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      • SCOPUSKCI등재

        간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

        서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

      • KCI등재
      • 비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

        최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

        Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

      • KCI등재

        가동관절형 구내 하악골 신연장치

        경희문 대한치과기재학회 2000 대한치과재료학회지 Vol.27 No.1

        Distraction Osteogenesis was originally developed to increase the mass of bone tissue in the long bone, and it has also been successfully employed in patients with a maxilla or mandible deficiency. Initially, extra-oral devices were used in the maxillofacial area. However, such extra-oral devices always left facial scars due to the external pins used during the expansion process, plus patients had to wear bulky extra-oral devices for several weeks. Accordingly, intra-oral distraction devices have since been introduced to increase the length of the mandible in Class Ⅱ mandibular deficient patients. Yet current tooth-tissue borne mandibular distracton devices have problems during the parallel fitting of the device between the rami and the crowns of the teeth on both sides due to the non-adjustable type of joint included in the device. As a result, this study presents a movable joint type intra-oral mandibular osteogenesis distractor, which os more adaptable during surgery. Experimental results show that there is no difference in the resistance of the vertical force between the conventional type joint and the newly developed one. Consequently, the proposed movable joint type intra-oral distraction osteogenesis device offers a more convenient application capability than the conventional device.

      • 표고버섯 렉틴의 림프구 자극 분열 및 암 세효 응집 효과

        문익재,정시련,전경희 영남대학교 약품개발연구소 1995 영남대학교 약품개발연구소 연구업적집 Vol.5 No.-

        A lectin from the edible mushroom. Lentinus edodes, was purified through physiological saline extraction, ammonium sulfate fractionation and column chromatographies. On polyacrylamide gel electrophoresis, 0.05M fraction from hydroxyapatite column exhibited adjacent four sharp bands. The partially purified lectin agglutinated the erythrocytes of rabbit, mouse and rat, but not agglutinated human erythrocytes. The lectin's mitogenic effects were tested by its application to human and murine splenic lymphocytes. The results showed that the 0.05M fraction from hydroxyapatite was mitogenic, and the optimal dose of leninus edodes lectin was slightly lower than Con A by the culture with murine splenic and human peripheral lymphocytes. Meanwhile, its ability to agglutinate transformed cells was tested by its administration to continuous cell lines L1210 and HeLa cells. The lectin was found to be an agglutinin of tumor cell lines teated by L1210 and HeLa cells.

      • Set-up 모형을 이용한 간접접착술식

        경희문 慶北大學校 齒科大學 1989 慶北齒大論文集 Vol.6 No.1

        저자는 Set-up모형을 이용한 간접접착술식을 이용하여 각 개인에 가장 이상적인 Bracket위치를 설정하는데 도움을 주고자 이 Technique을 고안 하였으며 특히 Bracket의 정확한 위치가 아주 중요한 Straight Wire Appliance 및 Lingual Appliance에 응용하면 좋은 결과를 얻는데 도움을 줄 수 있을 것으로 사료된다. 증례 1 Angle씨 제 1 급 부정교합의 만19세 여자 환자로써 0.22×0.28 slot size의 standard edgewise bracket을 사용하여 Sequential Bonding Technique으로 치료한 증례(Fig.2). 증례 2 Angle씨 제 1 급 부정교합의 만20세 여자 환자로써 Alexander's Straight wire Appliance를 이용하여 치료한 증례(Fig.3). 증례 3 Angle씨 제 1 급 부정교합의 만17세 여자 환자로써 Lingual Appliance으로 치료한 증례(Fig.4). 1. Silverman E. & Cohen M. : Current adhesives for indirect bracket bonding, A. J. O. 65 : 76-84, 1974. 2. Moin K. & Dogan L. : Indirect bonding of orthodontic attachment, A. J. O. 72 : 261-275, 1977. 3. Zachrisson B. U. & Brobakken B. O. : Clinical comparison of direct versus indirect bonding with different bracket types & adhesives, A. J. O. 74 : 62-78, 1978. 4. Gorelick L. : Bonding / The state of the art ; A national survey, J. C. O. 13 : 39-53, 1979. 5. Thomas R. G. : Indirect bonding ; Simplicity in Action, J. C. O. 13 : 93-106, 1979. 6. Moshiri F. & Hayward M. D. : Imporved laboratory procedure for indirect bonding, J. C. O. 13 : 472-473, 1979. 7. Myrberg N. E. A & Warner C. F. : Indirect bonding technique, J. C. O. 16 : 269-272, 1982. 8. Scholz R. P. & Swartz M. L. : Lingual orthodontics status report ; Part 3 Indirect Bonding-Laboratory & Clinical Procedures, J. C. O. 16 : 812-820, 1982. 9. Fried K. H. & Newman G. V. : Indirect bonding with a no-mix adhesive, J. C. O. : 414-417, 1983. 10. Scholz R. P. : Indirect bonding revisited, J. C. O. 17 : 529-536, 1983. There has been much progress in Edgewise Appliance since E. H. Angle. One of the most important procedures in edgewise appliance is correct bracket position. Not only conventional edgewise appliance but also straight wire appliance & lingual appliance cannot be used more effectively unless the bracket position is accurate. Improper bracket positioning may reveal much problems during treatment, especially in finishing stage. It may require either rebonding after the removel of the malpositioned bracket or the greater number of arch wire and the more complex wire bending, causing much difficulty in performing effective treatments. This made me invent Individual Indirect Bonding Technique with the use of multi-purpose set-up model in order to determine a correct and objective bracket position according to individual patients. This technique is more accurate than former indirect bonding techniques in bracket positioning, because it decides the bracket position on a set-up model which has produced to have the occlusal relationship the clinician desired. This technique is especially effective in straight wire appliance and lingual appliance in which the correct bracket positioning is indispensible.

      • SCOPUSSCIEKCI등재

        치과 교정학 분야에서 COMPUTER 이용에 관하여

        경희문,권오원,배세복 대한치과교정학회 1989 대한치과교정학회지 Vol.19 No.3

        About twenty years ago the computer was introduced into orthodontic, but not in clinics because it was inconvenient in cost, size, capacity and operation. But recent advances in the technology of electronics have produced a personal computer which is suitable for use in clinics. We have developed useful program for cephalometric Ax, model analysis and patient management. The computer program greatly aided in saving time & effort and performed well in the management & searching for patient data. But further studies about tree dimensional analysis, S.T.O. and derivation of automatic treatment planning from analysis are needed.

      • 5-〔3-(N-Substituted Piperazinyl)Propoxy〕Indan類의 合成과 中樞神經抑制效果

        黃熙喆,閔庚鎭,文勝煜,李萬佶,徐丙天 嶺南大學校附設 基礎科學硏究所 1985 基礎科學硏究 Vol.5 No.-

        Five new indans, 5-[3-(N-substitued piperaziny) propxy]indans, were synthesized by condensation of 5-(3-bromopropoxy)indan, the intermediate, and N-substituted piperazines. The structure of the compunds were determined by means of IR, NMR spectoscopy along with elemental analysis. Each compound was tested for antimorphine and antiamphetamine effects as part of CNS depressant effects and for muscle relaxant action in mice. Thes compound exhibited less potent activity compared to chlordiazepoxide on CNS depressant effect. Muscle reaxant action of the compounds, the side effect of tranquilizer, however, was much weaker than that of chlordiazepoxide.

      • KCI등재

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