국내 상급종합병원과 종합병원 간호사의 정맥주입간호실무지침의 확산정도

은영(Young Eun),구미옥(Mee Ok Gu),조용애(Young Ae Cho),정재심(Jae Shim Jeong),권정순(Jeong Soon Kwon),유정숙(Cheong Suk Yoo5),정영선(Young Sun Jeong),정인숙(In Sook Jung),김경숙(Kyeong Sug Kim),이선희(Seon Heui Lee),서현주(Hyun Ju S 한국근거기반간호학회 2015 근거와 간호 Vol.3 No.1

Purpose: This study was conducted to investigate the extent of diffusion of Intravenous infusion nursing practice guideline among nurses in advanced general hospitals and general hospitals in Korea. Methods: The subjects were 234 nurses who practice the intravenous infusion in 24 advanced general hospitals and general hospitals. Data were collected between October 5 and November 2, 2015 by mail (return rates: 97.5 %). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/ WIN 21. Results: The average guideline diffusion score and levels of diffusion was 3.39±0.58 (level of “use sometimes”). 44 recommendations (46%) were in level of “use always” and 50 recommendations (53%) were in “use sometimes”. Extent of diffusion were significantly different according to present status (F=2.81, p=.040) and education (F=4.35, p=.014). The facilitating factors to use the guideline were education by department of nursing service, convenient composition of guideline and barrier factors were “no time to use the guideline”, “don’t know the guideline” and “there is no guideline at ward”. Conclusion: Extent of diffusion of Intravenous infusion nursing practice guideline among nurses was moderate level. The strategies for promoting the implementation of guideline in clinical practice is needed. Further study of outcome evaluation of guideline implementation will be needed.

조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

新生兒의 聽成腦幹反應

劉溶相,禹泳琮,黃泰周 全南大醫大 1986 전남의대학술지 Vol.23 No.2

다중 쓰레드 기반의 병렬처리서버용 안티바이러스 엔진

유주영;김미애;박은옥;박유미;최주영;최은정;김명주 서울여자대학교 컴퓨터과학연구소 2004 정보기술논문지 Vol.2 No.-

악성코드에 대한 보다 바람직한 예방은 클라이언트측이 아닌 서버측에서 이루어지는 것이다. 본 논문에서는 새로운 개념 의 서버용 안티바이러스 엔진인 SAVE 1.0을 설계 구현하여 제시한다. SAVE는 기본적으로 1개의 AV모니터와 다수의 AV에이전트로 구성되어 있는데 다중 CPU를 장착한 병렬처리서버의 특징을 직접 활용하기 위하여 관리자가 다중쓰레드 기법을 직접 지정할 수 있도록 하고 있다 악성코드를 5가지 부류로 구분하여 바이러스 시그너쳐 DB를 구축 제공함으로써 부류별 진단을 지정할 수 있도록 하고 있으며 실시간 네트워크 패킷 검사를 통한 악성코드 유입 점검 기능도 제공한다. 웹 기반의 관리자 인터페이스는 뛰어난 사용자 편의성을 제공하고 있다. 성능실험결과 악성코드 검색율은 국내외 상용제품과 비교해서 매우 우수한 것으로 나타났으며 검색속도에 있어서도 서버의 CPU 수 증가에 거의 선형 비례하여 향상되는 특징을 보이고 있다. It is more desirable to prevent and detect the malicious codes in server system rather than in client PCs. In this paper, we suggest a new anti-virus engine, SAVE 1.0, which is executed on a parallel processing server. SAVE consists of 1 AV monitor and several AV agents. A system administrator can control the degree of multi-thread directly in order to enhance the utilization of parallel processing servers. Virus signature DBs in SAVE are classified into 5 categories, which support system administrator's options to use the classifier or not. By real-time checking of network packets, the influx of malicious codes can be prevented. Web-based GUI is one of the convenient functions provided in SAVE. In performance tests, we have confirmed that SAVE has higher virus detection ratio than any other AV engine, and SAVE has a desirable feature as an software of parallel processing servers since the performance of SAVE is improved almost linearly as the CPUs in a parallel processing server increases.

가족강화를 위한 한국형 가족건강성 척도 개발 연구

유영주 한국가족관계학회 2004 한국가족관계학회지 Vol.9 No.2

The purpose of this study was the development of Korean Family Strengths Scale for strengthening the family in Korea. The Study investigated characteristics of family strengths in Korea, and developed the Korean Family Strengths Scale based on them. The data for this study were obtained from a survey on a sample of 286 people ranging from 18 to 60 years who were living in Seoul and Kyunggi-do and 1675 married people ranging from 20 to 69 years who were living in Seoul and metropolitan cities in Korea. The major findings were as follows; 1) The study founded 10 qualities, which were identified as family strengths by open-end questionnaire. The qualities are Respect, Commitment, Appreciation and Affection, Positive Communication, Sharing Values and Goals, Role Performing, Physical Health, Connectedness with Social Systems, Economic Stability, Ability to Solve Problem. Among ten qualities, Physical Health was rejected because of lower reliability. 2) 77 of initial 95 items were selected by 6 experts' judgement on items. 3) In the consequence of calculating items' correlation coefficient on the factors and Cronbach's a when each item was deleted, the correlation coefficient was lower than r=.5 in 9 items, and Cronbach's a became higher than before when the above 9 items were deleted. Throughout this process, eventually total 68 items of 9 qualities were selected as the properest ones to measure family strengths in Korea.

다구찌 접근에 관한 통계적 의사결정 분석

柳志喆,裵榮柱 忠州大學校 1995 한국교통대학교 논문집 Vol.30 No.1

In this paper, we attempt to help alleviate this difficulty by pointing out that an encompassing perspective on Taquchi's Philosphy can be provided by statistical decision analysis. The subject deals with decision making in the face of partial or no imformation, and prescribes that an optimum decision is one that maximizes expected utility. The role of experimental design is to obtain partial information about the unknown quanties in an efficient manner. The objective of this paper was to argue that it is design by decision analysis rather than design by design that better encapsulates Taguchi's approach to offline quality control.

현장 조사를 통한 토석류 특성 분석

유남재,최영준,이철주 江原大學校 産業技術硏究所 2009 産業技術硏究 Vol.29 No.A

Most of debris flow occurred in Korea have been known to be caused by the heavy rainfall at the soil deposits on the mother rock, affected by conditions of rainfall, topography and geology, especially terrain deposits. A study on debris flow behavior should be carried out by investigating various types of debris flow systematically and analyzing their complicate characteristics in the engineering view points. Tremendous debris flows occurred at Duksan-ri in Inje-gun of Gangwon province during summer in 2006. These sites are selected to study the characteristics of debris flow by investigating the influencing factors on it and analyzing their correlations between them. Most of data about influencing factors were obtained by visiting sites in field..

SNMP 기능확장을 통한 Network 성능 향상에 관한 연구

유성진,김중태,조영주,정일용 조선대학교 전자정보통신연구소 2003 電子情報通信硏究所論文誌 Vol.6 No.1

On internet environment multimedia information containing voice and image is tramitted, which is tens times or hundreds times larger than oridnary information Analytic types for network management in this environment are consisted of a real time analysis, a basis analysis and an intensive analysis. An intensive analysis is to gather trend information on specific objects periodically, and to analyze this information in order to monitor network conditions When SNMP is applied to collect the trend information, it brings on an increase of network load, a delay of response time and a decrease of accuracy of data collection since an agent responds to each managers' polling. In this paper, an efficient SNMP is proposed and implemented to add time variables in the existing SNMP PDU It minimizes unnecessary traffic at an intensive analysis between manager and agent, and collects trend information accurately The results of experiments show that it has compatibility with the existing SNMP, decreases an amount of network traffic greatly and increases the accuracy of data collection.

V1과 V2 피부분절에 국한된 감각저하를 보인 다리뇌출혈

나주영,김명국,유봉구 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Pontine tegmental hemorrhage involving the trigeminal tract, the medial lemniscus, and the spinothalamic tract frequently give rise to various sensory dysfunctions. However, isolated hypesthesia confined to certain parts of trigeminal sensory dermatomes is very rare. We experienced a case of impairment of pain and temperature sense over the unilateral ophthalmic (V1) and maxillary (V2) nerve distribution. Brain CT and gradient echo MRI showed a small hemorrhage in the right dorsomedial midpons. The segmental sensory impairment may explain by somatotopic representation of trigeminal nucleus and tract in the ventral to dorsal and cranio-caudal direction

家族生活週期 模型設定과 住居意識 및 行動에 關한 硏究

劉永珠,洪亨沃 慶熙大學校 1983 論文集 Vol.12 No.-

The purpose of this study is to make a model of Family Life Cycle in Korea now & to find factors for housing consciousness and behavior and to analyze the relationship between housing life cycle and the total housing satisfaction. Ⅰ. Answers to a queationnaire were collected from 724 housewives in seoul area, 232 housewives in big cities, 203 housewives in small cities. The questionnaire contained 10 items about family situations. Analyzing methods employed for modeling of family life cycle are frequency family situations. Analyzing methods employed for modeling of family life cycle are frequency, percentage, X^2-test. Results and findings are as follows: (1) The mean of first marriage age is 22.4 yrs old. 23.5 yrs old is the result of statistical materials published by E.P.B. 1975. The age of first marriage is higher according to the age, education & residential area. (2) The mean of first baby bearing age is 24.2 yrs old (generally 1 year after marriage). This age is the same as the result of statistical materials published by E.P.B. (3) The mean of last baby bearing age is 32.6 yrs old compared to the E.P.B. statistical materials 3 yrs low. This age is very different according to the age, education & residential area. (4) The mean of first child marriage age is 46.4 yrs old compared to the E.P.B. statistical materials 2.5 yrs old low. (5) The mean of last marriage age is 52.7 yrs old. This age is also 2.3 yrs low compared to the result of E.P.B. materials. (6) The number of child & interval is quite different according to the result of family planning education generation or not. (7) According to the wife's employment, it does not show any difference. (8) The result of analyzing by F.L.C., we don't have launching stage & middle age stage apparently. So, We can make model of F.L.C. in Korea as follows. (it will be change) (1) Establishment stage; from marriage to first baby born. (23 yrs old-24 yrs old) (2) Child bearing & rearing stage; from first baby born to first child enter primary school (24 yrs old-30 yrs old) (3) Child education stage; from first child primary school to high school graduation (30 yrs old-42 yrs old) (4) Child adult stage; from first child got army, college or stay at home(42 yrs old-48 yrs old) (5) Child adult stage; from first child marriage to last child marriage(48 yrs old-57 yrs old) (6) Aging stage; from last child marriage to self dying (57 yrs old after) Ⅱ. Answers to a questionnaire for a study Housing were collected from 623 housewives in seoul area. The questionnaire contained 26 items on housing characteristics of housing needs and housing values with some background questions. Each respondent was asked to evaluate the importance of characteristics as well as her evaluation on that characteristics by giving 1-3 points. The degree of housing satisfaction on each characteristics was calculated by multiplying the points for the importance the characteristics by that for her own house. Following statistical methods were employed to analyze the findings. (1) Factor analysis technique was used in analyzing the results on the importance and satisfaction to find the underlying concept on the housing consciousness and behavior. (2) The factors on housing mobility push and pull were crosstabulated for X^2-test with housing life cycle. (3) Analysis of variance technique was adopted to find the variance of the housing total satisfaction due to the selected independant variables. The conclusions derived from the interview and the statistical analysis are as follows; (1) It was found that the degree of satisfaction is better criterion for the underlying concept of housing consciousness and behavior than the degree of importance for housing characteristics. (2) The important factors for the housing consciousness and behavior are ① Family centrism―Quality of Housing ② Location ③ Social Prestage ④ Maintenance ⑤ Personal Values ⑥ Neighborhood Physical Environment ⑦ Neighborhood Social Environment, in order of importance. These factors comprise 54% in interpreting the housing consciousness and behavior. (3) The family centrism was the strongest housing consciousness and behavior factor among others for housing characteristics contained in the underlying concept, Family Centrism are the affordability and rooms available for the privacy. (4) The housing push and pull factors vary according to the housing life cycle. Location(distance to work) is the pull factor during the period of family establishment, and Neighborhood Physical Environment (availability for better enducation) pull as well as push factor. The majority of the housewives chose house for Location (distance to work), and want to move for the reason for Neighborhood Physical Environment (better education for the children) during the period for chilren's education. After the children have grown up, Neighborhood Physical Environment determines the housing pull and push factors. Push characteristic during the period change to tranquility from the better environment of the children's education. (5) Significant correlation was found between tenure and total housing satisfaction from t-test by significance level P<.001. (6) Covariance with the total housing satisfaction with selected independent variables are recognized p<.05 for educational level, p<.01 for period of residence and age, and p<.001 for income and size of the house. On the other hand the frequency of mobility and family life cycle with the total housing satisfaction didn't show covariant relationships under statistically significant level. The findings in this study can be utilized in the future studies on the housing consciousness and behavior in detail. For the purpose a continued study is suggested.