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      • 호기말 양압 호흡법이 심폐 혈관계에 미치는 영향에 관한 연구

        김혜자 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

        Change of cardiovascular hemodynamic change in 10cmH20 PEEP on control anesthetized dogs. Hemodynamic variable change were measured by Swan-Ganz catheter through external jugular vein. The following results were obtained. 1) normal dogs of applying 10cmH20 PEEP have significant decreased effect in cardiac output and mean arterial pressure. 2) central venous pressure, pulmonary arterial pressure and pulmonary capillary wedge pressure were significant increased in 10cmH20 PEEP on control. 3) The heart rate showed no changes by 10cmH20 PEEP in normal dogs.

      • 수술중 수혈 환자에 대한 임상적 고찰

        김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

        Blood transfusions have the potential for many harmful side effects, especially whole blood transfusion have more complication than blood component transfusion Therefore, modern hemotherapy practice blood comporent transfusion, have been increasingly recognized as blood component transfusion. The patients who recieved blood transfusion during operation in Chungnam National University Hospital from Jan. 1967 to 1994 were analyzed statistically by age, sex, annual status, blood volume, blood type, and each clinical department and operating procedure. The results are summerized as follow; 1. The numbers of transfused patients among the 8489 operative case were 3404 case(40. 1%) between 1967 and 1976 2. The number of transfused patients among the 34906 operative case were 5793 case(16. 6%) between 1985 and 1992 3. The numbers of transfused patients among the 13216 operative case were 740 case(5. 6%) between 1993 and 1994 4. The amount of blood transfusion was decreased but the volume of one person in transfusion was increased 5. The percentage of blood component therapy was acutely in creased from 1990 decade

      • 국민학교 6학년을 둔 어머니와 딸의 성지식에 대한 조사연구 : 목포 지역을 중심으로

        김혜자 성신간호대학 (성신간호전문대학) 1994 논문집 Vol.6 No.-

        The purpose of the study was to evaluated sex knowledge of primary school 6th grade girl students and her mothers. The subjects of study were 77 couples living in Mokpo city. The data were gathered using a direct survey method from Feb.3 to 15, 1994. The instruments used for sex knowledge test questionairs by Bloch Doris. The collected data were analyzed with the descriptive statistics such as percentage, mean, S.D, t-test, paired t-test. ANOVA using spss pc^+. The results of the study were as follows ; 1. The sex knowledge mean score of mothers(17.9) was significantly higher than that of daughters(14.9). (t=6.20, p-.000) 2. The sex knowledge of mothers revealed that ; the higher part : When does a new baby begin to grow? (100%) How long does a menstrual paired usually last? (100%) How long does the baby develop in the mother before it is born? (97.4%) the lower part : What fluid can leave a man's baby when the penis is soft and limp? (5.2%) Why women menstruate? (23.4%) What happens when a baby is ready to be born? (36.4%) 3. The sex knowledge of daughters revealed that ; the higher part : How long does a menstrual paired usually last? (98.7%) When does a new baby begin to grow? (97.4%) Where do babies come from? (94.8%) the lower part : What fluid can leave a man's baby when the penis is soft and limp? (9.1%) Why women menstruate? (18.2%) where are the sperms placed during intercourse? (20.8%) 4. The degree of mothers sex knowledge has the significant difference of the experience of sex education practice(t=-3.0, p=.004), and the awareness of premarital virginity(F=4.2433, P=.0180).

      • Halothane 마취시 용수적 인공 호흡과 인공 호흡기 사용에 따른 동맥혈 가스분석 및 혈중 K^+의 비교 연구

        김혜자 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

        The study was carried out to compare the difference between respiratory ventilator and manual controlled ventilation group's arterial blood gases & serum potassium level during the anesthesia. 1) Manual controlled ventilation group: alkalemia in this group was noticed (0.005<p<O.01) and serum potassium decreased to 3.78±0.11 (0.005<p<0.01) 2) Respiratory ventilator group: Slight alkalemia was and serum potassium decreased to 3.84±0.2 (0.05<p<0.1) anesthesiologists were apt to give alveolar hyperventilation during manual controlled ventilation, but respiratory ventilator mild alveolar hyperventilation was offered. But Both ventilating method was :not over the normal value of blood gas analysis and there were gave appropriative alveolar ventilation during Halothane Anesthesia.

      • 중년 여성의 갱년기 증상과 수면양상과의 관계

        김혜자 성신간호대학 (성신간호전문대학) 1999 논문집 Vol.8 No.-

        This study was done for the purpose of analysing the relationship between menopausal syndromes and sleep pattern in the pre and post menopausal women's group. Data were collected by a questionsaire from Jan. 5. 1999 to Jan. 15. 1999. The subjects were 120 midlife women (62 subjects were in pre-menopausal period, 58 subjects were in post-menopausal period) The instruments used for this study were the menopausal syndrom scale by Neugarton and sleep pattern by Oh Jin Joo, Song Mi Soon, Kim Shin Mi. Data were analyzed with the SAS/PC using frequency, t-test, and pearson corrclation coefficients. The results of this study were as follow; 1. The most serious menopausal symptom in the midlife women was 'back pain and joint pain', 'General weakness', 'Nervousness'. 2. The item of 'back pain and joint pain' (t=2.01, p〈.05), 'constipation' (t=2.45, p〈.01), 'sweating' (t=2.34 p〈.05), 'Anorexia' (t=2.45, p〈.05), 'Depression' (t=2.07, p〈.05), 'insomnia' (t=2.37, p〈.05) as menopausal syndroms were statistically significant in there two groups : post menopausal group were higher then premenopausal groups. 3. Postmenpausal group were a little higher than premenopausal group as sleep pattern. 4. The relationship between menopausal syndrome and sleep pattern was statistically significant in the pre and post menopausal women's group(γ=-.0696(0.0001)).

      • 春川敎育大學 寄宿舍生의 生活實態 調査 硏究

        金惠子 춘천교육대학 학생지도연구소 1982 學生生活硏究 Vol.7 No.-

        It is needless to say that environments are most essential in taking care or and teaching students. In this regard, a study is made on a dormitory life of the students in order to be helpful to the dormitory management and better guide to the students. Through enquetes and answers received from 303 students for the period of June 25 to 30 1981, study on their life in (1) home, (2) campus, (3) cooperative dormitory, (4) individual is made, as follows. Statisfical figures are shown by college grades and total number of students Home : In the educational level, that of the parents of 2nd grade showed higher than that of 1st grade. Professions are mostly commerce, next agriculture and no prefession. Campus : 40.6% of 1st grade students showed a satisfactory response on their having chosen the teachers college, and 42.1% of 2nd grade for same, 67.7% attend their circle meeting such as art & science, religion and social contribution. Dormitory : 41.7% of the students showed their preference on entry into the dormitory, and 55.5% appreciate the adequately equipped dormitory. 4 students use one room, and their cooperative life between higher grade and lower grade students is satisfactory. Their most pleasant time is To Talk, Have Events and Meetings. Complaints on the dormitory life are Difficult to have a free time and Difficult to have a quiet time to study. Private life : Most of the students have no religion, but many are christians, catholic and buddhists. Individual health of the students is satisfactory, and they study for 1 to 2 hours a day and 26.7% spend time to read books at a leisure time. They are allowed to go home once a month, and their petty cash is in average ₩20,000 below and ₩10,000 below for foodstuff. Higher grade students spend more money than lower grade, 37.5% drink alcoholic beverages, and 0.3% smoke cigarettes.40.3% enjoy dates and 73.6% are simply in friendship and 50.4% are agreeable to dates.20.5% demand no raise of dormitory fee, 17.0% for better meals, 16.3% for changing a bell, 15.6% for improving toilet room sanitation and 10.8% for better dinning room. The writer hopes that this study will be helpful to guide the students and also for dormitory management. The End.

      • 피하 Tunneling 과 함께 경막외 거치술을 이용한 말기암 환자의 통증치료

        김혜자 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

        Thirty patients with cancer pain refractory to other methods of pain control were treated with epidural morphine delivered through a placed percutaneous lumbar epidural catheter with a subcutaneous tunneling. morphine requirements during first 1 week were 6-10mg/day. Maximum opioid requirement before death day was morphine 15-100mg/day. Mean catheter life span was about 30days. Side effects after epidural morphine were nausea and vomiting (27%), urinary retention, pruritis, respiratory depression (13%).

      • 마취 유도시 Vecuronium전 투여 효과에 관한 연구

        김혜자 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2

        Administration of a subparalyzing of a nondepolarizing muscle relaxant (priming dose) prior to its indubating dose hastens the onset time of neuromuscular blockade. This study was measured the optimal priming and intubating dose and time interval between these used doses of vecuronium during rapid sequence induction of Anesthesia. We measured single-twich tension in 30 persons. In group 1, of the study. the priming dose used 0.01mg. kg^-1 and thiopental sodium 5mg. kg^-1 i.v. four minutes after the priming dose. 0.1mg. kg^-1 i. v was given. onset times for the this group was significantly shorter than the other group. In group Ⅱ. the priming dose were used 0.02mg. kg^-1 and thiopental sodium 5mg. kg^-1 i. v. also, four minutes after the priming dose, 0.1mg. kg^-1 i. v was given. onset time for this group was induced as group I. In group Ⅲ, the priming dose was not used. intubating dose 0.1mg. kg^-1 and thiopental sodium 5mg. kg -' i.v. onset time for this group was significantly longer than the other groups. Intubating condition were silent and blood pressure. pulse rate and EKG were not change specially.

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