유아교육기관에서의목공놀이활성화를위한프로그램개발

손지현,정은주 서울여자대학교 2007 아동연구 Vol.13 No.-

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旣婚女性患者의 家族支持가 自我槪念과 身體象에 미치는 影響

이은주,손정태,서순림,박점희 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.4

본 연구는 입원한 기혼여성환자가 지각한 배우자지지, 가족지지, 자아개념, 신체상 정도를 파악하고 각 개념간의 관계를 알아봄으로서 기혼여성환자가 보다 긍정적인 자아개념과 신체상을 형성할 수 있도록 돕기 위한 간호중재의 기초 자료를 제공하고자 실시 하였다. 본 연구의 결과는 다음과 같다. *배우자지지 정도와 가족지지 정도는 유의한 차이가 없었다. *자아개념 정도는 3.77이었고 그중 인지적 자아개념은 3.88 평가적 자아개념은 3.67로 나타났다. *신체상 정도는 2.85이었고 그중 신체적 만족도 도구로 측정한 신체상은 2.87, 신체의미척도로 측정한 신체상은 2.81로 나타났다. *배우자지지, 가족지지, 자아개념, 신체상은 유의하게 순 상관관계를 나타내어 가족지지나 배우자지지를 강화 시킬수록, 기혼여성환자의 자아개념과 신체상은 긍정적으로 변화될 수 있다. *기혼여성환자의 신체상이 긍정적일수록 자아개념도 긍정적이다. *지지도별 기혼여성의 자아개념과 신체상 정도는 가족지지보다 배우자지지를 더 높게 지각한 기혼여성이 신체상은 유의하게 더 높았으나 자아개념은 유의한 차이를 나타내지 못했다. *연령과 배우자지지, 가족지지와의 관계는 연령이 증가함에 따라 기혼여성은 배우자보다 다른 가족 구성원에게서 더 많은 지지를 얻는 것으로 나타났다. *일반적 특성 중 배우자지지와 가족지지정도에 영향을 미치는 것은 '종교'였고 자아개념에는 '경제수준' 신체상에는 '교육정도'로 각각 나타났다. The purpose this study is to identify the degree of family support., spouse support, self concept and body image of the hospitalized married women and correlation of these four concepts, and to provide the basic data for the nursing care. This study was conducted from sep. 12 to Oct. 2. 1988, and 114 hospitalized married women who were at three hospital in Taegu city. The result of this study is summarized as follow: ·The degree of family support was 3.83 and that of spouse support was 3.89. significant difference was founded in item "They talk their own problems or family problems with me". ·There were no significant difference between family support and spouse support of hospitalized married women. ·The degree of percept was 3.88 and that of evaluative self concept was 3.61. The perceptual self concept was relatively high. ·The degree of body image measured by Semantic Differential Scale was 2.87 and that of measured by Body Cathexis Scale was 2.81, that latter was similiar to the former. ·There were so significant correlations among family support, spouse support, self concept and body image that the more encourage family support or spouse support, the more positively change self concept and body image. ·The more positive the body image, the higher the self concept of the hospitalized married women. ·Hospitalized married women who more highy perceived spouse support than family support significantly high recognized in body who image, but did not so significantly recognized in self concept. ·General characteristic variable influencing the level of the perceived spouse support was religion and that influencing the level of the perceived family support were family pattern and religion. ·As aging process, Hospitalized married women received more support from other family members rather than from their spuose. ·General characteristic variable influencing the level of the self concept was economic state, and that influencing the level of the body image was educational level.

청각장애인의 사회통합 영향요인에 관한 연구

신은경,이익섭,손주영 한국장애인고용촉진공단 고용개발원 2009 장애와 고용 Vol.19 No.2

청각장애인은 고용상태가 불안정하며, 삶의 속도가 빨라지는 정보화 시대에 사회통합에 필요한 실제적인 지원체계가 결핍된 채 살아가고 있다. 이러한 상황은 그들의 장애정체감을 왜곡시키고, 타인과의 관계형성에 어려움을 겪게 하며, 나아가 사회통합을 저해하고 있는 것이다. 이에 본 연구에서는 청각장애인의 사회통합에 영향을 미치는 결정요인을 고용유무, 문제실제지지, 장애정체감, 사회적 교제관계로 설정하고 각 영향요인과 사회통합의 관계 경로를 검증해 보았다. 본 연구는 전국에 거주하고 있는 청각장애인 134명을 대상으로 조사하였으며, 확인적 요인분석을 통하여 분석한 결과, 모형의 적합도는 좋은 적합도(close fit)를 보여주었다(TLI .912, CFI .942, RMSEA .049). 변수 간의 관계구조의 검증결과를 보면, 청각장애인의 문제실제지지는 장애정체감에 정적영향을 주며, 장애정체감은 사회적 교제관계에 정적영향을 주고 있었다. 또한 사회적 교제관계는 사회통합에 정적영향을 주었다. 고용유무는 사회통합에 직접효과를 가진다고 검증되었다. 본 연구를 통하여 청각장애인의 고용에 관한 정책적 지원과 그들의 문제를 구체적이고 실제적으로 지지해줄 수 있는 체계의 마련이 필요함을 알 수 있었다. 이러한 지원체계의 마련이 궁극적으로는 사회통합에 영향을 주며, 동시에 장애인의 긍정적 정체감 형성을 돕고, 친밀한 대인관계를 형성하게 되는 것에도 효과가 있음이 검증된 것이다. The condition of employment the deaf is unstable, and they are maintaining their life with lack of practical support system for social integration in this fast turning information-oriented society. These circumstance distorts their disability identity, distresses on having relationship with other people, moreover it is hindering social integration. At this point, the study verifies the effect factors of the deaf to integrate in society by setting up an employment status, a disability identity, a problemoriented instrumental support and a social association relationship. This research targeted 134 the deaf group from the whole country, and by analyzing confirmatory factor analysis, it revealed suitability of the model is close fit(TLI .912, CFI .942, RMSEA .049). A result for verification in relationship system among variable is that, problemoriented instrumental support has positive relationship with the deaf ’s disability identity and disability identity is also related with social association relationship in affirmative way. It verified that an employment status has direct effect on social integration. Through this research, we felt the necessity of providing the political support for the employment and the system which could sustain their problems concrete and practically. By providing these supports, it will bring a good effect on social integration ultimately, and simultaneously, it will help disabled to form an positive identity, and it verified that it will support them to make a intimate personal relations.

연쇄알구균 감염에 의한 급성 인후염 후 반응성 관절염 1예

박은하,도연실,양정채,강미라,서현주,정숙인,손준성,기현균,오원섭,백경란,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

연쇄알구균에 의한 급성 인후염 후 발생한 반응성 관절염은 급성 류마티스열의 개정된 진단기준을 충족하지 못하면서, 지속적 혹은 재발성의 비이동성 관절염과 발열, 홍반성 결절, 일시적 간기능 이상 등을 보이면서 심장염과 무도증을 드물게 동반하는 질환이다. 따라서, 발열을 동반한 급성 관절염 환자에서 감별해야 할 질환 중의 하나이며, 심근염 예방을 위한 페니실린 요법의 적응증 및 기간에 대해서는 아직 이론이 많은 상황으로, 보다 광범위한 연구가 필요하다. 저자들은 연쇄알구균에 의한 급성 인후염 1주 후에 발생한 하지의 다발성 비이동성 관절염과 함께 결절홍반 및 일시적 간기능 이상을 보인 환자에서 PSRA로 진단하고 비스테로이드성 항염증제 및 스테로이드로 성공적인 치료를 하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Poststreptococcal reactive arthritis (PSRA) is associated with recent streptococcal infections. However, PSRA is distinct from acute rheumatic fever by its clinical manifestations: non-migrating arthritis, erythema nodosum or erythema multiforme, and transient elevation of serum transaminases. We experienced a 33-year-old man who presented with fever, arthritis of both knees and ankles, and erythema nodosums on extensor surfaces of lower legs which developed 6 days after the onset of pharyngitis symptoms. Blood and urine cultures were negative. Throat culture was negative for group A β-hemolytic streptococcus. The ASO titers increased up to 2080 IU/mL in sequential monitoring. The result of bone scan was compatible to arthritis of both knees and ankles. There were no signs or symptom of carditis. He showed clinical improvement with anti-inflammatory drugs (naproxen 1,000 mg/day and prednisolone 7.5 mg/d). PSRA should be included in the differential diagnosis of patients presenting with arthritis combined with fever.

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

용접비드 형상예측 시스템 개발에 관한 연구

김일수,손준식,박창언,서주환,장경천,이동길 朝鮮大學校 機械技術硏究所 2005 機械技術硏究 Vol.8 No.2

Generally, the use of robots in manufacturing industry has been increased during the past decade. GMA(Gas Metal Arc) welding is an actively growing area and many new procedures have been developed for use with high strength alloys. One of the basic requirement for welding applications is to study relationships between process parameters and bead geometry. The objective of this paper is to develop a new approach involving the use of neural network and multiple regression methods in the prediction of bead geometry for GMA welding process and to develop an intelligent system that enables the prediction of bead geometry using Rapid Prototyping(RP) in order to employ the robotic GMA welding processes. This system developed using MATLAB/SIMULINK, could be effectively implemented not only for estimating bead geometry, but also employed to monitor and control the bead geometry in real time

한국어 성취도 평가에서의 교사와 학습자간 난이도 불일치에 대한 연구

원해영,손주희,안희은 부산대학교 교육연구소 2012 교육혁신연구 Vol.22 No.3

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

만성정신질환의 욕구에 대한 수요자와 공급자 측면의 비교연구(Ⅰ) : 만성정신질환자의 정신보건 욕구사정 도구 개발 예비 연구 The Development of Needs Assessment Tool for Mental Health of Chronically Mentally Ill(Preliminary Study)

이종국,한은선,안강호,김명식,김장배,손봉희,이주호 용인정신의학연구소 1999 용인정신의학보 Vol.6 No.2

Pseudomonas sp. EL-G527에 의한 환경친화성 생물계면활성제의 생산최적조건

차미선,임은경,이근희,조순자,손흥주,이상준 한국환경과학회 2002 한국환경과학회지 Vol.11 No.3

A biosurfactant-producing microorganism was isolated from activated sludge by enrichment culture when grown on a minimal salt medium containing n-hexadecane as a sole carbon source. This microorganism was identified as Pseudomonas sp. and it was named Pseudomonas sp. EL-G527. It's optimal culture condition is 2% n-hexadecane, 0.2% NH_4NO_3, 0.3% KH_2PO_4, 0.3% K_2HPO_4, 0.02% MgSO_4·7H_2O, 0.0025% CaCl_2·6H_2O, 0.0015% FeSO_4·7H_2O in 1ℓ distilled water and initial pH 7.0. Cultivation was initiated with a 2% inoculum obtained from starter cultures grown in 30 ㎖ of the same medium in 250 ㎖ flask. They were cultivated at 30 ℃ in reciprocal shaking incubator and the highest biosurfactant production was observed after 4 days.