항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

Skin entrance dose for digital and film radiography in Korean dental schools

Cho, Eun-Sang,Choi, Kun-Ho,Kim, Min-Gyu,Lim, Hoi-Jeong,Yoon, Suk-Ja,,Kang, Byung-Cheol 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Purpose : This study was aimed to compare skin entrance dose of digital radiography with that of film radiography and to show the dose reduction achievement with digital systems at 11 dental schools in Korea. Materials and Methods : Forty six intraoral radiographic systems in 11 dental schools were included in this study. Digital sensors were used in 33 systems and film was used in 13 systems. Researchers and the volunteer visited 11 dental schools in Korea. Researchers asked the radiologic technician (s) at each school to set the exposure parameters and aiming the x-ray tube for the periapical view of the mandibular molar of the volunteer. The skin entrance doses were measured at the same exposure parameters and distance by the technician for each system with a dosimeter (Multi-O-Meter : Unfors instruments, Billdal, Sweden). Results : The median dose was 491.2 μGy for digital radiography and 1,205.0 μGy for film radiography. The skin entrance dose digital radiography was significantly lower than that of film radiography (p<0.05). Conclusion : Fifty-nine percent skin entrance dose reduction with digital periapical radiography was achieved over the film radiography in Korean dental schools.

대구시 하수도 설계를 위한 기본 조사연구

조병하,이상렵,이순탁,함능수,나인엽,오창언,김자홍 경북대학교 1971 生産技術 Vol.5 No.-

This study is a "reconnaissance" of "preliminary" grade survery with the objectives of compiling and analyzing drainage systems, river pollution, hydraulic and hydrologic characteristics of sewage, and conservation of public water supplies for design of sewer systems in Taegu. In addition, it contains basis information for design of new sanitary sewage and drainage systems for Taegu. The results are shown as follows;1) Before attempting to design a sewage system, it was necessary to set up reliable standards for estinating sewage amounts. 2) The results of analysis and examination of Taegu's drainage systems. 3) The investigation of "sewage quality and river pollution in Taegu. 4) In order to maintain the B.O.D. value of the Kumho River below 8 ppm, a sewage treatment plant will be necessary. The basic information necessary in planning a treatment plant is given. This study is a summary of reseach that was conducted jointly by Kyung-Pook National Univ ersity's Insttute of Industrial Sciences and Young-Nam Universty's Institute of Industrial Sciences and Young-Nam University's Department of Civil Engineering. The study was begun on Novemver 4,1969 and completed on November 3,1970. By an agreement between the United States Agency for International Development and the Ministry of Science and Technology of the Republic of Korea, the work was financial out of the MO ST/USAID Trust Fnnd.

심리사회적 중재가 간호대학생의 스트레스 지각, 대처방법, 스트레스 반응에 미치는 효과

김조자,허혜경,강덕희,김보환 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose was to examine the effectiveness of a psychosocial stress management program on stress and coping in student nurses. Method: A nonequivalent control group pre-posttest design was used. A convenience sample of 24 students from the Department of Nursing, Wonju College of Medicine, Yonsei University were assigned to experimental (n=12) and control groups (n=12). Stress was measured using the Visual Analog Scale (10 points) and blood cortisol. Coping was measured using a scale modified by So (1995) based on the Ways of Coping Checklist developed by Folkman and Lazarus (1985). Depression was measured using the CES-D by Radloff (1977) and state anxiety, using the State Anxiety Inventory by Spielberger (1976). The psychosocial stress management program included education, relaxation (Korean Dan Jeon-typed Breathing and music), and social support. Result: Results showed for the two groups, 1) a significant difference in stress scores (U=19.50, p=0.002), 2) no difference in cortisol levels (8am, 4pm). 3) a significant difference in problem-focused coping (U=25.50, p=0.007), 4) no difference in emotion-focused coping, and 5) no difference in state anxiety and depression. Conclusion: By utilizing the program, students were able to learn how to control their stress and improve their coping. Therefore with a partial modification, psychosocial stress management can be useful for continual management of stress in student nurses.

간호학생의 임상실습 교육을 위한 임상지도자 활용모델(Preceptorship Model) 적용 효과에 관한 연구

김조자,이원희,김소선,유해라,한신희,김기연,노영숙 대한간호협회 1997 대한간호 Vol.36 No.4

Geocrete와 규산액을 이용한 매립지 사면 침출수 누출제어

조재범,현재혁,나진성,김자영 충남대학교 환경문제연구소 2000 環境硏究 Vol.18 No.-

There are two strategies to cope with the troubles in landfill site after closure. The first method is active in a way that the wastes are dug up and the recyclable materials are reutilized, meanwhile the materials not recyclable are incinerated in order to minimize the volume of residues to be disposed of. The second method is rather passive and defensive in a way that the source of contamination, that is, buried wastes are not treated. Instead, the transport of leaking leachate and gases generated from the wastes are intercepted and controlled. In the study, as a passive way, the efficient leachate blocking process will be investigated, and how well geocrete and soluble sodium silicate can be utilized as a substitute to controls leachate leaking from landfill sidewall. In case of compression test, the strength of mixture ( I ) and (Ⅱ), even after 7 days' curing were higher than the criteria threshold (5 kg/cm2). Soaking in the acrid for 4 days and 7 days respectively, the compressive strength of the specimens reduced seriously. The toxicity of geocrete is not detected through the bioassay test, once it is mixed with sodium silicate and the complex is formed. The hydraulic conductivity of the mixtures even after 7 days' curing satisfied the threshold limit (1.0×10-7cm/s).

영양과 배설기능장애와 관련된 간호진단과 중재 프로토콜 개발

김조자,이지연 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The purpose of this study was to develop a standardized Nursing Diagnosis/ Intervention Protocol through a literature review and validity testing. Seven nursing diagnoses were selected as major nursing diagnosis in the field of Nutritional and Eliminative problem. The nursing intervention list was made by an expert group's review of Nursing Intervention Classification(NIC) suggested nursing interventions. Nursing activities which were included in each nursing intervention were sorted to follow the nursing intervention process after review and revision. The expert group's validity testing was done twice using the Likert scale. As a result the Nursing Diagnosis/ Intervention Protocol for Nutritional and Eliminative Problems was made to include 7 Nursing Diagnoses, 51 Nursing Interventions and 631 Nursing Activities

Olfactory Reference Syndrome 2례

김자윤,조연규 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.3

신체망상을 호소하는 추형공포증이나 olfactory reference syndrome은, 처음 주목을 받기 시작할 때부터 현재까지 신경증과 성격장애, 정신증 등 여러 견지에서 그 해석이 이루어지면서도 아직까지 진단체계상에 그 위치가 불분명하다. 이것을 별개의 질환군으로 인정할 수 있는지, 정신분열병이나 강박장애같은 기존 질환의 스펙트럼에서 이해할 수는 없는지, 이런 환자들이 집착하는 것을 망상이라 할 수 있는지 등 여러 가지 주장과 논란은 계속되고 있다. 분명한 것은 추형공포증이나 ORS에서 보이는 신체망상이 자신의 신체상의 왜곡된 인지에 의한 증상이라는 것이다. 미해결된 정신역동적 갈등이 반영되며 억압과 해리, 왜곡, 상징화, 투사 등의 기전을 통해 신체상의 일부가 어떤 상징적 의미를 띄고 증상으로 나타날 수 있음은 이미 알려진 사실이다. 치료는 약물치료와 정신치료적인 방법들이 보고되고 있으나 그 효과는 뚜렷하지 않다. 장기간 추적조사를 한 보고는 없으나 대개 예후는 좋지 않은 것으로 평가되고 있고 무엇보다도 환자의 치료순응도가 낮은 것이 예후를 나쁘게 하는 원인이다. 저자들은 신체악취를 호소하는 ORS의 두 증례를 통해 신체망상을 보이는 환자의 증상에서 그 증상학적 의미를 고찰하고 임상특징들을 정리해 보았다. 주목할 수 있었던 점은 성장과정에서 폭력적이고 독재적인 아버지상과 가족간의 정서적 단절로 인한 영향, 극도로 위축되고 열등감과 신경성적 경향을 보이는 환자의 성격특징, 그리고 증상에서 상징적으로 보이는 성적의미 등이었다. 신체망상에 대해 근저의 증상을 이해하고, 이것을 하나의 질환군으로 인정하기 위해서는 후속되는 더욱 많은 연구와 보고가 있어야 할 것이다. Disease identity of dysmorphophobia and olfactory reference syndrome which used to be manifested by a kind of monosymptomatic somatic delusion is not yet established definitely. So many issues such as whether it be regarded as separate disease, or a spectrum of preexisting diseases such as schizophrenia or obsessive compulsive disorder and whether the monosymptom should be considered as a delusion or not are still an debate and the results are controversial. Consequently few is known about the etiology of the disorder. Obviously, somatic delusion in dysmorphophobia and olfactory reference syndrome is the result of cognitive distortion of body image of the self. It reflects symbolic meaning of unresolved psychological conflict by defense mechanisms such as repression, dissociation, symbolization, projection, and so on. Though psychopharmacological and psychotherapeutic treatment has been reported, the treatment efficacy is unclear. Prognosis has been reported unfavorable and one of the leading causes has been thought to be treatment noncompliance. The authors experienced 2 cases of olfactory reference syndrome, so reported with literature review.

위에 공존하는 선암종과 유상피평활근육종

김정연,고재수,조경자,장자준 대한병리학회 1995 Journal of Pathology and Translational Medicine Vol.29 No.4

지속성 외래복막투석 환자들의 예후에 영향을 미치는 요인들에 관한 고찰

권혁만,김찬덕,조지형,장민화,최혁준,이현철,박자용,박선희,김용림 대한신장학회 2004 대한신장학회잡지 Vol.23 No.2