영양집중지원팀 자문 의뢰 및 순응 여부에 따른 중환자실 환자의 영양상태 비교

손윤진,현태선 대한지역사회영양학회 2022 대한지역사회영양학회지 Vol.27 No.2

Objectives: This study aimed to examine the effectiveness of the intervention of the nutrition support team (NST) on the nutritional status of critically ill patients. Methods: The medical records of 176 adult patients who were admitted to the intensive care unit and received enteral or parenteral nutrition for more than 7 days were retrospectively analyzed. The patients were classified into the NST and non-NST groups according to whether they were referred to the NST or not. The NST group was further classified into the compliance and non-compliance groups depending on their compliance with the NST recommendations. Results: The NST referral rate was 56.8%, and the rate of compliance with the NST recommendations was 47.0%. Significantly higher energy and protein were provided to the NST and the compliance groups than to the non-NST and the non-compliance groups. The proportion of patients who reached the target calories after the initiation of enteral nutrition was significantly higher in the NST and the compliance groups than in the non-NST and the non-compliance groups. The serum albumin and hemoglobin levels significantly decreased in every group, but the changes were significantly lower in the compliance group. The nutritional status at discharge from the intensive care unit compared to the status at admission was significantly worse in the NST, non-NST, and non-compliance groups. However, the status was maintained in the compliance group. The length of stay in the intensive care unit was significantly shorter in the compliance group. Conclusions: Compliance with the NST recommendations was found to provide more calories and protein and prevent the deterioration of the nutritional status of critically ill patients. Therefore, effective communication between medical staff and the NST from the early stages of admission to the intensive care unit is needed to improve referrals to the NST and compliance with the recommendations.

유아기 자녀를 둔 어머니의 정서전염이 공감적 이해에 미치는 영향: 정서인식 명확성의 매개효과

손윤진,이수림 한국상담학회 2019 상담학연구 Vol.20 No.5

본 연구에서는 Arizmendi(2011)가 제안한 공감 이론을 바탕으로 유아기 자녀를 둔 어머니의 정서전염이 공감적 이해에 영향을 미치는 과정에서 정서인식 명확성의 매개효과를 살펴보고자 하였다. 이를 위해 서울 및 경기도 일대에 거주하는 2에서 6세의 유아기 자녀를 둔 어머니를 대상으로 정서전염 척도, 정서인식 명확성 척도, 공감적 이해 척도를 사용하여 설문을 실시하였고, 수집된 370부를 분석에 사용하였다. 상관분석과 구조방정식모형을 활용한 매개모형을 검증하였다. 상관분석 결과에서 대부분의 주요변인 사이에 유의한 상관이 나타났다. 매개모형 검증 결과, 정서전염과 공감적 이해의 관계에서 정서인식 명확성이 완전 매개하는 것으로 나타났으며 그에 따른 경로가 유의한 것으로 확인되었다. 이를 통해 본 연구는 유아기 자녀를 둔 어머니의 정서전염이 자녀에 대한 공감적 이해로 가는 데 정서인식 명확성이 중요한 영향을 미침을 확인하였다. This study was to examine the mediating effects of mothers’ emotional clarity on the process of emotional contagion affecting empathic understanding for mothers with infant children based on the empathy theory of Arizmendi(2011). Using Emotional Contagion Scale (ECS), Barret-Lennard Relationship Inventory (BLRI), Trait Meta-Mood Scale (TMMS), Mood Awareness Scale (MAS) as the measurement scales, the survey was conducted on 370 mothers with young children ages 2-6 years old living in Seoul and Gyeonggi area. Correlation analysis result shows that there are significant correlations among emotional clarity, emotional contagion and empathic understanding for mothers with infant children. Result of analyzing the structural equation model shows a complete mediation effect of mother’s emotional clarity on relation of mother’s emotional contagion and empathic understanding. Moreover, the empathic understanding formation for mothers with infant children, shows that the path through the mother’s emotional contagion and emotion clarity is significant. This study confirms that emotional contagion and emotional clarity have a major influence on the empathic understanding of mothers with infant children.

영국의 티타임과 차음식 고찰

손윤진(Yun Jin Son) 국제차문화학회 2019 차문화ㆍ산업학 Vol.44 No.-

국방중기계획 발전방안: 전력운영분야를 중심으로

백재옥,최공영,손윤진 국방대학교 국가안전보장문제연구소 2022 국방연구 Vol.65 No.3

Mid-term Defense Program should be established in effective manner in order to flexibly respond to changes in defense environment. This study conducts the job analysis and the survey to derive the development plan for Mid-term Defense Program in Force Operation. The results identified such resolutions, firstly, the Ministry of National Defense(MOD) should strengthen resource allocation system to ensure its control-tower function and should provide fiscal guidance which includes expenditure limits. Divisions regarding Mid-term Defense Program could also be separated from MOD's Programming and Budgeting Bureau in terms of reorganization. Secondly, MOD's program divisions should develop middle and long term plan by field and should organize discussion system to reinforce its own function such as programming and policy. Lastly, this study suggests implementing the system of identifying, selecting, amnaging targeted program which nedds analysis conducted by external specialists in order to reinforce the function of Analysis and Evaluation. 국방환경의 변화에 유연하게 대응하기 위해서는 국방정책을 고려한 재원배분 계획 등 실효성 있는 국방중기계획의 수립이 필요하다. 본 연구는 전력운영 분야의 국방중기계획의 발전 방안을 도출하고자 국방부 및 각 군 관련부서에 대한 직무분석, 설문조사를 수행하였다. 이런 과정을 통해 첫째, 국방부의 컨트롤 타워 기능을 강화하기 위해 가용재원의 합리적 배분 판단체계를 강화하고, 지출한도를 포함한 재정지침 제공을 제안하였다. 그리고 조직 재편 차원에서 국방부 계획예산관실 내 중기계획 조직을 분리하는 방안을 제시하였다. 둘째, 국방중기계획의 계획 및 정책 기능을 강화하기 위해 국방부 사업국에서 분야별로 중장기 계획서를 발전시키고 협의 체제를 구축하고 내실화할 것을 강조하였다. 셋째, 국방중기계획의 분석평가 기능을 강화하기 위해 분석평가 대상사업의 식별, 선정, 관리 체계를 구축하고 외부 전문 분석평가 수행체계 구축을 제안하였다.

재난대응부대의 장비·물자 보유 실태 및 발전방향

김경곤,최수빈,손윤진 한국국방연구원 2021 국방정책연구 Vol.37 No.2

This study analyzes the current state of equipment and supplies of the disaster response units which have been designated as the military's national disaster emergency rescue and relief support agency. This study finds that the retention rate was low compared to the accreditation. To raise the rate, it is necessary to consider the level of the total equipment and supplies of the unit to which the disaster response unit belongs when determining the quantity of accreditation through the equipment compilation and the material distribution standard. In addition, if redundant investment is prevented through information sharing with other disaster-related organizations, the utilization of equipment and supplies can be improved.

중환자실 환자의 초기 영양상태 판정에 따른 임상 및 호르몬 결과 분석

전현정,김정태,이정옥,손윤진,조민자,임은아,이택구,이지혁,김지선,오태근,최재운 한국정맥경장영양학회 2011 한국정맥경장영양학회 학술대회집 Vol.2011 No.-

연구배경: 영양불량은 기저질환 회복에 영향을 미쳐 감염, 호흡부전, 상처치유 지연 등을 통해 환자의 재원기간 연장, 이환율 및 사망율을 증가시킨다. 중환자실 입원 환자의 경우 일반 병실 환자에 비해 영양불량 위험율이 높으며, 영양불량이 동반되어 있는 경우 사망률을 더욱 증가시킬 수 있다. 영양불량은 내분비 기관에 영향을 미쳐 호르몬 불균형을 가져올 수 있으며 이러한 호르몬 불균형은 주로 초기에 일어나는 것으로 알려져 있다. 따라서 호르몬 불균형은 초기영양불량을 잘 반영할 수 있을 것으로 기대된다. 연구목적: 본 연구는 중환자실 입원 환자를 대상으로 호르몬불균형이 초기 영양상태 판정 지표로서의 타당성 여부를 알아보기 위해 시행하였다. 대상 및 방법: 2009년 1월부터 2009년 6월까지 충북대학교병원 중환자실에 입원한 환자를 대상으로 체질량지수, 혈청 알부민, 총 콜레스테롤, 총림프구수를 기준으로 초기 영양상태판정 프로그램을 사용하여 초기 영양상태 판정을 시행하였다. 대상환자는 입원 시 혈액검사, 체중, 신장, APACHE score 측정과 함께 유리갑상선호르몬, 갑상선자극호르몬, 트리요오드 타이로닌(T3), 혈중 코르티솔, 부신피질자극호르몬을 측정하였다. 연구결과: 대상환자는 총 83명으로 구성되었고, 충북대학교 병원 초기 영양상태판정 프로그램을 이용하여 영양 양호군(n=38명), 영양불량군(n=45)으로 분류하였다. 양군 사이에 연령(영양양호군 60.4±17.5 vs 영양불량군 65.5±16.7) 및 성별은 차이가 없었다(영양불량군 F:M=40%:60% vs 영양양호군 F:M=26.3%:73.7%). APACHE score 역시 양군 사이에 차이는 없었다(영양양호군 vs 영양불량군, 19.4±7.8 vs 21.5±8.6). 혈액검사에서 혈청 알부민, 단백질, 총림프구수, 중성지방 수치는 영양불량군에서 영양양호군에 비해 통계학적으로 의미있게 감소하였다. 호르몬 결과에서 혈중 코르티솔, 부신피질자극호르몬, 소마토메딘-C는 양군 사이에서 차이를 보이지 않았다. 트리요오드 타이로닌(T3), 갑상선자극호르몬은 영양불량군에서 영양양호군에 비하여 의미있게 감소하였다(Table 1). 결론: 중환자실 입원환자를 대상으로 시행한 초기영양상태 판정에 따른 호르몬결과에서 영양양호환자와 비교하여 영양불량환자에서 호르몬 불균형 차이점이 관찰되었다. 호르몬 불균형은 영양상태판정에서 효과적인 지표로 사용될 수 있을 것으로 생각된다.

자외선 차단능을 보유한 미세조류의 스크리닝

한미애,한혜진,정문희,유림환,황채은,명수현,손윤진,윤영실,이철균,Han, Mi-Ae,Han, Hye Jin,Jung, Moon Hee,Yoo, Rim Hwan,Hwang, Chae Eun,Myung, Su Hyun,Son, Yun Jin,Yoon, Young-Sil,Lee, Choul-Gyun 한국해양바이오학회 2014 한국해양바이오학회지 Vol.6 No.2

Ultraviolet-B radiation (UV-B) in sunlight causes biological damages such as erythema and blister on skin. Microalgae have been in the limelight as an attractive feedstock for manufacturing functional materials. This study focused on screening microalga with protection ability against UV-B. The microalgae were isolated from local areas on April to June 2013 as well as June 2014. The cells were grown under continuous illumination from fluorescent lamps at $136.3{\pm}2.2{\mu}E/m^2/s$ in BG-11 medium at $15^{\circ}C$ for 12-14 days. The selected cells were spread on BG-11 agar and were exposed to UV-B (312 nm) for 20 and 25 minutes. The 13 strains among selected algae were classified. Among these, 9 strains were Scenedesmus sp. and the remains were Chlorella sp. Based on this study, it seems that Scenedesmus sp. and Chlorella sp. have resistibility against ultraviolet. These results will help to study on UV protection using microalgae.

광장시장 입구 인식개선을 위한 색채디자인 제안

정민성(Jeong, Min-Seong),박태은(Park, Tae-Eun),김새운(Kim, Sae-Woon),박수현(Park, Su-Hyeon),손윤진(Son, Youn-Jin),김유선(Kim, Yoo-Sun) 더나은도시디자인포럼 2021 도시디자인저널 Vol.- No.3

The purpose of this study is to propose a color design that can enhance user satisfaction and a visual publicity for Gwang-jang Market, the oldest traditional market in Korea with a history of more than 100 years among traditional markets. The research method is as follows. First, to analyze the current status of Gwang-jang Market, it was investigated and analyzed through literature and field works. Second, this article is to designate the range of color design for Gwang-jang Market and color survey was conducted. Third, a survey was conducted to find out the level of recognition of the customer in Guang-jing market, and color design was suggested according to the results in this paper. According to the results of the survey, visitors to the Guang-jing market was not well remembered the entrance in Guang-jiang and it was difficult to find the entrance. As a concept for the entrance in Gwangjang Market, a design that combines tradition and modernity is proposed. Therefore, as concept of tradition and modernity, and the five colors that can express direction and tradition is suggested, and among the colors of district (Jung-gu) with an urban and modern color, the old brown, tiled gray, and the stone wall gray of the castle road are selected. In addition, Simple colors suggested to use five colors of lighting for night scenery of entrance in west side. In this study, only colors were suggested to improve perception, and shapes were not suggested at the entrance. However, in order to improve the characteristics and perception of Gwang-jang Market, the shape of the entrance will be changed for the future. Therefore, a more in-depth analysis and design of the entrance to Gwangjang Market is planned for the next study.