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사례기반학습이 간호대학생의 임상 의사결정 능력과 간호수행 능력에 미치는 효과
정미은(Jeong, Mi-Eun),박형숙(Park, Hyoung-Sook) 기본간호학회 2015 기본간호학회지 Vol.22 No.3
Purpose: The aim of this study was to examine the effects of case-based learning (CBL) on clinical decision making and nursing performance. Methods: This research was conducted between September, 2011 and January, 2012 as a nonequivalent comparison group design. The participants were 55 third year nursing students who were enrolled in a college of nursing in a university in Korea. The intervention was the CBL procedures which involved role-play practice videoed by camera and watched on the computer by the students. Questionnaires were used before and after the intervention to measure clinical decision-making. Nursing performance tests were done after the intervention. Results: Statistically significant group differences were observed in clinical decision-making. Nursing performance was significantly higher in the CBL group than in the control group. Conclusion: CBL focused on the solving problem process and clinical cases which are based on clinical setting allowing students to develop efficiency in clinical practice and adaptation to the clinical situation.
정미은(ME Jung),안현일(HI Ahn),백미경(MK Baek),양정미(JM Yang),전정희(JH Jeun) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.8
1995년 1월부터 1997년 12월까지 시행한 골반경 수술 219예를 고찰하여 다음과 같은 결과를 얻었다. 1. 골반경 수술 환자의 연도별 분포는 1995년 33예, 1996년 53예, 1997년 133예였다. 2. 골반경 수술의 적응증으로는 자궁외임신이 118예 (53.9%)였고, 난소 낭종 42예(19.2%), 불임 20예(9.1%)였 고 난소 낭종에서는 자궁 내막종이 17예로 제일 많았다. 환자들의 평균 연령은 31±6.7세였다. 3. 환자들의 평균 출산력은 0.77회였고, 대부분 2회 이 하의 출산력을 가졌다(94.6%). 4. 복부 수술의 기왕력이 있었던 경우는 36예로 전체의 16.44%였고, 복강경하 난관결찰술이 12예로 가장 많았다. 5. 골반경 수술의 종류로는 난관절제술이 115예로 31.5%, 유착박리술이 47예로 12.9%, 난소낭종절제술이 36예로 9.9%순이었다. 6. 평균 실혈량은 LAVH가 500 cc, CISH가 150 cc였으 며 그 외 대부분은 100 cc 이하였다. 7. 술 후 입원 기간은 2일이 86예로 39.3%였고, 1일이 83예로 37.9%, 3일이 20예로 9.1%였다. 8. 골반경 수술의 합병증이 발생한 경우는 26예로 전체 의 11.8%였고, 38℃ 이상의 고열이 13예로 가장 많았다. From January 1995 to December 1997, a total of 219 cases pelviscopic surgery was performed at Il Sin Christian Hospital. To evaluate the safty and efficacy of pelviscopic surgery, we reviewed indication of operation, mean age, parity, history of abdominal operation, type of operation, duration of hospitalization and complication retrospectively. The number of pelviscopic surgery have risen from 33 cases in 1995 to 53 cases in 1996 and 133 cases in 1997. The most common indications were 118 cases for ectopic pregnancy (53.9%) and 42 cases for ovarian cyst (19.2%), 20 cases for infertility (9.1%) in order. Among the ovarian cyst, endometrioma was the most common. The mean age of patients was 31±6.7 years old and mean parity was 0.77. In most cases, mean blood loss was lesser than 100 cc except 500 cc in LAVH, 150 cc in CISH, 106.7 cc in ectopic mass removal. The postoperative hospital stay was varied from 0 day to 10 days, but usually 2 days. The 26 cases had complicated and the most common complication was fever above 38℃. In conclusion, it is evident that pelviscopic surgery is lesser invasive technique, has lower complication rate and shorter the length of hospitalization. So, we expect the number and indication of pelviscopic surgery will be increased in future.
김정혜,정미은,백미경,안현일 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7
저자들은 자궁의 동정맥 기형 3예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Uterine arteriovenous malformation is a rare gynecologic condition, which is sometimes accompanied torrential vaginal bleeding and it can be aggravated with diagnostic dilatation and curettage. For proper management of vaginal bleeding, accurate diagnosis should be achieved before the intervention. In the past, the diagnosis was made retrospectively after hysterectomy, however recently it may be made by noninvasive method such as Doppler ultrasonogram before management. We have experienced 3 cases of uterine arteriovenous malformation, of which 2 cases were diagnosed with Doppler ultrasonogram.
부산지역 사업장 폐수 중 총유기탄소(TOC)와 유기물 지표간 상관관계 연구
최성화,정미은,주광용,최유정,윤나나,곽진숙,이주희,김유라,전대영 한국환경분석학회 2020 환경분석과 독성보건 Vol.23 No.1
The introduction of total organic carbon (TOC) as a new organic matter index for industrial wastewater is under consideration. In this study, we investigated characteristics of organic pollutant indexes (TOC, BOD5, CODMn, CODCr) for 11 industrial categories comprising 210 industrial wastewater samples from Busan, Korea. Average organic concentrations for chemical manufacturing and food manufacturing industries are higher than that for other industries. The organic matter oxidation rates of CODCr and CODMn for TOC are 88.7% and 51.9%, respectively. Furthermore, the COD test can be underestimated for organic compounds in wastewater. The correlation between TOC and organic matter indexes was in the order of CODMn (r = 0.970) > CODCr (r = 0.956) > BOD5 (r = 0.812)(p < 0.01). In conclusion, the introduction of TOC, which has higher oxidation rate than COD and high correlation with existing organic matter indexes, is appropriate as an organic index to replace COD.