중년남성의 자기관리에 관한 근거이론 접근방법적 연구

성명숙 中央醫學社 1993 中央醫學 Vol.58 No.11

The purpose of this study was to build a substantive theory about experience of selfmanagement for middle-aged man in Seoul. The qualitative research method have been used grounded theory. The interviewees were two middle-aged man. The data were collected through in-dept interviews by the investigator over a period of one month from 1 June to 30 June, 1993. The data were analyzed simultaneously by a constant comparative method in which new data are continuously coded into categories and properties according to Strauss and Corbin's methodology. The 61 codes were identified from the transcript of raw data and then 61 codes were identified to 12 categories. The 12 concepts which were found as a result of grounded data analyzing were, objectivity, regularity, rightness, balance, maintenance, conservation, endeavor, prevention, action, integration of body and mind, clarification of mind and physical health. This study enhances the nurse's understanding of the self-management of Korean middle-aged man. The findings contribute to nursing knowledge development about the self-management of middle-aged man.

국내 가금 유래 병원성 대장균의 분자역학적 분석

성명숙,김진현,김기석,Sung, Myung-Suk,Kim, Jin-Hyun,Kim, Ki-Seuk 대한수의학회 2010 大韓獸醫學會誌 Vol.50 No.3

Among 203 avian pathogenic Escherichia coli (APEC) isolated from poultry with colibacillosis in korea, 14 isolates were selected from total 68 isolates transferred R plasmid and classified into 5 groups on the basis of antimicrobial minimal inhibitory concentration (MIC) pattern, farm source and O serotype. An association between clonal origin and R plasmid of them was investigated by R plasmid profile, restriction endonuclease analysis and pulsed-field gel electrophoresis (PFGE). The strains that showed the same or very similar antimicrobial MIC pattern, but different farm source and O serotype, revealed different PFGE pattern, which seemed to be different clonal origin. And the strains that showed the same MIC pattern and O serotype, revealed different PFGE pattern, seemed to be originated from different clone. Also the strains showing the same MIC pattern and farm source, but different O serotype, revealed to be different clonal origin. The strains that showed the same or similar MIC pattern, farm source, and O serotype, revealed identical or similar PFGE pattern, which seemed to belong to be one clone. Meanwhile, horizontal transfer of R plasmid seems to be common in APEC with regardless of O serotype and clone of the strains. These results indicate that rapid and accurate epidemiological survey of APEC can be possible by the combination of O serotyping, plasmid profiling and PFGE analysis following the classification of them into groups of antimicrobial drug resistance pattern.

도계과정에서의 Salmonella속 균의 오염에 대하여

성명숙,김기석,탁연빈 한국수의공중보건학회 2002 예방수의학회지 Vol.26 No.3

This study was conducted to find out Salmonella contamination during the processing at a chicken slaughterhouse in Gyeongbuk province. Seventy-two strains of Salmonella were isolated from 465 samples consisting scalding water, washing water, chilling water, cecal contents and carcasses. The ratio of isolation from chilling water samples was 30.8%, 26.0% from carcasses, 7.7% from washing water samples, and 3.5% from cecal contents, but no strain was isolated from scalding water samples. Among Salmonella isolated, S. enteritidis(17 strains), S. newport(12 strains), S. blockley(11 strains), S. virchow(9 strains) were frequent serovars. S. senftenberg 5 strains, S. ochi 4 strains, S. schwarzengrund, S. montevideo and S. muenchen each 2 strains, S. typhymurium, S. mbandaka, S. menden and S. hadar were 1 strain each, and 4 strains were not confirmed serovar. Seventy two strains of Salmonella isolates were tested for their susceptibility to 13 antimicrobial drugs by use of disc diffusion test. About 57% of the isolates were resistant to nalidixic acid(NA), 38.9% to ampicillin(AM), 34.7% to streptomycin (SM), 27.8% each to carbenicillin(CB) and tetracycline(TE), 18.1% to kanamycin(KA), and strains resistant to sulfamethoxazole/trimethoprim (ST) and cephalothin (CF) was less than 10%. The most frequent multiple resistant pattern was resistance to AM, CB, KA, SM, TE and NA(26.4%).

Tuberculin(PPD)양성 반응우에 나타난 결핵 결절 및 림프절의 시험동물 접종 및 균분리 동정에 관한 연구

성명숙,김신,김상윤,손재권,Sung, Moung-Sook,Kim, Sin,Kim, Sang-Youn,Son, Jae-Kweon 한국동물위생학회 1997 韓國家畜衛生學會誌 Vol.20 No.2

In this study, homogenized mixture of tubercle and pulmonary lymph node showed up tuberculin(PPD) positive dairy cattle was inoculated in experimental animal, and was cultured on medium(Lowenstein Jensen medium, 3% Ogawa). The results obtained through the survey were sumerized as follows ; 1. In experimental animal, goat and rabbits were decreased body weight(25∼28%) and died in 90 days with severe pathogenicity. Rats are slight pathogenicity. 2. Goat, rabbits and rats showed up severe lesions In lung, rabbits was also lesions other organs (kidney, appendix, ileocecum, and I lymph node). 3. Mycobacterium was grown between 5 weeks and 8 weeks on Lowenstein Jensen medium and 3% Ogawa medium. 4. Biochemical test of Mycobacterium cultured on medium was that niacin, nitrate reduction, tween 80 hydrolysis and catalase test were negative, but that urease test was positive. Therefore it was Mycobacterium bovis (M. bovis).

가금 유래 병원성 대장균의 항균제 내성 및 R plasmid 전달 양상

성명숙,김진현,조재근,설성용,김기석,Sung, Myung-Suk,Kim, Jin-Hyun,Cho, Jae-Keun,Seol, Sung-Yong,Kim, Ki-Seuk 대한수의학회 2008 大韓獸醫學會誌 Vol.48 No.3

Antimicrobial drugs are widely used in poultry industry as growth promoters or to control infectious diseases. However, this practice is reported to have caused high resistance to antimicrobial drugs in normal chicken flora and pathogens. Antimicrobial resistance to Escherichia coli (E. coli) from chicken has been mainly reported in normal flora, but rare in pathogenic organism in Korea, recently. Therefore, this study was conducted to investigate prevalence of antimicrobials resistance, transfer of R plasmid, and association between antimicrobial drug resistance and O serotype of 203 pathogenic E. coli from poultry in Korea during the period from April 2003 to December 2005. These isolates showed a high resistance to tetracycline (Tc, 93.6%), nalidixic acid (Na, 92.6%), streptomycin (Sm, 81.8%), ampicillin (Ap, 77.3%), ciprofloxacin (Ci, 70.9%), sulfisoxazole (Su, 66.5%), and trimethoprim (Tp, 58.1%). Two hundred-one (99.0%) of the isolates were resistant to one or more drugs. They showed 57 different resistant patterns, and the most prevalent resistant pattern among them was Tc, Sin, Su, Ap, Tp, Ci, Na. Sixty-eight (33.8%) of the isolates transferred all or a part of their antimicrobial resistant pattern to the recipient strain by R plasmid. The most common antimicrobial resistant pattern was Tc, Sm, Su, Ap, Tp, Ci, Na in serotype O78, O88 and O15, respectively. These results exhibit high individual and multiple resistance to antimicrobials of pathogenic E. coli from poultry in Korea. They also suggest the needs for surveillance to monitor antimicrobial resistance in pathogenic bacteria that can be potentially transmitted to humans from food animals and to regulate the abuse of antimicrobials on food-producing animals in Korea.

국내 가금유래 병원성 대장균의 extended-spectrum β-lactamase(ESBL) 특성 조사

성명숙,김진현,조재근,설성용,김기석,Sung, Myung-Suk,Kim, Jin-Hyun,Cho, Jae-Keun,Seol, Sung-Yong,Kim, Ki-Seuk 대한수의학회 2008 大韓獸醫學會誌 Vol.48 No.3

This study was conducted to investigate incidence of extended-spectrum ${\beta}$-lactamase (ESBL) producing strains and characteristics of ESBL gene in pathogenic Escherichia coli isolated from poultry during the period from April 2003 to December 2005 in Korea. Among 203 isolates, 4 isolates (3 from broilers and 1 from layer) were confirmed as ESBL producing strains by double disk synergy test, polymerase chain reaction and sequencing for ${\beta}$-lactamase genes. $bla_{CTX-M-15}$ and $bla_{CMY-2}$ were detected in these 4 isolates and were transferred to recipient by conjugation, respectively. Also, these ESBL producing strains were associated with multiple drug resistance. In conclusion, these results exhibit incidence of CTX-M and CMY-2 ${\beta}$-lactamase in pathogenic E coli from poultry in Korea, and clinically important meaning in human. And they also suggest the needs for rapid and broad surveillance to monitor ESBL genes and R plasmid transferring resistant gene in poultry.

가금 유래 병원성대장균의 생화학적 성상 및 혈청형

성명숙,김진현,하종수,조재근,설성용,김기석,Sung, Myung-Suk,Kim, Jin-Hyun,Ha, Jong-Su,Cho, Jae-Keun,Seol, Sung-Yong,Kim, Ki-Seuk 대한수의학회 2008 大韓獸醫學會誌 Vol.48 No.2

This study was conducted to investigate biochemical properties and O group serotypes of pathogenic 203 Escherichia (E.) coli isolates from poultry with collibacillosis in Korea during the period from April 2003 to December 2005. Biochemical and fermentative properties of 203 isolates of E. coli tested were in accordance with Cowan and Steel's classification standard. One hundred and forty one isolates (69.5%) could be classified into a total of 20 O serotypes. Among them, the predominant O groups were O78 (32.5%), O88 (7.8%), O15 (6.8%), O141 (6.4%), and O158 (3.0%) in decreased order. Other infrequently encountered serogroups included : O8 (2%), O161 (2%), O20 (1.5%), O125 (1.5%), O2 (1%). And O6, O18, O24, O46, O76, O109, O119, O138, O139 and O148 had a frequency of 0.5%, respectively. Sixty two isolates (30.5%) were non-typeable with standard 173 O antisera used in this study.

간호과학철학에서의 직관에 관한 연구

장희정,김문실,성명숙 성인간호학회 1992 성인간호학회지 Vol.4 No.2

Nursing is often referred to as an art and a science. In 1978 Carper identified fundamental patterns of knowing in nursing that included the science(empirics) as well as the art(esthetics). She stated, " The kind of understanding of humans that comes from within by means of empathy, intuition, imagination could be one source in the discovery phase of knowledge generation." Critical care nurses have been perceived their intuititive findings. But intuition considered a second-rate substitute for intelligent and rational decision making and illegitimate adjunct. This study attempt to identify intuition in nursing not illegitimate. The findings by literature on western and oriental philosophy attributed to intuition in philosophy of Nursing science. The understanding about intuition in nursing is not opposite concept to rational and analystic knowledge. Rather, intuition is the highest level knowledge involved rational and analystic knowledge. And then intuition in nursing led the way for the process of science and art in nursing to include investigations of truly human phenomena above content as intuition schema in philosophy of nursing science. The strategies for intuition in nursing is followed. The first is epoche and bracketing in phenomenology, meditation in Buddistic philosophy, group-brainstorming, dialogue and story-sharing. The second involved describing the nurses-client process in all of its many dimensions(representing), elucidating the meaning of the nurse-client process(interpreting), and looking beyond the situation to focus on what might be(envisioning). The teaching strategy guided students in enlarging their view of caring. For the further study, we suggested to clarify intuitive experiences, to report finding and to develop learning program for enriched intuition grasp in nursing.

한국노인의 사회적 건강사정 도구개발과 사회적 건강상태에 관한 연구

이지숙,최영희,정승은,신윤희,성명숙 성인간호학회 1992 성인간호학회지 Vol.4 No.2

This study was attempted to organize a comprehensive and objective instrument measuring the health status of the elderly in social aspect. And then we identified the social health status of Korean elderly with the instrument. Data collection was done from 18, July to August, 1990. Subjects were 412 elderly in Korea. Sampling method used was convenience sampling after their place of residence is stratified into large, medium and small city, and rural area. Those who participate in the house for elderly located in Suhdaemun-gu, Mapo-gu, Kangnam-gu of Seoul were interviewed as those who reside in large city by researchers. The community elderlies of Chungju, Jeanju, Chuncheon, Jeonju involved in medium-small city was interviewed by professors of nursing colleges. Rural elderlies were interviewed by the community health practitioners who are working in a community health clinic respectively located in Kyungsangbuk-do, Kyungsangnam-do, Jeonlabuk-do, Jeonlanam-do, Kyungki-do. The tool used in this study was structured questionnaire which was organized based on previous literature review and Kim's social activity scale. And then we verified reliability and validity of the assessment tool. Data analysis included : percentage, average, SD, t-test and ANOVA. The result of the analysis follows : 1. The tool measuring the social status of elderly which was organized in this study revealed relatively high reliability with Cronbach's x-.92558/ 2. After factor analysis, the 38 social health status items were analized into 7 factors such as grandparent role, parent role, spoused role, friendship role, kinship role, group member and religious role. 3. The average value of total social health status was 2.939 in the 5 likert scale, and that of friendship role was 3,272, that of spouse role was 3.214, that of grandparent role was 3.077, that of parent role was 2.868, that of group member role was 2.858, that of kinship role was 2.834, that of religious believer role was 2.056. 4. Marital status, religion, educational background, family structure, perceived health status, residence, the amount of pocket money variables showed significant difference in average in social health status. The following conclusion was derived from the above results : 1. Marital status, religion, educational background, family structure, perceived health status, residence, the amount of pocket money of elderly must be considered as health assessment criteria of Korean elderly. 2. We need to promote group member, kinship and religious believer role as well as our traditional family oriented role, and to make an alternative plan for elderly's social activity.

유휴간호사를 위한 재교육프로그램의 효과

성명숙(Sung Myung Suk),장희정(Jang Hee Jung),강경화(Kang Kyeong Hwa),김산옥(Kim San Ok) 대한여성건강학회 2010 여성건강 Vol.11 No.2