양측 유방의 파라핀종 환자에서 양측 유방절제술 후 발생한 Mondor병(표재성 혈전정맥염) 1례

오현수,정승일,양원용,강상윤,Oh, Hyun-Soo,Chung, Seung-Il,Yang, Won-Yong,Kang, Sang-Yoon 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.5

Purpose: Mondor's disease is a rare benign condition which involves thrombophlebitis of the superficial veins of the breast and anterior chest wall after breast surgery, breast tissue biopsy, inflammatory reaction, breast cancer, trauma. The affected veins include the lateral thoracic, axillary veins, thoracoepigastric veins and superior epigastric veins. Methods: A 49-year-old woman presented to the outpatient department with complaints of the sudden appearance of a subcutaneous cord just under the skin at left lower lateral abdominal wall 1 month later of bilateral mastectomy due to both severe breast paraffinoma. The cord was initially red and tender and subsequently became a painless, tough, fibrous band that was accompanied by tension and skin retraction. Results: On ultrasonographic findings, palpable threadlike structures at both lateral superficial abdominal wall after bilateral mastectomy were noted. Superficial short elongated hypoechoic tubular structures were noted just under the skin at palpable lower lateral abdominal wall. It was compatible to Mondor's disease of thoracoepigastric vein. Conclusion: The increase in breast surgery will give rise to the increase in the frequency of Mondor's disease clinically. Mondor's disease can be diagnosed with clinical symptoms and image findings and the disease has proved to be benign and self-limited.

ooCBD방법론을 적용한 조선소의 HSE관리시스템 설계

오현수,장성록,김동준,Oh, Hyun-Soo,Chang, Seong-Rok,Kim, Dong-Joon 해양환경안전학회 2013 해양환경안전학회지 Vol.19 No.1

Smart work는 정보통신기술을 이용하여 시간과 공간의 제약 없이 언제, 어디서든 근로자가 업무를 수행할 수 있는 유연한 근무형태를 의미한다. 스마트워크의 유형에는 모바일 오피스, 홈 오피스, 센터근무, 원격협업으로 분류할 수 있다. 태블릿PC나 스마트폰을 이용한 스마트워크 방식을 모바일 오피스라고 하며, 이동통신망과 휴대 단말기를 이용한 서비스를 제공하는 방식이다. 모바일 오피스는 무선환경과 스마트기기를 이용하여 움직이는 사무실을 구현하는 것으로 언제, 어디서나 사내 시스템에 접속하여 정보 검색은 물론 결재, 승인 등의 업무를 수행할 수 있다. 이러한 모바일 오피스 시스템을 조선소에 적용한다면, 실시간 처리로 근로자들의 생산성과 업무 효율성을 향상 시킬 수 있다. 따라서 본 연구는 조선업을 위한 HSE관리 모바일 어플리케이션 개발을 위해 기능을 추출하고 설계하는 것이 목적이다. 모바일용 HSE 관리 어플리케이션을 개발하기 위해 10개의 기능들을 추출하였고, ooCBD 방법론을 이용하여 설계하였다. Smart work has been gaining more popularity recently. Smart work means that employees perform their works anytime and anywhere as utilizing the information and communication technology. It can be divided into four categories; the mobile office, the home office, the work-at-center and the tele-cooperation. Among them, the mobile office based on tablet personal computers(PCs) or smart phones, employees can exchange information with tablet PCs or smart phones via mobile radio communication networks and portable terminals. Smart devices such as tablet PCs and smart phones help to access intranet system for requests, approvals, information search whenever employees need. This mobile office system for real-time HSE managing can contribute to improve the productivity and work efficiency in a shipyard. In this study, the main goal is to design the specialized mobile application for the HSE management system on the shipbuilding industry. The mobile application including 10 functions is designed based on ooCBD(object-oriented Component Based Development) methodology.

寫生文と無馱-自然主義小說と寫生文小說の理解-

오현수 ( Hyun Soo Oh ) 한국일어일문학회 2015 日語日文學硏究 Vol.93 No.2

1894年、正岡子規は知人の西洋畵家から「寫生」(スケッチ)の槪念を聞いて、この寫生技法を俳句と短歌に適用して、日本傳統的な詩歌の近代化を圖り、また、この方法を散文にも適用しようと試み、1900年、これを理論化して發表したのが「敍事文」である。3回にわたって『日本』紙に揭載された「敍事文」で、子規は、寫生文は`或る景色又は人事を見て面白しと思ひし時に、そを文章に直して讀者をして己と同樣に面白く感ぜしめんとするには、言葉を飾るべからず、誇張を加ふべからず、只ありのま□見たるま□に其事物を模寫する`ことだと定義し、また美文卽ち面白き文章を描くには作者`自ら實地に行きて之を寫し出だすに如くはなし。それには前置の「附たる」などありても宜し`と言い、文章が活動するにはこの前置の「附たる」卽ち'無馱'も必要だと主張している。そこで本稿では、子規が寫生文を成し遂げるに必要だと述べ、自ら例文として擧げた'無馱'を分析してみたところ、次のことが分かった。第一に、大學同期生で、俳句の作法において子規から影響を受けた夏目漱石も、1905年、談話「現時の小說及び文章に付て」で'色彩としては無馱な事が是非必要だ'と述べ、この'無馱'の手法を『吾輩は猫である』(3)で援用していること。第二に、西洋の影響を受けた日本の自然主義作家は、小說とは'心の景色、卽ち人の心理狀態を寫生的に描き出す'のだと述べ、人間も自然の一つの点景なので、先ず自然を描いた後、人を登場させる'寫生文なんて、くだらものだ'と貶下しながら、寫生文家が文章を成し遂げるのに必ず必要であると主張している‘無馱’を否定していること。第三に、自然主義の代表的小說である『布團』と寫生文の代表的小說『草枕』の比較によって、寫生文家である漱石が主張する、いわゆる‘生きている小說’にはかならず有用な‘無馱’が必要であること。以上のような点が確認できた。 In 1894, Masaoka Shiki was first introduced to western style of sketch through European painters which led him to apply such method in writing Japanese prose. By applying what Europeans called “sketching” to his writing, he became a trailblazer in modernization of Haiku ashemade it in to a theory and publishedhis work, The Narrative in 1900. What Shiki truly meant by ‘sketching’ in The Narrative was for a writer to choose a site which one actually visits and to describe the experience and tell a story just as he saw it. In addition, he argued that “fruitless sentences” were necessary for a writer to make readers feel the same as he felt at the site. In The Narrative, Shiki emphasized the importance of ‘fruitless sentence’ by showing various examples and in result, by observing Shiki`s work closely, I came to realize following facts. First, Shiki`s method of Haiku writing had influenced Natsume Soseki who used to be one of his classmates at Tokyo Imperial University. Like Shiki, Natsume Soseki also recognized the importance of ‘fruitless sentences’ in writing novels, as he used them in writing his masterpiece, I am a Cat and Essay on Modern Novels and Sentences. Second, unlike Japanese naturalist writers who insisted that describing natural scenery was a waste of paper and that a novel should center on human`s inner struggle and his psychology, writers of ‘literary sketch’ argued that humans are also one of staffages and so descriptions of one`s psychological state should come after a description of the surrounding. This shows that there was a literary polarity between two types of writers at Soseki and Shiki`s time. However, I came to a conclusion that it is necessary for novels to have ‘fruitless sentences’ by comparing Soseki`s two contrary novels Blanket (naturalist) and Grass Pillow (literary sketch).

가치명료화 훈련이 대학생의 자아개념과 가치선택에 미치는 효과

오현수(Hyun Soo Oh) 한국교육심리학회 1999 敎育心理硏究 Vol.13 No.1

노인간호 교육과 노인유사체험으로 구성된 노인간호 교육프로그램의 적용 및 평가

오현수(Oh, Hyun-Soo),정혜선(Jeong, Hye-Sun) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.4

본 연구는 유사실험 설계를 적용하여 간호학 전공 대학생들을 대상으로 노인간호에 대한 전문지식과 함께 공감증진 노인유사체험을 포함한 교육프로그램이 전문지식만을 포함한 교육프로그램에 비해 대상자들의 노인에 대한 태도와 노인간호 실천의도에 보다 긍정적인 효과를 보였는가를 평가하기 위해 수행되었다. 연구 결과, 전문지식과 함 께 공감증진 노인유사체험을 제공받은 실험군이 전문지식만을 제공받은 대조군에 비해 중재 후 노인에 대한 태도 (t=2.56, p=.026)와 노인간호 실천의도(t=6.73, p=.003)에 있어 더욱 긍정적이기는 하였으나, 집단 내의 중재 전-후의 차 이는 가설에서 설정된 바와 다른 양상을 보였다. 전문지식과 함께 노인유사체험을 제공받은 실험군의 경우는 중재 전 에 비해 중재 후 노인에 대한 태도(t=1.22, p=.170)나 노인간호 실천의도(t=-0.08, p=.470)에 있어 미미한 정도로 개선 되었거나 거의 변화가 없었으며 대조군의 경우는 중재 후 노인에 대한 태도(t=-2.33, p=.012)나 노인간호 실천의도 (t=-1.08, p=.150)에 있어 오히려 부정적으로 변화된 것으로 나타났다. This study was conducted to test whether the education program consisted with knowledge about professional care for elderly and content of elderly simulation experience to improve empathy had positive effects on attitude and intention to practicing nursing care toward elderly. According to the study results, It was appeared that the experimental group provided both knowledge and elderly simulation experience showed more positive attitude toward elderly(t=2.56, p=.026) and intention to practicing nursing care for elderly(t=6.73, p=.003), compared with the group provided knowledge only. However, after experiencing elderly simulation program, the attitude toward elderly(t=1.22, p=.170) and intention to practice nursing care for elderly(t=-0.08, p=.470) in experimental group improved very little or so, whereas the attitude toward elderly(t=-2.33, p=.012) and intention to practice nursing care for elderly(t=-1.08, p=.150) in comparison group became even worse.

류마티스관절염 환자의 골절 위험요인에 대한 메타-분석

오현수 ( Hyun Soo Oh ),박원 ( Won Park ),서화숙 ( Wha Sook Seo ),박종숙 ( Jong Suk Park ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.1

Objective: This study was conducted by using a meta-analysis to calculate the mean effect sizes of the risk factors for fracture of patients with rheumatoid arthritis (RA) and to perform tests for the significance of the calculated mean effect sizes. Methods: Eleven studies that directly examined the relationships between fracture and risk factors were selected from 179 related studies identified from PubMed, MEDLINE, COCHRAN and CINHAL with the key words being `rheumatoid arthritis`, `fracture` and `risk factors`. Results: The mean effect size of age on fracture was significant. The mean effect sizes of steroid use and the duration of RA on fracture were also significant. However, all of these effect sizes (age, the use of steroid and the duration of disease) were small (bar D=0.15, 0.16 and 0.12, respectively). The mean effect size of the BMD at the lumbar spine was significant and the effect of the BMD at the L-spine was of medium size (bar D=0.47). The mean effect sizes of the other risk factors such as disability, disease activity, the BMD at the femur neck, BMI and a smoking habit were not significant. Conclusion: From the study results, it was noted that the efforts to prevent fracture of RA patients should focus on patients with an older age, the patients who used steroid, the patients with a longer duration of RA and the patients who present with low BMD at the lumbar spine.

병원간호사회 중환자 중증도 분류도구 준거 타당도 검정

오현수(Oh Hyun Soo),서화숙(Seo Wha Sook),박종숙(Park Jong Suk),배은경(Bae Eun Kyung),이수진(Lee Su Jing),정윤예(Chung Youn Yee),최영은(Choi Young Eun),최희정(Choi Hee Jeong) 한국성인간호학회 2009 성인간호학회지 Vol.21 No.5

인체조직기증에 관한 교육 중재가 간호사의 지식, 태도, 교육 관련 자기효능감에 미치는 효과

오현수(Oh, Hyun Soo),박민애(Park, Min Ae) 한국간호교육학회 2019 한국간호교육학회지 Vol.25 No.2

Purpose: This study was conducted to examine the effects of an intervention program for human tissue donation with nurses, modified from the Korea Foundation for Human Tissue Donation, to promote human tissue donation via nurses’ knowledge and attitudes toward human tissue donation, and self-efficacy for teaching tissue donation. Methods: A non-equivalent control group quasi-experimental design was adopted, and data were collected from 82 nurses (41 of each group: experimental and comparison) working at a general hospital in Inchon, South Korea. Results: In a multivariate analysis (MANOVA), the integrative effect on outcome variables from the intervention program was statistically significant (p<.001). Accordingly, an ANOVA was performed to determine which individual outcome variable showed a significant effect with intervention, and it was found that the effects of intervention on all the outcome variables (knowledge and attitude, and self-efficacy for teaching human tissue donation) were significant (p<.001). Conclusion: The results of the study showed that the intervention had positive effects on knowledge and attitudes toward tissue donation, and self-efficacy for teaching tissue donation among nurses. These outcome variables derived from the intervention might be essential for eliciting positive behavior toward human tissue donation.

간호대학생에게 적용한 노인환자 유사체험에 관한 연구

오현수(Oh, Hyun-Soo),정혜선(Jeong, Hye-Sun) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.7

본 연구는 충청북도 소재 일개 대학교 간호학과에 재학 중인 2학년 학생 88명(실험군: 47명, 대조군: 41명) 을 대상으로 노인환자 유사체험의 효과를 검정하기 위해 수행되었으며 결과변수로는 노인 및 노인환자에 대한 태도 와 공감 정도가 측정되었다. 연구 결과 노인환자 유사체험은 간호대학생의 노인 및 노인환자에 대한 태도에는 유의한 효과를 미치지 못하였으나 공감 수준을 향상시키는데 효과가 있는 것으로 나타났다. 또한 대상자들은 노인환자 유사 체험에 대한 제한점으로 1회성의 단편적 경험, 노화에 대한 불안감 야기, 체험복장의 현실감 부족, 체험 과정 중의 사 고 위험성 등을 제시하였고 이러한 제한점이 유사체험의 긍정적 효과를 약화시킬 수 있는 것으로 제기되었다. 따라서 이러한 제한점들을 고려하여 중재 프로그램을 개선하여 제공한다면 중재가 간호 대학생들의 노인환자에 대한 긍정적 태도와 공감적 이해증진으로 이어지는데 크게 기여할 것으로 판단되었다. This study was conducted to examine the effects of the elderly patient‘s simulation experience on attitudes toward elderly and elderly patients, and empathy of elderly patients among nursign students. Study results showed that elderly patient’s simulation experience did not have signigicant effects on attitudes toward elderly or elderly patients, whereas it had significant effect on enhancing the empathy on elderly patients. The subjects of experimental group indicated that the factors decreasing the effect of intervention are single event of experience, raising aging anxiety, lack of the reality of simulation clothing, and risk of accident during simulation experience, etc. In order to maximize the positive effects of the elderly patient’s simulation program, it is necessary to find a way to improve those limiting factors identified from this study, and to continue to work on positive effects of elderly simulation applied for their curriculum.

통풍 환자를 위한 웹기반 자가-관리 중재 프로그램이 통풍 관련 지식, 치료제 복용 순응도 및 자가-관리에 미치는 효과

오현수(Oh, Hyun Soo),박원(Park, Won),권성렬(Kwon, Seong Ryul),임미진(Lim, Mie Jin),서연옥(Suh, Yeon Ok),서화숙(Seo, Wha Sook),박종숙(Park, Jong Suk) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.4

Purpose: This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention. Methods: A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention. Results: According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant. Conclusion: The results indicate that the webbased self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.