Education Compensation and Rehabilitation for hte Physically and Mentally Handicapped

강영우,석경숙 韓國社會社業大學特殊敎育硏究所 1981 特殊敎育硏究 Vol.9 No.-

일 대학 병원 마취 · 회복실 간호사의 간호활동 분석

강윤경,김경미,김연이,박혜옥,서광희,송숙녀,이현숙,조의영 대한간호행정학회 2006 간호행정학회지 Vol.12 No.1

Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

바소프레신의 이뇨작용

고석태,윤재경,유강준 朝鮮大學校 1997 藥學硏究誌 Vol.18 No.2

Vasopression which is antidiuretic hormone in human body produced the diuretic action in dog. This atudy was investigated in order to certify the diuretic action and to search out the mechanism of the action on the vasopression. Vasopressin, when given in a dose of 10.0mU/㎏, bolus+1.0mU/㎏/min intravenously, exhibited the increase of urine flow(Vol), renal plasma flow(RPF), osmolar clearance(Cosm) and amounts of sodium and potassium excreated in urine(E_Na, E_K), the decrease of reabosorption rate of sodium and potassium in renal tubules(R_Na, R_K), and then elevated the mean arterial pressure(MAP). Vasopressin given in a increased dose to 30.0 mU/㎏,bolus+1.0mU/㎏/min intravenously elicited the same aspect with that exhibited by a small dose in changes of Vol. and all reansl fuction and potentiated the change rates, whereas this time MAP did not change at all when compared with control value. Vasopressin, when adminstered into a renal artery, but increased slightly the Vol, glomeruler filtration rate(GFR). E_Na and E_K excepted the no change of R_Na and R_K in the control (not administered)kidney. Vasopressin. when infused into carotid artery, showed the increase of Vol. GFR,E_Na, E_K and no change of R_Na and R_K in a dose of 1/5 of intravenouse dose. Diuretic action of vasopressin administewred into carotid artery was not influenced by renal denervation. Above results suggest that vasopressin produces diuretic action by hemodynamic changes in dog. These hemodynamic changes may be mediated by central endogenous substances not associated with renal nerve.

추적조사를 중심으로 한 腰椎間板脫出症에 대한 蜈蚣藥鍼의 臨床的 硏究

최회강,소기숙,고강훈,박소영,김성남,이종덕,원경숙,문형철,김성철 大韓鍼灸學會 2003 대한침구의학회지 Vol.20 No.3

Objective : This study is performed for the purpose of examining the efficacy of the scolopendrid(Scolopendra morsitans L) which has been to low back pain as a folk remedy. Methods & Results : Seventy patints with H.I.V.D. treated with the scolopendrid aquacupuncture and examined 4 tests; D.I.T.I., physical test, Oswestry disability index, and self-conscious pain rate were studied. And we follow up after discharge, we evaluated the present state and recovery period. Or we evaluated by herniated type and duration of onset. There was 58~97% of efficacy rate in each tests. Moreover, statistically valuable change in all 7D.I.T.I. points and in disability index and in self-conscious pain rate was showed. Conclusion : The scolopendrid aquacupuncture is possible to be effective terating the H.I.V.D patients. so we suggest the possibility using this new remedy to the H.I.V.D. patients.

播種期 移動이 땅콩의 開花 및 結實習性에 미치는 影響

金昌護,姜熙慶,張錫憲 公州大學校 資源科學硏究所 1997 資源科學硏究論文集 Vol.5 No.-

This study was conducted to investigate the flowering and fruiting habit of peanut(Arachis hypogaea L) at different seeding time under polyethylene film mulching cultivation. Saedletangkong bred in Korea with Shinpung botanical type was seeded on April 20, April 30, May 20 and May 30 in 1992 at Yesan region. The results summarized as follows; Appearance of the first flower of peanut plants were delayed as the seeding time delayed, but the number of days from seeding to first flower were shortened as the seeding time delayed. Appearance of the first flower of peanut plants that seeded at April is observed at June 4, and the number of days from seeding to first flower was 44 days under polyethylene film mulching. Meanwhile it seeded at May 30, that was 34 days. Duration of flowering in peanut plant were shortened as the seeding time delayed. When peanut were seeded at April 20 and May 30, that was 77 days and 46 days, respectively. Date of last flower were almost constant at different seeding time. Approprite base temperature for GDD computation from seeding to first flower was appeared to be 2℃ under polyethylene film mulching. When peanut were seeded from April 20 to May 30, total number of flowers per plant were 360~375 and it did not show significant difference as the seeding time delayed. Meanwhile when peanut were seeded at May 30, that was reduced 21% in the case of April 20. Full-flowering stage were delayed as the seeding time delayed and duration of that were 20~25 days. When peanut were seeded at April 20 and May 30, maximum flowering stage were July 6~15 and July 21~30 that was 40 and 20 days after from appearance of first flower, respectively. During the maximum flowering stage, approximately 10 flowers per plant bloomed in thid period. The percentage of peg and pod formation to total flowers were 60.1~69.9% and 22.0~29.3% respectively, and the percentage of pod formation to the number of peg was 31.9~44.3%.

ATM망에서 ABR 트래픽 제어방법에 관한 연구

강경숙,김복심,안기중 제주대학교 산업기술연구소 2000 尖端技術硏究所論文集 Vol.11 No.1

This paper proposes an enhanced ERICA+ Algorithm, which calculates FS based on MCR, to provide accurate fair allocation. It provides MCR guarantees and fairly divides the remained available bandwidth. Simulation results show that the proposed algorithm achieves a better performance in link utilization, fairness, and transient response. Therefore, this proposed algorithm seems to be suitable for various ABR services properly with raising the fairness in ATM Networks.

조구등(釣鉤藤)의 4-VO로 유발한 흰쥐뇌허혈에 대한 신경방어효과

李仁煥,林康鉉,李鍾錫,石庚浩,安德均,朴虎君,김頀哲 대한본초학회 1999 大韓本草學會誌 Vol.14 No.2

Uncariae Ramulus et Uncus(UR, ???) has sweet in flavour and slightly cold in property, acting on the liver and pericardium channels. This drug was described in a medical classic as having the ability to remove "heat", check hyperfunction of the liver and relieve dizziness, tremors, and convulsion, and subdue "endogenous wind". So this study was planned to check the neuroprotective effect of UR on the global ischemia induced by 4-vessel occlusion in Wistar rats. and UR extract was lyophilized after extraction with 70% methanol. We induced 4-vessel occlusion for 10 minutes and reperfused again. The number of CA1 pyramidal neurons were counted after 7 days of reperfusion under the cresyl violet staining. In 4-VO ischemia model, UR showed significantly neuroprotective effects(1,000 and 500 ㎎/㎏ of UR extracts, p<0.05) compared with control group. Each neuroprotective ratio was about 23.0%, 19.0% respectively. Consequently, Uncariae Ramulus et Uncus has neuroprotective effects on the global ischermia induced by 4-vessel occlusion in Wistar rats. So we expect that Uncariae Ramulus et Uncus can be used as a drug for neurodegenerative disease.

발광 세균의 플라빈 관련 유전자

이찬용,강경숙 충남대학교 생물공학연구소 2007 생물공학연구지 Vol.13 No.-

발광세균에서 빛을 내는 반응은 reduced riboflavin phosphate와 (FMNH_(2))와 long chain fatty aldehyde이 각각 FMN과 long chain fatty acid로 산화되면서 청록색의 빛을 띠게 된다. 이들 반응은 monooxygenase의 일종인 ‘luciferase’로 불리는 효소에 의하여 직접적으로 이루어지는 데, 이 효소는 FMNH_(2)가 cofactor로서 결합하는 것이 아니라 유리된 기질로 작용하게 되는 flavoprotein이다. 또한 발광세균에서 빛을 내기 위해서는 충분한 양의 flavin 기질이 공급되어야만 한다. 본 종설에서는 발광세균의 빛을 내는 데 관여하는 유전자들이 모인 lux 오페론과 그 인근에 존재하는 flavin이 결합되는 단백질을 코드 하는 유전자들과 flavin 생합성에 관여하는 효소를 코드하게 되는 유전자들에 대하여 고찰하고자 한다.

근관 전색재의 방사선 불투과성에 관한 비교연구

김태민,김서경,황인남,황윤찬,강병철,윤숙자,이재서,오원만 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.1

This study was performed to assess the radiopacity of a variety of root canal sealers according to the Specification concerning root canal sealers. Ten materials including Tubli-Seal™, Kerr Pulp Canal Sealer™, AH 26^(R), AH plus^(R), AH plus jet™, Ad seal™, Sealapex™, NOGENOU™, ZOB seal™, Epiphany™, and dentin were evaluated in this study. In the first part. densitometric reading of an each step of aluminum step wedge on occlusal film was performed at different voltage and exposure time. In the second part, ten specimens were radiographed simultaneously with an aluminum step wedges on the occlusal films under decided condition. The mean radiographic density values of the materials were transformed into radiopacity expressed equivalent thickness of aluminum (mm Al). The following results were obtained 1 Among the various conditions, the appropriate voltage and exposure time that meet the requirement density was 60 kVp at 0.2 s 2 All of the materials had greater radiopacity than 3 mm Al requirement of ANSI/ADA specification No. 57 (2000) and ISO No. 6876 (2001) standards. 3 The radiopacity of materials increased as thickness of materials increased. 4 The mm Al value of each specimen at 1mm in thickness has a significant difference in the statistics. It suggests that root canal sealers have a sufficient radiopacity that meet the requirement. 다양한 근관전색제는 방사선 사진상 주위 해부학적 구조와 구별될 만한 방사선 불투과성을 나타내야 한다 따라서 이런 물질들이 근관에 충전될 때의 방사선 불투과성 정도를 평가해야 할 필요성이 대두되고 있다. 본 실험에서는 다양한 근관전색제들의 방사선 불투과성을 평가하고자, 방사선 노출조건에 따른 aluminium step wedge에 대한 광학 밀도를 알아보고, 그 중 적절한 노출조건을 선택하여 수종의 근관 전색재의 방사선 불투과성 정도를 알루미늄 두께로 환산하여 비교해 보고자 한다. 방사선 불투과성의 기준을 위해 11개의 step으로 구성된 aluminum step wedge을 사용하여, 60kVP, 70kVp관전압 상태에서 각각 0.2, 0.3, 0.4초 그리고 0.2, 0.3, 0.33초의 꼭 노출시간으로 교합필름상에서 방사선 촬영후 적절한 노출 조건을 구하였다. 직경 5mm 각각의 두께 0.5, 1.0, 1.5, 2.0, 2.5, 3.0 mm인 10종 (Tubli-Seal™, Kerr pulp Canal Sealer™, AH26^(R), AHplus^(R), AH plus jet starter kit™, Ad seal™, Sealapex™, Nogenol root canal sealer™, ZOB seal™, Epiphany™)의 근관전색재 시편을 각 재료와 두께당 10개씩 제작한 후, 동일한 두께의 상아질 시편, aluminum step wedge와 함께 정해진 노출시간에 따라 방사선 촬영을 하였다. 모든 필름은 자동현상기로 현상하였다. 시편의 방사선 흑화도를 densitometer로 5회 반복 측정 후, 평균값을 구하여 알루미눔 두께로 환산하였다.얻어진 정보를 분석하여 다음의 결과를 얻었다. 1 관전압 60 kVp에서 노출시간 0.2, 0.3, 0.4초, 70 kVp에서 0.2, 0.3, 0.33초로 변화를 주어 방사선 촬영을 하였을 때 흑화도가 ISO No. 6876 규격에 가장 적합한 것은 60 kVP, 0.2초 일 경우였다. 2 측정된 근관 전색제의 방사선 불투과성은 2.29 mm Al (N0GEN0L)로부터 13.69 mm Al (AH Plus jet)까지 다양하게 나타났으나, 모두 ANSI/ADA specification (2000) 또는 ISO No. 6876 (2001) 규격이 제시한 최소한 3mm Al 이상의 방사선 불투과성을 지녀야 한다는 기준에 적합하였다. 3 재료의 두께가 증가할수록 방사선 불투과성은 증가하지만, 정비례하지는 않았다. 4 각 실험재료의 1 mm 두께의 시편에 대한 mm Al값들은 통계적으로 유의한 차이가 있었다. 이상의 결과는 본 실험에 사용된 수종의 근관 전색재는 모든 규격에 적합한 방사선 불투과성을 가지고 있음을 시사한다.

복수과 진료 환자의 중복 처방에 대한 분석 및 평가

이지은,장혜경,오지영,유윤경,김현지,임숙인,연숙희,강진숙,최귀령 한국병원약사회 2003 병원약사회지 Vol.20 No.1

In an aging society, there is an increasing possibility of the duplication of the drugs given to patients because they take many kinds of drugs. Among the prescriptions given to the patients who was treated at multiple ambulatory clinics in St. Mary's hospital for one month of September, 2002, in which drugs that has identical or similar effects are prescribed, we analysed and evaluated them by patients' characteristics, kinds of medication, severity of side effects on a case by case basis. More, we assessed the potential additional costs. As a result of this study, the duplication rate turned out to be 6.69% and it was shown that the proportion of the elderly patients over 60 was high. The gastro-intestinal medications took up a large part and most of the cases showed that the danger caused by double taking of medicine was slight, but there were some examples in which the serious side effects were predicted. Expected additional costs were the average 11.349 won and it ranges from the minimum of 56 won to the maximum of 135,720 won. In conclusion, the management of drug histories of the patients who need the plural treatments is very important and the necessity of the individual and professional guidance of taking medicines for the elderly patients is emerged, too.