공중보건의의 고혈압 진단 및 치료과정 평가

송윤미,김윤,조홍준,정희숙,김용익 한국의료QA학회 1996 한국의료질향상학회지 Vol.3 No.1

Background : Little work has been carried out regarding quality assessment research in a primary care setting, comparing with that of hospitals. This study aims to evaluate the process of diagnosis and management of hypertension by public health doctors on the basis of pre-established clinical guideline, and to identify several modifying factors associated with them. Methods : Hypertension was selected as the target disease, because it is a chronic disease which is of great public health importance. Self-administered questionnaires were mailed to public health doctors practicing at health centers and health subcenters across the nation. The response rate was 20.9%. The questionnaire included the diagnosis and management process such as measuring blood pressure, history taking, physical examinations, and treatment approches and potentially modifying factors such as level of training, duration of practice as a public health doctor, and education on management of hypertension. Results : Public health doctors pay little attention in measuring BP, hypertension related history taking, performing physical examination and laboratory examination. But they devoted much effort in diagnosing hypertension exactly and giving nonpharmacological treatment. Among various antihypertensive drugs, calcium-channel blockers were the most preferred agent(50.8%). Level of training, duration of practice as a public health doctor, and education on management of hypertension made no difference on quality of care(p>0.05). Conclusion : These public health doctors showed poor compliance with the preestablished clinical guidelines, which leaves much to be desired in diagnosion and managing hypertensive patients by public health doctors. This study might be able to contribute to develop some strategies, such as educational programs, which would be able to improve the process of care in hypertensives.

여성생식계 상피세포에서 Glutathione S-Transferase 출현도에 관한 면역조직화학적 관찰

송계용,김석중,김미경,박용욱,유재형,박상철 중앙대학교 의과대학 의과학연구소 1991 中央醫大誌 Vol.16 No.2

Both placental form (GST-Pi) and basic form (GST-L) of glutathione S-transferase were studied in the epithelium of normal, tumor and tumor like lesions of female genital system. The results obtained were as follows : 1. Staining reaction of GST-Pi were moderate in normal cytotrophoblasts, mild in syncytiotrophoblasts, strong in corpus luteum, moderate to strong in salpingeal mucosa and in proliferative glands, moderate in secretory glands of indometrium and moderate in superficial squamous epithelium of cervix 2. Staining reaction of GST-L were mild in cytotrophoblasts and in syncytiotrophoblasts, of chorionic villi in corpus luteum, negative in salpingeal mucosa, very weak in proliferative glands, mild in secretory, glands of endometrium and in superficial squamous epithelium of cervix. 3. Staining reaction of GST-L were mild in cytotrophoblast and syncytiotrophoblast of choriocarcinoma, moderate in cytotrophoblasts, mild in syncytiotrophoblasts of hydatidiform mole, negative in mucinous epithelium of cust adenoma, in hyperplastia and adenocarcinoma, and mild in adenocarcinoma of cervix. 4. Staining reaction of GST-L were very weak in cytotrophoblasts and syncytiotrophoblasts of choriocarcinoma and in hydatidiform mole, negative in mucinous epithelium of cust adenoma, very weak in serous eptiethlium, negative to mild in hyperplastic and adenocarcinoma, mild in squamous cell carcinoma and adenocarcinoma of cervix. Therefore, staining reaction and distribution of GST-Pi and L isoengumes were different in normal and neoplastic cell of trophoblasts, salpinx, endometrin and cervix

사이클 선수의 스트레스 지각과 대처 방식

송은섭,김용미 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

The purpose of this study was to investigate the cycle athletes's perception of control, and way of coping as related to the type of stressful events as a function of skills. THe subjects were 25 elites that enrolled as a national representative cycle athletes and 54 non-elite athletes. Based on the procedures and results, the conclusions were as follow : First, Elite athletes' perception of control was lower than non-elite athletes in interpersonal stressful event (t=2.027, p=.046). Second, Elite athletes mainly have much than non-elite athletes according to way of copying in competitional, interpersonal stressful event (t=3.523, p=.001, t=2.151, p=.035). Third, Elite athletes havemuch than non-elite athletes problem focused coping (t=7.855, p=.000), and have less than emotion focused coping (t=3.793, p=.000) according to way of copying in stressful event. Forth, Elite athletes was deal with problem focused coping in competitional, interpersonal, physical stressful event (t=6.188, p=.000, t=4.677, p=.000, t=5.513, p=.000). Fifth, Elite athletes was not deal with emotion focused coping in competitional, physical stressful event (t=2.363, p=.021, t=4.484, p=.000).

영어경시대회 측정도구의 과업별 적절성 검증 및 개선 방안

송미정,박용예 서울대학교 어학연구소 2002 語學硏究 Vol.38 No.1

This study analyzes the validity of the tasks in Test of oral Proficiency (TOP) and Test of Writing Proficiency (TWP) as means of evaluating advanced-level high school students' English proficiency in a nation-wide English contest. For this purpose, both quantitative and qualitative analyses were conducted. The results show that all the tasks are statistically valid except for Task Ⅰ (Answering simple questions) for Group Ⅱ (who have stayed overseas longer than one year). The examination of students' recorded responses for TOP reveals how differently Groups Ⅰ and Ⅱ responded to the tasks and what can be done to improve task questions. Based on the findings, we suggest that for TOP, the current format be maintained for Group Ⅰ (who have stayed overseas shorter than one year). For Group Ⅱ, however, a modified use of TOP or its replacement with interviews is recommended. For TWP, since Task Ⅰ (Summary) and Ⅳ (Free writing) among the four tasks are very effective to measure students' writing proficiency, we recommend to use these two tasks alone instead of using all four of the tasks. We also suggest that a thorough training and detailed guidelines be provided for raters.

신장의 원시성 신경외배엽 종양

송상용,조은윤,이정원,고재향,김미경,김대식,고영혜 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.3

노은 중학교 기본 계획 연구

宋容浩,盧相延,金美善 충남대학교 지역개발연구소 2000 地域開發論叢 Vol.12 No.-

Considering the aim of our education : upbringing the creative Korean leading in the 21C, it is true that there is no effort to cope with the change of education environments. In this point of view, this study aims to suggest the developing model as following the change of educational curriculum, and suggests the planing design of Noh-Eun middle school located on the Noh-Eun district, You-Sung, Tae-Jeon metropolitan. This design is endowed with flexibility in order to adapt both usual with Variation type and Department type to Individual Interactive Learning Approach(IILA) as the 7th curriculum and new educational surroundings.

태아 피부의 cytokeratin 1, 10, 14 발현

송계용,이선,서동혜,김미경,민혜정,지제근 대한병리학회 2001 Journal of Pathology and Translational Medicine Vol.35 No.3

사과 腐爛病 防除를 위한 基礎調査

함승희,서영주,정은미,채선희 효성여자대학교 문리과대학 학도호국단 1984 文理大論集 Vol.4 No.-

This study was carried out to get the basic date for effective control of apple canker disease in Daegu; Chilgog, Gyeongsan, and Weolseong, which were major appleproduction districts. The relationship among occurence rate of apple canker, district, infected side of trunk, and nutrition state of apple leaf were examined. The results of the study were summarized as follows. 1. The occurence rates of apple canker were a little high in Yeongcheon and Gyeongsan district as 81.7%, 83.5% respectively, but in Chilgog district was 70.2%. 2. The occurence rates were high in Spur Early Blaze, Spur Golden and Megumi varieties as 84.8%, 87.3%, 88.6% respectively, but in Rallss Genet, Moris delicious, Starkrimson, Raritan variety were tend to lower as 69.4%-72.3%. 3. The occurence rate of free stocked tree was high as 81.8%, But in dwarf stocked tree was low as 73.8%. 4. The occurence rate was 80.7% in trunk and main blanch part, and in the east and south side of trunk. The occurence rate of apple canker was 55.7%. 5. There was significant positive correlation(r=0.516^*)between occurence rate of apple canker and N content of apple leaf, but negative correlation (r=-0.589^*) in P_2O_5 content. 6. Occurence rate of apple canker was tend to higher as the ca/Mn ratio in apple leaf was lower.

대동맥 판막 치환술 후 반복되는 Acinetobacter baumannii 균혈증의 원인이 된 대동맥염 1예

정용필,김성철,송은희,장은영,김은경,김윤지,성흥섭,김미나,최상호,우준희,김양수 대한감염학회 2007 감염과 화학요법 Vol.39 No.3

감염성 대동맥염은 흔하지 않지만 매우 위중한 질병으로 Salmonella so.와 S. aureus가 주된 원인균이다. 아직까지 병원내 감염의 주요 원인균인 Acinetobacter baumannii에 의한 감염성 대동맥염은 보고된 바가 없었다. 저자들은 대동맥 판막 치환술을 시행받은 76세 남자 환자에서 적절한 항생제 투여에도 반복되는 A. baumannii 균혈증의 원인이 감염성 대동맥염으로 진단되었던 1예를 경험하였기에 보고하는 바이다. Infectious aortitis is an uncommon yet, life threatening disease. Early surgical treatment and prolonged antibiotic therapy is crucial to survival. Salmonella sp. and Staphylococcus aureus are the most common organisms isolated. There is no case report of infectious aortitis caused by Acinetobacter baumannii, which has recently emerged as a major cause of health care-associated infections. Here, we describe a 76-year-old male with infectious aortitis who experienced recurrent bacteremia due to A. baumannii in spite of adequate antimicrobial therapy after aortic valve replacement.

두경부 마사지가 중환자실 환자의 수면과 불안에 미치는 효과

김미용,전선영,송윤희,최은진,김재희,김미성,주명순,김남선 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: This study was to apply head and neck massage to patients in intensive care unit and to inventigate the effect of that massage on sleep and state anxiety. Method: The subjects in this study were 27 patients who were admitted in medical intensive care unit. The study was performed from June thru September of 2005 on the One-group pretest-posttest design and the sleep, state anxiety of the subjects were measured before and after head and neck massage. For data analysis, paired t-test and Pearson correlation coefficient were utilized. Result: The first hypothesis that the subjects might have a better sleep after being exposed to head and neck massage was accepted. The second hypothesis that the subjects might feel less state anxiety afrer being exposed to head and neck massage was accepted. The third hypothesis that the sleep of the ICU patients maight be correlated to their anxiety was accepted, as there appeared correlation between their sleep and anxiety. Conclusion: Head and neck massage is identified as one of independent nursing interwentions to improve the sleep of ICU patients and ease their anxiety, and it is necessary to apply it to clinical practices.