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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
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.
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.
모정희,정현구,조태식,김효석,박성규,이난영 조선대학교 구강생물학연구소 2002 口腔生物學硏究 Vol.26 No.2
The nasopalatine duct cyst is the most common non-odontogenic cyst in the oral area and is thought to be originated from the epithelial remnants of the nasopalatine duct. The nasopalatine duct cyst have been mentioned to be an overall incidence of 1.7-11.9% of all jaw cyst. More males than females are affected by that. It could occur all around the age, and especially in their 40th and 60th it happens the most and in childhood it is very rare. Proper treatment for nasopalatine duct cyst is enucleation. In the case of very large cysts, it is likely to be a risk of naso-oral or antral-oral fistulas or of devitalization of teeth, marsupialization is indicated. The purpose of case report is that a nasopalatine duct cyst in is very rare in childhood. A 9-year-old boy was referred to the chosun university pedodontics clinic that this child who has anterior palatal swelling is in routine check. The size of the cyst was so big that the marsupialization was committed and obturator was put. This patient is on the continuous observation. we treated the nasopalatine duct cyst with obturator.
서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4
purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.
Mucosal-Associated Invariant T Cell Deficiency in Systemic Lupus Erythematosus
Cho, Young-Nan,Kee, Seung-Jung,Kim, Tae-Jong,Jin, Hye Mi,Kim, Moon-Ju,Jung, Hyun-Ju,Park, Ki-Jeong,Lee, Sung-Ji,Lee, Shin-Seok,Kwon, Yong-Soo,Kee, Hae Jin,Kim, Nacksung,Park, Yong-Wook American Association of Immunologists 2014 Journal of Immunology Vol. No.
<P>Mucosal-associated invariant T (MAIT) cells contribute to protection against certain microorganism infections and play an important role in mucosal immunity. However, the role of MAIT cells remains enigmatic in autoimmune diseases. In this study, we examined the level and function of MAIT cells in patients with rheumatic diseases. MAIT cell, cytokine, and programmed death-1 (PD-1) levels were measured by flow cytometry. Circulating MAIT cell levels were significantly reduced in systemic lupus erythematosus (SLE) and rheumatoid arthritis patients. In particular, this MAIT cell deficiency was more prominent in CD8<SUP>+</SUP> and double-negative T cell subsets, and significantly correlated with disease activity, such as SLE disease activity index and 28-joint disease activity score. Interestingly, MAIT cell frequency was significantly correlated with NKT cell frequency in SLE patients. IFN-γ production in MAIT cells was impaired in SLE patients, which was due to an intrinsic defect in the Ca<SUP>2+</SUP>/calcineurin/NFAT1 signaling pathway. In SLE patients, MAIT cells were poorly activated by α-galactosylceramide–stimulated NKT cells, thereby showing the dysfunction between MAIT cells and NKT cells. Notably, an elevated expression of PD-1 in MAIT cells and NKT cells was associated with SLE. In rheumatoid arthritis patients, MAIT cell levels were significantly higher in synovial fluid than in peripheral blood. Our study primarily demonstrates that MAIT cells are numerically and functionally deficient in SLE. In addition, we report a novel finding that this MAIT cell deficiency is associated with NKT cell deficiency and elevated PD-1 expression. These abnormalities possibly contribute to dysregulated mucosal immunity in SLE.</P>