한국 아동 호스피스의 현황과 전망

강경아,김신정 대한간호학회 아동간호학회 2003 Child Health Nursing Research Vol.9 No.2

신장기증자들의 심리적 특성

정승아,김재환,강종명,이장한,김경욱 漢陽大學校 精神健康硏究 1998 精神健康硏究 Vol.17 No.-

Scanning Probe Microscopy를 이용한 자기조립 구조 Bio-molecule 및 DNA의 특성 분석

兪炅我,姜致中,金容商 明知大學校 産業技術硏究所 2005 産業技術硏究所論文集 Vol.24 No.-

In this paper, we characterized of assembly-structure of bio-molecule on the gold surface by Scanning probe microscopy(SPM), aiming to apply to the biosensors and bioelectronic systems. For the formation of the molecular structures, gold substrate was deposited on the silicon substrate first, and the cystamine terminated with thiol and amine group. Thiol group of cystamine was covalently immobilized on the gold surface. By characterizing this self assembled interaction with SPM. And Bio-molecules such as DNA, protein might interact with substrate where they are deposited, resulting in the change of conformation and physical, electrical properties. So, it is important to analyze properly the local characteristics of those molecules w.r.t. the ambient environment. By using scanning probe microscopy, we could manipulate DNA molecules electrically and measure their properties.

소금으로 팽화시킨 유과바탕 및 쌀엿강정용 팽화쌀의 품질

임경려,이경희,강순아 한국조리과학회 2003 한국식품조리과학회지 Vol.19 No.6

This study was performed to improve the quality and extend the shelf life of Yukwa and Salyeotgangjung, traditional Korean cookies, by using fine hot salt instead of oil as the popping medium. Yukwa and Salyeotgangjung were popped with fine salt, and the size, sensory evaluation, color values, and textural properties were then compared with those popped in oil. The results showed that the Yukwa base with salt was popped the most at 140C and the rice was popped at 240C. The Yukwa base in salts was smaller in size and larger in density than in oil but the popped rice in salts had a similar size and a smaller density than that popped in oil. In the sensory test, the Yukwa base and popped rice expanded in the salts were preferred to those popped in oil but there was little difference in only popped rice. In terms of color, there was a difference between those popped in salt and in oil. In terms of texture, only popped rice expanded in the salts was harder than in oil, and the Yukwa popped in oil was more cohesive than in the salts. In brittleness, there were no differences between in salt and in oil.

동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 미치는 영향

이슬아(Seul-Ah Lee),강선화(Seon-Hwa Kang),최원호(Won-Ho Choi),이인경(In-Kyung Lee),정상미(Sang-Mi Jung) 한국엔터테인먼트산업학회 2019 한국엔터테인먼트산업학회논문지 Vol.13 No.1

연구목적은 동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 영향을 미치는가를 알아보고자 하였다. 연구방법으로는 2018년 4월 23일부터 5월 18일까지 경인지역 병원에 입원 중인 재활환자 7명을 대상으로 MMSE-K와 LICA를 사용하여 평가를 진행하였고, 동작관찰프로그램으로는 상지 ROM 댄스, 풀 오버형 옷정리, 운동화 끈 묶기, 수건 개기, 양말 개기, 종이접기, 넥타이 매는 법 총 7가지 과제를 적용하였다. 통계프로그램으로는 SPSS version 20을 사용하였으며 기술통계, Wilcoxon signed ranks을 사용하여 값을 구하였다. 동작관찰훈련을 적용한 결과 MMSE-K 점수는 3.29±1.38의 변화량을 보여 p값 0.001로 유의한 값을 보였고, LICA 점수는 기억력에서 12.16±6.73으로 가장 유의한 값이 나왔다. 결론은 동작관찰훈련이 뇌졸중 환자의 인지기능 영역 중 기억력에서 가장 많은 영향을 미쳤으며, 다른 영역에서도 점수 향상은 있었으나 통계적으로 유의하지는 않았다. 앞으로 동작관찰훈련이 많이 사용되어 추후에는 뇌손상 부위별로 어느 영역에서 효과가 있는지에 대한 후속 연구가 이루어지길 바란다. This study aims to identify whether the action-observation training impacts on the improvement of stroke patient’s cognitive functioning. When it comes to the research methods, Korean version of Mini-Mental State Examination (MMSE-K) and Literacy Independent Cognitive Assessment (LICA) conducted to assess samples between 23 April and 18 May 2018. Samples are seven patients who are hospitalized in Kyung-In region. In the meantime, seven tasks such as the range of joint motion (ROM) dance, arrangement of pullover clothes, lacing-ups of a pair, folding up a facecloth and socks, the origami and tying a necktie implemented as the action-observation programme. In order to analyse collected data, descriptive statistics analysis, paired t-test and the Wilcoxon signed-rank test were carried out via SPSS version 20 (a statistics programme). The change in value from MMSE-K showed its statistical significant as 3.29 (±1.38, p<.001) as well as value from LICA in recollective powers was 12.16 (±6.73), therefore, the statistic is said to be statistically significant. In conclusion, action-observation training most influenced recollective powers amongst stroke patient’s cognitive functioning areas. Even though development of cognitive functioning discovered in other areas, its values were possibly statistically insignificant. Hence, future research ought to demonstrate which areas action-observation training is effective according to brain lesion site.

위암에서의 중합효소 연쇄반응에 의한 Epstein - Barr 바이러스의 검출과 LMP1 , p53 , CD44 의 발현

이명아(Myung Ah Lee),홍영선(Young Seon Hong),강진형(Jin Hyung Kang),이경식(Kyung Shik Lee),유진영(Jin Young Yoo),이교영(Kyo Young Lee) 대한내과학회 2002 대한내과학회지 Vol.63 No.3

N/A Background : Epstein-Barr virus (EBV) is associated with various lymphoproliferative disorders and nasopharyngeal carcinoma. Recently some of the tumor cells of gastric cancer were observed to contain EBV sequence. We detected EBV using PCR to determine the frequency of EBV associated gastric cancer, which is the most common cancer in Korea. We also performed immunohistochemical staining for the latent membrane protein (LMP1), p53 and CD44 to investigate the possible mechanism in EBV-associated gastric cancer. Methods : Eighty-seven formalin-fixed and paraffin-embedded blocks (40 gastric adenocarcinomas, 34 adjacent normal tissues, 13 metastatic lymph nodes) from 40 surgically resected gastric specimens were studied. All patients were diagnosed as having gastric cancer at the Kang-Nam St. Mary's Hospital during the period of April 1995 to April 1997. DNA was extracted from each paraffin block and then we performed PCR and immunohistochemical staining for the LMP1, p53 and CD44. We reviewed the patients' charts for clinical information. Results : EBV was detected in 4 cases (10%) by EBV-PCR among the 40 patients. It was also detected in a metastatic lymph node in 1 patient. The immunohistochemical staining for the LMP1, p53 and CD44 was negative in all the EBV-positive cancer patients. Of the patients having these cancers, 2 had a poorly differentiated adenocarcinoma with a lymphoepithelioma-like morphology. Conclusion : The frequency of EBV-associated gastric cancer may be about 10% in Korea. Considering the negative result of the immunohistochemical staining for the LMP1, p53 and CD44, EBV-associated gastric cancer seems to have a different mechanism of tumorigenesis from ordinary gastric cancer or other EBV-associated cancers. This must be determined by further large scale studies. (Korean J Med 63:261-266, 2002)

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

太谿穴의 臨床 活用에 대한 文獻考察

구성태,송문영,강정묵,김용명,박보라,이은석,홍정아,김경식,손인철 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Literally, the mean of Tae-gye is highest brook. And on the basis of the acupuncture theory, Tae-gye point is the Soo earth point and source point of the Kidney Channel as well. In addition, Tae-gye point is one of the Yang-Returning Nine points. We were trying to study bibliographically on the Tae-gye point because Tae-gye point can be used very broadly across the symptoms in the theoretical aspect described above. As a results, we found out that according to the classical books of acupuncture, Tae-gye point is entering point of the Meridian Water as a source point and can be used at both Kidney-Sufficient Syndrom and Kidney-Deficient Syndrom. And Tae-gye can be applied to the disease of kidney or bladder that is urogenital symtoms, Also, Tae-gye is an useful option of tooth-ache, asthma, indigestion, constipation, edema etc whose cause is related with decrease of Kidney ki.

흰쥐 젖샘신경으로 투사하는 중추신경내 Oxytocin 신경로에 관한 연구

백상호,강기동,김은아,조경제,최완성,이봉희 대한해부학회 1997 Anatomy & Cell Biology Vol.30 No.6

청소년 후기 말기 암 환자의 정서적.영적 돌봄을 위한 의미요법 CD 프로그램 개발

강경아,김신정,송미경,Kang, Kyung-Ah,Kim, Shin-Jeong,Song, Mi-Kyung 한국호스피스완화의료학회 2009 한국호스피스.완화의료학회지 Vol.12 No.2

목적: 본 연구는 청소년 후기 말기 암 환자의 전반적인 경험을 이해하고 총체적인 고통을 경감하도록 돕는 정서적, 영적 돌봄 프로그램인 CD 프로그램을 개발하기 위한 것이다. 방법: 2006년 11월 1일부터 2007년 10월 30일까지 Keller와 Song의 ARCS이론과 Kang의 멀티미디어 코스웨어 설계 과정을 응용하여 플래쉬 도구를 활용한 CD 프로그램을 개발하였으며, 개발된 의미요법 프로그램명은 "청소년 후기 암 환자를 위한 "내 삶의 보물찾기""이었다. 프로그램 개발은 <계획>, <설계>, <개발>-CD프로그램, 사용자(간호사)용 교육지침서 및 학습자용 교육용 책자, <평가>의 4단계를 통해 이루어졌다. 결과: 본 연구에서 개발된 의미요법 CD 프로그램은 총 5개의 비밀을 찾는 과정으로 교육시간은 각 차시별로 $15{\sim}20$분으로 구성되었으며. "비밀"로 명명된 각 차시별 구성은 의미요법에 대한 프로그램의 제작목적을 알려주는 <처음>과 6컷 만화를 통한 동기유발을 유도하기 위한 <마음열기>, 각 차시별 교육목적과 의미요법 교육이 진행되는 영상물 상영 <알아보기>, 교육 내용에 대한 카타르시스를 위한 <웃음 송>, 교육내용을 자신에게 직접 적용해 보는 <경험하기>, 메인화면으로 돌아갈 수 있는 <끝>의 6단계로 이루어졌으며, 교육용 소책자(의미노트)를 제공하여 반복학습이 이루어질 수 있도록 하였다. 본 프로그램은 청소년 말기 암환자가 있는 임상현장인 병원학교 혹은 지역사회 어느 곳이든지 컴퓨터가 가능한 곳에서는 사용할 수 있도록 CD로 만들어졌으며, 프로그램은 신규 간호사도 사용하기 편리하게 자동과 수동 양방향의 기능을 가지고 매체조작이 용이하도록 제작되었다. 교육지침서는 전체 내용을 손쉽게 파악할 수 있도록 되어 있고, <웃음 송>에 대한 저작권 등록은 완료된 상태로 전국의 소아 청소년 종양병동에서 무료로 사용할 수 있도록 하였다. 결론: 본 프로그램은 간호사들이 교육에 대한 큰 부담없이 의미요법 프로그램을 쉽게 진행할 수 있도록 제작되어 있어 임상에서 청소년 후기 말기 암 환자의 정서적, 영적 간호중재 방법으로 유용하다고 판단된다. 또한 말기 암환자 뿐 아니라 청소년 후기에 만성 및 불치의 질병으로 고통을 받는 대상자에게도 적용할 수 있다고 생각된다. Purpose: The purpose of this study was to develop a CD program of applied logotherapy for psycho spiritual care of late adolescents with terminal cancer. Methods: Keller & Song's ARCS theory and a model for developing learning materials was applied to develop this program composed four distinct phases: planning, designing, developing, and evaluation stages. Results: This program was entitled 'Finding meaning in my life' and consisted of 5 sessions and its educational contents were made up as follows: "First Secret" is 'learning three natures of the human mind', "Second Secret" is 'learning creative values first method to find meaning of life', "Third Secret" is 'learning experiential value as second method to find meaning of life', "Fourth Secret" is 'learning attitudinal value as third method to find meaning of life', and "Fifth Secret" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'Opening mind', 'Learning'. 'Laughing Song', 'Experiencing'. Conclusion: This CD program applied logotherapy with flash animation technique as an emotional and spiritual nursing intervention program for easier and more scientific application in pediatric oncology and hospice care area.