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      • KCI등재후보

        일 병원에서의 병원감염관리활동 사례연구

        배영순,Bae, Young-Soon 한국의료질향상학회 1996 한국의료질향상학회지 Vol.2 No.2

        Background: Nosocomial infection control is one of important means to assure the quality of medical care in the hospital, however, it has been neglected by most of the hospital personnels. Of nosocomial infections, urinary tract infection is the highest incidence, which is related to the indwelling catheter. It is, therefore, necessary to pay primary attention to the patients with the indwelling catheter in intensive care unit in order to control nosocomial Infection and to improve the quality of medical care in the hospital. Methods : The subjects of this study were patients with indwelling catheter who were admitted to the ICU of Pusan Paik Hospital from March 1994 to May 1995. The author calculated UTI rate among the subjects through the cultivation of the urine, identified the related factors of the UTI through brain storming of study team and head nurses working at ICU, and analized the effectiveness of the proposed approaches through comparing the infection rates of before and after activities. Results : The major activities carried out by the study team were to conduct in-service education programs for the staffs working at ICU about the importance of the nosocomial infection control in QA, and nursing intervention to reduce the UTI rate among the patients with indwelling catether. 1. The major nursing interventions that the study team had implemented were as follows ; 1) Drainage system was changed from partial open system to completely closed system. 2) Bladder irrigation which was routinely practised in all patients stopped among the noninfected patients. 3) Bladder irrigation set was changed to the disposable one. 4) Catheter was inserted under the anesthesia for patients to be operated. 5) Male patient receiving wrapped with gauze after perineal care was not wrapped. 6) Clamp which had not been before was newly attached to drainage tube. 7) Urine bag which had been packed into a lot of pieces was done into each piece. 8) The interval of change of indwelling catheter had regularly been four weeks, however it was used continously until it worked well. 9) Catheter was attached well at the defined site. 10) Paper towel was used instead of cotton towel. 11) Mats at the entrance were removed and cleansing of wards was enhanced. 2. The UTI rate by month was 34.4% in maximum and 9.8% in minimum during the period of this study, however it had gradually decreased. After 6 months from initiating infection control activities, the trend of rates was relatively stable. It was identified that UTI rate was different by season 12.5% in winter and 27.2% in summer. 3. Utilization rate of indwelling catheter was maintained at under 50%, but it was increased above 57% from April 1995. 4. The number of bladder irrigation sets used per day was 33.3 sets in maximum and 2.8 sets in minimum. The number used per day were also remarkably deceased. Conclusion : It was found that a program to control UTI could contribute to nosocomial infection control, and it was, in turn, a mean to assure the quality of medical care in the hospital. The nursing interventions which this study team had implemented were effective in the reduce of UTI rates.

      • KCI등재후보

        세계화 이후 한국사 인식의 탈민족주의적 경향 -근현대사 인식의 보수우경화를 중심으로-

        배영순 영남대학교 민족문화연구소 2008 민족문화논총 Vol.40 No.-

        Within the global situation in which the socialistic sphere had collapsed and a new liberalism rose to power beginning in the 1990s, growth-first marketism came to rule the social economy. This was the condition which brought about an historic awareness which has turned conservative and right-winged later. Since the year 2000, there has emerged a tendency of a de-nationalistic conservative and right-winged awareness in the field of modern and contemporary Korean history. Conservative and right-winged researchers have insisted that the basic framework of historic awareness should be shift focusing on modernization theory, while criticizing the existing nationalistic historical view. This study reviews the de-nationalistic historical awareness which the New Light party has asserted from two perspectives. (1) Why have researchers in the New Light party claimed de-nationalism and on what is their criticism grounded? Also, does their criticism of nationalism ensure historical justice? (2) According to their assertion, the basic framework of modern and contemporary historical awareness is founded on ‘colony modernization theory’, ‘Lee Seung Man’s founding of a country’, and Park Jeong Hee’s ‘revolution theory for modernization’. Then, is it based on historical judgment or on political judgment? According to the results of the review, the de-nationalistic historical awareness insisted upon by the New Light party is no less different from that of the modernistic historical view. They maintain that nationalistic historical awareness should be replaced with a modernistic one. To put it differently, they have insisted that the main stream of modern and contemporary Korean history is not a nationalistic force but a modernistic force. However, the historic circles do not agree with this historic awareness of the New Light. This is because they see the historic awareness of the New Light as a factional awareness which advocates a modernistic force, that is, it is based on a right-winged perspective. In particular, the New Light party has beautified the achievements of Lee Seung Man and Park Jeong Hee more than necessary, and viewed the colonial period of Japanese rule as a modernization era. In this regard, the historic awareness of the New Light finds it difficult to evade a critical voice saying that it is losing its balance. Within the global situation in which the socialistic sphere had collapsed and a new liberalism rose to power beginning in the 1990s, growth-first marketism came to rule the social economy. This was the condition which brought about an historic awareness which has turned conservative and right-winged later. Since the year 2000, there has emerged a tendency of a de-nationalistic conservative and right-winged awareness in the field of modern and contemporary Korean history. Conservative and right-winged researchers have insisted that the basic framework of historic awareness should be shift focusing on modernization theory, while criticizing the existing nationalistic historical view. This study reviews the de-nationalistic historical awareness which the New Light party has asserted from two perspectives. (1) Why have researchers in the New Light party claimed de-nationalism and on what is their criticism grounded? Also, does their criticism of nationalism ensure historical justice? (2) According to their assertion, the basic framework of modern and contemporary historical awareness is founded on ‘colony modernization theory’, ‘Lee Seung Man’s founding of a country’, and Park Jeong Hee’s ‘revolution theory for modernization’. Then, is it based on historical judgment or on political judgment? According to the results of the review, the de-nationalistic historical awareness insisted upon by the New Light party is no less different from that of the modernistic historical view. They maintain that nationalistic historical awareness should be replaced with a modernistic one. To put it differently, they have insisted that the main stream of modern and contemporary Korean history is not a nationalistic force but a modernistic force. However, the historic circles do not agree with this historic awareness of the New Light. This is because they see the historic awareness of the New Light as a factional awareness which advocates a modernistic force, that is, it is based on a right-winged perspective. In particular, the New Light party has beautified the achievements of Lee Seung Man and Park Jeong Hee more than necessary, and viewed the colonial period of Japanese rule as a modernization era. In this regard, the historic awareness of the New Light finds it difficult to evade a critical voice saying that it is losing its balance.

      • KCI등재

        이제마의 인간론 - 衆人의 유형론을 중심으로 -

        배영순 영남대학교 민족문화연구소 2012 민족문화논총 Vol.50 No.-

        Lee Je-ma has been known as the founder of Sasngeuihak (traditional Korean medicine with patients classified into four types); however, he proposed a remarkable analysis of a theory on humans in 『Gyeokchigo (格致藁)』. This paper focuses on his theory on humans for the following two reasons. First, no other study has been as elaborate and insightful as the theory on humans of Lee Je-ma. Lee Je-ma classified the selfish and self-centered group of humans into four types, and added a sharp argumentation and analysis regarding each type. The public is a crowd of humans that falls into greed and foolishness while losing human reason, and it is divided into the following four types: mean humans in pursuit of power, cunning humans in pursuit of honor, greedy humans in pursuit of property, and cowardly humans in pursuit of higher positions. Such a theory on humans by Lee Je-ma may be undoubtedly noteworthy research at a level of providing an understanding of humans. Second, it is impossible to discuss Sasngeuihak without mentioning the theory on humans of Lee Je-ma. Although Sasngeuihak was understood as medicine according to physical constitution, this is only a partial understanding. Lee Je-ma said that he prescribed differently according to the type of physical constitution; however, he did not say that physical constitution is attributable to a certain disease. His view was that humans lose their heart (reason) owing to greed, which leads to a sick life and eventually causes the body to become sick. Not only did he see physical diseases, but also he saw through the diseases of life (the disease of lifestyle) that caused physical diseases. This is a point that is beyond the imagination of western medicine. Lee Je-ma put forth every effort in analyzing human greed and evil deeds but not because of despair toward humans and the world. Rather it was because of his deep faith in humanity and strong will toward good. In this regard, it is necessary to highlight again his sasang (four types) philosophy and Sasngeuihak while focusing again on his theory of humans. 東武 李濟馬의 『格致藁』는 「儒略」 「反誠箴」 「獨行篇」 3편으로 구성되어 있다. 그런데 「독행편」은 이제마의 인간론이라고 할 수 있는 바, 그는 여기에서 衆人을 鄙人, 薄人, 貪人, 懦人의 네 유형으로 설정하고 거의 전권에 걸쳐서 이를 상론하고 있다. 그러나 지금까지 동무의 인간론에 주목한 연구는 없었다. 기존의 연구들은 동무의 경학사상과 도덕론의 차원에서 「독행편」을 파악하고자 했다. 본고가 「독행편」의 인간론에 주목하는 이유는 두 가지다. 첫째, 동서 고전의 자료들에서도 그리고 근대 인문학에서도 이제마의 인간론만큼 통찰척이고 정치한 분석이 제기되는 자료를 보기 어렵다. 우리가 흔히 衆人 또는 凡人, 또는 衆生이라는 개념을 쓰고 인간의 탐욕과 어리석음에 대해서 논급하지만, 그것은 대체로 추상수준의 일반론에 머물고 이것을 유형화하면서 인간의 바닥을 파헤치는 심층 분석을 제기하고 있는 자료를 찾아보기 어렵다. 그 점에서 동무의 인간론은 인간에 대한 이해라는 차원에서도 대단히 중요한 의의를 지니고 있다. 둘째, 이제마의 인간론을 떠나서 四象醫學을 논할 수 없다. 통상 이제마의 사상의학을 체질의학으로 이해하지만 그것은 반쪽의 이해일 뿐이다. 체질론은 장부의 대소에 따라서 태양, 태음, 소양, 소음의 네 유형으로 나누고 그 유형에 따라 처방을 달리한다는 것이지만 체질론은 정작 인간이 왜 병들어 가는지 그 원인에 대해서 대답하지 못한다. 동무는 체질에 따라 신체와 기질적 약점이 다르고 그래서 체질에 따라 처방을 달리한다고 이야기했지 체질 때문에 병이 든다고 말하지 않았다. 동무의 사상의학은 인간론에 기초한 것이었다. 동무는 인간이 탐욕 때문에 본심을 잃고 그래서 삶이 병들어가고 끝내 육신이 병들어가는 것으로 보았다. 그래서 정말 병을 근본적으로 고치려면, 사단지심을 회복하고 성명합일의 건강한 삶으로 돌아가야 할 것을 말하고 있다. 그가 말하고자 했던 壽世의 保元 - 세상살이의 지침도 그것이었다. 동무는 사단지심으로부터 일탈한 네 가지 인간유형으로서 鄙人, 懦人, 薄人, 貪人을 말하고 있다. 사람의 욕심에 같지 않음이 있기 때문에 이를 네 가지로 나눌 수 있다는 것이다. 이점에 대하여 『東醫壽世保元』에서는 그 개념만 등장하고 있지만 「독행편」에서는 정치한 분석이 가해지고 있는 바, 이는 고전유학의 도덕론이나 수행론 차원에서 검토될 것이 아니라, 인문학적 인간론 차원에서 그리고 사상의학의 의학적 전제로서 재검토될 필요가 있다. 이것이 본고의 문제의식이다.

      • KCI등재후보

        동학과 서학의 차별성 문제 : "運則-道則同 理則非"를 중심으로

        裵英淳 대구사학회 2003 대구사학 Vol.73 No.-

        This papers is dealing with the issue of how the distinction between Donghak(東學) and Seohak(西學) is perceived by Soo-Un(水雲). General papers on Donghak tend to take it for granted that there is an obvious distinction between the two thoughts. But Soo-Un(水雲) clarified the difference between Donghak(東學) and Seohak(西學), saying “Desitiny(運) is one, Doctrines(道) are the same, Reason(理) is different”. Although the remarks have somewhat great significance, no special studies have ever made of it. The main research of this study is made into remarks above mentioned by Soo-Un(水雲). The results of the analysis are cited as below. Firstly, Donghak(東學) failed to free itself from the characteristic of the view on the Lord of Heaven(天觀) as personality. In other words, the view on the Lord of heaven as a personality remains mixed together with that as logos(理法的), which raises question whether or not Donghak(東學) idea’s failing to be settled as Mind Learning(心學) is attrubuted to the results. That serves as a basis that Donghak could not criticize Seohak(西學)’s view on the Lord of Heaven. Secondly, He claims that the destiny(運) of Donhak and Seohak is one. According to his fatalism, destiny is working itself and it has nothing to do with human being’s conscious practice. If such fatalism is regarded as geverning the world, there would be no distinction between believing in Donghak and in Seohak. If so, What is the Lord of Heaven(天主) of Donhak for?, that is the question. As examined above, Donhak appears fairly confusing in the matter of the view on the Lord of Heaven and fatalism. However, I give a special consideration to the point that Soo-Un(水雲) was not given enough time he needed to systematize and sophisticate his philosophy. The three year period from the invention of Donhak to his death was too short for him to constitute a new idea system. It is because of time ahortage that Donhak idea remains as an incomplete system. And after his death, there has never been any thinker who would detect such problems and sophisticate the incomplete system.

      • 신생아의 수유 후 체위가 호흡 및 심박수에 미치는 영향

        배영순 인제대학교 1989 仁濟醫學 Vol.10 No.3

        신생아는 연수내 신경조절중추가 미숙하기 때문에 호흡과 심박수가 불규칙하며, 호흡과 심박수는 내적, 외적 자극에 의해 빨리 변화되고 심박수와 호흡률은 상호 밀접한 관계가 있다. 그러므로 수유 후 역류나 구토가 적은 체위에서 호흡수와 심박수를 측정하고 그 결과를 비교하여 수유 후 신생아에게 가장 적합한 체위를 규명하고 효율적인 신생아 간호 계획을 실행하고자 한다. This study was examined the effect of posture(right lateral position, right lateral oblique position, prone position) after feeding by measurement of the respiratory rate and heart rate in neonates. The purpose was to find out the most ideal position after feeding. The subjects for this study were 18neonates admitted in Inje University Paik Hospital Pusan Nursery. Data were gathered from July to August, 1988 through investigator's feeding, measurement and observation. Collected data were analyzed by paired-t-test, t-test and Spearman Correlation Coefficient. The results of this study were summarized as follows. 1.The comparison of the respiratory rates per minute before and after feeding was different significantly in the prone position(t=2.26, d.f= 17, p< 0.05). 2.The comparison of the heart rates per minute before and after feeding was different significantly in the right lateral position(t=2.14, d.f= 17, p< 0.05) and right lateral oblique position(t=4.31, d.f= 17, p<0.01). 3.There were no significant differences in respiratory rates and heart rates in each of the three positions according to time follow. 4.The correlation between the difference in respiratory rates after and before feeding and the difference in heart rates after and before feeding(0.24), the amount of feeding(0.26) and the regurgitation(0.27) were low correlation in the right lateral position. 5.The correlation between the difference in heart rates after and before feeding and the amount of feeding(0.37) and the speed of feeding(0.37) were low correlation in the right lateral position and the correlation between the difference in heart rates and the speed of feeding(0.28) was low correlation in the prone position.

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