간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

초등과학 탐구수업 지도자료의 활용 실태

신영준,장명덕,배진호,권난주,여상인,이희순,노석구 한국초등과학교육학회 2005 초등과학교육 Vol.24 No.2

In this study, we had tried to present a plan for improving the actual conditions of practical utilization of teaching material for 6th grade science developed by Ministry of Education & Human Resources Development and distributed to all elementary schools in Korea. Also we presented ways of better utilization of the teaching material after investigating the actual conditions of practical utilization. A survey was made to investigate and collect all data in the major metropolitan cities, the Kangwon, Chungcheong, Honam, and Kyeongsang area, respectively. We surveyed 316 6th grader teachers to investigate the actual conditions of distribution and utilization of teaching material as a general research. In addition, we surveyed 46 teachers to investigate the organization and content of teaching material as a particular research. The results are as follows. First, the teaching material was not approximately transmitted and kept to 6th grader teachers. Second, the utilization guide was not made. Third, it was reported that the thematic divisions of teaching material was a strong point, but the less detailed experiment manual was a weak point. Fourth, the consideration of content difficulties and simplicity was necessary to improve the material. Fifth, additional items should be included in the introductory presentation, convenience of reorganization, activity material causing learning interest, guidance of substitution experiment, and more concrete notice of experiment activity. Finally, there were positive responses of more than 4.0 point of Likert scale (1 to 5 point scale) in detail investigations of thematic items, which could have possibility that the teaching material was helpful to elementary school science field.

뇌경색 환자에서의 혈장 지질과 항산화 영양소 상태에 관한 연구

최영선,이난희,서정규,박의현,조성희 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

뇌경색 환자의 생활 습관, 혈장 지질 및 적혈구 지질 및 적혈구 지질의 지방산 조성과 혈장 지질과산화물 농도, 항산화영양소인 비타민 E, A, β-carotene 상태를 측정하여 대조군의 자료화 비교함으로써 뇌경색 환자의 혈장 지질과 항산화영양소 상태를 조사하였다. 18명의 남자 환자군의 평균연령은 65.7(45~76)세였으며 36명의 건강한 남자대조군의 평균연령은 59.2(55~65)세였으며, 체중, 신장 및 BMI는 대조군과 환자군 간에 유의한 차이가 없었다. 환자군의 발병전 흡연 정도와 음주정도는 대조군보다 유의하게 높았으며, 적혈구지방산 조성에 있어서 포화지방산의 비가 유의하게 높았고 다불포화지방산의 비는 유의하게 낮았으며, 통계적인 유의성은 없으나 항산화 영양소 상태가 대조군에 비하여 불량하고 혈장 과산화지질의 종도가 높은 경향을 보였다. 이의 원인으로서는 환자군이 대조군에 비해 흡연율이 높고 음주량이 많으며 운동부족 등 부적합한 생활습관이 주요한 요인으로 작용한 것으로 판단되며, 따라서 바람직한 생활습관이 뇌경색질환의 예방에 기본요건이 된다고 사료된다. To investigate antioxidant and lipid staus of patients with cerebral infarction, 18 male patients admitted to Kyungpook National University Hospital from March to October, 1995 were compared to 36 healty male control subjects. The percentages of heavy smoking, heavy drinking and nonexercise before diagnosis of the disease in the patient group were significantly higher compared to the current status of the control group. Total cholesterol, LDL cholesterol and lipoprotein(a) were significantly higher in the patients than the control subjects. For the fatty acid composition of erythrocytes, total saturated fatty acids(% by weight) were significantly higher and total polyunsaturated fatty acids lower in the patient group than in the control group. Plasma levels of retinol, α-tocopherol and β-carotene were not significantly different between the patient group and the control group at the level of P<0.05 Alpha-tocopherol/total cholesterol of plasma was lower in the patient group with the statistical significance of P=0.054, and the plasma level of TBARS of the patient group was 1.98 nmol MDA/mL as compared to the level of the control, 1.60 nmol MDA/mL(P=0.066). Our results indicate that oxidative stress was increased in the patients with cerebral infraction, and such outcome might have resulted from undesirable life styles.

老年期 特異體型을 위한 婦人服 原型 硏究 : 屈身體型을 中心으로 Ko¨rperform mit Ru¨cken-und Teilenbeugung

李英蘭 청주대학교 예술문화연구소 1990 淸藝論叢 Vol.4 No.-

Ich habe versucht, fu¨r die a¨lteren Damen mit gekru¨mmten Ru¨cken und Teilen einen Grundschnitt aufzustellen, indem ich durch die Ko¨rpernessung, das Ko¨rpernphotographieren ung die Ko¨rperoberfla¨chenentfaltung usw. eine Versuchskleidung herstelle. Dabei bin ich zur folgenden Ergebnissen gekommen: 1) Bei der Ko¨rpermessung mit abnormer Ko¨rperfrom muß es gemessen werden, nachdem die Messungsmethode nach den Lagen der abnormer Ko¨rperform u¨berpru¨ft wird. Ferner ist es wu¨nschenswert, die mehren Teile des Ko¨rpers zu messen, soweit es mo¨glich ist. 2) Es ist empfehlenswert, die Brustumfangsmessugn durch die oberen Brunsumfangsmessung ersetzt zu werden, weil der Brust nach unten gehangen ist. 3) Bei der Teilenweitenmessung muß sowohl die normale Teilenweite als auch die Teilenweite mit Brust gemessen werden. 4) Bei der Schnittzeichnung des Vordrnteils muß die genaue Maßnahme gezeichnet werden, weil das Maß der vorderen La¨nge bei der gekru¨mmten Ko¨rperform ku¨rzer ist. Die Kleiderla¨nge muß in der Lage der Bewegungshaltung gemessen werden, 5) Bei der normaler Ko¨rperform ist der Vorderteil 4cm ho¨her als der Ru¨ckenteil, aber im Gegensatz dazu ist der Ru¨ckenteil bei der gekriimten Ko¨rperform 2-4cm ho¨ger als der Voderteil. 6) Bei der Leibfigur mußdie vordere La¨nge genau so verku¨rzt werden, wie die gintere La¨nge verla¨ngert wird, ung die Seitennagt auch nach Vorderteil bewegt werden. 7) Der Grundschnitt fu¨r die Damen mit Leibfigur von mittleren Alter ist fu¨r die Leibfigur der a¨lteren Damen mit abnormer Ko¨rperform verga¨ltnisma¨ßig passend. In dem Fall, daß die Bauchumfang als die Brunstumfang mit Kontrolmaß kleiner ist, es erwu¨nscht, diesen Grundschnitt zu benutzen.

Leukocyte adhesion deficiency type I 환자의 치험례

윤은영,이난영,이상호 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

Leukocyte adhesion deficiency type I(LAD I)은 혈관 내피 세포에 백혈구가 부착하는 과정에 결함이 발생하여 혈관에서 감염부위로의 백혈구의 이주가 방해되어 발생하는 질환으로, 재발성 감염증과 백혈구 증가증을 보이는 희귀 질환이다. 피부와 점막의 괴사성 감염, 장내 패혈증, 제대염, 중이염, 뇌수막염 등의 임상 증상을 보이며, 이러한 환자들의 주요한 구강 내 증상은 심각한 치주 질환과 치조골 소실, 치주낭 형성, 유치열과 영구치열의 부분적 또는 전체적 조기 상실을 보인다. 본 증례는 심한 사춘기전 치주염 소견을 보이는 LAD type I환자로 국소적, 전신적 감염을 예방하기 위해 정기적인 치과 내원으로 치면 세균막 관리를 시행하였다. 감염 시 항생제 투여 및 세균 도말 검사를 시행하였다. Leukocyte adhesion deficiency is rare inherited defect on phagocytic function resulting lack of leukocyte cell surface expression of β2 integrin molecule that are essential for leukocyte adhesion to endothelial cells and chemotaxis. Clinical features of patients with leukocyte adhesion deficiency type I include recurrent necrotic infection of the skin mucous membranes, and intestinal tract with septicemia, and omphalitis arising from delayed umbilical cord separation. Oral manifestations are severe progressive periodontitis with alveolar bone loss, periodontal pockets, and partial and total premature loss of the deciduous and permanent dentitions. We report a case of leukocyte adhesion deficiency type I in a 5-year-old child with severe periodontitis. In order to prevent local and systemic infection, we controlled periodontal disease with periodic oral prophylaxis. Oral swabs and blood cultures were perfomed for suspected infection, so that optimal measures were taken through the use of appropriate antibiotics.

유전치의 polyethylene fiber-post를 이용한 심미수복에 관한 증례 보고

서영주,조태식,김효석,고승백,정현구,이난영 조선대학교 구강생물학연구소 2002 口腔生物學硏究 Vol.26 No.2

In clinical practice, restoration of primary incisors severely affected by caries continues to be a challenge. Not only are these teeth difficult to restore. but the behavior of the patient can affect treatment negatively. An acceptable restoration for maxillary anterior incisors should have matching material color, durability, adhesive cementation that is biocompatible with the pulp, easily and rapidly placed. This Paper describes two cases showing an alternative technique for the construction of completely destroyed upper incisors with polyethylene ribbons for retention and stability for the resin crowns.

<等級法> (Grading)에 관한 調査硏究 : <標準사이즈>設定과 <等級法>의 現況問題 The Current Problem regarding the Establishment of the Standard Size and Grading in Korea

李英蘭 德成女子大學校 1979 德成女大論文集 Vol.8 No.-

The purpose of this study was to establish standards regarding the size and grading of Korean Women's measurements in order to provide modern data for the ready-to-wear garment industry in Korea. The data from this study were treated such as follows; 1) The comparison of women's measurements in Korea, America, Germany and Japan(Table 1) 2) The comparison of 'Pitch' for women's ready-to-wear in Korea, America, Germany and Japan(Table 3) 3) The comparison of 'Pitch' of women's ready-to-wear Company in Korea(Table4) 4) Inquiry of the current problem regarding grading method of women's ready-to-wear company in Korea(appendix 1-6)

점액낭종의 외과적 절제에 관한 치료증례

이난영,서태휴,이상호 大韓小兒齒科學會 1995 大韓小兒齒科學會誌 Vol.22 No.2

Mucocele is clinical term used to describe swelling caused by the pooling of saliva at the site of a severed or obstructed minor salivary gland duct. Two types are recognized: extravasation type is most common and their pathogenesis is related to partial obstruction travasation type is most common and their pathogenesis is related to partial obstruction of the duct. Mucocele may occur in any location where accessary saivary gland tissue is found. However, most frequently, it occur on the lower lip. Clinically, it is painless, spherial, bluish, fluid-filled blister or vesicle. The lesions varies in size from a few millimeters to a centimeter. The preferred treatment is complete excision. If the mucocele is incompletely removed, it has a marked tendency to recur. This case report presents three cases. Two cases was developed on lower lip and the other was on dorsum of the tongue. All cases was extravasation type and treated by surgical excision of the lesion. There was no recurrence during follow up period about 5-12 months.

견고 구외 골신장술을 이용한 구순구개열 환아의 치험례 : CASE REPORT

유난영,박호원,,김성민,이주현,서현우 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.4

구순구개열 환자에서는 이른 시기에 시행된 수술로 인한 구순이나 구개부의 반흔 형성으로 섭식장애나 발음장애를 동반한 상악의 열성장이 나타나게 된다. 때로는 집중적인 교정치료 후에도 심한 상악골 저형성증을 보이며, 이러한 경우 성장이 완료된 후에 골이식을 동반한 악교정 수술로 상악골을 전방이동시켜 안모의 개선을 도모하기도 한다. 그러나 이러한 상악골의 전방이동은 연조직의 과도한 신장으로 인한 술후회귀현상, 추가적인 골이식이 필요하다는 한계를 가지고 있다. 골신장술은 이러한 한계점을 극복하는 최신 치료방법으로 구순구개열 환자, 두개골 융합증을 나타내는 환자 등에서 상악골을 포함한 두개 안면골의 개선에 많이 이용되고 있다. 특히 구외장치를 이용하는 골신장술은 골신장기간 중에 견인 방향의 조절이 보다 쉬우며, 충분한 양의 골신장이 가능하여 보다 좋은 결과를 얻을 수 있다. 본 증례는 상악 열성장을 보이는 구순구개열 6세 7개월의 여자 환아로, 변형된 구내 프로씨 1형 골전단술(modified Le Fort I osteotomy) 후 두개골을 고정원으로 이용하는 견고 구외 골신장술을 통해 상악골을 전진시켜 양호한 결과를 얻었기에 이를 보고하는 바이다. Patients with cleft lip and palate present severe maxillary hypoplasia due to scar of lip and palate, often accompanied by compromised mastication, speech abnormalities. Sometimes maxillary hypoplasia persist even though active orthodontic treatment was done. In theses cases, patients born with cleft lip and palate will be potential candidates for maxillary advancement with bone grafting after growth to correct the functional deformities and improve aesthetic facial proportions. But, maxillary advancement using standarf surgical approaches has several limitations: increased relapse tendency after maxillary advancement, necessity of additional bone graft and mandibular setback surgery. Distraction osteogenesis is current treatment modality to overcome these limitations, thus has become popular for treatment of maxillary hypoplasia associated cleft lip and palate, craniosyntosis. Especoally, rigid external distraction, contrary to internal device, has adbantages; better vector control of osteotomized segment, effective traction of the bony segments, the ease of the application and removal the distraction device. This study showed that relatively successful result could be generated by using rigid external distraction osteogenesis(RED) in the case of cleft lip and palate with severe maxillary hypoplasia, 6 years 7 months old.

광중합기를 이용한 광학적 치아우식활성도 검사법

이난영,김미라,오유향,이창섭,이상호 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

레이저와 플라스마 광, 할로겐 광 중합기를 이용하여 각 개인의 우식 활성도를 측정할 수 있는지를 규명하기 위해 7-8세 아동 45명을 대상으로 치아의 순면과 협면에 각 광원을 조사하고 특수 필터를 사용하여 초기 치아우식증으로 판별된 치아의 개수를 측정하여 기존의 우식활성도 측정방법인 dDfFtT rate와 mutans streptococci 측정법 Lactobacilli 측정법과 비교, 평가하고 그 특이도, 민감도, 예측력을 평가하였다. 1. 아르곤 레이저, 플라스마 광, 할로겐 광 조사시 육안검사시 보다 유의하게 많은 초기우식 병소가 관찰되었다(p<0.05). 2. 아르곤 레이저, 플라스마 광, 할로겐 광을 이용한 우식활성도 측정법은 dDfFtT rate와 양의 상관관계(γ= 0.42, 0.41, 0.39)를 보였다(p<0.01). 3. 기존의 우식활성도 측정방법을 기준으로 하여 평가한 결과 특이도와 민감도, 예측력은 모두 레이저가 가장 높았으며 플라스마 광, 할로겐 광 순으로 나타났다. 이상의 결과를 종합하여 볼 때 아르곤 레이저와 플라스마 광, 할로겐 광을 이용한 형광법은 모두 양호한 진단학적 지표를 보여줌으로써 향후 광학적 우식활성검사법으로 활용 가능성이 높을 것으로 사료된다. The purpose of this study was to develop a practical caries activity test by fluorescence using laser, plasma light and halogen light. The subjects of study were 45 children of 7-8 years old. Argon laser, plasma light and halogen light were irradiated to buccal or labial surface of all teeth. Fluorescence of initial carious lesion from teeth was observed through barrier filter and the number of teeth showing lesion was counted. Visual examination for the dDfFtT, mutans streptococci screening test and Lactobacilli colony counting were also done. Data analysis was accomplished by Axelsson's method. The result from the present study can be summarized as follows. 1. Laser, plasma light and halogen light could detect the initial carious lesions better than visual examination(p<0.05). 2. There was positive correlation between laser(r=0.42), plasma light(r=0.41), halogen light(r=0.39) and dDfFtT rate(p<0.01). 3. The specificity, sensitivity and predictive value was showed highest value in laser. but was showed favorable value in plasma light and halogen light. In regard to above results, laser, plasma light and halogen light all considered to be reliable method for determining individual caries activity. And they were also considered to be practical method because it would be simple, inexpensive, and time saving method.