코로나 시대의 간호대학생의 건강증진 생활양식, 지각된 스트레스와 위생행위에 대한 연구

김수영(Kim, Soo Yeong),양수정(Yang, Soo Jeong) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.14

목적 본 연구에서는 코로나 시대의 간호대학생들의 건강증진 생활양식, 지각된 스트레스와 위생행위의 관계를 확인하고자 하였다. 방법 이를 위하여 광주광역시 소재 간호대학생 166명을 대상으로 건강증진 생활양식, 지각된 스트레스, 위생행위는 구조화된 설문지를 사용하여 측정하였다. 수집된 자료는 SPSS/WIN 25.0으로 분석하였다. 결과 건강증진 생활양식은 나이, 학년, 지각된 건강상태, 신종전염병 예방교육 참여의사, 신종전염병 예방교육 참여유무에 따라 유의한 차이가 있었으며, 지각된 스트레스는 학년, 지각된 건강상태, 신종전염병 예방교육 참여의사에 따라 유의한 차이가 있었다. 또한, 위생행위는 학년, 지각된 건강상태, 신종전염병 예방교육 참여유무에 따라 유의한 차이가 있었다. 건강증진 생활양식은 지각된 스트레스와는 부적 상관관계를(r=-.301, p<.001), 위생행위와는 정적 상관관계를 보였다(r=.301, p<.001). 결론 따라서 간호대학생을 대상으로 건강증진 생활양식 관리, 위생행위 증진을 포함한 신종전염병 예방교육 프로그램 개발과 중재 방안이 도입되어야 할 것이다. Objectives The purposes of this study is to confirm the relationship between health promotion lifestyle, perceived stress and hygiene behavior of undergraduate nursinf students in the coronavirus era. Methods For this purpose, health promotion lifestyle, perceived stress and hygiene behavior were measured using a structured questionnaire for 166 nursing college students located in Gwangu. Results The health promotion lifestyle was significantly different according to age, grade, perceived health status, willingness and experience to participate in the preventive education, Also, perceived stress was significantly different according to grade, perceived health status, and sillingness to participate in prevention education. In addition, there were significant differences in hygiene behavior according to grade, perceived health status, and participation experience in prevention education. The health promotion lifestyle showed a negative correlation with perceived stress(r=-.301, p<.001) and a positive correlation with hygiene behavior(r=.301, p<.001). Conclusions Therefore, for nursing college students, the development of a new infectious disease prevention education program including health promotion lifestyle management and hygiene behavior promotion and intervention measures should be introduced.

생후 90일 미만 영아의 요로 감염에서 세균성 수막염의 동반 가능성

황준호,김수영,이나미,이대용,윤신원,채수안,임인석,박지영,Hwang, Jun Ho,Kim, Su Yeong,Lee, Na Mi,Yi, Dae Yong,Yun, Sin Weon,Chae, Soo Ahn,Lim, In Seok,Park, Ji Young 대한소아감염학회 2022 Pediatric Infection and Vaccine Vol.29 No.2

Purpose: Urinary tract infections (UTIs) are the most common serious bacterial infections in young infants. Lumbar puncture (LP) has been used to diagnose coexisting meningitis in infants under 90 days of age with suspected UTI in many hospitals. However, the incidence of bacterial meningitis associated with UTIs is low. We aimed to describe the prevalence of concomitant bacterial meningitis in young infants with UTIs. Methods: The medical records of infants with the first episode of UTI admitted to the Chung-Ang University Hospital from January 2010 to December 2019 were retrospectively reviewed. Infants aged < 90 days who underwent LP with initial evaluation were included. Demographic and clinical features, laboratory findings, and imaging findings were collected and analyzed. Results: Eighty-six infants with UTIs were enrolled in the study. The median age was 61.5 days (interquartile range, 42.3-73.8 days) and boys (90.7%) were predominant. Escherichia coli was the most common pathogen (n=80, 93.0%) and followed by Klebsiella species (n=5, 5.8%). Fifteen (18.1%) specimens produced extended spectrum β-lactamase (ESBL). Five (5.8%) infants had positive blood culture results. Seven (8.1%) infants showed pleocytosis in the cerebrospinal fluid, but none had coexisting bacterial meningitis. Twenty-four (30.8%) infants showed renal dilatation or hydronephrosis on ultrasonography. Dimercaptosuccinic acid (DMSA) scans revealed cortical defects in 17 (21.3%) infants while voiding cystourethrography revealed vesicoureteral reflux in 6 (46.2%) infants. Conclusion: Co-existing bacterial meningitis was not observed in young infants with UTIs. LP could not be routinely performed considering the clinical condition of <90 days old UTI patients.

POS 시스템의 설계 및 구현

송영섭 ( Yeong-seop Song ),김수영 ( Soo-yeong Kim ),정구홍 ( Koo-hong Jung ),유우종 ( Woo-jong Yoo ) 한국정보처리학회 2012 한국정보처리학회 학술대회논문집 Vol.19 No.2

본 논문에서는 중소 영세업자의 매장 관리를 위해 사용되고 있는 POS 프로그램을 부가적인 기기구입 없이 일반 가정용 컴퓨터를 통하여 사용 가능하게 개발함으로써, 경제적인 부담 없이 중소상인들에게 판매상품의 입출고는 물론 일별, 월별, 분기별, 년별 구매와 판매, 발주·입고 처리 등의 추세를 시각화된 그래프로 분석할 수 있는 전산화된 시스템을 활용하게 하여 손쉽게 양질의 판매 전략을 수립하여 매장 이익의 극대화를 추구하고, 매장에서 사용되는 다양한 상품을 용이하게 관리할 수 있는 여건을 마련해주는 시스템 개발을 목적으로 한다.

9∼12개월 영아에서 철 결핍성 빈혈의 조기 검진 필요성

조양환 ( Yang Hwan Cho ),김수영 ( Su Yeong Kim ),이대용 ( Dae Yong Yi ),윤신원 ( Sin Weon Yun ),채수안 ( Soo Ahn Chae ),임인석 ( In Seok Lim ),이나미 ( Na Mi Lee ) 한국정맥경장영양학회 2019 한국정맥경장영양학회지 Vol.11 No.2

Purpose: Growth and development of infants can be periodically assessed through health screening, but iron deficiency anemia, which is common in infants, is difficult to detect by conducting only infant health screening. This study evaluated the prevalence of iron deficiency anemia in infants who visited Chung-Ang university hospital between 9 and 12 months of age. The study also determined the difference of anemia between term and preterm infants. Methods: The subjects of this study were infants aged 9 to 12 months who visited outpatient clinics of Chung-Ang University Hospital from January 2006 to August 2018 for the purpose of infant health screening and immunizations. We divided the subjects as the term group and the preterm group, and their medical records were retrospectively analyzed. Results: One hundred and fifty-two infants were included in the study. There were 51 in the preterm infant group and 101 in the term infant group. Thirteen infants were diagnosed with iron deficiency anemia, and 12 infants of these infants were in the term group and one infant was in the preterm group, which was statistically significant (P<0.001). There are significant differences in the hemoglobin (12.0±1.1 g/dL, 12.6±1.2 g/dL), hematocrit (35.8%±2.7%, 36.7%±3.2%), serum iron (60.8±25.4 μg/dL, 73.5±40.9 μg/dL), and unsaturated iron binding capacity (279.1±67.7 μg/dL, 252.0±47.5 μg/dL) between the term infant group and the preterm infant group, respectively (P<0.05). Conclusion: Iron deficiency anemia was significantly more often diagnosed in term infants than that in preterm infants. Preterm infants may have a lower prevalence of iron deficiency anemia than do term infants because the preterm infants are taking iron supplements prophylactically. Therefore, iron deficiency anemia should be prevented in term infants, and it is important to confirm the presence of iron deficiency anemia by conducting blood tests during the first 9 to 12 months of life.

중증 임신성 고혈압 산모에서 출생한 미숙아에서 HELLP 증후군 동반 여부에 따른 주산기 예후

김미정 ( Mi Jeong Kim ),김수영 ( Soo Yeong Kim ),송은송 ( Eun Song Song ),최영륜 ( Young Youn Choi ),김윤하 ( Yoon Ha Kim ),송태복 ( Tae Bok Song ) 대한주산의학회 2009 Perinatology Vol.20 No.1

목적: 중증 임신성 고혈압 산모에서 태어난 37주 미만의 미숙아에서 HELLP 증후군 동반여부에 따라 임상양상과 사망률, 이환율 및 예후에 차이가 있는지 알아보고자 하였다. 방법: 2002년 1월부터 2008년 5월까지 전남대학교병원 산부인과 분만실로 입원한 5,373명의 산모 중, 1996년에 발표된 미국 산부인과 학회의 정의에 따라 중증 임신성 고혈압으로 진단된 302명의 산모(단태 임신 270명, 쌍태임신 32명)와 이들의 태아 334명(단태아 270명, 쌍태아 64명), 생존출생 미숙아 314명(단태아 262명, 쌍태아 52명)을 대상으로 의무기록지를 후향적으로 분석하였다. 산모의 HELLP 증후군 동반여부에 따라 두 군 즉, HELLP 증후군을 동반한 산모 84명(단태임신 70명, 쌍태임신 14명)과 태아 98명(단태아 70명, 쌍태아 28명) 및 생존 미숙아 86명(27.4%, 단태아 68명, 쌍태아 18명)을 연구군으로, HELLP 증후군이 동반하지 않았던 산모 218명(단태임신 200명, 쌍태임신 18명)과 태아 236명(단태아 200명, 쌍태아 36명) 및 생존 미숙아 228명(72.6%, 단태아 194명, 쌍태아 34명)을 대조군으로 분류하여, 산모와 신생아의 임상양상, 산모와 태아 사망, 신생아 이환 및 사망을 비교하였다. 두 군간 임상양상과 이환 및 사망은 Student`s t test, x2 검증, Fisher`s exact test 및 Logistic regression test을 이용하여 비교 분석하였다. 결과: 중증 임신성 고혈압으로 진단된 302명의 산모 중 84명, 27.8%가 HELLP 증후군이었다. 생존 출생미숙아 314명 중 연구군 86명과 대조군 228명의 재태주령은 각각 32.4±9.6주, 33.1±7.2주(P=0.443), 출생체중은 1,481±644 g, 1,505±903 g (P=0.201)으로 두 군 간 차이가 없었고 남녀 차이도 없었다. 태아 사망은 각각 12명(12.2%), 8명(3.4%) (P=0.006), 주산기 사망은 18명(18.4%), 21명(8.9%) (P=0.020)으로 HELLP 증후군 산모아에서 유의하게 높았다. 그러나 출생 후 신생아사망은 각각 6명(7.0%), 13명(5.7%) (P=0.065)로 차이가 없었다. 두 군간에 자궁내발육지연, 호흡곤란증후군, 뇌실 내출혈, 괴사성장염, 패혈증 및 주산기 가사의 발생빈도는 차이가 없었으나, 인공호흡기 기간(12.2±14.5 vs. 7.6±9.9일, P=0.019)과 총 입원 기간(일) (25.6±12.3 vs. 13.0±10.5일, P=0.013)이 HELLP 증후군 산모아에서 길었다. 결론: 중증 임신성 고혈압 산모는 대부분 조산을 일으키고, 특히 HELLP 증후군이 동반된 산모에서 태어난 미숙아에서 HELLP 증후군이 동반되지 않은 산모에서 태어난 미숙아에 비해 태아 사망과 주산기 사망이 높았고 인공호흡기 기간 및 총 입원기간이 길었다. 따라서 이들의 예후를 향상시키기 위해서는 철저한 산전관리와 출생 후 장기간의 신생아 집중치료가 필요하므로, 산부인과와 신생아 전문의 간의 효율적인 협진이 이루어져야 할 것으로 사료되었다. Purpose: The aim of this study was to compare the perinatal outcome of preterm infants born to severe pregnancy induced hypertension (PIH) mothers according to the presence or absence of HELLP syndrome. Methods: A retrospective analysis was done in 314 premature live infants born to 302 severe PIH mothers who admitted at Chonnam National University Hospital from January 2002 to May 2008. Maternal and neonatal characteristics and their outcome were compared between the groups. Statistical analysis was performed by SPSS program using Student`s t test, x2 analysis, Fisher`s exact test, and logistic regression test. Results: Among 302 severe PIH mothers (single pregnancy 270, twin pregnancy 32), 84 (27.8%) were associated with HELLP syndrome. Among their 334 fetuses (singleton 270, twins 64), total 20 (6.0%) resulted in fetal death and the rate of fetal death was higher in HELLP syndrome group compared to the control group (12.2% vs. 3.4%, P=0.006). Among the 314 live premature infants, 86 (27.4%) were born to severe PIH with HELLP syndrome (study group) and 228 (72.6%) were born to the control group. There were no differences in maternal and neonatal characteristics, maternal death, neonatal morbidity and neonatal death between the groups. However, the duration of mechanical ventilation (12.2±14.5 vs. 7.6±9.9 days, P=0.019) and hospitalization (25.6±12.3 vs. 13.0±10.5 days, P=0.013) were longer in the study group. Conclusion: Most of severe PIH mothers complicated by preterm birth, and especially combined with HELLP syndrome showed higher fetal and perinatal death than without HELLP syndrome. Moreover, their live-born premature infants needed longer duration of mechanical ventilation and hospitalization. These results indicate that careful fetal monitoring and delivery with the co-operations of obstetricians and neonatologists is essential to improve the perinatal outcome.

B형 간염 바이러스 감염과 연관된 사구체신염의 임상병리학적 특성과 신 조직내에서 HBs Ag 과 HBe Ag의 발현

정수진,김영주,윤혜경,정우영,김영훈,김수영,Jung Soo-Jin,Kim Young-Joo,Yoon Hye-Kyoung,Chung Woo-Yeong,Kim Young-Hoon,Kim Su-Yung 대한소아신장학회 1998 Childhood kidney diseases Vol.2 No.1

목적 : HBV 감염과 연관된 신병증의임상 및 검사소견과 병리학적 소견을 분석하여 그 특징을 규명하고, HBeAg과 HBsAg에 대한 면역조직화학염색을 신생검조직에서 시행하여 이들 항원의 사구체내에서의 면역학적 발현을 관찰하므로써 이 질환의 발생 기전에 대한 이해를 돕고자하였다. 방법 : 1990년 4월부터 1997년 2월까지 사구체신염으로 신조직 생검을 시행하여 부산백병원 해부병리과에 병리조직검사가 의뢰된 증례 중 혈청 HBsAg 양성인 28례를 대상으로 임상 및 검사소견을 조사하였고, 신조직의 광학현미경적, 면역형광학적, 전자현미경적 검사와 HBsAg과 HBeAg 항원에 대한 면역조직화학검사를 시행하였다. 결과 : 1. 연령 분포는 6세에서 73세였으며 소아 환자가 8명이었고 성인 환자는 20명 이었다. 평균 연령은 28세였고, 남녀 비는 3:1 이었다. 내원당시 67.9%에서 혈뇨, 75.0%에서 단백뇨를 보였고 57.2%에서 신증후군을 나타내었다. 전 예에서 혈청 HBsAg이 양성이었고, 혈청 HBeAg은 검사가 시행된 9례 중 6례 (66.6%)에서 양성이었다. 2. 간기능검사가 시행된 11례 중 7례 (63.6%)에서 AST와 ALT치가 증가되어 있었으며, 이중 간생검이 시행된 3례 모두 만성 활동성 간염으로 진단되었다. 3. 28례 중 막성 사구체 신염 (membranous glomerulonephritis: MGN)이 10례 (35.7%)로 가장 많았으며, 메산지움중식성 사구체신염 (mesangioproliferative glomerulonephritis: MesGN)이 8례 (28.6%), 막증식성 사구체 신염 (membranoproliferaive glomerulonephritis : MPGN)은 7례 (25.0%) 그리고 미세변화질환 (minimal change disease : MCD)가 3nl (10.7%)순이었다. 4. HBV와 연관된 MGN에서는 혈관간 세포의 증식 및 혈관간 기질의 확장이 자주 관찰되었으며, 사구체간질 내와 내피하 침윤도 동반되어 MPGN을 시사하는 소견이 함께 관찰되는 예가 많았고, HBV 항원 혈증에 동반된 MPGN에서는 내피하 침윤 뿐 아니라 기저막 내 및 상피세포하 침윤도 종종 관찰되었다. 5. 신조직의 면역조직화학검사상 HBsAg은 모두 음성이었으나 HBeAg은 28례 중 8례 (28.6%)에서 사구체 모세혈관벽을 따라 양성 반응을 나타내었고, 이 중 3례는 혈치 HBeAg 검사를 받았는데 모두 양성이었다. 결론 : HBV와 연관된 사구체신염은 다양한 병리학적 양상을 보여주며, 특히 MGN과 MPGN에서는 전자현미경소견상 두 질환의 특징이 중복되어 나타났고, 사구체내에서 HBeAg이 검출되어 HBV의 활동성 정도와 사구체신염의 발생이 연관성이 있을 것으로 사료되나 더 많은 연구보고가 있어야 하겠다. Purpose : Hepatitis B virus (HBV) infection has been involved in several forms of immune-related glomerulopathy but the pathogenic role of HBV infection is not clear. To evaluate the clinicopathological features of HBV-associated glomerulopathy, a clinicopathological analysis and immunohistochemical stain for HBs Ag and HBe Ag were done. Methods : Clinicopathological features of HBV-associated glomerulopathy were analyzed with renal biopsies in 28 HBsAg seropositive patients from April 1990 to February 1997 at Pusan Paik Hospital, and immunohistochemical evaluation for HBsAg and HBeAg was done in renal tissues. Light microscopic, immunofluorescent and electron microscopic examination and immunohistochemical staining for HBsAg (DAKO) and HBeAg (BIONIKE) of renal tissue were performed. Result ; 1. The age distribution was 6 to 73 years old, and eight were children and 20 were adults. Male : female ratio was 3:1. Nineteen (67.9%) and 21 (75.0%) of 28 cases showed hematuria and proteinuria, respectively at the time of biopsy. Sixteen (57.2%) of them had nephrotic syndrome. 2. Liver function test was performed in 11 patients and seven (63.6%) of them showed increased AST and ALT levels. Liver biopsy was done in three patients and revealed findings of chronic active hepatitis. 3. HBV-associated glomerulopathy was membranous glomerulonephritis (MGN) in 10 (35.7%), mesangiopathy in 8 (28.6%), membranoproliferative glomerulonephritis (MPGN) in 7 (25.0%) and minimal change disease in 3 (10.7%) out of 28 cases. 4. Ultrastructurally HBV-associated MGN showed conspicuous subepithelial deposits with intramembranous, mesangial and subendothelial deposits and proliferation of mesangial cells and matrix, which were suggestive of MPGN. In HBV-associated MPGN, intramembranous and subepithelial deposits were scattered. 5. Immunohistochemical staining revealed no expression for HBsAg, but positive reaction for HBeAg along capillary wall in 8 cases (28.6%), of which 3 cases were checked for serum HBeAg, all showed positivity. Conclusion : HBV-associated glomerulopathy showed a wide morphologic spectrum and overlapping ultrastructural features in MGN and MPGN, and the activity of hepatitis B virus may be related to the development of HBV-associated glomerulopathy but further studies are recommended to confirm this relationship.

고령친화 보행환경에 대한 고령자 만족도 및 요구에 대한 연구

권현주(Kwon, Hyun Joo),오찬옥(Oh, Chan-Ohk),김수영(Kim, Soo-Young),이재정(Lee, Jae-Jung),이도영(Lee, Doh-Yeong) 한국실내디자인학회 2019 한국실내디자인학회 학술대회논문집 Vol.21 No.3

The purpose of this study was to identify the senior’s environmental satisfaction and needs on the age-friendly walking environment based on WHO age-friendly city guidelines. In-depth interviews were conducted targeting seniors aged 65 years and older living in Busan, Republic of Korea (n = 20). The results showed that participants were more likely to satisfied with the pedestrian roads, crosswalks. However, they were less likely to satisfied with outdoor seating, public toilets, elevators in subway stations, bus stops and green spaces. Participants suggested specific needs and ideas for the age-friendly walking environment. The significance of this study was to propose age-friendly walking environment directions for the increasing number of Korean senior population.

언어발달지체아동의 문법형태소 사용 특성

김수영,배소영 한국음성과학회 2002 음성과학 Vol.9 No.4

This sutdy investigated the use of grammatical morphemes (substantive morphemes and connective endings) of Korean speaking children with and without language impairment (LI). Participants were two children (ages 5;11 and 6;2) with SLI (specific language impairment), two LD (language delay) children (ages 6;3 and 6;5) with 70-84 range on a performance0IQ test, and two children (ages 5;7 and 6;1) with ND (normal development). Spontaneous language samples were elicited by play activities and story generation. A total of 8,059 (M=1,343, ranged 966-1,659) intelligible and nonimitative utterances were analyzed by the KCLA 2.0 (Korean Computerized Language Analysis 2.0) program for substantive morphemes and connective endings. The findings of this study were as follows; (1) The Korean speaking children with LI including SLI demonstrated less uses of grammatical morphemes than ND children. (2) Few differences were found between Li and ND children in the use of the grammatical morpheme types. (3) Li children produced significantly higher percentage of grammatical morpheme errors in spontaneous speech than ND children. (4) Few differenceswere found between SLI and LD children in degrees of the use and the error of grammatical morphemes.

폐경 전과 후 여성에서의 지질상태 및 골밀도 비교

김수영,오한진,장순영 대한가정의학회 1997 Korean Journal of Family Medicine Vol.18 No.9

쇄골하정맥로를 통한 수액요법중 카테터의 혈관외 전위로 인한 종격동 확장과 양측성 수흉

김용민,김태환,김용철,김수영,정성량,전창호,조문성,이윤근 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.12

Among the various complications of central venous catheterization, extravsscular migra tion of the catheter during fluid therapy is a rare condition to be encountered. We experienced a case in which an uneventful, successful insertion of subclavian catheter was followed at greater than 33 hours by massive mediastinal and bilateral pleural effusions, which resulted in hypotension, severe dyspnea, and cyanosis. The symptoms were re- lieved immediately after the bilateral thoracostomy and removal of the subclavian catheter. The chemical assay of the effusion was revealed glucoae-rich fluid given exogenously. The inferred cause was that postoperstive extravascular migration of the subclavian catheter probably resulted from both intensive respiratory physiotherspy and movement. We conclude that, although the successful placement of central line may be confirmed on insertion, a continuous reexamination of both function and location of the line is necessary to avoid the hazards of delayed diagnosis.