ICNP를 적용한 학교간호현상 및 특성과 초·중·고등학교의 학교간호현상 비교

김영임,왕명자,양순옥,현혜진,박은옥 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.1

Purpose : this study purposed to investigate school nursing phenomena in Korea by applying ICNP, the international standard nursing classification system developed by ICN, and to compare school nursing phenomena at elementary, middle and high schools. Method : The subjects of this study are 110 nursing teachers from 82 elementary schools, 16 middle schools, and 12 high schools. In the survey, subjects were asked to score the degree to which phenomena and characteristics of Koran school nursing, identified in previous research, on a 5 point scale. Questionnaires were distributed and recovered by mad and email. The period of data collection was 6 months from July to December 2003. The general characteristics of schools and nursing teachers were represented with frequencies and percentages, the phenomena and characteristics of school nursing with the score of the questions, and the phenomena school nursing by school grade with ANOVA and Duncan's posterior analysis. Results : 1) As for the characteristics of schools according to school nursing phenomena related to human behavior, the mean score of questions on inadequate stress management was highest at 3.24 points followed by the score on inadequate weight control (3.23), inadequate eating habits (3.22), the risk of spine disorders (2.68), inadequate emergency management (2.62), inadequate response to sex -related problems (2.19), and smoking and drug use (1.85). 2) As for the characteristics of schools according to school nursing phenomena related to human function, the mean score of questions on oral health management was highest at 3.11 points followed by the score on the risk of digestive system disorder (2.87), improper eyesight management (2.81), the risk of respiratory system disorders (2.75), lack of sexual identity (2.52), and inadequate contagious disease control (2.12). 3) As for the mean score according to school nursing phenomena related to environment, the score of the risk of accidents in classroom was highest as 2.68 points followed by the score of the risk of accidents around the school (2.66), maladjustment to school (2.62), the risk of accidents outside the classroom (2.43), inadequate learning environment (1.83), the risk of exposure to socially and physically harmful environment factors (La), and inadequate waste disposal (1.77). 4) This study tested the m n scores of questions corresponding to each school nursing phenomenon in order to see if there is a difference in the school nursing phenomenon among elementary, middle and high schools, and performed Duncan's posterior comparison for school nursing phenomena. A significant difference was found at p<.l. According to the results, school nursing phenomena found to be significantly different among elementary, middle and high schools was smoking and drug use (p<.05), which appeared more problematic in high school than in elementary school. phenomena such as inadequate eating habits, inadequate weight control, inadequate response to sex-related problems and inadequate waste disposal were also found to be statistically different at p<.l; however, according to the result of Duncan s posterior comparison, no difference was found among groups in improper eating habits and improper response to sex-related problems, and a significant difference was found between middle and high schools in inadequate weight control and inadequate waste disposal. Conclusion: Based on the results of this study, it is necessary to plan school health projects focused on the characteristic school nursing phenomena that had high scores and to develop and execute school healthe projects in accordance with the characteristics of elementary, middle and high schools. Considering that the scores of school nursing phenomena related to human behavior are high, it is necessary to introduce school health promotion projects in a systematic way.

수용범위 피드백이 배구의 언더핸드 서브학습에 미치는 효과

김명옥,김달영 公州大學校스포츠科學硏究所 1999 스포츠科學硏究所論文集 Vol.- No.13

The purpose of this study is to investigate of relative efficiency between every-trial knowledge of result and bandwidth knowledge of result on the learning of volleyball under-hand serve. This study used junior high school students of third grad who never had experience about volley ball. This study objects were divided three groups which had ten girls. The each groups were endowed by every-trial knowledge of result, by 2m bandwidth knowledge of result, and by 4m bandwidth knowledge of result. The result of this study are follows. First, in acquirement stage, to endow by every-trial knowledge of result isn't different from to endow by bandwidth knowledge of result. Second, in learning stage, it is more improved learning to endow by 4m bandwidth knowledge of result than to endow by every-trial knowledge of result, but it isn't different from to endow by 2m bandwidth knowledge of result.

호돈의 내러티브 테크닉 : 『주홍글자』에 나타난 현실과 공상의 중립적 영역 A Neutral Territory of the Actual and the Imaginary in The Scarlet Letter

김명옥 한국현대영어영문학회 2000 현대영어영문학 Vol.44 No.1

This paper aims at discussing how effectively and artistically Hawthorne expresses his theory of a Romance whose wold is a neutral territory of the Actual and Imaginary in his masterpiece, The Scarlet Letter. Hawthorne develops his view of mixture of the Actual and Imaginary in his fiction when he deliberately designs its setting and characters, and uses three main metaphors. In The Scarlet Letter the setting is bounded by both the actual and the imaginary. Hawthorne uses the history of the Puritan society, which gives its fiction a sense of reality. In the Puritan setting, the imaginary is basically built on the superstitious belief or fantasies of the Puritans. Puritans "real" world is mixed with their "really" imaginary belief. The characters like the setting, are bounded by the actual and the imaginary. Each of main characters is a human being in one sense but at the same time he or she is an allegorical type. Among characters, both Hester and Dimmesdale are more real than allegorical, on the other hand, both Chillingworth and Pearl are more allegorical than real. To convey the intermingling of the actual and the imaginary, Hawthorne employs the three metaphors of moonlight, the mirror, and the half-dream very effectively. The metaphor of moonlight, "making every object so minutely visible, yet so unlike a morning or noontide visibility," is "a medium the most suitable for a romance-writer to get acquainted with his illusive guest" as described in "The Custom House." The mirror reflects the physical reality and creates the semblance of the world. The third metaphor, half-dream, is effectively expressed in Hester's fantasy and in Dimmesdale's fantasy. The blending of the actual and the imaginary elicits the ambiguous responses to the work. Ambiguity is conveyed more effectively by the narrative strategy. The narrator plays an ambivalent role. Though the narrator is not a character who takes part in the events directly, he is an important figure throughout the work. Sometimes the narrator is deeply involved in the events of the work that he seems to ask us to feel sympathy for the characters; at other times, he maintains distance from them. Sometimes the narrator makes a direct address to the readers, but at the same time, he does not comment at all on even the crucial moments of the work. Instead he continues to say, "the reader may choose among these theories." After all, the technique of ambiguity presents us an opportunity for choosing one among more than two, though our choice is not easy. The whole vision is open to us. We can respond to the work with variety. It may be fruitful to understand our own ambiguous feelings about this work by placing them in the context of a Romance of a neutral territory of the actual and the imaginary and the ambivalent narrative voice.

Marie de France의 lais에 나타난 여성의 역할

김명옥 한국중세영문학회 1998 중세영문학 Vol.6 No.-

The Role of Women in Marie de France's laisMarie de France's lais mostly deal with the life of ordinary people coping with the problems, unhappy marriage between young wife and old posessive husband, and inadquate reward for services. Marie is concerned with the inequal relationship between an and woman in the limitations of people and society. Marie explores the roles and behaviors of man and woman in the male-dominated courtly culture. Marie's woman, in particular, are suffered from the double myth of female inferiority and male superiority.Marie's women are beings exiled from the male- dorminated public society, and at the same time they know suffering in their persoal and private lives. They, however, find outlets for the suffering in thier love or imagination. Marie's women in her lais help another females, cure the wounded men, satisfy men's physical and emotional needs, or love men discarded from the public society. The women's world is that of caring and love, which is contrary to the posessive and violent world of men.Marie shows the double gender structure of the courtly culture. but simultaneously she revises its structure. This paper studies the role of women in Gigemar, Lanval and Yoned in which Marie explores the gender anxieties. In Gigemar, Gigemar is a unnaturally perfect person in masculinity. He has no concern about love. When Gigemar is hurt by rebounded arrow, his physical wound and emotional imbalance have been healed by a woman who discovered him. The woman helps Gigemar, cures his wound, feeds him, and supplies feminine love lacking in his life. The woman, however, suffers for him and is exiled from the society. In Lanval, we are told that Lanval is known for his valor generosity, bravery, but that most of men and even King Arthur are jealous of these traits of his. He is a socially isolated person from his courtly culture. The woman from other world, Avalun, not only loves him, But treats his emotional wound. She helps him to restore the public identity he lost, supplying his material needs. The woman's role in Lanval is very similar to that in Gigemar, even if Lanval's woman does not undergo the suffering that Gigemar's woman does. Marie criticizes a male gaze watching a woman's body when she describes the woman's beautiful body. She cuts a male gaze, revising the traditional descriptive style.The woman in Yonec is isolated from the human society, trapped in a miserable marrage. She has been physically decayed from her living death. Her situation is much more desperate than that of Gigemar's woman. The young woman imagines aventures in order to find outlets from her life. Both in literary imagination and in reality, her lover flies to her as a hawk-knight and offers the healing love. Marie revises the double gender structure through the hawk knight's sexual transformation. the woman's wound is cured by the healing love he offers. The lovers suffer for thier love. but thier love comes to have a creative power. Love gives birth to both their son, Yonec and the lai, Yonec. The role of women in these three lais is to heal man's physical and emotional wound. Marie may give messages to women audience in order for them to recognize the inequal gender structure inherent in their culture through the role of her women. Mary also may try to cure this inequality in society through her words, as if her female characters might cure their lovers' wound through their love.

림프질 전이가 있는 하인두암과 하부식도암의 진단에 활용된 내시경초음파 유도하 Trucut 생검 1예

광명옥,이정환,문정섭,김유선,류수형,총배천,김형훈,김현태 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

The incidence of double primary cancer is about 10% in all kinds of cancers. Double primary cancer is usually accompanied by gastrointestinal cancer. Esophageal cancer is supposed to be frequently accompanied by squamous cell carcinoma of the head and neck or the upper respiratory tract, because of such common carcinogens as smoking and alcohol ingestion. Esophageal cancer and hypopharyngeal cancer are usually diagnosed by esophagogastric endoscopy with biopsy. We performed endoscopic ultrasound-guided Trucut biopsy(EUS-TCB) to diagnose a mediastinal mass in a 49 year-old patient, who visited our hospital because of voice change. During procedure, we accidently found enlarged celiac lymph node, and obtained tissue from the mediastinal lymph node and the celiac lymph node. We confirmed double primary cancer of squamous cell carcinoma in the esophagus and the hypopharynx via esophagogastric endoscopy.

이산대수문제에 기반한 그룹 비밀키 분배 및 갱신프로토콜

오명옥,김성열,정일용 조선대학교 전자정보통신연구소 2001 電子情報通信硏究所論文誌 Vol.4 No.2

본 논문에서는 ID 보안 기술에 기반을 둔 디지털서명, 키분배 기법을 이용하여 그룹 비밀키의 분배와 갱신을 위한 효율적인 프로토콜을 제안한다. 제안된 프로토콜의 안전성은 이산대수 어려움에 근거하고 있으며 단말기의 저장능력과 처리의 능력이 적을 경우도 적절하게 운영될 수 있고, 그룹 내에서 제외하고자하는 통화자가 동시에 여러 명일 경우에도 적용할 수 있다. 또한 통화자의 변동 없이 그룹 비밀키를 변경하고자 하는 경우에도 용이하게 키를 갱신할 수 있도록 설계되었다

극자외선 리소그래피에서 마스크 결함에 의한 이미지 특징

유명슬,박승욱,김옥경,오혜근 한양대학교 이학기술연구소 2004 이학기술연구지 Vol.7 No.

본 논문에서는 극자외선(Extreme-Ultraviolet) 리소그래피에서 사용되는 마스크 특성을 알아보았다. EUV 마스크는 Mo 와 Si 이 각각 2-4㎚ 정도의 두께로 쌓이기 때문에 공정상에 결함이 발생할 소지가 다. 전산 모사를 통해 마스크 상에 결함이 없을 때와 여러 가지 결함 조건 이 있을 때 웨이퍼 상에 전사되는 이미지 변화를 알아보았다. 결함의 조건에 의해 이미지 대조비 (Contrast), 폭(Width) 변화가 나타났으며 또한 이미지의 상 일그러짐과 최대 세기 위치 이동을 관찰 할 수 있었다. Simulation has been used to predict aerial images for masks with defect-free multilayer and with defect in multilayer. Mask defects are easily produced in an extreme-ultraviolet lithography mask fabrication process, because 80 Mo/si multilayer films are stacked and each stack is made from 2 to 4㎚. In this case, the multilayer can be stacked with defects and with slightly different heights. It is difficult to achieve an aerial image which is desired. This paper discusses various image properties when there is no defect and when there are different kinds of defects in the multilayer. The results are calculated by using SOLE-EUV of Simga-C. A finite-difference time-domain algorithm is used, and the aerial images caused by defects in the multilayer are also characterized.

급성 ST 분절 상승 심근경색증의 표준진료지침 설계

권선옥,김우식,오명기,나종천,이홍기,조욱현,최석구 인제대학교 2006 仁濟醫學 Vol.27 No.-

The use of critical pathways for a variety of clinical conditions has grown rapidly in recent years, particularly pathways for patients with acute myocardial infarction. We intend to determine the impact of a clinical pathway on ST-elevation myocardial infarction (STEMI) and to evaluate the efficacy and safety of facilitated percutaneous coronary intervention (PCI) compared with primary PCI. Low risk STEMI patients (ST elevation >0.1mV in more than 2 limb leads or ST elevation >0.2mV in contiguous precordial lead, chest pain lasting more than 30 min without response to nitroglycerin) will be included. All patients will be also treated medically according to critical pathway. STEMI is one of the common diseases in emergency medicine and so it is necessary to establish realistic treatment guidelines. The use of critical pathways will improve the quality of care.

영아 돌연사에 대한 고찰 : 13 부검례를 포함한 34례분석 Analysis of 34 Cases Including 13 Autopsies

문여옥,최희경,허정아,신우종,김명아,이성용,장성희,동은실,김종재,안영민,지제근 대한소아과학회 2002 小兒科 Vol.45 No.9

성인간호학회지 논문(1989-2000)의 내용과 경향 분석

서문자,김소선,송미순,이명선,오의금,신경림,김옥수,이숙자,이영자,오효숙,정재심,김철규 성인간호학회 2001 성인간호학회지 Vol.13 No.4

"Journal of Korean Academy of Adult Nursing" has been published since 1989 and more than 330 articles have been published up 2000. We reviewed all the articles published in this journal to analyze the contents and trend of published articles and to find out the way of improvement both in quantity and quality of studies in this area. The results are as follows : 1) Ninety percent of articles were quantitative studies. Experimental design was used in 16.1% and quasi-experimental design was adapted in 73.6% of articles. Qualitative research were 10.3% of total articles reviewed. 2) Only 5.1% of articles described theoretical framework and 73.6% of experimentally designed articles included research hypotheses. 3) Among experimental studies, only one was true experimental studie design. Eighty nine point three persent had descriptive survey method among non-experimental studies. Amog the thirty four qualitative studies, phenomenologic(73.5%), grounded theory(14.7%), and ethnographic (11.8%) design were used. 4) Most of research subject were patients and few healthy people, healthcare worker, and patient family. 5) Psychosocial data collection method which used questionnaire were 53.7% and interview. physical measurement, observation were used in 22.8%. 8.2% 5.4% of articles respectively. 6) Total number of keywords were 692, and average number of key words per article was 2.2. Health-related keyword was the most frequently used according to four metaparadigm of nursing (human, health, nursing, and environment). Environment related keyword was rarely appeared. The number and quality of nursing research in "Journal of Korean Academy of Adult Nursing" have been improved continuously. It is difficult to find out special trend or characteristics which is unique in this journal because of relatively short history of adult nursing studies. This review study was performed to analyze adult nursing studies only in the view of quantitative aspect, but it is needed to analyse qualitatively to find philosophical or theoretical trend in nursing.