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

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.

흰쥐 재생간의 알콜대사효소들의 활성치

문교철,곽춘식,정성광,김여희 啓明大學校 醫科大學 1988 계명의대학술지 Vol.7 No.2

A study was made on the change in the activities of the following during 10 post-operative days: alcohol dehydrogenase of regenerating rat livers after 70% (median and left lateral lobes) partial hepatectomy. After partial hepatectomy in the rats, activities of regenerating liver alcohol dehydrogenase significantly increased in the sixth day. The activities of microsomal ethanol-oxidizing system in the regenerating liver markedly increased from the third day after partial hepatectomy. However, no significant changes in hepatic catalase was noted throughout the experiments. The activities of cytosolic and microsomal aldehyde dehydrognease in the regenerating liver significantly increased from the sixthe day and the third to the sixth day respectively, but mitochondrial aldehyde dehydrogenase showed no change.

미국 금융정책변경이 한국경제에 미치는 영향

成範鎔,金汶姬 홍익대학교 경영연구소 2001 경영연구 Vol.26 No.-

EDI 도입 및 실행의 결정요인과 성과에 관한 문헌연구

문희철,정인영,성봉석 충남대학교 경상대학부설 경영경제연구소 1996 경영논집 Vol.12 No.1

산청 지역에 분포하는 중·염기성 암맥군의 암석학 및 고자기학적 연구 : 암맥군의 암석학적 연구

문은희,이상원 부산대학교 과학교육연구소 2003 교사교육연구 Vol.42 No.-

The dike swarms exposed in Sancheong area are classified into intermediate and mafic dikes, which the intermediate one is more dominant. The dike swarms exhibit aphanitic (or aphanitic porphyritic) texture to very fine-grained granular texture, the latter is typical in the mafic dikes. The dike swarms intruded into all kinds of rocks such as Precambrian gneisses, anorthositic rocks and Mesozoic syenite with average thickness of 1 meter (range from 0.3 m to 10 m). The dike swarms occurred as average of N45°E strike with nearly vertical dip, which its strike coincides with the direction of major faults such as Baekmudong, Kwangjeomdong fa버ts in Jiri Mountains and unidentified faults in northern region of Sancheong. So we considered the dike swarms intruded along fractures anψor fracture zones related to the northeast strike of faults. Geochemistry of the dike swarms and stocks of diorite and gabbro closely related to the dike swarms spatially and temporally was discussed. The dike swarms and the related rocks belong to sub-alkaline rock series and represent the differentiation trend of calc-alkaline rock series. In geochemistry the dike swarms and diorite are similar to compositional variation of major elements, and primitive mantle- and N-type MORBnormalized abundance patterns of trace elements and REEs. Petrochemical characteristics indicate the origin of those rocks is identical as considered to be derived from a same magma. Parental magma of the dike swarms and diorite is concluded to be generated from partial melting of crustal materials such as amphibolite fusion. So diorite and the dike swarms are formed from crystallization of the magma derived from partial melting of amphibolite in the crust. Otherwise, gabbro displays some differences in abundance patterns of trace and rare earth elements. The primarγ magma of gabbro is assumed to be derived from partial melting of mantle peridotites. And gabbro is very similar to the gabbroic rocks occurred at Macheon 따ea in the mineralogy, geochemistry and rock types. In tectonomagmatic discriminant diagrams it is considered that all of the studied rocks are formed from magmas occurred in tectonic environment as continental margin anφor island arc that mean the destructive plate margin as subduction zone.

複合乳酸菌 製劑(Feed-Mate 68) 添加가 Broiler에 미치는 效果 : Ⅱ. 臟器重量, 腸內 pH 및 Microflora의 變化 Ⅱ. Change of intenal Organic Weight, Intestinal pH and Microflora

文勝式,李乙熙,宋瑛敏 진주산업대학교 1987 論文集 Vol.25 No.-

본 시험은 복합유산균제제(Feed-Mate 68)의 효과를 살펴보기 위하여 육용계(Arbor acres)를 7주간 사육하여 도살(ether 마취)한후 내부장기 중량과 pH 및 총세균수, 유산균수 및 coliforms를 조사하여 다음과 같은 결과를 얻었다. 1. 내부장기중량은 첨가구에서 근위, 맹장이 다소 무겁고 소장은 가벼운 경향이었다. 2. 장내의 pH는 첨가수준이 증가될수록 낮아지는 경향이었고 회장, 직장, 맹장 및 공장순으로 높았다. 3. 총세균수는 첨가수준이 높을수록 낮게 나타났고 회장, 맹장, 직장 및 공장순으로 높았다. 4. 유산균수는 첨가수준이 높을수록 높게 나타났고 맹장, 회장, 직장 및 공장순으로 높았다. 5. Coliforms는 첨가수준이 높을수록 낮게 나타났고 맹장, 직장, 회장 및 공장순으로 높았다. 6. 장내 유산균과 pH는 다른 세균에 비해 연관성이 큰것으로 나타났다. In order to investigate the effect of Feed-Mate 68 addition on Brolier, the characteristics of intenal organic weight, intestinal pH, bacteria, lactic acid bacteria and coliforms were researched into. The ressults obtainde were summarized as follows: 1. Gizzard and diverticulum weight of intenal organ tended to be heavy in the treatment but the small intestine, less weight than in the control. 2. The higher the additional level of Fced-Mate 68 was, the less intestina pH was. Intestinal pH was high in the order of ileum, colon, diverticulum and jejunum. 3. The higher the additional level of Feed-Mate 68 was, the less total bacteria was. Total bacteria were many in the order of diverticulum, ileum, colon and jujunum. 4. The higher the additional level of Feed-Mate 68 was, the more lactobacillus was. lactic acid bacteria was many in the order of diverticulum ileum colon and jejunum. 5. The higher the additional level of Feed-Mate 68 was, coliforms was many in the order of diverticulum, colon, ileum and jejunum. 6. The relation of intestinal lactic acid bacteria and pH appearde to be higher than the other bacteria.

DTBP 분해를 이용한 난류연소 모델링 가능성 연구

문희장,조성찬 한국항공대학교 항공우주산업기술연구소 2003 航空宇宙産業技術硏究所 硏究誌 Vol.13 No.-

Flame propagation is analysed with the use of simple statistical model in a one dimensional spherical coordinate. The objective of this study is the use of novel fuel which is decomposed in an inert gas atmosphere making the reaction with a single step chemical kinetics. DTBP(Di-Tert-Butyl-Peroxide) chemical kinetics is a potential candidate for the study of turbulent combustion since this fuel may be used in conjunction with the development of turbulent combustion models. It was found that the proposed model results approach that of experimental results of DTBP decomposition. The fact that its heat release is at a low level compared to other substances as hydrocarbon fuel, makes the modeling study with DTBP promising. Results of turbulent flame propagation speed by the numerical study under work show that the general trend of the flame propagation is achieved, however numerical results could not simulate the time increase rate of the turbulent flame speed found by experiments.

치면 산처리가 Ⅴ급 와동의 compomer 수복에서 미세누출에 미치는 영향

문상희,이창섭,이상호 대한소아치과학회 2000 大韓小兒齒科學會誌 Vol.27 No.2

치면 산처리가 Ⅴ급 와동의 compomer 수복에서 미세누출에 미치는 영향을 평가하기 위하여 180개의 발거된 건전한 치아에 생리적인 치수내압을 가한 시편을 제작하였으며, CEJ 1mm 상방에 6 ×3 ×2mm의 상자형 Ⅴ급 와동을 형성하여 수복재료 및 산처리 시간에 따라 다음과 같이 30개씩 6개의 군으로 분류하였다. A : Dyract AP + Prime & Bond 2.1 1군 : 산처리 없음, 2군 : 15초간 산처리 시행, 3군 : 30초간 산처리 시행. B : F2000 + Single Bond adhesive 1군 : 산처리 없음, 2군 : 15초간 산처리 시행, 3군 : 30초간 산처리 시행. 산처리를 제외한 모든 수복과정은 제조회사의 지시에 따랐으며, 수복 후 시편은 5~55℃에서 500회의 thermocycling을 거쳐 5% methylene blue 용액에 5시간 동안 침적 후 교정용 투명레진에 매몰되었다. 저속용 경조직 절단기로 시편을 절단 후 20배율의 stereoscope 하에서 미세누출을 관찰하여 다음과 같은 결론을 얻었다. 1.교합벽에서 Dyract AP는 산처리를 시행한 군이 산처리를 시행하지 않은 군에 비해 유의하게 낮은 미세누출을 보였지만(p〈0.05), F2000에서는 산처리 여부가 미세누출 정도에 유의차를 보이지 않았다(p〉0.05). 2.치은벽에서 Dyract AP는 산처리를 시행하지 않은 1군이 2군에 비해 유의하게 높은 미세누출 정도를 보였지만(p=0.003), 3군과는 유의차를 보이지 않았고(p=0.99), F2000에서는 산처리가 미세누출을 유의하게 감소시켰다(p〈0.05). 3.교합벽과 치은벽의 비교에서, 두 재료 모두 교합벽에서 낮은 미세누출 정도를 보였지만, Dyract AP의 3군에서는 유의성을 보이지 않았다(p=0.117). 4.두 재료 모두 2군과 3군 사이의 미세누출 정도에서는 유의차를 보이지 않았다(p〉0.05). 이를 종합해 볼 때, compomer 수복 시 산처리는 미세누출을 감소시키는 유효한 방법이라고 사료된다. 주요어 : compomer, 5급와동, 미세누출, 산처리, 생리적인 치수내압

한국종합예술학교 무용원 예술사과정의 교과과정 특성 고찰

문성철,김재희 仁荷大學校 스포츠科學硏究所 2001 論文集 Vol.13 No.-

Study of the arts in the western world was established under two main structures; academic, theory-based institutions to educate & scholars, teachers and the performance-based conservatory for development of professional artists through apprenticeship. In contrast, arts education in Korea was established under one general structure, thus with neither specification nor specialization. With this reflections and the support of the government, The Korean National University of Arts(KNUA) has been established as a national art school with the purpose of advancing professional artists with both specialized academic and performance-driven programs through the most highly qualified faculty and advanced educational facilities available in the market. The purpose of this study was to analyze the problems of art bachelor's curriculum on school of dance in KNUA. The results of this study as follows: 1.An art bachelor's curriculum on school of dance lean upon kinesiological studies and technology models in the six models of curriculum theory for advancing professional artists with both specialized academic and performance - driven programs. 2.An art bachelor's curriculum on school of dance is insufficient for achieving the purpose of national art school, which is advancing professional artists with both specialized academic and performance-driven programs. 3.An art bachelor's curriculum on school of dance is insufficient for advancing professional artists with both specialized academic and performance-driven programs available in the market.