병리검사 처방오류 개선 시스템 구축

이현임,최영진,구숙희,양승주,김병로,김묘정,신일근,신미옥,서임선 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

문제: 조직병리검사의 처방이 복잡하고 전문화됨에 따라 오류처방이 빈번하게 발생되고 이를 해결하기위한 프로세스가 복잡하여 부서간의 갈등과 업무의 가중, 또한 병원 수입 감소가 초래되었다. 목적: 발생된 오류처방의 유형과 발생율, 오류처방을 해결하기 위한 프로세스를 파악하여 이에 대한 문제점을 개선하여 업무의 효율성과 관련부서간의 부가업무 감소와 갈등해소, 더불어 병원수익을 향상시키는 것에 목표를 두고 활동하였다. 의료기관: 서울시에 소재한 종합병원 질 향상 활동: 조직병리검사 처방의 오류처방 발생 원인과 유형, 발생율을 조사하여 원인을 파악하고 개선을 위한 프로세스를 구축하여 질 향상을 도모하였다. 개선효과: 수술실에서 의뢰한 외과 입원환자의 일반조직병리검사 오류율은 개선 전 7.8%에서 개선 후 3.5%, 동결절편조직검사 오류율은 개선 전 28.6%에서 개선 후 0%로 이전보다 모두 개선되었다. 또한 수술실 간호사의 업무 만족도는 일반조직병리검사의 처방시 95%, 동결절편조직검사 처방시 90%로 높은 만족도를 보였다. 단 병리과의 경우 업무가 증가됨에 따라 초과근무시간이 증가하였다.

초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

초·중·고등학교 학생·학부모·일반교사의 보건교육 영역별 요구도와 보건교육

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through x^(2)­test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teacher. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC that those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

일반논문5 : 『중등교육조선어급한문독본(中等敎育朝鮮語及漢文讀本)』을 통해 본 식민지 교과서의 이면 탐색

임순영 ( Sun Yeong Im ) 한국어교육학회(구 한국국어교육연구학회) 2013 국어교육 Vol.0 No.143

In this article, I research colonial value indoctrinated by Japanese empire in, _Jungdeunggyoyuk-Joseoneogeuphanmundokbon(中等敎育朝鮮語及漢文 讀本)_, middle-high school textbook. Superficially, many Koreans participated in the Korean spelling system and a lot of writings written by Korean literary men were quoted in textbook. But, writings quoted, were changed and selected only suiting to japanese empire`s taste. So, the substances which could influence formation of national collective memory, national discussion, were eliminated in the quotation. Travel essays written by Lee gwang soo, Hyeon jin geon, were excerpted in text book by the same way. The parts in the essays, describing misery of Joseon national, agony of country`s ruination were ignored intentionally. The true picture of rural communities as real space where majority of Koreans lived, was distorted and rural communities were described only as the romantic and pastoral places. Japanese empire impute Impoverishment of rural communities to problem of individual enthusiasm, and cooperation of rural communities. The fatal problem of textbook was to cultivate Korean students as passive being in the aesthetic consciousness.

봄 , 가을 멸치액젓의 숙성 중 성분변화의 차이

임영선(Yeong Sun Im),박희열(Hee Yeol Park),최영준(Yeung Joon Chol),조영제(Young Je Cho) 한국수산과학회 2001 한국수산과학회지 Vol.34 No.1

재래식 방법으로 봄·가을 멸치액젓의 숙성 중의 성분변화의 차이를 조사하기 위하여 동부산수협의 숙성탱크로 부터 1.5∼3개월 간격으로 액젓 원액만을 직접 채취하여 성분변화를 조사하였다. 봄·가을 멸치액젓 모두 총질소 및 아미노산성질소 함량이 숙성기간에 비례하여 증가하였으며, 봄 멸치액젓이 가을 멸치액젓보다 각각 숙성 15.7개월과 17.4개월 전까지는 함량이 높았다가 그 이후에는 함량의 차이가 거의 없었다. ATP 관련물질총량도 숙성초기에 봄 멸치액젓이 가을 멸치액젓보다 높았으며, 숙성기간중에 일정하게 증가하였다. HxR+Hx 함량과 요산량의 교차지점 (봄 멸치액젓 숙성 10.6개월, 가을멸치액젓 숙성 11.5개월)은 가용화율이 77.0%와 74.7%로 높은 분해율을 보이는 지점이었고, 관능적인 맛과 냄새면에서도 좋은 것으로 나타났으며, 봄 멸치액젓의 교차지점이 가을 멸치액젓보다 약 1개월 정도 빠른 것은 숙성온도의 차이 때문으로 판단된다. 원료육의 총아미노산함량은 봄 멸치가 22,238㎎/100g로 가을 멸치의 23,330㎎/100g보다 약간 적은 반면, 18개월간 숙성시킨 유리아미노산 총량은 9,983.3㎎/100 mL로 가을 멸치액젓의 9,070.2㎎/100mL보다 약간 높았다. 유리아미노산 중 glutamic acid는 숙성기간에 따라서 가장 큰 폭으로 증가하여 18개월 후에는 봄 멸치액젓에서 2,100.3㎎/100mL (21.0%), 가을 멸치액젓에서 1,857.8㎎/100mL (20.5%)으로 가장 높았으며, 그 다음이 봄 멸치액젓에서는 alanine (12.6%), aspartic acid (11.9%), valine (6.3%), lysine (6.2%) 순이었고, 가을 멸치액젓에서는 leucine (14.2% ), alanine (14.0% ), lysine (12.2%), isoleucine (8.0%) 등의 순으로 주요 아미노산의 종류와 조성비가 달랐다. 그리고, 봄·가을 멸치액젓 모두 숙성기간에 따라서 색도는 일정하게 증가하였으며, 봄 멸치액젓이 가을 멸치액젓보다 숙성기간을 통하여 그 값이 높았다. To investigate difference of component changes in salt-fermented spring (SAS) and autumn (AAS) anchovy, Engraulis japonicus sauce during fermentation, various chemical properties were examined at 1.5∼3 months intervals during 18 months fermentation. The contents of total and amino nitrogen were higher in SAS than in AAS until 15.7 and 17.4 months fermentation, respectively, but there were no difference after that. The cross point of inosine (HxR)+hypoxanthine (Hx) and uric acid was faster in SAS with 10.6 months fermentation than in AAS with 11.5 months fermentation. After 18 months of fermentation, the SAS was rich in free amino acids, such as glutamic acid, alanine, aspartic acid, valine, lysine in that order. On the other hand, the AAS was rich in free amino acids, such as glutamic acid, leucine, alanine, lysine, isoleucine in that order. Absorbance at 453㎚ were higher in SAS than in AAS, and increased gradually during fermentation.

시판 까나리액젓의 품질조사

임영선(Yeong Sun Im),조영제(Toung Je Cho),최영준(Yeung Joon Choi),이근우(Keun Woo Lee),김건배(Geon Bae Kim) 한국수산과학회 1999 한국수산과학회지 Vol.32 No.5

The quality characteristics of 15 kinds of the commercial northern sand lance, Ammodytes personatus sauce (CNS) of korean traditional salt-fermented fish sauces were evaluated comparing to the haditional northern sand lance, Ammodytes personatus sauce (TNS). The ranges of chemical compositions of the CNSs were 66.5∼71.0% moisture, 19.3∼24.6% ash, 4.7∼12.0% crude pratein, and the pH and salinity were 5.56∼6.47, 24.0∼32.9%, respectively. Total nitrogen, amino nitrogen, total free amino acid and total ATP related compounds (sum of ATP∼IMP, HxR, Hx and uric acid) were in the ranges of 0.781∼1.918 g, 445.9∼1037.9 ㎎, 3,258.9∼6,562.6 ㎎ in 100 ㎖ CNSs, and 4.766∼8.989μ㏖ in 1 ㎖ CNSs. The CNSs were higher in content of moisture, TMAO, TMA and pH, but lower in content of crude protein, salinity, total nitrogen, amino nitrogen, total ATP related compounds, absorbance at 453 ㎚ and total free amino acid than the TNSs. Both CNS and TNS samples were rich in free amino acids, such as glutamic acid, lysine, alanine, leucine, valine, aspartic acid and isoleucine in the order.

숙성 및 저장 중 액젓의 색도 변화

임영선(Yeong Sun Im),최영준(Yenng Joon Choi),조영제(Young Je Cho) 한국수산과학회 2000 한국수산과학회지 Vol.33 No.5

액젓을 분광광도계로 최대 흡수파장을 scanning 하고, 12개월 숙성된 멸치액젓에 glucose, MSG, IMP, 카라멜색소 및 타르색소를 첨가하여 저장기간에 따라 색도의 변화를 측정하여 액젓의 품질 판정을 위한 지표로서의 사용가능성을 조사한 결과는 다음과 같다. 액젓의 종류별, 희석비별, 첨가색소별, 첨가물별에 따라서 scanning한 결과, 453㎚에서 최대 흡광도를 나타내었고, 분광광도계로 453㎚에서 측정한 시판 멸치액젓의 색도는 직시색차계로 측정한 △E값 (색차)보다 감도가 더 좋았으므로, 액젓의 색도 측정시 직시색차계보다는 분광광도계로 453㎚에서 측정하는 것이 더 적합할 것으로 판단되었다. 숙성기간 중에는 색도값이 일정하게 증가하였으며, 까나리액젓이 멸치액젓보다 그 값이 높았다. 첨가물의 영향은, 당 (glucose)과 질소화합물 (MSG, IMP)을 첨가한 시료는 저장기간 동안 색도값이 일정하게 증가하였으며, 농도별에 따른 큰 차이는 없었다. 색소의 영향은, 카라멜색소를 첨가한 액젓의 색도값은 첨가농도가 높을수록 높았으며, 저장기간중에 일정하게 증가하였다. 한편, 타르색소를 첨가한 액젓은 첨가농도 0.003% 및 0.005%에서 저장 15일 후에 색도값이 급격히 증가하였으며, 저장기간 중에도 일정하게 증가하였다. To investigate availability of color value as quality standard for grading of salt-fermented fish sauces, the effect of storage period, dilution ratios, additives (glucose, MSG, IMP) and pigments (caramel and tar) on the changes of color value were measured by spectrophotometry. The highest absorbance was scanned at 453㎚ in fish sauces (anchovy and northern sand lance) without regard to storage periods, dilution ratios, pigments and additives. Absorbance at 453㎚ was gradually increased during storage in fish sauces, and absorbance of northern sand lance sauce was higher than that of anchovy sauce during fermentation. There were almost no differences according to concentration of additives in fish sauces added additives during storage. But in case of fish sauces added pigments, absorbance increase of fish sauces added tar pigment was faster than that of caramel pigment during storage. The results suggest that color value is inadequate as quality standard for grading of salt-fermented fish sauces.

은유와 이미지를 연계한 시교육 방안 탐색

임순영(Im, Sun-yeong) 학습자중심교과교육학회 2013 학습자중심교과교육연구 Vol.13 No.5

본 연구는 학습자가 작품과 심미적으로 상호교통(Transaction)하면서 문학적 상상력을 키울 수 있는 시 체험 방안을 모색해 보고자 하였다. 시 해석은 작품이 만들어내는 의미장과 학습자의 능동적 수용, 학습자의 심미적 체험이 동시에 강조되어야 한다. 이를 위해 독자의 심미적 체험을 강조하는 Rosenblatt의 ‘심미적 상호교통 이론’의 의미를 살펴보고 은유와 이미지를 연계하여 시를 체험할 수 있는 방안을 탐색해 보고자 하였다. 은유와 이미지는 시의 핵심 속성이면서 은유를 사용하는 능력에 이미지를 떠올리는 능력이 동반된다는 점, 둘 다 상상력을 바탕으로 지적인 것과 감각적인 것을 오간다. 유의미한 시 체험을 이끌어내기 위해서 은유와 이미지를 연계하여 확장적 사고를 이끌어내야 한다. 이를 위해 이미지를 지각에서 통찰에 이르는 세 과정-지각적 상상력, 기억적 상상력, 예견적 상상력으로 살펴보면서 각각 대상, 주체, 세계의 부각 과정과 연결시켜 보았다. 그리고 학습자가 시의 심미적 체험의 질적 효과를 얻기 위해서는 장면과 장면 사이의 이미지의 유사성을 연결해 내적 연관관계를 찾고 자신의 삶에 투사할 수 있는 은유의 과정과 맞물려야 함을 강조하였다. The main subject in this paper is the method of poetry education how to draw poetry imagination and aesthetic transaction. Connecting metaphor with image is under the consideration that ability of making use of metaphor is accompanied by the ability of occurring image and real poetry experience require expansive thinking by transaction of intellectual and sensuous one. For this, process of image leading from perception to discernment is divided into perceptive, memorial and prognostic imagination. It is presented that three kind of imagination can be connected with emerging process of object, subject, world in this paper It is required for learner to find out inner relevance through connecting similarity of image between scenes for qualitative aesthetic effect. The most important things in applying education method of expanding imagination connected with metaphor and image, is that it should make learner to know really valuable expression by reviving hidden feeling and meaning in the concrete instead of conventional ways. This process, observing value of feeling, will guide for learner to re-establish value of self existence and get free imagination out of habitual and automated cognition frame.

신 청소율 검사(Renal Clearance Study)를 이용하여 진단한 Gitelman씨 증후군 2예

기주영 ( Gi Ju Yeong ),김혜영 ( Kim Hye Yeong ),임정묵 ( Im Jeong Mug ),오광식 ( O Gwang Sig ),박영선 ( Park Yeong Seon ),권순길 ( Kwon Sun Gil ),신종성 ( Sin Jong Seong ),김미성 ( Kim Mi Seong ),지정훈 ( Ji Jeong Hun ),엄재호 ( E 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.6

We have experienced two patients who had hypokalemic metabolic alkalosis as well as hypomagnesemia and hypocalciuria with elevated plasma renin activity. We have performed renal clearance study after water loading, administration of furosemide and thiazide in two patients and two normal controls. Maximal free water clearance per 100 mL glomerular filtration rate(C_(H2O) ) and distal fractional chloride reabsorption[ C_(H2O) /(C_(H2O) +C_(Cl))] in our patients were reduced than the controls. Chloride clearance(C_(Cl)) was increased after furosemide administration but not after thiazide administration. Distal fractional chloride reabsorption[C_(H2O) /(C_(H2O) +C_(Cl))] was dramatically decreased by furosemide administration in our patients, whereas thiazide had little effect on it. Fractional excretion of sodium, chloride, magnesium, calcium was increased by furosemide administration, whereas thiazide administration had little effect on this parameters. These findings suggested the presence of a defect in the distal convoluted tubule rather than in the thick ascending loop of Henle. Herein, we report two cases of Gitelman`s syndrome diagnosed by renal clearace study after water loading, administration of furosemide and thiazide.

가정간호 교육과정에서의 실습실태

이홍자,고덕순,김혜영,양순옥,윤순녕,임난영,한경자,한영란,Lee, Hong-Ja,Go, Deok-Sun,Kim, Hye-Yeong,Yang, Sun-Ok,Yun, Sun-Nyeong,Im, Nan-Yeong,Han, Gyeong-Ja,Han, Yeong-Ran 한국가정간호학회 2002 가정간호학회지 Vol.9 No.1