국소 대뇌피질 침범과 운동성 간질발작을 보인 베르니케 뇌병증 2예

권영미,김지언,권오대,도진국,이동국 대한신경과학회 2004 대한신경과학회지 Vol.22 No.5

We report two cases of Wernicke encephalopathy presenting with convulsive seizures. The first patient had been supplied with total parenteral nutrition due to acute pancreatitis and presented with partial seizure evolving to generalized seizure. The second patient had been malnourished due to alcoholism and recent dyspepsia after a gastrectomy, who presented with generalized seizure. Brain MRI revealed high-signal lesions in the focal cerebral cortex on T2-weighted, FLAIR, and diffusion-weighted images. After a thiamine injection, the patients recovered and abnormalities on the MRIs disappeared.

SRB Assay에 의한 수수 분획물의 in Vitro 항암효과

권영미,김보경,이숙희,박건영 대한암예방학회 2007 Journal of cancer prevention Vol.12 No.2

Anticancer effects of various cereals were studied by surforhodamine B (SRB) assay on AGS human gastric adenocarcinoma cells and HT-29 human colon carcinoma cells. The methanol extracts of sorghum, millet and Job's tears showed more than 50% of inhibition rate on the AGS cells and the HT-29 cells. Among the cereals, sorghum showed the highest inhibition rate on both the cancer cells. To separate and identify the anticancer compounds from sorghum, the methanol extract and five fractions (fr.) (hexane fr., dichloromethane fr., ethylacetate fr., butanol fr. and aqueous fr.) were prepared, and SRB assay on the AGS cells and the HT-29 cells were examined. The dichloromethane fr. and ethylacetate fr. of the sorghum exhibited strong cytotoxicity effects than other fractionated samples. The sorghum extract and fractions inhibited survival of AGS cells and HT-29 cells in SRB assay. Among the fractions, dichloromethane fr. and ethylacetate fr. of the sorghum showed strong inhibitory effect on both AGS cells and HT-29 cells as concentration dependent-manner. Especially, dichloromethane fr. and ethylacetate fr. strongly inhibited the growth of AGS cells. This study resulted in sorghum, especially compounds in dichlromethane and ehtylacetate fractions exhihibited higest anticancer effect among the tested cereals. (Cancer Prev Res 12, 136-142, 2007)

의료기관 보건관리를 위한 산업전문간호사의 역할

권영미 한국직업건강간호학회 2008 한국산업간호학회 학술대회 Vol.2008 No.1

잦은 일과성허혈발작을 보인 뇌수막종 1예

권영미,이동국 대한신경과학회 2004 대한신경과학회지 Vol.22 No.2

A brain tumor is rarely considered as a differential diagnosis of a transient ischemic attack. However, a 76-year old man presented with frequent attacks of transient dysarthria, right hemiparesis and right hemiparesthesia. A brain MRI showed a carpet-like mass with homogeneous enhancement along the high convexity of the left dura, which was compatible with en plaque meningioma. In this case, the symptoms were thought to be the result of cerebral ischemia, attributed to the hemodynamical change in a tumorous condition.

에이즈 상담간호사 자격제도 개발을 위한 직무 분석 : 포커스 그룹 연구방법과 데이컴 기법을 중심으로

권영미,조경미,주혜주,김성재,전경자,박은희 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.1

Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

급성 골수성 백혈병 환자에서 발생한 다발성 과립성 육종 1 예

권영미,이용구,정선관,유남진,김경년,오경아 대한내과학회 1994 대한내과학회지 Vol.47 No.6

Granulocytic sarcoma, or chloroma is a localized extramedullary tumor mass composed of immature cells of the granulocytic series. It was first described by Burns in 1811, subsequently termed $quot;Chloroma$quot; because of green color sometimes imparted by cellular myeloperoxidase, Dock was the first to note the association of granulocytic sarcoma with acute leukemia, it may by associated with such myeloproliferative disorder as hypereosinoplilia, polycythemia vera, or myeloid metaplasia. Granulocytic sarcoma is now regarded as an omnious habinger of acute myelocytic leukemia (AML), or the onset of blast crisis in chronic myelogeneous leukemia (CML). Granulocytic sarcoma can arise in various locations including the periosteum of the bones, lymph nodes, skin, epidural structures, female genitalia, gonads, breast, gastrointestinal tract, urinary bladder, and kidney. Although its overall incidence is low, the tumor can present in any organ. We report a case of a 18-year-old man who was diagnosed as having multifocal granulo cytic sarcoma in the soft tissue.

ENDOGENOUS DOWNWARD JUMP DIFFUSION AND BLOW UP PHENOMENA BEFORE CRASH

권영미,전인태,강혜정 대한수학회 2010 대한수학회보 Vol.47 No.6

We consider jump processes which has only downward jumps with size a fixed fraction of the current process. The jumps of the pro-cesses are interpreted as crashes and we assume that the jump intensity is a nondecreasing function of the current process say λ(X) (X = X(t):process). For the case of λ(X) = Xα; α > 0, we show that the process X should explode in finite time, say te, conditional on no crash. For the case of λ(X) = (lnX)α, we show that α = 1 is the borderline of two different classes of processes. We generalize the model by adding a Brownian noise and examine the blow up properties of the sample paths.

장기공여와 이식에 대한 일반인의 주관적 특성

권영미,윤은자 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.3 No.1

This study was designed to identify the attitudes of the people on organ donation and transplantation. The purpose of this study was to provide data to help inspire organ donation, and promote registration yield so donor candidates will have more favorable recipients through Q-methodology. A Q-sample was developed through a review of the literature and interviews. Thirty-three statements made up the final Q-sample. The P-sample consisted of twenty-eight subjects, excluding chronic organic disorder. The Q-sorts by each subject were coded and analyzed with the QUNAL computer program. The results were as follows: This study discovered five different types of organ donation and transplantation of twenty- eight subjects. Type I is 'utilitarian.' The people of this type consider human life very valuable and they recognize that organ transplantation is an affirmative medicine that should be performed to extend human life. They believe that are saving others' lives by donating organs. Type II is 'sardonist.' The people of this type approve of organ transplantation usefulness, but they have no intention of participating in the program because of it may trample on human rights. Type III is 'individualist.' The people of this type consider it proper for the activation of organ transplantation by the legal system. They believe that organ donation a valuable too, but needs support through social benefits to donors. Yet, they have not intention of doing what they propose. Type IV is 'familist.' The people of this type have strong attachments to life but they think that organ donation and transplantation should be done between within a family. Type IV is disposition of family intensive consideration rather than altruistic and utilitarianism. Type V is 'deontologist.' The people of this type recognize the benefits of transplantation, but have a negative opinion of activation. They worry about ethical and social problems occurring in the development of modern medicine. They believe that death is the only natural end to life, so they have strong negative opinions of euthanasia and brain death compared to other types. They regard transplantation to be a non-human behavior, because it involves a removing organs and breaking the boundary of death. The findings of this study are only preliminary and serve as a baseline to understanding the subjectivity of individuals on organ donation and transplantation. Therefore, the subjectivity of the five types will be applied to formulate the educational programs and public relations strategies for organ donation because the public's awareness toward organ donation is closely related to their values, beliefs, and attitudes.

장기공여와 이식에 대한 주관성 연구

권영미,윤은자 한국보건교육건강증진학회 2000 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

대화교육의 이론적 기초

권영미 한국교육학회 대구·경북지회 1994 교육학논총 Vol.13 No.-

We are afraid a current education goes on with anti-humanizing education which is achievement-oriented behavior. So, education researcher must show a critical alternative about the conception and a practice of narrow education. Above all, we must recognize that achievement-oriented behavior is only the part of interdependent another factor. Let's us suppose it is self expression-oriented behavior and social union-oriented behavior. It is prescribed "dialogue education". Dialogue education is systemize self-dialogue about existence and dialogue about the relation to another. Dialogue is not individual rules of teaching, but dicipline of teaching-the way of relation making about teacher and student. I am sure this is reflectional and moral. In addttion to, this is reconstruction a life of the whole.