자발성 뇌내출혈 환자의 비위관 제거시기에 관한 연구

김명희,김영희,김영미,주영희,이윤미,정은혜 성인간호학회 2001 성인간호학회지 Vol.13 No.1

Dysphagia is common and serious problem in intracerebral hemorrhage patients. Nasogastric-tube incubation is an important method for dysphagic patients who have an intracerebral hemorrhage. But many discomforts develope in patients with a nasogastric-tube. Therefore, it is necessary to decide when to remove the tube and as early as possible. The purpose of this study is to decide the applying time of training program to facilitate deglution for dysphagic patients who have intracerebral hemorrhage. Among the 343 patients with intracerebral hemorrhage who had been admitted to P-university hospital from April, 1994 to December, 1998, the medical record of the 110 patients with nasogastric tube were reviewed retrospectively. Results from the study were as follows : 1.Nasogastric tube insert duration of improved patients was a mean of 23.2 days 2.When a L-tube was inserted and removed, the L.O.C. of improved patients was 2.6±0.8(in the midst of stupor or a semicoma). 1.9±0.5(close to drowsy), respectively This was signifcantly different(p=0.000). 3.When a L-tube was inserted and removed, GCS of improved patients was 9.3±2.9. 12.1±2.2 respectively This was significantly different (p=0.000). 4.The duration of nasogastric tube insertion was the longest when in a stupor(L.O.C), 6 ∼8 points(GCS).

장방형 개구부를 갖는 고강도 철근콘크리트 깊은 보의 전단거동

은희창(Eun Hee-Chang),양근혁(Yang Keun-Hyeok),정헌수(Chung Heon-Soo) 대한건축학회 2003 大韓建築學會論文集 : 構造系 Vol.19 No.8

This study is an experimental study to investigate the shear behavior of reinforced high-strength concrete deep beams with rectangular openings and presents an equation to determine the shear strength of those beams. Experimental parameters include shear span-to-overall depth ratio(a/h) as well as the width and depth of web opening. Test results indicate that the maximum crack width depended on shear span-to-overall depth ratio rather than size of web opening and the depth of opening had more influence on the shear strength of the beams than the width of opening. Based on Yang & Chung's equation which proposed to predict the shear strength of deep beams, an equation was established by the experimental results, fundamental theory of fracture mechanics, and multiple regression method. Through the comparison of experimental data and analytical results obtained from this and other studies, it was observed that the proposed equation properly estimates the ultimate shear strength of deep beams with rectangular openings.

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.

사업장 근로자의 건강위험 평가도구 개발

정규철,이용애,홍윤철,조희숙,박혜숙,임현술,하은희 이화여자대학교 환경문제연구소 1998 이화환경연구 Vol.2 No.-

Health Risk Appraisal(HRA) is usually defined as a process by which we expect of individual's chances of acquiring specific diseases within a defined period of time. The concept of worksite as an area of health maintenance and promotion is newly developing. Our movement for health promotion of employees has been increasingly known in the worksite. The aim of this study is to develop health risk appraisal tools about health promotion at the worksite for employees. We performed this study by two steps: one step was to develop a HRA questionnaire of worksites in Korea, another was to evaluate the reliability of the questionnaire. For developing HRA questionnaire, we reviewed scientific examples at first, and then weighted the score by delphi. To evaluate the reliability of developed questionnaire, we carried out survey by test-retest method. A total of 131 employees completed HRA questionnaire on two times. The results are as follows. The total score of health risk in unhealthy workers was higher than that of healthy workers. The range of test-retest reliability of responses to the questionnaire was 0.57-0.94. Therefore it seems that this questionnaire was very suitable to assess the health behavior of workers. In conclusion, the developed HRA questionnaire can be used as a tool for evaluating health behavior and for providing health counseling materials.

선택적 함묵아의 놀이치료 사례연구 : A Case Study of Play Therapy for Selective Mutism Child

정계숙,이은하,이정희 부산대학교 영유아보육연구소 2002 영유아보육연구 Vol.8 No.-

The purpose of this study was to examine the effect of child-centered play therapy for a young child with selective mutism. The subject was a 4.10 year old girl who had interpersonal difficulties caused of selective mutism. The objects of the play therapy were to improve emotional expression and social communication and to change unadapted social behavior. The total number of play therapy sessions was 56. The ongoing parent interventions for child's mother was implemented once a week and the interview with kindergarten teacher were administered periodically. The changes of the child were described qualitatively through all sessions. During the early stage, the child showed severe mother separate anxiety and told to the therapist hardly. The feature of her play was to separate houses and cars which she built and placed with the traffic signals. Through the middle stage, she showed the depressions and the stress caused of conflicts between self and reality repeatedly, and then, changed a little in interpersonal relations, including her young sister. On the later stage, the aspects of her play sessions showed that she became a quiet adaptive child. She became to talk with strange peoples even in strange situations and to be generous to her young sister even when she made a scar in her own face. It was discussed about the effectiveness of the child-centered play therapy on improving emotional expression and social communication of a young child with selective mutism.

지페프롤 과량복용에 의해 사망한 65사례에서의 혈액중 농도

정희선,김은미,김명덕,김미경 內務部 國立科學搜査硏究所 1996 國立 科學 搜査 硏究所 年報 Vol.28 No.-

계몽 시대의 여성복에 관한 연구 : 엠파이어 스타일의 실루엣과 패턴을 중심으로 Focus on Silhouette and Patterns of Empire Style

정홍숙,박은희 중앙대학교 생활과학연구소 2002 생활과학논집 Vol.15 No.-

Not only a style of art but also fashion is influenced by social environment, political event and philosophical thought of that time. The purpose of this study is to find out the influence of Enlightenment thought on characteristics and patterns of empire style from the late 18th to the early 19th century. The result can be summarized as follows: First, Enlightenment thought and fashion had been spread out with same route that it started from England, convey to France and then to Europeans. Secondly, political and economical change with Enlightenment movement influenced on Neoclassicism which affected art, architecture, painting, sculpture, literature, music as well as fashion. Thirdly, the empire style had four specific properties - simplicity, functionality, classicality and beauty of body - which are explained the effects on emphasis of human, nature, rationality and enlightening thought. Finally, the bodice patterns of empire style had the characteristics which were simplicity and functionality, the sleeves had also same characteristics of the bodice patterns. Those of skirts had simplicity, classicality and functionality. From this study it is manifested that we can annalize the situation of one time through both silhouettes of costume and patterns.

19세기 여성의상에 관한 연구 : Focus on the studies of Rehabilitation 복원작품 연구를 중심으로

정흥숙,박은희 중앙대학교 생활과학연구소 2000 생활과학논집 Vol.13 No.-

The practical making dress can be understood easily than the studies based on material like books, pictures and paintings etc. in the old dress, accessories, color, fabric and sewing process. There are several studies about rehabilitation, they are based on 「Patterns of Fashion Ⅰ」 and 「Patterns of Fashion Ⅱ」 by Janet Arnold. As we read these researches, we could know not only the dress silhouette and details but also the process of patterns. They are estimated very excellently in attempt, however they have several problems. This study analyzed about the development of women's dress patterns from 1835 to 1914, on this, pointed out the problems in patterns and presented the solutions at Conclusion of Part Ⅶ. The result of this study is followed. 1. On the bodice pattern in 1835, there are darts for filling bodice. In 1902-1903, it was developed to the princess line. They are developed in bodice with Dolman sleeve in 1913-1914. 2. On the sleeve patterns, two piece sleeve patterns were developed one piece like modern sleeves or Dolman sleeves. 3. On the skirt patterns, it is changed from rectangular shapes to triangular ones. As times goes by, the part of waist became more narrow, hem line got wider. I would like to contribute to the making dress for performances as well as the development of pattern making.

정형외과 영역에서 Isepacin^(�)(Isepamicin sulfate)의 감염 치료의 효과

정재윤,송은규,신종희 최신의학사 1997 最新醫學 Vol.40 No.7

Burkholderia cepacia를 이용한 축산폐수의 처리

정팔진,조선영,현미희,김민정,이은주,전민식 한국물환경학회 2004 한국물환경학회지 Vol.20 No.6

We found that the Bacterium Burkholderia cepacia in livestock wastewater treatment plant was predominant species. We investigated the growth rate of this and treatment characteristics for organic matter and nitrogen removal in livestock wastewater using this microorganism. First, we cultured B. cepacia. And then, to conducted treatment for livestock wastewater by using B. cepacia., we changed C/N from 0.2~4.4. When we operated A and B process, changing F/M ratio from 1.2 to 4.4. In experiment of C/N variations, when C/N was 1.8, we found that the optimal condition for organic matter and nutrient removal effect was higher and the removal efficiency of SCOD_(cr), SBOD_5, NH₄-N was 78.4%, 95% and 74.8%. So, It is possible to treat the wastewater having the lower C/N contents such as livestock wastewater using this microorganism. In experiment of A and B process for livestock wastewater, we found that the removal efficiency of organic matter and nitrogen in operating mode of A process was higher than that of B process. Also, the optimal F/M operating A process was 0.013 and the removal efficiency of SBOD_5, SCOD_(cr), TN and TP were 97%, 60%, 95% and 91%.