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      • 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.

      • SCIESCOPUSKCI등재

        Comparison of Melanoma Subtypes among Korean Patients by Morphologic Features and Ultraviolet Exposure

        ( Hong Sun Jang ),( Jee Hung Kim ),( Kyu Hyun Park ),( Jae Seok Lee ),( Jung Min Bae ),( Byung Ho Oh ),( Sun Young Rha ),( Mi Ryung Roh ),( Kee Yang Chung ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.4

        Background: Genetic alterations have been identified in melanomas according to different levels of sun exposure. Whereas the conventional morphology-based classification provides a clue for tumor growth and prognosis, the new classification by genetic alterations offers a basis for targeted therapy. Objective: The purpose of this study is to demonstrate the biological behavior of melanoma subtypes and compare the two classifications in the Korean population. Methods: A retrospective chart review was performed on patients found to have malignant melanoma in Severance Hospital from 2005 to 2012. Age, sex, location of the tumor, histologic subtype, tumor depth, ulceration, lymph node invasion, visceral organ metastasis, and overall survival were evaluated. Results: Of the 206 cases, the most common type was acral melanoma (n=94, 45.6%), followed by nonchronic sun damage-induced melanoma (n=43, 20.9%), and mucosal melanoma (n=40, 19.4%). Twenty-one patients (10.2%) had the chronic sun-damaged type, whereas eight patients (3.9%) had tumors of unknown primary origin. Lentigo maligna melanoma was newly classified as the chronic sun-damaged type, and acral lentiginous melanoma as the acral type. More than half of the superficial spreading melanomas were newly grouped as nonchronic sun-damaged melanomas, whereas nodular melanoma was rather evenly distributed. Conclusion: The distribution of melanomas was largely similar in both the morphology-based and sun exposure-based classifications, and in both classifications, mucosal melanoma had the worst 5-year survival owing to its tumor thickness and advanced stage at the time of diagnosis. (Ann Dermatol 26(4) 485~490, 2014)

      • KCI등재

        임상 ; 한국 산모와 신생아의 비타민 D 영양 상태 조사

        나보미 ( Bo Mi Na ),노소정 ( So Jung No ),김미정 ( Mi Jung Kim ),한헌석 ( Heon Seok Han ),정은환 ( Eun Hwan Jeong ),한영희 ( Young Hee Han ),현태선 ( Tai Sun Hyeun ) 대한주산의학회 2007 Perinatology Vol.18 No.4

        목적: 한국 산모와 신생아의 비타민 D 영양 상태를 조사하여 비타민 D 부족의 발생률과 그 정도를 알아보고, 이에 영향을 미치는 요인들을 분석하였다. 방법: 2004년 8월부터 2005년 7월까지 충북대학교병원 산부인과에서 출산한 총 181쌍의 산모와 건강한 만삭아를 대상으로 하였다. 분만시 산모와 제대혈의 혈청 25-OH 비타민 D3(25OHD3), alkaline phosphatase (AP), 칼슘(Ca), 인(P), 부갑상선 호르몬(PTH) 농도를 측정하였으며, 모성 면담과 설문 조사를 통하여 자외선 조사량과 비타민 D의 일일 평균 섭취량을 구하여 비교분석하였다. 결과: 1) 산모와 신생아의 혈청 25OHD3 농도는 각각 23.4±9.9과 16.9±7.5 ng/mL이었다. 2) 8 %의 산모와 22%의 신생아가 비타민 D 결핍 상태였으며, 70%의 산모와 신생아에서 부족 상태를 보였다. 3) 산모와 신생아의 25OHD3 농도는 강한 양의 상관관계를 보였다(r=0.7270, p<0.0001). 4) 산모와 신생아의 비타민 D 영양 상태에 가장 큰 영향을 미치는 요인은 출산 계절로 하절기(6~11월)에 높았다. 5) 다중회귀분석 결과, 산모에서는 출산 계절과 분만 방식이, 신생아에서는 산모의 25OHD3와 분만 방식이 비타민 D 농도와 연관성이 있는 것으로 나타났다. 결론: 한국 산모와 신생아는 비타민 D 영양 결핍이나 부족 상태에 있는 경우가 많았으며, 출산 계절이 비타민 D 영양 상태에 가장 큰 영향을 미치는 것으로 나타났다. Objective: To evaluate the vitamin D nutritional status and its influencing factors in Korean mothers and their newborn infants. Methods: Maternal (n=181) and cord blood (n=180) serum concentrations of vitamin D (25OHD3), calcium, inorganic phosphorus, alkaline phosphatase, intact parathyroid hormone were measured at the time of delivery. We defined vitamin D deficient, insufficient, and sufficient as 25OHD3 <11, 11~30, and >30 ng/mL, respectively. Using questionnaires, average duration of sun-light exposure (minutes/day) and dietary intake of vitamin D (μg/day) were obtained. Results: 1) The mean 25OHD3 level in mothers was 23.4±9.9 (range 4~71.6) ng/mL, and in newborns, 16.9±7.5 (range 0.9~53.6) ng/mL. 2) 8.3% of mothers and 22.2 % of newborns were vitamin D deficient, and 70% of both mothers and newborns were insufficient. 3) Maternal 25OHD3 showed a strong positive correlation with cord blood 25OHD3 (r=0.727, p<0.001). 4) The most significant risk factor for low 25OHD3 levels was the season of birth (June through November) in both mothers and newborns. 5) In multiple logistic regression analysis, the season of birth and the mode of delivery remained significant for maternal vitamin D status, whereas maternal 25OHD3 and the mode of delivery remained significant for neonatal vitamin D status. Conclusion: In conclusion, vitamin D deficiency or insufficiency was relatively common in Korean mothers and their newborn infants, and the most significant risk factor for low vitamin D status was the season of birth.

      • KCI등재

        한국인 직무 스트레스 측정도구의 개발 및 표준화

        장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

        Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

      • KCI등재

        사회관계망의 구조적 특성과 기능적 특성이 정신장애인의 사회적응에 미치는 영향

        정선혜,이진향,서미경 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

        Objectives : The purpose of this study was to investigate effects of structural and functional characteristics of social network on social adjustment in people with mental illness. Methods : 236 members of the people with mental illness who were enrolled in day hospital, community mental health center and social rehabilitation center participated in the survey. Results : Of structural and functional characteristics of social network, the influenced factors on social adjustment were network size of professional, social support (family, friend and professional) and conflict with professional. When controlling socio-demographic and disorder characteristics, this regression model affected significantly on social adjustment but the power of influence reduced slightly. Conclusion: In order to improve the social adjustment of people with mental illness, it is necessary for social network to provide them with more emotional and social resources. Especially, it is important for mental health professionals to build active partnership with the people with mental illness as consumer. For people with mental illness, the economic stability through guaranteed income such as disability benefits, and occupational rehabilitation is very important.

      • 불어 상표와 상호의 사용 실태 및 일반인의 인지도 분석

        정미선 이화여자대학교 특수교육학회 2004 이화교육논총 Vol.14 No.-

        De nos jours, la Cor?e est de plus en plus p?n?tr釪 par les langues ?trang?res ? la suite des dans les marques de commerce et les raisons sociales mais aussi dans la vie quotidienne. Donc, les marques de commerce et les raisons sociales en langue ?trang?re nous influencent beaucoup. En Cor?e, apr? l'anglais,c'est le fran?ais que l'on pr?f?re utiliser pour exprimer les marques de commerce et les raisons sociales. Toutefois le fran?ais qui est utilis? dans les marques de commerce et les raisons sociales contient beaucoup d'erreurs concernant le domaine des sens, de la grammaire et de la prononciation. Cet emploi abusif d'un mot fran?ais exerce une mauvaise influence surtout sur l'?ducation de la langue fran?ais exerce une mauvaise influence surtout sur l'?ducation de la langue fran?aise et le bon usage linguistique par le public. Cette ?tude est ex?cut?e pour analyser les probl?mes apparus dans l'utilisation des marques de commerce et des raisons sociales en fran?ais, saisir le degr? de connaissance du public cor?en sur des mots fran?ais et chercher une solution afin d'?viter tout emploi abusif. Tout d/abord, les mots fran?ais sont s?lectionnes ? partir des magazines pour femmes et de l'annuaire des t?l?phones. L'analyse se divese en quatre cat?gories ; les principaux commerces utilisant des mots fran?ais, la grammaire, le sens et la repr?sentation par signes. Le r?sultat est bri?vement pr?sent? ci-dessous. Premi?rement, les commerces o? des mots fran?ais sont g?n?ralment pr?f?r?s sont des magasins de v?tements, ou des restaurants, des caf?s, des p?tisseries, des salons de coiffure et des produits de beaut?. Les cor?ens consid?rent donc la France comme le pays de l'esthtique, qui repr?sente l'art, la cuisine et la mode. Deuxi?mement, dans la plupart des cas ?tudi?s les marques de commerce ou les raisons sociales sont simplement constitu?es d'un mom commun. Souvent les titrees ou les moms de magasins peuvent combiner un nom fran?ais avec ou du cor?en ou de l'anglais. Dans le cas o? les marques de commerce ou les raisons sociales portent un nom uniquement en fran?ais, on peut voir l'apparition de l'article d?fini comme 'le', '\la' et le nom et avec l'adjectif possessif comme 'mon', 'ma' et le nom. Par exemple, on trove des erreurs grammaticales qui ne sont pas accord?es avec le nombre ou le genre masculin/f?minin. Troisi?mement, on analysera la relation entre les commerces tenus et le sens des mots fran?ais, m?me si dans beaucoup de cas, il n'y a pas de rapports frappants entre ce caract?ristique des magasins ou des soci?t?s et le sens des mots fran?ais utilis?s. Quatri?mement, la repr?sentation par signes est observ?e tant les mots fran?ais que les mots fran?ais transcrits en cor?en. G?n?ralement, la transcription des mots fran?aise est calqu?e wur la prononciation anglaise. D'ailleurs dans le cas o? la transcription est faite en fran?ais les erreurs portent sur l'utilisation de l'accent aigu ou l'accent grave. L'enqu?te de cette ?tude porte sur l'utilisation des mots fran?ais dans les marques de commerce et les raisons sociales, afin d'analyser le degr? de connaissance du public cor?en de la langue fran?aise. Cette enqu?te se constitue de l'analyse du sens, de la forme, et de l'orthographe. Le r?sultat de cette enqu?te est d?crit comme ci-dessous. Premi?rement, en g?n?ral, le degr? de connaissance de l'orthographe est peu ?lev? par rapport au sens et ? la forme. La question de la forme et de l'orthographe, on conna?t plus le mot simple que le mot complexe et le deg? de connaissance sur le not sans accent aigu ou accent grave est plus haut. Deuxi?ment, les cor?ens connaissent mienx le sens des mots fran?ais qui sont souvent utilis?s dans la vie quotidienne comme 'lingerie', 'nuance' que les mots fran?ais dans les marques de commerce ou les raisons sociales comme 'ma monde', lac vert'. Par contre, on conna?tra plus l'orthographe des mots fran?ais dans les marques de commerce ou les raisons sociales que l'orthographe des mots fran?ais qui sont souvent utilis?s dans la vie quotidienne. Aux vues des r?sultats de cette enqu?te, en g?n?ral, le degr? de connaissance des mots fran?ais est moins ?lev?. Ceci ? cause de l'absence de comprendre les erreurs abusives dues ? un manque de connaissance serait un bon moyen d'y palier. On donnera quelques propositions pour r?soudre ce mauvais usage linguistique comme d?crit ci-dessous. Tout d'abord, la sph?re de l'?tude sur les mots d'origine ?trang?re dans la langue cor?enne doit ?tre ?tendue jusqu'? la sph?re des phon?mes ou de la syntaxe. Ensuite, actuellement la loi de la notation du fran?ais en cor?en utilis?e doit ?tre r?consid?r?e parce qu'elle est ?tablie sur la prononciation anglaise d'autant plus que la loi dela transcription du fran?ais influe demanderait de la part du gouverment une ?tude plus approfondie. Cela ?viterait toutes utilisations abusives du la prononciation anglaise dans la transcription de titres fra?ais de marques de commerce ou de raisons sociales en cor?en. Enfin, une politique linguistique de la part du gouvernement serait la bienvenue. Ainsi un inventaire des mots d'origine ?trang?re pourrait ?trang?re pourrait ?tre ?tabli afin de cont?ler et ?purer la langue cor?enne.

      • 개에서 발생한 양파 섭취에 의한 하인즈 소체 용혈성 빈혈 증례

        이미선,윤기영,서경원,최호정,정성목,송근호,조종기,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2012 動物醫科學硏究誌 Vol.19 No.1

        A 10 month-old Yorkshire Terrier was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with the history of lethargy, bile pigment in urine and anorexia. Blood smear showed Heinz body, polychromatocytosis, schistocytosis, anisocytosis, which were the results from the oxidative injury. Hematology demonstrated a moderate anemia(PCV 22.4%, reference rage 35-55%), which was regeneration based on the degree of RPI (4.03, reference rage > 1). Serum biochemistry demonstrated mild elevation in total bilrubin, and mild decrease in total protein and albumin concentration. A diagnosis of Heinz body hemolytic anemia secondary to onion ingestion was made and treated with fluid therapy, oxygen and antioxidant drugs. The dog recovered without any complication.

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