한열변증에 따른 중풍 환자의 제반특성 비교

김민경,이인환,신애숙,김나희,김혜미,심소라,나병조,조승연,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Min-kyung,Lee, ln-whan,Shin, Ae-sook,Kim, Na-hee,Kim, Hye-mi,Shim, So-ra,Na, Byung-Jo,Cho, Seung-yeon,Park, Seong-uk,Jung, Woo Sang 대한중풍순환신경학회 2010 대한중풍.순환신경학회지 Vol.11 No.1

Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.

식도암과 위암이 동시에 발생한 원발성 중복암 1예

윤혜원,심기남,나선경,송도경,정정화,정가영 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.2

Double primary cancers are two independently developed cancers in an individual. There have been some reports on double primary cancer since Billroth reported it for the first time in 1879. Double primary cancer of the stomach and esophagus has been revealed a very low incidence worldwide. The incidence of an esophageal cancer with another primary cancer is reported to be 9.5∼27%, but double primary cancers in the esophagus and stomach have been rarely reported to our knowledge. In this study, we present here a case of double primary esophageal and stomach cancer in a 66-year-old man because of progressive dysphagia.

장애인 고용에 있어 적극적 우대정책의 개선방안 연구 : 공공분야를 중심으로

나운환,김동주,이혜경 한국장애인재활협회 2004 재활복지 Vol.8 No.1

본 연구는 공공분야의 장애인 적극적 우대정책을 UN, ILO등 국제기구의 권고와 협약, 외국의 정책과 비교·분석하여 개선방안을 마련하고자 한 연구로서 연구에서 나타난 결과는 한국의 공공분야 적극적 우대정책은 적용대상범위나 기준고용율, 관련법률의 지원 등에 있어서 많은 문제점을 가지는 것으로 나타났으며, 이를 개선하기 위한 방안은 적용대상자의 범위를 확대해야 하는 데 68.3%에 달하는 적용제의 직렬을 적용대상으로 포함하고, 기준고용율을 7-8%까지 확대 개정하며, 적용대상 시험의 범위도 일반직·세무직 중심의 시험대상 범위를 공공분야 전 직종으로 확대하고, 고위직 공개채용에 있어서도 적극적 우대정책을 실시하는 방향에서 법을 개정할 필요가 있으며, 이를 위해 채용목표율을 현재의 5%에서 10%까지 확대하고 모든 공공부분 적용대상 기관은 장애인 고용율 5%까지 반드시 채용하도록 하는 고용하한제를 도입하고 한시적으로 그동안 적용제외 직종이었던 연구전문직·정무직·별정직·기능직 등에서 장애인 고용율이 공직 평균고용율이 될 때까지 장애인에게 직종을 유보하는 유보직종제 도입을 명시할 필요가 있다. 둘째, 공공분야 입직관련 교육대학, 경찰대학, 세무대학, 철도대학들은 장애인 특례입학을 실시하도록 관련법을 개정해야 할 것이며, 셋째, 공정한 인사관리를 위해 장애인이 참여하는 협의체를 중앙인사위원회내 혹은 각 부처별로 설치하여 장애인 채용, 보지관리, 승진들의 인사문제를 협의하도록 하며, 넷째 법의 실효성 확보를 위해 현재의 공표제도외에 차년도 예산에 네가티브 적용이나 고용계획서 변경요구에 불응할 경우에는 벌금 부과, 고용합의제 운영 등의 방법을 도입할 필요가 있다. 다섯째, 국가공무원법과 공무원신체검사 규정, 공무원교육훈련법, 국가기술자격법, 자격기본법에 장애인의 적극적 우대정책이 명시되도록 개정되어야 하며, 마지막으로 공직부분의 간접고용확대를 위한 특별법 법률제정이 필요하다. The purpose of this study is to develop affirmative action policies for integration employment of persons with disabilities. The ultimate goal of affirmative action policies may be voluntarily implemented by ann organization. In such an event, goals are established and action is taken to hire and move disabilities upward in the organization. As such, this study may include a broad array of possibles services and outcomes, such as, human resource plaining. recruitment, selection. job development and compensation etc. The methods of this study comparative studies affirmative action policies of for integration employment of persons with disabilities among nations such as Germany, France, Japan and Korea were carried out. The conclusions of this study are as following: First, to establish a basic infrastructure for successful creation of job for postsecondary service and an acting a Disability Discrimination Act and a revision of Disabled persons Employment promotion and Vocational Rehabilitation Act. Second, the standard employment quotas for disabled persons should be extend to cover 7-8% so that they will have incentive to employ disabled persons. Third, require to make discharge of an obligation in government sector of affirmative action policies. Fourth, to do the revision related laws such as a National Civil Servant Act, the Education and Training for National Civil Servant, the Qualification fundamental Act.

Phorbol Ester로 유도된 COX-2의 발현에 미치는 녹차의 항산화성분 EGCG의 억제 효과와 그 분자 생물학적 작용기전

나혜경,서영준 대한암예방학회 2003 Journal of cancer prevention Vol.8 No.4

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.

서울지역의 혼수 및 예단 풍속에 관한 연구 : 일제말부터 현재까지

홍나영,최혜경 서울시립대학교 서울학연구소 2001 서울학연구 Vol.- No.17

This study will attempt to observe how the marriage customs in Seoul, Korea have changed due to social fluctuations and values related to the fluctuation from the end of Japanese colonial period to the present. Seoul has performed a major role in Korean culture as the capital of Korea. However, Seoul gad experienced more cultural transition on a account of urbanization of process of modernization, and consequently Seoul has not been able to make the most of its specific characteristics. At this point, this study observes how modernization of Korea have influenced on our marriage customs around Seoul. For this, this study deals with the transition of the meaning of marriage and mate selection process. Also, it examines the transition of wedding gifts exchanged between the bride and bridegroom, marital goods, and wedding ceremonies around Seoul, in this period. In order to understand traditional wedding ritual and change in wedding practices, this study carried out literacy research. It also carried out case studies to find content involved in traditional and present wedding practices. The implication of this studies are as follows: First, the meaning of marriage of marriage as familism has altered to a form that emphasizes individualism, and mate selection process has changed to more various, concrete. Second, wedding gifts exchanged between the bride and bridegroom have become various and expensive due to materialism. Marital goods as devotion have become practical and rational. Third, wedding gifts box in wedding ceremonies has simplified as a busy life style of city. Brides gifts/food to her parents-in-law prepared by home work have changed to be commercialized and specialized. Since Korea have adopted the products of Western civilization, modernization, and urbanization, individualism, materialism, rationalism, and commercialism have emerged, and affected people's values. In the result, these values or attitude are the factors determine ritual customs including marriage.

천연염색 의류에 대한 소비자 반응 및 소비자 특성

홍나영,유혜경,이주현,석혜정,신혜성,김찬주 服飾文化學會 2003 服飾文化硏究 Vol.11 No.3

The main purpose of this exploratory research was to examine the characteristics of consumers who patronize natural-dyed clothes and their perceptions regarding natural-dyed clothes. Thirty three participants who have worn natural-dyed clothes were interviewed for the study. They were asked about styles and price of natural-dyed clothes they owned, their evaluation on them, and the lifestyles of themselves. Existence of subculture among the interviewes and its characteristics were also probed. The results indicated that natural-dyed clothes are relatively high-priced, mostly of modified hanbok style, and became popular in recent years. Interviewees frequently mentioned uniqueness and comfort as the main benefits of natural-dyed clothes, and expressed dissatisfaction regarding color fastness, easy care and problem of coordination. The consumers of natural-dyed clothes appeared to have strong preferences for environment conservation and Korean traditional culture. They also seemed to form a subcultural group who have commonality in their involvement in Korean cultural activities, mainly tea ceremony.

프리셉터 경험이 간호업무수행과 직무만족에 미치는 영향 연구

류언나,송혜숙,장은희,서효신,추연화,김인선,나명주,지성애,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of this study was to investigate how preceptor experience has an effect upon preceptor nurses. This study was so designed that it could compare the difference between clinical performance and Job satisfaction of preceptor nurses and those of nonpreceptor nurses. Study subjects were sampled out from those nurses who worked with two university hospitals where preceptor programs were implemented. The number of subjects totaled to 134, including 69 preceptor nurses and 70 nonpreceptor nurses. The score of preceptor nurses' clinical performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. Among all of the preceptor nurses, the highest number of preceptor experience was just one time. Except for five times in preceptor experience, the more the number of times of preceptor experience, the higher score in clinical performance. It was manifested that the number of preceptor experience was not related to job satisfaction. The score of preceptor nurses' clinica1 performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. The reward that preceptor nurses wished most was a reduction of the work load assigned to them. Currently preceptor nurses are only receiving a small quantity of financial reward related with their preceptor role. Most of preceptor nurses (96.8%) were not satisfied with their existing reward. Almost half of the preceptor nurses(43.5%) did not want to play a role as preceptor again. The reason why the scores of clinical performance and job satisfaction were low might be attributed to the inadequate preceptor training program and reward system. Appropriate knowledge and clinical skill are expected to enhance the level of preceptor nurses' clinical performance and appropriate internal and external reward to elevate the level of preceptor nurses' Job satisfaction. Therefore, it is needed for us to develop more effective preceptor education program, financial reward, support of colleague nurses and nursing managers, and adjust workload for the purpose of more effective preceptor programs.

만성신부전 환자에서 발생한 파종결핵

정가영,나선경,윤혜원,송하응,류정화,류동열 이화여자대학교 의과학연구소 2013 EMJ (Ewha medical journal) Vol.36 No.1

Patients with chronic renal failure (CRF) are known to be more susceptible to tuberculosis infection due to impairment of the host defense mechanism. Although extrapulmonary tuberculosis is more prevalent in those subjects and it may induce dismal outcome, its diagnosis has been challenging since there is no specific symptoms of the disease and the clinical course is usually atypical. Herein, We report a case of disseminated tuberculosis diagnosed by ultrasound-guided liver biopsy in a 31-year-old CRF patient presenting sustained fever despite broad-spectrum antimicrobial therapy and progressive cholestatic jaundice.

Android 기반의 PC 원격 제어기

박귀상;이나경;조혜민;양길웅;박세명 인제대학교 2012 仁濟論叢 Vol.27 No.1

One of the most attracting and interesting point of the application of the smart phone, particularly such as Android based smart phone, is not only providing additional useful functions to the user but also its easy and wide availability through the connection of the other types of devices. In this paper, we proposed and implemented Android application for the Remote PC control. In this paper, we used UDP network communication for sending data to the server and controlled the packet transmission rate to minimize the packet loss. And we used Spy++ tools and PostMessage function to controll outer device. We show that application based on the Android is very useful method for achieving and supporting the harmonized function between various independent devices