간호관리자의 권력부여(Empowerment) 유형 및 수준

구옥희,안은경,김태숙,최옥순 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

The purpose of this study was to investigate manager's type and level of empowerment perceived by clinical nurses. 125 nurses were selected by convenience sampling from three hospitals in Suwon(two private university hospitals, one private general hospital). The instrument of "the type of empowerment"(Vogt & Murrell, 1990) was used. The data were analyzed using descriptive statistics, t-test, and ANOVA. Supplemental computations using Scheffe's test were performed as post-hoc tests to examine the ANOVA results. The results of this study can be summarized as follows; 1. Generally clinical nurses recognized manager's empowerment to medium-high degree. And in the level of it's subtypes, the degree of recognition appeared in order of the following; evaluation/ control(42.83), information exchange(34.75), planning/organization(34.66), selection process/ arrangement/development(34.43), decision making/action(34.05), leadership/motivation(33.94). 2. In the relationship between general characteristics of clinical nurses and the level of their recognition on empowerment, a significant difference appeared in the type of position(p<.05), and very significant difference appeared in the types of unit and senior(p<.01). 3. In the relationship between general characteristics of clinical nurses and the level of manager's empowerment subtypes, the following results revealed; statistically meaningful differences appeared in unit and senior of information exchange type, in senior of planning/organization type, in age, position, carrier and senior of evaluation/control type, in unit and senior of leadership/motivation type, in unit and senior of selection process/arrangement/development type(p<.05).

임상간호사의 일차간호에 대한 요구도

구옥희,김태숙 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

The purpose of this study was to investigate the need of clinical nurses for the primary nursing system. 304 nurses were selected by convenience sampling from three general hospitals in Taejon(one national university hospital, one private university hospital, and one private general hospital). Based on the literature review, a structured questionnaire on the need for primary nursing was constructed for this study. Data were collected from July 25, 1995 through January 17, 1996. The data were analyzed using descriptive statistics, t-test, and ANOVA. Supplemental computations using Duncan's method were peformed as post-hoc tests to examine the ANOVA results. The results of this study can be summarized as follows: 1. The need of clinical nurses for primary nursing. In overall, the results showed that clinical nurses' need for primary nursing were relatively high. That is, the mean score for the whole items was 3. 76(on the 5-point scale) For each of the three categories of the need for primary nursing, the level of need was also relatively high. That is, the mean score for the category of "duty-re-lated aspects" was 3.79. The mean score for "patient-related aspects" was 4.08. and the mean score for "nurse-related aspects" was 3.52. 2. The relationship between general characteristics of clinical nurses and the need for primary nursing within each category. In the category of "duty-related aspects", there was a significant difference among nurses in the level of need for primary nursing according to the `type of present nursing method'(p=.017) and the `kind of hospital'(p=.000). In the category of "patient-related aspects". there was a significant difference among the nurses in the level of need for primary nursing according to the `kind of hospital' (p=. 000). In the category of "nurse-related aspects", there was no significant difference among the nurses in the level of need for primary nursing(p>.05). 3. The relationship between general characteristics of clinical nurses and the need of primary nursing. In overall, there was a significant difference in the need for primary nursing according to the `kind of hospital'(p=.018). Post-hoc analyses showed that the difference was attributed to the difference between the nurses in the national university hospital and the nurses in the private general hospital (p<.05, Duncan).

특발성 확장성 심근증 환자의 임상적 소견의 관찰 : 남녀 성별에 따른 차이를 중심으로 Comparison of Sex difference

이광희,김철현,최태명,이성우,김성구,권영주,변재호 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.1

특발성 확장성 심근증에 대한 진단 및 연구는 이전에 주로 관혈적인 좌심실조영술이나 부검에 의해 이루어져 연구가 많이 않았으나 최근 심초음파도의 보편적인 이용으로 진단이 용이하여 이에 대한 임상적 연구가 증가되고 있다. 그러나 남녀 성별에 따른 임상적 소견의 차이에 대한보고는 많지 않았다. 대상 및 방법 : 특발성 확장성 심근증으로 진단받은 환자 68명(남자 37명, 여자 31명)을 대상으로 임상적 소견과 심전도 및 심초음파 검사소견등을 남녀간에 비교 분석하였다. 결 과 1. 유병기간은 여자가 남자보다 유의하게 길었고(p<0.05), 호흡곤란, 심계항진 및 심부전의 빈도는 여자에서 더 많은 경향을 보였으나 통계적으로 유의한 차이는 없었다. 2. 심초음파도상 좌심실 이완기말 내경계수, 심실중격 두께 계수, 좌심실 후벽 계수, 좌심방 내경 계수는 여자가 남자보다 유의하게 컸으나(p<0.01), 분획단축(fractional shorting)은 양군간에 유의한 차이가 없었다. 3. 심전도상 QRS 기간이 여자가 남자보다 긴 경향이 있었으나(p<0.08) 기타 소견은 양군간에 유의한 차이가 없었다. 결 론 : 특별성 확장성 심근증의 임상적 소견 및 검사 소견의 성별에 따른 분석에서 여자에서 질병의 정도가 더 심한 것으로 나타나는 소견이 있었으나 추후에 더 많은 연구및 원인 분석이 필요할 것으로 사료된다. Background : Idiopathic dilated cardiomyopathy(IDC) is a well recognized condition both clinically and morphologically. Despite the relatively frequency of this condition, few studies focusing on sex difference have been reported. Method : A total of 68 patients with IDC(37 men, 31 women)were studied retrospectively. Certain clinical and laboratory findings were analyzed and compared between men and women. Results 1. The women had a significantly(p<0.05) longer mean duration of chronic congestive heart failure than men. 2. Of the echocardiographic findings, index of left ventricular end-diastolic diameter, interventricular septal thickness, left ventricular posterior wall thicknes and left atrial dimension were significantly higher in women than in men. 3. Duration of QRS complex in ECG was longer in women(p<0.08) conclusion Some of clinical and laboratory findins are more advanced phase in women in IDC.

돼지설사 원인균 E. coli의 생육저해에 대한 유산균의 효과

姜國熙,成文喜,方泰瑛,龍球淵,林讚洙 成均館大學校 科學技術硏究所 1985 論文集 Vol.36 No.1

E. coli A_2 diarrhea causing bacteria of pigs was anaerobically inoculated with 10^5/ml into prereduced YS medium (10% reconstituted skim milk+0.1% yeast extract), and then lactic acid bacteria were inoculated with 10^5/ml and 10^7ml into previous inoculated samples of E. coli A_2. Inoculated samples cultured at 37℃, were tested to determine changes in viable numbers of organisms and pH. The experimental results are summerized as follows: 1. In the mixed culture medium of 10^5/ml E. coli A_2 and L. casei YIT9018, E. coli A_2 decreased after 36 hours from incubation. 2. In the mixed culture medium of 10^5/ml E. coli A_2 and L. acidophilus, E. coli A_2 drastically decreased after 24 hours from incubation and was almost disappeared after 72 hours from incubation. 3. In the mixed culture medium of 10^5/ml E. coli A_2 and L. bulgaricus, E. coif A_2 drastically decreased after 24 hours from incubation and was almost disappeared after 72 hours from incubation. 4. In the mixed culture medium of 10^5/ml E. coli A_2 and Str. thermophilus, E. coli A_2 decreased after 12 hours from incubation. 5. When the pH value of the mixed culture, was, 4. 5 below, E. coli A_2 decreased.

마른명태 식해의 향기성분과 기능성

최청,구태호,장운빈,최희진,우희섭,손규목 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.5

The volatile compounds of Myungtae (Alaska pollack) sikhae obtained by simultaneous steam distillation and extraction(SDE) apparatus were separated by gas chromatography(GC) and gas chromatography mass spectrometry(GC/MS). The totals of 155 volatile flavor components was identified in traditional Kyungsangdo Myungtae (Alaska pollack) sikhae, respectively. α-Zingihirene(11.03%) (E)-di-2-propenyl disulfide(7.95%) β-cironellol(6.02%), methyl allyl disulfide(3.58%), cryptone(3.39%), camphene(3.23%), pentano(3.21%), penadecanal(2.66%) and β-phellandrene(2.06%) were contained as the main compounds of Myungatae shikae. The fraction obtained from sikhae were tested for electron donating ability, angiotensin converting enzyme and xanthine oxidase inhibitory activity. There was no electron donation abilities(SC_50) of hexane and water fraction. On the other hand, the abilities of ethylacetate fraction and butanol fraction showed 310.64 ㎍.mL, 1096.49 ㎍/mL, respectively. Angiotensin converting enzyme inhibitory activities(IC_50) of ethylacetate fraction and butanol fraction were 1.623 mg/mL, 1.303 mg/mL, respectively. Xanthine oxidase inhibitory activities(IC_50) of ethylacetate fraction and butanol fraction were 3.591 mg/mL, 2.803 mg/mL, respectively.

경상도 전통 마른 명태 식해의 품질특성

최청,구태호,김성,최희진,성태수 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.3

The quality characteristics of traditional Kyungsangdo Myungtae (Alaska pollack) sikhae including optimal composition of the product were investigated. In the sensory evaluation, the Myungtae sikhae made from Gampo accepted to be best for traditional Kyungsangdo Myungtae sikhae and it is called standard sikhae. The standard sikhae was prepared as follows: dried-Myungtae 200g, cooked rice 230g, red pepper 92g, garlic 112g, ginger 100g, radish 1.6kg, salt 20g, and malt meal 65g. The Myungtae sikhae made from Gampo showed higher values in total sugar, free reducing sugar, and nitrogen compounds than the Myungtae sikhae made from another locations. The sugar of standard sikhae consisted of four kinds including glucose. And, the contents of free amino acid was increased in the order of glutamic acid, alanine, and methionine. The composition of free amino acid in Myungatae sikhae contained 17 kinds, and the contents was increased in order of glutamic acid, aspartic acid, and proline. The organic acid of standard Myungtae sikhae consisted of 7 kinds including lactic during fermentation. The contents of citric acid, succinic acid, and lactic acid gradually increased during fermentation, and especially, increasing of lactic acid remarkably increased than the different organic acid.

관상 동맥 질환에서 아포 E 지단백 유전자 다형성과 혈청 지질치와의 관계

곽선영,김성구,정호석,이유경,이광희,김철현,최태명,현민수,권영주 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Background and aims: The Apolipoprotein E is a ligand of both the protein component LDL receptor as well as the apo E LDL-Receptor related protein (LRP). It modulates the receptor binding of lipoproteins, with the apolipoprotein E found on cell surfaces as its component, thus serving an important role in the lipid metabolism by carrying out the intracellular transport of cholesterol in lipoproteins. The gene for apolipoprotein E is the product of three common genotypes as well as many more rare alleles. The common genotypes are ε2, ε3, and ε4, and are expressed in the three phenotype isoforms of E2, E3, and E4. In the event that E4 is the main component, a rise in the cholesterol level, as the result of down-regulation of the LDL receptor, is observed. Therefore, those samples with E4 genotypes are known to be in much higher risk of coronary artery disease than those with ε3/ε3, while those with ε2 are in low risk (with the exception of hypertiglyceremai Ⅲ). The aim of this study is to analyze in patients with ischemic heart disease the role of aplipoprotein E alleles in order to seek its correlation with coronary artery disease, as well as to seek whether the polymorphism of apo E produces any differences in the severity of coronary artery disease according to plasma lipid levels. Methods: The subjects for study were 273 patients admitted to the Internal Cardiology Division of the Soonchunhyang University Hospital form December 1998 to February 1999. The subjects were divided into the two groups of which one was ischemic heart disease (IHD) experiment group totaling 105 (avg.60.1 years of age, male/female ratio = 69/36) and the control group totaling 168 (avg. 59.7 years of age, male/female = 73:95). The coronary angiogram was given to 127 subjects, and of this total, 94 have developed significant stenosis in the coronary artery. The stages of the analyzing of the apo E phenotype was first, the separation of DNA from the blood samples, subjecting it to the PCR from with 228 base pairs of expanded products were obtained. The band was determined by means of the reverse hybridization principle on the nitrocellulose strip. Results: From the 105 patients the distributions of apo E phenotypes were as follows: ε3/2(5.7%), ε4/2(1.9%), ε3/3(70%), ε4/3(20%), ε4/4(1.9%). The relative frequencies of each allele are as follow: ε2 (0.038), ε3 (0.833), ε4 (0.128). The results show as follows: ⅰ) The IHD experiment group to have a higher occurrence of ε4/3 phenotypes as well as ε4 alleles than the control group. ⅱ) Both the control group and IHD group showed the largest distribution of ε3/3 for phenotypes, and ε4 for alleles. ⅲ) The IHD group showed less ε2/3 phenotypes as well as significantly less allele frequency of ε3 in comparison to the control group. ⅳ) the IHD group showed a much lower level of HDL in comparison to the control group, while the LDL was significantly higher; samples including the apo ε2 showed a significantly higher level of HDL than those without. Among the control group, samples including apo ε2 showed a significantly higher level of TG (triglyceride) than samples without. No significant difference was found between the experiment apo ε4 sample and the control plasma lipid sample. ⅴ) No significant correlation was found between an apo E polynorphism and the number of involved arteries of a coronary angiogram. Conclusion: Between the experiment IHD group and control group were found differences in the frequency of alleles. The polymorphism of apo E alleles may contribute as a risk factor to the development of heart disease by involving itself in the metabolism and modulation of plasma lipids.

가공속도와 슬러리의 가공온도에 따른 웨이퍼 폴리싱의 표면특성에 관한 연구

이정택,원종구,신태희,이은상 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

Silicon wafers which are the starting materials for the industry of semiconductor must be very flat in order to print circuits on them by lithographic processes. Therefore, the wafer polishing is an essential process used in the fabrication of silicon wafers to achieve a globally planar and mirror-like wafer surface. The surface roughness in the wafer depends on the surface properties of the carrier head unit along with other machining conditions such as polishing pad, Processing velocity, machining temperature, down-force distribution and so on. Also the applied down-force is an important parameter of polishing process. This study shows the surface characteristics between the polishing pad and the wafer carrier unit by wafer polishing system head. The experiments were performed to observe the down-force and temperature when the wafer carrier head unit was pressed down onto the polishing pad. To measure the down-force distribution in processing velocity, the experimental set up used the loadcell to get the signal of the applied pressure against the polishing pad in actual processing with detecting temperature in slurry. Thus the optimum condition selection of ultra precision wafer polishing is using loadcell and infrared temperature sensor. The optimum condition is selected to use a result data that measure a pressure in processing velocity. By using optimum condition, it helps to achieve an ultra precision mirror like surface.

자궁경부종양에서 HPVDNAChip^(�) 및 Hybrid Capture Ⅱ^(TM)검사를 이용한 인유두종 바이러스의 검출

여소진,김달수,남계현,심일구,김태희,이해혁,이권해 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.2

목적 : 인유두종 바이러스는 자궁경부암의 의의있는 원인 인자이다. 이 연구의 목적은 HPVDNAChip??검사를 이용하여 정상, 전암병변, 침윤성 경부암의 인유두종 바이러스의 분포를 알아보고 그 결과를 Hybrid CaptureⅡ^(^(TM)) 검사와 비교하였다. 연구 방법 : 149명의 대상환자 중 57명은 병변이 없었고, 59명은 전암 병변이었으며, 33명은 침윤성 경부암이었다. HPVDNAChip??검사와 이 검사처럼 아형 66, 69를 제외한 고위험군(HPV-16/18/31/33/35/45/51/52/56/58/59/68) 인유두종 바이러스를 검사할 수 있는 Hybrid CaptureⅡ^(^(TM))검사를 이용하여 연구하였다. 결과 : 두 검사 모두 인유두종 바이러스를 검사하는 데 유용하였고, 결과가 의의있게 일치하였다(kappa value 0.721, p<0.01). Hybrid CaptureⅡ^(^(TM))검사에서 양성이나 HPVDNAChip??검사에서 음성인 경우는 18명(12.1%)으로 평균 Hybrid CaptureⅡ^(^(TM))값이 120.7±233.0 (mean±SD)이였고, 두 검사 모두 양성인 경우의 Hybrid CaptureⅡ^(^(TM))값은 448.1±732.8 (mean±SD)이였다. Hybrid CaptureⅡ^(^(TM))검사의 민감도는 94.6%이고, 특이도는 78.9%였고 HPVDNAChip??검사의 민감도는 83.7%이고, 특이도는 89.5%였다. HPVDNAChip??검사는 모두 15가지의 고위험군의 인유두종 바이러스 아형을 알아낼 수 있으며 아형 16이 전암병변(28.8%, 15/59)과 침윤성 경부암(48.5%, 19/33)에서 가장 흔한 아형이었으며 그 다음으로 흔한 아형은 58이었다. 결론 : HPVDNAChip??검사는 Hybrid CaptureⅡ^(^(TM))검사처럼 인유두종 바이러스 검사에 매우 민감하고 유용한 검사이다. HPVDNAChip??검사는 Hybrid CaptureⅡ^(^(TM))검사와 비교할 때, 인유두종 바이러스의 아형과 중복감염에 대한 정보를 준다. 앞으로 HPVDNAChip??검사의 자궁경부암의 선별검사로서의 가치에 대한 연구가 더 필요하다. Objective : Human Papillomavirus (HPV) is well known as one of the major risk HPVDNAChip?? factors for cervical cancer. The purpose of this study is to know HPV genotype distribution in women with normal cervix, precancerous lesion, and invasive cervical cancer by HPVDNAChip?? test. In addition, the result of HPVDNAChip?? test was compared with Hybrid CaptureⅡ^(TM) system for HPV detection. Methods : One hundred forty nine patients were included in this study. 57 women had normal cervix, 59 women had precancerous lesion, and 33 women had invasive cervical cancer. We tested them with two method for detection of Human Papillomavirus (HPV) by HPVDNAChip?? test and Hybrid CaptureⅡ^(TM) system. Hybrid CaptureⅡ^(TM) test can detect same high-risk HPVs (16/18/31/33/35/39/45/51/52/56/58/59/68) with HPVDNAChip?? test which can detect additional 66 & 69 high risk types of HPV. Results : Both methods for the detection of HPV were useful tests. The correlation between the results of two methods was very significant (kappa value 0.721 [p<0.01]). Positive Hybrid CaptureⅡ^(TM) test and negative HPVDNAChip?? test group were 18 women (12.1%) and average Hybrid CaptureⅡ^(TM) titer value of this group was 120.7±233.0 (mean±SD), positive Hybrid CaptureⅡ^(TM) test and positive HPVDNAChip?? test group were 84 women (54.4%) and average titer was 448.1±732.8. The Hybrid CaptureⅡ^(TM) test showed a sensitivity of 94.6% and a specificity of 78.9% and the HPVDNAChip?? test showed a sensitivity of 83.7% and a specificity of 89.5%. HPVDNAChip?? test detected total 14 genotype of HPV. HPV-16 was 28.8% (15/59) in precancerous lesion and 48.5% (19/33) in invasive cancer, most common in both groups. Next common type HPV-58 was 25.4% (12/59) in precancerous lesion and 9.1% (3/33) in invasive cancer. Conclusion : HPVDNAChip?? test is very sensitive and effective method for detection of Human Papillomavirus (HPV) infection as Hybrid CaptureⅡTMtest. In comparison with Hybrid CaptureⅡ^(TM) test, HPV genotype and multiple HPV infection information can be given by HPVDNAChip?? test. Further study will be needed to know the value of screening of cervical cancer by HPVDNAChip?? test in future.

급성 심근경색 초기에 도플러 심초음파를 이용한 좌심실 이완기 기능의 평가

신원용,김주성,김철현,이광희,최태명,현민수,김성구,권영주 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Background : Congestive heart failure after acute myocardial infarction relate to left ventricular systolic sysfunction. Also, left ventricular diastolic function contribute to heart failure. The aims of this study were, firstly to characterize left ventricular diastolic function by transmitral flow velocity, and secondly to study the significance of Doppler measurements in relation to the development of heart failure in the early phase of myocardial infarction. Method : Pulsed Doppler echocardiography of transmitral flow was assessed in 34 patients with acute myocardial infarction. According to the Doppler transmitral flwo velocity profile, the study patients were assigned to the three groups: normal filling pattern (DT > 140ms, IVRT < 100ms), relaxation abnormality (DT > 140ms, IVRT ≥ 100ms), pseudonormal or restrictive pattern (DT ≤ 140ms). Also, on the basis of the presence of heart failure during first week of hospitalization, the patients were divided into two groups: patients with no sign of heart failure (Killip class Ⅰ) and heart failure (Killip class Ⅱ-Ⅳ). Results : Of the 34 patients studied, 10(29%) were normal filling pattern, 17(50%) abnormal relaxation and 7(21%) were restrictive patterns. The left ventricular ejection fraction(EF, 40 ±6%) of restrictive pattern was significantly lower than that of normal filling pattern of abnormal relaxation(p < 0.01). And, the IVRT, DT, E/A and left ventricular EF were reduced in patients with heart failure(14 patients) compared to no sign of heart failure(20 patients)(p<0.05). Of the patients with heart failure, IVRT and left ventricular EF were reduced in patients with DT≤140 ms compared to DT> 140ms(p=0.001). Conclusion : Left ventricular diastolic dysfunction is present early after onset of symptoms of acute myocardial infarction. Assessment of left ventricular diastolic function complements measurements of systolic function in the evaluation of cardiac function. DT, IVRT, E/A and left ventricular EF are useful predictors for development of congestive heart failure following acute myocardial infarction.