노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

췌장 선방세포암 1예

이화정,지준호,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Acinar cell carcinoma is a rare tumor that represents 1~2% of al1 pancreatic cancers. Clinical and radiologic findings are inconclusive in this disease Acinar cell carcinoma is characterized by rapid progression and early metastasis, which lead to its poor prognosis. A 41-year-o1d man was admitted to our hospital for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) showed a splenic mass, which was being invaded by a pancreatic tail mass and which had increased ^(18)F-fluorodeoxyglucose (FDG) uptake Primary radical distal pancreatectomy and splenectomy were performed. Pathologic findings revealed an acinar cell carcinoma of the Pancreas The patient underwent a total gastrectomy three months later because of gastric recurrence Four months later, multiple hepatic metastases were discovered, and the patient underwent a left hepatectomy During treatment with capecitabine, there was no evidence of tumor progression for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma, which did not progress for an extended period while the patient was being treated with capecitabme.

Clostridium difficile 장염에 의한 속발성 유전분증에서 발현된 독성 장염

조형원,정혜경,강현주,이윤표,강혜원,심기남,정성애 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1

Amyloidosis is characterized by extracellular deposition of protein fibrils in one or multiple organs. AA amyloidosis is secondarily occurred to be related with chronic infections or inflammatory diseases. We report a 67-year-old man suffered from secondary AA amyloidosis related with chronic Clostridium difficile colitis after repeated total hip replacement surgery. Infection control is the most important treatment of AA amyloidosis secondary to chronic infection. However, the patient’s C. difficile colitis was not controlled well, eventually toxic megacolon with sepsis was developed. Consequently, he had to take total colectomy, but he expired with multi-organ failures. We suggested that early surgical procedure might be one option for intractable C. difficile colitis complicated with secondary amyloidosis.

신촌 연세로 대중교통전용지구는 어떻게 성공적으로 도입되었는가?

김혜원(Kim, Hye Won),이정욱(Lee, Jung Wook) 한국지방정부학회 2018 지방정부연구 Vol.21 No.4

대중교통전용지구는 교통수요관리와 상권 활성화를 통해 도시의 지속가능성을 제고할 수 있으나 승용차 통행을 제한해 사업을 추진하려는 정부당국과 지역주민 간 갈등이 첨예하여 시행이 어려운 사업이다. 그러나 신촌 연세로 대중 교통전용지구의 경우 사업추진과정과 효과 모두 성공적이라고 평가된다. 그렇다면 연세로 대중교통전용지구의 성공적 도입은 어떻게 설명할 수 있는가? 이와 관련하여 본 연구는 Kingdon(2011)의 다중흐름모형과 Moore(1995)의 정치적 관리를 결합한 분석틀을 활용하였다. 다중흐름모형은 정책이 채택되는 환경적 맥락을, 정치적 관리 전략은 이러한 맥락 속에서 정책을 성공적으로 추진하기 위한 구체적인 실천전략을 제시한다. 분석 결과 연세로의 교통정체와 상권 침체를 해결하기 위해 ‘차 없는 거리’ 등의 대안이 존재했으나 박원순 서울시장이 당선되면서 정책의 창이 열리 고대중교통전용지구라는 정책대안에 대한 논의가 본격화되었다. 서대문구는 개방적 의사결정, 논리적인 협상, 공적 숙의, 공공부문 마케팅 등의 정치적 관리 전략을 통해 지역상인과 유관기관으로부터 정책에 대한 정당성과 지지를 확보하였다. 본 연구는 갈등적인 지역사업을 성공적으로 추진하기 위한 관리적 함의를 제공한다. Transit malls are a means to ensure the sustainability and revitalization of local commercial districts by allowing only public transport and pedestrians to use the roads. Efforts by localities to introduce a transit mall often meet with intense opposition from conflicting interests, which makes it very challenging to put this policy idea successfully into action. The case of Sinchon Yonsei Road, however, is considered an exception: the process in which it was officially designated as a transit mall, as well as the positive outcomes such a decision brought about, makes the case clearly distinguished from other similar attempts. What explains the successful introduction of the Yonsei Road transit mall? To answer this question, the present study took an analytical approach that integrated Kingdon’s(2011) multiple streams framework and Moore’s(1995) political management perspective: the former is instrumental in understanding the context in which policies come to be adopted, while the latter allows assessing the effectiveness of the strategies policy entrepreneurs employ in that process. The analysis shows that the election of Park Won-sun as the Mayor of Seoul opened up the policy window where the idea of converting Yonsei Road into a transit mall began to gain serious attention as a viable policy alternative; it also reveals that Seodaemun-gu - the policy entrepreneur in this case - effectively engaged in a series of policy management strategies, which collectively helped to reach a consensus in a relatively short time span. This successful policy adoption case provides managerial implications for local initiatives that involve a complex array of conflicting interests.

원발성 후복막 점액낭샘암종 1예

지준호,이화정,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Primary retroperitoneal mucinous cystadenocarcinoma is a very rare malignancy, and little is known concerning its Pathogenesis, optimal treatment, and prognosis. A 29-year-o1d pregnant woman (21 weeks) Presented with abdominal discomfort CA 19-9, CA 125, and CEA were normal Abdominal CT scanning revealed a 19x15x13 cm retropentoneal tumor Exploratory laparotomy and tumor excision were performed. Mucinous retropentoneal implants were removed as completely as possible Histologically, the tumor showed focal areas of capsular invasion, but free resection margins The uterus and both ovaries were normal in appearance No adjuvant therapy was pursued. Six months later, Peritoneal and bilateral ovarian metastases were discovered. Hence, we report the details of this case of primary retroperitoneal mucinous Cystadeno-carcinoma and present a review of the literature.

우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

Insulin resistance mediates high-fat diet-induced pulmonary fibrosis and airway hyperresponsiveness through the TGF-β1 pathway

Park, Yoon Hee,Oh, Eun Yi,Han, Heejae,Yang, Misuk,Park, Hye Jung,Park, Kyung Hee,Lee, Jae-Hyun,Park, Jung-Won Nature Publishing Group UK 2019 Experimental and molecular medicine Vol.51 No.5

<▼1><P>Prior studies have reported the presence of lung fibrosis and enhanced airway hyperresponsiveness (AHR) in mice with high-fat-diet (HFD)-induced obesity. This study evaluated the role of TGF-β1 in HFD-induced AHR and lung fibrosis in a murine model. We generated HFD-induced obesity mice and performed glucose and insulin tolerance tests. HFD mice with or without ovalbumin sensitization and challenge were also treated with an anti-TGF-β1 neutralizing antibody. AHR to methacholine, inflammatory cells in the bronchoalveolar lavage fluid (BALF), and histological features were evaluated. Insulin was intranasally administered to normal diet (ND) mice, and in vitro insulin stimulation of BEAS-2b cells was performed. HFD-induced obesity mice had increased insulin resistance, enhanced AHR, peribronchial and perivascular fibrosis, and increased numbers of macrophages in the BALF. However, they did not have meaningful eosinophilic or neutrophilic inflammation in the lungs compared with ND mice. The HFD enhanced TGF-β1 expression in the bronchial epithelium, but we found no differences in the expression of interleukin (IL)−4 or IL-5 in lung homogenates. Administration of the anti-TGF-β1 antibody attenuated HFD-induced AHR and lung fibrosis. It also attenuated goblet cell hyperplasia, but did not affect the AHR and inflammatory cell infiltration induced by OVA challenge. The intranasal administration of insulin enhanced TGF-β1 expression in the bronchial epithelium and lung fibrosis. Stimulating BEAS-2b cells with insulin also increased TGF-β1 production by 24 h. We concluded that HFD-induced obesity-associated insulin resistance enhances TGF-β1 expression in the bronchial epithelium, which may play an important role in the development of lung fibrosis and AHR in obesity.</P></▼1><▼2><P><B>Obesity: A trigger for asthma onset</B></P><P>Insulin resistance may be an important causative factor underlying the increased risk of asthma and other respiratory issues in obese individuals. Obesity doubles the likelihood of developing asthma, with symptoms that are more difficult to control than in non-obese patients. The connection between these conditions is poorly understood, but researchers led by Jung-Won Park, Yonsei University College of Medicine, Seoul, South Korea, have identified a potential mechanism. They demonstrated that a signaling molecule called TGF-β1 contributes to airway sensitivity and tissue scarring in a mouse model of diet-induced obesity. Subsequent experiments showed that treatment with insulin also gives rise to increased TGF-β1 production in the mouse lung. Since insulin resistance is a common feature of obesity, resulting in abnormally high levels of circulating insulin, this could also account for the increased risk of respiratory problems.</P></▼2>

데이터마이닝을 이용한 프로야구 경기 시뮬레이터에서의 투수 선정 방법에 관한 연구

정지문,박혜원,최성 호서대학교 반도체제조장비국산화연구센터 2000 학술대회 자료집 Vol.2000 No.1

야구 경기에서는 한 경기에 여러 투수가 등판하게 되는데, 상황에 따라 성격이 다른 투수가 공을 던지게 된다. 이러한 등판 투수의 선정은 감독 고유의 권한이며 감독이 오랜 경험을 통해 승리하기 위해 최적의 투수를 선정하게 된다. 본 논문은 그러한 감독의 경험을 학습하기 위하여 프로야구 경기에서 발생하는 기록 데이터를 데이터마이닝을 이용하여 분석한 후, 앞으로 열릴 경기에 등판할 투수를 미리 예측할 수 있는 방안에 대하여 연구하였다.

색동직물의 배색 선호도에 따른 이미지 연구

정경임,박혜원,조오순 창원대학교 생활과학연구소 2002 생활과학연구 Vol.- No.6

The purpose of this study is for confirming about image research by color scheme of saekdong textile fabrics used modern Korean traditional costume. Method of this study is taste analysis by ten person who is specialized in clothing at changwon national university and ten person of the general about seven samples of saekdong that is selling Korea in domestic. The results are as follows. 1. Image of saekdong arrangement of color are dim, noble (stimulus1,4), unpretending-ness(stimulus5,6), calm, sharp(stimulus7), and activity, splendor(stimulus2,3). 2. Stimulus 1 liked everything is most for taste of saekdong arrangement of color. If apply saekdong in design development according to consumers' changed mark and demand, is expected that can do popularization.

영원한 눈, 심청과 안티고네

정혜원 서울여자대학교 여성연구소 2000 여성연구논총 Vol.15 No.-

It is often said that the common characteristic of characters in plays is the excess or the insufficiency. And one of the most frequent insufficiencies is the eye. We are aware of the blindness, i.e., the commonnes between Shim, Hak-kyu in Shim-chung Jun and Oedipus in Sophocles`s Oedipus. And also, we can see that Oedipus has a daughter Antigone and Shim, Hak-kyu Shim-chung. With his eye lost early, Shim wandered from house to house and went begging for other` milk to grow up his daughter. He exchanged his daugther`s life with money to recover his eyesight, and finally regained it due to his daughter`s devotion. On the other hand, Oedipus who took out his eyes in the later years of his life took his daughter to the wild field to disappear, and Antigone resisted his uncle Creon who succeeded Oedipus`s sovereignty and then was killed by him. The difference of eyes in these two works is that in the case of Shim he had been blinded accidentally but later regained his eyesight, on the other hand, in the case of Oedipus he had had normal eyes at first but later himself took out his eyes. Therefore, while the play Oedipus is one of the great Greek tragedies, Shim-chung Jun is Korean classical comedy. Shim-chung is like Shim`s eyes. Since the time of her birth, that is, in her mother`s dream of forthcoming conception, she was originally the daughter of Seowangmo(a daughter of a divinity appeared in Chinese legend). She was a women of rank, but in the course of a performance of an order of The King of Heaves(of Taoism) she committed a crime and became punished. Therefore, she lost her mother at the time of her birth, and then supported her blind father. Antigone, as Oedipus represented his daughter as a pity child who substituted my eyes and can be called my eyes, also suffered a misfortune for generations because of her father`s sinful act. While both Shim-chung and Antigone played important roles, i.e., their fathers` eyes, their attitudes are quite different. We can see these different point of view in that the resistances to the fate between Shim and Oedipus are quite different. Antigone resisted her fate unlike Shim-chung. She resisted Creon`s artificial laws, and that is because her resistance is for Heaven`s laws in her mind, that is, Natural Laws. However, Shim-chung is different. The beauty of Korean classical literature is that it doesn`t look upon an agony as a pain itself. The nonexistence of eyes just means that one can`t see things. Although one can`t see anything, he/she doesn`t regard it as inconvenience. This is because he/she admits so called the substitutions of eyes. To Shim, it is his daughter Shim-chung. So we can say she is like Shin`s eyes. With the blindness of Shim and Oedipus, Antigone became Oedipus`s other eyes and Shim-chung Shim, Hak-kyu`s. They lost their eyesight, but got to search new eyes due to their daughters. They lost but regained the eyesight, and then finally could live forever.