수술에 사용하는 생리식염수의 교환이 수술부위감염에 미치는 효과

조옥연,윤혜상 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.3

신생아 부신 출혈의 임상적 고찰과 초음파 소견

조옥연,이경은,심은정,조도준,김덕하,민기식,유기양,이관섭* 대한소아청소년과학회 2004 Clinical and Experimental Pediatrics (CEP) Vol.47 No.5

목 적 : 신생아 부신 출혈은 흔하지 않은 질환이나, 신생아기의 부신은 상대적으로 크고 혈관 분포가 풍부하기 때문에 주산기 저산소성 손상이나 분만 손상에 의해 쉽게 출혈이 발생하며 신경아세포종과 같은 치명적인 질환과 감별을 요하는 중요한 질환이다. 저자들은 신생아 부신 출혈로 진단된 환아들의 임상 양상, 위험 인자, 초음파 소견을 조사함으로써 신생아 부신 출혈의 진단 및 치료에 도움을 주고자 본 연구를 시행하였다.방 법 : 1993년 1월부터 2002년 8월까지 한림대학교 의료원에서 신생아 부신 출혈로 진단되었던 신생아 14명을 대상으로 병원 기록 검토를 통해 임상 양상, 위험 인자, 초음파 소견, 치료 및 경과에 대해 후향적으로 조사하였다. Purpose:This study was performed to present out experience of neonatal adrenal hemorrhage (NAH) and to help diagnosis and management of NAH. Methods:We conducted a retrospective study on 14 neonates diagnosed as NAH from January 1993 to August 2002 at Hallym Medical Center. Their clinical manifestations, risk factors, sonographic findings and progression of NAH were evaluated using medical records. Results:There were 12 male cases and two female cases. All cases were full-term babies. In terms of method of delivery, there were 13 cases of vaginal delivery and one case of cesarean section. The most common symptom was jaundice(10 cases). Poor feeding, vomiting, anemia, scrotal swelling with bluish discoloration, abdominal distension and cyanosis were also noted. The risk factors included perinatal asphyxia(five cases), large baby(three cases), sepsis(one case) and birth trauma(one case). Twelve cases(85.7%) involved the right adrenal gland, one case(7.1%) the left side and one case(7.1%) bilateral. In abdominal sonography, hemorrhage was seen as an isoechoic mass with central anechoic portion(35.7%), a central hypoechoic mass with peripheral hyperechoic portion(28.6 %), an anechoic cystic mass(28.6%) and a heterogeneous hyperechoic mass(7.1%). Only a conservative treatment was sufficient in all cases. In the 12 cases(85.7%) followed up, size of hemorrhage was reduced in repetitive sonography without any complications. Conclusion:The review of these patients emphasizes the subtle and diverse clinical presentation of adrenal hemorrhage in neonates and stresses the importance of repetitive abdominal sonography in establishing the diagnosis.

흔들린 아이 증후군 5례

조옥연,허권회,조도준,김덕하,민기식,유기양,이열,Cho, Ok Yeon,Huh, Kwon Hoe,Cho, Do Jun,Kim, Dug Ha,Min, Ki Sik,Yoo, Ki Yang,Lee, Yul 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.4

저자들은 경련, 구토를 주소로 입원한 환아에서 만성 경막하출혈과 망막출혈을 보여 흔들린 아이 증후군으로 진단한 5례를 경험하였다. 현재까지 국내에서는 보고와 연구가 드물지만 의료인이 흔들린 아이 증후군에 대한 가능성을 염두에 두고 좀 더 적극적으로 방사선 검사나 안과 검사를 시행하면 올바른 진단과 함께 치명적인 합병증의 발생을 감소시킬 수 있다고 사료되는 바 문헌 고찰과 함께 보고하는 바이다. Shaken baby syndrome is a serious form of child abuse, mostly involving children younger than 2 years. It results from extreme rotational cranial acceleration induced by violent shaking. The characteristic injuries include subdural hemorrhage, retinal hemorrhage, and fracture of ribs or long bones. If physicians have no recognition of, or suspicion about, shaken baby syndrome, this syndome is difficult to diagnosis because of a lack of obvious external signs and failure of the abuser to admit his or her actions. In addition to the high mortality, 60% of survivors have significant long term neurologic and developmental abnormality. The authors experienced five cases of shaken baby syndrome presented with seizures or vomiting, without external signs of trauma. All of these cases had subdural hemorrhages, and four cases had retinal hemorrahges. In our follow up, two children were found to have sequelae such as quadriplegia, monoplegia, and developmental delay. We emphasize that early recognition and prompt treament are key to overall success of case management. The incidence of shaken baby syndrome can be reduced through public awareness and education of parents not to shake a babies.

화성 행궁에서 혜경궁 홍씨의 공간 고찰

조옥연 한국건축역사학회 2018 한국건축역사학회 학술발표대회논문집 Vol.2018 No.춘계

작품과 텍스트 사이로서의 건축

조옥연 경기대학교건축대학원 2001 경기대학교 건축대학원 논문집 Vol.5 No.-

광릉이후, 왕과 왕후 능의 차이와 숭릉조성의 배경

조옥연 한국건축역사학회 2019 한국건축역사학회 학술발표대회논문집 Vol.2019 No.11

조선 궁궐, 동조(東朝)의 상징성과 $17{\sim}18$세기 대비전 조영에 관한 연구

조옥연,Cho, Ok-Yon 한국건축역사학회 2007 건축역사연구 Vol.16 No.6

Choseon Dynasty, from many aspects, saw the institutional establishment of its royal palaces in the 17th and 18th century, with 'donggwol (east palace)' as the most representative form in the era. In that period, palaces were managed in the best way that fits the royal etiquette and order to maintain the Confucian framework of the times. While the royal palace was the place for the king to conduct state affairs, it was also a compound for the royal family to lead a life in. Since the royal family was also based on the Confucian system, women in the royal palace seldom revealed their existence to outside world. Yet daebi,(a Queen Mother) who was often called 'dongjo,' enjoyed the highest level of honor not only as a member of the royal family but in the hierarchical order of the dynasty. As they often engaged themselves in political affairs, daebi raised their reputation through rites and rituals. So, in the 16th century, they largely used Changgyeong-gung palace in the eastern part of the royal compound since they sometimes had to go out of the royal residence. While it was called 'dongjo' because it was seated in the eastern part, it was also used as a word symbolizing daebi. And, therefore, it has become a general principle of royal palaces to build the palace for daebi in the eastern wing of the compound. However, the residence for daebi was not always built in the eastern part in the 17th and 18th century and, instead, edifices for daebi were sometimes erected in several points within the royal compound. Beside, daebi's residence in this period had additional spaces for ceremonies since they had a number of official events there. Construction of daebi's residences in this era was not confined to the symbolic institutions and they became the peculiar palaces with specific characteristics for official ceremonies of the queen mothers. Consequently, it could be said that the architectural style of dongjo, which was the place of the supreme female in the hierarchical order, stemmed from donggwol where daebi spent the longest time of the royal life.

간호‧간병 통합서비스 병동 교육전담간호사 운영 효과

조옥연l이선희l이한주l한미예 병원간호사회 2021 임상간호연구 Vol.27 No.2

Purpose: This study aimed to investigate the effect of educational nurse practitioners at comprehensive nursing care service units by comparing the educational satisfaction of general nurses and the occupational stress of preceptor nurses before and after education by educational nurse practitioners. Methods: Participants were 71 general nurses and 71 preceptor nurses working at comprehensive nursing care service units of G University hospital in I City. The level of educational satisfaction of general nurses and occupational stress of preceptor nurses were measured and compared. The differences in educational satisfaction and occupational stress before and after the education program were verified by paired t-test and one-way ANOVA using SPSS/WIN 27.0 statistical program. Differences before and after the education program according to the general characteristics were analyzed with repeated measure analysis of variance after Sapiro-Wilks normality test, and post-hoc analysis was conducted using Scheffé test. Results: It was inferred that there was a significant difference (t=-9.32, p<.001) in the educational satisfaction of general nurses, with an average of 3.72±0.77 before the education and 4.47±0.60 after the education. However, there was no significant difference in occupational stress in the preceptor nurses. Conclusion: It could be concluded that introduction of educational nurse practitioners at comprehensive nursing care service units has a positive effect on the educational satisfaction of general nurses. This result will serve as basic data to implement educational nurse practitioners for general nurses in all medical institutions as well as comprehensive nursing care service units.

외래프로세스 개선활동

김연수,박기형,조옥연,김식,김춘숙,이금숙,문순영,양희진,이윤옥,유은정,박옥자,한계희,조옥연,정석훈,이환석 한국의료QA학회 2008 가을학술대회 Vol.2008 No.3

화령전의 제례의식과 건축특성에 관한 연구

김동욱,조옥연,정춘환,Kim, Dong-Uk,Cho, Ok-Yon,Jeong, Chun-Hwan 한국건축역사학회 2005 건축역사연구 Vol.14 No.1

This study is the consideration about Hwaryeong-Jeon that enshrines Joseon Dynasty 22nd king Jeongjo's portrait of a king. Suwon's Hwaryeong-Jeon that accompanied a portrait and performed ritual ceremonies had several formalities and ceremonies which are connected with rituals. therefore, we will try to examine what relation between arrangement of building and plane composition had. And through this, it is thing to observe construction special quality that Hwaryeong-Jeon has. Joseon Dynasty's young-jeon (a hall where the royal portraits are kept) is retaining each other different state according to construction age every moment. Hwaryeong-Jeon among Joseon Dynasty's a hall of royal portraits is the construction form which is equiped well and is known for keeping the form well from the foundation to now And this building is evaluated as the standard form of early part young-jeon building of 19th century. Especially, Hwaryeong-Jeon shows the typical ritual equipments late Joseon Dynasty and at the same time has all kinds of characteristics which only we can find at Hwaryeong-Jeon. Namely, Hwaryeong-Jeon is the building which brings the design concept of the hall of royal portraits to completion as the building which enshrines single portrait of a king. After all, Hwaryeong-Jeon is evaluated as the building which can pass excellent form of late Joseon Dynasty, the hall of royal portraits building just as it is. Therefore, as I study its own style, I expect Joseon Dynasty's mind that enshrined the portrait of a king elaborately to be revealed.