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3도 방실차단 환자에 대한 칠기탕(七氣湯)투여 증례 보고
최현주,장영우,백지영,조승모,이혜윤,김도형,박승찬,이인,홍진우,권정남,Choi, Hyun-Ju,Jang, Young-Woo,Baek, Ji-Young,Cho, Seung-Mo,Lee, Hye-Yoon,Kim, Do-Hyung,Park, Seung-Chan,Lee, In,Hong, Jin-Woo,Kwon, Jeong-Nam 대한한방내과학회 2013 大韓韓方內科學會誌 Vol.34 No.4
This clinical case reports the effect of Chilgi-tang, a kind of traditional Korean herbal medicine, on $3^{rd}$ degree AV block patients also known as complete heart block. Complete heart block caused by degeneration of electrical conduction system of heart may result in weakness, dizziness, syncope, etc. Two clinical cases reported herein are diagnosed as $3^{rd}$ degree AV block caused by psychological stress with chief complaints of syncope and dyspnea respectively. The chief complains of cases cured remarkably after Chilgi-tang medication. In one case, $3^{rd}$ degree AV block was disappeared. In conclusion, we suggest that Chilgi-tang can be a potential treatment for complete heart block due to psychological stress.
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직장의 유무가 야간대학생의 식행동 및 영양섭취 상태에 미치는 영향
최현주,전예숙,박민경,최미경 대한지역사회영양학회 1999 대한지역사회영양학회지 Vol.4 No.2
This study was conducted among the university students to investigate the effects of working in an daytime and studying in an evening class on dietary behaviors and nutrient intakes. A 24-hour recall method was used along with food frequency questionnaires. The subjects were composed of three groups : 172 were in the daytime calss regular student group(RS), 178 were evening class students without a job(ESWOJ), and 140 were evening class students with a job(ESWJ). An average age of the ESWJ was 31 years old, which was 9 years older than the RS and 7 years older than the ESWOJ. The types of the residence were significantly different among the groups ; were seif-boarding 74% of the ESWJ stayed at home while 47% of the RS were self-boarding and 61% of the ESWOJ. The survey shows that while a great majority of the RS and ESWOJ has breakfast and supper at home, about 10% and 17% of the ESWJ ate breakfast and supper, respectively, at the cafeteria in their work place. The most frequently skipped meal was the breakfast in all groups. Approximately 9% of the ESWJ tended to skip the breakfast, while 27% of the RS and 33% of the ESWOJ did. It turns out that the mose common reason why ESWJ skipped meals was due to a lack of time. About 71% of the ESWJ ate out more than once a week compared to 57% and 62% of the RS and ESWOJ, respectively. Approximately 30% of the ESWJ ate out more than once a week compared to 57% and 62% of the RS and ESWOJ, respectively. Approximately 30% of the ESWJ spent less than 10 minutes at meal time, showing a hurried eating habit. The results show that the ESWJ tended to eat a variety of food s and eat less instant foods, but drink coffee more often compared to the other two groups. The results also show that in all groups, the intakes of energy, Ca, and vitamin A were lower than the Korean Recommended Daily Allowances(RDA). In addition to these nutrients, protein, vitamin B1, vitamin $B_2$, and niacin were also lower than the RDA in all make students, and Fe was lower than the RDA in all female students. Among the deficient nutrients, vitamin A showed the lowest % RDA : 48% in the male and 64% in the female students. Among the deficient nutrients, vitamin A showed the lowest % RDA ; 48% in the male and 64% in the female students. The intakes of Ca, Fe, and niacin in the ESWJ were significantly greater than those in the RS and ESWOJ groups, and the vitamin C intake in the ESWJ was greater than that in the ESWOJ(p<0.01). In conclusion, university students in all three groups have a serious imbalance in the nutrient intakes, and the evening class students with a daytime job have unhealthy dietary behaviors in the light of high frequency of eating out and heavy coffee drinking, a rushed eating pattern, and therefore showing a strong need of proper nutritional education for them.
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첨단기술을 활용한 STEAM 프로그램 개발 및 수업 적용
최현주,김흥규,최예경,전종규 한국현장과학교육학회 2015 현장과학교육 Vol.9 No.2
본 연구는 초등학교 과학과 수업과 연계할 수 있는 첨단 과학 기술 활용형 STEAM 프로그램을 개발하는 데 목적이 있다. 이를 위하여 본 연구는 초등학교 5학년 과학과 교육과정 중 <용해와 용액> 단원의 원리와 개념을 중심으로 학생들이 나노과학기술분야의 최신 연구 이슈인 다공체 구조체 기술을 교실에서 접할 수 있도록 주제를 접목시켰다. 그리고 과학자들이 다공체 개발 시 당면했던 문제해결과정을 학생들이 학습상황에서 경험할 수 있도록 STEAM 교육 준거인 ‘상황 제시 – 창의적 설계 – 감성적 체험’의 3단계와 공학 설계의 ‘문제 정의 – 검색/분석 – 아이디어 창출 – 아이디어 평가’의 4단계를 융합하여 프로그램의 기본 뼈대를 구성하였다. 개발된 수업의 결과는 다음과 같다. 첫째, 개발된 STEAM 수업을 통하여 학생들은 <용해와 용액> 단원에서 도달하고자 하는 본래의 교과 목표에 효과적으로 도달하였다. 둘째, 개발된 STEAM 수업은 2009 초등학교 교육과정 개정의 방향에 부합하는 ‘하고 싶은 공부, 즐거운 학교’의 구현을 위해 학생의 지나친 학습 부담을 경감하고, 학습 흥미를 유발하며, 배려와 나눔을 실천하는 창의 인재를 육성하는 교육을 실천할 수 있다. 셋째, 학생 사후 설문조사 결과 수업 만족도 측면에서 효과적으로 분석되었으며 학생의 문제해결력 및 첨단과학에 대한 긍정적이고 적극적 수용태도도 관찰되었다. 이 연구에서 개발된 최종 프로그램은 수정, 보완 후 시범 운영하여 그 결과를 반영하는 후속 연구와 프로그램의 효과를 검증하는 후속 연구가 필요하다. The present work develops an advanced technology–based STEAM education program for elementary science classes. First, the chapter on “Dissolution and Solution” in fifth-grade science textbooks was selected for its relevance to the advanced nanotechnology of porous materials. Second, the program was designed to help students experience similar problem-solving procedures to those used by scientists. For this purpose, the four stages of engineering design (“Defining the Problem,” “Background Research, “Developing a Solution,” and “Testing the Solution”) are applied in three criteria of STEAM education (“Context,” “Creative Design,” and “Emotional touch”) To verify the effects of the program that resulted, it was implemented in a class of 15 fifth-grade students. The results show that the original learning goals of the “Dissolution and Solution” chapter were successfully achieved through the program, moreover, that a student survey showed that the program had positive effects on students’ class satisfaction, problem-solving capabilities, and interest in advanced technologies.
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최현주,정귀임 간호행정학회 2019 간호행정학회지 Vol.25 No.4
Purpose: This study was conducted to identify and define the concept of job-esteem of the hospital nurses. Methods:Data were analyzed using the hybrid model, introduced by Schwartz-Barcott and Kim. Data were obtained from arelevant literature review and also from the in-depth interviews of twelve nurses with clinical experience of more than3 years. Results: The concept of job-esteem of the hospital nurses was finally analyzed with 5 attributes and 13 indicatorsof 3 dimensions. The attributes of the personal dimension were professional self-awareness, professionalcompetence, the attribute of organizational dimension was respect and recognition of the organization, the attributesof social dimension were social trust and respect, driving forces of job retention. Conclusion: The job-esteem of hospitalnurses is defined as beliefs and values used to evaluate or as expectations of self in the job through which hospitalnurses van find professional self-awareness and competence, identify respect and recognition of the organization,recognize the driving forces of social trust, respect and job maintenance. This study is meaningful in that the conceptof job respect of hospital nurses was analyzed and basic data for the development of a job-esteem scale for hospitalnurses was provided. 목적: 본 연구는 병원간호사의 직업존중감의 개념을 정립하고 정의하기 위해 시행되었다. 방법: 분석방법은 Schwarts-Barcott 과 Kim의 혼종모형(Hybrid model)을 이용하였으며, 자료 수집은 임상경력 3년 이상의 간호사 12명을 대상으로 한 심층면담과 관련 문헌으로부터 수집하였다. 결과: 병원간호사의 직업존중감은 3개 차원의 5가지 속성, 13가지 지표가 최종 분석되었다. 개인적 차원의 속성은 직업적 자아인식, 직업적 유능감, 조직적 차원의 속성은 조직의 존중과 인정, 사회적 차원의 속성은 사회적 신뢰와 존중, 직업유지의 원동력으로 나타났다. 결론: 병원간호사의 직업존중감은 병원 간호사가 직업적 자아인식과 유능감을 찾고, 조직의 존중과 인정을 확인하며, 사회적 신뢰와 존중 및 직업유지의 원동력을 인식하여, 이를 통해 간호사라는 본인 직업에 대해 스스로 평가하거나 기대하는 신념과 가치로 정의되었다. 이에 본 연구는 병원간호사들을 대상으로 직업존중감의 개념을 최초로 분석하였다는 것과, 병원간호사 직업존중감 도구개발의 기초자료를 제공하였다는 것에 의의를 두고 있다.
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