뇌혈관 환자에 대한 간호진단 적용 분석

김명희 대구보건대학 1996 대구보건대학 論文集 Vol.16 No.-

간호진단의 실무적용을 증진시키고 간호의 질을 높이기 위해 대구시내에 소재한 Y의료원 신경계 변동에 입원한 환자 102명에게 적용된 간호진단수 총 109개를 NANDA회의에서 채택된 간호진단명 105개에 준하여 분석한 결과 환자 1인당 평균1개를 사용하였으며 총 사용 NANDA 간호진단명은 9개로 대상자 102명중 가장 많이 사용된 간호 진단은 안위의 변화 44.0%, 불안 19.3%, 부적절한 개인적 대응 12.8%로서 높게 나타났다. 본 연구의 결과 적용된 간호진단의 종류 및 빈도가 매우 낮았으며 간호진단에 대한 사정도구개발의 연구와 간호사들에게 지속적인 보수교육이 강화되어야 한다고 생각한다. This research was done for the improvement of practical appliance of Ng. diagnosis and for the elevation of nursing guality(level). I analized the Ng. diagnosis with 109 diagnosis used by NANDA conference from 102 patients who were admitted for Neuro Surgery Ward of Y medical Center which is in Taegu. Ther general characteristics of the patients are as follows ; by sex, men were 57 cases(55.9%) and women were 45 cases(45.1%). In age, 26~29 were I case(1.0%), 30~39 were 10 cases(9.8%), 40~49 were 30 cases(29.4%), 50~59 were 32 cases(31.4%), 60~69 were 26 cases(25.5%), and over 70 were 3 cases (2.9%). In diagnosis of the patients, Cerebral Infarction were 52 cases(50.9%), Intracerebral Hemorrhage were 20 cases(19.6%), Subarachnoid Hemorrhage were 12 cases(11.8%), Epidural Hemorrhage were 7 cases(6.9%), Subdural Hemorrhage were 5 cases(4.9%), Aneurysm were 4 cases(3.9%), Cerebrovascular Accident were 2 cases(2.0%). I used all 109 Ng. diagnoses which means one person used about 1.0 of NANDA'S diagnoses. All used NANDA'S was 9 diagnoses. The most popular diagnoses were alteration in Comfort(44.0%), Anxiety(19,3%), Ineffective individual Coping(12.8%) in 102 cases. Bae showed ineffective air way clearance(48.4%), impaired Physical mobility, ineffective Breathing pattern, Knowledge deficit, All of them were 41.9% in her diagnosis analysis research of Open Heart Surgery Patients. Kang showed self care deficit(27.7%), skin integrity(23.4%), tissue perfusion, alteration in cerebral area(16.4%), and high risk for infection(0.6%), in her diagnosis analysis research of brain disease patients. Park(1987) showed the representative diagnosis of high risk for injury, altered nutrition less than body reguirements, knowledge dificit, sleep pattern disturbance, and fluid volume excess, in her evaluations, of the original and revealational research rate of five diagnosis in patients with CAAH or CAVH. When we consider the specifics of each patient we can determine how the Ng assessment reveals that patients problems differ according to their disease. Signs and symptoms are one thing, and nursing requests are another. As the specific response-formal analysis of 9 Ng. Diagnoses in which the most popular diagnoses were Emotion(33.4%), Exchanging(22.2%), Moving(12.0%), choosing(11.1%) Knowing(11.1%) but Communicating and Relating, Valuing, Perceiving were not applied.

CORBA 환경에서 실시간 응용을 자원을 위한 분산 객체그룹 플랫폼의 설계 및 구현

김명희,이재완,주수종,Kim, Myeong-Hui,Lee, Jae-Wan,Ju, Su-Jong 한국정보처리학회 2000 정보처리논문지 Vol.7 No.4

The applications developing in distributed object computing enviroments are faced with the difficulties for managing various lots of distributed objects. Also, because the most multimedia service, like video, audio, and so forth, must be satisfied itself with real-time constraints, the users also are feeling with necessary to apply real-time mechanisms to distributed multimedia services. The goal of this paper is to solve the problems for managing distributed objects, and to be easy to develop complex applications that can provide real-time services. To do this, we designed and implemented a real-time object group platform that can be placed between applications and CORBA. This platform is extended the existing object group model[13,14] added to the scheduler and timer object components for supporting real-time concept. We designed the components for platform by using James Rumbaugh object modeling technology that consists of object, function, and dynamic model. And then we described the detailed interfaces of the components by IDL, and implemented our real-time object group's platform using OrbixMT 22 which is the IONA Technologies' ORB product. Finally, we showed the execution procedures of the schduler object of each components in a real-time object group platform.

금산 폐탄광지역의 오염이 하천수에 미치는 영향

김명희,민일식,송석환 ( Myung Hee Kim,Ell Sik Min,Suck Hwan Song ) 한국산림과학회 1997 한국산림과학회지 Vol.86 No.4

The research was carried out to investigate the contamination of stream water by the acid mine drainage originated from the abandoned coal mines and coal waste rock in Keumsan, Chungnam. The pH, sulfate and chemical compositions in the stream water were analyzed. At the polluted sites, the pH of stream water was the strong acid, ranging from 3.46 to 4.29. The pH shows negative correlations with sulfate, manganese, copper, zinc, iron and magnesium concentrations. Sulfate concentrations of the polluted stream water, 236.73 - 310.53㎎/ℓ, had 10 times more than those of the non-polluted stream water. The concentrations of heavy metals, Mn and Fe, in the polluted water were 0.56 - 0.83㎎/ℓ and 5.89 - 10.58㎎/ℓ, respectively. The Mn concentrations were 20 times higher than those of the non-polluted stream water. Compared with those in the non-polluted stream water, the Mg and Ca concentrations in the polluted stream water were high because of leaching from rock and soil to water by the acidifications. Calculated AMDI(Acid Mine Drainage Index) values are low in the polluted stream water, relative to those of the non-polluted water.

외생균근 (外生菌根) 및 토양조건이 리기다소나무 균목생장에 (菌木生長) 미치는 영향

김명희,이수욱 ( Myung Hee Kim,Soo Wook Lee ) 한국산림과학회 1985 한국산림과학회지 Vol.70 No.1

The experiment was conducted to test the effects of ectomycorrhizal inoculation and soil moisture regime on growth and nutrient uptake of Pinus rigida seedlings. Two-year-old seedlings inoculated with either Pisolithus tinctorius or Thelephora terrestris were used for this experiment. There were two moisture treatments and four phosphate treatment levels with three replications. Height and root collar diameter growth and dry weight increase were measured and nitrogen, phosphorous, and potassium in the tissue were analyzed three months after the initiation of phosphate and moisture regime treatment. Results are as follows; 1) Height growth of seedlings was not affected in all treatments. (mycorrhizae, fertility, moisture). 2) High moisture regime increased root collar diameter growth 2.7 .times as large as low moisture regime. 3) In low moisture regime, net production increased 26% in seedlings inoculated with Pisolithus tinctorius and increased 72% control seedlings. 4) In high moisture regime, net production of inoculated seedlings with Pisolithus tinctorius increased four times as much as that of control seedlings but increased P₂O_5 in fertility level did not affect net production. 5) In uptake of nitrogen, phosphate, and potassium, Pisolithus tinctorius - inoculated seedlings increased uptake by 1.9, 1.8, and 1.5 times, respectively, as much as control seedlings. 6) Increase in P₂O_5 fertility level enhanced the uptake of P₂O_5 in Pisolithus tinctorius - inoculated seedlings, but not affected the uptake of P₂O_5 in control seedlings. 7) Increase in P₂O_5 fertility levels enhanced the uptake of K₂O in Pisolirhus rinctorius - inoculated seedlings.

Bacillus brevis CD162 Cyclodextrin Glycosyltransferase의 정제 및 특성

김명희,임영희,오태광,손천배,Kim, Myung-Hee,Lim, Young-Hee,Oh, Tae-Kwang,Sohn, Cheon-Bae 한국응용생명화학회 1997 Applied Biological Chemistry (Appl Biol Chem) Vol.44 No.4

The cyclodextrin glycosyltransferase (CGTase, EC 3.2.1.19) from Bacillus brevis CD162 was purified by precipitating with ammonium sulfate, DEAE-Sepharose CL-6B column chromatography and Sephadex G-150 column chromatography. The molecular mass and pI of the purified enzyme were estimated to be 74,000 and 6.3 by SDS-PAGE and isoelectric focusing, respectively. The purified enzyme was clearly identified as the CGTase by zymogram after SDS-PAGE. The optimum pH and temperature for the enzyme activity were 8.0 and $55^{\circ}C$, respectively. The enzyme was stable at the range of pH $5.5{\sim}9.0$, and up to $50^{\circ}C$. The amino acid sequence from the $NH_2-terminal$ of the purified CGTase was Ser-Val-Thr-Asn-Lys-Val-Asn-Tyr-Ser-Lys-Asp-Val-Ile-Tyr-Gln. The yields of the products from starch as the substrate were 1.3% for ${\alpha}-$, 33.9% for ${\beta}-$, and 9.7% for ${\gamma}-cyclodextrin$. Bacillus brevis CD162가 생산하는 cyclodextrin glycosyltransferase (CGTase)를 ammonium sulfate 침전, DEAE-Sephadex CL-6B 및 Sephadex G-150 컬럼 크로마토그래피를 수행하여 분리정제하였다. 정제된 CGTase는 분자량이 약 74,000, 등전점은 약 6.3인 단백질이었고, 정제된 단백질을 SDS-PAGE한 후 변성된 단백질을 재활성시켜 zymogram을 수행한 결과 cyclodextrin glycosyltransferase임을 확인할 수 있었다. 이 효소의 최적활성 pH와 온도는 각각 8.0과 $55^{\circ}C$이었으며, pH $5.5{\sim}9.0$과 $50^{\circ}C$까지 안정한 활성을 보였다. 또한, CGTase의 $NH_2$-말단 부위의 아미노산서열은 Ser-Val-Thr-Asn-Lys-Val-Asn-Tyr-Ser-Lys-Asp-Val-Ile-Tyr-Gln 이었으며, 전분으로부터 cyclodextrin으로의 전환률을 분석한 결과, ${\alpha}$-cyclodextrin은 1.3%, ${\beta}$-cyclodextrin은 33.9% ${\gamma}$-cyclodextrin은 9.7% 이었다.

Rhizopus nigricans 로부터 원형질체의 분리

김명희,김말남 ( Myung Hee Kim,Mal Nam Kim ) 한국균학회 1994 韓國菌學會誌 Vol.22 No.2

Bacillus brevis CD162 Cyclodextrin Glycosyltransferase의 정제 및 특성

김명희,손천배,임영희,오태광 ( Myung Hee Kim,Cheon Bae Sohn,Young Hee Lim,Tae Kwang Oh ) 한국응용생명화학회 1997 Applied Biological Chemistry (Appl Biol Chem) Vol.40 No.6

청소년의 자율 협력적 독서실행에 따른 독서유효성 효과 연구

김명희,조현양,Kim, Myung-Hee,Cho, Hyun-Yang 한국도서관정보학회 2018 한국도서관정보학회지 Vol.49 No.2

이 연구는 청소년의 자율 협력적 독서실행 모형을 제시하고 협력적 독서방식이 청소년의 독서유효성에 미치는 효과를 검증하였다. 이를 위하여 전국 8개 지역, 61개 중 고등학교에 68개 독서클럽을 조성하고 연구집단을 독서미흡집단, 독서양호집단, 독서혼합집단으로 구분하여 청소년의 자율 협력적 독서실행을 4개월 동안 실시하였다. 독서유효성의 설문지를 제작하여 사전과 사후검사를 실시하고 SPSS 통계 프로그램을 통해 분석하였다. 연구 결과, 청소년들의 독서유효성은 긍정적으로 향상되었으며 독서미흡집단이 가장 효과적인 것으로 나타났다. 또한, 청소년의 독서행동에도 긍정적인 변화가 나타났으며 독서유효성의 변화는 독서행동에 영향을 미치는 것으로 파악되었다. This study was to present a model of cooperative reading practice and verify reading effectiveness on youth. For this purpose, 68 reading clubs were established in 61 districts and 8 high schools. The research groups were classified as the poor reading group, the good reading group, and the mixed-skill reading group. The cooperative reading groups were carried out for four months. We developed a questionnaire on Reading effectiveness conducted it pre- and post-test, and analyzed the results through the SPSS statistical program. We found that there was a positive change in the reading effectiveness of youth and overall-the highest effectiveness was found in the poor reading group. In addition, there was a positive change in the reading behavior of youth. The change of reading effectiveness was found to affect reading behavior.

담수어중의 (淡水魚中) 총수은함량에 (總水銀含量) 관한 연구 (1) - 수종의 (數種) 금강하류 (錦江下流) 담수어에 (淡水魚) 대하여 -

김명희,박성배 ( Myung Hee Kim,Sung Bae Park ) 한국하천호수학회 1981 생태와 환경 Vol.14 No.3·4

This study was performed to investigate the present contamination level of total mercury in freshwater fishes. The samples were collected at kangkyung area located in Kum river from May to July in 1890. Experimental subjects were fifty seven case from seven kinds of fishes, and dissected into four parts; muscle, bone, liver and gill. Contents of total mercury in the parts were determined by mercury analyzer. The results were as follows: 1. In the muscle tissue, mean Contents of total mercury was 0.351ppm; the highest was 0.522±0.038ppm in shake head; the lowest was 0.207±0.022ppm in eel. 2. The order of the mean value of total mercury contents in four parts were muscle>liver>bone>gill, respectively. 3. Food chain was a factor which affected the concentration of total mercury in the fishes. In the most case, carnivorous fish had higher level of total mercury than omnivorous. 4. In the relationship between size and mercury concentration, mercury level tended to increase with size, age.

입원환자의 의료보장형태에 따른 가정간호 이용의사에 대한 연구

김명희,조은지,박형숙,강인순,Kim, Myung-Hee,Cho, Eun-Ji,Park, Hyoung-Sook,Kang, In-Soon 한국가정간호학회 2005 가정간호학회지 Vol.12 No.2

Purpose: This study is a descriptive research which is designed to investigate hospitalized patients' intent to use home care nursing according to the types of medical security. Method: This researcher surveyed 236 patients who were hospitalized at B medical center located in Busan,. Data were collected from Sep. 1 to Nov. 30, 2005 using a questionnaire survey, medical records, face-to-face interviews and observations. Collected data were analyzed in terms of frequency, percentage, mean and standard deviation through $x^2$-test and t-test under SPSS WIN 10.0 Program. Result: Out of the total subjects, 59.3% were medical aid clients and the remaining 40.7%, health insurance ones. The hospitalized period and frequency of the former group were 38.0 days and 4.0 times, respectively, while those of the latter, 37.7 and 3.4. When home care nursing clients were examined using a given classification device, it was found that out of the total 236 subjects, 205(86.9%) were needed to receive home care nursing, 121, medical aid and the other 84, health insurance. 24.0% of medical aid clients heard about home care nursing ever before, lower than 39.3% of health insurance clients. 43.8% of the former clients said cost for home care nursing was high while, 47.6% of the latter group responded expense for the nursing intervention was low. 30.6% of medical aid clients had intent to use home care nursing, lower than 47.6% of health insurance clients. 71.7% of those patients whose monthly income was 99 million won or below had no intent to use home care nursing, higher than 62.5% of those who were 100 million or over in monthly income(p<.05). 76.4% of those clients who had no nursing provider intented to use home care nursing, higher than those who had nursing provider(p<.05). Concerning contents of home care nursing, 85.1% of medical aid clients needed education, training and counseling while, 77.4% of health insurance aids wanted medication and injection. Conclusion: In conclusion, the use of home care nursing by medical aid clients should be promoted through improving conditions for home care nursing in terms of expense, family and residence and making public relations about activities and contents of the home care nursing.