안면속립파종낭창(顔面粟粒播種狼瘡)의 1예

김난희,유태연 대한피부과학회 1972 大韓皮膚科學會誌 Vol.10 No.3

A case of lupus miliaris desseminatus faciei, 23 year old male was reported. The multiple minute discrete yellowish brown superficial nodules, 2 to 3 mm in diameter, revealed apple-jelly color under diascopy without any subjective symptoms since June, 1971. The lesions affect lower eyelids, forehead, cheeks, malar region, upper lip, chin and nasolabial folds symmetrically. Histopathological findings revealed conglomerated individual tubercles with prominent central caseation necrosis. He was given 600mg of INH and 12 mg of PAS daily per os for 2 months. The eruptions were healed gradually with pitted scars.

『대설, 남』에 나타난 크로노토프의 특성과 ‘만국활계남조선(萬國活計南朝鮮)’의 의미화

김난희 서강대학교 인문과학연구소 2017 서강인문논총 Vol.0 No.50

『Big Story, South』, by Kim, Jiha, can be a work that newly pushed the boundaries of the people literature in 1980’s by securing the key words of ‘life’ and ‘people’ together through originative Chronotope and a type of character. Even though 『Big Story, South』showed Chronotope and a type of character unusual in the poetic history since the modern age, it is still thought as an experimental work in times past without any spotlight in the science of literature, which will narrow a range of the people literature for itself. This study takes ‘Chronotope’ as a literarily analyzing frame for 『Big Story, South』 trying to implement the ideology of ‘The ideology to save all the people in the world will come from the south’ literarily which demands a new revolution (the Great opening) using ‘life’ and ‘people’ as keywords. Using the frame, this study will look at signifying aspect and aesthetic characteristics of ‘The ideology to save all the people in the world will come from the south’. By regarding the vastness of space and time, complexity, crossing, chance, simultaneousness and images of popular characters shown in 『Big Story, South』 as the characteristics of Chronotope internally correlating with ‘The ideology to save all the people in the world will come from the south’ which is the theme of『Big Story, South』, this study will examine how the structure and the organization of each Chronotope are linked in the signifying process of ‘The ideology to save all the people in the world will come from the south’, and then investigate how aesthetic characteristics are realized in the linking process. This study will try to access literarily aesthetic characteristics of 『Big Story, South』, which was published in a new literary form of the 1980’s and almost could have been a great key factor, but rarely did it receive appropriate literary spotlight. 본고에서는 민중을 중심으로 새로운 혁명(후천개벽)을 실천해야 한다는 ‘만국활계남조선(萬國活計南朝鮮)’사상을 문학적으로 구현하고자 시도한 『대설, 남』의 크로노토프Chronotope 특성을 통해 이것이 『대설, 남』의 주제라 할 수 있는 ‘만국활계남조선(萬國活計南朝鮮)’의 의미화 과정에 어떻게 간여하고 있는지 살펴보고자 한다. 『대설, 남』에서 볼 수 있는 시공간적 복잡성과 동시성 및 생명의 담지자로서의 민중적 인물 크로노토프 등은 김지하가 이 작품을 쓸 당시 주장했던 ‘생명으로서의 민중관’을 문학적으로 구현하기 위해 선택된 것인 만큼, 그 구성적 특성이‘만국활계남조선(萬國活計南朝鮮)’의 의미화에 여하히 연동되는지, 그 문학적 효과는 여하히 발휘되는지 살펴보는 과정으로 진행될 것이다. 이를 통해 1980년대의 새로운 문학 양식으로 발표되어 민중문학의 지평을 넓힌 작품으로 자리매김될 수 있음에도 불구하고, 그에 걸맞은 평가를 찾아보기 힘든『대설, 남』에 대한 문학 내적(內的)인 접근을 시도해보고자 한다. 이 시도는 단순히 ‘한 시대의 실험작’차원으로만 묻혀지기에는 『대설, 남』이 묘사와 재현이 주류를 이루었던 당대 민중문학의 스펙트럼을 넓힐 수 있는 특성을 지니고 있으며, 그 특성은 1980년대 민중문학의 다양성 차원에서도 짚고 넘어가야 한다는 필요성에서 출발한 것이다.

법적 측면에서의 간호기록 작성방법 교육이 지방 종합병원 간호사의 간호기록작성 지식, 수행자신감에 미치는 효과 및 교육만족도

김난희,박연임,이영성,양영란 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.12

The object of this study is to identity the effect of nursing recording education in terms of law on nurses’ knowledge, confidence on nursing recording and to measure the education satisfaction in a local hospital. This is one group pre-post comparison study. The 47 nurses were educated about nursing recording in terms of law for an hour and a half. Education was conducted after pre-survey and post survey was done a week after education. The research tool was composed of 65 questions for knowledge and 6 questions for confidence, respectively. The level of education satisfaction was measured by Visual Analogue Scale(VAS). The level of knowledge (t=-2.31, p=.025) and confidence (t=-6.09, p<.001) on nursing recording is statistically increased after education. The point of education satisfaction (6.53) was upper-middle level. Education nursing recording in terms of law in a local hospital increased the level of nurses’ knowledge and confidence in nursing recording. Thus, education nursing recording in terms of law should be systematically and consistently implemented in the hospitals. 본 연구는 법적 측면에서의 간호기록 작성방법 교육이 지방 종합병원 간호사의 간호기록작성 방법에 대한 지식과 수행자신감에 미치는 효과와 교육만족도를 파악하기 위함이다. 본 연구는 단일군전후 실험 연구로, 간호사 47명을 대상으로 1시간 30분 동안 법적 측면의 간호기록 작성방법에 대해 교육하였다. 사전조사 후 교육을 실시하고, 일주일 후에 사후조사를 실시하였다. 연구도구로 지식은 65문항, 수행자신감은 6문항으로 구성되었으며, 교육만족도는 VAS로 측정하였다. 법적 측면에서의 간호기록 작성방법 교육을 받기 전보다 받은 직후에 간호사의 간호기록 작성 지식(t=-2.31, p=.025)과 수행자신감(t=-6.09, p<.001)이 유의하게 증가하였으며, 지식의 하위 영역별로 작위성(해야 할 것)(t=-2.96, p=.005)과 부작위성(하지 말아야 할 것)(t=-2.41, p=.020)도 유의하게 증가하였다. 교육만족도는 6.53점으로 중상 정도로 나타났다. 법적 측면에서의 간호기록 작성방법 교육이 지방 종합병원 간호사의 간호기록작성 지식, 수행자신감에 효과가 있었으므로 향후 법적 측면의 간호기록 작성방법 교육은 지속적이고 체계적으로 수행되어야 한다.

서울 서남부지역 노인인구에서 공복혈당 및 경구 당부하검사(ADA 및 WHO 당뇨병진단기준)에 의한 당뇨병의 유병률

김난희,최동섭,백세현,최경묵,신동현,박이병,김신곤,김동림,조영직,김경오 대한당뇨병학회 2001 Diabetes and Metabolism Journal Vol.25 No.2

Background: The prevalence of diabetes in Korea is increasing rapidly, however we do not have much reliable data to prove it. Thus, the Southwest Seoul Study (SWS Study) designed to investigate the prevalence of diabetes (Clinical impact of new diagnostic criteria of ADA compare to the one of WHO), other metabolic diseases, and the proportion of diabetes related mortalities in the elderly Korean southwest Seoul population in prospectively. However, in this report we summarized the prevalence of diabetes only. Methods: Randomly selected 1,737 elderly subjects over 60 years who lived in southwest area of Seoul were recruited in this study. Subjects underwent 75 g OGTT, interviewed using the standardized questionnaire, and careful physical examinations during the evaluation. Biochemical data were collected from 1,652 subjects and were analysed for this report. Of 1,652 subjects, we identified 196 pre-diabetics. However, these subjects were included in this analysis. ADA criteria (FBS≥ 126 mg/dL (7.0 mmol/L)) and WHO criteria (75 gOGTT, pp2h≥ 200 mg/dL (11.1 mmol/L)) were used as the criteria for diagnosis of diabetes. ADA and WHO criteria for impaired glucose tolerance (IGT, WHO: FBS$lt;7.0 mmol/L, 7.8 mmol/L ≤ pp2h $lt; 11.1 mol/L), and impaired fasting glucose (IFG, ADA:6.1 mmol/L ≤ FBS $lt; 7.0 mmol/L, pp2h $lt; 7.8 mmol/L) were also used. Results: The prevalence of Diabetes mellitus was 20.5% (previous diagnosed 196 people (11.9%), newly diagnosed 142 people (8.6%); total 338 people). Among 142 newly diagnosed people, 50 people diagnosed by new ADA criteria and 129 people were diagnosed by WHO criteria, thirty seven people were diagnosed by the both criteria. The number of IGT and IFG were 337 (20.4%) and 85 (5.1%) people, respectively. Conclusion: The prevalence of diabetes in Korean elderly who lived in southwest area of Seoul was 20.4%. The prevalence of IGT and IFG were 20.4%, 5.1 %, respectively. Furthermore, this study suggest that using the ADA fasting criteria only for screening of diabetes might cause . under diagnose of diabetes in elderly Korean.

아쿠타가와 류노스케(芥川龍之介)의 여성인식과 ‘여성성’에 대한 공포

김난희 한국일본언어문화학회 2007 일본언어문화 Vol.10 No.-

아쿠타가와 류노스케(芥川龍之介)와‘세기말 유럽문학’의 관계

김난희 동아시아일본학회 2007 일본문화연구 Vol.23 No.-

この論文は芥川龍之介テクストに頻繁に言及されている‘世紀末’や‘世紀末ヨーロッパ文學’、‘世紀末藝術’という言葉に着目して芥川龍之介と世紀末ヨーロッパ文学との関係を究明しようと試みたのである。‘世紀末’とは1890年代をいうことで、芥川がとりわけ世紀末に拘っているのは何故だろうか。芥川は1892年生まれで‘自分は世紀末に人となった’と強く意識している。また生まれてまもなく起った生母の精神異常は彼の生のよりどころを奪ってしまい、彼の心象風景に世紀末的憂愁を刻印するのに一助したと言えよう。また、1910年の大逆事件も時代を閉塞させた。暗鬱な時代に彼は正義のための行動をとることができなかった。だんだん芥川の内部は厭世的,懐疑的な傾向を見せつつあった。地獄的な現実から逃れるようにしてくれたのが芸術であった。たといそれが‘人工の翼’であっても,彼を陶酔させるに充分であった。‘世紀末精神’のなかには地上的な規範を踏み躙れる特權が与えられているかに見えて、カタルシスを感じたと思われる。 芥川が受け入れた'世紀末精神'は彼の文学にも影響した。それは藝術至上主義とそれに関わる文学理念である。彼は一連の藝術家小說を書いた。『地獄變』『沼地』『戯作三昧』がそれである。これら作品には熾熱な藝術家像が描かれている。また芥川文学のモチーフとしての'タナトス'も世紀末ヨーロッパ文学の産物であると言える。彼は青年期の習作時代に『大川の水』『老年』『青年と死と』と言う作品を書いた。この中には'死'への親和を見せている。外にも彼の作品には'黃昏意識'が色濃く滲みている。以上のような特性から彼の文学と世紀末ヨーロッパ文学とは緊密に繋っていることがわかる。

아쿠타가와 류노스케(芥川龍之介)의 문학에 나타난 ‘불’의 이미지

김난희 동아시아일본학회 2007 일본문화연구 Vol.24 No.-

この論文は芥川のテクストに表れる火のイメージについて分析したのである。火は焔、松明,太陽,閃光、猛火、マッチの火などの変容をみせている。芥川は表現に拘った作家であるがゆえ、様々なイメージを駆使してテーマをより効果的に伝達しているのが分かる。芥川の火のイメージは芸術との相関関係を見せる一方、人間深層のイドとの関わりも見せているとみた。『地獄変』『蜜柑』『舞踏会』『奉敎人の死』『或阿保の一生』に出てくる火は唯美主義と緊密に結び付いていた。それは'刹那の感動'と'恍惚なる法悦'の美学として現われている。 『疑惑』『羅生門』『保吉の手帳から』に出てくる火は人間の心の深層のイドないし内面心理と結び付いているとみた。 芥川のテクストにはバシュラールの命名した'エンぺドクレスコンプレックス'が色濃く浸透している。それは芸術に殉死することによって不死の永生を得ようとする態度である。それは若いころの芥川の理想でもあった。 また、芥川はフロイトを受容して無意識にたいしても深い関心を見せている。それは人間の意識の深層に潜んでいる抑圧された本能としてのイドである。彼の作品にみえるグロテスクな現象はイドとの関わりから窺うことができる。イドを照明する仕掛けとして火が効果的に用いられている。『疑惑』の主人公は平素自分が知らなかったもう一つの自我に直面して驚愕している。このように芥川は抑圧されたものを回帰させ見せることによって彼独特の文学を創出したと言えよう。

광주 하남산업단지 내 도장, 도금, 주물․주조, 고무제조 및 폐유정제 사업장에서 발생되는 악취물질의 조사 연구

김난희,박강수,박승열,김도술,김동수,이경석,백계진,문용운 한국냄새환경학회 2011 실내환경 및 냄새 학회지 Vol.10 No.2

본 연구에서는 광주 하남산업단지 내 도장, 도금, 주물․주조, 고무제조, 폐유정제사업장을 대상으로 사업장별로 발생되는 악취물질 중 악취기여도가 큰 물질을 조사하고자 하였다. 이를 위해 방지시설 배출구에서 질소화합물 2종, 황화합물 5종, 알데하이드류 13종, 휘발성유기화합물 10종, 총 30항목을 조사하였다. 조사결과 악취기여도가 큰 물질은 도장사업장에서는 뷰틸알데하이드(73.8%) > 아세트알데하이드(17.7%) > 프로피온알데하이드(4.9%) 순으로 나타났고, 도금사업장에서는 아세트알데하이드(59%) > 암모니아(19.1%) > 황화수소(13.1%) 순으로 나타났다. 그리고 주물․주조사업장에서는 황화수소(65.9%) > 아세트알데하이드(17.2%) > 이산화황(5.2%)으로 나타났다. 그리고 주물․주조사업장에서는 황화수소(65.9%) > 아세트알데하이드(17.2%) > 이산화황(5.2%) 순으로 나타났으며, 고무제조사업장에서는 I-발레르알데하이드(35.0%) > 뷰틸알데하이드(32.0%) > n-발레르알데하이드(13.3%)으로 나타났다. 폐유정제사업장에서는 아세트알데하이드(36.8%) > 뷰틸알데하이드(33.6%) > 이산화황(14.5%) 순으로 나타났다. In this study was analyzed substances that high contribute to odor strength degree which emitted from the painting, the plating, the casting, the rubber manufacturing, and the used oil refining facilities in Gwangju Hanam industrial complex. In order to this, we analyzed two types of nitrogen compounds, five types of sulfur compounds, thirteen types of the aldehyde, and ten types of volatile organic compounds discharged from an outlet for antipollution facilities. The results are as following high contribution rate sustances to odor strenth was ordered butylaldehyde (73.8%) > acetaldehyde (17.7%) > ropionaldehyde (4.9%) at painting facilities. At plating facilities, it was ordered Acetaldehyde (59.0%) > ammonia (19.1) > hydrogen sulfide (13.1%). At casting facilities, it was ordered Hydrogen sulfide (65.9%) > acetaldehyde (17.2%) > sulfur dioxide(5.2%). At rubber manufacturing facilities, it was ordered i-valeraldehyde(35.0%) > butylaldehyde (32.0%) > n-valeraldehyde (13.3%) and at used oil refinery facilities, it was ordered Acetaldehyde(36.8%)> butylaldehyde (33.6%) > sulfur dioxide (14.5%).

에이즈 칼럼-에이즈22년, 정부와 민간단체 감염인 모두가 한 목소리 내야할 때

김난희,Kim, Nan-Hui 대한에이즈예방협회 2007 레드리본 Vol.77 No.-

에이즈를 음지에서 양지로

김난희 대한에이즈예방협회 2005 레드리본 Vol.64 No.-