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송준석,하은주,이종수,이승재,박효일 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.12
Subdural empyema is relatively uncommon condition. characterized by purulent collection in the subdural space. Having presented a fulminating clinical course with very high morbidity and mortality. it is conconsidered as a neurosurgical emergency. In recent years, the mortality of subdural empyema has significantly diminished due to rapid diagnosis, aggressive antibiotic therapy and timely surgical intervention. The condition remains a diagnostic challenge ; CT scanning cannot be relied upon although the use of intravenous contrast and more modem scanner has improved the diagnostic yield. MRI offers earlier and more accurate diagnosis of computed tomographically suspected lesion. We report cases of subdural empyemas. which were diagnosed with MR and operaton. We treated one case successfully and the other postoperative case unsuccessfully owing to a delayed diagnosis.
이효지,장유경,오은주,유차숙 漢陽大學校 韓國生活科學硏究所 1989 韓國 生活 科學 硏究 Vol.- No.7
The purpose of this study was to investigate meal management and nutrition knowledge of the housewives according to their region, age, educational level, income and occupation. The subjects consisted of 2082 housewives residing in big city, middle or small city and agricultural and fishing villages. The portion of housewives living in the middle or small city was 44.1% and the major portion of age distribution was 30's(34.2%). More than half of the housewives(58.5%) had a job. Meal management included in this sutdy was their attitude for meal, nutritional balance in their dishes and harmonizing nutrition knowledge in the life. The meal attitude of the housewives who had no job was the lowest score. Dishes arrangement and harmonizing nutrition knowledge in the life were shown the highest score at the age of 60's. They had experience of nutritional education(63.8% ), The source of nutritional information were in order of TV., radio, relatives & neighbors, newspapers and magazines. The average score of nutrition knowledge was 7.07 out of possible 10 point. Nutrition knowledge had significant correlation with region, age, educational level and income. With increasing educational level, income and decreasing age, the score of nutrition knowledge was getting higher. Also, the housewives of urban was the higher in the nutrition knowledge score than those of rural. The frequency of food intake appeared at the higher in fruits, milk & products than meats & fishes, fishes of eatable bone, yellow green vegetables, and frying and parching food etc.
미술활동을 통한 ADHD 특성 아동의 문제행동 개선 연구
강은주,이효신 한국특수아동학회 2002 특수아동교육연구 Vol.4 No.2
본 연구는 ADHD 아동의 문제행동을 개선하기 위해 미술활동을 적용한 것이다. ADHD 아동들이 문제행동을 나타내는 것은 주의력결함이나 충동성, 즉 행동억제와 관련된 실행기능상의 문제로 파악되므로 미술활동을 통하여 자신의 행동에 대한 통제 훈련이 가능할 것이라는 점이 전제되었다. 대상아동은 DSM-Ⅳ의 진단기준과 주의력결핍과잉행동교사평정지의 선별기준을 만족시키는 3명의 아동으로 선정하였고, 미술활동 프로그램은 활동과정상 소근육운동의 활성과 억제가 요구되는 활동으로 구성하였다. 실험은 3명의 대상아동에 대하여 AB설계법으로 이루어졌으며 중재기간 후, 변화된 행동이 유지되는지도 알아보았다. 문제행동은 자리이탈과 주의산만행동으로 제한하고, 측정은 프로그램 중재 후 수업시간 20분을 비디오 촬영하여 연속기록법으로 행동발생의 빈도를 기록하였다. 연구결과, 3명의 대상아동 모두가 중재기간동안에 문제행동이 평균적으로 감소하였고, 중재를 중단한 유지기간동안에도 문제행동이 기초선수준으로 증가하지 않는 양상을 나타내었다. 따라서 미술활동은 ADHD 아동의 문제행동, 특히 자리이탈과 주의산만 행동을 감소시키는 데에 효과가 있다. The purpose of this study is to investigate the effects of various art activities on the leaving from seats and the distraction of an ADHD child. The subjects of the study was three ADHD children in W elementary school, showed problematical in 9 items regarding attention deficit of DSM-Ⅳ, over 6 items each regarding hyperactivity disorder and impulse and 9 items out of 14 items in an evaluation paper for attention deficit and hyperactivity disorder. The program was composed of art activities effective on improvement of attention power and decrease of hyperactivity disorder. The art activity program was divided into 4 steps; the beginning step(1-4 period), the expression step(5-12 period), the variation step(13-20 period), the completion step(21-23 period) of all 23 periods for 40 minutes a time, 4 times a week from 2002, 5, 27. to 2002, 7, 10. and it was applied by myself. The execution of the study was carried into foundation, arbitration, maintenance stages by AB design mode of single subject study method. Occurrence frequency of the disordered acts of the subjects was measured by continuative recording method. 20 minutes' school class in the foundation and maintenance stages, 40 minutes' program activities and 20 minutes' school class in the arbitration stage were recorded on a video and frequency degree of the act of separating from seats and the act of distraction by each period was written down by an observer. As a result of execution of the study, it showed that the program of various act activities was effective on decrease in the leaving from seats and the distraction of an ADHD children.
중증 두부 손상 환자의 예후 인자에 대한 임상 분석 : Clinical Prognostic Factors
송준석,하은주,이종수,이승재,박효일 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.2
A clinical analysis was carried out retrospectively with 54 cases of severe head injured patients(Glasgow Coma Scale score 3 to 8) in identify prognostic factors. Unawareness for over 1 month, abnormal pupillary reaction, abnormal motor response pattern, and diffuse head injury with basal cisternal compression prove to be the most reliable predictors. Individual predictions of outcome provide a powerful tool for assessing the relative efficacy of alternative treatments.
임재현,하은주,이종수,이승재,박효일 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.2
Tumorous lesion of intra- and suprasellar area showed unique clinical pictures and also was very hazardous and difficult to remove surgically because of the surrounding important anatomical structures. Here, authors analyzed 28 confirmed tumor of this area during last two and half years retrospctively. Histopathologically, 28 cases were classified in 14 pituitary adenoma cased6 cases of non-functioning adenoma, 1 GH-secreting adenoma and 7 cases of prolactinoma), 7 craniopharyngioma cases, 3 meninigioma cases and each one case of germinoma, Rathke's cleft cyst, pituitary abscess and hamartoma. Sexual incidence was 6 : 22 in male vs female ratio. Twenty two cases were measured its diameter over 2cm and they extended to suprasellar area in all cases. Five cases of microadenoma were analyzed and they were all enclosed in sella turcica. Visual impairment was the most frequent and prominent clinical symptom. of which incidence was 78.57% (22 cases). The next frequent symptoms were headache and generalized lethargy. Diabetes insipidus was a presenting symptom in 4 cases and hydrocephalus was noted in 4 cases preoperatively. Surgical intervention was carried out in 23 cases, by the way, the performed type of surgery in 21 cases was a conventional transcranial frontotemporal(pterional) microsurgical method. Post-operatively, diabetes insipidus was complicated in 78.26 % and pituitary hypofunction was noted 34.78%. Two cases of intracranial hemorrhage was developed after surgery and one was died. Through 6 to 28 months follow up. 82.1 % of cases were improved in its clinical status including 7 cured cases.
프리셉터 경험이 간호업무수행과 직무만족에 미치는 영향 연구
류언나,송혜숙,장은희,서효신,추연화,김인선,나명주,지성애,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2
The purpose of this study was to investigate how preceptor experience has an effect upon preceptor nurses. This study was so designed that it could compare the difference between clinical performance and Job satisfaction of preceptor nurses and those of nonpreceptor nurses. Study subjects were sampled out from those nurses who worked with two university hospitals where preceptor programs were implemented. The number of subjects totaled to 134, including 69 preceptor nurses and 70 nonpreceptor nurses. The score of preceptor nurses' clinical performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. Among all of the preceptor nurses, the highest number of preceptor experience was just one time. Except for five times in preceptor experience, the more the number of times of preceptor experience, the higher score in clinical performance. It was manifested that the number of preceptor experience was not related to job satisfaction. The score of preceptor nurses' clinica1 performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. The reward that preceptor nurses wished most was a reduction of the work load assigned to them. Currently preceptor nurses are only receiving a small quantity of financial reward related with their preceptor role. Most of preceptor nurses (96.8%) were not satisfied with their existing reward. Almost half of the preceptor nurses(43.5%) did not want to play a role as preceptor again. The reason why the scores of clinical performance and job satisfaction were low might be attributed to the inadequate preceptor training program and reward system. Appropriate knowledge and clinical skill are expected to enhance the level of preceptor nurses' clinical performance and appropriate internal and external reward to elevate the level of preceptor nurses' Job satisfaction. Therefore, it is needed for us to develop more effective preceptor education program, financial reward, support of colleague nurses and nursing managers, and adjust workload for the purpose of more effective preceptor programs.