고품질의 인공호흡 제공을 위한 호흡량 측정기 술기교육의 효과

임재란(Jae-Ran Lim),방성환(Sung-Hwan Bang),송효숙(Hyo-Suk Song),심규식(Gyu-Sik Shim),박호진(Ho-Jin Park) 한국컴퓨터정보학회 2024 韓國컴퓨터情報學會論文誌 Vol.29 No.3

This study aims to investigate the appropriate volume of artificial ventilation and success rate when Basic - emergency medical Technician administer bag valve mask(BVM) artificial ventilation to patients experiencing respiratory failure or respiratory arrest using a respiratory rate measurement device. The research was conducted from December 11th to 12th, 2023, targeting 20 Basic - emergency medical Technicians enrolled at D University. Ten participants were selected for the experimental group, receiving BVM ventilation training with the use of a respiratory rate measurement device, while the other ten were assigned to the control group, receiving BVM ventilation training without the use of a respiratory rate measurement device. The experiment involved providing artificial ventilation for 2 minutes. The results of the study indicated that the control group did not provide accurate tidal volume (p=.025). The experimental group demonstrated a higher success rate of ventilation over the 2-minute period, while the control group showed a significant difference (p=.001). Subjective perception of tidal volume and objectively measured tidal volume also exhibited a significant difference in the control group (p=.010). Therefore, training with a respiratory rate measurement device can align the subjective perception of tidal volume with objective measurements, increase the success rate of ventilation, and potentially contribute to improving survival rates in patients experiencing respiratory failure or respiratory arrest during cardiopulmonary resuscitation.

고등학생의 COVID-19 백신접종의향과 관련 불안이 COVID-19 예방행위 수행도에 미치는 영향

임재란(Jae-Ran Lim),송효숙(Hyo-Suk Song) 학습자중심교과교육학회 2024 학습자중심교과교육연구 Vol.24 No.7

목적 본 연구의 목적은 고등학생을 대상으로 신종 감염병인 COVID-19 예방행위 수행도에 미치는 영향을 확인하기 위하여 시도되었다. 방법 이를 위하여 D광역시 소재 고등학생 395명을 대상으로 COVID-19 예방행위 수행도에 미치는 영향을 확인하기 위한 구조화된 설문지를 통해 서술적 조사연구를 실시하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램을 이용하여 빈도분석, 기술통계, t-test, ANOVA, Pearson correlation coefficients, Multiple regression으로 분석하였다. 결과 COVID-19 백신접종의향의 평균점수는 3.68±.81점, COVID-19 관련 불안의 평균점수는 4.13±.56점, COVID-19 예방행위 수행도 평균점수는 3.83±.57점이었다. 또한 COVID-19 백신접종의향과 COVID-19 관련 불안이 COVID-19 예방행위 수행도에 영향을 미치는 요인으로 확인되었으며, 총 설명력은 29%이었다. 결론 본 연구는 백신접종의향과 불안에 따라 감염병 예방행위 수행도에 유의한 영향을 미치는 결과를 제시하였다. 이에 정부 및 보건당국은 향후 신종 감염병 발생으로 인한 확산을 방지하기 위하여 예방백신에 대한 신뢰를 높이고 불안을 완화하기 위한 전략의 적극적인 실천의 중요성을 시사한다. Objectives The purpose of this study was to determine the effect on the performance of COVID-19 prevention performance in high school students. Methods A descriptive research study was conducted on 395 high school students located in D city to confirm the effect on the performance of COVID-19 prevention performance. The collected data were analyzed by frequency analysis, descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression using the SPSS/WIN 25.0 program. Results The average score of COVID-19 vaccination intention was 3.68±.81 points, the average score of COVID-19-related anxiety was 4.13±.56 points, and the average score of COVID-19 prevention behavior performance was 3.83±.57. In addition, COVID-19 vaccination intention and COVID-19-related anxiety were identified as factors affecting COVID-19 prevention behavior performance, and the total explanatory power was 29%. Conclusions This study presented results that significantly affected the performance of infectious disease prevention actions according to vaccination intention and anxiety. Accordingly, the government and health authorities suggest the importance of actively implementing strategies to increase trust in preventive vaccines and alleviate anxiety in order to prevent the spread of new infectious diseases in the future.

간호대학생의 임상실습 경험에 따른 임상수행능력, 환자안전관리 지식 및 수행자신감의 차이

임재란(Jae-Ran Lim),송효숙(Hyo-Suk Song) 한국컴퓨터정보학회 2021 韓國컴퓨터情報學會論文誌 Vol.26 No.7

본 연구의 목적은 간호대학생의 임상실습 경험에 따른 임상수행능력, 환자안전관리지식 및 환자안전관리 수행자신감의 차이를 비교하기 위함이다. 간호대학생 3학년을 대상으로 임상실습을 경험한 73명, 임상실습을 경험하지 못한 35명으로 총 108명 분석하였다. 분석방법으로는 동질성 검정은 X²-test, 두 그룹간의 차이비교는 independent t-test로 분석하였다. 연구결과로 두 그룹간의 임상수행능력(t=.88, p=.377), 환자안전관리지식(t=-.29, p=.773) 및 환자안전관리 수행자신감(t=1.11 p=.267)의 차이는 통계적으로 유의하지 않았다. 두 그룹에서 각 변수의 하위영역별 가장 점수가 낮은 항목을 살펴보면, 첫째, 임상수행능력에서는 간호과정에 대한 영역에서 대체로 점수가 낮았고, 둘째, 환자안전관리 지식은 근접오류에 대한 개념에 대한 지식 측정 영역에서 가장 낮았으며, 셋째, 환자안전관리 수행자신감에서는 오류 발생 시 사건 보고서 작성에 대한 수행 자신감 영역에서 점수가 가장 낮은 것으로 확인되었다. 따라서 간호대학생의 임상수행능력의 질적 향상을 위해서 임상실습교육환경 개선이 절실하게 요구되며, 간호대학생의 환자안전관리 역량 증진 및 환자안전관리에 대한 올바른 태도 함양을 위해 전략적인 교육지침의 개발이 필요하다. The purpose of this study is to cornpare the differences in clinical competence, knowledge of patient safety management and confidence of patient safety management according to the clinical practice experience of nursing students, Of the 73 nursing students who experienced clinical practice and 35 nursing students who did not experience, a total of 108 students in the third grade were analyzed, In the results of this study, clinical competence(t=.88, p=.377) knowledge of patient safety management(t=-.29, p=.773), and confidence of patient safety management(t=1.11, p=.267) the difference between was not statistically significant in the two groups. In the two groups, the score of the sub-area according to each variable is the lowest. First, the sub-area of the nursing process a lowest score in clinical competence, and the second, the sub-area of measuring knowledge about concept of near miss was the Knowledge of patient safety management. The score was the lowest in, and thirdly, the sub-area of writing an incident report when an error occurred had the lowest score in confidence of patient safety management. Therefore, in order to improve the quality of clinical competence of nursing students, it is necessary to develop a strategic educational guideline to improve the clinical practice education environment, to improve patient safety management capabilities and to cultivate correct attitudes toward patient safety management.

사염화탄소를 이용한 마우스 지방간에서의 새로운 생체발광 측정법

임재관(Jae-Kwan Lim),최준호(Chun-Ho Choi),김정대(Jung-Dae Kim),이병천(Byung-Cheon Lee),유혜란(Hye-Ran You),박대훈(Dae-Hun Park),천병수(Byeung-Soo Cheun),소광섭(Kwang-Sup Soh) 한국생물공학회 2004 KSBB Journal Vol.19 No.1

와상백선의 양상을 보인 Trichophyton verrucosum에 의한 체부백선

임재우 ( Jae Woo Lim ),이용환 ( Yong Hwan Lee ),서무규 ( Moo Kyu Suh ),하경임 ( Gyoung Yim Ha ),김정란 ( Jung Ran Kim ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.3

발바닥에 발생한 결절종

임재우 ( Jae Woo Lim ),이용환 ( Yong Hwan Lee ),김수호 ( Soo Ho Kim ),서무규 ( Moo Kyu Suh ),김정란 ( Jung Ran Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.4

Ganglion is a relatively-common, benign, soft tissue tumor that is almost always located near a joint capsule or tendon sheath. The common location is around the wrist, ankle or foot dorsum. We report a case of ganglion in a 53-year-old woman who presented with a solitary, tender, 1.0×1.0 cm sized, normal skin-colored, deep-seated nodule on the left sole. She had been treated by total excision of the tumor and recurrence has not been observed to date. (Korean J Dermatol 2007;45(4):391~393)

Trichophyton mentagrophytes에 의한 수염백선

임재우 ( Jae Woo Lim ),김수호 ( Soo Ho Kim ),서무규 ( Moo Kyu Suh ),박수근 ( Soo Keun Park ),이용환 ( Yong Hwan Lee ),하경임 ( Gyoung Yim Ha ),김정란 ( Jung Ran Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.3

We report a case of tinea barbae in a 51-year-old man, who presented with erythematous pustules on the upper lip, and a relatively well-defined pustular patch on his left cheek. Histopathologically, fungal hyphae were found in the hair shaft upon PAS staining. A fungal culture from scales and tissue of the lesions was grown on Sabouraud`s dextrose agar and showed typical Trichophyton mentagrophytes. The patient was treated with 250 mg of terbinafine, 10 mg of prednisolone and 300 mg of roxithromycin daily for the first week, then 250 mg of terbinafine combined with topical lanoconazole for 4 weeks. The skin lesions improved 5 weeks after treatment, and recurrence has not been observed. (Korean J Dermatol 2007;45(3):262~265)

상부 위장관 증세가 있는 소아의 위십이지장병변 및 Helicobacter pylori 감염

윤영란,김미령,임재영,최명범,박찬후,우향옥,윤희상,고경혁,강형련,백승철,이우곤,조명제,이광호,Yoon, Young-Ran,Kim, Mi-Ryeung,Lim, Jae-Young,Choi, Myoung-Bum,Park, Chan-Hoo,Woo, Hyang-Ok,Youn, Hee-Shang,Ko, Gyung-Hyuck,Kang, Hyung-Lyun,Baik, S 대한소아소화기영양학회 2003 Pediatric gastroenterology, hepatology & nutrition Vol.6 No.2

목 적: 만성 반복성 복통, 식사 후 상복부 불쾌감, 잦은 구토나 구역질이 있는 소아를 대상으로 위내시경을 시행하여 위십이지장 병변을 확인하고, 생검체를 이용한 위십이지장 조직학적 검사와 H. pylori 검출 그리고 면역블롯팅을 통해 혈청 내에 H. pylori 특이 항체 존재를 확인하여 한국에서 관찰되는 소아의 위장관 증세와 위십이지장병변 및 H. pylori 감염과의 관계를 조사하고자 하였다. 방 법: 1990년 6월부터 1991년 4월까지 경상대학교병원 소아과에서 상부 위장관 증상으로 위내시경을 시행 받은 184명 중 위 전정부에서 생검이되었고, 요소분해효소 검사, Warthin-Starry 은염색 혹은 Hematoxylin-Eosin 염색으로 조직학적에서 H. pylori의 존재유무를 확인할 수 있었던 107명을 대상으로 위십이지장 조직학적 검사와 IgG 면역블롯팅에 의한 항-H. pylori 항체 보유 유무를 확인하였다. 결 과: 1) 대상 환아 107명 중 남아가 61명(57%), 여아가 46명(43%)이었으며, 연령은 2세부터 15세까지 분포하였고 평균연령은 10.7세로서 10세에서 15세 사이가 가장 많았다. 2) 내시경상 15%에서 위출혈 반점, 위궤양, 십이지장궤양, 십이지장 미란, 출혈성 십이지장염 등이 관찰되었고 대부분은 다양한 정도의 위점막 발적이 관찰되었다. 3) 107명 중 94명(88%)에서 경도 이상의 조직학적 만성위염이 있었으며, 십이지장 조직이 검사 가능하였던 99명 전원에서 만성십이지장염이 있었다. 4) 요소분해효소 검사는 위에서는 45%, 십이지장에서는 25.6%에서 양성으로 판정되었다. H&E 염색 검사에서 38.7%, Warthin-Starry 은염색 검사에서는 40%에서 HPLO 양성이었다. 이 세가지 검사 중 1개 검사에서 양성인 경우인 조직학적 H. pylori 양성은 57%이었다. 5) IgG 면역블롯팅 양성은 96%이었다. 6) 연령군별 조직학적 H. pylori 양성은 0∼4세 군에서는 29%, 5∼9세 군에서는 41%, 10∼15세 군에서는 68%로 연령이 증가할수록 양성률이 증가하였으나, 조직학적 만성위염 및 만성십이지장염 빈도와 면역블롯 양성 빈도는 연령군별 차이가 없이 높은 양성률을 유지하였다. 결 론: 상부 위장관 증세가 있는 소아의 대부분은 조직학적 만성위염 및 만성십이지장염과 동시에 H. pylori에 대한 특이 IgG 항체를 보유하고 있었다. Purpose: This study was undertaken to evaluate the gastroduodenal pathology and Helicobacter pylori infection in children with upper gastrointestinal symptoms. Methods: One hundred and seven pediatric patients with upper gastrointestinal symptoms were undergone endoscopy at the Gyeongsang National University Hospital from June 1990 to April 1991. Histopathologic examination was done by H & E staining of gastric antral biopsy specimen and gastritis was defined according to the Sydney System. Tissue H. pylori status was evaluated with the urease test using Christensen's urea broth and H & E or Warthin-Starry silver staining of gastric antral biopsy specimen. IgG Immunoblotting were also performed to detect specific anti-H. pylori antibody in these patients. Results: The reasons for endoscopy were recurrent abdominal pain, acute abdominal pain, sallow face, hunger pain, and frequent nausea. Variable degrees of gastric mucosal hyperemia were found in most of the patients. Gastric hemorrhagic spots, gastric ulcer, duodenal ulcer, duodenal erosion, and hemorrhagic duodenitis were rare endoscopic findings. Histologic chronic gastritis was found in 88% of 107 patients. Histologic chronic duodenitis was observed in all 99 patients whose tissue were available. Gastric tissue H. pylori was positive in 57% of 107 patients by one of the ureasetest, H & E staining and Warthin-Starry silver staining. However, gastric tissue H. pylori detection rate was lower in the younger age groups. Anti-H. pylori IgG antibodies were detectable in 96% of 107 patients. Conclusion: Chronic gastroduodenitis and anti-H. pylori IgG antibody were ubiquitous in children with upper gastrointestinal symptoms.

고유수용성신경근촉진법이 편마비 환자의 보행능력에 미치는 영향

황인걸,한미란,손경현,임재헌,이문규,Hwang, In-Kul,Han, Mi-Ran,Son, Kyung-Hyun,Lim, Jae-Heon,Lee, Moon-Kyu 대한고유수용성신경근촉진법학회 2009 PNF and Movement Vol.7 No.1

Purpose : The aim of this study was to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on gait ability in hemiplegic patients. Method : The subjects of this study were 11 hemiplegic patients. Each subject was taken PNF exercise with 3 times per week for 4 weeks. Pre- and post-intervention change in gait ability were measured using an 6m walking test, stride length, and step length. The data were analyzed using the paired t-test. Results : The results of this study showed significantly improvement in 6m walking test, stride length, and step length after intervention. Conclusion : These results suggest that the PNF coordination exercise is an effective way of improving gait ability for hemiplegic patients.

개인화된 소셜 검색 시스템

유소엽(So-Yeop Yoo),임재상(Jae-Sang Lim),정옥란(Ok-Ran Jeong) 한국정보과학회 2015 한국정보과학회 학술발표논문집 Vol.2015 No.12