NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략

박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.

Notes on bird species newly recorded in Korea

Kim, Hwa-Jung,Kim, Dong-Won,Hur, Wee-Haeng,Jang, Byoungsoon,Lee, Yun-Kyung,Kwon, In-Ki,Park, Jong-Hyun,Park, Jong-Gil,Kang, Chang-Wan,Kim, Eun-Mi,Choi, Soon-Kyoo,Kim, Han-Kyu The National Institute of Biological Resources 2020 Journal of species research Vol.9 No.4

A total of 527 species of birds have been recorded in Korea. We summarize the records of three genera and six species that have been newly reported in Korea, discovered through the avian monitoring programs carried out by The National Institute of Biological Resources from 2013 to 2016. These six newly recorded species are; Ring-necked Duck (Aythya collaris), Lesser Scaup (Aythya affinis), Bufflehead (Bucephala albeola), Black-winged Kite (Elanus caeruleus), Mongolian Lark (Melanocorypha mongolica) and Crested Myna (Acridotheres cristatellus). One Ring-necked Duck was observed on March 23, 2014 in Jungrangcheon Stream. One male Lesser Scaup was recorded on February 24, 2014 in Gyeongpoho Lagoon. A male bufflehead was first seen in Yeongrangho Lagoon on January 26, 2013. The Black-winged Kite was first observed on January 23, 2013 at the Gangseo Wetland Ecological Park. One Mongolian Lark was also recorded on May 11, 2016 and May 12, 2017 in Marado Island. The Crested Myna was first observed on April 20, 2016 in Seomando, Island.

축구선수의 Detraining과 Retraining이 혈청지질 및 호르몬농도에 미치는 영향

정정화,박재현,채종훈,성혜련,황지인,윤미숙,노금선,윤종관,윤영학,노순덕,정경숙,박일규,김은희,박현태,박상갑 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

The purpose of this study was to investigate the effects of detraining and retraining on serum lipid and hormones in soccer players. Subjects were seven male high-school soccer players. V˙O_2max was determined for each subjects by administering a treadmill test(initial speed: 90m/min, grade: 5%, increasing speed per 3 min: 30m/min). Serum lipid(T-C, TG, HDL-C LDL-C) and hormones(epinephrine, norepinephrine, growth hormones, cortisol) were assayed pre and post detraining in 10, 20, 30 days after retraining. The repeated ANOVA was used to determine significant differences. The 0.05 level of significance was as critical level for the study. The results of the study were as follows: 1. V˙O_2max(ml/min) were 3576.3±204.2ml/min pre detraining, 3234.1±198.9 ml/min post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/min) were 3601.4±170.9 ml/min. There were significantly(p<.05) increased in retraining periods. 2. V˙O_2max(ml/kg/min) were significantly(p<.05) decreased from 62.3±2.9 ml/kg/min to 55.9±4.7 ml/kg/min in detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/kg/min) were 62.4±3.4ml/kg/min, 62.7±2.3ml.kg/min, 67.3±7.2ml/kg/min respectively. There were significantly(p<.05) increased in retraining periods. 3. T-C were significantly (p<.05) increased from 166.6±8.5mg/dl to 175.3±10.3 mg/dl in detraining. In 10, 20, 30 days after retraining, T-C were 160.1± 3.2mg/dl, 156.7±3.7mg/dl, 140.3±9.0mg/dl. There were significantly(p<.05) decreased in retraining periods. 4. HDL-C were 61.4±6.6mg/di pre detraining, 5.3±6.6mg/dl post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, HDL-C were 56.9±7.1mg/dl, 56.4±9.2mg/dl, 57.7±9.1mg/dl respectively. There were no significant difference in retraining periods. 5. The hormones(epinephrine. norepinephrine, growth hormone, cortisol) were changed as same patterns. Epinephrine were 26.0±7.0[g/ml pre detraining, 24.6±3.2pg/ml post detraining. In 10, 20, 30 days after retraining, epinephrine were 26.9±5.6pg/ml, 30.6±6.2pg/ml, 29.4±5.6pg/ml respectively. There were no significant difference in retraining periods. In conclusion, HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were decreased, T-C, LDL-C and TG were increased in detraining. But HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were increased, T-C, LDL-C and TG were decreased in retraining.

동시와 미술을 활용한 아르미 프로그램이 유아의 창의성 향상에 미치는 영향

이경화(Kyung-hwa Lee),박은희(Eun-hee Park) 한국창의력교육학회 2003 창의력교육연구 Vol.6 No.1

본 연구는 동시와 미술을 활용한 아르미 프로그램이 유아의 창의성 향상에 효과적인지를 알아보고, 아르미 프로그램이 유아교육 현장에서 보다 바람직하고 효과적으로 쓰일 수 있도록 하는데 그 목적을 두었다. 연구대상은 서울에 소재하고 있는 동일한 지역 2곳의 유치원으로, 만 5세의 유아 각각 20명씩 총 40명이다. 그리고 실험집단은 아르미 프로그램을 2003년 3월17일부터 5월24일까지 10주 동안 40회 실시하였다. 한편 측정 도구로는 유아용 통합창의성 검사(이경화, 이신용, 2003)를 사용하였다. 연구결과에 의하면, 아르미프로그램을 적용한 실험집단의 유아가 창의적 능력에서 향상이 나타났다. 따라서 아르미 프로그램이 유아의 창의성 증진에 효과가 있음이 확인되었다. The purpose of this study was to determine whether Armi program would be effective for young children’s creativity and to explore how early childhood education could take advantage of that in an ideal and efficient manner. The subjects were 40 preschoolers who were five years old in Western age. 20 each were selected from S and G kindergartens located in the same region of Seoul. Two groups were organized with nine girls and 11 boys each, and the Armi program was conducted in the experimental group 40 times for 10 weeks. The instruments used in this study were Lee Kyung-hwa and Lee Shin-dong(2003)’s Preschooler Integrated Creativity Test. The findings of this study were as below: First, the experimental group exposed to the Armi program excelled the control group in verbal creativity, including fluency, originality and imagination, and the intergroup gap was significant. Therefore, the Armi program could be said to have an effect on furthering verbal creativity. Second, the experimental group that participated in the Armi program significantly outperformed the control group in figure creativity. The Armi program turned out to be effective for the development of the young children’s figure creativity. Third, there was no significant difference between the experimental and control groups in creative personality. The above-mentioned findings illustrated that the young children who were exposed to the Armi program improved in creative ability(language and figure) better than the others who participated in routine nursery-rhyme programs, As a consequence, the Armi program could be said to be of use for early childhood education.

부모의 언어통제유형과 유아의 창의성간의 관계

박유은(Park You eun),이경화(Lee Kyung hwa) 숭실대학교 영재교육연구소 2013 Global Creative Leader Vol.3 No.1

본 연구는 부모의 언어통제유형과 유아의 창의성간의 관계를 알아보는데 목적이 있다. 연구결과 첫째, 창의성 하위요인인 도형영역의 주제에서 인성지향형 어머니일 경우 유아의 창의성이 가장 높게 나타났다. 둘째, 부모 모두에게서 자녀가 남아일 경우 명령지향형적 언어통제유형을 많이 사용했고, 여아일 경우에는 인성지향형이 높은 것으로 나타났다. 또한 아버지의 학력이 대학교 졸업미만일 경우 명령지향형이 다른 유형보다 높은 반면 학력이 대학졸업이상일 경우 지위지향형 또는 인성지향형이 높은 것으로 나타났다. 셋째, 부모의 연령이 40세 미만 집단이 언어영역, 도형영역, 창의적 성격 모두 높게 나타났다. 그 중 어머니의 연령이 40세 미만인 집단의 유아 독립심, 모험심 요인이 높게 나타났다. 또한, 유아의 창의적 성격이 어머니가 미취업일 경우 더 높다는 것을 알 수 있다. 넷째, 부모의 언어통제유형과 유아의 창의성 요인 간의 상관관계를 살펴보면, 도형영역의 창의성 하위요인인 주제에서만 유의한 상관관계를 보였다. 본 연구는 부와 모의 언어통제유형과 유아의 창의성간의 관계를 봄으로서 유아교육현장에서 부모 상담 자료로 활용하고, 자녀를 양육함에 있어서 부모 간의 올바른 언어통제유형을 제시할 수 있는 부모교육의 자료를 마련하였다는데 의의를 가질 수 있다. The purpose of this study was to identify the relationship of parent's verbal control types and young children's creativity. In order to achieve this purpose, parent's verbal control types and young children's creativity were measured and differences in young children's creativity (language and drawing domain of creative ability and creative personality) according to parent's verbal control types (order orientation, position orientation, personality orientation) were identified. The subjects of this study were 100 five-year-old young children in early childhood educational institutions located in Seoul and Gyeonggi-do areas. The test tool used for this study was 'Parent's verbal control type questionnaire for parents by Lee Kyung-ah (2007). The test was divided the verbal control type into order-oriented control, position-oriented control, personality-oriented control and included 25 items from commonly occurred problem situations and 'Integrated creativity test for children' by Lee Kyung-hwa (2011). As for the study method, first the verbal control type questionnaire was distributed to families for the test of parent's verbal control types to collect in 1 or 2 weeks and the integrated creativity test was directly performed by home teachers of the early childhood educational institutions to children corresponding to sincerely prepared 100 questionnaires among the collected responses. SPSS WIN 18.0 Program was used for data analysis to perform frequency analysis, reliability analysis using Cronbach's α coefficient, independent samples t-test, One-Way ANOVA and Scheffe test, Chi-square test of cross tabulation and correlation analysis were performed for post test.

화병(火病)을 동반한 갱년기 환자 치험 5례

송유림 ( Yu-rim Song ),박경미 ( Kyung-mi Park ),양승정 ( Seung-jeong Yang ),이은규 ( Eun-kyu Lee ),김혜화 ( Hye-hwa Kim ),조성희 ( Seong-hee Cho ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.4

Objectives: The purpose of this study is to evaluate the effects of Korean traditional treatments for Climacteric Syndrome Patients with Hwa-Byung. Methods: From February 2015 to May 2015, We treated 5 Cases Patients with Korean traditional treatments for a month. We measured treatment effects by Menopause Rating Scale (MRS), Beck`s Depression Inventory (BDI), Visual Analogue Scale (VAS) and Digital Infrared Thermal Imaging (DITI). Results: After treatment, First, the scores of MRS, BDI were decreased. Second, the symptoms such as hot flush, pantalgia, palpitation, insomnia, fatigue were significantly improved. Also, the difference of ?中 (CV17, Danjung) and 關元 (CV4, Guanyuan) temperatures were significantly decreased after treatment. Conclusions: This study suggests that Korean traditional treatments such as Gamicheonglijagam-hwan, acupuncture, moxibustion are effective on Climacteric Syndrome Patients with Hwa-Byung.

생물학 탐구에서 학생들이 생성한 가설검증방법의 유형

박순화,고경태,정진수,권용주 한국과학교육학회 2005 한국과학교육학회지 Vol.25 No.2

이 연구의 목적은 학생들의 생물학 가설검증방법의 유형을 분류 데 있다. 이를 위해 고등학생 35명과 대학생 40명을 표집 하여 수국, 제비 나비, 감자즙, 펭귄 등 4개의 가설검증 과제를 투입하였다. 각 과제에서 연구대상 학생들은 현상을 관찰하여 인과적 의문을 생성하고, 집단토의를 통해서 하나의 가설을 생성하였다. 그런 후 스스로 생성한 가설을 검증할 수 있는 방법을 고안하였다. 연구자들은 이렇게 고안된 학생들의 가설검증방법을 분석하여 몇 가지로 유형화하였다 그 결과에 의하면 먼저, 하나의 원인으로 된 가설의 검증유형은 직접 관찰법, 유사현상 비교법, 긍정 비교법, 긍정-부정 비교법, 비례 비교법 등으로 분류되었다 그리고 여러 개의 원인으로 된 가설은 크게 부분 검증법과 전체 검증법으로 구분되었고, 부분 검증법은 다시 단일 유형과 다수 유형의 하위 유형으로 구분되었으며, 전체 검증법은 유기적 유형, 기계적 유형, 혼합 유형 등의 하위 유형으로 구분되었다. The purpose of this study was to analyze the college students' and high school students' testing methods for biological hypotheses. Subjects were 35 11th grade students and 40 college students. Four hypothesis-testing tasks were developed and administered to the subjects: hydrangea, swallow butterfly, juiced potato, and penguin tasks. After being presented with the phenomena of the tasks, students were asked to generate questions and hypotheses and then to write a hypothesis-testing method on a questionnaire. Students' hypothesis-testing methods were classified into 5 types for mono-cause hypotheses; direct observation, similar phenomenon comparison, positive comparison, positive-negative comparison, and proportion comparison. In addition, students' hypothesis-testing methods were classified into 5 types for multi-cause hypotheses; mono type, poly type, organic type, mechanic type, and mixed type. This study also discussed the implications of these findings for teaching and learning in science education.

백금(Ⅳ)착체의 약리학적 연구

박은희,임경화,신윤진,박미화 숙명여자대학교 약학연구소 1994 약학논문집-숙명여자대학교 Vol.10 No.-

The platinum complex, PtCl₄(2-CEen), was previously synthesized and shown to have anti-tumor activity. In the present study, toxicologic profile of PtCl₄(2-CEen) and its acute anti-inflammatory activity on carrageenin edema was observed with oral administration. The ef-4feet of this agent on acetic acid-induced writhing in mice were also examined. In male and female mice given a single intragastrical dose of PtCl₄(2-CEen), we determined that LD_(50) values were over lOOOmg/kg B.W. In the method of carrageenin edema and writhing test, the PtCl₄(2-CEen), orally administered in a single dose, tended to inhibit the development of hind paw edema in rats, and the number of writhing induced by acetic acid in mice. These facts suggest that PtCl₄(2-CEen) may have weak anti-inflammatory effect.

웹을 기반으로 하는 수업에서 강의평가를 위한 문항 분석

박찬정,임화경,지은림 한국컴퓨터교육학회 2002 컴퓨터교육학회 논문지 Vol.5 No.2

인터넷 기술의 급속한 발전으로 교육분야에서도 많은 변화를 가져오고 있고 그 변화 중 하나는 웹을 활용하는 수업들이다. 전통적인 교실 수업과는 달리, 웹을 기반으로 하는 가상대학 등에서는 멀티미디어적인 요소(텍스트, 그래픽, 사운드, 애니메이션, 비디오 등)를 갖춘 웹 문서를 기반으로 하이퍼미디어 기능을 이용하여 학습자가 자유자재로 항해할 수 있는 기능을 제공함으로써 가장 효과적인 수업도구로 점차 인식되어가고 있다. 그러나, 웹이 수업도구로 전이되어 가는 속도에 비해, 이들의 질을 평가할 수 있는 유용한 평가요소들에 대한 원형은 미흡한 실정이다. 본 논문에서는 최근 웹을 활용한 수업에 대해 평가할 수 있는 평가 항목을 제시하고, 이들을 실제로 한 가상대학에서 이루어지는 강의에 대해 적용시켜 전통수업과 비교하여 항목을 평가한다. 이를 통해 점차 확산되어가고 있는 가상대학의 양질의 강의를 위한 평가의 기초 자료로 사용될 수 있을 것이다. The development of internet technology has brought many changes in education as well as in overall society and especially, web-based instructions have been rapidly increasing. Unlike the conventional education environment, many web-based instructions offer multimedia effects with text, graphics, sound, animation, video, and so on via internet. In addition, by using the hypermedia functionality, they help students to navigate anywhere they want to go. However, the web-based instructions have been evaluated by the same criteria as the conventional courses. This paper develops the course evaluation items for web-based instruction and compares the results of course evaluation for the web-based instructions and the conventional courses.

Furosemide 利尿中의 아미노酸 誘導性 인슐린反應에 미치는 K 및 Ca 投與의 效果

朴璟和 충남대학교 의과대학 지역사회의학연구소 1979 충남의대잡지 Vol.6 No.1

During Furosemide diuresis, amino acid induced-responses of plasma glucose, insulin and growth hormone concentration were measured in healthy men. Effects of potassium or calcium administration on the responses were also studied. It was appeared that both the calcium or potassium supplement caused an alteration in amino acid induced responses shown during diuresis manifested by a increase in plasma insulin response and a decrease in plasma glucose rise. Although the increase in plasma insulin response after the ingestion of potassium were considerably greater than those that have been expected to result from the modest decreases observed in plasma sugar, furthur increase of insulin response after the calcium were consistent with decreased plasma suger. It was suggested that extracellular potassium and calcium loss caused by abrupt diuresis might inhibit endogenous insulin response to amino acid stimulation.