간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

대구지역 여대생들의 신체상에 따른 식행동 요인 분석 : Dietary restraint, Disinhibition and Hunger

김주남,김영지,이난희 영남이공대학 2000 論文集 Vol.29 No.-

In order to assess relationships between body image and eating behavior scores from the Three Factor Eating Questionnaire(dietary restraint, disinhibition, hunger), interviews were done on 181 foliate college students in Daegu area Among the students, underweight students were 59(32.6%), normal weight students were 104(57.5%) and obese students were 18(9.9%) by BMI standard. Body image and eating behavior scores were compared among underweight, normal, and obesity using one-way analysis of variance. The Pearson correlation coefficient was used to evaluate relationships. Relationship of Dietary restraint score and disinhibition score with groups(underweight, normal, obesity) were correlated(p<0.001, p<0.01, respectively). Statistically significant correlations were obtained between the respondent's current weight and both Dietary restraint score(p<0.01) and disinhibition score(p<0.05) : the correlation coefficients were respectively, 0.324, 0.165. College students are in early stage of adult life and their dietary attitudes, food behaviors and life style will continue to their later life. Therefore college students need more positive dietary attitudes to prevent and treat students obesity.

생선묵에 첨가된 전분 함량

김난주,송미선,이기주,전미영,조성희,허은영 효성여자대학교 가정대학 학도호국단 1985 家政大論集 Vol.4 No.-

시판 생선묵 26종을 무작위로 수집해서 전분 함량을 조사한 결과는 아래와 같다. 1. 전분 함량이 5∼10%되는 것이 19.2%, 10∼20%되는 것은 69.2%로서 가장 많았고, 20∼30%나 되는 많은 양의 전분을 첨가한 제품도 11.5%나 되었다. 2. 비교적 값비싼 제품이 전분을 더 많이 첨가하고 있었다. The purpose of this experiment was to investigate the content of starch in the 26kinds of fishcake which were randomly sampled The results of it were as follows ; 1. The highest percentage of those fishcake, the starch containing rate 10~20%, was 69.2% among all of them. The next, the starch containing rate 5~10%, was 19.2% And the last, the starch containing rate 20~30%. was 11.5%. 2. The expensive fishcake, the higher containing rate of starch.

『道草』의 世界

金鸞姬 제주대학교 1989 논문집 Vol.29 No.-

"Michikusa" expresses how Soseki's view of life changes. It is by means of his autobiography. Kenzo, hero in michikusa, faces the conflicts of the Ego in common life. It makes human experiment to the extreme degree, describing overlapped contrast of characters. It deduces the human universality from their private lives. The life is the world of anxiety or the unsolved labyrinth in the novel. It should be Soseki's view of life. And the world of 'Michikusa' should be taken for that of causality. Limitress of humanity is reified to "the Nature", "God" or "Ten" in this article. It takes concrete shape of Kenzo who believed in the transcendent being. Kenzo does not evade his role in the world of causality. He gives up his vested superiority and elitism. He realizes humanity, intellectual or not, be equal in the Transcendent. The author, Soseki, keeps up the position as clever realizer, immerses himself to solve the conflicts and contradictions in the world. He lights up the ethical view of life, i. e., "Sokutenkyosi", transcending the Ego. "Michikusa" asks the question of life, describing common lives, making contrast of character's views of life. In logic-free state, it raises transcendent "Andere", approaches theme of modern literature. "Michikusa" describes the process from western individualism to oriental spirit, i. e. Sokutenkyosi. In the process it has conflicts of the Ego, inner life of Soseki that stands out in 'Simada'. It concludes that 'Michikusa' is not only collection of parts of symbol, but a symbol itself.

芥川龍之介에 있어서 藝述과 實存의 問題 : 『地獄變』과 『西方の人』를 中心으로

金鸞姬 제주대학교 1993 논문집 Vol.36 No.-

The paper analyses Akutagawa's view of art and human existence in 'Jigokuhen' and 'Saihonohito'. Akutagawa considers art as the way to transcend the tragic and unpleasant human existence. 'Jigokuhen' expresses the author's views of art and human existence. The hero of 'Jigoukuhen', Yoshihide, paints the folding screen of the inferno in a ground of 'L'art pour l'art'. He shows raison d'etre by his own sensibility instead of by the established morality. He devides the art from the morality in a demonic deed. But this suicide turns the art not the final way of human salvation. 'Jigoukuhen' fortells the author's destiny. Akutagawa writes the autobiographic work to express the unpleasant world in a pathetic tone before killing himself. Finally he meets 'JESUS' in bible. 'Saihonohito', i.e., Jesus is not the subject of belief and a man who faces the pain of human existence. 'Saihonohito' shows the unique view of Jesus. The ideal goes against Jesus of Akutagawa. The bible does not rescue the author by the belief. It ends to find a man who shards the pain of human existence with himself. The paper explains the tragedy of moderns breached by the thought he acquires in the theory of Gabriel Marcel, i.e., 'Reverse of Have'.

금호강수계 수질과 하천유역의 토양 및 농작물의 중금속루 오염에 관한 연구(II)

金相烈,李萬正,趙康烈,崔閏壽,石敬順,禹美姬,李蘭姬 대구효성 가톨릭 대학교 1984 연구논문집 Vol.29 No.2

Soil are mostly sandy and it has a little clay below 10%. In the fine sand fraction, quartz, plagioclase and alkali-feldspar are dominant in almost all samples. Small amounts of altered-feldspar, muscovite, biotite, hornblende and plant opal are present in some samples. They are mainly derived from weathering prodructs df granite, granodiorite and arkose or is mixture. The clay minerals are mainly expanding or nonexpanding 14A˚minerals, illite and kaolin minerals. Nonexpanding 14A˚minerals seems to be dioctahedral vermicurite which sandwiches gibbsite or chlorite.

청소년의 체형인식과 체중조절에 관한 실태 조사

김윤정,임영희,왕수경,윤은영,구난숙 대전대학교 생활과학연구소 1998 생활과학연구 Vol.4 No.-

This purpose of this survey was to investigate status recognition and weight contrast of high school students and college in Taejon. These results were summarized as follows: In the heights and weights those of male 178.74±6.31cm and 65.49±9.44kg, those of female were 162.09±4.36cm and 51.95±5.95kg. By broca index, 53.7% of subjects were normal, 38.2% were lean, 5.3% were overweight and 2.8% were obese. 44.4% of male have recognized their body form as normal, 30.5% of female have recognized their body form as overweight, 47.8% of lean groups answered that they were normal. In normal groups, 46.2% answered normal and 28.9% answered some fatty. 46.8% of normal group in female misunderstood that they were some fatty. In spite of not to weight control, lean and normal group answered that they were weight control. Weight control methods were used diet therapy (66.2%). therapy+exercise(22.8%) and exercise(9.0%). Reason to select therapy of weight control were one's recommendation(45.8%) and by mass media(3.8%). Weight loss and period of weight control were 1.9days, 0.4kg in high school students, 7.3days, 0.7kg in college students, and 3.8days, 0.5kg in male, 5.7days, 0.6kg in female. The results of weight control, 65.0% were failed. The reason of failure in weight control, 42.4% answered because of hungry.

The Effect of Bench-Step Exercise Training for 16 Weeks on Risk Factors for Metabolic Syndrome in Middle Aged Obese Women with Hypertension

Kim, Junghoon,Jeong, Nan-Hee1,Nho, Ho-Sung 한국운동영양학회 2003 Physical Activity and Nutrition (Phys Act Nutr) Vol.11 No.3

Lipopolysaccharide 로 유발된 생쥐 무릎관절낭 염증에 관한 형태학적 연구 : 윤활관절막과 섬유관절막의 변화를 중심으로 Based on the Morphological Changes of Synovial Membrane and Fibrous Membrane

김진택,안상현,최난희,정재만,박인식,강윤호,김호현,이해풍 동국대학교 한의학연구소 1999 東國韓醫學硏究所論文集 Vol.7 No.2

본 연구는 관절염 유발시 일어나는 관절낭의 형태학적 변화를 조사하기위해 ljpopolysaccharide(LPS)주사로 인위적 관절낭 염증을 유발시킨 후 시간경과에 따른 윤활관절막과 섬유관절막의 형태 변화를 관찰하였다. BALB/C 암컷 생쥐 오른쪽 무릎관절낭에 LPS 300㎍/㎏를 주사한 후 3, 7 그리고 14일에 무릎관절을 얻었다. 무릎관절은 4주동안 EDTA용액에 탈회한 후 통상적 방법으로 paraffin에 포매하였다. 또한 윤활관절막의 미세구조변화는 embed812로 포매한 후 관찰하였다. LPS 주사후 관절연골 인접부위의 윤활관절막에서 시작된 세포과형성(hyperplasia)은 시간 경과후 전체 윤활관절막으로 확대되었다. 윤활관절막내의 미세구조의 변화로는 윤활포식세포(type 1)가 관절강내로의 많은 돌기(filopodia)를 내었고, 잘 발달된 과립형질내세망을 가지는 type 2 윤활분비세포의 숫적 증가가 보였다. 한편 LPS 주사후 섬유관절막에서 나타나는 형태학적 변화는 collagen fiber 생성에 의한 섬유화가 증가되며, 이러한 섬유화를 주도하는 섬유모세포의 이주증가파 관찰되었다. 또한 혈관 주위에서는 백혈구의 이주 증가가 나타났으며, 탈과립형(degranulated type) 비만세포가 많이 관찰되었다. 이상의 결과로 LPS 주사로 관절낭에서 염증이 유발되어 윤활관전막과 섬유관절막에서 형태학적 변화가 나타났다. 이러한 일련의 형태학적 변화는 발병초기 류마티스성 관절염에서 나타나는 병리학적 소건과 동일한 결과로서, 앞으로 진행될 치료제 개발과 유발기전에 관한 해석을 위한 in vivo 실험의 적절한 모델로 기여한 것으로 기대된다. Synovial joint of BALB/C mice were injeced with Lipopolysaccharide(LPS) were observed to investigate the morphological changes of synovial capsule caused by rheumatoid arthritis(RA). The RA on female Balb/c mice were induced by LPS injection, as dose of 300㎍/㎏, into synovial cavity of knee joint. And then these specimen were fixed in 10% neutral buffered formalin and were decalcificated in EDTA solution for 4 weeks. The hyperplasia of synovium were appeared in synovial membrane. The filopodia of phagocytic like synoviocyte(type Ⅰ synoviocyte) projected into synovial cavity and the number of fibroblast like synoviocyte(type Ⅱ synoviocyte) with well-developed endoplasmic reticulum were increased in synovium. In fibrous membrane, the fibrosis induced by synthesis of collagen fiber were enlarged to all fibrous membrane, and the number of fibroblast were increased. A great number of inflammation component cell as Iymphocyte and neutrophil leukocyte were infiltrated around capillary and the degranulate typed mast cell were increased. As results indicated that the hyperplasia of synovium induced by LPS, subsequently to cause the fibrosis, infiltration of imflammation component cell, and increase of degranulated type mast call as same as symptoms of RA.

Cyclosporin A 로 유도된 생쥐 림프절의 세포성 면역억제에 관한 면역조직화학적 연구 : T 림프구, IL-2 수용기 및 NK세포의 변화를 중심으로 Based on the change of T lymphocytes, Il-2 receptors, and NK cells

김진택,박인식,안상현,최난희,김동환 동국대학교 한의학연구소 1998 東國韓醫學硏究所論文集 Vol.6 No.2

본 실험은 cyclosporin A(CsA)에 의한 시간의 경과에 따른 림프절에서의 세포성 면역억제를 조사하기 위해서 시행된 것으로 BALB/C계 생쥐에 10일동안 CsA(45mg/kg/day) 투여 후 림프절에서의 T 림프구, IL-2 수용기 그리고 자연살해(NK)세포의 분포 변화를 관찰하였다. 대조군의 림프절에서는 L3T4(CD4)에 양성반응을 보이는 도움 T림프구, Ly2(CD8)에 양성반응을 보이는 세포독성 T 림프구 그리고 CD25R에 양성반응을 보이는 IL-2 수용기를 가진 세포는 곁피질(paracortex)과 수질동(medullary sinus)에서 분포하였다. CsA투여 후 처음 3일까지는 이들 양성반웅세포의 분포 변화는 없었으며 양성반응성의 변화도 없었다. 그러나 CsA 투여 7일부터 양성반응 세포수의 감소와 양성반응성의 약화가 관찰되기 시작하였으며 이러한 변화는 시간이 경과하여 14일에 이르렀을 때 가장 큰 감소추세로 나타났다. 한편 NKl.1(CD56)에 양성반응을 보이는 자연살해세포는 피질과 수질에 분포하였으며 CsA 투여 후 시간의 경과에 따라 양성반응 세포수가 감소하였으며, 이러한 감소는 14일에서 가장 큰 것으로 나타났다. 이상의 결과로 미루어보아 CsA 투여는 림프절에서의 IL-2 분비저해를 통해 T 림프구와 NK세포의 활성을 차단하여 선택적이면서 효과적인 세포성 면역억제작용을 하고 있는 것으로 사료된다. Cyclosporin A(CsA) is a selective immunosuppressive agent that has been credited with improved survival of solid organ allografts. Lymph node of BALB/C mouse administered CsA immunohistochemically observed to understand immunosuppressive effects of CsA on T lymphocytes, IL-2 receptors, and natural killer NK cells in lymph node. CsA orally administered daily for 10days at the dose 4smg/kg/day/. The lymph node were obtained at day 3, 7, and 14 after CsA administration and embeded with paraffin, and then stained by following ABC method that used monoclonal antibody including L3T4(CD4), Ly2(CD8), IL-2R(CD25), and NK-1.1(CD56). There were little changes of reactive degree and number of helper T lymphocytes, cytotoxic T lymphocytes, IL.-2 receptors, and NK cells at day 3 after CsA administration, but they began to decrease at day 7. These decrease were greatest at day 14. The helper T lymphocytes, cytotoxic T lymphocytes, IL-2 receptors, and NK cells distributed in paracortex and medullary sinus. These results indicated that the secretion of IL-2 began to decrease at day 7 after CsA administration and subsequently to suppress T lymphocytes and NK cell as components of cell-mediated immunity.