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중환자실간호사와 병동간호사의 직무스트레스, 소진 및 직무만족도 정도비교
오은화,양소명,김소현,유하나,진은영,김여진,김영희,Oh, Eun-Wha,Yang, So-Myoung,Kim, So-Hyun,You, Ha-Na,Chin, Eun-Young,Kim, Yeo-Jin,Kim, Young-hee 대한한의정보학회 2016 大韓韓醫情報學會誌 Vol.22 No.1
Purpose: The purpose of this study was to compare the level of job stress, burn-out and job satisfaction between intensive care unit nurses and general unit nurses. Methods: The subjects of this study were 100 intensive care unit nurses and 100 general unit nurses in university's hospitals. The data were collected using self-report questionnaires. The data were analyzed by descriptive statistics, -test, ANCOVA, t-test, ANOVA, and Pearson correlation coefficient by using the SPSS WIN 20.0 program. Results: There were significantly negative correlation in the score of job stress and job satisfaction in both groups of nurses. Job stress of intensive care unit nurses was significantly differences according to department satisfaction. Burn-out of intensive care unit nurses was significantly differences according to position, department satisfaction. Job satisfaction of intensive care nurses unit was significantly differences according to department satisfaction. Job stress of general unit nurses unit was significantly differences according to department satisfaction. Burn-out of general unit nurses was significantly differences according to clinical experience, position, department satisfaction. Job satisfaction of general unit nurses was significantly differences according to clinical experience, department satisfaction. Conclusions: The appropriate rewards for intensive care nurses and general unit nurses to decrease their job stress will be needed in hospital settings. In addition, a plan for systemic nurse training program is needed to provide high quality nursing education for each unit nurses effectively.
전인수 ( In Soo Jeon ),김은화 ( Eun Wha Kim ) 한국소비자학회 2005 소비자학연구 Vol.16 No.1
The objective of this study is to suggest the brand equity model to define, analyze and manage reputation brand. The reputation brand exactly isn`t able to explained by the existing Keller`s model that defines general brand and suggests strategic ideas. Keller`s model composes of the awareness and image defined as attitude of brand attributes. But customer`s strong preferences of a brand owing to its symbolic appeal is a very important characteristic of reputation brand. Authors suggest the new model based on the attitude function theory and need-hierarchy theory. The attitude function of a brand perceived by target customers make them have strong preferences for that brand. The premium of reputation brand is based on the knowledge and utilitarian function theory. The prestige and charisma is based on impression management and ego-defensive function. The new model names PPCA model (P : premium, P : prestige, C : charisma, A : awareness). PPCA model is three-stage model that is introduction, growth and leader stage. The reputation brand in introduction and growth stage is premium brand and prestige brand; and charismatic brand is in leader stage. Also PPCA model says that Korean brand is in the introduction stage, that is, premium brand.
진도개에서 홍반천포창(pemphigus erythematosus)의 진단
방동하,최을수,김민규,최은화,정윤찬,강민수,김대용,황철용,이창우,윤화영,Bhang, Dong Ha,Choi, Ul Soo,Kim, Min Kyu,Choi, Eun Wha,Jung, Yun Chan,Kang, Min-Soo,Kim, Dae-Yong,Hwang, Cheol-Yong,Lee, Chang Woo,Youn, Hwan Young 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.2
A 6-year-old female Jindo dog weighing 20 kg was presented to the Veterinary Medical Teaching Hospital of Seoul National University for the formation of crust and erosion of the nasal bridge and planum, and for alopecia of ear margin. Erythema, crusts, alopecia and erosions were present in the nasal planum and the bridge of the nose on physical examination. There were no abnormalities on CBC, serum chemistry, and basic dermatologic examination which included skin scraping, bacterial cultures, and fungal cultures. On cytology, the acantholytic cells were surrounded by non-degenerate neutrophils. Biopsy samples obtained from skin lesionswere diagnosedpemphigus erythematosus by histopathology and immunochemical staining. Therefore the dog was initially treated with oral prednisolone as an immunosuppressive dose for tour weeks, but clinical manifestations did not improve so far.
증예(症例) : 장기 생존을 보인 골, 폐 및 복강내 전이가 있었던 원발성 간세포암종 1예
황민호 ( Min Ho Hwang ),김용문 ( Yong Mun Kim ),김정화 ( Jung Wha Kim ),송민섭 ( Min Sub Song ),윤찬호 ( Chan Ho Yun ),김은화 ( Eun Wha Kim ),최용우 ( Yong Ou Choi ),이용웅 ( Yong Woong Lee ) 전북대학교 의과학연구소 2001 全北醫大論文集 Vol.25 No.1
원발성 간암세포암종의 원격전이는 예후가 불량하며 전이병소에 대한 고식적인 수술적 절제, 방사선 치료, 항암화학요법 등과 이들의 병행치료로 효과가 있다고 보고하고는 있으나, 본 증례에서와 같이 좌측 골반부, 우측 견갑부의 골 전이와 폐 전이, 복강내 전이 등 다발성 원격전이된 환자에서의 보고는 없는 상황에서 적극적이며 주기적인 방사선 치료로 비교적 장기 생존을 하며 치료 효과가 있었던 1 예를 보고하는 바이며, 향후에도 적극적이며 다양한 치료 방법들에 대한 보고들이 계속되어야 할 것으로 판단된다. Primary hepatocellular carcinoma(HCC) is one of the most prevalent cancers in the world, particularly in Asia and parts of Africa. Extrahepatic metastasis by blood stream dissemination are encountered in lung. bone, adrenal glands, pancreas, kidney and the spleen. The prognosis of extrahepatic metastasis from HCC remains lethal and average survival time after the time of diagnosis is under 6 months but appropriate local surgical resection of the metastatic region and systemic control with chemotheraphy and radiotheraphy can result in improved quality of survival. We report the case who had been alive 11 months after left iliac bone and then lung, right shoulder joint and peritoneum metastasis with only irradiation.
위장관에 발생한 유암종(Carcinoid tumor) 3예
김은화,김원섭,김상영,최용우,이용웅,이기세,김세화,송선경 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.5
Carcinoid tumors arise from enterochromaffin cells that are located predominantly in the gastrointestinal mucosa. Gastrointestinal carcinoids appear with equal frequency among men and women, most often during the fifth and sixth decades. A primary duodenal carcinoid is rare. Most carcinoid tumors of the appendix are incidentally discovered during other surgical procedures. Its natural course is usually benign and the size of the tumor is closely related with the liability of regional or distant metastasis. The vast majority of rectal carcinoid tumors are benign and can be safely treated by a local excision. Lesions larger than 2 cm that invade the muscular wall of the rectum should be considered as malignant and treated by a more radical procedure such as an abdominoperineal resection. Three cases are here in reported of gastrointestinal carcinoid tumors that were treated at presbyterian medical center.
김영재,김희종,김은화,송은섭,김문중,김귀완,한기옥,류영근,유제윤 대한내과학회 1991 대한내과학회지 Vol.41 No.5
Rifampicin is a widely used drug for the treatment of mycobacterium tuberculosis infections. This drug, among others, is a potent inducer of the hepatic mixed oxygenase enzymes involved in drug metabolism. Therefore, the effects of drugs or hormones metabolized by liver enzymes may be influenced by rifampicin administration. Thus, concurrent treatment of rifampicin and the glucocorticoid hormone can lead to decreased bioavailability of the glucocorticoid hormone and to icreased requirement. With a brief review of the literature, we report a case of rifampicin-induced adrenal crisis, in which the patient received a physiologic maintenance dose of prednisolone and rifampicin.
김수경,김은화,이혜경,김병구,백현선,조덕수,최용우,이용웅 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.6
Colorectal cancer consists of 8.2 percent of all malignancy in korea, and shows more increaing tendency. Despite the advances in the detection of calorectal cancer no single screening technique has achieved both high degree of diagnostic accuracy and minimal patient morbidity. We studied 24 patients, who underwent colonoscopy, with clinical suspicious colon cancer at Presbyterian Medical Center between Jan and Sep.1995, and evaluated the diagnostic feasibility of colon lavage cytology using oral cleansing solution. The results were as follows; 1) Colorectal cancer(adenocarcinoma) was detected in 19 of 24 cases by colonoscopic biopsy and only one patient who 'was not approached to the lesion site because of abdominal pain during colonoscopy, was detected colon cancer by explo-laparotomy. 2) In the 20 cases of colorectal cancer, colon lavage cytology revealed dysplastic cells in 1 case, and adenocarcinoma cells in 6 cases, so, the sensitivity of colon lavage cytology is 35 percent. 3) The location of the cancer was follow:Five ascending colon, two transverse colon, five sigmoid colon, and eight rectum and the 7 cases showing positive colon lavage cytology was fallow: two ascending colon, one transverse colon, one sigmoid colon, three rectum. 4) The colectomy was performed in the 17 cases(Dukes' B: five, C: twelve). The Dukes' classification of the 7 case showing positive colon lavage cytology is two in Dukes' B, four in Dukes' C, and one in Dukes' D. In conclusion, we think the cytologic study of colon lavage fluid might be considered as one of the noninvasive diagnostic tools in colorectal cancer, if it's sensitivity improved, epecially, incomplete retrograde cecal intubation, or refusal colonoscopy, and ulcerative colitis combined with colon cancer.