중등학생을 위한 하천지형 탐사프로그램 개발 : 양재천을 사례로

양희경 ( Hee Kyung Yang ) 한국지형학회 2003 한국지형학회지 Vol.10 No.2

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

군매장의 효율적 POS시스템 운영방안에 관한 실증적 연구 : 공군과 해군의 매장관리 시스템을 중심으로

양경훈,강석구,송병희 중앙대학교 산업경영연구소 1999 산업경영연구 Vol.8 No.2

POS 시스템은 광범위한 적용대상을 가지고 있다. POS 시스템은 편의점이나 백화점과 같은 유통업체로부터 활용되기 시작하였으나 판매정보 이외에 기존 수집 자료를 기초로 상품정보와 재고관리, 수발주에 따른 물류관리, 고객관리, 인사관리에 이르기까지 종합적인 정보를 제공하는 시스템으로 발전되어 나감으로써 제조업체뿐만 아니라 공공기관에 까지 활용되고 있으며 기업의 통합적인 물류관리를 위하여 필수불가결한 시스템으로 자리잡고 있다. 본 연구는 군에서의 효율적인 POS 시스템의 운영방안을 살펴보려 한다. 영리기업이 POS 시스템을 활용하여 정보를 신속, 정확하게 처리함으로써 고객 만족 또는 이윤추구목적은 달성할 수 있었다면 군도 특정영역에서 조직 목표를 달성하는데 POS 시스템을 유용하게 유효한 성과를 거둘 수 있을 것으로 기대된다. POS system was initially introduced to some leading circulation businesses such as CVS or department stores. Since then POS system has been developing into an integral information system, enlarging its range of application - from basic data collection to product information; inventory management; customer service; and personnel management. As circulation companies struggle to get more competitive edge, the number of companies that make strategic use of the secured information is soaring. In pace with the era of information revolution, military organizations have introduced POS system to some daily sales process at BX shops. Since the POS system will surely increase work efficiency, my suggestion, based on the survey, is that the navy should adopt POS system in its BX management. For better results to its full potential, POS system should be designed and implemented in consideration of various demands from relevant departments. Lastly, some measures should be arranged in order to maximize its benefits.

아동의 슬픔 정서에 대한 대처반응 연구

양복금,김경희 목포대학교 생활과학연구소 2000 생활과학논집 Vol.3 No.-

The purpose of this study was to examine between children's coping-reactions to sorrow emotion according to sex and age. The subjects of this study were 221 students who were in first grade, third grade and fifth grade of elementaly school in Kwangju and Mokpo. The scales used in this study was Halpern(1999)'s coping-reaction criterion to negative emotion of children. For this study, the criterion was adapted and modified, with being helped by 2 child psychology and counselling experts. The data analysis was made by SPSS PC+, and average, two-way ANOVA, Scheffe test and were employed to test the research questions. As a result for sorrow, only problem-solving coping was significantly different according to gender. The girl children exercised more problem-solving coping against sorrow than the boys. Their age made a significant difference to problem avoidance, aggressive coping and no reaction against sorrow. Specifically, aggressive coping against sorrow was significantly different between every grade groups. The higher graders showed aggressive coping less against sorrow.

조기 및 붕장어를 동결건조한 어육분말의 제조 및 저장안정성

양승택,박경희 慶星大學校 1998 論文集 Vol.19 No.2

This study was designed to make fish meat powder which retains the fish jelly forming ability of fresh fish meat from fish meat paste of yellow corvenia (Pseudoscinea manchuria) and conger eel (Astroconger myriaster). Fish meat powder put into 0.1 mm polyethylene bags and cans as package and checked the keeping qualities such as chemical composition, soluble nitrogen, relative viscosity, water holding capacity (WHC), emulsifying stability (ES) and fish jelly forming ability for 6 months storage at 5℃, 20℃ and 35℃. Crude proteins very predominant in yellow corvenia and conger eel meat powder showing 68.4% and 60.9%, respectively, The freeze-dried powder had good fish jelly forming ability. Dried powder gradually decreased protein solubility, relative viscosity, WHC, ES, and fish jelly forming ability for 6 months storage. Qualities retention of the powder of high temperature sorage was less than those of low temperature storage. Fish jelly forming abilities of the powder were maintained for 6 months and 5 months and 2 months at 5℃ and 20℃ in yellow corvenia, respectively, and those of the powder were 3 months and 2 months at 5℃ and 20℃ in conger eel, respctively. But both samples have been lost fish jully forming ability after 1 month at 35℃. Qualities of the powder packed in cans were a little better than those of polyethylene bags. In the conclusion, freeze-dried powder of yellow corvenia and conger eel neat was very useful for the proparation of fish jelly products.

産婦人科 患者에서 分離된 Ureaplasma urealyticum의 生物學的 性狀

梁熙燦,崔大卿,張明雄,白太鉉,朴鼎圭 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

Isolation rates of Ureaplasma urealyticum from vaginal swab of 216 patients, 105 prostitutes and 100 college females was investigated. Also, minimal inhibitory concentration of isolated strains about tetracycline and minocycline was studied. The results were summarized as follows; 1. Out of 70 vaginitis patients, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 34.3% and 15.7%, respectively. 2. Out of 54 cervicitis patients, isolation rates of Ureplasma urealyticum and Mycoplasma hominis were 37.0% and 11.0%, respectively. 3. Out of 92 other gynecological patients, isolation rates of Ureaplasma urealyticum and mycoplasma hominis were 44.6% and 16.3%, respectively. 4. Out of 105 prostitues, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 54.3% and 75.2%, respectively. 5. Out of 100 college students, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 23.0% and 7.0% respectively. 6. In the susceptibility patterns of isolated Ureaplasma urealyticum, resistant strains about tetracycline in patients, prostitues and college students were 75.2%, 73.6% and 69.5%, respectively 7. In the susceptibility patterns of isolated Ureaplasma urealyticum, resistant strains about minocycline in patients, prostitues and college students were 91.7%, 87.7% and 73.9%, respectively.

작업치료과 학생들의 입학동기 및 취업희망과 효과적인 교과학습을 위한 조사연구

양경희 경복대학 1999 京福論叢 Vol.3 No.-

본 조사연구는 작업치료과 학생들의 입학동기와 취업희망 및 교과학습상태를 조사하여 이를 분석해 학생들에게 가장 효과적인 학습이 이루어지도록 하는데 목적이 있다. 경복대학 작업치료과 학생 82명 중 설문지 작성시 잘못 표기한 5명을 제외한 77명을 대상으로 분석하였다. 이 연구의 결과는 다음과 같다. 1. 작업치료과 학생들의 입학동기는 54.5%가 긍정적인 것으로 나타났다. 작업치료과 학생들의 대부분은 입학전 작업치료과에 대한 사전 지식이 부족하였다. 2. 작업치료과 학생들은 학과 선택시 55.8%가 본인이 선택하였으며, 대부분의 학생들이 작업치료과에 잘 적응하는 것으로 나타났다(90.9%). 3. 학생들은 적정한 수업년수는 4년이고, 학급의 적정인원수는 30~40명이라고 응답하였다(51.9%). 4. 작업치료과 학생들은 전공과목에 대한 기초지식이 부족하기 때문에 전공과목이 어렵다고 응답하였다. 교양과목에 대하여는 53.2%가 형식적인 강의 때문에 만족스럽지 못하다고 하였다. 5. 교수와의 관계는 58.4%가 원만하다고 응답하였다. 6. 작업치료과 대다수의 학생들은 작업치료를 평생 직업으로 원하는 것으로 조사되었다(81.8%). 작업치료과 학생들은 61.0%가 졸업 후 종합병원에서 일하기를 선호하였다. The purpose of this study was to analyze the motive of entrance into a school, hope of employment and the learning states of occupational therapy students and to give the data for the most effective learning conditioning. The responses to the questionnaires were obtained from 77 among 82 occupational therapy students at kyungbok college. The results of this study are as follows; 1. The motive of entrance into the department of occupational therapy is affirmative in 54.5% of the students. The occupational therapy students have-very poor information about the Dep. of occupational therapy before entrance into a school. 2. Occupational therapy students chose a subject their own's will 55.8%. Many students adapted department of Occupational therapy(90.9%.) 3. They choose four years for a suitable study.The reasonable class members are about 30~40 person(51.9%). 4. The occupational therapy students attitudes forwards their major study are negative, because they are deficient in a basic knowledge for their major study. The satisfaction rate for the cultural subjects 53.2% students aren't satisfied, because of the formal lecture. 5. The relationship with the professor 58.4% of all is good. 6. Many students hope employment permanently (81.8%). Occupational therapy students wanted to get a job at a General Hospital after graduate school (61.0%).

골육종에서 p53단백발현에 대한 면역조직화학적 연구 : Osteosarcoma

양경무,홍순원,조미연,정순희,정우희 연세대학교 원주의과대학 1994 원주의대논문집 Vol.7 No.1

감각통합치료에 대한 이론적 고찰

양경희 경복대학 2000 京福論叢 Vol.4 No.-

감각통합은 자신의 신체와 환경으로부터 주어지는 감각들을 조직화하고 그 환경 속에서 신체를 효과적으로 사용할 수 있도록 하는 신경학적 과정이다.(Ayres, 1989) 감각자극을 저지하고 통합하는 과정에 문제가 생기면 감각 정보를 받아들여 정보처리를 진행시키고 통합하는 것이 힘 들며, 개념을 이해하고 운동을 학습하는 것과 어떤 일을 계획 하고 해결을 하는 것이 어렵다. 이런 감각통합장애를 학습장애, 조산, 자폐, 발달장애, 약물 남용, 스트레스 관련장애, 뇌손상 환자등에서 나타난다. 감각통합 장애아동은 무해한 감각자극에 대해 방어 또는 회피의 반응을 보이거나 과잉행동을 보이기도 하여 사회에 잘 적응하지 못하고 발달장애가 되거나 정신지체로 여겨질 수 있다. 또한 학습장애를 갖게 되거나 자폐 증상을 보이기도 하여 일상 생활에 많은 지장을 초래한다. 감각통합과정에 문제를 가진 아동들에게 감각 통합치료를 제공하는 의미는 감각자극을 향상시키기 위해 기회를 제공 하고 적응반응을 계획, 조직화하고 의미있는 활동을 이끌어 낼 수 있도록 하는 것이다. 감각통합치료의 목표는 중추신경계 체계화를 돕는 감각자극을 제공하고, 아이가 환경으로부터 감각정보를 억제 하거나 조절할 수 있도록 하며, 감각자극에 대해 잘 체계화된 반응을 하도록 아이를 도와주는 것이다. 그러므로 본 문헌연구의 목적은 감각통합 장애아동을 위해 감각통합치료의 이론과 원리 및 치료방법에 대한 문헌고찰을 하여 작업치료사들이 감각통합장애아동의 운동기능 및 수행능력을 향상시켜 일상생활동작을 수행할 수 있도록 도와주는데 있다. Sensory Integration(S1) is the neurological process which organizes sensory stimulation from their body and environment and makes to use their body effectively in the surrounded environment.(Ayres, 1989) If there is problems to proceed inhibiting and integrating sensory stimulation, it is difficult to organize sensory informations, to understand the perceptual concepts, to learn motor activities and to solve the problem. It has reported that SI dysfunction is founded to learning disability, early birth, Developmental disability, substance abuse, schizophrenia, brain injury, etc. Some of children with SI dysfunction often have sensory defensiveness, hyperactivity and difficulty to adjust society, and have considered developmental disabilities or mental retardations. Also, some of them have the learning problems, autistic symptoms and difficulty in their daily life The meaning of SI treatment is to give the chance to increase sensory stimulation and then help to plan and organize for adaptive response about the sensory stimulation as purposefully. The goal of SI treatment is to provide sensory stimulation which organize central nervous system, toinhibit or facilitate about sensory information, and to help response adaptively about the sensory stimulations. Therefore, The purpose of this article is that investigate about SI theories, principles and SI treatment methods through literature review, and help to increase motor ability and performance for children with SI dysfunction in their activities of daily living by Occupational Therapist.