의료기관 보건관리를 위한 산업전문간호사의 역할

권영미 한국직업건강간호학회 2008 한국산업간호학회 학술대회 Vol.2008 No.1

뇌수막종의 MRI 소견 : 1예 보고

권영미 한국전통의학연구소 2004 한국전통의학지 Vol.14 No.1

Meningiomas are tumors that arise from the leptomeninges. They are generally benign tumors, and only rarely do they undergo malignant transformation. Meningiomas account for approximately 15% of all brain tumors. Meningiomas grow very slowly, often over many years. Because these tumors grow so slowly, they can sometimes become extremely large before being detected. This was especially true in past eras, before advanced imaging modalities were available (i.e. CT scans and MRI scans). Today, with our multitude of MRI and CT scan machines, meningiomas are most often detected when they are relatively small. MRI scanning is currently the best diagnostic tool for detecting and defining meningiomas.

점대다점 ATM망에서의 자기치료에 의한 새로운 연결복구방법

권영미 목원대학교 자연과학연구소 1996 自然科學 硏究論文集 Vol.5 No.-

초록

수술에 의한 요관 손상시 경피적 신루설치술과 체내 요관 스텐트 설치술의 유용성

권영미 대한영상의학회 1996 대한영상의학회지 Vol.35 No.4

Purpose : To evaluate percutaneous nephrostomy and ureteral stent placement in patients with postoperativeureteral injury. Materials and Methods : Percutaneous nephrostomy and antegrade ureteral stent placement wereattempted in 12 patients with postoperative ureteral injuries. The previous operations which caused ureteralinjuries included ureteroscopic extraction of ureteral stones(7), total abdominal hysterectomy due to uterinemyoma(2), ureteroscopic biopsy in a patient with ureteral tuberculosis(1), open ureteroplasty due toretroperitoneal fibrosis(1), and ureterocystostomy during renal transplantation(1). After percutaneousnephrostomy, a 7.0 F ureteral stent was inserted in each patient. The stent was removed under cystoscopic guidancefour to six weeks after this procedure. Urinalysis was performed to evaluate the presence of urinary tractinfection after ureteral stent placement. Ultrasonography and/or intravenous urography were performed three weeksafter stent placement, and every six months after the stent removal. Results : Percutaneous nephrostomy andplacement of an antegrade ureteral stent were successfully performed in all 12 patients. In three patients, thediagnosis of ureteral injuries was made immediately and in nine was delayed for between two and nineteen days. Theureteral stents remained in position for 25-95 days (average, 51) ; no evidence of urine leakage or ureteralstricture was seen on the follow-up examinations carried out from six months to several years after removal of thestent and no case required reintervention. Conclusion : Percutaneous nephrostomy and antegrade ureteral stentingare easy to perform, provide for the drainage of urine, cause no significant complication and show a successfultherapeutic effect, and are this effective non-operative interventional techniques for patients with postoperativeureteral injury.

SRB Assay에 의한 수수 분획물의 in Vitro 항암효과

권영미,김보경,이숙희,박건영 대한암예방학회 2007 Journal of cancer prevention Vol.12 No.2

Anticancer effects of various cereals were studied by surforhodamine B (SRB) assay on AGS human gastric adenocarcinoma cells and HT-29 human colon carcinoma cells. The methanol extracts of sorghum, millet and Job's tears showed more than 50% of inhibition rate on the AGS cells and the HT-29 cells. Among the cereals, sorghum showed the highest inhibition rate on both the cancer cells. To separate and identify the anticancer compounds from sorghum, the methanol extract and five fractions (fr.) (hexane fr., dichloromethane fr., ethylacetate fr., butanol fr. and aqueous fr.) were prepared, and SRB assay on the AGS cells and the HT-29 cells were examined. The dichloromethane fr. and ethylacetate fr. of the sorghum exhibited strong cytotoxicity effects than other fractionated samples. The sorghum extract and fractions inhibited survival of AGS cells and HT-29 cells in SRB assay. Among the fractions, dichloromethane fr. and ethylacetate fr. of the sorghum showed strong inhibitory effect on both AGS cells and HT-29 cells as concentration dependent-manner. Especially, dichloromethane fr. and ethylacetate fr. strongly inhibited the growth of AGS cells. This study resulted in sorghum, especially compounds in dichlromethane and ehtylacetate fractions exhihibited higest anticancer effect among the tested cereals. (Cancer Prev Res 12, 136-142, 2007)

장기공여와 이식에 대한 주관성 연구

권영미,윤은자 한국보건교육건강증진학회 2000 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

잦은 일과성허혈발작을 보인 뇌수막종 1예

권영미,이동국 대한신경과학회 2004 대한신경과학회지 Vol.22 No.2

A brain tumor is rarely considered as a differential diagnosis of a transient ischemic attack. However, a 76-year old man presented with frequent attacks of transient dysarthria, right hemiparesis and right hemiparesthesia. A brain MRI showed a carpet-like mass with homogeneous enhancement along the high convexity of the left dura, which was compatible with en plaque meningioma. In this case, the symptoms were thought to be the result of cerebral ischemia, attributed to the hemodynamical change in a tumorous condition.

에이즈 상담간호사 자격제도 개발을 위한 직무 분석 : 포커스 그룹 연구방법과 데이컴 기법을 중심으로

권영미,조경미,주혜주,김성재,전경자,박은희 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.1

Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

도시노인의 자가평가 건강수준 및 관련 요인

권영미,윤은자 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.3

Purpose: The study was done to identify the self rated health status and its related factors in the elderly. Method: The subjects were 191 elders of convenience sampling method from urban area, Korea. The self rated health status and life satisfaction were assessed by a single-item VAS ranging from 0 to 10. The tools for the study were the K-POMS-B and Korean version of GSES. Data were collected through personal interviews using questionnaires from April to September 2007. Result: The mean scores of the self rated health status, mood states, self-efficacy, and life satisfaction were 5.08(total 10), 1.38 (total 4), 2.77(total 4), and 5.97(total 10), respectively. 27.8% of the subjects perceived their health status as 'not healthy'. Significant factors associated with the self rated health status were education, living arrangements, family income, and number of present illness, ADL, exercise, leave day, and social activity. The self rated health status is influenced by life satisfaction, mood state, number of present illness, and exercise which explained 40.2% of variance in the self rated health status. Conclusions: Based on the study results, the tailor-made programs to enhance the self rated health status for the urban elderly need to be developed. 본 연구는 인구 10만 이상의 도시에 거주하는 재가노인을 대상으로 자가평가 건강수준과 이에 영향을 미치는 요인을 분석하여 건강한 노년과 성공적 노화를 위한 맞춤형 노인 건강증진 프로그램의 기초 자료를 제공하기 위하여 시도된 서술적 조사연구이다. 연구대상은 65세 이상 도시노인 총 191명이며 자료수집은 개별면담을 병행한 질문지법으로 이루어졌다. 도시노인의 자가평가 건강수준은 5.08(10점 만점)이었으며 학력, 동거형태, 월수입, 현재질환수, 일상생활활동정도, 운동여부, 주당 외출일, 사회활동참여에 따라 유의미한 차이가 있었다. 기분상태는 1.38(4점 만점), 자기효능감은 2.77(4점 만점), 생활만족은 5.97(10점 만점)이었다. 도시노인의 자가평가 건강수준에 영향을 미치는 요인은 생활만족, 기분상태, 현재 질환수와 운동여부였으며 40.2%의 설명력을 보였다. 본 연구결과를 토대로 도시노인을 표적대상으로 하는 맞춤형 건강증진 프로그램의 개발이 요구되며 노인의 자가평가 건강수준을 지속적으로 향상시키기 위한 전략이 모색되어야 할 것이다.

급성 골수성 백혈병 환자에서 발생한 다발성 과립성 육종 1 예

권영미,이용구,정선관,유남진,김경년,오경아 대한내과학회 1994 대한내과학회지 Vol.47 No.6

Granulocytic sarcoma, or chloroma is a localized extramedullary tumor mass composed of immature cells of the granulocytic series. It was first described by Burns in 1811, subsequently termed $quot;Chloroma$quot; because of green color sometimes imparted by cellular myeloperoxidase, Dock was the first to note the association of granulocytic sarcoma with acute leukemia, it may by associated with such myeloproliferative disorder as hypereosinoplilia, polycythemia vera, or myeloid metaplasia. Granulocytic sarcoma is now regarded as an omnious habinger of acute myelocytic leukemia (AML), or the onset of blast crisis in chronic myelogeneous leukemia (CML). Granulocytic sarcoma can arise in various locations including the periosteum of the bones, lymph nodes, skin, epidural structures, female genitalia, gonads, breast, gastrointestinal tract, urinary bladder, and kidney. Although its overall incidence is low, the tumor can present in any organ. We report a case of a 18-year-old man who was diagnosed as having multifocal granulo cytic sarcoma in the soft tissue.