분만장 간호사의 사산아와 부모 돌봄 경험

장혜영,정재원,Jang, Hye Young,Chung, Chae Weon 한국여성건강간호학회 2017 여성건강간호학회지 Vol.23 No.3

Purpose: The purpose of the study was to have an in-depth understanding of delivery room nurses' experiences of caring for stillborn babies and their parents. Methods: After obtaining approval from the Institutional Review Board, data were collected from March 1 to August 30, 2016. A total of six nurses participated in the study. Semi-structured in-depth interviews were conducted and the data subsequently analyzed. Results: Using thematic analysis, six themes were defined and refined: Emotional distress as a result of encountering stillborn babies; Caring for the deceased baby; Concerns for the mother's pain; Consideration for the father; Conflicts between accepting and dismissing parents' requests; and Strong mindset for the stillborn babies and their parents. Conclusion: The results showed that the nurses' experiences of caring for stillborn babies and their parents might be a difficult and lonely process. However, it could also be a process of attaining maturity by finding meaning and value in one's work. It would be helpful for the delivery room nurses to share examples of effective communication, train through simulation, and learn useful strategies that each nurse can use.

ATF2 전사인자의 발현과 AP-1 전사인자인 BATF, c-Fos, c-Jun과의 이량체 형성

장혜영,김재호,Jang Hye-Young,Kim Jae-Ho 한국생명과학회 2005 생명과학회지 Vol.15 No.6

ATF2는 c-Fos와 c-Jun과 같은 전사인자이며 이들은 루신지퍼 단백질이다. 루신지퍼 단백질은 동형이합체 혹은 이형이합체를 형성하며 promoter 영역에 결합하여 전사조절에 중요한 역할을 한다. 세포의 전사인자 ATF2는 ATF/CRE site에 결합하며 특히 선택적인 interfamily 이형이량체를 형성함으로써 전사 조절에 있어서 다양한 메카니즘을 제공할 수 있다. 본 연구에서는 ATF2 cDNA를 6xHis를 가진 expression vector에 subcloning하여 E.cnli BL2l에서 발현시켰다. 6xHis tag은 nickel-chelating chromatography를 가능하게 하였다 발현된 ATF2는 In vitro binding pull-down assay에서 동형이합체를 이를 뿐만 아니라 AP-1 그룹의 인자들과 선택적인 이형이합체를 형성함을 보여 주었다. BATF와는 강하게 결합하였으며 c-Jun과도 안정된 이합체를 형성하였다. 그러나 c-Fos와는 이합체를 형성하지 않으므로서 AP-1그룹 내에서도 이합체 형성이 선택적으로 이루어짐을 알 수 있다. ATF2 is a cellular transcription factor which belongs to the CREB/ATF class and it is leucine zipper protein which generally binds to DNA as dimers. This paper presents the procedure for subcloning the ATF2 gene and the results of experiment used the expressed ATF2. The pET expression vector was used since it produced 6xHis fusion protein for easy purification using affinity column. The Nickel chelating chromatography was used for Purifying the expressed ATE2 from E- codi BL2l. Subsequen시y In vitro binding pull-down assay showed the binding specificity of ATF2 with AP-1 family factors such as BATF, c-Fos, c-Jun and ATF2 itselgf. ATF2 forms homodimer as well as strong heterodimer with BATF. It also forms stable dimer with c-Jun but barely binds with c-Fos.

GPS를 이용한 LED 동기점멸등 제어 및 충방전 시스템

장혜영(Hye Young Jang),손영대(Young Dae Son),김철진(Cherl Jin Kim) 대한전기학회 2007 대한전기학회 학술대회 논문집 Vol.2007 No.10

For a vessel to safely navigate on the ocean, it is required to check the vessel position as frequently as possible. When a vessel navigates on the ocean or entering/leaving a port, the target area such as islands, points and mountain peak, etc. are used. However, when such target are not available or when vessel navigates in night time, installed artificial navigation aid facilities help successful vessel navigation. Light Wave Aid helps to confirm a position to the navigator directly and quickly. So, the synchronous light to display the accurate signal has wide applications. However, lantern domestic industry is small, and most of the products show non-compatibility. Consequently, this paper presents the synchronous lighting using UTC of GPS, which maintains compatibility with different lanterns. Also, by replacing conventional electric bulb with LED lamp, simple and efficient lighting system is obtained.

토론 교육 관련 연구 흐름 분석을 통한 대학 토론 교육 의미 재고

장혜영(Jang, Hye-Young) 한국수사학회 2016 수사학 Vol.0 No.27

The study starts from the basic questions on debate education in University. What do we need to teach them? How do we deliver them? During last fifteen years, there have been lots of progress on education related debate in Korean society. Despite academic accumulations on this subject, we easily can find that discrepancy and discord in the concept and jargon on debate among researchers. This study will review the papers related to debate pedagogy which was published last fifteen years. Through this review process, the inherent problems will be elicited in debate courses in University education. Finally, the new direction and methods concerning debate courses will be suggested. One hundred and thirty papers related to debate education were classified as followings; debate history, debate concept, the current status and prospect of debate(speech) education, debate capacity, debate course design, debate course case study, debate pedagogy, debate type, debate evaluation, debate tournaments, reading and debate. Above mentioned papers are diverse in terms of academic institute and they are come from 40 institutes as well as various academic disciplines. There are conflicting opinions toward the objective of debate education which each researcher suggested. This confusion might be due to the conceptual difference on the idea on debate. The word, ‘토론’ in korean is being used as a simple translation of debate. However, it compasses the broad meaning of discussion. There might be the intrinsic characteristics in Korean debate culture; there is a prevailing anti attitude competitive debate and pro attitude cooperative discussion attitude on the other hand. By analysing the various education objectives, we could find the two different tendencies. When 토론 was used in the narrow meaning of debate, the objective tends to the improvement of debate ability. On the other hand, the democracy citizen nurturing is the common objective in the case of the education objective used as the broad meaning of 토론. The study suggests some practical solutions. There is a need on unifying of concept and word in debate education. We need to separate objectves and goals, debate and debate education. And we need to set different objective on each different course. Up to now, diverse agencies contributed in developing debate education. There is a strong need of association and institute encompassing debate education and research. Promoting the umbrella agency will contrive to developing the debate education.

17세기 프랑스 희극작품들에 사용된 거짓말

장혜영(Hye-Young Jang) 프랑스문화예술학회 2009 프랑스문화예술연구 Vol.28 No.-

세포 내 신호 전달 네트워크와 설계

장혜영(Hye Young JANG) 창조론오픈포럼 2013 창조론오픈포럼 Vol.7 No.1

The human body consists of 60 trillion cells in cross communication as they perform their unique roles. This network is essential for controlling various physiological functions of the human body. An exchange of pertinent signals are relayed through the transduction pathway, to reach the cell’s nucleus. Ultimately this channel, specific genes are expressed or stopped, and in result the synthesis of enzyme or protein is regulated. Moreover, the final activated molecule functions as the transcription factor and this is linked with the gene’s on?off switch. However, the abnormal activation of signal transduction can lead to cancer and other disorders. This article will focus on the importance of signal transduction and its network. Also through protein “P53” as the guardian of genomes for cell proliferation, the control of cell cycles, and programmed cell death will also be discussed. The controlled network of signal transduction is another example that substantiates the evidence of intelligent design by God.

남성 독거노인의 영양장애 예측요인

장혜영(Hye-Young Jang),김지혜(Ji-Hye Kim) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.3

남성 독거노인은 성별과 독거라는 거주 형태에서 야기된 영양장애의 위험요인을 동시에 보유한 취약 집단이다. 본 연구는 남성 독거노인의 영양장애 예측요인을 파악하고자 수행되었다. 본 연구는 2017년 노인실태조사 자료를 이용한 이차분석연구이며, 65세 이상 남성 독거노인 455명의 자료를 빈도분석, 카이제곱 검정, t 검정, 다변량 로지스틱 회귀분석을 하였다. 연구결과 남성독거노인의 영양 상태 평균점수는 21점 만점 중 5.37±3.44점이었고, 영양장애 위험군은 78.9%로 나타났다. 대상자의 영양 상태에 따른 주요 변수의 차이를 검증한 결과 교육수준(t=8.97, p=.011), 경제 상태(t=16.85, p=.002), 과음(x2=6.88, p=.009), 만성질환 수(t=-5.98, p<.001), 복용약물 수(t=-4.82, p<.001), 지각된 건강상태(x2=28.33, p<.001), 우울(x2=16.59, p<.001), 인지기능(t=4.46, p<.001), 사회활동참여(t=4.22, p<.001), IADL 제한(x2=4.39, p=.036)에서 유의한 차이를 보였다. 영양장애 예측요인으로는 과음 여부(OR 3.799, 95% CI:1.852-7.792), 지각된 건강상태(OR 2.441, 95% CI:1.158-5.145), 만성질환 수(OR 1.361, 95% CI:1.105-1.677), 인지기능(OR 0.880, 95% CI:0.801-0.967), 사회활동참여(OR 0.862, 95% CI:0.793-0.937)가 확인되었다. 따라서 남성 독거노인의 영양장애를 예방하기 위한 방안 마련 시 건강행태를 개선하고, 지속적인 만성질환 관리뿐만 아니라 인지기능과 사회활동 참여를 증진시키기 위한 전략이 고려되어야 할 것이다. The purpose of this study was to identify the factors influencing the malnutrition in the elderly men living alone in Korea. This study analyzed the data of 455 elderly men living alone using the 2017 National Survey of the Living Conditions of Korean Elderly. As a result of the study, the average score of the nutritional status was 5.37±3.44 out of 21, and the risk group of malnutrition was 78.9%. Education level, economic status, heavy drinking, number of chronic diseases, number of medications, subjective health status, depressive symptoms, cognitive function, social activity, and IADL limitation showed significant differences according to the nutritional status of the subjects. Malnutrition was influenced by heavy drinking (OR 3.799, 95% CI:1.852-7.792), subjective health status (OR 2.441, 95% CI:1.158-5.145), number of chronic diseases (OR 1.361, 95 % CI: 1.105-1.677), cognitive function (OR 0.880, 95% CI: 0.801-0.967), and social activity (OR 0.862, 95% CI: 0.793-0.937). Therefore, to develop malnutrition prevention program for the elderly men living alone, it would be considered to improve health behaviors, manage chronic diseases as well as promote cognitive function and participation in social activities.

어니스트 헤밍웨이의 단편소설에 나타난 닉 애덤즈의 소외 - 청년기를 중심으로

장혜영 ( Jang Hye-young ) 숭실대학교 인문과학연구소 2010 인문학연구 Vol.40 No.-

헤밍웨이의 단편은 작품 하나하나가 함축성과 작가자신의 자서전적 요소가 강한 특질을 갖고 있다. 특히 닉 애덤즈를 주인공으로 하고 있는 일련의 작품들은 헤밍웨이의 유년기, 청년기, 장년기를 망라하는 긴 세월을 마치 회고라도 하는 듯 그려지면서, 작품들을 통해 제시하고자 하는 작가의 숨은 의도들이 곳곳에 존재하고 있다. 그 중에서도 본고의 주제인 소외의 현상들은 작품의 표면적, 내면적으로 편만히 분출되고 있어, 닉 애덤즈 이야기를 이해하는데 빠져서는 안 될 중요한 특징이 되고 있다. 닉의 청년기는 동성과의 우정과 이성간의 애정이 시작되는 “열명의 인디언”을 비롯, 세 작품을 기점으로 실패한 사랑과 겉도는 우정 속에 처해 있는 닉의 소외된 양상이 나타나고 있다. 청년기의 닉은 또한 “투쟁가”와 “살인자들”에서 살벌한 사회와 적대적인 타인에게서 소외되고 있으며, 전쟁을 기점으로 이국의 세계에서 소외와 나아가 나다(Nada)의 의식을 체험하고 있다. 전쟁의 비극 속에 닉의 소외와 공동체 혹은 구성원의 소외 현상은 “이제 나를 눕히고”를 비롯하여 네 편의 작품에서 찾아볼 수 있다. 이와 같이 본 논문은 닉 애덤즈라는 한 주인공을 위시한 일련의 작품들을 소외의 관점에서 조명해 봄으로써, 대인관계의 갈등과 사회 공동체내의 이기심과 위기감 속에 생존해 나아가야하는 인간의 상황과 그에 대한 극복의 방안을 발견해 볼 수 있었다. 가정과 사회로부터 상처받고 방황하는 주인공 닉의 모습은 바로 그러한 체험을 했던 헤밍웨이자신의 자화상일 뿐만 아니라, 가정 내의 불화와 사회내의 부조리, 폭력, 전쟁을 안고 살아가는 현대인의 병폐적 모습이 아닐 수 없다. 문제 해결의 방법은 그 문제의 근원지 탐색에서부터 이루어질 수 있다. 인간의 소외는 그 문제점의 근원지인 인간관계를 통해서 극복되어질 수 있고, 다음 세대와의 연결고리에서도 심사숙고해야 함을 인지해야 한다. 닉 애덤즈 이야기는 인간의 소외상과 인간관계의 소외적 병폐를 시사함으로써 현대를 살아가는 우리들에게 그 심각성의 경종을 울리는 동시에 위엄성과 용기로 자존감을 지켜나가는 것이 인생의 역경을 극복하는 능력임을 입증하고 있다고 하겠다. Hemingway's works are known for rich connotation and autobiographical elements. In particular, we can perceive the pervasive presence of the author's hidden intention in the reminiscence of the protagonist's childhood, youth, and adulthood. The study explores the internally or externally expressed theme of alienation as an important clue to understanding Nick Adams' stories and as an essential autobiographical element of Hemingway's works in general. As its basic frame of analysis of the theme of alienation in Nick Adams' stories, the current study examines Nick Adams’ stories in a chronological order of his coming of age - from his childhood through adulthood. Such an approach is an effective way to comprehend Nick's sense of alienation by exploring its complex background and its interconnection to the other members of his family and society. Nick's life as a young man is depicted in nine stories. In “Ten Indians,” “The End of Something,” and “The Three-Day Blow,” his alienation is represented as the form of failed love and superficial friendship. In “The Battler” and “The Killers,” the youthful Nick is alienated from a brutal society and hostile strangers. He experiences a deep sense of alienation and Nada in a foreign country during the World War I. Various forms of alienation experienced by Nick or by other members of the community amid the tragedy of war are the common thread in “Now I Lay Me,” “A Way You'll Never Be,” “A Natural History of the Dead,” and “In Another Country.” This study examines a human condition in which one must survive and endure amongst interpersonal conflicts, selfishness, and social crises; it also uncovers a restorative device that could solve the problem of human alienation. We can deduce that the Nick's alienation from his home and society is the portrait of Hemingway's own experience; in fact, it is the story of any one of us, who are living in the modern society with all its ills - family troubles, social irregularities, violence, and even war. The first step to problem-solving is finding and understanding the roots of the problem. Human alienation should be conquered through human relationship and the connecting link with the next generation. By presenting the phases of human alienation and its ills, Nick Adams’ stories offer eloquent warning about human alienation and show us how to overcome the adversity of life through preserving self-respect with dignity and courage.

간호대학생의 자아존중감, 감성지능 및 좋은 죽음인식

장혜영(Hye Young Jang),이나현(Na Hyun Lee),문미영(Mi Yeong Mun) 다문화건강학회 2021 다문화건강학회지 Vol.11 No.1

Purpose: This study was a cross-section study to investigate the relationship between self-esteem, emotional intelligence, and the concept of a good death. Methods: The subjects were 178 nursing students in 1∼4 grade of one institution university nursing department located in Chung-buk. The data were collected from September 1 to September 10, 2020. As a measurement tool, self-esteem, emotional intelligence, and the concept of a good death were used. Data analysis was performed using a t-test, ANOVA, Scheffe test, and Pearson correlation coefficients in the SPSS/WIN 25.0 program. Results: The results showed that self-esteem, emotional intelligence, and the concept of a good death had a score of 3.70±0.04 out of 5, 5.10±0.05 out of 7, and 3.16±0.02 out of 4, respectively. Self-esteem and emotional intelligence( r=.48, p<.001) and the concept of a good death(r=.14, p<.001) had a significant positive correlation. Emotional intelligence and the concept of a good death(r=.25, p=.001) also showed a significant positive correlation. Conclusion: Based on the results of this study, programs should be developed and applied to improve the self-esteem and emotional intelligence of nursing students and form the concept of a good death.

우리나라 성인 당뇨병 환자의 미충족의료 관련 요인

장혜영 ( Hye Young Jang ),한미아 ( Mi Ah Han ),박종 ( Jong Park ) 한국보건행정학회 2021 보건행정학회지 Vol.31 No.3

Background: This study was conducted to investigate factors related to unmet medical needs of medical care in adult diabetes patients and to suggest factors related to unmet medical in Korea. Methods: This study used data from the Korea National Health and Nutrition Examination Survey (KNHNES) 2014-2017. The subjects of the study were conducted on patients with unmet medical needs experience among the patients and analyzed using the IBM SPSS ver. 25.0 program (IBM Corp., Armonk, NY, USA). Results: Overall, 10.9% of patients had unmet medical needs. Being female, less educated, and lower medical aid were related to unmet medical needs. And subjects with poor subjective health and higher stress level were more likely to report unmet medical needs. Conclusion: Although comprehensive health insurance coverage, 10.9% of people with diabetes experienced unmet healthcare needs. The results of this study suggest that socioeconomic factors such as low education and medical aid were associated with unmet medical needs.