일반논문 : 김유정의『동백꽃』의 갈등과 소통의 문제

김은정 ( Eun Jeong Kim ),장도준 ( Do Joon Jang ) 대구가톨릭대학교 인문과학연구소 2011 인문과학연구 Vol.0 No.16

Kim Yu Jeong`s "Dongbaekggo" was analyzed for this study. In particular the love relationship between the boy and Jeomsun was analyzed. The boy who was from a poor family, and the girl, Jeomsun, who was born with a silver spoon in her mouth, had problems with communication during her time of slumming; the problems were dealt with very humorously in "Dongbaekggo." "Dongbaekggo" structural and content studies, which have focused on the difficult relationship between the boy and Jeomsun, have mainly focused on the class contradictions. Therefore, this study will focus on the problems and reconciliations, and the failures and successes which come with such a situation. The background is an old, rural village, and those who are involved in the unfolding of the romance between a boy and a girl help bring laughter during the time of the love tug-o-war, which makes everything feel more beautiful. In "Dongbaekggo," the extroverted, aggressive, and strong minded Jeomsun`s own love is represented through the potato and the cockfighting (both signifiers), and through those actions Jeomsun wants to reach the boy, who is a sharecropper`s son. Symbolically, Jeomsun is aggressive with the potato (signifier) and the warm feelings (the signified). However, the boy can`t quite grasp and misreads the true meaning of the signifier and the signified. Jeomsun aggressively pulls the boy`s attention through the chicken (signifier). Even though the chicken is a signifier of Jeomsun`s own opinions, to the boy, because of the value he puts on life, problems appear more quickly. The problems between the clever and active young girl and the simple and honest adolescent boy progress throughout "Dongbaekggo" to a more exciting climax. The communication between Jeomsun and the boy becomes more ironically fun in the story, and help maximize the fun as the accomplishment of the love approaches. In the end, "Dongbaekggo" the pure love between the boy and Jeomsun bring about many conflicts, which help achieve the fulfillment of the love as the resolution of the story progresses.

Floristic study of Jang-do (Isl.) in Korea

Son, Hyun-Deok,Gwon, Soon-Gyo,Jang, Jeong-Won,Sun, Eun-Mi,Kim, Byeol-Ah,Im, Hyoung-Tak The National Institute of Biological Resources 2013 Journal of species research Vol.2 No.2

We investigated the flora of Jang-do (Isl.), an island of the Heuksan archipelago, located in Heuksan-myeon, Shinan-gun, Jeollanam-do and discussed the remarkable plants found there. Thirteen-field trips (total 27 days) were completed from May of 2004 to May of 2013. As a result, we identified the distribution of 423 taxa in Jang-do (Isl.), comprising 104 families, 285 genera, 335 species, 78 varieties and 10 forms. There are a total of 95 taxa of floristic regional indicator plants. The floristic regional indicators are as follows; four taxa of level V such as Impatiens furcillata, four taxa of level IV such as Hosta yingeri, 14 taxa of level III such as Ophioglossum vulgatum, 5 taxa of level II, and 58 taxa of level I. In addition 10 red data plants, 2 vulnerable species (VU) including Calanthe striata for. sieboldii, and 4 least concern species (LC) like Ardisia crenata, 2 not evaluated species (NE) such as Hosta yingeri, were found in the investigated area. An unrecorded species, Fragaria (Rosaceae), was found in a forest of Jang-do (Isl.) for the first time in Korea.

일 전문대학 간호과 학생들이 인지하는 강의평가 기준에 대한 조사연구

김정애,이애경,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2004 京福論叢 Vol.8 No.-

일개 전문대학 간호과 학생들을 대상으로 강의평가 기준을 파악하고자 하였다. 개방형 질문지를 이용하였으며 7개의 교수관련 강의평가 문항 각각에 대해 좋은 점수 및 나쁜 점수를 부여하는 기준을 조사하였다. 각 문항별로 다양한 기준이 확인되었으며, 간호과 학생들의 강의 만족도를 높일 수 있는 교수설계를 위한 기초 자료로 활용할 수 있을 것이다. We aimed to set standards for the student evaluation of instruction for college students of Nursing. We used an open questionaire and surveyed the standards for how students judge the instruction good of bad by using seven questions related to the instructor. Various standards set from each question could be used as basic materials to meet the students' needs in the classroom when the instructors try to find out new instructional design.

임상실습 교육개선을 위한 간호학생의 간호활동시간 분석

이애경,김정애,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2001 京福論叢 Vol.5 No.-

신규간호사의 능력은 간호학생 때의 다양한 임상경험에 기초를 둔다. 따라서, 간호대학의 교수, 병원 지도자, 임상지도자는 간호학생들이 다양한 지식을 획득하고 간호기술을 경험할 수 있도록 도와주는 중요한 역할을 한다. 이 연구의 목적은 이러한 간호학생들의 임상실습에서 수행하는 간호활동과 간호활동 시간을 분석하고자 하는데 있다. 연구결과 간호학생 1인당 직접간호활동 시간은 185.5분(직접간호비율은 56.7%)으로 141.65분(간접간호 비율은 43.3%)인 간접간호활동 시간보다 많았다. 직접간호활동 시간 중 활력징후 측정이 51.9분으로 가장 많은 시간을 차지하였고, 간접간호활동 시간 중에는 차트보기가 22.98분으로 가장 많은 시간을 차지하였다. 전반적으로 기본적인 임상간호 수행기술에 소요되는 시간이 고도의 숙련된 간호기술을 수행하는데 드는 시간보다 많은 것으로 나타났다. 따라서, 본 연구결과를 토대로 간호대학의 지도자와 병원의 지도자 및 임상지도자가 함께 임상실습 교육과정의 지침서와 평가서를 평가할 필요가 있다고 제언하는 바이다. The competence of newly graduated nurses is based on various clinical experiences gained when they were students. Therefore, professors in nursing schools, directors in hospitals or preceptors must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study is to investigate nursing care activities and nursing care hours practiced by nursing students in clinical experience. The results of this study showed that the direct nursing care hours per each nursing student are 185.5 mins(direct nursing care rate 56.7%) and it is higher than indirect nursing care hours, 141.65 mins(indirect nursing care rate 43.3%). The hours of checking vital signs are the longest(51.9mins) among the direct nursing care activities, and the hours of reviewing chart are the longest(22.98mins) among the indirect nursing care activities. In general, the time of performing basic clinical nursing technique was higher than that of performing high skilled nursing technique. And nursing observation was higher than that of directly performing task. So, we suggest based on the results of this study as follows. It is needed for nursing instructors in nursing schools and hospitals together to evaluate the guidelines and check-list of clinical practice courses.

비소세포 폐암 환자의 이차 치료로서 Gemcitabine과 Vinorelbine 혼합 요법의 효과

장필순,강현모,이정은,권선중,안진영,이연선,정성수,김주옥,김선영 충남대학교 암공동연구소 2006 암공동연구소 업적집 Vol.5 No.

Background : Both gemcitabine and vinorelbine are effective anticancer drugs with mild toxicity on non-small cell lung cancer, and monotherapy of these drugs are effective as a second-line chemotherapy. The aim of this trial was to assess the response and toxicity of a combination of gemcitabine and vinorelbine in patients of previously treated for non-small cell lung cancer. Materials and Methods : 24 patients, initial stage III A/B,IV and previously treated with platinium and taxane based regimens, were enrolled from June 2000 to March 2004. The regimens consisted of vinorelbine 25mg/㎡ followed by an infusion of gemcitabine 1000mg/㎡ on day 1 and day 8 every three weeks. This course was repeated more than twice. Results : Twenty-four patients were analyzed for the response, survival rate, and toxicities. The overall response was 17% with a complete remission rate of 4%. The median time-to progression (TTP) was 3.1 months (95%, CI l-10months), and the survival time was 8.2 months (95%, CI 1-23 months). The grade 3/4 toxicities encountered were neutropenia (12.5%), anemia (0%), thrombocytopenia (0%). Non-hematological 3/4 toxicities were not observed. Conclusion : A combination of gemcitabine and vinorelbine in patients previously treated for non-small cell lung cancer provides a relatively good response rate, and a low toxicity profile. However, further study will be needed to confirm its effectiveness. (Tuberc Respir Dis 2005; 58: 344-351) 배경 : Gemcitabine, paditaxel, docetaxel, vinorelbine, ir-rinotecan 새로운 항종양제의 출현으로 일차 치료의효과가 증대 되고 있고 재발시에도 좋은 신체 활동도를 보이고 있어서 이차 치료의 대상군도 늘어나는 효과를 보이고 있다. 치료의 필요성은 증대 되고 있지만 현재까지 표준 치료가 확립되지 않은 상황에서 Gem-citabine과Vinorelbine모두 독성이 강하지 않아서 혼합 요법이 가능한 장점이 있고 비소세포 폐암에 대한효과도 입증이 되어있어서 본 연구는 반응이 없거나 반응을 보인후에 재발된 진행된 비소세포 폐암에 ge-mdtabine과 vinorelbine 흔합 요법을 시행하여서 치료 반응률과 생존율 그리고 부작용을 평가하였다. 대상 및 방법 :2000년 6월부터 2004년 3월까지 충남대학교병원에내원하여 진행성 비소세포 폐암 IIIA/IIIB, IV로 진단을 받고 일차 항암화학요법치료를 받은 환자중에 초기 치료에 반응이 없거나, 치료에 반응이 있었으나 병이 진행된 환자로 추적 관찰 기간이 6개월 이상인 환자를 대상으로 생존율과 반응률 그리고 독성을 분석하였다. 결과 : 총 치료 반응률은 17%. 반응 유지기간의 중앙값은 3.1개월(1-10개월)이었고 생존기간의 중앙값은 8.2개월 (1-23개월) 그리고 1년 생존율은 35%였다. 항암화학요법에 의한 독성은 3도 이상의 중성구 감소가 12%, 오심과 구토가 12.5% 였다. 결론 : 일차 치료에 반응이 없거나 재발한 비소세포 폐암환자의 이차 치료로 gemcitabine과 vinorelbine 혼합요법은 효과적이라고 생각되며 향후 3상 연구를 통한다른 약제와의 비교 연구가 필요하다고 생각된다.

온라인 아동 성착취 근절을 위한 법률개정 방안 : 국제규범과 국내 법령의 비교를 중심으로

정주은,남장현,서지혜 이화여자대학교 법학전문대학원 2020 Ewha Law Review Vol.10 No.-

온라인을 기반으로 한 아동ㆍ청소년에 대한 성착취는 아동ㆍ청소년이 쉽게 유혹되고 어른들에 의하여 발견되는 것이 어렵기 때문에 심각한 피해를 야기한다. 본 연구는 온라인 아동 성착취의 심각성을 인지하고 관련 법령의 개정 방안을 제시하고자 하였다. 우선 우리나라의 아동ㆍ청소년의 성보호에 관한 법률 및 형법 등의 법제 및 현황과 문제점을 살펴보았다. 이를 기반으로 UN아동권리협약 및 제2, 제3선택의정서와 UN아동권리위원회의 권고사항 및 특별보고관의 권고, 팔레르모의정서, 란사로테협약 등 국제규범의 내용을 살펴보고, 해당 국제규범과 해외의 입법례 등과 비교하여 현행 국내 법령의 개선방안을 모색하였다. 연구를 통해 현행 국내 법령의 부적절한 용어 개선이 필요하고, 아동 최선의 이익 원칙에 의한 법 해석 및 적용을 해야 하며, 현행 형법을 활용함과 동시에 그루밍 등 새로운 개념에 대하여 법률에 규정해야 함을 발견하였다. 이와 더불어 성착취물 등에 대한 처벌을 확대하고 형량과 양형기준을 개선하여야 할 필요성도 절감하였다. 현재 국회에 계류 중인 법률개정안을 검토하여 해당 법률안에서 주목할 점과 보완할 점에 대하여 설시하였다. 보론으로는 함정수사의 도입과 제3선택의정서 비준의 필요성을 주장하였다. 이에 비추어 볼 때, 최근 일련의 사건 이후 아동ㆍ청소년의 성보호에 관한 법률이 많은 부분에서 긍정적인 방향으로 개정되었지만 보호의 대상인 아동ㆍ청소년에 대한 범죄이므로 더욱 엄중히 처벌해야할 필요필요가 있는바, 국제규범에 따라 아동ㆍ청소년의 성보호를 위한 개정이 더욱 필요함을 시사한다. Online child sexual exploitation leads to serious damage because children and juveniles are easily tempted but it is hard for adults to find the breeding ground for crime. This study was intended to recognize the seriousness of online sexual exploitation for children and juveniles and to propose the law amendment. First of all, we explored the current status and problems of the legislation, such as the Act on the Protection of Sex in children and juveniles and the Criminal Law in the Republic of Korea. We reviewed the contents of international rules such as the U.N. Convention on the Rights of the Child, the Second and Third Choice Protocol, the recommendations of the U.N. Commission on the Rights of the Child, the recommendations from the CRC and special rapporteur, the Palermo Protocol, the Lanzarote Convention. In accordance with those international rules, we sought the amendment of current domestic law. According to the study, we concluded that the inappropriate terms in the current domestic law should be modified, and the law should be interpreted and applied in accordance with the principle of the best interests of children. Also, new concepts such as ‘grooming’ should be stipulated in the law while utilizing the existing Criminal law. In addition, we were faced with the necessity of expanding punishment for sexual exploitation and improving sentencing guidelines. We reviewed the proposition which was pending in the National Assembly and suggested pros and cons. And then, we complementally argued for the institution of entrapment and the ratification of the Third Choice Protocol.

2급 응급구조사의 성인외상환자에 대한 처치의 적절성 평가

장문수,어은경,김상현,김창섭,송근정,박한규,유지영,최동섭 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

In Korea, EMT have two classified subgroup of first and second degree : EMT-P, and EMT. For the beginning, authorization of the first EMT was made in this year through the EMT educational program. There are 8 items which EMT can perform the treatment without the supervision by a physician. But there was no previous report of pertinent assesment of treatment performed by the EMT. There upon authors have conducted review of assessment done by the EMT in EC setting, and proposed the following treatment application can be used by EMT at the field of accident. The study materials include adult trauma patient older than 15 years, and sustained trauma within 48 hours before visiting Ewha University DongDaeMoon Hospital Emergency Deparment. The duration of study was from Apr. 1 1995 to Aug. 31 1995. the study was conducted by 5 certified EMT. The EMT's performance was evaluated by the attending Emergency Medicine physician. The result were as followings ; 1. Among the total 5532 ED visiting patients during the study period, 1267 were adult trauma patients who recieved treatment within 48 hours of injury. 2. Among 1222 out of 1267 patients have completed performed survey. 3. Male to female ratio was 2.6 : 1, age distribution was from 15 to 87 years old and mean age was 34.6 years old. 4. The MOI showed : MVA (33.1%), blunt trauma (29.9%), slip down (16.8%), penetrating injury(15.4%), and miscellaneous (5.7 %), burn (3.1%), falling down injury(2.9 %), bite injury(1.1%) in order. 5. There were 437 cases of survey completed by the EMT. For assessment of mental status of 3 different method : AVPU, 5 scale mental status and GCS, were correlated with EM physician with 99.1%, 98.6%, 97.7 %, respectively. 6. For 320 out of 437 cases of survey completed, 319 patients recieved treatment by the EMT within 30 minute and 1 patient between 30 to 60 minute of an ED arrival. 7. For those 437 cases of survey completed, 266 patient (60.9%) had adequate treatment and 54 patients (12.4%) had inadequate treatment. 67 patient (15.3%) did not received treatment but it was adequate inway, and 50 patients (11.9%) did not received treatment even though patient required treatment. In cases of adult trauma patients, EMT's mental status assessment was correlated with EM physician's assessment. But treatment done by EMT without the supervision of EM physician was adequate only in 76.2 %. Therefore, continuous education and assessment of treatment performed by EMT in needed to improve field treatment by EMT future.

스포츠 소비자의 가치관과 스포츠 선호종목의 관계

장호중,김지은,김정묵,정철규,박순문 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

The purpose of this study is to examine the relationship between The Relationship between and Sports Preference Event and Value of Sports consumers. To achieve this purpose, the subjects were selected by cluster random sampling of adults in sports facilities, in Seoul, in 2001 at present. There were 414 male, 360 female used for the analysis. The total was 774. Data were collected by employing a questionnaire. The variables of this analysis were conducted value, sports items, demographic characteristics. The survey questionnaires were used to collect the data. The questionnaire for the formalization factor of a Value of Sports consumers by Kim(1996). The collected data analyzed statistic program SPSS Windows 10.0 Version. The statistical analysis are descriptive statistics analysis, factor analysis, one-way ANOVA, crosstabs, discriminant analysis. Through this process, the study has reached the following conclusions. First, value of sport consumers, sports event, are partly different by demographic characteristics. Second, Value of Sports consumers are influence of Sports Preference Event.

뇌하수체 종양 제거술 시행 후 뒤늦게 발생한 횡문근 융해증과 동반된 중추성 열

장제혁,최규남,김일환,노은지,김윤정,유충헌,고정해,박봉수,김태균,권민정,이순희,박정현 인제대학교 2008 仁濟醫學 Vol.29 No.-

Body temperature is controlled by thermoregulatory center of the hypothalamus. We report a case of 24 years old man with central fever. He was subjected to a partial excision of pituitary tumor compressing optic chiasm four years ago. He has received hormonal therapy for panhypothyroidism after removal of pituitary tumor. And He received gamma knife operation for partially contrast-enhancing masses in suprasellar and both hypothalamic areas that is probably postoperatively remnant or recurrent tumor of pituitary adenoma. One year after gamma knife operation, he presented with a febrile syndrome of unknown origin including rhabdomyolysis. All usual investigations proved negative. We diagnosed him as central fever with rhabdomyolysis. He received medical ICU care with cooling bed, ice pack. And his symptom improved. Postoperative hyperthermia may result following resection of the pituitary tumor. When central fever is suspected taking note of past history, a quick recognition of course of fever can help reduce the using of unnecessary antibiotics and hospital stay.

비소세포 폐암 환자의 이차 치료로서 Gemcitabine과 Vinorelbine 혼합 요법의 효과

장필순,강현모,이정은,권선중,안진영,이연선,정성수,김주옥,김선영 충남대학교 암연구소 2006 암연구소 업적집 Vol.5 No.-

Background : Both gemcitabine and vinorelbine are effective anticancer drugs with mild toxicity on non-small cell lung cancer, and monotherapy of these drugs are effective as a second-line chemotherapy. The aim of this trial was to assess the response and toxicity of a combination of gemcitabine and vinorelbine in patients of previously treated for non-small cell lung cancer. Materials and Methods : 24 patients, initial stage III A/B,IV and previously treated with platinium and taxane based regimens, were enrolled from June 2000 to March 2004. The regimens consisted of vinorelbine 25mg/㎡ followed by an infusion of gemcitabine 1000mg/㎡ on day 1 and day 8 every three weeks. This course was repeated more than twice. Results : Twenty-four patients were analyzed for the response, survival rate, and toxicities. The overall response was 17% with a complete remission rate of 4%. The median time-to progression (TTP) was 3.1 months (95%, CI l-10months), and the survival time was 8.2 months (95%, CI 1-23 months). The grade 3/4 toxicities encountered were neutropenia (12.5%), anemia (0%), thrombocytopenia (0%). Non-hematological 3/4 toxicities were not observed. Conclusion : A combination of gemcitabine and vinorelbine in patients previously treated for non-small cell lung cancer provides a relatively good response rate, and a low toxicity profile. However, further study will be needed to confirm its effectiveness. (Tuberc Respir Dis 2005; 58: 344-351)