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      • 척수손상환자의 일상생활동작과 무력감에 관한 연구

        정현숙,박형숙,Jeong, Hyeon-Suk,Park, Hyoung-Sook 한국재활간호학회 2004 재활간호학회지 Vol.7 No.2

        Purpose: This study examined the relationship between the level of activity daily living and powerlessness of spinal cord injury patients'. Method: The subjects for the study consisted of 68 persons agreed above twenty below seventy had had spinal cord injury. The data were collected from November 1, 2003 to January 30, 2004. The instruments used for this study were ADL check List and Powerlessness Scale. The data were analysed by using SPSS computerlized program and included number, percentage, t-test and ANOVA, Pearson Correlation Coefficient. Results: The mean of activity daily living was paraplegia $49.53{\pm}10.91$ and tetraplegia $25.65{\pm}13.24$. The mean of powerlessness was paraplegia $35.22{\pm}9.50$ and tetraplegia $37.55{\pm}9.01$. In the relationship between activity daily living and powerlessness were significant difference. Conclusion: in order to increase the level of activity daily living of rehabilization nurse should be helpful to provide them. Also, it could be identified that informational support was important, that is, the lesser the informational support, spinal cord injury patient don't feel the powerlessness.

      • KCI등재

        카페인이 HRV에 미치는 영향과 내관 자침의 효과에 대한 예비연구 : 무작위 이중맹검시험

        정현숙,양창섭,남지성,장인수,김락형,서의석,Jeong, Hyeon-Suk,Yang, Chang-Sop,Nam, Ji-Sung,Jang, In-Soo,Kim, Lak-Hyung,Seo, Eui-Seok 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.3

        Objectives : This study was to investigate the short time effect of caffeine on heart rate variability(HRV) and the effect of Neiguan(PC6) acupuncture stimulation on HRV. Methods : 27 healthy adult volunteers were randomly allocated to two groups: Neiguan group (N=13) or placebo group (N=14). The study was carried out under a randomized double-blinded placebo-controlled trial method. Each group orally received the same tablets with 200 mg caffeine. After 1 hour, acupuncture was applied to the Neiguan(PC6) points for the Neiguan group, and for the placebo group was applied to a non-acupuncture point. Both groups were estimated with HRV 3 times, before and after caffeine ingestion, 20 minutes after acupuncture stimulation. Results : After taking caffeine, pulse rate, mean-HRV, and pNN50(the proportion derived by dividing NN50 by the total number of NN intervals) decreased, SDNN(standard deviation of all normal-to-normal (NN) intervals), RMSSD (the root square of successive differences), TP log, HF(high frequency), and HRV index was increased. There were significant changes to the autonomic nervous system after taking caffeine. There were no significant differences between the two groups after acupuncture at Neiguan. Conclusion : Caffeine could induce general activation of the autonomic nervous system. Neiguan acupuncture stimulation may not have significant influence on the autonomic nervous system.

      • KCI등재
      • KCI등재

        일본 신문의 헌법개정에 대한 인식 -헌법기념일 사설(2007?2012년) 분석을 중심으로-

        정현숙 ( Jeong Hyeon Suk ) 현대일본학회 2012 日本硏究論叢 Vol.36 No.-

        이 연구에서는 헌법 9조 개정을 다룬 일본의 신문기사를 분석하였다. 2007년부터 2012년까지 전국 41개 신문의 헌법기념일 사설을 중심으로 신문의 헌법관과 헌법개정에 대한 입장을 분석하고, 구체적 쟁점으로 자위대의 위상과 역할, 미일안보체제, 자위대의 해외파견에 관한 인식을 분석하였다. 분석을 통해 다수의 신문이 ``호헌 내지 개헌에 신중한 입장``을 취하고 있음을 확인하 였다. 이들 신문은 현행 헌법이 일본의 번영과 평화를 가져온 기반이라고 보고 있으며, 헌법 9조가 표방하는 평화주의에 대해서도 높이 평가하고 있다. 또한 구체적 점에 대 해서도 지금까지 일본정부가 헌법의 틀 안에서 견지해온 전수방위와 집단적 자위권 행 사 금지의 원칙을 지지하고, 이러한 원칙을 무너뜨리려는 최근 일본정부의 시도를 강하 게 비판하고 있음을 확인하였다. 신문의 이러한 인식은 지금까지 여론조사 분석을 통해 확인된 일본국민 다 가 공유 하고 있는 것이기도 하다. 이런 점에서 현행 헌법에 대한 일본국민의 강한 지지는 헌법 9조 개정의 움직임을 저지하는 데 일정한 역할을 할 것으로 기대된다. This research conducted an analysis of Japanese newspaper articles discussing Japanese Constitutional Revision. The range of the analysis was Japanese newspaper articles from 2007 to 2012. Perspective about the Constitution of each newspaper and its basic stance on the Constitutional Revision were examined from its articles. Furthermore, more specific issues such as status and role of the Japan Self-Defense Forces, the U.S.-Japan Security Treaty, and overseas dispatch of the Japan Self-Defense Forces were examined as well. This research found that majority of the newspapers think highly of the current Constitutio n as what brought prosperity and peace to Japan, and value pacifism in the Article 9. Further more, regarding the specific issues, newspapers support the principle of a strictly defensive national security policy and prohibition of the use of right of collective self-defense that the Japanese government has maintained within the framework of the Constitution. The resea rch found that they strongly criticize the attempt of the Japanese government trying to tear down theses principles. These perceptions of the media are also equivalent to the perception s that most Japanese nationals share. In this perspective, it is expected that strong support on the current Constitution will play a certain role in deterring the movement toward the Constitutional Revision.

      • 간호학생의 전문직 자아개념과 자아탄력성 및 임상수행능력에 관한 연구

        홍현화,공정현,강향숙,정현숙,양승경,Hong, Hyeon-Hwa,Kong, Jeong-Hyeon,Kang, Hyang-Suk,Jeong, Hyeon-Suk,Yang, Seung-Kyeong 한국임상보건과학회 2014 한국임상보건과학회지 Vol.2 No.2

        Purpose. The purpose of this study is to investigate how professional self-concept and ego-resilience of nursing students affect their clinical competence. Methods. This study conducted a structured-questionnaire survey with 143 nursing students to look into their professional self-concept, ego-resilience and clinical competence. Results. According to the study result, professional self-concept scored 2.85 on average out of 4 points, ego-resilience 3.61 on average, and clinical competence 3.48 on average. It was found that clinical competence had significantly positive correlations with professional self-concept (r=.58, p<.01) and ego-resilience (r=.44, p<.01). According to regression analysis, the factors affecting clinical competence were professional self-concept, ego-resilience, and academic grades in order, and explanatory power was 39.5%. Conclusions. Given the above results, in order to improve clinical competence of nursing students, nursing educational institutes need to find an educational plan which can contribute to increasing professional self-concept, ego-resilience, and academic grades.

      • 방사선치료 시 Metal artifact reduction Algorithm의 임상적용 유용성평가

        박자람,김민수,김정미,정현숙,이충환,백금문,Park, Ja Ram,Kim, Min Su,Kim, Jeong Mi,Chung, Hyeon Suk,Lee, Chung Hwan,Back, Geum Mun 대한방사선치료학회 2017 대한방사선치료학회지 Vol.29 No.2

        Purpose: The tissue description and electron density indicated by the Computed Tomography(CT) number (also known as Hounsfield Unit) in radiotherapy are important in ensuring the accuracy of CT-based computerized radiotherapy planning. The internal metal implants, however, not only reduce the accuracy of CT number but also introduce uncertainty into tissue description, leading to development of many clinical algorithms for reducing metal artifacts. The purpose of this study was, therefore, to investigate the accuracy and the clinical applicability by analyzing date from SMART MAR (GE) used in our institution. Methode: and material: For assessment of images, the original images were obtained after forming ROIs with identical volumes by using CIRS ED phantom and inserting rods of six tissues and then non-SMART MAR and SMART MAR images were obtained and compared in terms of CT number and SD value. For determination of the difference in dose by the changes in CT number due to metal artifacts, the original images were obtained by forming PTV at two sites of CIRS ED phantom CT images with Computerized Treatment Planning (CTP system), the identical treatment plans were established for non-SMART MAR and SMART MAR images by obtaining unilateral and bilateral titanium insertion images, and mean doses, Homogeneity Index(HI), and Conformity Index(CI) for both PTVs were compared. The absorbed doses at both sites were measured by calculating the dose conversion constant (cCy/nC) from ylinder acrylic phantom, 0.125cc ionchamber, and electrometer and obtaining non-SMART MAR and SMART MAR images from images resulting from insertions of unilateral and bilateral titanium rods, and compared with point doses from CTP. Result: The results of image assessment showed that the CT number of SMART MAR images compared to those of non-SMART MAR images were more close to those of original images, and the SD decreased more in SMART compared to non-SMART ones. The results of dose determinations showed that the mean doses, HI and CI of non-SMART MAR images compared to those of SMART MAR images were more close to those of original images, however the differences did not reach statistical significance. The results of absorbed dose measurement showed that the difference between actual absorbed dose and point dose on CTP in absorbed dose were 2.69 and 3.63 % in non-SMRT MAR images, however decreased to 0.56 and 0.68 %, respectively in SMART MAR images. Conclusion: The application of SMART MAR in CT images from patients with metal implants improved quality of images, being demonstrated by improvement in accuracy of CT number and decrease in SD, therefore it is considered that this method is useful in dose calculation and forming contour between tumor and normal tissues. 목 적: 방사선치료에서 CT number에 의해 나타나는 조직의 묘사 및 전자밀도는 CT(Computed Tomography)기반의 전산화치료계획 정확성을 보장하는데 중요한 역할을 한다. 하지만 체내의 금속 이식물은 CT number의 정확성을 감소시킬 뿐 아니라 조직 묘사에 대한 불확실성을 나타내기 때문에 임상에서는 metal artifact를 감소시킬 수 있는 알고리즘이 개발되었다. 이에 본 연구에서는 본원에서 사용하고 있는 GE사의 SMART MAR의 CT number 정확도를 평가하고 방사선치료에서의 유용성에 대해 평가하고자 한다. 대상 및 방법: 영상평가를 위해 CIRS ED phantom을 이용하여 6개 조직의 rod를 삽입하여 동일한 체적의 ROI를 형성 후 original 영상을 획득하고 의료용 티타늄 rod를 삽입하여 non-SMART MAR 영상과 SMART MAR영상을 획득하여 CT number와 SD값을 비교하였다. Metal artifact로 인해 CT number 변화에 따른 선량변화 확인을 위해 전산화계획시스템 Epclipse를 사용하여 CIRS ED phantom CT 영상에 PTV를 형성하여 original 영상을 획득하고 편측 티타늄 삽입, 양측 티타늄 삽입 영상을 획득하여 non-SMART MAR와 SMART MAR영상에 동일한 치료계획을 수립하여 PTV가 받는 평균처방선량, HI(Homogeneity Index), CI(Conformity Index)를 비교, 분석하였다. 흡수선량 측정은 원통형 아크릴 팬텀과 0.125 cc ionchamber, electrometer를 이용하여 선량변환상수(cCy/nC)를 계산하고 CIRS phantom을 이용하여 편측, 양측 티타늄 rod를 삽입한 영상으로 non-SMART MAR와 SMART MAR 영상을 획득하여 동일한 지점에서의 흡수선량을 측정하여 전산화치료계획상의 point dose와 비교하였다. 결 과: 영상평가 결과 CT number는 non-SMART MAR영상보다 SMART MAR 영상이 original영상에 더 유사한 값이 나왔고 SD값은 SMART MAR영상에서 더 감소되었다. 선량평가 결과 평균처방선량과 HI 및 CI 값은 SMART MAR 영상보다 non-SMART MAR 영상이 original 영상에 더 근접한 결과가 나왔지만 통계적으로 유의하지 않았다. 흡수선량 측정결과 치료계획상의 point dose와 실제 흡수선량과의 차이가 non-SMART MAR의 영상에서는 각각 2.69, 3.63 %의 차이가 있었지만 SMART MAR영상에서는 0.56, 0.68 %로 감소하였다. 결 론: 금속 이식물을 삽입한 환자의 CT 영상에 SMART MAR를 적용했을 때 CT number 정확성 상승 및 SD 감소로 영상의 질이 향상되므로 종양과 정상조직의 윤곽도 생성 및 선량계산 시 유용할 것으로 사료된다.

      • KCI등재후보
      • SCIEKCI등재
      • 일본 지역사회의 네트워크 구조 : 지역 형성자로서의 자영업층의 역할을 중심으로 Focusing on the self-employed's role as a facilitator of community development

        정현숙 영남대학교 지역발전연구소 2001 영남지역발전연구 Vol.28 No.-

        This article aims mainly to analyse the role of the self-employed in the formation and the development of neighborhood community in Japan. Japanese self-employed have participated actively in a neighborhood association called "Chonaikai", which is a basis of neighborhood communication and cooperation. They have developed traditional cultures through the "Masturi" festival and have also contributed to forming communal identity. Through theses active actions, they have also made close relationships with local politicians and officials and have excercised an important influence on the local society.

      • 유아교육실습 지도교사 교육프로그램 개발 연구

        윤기영,정현숙,류칠선 서원대학교 교육연구소 2001 敎育發展 Vol.20 No.2

        The purpose of this study was to develop a in-service teacher education program for student teaching in early childhood education center in order to reinforce student teacher's educational role for improving their student teaching. In this paper, the sample consisted of 20 early childhood professionals who have experienced at least 3 years in students teaching program. The survey was administered using the Delphi method. The study explored the objectives, contents, administration and method, and evaluation of the developed program. We also attempt to outline the present conditions and problems on student teaching in early childhood education center. As a conclusion, the program have to assist the able kindergarten teacher for understanding student teacher correctly, to consist and administrate a practicum program with systematic support.

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