The Mallory - Weiss 증후군 : 1예 보고 A Case report

최순옥,박응범 대한소화기학회 1978 대한소화기학회지 Vol.10 No.2

A case with massive UGI bleeding from the Mallory-Weiss Syndrome who had epidural hematoma was successful surgical treatment in Ewha Womans University Hospital, So it was presented with brief review of literature.

간호표준 적용이 근${\cdot}$골격장애 환자의 간호질에 미치는 효과

최순옥,Choe, Sun-Ok 한국간호행정학회 2003 간호행정학회지 Vol.9 No.1

Purpose : this study was to examine the effect of using a nursing standards for the quality of nursing care in musculo-skeletal patients. Method : The approach to nursing quality assurance evaluation was selected process-outcome framework. The subjects ware 100 case of musculo-skeletal patients in orthopedic surgery nursing care unit of E. university hospital in seoul. The data of a control group were collected from 23 December 2001 to 20 March 2002 and an experimental group were collected from 1 June to 25 August 2002. The instruments used for this study were a nursing care standards in musculo-skeletal disorder patients developed by the investigator and an evaluation tool for the quality of nursing care in orthopedic surgery patients developed by soon-ook Choi in 1995. It's reliability is Cronbach alpha=.8628. The data were analyzed by means of $x^1$-test, t-test, ANOVA with SPSS program. Results : This study are as fellows : 1. Scores of the quality of nursing care in standard 1 in the experimental group were higher than those of the control group with no significant difference(t=-8.793, p=.000), scores of the quality of nursing care in standard 2 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000) and standard 3 in the experimental group were higher than those of the control group with significant difference(t=-10.550, p=.000). scores of the quality of nursing care in standard 4 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000). scores of the quality of nursing care in standard 4 in the experimental group were higher than those of the control group with no significant difference(t=-1.833, p=.070). 2. Scores of the quality of nursing care in criteria 28 of 33 criteria in the experimental group were higher than those of the control group with significant difference in 12 criteria(p<.05 ). 3. Scores of the quality of nursing care in standard 1 to standard 4(process evaluation); the experimental group were higher than those of the control group with significant difference(t=-10.704, p=.000). scores of the quality of nursing care in standard 5(outcome evaluation); the experimental group were higher than those of the control group. but no significant difference(t=-1.833, p=.070). 4. Scores of the quality of nursing care in experimental group were higher than those of the control group with significant difference(t=-10.794, p=.000). Conclusion : Through this study, I'm sure that using a nursing care standards in musculo-skeletal disorder patients improve quality of nursing care and nursing care standards are effective nursing care.

Rats의 한탄바이러스 및 서울바이러스에 대한 중화항체 형성

최순옥 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.3

The production of neutralizing antibodies against Hantaan and Seoul viruses in sera from rats were investigated using plaque reduction neutralization test. Rats were bled at one week interval for 2 months after intramuscular inoculation of Hantaan and Seoul viruses and sera were used for titration of neutralizing antibodies against Hantaan and Seoul virus, respectively by plaque reduction neutralization method employing immunoperoxidase staining in Vero E6 cell cultures. In rats inoculated with Hantaan virus, titers of plaque reduction neutralizing antibody against Hantaan virus increased significantly from 320 at one week to 2,560 at 3-4 weeks and persisted for 60 days. In contrast, neutralizing antibody titers against Seoul virus were much lower than those of Hantaan virus and antibody titer was 160, although it persisted for 2 months. In rats inoculated with Seoul virus, titers of neutralizing antibody against Seoul virus were shown similar values to that of Hantaan virus after Hantaan virus inoculation and maximum titer was 10,240 at 3-5 weeks but neutralizing antibody titers against Hantaan virus were very low and peak value was 160-320. In this study using a rat model, it was observed that neutralizing antibodies against Hantaan and Seoul viruses were specific and significantly different depend on inoculation of virus and it was easy to differentiate Hantaan virus infection from Seoul virus infection. This study has also demonstrated that the formation of cross neutralizing antibody between Hantaan and Seoul virus after inoculation of the virus into rats for the first time.

내재론적 토대론은 회의론을 물치칠 수 있는가?

최순옥 대한철학회 1998 哲學硏究 Vol.68 No.-

일부지역 성인의 생의 의미

최순옥,김숙남,신경일,이정지 성인간호학회 2002 성인간호학회지 Vol.14 No.3

Purpose: The purpose of this study was to measure meaning in life for a normal adult and to offer basic data for developing nursing strategies for improving the meaning in life of adults. Method: There were 351 subjects, from 20 to 60 years old, staying in Busan and KyungNam Province. The data was collected from August to October 2000. The instrument was designed by researchers. The data were analyzed with frequency, mean(±SD), t test & ANOVA. Result: 1. The mean MIL for adult was 187.7(±18.1). 2. The mean MIL of basic premise phase for discovery of meaning was 30.5, method phase for discovery of meaning was 111.1, and result phase for discovery of meaning was 46.4. 3. The levels of MIL, 56.4% of the subjects were in pursuit of meaning in life, 23.3% felt a loss of meaning in life. 4. There were significant differences in MIL according to the level of education(p=0.00), marital status(p=0.01) and monthly income (p=0.00). Conclusion: On the viewpoint of the above results, 23.3% of the subjects were in a level of existential vaccum which required keens Logotherapy. Therefore, it shows that developing nursing-logotherapy to improve the meaning in life for adults is demanded.

근 ${\cdot}$ 골격장애 환자의 간호질 평가 도구 개발

최순옥,김문실,Choi, Soon-Ook,Kim, Moon-Sil 한국간호행정학회 1995 간호행정학회지 Vol.1 No.2

We need to continuously evaluate for nursing quality and the outcome to reflect nursing, to repair and improve of nursing. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. We need a system for quality assurance evaluation that is, development and framework of evaluation tool for nursing care quality. The purpose of this study was attempted to develop an evaluation tool for the quality of nursing care in musculoskeletal disorder patients. The approach method of nursing quality for the development of the tool in this study was process evaluation framework. The study were devided dvelopment process and reliability, validity verification process. The subjects of development process of this tool are three nursing export groups, and the subject of reliability, validity verification process are 20 samples of two university hospital in seoul, who were within discharge 3 months after admission treatment in musculo-skeletal disorder. Data for this study was collected from March 10 to April 13, 1995. The development process of the tool were as follows : 1. Make preliminary list of the tool by focal group were constituted 12 clinical nurses. 2. Modify and add preliminary list by 4 nursing expert panel. 3. Calculate content validity of the tool by 25 nursing expert panel of judge. 4. Verify reliability and validity of the tool. 5. Finalize an evaluation tool for the quality of the nursing care in musculo-skeletal disorder. The results of this study were as follows : 1) Development an evaluation tool for the quality of nursing care in musculo-skeletal disorder. (1) The evalution tool of this study was developed 5 standards, 33 criterias and 133 indicators. (2) 5 standards were divided according to Nursing Process. from standard 1 to standard 5, involved criterias were each 6(18%), 3(9%), 3(9%), 15(46%), 6(18%). 2) Verify reliability and validity of the tool. (1) Score of adequate degree for content validity of 33 criterias and 133 indicators were every average 2.82. (2) Inter-rater reliabilities(consentaneity score) of the tool by pearson correlation coefficient between three raters were : r=.7506, r=.8934, r=.6695. and Inter-rater reliabilities by single-facet crossed design were : r=.7464. (3) The alpha coefficient relating to internal consistency was .8524 over all 30 items of 33 criterias of developed tool. (4) Score of the quality of nursing care following to generaal characteristics of this study subjects were stastically significant differences according to educational level (F=2.93, p=.029)and diagnosing classification (F=2.50, p=.042). Through this study, I'm sure that the developed tool for the quality of patient care in musculo-skeletal disorder will show the way of more improvement of the quality of nursing care and effective nursing interventions.

부산지역 알레르기성 비염 환자의 침실 내 집먼지 진드기 분포

최순옥,조백기외1명 한국역학회 1997 Epidemiology and Health Vol.19 No.2

원외획득 폐렴환자의 입원 적정성 평가와 항생제 사용실태에 따른 효능 및 부작용 비교

최순옥,박미숙,강민희,이명구 韓國病院藥師會 2005 병원약사회지 Vol.22 No.1

Some patients with community-acquired pneumonia (CAP) are perhaps hospitalized unnecessarily, and the empiric treatment of CAP varies among hospitals. A retrospective study was performed to evaluate the hospitalized patients for their risk factors to be hospitalized. In addition the regimens frequently used to treat CAP were compared in terms of their efficacy and toxicity with ceftriaxone which is one of the treatment option in guidelines from IDSA. Total of 84 patients were reviewed. Among them 33, 20, 12 and 19 patients received cefmetazole, cefotetan, cefoxitin and ceftriaxone intravenously in combination with aminoglycoside antibiotics, respectively. The risk factors to take in to account for hospitalizations were age, coexisting illness, physical findings and laboratory findings. Normalization of temperature and WBC count was the major factors to compare the efficacy. The changes of AST, ALT, alkaline phosphatase and bilirubin from the baseline of each patient were evaluated for liver toxicity, and the changes in creatinine clearance were checked for possible renal toxicity. In 39% of the patients obvious risk factors for hospitalization were not identified (39% in cefmetazole, 60% in cefotetan, 25% in cefoxitin and 26% in ceftriaxone). The patients who received cefotetan appeared to normalize the WBC account faster than others even though the statistics were unable to show the difference in efficacy. Some patients showed elevated alkaline phosphatase during their course of therapy. However the difference among groups were not significant. More careful decision-making may be necessary to hospitalize the patients with CAP to save cost. These results suggest that the 3rd generation cephalosporin is not superior to second generation in terms of efficacy and toxicities as an empiric treatment of CAP though systemic evaluation is necessary.

本大學附屬國民學校 및 中學校 集團檢査에 對한 報告

崔順玉 이화여자대학교 대학원 1956 硏究論叢 Vol.1 No.-

1. 본대학 부속국민학교 아동Tuberculin 반응성적은 Tuberculin1000배 희석액 피내주사시는 35.8% 양성을 정하여 보건부통계 5.01%에 비교하면 낮은 치이다.(미국보고에 비하면 2.8 배나 높은 치이다) Tuberculin100배 희석액 시에는 기왕 음성자중에서 4.4%의 양성을 표시하여 이는 금후 B.C.G접종실시방법에 중요한 의의가 될것이라고 생각한다. 2. 부속중학교 학도는 Tuberculin1000배 희석액 피내주사시는 95%를 정하여 보건부통계 73%(12세 내지 14세 평균치)에 비하면 높은 치를 표시하고 있지만 미국보고에 의하면 3.9배의 고율을 정하고 있다.

本院小兒科患者의 家庭環境과 檢査의 成績

崔順玉 이화여자대학교 대학원 1956 硏究論叢 Vol.1 No.-