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중환자실 간호사의 회복탄력성, 직무스트레스 및 조직몰입
김성남,유문숙,Kim, Sung Nam,Yoo, Moon Sook 한국가정간호학회 2014 가정간호학회지 Vol.21 No.1
Purpose: This study explored the relationships among resilience, job stress, and organizational commitment in ICU nurses. Further, the possibility of the application of resilience to the hospital environment was evaluated to provide basic data for program development to improve resilience and to promote nurses' commitment to their organizations. Methods: Data were collected from 174 ICU nurses at A University Hospital. The cross-sectional descriptive survey was conducted using a structured questionnaire. Results: The mean resilience score was $2.41{\pm}0.47$ out of 4. The mean score for job stress was $3.60{\pm}0.36$ out of 5, and that for organizational commitment was $3.25{\pm}0.55$ out of 5. Analysis of the relationships between the participants' resilience and organizational commitment indicated a significantly positive correlation (r=.45, p<.001). According to the general characteristics, organizational commitment levels showed a significant difference according to the ICU type (F=1.38, p<.001). Conclusion: It may beconcluded that the important individual factor of resilience had a positive influence on organizational commitment. Thus, resilience should be actively promoted, and a program should be developed to enhance the resilience of ICU nurses.
김성남,성익현,김종헌,강영종,Kim, Seong-Nam,Sung, Ik-Hyun,Kim, Jong-Heun,Kang, Young-Jong 한국방재학회 2004 한국방재학회논문집 Vol.4 No.4
본 연구의 대상교량은 세로보와 레일의 중심선이 일치하지 않으며 편심거리가 존재한다. 편심이 존재하지 않는 설계-시공이라면 실제 세로보에서는 열차 하중에 의해 휨 응력만이 발생하게 된다. 그러나 실제 설계-시공 상에서는 세로보와 레일의 중심선이 일치하지 않고 이러한 세로보와 레일의 편심에 의해서 침목에 휨이 발생한다. 이에 따라 침목과 연결되어 있는 세로보에는 휨 응력뿐만 아니라 추가로 비틀림 응력도 발생하게 된다. 이러한 비틀림 응력이 세로보 절취부에 미치는 영향과 수직 브레이싱을 설치하였을 경우의 영향에 대해서 분석해 보도록 한다. The centroid of rail doesn't coincide with the centroid of stringer on target truss bridge. If there is no eccentricity on the bridge, bending stress works only. But in the real design and execution, not only bending stress works but also torsional stress does because of it's eccentricity. So this study evaluates how much the torsional stress by eccentricity effects joint members on the bridge. We investigate the possibility to control torsional stress if we model longitudinal bracing between stringers.
요추간판(腰椎間板) 탈출형태별(脫出形態別) 오공약침(蜈蚣藥鍼)의 효과(效果)에 관한 임상적(臨床的) 연구(硏究)
김성남,김성철,최회강,소기숙,임정아,문형철,이종덕,최성용,김홍훈,이옥자,Kim, Sung-nam,Kim, Sung-chul,Choi, Hoi-kang,So, Ki-suk,Lim, Jeong-a,Moon, Hyung-cheol,Lee, Jong-deok,Choi, Sung-yong,Kim, Hong-hoon,Lee, Ok-ja 대한침구의학회 2004 대한침구의학회지 Vol.21 No.5
Objective : This study was designed to find out the effect of scolopendrid aquacupuncture classified by the type of HIVD(Herniation of Inter-Vertebral Disc) in lumbar spine. Methods : The 50 patients who had a diagnosis of HIVD by lumbar-CT or lumbar-MRI and admitted to Gwangju oriental medical hospital in wonkwang university from June 2003 to March 2004 were observed. The symptom of inpatients is low back pain with or without sciatica. We treated 50 patients by scolopendrid aquacupuncture besides the general consevative treatment of oriental medicine. Results and Conclusion : The scolopendrid aquacupuncture treatment led to improvement in the pain and symptom of HIVD as determined by all efficacy measures. After scolopendrid aquacupuncture treatment, there was improvement in VAS, oswestry disability index, ROM and SLRT. The improvement index of scolopendrid aquacupuncture treatment classified by the type of HIVD showed that the effects of scolopendrid aquacupuncture had correlation with the type of HIVD. The more the herniation of intervertebral disc decreased, the more the effect of scolopendrid aquacupuncture increased. This results suggest that scolopendrid aquacupuncture is good method for treatment of HIVD but we have to consider the clinical correlation with the degree of herniation.
노랑머리왕지네의 유전학적(遺傳學的) 분석(分析) 및 약침액(藥鍼液)의 세포독성(細胞毒性)에 관한 연구(硏究)
김성남,임정아,이성용,황우준,이건목,조남근,서정철,문형철,김성철,Kim, Sung-Nam,Lim, Jeong-A,Lee, Sung-Yong,Hwang, Woo-Jun,Lee, Geon-Mok,Cho, Nam-Geun,Seo, Jung-Chul,Moon, Hyung-Cheol,Kim, Sung-Chul 대한약침학회 2006 Journal of pharmacopuncture Vol.9 No.2
Objective : The purpose of this study is to investigate nucleotide sequence and extract cytotoxicity of Scolopendrae corpus. The nature and taste of Scolopendrae corpus is hot, Warm and toxic, and the effect of this is dispelling wind, anti-spasmodic action and detoxication so it has been used for C.V.A, facial palsy, sensory disorder at extremities, wounds and arthritis. Methods : Scolopendrae corpus were collected by locality on the market. They were morphologically classified. Their nucleotide sequence was investigated and compared among them. In addition, the water-alcohol extract cytotoxicity of them was studied by MTT-based cytotoxicity assay. Results : It was shown that the each Scolopendrae corpus by locality is almost identical at genetic result and is identified as Scolopendra subspinipes mutilans L. Koch. Nucleotide sequence of Scolopendra subspinipes mutilans L. Koch in this study will help to discriminate other species of Scolopendrae corpus. The water-alcohol extract of Scolopendra subspinipes mutilans L. Koch did not induce cytotoxicity on Hep G2, L929 cell and peritoneal macrophages. Besides, it did not influence nitrite production of peritoneal macrophages. These results can be used as basic data for genetic discrimination with another species of scolopendrae corpus.
환도혈(環跳穴) 오공약침(五蚣藥鍼) 자극(刺戟)이 백서(白鼠)의 신경병리성(神經病理性) 통증(痛症) 억제(抑制)에 미치는 영향(影響)
김성남,김성철,최회강,소기숙,임정아,황우준,문형철,최성용,이상관,나창수,Kim, Sung-nam,Kim, Sung-chul,Choi, Hoi-kang,So, Ki-suk,Lim, Jeong-a,Hwang, Woo-jun,Moon, Hyung-cheol,Choi, Sung-yong,Lee, Sang-kwan,Na, Chang-su 대한침구의학회 2004 대한침구의학회지 Vol.21 No.3
Objective : Neuropathic pain can be caused by a partial peripheral nerve injury. This kind of pain is usually accompanied by spontaneous burning pain, allodynia and hyperalgesia. It is not clear that scolopendrid aqua-acupuncture can control neuropathic pain effectively. The purpose of this study is to examine if scolopendrid aqua-acupuncture may be effective to the neuropathic pain (mechanical allodynia, cold allodynia) in a rat model of neuropathic pain. Methods : To produce the model of neuropathic pain, under isoflurane 2.5% anesthesia, tibial nerve and sural nerve was resected. After the neuropathic surgery, the author examined if the animals exhibited the behavioral signs of allodynia. The allodynia was assessed by stimulating the medial malleolus with von Frey filament and acetone. Three weeks after the neuropathic surgery, scolopendrid aqua-acupuncture was injected at Hwando(GB30) one time a day for one week. After that the author examined the withdrawl response of neuropathic rats' legs by von Frey filament and acetone stimulation. And also the author examined c-fos in the midbrain central gray of neuropathic rats and the change of WBC count in the blood of neuropathic rats. Results & Conclusion : 1. The scolopendrid aqua-acupuncture injected at Hwando(GB30) decreased the withdrawl response of mechanical allodynia in SHA-1, SHA-2 and SAH-3 group as compared with control group. 2. The scolopendrid aqua-acupuncture injected at Hwando(GB30) decreased the withdrawl response of chemical allodynia(cold allodynia) in SHA-1, SHA-2 and SAH-3 group as compared with control group. 3. The scolopendrid aqua-acupuncture injected at Hwando(GB30) showed the significant difference between sham group and control group(p=0.01), sham and SHA-3 group(p=0.026), control group and SHA-1 group(p=0.01), control group and SHA-2 group(p=0.024) in the c-fos expression. 4. The scolopendrid aqua-acupuncture injected at Hwando(GB30) showed the significant difference between sham group and SHA-3 group(p=0.010), control group and SHA-3 group(p=0.006) in the WBC count.
요추간판탈출증(腰椎間板脫出症)과 동반한 신경인성(神經因性) 방광(膀胱) 치험(治驗) 1례(例)
김성남,임정아,이성용,윤종민,최성용,김홍훈,문형철,김성철,Kim, Sung-Nam,Lim, Jeong-A,Lee, Sung-Yong,Yun, Jong-Min,Choi, Sung-Yong,Kim, Hong-Hoon,Moon, Hyung-Cheol,Kim, Sung-Chul 대한침구의학회 2005 대한침구의학회지 Vol.22 No.4
Objectives : This is a clinical report about neurogenic bladder patient with lumbar disc hernication. Neurogenic bladder is a dysfunction that results from interference with the normal nerve pathways associated with urination. Hypotonic (flaccid) neurogenic bladder can be caused by ruptured or herniated intervertebral disk. Methods : The patient was treated by Oriental medicine treatment with needle acupuncture, electropuncture, bee venom acua-acupuncture and Daeboonchungeum-gami etc. Voided volume and frequency, visual analogue scale and physical examination was used to estimate the efficacy of these treatment. Results : STZ As using these treatments, voided volume and frequency returns normal condition. Visual analogue scale dips as low as 2. Physical examination showed improvement as compared with the fist visit. And further, these treatment may influence on the recovery of neurogenic bladder patient with lumbar disc herniation. Conclusion : The results suggest that Oriental medicine treatment have an useful effect on neurogenic bladder patient's treatment and recovery.
김성남(Kim Sung-nam) 중부고고학회 2004 고고학 Vol.3 No.1
본고에서는 백제 ‘한성양식토기’의 편년을 위한 예비 작업의 일환으로 기존 편년 현상의 문제점을 살펴보고, 기존 연구성과와 최근 증가된 자료에 대한 형식학적 통찰을 바탕으로 한성양식토기의 형성과 변천추세를 대략적으로 파악하였다. 기존의 연구에서는 편년 단위와 기준의 개수 및 비교기능성, 출토 맥락에 대한 충분한 검토 없이 편년 문제에 접근함으로써 여러 문제를 낳았다. 백제 한성양식토기의 편년과 관련하여, 현재로서는 편년 단위 설정에는 취락고고학의 관점, 편년 방법에서는 몬텔리우스의 형식학적 전제와 절차를 응용하는 것이 가장 합리적이라 보인다. 백제 국가 성립 전후에 한성지역에 원삼국토기로부터 변형된 한성양식토기의 출현과 원삼국전통토기의 지속 양상을 보아 백제 한성양식토기의 형성은 원삼국토기를 바탕으로 원삼국토기의 단계적 혁신과정의 연속선상에서 이루어진 것이라 보이나, 한성지역의 이 토기생산체계 및 기술 혁신의 결과는 한동안 유독 한성지역에만 독점되었다. 이는 곧 한성양식토기의 성립이 본질적으로 백제 국가 성립기의 중앙권력집단 또는 지배계급에 부속된 새로운 토기생산체제의 출현에 따른 결과로서, 당시 백제의 지배영역 전체와 계층 전반에서 나타난 보편적 현상은 아님을 의미한다. 백제의 지배 영역 전체와 계층 전반으로 한성양식토기가 광범위하게 확산, 보급되는 것은한성Ⅱ기에 이르러서부터라 보이는데, 이는 4세기 후반에 접어들며 나타나는 새로운 한성양식토기 기종의 대거 출현과 고화도 경질소성품의 폭증과 밀접하게 관련되어 있다. 한성Ⅱ기의 한성양식토기의 전개는 기술ㆍ양식 측면에서는 일상 용기의 경질화와 무문양화 정면을 수반한 기종의 증가 및 그 정면 부위의 확대 과정으로 분배와 분포의 측면에서는 한성양식토기 생산지와 공급망의 다변화 과정으로 요약할 수 있다. The objective of this article is to examine the problems inherent in the current typological approach to pottery in Korean archaeology and to rework the typological scheme of the Hanseong style pottery, thus constructing an alternative chronology of the Hanseong Baekje period. The issues concerning pottery typology examined here will include the unit of analysis, the number of variables used in analysis, the possibility for comparison among stages of typological development and the cultural context of the pottery, all leading to the conclusion that for Hanseong style pottery, the household cluster is the most valid unit of analysis and Montelius’ method the most valid approach to chronology. Based on this alternative chronology of Hanseong style pottery, it is argued that contrary to the long-standing assumption in Baekje archaeology that the formation and spread of the Hanseong style pottery was an universal event occurring in conjunction with, and throughout the territory of, the newly formed Baekje state, the spread of Hanseong style pottery actually occurred around the late 4th century AD, well after the Baekje state was established.