장애인 수행능력향상을 위한 보조공학기기 제공과 인간공학적 접근의 필요성

정민예,김정란,민경철,구인순 한국장애인고용촉진공단 고용개발원 2006 장애와 고용 Vol.16 No.2

장애인의 기능을 향상시킬 수 있는 방법 중 하나는 보조공학기기의 제공이다. 보조공학기기의 제공은 감각, 지각, 인지, 운동능력 등을 전문적으로 평가할 수 있는 전문가에 의해 선택, 적용, 훈련되는 것이 중요하다. 또한 근골격계 질환을 예방하기 위한 인간공학적 접근에 대한 이해와 작업분석, 직무조정이 가능한 전문가에 의해 보조공학기기가 제공된다면 잔존기능의 향상 뿐 아니라 업무동안 바람직하지 못한 자세를 유지함으로써 발병할 수 있는 근골격계 질환 예방까지 기대할 수 있을 것이다. 본 연구에서는 보조공학기기의 이론적 배경과 인간공학적 접근의 이론적 배경을 소개하였고, 적절한 보조도구를 제공한 장애 근로자에 대해 근골격계 질환 위험요인을 측정하였으며, 이를 통한 자세보완이 장애 근로자의 작업 기능을 향상시킬 수 있음을 객관적으로 밝히는 평가결과를 제시하였다. 따라서 장애인의 직업능력을 향상시키려면 다양한 전문가들의 팀 어프로치가 필요하며 체계적인 서비스가 마련되어야 할 것이다. One of the methods to improve functions of the disabled person is to supply assistive devices. It is important for the disabled person that the devices should be supplied by an expert, who is capable of evaluating their sensory, perception, cognition and motor function. Moreover if the expert have knowledge about ergonomlcs, he or she will also prevent the musculo-skeletal disease which may be happen in work place. In this paper, we introduced the theoretical background of the assistive devices and ergonomic approach, and evaluate the risk factors of the musculo-skeletal disease of the disabled worker who was equipped a proper assistive device, and presented objective experimental results that posture intervention by using assistive device can be useful to improve work function of the disabled worker.

식이섬유제품의 위장관 기능조절 기능성 평가

Jung, Ki-Haw,Koo, Ja-Young,Kim, Sun-Ja,Seung, Keum-Ran,Lee, Eun-Kyung 덕성여자대학교 약학연구소 2005 藥學論文誌 Vol.16 No.1

This study was undertaken as a literature survey to reevaluate the functionality of the health functional foods for gastrointestinal tract, in particular, dietary fibers. This study intend to furnish data which can be applied to assessment of permitted dose and description of notice, investigating literatures about functionality related to control of gastrointestinal function and establishment of intake for these dietary fibers.

보조공학기기 이용실태 및 서비스 희망에 대한 심층면접

정민예,김정란,양노열,유인규,박혜연 대한보조공학기술학회 2009 대한보조공학기술학회지 Vol.1 No.1

목적 : 구직장애인, 장애인공무원과 지원을 많이 받아보지 않은 사업주를 대상으로 심층면접을 통해 보조공학기기 이용실태 및 서비스 희망을 조사하고, 이를 통하여 앞으로 보조공학서비스 서비스 방향을 제안하고자 조사하였다 연구방법 : 심층면접의 대상자는 장애인공무원, 구직장애인, 사업주로 분류하여 반구조화된 가이드라인 설문을 구성하였다. 면접 대상은 설문조사를 위한 모집단 중 무작위로 추출하여 면담 조사에 협조를 약속한 대상자 사업주 7명, 구직장애인 7명, 장애인공무원 5명을 대상으로 총 19명이 응답에 참여하였다. 결과 : 수집된 자료는 질적 분석 절차를 통해 보조공학기기의 사용경험, 보조공학기기 신청경험 또는 개인적 구입경험, 장애유형에 관련된 보조공학기기의 사용경험여부 및 인식조사, 보조공학서비스에 대한 인식정도 및 이용경험과 보조공학서비스 방향과 추가로 제공을 희망하는 서비스 내용 5가지의 주제가 도출되었다. 결론 : 보조공학서비스의 보다 효율적인 운영방식을 고려해야 할 것이며, 보조공학서비스를 할 때 구입이나 사후 관리도 보다 사용자 중심에서 서비스 제공이 필요할 것이다. Objective : The purpose of this study was to provide the information about the actual demand and use of assistive technology among people with disabilities who not received assistive technology service. Methods : In-depth interview subjects were government officials with disable, disabled job seekers, and employers hiring workers with disabilities. We made up the semi-structure guidelines question with group into three classes. We asked for an interview with subjects that choose samples at random. Results : These results show five themes related to use and application experience in assistive technology, the awareness of assistive technology service, and the demand to make of assistive technology service. Conclusion : In conclusion, we suggests that they want to be included assistive technology services target and replied use of those assistive devices will help them to get a job or to improve work efficiency and capacity.

발열을 동반한 호중구감소증에서 Cefepime 단독투여와 Ceftazidime 및 Tobramycin 병합투여의 효능비교

정현욱,채제욱,강미라,양정채,문치숙,기현균,장현하,오원섭,김기현,백경란,이남용,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

목적 : 국내에서 발열을 동반한 호중구감소증이 있는 악성 종양환자에게 경험적 항생제로 베타락탐계 항생제와 아미노배당체의 병합요법의 사용이 일반적이다. Cefepime은 광범위 항균 작용을 가지고 있어, 그람 음성균 뿐만 아니라 그람 양성균에 대해서도 우수한 효과를 나타낸다. 재료 및 방법: 발열을 동반한 호중구감소증이 있는 악성 종양환자를 대상으로 무작위, 공개, 비교 연구를 시행하였다. 대상 환자를 무작위로 cefepime 단독요법군과 ceftazidime 및 tobramycin 병합요법군으로 나누어 투여하고 각각의 임상적 효능과 안전성을 비교하였다. 구강및 인후 점막염이 있는 환자에서 분리된 녹색 연쇄알 구균에 대한 항생제 내성 정도를 조사하였다. 결과 : 대상환자 89명 중 CA 투여군이 48예(53.9%), CT 투여군이 41예(46.1%)이었다. 발열의 유형별로 MDI는 18예(20.2%), CDI는 9예(10.1%), UF는 62예(69.7%)로 두 군 간에 차이가 없었다. CA 투여군과 CT 투여군의 임상적 호전률은 시험약 투여 후 2-4일째 각각 91.7%, 85.4% (P=0.31), 치료 종료 시 각각 91.7%, 100% (P=0.15)로 두 군간에 유의한 차이가 없었다. 치료 종료 시 CA 투여군과 CT 투여군의 세균학적 소실률은 모두 100%로 두 군간의 유의한 차이가 없었다(P=0.78). 점막염이 있는 환자로부터 녹색 연쇄알 구균이 분리된 경우는 25예(28.1%)이었으며, 분리된 녹색 연쇄알 구균은 penicillin, ceftriaxone, cefepime, vancomycin에 모두 감수성을 보였다. 약제 관련 이상 반응의 발생 빈도도 두 군간에 유의한 차이가 없었다. 결론 : 발열을 동반한 호중구감소증이 있는 악성 종양환자의 경험적 항생제로서 cefepime 단독요법은 ceftazidime 및 아미노배당체의 병합요법만큼 효과적이고 안전하였다. Background : Broad-spectrum antibiotic therapy has been recommended as an empirical regimen in cancer patients with febrile neutropenia. Cefepime is a fourth generation cephalosporin with good activity against both gram-positive cocci and gram-negative bacilli. Materials and Methods : To compare the efficacy and safety of cefepime alone with ceftazidime plus tobramycin as empirical regimen for adult cancer patients with febrile neutropenia, a randomized, open label, comparative trial was performed. If the patient showed clinical improvent 72 hours, antibiotic could be changed to oral ciprofloxacin. Clinical and microbiological responses were determined at 72 hours and at the end of therapy. To investigate the antimicrobial resistance of viridans streptococci, swab cultures were obtained from throat in all enrolled patients and antimicrobial susceptibility tests were performed by using microdilution method according to the NCCLS. Results : A total of 89 patients were enrolled. Forty-eight patients received cefepime alone (CA), and 41 patients received ceftazidime plus tobramycin (CT). Demographic and baseline clinical characteristics were similar in both groups (P>0.05). The initial clinical success rate at day 2-4 in group CA (91.7%) was similar with that in CT group (85.4%) (P=0.31). At the end of therapy, the final clinical success rate in CA group (91.7%) was similar to that in CT group (100%) (P=0.15). In 18 patients, with microbiologically defined infections, the eradication rate was 100% in both groups. Adverse events including liver dysfunction (21.3%) and renal dysfunction (2.2%), were similar in both groups (P=0.87). Viridans streptococci were isolated from the throat cultures in 25 cases, and all of these strains were susceptible to penicillin (MIC_(90) 0.12 ㎍/mL), cefepime (1 ㎍/mL), and vancomycin (0.12 ㎍/mL). Conclusion : Efficacy and safety of cefepime monotherapy was comparable to the combination of ceftazidime and tobramycin. It could be used as an alternative empirical regimen for treating cancer patients with febrile neutropenia.

e-브랜드에 있어서 웹 상호작용성이 관계품질과 고객충성도에 미치는 영향

이정란,유동근,이용기 한국경영과학회 2004 한국경영과학회지 Vol.29 No.4

This study was to identify the determinants of web interactivity and investigate the structural relationships between web interactivity, e-brand relationship quality, and customer loyalty. For these purposes, the authors developed several hypotheses and collected the data from 268 users of Internet site. The data was analyzed with LlSREL 8.5. The findings and summary are as follows. First, control had a significantly positive effect on satisfaction. Second, two-way communications had not an effect on satisfaction and trust. Third, responsiveness had a significantly positive effect on satisfaction and customer loyalty. Fourth, satisfaction had a significantly positive effect on trust and customer loyalty. Finally, trust had a significantly positive effect on customer loyalty. At the end of this paper, the managerial and theoretical implications, limitations and further research directions were suggested.

공감의 두 차원 : 공유경험 및 공유부전 경험과 내현적 자기애의 관계

오정란 가톨릭대학교 학생생활상담소 2003 학생생활상담 Vol.21 No.-

The purpose of this study is to investigate that the covert narcissism is one of characters of the empathy through the relation of the empathy and the covert narcissism observing the ‘not sharing feelings with another' by a view point of the empathy. Counselors have inside both ‘sharing feelings with another' and ‘not sharing feelings with another'. It needs to be considered that this experience of counselors should be restrospected through a participant observation for better empathy. ‘Not sharing feelings with another' menas ‘insufficient sharing experience(ISE)’ and ‘sharing feelings with another' implies ‘sharing experience(SE)’ here. ln this study the empathic experience scale revised(EESR) is introduced, and EESR explains four typologies of empathy, type double-dominant, type dominant of SE, type double-recessive and type dominant of ISE on two axis of sharing experience and insufficient sharing experience. ln previous study type double-dominant that both SE and ISE are high has much interest in being conscious of other persons and is keen to evaluation of other persons. and it was disclosed that this tendency is one side of empathy relating to emotional response and personal distress. Ln order to verify this empirically, 229 undergraduates were selected and that the relation of the sharing experience and the insufficient sharing experience to the covert narcissism with factor of the oversensitivity to evaluation and the self-absorption was examined. The result is as follows. The insufficient sharing experience and the covert narcissism and its factors, the oversensitivity to evaluation and the self-absorption correlated positively, and the sharing experience and the self-absorption correlated negatively. The sharing experience and the insufficient sharing experience didn’t correlate. And in the relation four typologies of the empathy to the covert narcissism, that the insufficient sharing experience is high(type double-dominant and type dominant of ISE) has much covert narcissism than that the insufficient sharing experience is low(type dominant of SE and type double-recessive). By this fact it was confirmed that versensitivity to evaluation and self-absorption are one side of the empathy.

기관내 삽관이 어려웠던 폐동맥 sling을 동반한 기관협착 환아1예

염석란,신중호,신종환,이근,류일,현성열,진욱,김재광 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Pulmonary arterial sling, a rare developmental vascular anomaly forms a sling around the distal trachea and the proximal right main bronchus, where it sometimes makes tracheo-bronchial stenosis. Tracheo-bronchial stenosis from pulmonary arterial sling may produce non-specific symptoms of stridor, noisy breathing, dyspnea, recurrent upper respiratory tract infection, chronic cough, and dysphagia. The diagnosis of this anomaly begins with a high index of suspicion because of the lack of pathognomonic finding on usual evaluation. In this case, initial difficult intubation makes us evaluate further. Other cases reported the diagnosis is established by imaging studies, usually MRI and angiography. But, when our case was evaluated, we used cervico-thoracic enhanced computered tomography and tracheal fluoroscopy. Up to now, tracheobronchial stenosis from vascular anomaly is a rare and challenging disorder with a poor prognosis. However, early exact diagnosis would make us perform the accurate surgical treatment and reduce the mortality and morbidity.

일제 말기 한국광복군 여성대원들의 활동 양상

윤정란 이화여자대학교 한국여성연구원 2006 여성학논집 Vol.23 No.1

본 논문은 일제 말기 한국광복군 여성대원들에 대해 조명하였다. 연구 결과는 다음과같다. 광복군에 입대한 여성들은 독립운동가 집안의 여성 독립운동가와 결혼해서 광복군이 된 여성 국내에서 민족운동에 투신하다 일경을 피해 망명을 한 여성 기생 출신의 여성등으로 다양한 계층의 여성들이었다 이들의 입대동기는 여성들의 권리 신장, 일본군에 의한 가족의 사망, 독립운동가의 권유 등이었다. 활동내용을 살펴보면 여성대원들은 남성들과 똑같이 초모활동 교육과 훈련 선전활동한미군사 합작과 전략첩보활동 국내진입작전과 정진대 활동 등에 참가하면서 세탁 재봉구호대 등의 일도 수행하였다. 여성대원들은 남성대원들에 비해 더 많은 역할을 수행하였는데 이는 광복군에서도 여성들이 성역할 이데올로기에서 자유롭지 못했던 것을 보여준다. This study deals with the Korean Women’s Independence Army. It notesthat the social background of the women who joined the Korean IndependenceArmy was diverse. Many of them were the family members or wives of theparticipants in the independence movement, the women who went into exileaway from the oppression of the Japanese police and those who worked once ina Kisaeng house. The women enlisted in the Army with various motivations. Some thoughtof the enlistment as a way to enhance women’s rights, while others were drawnto the Army with the death of the family members by the Japanese. Among themOh Kwang-Sim and Ji Bock-Young were relatively in high ranks in the Army. They exclaimed “Who can deprive us of the equal rights if we boast toshow men’s capacity and character and if we work and bleed like men for themother country?” and participated actively in the services in the front and therear as male members did. The women who joined hands with men managed to finish militarytraining and exercises, participated in the propaganda campaigns and recruitmentactivities, and shared in strategical secret services for the Korean-American jointmilitary work. However, the women members of the Army could not escape from thestereotyped role of women at the time because they were given extra work thatwomen were supposed to do, such as sewing, laundering and nursing activities.

초등학교 보건교사와 일반교사의 성교육 실시정도와 수업능력 비교

이정란,안숙희 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: This Study was a descriptive research to compare the teaching status of sex education and to examine differences in understanding teaching capability for sex education between school health educators and teachers working in elementary schools. Methods: A total of 307 subjects participated in the research including 182 school health educators and 125 teachers who gave sex education in elementary schools in Busan, Korea. Data were collected using a structured self-administered questionnaire and analyzed with frequency, t-test and x_(2)-test using SPSS WIN (version 10.0). Results: This study found that the school health educators carried out sex education more than the teachers, and perceived a higher level of teaching capability for sex education than the teachers when they were given four areas of sex education contents: physical and psychological development; sex and health; sex culture and ethics; and understanding of personal relationships. In addition, a larger number of school health educators perceived that they were more qualified and more highly recognized as sex educators than the teachers. Conclusions: The results suggest that the school health educators must be more active as sex educators and that sex education should be adopted as a regular course and the school hours for sex education must be secured.

흰쥐의 비장에서 분리한 림프구를 이용한 형광백혈구 안저촬영술

정미란,이숙희,황정용,양연식 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.2

Background: The study on retinal blood flow has been continuously pursued and recently new methods such as targeted dye delivery, fluorescent vesicle system, laser Doppler velocimetry and acridine orange staining method has been presented. The authors developed a new method, fluorescein leukocyte angiography using a scanning laser ophthalmoscope which include external staining of leukocyte with fluorescein dye and reintroducing this fluorescent leukocyte into the blood flow. However, visualization of the leukocytes was limited since the leukocytes used were from the peripheral blood in a small animal. Methods: The authors removed leukocytes from the spleen and stained these leukocytes which were reintroduced into the blood flow to observe the retinal and choroidal blood circulation. In four pair of rats, one group was injected with the leukocytes of another rat's spleen and the other group were injected with the leukocytes of each own's individual spleen and all underwent angiography. Results: There were only few lymphocytes visualized in the group of rats which eceived allo-injection of leukocytes and in the other group the lymphocytes were numerous and also had a longer existence. Conclusions: In small animals like rats the visualization of the lymphocytes used from the spleen was better than the those from the peripheral blood and lymphocytes from one own's spleen was useful for longer periods of visualization.