통일 독일 문단에서의 구 동독 작가들의 동향

이영임 한국헤세학회 2003 헤세연구 Vol.9 No.-

Die gegenwartige deutsche Literatur zeigt eine “unordentliche Pluralitat” zwolf Jahre nach der Wiedervereinigung in einer Vielzahl zueinander offener literarischen Szenen, wie Wolfgang Emmerich erwahnt hat. Eine Gleichzeitigkeit des Ungleichzeitigen gibt es auf dem Feld der deutschen Literatur. Schriftsteller sehr verschiedener Gene- rationen, asthetischer Programme und politischer Glaubensbekenntnisse konkurrieren und koexistieren miteinander. Im wiedervereinigten Deutschland erleben die ehemaligen DDR Schriftsteller, besonders die zweite Schriftstellergeneration große Schwierigkeiten wegen ihres sozialistischen Ideal. Trotz ihrer leitenden Rolle im Fall der Mauer und ihrer Kritik uber den Realsozialismus der spatzeitlichen DDR- Wirklichkeit konnte diese Generation die Hoffnung der Sozialismus selbst nicht aufgeben. Bei dem ‘Literatur-Streit’ nach der Vereinigung handelt es sich im Grunde um die Exekution dieser ambivalenten DDR-Autoren. Aber trotz der krassen ‘Exekution’ der westlichen Literaten uberleben die Autoren wie Christa Wolf und Volker Braun uber die Grenze von Deutschland als “zeitgenossische Klassiker.” Die dritte Generation der ehemaligen DDR-Schriftsteller zeigt schon andere Haltung als die der zweiten dem Sozialismus gegenuber. Sie hat die lugende Hohlheit der spa tzeitlichen DDR-Wirklichkeit von Kindheit an erleben und eingesehen, deswegen hat sie sich antiideologischer, mehr subjektiv-individualistischer Gemutslage angehangt. Die Autoren dieser Generation zeigen aber unterschiedliche Reaktion der Ver- gangenheit und der neuen Wirklichkeit gegenuber. Bei Wolfgang Hilbig und Ingo Schulze, zum Beispiel, erscheinen die Vergangenheit und gegenwa rtige Lage als “Schmerz-Amalgam.” Bei den noch jungeren Autoren wird aber der Zustand des vereinigten Deutschlands auch als neue Chance fur den Beruf und die Karriere empfunden, wie man in Brigitte Burmeisters Pollok und die Attentaterin sieht. Im Thomas Brussigs Am kurzeren Ende der Sonnenallee(1999) merkt man 10 Jahre nach dem Mauerfall erst die Zuge der Vergangenheits- bewaltigung. In den Situationen gibt es Schmerz auch bei Brussig, aber die Atmosphere des Werks ist ganz anders. Denn der Erzahler steht nicht mehr inmitten der Situation, sondern draußen auf einer anderen Ebene. Er stellt die konkrete Szene zwar unmittelbar dar, doch laßt das Dargestellte durch seinen geflugelten Blick die eigentliche Schwere verlieren. Der geflugelte Blick des Erzahlers, der jetzt uber den ganzen Raum des Romans schwebt, schleicht mal in den Blick des Helden, kommentiert mal die Tat des Helden, also bleibt uberall freiwillig. Diese Freiheit des Erzahlerblicks gibt dem Werk eine unvergleichbare Leichtigkeit, der man bei anderen ehemaligen DDR-Autoren kaum begegnen kann. Die ganze Geschichte ist, so gesehen, ein Durchgang durch die Vergangenheit, der einen Absicht enthalt, sich eine Bilanz aus der DDR-Zeit zu ziehen. Dieser zielbewußte Blick des Erzahlers ist ein Blick des Erwachsenen, der schon alles uberlebt hat, und in einem neuen Raum anders beginnen will. Dieser Blick ist neu und frisch, nicht mehr gebannt vom Dunkel der Vergangenheit. Damit gibt er dem Gewesenen eine schleierhafte Leichtigkeit. So geht alles in diesem Roman. Ernstliche Sache bekommt die Miene der Posse, und aus der lacherlich-trivialen Seite her zeigt sich die schreckliche Miene der Wirklichkeit. Die Episoden auf dem kurzeren Ende der Sonnenalle sind eben die Abbilder, Zerrbilder, Vexierbilder der Spatzeit-DDR-Wirklichkeit. Wenn das Schreiben den Gegenstand zu verstehen bedeutet, ist dieses Versta ndnis kein Mittel der Bewaltigung? Enthalt die Tat der Bewa ltigung denn nicht immer etwas einnehmende Geste, namlich die Geste der ‘Erinnerung’? Der Erza hler sagt am Ende des Werks: “Gluckliche Menschen haben ein schlechtes Geda chtnis und reiche Erinnerungen.” Diese ironisch-humoristische Geste Brussigs finde ich neu, “potential”, selbstandig.

갱년기 여성의 호르몬 대치 요법에 대한 수용율

이임순,장진영,이정재,이순곤,이권해,이해혁,김승형 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Purpose: We have evaluated the compliance of hormone replacement therapy. Method: There are 185 climacteric women who are divided into three groups (Group I, Group II, Group III). Group I is given conjugated equine estrogen(CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate(MPA, 5mg, day 1-12). Group II is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group III is given only conjugated equine estrogen(CEE, 0.625mg, day 1-30). Results: 1) The compliance rate of hormone replacement therapy during three months is 77.9% including each Group I : 77.7%, Group Ⅱ : 76.1%, Group Ⅲ :80.4%. 2) The compliance rate of hormone replacement therapy during six months is 60.7% including each Group Ⅰ:52.9%, Group Ⅱ: 56.4%, Group Ⅲ: 79.5%. 3) The compliance rate of hormone replacement therapy during nine months is 49.7% including each Group Ⅰ: 45.5%, Group Ⅱ:41.7%, Group Ⅲ: 64.3%. 4) The compliance rate of hormone replacement therapy during a year is 44.4% including each Group Ⅰ: 40.2%, Group Ⅱ:35.3%, Group Ⅲ: 59.5%. Conclusion : It is vital that we maximize compliance if patients are to receive the full benefits from hormone replacement therapy. We think that physicians who prescribe hormone replacement therapy for climacteric women should enough explain the purpose, risks, and side effect of treatment for maximizing compliance of hormone replacement therapy.

濟州道 住民 蟯蟲感染의 疫學的 硏究

李根泰,李範珪,盧英俊,任世旭,李在興 醫藥係社 1955 綜合 醫學 Vol.12 No.12

혈액투석중인 만성신부전 환자에서 골대사 지표로써의 Osteocalcin치

송치운,이진홍,안미애,윤환중,윤상임,성기양,이강현,송민호,이강욱,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Background : Serum osteocalcin is synthesized by osteoblast and has been shown to be sensitive indicator of bone turnover inpatients with various metabolic bone disease. In renal osteodystrophy, serum osteocalcin is elevated due to decreased renal clearance and elevated level of PTH. This study was done to evaluate the usefulness of serum osteocalcin as a marker of bone metabolism and the correlation with other biochemical markers of bone metabolism. Methods : We measured serum osteocalcin, calcium, phosphorus, ALP(alkaline phosphatase) and PTH(parathyroid hormone) in 37 patients with end stage renal disease on hemodialysis. Osteocalcin was determined by radioimmunoassay and PTH was determined by radioimmunometric assay. Results : 1) The mean level of serum osteocalcin in ESRD patients was 233.8± 218.2ng/ml which was significantly higher than that of controls(p<0.0001). 2) The mean level of serum PTH in ESRD patients was 40.5± 43.8pg/ml was significantly higher than that of controls(p<0.005). 3) There was a significant positive correlation between the level of serum PTH, ALP and the level of serum osteocalcin in ESRD patients. 4) By using multiple regression, PTH is most reliable factor that affect to elevated level of serum osteocalcin ( beta coefficient = 0.687, Sig T<0.05). Conclusion : Serum osteocalcin as a marker of bone metabolism in ESRD patients is more useful than other biochemical marker such as serum calcium, phosphorus, ALP and PTH is a most reliable factor that affect to elevated level of serum osteocalin.

자기 효능의 개념 분석

서순림,이은남,박송자,양영희,이동숙,최은옥,구미옥,김인자,이인숙,김성재,박영임,이은옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1

Today human needs for health promotion and maintenance are increasing. The nursing progression has a great responsibility for helping clients to practice good health behavior. self efficacy was found to be potent predictor in initiating and maintaining the health-related behavior. Therefore, the concept is important in nursig intervention for change of health behavior. The purpose of this paper was to analyze and clarify the meaning of the concept, self efficacy. This study used Walder & Avant's process of concept analysis. Critical attributes of self efficacy were : 1) positive perception of his won capability; 2) intrapersonal strength; 3) possibility of being learned; 4) individuality; 5) specificity; 6) generalizability. Antecedents of self efficacy consist of those facts that 1) new situation occurs; 2) individuals have needs to change the new situation; 3) there are some required actions in new situation. Consequences occurring as a result of self efficacy consist of those facts that 1) individual initiates the of failure; 5) cope with the situation; 6) controls the situation; 7) the level of self efficacy is enhanced; 8) the level of self-esteem is enhanced.

초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

조혈모세포이식 환자에서의 기계 환기의 위험 인자 : Assessment of Risk Factors

안중경,이홍기,황정혜,박세훈,이효락,송서영,이순일,박준오,김기현,김원석,정철원,임영혁,강원기,박근칠 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.1

연구배경: 조혈모세포이식을 시행한 환자에서 집중 치료 시 예후가 매우 나쁜 것으로 알려져 있고, 기계 환기는 강력한 사망 예측 인자로서 보고되고 있다. 그러나 현재까지 이식 환자에서 기계 환기의 위험 인자를 밝힌 연구는 매우 드물다. 따라서 기계 환기를 시행한 조혈모세포이식 환자의 임상적 특징을 살펴보고 기계 환기에 대한 위험 인자를 알아보고자 하였다. 방법: 삼성서울병원에서 조혈모세포이식을 시행한 환자 중 기계 환기를 시행한 23명과 기계 환기를 시행하지 않은 142명을 대상으로 후향적 연구를 시행하였다. 기계 환기에 대한 위험 인자의 여부에 관해서는 chi-square 또는 Fisher's exact 검정을 시행하였으며 기계 환기에 대한 각 위험 인자의 영향에 관해서는 다중로지스틱 회귀분석을 시행하였다. 결과: 기계 환기를 시행한 23명의 환자 중 30일째 생존자는 1명이었고 6개월째 생존율은 0%였다. 생존자와 사망자 모두에서 다기관 기능부전이 관찰되었으며, APACHE II 점수와 SAPS II 점수에 의한 예측 사망률은 각각 56%, 59%였다. 조혈모세포이식 후 기계 환기의 위험 인자로는 선행 질환이 혈액질환, 부분불일치 동종이식, 간정맥폐색성질환, 이식 전 질병 상태가 재발하였거나 약물에 반응하지 않는 경우였다. 다중로지스틱 회귀분석 결과 기계 환기의 위험 인자로 통계적으로 유의한 차이를 나타낸 것은 단지 부분불일치 동종이식을 시행한 경우였다. 결론: 현재까지 조혈모세포이식 환자에서 집중 치료의 역할에 대해서는 확실히 정립되어 있지는 않으며, 이식 환자에서 기계 환기는 강력한 사망 예측 인자이다. 따라서, 조혈모세포이식을 시행한 환자에서 기계 환기의 위험 인자와 불량한 예후 인자를 고려하여 기계 환기 여부에 대한 신중한 결정을 내려야 한다. Background: Respiratory failure requiring mechanical ventilation is a frequent, critical complication of hematopoietic stem cell transplantation (HSCT). Patients who require mechanical ventilatory support after HSCT generally have a very poor prognosis. Mechanical ventilation in HSCT recipients is a strong predictive factor of mortality. The objectives of this study are to describe clinical characteristics of HSCT recipients undergoing mechanical ventilation and to identify the risk factors for mechanical ventilatory support after HSCT. Methods: We performed a retrospective chart review of all patients >15 yrs old who received HSCT at Samsung Medical Center and subsequently required mechanical ventilatory support between 1996 and 2001. Results: Thirty-day mortality rate in HSCT recipients undergoing mechanical ventilation was 95.6%. The mean predictive mortality rates of APAHCE II score and SAPS II score were 56% and 59%, respectively. Reasons for mechanical ventila-tion were sepsis (47.8%) followed by fungal infection (13%) and diffuse alveolar hemorrhage (8.7%). Univariate analysis identified relapsed or refractory diseases at HSCT, hematologic disease, hepatic venoocclusive disease and allogeneic or HLA-mismatched transplant as significant risk factors for mechanical ventilation. On multivariate logistic regression analysis, only allogeneic mismatched transplant remained significant. Conclusion: Overall outcome of HSCT recipients undergoing mechanical ventilation is very poor. Therefore, the risk factors and the poor prognostic factors for mechanical ventilation should be taken into account in making further treatment decision for HSCT recipients requiring mechanical ventilation.

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

초·중·고등학교 학생·학부모·일반교사의 보건교육 영역별 요구도와 보건교육

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through x^(2)­test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teacher. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC that those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

CFRP적층쉘의 적층구성 및 곡률반경에 따른 관통특성

임광희,조영재,이길성,심재기,김영남,양인영 朝鮮大學校 機械技術硏究所 2004 機械技術硏究 Vol.7 No.1

최근 탄소섬유 강화 복합재료(이하 CFRP)는 비강도, 비강성이 높아 경량화가 요구되는 우주항공분야에서 구조용 재료로 널리 이용되고 있다. 본 연구에서는 CFRP 적층쉘의 적층구성 및 곡률반경에 따른 관통 특성을 고찰 하고자 한다. 실험에 사용된 복합재료는 일방향 프리프레그시트로서 적층방법은 〔0₃/90₃〕, 〔0₂/90₂〕s,와 〔0₂/90₃/0〕s, 〔0/90₂/0〕 2계면과 4계면으로 적층하였다. 그리고 다양한 곡률 반경을 적용하였다. (R= 100, 150, ∞). 적층순서에 맞게 적층된 시험편은 경화온도 130℃에서 진공백 성형과정을 오토클레이브로 제작 하였으며 100x140mm 크기로 절단 하였다. 시험편은 강구로 관통시켰으며 ballistic-screen sensor로 속도를 측정하여 충격전 운동에너지와 충격 후 운동에너지를 구할 수 있다. 흡수에너지는 곡률이 커질수록 증가하였으며 4계면 시험편보다 〔0₃/90₃〕s 와 〔0₂/90₂〕s 적층구조를 갖는 2계면 시험편이 흡수에너지가 더 높게 나왔다. Currently, carbon-fiber reinforced plastics (CFRP) are widely used in both space and civil aircraft due to their superior stiffness and strength to weight ratios compared to conventional metallic materials. This paper is to study the effects of curvature and staking sequence on the penetration characteristics of CFRP laminated shell. Composite laminates used in this test are CFRP orthtropic laminated plates, which are stacked with two-interfaces 〔0₃/90₃〕s, 〔0₂/90₂〕s and 〔0₂/90₃/0〕s. 〔0/90₂/0〕s. They are manufactured to varied curvature radius (R= 100. 150, 200 mm and ∞). They are cured by heating to the appropriate hardening temperature(130℃) by mean of a heater at the vacuum bag of the autoclave. Test specimens were prepared with dimensions 100mmx140mm. When the specimen is subjected to transverse impact by a steel ball, the velocity of the steel ball was measured both before and after impact by determining the time for it to pass two ballistic-screen sensor located a known distance apart. Absorbed energy increased as the curvature increased. 〔0₃/90₃〕s and [0₂/90₂〕s specimens, which is small interlaminar number, was higher than fore interlaminar specimen.