노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

타이타늄의 주조성

최기열,장경수,윤숙진 대한치과기재학회 1999 대한치과재료학회지 Vol.26 No.2

In order to investigate the castability of titanium, Kennedy Class 1, division 2 removable partial denture frameworks were designed. According to the manufacturer's instruction, 10 casting bodies each were obtained with pure titanium and cobalt-chrome alloy. The results were as follows ; 1. Castability of titanium was comparable with that or cobalt-chrome alloy in terms of fitness and surface detail reproducibility. 2. There was no radiographically detectable porosity in each casting body of titanium and cobalt-chrome alloy. 3. The number of internal porosities and narrow, long defect were almost same between titanium and cobalt-chrome alloy. 4. Vickers hardness number of cobalt chrome alloy was 439.4±16.1 and that of titanium was 200.1±23.3. 5. Biocompatibility and low density of castable titanium would provide denture rearers with multiple benefits.

중심점 탐색없는 지문 정합 알고리즘에 관한 연구

장경식,임재영,최영규 한국기술교육대학교 2003 論文集 Vol.10 No.1

We propose a fingerprint matching algorithm that compares distance and included angle sequence among minutiaes with another's. We defined this sequence as minutiae constellation which has a basic unit is distance and included angle sequence among three minutiaes. This algorithm searches nearest minutiae from a minutiae and repeatedly searches nearest minutiae from just before searched minutiae. It doesn't search core and is independent of translation and rotation because matching stage only uses distance and included angle sequence.

채널 식각형 비정질 실리콘 박막 트랜지스터에서 배면에 수소 이온 도핑효과

장진,최종현,이경하,임병천,김창수 慶熙大學校 레이저 工學硏究所 1997 레이저공학 Vol.8 No.-

We have studied the effect of the hydrogen ion doping on the free surface of back channel etched a Si:H TFTs. The hydrogen ion doping on the back channel etched TFT reduces the off-state photo leakage current by one order of magnitude. The reduction of the photo-leakage current is due to the creation of defect states at the free surface by hydrogen ion doping. After hydrogen ion doping on the free surface, the field effect mobility change little, but the threshold voltage increases, which is due to the state creation in a-Si:H by ionized H ions. Furthermore, the off-state leakage current under frontlight illumination can be reduced by 2 orders magnitude by hydrogen ion doping on the back channel of a Si:H TFT.

동양 전통과학의 탐구방법론 연구 : 朱子의 格物致知論을 중심으로

최영제,이우붕,정원우,김용수,문장수,방경곤,김기정 경북대학교사범대학과학교육연구소 2005 科學敎育硏究誌 Vol.29 No.-

다발성 연조직 종괴를 동반한 급성 림프구성 백혈병의 증례 보고

장정용,허경회,이원진,허민석,이삼선,최순철 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.2

A 15-year-old patient, who had been diagnosed and treated as Burkitt cell type acute lymphoblastic leukemia (ALLL3) already, visited our department. He complained of gingival enlargement and loosening teeth 1 month ago. The clinical examination revealed anterior open bite, gingival enlargement, and nontender swelling particularly in molar regions of both jaws. Deep periodontal pockets and severe mobility was shown on most of the teeth. The panoramic radiographs showed severe bone destruction and extrusion of the molars. The contrast enhanced CT showed multiple enhanced mass and bone marrow obliteration in both jaws. Chemotherapy was done and the swelling was subsided at 1 month later. In conclusion, radiologic findings of leukemia with soft tissue mass, known as chloroma or granulocytic sarcoma, mimic those of lymphoma, so blood test may be needed for the final diagnosis.

Tufted Angioma와 유사한 소견을 보인 화농성 육아종

장경애,최정철,최지호,성경제,문기찬,고재경 대한피부과학회 1999 대한피부과학회지 Vol.37 No.6

Tufted angiomas are rare slowly progressive vascular lesions found typically in children and young adults, usually involving the trunk and neck. Microscopically, groups of capillary tufts, many uncanalized, were found dispersed at various levels in the dermis. Some authors regarded tufted angioma as a member of lobular capillary hemangiomas. We describe a pyogenic granuloma mimicking acquired tufted angioma on the lip in a 59-year-old woman. We suggest that a term lobular capillary hemangioma$quot; may be preferable in this case.

정신간호조무사 양성소 교육과정 전후의 정신질환에 대한 태도조사

최석민,장경준 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

이 연구는 정신질환에 대한 태도 변화가 적절한 교육에 의하여 변화할 수 있다는 관점에서, 정신질환자 치료에 일익을 담당하게 정신간호조무사를 양성하는 국립서울정신병원 부설 정신 간호조무사 양성소의 학생을 대상으로 정신질환에 대한 태도 조사를 하여, 정신과 교육이 정신질환에 대한 태도에 미치는 영향을 보았다, 연구 방법은 1993년과 1994년에 양성소 교육을 받고 전과정을 수료한 39명을 대상으로, 정신질환에 대한 태도를 묻는 설문지를 사용하여 정신과 교육전, 후의 정신질환에 대한 태도의 변화를 보았으며, 그 결과는 다음과 같다. 먼저 양성소 교육이 정신질한에 대한 태도에 미친 영향을 보면 다음과 같다. 1) 정신병 환자에 대한 개념 및 태도는 긍정적인 방향으로 변하였다(p<0.05). 2) 정신병원에 입원한 환자에 대한 치료 전망, 개방병동에 대한 태도의 변화는 부정적인 방향으로 변화하였다(p<0.05). 3) 나머지 신경증에 대한 개념, 정신질환에 대한 부정적 편견, 정신질환의 치료 예후에 대한 태도, 입원치료와 가정내 보호에 대한 태도, 정신병동의 기능에 대한 태도는 통계적으로 유의한 수준의 변화가 없었다. 이 연구의 조사 대상군의 특성을 알아보기 위해 동일한 설문을 사용하여 조사한 일반인 군, 의과 대학생 군과 비교해 보면 다음과 같은 결과를 얻었다. 1) 이 연구의 교육전 대상군은 정신과 실습을 받지 않은 의과대학생군과 정신질환에 대한 태도를 묻는전체 문항에서 통계적으로 유의한 차이를 보이지 않았다. 2) 이 연구의 교육적 대상군은 일반인보다 신경증에 대한 개념, 정신질환의 치료 예후에 대한 태도, 정신병원에 입원되어 있는 환자의 치료전망에 대한 태도를 묻는 문항에서 일반인보다 부정적으로 대답하였다. Objective : This study was designed to evaluate the effect of the psychiatric nursing assistant education done at Seoul National Psychiatric Assistant School on the attitude toward mental illness. Methods : The subjects were 39 graduates from Seoul National Psychiatric Assistant School, during 1993- 1994. They were assessed during pre- and post-education periods with Scale for Mental Health Attitude(Star 1952). Chi-square test was used for statistical analysis. Results : 1) Statistically significant changes were shown in concepts and attitudes toward mentally ill patients, therapeutic prospect to inpatient, and attitude toward open ward (p<0.05). 2) Statistically significant changes were not shown in concepts of neurosis, negativistic bias toward mental illness, therapeutic prognosis of mental illness, attitude toward inpatient treatment and care in home, and attitude toward function of psychiatric ward. Conclusion : We conclude that psychiatric nursing assistant education needs further improvement.

Ni 치환에 따른 TiV-based 합금의 수소저장 특성

최원경,조태환,배장순 단국대학교 신소재기술연구소 2001 신소재 Vol.10 No.-

체심입방구조를 갖는 TiV_1.4합금의 V성분을 Ni금속으로 부분치환하여 얻은 TiV_0.9Ni_0.5 삼원계합금의 미세 구조와 조성변화를 조사하여 얻어진 branch 합금들의 수소저장 특성에 대하여 검토하였다. TiV_0.9Ni_0.5 합금은 BCC결정구조의 TiV_2.1Ni_0.3 고용체와 (FCC+BCC) 혼합결정구조를 갖는 TiV_0.2Ni_0.8의 금속간화합물로 구성된 multi phase합금이고 수소저장량은 H/M=1.69(P_Eq=0.5 Mpa)로 나타났다. TiV_0.9Ni_0.5 합금을 구성하는 주상조성으로 제조한 TiV_2.1Ni_0.3 고용체의 수소저장량은 H/M=1.99(P_Eq=0.5 MPa)로 상당히 많은 양의 수소를 저장하는 것이 확인되었으며, 고용체합금을 포함하지 않는 금속간화합물 TiV_0.2Ni_0.8의 수소저장량은 고용체나 고용체를 포함하는 합금보다 적은 것이 확인되었다. Hydrogen storage properties of branched alloy determined analysis of microstructure and composition variation for TiV_0.9Ni_0.5 alloy with BCC crystal structure obtained partial Ni substituted V of TiV_1.4 alloy was investigated. Multi phase TiV_0.9Ni_0.5 alloy was consisted TiV_2.1Ni_0.3 solid solution with BCC crystal structure and TiV_0.2Ni_0.8 intermetallics with complex (FCC+BCC) crystal structure and stored hydrogen concentration was H/M=1.69(E_Eq=0.5 MPa). Higher hydrogen storage capacity(H/M=1.99) for TiV_2.1Ni_0.3 solid solution prepared main phase composition of TiV_0.9Ni_0.5 alloy was identified and lower hydrogen storage capacity was observed for TiV_0.2Ni_0.8 intermetallics than solid solution or alloy with solid solution phase.

자궁경부암에서 치료 전 FDG PET을 이용한 예후 예측

장홍주,최준영,김영환,박정미,이경한,이제호,김병태 대한핵의학회 2003 핵의학 분자영상 Vol.37 No.5

목적: 자궁경부암에서 예후를 예측하는 것은 임상적으로 중요하다. 이 연구에서는 치료 전 FDG PET에서 관찰된 림프절 전이 유무와 원발종양의 FEG 섭취정도가 자궁경부암 환자에서 치료 후 예후를 다른 예후인자와 비교하여 독립적으로 예측할 수 있는지 알아보았다. 대상 및 방법: 자궁경부암이 새로 진단된 74명의 환자를 대상으로 하였다(50±12세). FDG를 정맥주사하고 전신 PET 영상을 얻었다. 자궁경부의 원발종양에서 최대 표준섭취지수를 측정하였고, 두 명의 핵의학과 의사가 판독하였다. 모든 환자에 대하여 추적 관찰하여 재발 여부를 알아보았다. Kaplan-Meier 법으로 재발없는 생존기간을 분석하였고, Logrank test로 비교하였으며 Cox 회귀모형으로 독립적인 예측인자를 찾아보았다. 결과: 13명의 환자에서 재발이 있었다. 단변량분석에서는 FIGO병기, MRI 또는 CT에서 측정한 종양의 최대지름, MRI 또는 CT에서 림프절 전이 유무, PET상 림프절 전이의 유무가 재발없는 생존기간에 유의한 차이를 보였고, 나이나 병리학적 암세포의 종류, 원발종양의 최대 표준섭취계수에 따른 환자군 사이에 재발없는 생존기간의 유의한 차이는 없었다. Cox 회귀모형 분석에서는 PET상 림프절 전이의 유무(Exp(β)=6.416, p=0.002)와 MRI 또는 CT에서 림프절 전이 유무(Exp(β)=5.711, p=0.026)만이 독립적으로 재발없는 생존기간과 유의한 관계를 보였으며, PET상 림프절 전이의 유무가 재발없는 생존기간 예측 모형에 가장 크게 기여하였다. 결론: 자궁경부암에서 치료 전 FDG PET의 림프절 전이 유무는 치료 후 예후를 예측할 수 있는 가장 좋은 독립적 예후인자인 반면, 종양의 최대표준섭취계수는 유의한 예후인자가 아니었다. Purpose: In uterine cervical cancer, it is clinically important to predict prognosis on initial staging. We investigated whether abnormally increased FDG uptake of lymph nodes and peak SUV of primary tumor on initial FDG PET can predict prognosis after treatment in cervical cancer patients. Materials and MEthods: Subjects were 74 newly diagnosed cervical cancer patients (50±12yr). Whole body PEt was performed after an injection of F-18. Peak SUV was measured in the primary cervical tumor. Images were interpreted by two nuclear medicine physiciana. Follow-up for the disease-free survival was done in all patients. Survival analysis was done by using the Kaplan-Meier method, and a Longrank test was used to compare survival. Cox regression analysis was followed to find independent predictive factors. Results: Recurrence occurred in 13 patients. In univariate analysis, advanced FIGO stage, large size of primary tumor, positive lymph node on MRI or CT, and positive lymph node on PET were significant prognostic factors to predict recurrence. Peak SUV and cell type of tumor failed to show any significant correlation with disease-free survival. In multivanate analysis, positive lymph node on PET (Exp(β)=6.416, p=0.002) and on CT or MRI (Exp(β)-5.711, p=0.026) were independent prognostic factors for predicting recurrence. Conclusion: In uterine cervical cancer, lymph node metastasis of pretreatment FDG PET is the best independent prognostic factor for predicting recurrence. But, peak SUV was not significant prognostic factor.