간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

Set-up 모형을 이용한 간접접착술식

경희문 慶北大學校 齒科大學 1989 慶北齒大論文集 Vol.6 No.1

저자는 Set-up모형을 이용한 간접접착술식을 이용하여 각 개인에 가장 이상적인 Bracket위치를 설정하는데 도움을 주고자 이 Technique을 고안 하였으며 특히 Bracket의 정확한 위치가 아주 중요한 Straight Wire Appliance 및 Lingual Appliance에 응용하면 좋은 결과를 얻는데 도움을 줄 수 있을 것으로 사료된다. 증례 1 Angle씨 제 1 급 부정교합의 만19세 여자 환자로써 0.22×0.28 slot size의 standard edgewise bracket을 사용하여 Sequential Bonding Technique으로 치료한 증례(Fig.2). 증례 2 Angle씨 제 1 급 부정교합의 만20세 여자 환자로써 Alexander's Straight wire Appliance를 이용하여 치료한 증례(Fig.3). 증례 3 Angle씨 제 1 급 부정교합의 만17세 여자 환자로써 Lingual Appliance으로 치료한 증례(Fig.4). 1. Silverman E. & Cohen M. : Current adhesives for indirect bracket bonding, A. J. O. 65 : 76-84, 1974. 2. Moin K. & Dogan L. : Indirect bonding of orthodontic attachment, A. J. O. 72 : 261-275, 1977. 3. Zachrisson B. U. & Brobakken B. O. : Clinical comparison of direct versus indirect bonding with different bracket types & adhesives, A. J. O. 74 : 62-78, 1978. 4. Gorelick L. : Bonding / The state of the art ; A national survey, J. C. O. 13 : 39-53, 1979. 5. Thomas R. G. : Indirect bonding ; Simplicity in Action, J. C. O. 13 : 93-106, 1979. 6. Moshiri F. & Hayward M. D. : Imporved laboratory procedure for indirect bonding, J. C. O. 13 : 472-473, 1979. 7. Myrberg N. E. A & Warner C. F. : Indirect bonding technique, J. C. O. 16 : 269-272, 1982. 8. Scholz R. P. & Swartz M. L. : Lingual orthodontics status report ; Part 3 Indirect Bonding-Laboratory & Clinical Procedures, J. C. O. 16 : 812-820, 1982. 9. Fried K. H. & Newman G. V. : Indirect bonding with a no-mix adhesive, J. C. O. : 414-417, 1983. 10. Scholz R. P. : Indirect bonding revisited, J. C. O. 17 : 529-536, 1983. There has been much progress in Edgewise Appliance since E. H. Angle. One of the most important procedures in edgewise appliance is correct bracket position. Not only conventional edgewise appliance but also straight wire appliance & lingual appliance cannot be used more effectively unless the bracket position is accurate. Improper bracket positioning may reveal much problems during treatment, especially in finishing stage. It may require either rebonding after the removel of the malpositioned bracket or the greater number of arch wire and the more complex wire bending, causing much difficulty in performing effective treatments. This made me invent Individual Indirect Bonding Technique with the use of multi-purpose set-up model in order to determine a correct and objective bracket position according to individual patients. This technique is more accurate than former indirect bonding techniques in bracket positioning, because it decides the bracket position on a set-up model which has produced to have the occlusal relationship the clinician desired. This technique is especially effective in straight wire appliance and lingual appliance in which the correct bracket positioning is indispensible.

非行靑少年의 行動障碍分類를 위한 理論的 背景의 小考

文宣和,李璟禧 부산대학교 사회과학대학 1990 社會科學論叢 Vol.9 No.1

In helping the child who has problems, measuring method is required in order to identify what the problem is. By the way, the tests of juvenile delinquent have not been made systematically yet. We are aware that the methods of coping with juvenile delinquents will be not so useful unless the bases for treating and correcting them fundamentally are provided. Accordingly, in this study we attempt to consider about tools to measure their adaptive-maladaptive behaviors as the first step of a series of helping process in order that the child can live as a sound citizen and the significance of his problem can be minimized through helping to assess it correctly. Though it defines and classifies differently according to settings which a behavior rises and is evaluated, the adaptive behavior, here, is defined one which can be accepted socially in accordance with his age and development, and can meet the members' expectation in the society. Then, the child who shows anti-sociality, anxiety, regression introvert behavior and passive and autistic tendency, is defined as a maladaptive behavior. By the definition, we referred to some ABS as adaptive-maladaptive measures to diagnose the mental retardation and the emotional/behavioral disorder, and considered the way which those are used in practice and what is asked about each measure. And we investigated all kinds of testing methods being used presently in order to identify and understand their backgrounds, in our Juvenile Justice System. Each setting to be able to apply to the ABS in this process was also considered.

한국 정상인에서 연령에 따른 뇌혈류분포와 혈류예비능의 변화 : Tc-99m HMPAO SPECT 에 의한 연구

문대혁,이희경,송호천,이재태,범희승,손혜경,정환정,민정준,김지열 대한핵의학회 1999 핵의학 분자영상 Vol.33 No.3

Purpose: The aim of this study was to evaluate the normal values of regional cerebral blood flow (rCBF) and cerebrovascular reserve (CVR) in normal children to aged volunteers using Tc-99m HMPAO. Materials and Methods: Thirty four right-handed normal volunteers (20 males, 14 females, mean age 40.3±24.9 years, range 4 to 82 years) were underwent rest/acetazolamide (ACZ) brain SPECT using Tc-99m HMPAO and the sequential injection and subtraction method. rCBF was estimated on the basis of a semiquantitative approach by means of right/left ratio, region/cerebellum and region to whole brain ratios in frontal, parietal, temporal, and occipital lobes, basal ganglia, thalami, and cerebellum. CVR was measured by means of % perfusion increase calculated as % mean count change compared to rest rCBF in each regions. Results: Mean values of right to left ratios range from 1.004 to 1.018. rCBF was highest in cerebellum and lowest in basal ganglia and thalami. Frontal and temporal rCBF decreased while occipital and thalami rCBF increased according to age. No sexual difference of rCBF was noted. Mean CVR was 29.9±12.9%. Mean CVR significantly increased to late teens, and declined thereafter. After 6th decade, CVR in both frontal lobes, left parietal lobe and right basal ganglia decreased significantly with advancing age. There was no sexual difference of CVR. Conclusion: Quantitative assessment of CVR was possible by ACZ Tc-99m HMPAO brain SPECT. It revealed that rCBF and CVR changed according to age in normal Korean volunteers. There was no sexual difference.

우리나라 기업의 기술도입 특성에 관한 실증적 연구 : 미국과 일본의 기술을 중심으로 Import by Korean Firms from U.S and Japan

문희철,송우용,황경연 충남대학교 경상대학부설 경영경제연구소 1996 경영논집 Vol.12 No.1

Gel 狀 食品에 關한 실험조리적 검토 Ⅱ-응고제에 따른 두부의 Testure 특성을 중심으로

文秀才,孫敬喜 연세대학교 대학원 1980 延世論叢 Vol.16 No.2

Soybean curds were prepared using coagulants such as calcium sulfate, calcium chloride, magnesium chloride, glucono delta lactone and acetic acid. Their hardness was measured by a sensory method to develop a standard recipe. The textural characteristics of bean curds prepared by the standard recipe were measured by a texturometer and a penetrometer, and results there-from were used to establish a texture standard for soybean curd. Changes in the texture of soybean curd under different cooking conditions were surveyed by a penetrometer. Results obtained through the aforecited experiments are summarized as follows: The optimal concentration of coagulants for soybeancurd preparation was 1.84% for calcium sulfate, 1.05% for calcium chloride, 1.84% for magnesium chloride, 1.97% of glucono delta lactone and 0.48% of acetic acid. As the result of the sensory evaluation, the most acceptable soybean cued was determined to be one made with acetic acid. Other coagulants in the order of acceptability were magnesium chloride, calcium chloride, glucono delta loctone, calcium sulfate soybean curd, and commercial soybean curds. Through the objective examination of soybean curds by a texturometer and a penetrmoeter, it was found out that calcium sulfite soybean curd was the hardest, followed by glucono delta lactone, magnesium choloride, calciumchloride, and acetic acid soybean curd. Acetic acid soybean curd, the most acceptable, was 0.47TU, and calcium sulfate soybean curd, the least acceptable, was 1.73TU. Bean curds were put into distilled water and solutions of different concentration revels including salt, mono sodium glutamate, acetic acid, starch, and sodium carbonate. They were then boiled at the temperature of 100℃ for two, five, ten and twenty minutes, respectively, while their textural changes were observed by a penetrometer The hardness level of soybean curd texture in varying cooking conditions dropped sharply in five minutes of cooking. It then slowly rose or fell for ten minutes. From this point on, the level of hardness continued to decline in process of time. Accordingly, it is not necessary to boil soybean curd for more than ten minutes.

설측교정장치를 이용한 치험증례의 임상적 고찰

경희문 慶北大學校 齒科大學 1990 慶北齒大論文集 Vol.7 No.2

The author treated 3 class Ⅰ malocclusion patients with the lingual appliance followed by the extraction of the 4 bicuspids. One of them was finished with the labial appliance at the final stage. The treatment results were acceptable and the patients had good tolerance to the lingual appliance without complaints in these cases. There were some problems in treatment on the lingual side both the patient and the practioner, but I think we can overcome them with the development of the orthodontic materials, the treatment technics & the increased clinical experience. Of course, we connot treat all the patients with the lingual braces, but patients are carefully selected, lingual braces will be a valuable orthodontic appliance In conclusion, the lingual braces have very good esthetic advantages, so the patients, especially in adults, who hesitate or refuse the orthodontic treatment due to the esthetic problem of the labial braces will get the motivation & the chance for the orthodontic treatment.

Interleukin-1β에 의한 사람 정상 코점막 상피세포의 분비기능 및 형태 변화

김경수,윤주헌,최진우,이정권,문형진,박준호,전희선 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.11

Ceramic gold의 재주조에 따른 cervical margin의 적합도에 대한 실험적 연구

문희경 진주간호보건전문대학 2000 진주간호보건전문대학 논문집 Vol.23 No.1