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.

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.

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.

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.

韓國産 수수전분의 이화학적 특성에 관한 硏究

朴敬和,曺哉銑 경희대학교 부설 식량자원개발연구소 1984 硏究論文集 Vol.5 No.-

Sorghum (Sorghum dochna var. technicum, S) and waxy sorghum (Sorghum nervosum, B. et S.) starch granules were mainly polygon. The diameter of sorghum starch was 7-28.5 μ with average of 22.5 μ in length and 21.25 μ in width, and that of waxy sorghum starch was 10-25 μ, 20 μ, and 18.75 μ, respectively. Both starch granules showed A-type in crystalinity by X-ray diffraction analysis. Amylose content of sorghum starch was 25%, Blue value, ferricyanide and alkali number of it was 0.84, 0276 and 3.4, and that of waxy sorghum starch was 0.054, 0.118 and 2.0, respectively. Both starches were begun to swell at 50℃ and more than 90% of the starches swelled above 70℃, By the enzymic digestion test, the gelatinization is nearly 95% at 70℃. The pasting temperature and maximum peak height of 5% sorghum starch solution by amvlographic analysis were 70℃ and 380 B.U. and that of sorghum starch solution were 68.5℃ and 1198 B.U., respectively.

효율적인 단정도/배정도 승산을 위한 이중모드 승산기

박종화,이종남,신경욱 金烏工科大學校 1999 論文集 Vol.20 No.-

High-speed/low-power/low-cost multipliers play an important role in micro-processors and digital signal processors because multiplier core not only occupies a signigicant percentage of the silicon area, but also limits the overall performance. This paper describes a design of dual mode multiplier (DMM) that performs single- and double-precision multiplications using hardware required for single-precision multiplication. We propose an efficient algorithm which partitions a double-precision multiplication into four single-precision sub-multiplications and then computes them with sequential accumulations. When compared with conventional double-precision multipliers, our approach reduces hardware complexity required for double-precision multiplication by about one third at the expense of increased latency. The DMM has been designed using a 0.25-㎛ 5-metal CMOS technology, and contains about 25,000 transistors on the area of about 0.77×0.40㎟. The HSPICE simulation results show that the DMM core can safely operate with 150-MHz clock at 2.5-V, and the estimated power dissipation is about 110-mW at double-precision mode.

의약품의 효능별 안전성·유효성 평가에 관한 조사연구(Ⅰ) : 항균제 Antiboiotics

박윤주,최기환,김동섭,박인숙,정면우,임화경,오우용,강주희,박찬웅,김주일 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

새로운 물질이 개발되어 신약으로 탄생하기까지 많은 시간과 노력, 예산이 필요하다. 최근, 우리 나라에서도, 신약캐발이 어릴고 힘든 분야이지만 새로운 신약개발을 총해 얻어지는 분가가치가 막대함을 인식, 연구에 박차를 가하 있는 실정이다. 본 연구는, 의약품 개발 선진국인 미국 FDA에서 발행하는 참고자료 중 항균제 임상편가에 대한 가이드라인 및 주요 임상적응증별 항균제 기발(지역사획회득성 폐렴, 원내감염성 계렴, 급성기관지염의 2차세균감염, 만성기지염의 급성세균성 악화, 연쇄구균에 의한 인두영 및 편도염 , 단순성 요로감염증, 복합성 요로감염증 및 신우신영, 급성 세균성 부비동옆, 항 바이러스제 개발시 전임상단계에서 고려사항, 항 바이러스제 허가와 된련 잉상적 고려사항, 카레타 괸련 혈류감염)에 있어서의 파이드라인 등의 자료를 소개함으로져, 향후 제약사의 항균제 신약개발 및 허가 신청된 의악품의 전임상차료 및 잉상시험자료의 검토 평가업무에 참고자료로 활용될 수 있을 것이다. Changing or unclear interpretations of clinical trial data needed to demonstrate the effectiveness and safety of antimicrobial drug products have a times led to confusion and frustration on the part of both applicants and division of these drug products reviewers. The FDA published guidance on desing clinical protocols, implementing, and analyzing data from clinical trials for antimicrobial drug products has been presented and additional companion guidances introduced specific issues to individual infections. This document provides applicants and reviewers with minimal information appropriate for the clinical development of routine antimicrobial drug products and identifies issues common to many antimicrobial drug applications. The agency can use the kind of information to determine whether the antimicrobial drug product under study is safe and effective in the treatment of the specific infection studied.

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.