노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

녹차 및 매실 추출물이 N-Nitrosodimethylamine의 생성에 미치는 영향

최선영,정미자,신정혜,김행자,성낙주 한국식품영양학회 2002 韓國食品營養學會誌 Vol.15 No.1

녹차 및 매실추출물이 아질산염 소거, 전자 공여능 및 NDMA 생성 억제에 미치는 영향을 분석하고, 질산염과 아민이 풍부한 식단(CW)에 인공타액과 위액을 이용한 "simulated digestion" 에서 확인하였다. 녹차와 매실 추출물의 아질산염 소거작용을 pH 1.0, 4.2 및 6.0에서 실험 결과, pH가 낮을수록, 시료 첨가량이 많을수록 효과적이었으며 pH 1.2에서 녹차 추출물 0.5ml 첨가시킬 경우 99.6%의 높은 소거작용을 나타내었고, 매실 추출물 3ml 첨가시 77.2%의 소거작용을 나타내었다. 녹차 및 매실 추출물의 전자공여 작용은 각각 70.6%, 75.1%로 높게 나타났다. 녹차와 매실 추출물의 NDMA 생성억제 효과는 pH 1.2 에서 가장 뛰어났고, 시료량이 증가할수록 억제효과가 높아 3ml 첨가시에 82.1%와 73.2%의 억제효과를 나타내었다. 실험식이에 녹차 및 매실 추출물의 첨가량을 달리하여 인공소화시킬 때 NDMA 생성억제 효과는 시료 첨가량에 비례하여 각각 20ml 첨가시 녹차 추출물은 57.9%, 매실 추출물은 48.4%의 NDMA 생성억제 효과를 나타내었다. The effects of nitrite scavenging, electron donating and N-nitrosodimethylamine (NDMA) formation in vitro and green tea (Camellia sinensis) and Maesil (prunus mume) were studied. The green tea and Maesil extracts were tested for their nitrite-scavenging effect under the different pH conditions such as pH 1.2, 4.2 and 6.0. The effects of nitrite-scavenging in all concentrations were diminished in the alkali condition, whiled its effects in the acidic condition of pH 1.2 were reached of more than 99.0% by adding above 0.5ml of green tea extract. And also, nitrite-scavenging effect by adding 3ml of Maesil extract was about 77.0%. The electron donating ability (EDA) of green tea and Maesil extracts was 70.6%, 75.1%, respectively. The formation of NDMA was very effectiveness which was inhibited 82.1%, 73.2% at reaction mixture of pH 2.5 adding 3ml of above extracts, respectively. The ground CW, TW1 and TW2 (refer to Table 1) diets were incubated with 10ml simulated saliva and 40 ml gastric juice at 37℃ for 2hrs. NDMA formation was inhibited at all levels of green tea and Measil extracts.

의료 질 향상 사업의 성공요인과 실패요인

최귀선,이선희,조우현,강혜영,채유미 한국의료QA학회 2001 한국의료질향상학회지 Vol.8 No.2

Background : To propose effective strategies for successful implementation of QI in health care institutions, by identifying facilitating factors and barriers to conducting QI programs. Methods : In order to examine empirical evidence on the success factors or barriers to QI implementation in hospitals, a literature study was performed on the basis of MEDLINE search. Among the identified literature. 13 provided reliable findings and basis comprehensive discussion on this issue and thus were selected for in-depth analysis. A mailed questionnaire survey was conducted for hospital CEOs and QI directors of hospitals with 400 beds or greater to investigate what attributes of their organizations they perceived as success factors or obstacles to QI implementation. Result : The analysis of selected literature and survey results presented that the primary factors considered to be most important as successful implementation of QI were: strong support from hospital CEOs, setting higher priority for QI activities, continuous and persistent efforts in QI activities, and active participation of clinical staffs. The barriers identified in this study were : the lack of orientation and understanding of QI concepts, low level of interest and participation of physician in QI programs, the lack of evaluation and rewarding system for QI activities. Conclusion : By identifying factors that affect facilitation of QI, the study results will be of great use for either institutions being in the early stage of evolving QI or those looking for better strategies to achieve more active and persistent QI implementation in their institutions.

장기간의 생식 및 자연요법 식이 후에 발생한 Kwashiorkor 1례

최성식,정혜천,하태선 충북대학교 의과대학 충북대학교 의학연구소 2003 忠北醫大學術誌 Vol.13 No.1

Kwashiorkor는 주로 저개발국가에서 단백질과 칼로리 섭취가 극도로 결핍되고 부적절한 영양을 공급함으로써 나타나는 질환으로 영아 초기에서 5세 사이의 어린 영아에 주로 나타나는데 모유를 이유한 후 양질의 단백질과 칼로리가 심하게 부족한 이유식이나 음식을 장기간 섭취할 경우에 주로 나타나지만 식이에 대한 부적절한 지식으로 단백질을 제한함으로 질환이 발생하기도 한다. 저자들은 부모의 식이에 대한 부적절한 지식으로 장기간의 생식과 자연요법으로 단백질 섭취가 제한되어 kwashlorkor가 발생한 24개월된 남자환아를 1례 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Kwashiorkor occurs most commonly in areas of famine, limited food supply, and low levels of education leading to inadequate knowledge of proper diet. It is associated with extreme poverty in developing countries. It is the name given to the syndrome of severe protein malnutrition. Kwashiorkor is an African term that refers to a child from early infancy to 5 years of age who is no longer being breastfed. Signs and symptoms associated with the syndrome result from a lack of nutritional protein coupled with an excess of carbohydrates. We report on 1 case of Kwashiorkor caused by raw food and naturopathic medicine and present brief review of literature. The child presented at 24 months of age with generalized edema.

한국의 규제정책 분야 실증연구의 경향과 분석

최병선,이혜영 서울대학교 행정대학원 2001 行政論叢 Vol.39 No.3

본 연구는 1990년대 초반 이래 국내의 행정학자, 정책학자들에 의해 수행되어온 규제 및 규제정책 연구를 일별하면서 이런 연구들의 특징을 다각적으로 살펴보고, 그 동안의 연구 성과를 평가하고 있다. 규제정책 관련연구의 일반적인 경향을 보면 환경규제 등 사회적 규제 관련연구가 활발하고, 규제정책경정과정에서 이익단체·공익단체의 활동에 주목한 연구가 많으며, 규제정책 집행의 실패와 규제순응 확보에 대한 높은 관심을 읽을 수 있다. 한편 경제적 규제 관련 연구는 상대적으로 미약하였다. 규제와 부패의 관계, 규제포획 현상에 대한 연구에서는 상당한 진전이 이루어지고, 위험 및 안전규제에 관한 연구, 규제개혁 관련 연구가 확산·심화되고 있음을 알 수 있었다. 앞으로는 우리 나라의 규제지향적 행정풍토와 문화에 대한 좀 더 통찰력 있는 연구, 규제이론 연구, 역사적이고 정치경제학적 관점의 규제연구, 제도론적 관점의 규제연구, 규제연구와 관련이 깊은 다른 이론적 맥락에서 본 규제정책 연구, 규제와 재정의 관계에 관한 연구, 규제영향분석제도 등 규제개혁 수단에 관한 연구 등이 좀 더 활발하게 이루어져야 할 필요가 있다고 생각된다.

음양오행의 공학적 해석에 의한 체질 분류 및 섭생법

최혜선,김혜숙,신미수,장동순 忠南大學校 環境問題硏究所 1997 環境硏究 Vol.15 No.-

This paper describes the application of Yin-Yang & Five Element Theory for the prevention and diagnosis of diseases due to environmental pollution by the scientific interpretation of the basic properties of five elements. The five elements considered are Mok(木,wood), Hwa(火,fire), To(土,soil), Geum(金,metal), SU(水,water). The basic properties of these are explained as warm energy, explosively dispersive heat, agglomerating force, tension or crystallization force, and finally cool & soft energy respectively. Utilizing these basic properties, the constitution classification can be modeled by the shape of face, which is attributed by the relative strength of the major organs, that is, five elements. Further, the vulnerable disease according to the constitution are briefly described together with the therapy method by diet, especially emphasizing the taste of food.

정맥내 주사로 인한 정맥염 발생의 다기관 공동 역학 조사 : 서울, 경기도 6개 종합병원을 대상으로:Focused on 6 hospitals in Seoul or Gyonggi-do, Korea

최정실,박은숙,진혜영,정선영,박미라,김정은,김금순 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.2

프리다 칼로의 회화에 나타난 부정적 아니무스에 관한 연구

최병길,신혜순 원광대학교 대학원 2008 論文集 Vol.40 No.-

Among the works of artists are those which touch our hearts without any particular reasons. It can be said that Frida Kahlo works belong to them. Why are our hearts touched by her works? It is, perhaps, because our unconsciousness is influenced by some elements inherent in them. What, then, is the unconsciousness? According to Carl Gustav lung, 'the unconsciousness is the depths of our minds that we all possess, but do not yet know of.' Are the unknown depths all understandable? To some extent, our experiences might render them so. Yet it is impossible to explain or to understand every aspect of them. In his studies of the unconsciousness explored by Sigmund Freud, lung maintains that the unconsciousness-that is, a sphere of our minds that we are unconscious of-comes from individuals' life experiences. He also maintains that the individual unconsciousness exists which is connected with each individual's own life, and so do basic and universal elements, in a deeper depth, which every man has, regardless of the differences of culture, race, the spirit of the times, or geographical condition. lung calls the depth consisting of these elements the collective unconsciousness. The individual unconsciousness is what matters to the individual life, whereas the collective unconsciousness is the sum total and accumulation of what mankind have repeatedly experienced throughout their history. Thus, lung thinks that the collective unconsciousness, a potential energy far anterior to the individual life, is bestowed upon human beings at the time when they are brought into the world. The collective unconsciousness is the root of the mind, and is like a seed in which lies the possibility of every creation and destruction. lung names many transcendental conditions with this possibility the archetype. In his observations of people's dreams and fantasies, Jung has discovered a mythical element which is repeated, in the same way, in the dreams and fantasies of people of different races and of various cultural and religious backgrounds. He has found that not only does this element appear in patients' experiences of their diseases-like in their fantasies, delusions or abnormal actions, in healthy people's dreams, and in thoughts of primitive men or children, but also it appears in dogmas or religious manners of higher religions, in the works of poets and artists, and in folk beliefs (Buyoung Lee, 『Analytic psychology』, Seoul Iljogak, 1978/1995, pp. 41-112). When prior conditions for the types of actions, which are all possessed by ancient and modern people as well as Western, Eastern and African people, are observed with the images that we can recognize, we call them archetypal images, which are found in dreams, folktales, myths, religious phenomena, spirits and works of artists, pathological phenomena, and so on. From studying the meaning of the archetypal images, we are able to infer the basic conditions for human actions behind it. It can safely be said that Frida Kahlo has transformed into her works all the things that have confronted her. Probably, in them lie the aspects of the collective unconsciousness including those of the individual unconsciousness. It seems that, as her life suggests, Frida Kahlo, without evading any hardships in her life, has expressed in her works all the things on which she has worked. This study aims at understanding what her works have shown from the viewpoint of analytic psychology.

초산모와 경산모의 분만시 간호요구

남선숙,최미혜 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

The purpose of this study was individual taking good care of primiparas and multiparas from comparison analysis of their nursing need. The subject of this study was a total of 133 puerpera who was within 3days from childbirth of three university hospitals in seoul. The data collected from questionnaire during the period from the first september to October 30, 2000, which were composed of during labor and delivery nursing need 27 item 5 point, puerpera self care nursing need and newborns care nursing need 38 item 5 point concerning puerpera's degree of nursing need on delivery room. The instruments used in this study were Ahn, H S(1993), Yeo, J H(1999), Kwang, Y H(1996), Jun, Y J(1997) it is modified The data were analyzed by t-test, ANOVA, x^2-test, Duncan's Multiple Range Test with SPSS Program The result of this study were as follows 1. The more nursing need wanted group were catholic group than the other religion group of during labor and delivery(F=3.001 p=.033), puerpera's self-care and newborns care(F=4.588 p=.004). 2. No different nursing need of primiparas and multiparas during labor and delivery, they were the mean score primiparas 4.04, multiparas 4.07 with a range of 1 to 5. 3. The more newborns care nursing need wanted group were primiparas than multiparas(t=4.688 p=.000). Therefore delivery room nurse think twice of a trend carelessly taking care of multiparas by reason of experienced one more delivery, puerpera self-care, newborns care. In order to start on effective education delivery nurse have to give lession in puerpera self-care, newborns care to primiparas and multiparas before they leave delivery room

기존 교육과정에서의 성과바탕 의학교육 이론 적용

홍영선,한재진,김정아,최희정,윤주천,정혜경,김한수 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.1

Objectives: This paper aims to describe an outcome-based curriculum development process at a medical school that has difficulty in advancement from the higher stage outcomes to the individual lesson outcomes, and to propose a way to implement it practically. Methods: We reviewed the objectives, strategies and previous products of the school’s taskforce activities and suggested the principle of bidirectional approaches of outcome based curriculum development. Results: The developing strategy identified such as firstly, the evaluation of present curriculum and then, the review of the outcomes developed previously with considering the nation-wide environmental change in medical education. Then, we selected one example course which was focused the resources of the school to, and finally the product of the example course was propagated to the other courses with central monitoring. Conclusion: Bidirectional model of ‘Top-down’ plus ‘Bottom-up’ approaches could be an efficient way to develop the outcome-based curriculum in a medical school, which has difficulties to advance the developing process due to various reasons including limited resources.