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The objective of this study is to find out the possibility of using the dumpling shell and an increasing number of re-processed rice products every year as a rice-processing product. The study tested the physicochemical properties of Saenuri, Saeilmi, Sindongjin and Hwanggeumnuri which are developed in high quality and the processing aptitude during high-pressure heat treatment. For the test, re-processing rice products was dry-milled and treated as high-pressure heat to improve the processing aptitude of the dry-milled old rice flour. The physicochemical properties of the old rice flour was observed before and after the high pressure heat treatment. In addition, the quality characteristics, sensory characteristics and storage quality of dumpling shell produced with this material were tested. The components of Saenuri, Saeilmi, Sindongjin and Hwanggeumnuri old rice grains such as length, width, the ratio of length and width and thousand grains weight were measured, which lead to the highest value of Sindongjin. Based on the measurement of proximate composition, moisture content and crude ash were highest in Hwanggeumnur, crude protein in Saeilmi and crude lipid in Saeilmi and Hwanggeumnuri. As a result of measuring Hunter's color value in old rice grains, the value of L was highest in Sindongjin, the value of a for old rice in Hwanggeumnuri and Saeilmi, and the b value for old rice in Hwanggeumnuri. Measuring the amylose content of dry-milled old rice flours resulted in its highest at 22.40 in Saeilmi, followed by Saenuri, Hwanggeumnuri and Sindongjin. When measuring the free sugar content of dry-milled old rice flours, the total amount of free sugar was the highest at 1478.65 mg% in Sindongjin, followed by Saeilmi, Hwanggeumnuri and Saenuri. As a result of measuring the free amino content of dry-milled old rice flours, the total amount of free amino acid was the highest at 64.33 mg% in Saeilmi, followed by Hwanggeumnuri, Saenuri and Sindongjin. Based on the measurement of the mineral contents of dry-milled old rice flours, their total amount was highest at 40.23 mg% in Saeilmi, followed by Hwanggeumnuri, Sindongjin and Saenuri. Treated with a measure of the particle size of dry-milled old rice flours, Hwanggeumnuri was highest in both before and after high-pressure heat treatment and tended to increase in all samples after high-pressure heat treatment. Measurement of Hunter's color value of dry-milled old rice flours showed that the L and a values decreased after high-pressure heat treatment, but the b values increased. The outcome of the test that had measured the water absorption index and water solubility index of dry-milled old rice flours showed a increase in the water absorption index, but a decrease in the water solubility index after high-pressure heat treatment. As a result of measuring the swelling power and solubility of dry-milled old rice flours, the swelling power increased significantly at 50 ℃, 70℃ and 90℃, while the solubility decreased at 50 ℃ to 60 ℃ and then increased at 70℃ to 90℃ after high-pressure heat treatment. Treated with the measurement of X-ray diffraction patterns and relative crystallinity of dry-milled old rice flours, all samples showed the characteristics of the shape A and the relative crystallization was increased. As a result of measuring the amylogram properties of dry-milled old rice flours, Initial Pasting Temperature after high-pressure heat treatment, Temp. at Maximum viscosity, Viscosity at 95℃ after 15min, Viscosity at 50℃ and Setback increased, but Beakdown decreased. Analyzing Gelatinization properties of dry-milled old rice flours with differential scanning calorimeters indicated that after high-pressure heat treatment, Gelatinization temperature range has widened and Gelatinization enthalpy (ΔH) increased. Measurement of the thickness of dumpling shell was found to be high in the dumpling shell made from old rice flour after high-pressure heat treatment. The result of measuring the moisture content of dumpling shell showed that it was high in the dumpling shell made from old rice flour after high-pressure heat treatment. When measuring Hunter's color value of dumpling shell, the value of L in the dumpling shell manufactured from old rice flour after high-pressure heat treatment increased in Saeilmi and Sindongjin, the a value in Hwanggeumnuri, and the b value in all the samples. Water absorption ratio and volume expansion ratio measured in the dumpling shell increased significantly in both Saenuri and Saeilmi manufactured from old rice flour after high-pressure heat treatment, but were not seen to be significant in Sindongjin and Hwanggeumnuri. The turbidity in the soup of dumpling shell decreased in Saeilmi and Sindongjin which are made from old rice flour after high-pressure heat treatment, but increased in Saenuri and Hwanggeumnuri. Tensile strength and elasticity of dumpling shell showed a increase in the dumpling shell which was made from old rice flour after high-pressure heat treatment. Texture characteristics of dumpling shell indicated that Hardness, Springiness, Gummines and Chwiness increased in Saeilmi, Sindongjin and Hwanggeumnuri which are made from old rice flour after high-pressure heat treatment, while Adhesiveness decreased in all the samples. Treated with Sensory evaluation of dumpling shell, color, flavor, taste, texture and overall preference were shown to be the highest in Saeilmi, which was made from old rice flour after high-pressure heat treatment. Moisture content during the storage of dumpling shell showed that the dumpling shell manufactured after high-pressure heat treatment was high during the storage period. Hunter's color value during storage of dumpling shell suggested that the values L decreased for the dumpling shell manufactured after high-pressure heat treatment while the value b decreased after increased. Tensile strength and elasticity during the storage of dumpling shell indicated were found to be high during the storage of dumpling shell made from old rice flour after high-pressure heat treatment. Texture characteristics during the storage of dumpling shell showed the tendency that Hardness, Springiness, Cohesineness, Gummines and Chwiness increased in the dumpling shell manufactured from old rice flour made after high-pressure heat treatment rather than before high-pressure heat treatment.
서울시내 일 대학병원 응급실 내원 암 환자의 실태 조사
정미순 한양대학교 임상간호정보대학원 2009 국내석사
Research on the actual conditions of Cancer Patients in the Emergency Room in a University Hospital in Seoul Jung, Mi Soon Directed by Professor Kim, Boon Han, R.N., Ph.D. Department of Clinical Hospice Care & Special Nursing The Graduate School of Information in Clinical Nursing Hanyang University The purpose of this retrospective descriptive study was to survey the terminal cancer patients transported to the emergency room of a University hospital and thereby, provide for some basic data useful to nursing intervention in them. For this purpose, the researcher sampled 4,189 cancer patients out of 16,467 patients who had visited emergency room of a University hospital from October 1, 2008 through March 31, 2009. In order to collect and analyze the data, the researcher used a self-developed data collection scale and 'Discomfort Scale' developed by Rhodes and Watson (1987) and modified and complemented by Kwon Mi-hyeong (2003) to examine emergency room nursing records, physicians' diagnosing records and discharge documents for the sample. The data collected was processed using the SPSS WIN 12.0 program for real numbers and percentages about subjects' demographic variables, their disease characteristics and their characteristics with regard to uses of the emergency room. The results of this study can be summarized as follows; 1. Subject's disease diagnosed most was liver cancer (18.8%), followed by 'lung cancer' (14.8%), 'stomach cancer' (13.0%), 'large intestine cancer' (8.6%) and 'breast cancer' (7.9%) in their order. 72.5% of them had progressed to the tertiary stage of cancer, while 42.7% were inflicted by cancer at a single organ. The more frequent appeal involved 'pain' (27.0%), followed by 'fever' (11.5%) and 'difficult breathing' (8.7%) in their order. 14.4% of them were suffering high body temperature, 34.5% of them were suffering tachycardia, and 3.6% of them were suffering tachypnea. 44.9% were suffering high blood pressure for the period of contraction, while 29.3% were suffering low blood pressure for the period of relaxation. 5.8% had ever suffered hemorrhage, 34.5% had suffered pain, and 0.3% had a family member who had suffered the cancer. 40.5% had undergone a surgery. 30.5% (n=1,276) had been medicated. As a result of surveying this group for the types of medicines, it was found that high blood pressure medicine was used most (32.8%), followed by diabetes medicine (23.3%) and anti-cancer medicine (7.8%) in their order. 2. Subjects' most inconvenience involved 'pain' (46.0%), followed by 'fever or chill' (34.2%), 'difficult activities' (24.2%), 'nausea' (19.2%) and 'difficult breathing' (17.2%) in their order. 3. In view of subjects' characteristics with regard to their uses of the emergency care unit, 'discharge' (57.3%) accounted for most of the cases, followed by 'hospitalization' (41.0%), 'refer to other hospitals' (1.4%) and 'death' (0.2%) in their order. 4. The most frequent appeal after treatment at emergency care unit was 'pain' (25.3%), followed by 'fever' (15.4%) and 'difficult breathing' (10.8%) in their order. On the other hand, the most frequent appeal of the group discharged (n=2,400) was 'pain' (28.1%), followed by 'fever' (8.7%) and 'medical examination' (7.5%) in their order. The most frequent appeal of the group referred to other hospitals (n=60) was 'pain' (23.3%), 'medical examination' (16.7%) and 'difficult breathing' (11.7%). The most frequent appeal of the group dead (n=10) was 'DOA' (13.0%), followed by 'pain' (10.0%), 'medical examination' (10.0%), 'difficult breathing' (10.0%), 'fever' (10.0%), 'weakened awareness' (10.0%), 'hemorrhage' (10.0%) and 'non-breathing' (10.0%) in their order. Most (72.8%) of the patients visited the hospital again, while (18.0%) visited the hospital three times. A patient visited the hospital 18 times (0.0%). The above findings from this study will be used as the information for the national health policies about management of cancer patients to relieve not only the cancer patients of their pain but also their family members of their discomfort. This study may be significant in that it provided for some basic data useful to some proper nursing interventions in the cancer patients transported to the emergency room. The patients transported to the emergency room for the period of the survey numbered 16,417, and the cancer patients accounted for 25.5% (n=4,189) of them, but special nursing intervention methods for such cancer patients have still to be developed. When they are discharged from the emergency room, it is deemed urgent to link them with the home hospice services, and when they are hospitalized, it is urgent to provide them with a death-bed nursing. And it is also urgent to network the emergency care units with the hospice services. 국 문 요 약 본 연구는 S대학병원의 응급실에 내원한 암 환자의 실태를 조사함으로써 말기 암 환자의 간호 중재 방안 연구에 기초 자료를 제공하기 위한 후향적 서술 조사 연구이다. 연구 기간 및 대상은 2008년 10월 1일부터 2009년 3월 31일까지이며, S대학병원의 응급실에 내원한 16,467명의 환자 중 암 환자 4,189명을 대상으로 하였다. 자료수집 및 분석은 연구자가 작성한 연구 수집 도구와 Rhodes와 Watson(1987)이 개발한 불편감 측정도구를 기초로 하여 권미형(2003)이 수정·보완한 도구를 사용하여 4,189명의 자료를 대상으로 응급실 간호 기록지, 주치의 의무 기록지, 퇴원 요약지등으로 자료를 수집하였으며, 수집된 자료는 WIN SPSS 12.0을 이용하여 분석하였으며, 대상자의 일반적 특성, 질병 관련 특성, 응급실 내원 관련 특성을 실수와 백분율로 산출하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 암 환자의 질병 관련 특성을 보면 진단명은 간암(18.8%), 폐암(14.8%), 위암(13.0%), 대장암(8.6%), 유방암(7.9%) 순으로 나타났다. 병기는 3기가 72.5%로 가장 많았고, 전이 개수는 1개가 42.7%로 가장많았으며, 주호소는 통증(27.0%), 열(11.5%), 호흡곤란(8.7%) 순으로 나타났다. 체온은 고체온(14.4%)이, 맥박은 빈맥(34.5%)이 호흡은 빈호흡(3.6%)이 높게 나타났다. 혈압은 수축기 고혈압(44.9%)과 이완기 저혈압(29.3%)이 높게 나타났다. 출혈(5.8%), 통증(34.5%), 가족력이 있는 경우는 0.3%로 나타났으며, 수술을 한 경우는 40.5%로 나타났다. 투약은 30.5%로 이에 해당하는 1,276명에 대해 복용약물 종류를 조사한 결과 고혈압약(32.8%), 당뇨약(23.3%), 항암제(7.8%)순이었다. 2. 암 환자의 불편감은 통증(46.0%), 열·한기(34.2%), 활동어려움(24.2%), 오심(19.2%), 호흡곤란(17.2%)순으로 나타났다. 3. 암 환자의 응급실 내원 관련 특성을 보면 응급실 치료 후 경로로 퇴원(57.3%), 입원(41.0%), 전원(1.4%), 사망(0.2%)의 경로 순이었다. 4. 응급실 치료후 입원군(n=1,719)에 대한 주호소를 보면 통증(25.3%), 열(15.4%), 호흡곤란(10.8%)순으로 나타났고, 퇴원군(n=2,400)에 대한 주호소는 통증(28.1%), 열(8.7%), 검사시행(7.5%)순이었으며, 전원군(n=60)은 통증(23.3%), 검사시행(16.7%), 호흡곤란(11.7%)순으로, 사망군(n=10)은 DOA(3.0%), 통증(10.0%), 검사시행(10.0%), 호흡곤란(10.0%), 열(10.0%), 의식변화(10.0%), 출혈(10.0%), 무호흡(10.0%) 순으로 나타났다. 재방문 횟수는 1회(72.8%), 2회(18.0%)가 대부분이었으나 18회(0.0%) 내원한 환자도 한 명 있었다. 이상의 연구 결과를 통하여 암이라는 질병의 특성상 환자 자신의 고통뿐만 아니라 보호자나 가족들의 불편감을 해소할 수 있도록 암 환자 관리에 대한 국가보건 정책에 정보 제공의 역할을 할 수 있으며, 응급실내 암환자를 대상으로 한 적절한 간호중재를 수립할 수 있는 기초자료를 제공하는데 의의가 있다. 응급실 내원 환자 16,417명 중 암환자의 비율은 4,189명으로 25.5%에 해당하였으나 현재 응급실내 암환자를 대상으로 한 별도의 간호 중재 방안은 부재한 상태이다. 퇴원시 가정 호스피스연결, 입원시 병원호스피스, 사망시 응급실에서의 임종간호, 응급실과 호스피스와의 network이 급선무이다.
보육교사의 일반적 특성과 직무환경이 직무만족도에 미치는 영향
정미순 호서대학교 벤처전문대학원 2013 국내석사
본 연구의 목적은 어린이집에 근무하는 보육교사의 일반적 특성과 직무환경에 따른 직무만족도의 차이를 분석하였다. 연구대상은 경기도 A시 가정어린이집에 근무하는 보육교사로 총 250부의 설문지를 배포하였고 수집된 설문지 중 236부가 분석에 사용되었다. 측정도구는 보육교사의 직무만족도에 영향을 미치는 직무환경의 하위요인인 동료관계, 원장지지력, 학부모 관계, 직무수행력 요인으로 총 26문항으로 구성하였다. 수집된 자료의 통계처리는 SPSS Win ver. 18.0을 이용하여 빈도분석(frequency analysis), 신뢰성분석(reliability analysis), 요인분석(factor analysis), 위계적 회귀분석(hierarchial regression analysis), 일원분산분석(one-way ANOVA), t-test 등을 실시하였다. 연구대상의 개인적 특성은 빈도분석을 이용하여 빈도수와 백분율을 산정하였고, 측정변수의 타당성은 요인분석으로 확인하였으며, 신뢰성은 Cronbach's α계수를 산출하여 검증하였다. 연구가설은 다중회귀분석과 t-test, ANOVA를 통해 분석하였고, Scheffe test로 사후검증을 하였다. 이 연구에서 얻어진 주요 결과는 다음과 같다. 첫째, 개인적 특성이 직무만족에 미치는 영향은 월평균 수입이 높고, 기혼이면서 대학교 재학 및 졸업 이상의 학력을 가진 보육교사일수록 자신의 직무에 대한 만족도가 더 높아짐을 의미한다. 근무시간이 길고 보육경력이 오래 될수록 보육교사의 직무에 대한 만족도가 더욱 낮아짐을 알 수 있다. 둘째, 직무환경이 직무만족도에 미치는 영향은 직무를 수행하는데 있어 상당한 자율성을 갖고 있고 스스로의 통제력이 강할수록, 원장의 지지력이 높을수록, 동료 보육교사와의 관계가 좋으며 협력적일수록, 그리고 학부모와의 관계가 좋을수록 보육교사의 직무에 대한 만족도가 더욱 높아지는 것으로 해석할 수 있다. 보육교사가 어린이집에서 근무를 하면서 자신의 직무를 자율적으로 수행할 수 있고, 직무에 대한 원장의 도움과 지지가 높으며, 동료 보육교사는 물론 학부모와의 관계가 좋다고 느낄 수 있는 환경이 조성된다면 이들의 직무에 대한 만족도가 높아지고 보람이나 흥미도 더욱 높아질 수 있음을 시사한다. 이상에서 분석한 바와 같이 보육교사의 직무환경이 직무만족도의 영향요인으로 분석됨에 따라 기관의 리더나 정책관련 실무자들은 보육교사에게 자기발전의 기회와 전문직으로서의 자긍심을 가질 수 있도록 적절한 처우와 복지체계를 제공해야 함을 시사한다.
아침독서운동 만족도에 관한 연구 : 남양주시 B 고등학교를 중심으로
정미순 대진대학교 교육대학원 2021 국내석사
본 연구에서는 국민독서 실태 결과(2020)를 반영한 독서량 감소를 해결하고 고등학생들의 책 읽을 시간확보를 해결할 수 있는 방안 중의 하나로 ‘아침독서’ 프로그램에 대해 알아보고, 이와 관련된 만족도에 대해 좀 더 면밀히 이해하고자 한다. 특히 중고등학생의 경우 초등생 및 성인과는 달리 아침독서의 영향력이 다를 수 있다는 선행연구 결과를 토대로 이에 대한 만족도 및 실태 파악이 필요하다고 보아진다. 따라서 본 연구자는 이러한 교육적 요구에 바탕하여 고등학생을 대상으로 한 학교도서관에서의 아침독서 실태조사와 만족도를 분석하고자 한다. 또한, 현재 고등학교에서 아침독서의 필요성이 증가하고 있는 상황에서 학교도서관에서 시행하는 고등학생들의 아침독서 인식에 관한 분석을 통해 아침독서운동이 독서교육의 중요한 방법으로 자리매김할 수 있는 방향과 중요성을 알아보고자 한다. 이를 통해 본 연구는 아침독서운동을 실제 학교 현장에 적용하기 위한 실천 방안을 구체적으로 제시하는데 그 목적을 두고자 한다. 마지막으로 본 연구에서는 아침독서운동의 선행연구를 면밀히 분석하여 실제 교육현장에서 아침독서운동이 지속적인 독서교육의 일환으로 작용할 수 있도록 그 운영 방안을 마련하고 제공하는 데 의의가 있다.