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

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

미국 금융정책변경이 한국경제에 미치는 영향

成範鎔,金汶姬 홍익대학교 경영연구소 2001 경영연구 Vol.26 No.-

외과적 악교정술을 위한 두부방사선학 계측 기준치

성재현,성정옥,경희문,권오원 대한치과교정학회 1989 대한치과교정학회지 Vol.19 No.1

The purpose of this study was to establish Korean normas that will be valuable aids for diagnosis in orthognathic surgery patients. Lateral cephalometric measurements were established for adult Koreans (60 males, 62 females) with normal occlusion and acceptable profiles. The results were as follows: 1. Means, standard deviation and sexual differentiation were included within each measurement. 2. In skeletal mesurements, FH to SN and SN to mandibular plane measurements in females were larger than those in males while all linear measurements in males were larger than those in males were larger than those in females. 3. Significant differences were observed between male and female groups on all of the items that showed vertical relationship in dental measurments. And the measurements of ADH, PDH and overbite in males were larger than those in females while the measurements of incisor exposure in females were larger than those in males. 4. In all measurements of soft tissue except NLA, that is, of FCA, UFH, ULL and LLL, males were larger than those in females.

複合乳酸菌 製劑(Feed-Mate 68) 添加가 Broiler에 미치는 效果 : Ⅱ. 臟器重量, 腸內 pH 및 Microflora의 變化 Ⅱ. Change of intenal Organic Weight, Intestinal pH and Microflora

文勝式,李乙熙,宋瑛敏 진주산업대학교 1987 論文集 Vol.25 No.-

본 시험은 복합유산균제제(Feed-Mate 68)의 효과를 살펴보기 위하여 육용계(Arbor acres)를 7주간 사육하여 도살(ether 마취)한후 내부장기 중량과 pH 및 총세균수, 유산균수 및 coliforms를 조사하여 다음과 같은 결과를 얻었다. 1. 내부장기중량은 첨가구에서 근위, 맹장이 다소 무겁고 소장은 가벼운 경향이었다. 2. 장내의 pH는 첨가수준이 증가될수록 낮아지는 경향이었고 회장, 직장, 맹장 및 공장순으로 높았다. 3. 총세균수는 첨가수준이 높을수록 낮게 나타났고 회장, 맹장, 직장 및 공장순으로 높았다. 4. 유산균수는 첨가수준이 높을수록 높게 나타났고 맹장, 회장, 직장 및 공장순으로 높았다. 5. Coliforms는 첨가수준이 높을수록 낮게 나타났고 맹장, 직장, 회장 및 공장순으로 높았다. 6. 장내 유산균과 pH는 다른 세균에 비해 연관성이 큰것으로 나타났다. In order to investigate the effect of Feed-Mate 68 addition on Brolier, the characteristics of intenal organic weight, intestinal pH, bacteria, lactic acid bacteria and coliforms were researched into. The ressults obtainde were summarized as follows: 1. Gizzard and diverticulum weight of intenal organ tended to be heavy in the treatment but the small intestine, less weight than in the control. 2. The higher the additional level of Fced-Mate 68 was, the less intestina pH was. Intestinal pH was high in the order of ileum, colon, diverticulum and jejunum. 3. The higher the additional level of Feed-Mate 68 was, the less total bacteria was. Total bacteria were many in the order of diverticulum, ileum, colon and jujunum. 4. The higher the additional level of Feed-Mate 68 was, the more lactobacillus was. lactic acid bacteria was many in the order of diverticulum ileum colon and jejunum. 5. The higher the additional level of Feed-Mate 68 was, coliforms was many in the order of diverticulum, colon, ileum and jejunum. 6. The relation of intestinal lactic acid bacteria and pH appearde to be higher than the other bacteria.

한국 수출기업의 인터넷 활용실태

문희철,심상렬,송우용 한국통상정보학회 1999 통상정보연구 Vol.1 No.1

인터넷 및 전자상거래의 확산과 함께 국내에서도 인터넷을 이용한 수출에 대한 관심이 증대되고 있다. 본 연구에서는 인터넷 전자상거래에 관한 문헌연구와 다수의 수출기업들을 대상으로 이들의 인터넷 전자상거래의 도입 및 활용실태에 관한 실증분석을 통해 인터넷을 이용한 수출을 촉진하기 위한 방안에 대해 검토한다.

퍼지 이론을 이용한 다 개체 지능형 시스템의 동기화 제어기 설계 및 구현에 관한 연구

文熙根,金永卓,金秀貞,金寬衡,李尙培 한국해양대학교 산업기술연구소 2003 연구논문집 Vol.20 No.-

이 논문의 주제는 시스템의 두 DC 모터의 동기화를 위한 효과적인 PWM 듀티비 조절이다. 퍼지 제어기는 많은 불확실하고 복잡한 산업 공정에 성공적으로 적용되어왔다. 그래서 만약 목표지점의 길이가 다르다면 속도 조절을 위한 PWM 듀티비 조절을 위해 언어적인 퍼지 규칙을 이용한 퍼지 제어기를 적용했다. 그리고 미지의 플랜트를 위한 퍼지 제어기법을 이용한 미지의 변환 함수 시스템을 연구했다. 이 제어기는 시스템 동기화를 위한 PWM 듀티비 제어에 성공적으로 적용되어지고 있다. The subject of this paper is to control efficient PWM duty for two DC motor synchronousness in the system. Fuzzy controller have been successfully applied to many uncertain and complex industrial plant. So, It adapted fuzzy controller using compositional fuzzy rule so that change PWM duty for speed control if the length of destination is different. And for unknow plant, it is the study to make the unknow transfer function system with fuzzy control method. This controller has been successfully applied to PWM duty control for the system synchronousness.

한국종합예술학교 무용원 예술사과정의 교과과정 특성 고찰

문성철,김재희 仁荷大學校 스포츠科學硏究所 2001 論文集 Vol.13 No.-

Study of the arts in the western world was established under two main structures; academic, theory-based institutions to educate & scholars, teachers and the performance-based conservatory for development of professional artists through apprenticeship. In contrast, arts education in Korea was established under one general structure, thus with neither specification nor specialization. With this reflections and the support of the government, The Korean National University of Arts(KNUA) has been established as a national art school with the purpose of advancing professional artists with both specialized academic and performance-driven programs through the most highly qualified faculty and advanced educational facilities available in the market. The purpose of this study was to analyze the problems of art bachelor's curriculum on school of dance in KNUA. The results of this study as follows: 1.An art bachelor's curriculum on school of dance lean upon kinesiological studies and technology models in the six models of curriculum theory for advancing professional artists with both specialized academic and performance - driven programs. 2.An art bachelor's curriculum on school of dance is insufficient for achieving the purpose of national art school, which is advancing professional artists with both specialized academic and performance-driven programs. 3.An art bachelor's curriculum on school of dance is insufficient for advancing professional artists with both specialized academic and performance-driven programs available in the market.

서로 다른 이중에너지 방사선흡수기계 기종 (Hologic QDR 4500-A 와 Lunar EXPERT-XL)간의 골밀도 교차 보정

문대혁,김기수,이희경,김재승,신중우,조진만,김상욱 대한핵의학회 1999 핵의학 분자영상 Vol.33 No.3

Purpose: A cross-calibration equation is needed to compare bone mineral density measured by different dual X-ray absoptiometry systems. We performed this study to establish appropriate cross-calibration equations between two different dual X-ray absorptiometry systems. Materials and Methods: Bone mineral density of anterior-posterior lumbar spine (L2-4 level) and femoral neck were measured in 109 women (55±11yr) using two different dual X-ray absorptiometry systems (Lunar EXPERT-XL) and Hologic QDR 4500-A). Bone mineral density values measured by two systems, including area, bone mass content, bone mineral density and percentile of young normals were compared and cross-calibration equations between two systems derived. Results: The bone mineral density values of 109 women measured by Lunar system were 0.958±0.17 g/cm2 at L2-4 and 0.768±0.131 g/cm2 at femur neck, which were significantly higher (13±6% at L2-4 and 19±7% at femur neck, p<0.001) than those (0.851±0.144 g/cm2 at L2-4 and 0.649±0.108 g/cm2 a neck) by Hologic system. Bone mineral content and percentile of young normals measured by Lunar system were also significantly higher than those by Hologic system (p<0.001), whereas there was no difference in area (p>0.05). There was a high correlation between bone mineral density values of L2-4 and femoral neck obtained with both dual X-ray absortiometry systems (r=0.96 and 0.95, respectively). Cross-calibration equations relating the bone mineral density were Lunar=1.1287×Hologic-0.0027 for L2-4 and Lunar=l.1556×Hologic+0.0l82 for femoral neck. Conclusion: We obtained cross-calibration equations of bone mineral density between Lunar EXPERT-XL and Hologic QDR 4500-A. These equations can be useful in comparing bone mineral density obtained by different dual X-ray absorptiometry systems.

Angiotensin Ⅱ로 유도된 혈관신생에 대한 日川芎의 억제효과

文成一,金亨煥,趙貞姬,安德均,崔湖榮 대한본초학회 2002 大韓本草學會誌 Vol.17 No.2

Objective : To estimate the angiogenic effect of water extract of Cnidii Rhizoma (ECR), we employed the rat sponge model for angiogenesis. Methods : It was based on subcutaneous implantation of sterile polyester sponges in the SD rat and we have characterized the dye method that incorporates 5% carmine red and 1% cresyl violet in 10% gelatin. vascularity index (V.I.) expressed as ㎍ dye/mg tissue. Subcutaneous implantation of sterile polyester sponges in SD rats enhanced the neovascularization over 14 days, as determined by measurements of relative sponge blood flow by a vascularity technique. The angiogenic response was verified by histological evaluation of vascularized sponges. Results : Daily oral administration of ECR (100 mg/kg for 14 days) produce no apparent effect on angiogenesis. The vasoconstrictor peptide, angiotensin Ⅱ (AⅡ), in daily doses of 100 nmol, caused an intense neovascularization but lower doses of AⅡ produced no apparent effect (1 nmol and 10 nmol). Co-administration of 100 nmol AⅡ and 100 mg/kg ECR p.o. depressed 100 nmol AⅡ-induced angiogenic effect. Conclusion : We have shown that p.o. daministration of 100 nmol AⅡ accelerated angiogenesis. Meanwhile, co-administration of 100 nmol AⅡ and 100 mg/kg ECR highly suppressed angiogenic property.