노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

신생아 대사이상검사와 그 비용수익에 관한 연구

홍명선 京畿專門大學 1995 京畿專門大學 論文集 Vol.- No.23

국민건강증진사업의 현황과 활성화 방안

홍명선 京畿專門大學 2001 京畿專門大學 論文集 Vol.- No.29

As the whole world has been developing into industrialized society, direction change is occurring in health care system from focusing on diseases treatments performed in the past to prevention of disease itself. In our country the structure of chronic degenerative diseases has been prominent, and average life expectancy will be reached 77years, and population of aged will be 10% by the year of 2010. Therefore, the needs for policy change focusing on chronic disease appeared intensively with growing of elderly population. Environmental pollution due to industrialization and urbanization, and increasing of traffic vehicles, change of living conditions make increasing risk factors of diseases and accidents, and also change of eating food habits with lacking of exercise bring our society the state of nutrition imbalance. To resolve these health problems in these days, approachment to vaccination and sanitation management which was effective in the acute infectious disease of the past are not yet effective coping methods. Thus improvement of environment and life style which is the cause of general diseases prevalence, and primary prevention concerning on health educational, preventive, and environmental health is a new perspective of comprehensive approachment and that should be activated. World health organization expressed health promotion as a new public health movement and suggested that it is a good way of dealing with the new challenges of health problems. Public health care and policy in Korea also seeks to various measures to meet the changed conditions effectively, and presented the health promotion as the solution of activation of public health care services. Thus health promotion activities with reforming of health care regulation is changing rapidly as a new paradigm in turn of this new millenium. In other word, First, there is changing from the past focusing on treatments after occurring diseases to positive life long management such as disease prevention, early detect and treatments, and safety prevention. Second, from the way of approaching health care problems in the health care agencies to the people's life field, such as community, school, work sites through forming environments fitted to health, Third, from the access to health informations in the health care agencies to various media through which accessing health information suitable to themselves and practice them. Forth, health care policy is entering transitional period from investment 90% of resources for the 10% of peoples' health problems to the investment health resources for the most peoples' health problems. Therefore these changing health care environments are becoming the opportunity for us to practice our ability of profession and individuality. Accordingly we should expect our future to catch these chances and should make preparation of systematic, and various perspectives to meet changing policy effectively.

보건의료서비스의 설명의무와 동의

홍명선 京畿專門大學 1997 京畿專門大學 論文集 Vol.- No.25

청소년 인터넷 중독증과 우울, 사회적 불안, 또래관계 문제와의 연관성 조사

이명수,오은영,조선미,홍만제,문재석 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 본 연구는 한국 청소년들의 인터넷 사용 현황조사와 더불어 인터넷 중독증과 우울, 사회적 불안, 또래관계 문제등과의 연관성을 알아보고자 하였다. 방 법 : 수원시 소재 고등학교 학생 869명(남/여=371/498)을 대상으로 인터넷 사용과 연관된 기본 설문을 실시하였다. 인터넷 중독여부를 알아보기 위하여 Young의 인터넷 중독척도를 사용하였고 우울증상의 평가는 Beck Depression Inventory(BDI)를 사용하였다. 사회적 불안 및 회피정도는 Social Avoidance and Distress Scale을, 부정적 평가에 대한 두려움 측정은 Fear of Negative Evaluation-Brief척도를 , 또래관계의 문제는 Index of Peer Relations척도를 사용하였다. 인터넷 중독의 현황조사를 위해서 실수와 백분율, chi-square test를 실시하였고, 인터넷 중독증과 우울, 사회적 불안 및 또래 관계 문제의 연관성을 알아보기 위하여 일원변량분석(ANOVA)을 실시하였다. 결 과 : 1) 총 869명의 대상자 중 남학생이 371명(43.7%)이었으며 여학생이 498(57.3%)이었고 평균연령은 16.27세(표준편차=0.82)로 남녀간에 유의미한 차이는 없었다. 2) 총 869명의 대상자중 291명(33.4%)이 인터넷 중독 가능성을 가지고 있는 것이고 나타났고 그 중 18명(2.07%)은 명백한 중독경향이 있는 것으로 나타났다. 본 연구에서는 인터넷중독척도 상위 30%를 중독경향군으로, 하위30%를 정상대조군으로 분류하였다. 3) 인터넷 중독척도 평균점수의 비교를 보면 남학생이 여학생보다 통계적으로 유의미하게 점수가 높음을 알 수 있었고 또 남학생이 여학생보다 중독경향군에 포함되는 비율도 더 높음을 알수 있었다. 을, 정상대조군에서는 정보검색을 상대적으로 더 많이 하는 것으로 나타났으며 게임은 두 집단간에 차이가 없었다. 5) 중독경향군에서 더 우울성향이 높고 외부의 부정적 평가에 더 예민하게 반응하고 또래관계의 문제가 많은 것으로 나타났고 사회적 상황에서의 불안정도는 집단간에 차이가 나지 않았다. 결 론 : 인터넷 중독으로 비교적 명백하게 분류된 비율은 이제까지의 다른 연구조사와 비교하여 볼 때 상대적으로 낮게 나왔으나 중독경향군까지 포함했을 겨우, 조사대상자의 약 30%에서 인터넷과 연관된 문제가 있음을 알수 있었다. 또한 인터넷 과다사용으로 문제가 되는 경우에 우울이나 또래관계등의 문제가 더 심각한 것으로 판명되어 향후 인터넷 사용자체에 대한 중독치료적 접근이외에 동반 정신병리에 대한 치료적 접근이 필요할 것으로 생각된다. Objective : The purpose of this study was to survey the present conditions of adolescents' Internet use and to investigate the relation of Internet addiction to depression, social anxiety and problems in peer relationship. Method : Eight hundred and sixty-nine high-school students(male/female=371/498) were included in the study, each of whom completed a standard questionnaire related to Internet use determined. We assessed internet addiction and depressive symptoms of adolescents using Youngs Internet Addiction Scale and the Beck Depression Inventory(BDI), respectively. Social Avoidance and Distress Scale were employed to measure social anxiety and avoidance. Fear of Negative Evaluation-Brief Scale was for fear of negative evaluation by other people. An Index of Peer relation was devoted to problems in peer relationships. Chi-square test and ANOVA were used to identify the present conditions of Internet addiction and to analyze the relations of Internet addiction with depression, social anxiety and problems in peer relationship. Results : 1) Of these 869 subjects, 371(42.7%) were male students and 498(57.3%) were female. The mean age was 16.27 years(SD=0.82) and there was no significant difference between two sex groups. 2) Of these 869 subjects, 291(33.4%) showed addictive tendency and among them 18 subjects(2.07%) were classified into obvious addiction group. In this study, we defined upper 30% of Internet addiction scores as 'addiction group' and lower 30% as 'normal control group'. 3) Male students had significantly higher mean scores of Internet addiction scale than females and there was significantly higher rates of male students in addiction group. 4) Comparing two groups, there was no statistically significant difference in terms of the preferred types of Internet media, although addiction groups tended to use chatting and E-mail more, normal control group tended to use information search more, And there was no significant difference regarding games on the Internet. 5) There was more depressive tendency in line with more sensitive response against negative-evaluation and more problems of peer relationship in addiction group. However, there was no significant difference regarding anxiety on social situation. Conclusion : Compared to previous studies, findings from this study showed that the rates classified as the group of obvious Internet addiction were relatively lower. However, including those who had tendency of Internet addiction, about 30% of all subjects had problems related to Internet use. In addition, depression or relationship problems were triggered more severely in Internet addiction group. With these findings in mind we finally suggest that therapeutic approach to comorbid psychopathology as well as Internet addiction itself should be required.

식품 알러지 억제를 위한 감마선 조사기술의 적용

변명우,이주운,육홍선 경산대학교 생명자원개발연구소 2001 생명자원과 산업 Vol.5 No.-

This study was carried out to evaluate the application of food irradiation technology as a method for reducing food allergy. Bovine α-casein and β-lactoglobulin, hen's egg albumin(ovalbumin), an egg white protein, and a heat stable protein of shrimp, tropomyosin were used as model allergens and was gamma-irradiated in an aqueous state. The changes in allergenic properties of these allergens resulted from gamma irradiation were monitored by Ci-ELISA with serum from each target food-hypersensitive patients. The results provide a new possibility to use irradiation process for reducing food allergy.

Rat 전지 상완의 근섬유형 구성에 대한 연구

정명래,김홍선,신태균 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

This study was to determine the fiber-type populations and calculate the cross-sectional areas in each fiber-type in the muscle of the brachium of the rat. For 20 rats, the flexors (brachialis and biceps brachii) and extensors (triceps brachii) of the elbow taken from dissection. The fibers were classfied histochemically as fast-twitch oxidative glycolytic fiber(FOG), fast-twitch glycolytic fiber (FG), or slow-twitch oxidative fiber(SO), and their populations were determined. The cross-sectional areas of each type muscle fibers were calculated with microcomputer image analyzer. The results were as follows ; I. The variations in fiber-type population of various muscles with which their positions were observed as well as those reported in ot4er studies. 2. In both extensor and flexor groups, the deep region of the muscles was consisted of higher populaions of SO fibers, while more superficial regions of the same muscles were more FG fibers. 3. The percentage of SO fibers were larger in the extensors than that of flexors. 4. Except the SO fibers, the cross-sectional areas of FOG and FG fibers in the extensors were larger than that of flexors.

구강 내 디지털 인상채득을 통한 맞춤형 지대주와 시멘트 합착 후 나사형 임플란트 보철 수복 증례

홍용신,박은진,김선종,김명래,허성주,박지만 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.1

최근 디지털 인상채득 시스템이 개발되면서 이를 기존의 CAD/CAM 시스템과 접목한 인레이, 온레이, 크라운이나 간단한 계속가공의치 등의 고정성 보철물의 제작이 활발히 소개되고 있다. 그러나 임플란트 보철에서는 주로 기존의 아날로그식 인상채득 후 이를 스캔하여 제작하는 방법이 사용되어 왔으나, 구강 내 디지털 스캔한 데이터를 이용하여 나사형 보철물을 제작하는 술식은 아직 활발히 이루어지지 않았다. 이에 본 증례보고에서는 6명의 환자를 대상으로 구강 내 스캐너인 iTero를 사용하여 디지털 스캔을 시행한 후 그중 다섯명은 맞춤형 지대주와 시멘트 합착 후 나사형 임플란트 보철물(screw-retained implant prosthesis after cementation, or SCRP)을 제작하였고, 임상적으로 기능과 심미적인 측면으로 만족할 만한 결과를 얻었기에 이를 보고하고자 한다. Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. For the scope of implant prosthesis, however, digital intra-oral scan hasn’t been actively utilized for the fabrication of superstructures. In this case report, 6 cases of titanium-milled custom abutment based on the iTero intra-oral scan data were introduced, five of them were restored with screw-type prosthesis after cementation (SCRP) and the clinical results were satisfactory on restoring the function and esthetics.

플라즈마 질화에 의한 STS 304강의 표면물성에 관한 연구

孫明淑,尹在弘,李建煥,邊應善 國立 昌原大學校 産業技術硏究所 1996 産技硏論文集 Vol.10 No.-

The most essential point on the ion nitriding of stainless steel is to eliminate passive film. Therefore, it has been studied that passive film was eliminated by changing pre sputtering parameters. Then pre sputtering parameters were pressure, holding time and gas mixing ratio. The degree of elimination of passive film was characterized by using AES and its crystallographic structure by means of XRD. Mechanical property and microstructure were determined by Vickers hardness test and SEM. The results obtained from the experiment are summarized as follows ; 1. Sputtering pressure and holding time had no relation with the behavior of nitride layer and the most effective parameter was observed as gas mixing ratio. 2. The retained O₂concentration in vacuum atmosphere was decreased by deoxidization of H??ion with gas addition. H??ion prevented the oxidization on the surface of stainless steel and reduced oxygen potential of sputtered oxide from the surface. 3. For pre sputtering, H₂gas was more dominant in the nitriding rate than Ar and N₂gas. 4. Ar/H₂gas mixture which gas mixing ratio was 1/2(vol%) was the most effective in all pre sputtering conditions. It was estimated that this resulted from the combination of the mechanical reaction by bombardment massive Ar??ion and the chemical reaction by deoxidization of H??ion. 5. For ion nitriding of the oxidized stainless steel thickness which diffuse easily nitrogen into stainless steel. In this study, the mechanical reaction by bombardment massive Ar??ion was more effective parameter than chemical reaction by deoxidization of H??ion to eliminate oxide layer which grow up to a critical thickness.

상피종양의 keratin 생성능에 대한 전자현미경적 연구

이길선,이명주,장정수,이민전,노광을,서재홍 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

Keratins are characteristically present in all keratinizing and nonkeratinizing epithelial cells and their neoplasms. They consist of at least 19 different polypeptides ranging from 40 to 69 kilodaltons, which are developmentally related to specific epithelial cell types. Keratins of high and intermediate molecular weights are readily demonstrated in squamous cell carcinomas, which are characteristically rich in tonofilaments and tonofilament-desmosome complexes. Keratins of low molecular weights are expressed in adenocarcinoma including renal cell carinoma, hepatocellular carcinoma, small cell carcinoma, and carcinoid tumor. These tumors do not reveal any tonofilaments and sacrcely show discrete filaments on electron microscopy. An immunoperoxidase technique employing antibody to keratin was used to study distribution and staining pattern of keratin filaments in benign and malignant epithelial tumors (20 squamous cell carcinomas, 20 gastric adenocarcinomas, 20 transitional cell carcinomas and 15 non-neoplastic epithelia). These immunohistochemical results were compared with ultrastructural features of neoplastic diagnosis of squamous cell carcinoma, adenocarcinoma and transitional cell carcinoma, and estimation of degree of differentiation. The results are as follows : 1. The squamous epithelium, glandular epithelium and transitional epithelium disclosed the positive reaction for keratin. 2. Squamous cell carcinoma and transitional cell carcinoma exhibited positive reaction for keratin. 3. Gastric adenocarcinoma showed uniformly negative or weakly positive reaction for keratin. 4. On electron microscopy, heavy bundles of tonofilaments and desmosomes were more frequently encountered in well differentiated squamous cell carcinoma, In poorly differentiated squamous cell carcinoma, a few tonofibrils and desmosome were noted. 5. In the adenocarcinomas, the intermediate filaments were arranged randomly as nonaggregated, short filaments spread throughout the cytoplasm, although occasionally they formed a perinuclear whorl. These filaments did not become aggregated to form tonofilaments. 6. On the immunogold labeling for keratin of low molecular weight areas in gastric adenocinoma, in tense labeling of intermediate filaments for keratin was noted. From the above result, ultrastructural and immunohistochemical study on malignant epithelial cell were useful in differential diagnosis of squamous cell carcinoma, adenocarcinoma and transitional cell carcinoma, and estimation of degree of differentiation. It was also proved that immunogold labeling technique was especially valuable for diagnosis of vague case which showed negative or weakly positive reaction in immunohistochemical stain.