간호사 임상 경력 관리 프로그램 개발

박성희,박광옥,박성애 대한간호행정학회 2006 간호행정학회지 Vol.12 No.4

Purpose: This study is performed to develop the contents of career ladder program for nurses in a hospital. And this study present the appropriate strategies of career ladder program using the clinical ladder in clinical nursing field in Korea. Methods: The method of the study were modified Delphi technique with professional group for identifying nursing domains, steps of career ladder system and managerial strategy. Result: We identified tool of the nursing domains; nursing patient, quality approvement and research, development of human resources, leadership and qualifications of promotion and contents of ladder of each level. We created expected role consisted of clinical ladder and classified 4 steps; novice, competent, proficient, expert. And finally managerial principles and application process are presented in this study. Conclusions: Development of career ladder program at a hospital was not need many time consumption but very important tool of nursing profession. And it is needed to validate and refine the tool developed continuously.

지리수업에서 지역사회 환경관련 자료의 활용에 관한 연구 : 정의적 목표 구현을 위한 환경교육 수업모형 개발을 중심으로

박성희 서울대학교 지리교육과 1997 地理敎育論集 Vol.38 No.1

The recent crisis of environmental problems causes humans to be more concerned with the strategy to solve it. One solution is through an adequate education which focuses on the change of students' attitude and view of value. This study attempted to develop an instruction model of environmental education emphasizing affective domain through the materials related to community environment and to analyze its effects. Kangbuk-gu was selected as the case study area. The organized instruction in this study focused on the positive identification of the factors comprising community environment and the efforts of community members to preserve their environment. The instruction brought out such results as follows; First, the instruction did the positive work on the promotion of pro-environmental attitude. Particularly, the students showed highly significant difference on the question if the activates of environmental conservation were needed or not. Second, the instruction positively acted on the contribution evaluation of environment education. The utilization of community environment materials helped the students to realize that the environmental problems were directly associated with themselves and required them to participate in the activities of its conservation. This result was verified by the co-relation analysis of SPSS. Also the students taking the organized class put higher value on the contribution of the chapters concerning community society to environmental education. Third, the instruction brought the students' interest into the effective understanding of environmental problems and succeeded in the inducement of their satisfaction. It also made contribution to the promotion of their pride and affection of the community. It is concluded that the instruction using the materials related to community environment encourages students to possess pro-environmental attitude and identify the problems of their community environment and the general environment as their own ones.

홈베이킹 조리기구에서 용출되는 유해금속 실태조사

박성희,김명길,손미희,서미영,장미경,구은정,채선영,박용배,Park, Sung-Hee,Kim, Myung-Gil,Son, Mi-Hui,Seo, Mi-Young,Jang, Mi-Kyung,Ku, Eun-Jung,Chae, Sun-Young,Park, Yong-Bae 한국식품위생안전성학회 2021 한국식품위생안전성학회지 Vol.36 No.3

2020년 경기도내 대형매장과 베이킹 전문매장 등에서 유통 중인 홈베이킹 조리기구 69건(폴리에틸렌테레프탈레이트(PET)제, 불소수지(FR)제, 가공셀룰로스제, 고무제, 종이제, 금속제, 유리제)을 대상으로 유해금속 9종(납, 카드뮴, 비소, 아연, 니켈, 안티몬, 게르마늄, 6가크롬, 알루미늄)의 용출량 및 알루미늄의 식품으로의 이행량을 조사하여 홈베이킹 조리기구의 안전관리를 위한 기초자료로 활용하고자 하였다. 홈베이킹에서 사용되는 69건의 조리기구는 식품용 기구 및 용기·포장 공전의 용출규격 기준에 모두 적합하였다. 금속제의 니켈이 최대 0.009 mg/L 검출되었으나 기준에 적합하였고 이외 유해금속은 불검출이었다. 규격 기준 이외의 금속에서 주로 용출된 유해금속은 알루미늄으로 7개의 재질에서 모두 용출되었으며, 4% 초산으로 용출된 종이제(1.417 mg/L)와 가공셀룰로스제(5.069 mg/L)에서 높은 용출량을 보였다. 홈베이킹에서 주로 사용되는 조리조건인 180℃, 30분 용출실험 결과, 식품용 기구 및 용기·포장 공전에 따른 용출실험 대비, 종이제의 알루미늄의 용출량이 7.2배 유의하게 증가하였다(P<0.05). 이외 납 등 다른 유해금속이 추가로 검출되었다. 180℃, 30분으로 용출온도가 증가하여도 식품용 기구 및 용기·포장 공전의 용출규격 기준에는 모두 적합하였다. 알루미늄의 위해도 평가결과, 종이제 > 금속제 > FR제 > 고무제 및 유리제 > PET제 및 가공셀룰로스제 순으로 나타났으며, 전체 위해도는 0.000-0.045% 수준으로 국민생활건강에 위해를 끼치지 않는 안전한 수준으로 확인되었다. 홈베이킹 조리기구의 용출량 조사결과, 유해금속은 안전하게 관리되고 있는 것을 확인하였고, 본 연구의 결과는 향후 식품용 기구 및 용기·포장의 안전관리를 위한 과학적인 근거자료로 활용될 수 있을 것으로 사료된다. In this study we investigated the elution level of lead (Pb), cadmium (Cd), arsenic (As), zinc (Zn), nickel (Ni), antimony (Sb), germanium (Ge), aluminum (Al) and hexavalent chromium (Cr⁶⁺) from 69 home-cooking utensils into a food stimulants. The results of migration testing according to the Korea standards and specifications for utensils, containers and packages showed values the allowable migrantion limits. Al was detected in all 7 utensil materials with the average concentration ranging from 0.002-5.989 mg/L. According to the migration conditions for (180℃, 30 min), the average concentration of Al in paper was 7.2 times higher than 25℃, 10 min (P<0.05). The results of migration testing at 180℃, 30 min were also below the allowable migrantion limits. When comparing with the provisional tolerable weekly intake (PTWI) of Al, the estimated weekly intakes (EWI) accounted for 0.000-0.045% for Al.

인두 뒤 공간으로 자란 미만성 갑상선종

박성희,김은경<SUP>1<,SUP>,Sung Hee Park,and Eun-Kyung Kim,<SUP>1<,SUP> 대한갑상선-내분비외과학회 2008 The Koreran journal of Endocrine Surgery Vol.8 No.4

When there is a large goiter, it usually grows downward to the lower anterior neck it rarely grows upward to the retropharyngeal space. We report a 73-year-old woman with a palpable neck mass that was shown to be a diffuse goiter extending into the retropharyngeal space. The mass was well-demonstrated on CT scan. (Korean J Endocrine Surg 2008;8:269-271)

미용업 종사자들의 피부, 호흡기 및 근골격계 자각증상에 관한 유병률

이종태,박봉진,엄상화,김성준,강동묵,손혜숙,정귀원,강민숙,박성희 大韓産業醫學會 1999 대한직업환경의학회지 Vol.11 No.3

Objectives: Present study was conducted to evaluate work-related symptom prevalence among hairdressers. Methods: Exposed group comprised 184 employee employed 73 hair salons in 6 district of Pusan city, and non-exposed group comprised 119 people living recent apartments. A trained interviewer interviewed them with organised questionnaire which included dermatologic, respiratory and musculo-skeletal symptoms. Results : Prevalence of hand eczema was 28.3% in exposed group, and 5.8% in non-exposed group. Adjusted odds ratio for age and atopy history was 4.30(2.34-7.93). Prevalence of respiratory symptom (coughing) in exposed group was 22.1%, and 9.4% for non-exposed group. Adjusted odds ratio for coughing which was adjusted for age, smoking and atopy history was 2.76(1.32∼5.78). Prevalences of musculo-skeletal symptoms among exposed group were neck(59.9%), shoulder(76.6%), upper back(41.2%), lower back(72.2%), arm and elbow(31.3%), wrist(44.2%), finger(35.0%), leg(71.1%). Adjusted Odds Ratios for musculo-skeletal symptoms which was adjusted for age were neck 2.13(1.29∼3.51), shoulder 2.52(1.50∼4.24), upper back 1.71(1.01∼2.88), lower back1.78(1.06∼2.99), arm and elbow 3.10(1.62∼5.94), wrist 2.09(1.23∼3.57), finger 4.83(2.41∼9.68), leg 3.46(2.07∼5.79). Conclusions : These results show that employees in hair salon are likely to have high risk for work-related dermatologic, respiratory and musculo-skeletal symptoms and diseases. Hence, prevention methods from those work-related diseases are required to be developed. Also, the scope of occupational and environmental medicine should be expanded to service area including hairdressers.

다중지능이론을 활용한 프로젝트학습이 초등학생의 학습동기와 사회과 학업성취에 미치는 영향

박성희,허효정 한국교육방법학회 2009 교육방법연구 Vol.21 No.2

The purpose of this research was to examine the effect of project-based learning using multiple intelligence theory on motivation and achievement of social science in elementary school. Ninety-five students of 4th grade in D elementary school participated in the study. The treatment were conducted for 4 weeks and data of pre-post tests with motivation and achievement test were collected. First, the result of ANCOVA with total score of motivation and the results of MANCOVA with sub-factors of motivation showed statistical significance. Besides the results of follow-up univariate F tests showed that the experiment group showed higher scores in the two sub-factors; Intrinsic and continuous motivation. Second, the results of ANCOVA using individual achievement score showed that the experiment group got higher scores than the control group with statistical significance. Besides the result of Mann-Whitney U test of team achievement score showed that the experiment group got higher scores than the control group, specifically in the area of creativity, relativeness, and logic.

류마티스성 관절염 환자의 일상생활활동 조사연구

박성희 대한류마티스 건강전문학회 1999 근관절건강학회지 Vol.6 No.1

This study attempts to provide the rudimentary data that might help patients with Rheumatoid Arthritis manage an independent life by the analysis of their activities of daily living(ADL). The subjects were forty patients who had been diagnosed Rheumatoid Arthritis and under drug therapy from RA clinics of the two university hospitals in Pusan. Data were collected by performing an individual interview for each of them during June 15th through July 15th 1998. Questionaires were employed to investigate the general characteristics of patients, the traits of Rheumatoid Arthritis, and actual conditions of their activities of daily living. The questionaires utilized especially for the study of ADL is the viersion of Lee Eun Ok's tool which modified and complemented Katz scale(Katz, Down, Cogh and Grots 1970) and Bathel index(Bathel, 1973). It's consisted of 31 questions that each question is measured by 0-3points. The high score in the questionaire signifies the high independency in the ADL. The data were analyzed by SPSS/Win in terms of frequency, percentage, mean, and standard deviation, close connection with the contents of the personal interview. Total mean of the ADL shows 1.55±0.68, indicating the overall activities of daily living is generally dependent. It also indicates that patients, in the condition of dependent activity, tends either to have recourse to drugs or to take negative strategy, getting help from inside or outside family member. Hence, it is necessary that patients are exposed to the introduction and instruction of self-help devies that might help them manage a comparatively independent ADL, easing their psychological burden.

설소대의 크기와 운동이 발음에 미치는 영향

박성희,손우성,김용덕,신상훈,김욱규,정인교,권순복,Park, Seong-Hee,Son, Woo-Sung,Kim, Yong-Deok,Shin, Sang-Hun,Kim, Uk-Kyu,Chung, In-Kyo,Kwon, Soon-Bok 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.6

Purpose : The objective of this study is to ascertain whether the positive exists among the frenum length, the tongue movement and the speech and to present the normal range of tongue movement and guidelines for the choice of surgery, observation if necessary. Materials and Methods : 180 patients were evaluated. We divided 180 patients into 6 group by age. Each group was separated as follows; the age of 2.5-4, 5-6, 7-9, 10-12, 16-18. We measured the frenal length, the range of tongue motion and evaluated the speech so that we really questioned about the positive relationship between the tongue-tie and speech. We let the patient exercise the protrusive both(right, left) laterotrusive superior movement of the tongue. During these movements, we measured the distance between the vermilion border and the tongue tip. We also measured the distance from the tongue tip to the point contacting the upper lip with dorsum of the tongue during the maximal protrusive movement of the tongue. Three linear measurement of the anterior, inferior segment of the tongue including the lingual frenum, are made. These measurements are as follows: 1. Distance A. Free anterior portion of the tongue from the point of frenular insertion to the tongue tip. 2. Distance B. The distance from the initiating point of the lingual frenum to the point connecting the two sublingual carundcles to the lingual frenum perpendicularly. 3. Distance C. The distance from the point contacting the line crossing the sublingual caruncles with the lingual frenum to the terminating point of the lingual frenum. We transform three linear measures into a statistical ratio, A/(A-B+C), representing the length of the free portion of the tongue compared with the total sublingual dimensions. In addition, we assessed the speech through Picture Consonant Articulation Test(PCAT) and tried to find out the relationship between the length of the lingual frenum and speech. Conclusion : As people are born, they have small and restricted tongue. As people grow old, tongue motions are more liberate, and unrestricted and they can speak so freely. Therefore we suggest that until age 5, oral and maxillofacial surgeons postpone the surgery if not urgent, evaluate the maximal lingual motions and PCAT according to this article and observe their changes.

MAS(AL-AL₂O₃-Si)構造의 Carrier注入에 대한 Flat band電壓(V??)變化

朴成熙 湖西大學校工業技術硏究所 1985 工業技術硏究所論文集 Vol.4 No.-

We can find that the main causes of the defect in MOS devices depend on unstable charging phenomena of SiO₂- Si interface. The characteristics of MAS have more advantages than them of MOS in the flat band voltage change vs carrier injection time. If the advantages are applied, the time change rates of memory are able to be improved, and MAS devices are applicable to the stable capacitive circuit.

경기도 식중독에서 분리된 Clostridium perfringens의 유전적 특성 분석

박성희,최옥경,정진아,김운호,이예은,박광희,윤미혜,Park, Sung-Hee,Choi, Ok-Kyung,Jeong, Jin-A,Kim, Woon-Ho,Lee, Yea-Eun,Park, Kwang-Hee,Yoon, Mi-Hye 한국미생물학회 2016 미생물학회지 Vol.52 No.3

질병관리본부에서 2012년 이후 수인성식품매개질환 실험실 진단실무지침에 cpb2 유전자를 포함시킨 후, 2013-2014년 경기도의 C. perfringens에 의한 식중독이 원인불명을 제외하고 가장 많이 발생되었으며, 그 발생률이 2011-2012년에 비해 큰 폭으로 증가하였다. 따라서 경기도내 유행하는 toxinotype을 파악하고, PFGE, MLST를 통해 이들의 분자역학적 연관성을 연구함으로서 C. perfringens에 의한 식중독 발생 시 역학조사 기초자료로 활용하고자 하였다. 2013-2014년 경기도에서 분리된 120주의 C. perfringens 중 cpe 보유균주는 49주, cpb2 보유균주는 71주였다. 발생건별로 살펴보면, cpe 단독발생건은 2건(10주), cpb2 단독발생건은 7건(45주), cpe, cpb2 혼합발생건은 7건(65주)로 cpb2 단독발생과 cpe, cpb2 혼합발생이 대부분을 차지하였다. Toxinotype PCR 결과, 120주 모두 C. perfringens에 의한 식중독의 주요 타입인 A로 밝혀졌다. PFGE 분석 결과, 53.5-100%의 유사도와 75 유형으로 나뉘었다. 65% 이상을 기준으로 했을 때 5가지 그룹으로 나뉘어졌다. A, C, D, E 그룹은 1개의 균주를 제외하고 모두 cpb2 보유균주로 이루어졌고, B 그룹은 1개의 균주를 제외하고 모두 cpe 보유균주로 구성되었다. 2014년 안산상록구 식중독 4주와 2014년 수원 권선구 식중독 3주를 제외하고, 64 cpb2 보유균주들은 대부분 다양한 유전자패턴을 보였다. 41 cpe 보유균주 중 3개의 균주를 제외하고, 2013년 부천원미구, 성남분당구, 2014년 안산상록구, 평택, 김포, 화성 식중독 모두 각각 동일한 유전자 패턴을 보였다. 2013 수원영통구 식중독은 2가지 cpe 유전형 패턴을 보였다. MLST 분석 결과, 크게 P-cpe 및 cpb2 그룹과 C-cpe 그룹으로 나뉘어 졌고, 세세하게 11개의 cluster로 나뉘어졌다. 경기도에서 분리된 31개 균주 중, 16 cpb2 보유균주와 2014-06-03 cpe 보유균주는 1-7 cluster에 속해있었고, 14 cpe 보유균주는 모두 8-11 cluster에 속해있었다. 하나의 cpe 보유균주를 포함하여 cpb2 보유균주들은 P-cpe 그룹과 건강한 사람에서 분리된 cpb2 그룹들 사이에 산재되어 cluster되었고, cpe 보유균주는 C-cpe 그룹에 속해있었다. 2014-06-03주의 cpe gene은 plasmid에 존재하고, 나머지 cpe 보유균주의 cpe gene은 모두 chromosome에 존재함을 추정 할 수 있었다. PFGE 및 MLST 분석 결과, cpe 보유균주에 비해 cpb2 보유균주가 훨씬 다양하고 복잡한 유전자패턴을 나타내며, cpe 유전자 보유균주의 경우 단일 유전자형이거나 유사도가 높은 유전자형으로 이루어져 있음을 알 수 있었다. cpe 보유균주의 경우 집단식중독의 원인균 파악이 용이하였으나, cpb2 보유균주의 경우 2 발생건을 제외하고 역학적인 연관성이 낮음을 확인 할 수 있었다. Clostridium perfringens is both a ubiquitous environmental bacterium and a major cause of human gastrointestinal disease, and C. perfringens food poisoning ranks among the most common gastrointestinal diseases in developed countries. 120 isolates of C. perfringens were obtained from food-poisoning outbreaks in 2013~2014, Gyeonggi-do. Using PCR, all 120 isolates were identified as C. perfringens type A. Of the tested isolates, 49 isolates carried the cpe gene, 71 isolates carried the cpb2 gene. The outbreak cases of cpb2 and cpe /cpb2 genes were 7 and 7, whereas the outbreak cases of cpe-gene were 2. The epidemiological relationship between C. perfringens isolates has previously been investigated chiefly by pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The genetics relatedness of the isolates raged from 53.5-100% and 75 district PFGE type were observed. The PFGE results revealed a wide genetic diversity among the 64 cpb2 carrying isolates (except 7 isolates), while 46 cpe-carrying isolates (except 3 isolates) showed a high genetic similarity. The MLST analysis revealed that 14 cpe isolates (cpe-chromosomal isolates) belong to a distinct cluster that is significantly distant from all the other cpb2 isolates (cpe-plasmid carrying and cpe-negative isolates). The isolates carrying a cpb2 appear to be rarely related, and are more variable than chromosomal cpe isolates. The results suggest that the cpe-positive outbreak isolates showed close genetic relation, whereas the cpb2-positive isolates revealed a wide genetic diversity.