보건소 영양사 직무 분석 (Ⅰ) : 업무수행도 및 중요성 인식도 분석

박혜련,차진아,임영숙 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

The purpose of this study was to analyze task performance and importance level of the dietitian who is working in the public health nutrition area. Work oriented job analysis methodology was employed for the study purpose. Subjects of 38 dietitians currently working at health centers in 2002 were recruited. Based on the focus group interview with 7 public health nutritionists and 7 professors, information about task elements was collected. Questionnaires measuring work performance and self-perception of importance of the selected task elements were administered. The results of this study can be summarized as follows; 1) The tasks with high performance and importance level among 20 tasks are developing nutrition education material (B1), nutrition services for adults and the elderly (C3), writing the proposal for nutrition services (A2), evaluating service effect (A4), improving professionalism (E1), and self management (E2). 2) The task elements with high performance and importance level among weekly task elements are nutrition education for diabetes (C56), nutrition counseling for adults (C47), nutrition for hypertension (C53), managing and keeping records (C80), nutrition education for kindergarten and nursery school children (C42), searching for nutrition education materials (B26), and searching for media (B27). 3) The number of task elements with high performance and importance level among monthly task elements are 13 in the planning and evaluation of public health nutrition service, and 5 in developing nutrition education materials. The tasks of a dietitian in the public health center show a very wide spectrum. However dietitians recognize most of the tasks are important even though they cannot perform those tasks adequately.

綠膿菌 感染症에 對한 臨床 細菌學的 硏究

石鍾聲,朴蕙瓊,李承薰 최신의학사 1975 最新醫學 Vol.18 No.5

The role of Pseudomonas aeruginosa in human diseases has received increasing attention in recent years. There is considerable evidence that intestinal Gram negative bacillary infections are occuring with greater frequency. Among these bacilli, Ps. "aeruginosa is so notoriously resistant to many antibiotics that it occupies an almost unique position. 903 strains of Ps. aeruginosa were isolated from various clinical materials at Seoul National University Hospital during the period of January 1st, 1970 and December 31. 1974 and clinico-bacteriological studies were made. The results were summarized as follow. 1. Clinical materials, from which Ps. aeruginosa were isolated, were Pus 448, Urine 151, Sputum 142, Throat swab 34, Blood 33, Bile 20, Bronchial aspiration 10, Pleural fluid 8, Stool 8, Spinal fluid 4, Vaginal discharge 2, Bone irrigation 2 and Ascitic fluid 1, respectively. 2. The clinical departments and the percentage of strain numbers from various materials submitted from the departments: General surgery 30. 0%, Internal medicine 26. 1%, Urology 13.6%, Orthopedic surgery &4%, Chest surgery 6.5%, Pediatrics 4.2%, Neuro surgery 3.4%, Obstetrics and Gynecology 3.0%, E.N.T. 2.6% and other departments 2.2%, respectively. 3. The cases of mixed infection with Ps. aeruginosa in a clinical materials were 23.6%. 4. The bacterial species and number of strains isolated with Ps. aeruginosa were klebsiella aerogenes 61, Coagulase positive staphylococcus 51, Escherichia coli 35, a-hemolytic streptococcus 18, Alcaligenes faecalis 16, Coagulase negative staphylooccus 11, Proteus mirabilis 10, Paracolon bacilli 9, respectively. 5. The percentage of resistant straims of Ps. aeruginosa to various antibiotics were as follow: Gentamycin 6.6%, Colimycin 33. 1%, Streptomycin 7& 1%, Kanamycin 94.2%, Chloramphenicol 94.4 %, Oxytetracyclin 94.9%, Lincomycin 9&4%, Penicillin 99.9%, Ampicillin 99.9%, and Cloxacillin 100%.

재래(흑색) 염소의 비육에 관한 연구 : Ⅰ. 일측 갑상선 제거가 체중, 체온 및 맥박에 미치는 영향 Ⅰ. Effect of Uni-lateral Thyroidectomy on Body Weight, Body Temperature and Pulse Rate

박무현,권해병,양일석 慶尙大學校 1975 論文集 Vol.14 No.-

In order to investigate the relationship of body weight, body temperature and pulse rate to hypothyroidism in the state of uni-lateral thyroidectomy of Korean native goat, a brief observation was carried out. Twenty healthy male adult goats (7 months old) were used in the present experiment dividing into 2 groups, the control with 5 and the experimental with 15, respectively. Individuals of the experimental group were received uni-lateral thyroidectomy by surgical operation, while individuals of the control group, on the other hand, were received sham-operation. Measurements of body weight, body temperature and pulse rate after the operation were performed in duration of 48 days by 2 days interval. The results obtained could be summerized as follows. 1. There were no significant changes in body weight of experimental group compared to that of control group. 2. Uni-laterally thyroidectomized goat showed no changes in body temperature, which is seemed to he doe to a compensatory effect. 3. Statistical calculation did not show any difference in pulse rate between control and experimental group. The present experiment can he concluded that uni-lateral thyroidetomy had not any effect on the changes body weight, body temperature and pulse rate.

소아에서 외상성 질식 증후군에 대한 임상적 고찰

박승현,최승필,나병호,황주일,나석주,전해명,김세경 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Traumatic asphyxia has often been described as a rare clinical syndrome characterized by cervicofacial cyanosis and edema, multiple petechiae, and subconjunctival hemorrhage after a severe crush injury of the thorax or upper part of the abdomen. The pathogenesis of traumatic asphyxia is that after compression of the chest or upper abdomen, intrathoracic pressure increased suddenly. Blood is forced out of the right atrium through the valveless innominate and jugular veins into the head and neck. This sudden increased thoracic pressure in small venules and capillaries causes rapid dilation and minute hemorrhages producing the petechiae often seen. Treatment is supportive and should be focused on the associated injuries. The prognosis for traumatic asphyxia is very good despite the alarming initial physical appearance. If the patient survives the initial insult, the prognosis is excellent. Neurologic sequale may be permernant. We experienced five case of the traumatic asphyxia, and its clinical and pathophysiologic features are discussed. Increased awareness of this syndrome by emergency physicians will result in better reporting ad understanding of its clinical implications.

環境汚染의 影響에 따른 企業의 對應方案에 대한 考察

박해숙 圓光大學校 經營學科 1992 經營學硏究 Vol.- No.9

Polytertrafluoroethylene의 직경에 따른 신생내피의 조직학적 변화에 대한 실험적 연구

박해일,이광석 고려대학교 의과대학 1998 고려대 의대 잡지 Vol.35 No.2

In synthetic arterial grafts the regeneration and proliferation on the inner surface of graft is a part of the normal healing process. However, there are controversies in the source of these cells and the pattern of proliferation. Many investigators have suggested that endothelium might be derived from arterial sources at the ends of grafts, capillaries growing through the graft matrix from the outside, and endothelial cells can circulate in the blood and settle onto the luminal surface. The purpose of this study was to investigate the patency rates and the histologic findings of neoendothelialization according to the diameter of polytetrafluoroethylene(PTFE) which is the most widely used for synthetic graft. Ten mongrel dogs, weighing 20 to 25kg, were used for this study. Under the operating microscope, all grafts were implanted in both femoral arteries of dogs by interrupted end-to-end microanastomosis. They were divided into two groups according to the diameter of implanted PTFE. Each group comprised five dogs. The lengths of implanted PTFE were 20mm in both groups. All implanted grafts were 25㎛ in fibril length and 0.39mm in wall thickness. The internal diameter of graft in group Ⅰ was 3mm and that of graft in group Ⅱ was 5mm. Two grafts of one dog per group were harvested at 1, 2, 4, 8, and 12 weeks after implantation respectively. All PTFE grafts were observed for patency rates and the histologic findings with light microscope and scanning electron microscope. The results obtained were as follows : 1. The patency rate was higher when the diameter of implanted PTFE was larger than that of recipient vessel, and the patency rate in grafts without infection was higer than that in grafts with infection. 2. Light microscopically, in group Ⅰ, a few cells of neointima is noted at the end of the inner surface of PTFE at 1 week after implantation and the histologic findings could not be observed due to occlusion of grafts at 2, 4, 8, and 12 weeks after implantation. In group Ⅱ, the neointimal lining is advanced across the anastomosis at 1 week after implantation and the histologic findings could not be observed due to occlusion of grafts at 2 and 8 weeks after implantation. At 4 weeks after implantation, neointimal lining was more advanced to the midportion of implanted PTFE. At 12 weeks after implantation, the entire inner surface of implanted PTFE was lined completely by neointima and subintimal tissue. 3. Scanning electron microscopically, in group Ⅰ, the inner surface of implanted PTFE was lined by amorphous fibrin layer at anastomosis site at 1 week after implantationin and the histologic findings could not be observed due to occlusion of grafts at 2, 4, 8, and 12 weeks after implantation. The histologic findings of group Ⅱ were similar to those of group Ⅰ at 1 week after implantation and could not be observed due to occlusion of graft at 2 weeks after implantation. At 4 weeks after implantation, flat layer like normal endothelium was noted at anastomosis site. At 8 weeks after implantation, flat neointima was noted in the midportion of implanted PTFE. However, the inner surface of implanted PTFE was still noted at 12 weeks after implantation. 4. Neoendothelium was noted only in the patent cases with neointimal covering of the inner surface of PTFE. In conclusion, at 1 week after implantation neoendothelium started to grow from both anastomoses and at 8 weeks neoendothelium was formed in the entire inner surface of implanted PTFE. Because PTFE is not elastic like normal vessel, PTFE with larger diameter than that of recipient vessel is recommended as the grafts fot implantation.

衣服 構成에 관한 硏究(Ⅰ) : Dress Design의 기초 Basic thneory of dress design

朴惠淑 공주대학교 사범대학 과학교육연구소 1970 과학교육연구 Vol.3 No.1

Design of modern dress is making much progress and transfiguration on a mission of beautification and practical utilization of clothing habits, dress design, a synthetic art of sense and technic, should have dynamic expressions based on personal movements, ands. many difficult problems come up in dress designing. such being the case, thereseorcher came to have the necessity that he should analyse and study basicprinciples of dress design in a theoretical viewpoint uninfluenced by fashion and comes to the conclusion as fonows. 1) Design can be practised by everyone can make creation with deeper study on basie knowledge of the princiole of design. 2) A designer, whose basic principle is to find out the whereabouts of beauty, showd try to discover and make study of beauty in the surrounding nature and develop it. 3) The three requisites for dress design are color, form and stuff, and the synthetie harmony of the tree requisites should match with the body. 4) Silhouette with well-matched design should be furnished with not only visual beauty but also functional convenience for wearing.

형제 유·무에 따른 성격특성의 비교

박경숙,박정인,이정림,조혜정 연세대학교 생활과학대학 1985 婦學 Vol.18 No.-

The aim of this research was to make a comparative analysis of personality traits among children with more than 2 siblings, with only 1 sibling, and those without siblings. The subjects were 117 pupils in the 5th grade, selected from 4 elementary schools in Seoul. The instrument for the study was a standardized personality inventory developed by Bum Mo Chung. The data were analysed with two­way analysis of variance in which the independent variables were sex and the number of siblings. The major results were: ⑴ the personality traits of the children were influenced more by sex differences than by the number of siblings, and ⑵ the personality of the boys was found to be more active, impulsive, and dominant than that of the girls, while the personality of the girls was more reflective than that of the boys.

Rigid Gas Permeable Contact Lens 재료물질에 관한 연구

朴惠正,朴景石,李原鎭 대구산업정보대학 1998 논문집 Vol.12 No.2

To improve the characteristic properties of contact lens materials, the copolymer of HEMA monomer NVP and MAOPTES monomer have been synthesized by the composition ratio of 50:45:5, 50:40:10 and 50:35:15. The copolymer of TMSOEMA monomer with HEMA and NVP have been synthesized as same compositional ratio as MAOPTES. Water content, swelling ratio, contact angle, permeability of oxygen and quantity of adsorptive protein were measured to check properties of copolymers. The experimental result measured for the copolymer containing silicon derivative of low ratio was prefered to be the materials of contact lens which can improve the function, due to the low absorption of protein compound to poly(HEMA) and to the high oxygen permeabilities

대장수술 후에 발생한 급성신부전의 위험인자

이혜미,황창재,김재황,김흥대,박대팔,서일숙,송선옥,김세연,이덕희,지대림 영남대학교 의과대학 2007 Yeungnam University Journal of Medicine Vol.24 No.2

연구 배경 : 급성 신부전은 술 후 발생할 수 있는 합병증 중에서 사망률은 큰 영향을 줄 수 있으므로 이 연구를 통해 위험인자를 알아보려고 한다. 재료 및 방법 : 2004년 1월부터 2006년 12월까지 3년간 영남대학교 의과대학 부속병원에서 대장 수술을 받은 570명의 환자들을 대상으로 하였다. 환자들의 성별과 연령, 미국 마취과학회 신체등급, 동반질환, 수술의 종류, 응급수술의 여부, 수술 시간, 재수술의 여부, 술 중의 투약 상황, 술 후에 자가 통증 조절기에 사용한 약제, 술 중에 저혈압의 유무, 수혈 여부, 술 후 기계적 환기를 시행한 경우를 비교하였다. 결과 : 비교 결과에서 성별과 수술의 종류, 응급 수술의 여부, 개복여부 등에는 유의한 차이를 보이지 않았다. 반면 환자의 나이와 수술 시간, 재수술의 여부, 술중에 이뇨제 등을 사용한 경우, 술 중에 저혈압의 유무, 술 후에 기계적 환기를 시행한 경우 등에는 유의한 차이를 보였다. 결론 : 이상의 결과로 급성신부전의 원인은 어느 한 가지라고 하기 보다는 위험인자에 얼마나 노출되어 있는가가 결정하는 것 같고, 그 원인들이 모여서 상승효과를 내는 것 같다. 그러므로 수술 전부터 많은 위험에 노출된 환자는 술 중 더 적극적인 감시를 시행하여 수술 후의 합병증 발생을 줄이는 노력을 기울여야 하겠다. Background : Acute renal failure is one of the leading causes of postoperative morbidity and mortality. The purpose of this study was to determine the risk factors that are associated with acute renal failure after colorectal surgery. Materials and Methods : Five hundred seventy patients who operated colorectal surgery at the Yeungnam University Medical Center over three years from 2004 to 2006 were enrolled in this study. The effects of gender, age, ASA classification, concomitant disease, surgery type and duration, reoperation, urogenital manipulation, medication, hypotension, hypovolemia, transfusion, and postoperative ventilatory care on the occurrence of acute renal failure after colorectal surgery were studied. Results : The major risk factors of acute renal failure after colorectal surgery were age of patients (P=0.003), ASA classification (P<0.001), concomitant disease (P<0.001), duration of the time surgery (P=0.034), reoperation (P=0.001), use of intraoperative diuretics (P=0.005), use of postoperative diuretics (P<0.001), intraoperative hypotension (P=0.018), intraoperative transfusion (P<0.001), postoperative transfusion (P<0.001), and postoperative ventilatory care (P=0.001). Conclusion : Multiple factors cause synergistic effects on the development of acute renal failure after colorectal surgery. Therefore, efforts to reduce the risk factors associated with acute renal failure are needed. In addition, intensive postoperative care should be provided to all patients.