that ChREBP is essential for fructose-induced lipogenesis and gluconeogenesis in the small intestine as well as in the liver. We recently identified that the loss of ChREBP leads to fructose intolerance via insufficient induction of genes involved in fructose transport and metabolism in the intestine. As fructose consumption is increasing and closely associated with metabolic and gastrointestinal diseases, a comprehensive understanding of cellular fructose sensing and metabolism via ChREBP may uncover new therapeutic opportunities. In this mini review, we briefly summarize recent progress in intestinal fructose metabolism, regulation and function of ChREBP by fructose, and delineate the potential mechanisms by which excessive fructose consumption may lead to irritable bowel syndrome.

Effect of Silybin on Body Weight and Glucose Tolerance in High-fat-diet Induced Obese Mice (고지방 식이로 유도된 비만 쥐에서 실리빈 (Silybin)이 체중 및 내당 능에 미치는 영향)

  • Hur, Haeng-Jeon;Hwang, Jin-Taek
    • KSBB Journal
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    • v.26 no.1
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    • pp.78-82
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    • 2011
  • In this study, we investigated the effects of silybin on body weight and glucose tolerance in mice fed high fat diet mice. We found that body weight, plasma TG contents, fat size, glycerol, 3-hydroxybutyrate and total cholesterol were significantly decreased in silybin (500 mg/kg) supplemented groups compared to high fat diet group. Whereas, total food intake was not changed between high fat diet group and high fat diet plus silybin group. Futhermore, supplement of high fat elevated the glucose intolerance and was improved in silybin supplement group. Finally, we examined the effect of silybin on circulating adipocytokine level to explore the possible mechanism by which silybin improves high fat diet-induced obesity and diabetes. The silybin supplement significantly reduced the level of adipocytokine, such as leptin, resistin, IL-6, and MCP-1 induced by high fat diet. These results suggest that silybin can be used to improve obesity and diabetes.

Prevalence and Predictors of Exclusive Breastfeeding in Late Preterm Infants at 12 Weeks

  • Lee, Soo Yeon;Jang, Gun Ja
    • Child Health Nursing Research
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    • v.22 no.2
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    • pp.79-86
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    • 2016
  • Purpose: The purpose of this study was to identify breastfeeding practice with late preterm infants (LPIs), and to determine predictors of exclusive breastfeeding at the 12th week after discharge. Methods: The participants were 106 mothers of LPIs hospitalized in neonatal intensive care units at two university hospitals. Data were collected between February and October, 2013. Questionnaires included characteristics of LPIs, their mothers, and feeding-related characteristics. Feeding methods were exclusive breastfeeding, mixed feeding, and formula feeding. Results: Exclusive breastfeeding steadily increased from 5.7% at the 1st week to 19.8% at the 12th week, as did formula feeding from 27.3% to 67.9%. Contrarily, mixed feeding decreased from 67.0% at the 1st week to 12.3% at the 12th week. The ratio of formula feeding was higher than that of exclusive breastfeeding over time. Predictors for exclusive breastfeeding were the following: type of delivery (OR=2.96, 95%CI=1.07-8.14), feeding intolerance (OR=3.03, 95%CI=1.26-7.25) and feeding method during hospitalization (OR=7.84, 95%CI=3.15-19.53). Conclusion: In order to increase breastfeeding opportunities for LPIs, educational programs for gestational age-appropriate breastfeeding should be developed. The focus of breastfeeding education needs to be on mothers who delivered their LPIs through Cesarean-section and LPIs who had feeding intolerance or were fed only formula during hospitalization.