국내 상급종합병원과 종합병원 간호사의 정맥주입간호실무지침의 확산정도

은영(Young Eun),구미옥(Mee Ok Gu),조용애(Young Ae Cho),정재심(Jae Shim Jeong),권정순(Jeong Soon Kwon),유정숙(Cheong Suk Yoo5),정영선(Young Sun Jeong),정인숙(In Sook Jung),김경숙(Kyeong Sug Kim),이선희(Seon Heui Lee),서현주(Hyun Ju S 한국근거기반간호학회 2015 근거와 간호 Vol.3 No.1

Purpose: This study was conducted to investigate the extent of diffusion of Intravenous infusion nursing practice guideline among nurses in advanced general hospitals and general hospitals in Korea. Methods: The subjects were 234 nurses who practice the intravenous infusion in 24 advanced general hospitals and general hospitals. Data were collected between October 5 and November 2, 2015 by mail (return rates: 97.5 %). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/ WIN 21. Results: The average guideline diffusion score and levels of diffusion was 3.39±0.58 (level of “use sometimes”). 44 recommendations (46%) were in level of “use always” and 50 recommendations (53%) were in “use sometimes”. Extent of diffusion were significantly different according to present status (F=2.81, p=.040) and education (F=4.35, p=.014). The facilitating factors to use the guideline were education by department of nursing service, convenient composition of guideline and barrier factors were “no time to use the guideline”, “don’t know the guideline” and “there is no guideline at ward”. Conclusion: Extent of diffusion of Intravenous infusion nursing practice guideline among nurses was moderate level. The strategies for promoting the implementation of guideline in clinical practice is needed. Further study of outcome evaluation of guideline implementation will be needed.

정상인에서 베타3-아드레날린 수용체 유전자의 변이가 복부 비만도 및 지질대사에 미치는 영향

김영선,윤석기,김철희,서교일,김학선,김극배,변동원,유명희 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

The β₃-adrenergic receptor is expressed in visceral adipose tissue in humans and is thought to contribute to the regulation of the resting metabolic rate and lipolysis. We studied the influence of a mutation in the β₃ -adrenergic receptor gene(Trp64Arg) on body fat distribution, central obesity, lipid metabolism in 65 healthy young male adults. One out of 65 subjects were homozygous (Arg/Arg) for the trp64Arg mutation, 17 subjects were heterozygous (Trp/Arg), and 47 lacked the mutation(Trp/Trp). The body weight, height, body mass index, waist-to-hip ratio were similar between the subjects with- and without the mutation. Total body fat, abdominal fat amount, body fat distribution, serum total- and HDL-cholesterol, triglyceride, glucose, and insulin concentrations were also not different according to the presence or absence of the mutation. These results suggested that Trp64Arg mutation in β₃-adrenergic receptor gene is not a major contributing factor for central obesity or change in lipid metabolism in Korean young adults.

Haemophilus influenzae Type b 에 대한 급성 후두염의 치료 경험 2 례

이수영(Soo Young Lee),유상호(Sang Ho Yoo),이기선(Ki Sun Lee),홍미애(Mi Ae Hong),김순남(Soon Nam Kim) 대한소아알레르기호흡기학회 1998 소아알레르기 및 호흡기학회지 Vol.8 No.1

Epiglottitis is an uncommon but potentially life threatening infectious disease in young children. And it is rapidly progressing cellulitis of the epiglottis and adjacent structures that has the potential for causing abrupt, complete airway obstruction. The most common cause of acute epiglottitis is Haemophilius influenzae type b (Hib), therefore in USA, the acute epiglottitis is seen less commonly since the wide spread use of immunization against Hib. In Korea, there has been no report of acute epiglottitis caused by known bacterial organism, and a little investigation of the effects of the immunization against Hib, or Hib related respiratory diseases. In this report, we describe two cases of acute epiglottitis caused by Hib, occurred in non-immunized young-male children admitted to Ajou University Hospital. They had visited to the emergency center of Ajou University hospital with the complaints of acute fever, drooling, dysphagia and severe respiratory difficulties. In both cases, we observed the cherry-red colored, severely swollen epiglottis by the direct laryngoscopic examination. Hib was cultured in blood samples from both two cases, and the patients treated successfully by the 3 days of endotracheal intubation and proper antibiotics therapy without any complications such as pneumonia, meningitis, osteomyelitis, or pericarditis.

간암 환자에 합병된 Citrobacter braakii 패혈증 1례 보고

이해미,배성하,이수남,이정우,신아영,류시영,이수연,윤문희,한선영,한남익,이영석,유진홍 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

Citrobacter species is a gram-negative bacilli that can cause opportunistic infections in immunocompromised hosts. Citrobacter braakii refers to the genomospecies 6 of the Citrobacter freundii complex. There are no detailed studies on infections caused by this newly identified specific genetic species in Korea. We herein report a case of a patient with hepatocellular carcinoma who, after undergoing transcatheter arterial chemoembolization, developed biloma which later progressed to C.braakii sepsis and did not respond to treatment. To our knowledge, this is the first reported case in Korea on C. braakii infection resulting in septic shock in a patient with malignancy in Korea.

모발의 부위별 분석을 통한 Methamphetamine 남용자의 복용시기 추정에 관하여

유영찬,정희선,최화경,진원택,이한선 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.-

흰쥐 시상하부에서 NMDA에 의한 c-fos의 발현

이영기,최기열,이원돈,유영복,이왕재,황덕호,조사선,장가용 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.3

관상동맥협착증에 있어서 관상동맥우회술의 치료효과

유영선,박진상,최세영,박창권,이광숙 啓明大學校 醫科大學 1994 계명의대학술지 Vol.13 No.4

Sixty-one patients with coronary artery stenosis underwent coronary artery bypass grafting from February 1986 to September 1993 at the department of Thoracic and Cardiovascular Surgery. There were 41 men and 20 women with a mean age of 54 years(range, 25 to 79 years). History of myocardial infarction was noted in 17 patients(28%). Twenty-eight patients(46%) had single-vessel disease, 24 patients(39%) had double-vessel disease and 9 patients(15%) had triple-vessel disease. The left main disease was in 4 patients(7%). Single aorta-coronary grafts were placed in 37 patients(60%), double or more grafts in 24 patients(40%). An average of 1.4 grafts were performed per patient. Saphenous vein grafts were employed in 49 patients(80%), and the internal mammary grafts, which were anastomosed to left anterior descending artery in 23 patients(38%). The mean bypass time was 135 minutes and cross-clamp time was 45 minutes. Early mortality was 16.4% (10 patients). Perioperative myocardial infarction was the most common complication, followed by atrial arrhythmia, wound infection, bleeding, pneumonia, pneumothorax. The 51 survivors were followed-up for 1 to 72 months, averaging 31 months. Ninety-five percent of the survivors were in New York Heart Association class I or Ⅱ postoperatively. There was one late death. Poor ejection fraction was significantly associated with hospital death(p<0.05).

배양 신경세포의 분화에 따른 Transferrin 흡수와 그 수용체 발현에 대한 자기방사기록 및 면역세포화학적 연구

조사선,박광태,유영복,이경훈,박경한,황덕호,백상호 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.3

最適 組織構造의 說計를 위한 進路의 探索 : 官僚制의 向方과 관련하여 With Reference to the Future Prospect of Bureaucracies

柳錫永,曺善一 건국대학교 1985 論文集 Vol.21 No.1

The statement that organization structures facilitate the achievement of organizational goals assumes that managers know how to match organizational structures and goals and that they desire to do so. A number of characteristies of organizational structure not only describe the organization, but also lave implications for the behavior of individuals and groups as well as the organization itself. When the organization is the focus of attention we are concerned with its adaptiveness, flexibility, growth, and development. What is appropriate organization design which enable it to meet and respond to economic, political, and social pressures for change and development? Bureaucracy, orginated from the work of German sociologist Max Weber, is both the dominant organizational forts: in society and it has achieved it's distinction because it works best with the type of technologies and enviroments that most organizations have. But M. Weber's bureaucracy is attacked for incuring it's dysfunctional consequences and operating in stable enviroment where contingencies can be predicted. Against these machine bureaucracy views, there is a second type that is more effective with highly skilled employees. This structure, which relies on extensive decentralization, is called a professional bureaucracy. It typically appears in organizations that confront enviroments that are both complex and stable. Meanwhile, there are counterarguments for the coming death of bureaucracy. Warren G. Bennis argued that the bureaucratic structure is too mechanical to meeting for needs of modern enviromental situations. Therefore he forecast that in the most 25 to 50 years we would participate in the end of bureaucracy as we know at and in the rise of new social systems better suited to the 20th century demands of industrialization. There is, however, strong opposite view for it. R. Miewald, for example, has argued that bureaucracy can adapt to changing dynamic enviroments. These positions which reflect two perspectives on bureaucracy, probably seems to be depend on contingency conditions or situational logics. Recent several studies have shown that the form of an organi2ation does make a difference in organizational effectiveness. Some forms of organization, for example, are more effective under certain conditions, but other forms of organizations work better under different conditions. This is key expression of contingency approaches to organization. This approaches is concerned the organization as a unit in interaction with its enviroment. In this approach, the organization is considered as a complex set of interdependent parts interacting with one another and dependent in whole on some larger enviroment. In this above view, ad-hocracy which has been described a rapidly changing, adaptive, temporary system organized around diverse professional skills, would be characterized as having moderate to low complexity, low formalization, and decentralized decision-making. The most popular applications of ad-hocracy is the matrix structure and three further examples of ad-hocracies are the task force, the committee structure, and the collegial structure. These types of designs should be considered with diverse, changing, or high-risk strategies or where the technology is nonroutine and the enviroment is both dynamic and complex. We should be also noticed that there is the possibility of using both types of structure in the same organization because terms "bureaucratic" and "nonbureaucratic" are only crude extremes. An example of the search for this possibility is Charles Perrow's the Mixed Model. In sum, the logic of determination for the optimal organizational structure is that it can be begin selectively to apply the multitude of insights offered by organization analysis and depend on the design parameters and contingency factors such as task, age, size, and enviroment etc.

전류 비유 모델에 의한 초등학생의 전류 개념 변화 분석

유병길,강인석,김병철,남만희,박선희,소하연,윤희정,이영아,이하룡,전병문,정승호 부산교육대학교 과학교육연구소 2000 科學敎育硏究 Vol.25 No.-

There exists a major impediment to learning electricity which may illuminate why direct presentation of scientists' ideas is too aggressive a strategy. This impediment lies in thinking that electricity is used up and in envisaging the light bulb as a consumer. This view is based on a powerful idea which summarises much of our experience; it declares that 'things get used up', 'you cannot get something for nothing', and 'intuitive thinking'. To replace this view with scientific view, we made the analogy model. It is suggested that the analogy model is more effective in teaching electricity circuits than conventional teaching method.