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.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

간호 지식관리시스템 개발

민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

안구돌출과 요붕증으로 나타난 Langerhans 세포 조직구증에 대한 증례 보고

김선신,박준성,신승수,김효철,전미선,박광화 아주대학교 의과학연구소 1999 아주의학 Vol.4 No.1

The authors experienced a case of Langerhans cell histiocytosis who presented with severe exophtalmus and central diabetes insipidus. A 26 year old female patient had exophthalmus on her left side due to Langerhans cell histiocytosis infiltrating the left petrosal and orbital bone demonstrated by MRI. Water deprivation test revealed diabetes insipidus of central type due to Langerhas cell histiocytosis involving the pituitary gland. Exophtalmus improved significantly with VP-16 150 ㎎/㎡/weekly for 6 weeks, vinblastin 6 ㎎/㎡ weekly for 6 weeks, and prednisolone 40 ㎎/㎡/daily for 4 weeks, while diabetes insipidus was controlled by nasal spray of DDAVP.

癩腫性癩의 血流中에 癩菌檢索에 關한 硏究

金重明,申先伊,徐城鐸,徐治均 慶北大學校 1964 論文集 Vol.8 No.-

Although It was Introduced that the Mycobacterium leprae was investigated in circulatory blood of leprosy patients. In recent, Naniwa(1938) had depicted that there were intimate relationship between the grade of disease and bacillary number in the blood stream, Nagata (1953) had described that the humber of leprosy bacilli in circulatory blood were diminshed by the appropriate leprocy treatment, and Obshima(1957) have suggested that leprosy bacilli in blood stream were closely related with the fundamental problem of pracental infection and onset of untainted children from leprosy patients. In order to investigate this point further, we have tested 211 cases of lepromatous leprosy patients and this observation gave us as following results' 1. We could find out the Mycobacterium leprae in 0,08㎖ of circulatory blood from lepromatous leprosy patient. 2. The bacilli positives were more than 90% in the case of untreated patients and most of them were presented in the monocyte and polymorphonuclear cell. 3. The bacillary numbers were greatly decreased by the treatment, and after 9 months more over begining trearment, it was turned to be complete negative. 4. There were close relation between the bacillary number and grade of disease, but no relation in lepromin and tuberculin reaction. 5. In E.N.L. the bacillus was negative, and 1 of 4 cases was positive in acute infiltration. 6. we think that the bacilli in blood stream of leprosy patient will be a new aspect in the study of the pracental infecton and untained children of leprosy patient.

개선된 사람 혈장중 세파클러 농도 정량법을 이용한 세파클러 캡슐의 생체이용률 측정

김태완,송옥경,한선영,Cao, Qing-Ri,박미진,강성화,신관석,Cui, Jing-Hao,이범진 한국약제학회 2005 Journal of Pharmaceutical Investigation Vol.35 No.2

After establishing improved HPLC analytical method ofcefaclor in human plasma samples, a bioavailability study of cefaclor capsules was conducted according to the guidelines of Korea Food and Drug Administration (KFDA). The standard calibration curve using an HPLC with UV detector was constructed in a range of 0.0324--16 μg/m1. The 6% perchloric acid instead of 6% trichloroacetic acid was used to precipitate plasma protein. The HPLC chromatograms were precisely and accurately resolved when spiked with human plasma spiked with cefaclor and cephalexin (internal standard). Twenty healthy male Korean volunteers received two commercial cefaclor capsules, Neocef ' capsule (Jinyang Pharm. Co., Ltd) or Ceclor" capsule {Lilly Korea. Co., Ltd.) at the 250 mg cefaclor in a 2 x 2 crossover study. There was a one-week washout period between the doses. Plasma concentrations of cefaclor were monitored for 8 hours after oral drug administration. AUC, the area under the plasma concentration-time curve from time zero to 8 hr (13 points), was calculated by the linear trapezoidal rule method. C,,,a" (maximum plasma drug concentration) and Tmax (time to reach Cma,) were compiled from the plasma concentration-time data. Analysis of variance was carried out using logarithmically transformed AUC, and Cmax. No significant sequence effect was found for all of the bioavailability parameters indicating that the cross-over design was properly performed. The 90% confidence intervals of the AUC, ratio and the Cmax ratio for Neocer/Ceclor" were 0.9049 S S < 1.0304 and 0.9776 5 S 1.226, respectively. These values were within the acceptable bioequivalence intervals of 0.80-1.25. Thus, our study demonstrated the bioequivalence of Neocef"/Ceclor" with respect to the extent of absorption.

제주지역에서 브로콜리 노균병 발생 실태 및 품종에 따른 저항성 검정

고순보(Sun Bo Ko),김성배(Seong Bae Kim1),고태신(Tae Sin Ko),홍순영(Sun Young Hong),강성근(Sung Koon Kang),박용봉(Yong Bong Park) 한국원예학회 2008 한국원예학회 학술발표요지 Vol.2008 No.5

材質이 다른 핀을 가진 水平圓筒에서의 自然對流

李宰臣,金善政,權純錫 東亞大學校 1986 東亞論叢 Vol.23 No.1

This study on the natural convection has been studied experimentally for the heat transfer characteristics of horizontal cylinder with a vertical plate fin of a different conductivity in air according to the various Rayleigh numbers. The experimental results are as follows: 1. As ?? increases, mean cylinder and total Nusselt numbers are decreased and mean fin Nusselt number is increased at the same position of fin and the same Rayleigh number. 2. Mean fin and total Nusselt numbers for a downward fin are more than those for an upward fin at the same ?? and the same Rayleigh number. 3. Mean cylinder Nusselt number for an upward finned cylinder is more than that for a downward finned cylinder at the same ?? and the same Rayleigh number. 4. Mean cylinder, fin and total Nusselt numbers are increased by increasing Rayleigh number at the same position of fin and the same ??.

수학과와 타 교과 내용의 연계성 분석

강신포,김호선 부산교육대학교 과학교육연구소 2006 科學敎育硏究 Vol.31 No.-

수학은 다른 교과의 효율적인 학습에 기초가 되는 도구 교과이다. 본 연구는 수학과와 밀접한 관련을 맺고 있는 사회, 과학, 실과 교과서에 제시된 수학 관련 내용을 분석하고, 학습 내용의 상호관련성 및 수학과와의 지도시기를 비교·분석하여 수학과와 타 교과의 바람직한 연계성을 찾아보고자 하였다. 본 연구를 통해 사회, 과학, 실과의 학습 내용 중에는 수학 학습과 관련이 있는 내용이 많이 활용되고 있으며, 서로 밀접한 상호관련성을 갖고 있음을 알 수 있었다. 또, 도구 교과인 수학과에서 먼저 학습된 내용이 타 교과 학습 활동에 활용되는 것이 바람직한데 이들 관련 교재가 수학과에서의 학습보다 타 교과에서의 활용이 먼저 되고 있는 학습 내용이 있었다. 따라서 교육 내용을 조직하고 배열할 때에는 교과간이나 교재간에 상호관련성 뿐만 아니라, 수학과와 타 교과와의 연계성이나 관련성에 대한 고려가 필수적으로 이루어져야 할 것이다. As Math is the instrumental subject providing the foundation for effective learning of other subjects. This study set was out to analyze the math-related contents observed in Social Science, Natural Science, and Practical Arts, which had close relationship to math, compare and analyze the interrelation among the learning contents and time for teaching with regard to math, and search for the desirable articulation between math and other subjects. In conclusion, there were many contents related to math in the Social Science, Natural Science, and Practical Arts and was close interrelationship between the learning contents of math and those of other subjects. In addition, it's the best that concerned contents should be learned in math before being used in the learning activities of other subjects. But there are some learning contents that were used in the learning activities of other subjects before being covered in math in some textbooks. Therefore it's necessary to consider not only the interrelationship among subjects and textbooks but also the articulation and relation between math and other subjects in organizing and arranging educational contents.

등온 수직 평판의 혼합대류 열전달에 관한 실험적 연구

李宰臣,金尙營,權純錫 東亞大學校 1991 東亞論叢 Vol.28 No.1

The mixed convection heat transfer from two and four vertically parallel plates has been studied by experimental method with Mach-Zehnder interferometer. The interplate spacing b/ℓ, Reynolds num-ber Re, Grashof number Gr, is varied parametically. Local Nusselt number distributions for two cases decrease sharply at leading edge and increase sli-ghtly at trailing edge as x/ℓincreases. Total mean Nusselt numbers ??, increase with increaseing Reynolds numbers. The optimum spacings for maximum ?? move to the narrow spacing as Re increa-ses. Comparisons with experimental and numerical results show good agreements.