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      • 간호 대학생의 호스피스 수강 유무에 따른 영적안녕과 죽음에 대한 태도 비교

        이영은,박혜선,김정희,주명진,Lee, Young-eun,Park, Hae-sun,Kim, Jung-hee,Joo, Myung-jean 한국호스피스협회 2008 호스피스 학술지 Vol.8 No.2

        Hospice should help a patient maintain spiritual well-being and its attitudes toward death can have great effects on treatment and nursing of patients on terminal patient. The purpose of this study was to examine the differences in spiritual well-being and attitudes toward death due to taking a Hospice Subject in Nursing Students This is a comparative study design in which 31 senior nursing students of taking a hospice care subject and 27 senior nursing students of not taking a hospice care subject in college of nursing K university, that is located B metropolitan city in Korea. The instruments for spiritual well-being measuring tools was Kim's (2006) revision and complement of the translation by Choe (1990) on the basis of the spiritual well-being scale developed by Paloutzian and Ellison (1983). The instruments for attitudes toward death was researches revision and complement of the translation by Kim(1992) on the basis of the attitudes toward death Measuring Tool developed by Thorson and Powell (1988). Data were collected from June 1 through June 30, 2006; the researcher got permission from the subjcts, explained objectives of the research to subjects personally and got their permission, and distributed structured questionnaires to make a response in a self-administered basis. For data analysis, an SPSS WINDOWS 12.0 program was used for frequency, percentage, the mean, standard deviation, the minimum, the maximum, x2-test, ANCOVA, and Pearson's correlation coefficients. The main results of this research are as follows: 1. There were no differecnces the degree of spiritual well-being and the degree of attitudes toward death between nursing students who took a hospice subject and nursing students who did not take a hospice Subject, except several items of attitudes toward death. There was significant positive correlation (r= .508, p= .000) between subjects spiritual well-being and attitudes toward death. That is, the higher spiritual well-being, the more positive attitudes toward death. In conclusion, although there were no differecnces spiritual well-being and attitudes toward death between nursing students who took a hospice care subject and nursing students who did not take a hospice care subject, in nursing students, spiritual well-being was relatively high and their attitudes toward death was relatively positive. To help a nursing students make a positive change in attitudes toward death, a nursing intervention program is necessary to improve spiritual well-being.

      • KCI등재

        The Multifaceted Clinical Characteristics of Congenital Cytomegalovirus Infection: From Pregnancy to Long-Term Outcomes

        Kim Yejin,Kim Yoo-min,Kim Doo Ri,Kim Han Gyeol,Sung Ji-Hee,Choi Suk-Joo,Oh Soo-young,Kim Yae-Jean,Chang Yun Sil,Kim Dongsub,Kim Jung-Sun,Moon Il Joon,Roh Cheong-Rae 대한의학회 2023 Journal of Korean medical science Vol.38 No.32

        Background: The aim of this study was to capture multifaceted clinical characteristics of congenital cytomegalovirus (CMV) infection from diagnosis to treatment using a multidisciplinary approach including obstetrics, pediatrics, pathology, and otorhinolaryngology-head and neck surgery. Methods: This is a retrospective study including 30 consecutive cases of congenital CMV infection that were diagnosed at a single tertiary hospital located in Seoul, Korea from January 2009 to December 2020. Congenital CMV infection was defined as a positive result by polymerase chain reaction from urine, saliva or cerebrospinal fluid or positive CMV IgM from neonatal blood sampled within 3 weeks after birth. All cases were analyzed with respect to whole clinical characteristics from diagnosis to treatment of congenital CMV by a multidisciplinary approach including prenatal sonographic findings, maternal immune status regarding CMV infection, detailed placental pathology, neonatal clinical manifestation, auditory brainstem response test, and antiviral treatment (ganciclovir or valganciclovir). Long-term outcomes including developmental delay and hearing loss were also investigated. Results: The total number of births during the study period in our institution was 19,385, with the prevalence of congenital infection estimated to be 0.15%. Among 30 cases of congenital CMV, the median gestational age at delivery was 32.2 weeks [range, 22.6–40.0] and 66.7% of these infants were delivered preterm at less than 37 weeks. Suspected fetal growth restriction was the most common prenatal ultrasound finding (50%) followed by ventriculomegaly (17.9%) and abnormal placenta (17.9%), defined as thick placenta with calcification. No abnormal findings on ultrasound examination were observed in one-third of births. Maternal CMV serology tests were conducted in only 8 cases, and one case each of positive and equivocal IgM were found. The most common placental pathologic findings were chronic villitis (66.7%) and calcification (63.0%), whereas viral inclusions were identified in only 22.2%. The most common neonatal manifestations were jaundice (58.6%) followed by elevation of aspartate aminotransferase (55.2%) and thrombocytopenia (51.7%). After excluding cases for which long-term outcomes were unavailable due to death (n = 4) or subsequent follow up loss (n = 3), developmental delay was confirmed in 43.5% of infants (10/23), and hearing loss was confirmed in 42.9% (9/21) during the follow-up period. In our cohort, 56.7% (17/30) of neonates were treated for congenital CMV with ganciclovir or valganciclovir. Conclusion: Our data show that prenatal findings including maternal serologic tests and ultrasound have limited ability to detect congenital CMV in Korea. Given that CMV is associated with high rates of developmental delay and hearing loss in infants, there is an urgent need to develop specific strategies for the definite diagnosis of congenital CMV infection during the perinatal period by a multidisciplinary approach to decrease the risks of neurologic impairment and hearing loss through early antiviral treatment.

      • KCI등재SCOPUS
      • Woman’s identity : Imago dei

        Kim, Jean Hee Ewha Womans University press 2005 Ewha journal of feminist theology Vol.3 No.-

        Woman is deep water, they say. The ocean, the unfathomable abyss, the chaos. Or, woman is, in Paul Tillich's term, in the state of "dreaming innocence" without "ontological quality," whether it can be understood positively or negatively. Woman's identity is quite ambiguous and unsecure. French feminist Luce Irigaray argues that "woman, for her part, remains in unrealized potentiality-unrealized, at least, for/by herself." Thus, "ontological status makes her incomplete and uncompletable," and "she can never achieve the wholeness of her form." Her indication is significant for the discussion of woman's identity in feminist theology because providing the autonomous identity of woman constituted upon subjectivity is essential for feminist theology. The theological discourse based on woman's incomplete identity constrains woman into a crypt and circumscribes her within a fixed place in which woman has been devastated with her obligation. Recognizing the perversion of woman in a theological tradition is the first step in doing feminist theology. The various feminist theories developed during the last thirty years have criticized woman's oppression and inequality sociologically and culturally. These critiques are also effective in feminist theology. Many feminist theologians, especially those of the first generation, have adopted feminist theories and planted them in the theological field. They have criticized the secondary status of woman and even the demonization of woman in a theological tradition and Christian environment. Their endeavor has usually focused on socio-cultural criticism, as the feminist theories have been. The close-knit relationship between a society and theology, or religions, is not only the matter of feminist theology but of theology in general. However, as theology cannot be discussed only with sociological factors, feminist theology needs to expand its contents beyond sociological elements since its ground has already fertilized with socio-cultural criticism. It is necessary for feminist theology to consider inclusion of contemporary soil, which generates diverse issues with postmodernism and interdisciplinary communication, in its construction. The sprout of feminist theology requires to be grown further while embracing diversity, complexity, fluidity, and hybridity of the comtemporary thinking stream. In this context, I suggest three points particularly significant for doing feminist theology in Korea. First, feminist theology needs to create a unique voice reflecting Korean particularity. It means we better use the resources embedded in our own soil such as philosophy, religions, and culture. Second, it should be able to communicate with Western theology as well as with scholarship of other fields. When the first and second points meet together, feminist theology enables to constitute an interdisciplinary, interreligious, and intercultural theology. Third, engraving a subjective identity of woman in feminist theology is of the essence. It is for the construction of woman's subjective identity in theological discourse. Based on these points, I want to discuss woman's imago Dei that embraces the Taoist cosmology, process thought, scientific theories, postmodern feminism, and wisdom tradition. Weaving all these into woman's identity is for the construction of woman's imago Dei, which is dynamic, subjective, open, and enables woman to become an indefinite being beyond the traditional Christian image of woman.

      • SCOPUSKCI등재

        Scabies mimicking graft versus host disease in a hematopoietic cell transplant recipient

        Kim, Dongsub,Choi, Soo-Han,Lee, Dong Youn,Kim, Juyoun,Cho, Eunjoo,Yoo, Keon Hee,Koo, Hong Hoe,Kim, Yae-Jean The Korean Pediatric Society 2018 Clinical and Experimental Pediatrics (CEP) Vol.61 No.11

        Scabies is a highly contagious skin infestation caused by the mite, Sarcoptes scabiei var. hominis. Complex responses to scabies mites in the innate, humoral, and cellular immune systems can cause skin inflammation and pruritus. Diagnosis can be challenging because scabies resembles other common skin conditions. We report the first Korean case of scabies in a hematopoietic cell transplant (HCT) recipient, initially suspected of skin graft versus host disease (GVHD). A T-cell acute lymphocytic leukemia patient underwent a sibling-matched allogeneic HCT and developed pruritus after cell engraftment. Treatment for GVHD did not improve the symptoms. He was diagnosed with scabies 30 days after the onset of symptoms.

      • SCOPUSKCI등재

        A contact investigation after exposure to a child with disseminated tuberculosis mimicking inflammatory bowel disease

        Kim, Dongsub,Lee, Sodam,Kang, Sang-Hee,Park, Mi-Sun,Yoo, So-Young,Jeon, Tae Yeon,Choi, JoonSik,Kim, Bora,Choi, Jong Rim,Cho, Sun Young,Chung, Doo Ryeon,Choe, Yon Ho,Kim, Yae-Jean The Korean Pediatric Society 2018 Clinical and Experimental Pediatrics (CEP) Vol.61 No.11

        Purpose: Tuberculosis (TB) is one of the most important diseases that cause significant mortality and morbidity in young children. Data on TB transmission from an infected child are limited. Herein, we report a case of disseminated TB in a child and conducted a contact investigation among exposed individuals. Methods: A 4-year-old child without Bacille Calmette-$Gu{\acute{e}}rin$ vaccination was diagnosed as having culture-proven disseminated TB. The child initially presented with symptoms of inflammatory bowel disease, and nosocomial and kindergarten exposures were reported. The exposed individuals to the index case were divided into 3 groups, namely household, nosocomial, or kindergarten contacts. Evaluation was performed following the Korean guidelines for TB. Kindergarten contacts were further divided into close or casual contacts. Chest radiography and tuberculin skin test or interferon-gamma-releasing assay were performed for the contacts. Results: We examined 327 individuals (3 household, 10 nosocomial, and 314 kindergarten contacts), of whom 18 (5.5%), the brother of the index patient, and 17 kindergarten children were diagnosed as having latent TB infection (LTBI). LTBI diagnosis was more frequent in the children who had close kindergarten contact with the index case (17.1% vs. 4.4%, P=0.007). None of the cases had active TB. Conclusion: This is the first reported case of TB transmission among young children from a pediatric patient with disseminated TB in Korea. TB should be emphasized as a possible cause of chronic diarrhea and failure to thrive in children. A national TB control policy has been actively applied to identify Korean children with LTBI.

      • Unbearable Fire and Water : The Search for the Spirit of Women in the Discussion of Paul Tillich’s "Spiritual Presence" and Robert S. Corrington’s "Spirit’s Eros"

        Kim, Jean Hee 이화여자대학교여성신학연구소 2003 여성신학논집 Vol.3 No.-

        The bottom, the center, the most hidden, inner place, the heart of the crypt to which "God" alone descends when he has renounced modes and attributes. For this most secret virginity of the "soul" surrenders only to one who also freely offers the self in all its nakedness. This most private chamber opens only to one who is indebted to no possession for potency… But how to remember all this if the fire was so fierce, the current so strong as to remove all traces? If everything has become fire and water and nothing remains but a burning shimmer and flowing stream? If the brazier was so deep as to erase all memory of the path of touch that still guides us in our ecstatic transports? If nothing remains but/of an incandescent hearth that none can reach? This is a story that I remember, the story I saw, dreamed, or the story I imagined. It doesn't matter. It never matters to me, or to a woman who knows how it was; her quick was burned, her slit was torn, her bone was clipped, once, or over and over. There are always cryptic stories in me, in her, that have been recessed in a den or a cave where I/she was relentlessly confined, shackled, strained. The story, however, has never vanished. The abyss of oblivion never works in that place. And there are paths, or cleavages, that intermittently open their gateways be they entrances/exits. How elusive they are, how shrouded they are: these indefinite passages are the path ways where I/she tell, edit, translate, interpret stories, and sometime, create, if I/she am evoked with an unbounded stories.

      • Solvent-Resistant OrganicTransistors and ThermallyStable Organic Photovoltaics Based on Cross-linkable Conjugated Polymers

        Kim, HyeongJun,Han, A-Reum,Cho, Chul-Hee,Kang, Hyunbum,Cho, Han-Hee,Lee, Moo Yeol,Fré,chet, Jean M. J.,Oh, Joon Hak,Kim, Bumjoon J. American ChemicalSociety 2012 Chemistry of materials Vol.24 No.1

        <P>Conjugated polymers, in general, are unstable when exposedto air,solvent, or thermal treatment, and these challenges limit their practicalapplications. Therefore, it is of great importance to develop newmaterials or methodologies that can enable organic electronics withair stability, solvent resistance, and thermal stability. Herein,we have developed a simple but powerful approach to achieve solvent-resistantand thermally stable organic electronic devices with a remarkablyimproved air stability, by introducing an azide cross-linkable groupinto a conjugated polymer. To demonstrate this concept, we have synthesizedpolythiophene with azide groups attached to end of the alkyl chain(P3HT-azide). Photo-cross-linking of P3HT-azide copolymers dramaticallyimproves the solvent resistance of the active layer without disruptingthe molecular ordering and charge transport. This is the first demonstrationof solvent-resistant organic transistors. Furthermore, the bulk-heterojunctionorganic photovoltaics (BHJ OPVs) containing P3HT-azide copolymersshow an average efficiency higher than 3.3% after 40 h annealing atan elevated temperature of 150 °C, which represents one of themost thermally stable OPV devices reported to date. This enhancedstability is due to an in situ compatibilizer that forms at the P3HT/PCBMinterface and suppresses macrophase separation. Our approach pavesa way toward organic electronics with robust and stable operations.</P><P>We have demonstrated a simple and powerful approach to introducean azide cross-linkable group into conjugated polymers (P3HT-azide)for solvent-resistant and thermally stable organic electronics withremarkably improved air stability. This on-demand cross-linking mechanismenables production of a solvent-resistant hole-transporting materialfor OTFTs, as well as an in-situ compatibilizer for thermally stableOPVs.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/cmatex/2012/cmatex.2012.24.issue-1/cm203058p/production/images/medium/cm-2011-03058p_0003.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/cm203058p'>ACS Electronic Supporting Info</A></P>

      • SCIESCOPUSKCI등재

        Acute Effects of 2-Bromopropane and 1,2-Dibromopropane on Hepatotoxic and Immunotoxic Parameters in Female BALB/c Mice

        Kim, Nam-Hee,Hyun, Sun-Hee,Jin, Chun-Hua,Lee, Sang-Kyu,Lee, Dong-Wook,Jean, Tae-Won,Park, Chang-Bon,Lee, Eung-Seok,Chae, Whigun,Jeong, Tae-Cheon The Pharmaceutical Society of Korea 2003 Archives of Pharmacal Research Vol.26 No.11

        In the present studies, the acute toxic effects of 2-bromopropane (2-BP) and its analog, 1,2-dibromopropane (1,2-DBP), were investigated in female BALB/c mice. The mice were treated orally with either 2-BP at 2000 and 4000 mg/kg or 1,2-DBP at 300 and 600 mg/kg. Four days before necropsy, the mice were immunized intraperitoneally with sheep red blood cells (SRBCs). 1,2-DBP reduced the weights of the spleen and thymus weights and decreased the number of splenic cells. In addition, treatment with 1,2-DBP suppressed the antibody response to SRBCs. Meanwhile, only the antibody response was significantly suppressed by treatment with 2-BP. In the subsequent studies, the time course effects of 2-BP and 1 ,2-DBP on the hepatotoxic parameters were compared in female BALB/c mice. When mice were treated orally with either one of these chemicals for 6, 12, 24 and 48 h, the activities of serum alanine aminotransferase and aspartate aminotransferase elevated significantly only with 1,2-DBP 24 h after the treatment. The hepatic content of glutathione was reduced by 1,2-DBP. Meanwhile, these parameters were increased by 2-BP. The present results suggest that 1,2-DBP in the Solvent 5200 also contributes to the immnunotoxicity, although 2-BP is a major component.

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