NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략

박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.

축구선수의 Detraining과 Retraining이 혈청지질 및 호르몬농도에 미치는 영향

정정화,박재현,채종훈,성혜련,황지인,윤미숙,노금선,윤종관,윤영학,노순덕,정경숙,박일규,김은희,박현태,박상갑 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

The purpose of this study was to investigate the effects of detraining and retraining on serum lipid and hormones in soccer players. Subjects were seven male high-school soccer players. V˙O_2max was determined for each subjects by administering a treadmill test(initial speed: 90m/min, grade: 5%, increasing speed per 3 min: 30m/min). Serum lipid(T-C, TG, HDL-C LDL-C) and hormones(epinephrine, norepinephrine, growth hormones, cortisol) were assayed pre and post detraining in 10, 20, 30 days after retraining. The repeated ANOVA was used to determine significant differences. The 0.05 level of significance was as critical level for the study. The results of the study were as follows: 1. V˙O_2max(ml/min) were 3576.3±204.2ml/min pre detraining, 3234.1±198.9 ml/min post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/min) were 3601.4±170.9 ml/min. There were significantly(p<.05) increased in retraining periods. 2. V˙O_2max(ml/kg/min) were significantly(p<.05) decreased from 62.3±2.9 ml/kg/min to 55.9±4.7 ml/kg/min in detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/kg/min) were 62.4±3.4ml/kg/min, 62.7±2.3ml.kg/min, 67.3±7.2ml/kg/min respectively. There were significantly(p<.05) increased in retraining periods. 3. T-C were significantly (p<.05) increased from 166.6±8.5mg/dl to 175.3±10.3 mg/dl in detraining. In 10, 20, 30 days after retraining, T-C were 160.1± 3.2mg/dl, 156.7±3.7mg/dl, 140.3±9.0mg/dl. There were significantly(p<.05) decreased in retraining periods. 4. HDL-C were 61.4±6.6mg/di pre detraining, 5.3±6.6mg/dl post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, HDL-C were 56.9±7.1mg/dl, 56.4±9.2mg/dl, 57.7±9.1mg/dl respectively. There were no significant difference in retraining periods. 5. The hormones(epinephrine. norepinephrine, growth hormone, cortisol) were changed as same patterns. Epinephrine were 26.0±7.0[g/ml pre detraining, 24.6±3.2pg/ml post detraining. In 10, 20, 30 days after retraining, epinephrine were 26.9±5.6pg/ml, 30.6±6.2pg/ml, 29.4±5.6pg/ml respectively. There were no significant difference in retraining periods. In conclusion, HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were decreased, T-C, LDL-C and TG were increased in detraining. But HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were increased, T-C, LDL-C and TG were decreased in retraining.

동시와 미술을 활용한 아르미 프로그램이 유아의 창의성 향상에 미치는 영향

이경화(Kyung-hwa Lee),박은희(Eun-hee Park) 한국창의력교육학회 2003 창의력교육연구 Vol.6 No.1

본 연구는 동시와 미술을 활용한 아르미 프로그램이 유아의 창의성 향상에 효과적인지를 알아보고, 아르미 프로그램이 유아교육 현장에서 보다 바람직하고 효과적으로 쓰일 수 있도록 하는데 그 목적을 두었다. 연구대상은 서울에 소재하고 있는 동일한 지역 2곳의 유치원으로, 만 5세의 유아 각각 20명씩 총 40명이다. 그리고 실험집단은 아르미 프로그램을 2003년 3월17일부터 5월24일까지 10주 동안 40회 실시하였다. 한편 측정 도구로는 유아용 통합창의성 검사(이경화, 이신용, 2003)를 사용하였다. 연구결과에 의하면, 아르미프로그램을 적용한 실험집단의 유아가 창의적 능력에서 향상이 나타났다. 따라서 아르미 프로그램이 유아의 창의성 증진에 효과가 있음이 확인되었다. The purpose of this study was to determine whether Armi program would be effective for young children’s creativity and to explore how early childhood education could take advantage of that in an ideal and efficient manner. The subjects were 40 preschoolers who were five years old in Western age. 20 each were selected from S and G kindergartens located in the same region of Seoul. Two groups were organized with nine girls and 11 boys each, and the Armi program was conducted in the experimental group 40 times for 10 weeks. The instruments used in this study were Lee Kyung-hwa and Lee Shin-dong(2003)’s Preschooler Integrated Creativity Test. The findings of this study were as below: First, the experimental group exposed to the Armi program excelled the control group in verbal creativity, including fluency, originality and imagination, and the intergroup gap was significant. Therefore, the Armi program could be said to have an effect on furthering verbal creativity. Second, the experimental group that participated in the Armi program significantly outperformed the control group in figure creativity. The Armi program turned out to be effective for the development of the young children’s figure creativity. Third, there was no significant difference between the experimental and control groups in creative personality. The above-mentioned findings illustrated that the young children who were exposed to the Armi program improved in creative ability(language and figure) better than the others who participated in routine nursery-rhyme programs, As a consequence, the Armi program could be said to be of use for early childhood education.

Notes on bird species newly recorded in Korea

Kim, Hwa-Jung,Kim, Dong-Won,Hur, Wee-Haeng,Jang, Byoungsoon,Lee, Yun-Kyung,Kwon, In-Ki,Park, Jong-Hyun,Park, Jong-Gil,Kang, Chang-Wan,Kim, Eun-Mi,Choi, Soon-Kyoo,Kim, Han-Kyu The National Institute of Biological Resources 2020 Journal of species research Vol.9 No.4

A total of 527 species of birds have been recorded in Korea. We summarize the records of three genera and six species that have been newly reported in Korea, discovered through the avian monitoring programs carried out by The National Institute of Biological Resources from 2013 to 2016. These six newly recorded species are; Ring-necked Duck (Aythya collaris), Lesser Scaup (Aythya affinis), Bufflehead (Bucephala albeola), Black-winged Kite (Elanus caeruleus), Mongolian Lark (Melanocorypha mongolica) and Crested Myna (Acridotheres cristatellus). One Ring-necked Duck was observed on March 23, 2014 in Jungrangcheon Stream. One male Lesser Scaup was recorded on February 24, 2014 in Gyeongpoho Lagoon. A male bufflehead was first seen in Yeongrangho Lagoon on January 26, 2013. The Black-winged Kite was first observed on January 23, 2013 at the Gangseo Wetland Ecological Park. One Mongolian Lark was also recorded on May 11, 2016 and May 12, 2017 in Marado Island. The Crested Myna was first observed on April 20, 2016 in Seomando, Island.

부모의 언어통제유형과 유아의 창의성간의 관계

박유은(Park You eun),이경화(Lee Kyung hwa) 숭실대학교 영재교육연구소 2013 Global Creative Leader Vol.3 No.1

본 연구는 부모의 언어통제유형과 유아의 창의성간의 관계를 알아보는데 목적이 있다. 연구결과 첫째, 창의성 하위요인인 도형영역의 주제에서 인성지향형 어머니일 경우 유아의 창의성이 가장 높게 나타났다. 둘째, 부모 모두에게서 자녀가 남아일 경우 명령지향형적 언어통제유형을 많이 사용했고, 여아일 경우에는 인성지향형이 높은 것으로 나타났다. 또한 아버지의 학력이 대학교 졸업미만일 경우 명령지향형이 다른 유형보다 높은 반면 학력이 대학졸업이상일 경우 지위지향형 또는 인성지향형이 높은 것으로 나타났다. 셋째, 부모의 연령이 40세 미만 집단이 언어영역, 도형영역, 창의적 성격 모두 높게 나타났다. 그 중 어머니의 연령이 40세 미만인 집단의 유아 독립심, 모험심 요인이 높게 나타났다. 또한, 유아의 창의적 성격이 어머니가 미취업일 경우 더 높다는 것을 알 수 있다. 넷째, 부모의 언어통제유형과 유아의 창의성 요인 간의 상관관계를 살펴보면, 도형영역의 창의성 하위요인인 주제에서만 유의한 상관관계를 보였다. 본 연구는 부와 모의 언어통제유형과 유아의 창의성간의 관계를 봄으로서 유아교육현장에서 부모 상담 자료로 활용하고, 자녀를 양육함에 있어서 부모 간의 올바른 언어통제유형을 제시할 수 있는 부모교육의 자료를 마련하였다는데 의의를 가질 수 있다. The purpose of this study was to identify the relationship of parent's verbal control types and young children's creativity. In order to achieve this purpose, parent's verbal control types and young children's creativity were measured and differences in young children's creativity (language and drawing domain of creative ability and creative personality) according to parent's verbal control types (order orientation, position orientation, personality orientation) were identified. The subjects of this study were 100 five-year-old young children in early childhood educational institutions located in Seoul and Gyeonggi-do areas. The test tool used for this study was 'Parent's verbal control type questionnaire for parents by Lee Kyung-ah (2007). The test was divided the verbal control type into order-oriented control, position-oriented control, personality-oriented control and included 25 items from commonly occurred problem situations and 'Integrated creativity test for children' by Lee Kyung-hwa (2011). As for the study method, first the verbal control type questionnaire was distributed to families for the test of parent's verbal control types to collect in 1 or 2 weeks and the integrated creativity test was directly performed by home teachers of the early childhood educational institutions to children corresponding to sincerely prepared 100 questionnaires among the collected responses. SPSS WIN 18.0 Program was used for data analysis to perform frequency analysis, reliability analysis using Cronbach's α coefficient, independent samples t-test, One-Way ANOVA and Scheffe test, Chi-square test of cross tabulation and correlation analysis were performed for post test.

화병(火病)을 동반한 갱년기 환자 치험 5례

송유림 ( Yu-rim Song ),박경미 ( Kyung-mi Park ),양승정 ( Seung-jeong Yang ),이은규 ( Eun-kyu Lee ),김혜화 ( Hye-hwa Kim ),조성희 ( Seong-hee Cho ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.4

Objectives: The purpose of this study is to evaluate the effects of Korean traditional treatments for Climacteric Syndrome Patients with Hwa-Byung. Methods: From February 2015 to May 2015, We treated 5 Cases Patients with Korean traditional treatments for a month. We measured treatment effects by Menopause Rating Scale (MRS), Beck`s Depression Inventory (BDI), Visual Analogue Scale (VAS) and Digital Infrared Thermal Imaging (DITI). Results: After treatment, First, the scores of MRS, BDI were decreased. Second, the symptoms such as hot flush, pantalgia, palpitation, insomnia, fatigue were significantly improved. Also, the difference of ?中 (CV17, Danjung) and 關元 (CV4, Guanyuan) temperatures were significantly decreased after treatment. Conclusions: This study suggests that Korean traditional treatments such as Gamicheonglijagam-hwan, acupuncture, moxibustion are effective on Climacteric Syndrome Patients with Hwa-Byung.

홍도해역의 춘계 해조상

박경양,이종화 木浦大學校沿岸生物硏究所 1986 沿岸生物硏究 Vol.3 No.1

본 조사는 전남 신안군 흑산면 홍도해역의 해조류 군락을 1985년 5월에 조간대 상부부터 하부까지 방형구법으로 조사하였고, 저조선은 SCUBA를 하여 채집하였다. 1. 채집 동정된 해조류는 녹조류 6종, 갈조류 16종 및 홍조류 21종으로 총 43종이었고, 해산종자식물 1종이 출현하였다. 2. 파도의 영향을 적게 받는 내만의 수직분포는 조간대 상부에 Gloiopelltis Jurcata, Enteromopha linza, Myelophycus simplex, 중부에 Sargassum thunbergii와 Scytosiphon lomentaria, 하부에 Hizikia fusiforme가 번무하였다. 외양의 영향을 직접 받는 해역에서는 Myelophycus simplex, Scytosiphon lomentaria, Sargassum thunbergii, Hizikia fusiforme의 순으로 상부부터 하부까지 명백한 대상분포를 하였다. 3. 저조선에서 우점종으로 출현하는 해조류는 모자반류인 Myagropsis myagroides, Sargassum serratifolium, Sargassum tortile이었다. 4. 해중림 구성종인 외톨개모자반(Myagropsis myagroides)의 체장(TL)과 습중량(WW) 및 건중량(DW)과 습중량(WW)의 상관관계는 다음과 같았다. WW=55.4498 TL( ) r=0.8735 WW=169.7890+5.1148DW r=0.9938 As a part of ocean ecological primary investigation for the conservation of the Hongdo coastal ecosystem with respect to culture areas and fish grounds, marine algal communities were investigated marine algal species, relative coverage, relative frequency, dominant ratio and standing crops, southwestern coast of Korea. In this observation, 43 species in total, 6 green algae, 16 brown algae and 21 red algae were indentified. The representative dominant species were as follows; Gloiopeltis furcata, Myelophycus simplex in upper tidal, Enteromorpha linza, Ulva pertusa, Sargassum thunbergii in middle tidal, and Hizikia fusiforme in lower tidal zone. Sargassum of forming aquatic forest were dominated by Myagropsis myagroides, sargassum serratifolium and Sargassum trotile. The relationships between the total length, wet weight and dry weight of Myagoropsis myagroides were as follows: WW=55.4498 TL( ), r=0.8735 WW= 169.7890+5.1148 DM, r=0.9938

우리나라 선물관련 산업의 거래규제 개선에 관한 연구

박상화,박경수,임흥식 啓明專門大學 産業開發硏究所 2002 啓明硏究論叢 Vol.20 No.1

일반적으로 선물관련 산업의 규제는 자율규제와 공적규제로 나누어진다. 거래소나 협회가 회원의 선물거래시 투기적 가격조작을 규제하지 못하게 되면 선물거래가격이 변동하여 경제에 악영향을 미치게 된다. 선물거래에 대한 법적인 정부규제가 강화될 경우 시장조작이나 금융사기 등은 낮아지지만 일반투자자의 선물거래 참여는 부진하고 선물거래가 침체에 빠지기 쉽게 된다. 선물거래 활성화도 도모하고 사고요인도 막는 방식으로 선물거래소가 자율규제시스템을 도입, 운용하고 있으며 이의 필요성을 더욱 중요시되고 있다. 선물시장에서 자율규제시스템의 강화는 선물시장의 활성화를 유도한다. 또한 금융사고나 부정거래, 불건전한 거래발생을 막아준다는 면에서 절대적으로 필요한 존재이다. Generally speaking, it is natural to devide the futures and options related industries by two regulations which include stationary regulation and self regulation. If the exchange or association did not regulate market manipulation. it will have an bad effect on economy by the volatility of futures transaction price. When the government enforces stationary regulation. market manipulation and financial fraud will be decreased, but individuals will not take part in the futures markets, and also the markets will be easy to be a low ebb. So it is need to enforce self regulation for the activation of the futures markets. Self regulation was really necessary to protect financial fraud. unfair transactions and unsound business.

上古史의 巫敎的 照明 : 우리 政敎關係史 ①

朴慶華 제주대학교 1987 논문집 Vol.24 No.1

Shamans have been the most despised people for a long time here in Korea. In olden days, however, we call reasonably conceive, they enjoyed their golden days as kings, priests, medicine men and prophets. Veneration of the people were exclusively theirs, because they were men of sacred or divine virtue. We have many stories of their mythical birth. The stories are conceived,in this article, as those told by the heroes themselves which tell us the process of their shamanic initiations, during which their spirits suffer a great deal of severe torture. Chumong's spirit is supposed, in hls initiation, to be transformed into an egg which was disgusted and thrown into a stable, and again into a horde of wild beasts, where the egg was mistreated. However, we have been told the adverse story in which the egg was very much venerated even by the beasts. The adverse story was necessiated by the venerable character of the heroe's historical person. Most of many an important historical events are viewed from the stand-point of Shamanism. 1. Many kings of earlier days are regarded as shaman-kings. 2. Transmissions of the throne were determined by the shamanistic power of the successors. 3. Shaman-kingship produced endogamy among the three clans of Park, Suk and Kim. 4. Some of the stories of trickery are explained as the events of shamanic combat.

생물학 탐구에서 학생들이 생성한 가설검증방법의 유형

박순화,고경태,정진수,권용주 한국과학교육학회 2005 한국과학교육학회지 Vol.25 No.2

이 연구의 목적은 학생들의 생물학 가설검증방법의 유형을 분류 데 있다. 이를 위해 고등학생 35명과 대학생 40명을 표집 하여 수국, 제비 나비, 감자즙, 펭귄 등 4개의 가설검증 과제를 투입하였다. 각 과제에서 연구대상 학생들은 현상을 관찰하여 인과적 의문을 생성하고, 집단토의를 통해서 하나의 가설을 생성하였다. 그런 후 스스로 생성한 가설을 검증할 수 있는 방법을 고안하였다. 연구자들은 이렇게 고안된 학생들의 가설검증방법을 분석하여 몇 가지로 유형화하였다 그 결과에 의하면 먼저, 하나의 원인으로 된 가설의 검증유형은 직접 관찰법, 유사현상 비교법, 긍정 비교법, 긍정-부정 비교법, 비례 비교법 등으로 분류되었다 그리고 여러 개의 원인으로 된 가설은 크게 부분 검증법과 전체 검증법으로 구분되었고, 부분 검증법은 다시 단일 유형과 다수 유형의 하위 유형으로 구분되었으며, 전체 검증법은 유기적 유형, 기계적 유형, 혼합 유형 등의 하위 유형으로 구분되었다. The purpose of this study was to analyze the college students' and high school students' testing methods for biological hypotheses. Subjects were 35 11th grade students and 40 college students. Four hypothesis-testing tasks were developed and administered to the subjects: hydrangea, swallow butterfly, juiced potato, and penguin tasks. After being presented with the phenomena of the tasks, students were asked to generate questions and hypotheses and then to write a hypothesis-testing method on a questionnaire. Students' hypothesis-testing methods were classified into 5 types for mono-cause hypotheses; direct observation, similar phenomenon comparison, positive comparison, positive-negative comparison, and proportion comparison. In addition, students' hypothesis-testing methods were classified into 5 types for multi-cause hypotheses; mono type, poly type, organic type, mechanic type, and mixed type. This study also discussed the implications of these findings for teaching and learning in science education.