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Dong-Choon Uhm(엄동춘),Ji-Young Hwang(황지영),Myung-he Jun(전명희),Dong-ok Kim(김동옥) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.2
본 연구는 국내 임상간호사를 대상으로 기본소생술 수행을 설명하기 위한 가설적 모형을 설정하고 실증적 자료검증 을 통해 예측모형을 구축함으로써 국내 임상간호사의 기본소생술 수행 능력 향상을 위한 이론적 기틀을 제공하고자 한다. 본 연구는 2012년 10월 25일부터 2013년 2월 25일 까지 3차 의료기관 임상간호사 520명을 대상으로 설문조사를 시행하였으 며, 수집된 자료는 SPSS win 20.0와 AMOS 18.0 프로그램을 이용하여 분석하였다. 연구 결과 간호사의 기본소생술의 지식은 임상경험에 의해 직접적인 영향을 받았고, 임상경험은 기본소생술 수행의지에 간접적인 영향을 미쳤다. 지식과 임상경험의 기본소생술 수행의지에 대한 설명력은 19.5%이었다. 임상경험은 지식과 유의한 상관관계가 있었다(r=.61, p<.001). 따라서, 임상간호사의 기본소생술 수행의지를 높이기 위해 입원 환자의 질병 상태를 고려한 지식과 임상경험의 지속적인 교육이 필요하다. This study was conducted to develop a model that explains the factors influencing the clinical nurses' willingness to perform Basic Life Support and to verify the appropriateness of the model. The participants were 550 clinical nurses working at a university hospital in Korea. The data were collected from self-reported questionnaires from October 2012 to February 2013. A total of 520 questionnaires were analyzed using the SPSS/WIN 20.0 and Amos version 18.0 software packages. The results indicated that the clinical nurses' knowledge of basic life support had a direct impact and their clinical experience had an indirect impact on their willingness to perform basic life support at the scene. These variables together explained 19.5% of the variance in the nurses' willingness to perform Basic Life Support. The clinical experience was correlated significantly with knowledge (r=.61, p<.001). To increase the clinical nurses' performance of Basic Life Support, knowledge and clinical experience should be reinforced by continuous in-service education on Basic Life Support, considering the disease status of hospitalized patients.
Solvatochromic Parameter and Linear Solvation Energy Relationship in THF-MeOH Solvent Mixtures
Uhm,Tae-seop,Lee,Jong-pal,Ok,Chi-yul,Sung,Dae-dong 東亞大學校 1985 東亞論叢 Vol.22 No.1
THF-MeOH 혼합용매계에 대한 분광용매화 파라미터를 여러가지 지시약을 사용하여 측정하고 가용매분해반응과 친핵성치환반응속도상수와의 상관관계를 논의하였다. 수소결합받게 염기도 β는 메탄올의 함량이 증가함에 따라 조금씩 증가함에 따라 조금씩 증가하였고, 극성-편극성 파라미터 π*도 증가하였고, 또한 수소결합주게산도 α는 메탄올의 함량 증가에 따라 급격하게 증가하는 경향을 보였다. β-염화나프탈렌카르보닐, t-브롬화부틸, 염화벤젠술포닐, 염화테노일, 염화벤젠카르보닐, 염화휴로일의 가용매 분해반응 속도상수는 α의 영향에 따라 크게 증가하였고, p-아니시딘, p-톨루이딘, 아닐린 p-클로로아닐린과 염화벤젠술포닐의 친핵성치환반응 속도상수도 α-의 크기에 따라 증가함을 보였다. 이러한 경향은 a/s값에서도 일치하였고 반응은 대체로 결합파괴보다는 결합형성이 진전된 쪽으로 진행함을 알 수 있었다.
소뇌-교각종양 수술시 수술 중 전기생리학적 신경감시에 따른 수술 후 기능적 결과
이상구,박관,박익성,서대원,엄동옥,남도현,이정일,김종수,홍승철,신형진,어환,김종현,Lee, Sang Koo,Park, Kwan,Park, Ik Seong,Seo, Dae Won,Uhm, Dong Ok,Nam, Do-Hyun,Lee, Jung-Il,Kim, Jong Soo,Hong, Seung Chyul,Shin, Hyung Jin,Eoh, Whan,Kim, 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.6
Objectives : Intraoperative neurophysiologic monitoring(INM) is a well known useful method to reduce intraoperative neurological complications during neurosurgical procedures. Furthermore, INM is required in most cerebellopontine angle(CPA) surgery because cranial nerves or brain stem injuries can result in serious complications. Object of this study is to the correlation between the changes of intraoperative monitoring modalities during cerebellopontine angle tumor surgery and post-operative functional outcomes in auditory and facial functions. Material and Methods : Fifty-seven patients who underwent intraoperative neurophysiologic monitoring during CPA tumor surgery were retrospectively reviewed. Their lesions were as follows ; vestibular schwannomas in 42, other cranial nerve schwannomas in seven, meningiomas in five and cysts in three cases. Pre- and postoperative audiologic examinations and facial nerve function tests were performed in all patients. Intraoperative neurophysiologic monitoring modalities includes brainstem auditory evoked potentials(BAEP) and facial electromyographies(EMG). We compared the events of INM during CPA tumor surgeries with the outcomes of auditory and facial nerve functions. Results : The subjects who had abnormal changes during CPA tumor surgery were twenty cases with BAEP changes and facial EMG changes in twenty one cases. The changes of intraoperative neurophysiologic monitoring did not always result in poor functional outcomes. However, most predictable intraoperative monitoring changes were wave III-V complex losses in BAEP and continuous neurotonic activities in facial EMG. Conclusion : These results indicate that intraoperative neurophysiologic monitoring in CPA tumor surgery usually provide predictive value for postoperative functional outcomes.
( Sang-koo Park ),( Sung-hyuk Lim ),( Chan-woo Park ),( Jin-woo Park ),( Sung-ho Chang ),( Keun-hye Park ),( Hae-ja Park ),( Ji-hye Song ),( Dong-ok Uhm ),( Ki-bong Kim ) 대한임상검사과학회 2011 대한임상검사과학회지(KJCLS) Vol.43 No.1
The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V’ was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.
Park, Sang-Koo,Lim, Sung-Hyuk,Park, Chan-Woo,Park, Jin-Woo,Chang, Sung-Ho,Park, Keun-Hye,Park, Hae-Ja,Song, Ji-Hye,Uhm, Dong-Ok,Kim, Ki-Bong 대한임상검사과학회 2011 대한임상검사과학회지(KJCLS) Vol.43 No.1
The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V' was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.