억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소활동

곽경선,김성은,배은경,이은숙,이은혜,최윤정,이윤경 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 억제대 적용에 대한구체적 적용지침 없이 의례적으로 억제대를사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정상태 이거나 근력이 약하여 발관능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를볼수 없 는경우, 간호사본인의 판단이 없이 타인의 요구에 따르는등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용및 제거 지침을 마련하고자 한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 개선효과: 억제대 적용에 대한중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p= 0.005 (p <0.0히로통계적으로유의한것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든항목이 개선 활동전 에 비해 2,3차 개선 활동후에 향상한 것으로 나타났다. 개선활동전에 8.1%였던 간호 기록, 0.7%였던 간호중재, 0%였던 의사처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 갑소 및 부적절한 억제대 적용율은 유의하게 감소하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은좀더 나은 간호제공을 위하여 개발 되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은계속적으로 Feedback 되어야 할 것이다.

고학력장애인의 직업특성과 직업재활 태도 연구

윤상은,이달엽 한국장애인고용공단 고용개발원 2012 장애와 고용 Vol.22 No.1

본 연구는 312명의 고학력 장애인들에 대해 장애인 직업재활에 대한 태도, 취업특성, 직업관, 공식 교육활동을 보는 관점, 그리고 삶의 질을 설문 조사하여 그 결과를 분석적 관점에서 다루었다. 질문지 세부 항목들의 문항분석, 기술통계 결과 및 요인분석과 구조방정식 연구모형을 통해 나타난 결과들을 학문적 정책적 관점에서 다룰 수 있는 시사점으로 도출하였는데 여기서 얻은 주요 결론은 이제 우리 사회도 직업재활을 통해 공정한 기회를 천명하는 가운데 중증 장애를 지닌 사람들과 같은 사회적 약자에게 교육과 사회생활에 필요한 모든 지원제도를 확립하고 고용정책을 포함하는 사회 각 영역에서 우선권을 부여해야 할 필요성에 직면하고 있는 것이다. 특히, 고위 공무원이나 국립대학의 중요 학과들에 대해 진입 기회를 중증장애인들에게 더욱 넓히고 이들을 국가의 전략적 인적 자원으로 육성해야 한다는 공감대와 인식이 필요하다. 재활은 교육과 마찬가지로 국가사회를 장기적으로 준비시키기 때문에 중증장애인의 직업재활을 위한 세부적인 동기부여 수단과 이들의 직업재활에 필요한 각종 지원제도와 서비스들이 제공되어야 한다. This study was aimed at exploring the individual characteristics of the highly educated people with disabilities according to the educational and vocational conditions, and inquiring how study factors including vocational perspectives, vocational goals, awareness of the surrounding environment, job satisfaction and holistic quality of life are interactive. To accomplish this purpose, the current researchers surveyed people with disabilities who left university without graduating or obtained bachelor's degree, master's degree or doctorate. Associations of each disability area and rehabilitation centers throughout the nation including Jeju area, KEAD(Korea Employment Agency for the Disabled), and religious organizations were participated in this survey study. Total 329 questionnaires of survey were collected, but 17 were eliminated from this sample due to the inadequate answer. Finally, 312 questionnaires were analyzed to confirm research hypothesis. In educational characteristics among the subjects, the number of bachelor's degree holders occupied the biggest percentage and college and graduate school graduates in Seoul and metropolitan areas that the access for mobility is relatively facile were composed of the largest group. The percentage of the employed group appeared relatively higher than the unemployed group. Among the employed group, most of subjects have worked as social workers or other professionals in relevant social service areas. Upon examination of the scales that was measured to analysis the vocational perspectives, vocational goals, awareness of the surrounding environment and holistic quality of life, it appeared that the group of master's degree holders and the group who were employed showed the highest level among the subjects in each scale. The results showed the urgent need for creating and discussing appropriate solutions to problems for education and employment situations of the highly educated people with disabilities. Further systematic study for the attitude of highly educated people with disabilities would be conducted not only in the vocational rehabilitation but also quality of life and holistic social issues, such as health conditions, cultural benefits and leisure activities.

Restoration Project of Heumgyeonggak-nu (欽敬閣漏) in the King Sejong Era

Sang Hyuk Kim,Yong-Hyun Yun2,Byeong-Hee Mihn,Seon Young Ham,Kyung Ha Lee,Dae-Sik Yoon,Go-Eun Choi,Ho-Chul Ki,Myung-Kyoon Yoon 한국천문학회 2017 天文學會報 Vol.42 No.2

오존에 의한 두 품종 콩의 가시피해 및 생리적 반응

윤성철,박은우 한국농림기상학회 2000 한국농림기상학회지 Vol.2 No.4

A glass chamber experiment was conducted to evaluate the impact of ozone(O_3) on the physiology of two soybean, Glycine max L. cultivars, 'Hwanggum" and 'Jangyub'. Thirty-day old plants with 1-2 nodes were exposed to O_3 of<10 and 150 nl l^-1 in the chambers for 8 h^d-1 for 3 days. Net photosynthesis, stomatal conductance, chlorophyll a, chlorophyll b and total chlorophyll contents, and foliar injury(% injured leaves) were measured. Although foliar damage was more severe on Jangyub than on Hwanggum, net photosynthesis was decreased by 60% on Hwanggum and 13% on Jangyub due to the O_3 treatment. Stomatal conductance on Jangyub was twice higher than that on Hwanggum and 13% on was not changed by the O_3 treatment. Whereas, stomatal conductance on Hwanggum was 60-80% decreased by O_3. Chlorophyll contents did not change due to the O_3 treatment or variety. We can conclude that the reduction of net photosynthesis by O_3 was mainly due to the decreases of stomatal conductance and Rubisco (ribulose-1, 5-bisphosphate carboxylase/oxygenase) activity on dark reaction. And foliar injury and chlorophyll content did not contribute to the net photosynthetic decrease. The gas-exchange variables measured 24 h after the termination of O_3 fumigation showed that there was no significant recovery within a day. Since the physiological responses on Jangyub were not much affected by the O_3 treatment, this variety could be O_3 resistant.

京畿道 楊州郡에 있어서의 肺디스토마의 疫學的 調査

尹德鎭,金晟烈,李俊鎬,金燉均,柳殷學 대한의학협회 1965 대한의학협회지 Vol.8 No.4

마이크로에멀젼으로 제제 설계된 피록시캄 외용제의 약물동력학적 특성 및 약효 평가

윤범진,박은석,지상철 성균관대학교 약학연구소 1999 成均藥硏論文集 Vol.11 No.-

Abstract-The pharmacological activities and pharmacokinetic aspects of a topical microemulsion (KDPM) containing 0.5% piroxicam were evaluated after its topical application compared with a commercially available 0.5% piroxicam gel (R gel). When the pharmacological activities were evaluated with the carrageenan-induced paw edema model, KDPM showed 55.6% edema inhibition, while R gel resulted in 37.1%. With the adjuvant-induced arthritis model, KDPM also resulted in the better pharmacological activities than R gel. The relative bioavailability of KDPM based on R gel was 176% in rabbits.

KCDSA 및 EC-KCDSA를 기반으로한 부분 은닉 서명

윤태은,이상곤 東西大學校 2001 동서논문집 Vol.7 No.-

In this paper, we suggest partial blind signature schemes based on KCBSA and EC-KCDSA. Partial blind signature reveals some part of message to be signed and this property provides anonimity and additional functions applicable to the on line electronic payment system. The suggested schems can be applicable to the refunds resuable online electronic check system.

수업관찰을 통한 초등학교 열린교육 연구

성은경,윤명희 東義大學校 生活科學硏究所 1999 生活科學論集 Vol.3 No.-

The purpose of this study is to investigate the characteristics of open education by observational methods in elementary school. Because the observational methods provide a picture of the spontaneous characteristics in the teaching and learning setting, and informations about interactions between teacher and children, observation is used combined with quantitative analysis. The systematic observation of classroom was performed in two types of schools, open and traditional schools. The criteria for observation are teaching-learning methods, interactions between teacher and students, classroom environment, and evaluation. Through literature review, open education was defined, and factors for construction the open education were analyzed. Behaviors which are related to open education were classified in terms of four criteria, and the checklist for open education was made. Then trained observers watched and recorded behaviors in natural settings. To observe behaviors more objectively, both descriptive and checklist methods were used. 6 elementary schools in Pusan City were sampled for this study. The open and traditional classrooms are compared at each criterium. Even though the results can not be generalized to a total open education system, in open education, the children seemed to be treated more individually and specifically and were enjoying their activities in their classroom.

저체중 또는 과체중 청소년에서 캠프 프로그램을 이용한 영양 교육효과에 관한 연구

성미경,승정자,류화춘,박재년,박동연,최미경,조경옥,최선혜,이윤신,김유경,이은주 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.4

This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exercise habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

돼지 신장세포(PK15)의 이종이식 거부반응에 대한 재조합 IL-18의 영향

최연실,김은미,김영관,박상연,심정현,윤도영,강형식,명평근 충남대학교 생물공학연구소 2004 생물공학연구지 Vol.10 No.1

Various cytokines including IL-1β, IL-2, IL-4, IL-10, IL-12p40, IFN-γ, and TNF-α have been recently reported to play important roles in both host and donor cell activations during xenotransplantation. Interleukin (IL)-18, a proinflammatory cytokine, can induce IL-4 and IL-13 production in T cells, NK cells, B cells, mast cells, and basophils. IL-18 has the capacity to stimulate innate immunity and both Th1-and Th2- mediated responses, but little is known to involve in the xenograft rejection. In order to investigate the role of IL-18 in xenograft rejection, we transplanted the pig kidney (PK15) cells to C57BL/6 mouse with or without intraperitoneal injection of mouse recombinatant IL-18. It was analyzed the population of T cell, B cell and NK cell in the mice transplanted with PK 15 cells and recombinant IL-18 by flow cytometry. We found that splenic CD3+ T cells were increased in mice injected PK15 cells with recombinant IL-18. These results suggest that recombinant IL-18 is critical in the xenograft rejection by increasing T cell population of the recipients.