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      • 간호 지식관리시스템 개발

        민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

        The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

      • 생체분해성 망막압정을 이용한 망막고정에 대한 실험적 연구

        김용백,민병무,김창식,박근성,김승영,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        Biodegradable retinal fixation devices obtain mechnical fixation of the retina with desirable chorioretinal scarring and with the potential for local, sustained release of antimetabolites and steroids to inhibit proliferative vitreoretinopathy. We manufactured a biodegradable retinal tack with barb that was designed in order to prevent intrusion from implantation of retinal tacks. This study was carried to evaluate the efficacy for retinal fixation and the capability for sustained release of drugs with a newly designed biodegradable retinal tack Biodegradable retinal tacks were made of polymers of glycolic acids and were designed with barbs in a shape to prevent the disinsertion. Biodegradale retinal tacks are divided into 3 parts, a conical portion that is inserted into the sclera, a cylinder portion that remains in the vitreous, and a neck portion between the pin and the cylinder. The tapered conical end was manufactured to allow easy insertion through the retina and choroid into the sclera. A cylinder portion was manufactured with a tapered angle that fixes firmly into the orifice of 19 gauge spinal needle. A neck portion, 0.4 mm in diameter, was designed to prevent disinsertion from following implantation of retinal tack. The applicator was a 19 gauge spinal needle and its orifice was prepared to 15°angle to accept the tapered cylinder portion of the retinal tack. The retinal tacks, secured in the needles, were passed through the formed vitreous and inserted into the retina, choroid, and sclera and were released by pushing the internal needle, usually within 2-3mm of the medullary ray of the posterior rabbit retina A retinal tack was placed in each of 8 pigmented rabbit eyes. Slit-lamp biomicroscopy, indirect ophthalmoscopy and fundus photography were performed periodically from 1 day to 8 weeks after surgery. Eight eyes were enucleated and studied by light microscopy at 8 weeks. Biomicroscopic evaluation of the animals revealed edemas adjacent to the retinal surfaces immediately after insertion of the biodegradable retinal tacks in all the animals. These edemas disappeared after 1 week. The first noticeable change in the size of retinal tacks was shown after 2weeks. The size of the retinal tacks gradually got smaller, decreasing to about one-half at 4 weeks and about one-third at 8 weeks. All retinal tacks remained in inserted places without any movement for an 8 week period. On light microscopy, epiretinal proliferations were seen to extend into the vitreous cavity. Cellular capsules that lined the inner aspect of the scleral defect caused by tack insertion were found. However the adjacent retina had a normal cytologic appearance and architecture in all specimens. We manufactured a biodegradable retinal tack that is designed to prevent intrusion from implantation of retinal tacks. All biodegradable retinal tacks reduce in size with time, but no retinal tacks extruded from the inserted place. The newly designed biodegradable retinal tack can be used for retinal fixation and may be used as a vehicle for the introduction of pharmacologic agents to prevent the cellular events that promote proliferative vitreoretinopathy.

      • 생체분해성 고분자를 이용한 사시수술용 제형개발 및 효용성에 대한 연구

        민병무,김용백,김승영,김창식,박근성,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        A new device, muscle clamping system was developed to facilitate exact quatifying technique A strabismus surgery, and reduce the risk of complications. The device is composed of a lower fixing body with three jaws and an upper supporting body. They are used to clip an extraocular muscle and fix it to the sclera with a single bite. Superior rectus recession on 16 rabbit eyes were performed with this new device. Conjunctival injection, muscle adhesion strength, and light microscopic findings were examined at 1, 2, 4 and 8 weeks postoperatively. The Conjunctival injection were minimal, adhesion power ranged from 420 to 600 gram gravity, which is sufficient in withstand the normal pull of human extraocular muscle. In microscopic exam, some Inflammatory cells and fibrosis were found. The new device was technically easy, fast, and accurate, so it may be useful in stabismus surgery.

      • 胃疾患의 食餌療法

        강미경,김미숙,김선숙,김수향,양이선 효성여자대학교 가정대학 학도호국단 1987 家政大論集 Vol.6 No.-

        The circumstance being surrounded with a rapidly changing society causes us to build up manystresses during our modern life. For this reason, there is increasing the occurrence of gastroentericdisorder in frequency. The dietary treatment of gastroenteric disorder requires to prepare the program necessary fora meal's amount quality and cookery with careful attention. In addition, it is essential for gastroentericpatients to fully supplement the needed nutritive substance depending on the degree of the trouble,by controling their mealtimes. Consequently, the successful dietary treatment entirely depends uponthe close cooperation between the patient involving his family and doctors and dietitians becausethe patient has to observe the standard of the programed dietary treatment. And it also is very impor-tant that the person who prepares table for these patients, attempts to improve their appetite, bysupplying foods suitable for their digestion and taste on the basis of the dietary treatment's standard. Several mental elements of gastroenteric patients have great effect upon the recovery of their di-sorder so that their family and nurses must lead these patients to stabilize their mind and to berestored to health as well as the adequate medical treatment.

      • KCI등재

        물질남용자의 유형화에 대한 예비적 연구

        김현수,조선미,이용석,임기영,이호영 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1

        목 적: 본 연구는 물질남용자들의 인구학적 특성, 물질남용 특성, 인성특성을 파악하는 것을 통해 물질남용자들의 유형화를 하기 위하여 예비적으로 시행된 것이다. 방 법: 본 연구자가 수행하는 집단프로그램에 참여한 사람들을 직접 면접하고, MMPI, BDI, 이화방어기제검사 및 충동성검사 등을 시행하고 이에 대한 빈도분석과 Chi-square 검증 그리고 문항에 따라 F-검증을 실시하였다. 결 과: 1) 본 집단은 대마가 14명, 필로폰이 26명, 유해화학이 2명이었으며, 1년 이상 사용한자가 27명(64.35%) 이었고, 사회경제적으로 중이하가 많았으며 20-30대가 32명(76.5%)이었다. 학력 및 경제적 상태는 다양했으며, 직업도 다양했다. 전과는 15명이었다. 2) 발달력 상 부모관계가 나쁘거나 상실하거나, 이혼, 분리 등의 경험이 많으며, 상관분석상 전과는 비행력과 비행력은 부모약물, 부모관계, 전과와 유의미한 상관이 있었다(p<0.05). 3) MMPI 군집상 두 집단으로 분류가 되었으며 한 집단은 단순약물사용군으로, 다른 집단은 사회병질집단으로 명명하였다. 두 집단과 발달력과의 상관에서 사회병질집단은 부모관계, 부모약물과 통제적으로 유의미했다(p<0.05). 4) 물질종류에 따른 MMPI 척도에서 Mf, Si 척도가 유의미하게 상승했으며, 부모상실, 부모이혼, 부모학대가 있는 집단은 MMPI 척도에서 Pd 척도가 유의미하게 상승했다(p<0.05). 결 론: 이상의 결과로 볼 때 발달력, 물질종류에 따른 유형화의 가능성이 향후 더 연구되어져야 할 것으로 생각이 되며 이를 치료프로그램과 연결하는 연구가 앞으로 수행되어져야 할 것이다. Objectives: This preliminary study was performed to typify a group of substance abusers by their demographic data, developmental history, substance use patterns, and personality profiles. Methods: Forty-two substance abusers were assessed with Minnessota Multiphasic Personality Inventory(MMPI), Ehwa-Defense Mechanism Test, Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), etc. They also participated in semi-structured interview by psychiatrists and social workers. Results: 1) This group consisted of 14 cannabis users, 26 methamphetamine users, and 2 inhalant users. Twenty-seven(64.35%) of this group abused drugs over one year. Thirty-two(76.5%) of the subjects were in their twenties or thirties. Many of them were less than low in their economic status. Their academic careers and occupations were various. Fifteen abusers had past criminal histories. 2) Among their developmental history, parental alcohol problem, poor relationship with parent, and criminal history were significantly correlated with one another(p<.05). 3) In the cluster analysis upon their MMPI profiles, two clusters emerged; one cluster presented low profiles, and the other showed high profiles. We named the former simple drug user group, and the latter `sociopathic drug abuser group`(p<.05). 4) There differences in MMPI profiles according to the kind of drugs and developmental problems. Methamphetamine group was higher in Mf and Si. The group with poor developmental history was higher in Pd profiles(p<.05). Conclusion: These results suggest that, for typology of substance abusers, more investigation should be made on developmental history and drug use patterns. This study presented two clusters of simple abuse group and sociopathic abuse group.

      • 스포츠센터 회원의 생활양식, 참여종목과 참여 촉진 요인의 관계

        김경호,주석범,박순문 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.6

        This study is to investigate the relations with the factors like life style, participation event, and participation promotion of the members at the sports center. For investigating that, as an object for research, this study is to select the adults above 20 years old who make use of the sports center in Ilsan area in 2003 as a population. Then it is to write the sampling frame work by using the stratified cluster random sampling. After that, it is to utilize the 360 persons except for the 40 sheets of questionnaire with double entry and insincerity and without the reliability in the real analysis after the distribution of the questionnaire. As survey instruments, it is to utilize the questionnaire that the Plumer(1974) developed and that Sim Jae Seung(1998) reconstructed in order to measure the life style. As for the factor of participation promotion, this study is to utilize the desire of leisure that Kim Young Ho(1995) adapted and developed the physical desire and efficiency variable in the development model for Korean-styled leisure diagnosis instruments, and utilize the reconstructed items as Kim Hong Sik(2002)'s factor of participation promotion that used after the Ryu Byeong Ryeol(1997) adapted the scale of recognized leisure capacity and the physical activity attitudes that produced by British Columbia Ministry of Health(1991). For the data analysis, the statistical analysis was executed as one-way analysis of variance, ANOVA, multiple regression analysis and ANCOVA. The conclusions from the data analysis according to the methods and procedures like above are as follows. First, there arose differences partly in the factors like the life style, participation event, and participation promotion according to the demographical characteristics. Second, as for the life style of the members at the sports center, it made affect on the factor of participation promotion partly. Third, there arose differences in the factor of participation promotion partly according to the participation event of the members at the sports center.

      • 공학도의 의사소통과 리더십, 팀웍을 배양하기 위한 공학 소양교육 방법

        김병재,김석우,최재선 明知大學校 産業技術硏究所 2004 産業技術硏究所論文集 Vol.23 No.-

        Engineering performance skills such as communication, leadership, and teamwork are essential for undergraduate students. This thesis proposes and integrated curriculum for engineering students to teach communication, leadership, and teamwork skill for one semester(16 weeks). When an engineering college is to develop such an integrated curriculum based on educational objectives, the college should emphasize performance skills. That would bring some synergy effect in education.

      • KCI등재후보

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