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

3-Alkylthio-6-allylthiopyridazine 유도체 합성 및 SK-Br3 인간유방암세포와 Hep-G2 인간간암세포에 대한 항암작용

권순경,박명숙,박해선 德成女子大學校 2005 德成女大論文集 Vol.34 No.-

Allylthio group of allicin and other organosulfur compounds which are isolated from garlic is considered as a pharmacophore, a key structure component of the molecule which is due to biological activities. In the foregoing studies various 3-alkoxy-6-allylthiopyridazine derivatives (K-compounds) were synthesized and their biological activities were tested in test animals. They showed good hepatoprotective activities on the carbon tetrachloride-treated mouse and aflatoxin B1-treated rats and chemopreventive activities on hepatocarcinoma cells in rat as expected. Now two pyridazine derivatives whose oxygen atom at 6-position of 3-alkoxy-6-allylthiopyridazine is displayed by sulfur(S) were synthesized and their activities were synthesized and their activities were tested in vitro against SK-Br3 human breast cancer cells and Hep-G2 human liver cancer cells. Thio-K6 and Thio-K16 showed good chemopreventive activities on hepatocarcinoma and breast cancer.

고등학생의 열등감과 학업적 자기효능감을 위한 Adlerian 집단상담의 효과 분석

권기양,심혜숙 부산대학교 과학교육연구소 2005 교사교육연구 Vol.44 No.-

The purpose of this study is to investigate the effects of Adlerian Group Counseling Program which was based on individual psychology on inferiority feelings and academic self-efficacy of the academic high school students. For this study, the following hypotheses were established. First, there would be significant decrease in inferiority symptoms including three subordinate factors (sensitiveness, negativeness, retreat) for high school students after the treatment. Second, there would be significant increase in academic self-efficacy including three subordinate factors (self-confidence, self-regulatory efficacy, task difficulty preference) for high school students after the treatment. The subjects of this study were 27 first grade students of academic high school in Busan. 12 students were assigned to an experimental group and 15 were assigned to a control group. The study progressed through three stages : pre-test, experimental intervention (participation in the program by the experimental group), post-test. The experimental group participated in 15 sessions of 50 minutes each over six months. Inferiority Symptom scale (Yim, Gie-Hong) and Academic Self-efficacy scale (Kim Ah-yeong, Park In-yeong) were administrated in both experimental and control group.The results from this study were as follows; First, Adlerian Group Counseling Program significantly decreased the total scores in inferiority symptoms and the each score in three subordinate factors (sensitiveness, negativeness, retreat) for the experimental group subjects. Second, Adlerian Group Counseling Program significantly increased the total scores in the academic self-efficacy and the each score in three subordinate factors (self-confidence, self- regulatory efficacy, task difficulty preference) for the experimental group subjects. Based on the above results, it can be concluded that Adlerian Group Counseling Program is very effective in helping the high school students reduce the level of inferiority symptoms and elevate the level of their academic self-efficacy. Therefore, Adlerian Group Counseling Program can be strongly suggested as a useful means for high school students' self-growth and improvement for their fruitful school lives.

Ethyl 2-Methyl-3-Pyrazinyl-3-oxopropionate의 합성과 케토-엔올 토토머화현상

권순경,박명숙,박해선 德成女子大學校 藥學硏究所 2002 藥學論文誌 Vol.13 No.1

Ethyl 2-methyl-3-pyrazinyl-3-oxopropionate is a key intermediate for the development of new drugs and can be synthesized through Claisen condensation from methyl pyrazine carboxylate and ethyl propionate. Even though in β-diketones esters in general the amount of enol form present at equilibrium is far higher than keto form, this key compound showes that the keto concentration is high. It can be explained because of the electron-releasing effect of α-methyl group.

전위된 상악 견치 및 하악 측절치의 치험례

권해숙,현홍근,김영재,김정욱,장기택,김종철,한세현,이상훈 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

Tooth transposition is an anomaly of eruption characterized by the interchanged positions of two adjacent teeth, which is divided into complete and incomplete transposition. There are three common approaches for treating transposition: aligning the involved teeth in their transposed positions, moving them to their correct anatomic position in the arch and extracting one of the transposed teeth. Considerations in treatment plans are esthetic, function, risk of jeopardizing the roots and damaging the supporting structures, position of the root apex, developmental stages of teeth and expected compliance. The presented case reports described one maxillary canine-the first premolar transposition and two mandibular lateral incisor-canine transpositions. The former transposed teeth were arranged in their transposed position, and the latter transposed teeth were rearranged into their normal position. 치아전위란 인접한 두 치아의 위치가 서로 바뀐 치아 위치 이상을 말하며, 치관과 치근의 위치에 따라 완전전위와 불완전전위로 나눌 수 있다. 하악보다는 상악에 편측성으로 호발하며, 특히 상악 견치에서 자주 발생한다. 전위는 발견 시기와 전위된 양상에 따라 치료방법이 달라질 수 있다. 본 증례는 상악 견치와 제1소구치 간의 전위가 일어난 10세 7개월의 환아와 하악 측절치와 견치 간의 전위가 일어난 8세 11개월 환아와 8세 9개월 환아의 교정치료에 대한 것으로 양호한 치료 결과를 얻었고, 증례 별로 치료방법의 차이점에 관한 고찰을 하였기에 이를 보고하는 바이다.

유치 수복물에 따른 주변 법랑질의 탈회 저항성 : QLF를 이용한 연구

권해숙,현홍근,김영재,김정욱,장기택,김종철,한세현,이상훈 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

본 연구에서는 유치 수복물의 불소 방출 여부에 따른 주변 법랑질의 탈회 저항성과 재광화 효과를 살펴보고자 하였다. 건전 유전치 48개를 16개씩 임의로 세 군으로 나누어, FiltekTM Z250(1군), F2000(2군), KetacTM N100(3군)을 사용하여 제조사의 지시에 따라 충전하였다. 3일 동안 인공 우식 병소를 유발한 후, 14일 동안 인공 타액에 담가 재광화를 유발하였다. Quantitative light-induced fluorescence(QLF)를 이용하여 실험 단계와 시간에 따른 무기질 소실량(ΔQ)의 변화를 관찰한 결과는 다음과 같다. 1. 탈회가 일어난 인공 우식 병소의 ΔQ 값은 3군, 2군, 1군 순으로 작게 나타났고, 이 중 3군은 1군에 비해 유의한 탈회 저항성을 보였다. 2. 1군, 2군, 3군 모두 재광화 1일 후부터 초기 인공 우식 병소의 ΔQ 값과 비교 시 유의한 차를 보였으며, 관찰 기간 동안 지속적인 증가 양상을 나타내었다. 3. 재광화 속도를 의미하는 Δ(ΔQ)/일 값은 각 군에서 처음 1일 동안 유의성 있게 크게 나타났으며, 그 이후 급속히 감소하였다. 4. 수복 재료에 따른 재광화 정도는 각 군 간에 유의한 차이가 없었다. The objective of this in vitro study was to detect and monitor demineralization and remineralization of primary teeth according to restorative materials using quantitative light-induced fluorescence (QLF). A single bur hole was drilled on the each sound forty eight primary anterior teeth, and the specimens were divided into three groups. The cavity was restored with FiltekTM Z250(Group 1), F2000(Group 2), KetacTM N100(Group 3) following the manufacturer's instructions. The teeth were subjected to the demineralizing buffer for 3 days, and then subjected to a remineralizing buffer for 14 days. The change of mineral loss(ΔQ) according to the stages was evaluated by QLF and the following results were obtained: 1. When demineralization was done, ΔQ was increased as follows. : Group 1 (-110.79 ± 27.77) < Group 2 (-104.84 ± 28.95) < Group 3 (-90.16 ± 21.87) : Resistance to demineralization was statistically significant in Group 3. 2. There was a statistically significant increase in ΔQ of all groups since 1st day of remineralization 3. The rate of remineralization, Δ(ΔQ)/day, showed significant high value in each group on the 1st day then decreased rapidly. 4. There was no statistically significant difference in the degree of remineralization among restorative materials.

골반 내 농양 1예

조인숙,이해혁,김태희,이권해,남계현,이임순,김정식,박성진 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Pelvic inflammatory disease (PID) is a disease that affects young, sexually active, reproductive age women. Most pathogens are Chlamydia trachomatis and Neisseria Gonorrheae transmitted sexually. One of serious acute complication of PID is tubo-ovarian abscess (TOA) that involves the fallopian tube, ovary and adjacent structures (eg, bowel, pelvic peritoneum). The microbiology of TOAs is polymicrobial with anaerobic organisms and causal organisms of PID. Common anaerobic organisms are Peptostretococcus spp, Bacteriodes spp, Prevotella spp, Escherichia coli and aerobic streptococci. Treatment is necessary to admission for intravenous broad-spectrum antibiotics and surgery is often reserved for patients with suspected rupture or patients who fail to respond to antibiotics. So, we reported this case found pelvic abscess due to ruptured tube-ovarian abscess.

Cyclooxygenase-2 저해제로서의 benzothiazine 유도체 합성과 항염작용 평가

신혜순,박명숙,권순경 德成女子大學校 藥學硏究所 2000 藥學論文誌 Vol.11 No.1

The antiinflammatory mechanism of NSAIDs is attributed to the reduction of prostaglandin synthesis by the direct inhibition of cyclooxygenase. Inhibition of prostaglandin production in organs such as stomach and kidney can result in gastric lesions, nephrotoxicity and increased bleeding. In this study, newly designed COX-2 inhibitors, synthesized 1,2-benzothiazine derivatives, were screened in vitro for selectivity of COX-1 and COX-2 inhibition properties. Lead compounds in the structure-activity relationship were studied to synthesize new highly selective COX-2 inhibitors. To determine inhibitory effect of COX-2, synthesized 1,2-benzothiazine derivatives were screened with accumulation of prostaglandin by lipopolysaccharide (LPS) in aspirin-treated macrophages and murine macropharge cell. Some of synthesized 1,2-benzothiazine derivatives were shown to be effective as selective COX-2 inhibitory activity. Others exhibited a preferential inhibition of COX-2, although some COX-1 inhibitory activity was still present. As a conclusion, simple monomer derivatives were more active than dimer derivatives. Substitution of halogen (Br, Cl) on the benzothiazine nucleus slightly enhanced inhibition activity.

인식형 청소년의 자아개념, 목표관리 및 특성불안 변화를 위한 MBTI 교육프로그램 효과 검증

김명권,심혜숙 한국심리유형학회 2000 심리유형과 인간발달 Vol.7 No.-

본 연구에서는 MBTI의 타당도를 검증하기 위하여 505 명의 피험자를 대상으로 MBTI 실시 결과와 표준화 성격진단검사 결과와의 상관분석 및 일원변량분석을 실시 하였다. 그 결과, MBTI 선호지표 중 E는 안정성, 지배성, 사회성, 남향성, 충동성, 우월성과, I는 사려성, 동조성, 임상척도 전부와, S는 책임성, 동조성과, N은 사려성과, T는 안정성, 지배성, 책임성, 사려성, 남향성과, F는 사회성, 동조성, 충동성, 신경질경향과, J는 책임성, 사려성, 동조성과, P는 사회성, 남향성, 충동성과 유의한 정적 상관을 보였다. 그리고 4 기능유형 중 ST는 책임성, 남향성이, SF는 동조성이, NT는 안정성, 지배성, 사려성, 남향성이, NF는 사회성, 충동성이 타유형에 비해 점수가 유의하게 높았다. 또한 4 기질 중 SP는 충동성, 동조성, 불안경향, 신경질경향이, J는 책임성, 동조성이 타기질에 비해 점수가 유의하게 높았으며 NT와 NF기질은 기능유형과 동일하게 나타났다. This study aimed to develop and evaluate a program focused on helping psychologically vulnerable delinquents with P preferences (perceiving types) to adjust better in the society. When a program was carried on trying to help psychologically vulnerable perceiving types to improve their ineffective adjusting behaviors, a significant short-term positive changes took place to them. Three reliable psychological scales were employed to check how much they have changed in a positive way; Tenesse Selfconcept Scale, Goal-Management Scale and Spielberger's Trait Anxiety Inventory. The affirmative changes were obtained in several subscales of the Tenesse Self-Concept Scale, such as total positive self, self-identity, self-satisfaction, physical self, moral ethical self and personal self. Goal setting and Longrange planning were enhanced on the Goal-Management Scale. Traitanxiety was moderately reduced on the Trait Anxiety Inventory. This result manifested that with the aid of properly designed programs, young people with Perceiving preference would become more satisfied with themselves and thereby come to have better selfconcepts. As they become relatively free from the distressing anxieties, their energy may be more readily available to their goal achievements helping them to live better in the society. But in some subscales, there were no statistically significant differences between two groups, therefore some reformations are needed in the program content and procedure. Several suggestions and cautions in interpreting the experiment results and applying the program in the actual situations were mentioned.

임신 중 발견된 대망 종괴 1례

조인숙,김태의,김정식,이해혁,이권해,김희경,남계현 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

A case of omental mass during Pregnancy Omental cyst is a rare lesion and occur primarily during childhood and young adulthood. When encountered, most of them are benign and intraabdominal masses. It shows a large mass but not palpable and often asymptomatic. The precise diagnosis is made by most commonly at surgery or during pathologic examination. So, we report this case with brief review of literatures.