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심폐소생술금지 동의 후 암병동과 호스피스병동의 말기 암 환자연명의료 수행실태 비교
남은정,이세나,이란 대한종양간호학회 2018 Asian Oncology Nursing Vol.18 No.4
Purpose: The purpose of this study was to compare the differences in the performance of life-sustaining treatment after signing a donot- resuscitate (DNR) order between terminal cancer patients who died in the cancer unit and hospice unit. Methods: We performed a retrospective analysis of 174 patients who died in the cancer unit (CU) and 68 patients who died in the hospice unit (HU) from January 1, 2016 to December 31, 2016 at a hospital specializing in cancer treatment. Results: The rate of life-sustaining treatment administration was lower for patients who died in the HU than that of those who died in the CU. The period until death after signing a DNR order was 7 days for CU patients and 19.5 days for the HU patients. The period from admission to death was also significantly longer in HU patients (32.5 days) than that in CU patients (21.5 days, p<.001). Of the patients who died in the CU, 54% were referred to the HU but did not use the service. Most of the people who signed DNR informed consents were spouses and offspring; only 4.6% of patients signed DNRs. Conclusion: It is hard to say that life-sustaining treatment increases the survival period, but it can improve symptom control and quality of life in hospices. Activation of consultation-based hospice is necessary for patients who cannot use the hospice unit. To increase patient’s active participation in the life-sustaining treatment decision of terminal cancer patients, it is necessary that an advanced practice nurse specialized in counseling and education is involved in the decision.
대구, 경북지역 사업체급식소의 HACCP 에 근거한 위생관리 실태조사
남은정,이연경 대한영양사협회 2001 대한영양사협회 학술지 Vol.7 No.1
The Purpose of this study was to evaluate the status of sanitary management based on HACCP. The surveys which were on various aspects of general characteristics, food handling practice, personal sanitation, equipment sanitation, and equipment possession were carried out using questionnaires for 146 business and industry foodservice operations in Taegu and Kyungpook areas. The results of this study were summarized as follows. Forty-nine percent of surveyed foodservice operations was in Taegu, 51% in Kyungpook and 69.2% in direct foodservice operations and 28.1% in contracted foodservice operations. Seventy-eight percent of foodservice operations replied that they have done only basic sanitary management, while 13% surveyed stated that they were implementing HACCP. Food handling practice and personal sanitation were significantly better in Kyungpook area than in Taegu. Significantly high levels in food handling practice, personal sanitation, equipment sanitation, and equipment possession were seen in foodservice operations which had more than 1,000 meal served than those which had less than 1,000 meals served. According to the results of food handling practice, in items of food-temperature measurement during receiving, cooking, holding after cooking, and reheating, foodservice operations showed very low scores below the average. All foodservice operations presented good scores in the parts of personal and equipment sanitation. In equipment possession, sterilizing systems were generally not enough, dishwasher and sterilizing facilities of contracted foodservice operations showed significantly high scores. Therefore, the business and industry foodservice operations will have to pay special attention to temperature management in the foodservice production process as the first step to implement of HACCP.
RGB-D 영상을 이용한 Fusion RetinaNet 기반 얼굴 검출 방법
남은정,남충현,장경식 한국정보통신학회 2022 한국정보통신학회논문지 Vol.26 No.4
영상 내 사람의 얼굴을 검출하는 얼굴 검출 작업은 다양한 영상 처리 어플리케이션 내 전처리 또는 핵심 과정으로 사용되고 있다. 최근 딥러닝 기술의 발달로 높은 성능을 내고 있는 신경망 모델은 2차원 영상에 의존적이며, 카메라 품질이 떨어지거나, 얼굴의 초점을 제대로 잡지 못하는 등의 영상 내 노이즈가 발생할 경우, 제대로 얼굴을 검출하지 못할 수 있다. 본 논문에서는 2차원 영상의 의존성을 낮추기 위해 깊이 정보를 함께 사용하는 얼굴 검출 방법에 대해 제안한다. 제안하는 모델은 기존 공개된 얼굴 검출 데이터 셋을 이용하여 깊이 정보를 사전에 생성 및 전처리 과정을 거친 후 학습하였으며, 그 결과, 평균 정밀도 기준 FRN 모델은 89.16%로 87.95%의 성능을 보인 RetinaNet 모델보다 약 1.2% 정도의 성능이 향상되었음을 확인하였다.
지역사회 거주 노인의 만성질환 수, 수면의 질 및 세로토닌 농도가 우울에 미치는 영향
남은정,박진경 한국지역사회간호학회 2020 지역사회간호학회지 Vol.31 No.4
Purpose: This study identified the effects of chronic disease number, quality of sleep and, serum serotonin concentration on the elderly’s depression in order to provide basic data for the development of intervention program to effectively prevent and manage depression of the elderly living in the community. Methods: The study surveyed 207 people aged 65 or older living in the community. The general characteristics of the subjects, the number of chronic diseases, the quality of sleep (PSQI-K), the hematological test (Serotonin) and the depression (K-GDS) were statistically analyzed using SPSS/WIN 23.0. Results: It was shown that the elderly’s depression differed significantly depending on the number of chronic diseases, the quality of sleep, and serum serotonin concentration, and that the variable that most affected depression was the quality of sleep. Next, the number of chronic diseases and serum serotonin levels were the variables affecting the depression of the elderly. Conclusion: In order to prevent and manage the depression of the elderly in the future, treatment and education for diseases and depression should be provided to the subjects. In particular, nursing interventions are needed to improve the quality of sleep for the elderly. Health care programs should also be provided, such as providing nutritional supplements to provide serotonin and increasing daytime activities.
남은정 한국독립운동사연구소 2023 한국독립운동사연구 Vol.- No.84
This study investigates the Committee on Administrative Reform, which served as a political forum between the Korean cabinet and the Residency‐General from 1906 to 1910. Its on Administrative Reform was conducted 97 times from March 13, 1906 to December 28, 1909. The Committee's primary participants were the Resident‐General and Korean cabinet ministers. It examined issues across diverse fields of Korea. The purpose of this study is to examine for process of Korea administrative control by Japan, and the result was as follows. The first Resident‐General, Ito Hirobumi, convened meetings of the Committee under the pretext of administrative reforms, his aim was Korea's internal affairs. The Committee that preceded the Korea‐Japan Agreement of 1907 emphasized the need for administrative reform. Ito attempted to foster harmony in the cabinet's discussions. However, in May 1907, the Bak Je‐soon cabinet resigned and was replaced by the Yi Wan‐yong cabinet, with all authority vested in Yi Wan‐yong. Then the appropriateness of administrative reform was no longer professed in the Committee. With the Korea‐Japan Agreement of 1907 marking a turning point, significant and unprecedented changes began to occur. In September 1907, the Residency‐General introduced new positions, including those of Vice Resident‐General and Executive Officer, who were incorporated as members of the Committee. Moreover, the Executive Officer Assembly was formed and administered within the Residency‐General in connection with the Committee. Following Sone Arasuke's appointment as the Resident‐General in June 1909, conflict between the Resident‐General and the executive officers began to surface. Also, the Committee was reduced in connection with Executive Officer Assembly. Importantly, these internal divisions did not signify the weakening of Japanese dominance. As the executive officers' posts expanded, they became overtly disrespectful toward the general and began discussing Korean politics in their own conferences. Although the Executive Officer Assembly continued after January 1910, when Sone had returned to Japan, the Committee never convened again. The dissolution of the Committee marked the emergence of a different governance system and signified a shift toward the Government‐General, resulting in the withdrawal of the Residency‐General's influence from the Korean Empire. The end of the Residency‐General's dominance marked the onset of a comprehensive colonial regime.