담도 및 췌장 악성종양에서의 CAl9-9의 진단적 가치에 대한 평가

명승재,최승목,김은옥,최호순,이성구,김명환,민영일,류진숙 大韓消化器病學會 1995 大韓消化器病學會誌 Vol.27 No.3

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

Helicobacter pylori와 대장균의 Shuttle Vector 개발

조명제,이우곤,이상룡,김경희,안영숙,김성희,김현주,류복덕,최여정,윤영혜,백승철,전영석,이광호 경상대학교 유전공학연구소 1997 遺傳工學硏究所報 Vol.16 No.-

In this study, a vehicle vector using cryptic plasmids was constructed for gene transfer in Helicobacter pylori. pHP51(3.9 kb) and pHP489(1.2 kb) were selected for constructing vectors from cryptic plasmid of H. pylori isolates in Korea. The HindⅢ-digestedDNA fragment(1.2kb) of pHP489 and 1.6kb DNA fragment of pHP51 were ligated with a kanamycin resistance gene(aph3'-Ⅲ) from C. jejuni to produce the recombinant plasmids pHP489K and pHP51K, respectively. Transformation frequency of pHP51K by electroporation was low. But pHP489K could be effectively transformed into various H. pylori strains. In order to design an intermdiate vehicle vector for gene transfer into H. pylori, pBlueHP489K was prepared by recloning pHP489K DNA into pBluescript and pTZ19R vector. This vector permitted the DNA fragment containing pHP489 sequence, aph3'-Ⅲ, and cloned DNA to be cut and self-ligated in the SacⅠ site after cloning. ureA and ureB gene were inserted into pBlueHP489K, resulting in pBlueHP489K/AB. The DNA fragment containing pHP489, kanamycin resistance gene(aph3'-Ⅲ), and urease structural gene was cut away from pBlueHP489K/AB and self-ligated to generate pBlueHP489K/AB. pBlueHP489K/AB made urease-negative H. pylori strains restore their urease activity. By this experiment, pBlueHP489K was confirmed to be the vehicle system for transferring H. pylori genes.

조선업 근로자의 누적외상성질환 실태와 누적외상성질환 범용 작업위험도 평가도구를 이용한 작업분석

한상환,백남종,박동현,장기언,이명학,박종태,김대성,이연숙,백경자,신용수,송동빈 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.4

Cumulative trauma disorders were surveyed in a cross-sectional study of 100 male shipyard workers an 43 male office workers. And baseline checklist for risk assessment of cumulative trauma disorders was applicated in a ship making process. Cases of cumulative trauma disorders were defined using physical examinations and electronic diagnostic mathods. Data on demographics, individual factors(medical condition), work organization and psychosocial aspects of work were obtained by questionnaire. Association between the above factors and cumulative trauma disorders were assessed by multiple logistic regression models. 29(29%) participants of male shipyard workers and 4(9.2%) study subjects of male office workers met our case definitions for cumulative trauma disorders. The myofascial pain syndrome of neck muscles(12% of participants) and carpal tunnel syndrome(5% of participants) were the major two medical conditions in shipyard workers. The odds of male shipyard workers for cumulative trauma disorders to male office workers was 3.15 after adjustment of age(95% C. I. : 2.25-5.44). And the variables such as duration of present job, HIVD condition, and surges in workload were associated at least one of the cumulative trauma disorders in the final models(p<0.05). This study indicates that workrelated upper extremity musculoskeletal disorders are relatively common among shipyard workers, and shows that the psychosocial factors is not likely to be related to the occurrences of these disorders in heavy workers. Also we developed baseline checklist for risk assessment of cumulative trauma disorders. The checklist was unique in that its expected users were industrial hygienists and occupational healthing nurses who did not have much ergonomic background and in that it was targeted to Korean workers in various types. As the first application of the checklist, shipyard workers were evaluated.

Louisa M. Alcott 소설에 표현된 복식 상징에 관한 연구 : 작은 아씨들을 중심으로 Little Women

임성경,한명숙 服飾文化學會 2004 服飾文化硏究 Vol.12 No.2

Symbol is one of the most profound ways to express the essence of human beings, as well as the most representative non-verbal communication medium. In this study, the descriptions of the clothing and ornaments of the main characters of the novel Little Women were excerpted from the Korean translation version. Based on the hidden symbols from the descriptions, after analyzing the characteristics of the main characters of the novel through their clothing and ornaments, the connection between the clothing and the symbols reflecting the internal workings of the mind was analyzed based on the previous theories on symbols. As proven in this study, since the clothing and ornaments directly symbolize the characteristics of the person, without any explicit statements about his/her characteristics, the clothing itself speaks volumes about them. Clothing is the most accurate visual symbol that speaks of the person's social, economic, and psychological aspects. The use of special clothing and ornaments or the highlight on certain parts reveals the characteristics of the character and his/her situations more effectively. In conclusion, literary, including novels well describes not only external factors, such as the social and cultural status of society and the character's economic situation, but also an individual's psychology such as his/her emotions and personalities. Therefore, the clothing that the character wears in a literary work symbolically reflects these factors.

출산율 및 피임수용에 작용하는 가족계획외적 요인에 관한 분석연구

朴相潤,李明淑,廉容泰 고려대학교 의과대학 1991 고려대 의대 잡지 Vol.28 No.3

Most developing countries are attempting to control their rapid population growths by decreasing their fertility rates through family planning services. Many researchers have shown that fertility rates are affected mostly by economic level. social modernization. and family planning service. However, there has been little work to see which of these factors are actually influencing. This research attempted to find out how much of effect these influencing factors had by periodically analyzing acceptance of family planning in a rual area in Korea and the subsequent changes in the area's fertility rate. Afterwards, differentiating analyses were carried out to group these factors into direct and indirect effects. The subjects for this study came from a community health delvelopment project carried out by the Korea University in the Jeomdong Myon. Yeoju Kun. Kyonggi Province. The data for this research was obtained from village health workers'activity records, health service records of the health subcenter and various official government records of Myon. Unlisted data were obtained by an interview survey The data was sorted by a computer system using a Database package. and the statistical analyses were carried out by utilizing the SPSS program. The results of this study were summarized as follows: 1 Family planning acceptance rate was increased from 53.0% in 1983 to 79.9% in1989. Total fertility rate(TFR) was decreased from 3,515 in 1983 to 1.945 in 1989 The change of TFR in 1983 to in 1989 was attributed to the declining age speciflc fertility rate of high age. 2. Variables of beyond family planning influencing the contraceptive acceptance in orders of explaning capability were age of marriage, financial capability and children,telephone, possession of electric domestics television, husband's job, multiparity and maternal health, expense of medical insurance, fatalism, family type, birth-place, educational level of husband, job before marriage, newspaper, birth-place of husband, religion,desirable marriage of female, the eldest son and to live with parants, educational level. The total of those variables could explain 49.9% of contraceptive acceptance. 3. Variables of beyond family planning influencing number of children ever born in orders of explaning capability were age of marriage, husband job, reliance at siblings, religion, job educational level, the eldest son and to live with parants, family type,educational level of husband, expense of medical insurance, fatalism, financial capability and children, multiparity and maternal health, boy-preference, number of desirable children, newspaper, possession of electric domestics, birth place of husband, television, job before marriage. The total of those varlables could explain 51.0% of number of children ever born. 4. As the result of regression analysis with contraceptive acceptance it could explain 14.7% of number of children ever born. 5. As the result of stepwise multiple regression analysis with factors relating beyond family planning and contraceptive acceptance the total of those variables could explain 53.8% of number of children ever born

석탄회 펠렛의 미연탄소 연소 현상 분석

崔尙丁,李孝眞,吳明淑 弘益大學校 科學技術硏究所 2001 科學技術硏究論文集 Vol.12 No.-

As the number of coal fired power plants in the domestic power industry continues to increases, the amount of fly ash produced is also increasing, making the reutilization of fly ash a vital issue. Various methods to reutilize the fly ash from coal power plants have been investigated, and one of such areas with the potential to grow is the usage as light weight sintered construction materials. Sintered fly ash aggregates are produced in two steps; the first is the pellet formation step, during which the fly ash particles containing unburnt carbons were made into a pellet using caking components, and the second the pellet sintering by the combustion heat of the carbons. During the sintering process, the combustion rate of the carbon affects the characteristics of sintered pellets. The combustion of carbon occurs via adsorption of O₂ on the active sites, and desorption of CO/CO₂. The parameters which affect the rate of adsorption, desorption, and transfer of O₂ and CO/CO₂ include the O₂ partial pressure and flow rate, the pellet size, the porosity, the pore tortuosity, the pore size distribution, the carbon content and distribution. This study investigated the combustion of carbon during the production of sintered fly ash through modeling. A simple combustion model using Langmuir isotherm is used to calculate the pellet temperature. The oxygen diffusion through the pores is ignored. At the temperatures of sintering, the desoption process is a rate limiting process, making the overall rate sensitive to the desoption kinetic parameters. In addition, it was found that the carbon content and the heat capacity of the pellet affected both the rate of the reaction and the final pellet temperature, while the area of active sites only affect the reaction rate. The future work will include the combustion modeling with external and internal diffusion of O₂, and the model confirmation through experimentation.

만성 틱 장애 뚜렛씨 장애의 임상 특성

신성웅,임명호,현태영,성양숙,조수철 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.1

뚜렛씨 장애는 근육틱과 음성틱이 만성적으로 지속되는 질환이다. 만성 틱장애는 근육틱 혹은 음성틱 중 하나만 지속적으로 나타나는 질환이다. 본 연구에서는 1998년 4월 1일부터 1999년 4월 1일까지 서울대학교병원 소아정신과 병동에 입원한 만성 틱 장애 아동과 뚜렛씨 장애 아동의 임상적 특징을 조사하고 두 질환 사이의 관계를 비교하고자 시행되었다. 이들의 특성을 확인하기 위해 대조군으로 학습장애 환자를 선정하였다. 조사 결과는 다음과 같다. 첫째, 만성 틱장애(n=13)와 뚜렛씨 장애 환자(n=29)의 평균 발병연령은 각각7.3±2.5, 7.2±2.2.세, 입원시 연령은 평균 11.7±2.7, 11.5±2.6세, 입원기간은 5.7±5.4, 11.0±8.7주였고두 군 사이에 의미 있는 차이는 없었다. 학습장애의 경우 발병연령(4.2±1.9세)이 두 장애보다 빠르고 의료기관을 찾는 시기(9.8±3.2세)도 빨랐다. 출생 계절은 틱장애 환자들에서 6월에서 9월 사이가 가장 적었지만 의미 있는 차이는 없었다. 남녀의 성비율은 각각 10 : 3, 26 : 3, 11 : 5였고 의미 있는 차이는 보이지 않았다. 환자가 출생할 때의 아버지와 어머니 연령은 세 군 모두 차이가 없었다. 둘째, 정신과적 가족력이 있는 경우도 세 군 사이에 차이가 없었고 각각 24.1%, 46.2%, 56.3%였다. 발병전 유발 요인이 확인된 경우는 만성틱장애와 뚜렛씨 장애에서 11.1%와 35.7%로서 의리 있는 차이를 보이지는 않았지만 학습장애(56.3%)에 비해서는 적었다. 셋째, 만성 틱장애와 뚜렛씨 장애, 그리고 학습장애 환자의 지능지수는 각각 언어성 지능 92.3±10.7, 94.7±14.9, 94.3±13.8이었고, 동작성 지능은 93.0±20.5, 97.5±13.0, 95.0±16.9이었으며, 전체 지능은 91.9±20.1, 95.8±14.5, 93.9±15.1로서 세 군 사이에 의미 있는 차이가 없었다. 기질적 뇌장애 소견은 CT/MRI등에서 0%, 27.3%, 6.3%, 뇌파 이상은 8.3%, 17.2%, 12.5%에서 나타났고 차이는 발견하지 못하였다. 넷째, 항도파민 약물에 대한 반응은 만성 틱장애와 뚜렛씨 장애 환자에서 각각 84.6%, 77.0%가 부분관해를 보였고 완전 관해된 경우는 한 명도 없었으며 두 군 사이에 차이가 없었다. 다섯째, 공동 유병현황을 조사한 결과 주의력결핍 · 과잉운동장애가 학습장애에서 의리 있게 많은 것을 제외하고는 세 군 사이에 통계적으로 의미 있는 차이를 보이지 않았다. 조사 결과 입원한 환자의 경우 만성 틱장애와 뚜렛씨 장애를 가진 환자들은 임상적으로 학습장애를 가진 환자와 많은 부분에서 파이를 보였으나 만성 틱장애와 뚜렛씨 장애를 구분해야 하는 근거를 찾지 못하였다. 중심 단어 : 뚜렛씨 장애 · 틱장애 · 진단 분류 ㆍ 임상적 특성. Tourette's disorder is a disease which manifests one or more motor tics and vocal tics for more than a year. Chronic motor tic or vocal tic disorders are characterized by only one kind of tics for more than a year. We intended to investigate the clinical characteristics of the patients with chronic motor tic disorders or Tourette's disorders who had admitted from May 1, 1998 to May 1, 1999 to Seoul National University Hospital Child and Adolescent Psychiatry ward. In addition, we compared the clinical characteristics of the patients in order to elucidate the relationship between the two disorders. The patients with learning disabilities were selected as controls. There was no statistically significant difference between the onsets of the patients with chronic motor tic disorders(n=13, 7.3±2.5 years) , and Tourette's disorder(n=39, 7.2±2.2 years), but with learning disability (4.2±1.9 years). Also, the patients with chronic motor tic disorder and Tourette's disorder showed similar age at admission (11.7±2.7 versus 11.5±2.6 years), duration of admission (5.7±5.4 versus 11.0±8.7 weeks), mothers' ages at child birth(27.3±2.9 versus 28.3 ±6.7 years old), and fathers' age at child birth (32.2±3.2 versus 33.3±5.2 years old). We observed that those who had learning disabilities were alike in those aspects, except for age at visit to clinic (9.8±3.2 years old). Family history of psychiatric illnesses (24.1% versus 46.2%), recognized precipitating factors (11.1% versus 35.7%) and response to pharmacological treatments (77.8% versus 76.9%) of the patients with chronic motor tic disorders and Tourette's disorders were observed and no differences were found. Comorbid patterns of diseases were noted. Intrafamilial conflicts were more common in the patients with learning disabilities than those with chronic tic disorders or Tourette's disorders. Precipitating factors were observed more frequent in chronic tic disorder and Tourette's disorder than learning disability. Neurocognitive profiles were investigated, and verbal IQs of the patients with chronic motor tic disorder, Tourette's disorder and learning disability were 92.3±10.7, 94.7±14.9, 94.3±13.8, performance IQs 93.0±20.5, 97.5±13.0, 95.0±16.9 and full-scale IQs 91.9±20.1, 95.8±14.5, 93.9±15.1, respectively, which were found to be not significantly different. No difference was found in structural neurological abnormalities and EEG profiles. The patients with learning disabilities showed more common Bender-Gestalt test abnormalities. In conclusion, we have not found any affirmative clues for the division of chronic motor tic disorder and Tourette's disorder in clinical perspective. KEY WORDS : Tourette's disorder ㆍ Tic disorder ㆍ Classification ㆍ Clinical study.

자일리톨 첨가가 동치미의 맛과 발효숙성에 미치는 영향

문성원,장명숙 한국조리과학회 2004 한국식품조리과학회지 Vol.20 No.1

The effect of xylitol on the Dongchimi fermentation was investigated by measuring the sensory, physicochemical and microbiological properties during fermentation of up to 30 days. Dongchimi with 0, 1, 2, 3 and 4% w/v xylitol was fermented at 10℃. The addition of 1% xylitol gave the highest scores in terms of the overall acceptability, texture, ripeness, sweet taste and smell. During the fermentation, the total acidity increased, while the pH gradually decreased. The reducing sugars showed the highest content with the addition of 1% xylitol. The vitamin C was increased in the early stage of fermentation, but reduced gradually after 5 days. The vitamin C content of the Dongchimi with 2% xylitol addition was shown to be the highest. The total viable cells and lactic acid bacteria increased between 2 and 5 days of fermentation, but were gradually reduced thereafter. The numbers of lactic acid bacteria with 1% xylitol addition were more numerous than with the other percentage additions. The current study showed that the application of 1% xylitol to the fermentation of Dongchimi enhanced the sensory values of the fermented product.

치과위생사의 구강보건지도 실천분석 : 진료실내의 성인환자를 중심으로

이성숙,조명숙,김설악 韓國學校保健學會 1999 韓國學校保健學會誌 Vol.12 No.1

The purpose of this study was to serve as a basis for the planning of oral health education and the development of an oral health-promotion program fur patients who visited dental clinics by examining how much dental hygienists offered oral health education to adult patients at dental clinics. A parent group was selected, being made up of 1,600 dental hygienists who registered with the Dental Hygienist Association and worked in Seoul. The questionnaire survey was carried out and an X2-test was made using the data collected from 218 subjects to determine how their practice of oral health education was different according to certain general_characteristics(the sort of organization for which they worked, age, the term of their service, and the mean number of patients per day). As a result, the following findings were obtained: 1 Thees general characteristics made the following differences to the content of oral health education: The sort of organization for which the subjects worked made a significant difference in the following tooth brushing instruction (p<0.05), the effect of oral prophylaxis or education about aftereffects (p<0.05), the regular examination of prosthesis (p<0.05), smoking-prohibition education (p<0.05), and the prevention poor-quality fillings (p<0.01). The mean number of patients per day made significant differences to the regular examination of prosthesis (p<0.05) and the prevention poor-quality fillings (p<0.01). But no significant disparity was generated by age or the term of service. 2. The general characteristics made the following differences to education about nutrition and diet counseling: The sort of organization for which the subjects worked had a significant effect just on the importance of a balanced menu (p<0.05). Age made significant differences in advice for vitamin, mineral, protein or other nutrients (p<0.01), and the importance of balanced menu (p<0.001). The term of service made significant differences in the importance of balanced menu (p<0.01), and advice for nutrients including vitamin, mineral or protein (p<0.01). 3. The general characteristics made the following differences to the recommendation and use of oral hygiene aids: The sort of oragnization for which they worked made significant differences only to a gingival massager and water pick (p<0.05). No significant difference was produced by age, the term of service or the mean number of patients per day. 4. The use of educational media for oral health was different according to the general characteristics: The use of pamphlets or booklets significantly varied depending on the organization for which !hey worked and with the mean number of patients per day (p<0.05). The use of slides or slide projectors was significantly affected by age (p<0.05). But no significant disparity was yielded by the term of service. 5. The general characteristics made the following difference as to whether a continued oral management system was carried out or not: The sort of organization for which they worked had very a significant effect on this result (p<0.001), and no significant disparity was made by age, the term of service or the mean number of patients per day. 6. The place where oral health education was giver differed according to the following general characteristics: The sort of organization for which they worked made very a significant difference as to the use of an examination room's dental unit chair or waiting room (p<0.01), and to the use of an oral health education room or reception counter (p<0.001). The term of service had a significant effect on the use of a counseling room (p<0.01). And the mean number of patients per day made significant differences in the rose of a dental unit chair or reception counter (p<0.05), and to the use of an oral health education room or waiting roam (p<0.01).