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

영도에서 조망하는 부산항 경관의 시각적 특성

박문순,강영조,조승래,강헌우,차명숙,Park, Moon-Sook,Kang, Young-Jo,Cho, Seung-Rae,Kang, Hyon-Woo,Cha, Myeong-Sook 한국조경학회 2010 韓國造景學會誌 Vol.38 No.4

본 연구는 영도에서 부산항을 체험할 수 있는 조망점을 대상으로 조망점의 공간적 분포, 부산항을 체험하는 시선의 유형, 항구경관의 구도적 특성 그리고 조망점의 시각특성을 밝히고자 하였다. 선정된 조망점 27개소를 대상으로 한 연구의 결과는 다음과 같다. 첫째, 조망점의 공간적 분포 유형은 공원형, 공공시설형, 도로변형으로 구분되었다. 조망점은 도로변형에서 가장 많이 분포하는 것으로 나타났다. 둘째, 부산항을 체험하는 시선의 유형은 수제선회유형, 항만대변형, 도시관통형으로 나타났다. 영도에서 바라보는 부산항 경관에 대한 시선의 유형은 도시관통형이 가장 많이 나타났다. 이유로는 영도라는 섬이 도시화로 인해 시가지와 도로가 점점 확장되면서 부산항을 바라보는 시선이 도시를 관통하여 바다를 조망하는 시선이 많아지게 된 것으로 보인다. 셋째, 항구경관의 구도적 특성은 파노라마형, 회랑형, 지붕너머형으로 파악되었다. 그 중 지붕너머형이 가장 많이 나타났다. 이를 통해 영도에서 체험하는 부산항의 모습은 대부분 경관의 연속성이 상실되고, 주거지의 지붕이 거리감을 차단하여 일종의 차경 역할을 하는 것을 알 수 있었다. 마지막으로 조망점의 시각특성을 분석하였다 조망정의 부각은 수평경에 가까운 $-3^{\circ}{\sim}-1^{\circ}$사이에 13개소, $-6^{\circ}{\sim}-4^{\circ}$의 범위에 12개소로 가장 많은 분포를 보였다. 부감의 시축에 해당되는 조망점은 2개소로 나타났다. 이는 시가지가 확장되면서 건물에 의해 내려다보는 시선이 차단된 결과로 판단되었다. 그리고 시거리의 지리적 범위는 0.2km~6.4km에 이르는 광범위한 조망역을 이루고 있었다. 최적의 부감경을 체험할 수 있는 조망점 2개소는 지속적으로 조망을 보전하기 위한 방법을 제안하였다. 본 연구의 성과는 부산의 경우와 같은 항만도시에 있어서 조망점의 관리 및 보전 등의 경관계획에 기초자료로 활용할 수 있을 것으로 기대한다. This study will define the features of the viewpoint that best enables the view of Busan Port from Young-Do. Special focus will be on spatial distribution, the type Busan Port sights that can be experienced from Young-Do, the compositional characteristic of a port landscape and visual characteristic. The results are based on 27 selected viewpoints and are as follows. Firstly, the patterns of the spatial distribution of viewpoints are classified as park, public facility and wayside types. It was found that most viewpoints are located along a wayside. Secondly, the types of Busan Port sights that can be experienced from Young-Do are divided into three kinds: surrounding stand-line type, facing the port and the type of penetrating city. The major type was of penetrating city among the three patterns. The reason for this is that the point of view for Busan Port was changed into a prospect over the sea since city and road sections have been expanding due to the urbanization of Young-Do. Thirdly, the compositional characteristics of the port landscape are divided into three styles: panoramic, corridor, and rooftop. The most frequent type is the rooftop style among the three characteristics. This fact indicates that the picture of Busan Port seen from Young-Do loses continuity of view and that housetops inhibit the sense of distance. Lastly, the visual characteristics of the viewpoint were analyzed. The angles of the declination of the viewpoints are concentrated on the horizontally closed parts. Thirteen points lie between $-3^{\circ}$ and $-1^{\circ}$, and twelve points between $-6^{\circ}$ and $-4^{\circ}$. The visual axes of the depression are two points because sight is interrupted by buildings which are built when the city expands. Two viewpoints for experiencing the optimum landscape of depression should be prepared to ensure continuous preservation of the viewpoints. The sight creates a wide prospect, reaching from 0.2km to 6.4km. It is expected that the results of this study can be used for the landscape plans of port cities including the management and preservation of viewpoints.

Helicobacter pylori와 대장균의 Shuttle Vector 개발

조명제,이우곤,이상룡,김경희,안영숙,김성희,김현주,류복덕,최여정,윤영혜,백승철,전영석,이광호 경상대학교 유전공학연구소 1997 遺傳工學硏究所報 Vol.16 No.-

In this study, a vehicle vector using cryptic plasmids was constructed for gene transfer in Helicobacter pylori. pHP51(3.9 kb) and pHP489(1.2 kb) were selected for constructing vectors from cryptic plasmid of H. pylori isolates in Korea. The HindⅢ-digestedDNA fragment(1.2kb) of pHP489 and 1.6kb DNA fragment of pHP51 were ligated with a kanamycin resistance gene(aph3'-Ⅲ) from C. jejuni to produce the recombinant plasmids pHP489K and pHP51K, respectively. Transformation frequency of pHP51K by electroporation was low. But pHP489K could be effectively transformed into various H. pylori strains. In order to design an intermdiate vehicle vector for gene transfer into H. pylori, pBlueHP489K was prepared by recloning pHP489K DNA into pBluescript and pTZ19R vector. This vector permitted the DNA fragment containing pHP489 sequence, aph3'-Ⅲ, and cloned DNA to be cut and self-ligated in the SacⅠ site after cloning. ureA and ureB gene were inserted into pBlueHP489K, resulting in pBlueHP489K/AB. The DNA fragment containing pHP489, kanamycin resistance gene(aph3'-Ⅲ), and urease structural gene was cut away from pBlueHP489K/AB and self-ligated to generate pBlueHP489K/AB. pBlueHP489K/AB made urease-negative H. pylori strains restore their urease activity. By this experiment, pBlueHP489K was confirmed to be the vehicle system for transferring H. pylori genes.

고령자 남녀와 20대 남녀에 있어서 다양한 등속수축중 최대 모멘트의 비교

金智源(Ji-Won Kim),金相佑(Sang-Woo Kim),文基旭(Ki-Wook Moon),嚴光文(Gwang-Moon Eom),李泳揆(Young-Gyu Lee),南貞淑(Jung-Sook Nam),朴寬龍(Kwan-Yong Park),金耀翰(Yo-Han Kim),洪廷和(Jeong-Hwa Hong),朴炳奎(Bung-Kyu Park) 대한전기학회 2008 전기학회논문지 Vol.57 No.10

In this paper, we investigated the maximum ankle joint plantarflexion moment (MPM) of young and elderly subjects during various modes of isokinetic contractions with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (14 males: 22.7±2.5yrs, 13 females: 20.5±1.3yrs) and the elderly subjects (17 males: 65.8±10.5yrs, 26 females: 71.4±5.2yrs). The MPM was normalized by each subject's body weight. The MPM of elderly females was the weakest among the groups, particularly, at the eccentric contractions. The male-to-female ratio of MPM was greater in the elderly than in the young and the young-to-elderly ratio of MPM was greater in female than in male, both during the eccentric contractions. The result suggests that the decreased muscle force per body weight, especially at the eccentric contraction, may be one reason for the more frequent fall of the elderly female than the elderly male.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

여성과 남성 그리고 차별의 경제학 : 성차별과 생산성차별 접근 Sex Discrimination and Production Discrimination Approach

우재현,정영숙,박충선 大邱大學校 社會科學硏究所 1996 社會科學硏究 Vol.3 No.1

본 연구에서는 여성의 고용환경을 사회·경제·문화적 측면에서 긍정적 요인과 부정적 요인별로 살펴보고, 남녀임금격차에 영향을 미치는 요인은 무엇이며, 임금격차가 성차별로 인한 것인지 아니면 생산성 차이로 인한 것인지를 분석하고자 하였다. 자료는 대구시에 있는 98개의 기업체에 근무하는 910명의 근로자를 대상으로 1995년 9월에 설문조사를 실시하여 수집하였다. 분석결과는 여성에게 성차별이 존재하듯이 남성에게는 생산성차별이 존재하고 있음을 시사하고 있다. 즉 남녀임금격차 중 63%는 여성의 낮은 생산성 때문이고 나머지 37%는 논리적 근거을 갖지 못한 남녀차별에 의해 발생한 것이라는 것을 말해 주고 있다. 연구결과를 토대로 여성에 대한 임금차별을 불식시키고 여성의 경제활동참가율을 높이기 위한 제언과 정책대안을 제시하고자 하였다.

w-3계 및 w-6계 다불포화지방산의 혼합비율이 다른 유지가 흰쥐의 지질농도에 미치는 영향

禹永淑 진주여자전문대학 1989 論文集 Vol.11 No.-

In order to investigate the suitable composition of the w-3 and w-6 series polyunsaturated fatty acid on lipid concentration related with cholesterol and triglyceride and phospholipid, it was examined the effects of w-3 and w-6 PUFA contents of mixed fat and oils on lipid metabolism in serum and liver of rats. The results were summerized as follow; 1. The concentration of total cholesterol in plasma of rats was lower 10% corn oil than 10% perilla oil group. The concentration of HDL-cholesterol and the ratio of HDL-cholesterol to total cholesterol in plasma were higher 10% corn oil group than 10% perilla oil group. 2. The content of phospholipid in plasma was significantly lower 10% perilla oil group than 10% corn oil group. The content of triglyceride in plasma was lower 10% corn oil group than 10% perilla oil group. 3. The concentration of total cholesterol in liver was not significantly different among all the groups. phospholipid value in liver was insignificantly the lowest in corn oil group. The concentration of triglyceride was remarkably lower 10% perilla oil than 10% corn oil group.

콩첨가 증편의 미생물 변화와 품질 특성

우경자,신광숙,한영숙 동아시아식생활학회 1998 동아시아식생활학회지 Vol.8 No.2

The effect of soybean addition to the preparation of Jeung-Pyun(Korean fermented rice cake) and the fermentational characteristics of Jeung-Pyun dough were determined. Jeung-Pyun dough composed of rice 100g, soybean 20g, water 40g, salt 0.8g, sugar 15g and Tak-ju 30g was fermented for up to 20 hours. The numbers of total microbes, yeasts and lactic acid bacteria in the dough during fermentation increased rapidly during 5 hours of fermentation, but Leuconostoc mesenteroides during 7 hours of fermentation. Generally, there were many more microbes in the Jeung-Pyun dough with soybeans than in the Jeung-Pyun dough with rice. The volume of 7 hour fermented Jeung-Pyun was most massive especially in the soybean-added Jeung-Pyun. In 1% dextran-added rice Jeung-Pyun, the volume of steamed cake was increased more than that of rice Jeung-Pyun, but it was not as bulky as in the soybean-added cake. In the sensory evaluation of the test cake products, the 7 hour fermented cake was preferred by most. As for instrumental characteristics, the 7 hour fermented Jeung-Pyun showed the lowest values for hardness and elasticity, brittleness and chewiness. The rice Jeung-Pyun showed higher values for hardness and brittleness than in soybean-added Jeung-Pyun. When the Jeung-Pyuns were stored at 20℃, the hardness, brittleness and cohesiveness of rice Jeung-Pyun were respectively increased but not in the soybean-added Jeung-Pyun. However, the hardness of rice Jeung-Pyun kept at 4℃ increased rapidly after 5 days of storage. The cohesiveness, elasticity, brittleness, chewiness, gumminess of both rice Jeung-Pyun and soybean-added Jeung-Pyun were decreased with storage time.

數種植物油脂가 흰쥐의 血淸, 肝臟 및 腎臟의 지질조성에 미치는 영향

禹永淑 진주여자전문대학 1989 論文集 Vol.11 No.-

In order to investigate the aspect of nutritional physiology of several vegetable fat and oils with different composition of fatty acids, it was examined that the effect of dietary fat and oils on lipid components in serum and liver and kidney of rats, The results were as follow; Body weight gain and amount of food intake were higher in walnut oil and peanut oil groups than olive oil and black sesame oil groups. Concentration of total cholesterol in serum was significantly lower in black sesame oil group than olive oil group, and that of HDL-cholsterol was significantly higher in peanut oil group than any other groups. Phospholipid concentration in serum was significantly the lowest in walnut oil group, and triglyceride concentration was in black sesame oil group. Concentration of total cholesterol and triglyceride in liver were significantly lower all groups than olive oil group, and the lowest group was black sesame oil group in total cholesterol and peanut oil group in triglyceride. Concentration of phospholipid in liver was significantly the lowest in olive oil group and the highest in walnut oil group Concentration of total cholesterol in kidney was higher all groups than olive oil group. Phospholipid concentration in kidney was not significantly different among all groups and triglyceride concentration was significatly lower all groups than olive oil group.

高콜레스테롤血症 흰쥐의 肝臟脂質 成分에 미치는 數種油脂 投與의 效果

禹永淑,姜東姬,李迎卿 진주여자전문대학 1985 論文集 Vol.7 No.-

In the hypercholesterolemic rats, the dietary effect of various fat and oils was investigated on total cholesterol, triglyceride (TG) levels in the liver, fatty acid composition of various fat and oils and tissues lipids. the result was as followed 1. All groups feeding of fat and oils did not significantly affect growth and food intake during the experimental perioud of 3 weeks. 2. The concentration of TG and total cholesterol in liver were not significantly different among all the groups. 3. Fatty acid composition of experimental fat and oils was determined. Soybean oil, perilla oil group were more than lard group in unsaturated fatty acid content. Poly unsaturated fatty acid content of file fish oil group was 15%, contents were remarkable than any other groups. 4. Fatty acid composition of liver tissue lipids was similar to fatty acid pattern of experimental fat and oils and were detected 14-17 kinds of fatty acid. Poly unsaturated fatty acid content of soybean oil, perilla oil and file fish oil groups were more than other groups, and file fish oil groups was abundant EPA. DHA content.