중등학생을 위한 하천지형 탐사프로그램 개발 : 양재천을 사례로

양희경 ( Hee Kyung Yang ) 한국지형학회 2003 한국지형학회지 Vol.10 No.2

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

産婦人科 患者에서 分離된 Ureaplasma urealyticum의 生物學的 性狀

梁熙燦,崔大卿,張明雄,白太鉉,朴鼎圭 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

Isolation rates of Ureaplasma urealyticum from vaginal swab of 216 patients, 105 prostitutes and 100 college females was investigated. Also, minimal inhibitory concentration of isolated strains about tetracycline and minocycline was studied. The results were summarized as follows; 1. Out of 70 vaginitis patients, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 34.3% and 15.7%, respectively. 2. Out of 54 cervicitis patients, isolation rates of Ureplasma urealyticum and Mycoplasma hominis were 37.0% and 11.0%, respectively. 3. Out of 92 other gynecological patients, isolation rates of Ureaplasma urealyticum and mycoplasma hominis were 44.6% and 16.3%, respectively. 4. Out of 105 prostitues, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 54.3% and 75.2%, respectively. 5. Out of 100 college students, isolation rates of Ureaplasma urealyticum and Mycoplasma hominis were 23.0% and 7.0% respectively. 6. In the susceptibility patterns of isolated Ureaplasma urealyticum, resistant strains about tetracycline in patients, prostitues and college students were 75.2%, 73.6% and 69.5%, respectively 7. In the susceptibility patterns of isolated Ureaplasma urealyticum, resistant strains about minocycline in patients, prostitues and college students were 91.7%, 87.7% and 73.9%, respectively.

뇌병변 장애인의 가족지원을 위한 지역사회 중심재활 관련서비스에 관한 연구 : 뇌성마비 아동을 중심으로 about children with cerebral palsy

양경희 경복대학 2001 京福論叢 Vol.5 No.-

본 연구는 뇌성마비아동 가족이 의료재활 및 교육, 직업재활에 효율적으로 참여 할 수 있도록 지역사회 중심재활프로그램을 이용하여 아동의 신체적, 정신적 기능을 발달시키고, 뇌성마비아동 및 가족의 요구를 충족시킬 수 있도록 하기 위해 가족지원 프로그램을 조사 연구하여 뇌성마비아동의 삶을 행복하게 영위 할 수 있도록 하는데 그 목적을 두고 있다. 본 연구방법은 뇌성마비아동과 가족의 요구와 스트레스를 해결하는데 도움을 줄 수 있는 지원을 제시하고 가족지원 프로그램 및 제공기관, 관련기관 간 협응과 가족지원에 있어서의 교육 및 재활 관련기관의 역할 등에 관한 자료를 조사하기 위해 주로 문헌연구를 통해 자료를 모아 연구·분석을 실시하였다. 이 연구의 결과는 다음과 같다. 뇌성마비아동의 경우 다른 신체적 장애인의 경우와는 달리 부모와 가족의 헌신적 노력과 역할이 중요하며, 본인과 가정 및 사회가 함께 한마음이 될 때 진정한 자립이 보장될 것이다. 따라서 이들을 위한 가족지원이 우선적으로 이루어져야 한다고 본다. 우리나라 현행 복지체계는 장애유형에 따른 특성에 맞는 전달지원체계가 전혀 마련되어 있지 않다. 따라서 각각의 장애유형에 따른 복지과제는 그 장애 특성에 맞게 연구·개발되어야 한다. 특히 뇌성마비아동을 위한 다양한 가족지원 프로그램의 개발·보급이 이루어져 뇌성마비아동과 가족이 보람된 삶을 영위 할 수 있도록 연구가 필요하며, 장애인 가족에 대한 배려와 지원도 함께 이루어져야 한다. 또한 가족간의 안정된 관계와 건강한 가족기능이 모든 치료효과를 배가시킨다는 면에서 추후에는 가족의 정신 건강을 위한 프로그램이 강화되어야 한다. 뇌성마비아동을 위한 지역사회중심재활 관련서비스를 효율적으로 운영하기 위한 방안을 살펴보면 다음과 같다. 1. 뇌성마비아동을 위해 개별화된 프로그램개발·시행이 필요하다. 2. 일상생활훈련 프로그램을 개발·보급한다. 3. 의료재활프로그램을 개발·시행한다. 4. 사회재활 및 통합프로그램을 개발·시행한다. The purpose of this study is to promote quality of life of children with cerebral palsy by researching family supporting program which develop physical and mental function through community based rehabilitation program and is to participate family of children with cerebral palsy medical, educational and vocational rehabilitation effectively. The method of this study is the literature review and literature analysis about family supporting program and cooperation among the related institutions for solving the problems and removing stress of the families. The result of this study is: For children with cerebral palsy, they need family's help and social support together for their real independent living. Therefore, family support is the most important. In Korea, the supporting systems for each kinds of handicap are not specific for the type of handicaps and disabilities. So the right welfare service for every different type of disabilities should be developed. Specially, supporting program for family of children with cerebral palsy should be develop and it will help them to promote quality of life. Also it is need to enhance program of mental health of the family for stable relationship. These are suggestions of community based rehabilitation service for children with cerebral palsy. 1. It is need specific program by their disability type. 2. It is need to program of activities of daily living. 3. It is need to develop medical rehabilitation program. 4. It is need to develop psychosocial and integrative program.

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

감각통합치료에 대한 이론적 고찰

양경희 경복대학 2000 京福論叢 Vol.4 No.-

감각통합은 자신의 신체와 환경으로부터 주어지는 감각들을 조직화하고 그 환경 속에서 신체를 효과적으로 사용할 수 있도록 하는 신경학적 과정이다.(Ayres, 1989) 감각자극을 저지하고 통합하는 과정에 문제가 생기면 감각 정보를 받아들여 정보처리를 진행시키고 통합하는 것이 힘 들며, 개념을 이해하고 운동을 학습하는 것과 어떤 일을 계획 하고 해결을 하는 것이 어렵다. 이런 감각통합장애를 학습장애, 조산, 자폐, 발달장애, 약물 남용, 스트레스 관련장애, 뇌손상 환자등에서 나타난다. 감각통합 장애아동은 무해한 감각자극에 대해 방어 또는 회피의 반응을 보이거나 과잉행동을 보이기도 하여 사회에 잘 적응하지 못하고 발달장애가 되거나 정신지체로 여겨질 수 있다. 또한 학습장애를 갖게 되거나 자폐 증상을 보이기도 하여 일상 생활에 많은 지장을 초래한다. 감각통합과정에 문제를 가진 아동들에게 감각 통합치료를 제공하는 의미는 감각자극을 향상시키기 위해 기회를 제공 하고 적응반응을 계획, 조직화하고 의미있는 활동을 이끌어 낼 수 있도록 하는 것이다. 감각통합치료의 목표는 중추신경계 체계화를 돕는 감각자극을 제공하고, 아이가 환경으로부터 감각정보를 억제 하거나 조절할 수 있도록 하며, 감각자극에 대해 잘 체계화된 반응을 하도록 아이를 도와주는 것이다. 그러므로 본 문헌연구의 목적은 감각통합 장애아동을 위해 감각통합치료의 이론과 원리 및 치료방법에 대한 문헌고찰을 하여 작업치료사들이 감각통합장애아동의 운동기능 및 수행능력을 향상시켜 일상생활동작을 수행할 수 있도록 도와주는데 있다. Sensory Integration(S1) is the neurological process which organizes sensory stimulation from their body and environment and makes to use their body effectively in the surrounded environment.(Ayres, 1989) If there is problems to proceed inhibiting and integrating sensory stimulation, it is difficult to organize sensory informations, to understand the perceptual concepts, to learn motor activities and to solve the problem. It has reported that SI dysfunction is founded to learning disability, early birth, Developmental disability, substance abuse, schizophrenia, brain injury, etc. Some of children with SI dysfunction often have sensory defensiveness, hyperactivity and difficulty to adjust society, and have considered developmental disabilities or mental retardations. Also, some of them have the learning problems, autistic symptoms and difficulty in their daily life The meaning of SI treatment is to give the chance to increase sensory stimulation and then help to plan and organize for adaptive response about the sensory stimulation as purposefully. The goal of SI treatment is to provide sensory stimulation which organize central nervous system, toinhibit or facilitate about sensory information, and to help response adaptively about the sensory stimulations. Therefore, The purpose of this article is that investigate about SI theories, principles and SI treatment methods through literature review, and help to increase motor ability and performance for children with SI dysfunction in their activities of daily living by Occupational Therapist.

아동의 슬픔 정서에 대한 대처반응 연구

양복금,김경희 목포대학교 생활과학연구소 2000 생활과학논집 Vol.3 No.-

The purpose of this study was to examine between children's coping-reactions to sorrow emotion according to sex and age. The subjects of this study were 221 students who were in first grade, third grade and fifth grade of elementaly school in Kwangju and Mokpo. The scales used in this study was Halpern(1999)'s coping-reaction criterion to negative emotion of children. For this study, the criterion was adapted and modified, with being helped by 2 child psychology and counselling experts. The data analysis was made by SPSS PC+, and average, two-way ANOVA, Scheffe test and were employed to test the research questions. As a result for sorrow, only problem-solving coping was significantly different according to gender. The girl children exercised more problem-solving coping against sorrow than the boys. Their age made a significant difference to problem avoidance, aggressive coping and no reaction against sorrow. Specifically, aggressive coping against sorrow was significantly different between every grade groups. The higher graders showed aggressive coping less against sorrow.

조기 및 붕장어를 동결건조한 어육분말의 제조 및 저장안정성

양승택,박경희 慶星大學校 1998 論文集 Vol.19 No.2

This study was designed to make fish meat powder which retains the fish jelly forming ability of fresh fish meat from fish meat paste of yellow corvenia (Pseudoscinea manchuria) and conger eel (Astroconger myriaster). Fish meat powder put into 0.1 mm polyethylene bags and cans as package and checked the keeping qualities such as chemical composition, soluble nitrogen, relative viscosity, water holding capacity (WHC), emulsifying stability (ES) and fish jelly forming ability for 6 months storage at 5℃, 20℃ and 35℃. Crude proteins very predominant in yellow corvenia and conger eel meat powder showing 68.4% and 60.9%, respectively, The freeze-dried powder had good fish jelly forming ability. Dried powder gradually decreased protein solubility, relative viscosity, WHC, ES, and fish jelly forming ability for 6 months storage. Qualities retention of the powder of high temperature sorage was less than those of low temperature storage. Fish jelly forming abilities of the powder were maintained for 6 months and 5 months and 2 months at 5℃ and 20℃ in yellow corvenia, respectively, and those of the powder were 3 months and 2 months at 5℃ and 20℃ in conger eel, respctively. But both samples have been lost fish jully forming ability after 1 month at 35℃. Qualities of the powder packed in cans were a little better than those of polyethylene bags. In the conclusion, freeze-dried powder of yellow corvenia and conger eel neat was very useful for the proparation of fish jelly products.

조직의 CIO 제도 평가모델에 관한 연구

양경훈,김도일,유훈상,송병희 중앙대학교 산업경영연구소 2001 산업경영연구 Vol.10 No.1

The CIO(Chief Information Officer) is a manager who takes care of the business strategies of information technologies in organizations. Because of the importance of IT,, many organizations have recently adopted the CIO systems. However no objective criteria of the evaluation of CIO systems prevents the wide spread of this systems. We suggest two models to solve this problems: one is evaluation model of the CIO systems in the organizations and the other is the evolution model of the development of CIO systems. The evaluation model consists of three parts; Business, IT, and CIO's personal quality part. The evolutionary model consists of three steps; Level 1 is the IT Expert step, Level 2 is the IT Strategist step, and Level 3 is the Business Leader step. In this paper, organization is classified into two groups by two ways. One is the service industry organizations and the non-service industry organizations and the other way is the CIO-adopted organizations and the non CIO-adopted organizations.