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

한국비서자격시험의 개선점과 비교연구

남자현,이미정,이미영,이아영,정해금,최유정,이미숙,전인선,정혜림 이화여자대학교 법정대학 비서학과 1997 비서학연구 Vol.- No.17

The Linguistic Roots of Korean Traditional Food and Food Ingredients in Hunmong- ja-whae and the Development of Its Application System

Hye Jeong Yang,Kyung Rhan Chung,Hyun Ju Lee,Ahe ryung Yu,Hyun In Oh,HoMoon Seog,Dae Young Kwon,So-ri Lee,Dai-Ja Jang 한국콘텐츠학회 2011 한국콘텐츠학회 ICCC 논문집 Vol.- No.-

건어물 저장 중 이화학적 특성의 변화에 관한 연구

이성희,이현자 안성산업대학교 1992 論文集 Vol.24 No.-

Dried fishes such as dried pollack, dried sliced squid, dried white bait, dried anchovy and dried cod used to the cooking of Korean traditional foods were airpacked with polythylene tube and irradiated with 7 KGY of gamma-ray source. Physiochemical properties was investigated for there changes during storage at ambient temperature for 12 month. 1. The proximate components which are closely related to storeability and quality of dried fishes, moisture content of samples in order of dried anchovy, dried sliced squid, dried cod, dried white bait and dried poolack were 36.3, 29.8, 19.8, 18.9 and 15.5%, respectively and crude fat content in order of dried white bait, dried slices squid, dried anchovy, dried cod and dried poolack were 8.6, 3.9, 3.8, 2.8 and 2.6%, respectively. 2. The physycochemical properites related to the quality evaluation of dried fished during storage, TBA value of samples were not remarkably changed by irradiation and TMA-A content was 5.17-10.32mg% and increased in all groups during storage. 3. Mineral content such as Na, K, Ca, Mg, Zn, Fe, Mn, Cu and 17 kinds of amino acid content for dried fishes were not changed by irradiation except sulfur containing amino acids which are sensitive to radiation. 4. The color measurement of dried fishes, for lightness, redness and yellowness was showed highter value for irradiated samples than those of control throughout during the storage period

인삼 단백질의 분리 및 정제와 등전점 측정

이지영,김소영,박현자,이혜정 이화여자대학교약학회 1992 梨花藥學硏究 Vol.- No.31

인삼에서 분리한 단백질 분획중 그 일부가 항방사선 효과를 보인다는 여러실험결과에 따라, 그에 해당하는 단백질 분획을 분리하고 그 성질을 알아보고자 Isoelectrice focusing을 하였다.

버팔로 뉴욕 주립대학교 부설 보육시설의 보육프로그램 운영실태

이현섭,김순자 진주산업대학교 1997 論文集 Vol.36 No.-

In this paper, Child Care Programs in the U. S. A and Child Care Programs operating at the University Buffalo Child Care Center, Inc. are analyzed. The above child care center are analyzed as following. 1. Basic Principles of Program 2. Personal Management 3. Admission & Enrollment 4. Safety Management 5. Health Management 6. Center Activities and Program Policies The above study result is as following. The University at Buffalo Child Care Center, Inc. is a private, not-for-profit organization, dependent primarily upon tuition (based on a sliding, scale) from parents. Special grants from State University of New York Central, and Governor's Office of Employee Relations of New York State Laber Management Child Care Advisory Committee (Civil Service Employees Association, Public Employees Federation, United University Professions, Council 82, and Management Confidential) provide additional support for continued operation. The University at Buffalo Child Care Center, Inc. does not discriminate on the basis of sex, race, religion, ethnicity, national origin, or handicapping condition.

레이온회사 퇴직근로자에서 이황화탄소에 의한 건강영향평가 : 직업병 인정여부에 따른 자각증상과 관련 요인 Subjective Symptoms and Related Factors According to Compensation for CS_2 Poisoning

이경재,김주자,최현림,양길승,김호,임상혁,이윤근 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.2

목적: 이 연구는 이황화탄소 취급 사업장에서 근무한 경력이 있는 퇴직 근로자들을 대상으로 이황화탄소에 의한 건강영향을 조사함으로써, 이황화탄소 노출 후의 건강영향 파악 및 이황화탄소 노출 근로자에 대한 건강관리 기준 마련 등에 중요한 기초자료를 제공하고자 하였다. 방법: 이 연구는 우리나라 모 레이온회사에 근무한 경력이 있는 퇴직 근로자 중에서 1998년 12월까지 직업병 여부를 확인하기 위해 건강진단을 신청한 1,702명 중에서 이미 사망한 40명을 제외한 1,662명을 대상으로 하여 이 연구 목적에 대한 설명문을 우편으로 발송하여 참여 의사를 밝힌 258명을 면접대상으로 하여 최종적으로 177명을 분석 대상으로 하였다. 결과: 연구대상자는 남자가 147명, 여자가 30명이었고, 평균 연령은 55.4세이고 입사시 연령은 29.1세였다. 근무부서별로는 고폭로부서에 근무한 군이 156명으로 88%를 차지하였으며, 인정받은 군이 103명(58.2%), 받지 못한 군이 74명(41.2%)이었다. 평균 총폭로지수는 38.96(±31.18)이었고, 인정받은 군에서 받지 못한 군 보다 유의하게 높았고 (p=0.000). 고폭로부서군에서 저폭로부서군보다 높게 나타났다(p=0.000). 퇴사전후 시간에 따른 호소 증상들을 분석한 결과, 퇴사전후 시간 흐름에 따라 호소하는 증상들이 차이는 있지만 호소하는 증상들이 퇴사전과 퇴사후 5년 이내에 비해 퇴사후 5~10년인 경우에는 인정받은 군과 받지 못한 군 간에 유의한 차이를 보이는 호소 증상들이 적어지는 경향을 보였다. 그러나 퇴사 10년 이상인 경우에는 퇴사후 5~10년 이내에 비해 오히려 호소하는 증상들은 많아진 반면, 인정받은 군보다 받지 못한 군에서 유의하게 높았다. 따라서 이는 퇴사후 10년 이상이 되면 그 이전 기간에 비해서 호소하는 증상들은 직업병 인정에 올바른 영향을 미치지 않을 수도 있다고 생각되고 이러한 결과에 영향을 미칠 수 있는 여러 가지 요인들을 생각해 볼 필요가 있다고 생각된다. 인정받은 군에 대해서 직업병 인정시점을 기준으로 인정전후에 호소 증상의 변화를 비교한 결과, 대부분 직업병 인정전에 비해 인정후에 호소하는 증상이 감소하는 경향을 보이고 있어 직업병 인정후에 의료기관으로부터 증상관리가 이루어지는 것이 증상호소를 줄이는 데 기여한 것으로 생각되며 이밖에도 직업병 인정으로 인한 심리적인 보상도 영향을 미칠 수 있을 것으로 생각된다. 직업병 인정여부에 영향을 주는 요인에 관하여 분석한 결과, 총폭로지수와 퇴사후 최종 건강진단을 받을 때까지의 시기가 유의한 요인으로 나타났으며, 퇴사후 직업병 인정을 받을 때까지의 시간에 대한 Cox의 비례위험 회귀분석을 한 결과, 총폭로지수와 입사연령, 고폭로부서의 근무여부가 의미있는 요인으로 나타났다. 결론: 이 연구를 통하여 이황화탄소 취급 사업장에서 근무한 퇴직 근로자들을 대상으로 직업병 인정에 따른 호소 증상을 분석하고 직업병 인정에 영향을 주는 요인을 분석해 봄으로써 이황화탄소 노출에 의한 건강영향을 파악하고 폭로 이후의 증상변화를 예측 관리할 수 있는 자료를 마련하고자 하였으며 이는 이황화탄소 노출 근로자들에 대한 건강관리에 기초자료로 의미를 가질 것으로 생각된다. Objectives: To investigate the chronological subjective symptoms and related factors in exworkers who were occupationally exposed to Carbon disulfide. Methods: One hundred and seventy-seven subjects(147 males and 30 females) were randomly selected among ex-workers and interviewed by well trained doctors, who filled out a structured questionnaire developed by authors on the subjective symptoms. The questionnaire was composed of symptoms in the head and neck, and those of the neuro-psychological, respiratory, endocrine, musculoskeletal, and reproductive systems. Other factors such as general and occupational characteristics including work department, work duration, duration since cessation of exposure, and compensation for occupational disease were also investigated. Results: The mean subject age was 55.4 years. The mean cumulative exposure index (CEI) was 38.96±31.18. CEI was significantly higher in the compensated group(47.61±32.51) than in the non-compensated group(26.81±24.75)(p=0.000). Symptom complaints were significantly higher in the compensated group in all organ systems, and their incidence increased gradually until 10 years after cessation of work, and then decreased. The mean duration for cessation of exposure at the time of compensation was 10.97 years. The significantly different factors between the compensated group and the non-compensated group were total cumulative exposure index and the time interval between the cessation of work and the time of compensation. Conclusion: Our findings suggest that total cumulative exposure index and the time interval between the cessation of work and the time of compensation may be important factors affecting the compensation for occupational disease. Therefore, further studies will be necessary.

B형 만성 활동성 간염 환자에서 Prednisolone 단기이탈 및 Alpha Interferon 병합요법의 효과

이종선,김병호,성자원,허승식,이기천,정현용,이헌영,김영건 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

To evaluate the safety and efficacy of Pd withdrawal followed by recombinant alpha- Interferon 2b therapy. Nine patients were given a single daily subcutaneous injection of ^α-Interferon at a dose of 3 x 10 exp(6) units/day for first weeks and thrice weekly for next 15 weeks (maintenance) after pd tappered over 6 weeks. To evaluate the efficacy of therapy, we measured serum aminotransferase activities monthly during and after therapy, and also measured serm HBsAg, HBeAg and DNA probe before and after therapy. To evaluate the safety of therapy, all patients checked peripheral blood WBC, Hemoglobin, Platelet, BUN and Creatinine. The results were as follows : 1. In control group, the normalization of s-AST & ALT level, negative seroconversion of DNA probe & HBeAg were observed in 1/12(8%) & 7/10(17%), 0/10(0%) & 0/12(0%) at 6 months later, and maintained response in 1/11(9%) & 1/11(9%), 2/9(22%) & 2/11(18%) until 1 years later. 2. In treatment group, Serum AST and ALT returned to normal in 8/9 & 8/9 cases (89%) after 1 montns Tx. (mean serum AST : 33±8, ALT : 34±12 IU/ml) and maintained to normal response in 5/9(56%) & 6/9 cases(67%)after 6 months Tx. (mean s-AST : 55±43, ALT : 66±84 IU/ml), 3/9(33%) & 4/9 cases(44%) after 1 years Tx. It was statistically significant reponse except s-AST of after 1 years Tx. 3. In treatment group, s- HBeAg returned to normal in 3/9 cases(33%) after 1 months Tx., and maintained to normal response in 1/7 & 1/4 cases among follow up patients in after 6 & 12 months Tx. Serm DNA probe level were observed significantly negative seroconversion in 8/9 cases(89%) after 1 months Tx. (p<0.003), and maintained to negative response in 2/6 & 1/3 cases after 6 & 12 months Tx. 4. Serum AST, ALT, HBeAg and DNA probe were not significantly correlated with therapeutic response in relation to histologic diagnosis. 5. Fever and myalgia were noted in 9(100%) & 6(67%) cases. Headache, mild hair loss, anorexia, nausea, facial flushing & diarrhea were noted in few cases. Peripheral WBC(3cases) & platelet counts(3cases) were decreased transiently. This study shows that Pd withdrawal followed by recombinant alpha Interferon 2b therapy may be safe and effective in decrease the level of s-DNA probe, transaminase activity, loss of HBeAg and less adverse effect of clinical and hematologic examinations in patients with CAH type B. But it was necessary for study with large number of patients, more prolonged follow up duration and more strict control study.

재발성 복부 통증을 호소한 환자에서 복벽에 발생한 자궁내막증 1예

홍현진,박성한,이준식,배용목,김지연,안광순,박선자 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1

Endometriosis is the abnormal growth of endometrial tissue outside the uterine cavity. Endometriosis in the abdominal scar following cesarean section is very rare condition among the extrapelvic endometriosis. The frequency of abdominal wall endometriosis secondary to cesarean section is from 0.03% to 0.8% in some reports. It is difficult to diagnosed in spite of the typical symptoms. The typical symptom is aching swelling in the area of the surgical scar, which is influenced by the phases of menstruation. The definitive diagnosis is established by pathologic analysis. Surgical excision remains the treatment of choice. The majority of patients presented from 1 to 2 years after the precipitating operation. We experienced an unusual case of abdominal wall endometriosis presented over 10 years after cesarean section, who was admitted to our hospital complaining of recurrent left lower abdominal pain. So, we report this case with a brief review of the concerned literatures.

손마사지가 허혈성 심질환 환자의 불안에 미치는 효과

현경선,이향련,공송심,윤경자,김현섭,김효남,최지원,김운정 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study was to investigate the effect of a hand massage program on anxiety, vital sign and pain in clients with ischemic heart disease. The design utilized for this stuffy was quail-experimental with a nonequivalent control group non-synchronized design The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart diease at a cardiac intensive care unfit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. The level of anxiety and pain measured by Visual Analogue Scale, systolic blood pressure, diastolic blood pressure and pulse rate were measured before and after hand massage, the state of Anxiety was measured by the Spielberger (1970) scale at admission and after hand massage for three days. The collected data were processed by using the SPSS PC program and analyzed using χ2-test and t-test. The result of this study are as follows : 1. The scores of VAS anxiety and State of anxiety of the experimental group were lower than those of the control group. 2. The degree of systolic blond pressure, diastolic blood pressure and pulse rate of the experimental group were lower than that of the control group. 3. The score of VAS pain of the experimental group was lower than that of the control group. The results suggested that hand massage can decrease VAS anxiety, State of anxiety, vital signs and VAS pain of patients who were admitted with ischemic heart disease at cardiac intensive care unit Therefore, It Is proposed that hand massage is an appropriate nursing intervention to relieve anxiety of the patients who were admitted with ischemic heart disease at a cardiac intensive care unit.