여성 말기신부전 환자의 혈액투석 적응경험

박의정(Park, Eui-Jung),김영혜(Kim, Young-Hae),손현미(Son, Hyun-Mi) 한국성인간호학회 2015 성인간호학회지 Vol.27 No.5

웹 기반 동영상 프로그램 선택속성이 수술실 신규간호사의 간호 수행능력에 미치는 영향 -학습몰입의 매개효과 중심으로-

박정해(Jung-Hae Park) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.1

본 연구는 수술실 신규간호사의 웹 기반 동영상 프로그램 선택속성이 학습 몰입을 매개로 차후 간호 수행능력에 관한 확신에 미치는 영향을 검증하는 것이 목적이다. 연구대상은 인천 및 경기도 소재 대학병원의 수술실 근무 중인 간호사를 대상으로 하였으며, 250개의 표본을 분석에 활용하였다. 연구방법은 구조화된 설문지를 사용하여 2019년 7월 부터 8월까지 수집되었다. 참가자들은 인천과 경기에 있는 대학병원 수술실 250명의 간호사이다. 수집 된 데이터는 IBM SPSS Statistics 25.0과 AMOS 24.0을 사용하여 분석하였으며, 구조모형을 통해 위에 적합도 지표를 기반으로 직접효과와 간접효과를 측정하였다. 연구 결과, 수술실 신규간호사는 수술과 1차적으로 직결되는 위생 안전요인과 환자 관리요인을 상대적으로 더욱 중요하게 인지하였다. 학습 몰입을 통하여 차후 간호 수행능력에 관한 확신이 있었고, 위생 안전요인의 경우 학습 몰입이 없어도 수술실 신규간호사가 중요성을 인지하여 차후 간호 수행능력에 관한 확신에 긍정적 영향이 미침을 검증하였다. 따라서 향후 시각적 효과에 더 비중을 둔 웹 기반 동영상 프로그램 구성을 통해 간호의 위생 안전요인뿐만 아니라 환자 관리요인 그리고 간호 관련 요인 모두가 환자의 생명과 회복에 핵심적 단계임을 신규간호사에게 적합하게 이해시킬 필요가 있다. This study aimed to examine the effect of selected factors on confidence in nursing performance among new operating room nurses, with a focus on the mediating effect of learning flow. Data was collected from July to August 2019 using structured questionnaires. The participants were 250 new operating room nurses from university hospitals located in Incheon and Gyeonggi. The collected data was analyzed using the IBM SPSS Statistics 25.0 and AMOS 24.0. Structural equation modeling was performed to examine the effect of the selected factors namely web-based video programs on confidence in nursing performance, and the mediating effect of learning flow. Results: The factors of "hygiene & safety" and "patient care" from the web-based video programs had a positive effect on the learning flow. The higher the learning flow of the nurses, the greater their confidence in nursing performance. Just the "hygiene & safety" factor significantly increased nursing performance. Conclusion: The study results suggest that new nurses perceive that "hygiene & safety" is an important factor in building their confidence in nursing performance, even without the learning flow. Therefore, it is necessary to develop web-based video programs based on nurses" needs and to emphasize the importance of postoperative care.

의과대학생의 의학교육 및 의료에 대한 의식 조사

박정한(Jung Han Park),김경환(Kyung Hwan Kim),전혜리(Hae Ri Jun),이주영(Ju Young Lee) 한국의학교육학회 1999 Korean journal of medical education Vol.11 No.2

1983년에 전국 규모의 의대생들에 대한 의식 및 가치관 조사를 실시한 이래 그동안 의대 수와 학생정원이 약 2배 증가하였고 사회․경제적 여건도 많이 변하였으므로 의대생들의 의식과 가치관이 어떻게 변하였는지 알아보기 위하여 이 조사를 다시 실시하였다. 1997년 11월 당시 전국의 40개 의대가운데 의학과 4학년까지 재학생이 있는 32개 대학의 의학과 재학생 전원을 모집단으로 하여 각 학년별 학생명부의 출석번호를 이용하여 10명에 1명씩 계통표본추출을 하고, 각 학년의 출석번호 끝번을 추가한 표본을 대상으로 설문조사를 하였다. 설문지는 1983년에 사용한 것을 근간으로 하여 최근 의료환경 변화에 대한 내용과 의대생들의 의학 및 직업관 형성에 관련된 문항을 추가하여 개발하였다. 조사는1997년 12월에서 1998년 1월 사이에 각 대학마다 사전에 위촉된 1명의 조사담당 교수가 조사대상자들에게 설문지를 배부하여 기입하게 하였다. 총 재학생 11,987명중에 설문 조사대상으로 뽑힌 1,386명가운데 1,233명 (89.0%)이 응답하였는데 응답자중 학년 미상 11명과 응답이 부실한 1명을 제외한 1,221명을 최종 분석대상으로 하였다. 몇 가지 특성을 중심으로 모집단과 조사표본을 비교해 본결과 표본의 대표성에는 별 문제가 없었다. 조사내용을 3부분으로 나누어 보고하였는데 1부에서는 조사방법과 조사대상자의 특성 및 응답자들의 의학교육에 대한 태도와 의학에 대한 본인의 적성에 관해 기술하였다. 응답자중 남자가 75.7 %를 차지하였다. 고졸 즉시 의대에 입학한 학생의 비율은 서울지역이 45.8 %, 서울 이외지역은 53.4 %이었다. 본인의 정치적 성향이 보수적이라는 사람이 서울지역은 43.9 %, 서울 이외 지역은 33.0 %로 지방 학생들이 진보적이라는 응답률이 더 높았다. 종교를 가진 사람이 57.2 %이었는데, 기독교가 31.0 %, 가톨릭 15.2 %, 불교 9.5 % 순이었다. 아버지의 교육수준이 대학 또는 그 이상인 사람이 59.8 %로 일반 국민의 교육수준보다 높았다. 아버지의 직업분포도 전문직 21.2%, 회사원 17.2%,공무원 13.1 %, 관리직 11.8 %, 의료인 8.7%로 화이트칼라가 지배적이었다. 의대진학 결정과정에 영향을 미친 사람이 있었다는 사람이 53.7 %이었는데, 이들중 부모가 62.1%를 차지하였다. 의대진학을 권유한 이유중 사회․경제적 측면이 33.5%로 가장 높은 비율을 차지하였다. 의학공부의 재미있는 측면은 생명현상을 배우는것 (47.2 %)과 인간을 배울 수 있다 (44.3%)는 것이었고, 재미없는 측면은 암기식 공부라는 것(39.7%)과 공부 분량이 너무 많다 (34.1%)는 것이었다. 만약 고교 3학년에 되돌아가 다시 대학을 선택할 경우 여전히 의대를 선택하겠다는 사람은 50.3 %이었으나, 지금 전과가 가능하다면 전과하겠다는 사람은 6.0 %에 불과하였다. 의학 공부에 자신의 적성이 맞다는 사람은 64.9%이었고, 이 비율은 학년이 올라갈수록 증가하였다. 장차 자기 아들을 의대에 보내겠다는 사람은 남학생중 36.6%, 여학생중 26.7%였고, 딸을 의대에 보내겠다는 사람은 각각 33.6%, 27.7%이었다. Since the first survey done in 1983, this is the second national sample survey of medical students about their perception and evaluation on medical study, career plan, and medical care system. One out of every 10 students plus one in each class were systematically sampled from each grade year of 32 medical schools in Korea that had students from freshman to senior in November 1997. A questionnaire was developed by adding items related with recent changes in medical care environment and with viewpoint on medicine and physician as an occupation to the questionnaire used in 1983. The questionnaire was administered at each school under the supervision of designated collaborator of the same school in December 1997 through January 1998. A total of 1,386 students were sampled from a total of 11,987 medical students and 1,233 students(89.0%) filled out the questionnaire. Twelve students were excluded from the analysis because of incomplete response and the final analysis was done for 1,221 students. A few demographic characteristics of the sample were compared with those of the study population to check the representativeness of the sample and found no skew. The contents of the study were divided into three parts and the first part describes the study methods, demographic and other characteristics of the sample, students viewpoint on medical education, and students aptitude for medicine Male students accounted for 75.7% of the sample. The proportion of students who entered medical school right after graduating from a high school was 45.8% in Seoul and 53.4% in other than Seoul area. The students who classified their own political inclination conservative were 43.9% in Seoul and 33.0% in other than Seoul and the percentage of students with progressive inclination was higher in out of Seoul than Seoul area. The proportion of students who have a religion was 57.2%; Christian 31.0%, Catholic 15.2%, and Buddhist 9.5%. The educational level of fathers of students was far higher than the level of general population, e.g. 59.8% had college or higher education. Occupation of fathers was mainly white-collar worker; professional worker 21.2%, company employee 17.2%, government official 13.1%, manager 11.8%, and medical professional 8.7%. In the decision-making process to enter the medical school, 53.7% of the students were influenced by someone else and 62.1% of them were parents. Socio-economic factor was the most common reason for recommending medical school and it accounted 33.5% of the reasons. Medical students enjoy learning life phenomenon(47.2%) and human being(44.3%) in medical study but most disturbing factors are memory work(39.7%) and too much to study(34.1%). If students were given another chance to choose a college as a senior student in high school, 50.3% of them said that they would choose medical school. Only 6% of students have intention to change their major subject of study if they are allowed to change now. The proportion of students who consider their scholastic aptitude is compatible with medical study was 64.9% and such proportion increased with grade. The percentage of students who are going to recommend medical school to their own son in the future was 36.6% for male and 26.7% for female students and to their own daughter 33.6% and 27.7%, respectively.

과업중요성 및 피드백 특성과 혁신행동 간 역할모호성과 흡수능력의 매개효과 분석

박영해(Park, Young-hae),정헌수(Jung, Hun-su),이홍배(Lee, Hong-bae) 한국의사결정학회 2016 의사결정학연구 Vol.24 No.1

본 연구는 선행연구들 기반으로 하여 구성원의 직무특성 중 과업 중요성 및 피드백 특성과 혁신행동 관계에서 역할모호성과 흡수능력의 매개효과를 분석하고자 하였다. 본 연구는 IBM SPSS 21.0과 AMOS 21.0 분석도구를 사용하여 자료를 분석하였으며, 역할모호성과 흡수능력의 매개효과는 붓스트래핑(bootstrapping) 접근방법을 통해 분석하였다. 분석 결과를 통하여 역할모호성과 흡수능력이 과업 중요성 및 피드백 직무특성과 혁신행동에 매우 중요한 매개변수임을 알 수 있었다. 다시 말해, 직무특성과 혁신행동 간에 역할모호성과 흡수능력의 매개변수 역할을 확인함으로써 기존 연구들의 결과들을 확대 적용할 수 있는 계기를 제시하였고, 나아가 향후 직무설계 및 수행에 있어서 과업 중요성과 함께 피드백 특성을 강구함으로써 조직의 혁신 효율을 더욱 높일 수 있을 것으로 판단하였다. The purpose of this paper is to analyze the mediating effect of the role ambiguity and absorptive capacity in the structural relationship of the job characteristics and innovative behaviors. We formulate the structural equation model(SEM) for analysing the relations among the six construct or latent variables. And we analysis the mediating effect of the absorption capacity. The empirical results are as follows. First, feedback has a negative effect on role ambiguity and a positive effect on feedback ambiguity, and skill variety has a positive effect on feedback ambiguity. Second, task significance and feedback have positive effects on exploratory absorptive capacity. Third, role ambiguity have positive effects on absorptive capacities, whereas feedback ambiguity has a negative effect on exploitation absorptive capacity. Four, exploratory absorptive capacity has a positive effect on exploitation absorptive capacity. Five, absorptive capacities, feedback ambiguity, and skill variety have significant effects on innovative behaviors. Finally, exploratory absorptive capacity and role ambiguity mediated partially the relationship between feedback and exploitation absorptive capacity, exploratory and exploitation absorptive capacities mediated perfectly the relationships between task significance and innovative behavior, between autonomy and innovative behavior, and between feedback and innovative behavior.

끝나지 않는 기억전쟁(mnemonic battle)

박동숙(Dong-Sook Park),이재원(Jae-Won Lie),정사강(Sa-Gahng Jung),강혜원(Hye-Won Kang),김해원(Hae-Won Kim) 한국여성커뮤니케이션학회 2014 미디어, 젠더 & 문화 Vol.29 No.4

제주 4?3 사건은 약 7년 동안 남북한 정권, 민간인, 미국 등 서구 열강의 힘 등이 복합적으로 작용해 숱한 사람들이 사망한 사건이다. 4?3 사건을 둘러싼 논의와 갈등들은 한국 근현대사의 문제들과 닿아 있으며 4?3 사건과 그 진상규명과정에서 파생한 갈등들, 한국사회에서 4?3 사건이 기억되는 맥락은 매우 복합적인 결을 지니고 있다. 본 연구는 4?3 사건을 두고 일어나는 기억의 의미투쟁 현장을 신문은 어떻게, 얼마나 보도하고 있는가를 고찰하고자 했으며 이를 위해 1999년부터 2013년까지 14년 동안 경향신문 동아일보 조선일보 한겨레신문(가나다순) 기사 중 4?3 위주로 보도된 654건의 연도별 보도량과 주제, 기사의 의미와 기사 속 행위자 등을 분석하여 미디어 기억이 어떤 이야기를 하고 있는지 살펴봤다. 4?3을 둘러싼 최근 14년간의 뉴스미디어의 기억 지형을 살펴본 바, 사회적으로 드러난 4?3사건을 둘러싼 중요한 이슈 지점들과 4?3사건을 기억하는 미디어의 기억 지형에서 나타나는 중요한 순간들은 일치하지 않았으며 언론은 지엽적이고 파편적이며 정치 ‘싸움’에 집중된 갈등적인 요소들을 두드러지게 부각시키고 있었다. 무엇보다 4?3사건이 지니고 있는 본질적인 갈등양상과 뉴스미디어에서 그려내고 있는 갈등의 내용과 모습은 큰 차이를 보이고 있으며 뉴스미디어를 통해 이뤄지고 있는 기억전쟁은 왜곡된 형태를 지니고 있는 것으로 드러났다. The Jeju April 3(4?3) Incident occurred during seven years, from 1947 to 1954 in the island of Jeju. Two separated Korean governments, Korean civilians, United States of America and the other actors were complexly related to the incident and 25,000 casualties were estimated. The ongoing discussion and conflict regarding the 4?3 incident is still controversial and the context in which the incident is remembered in Korean society is complicated. Considering the complex nature of the Jeju April 3 Incident, this Study examined the mnemonic battle in Korean newsmedia, how Korean newsmedia covered this incident last fourteen years. For this study, four Korean daily newspapers- Kyunhyang, Dong-A, Chosun and Hanguerae were selected and 654 articles directly related to the incident were collected and analysed. Consequently the main issues and important moments of the 4?3 incident exposed in society and in newsmedia were in discord and inconsistent. The newsmedia covering the incident focused on peripheral issues, fragmented memories and minor conflicts instead of the essence of the incident, and therefore distorted the nature of it.

Multi-scale Modeling of Transverse Impact on a Ballistic Fabric Composite

Hae-Kyu Hur(허해규),Soo-Yong Lee(이수용),Jung-Sun Park(박정선) 대한기계학회 2010 대한기계학회 춘추학술대회 Vol.2010 No.4

A methodology has been developed to obtain dynamic response of planar woven textile composites subjected to impact loading. The yarn modeling is obtained using concepts of a repeating unit cell (RUC) and a unit cell (UC), and the geometrical architecture of RUC and UC on the yarn assembly is derived from mathematical equations based on yarn surfaces. The yarn material modulus is estimated from multi-scaled hierarchical system of composite structures. To estimate the mechanical characteristics of composites, this work uses a simple multi-scale concept for fiber, yarn, assembled yarn and RUC assembly. The focus of this paper is the effects of yarn geometry and hierarchical system on the dynamic behavior of ballistic fabric composites, starting from the mechanical behavior of multi-scaled components.

Isocyanate 에 의한 직업성천식 환자에서 흡입성 항원에 대한 신감작의 발생률 및 예후에 미치는 영향

박한정 ( Han Jung Park ),김현아 ( Hyun Ah Kim ),허규영 ( Gyu Young Hur ),예영민 ( Young Min Ye ),서창희 ( Chang Hee Suh ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2006 천식 및 알레르기 Vol.26 No.3

Background: It has been reported that half of toluene diisocyanate (TDI)-induced asthma patients had persistent asthmatic symptoms even after complete avoidance. We hypothesized that new sensitization to common inhalant allergens may contribute to persistent and aggravation of asthmatic symptoms. Objective: The aim of this study is to investigate the prevalence and clinical significance of new sensitization to common inhalant allergens in patients with TDI-induced asthma. Method: Thirty-six TDI-induced asthma patients who had been followed up for more than three years were enrolled. They were classified into two groups, newly-sensitized and not-sensitized groups, according to the results of the skin-prick test and serum specific IgE antibodies to common inhalant allergens monitored every year. The clinical features, drug requirements for systemic steroids, and airway hyper responsiveness were compared between the two groups. Result: Thirteen (36.1%) of 36 patients with TDI-asthma developed new sensitization to common inhalant allergens during the follow-up periods. The mean onset time were 4.93±2.49 years. The prevalence of atopic status and allergic rhinitis tended to be higher in the newly sensitized group. The duration of asthmatic symptoms before the diagnosis was significantly longer in the newly sensitized group (P<0.05). The drug requirements for systemic steroids tended to increase after the new sensitization in the newly sensitized group. Conclusion: The development of new sensitization to common inhalant allergen in TDI-asthma may be associated with chronic persistent asthmatic symptoms. New sensitization to common inhalant allergens should be monitored regularly in TDI-induced asthmatic patients. (Korean J Asthma Allergy Clin Immunol 2006;26:213-218)

Bee Pollen 섭취 후 발생한 아나필락시스

박한정 ( Han Jung Park ),허규영 ( Gyu Young Hur ),김현아 ( Hyun Ah Kim ),예영민 ( Young Min Ye ),서창희 ( Chang Hee Suh ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2007 천식 및 알레르기 Vol.27 No.1

We report a case of a 54-year-old woman with atopy who showed a severe anaphylactic reaction after the ingestion of bee pollens. A few minutes after the ingestion, generalized pruritus, urticaria, periorbital and perioral angioedema, and dyspnea developed, and thus the emergency care including subcutaneous epinephrine and intravenous methylprednisolone was performed. She suffered from seasonal allergic rhinitis for 10 years. Microscopic examination of the bee pollen ingested showed mostly mugwort and ragweed pollen, and several kinds of tree pollens. In vivo and in vitro studies demonstrated that the patient had allergic rhinitis sensitive to mugwort and ragweed pollens and sensitized to some tree pollens as well. This case demonstrated that a severe systemic allergic reaction could occur in a pollen-sensitized patient after the ingestion of bee pollens. (Korean J Asthma Allergy Clin Immunol 2007;27:57-60)

HPLC를 이용한 혈중 히드로클로로티아지드의 분석 및 이를 이용한 한국인 성인남성에 대한 생체이용률 평가

박아연,김진희,김성용,지상철,복혜숙,김호중,염정록,한상범,Park, Ah-Yeon,Kim, Jin-Hee,Kim, Sung-Yong,Chi, Sang-Cheol,Bok, Hae-Sook,Kim, Ho-Jung,Youm, Jeong-Rok,Han, Sang-Beom 대한약학회 2006 약학회지 Vol.50 No.5

A simple and sensitive high-performance liquid chromatographic method for quantitation of hydrochlorothiazide in human plasma was developed and bioavailability parameters of hydrochlorothiazide were assessed in Korean healthy male volunteers. Caffeine was used as an internal standard. Hydrochlorothiazide and internal standard in plasma sample were extracted using tert-butylmethylether (TBME). A centrifuged upper layer was then evaporated and reconstituted with mobile phase of acetonitrile-25 mM phosphate buffer (20/80, pH 2.5). The reconstituted samples were injected into a Luna C18 column $(250{\times}4.6\;mm,\;5{\mu}m)$ at a flow-rate of 1.0 ml/min. The wavelength was set at 230 nm and no endogenous substances were found to interfere, A linear relationship for hydrochlorothiazide was found in the range of $10{\sim}300\;ng/ml$. The lower limit of quantitation (LLOQ) was 10 ng/ml with acceptable precision and accuracy. Assayed in plasma, the intra- and inter-day validation for all coefficients of variation (R.S.D.%) were found less than 15%. Main pharmacokinetic parameters of 50mg of hydrochlorothiazide were revealed as follows: $AUC_t\;1761{\pm}509.0\;ng{\cdot} hr\;ml,\;C_{max}\;296.5{\pm}95.5\;ng/ml,\;T_{max}\;1.94{\pm}0.85hr,\;K_{el}\;0.12{\pm}0.04\;hr^{-1}\;and T_{12}\;6.81{\pm}2.92\;hr.\;C_{max}\;and\;T_{max}$ were in accordance with the values $(270{\sim}350\;ng/ml\;and\;1.9{\sim}2.7\;hr)$ of Caucasian.

지역의료보험조합의 규모에 따른 관리운영비 분석

박강원,이정운,김혜경,문옥륜,Park, Gang-Won,Lee, Jung-Un,Kim, Hae-Kyung,Moon, Ok-Ryun 대한예방의학회 1992 Journal of Preventive Medicine and Public Health Vol.25 No.4

The purpose of this study is to estimate the minimum optimal scale(MOS) of the self-employed health insurance associations. Considering the high proportion of operating expenses, the author have selected 254 regional health insurance associations eon the 1990 Finance Report of the self-employed health insurance programs. Both a quadratic function and a hyperbolic function were chosen for the analysis. The dependent variables are the average maintenance cost per insured person and per household, and the independent variables are the number of insured members and of household The minimum optimal scale was obtained from the differentiation of the quadratic function. Major findings are summarized as follows: 1. The M.O.S. was calculated as 166,174 members (27,442 households) for the rural self-employed health insurance associations and 258,462 members (75,446 households) for the urban. Providing that both the rural and urban health insurance associations would be integrated, the M.O.S. be found to become 231,687 members (68,101 households) 2. Compared with the optimal minimum scale, the magnitude of the current health insurance association found to be much smaller, less than half of the optimal scale. 3. In order to reduce the operating cost, it is necessary to enlarge the operational scale of self-employed health insurance associations.