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정신질환 회복에 대한 환자와 가족의 인식: “함께하는 지속적이고 꾸준한 변화”
남경아,진주혜 한국가정간호학회 2020 가정간호학회지 Vol.27 No.3
Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.
남경아,송희영,임지영 한국아동간호학회 2006 Child Health Nursing Research Vol.12 No.2
=Predictors of Resilience for High School Adolescents*
남경아,이상희,손상희,정수진,서손상 대한소아청소년과학회 2004 Clinical and Experimental Pediatrics (CEP) Vol.47 No.8
목 적 : 장중첩증의 예측인자로서 육안적 혈변이 갖는 진단적 가치를 알아보고자 하였다.방 법 : 2001년 1월부터 2003년 12월까지 본원에서 장중첩증을 진단하기 위하여 초음파 검사를 시행했던 159명 환아의 병력 기록을 검토하여 각 증상을 비교하고 육안적 혈변이 갖는 진단적 가치를 조사하였다.결 과 : 159명 환아 중 36명이 장중첩증으로 진단되었다. 36명 환아 중 19명(52.8%)이 남아였고, 28명(77.8%)이 2세 미만이었다. 가장 흔한 증상은 간헐적인 복통 또는 보챔이었으나 실제로 장중첩증으로 진단된 비율은 24.2%로 육안적 혈변(50.9%)에 비해 작았다. 장중첩증이 의심되는 환아에서 육안적 혈변의 민감도와 특이도, 양성 예측률 그리고 음성 예측률은 아래와 같았다; 민감도는 77.8%(95% 신뢰구간 60.8-89.9), 특이도 78.0%(95% 신뢰구간 69.7-85.0) 양성 예측률 50.9%(95% 신뢰구간 37.1- 64.6), 음성 예측률 92.3%(95% 신뢰구간 85.4-96.6)였다(진단적 정확도 78.0%; 95% 신뢰구간 70.7-84.2). Purpose:To evaluate the diagnostic value of gross bloody stools as a predictor of intussusception. Methods:We reviewed 159 cases retrospectively that had an ultrasound examination for diagnosis of intussusception from January 2001 to December 2003 at Ilsin Christian Hospital. We compared each symptom and assessed the diagnostic value of gross bloody stools in the patients with suspected intussusception. Results:Thirty-six of the 159 patients had intussusception. Of 36 patients with intussusception, 19 (52.8%) children were male and 28(77.8%) children were younger than two years. The most common symptom was intermittent abdominal pain or irritability. But its frequency among the intussusception (24.2%) was lower than frequency of gross bloody stools(50.9%). The sensitivity, specificity, positive predictive value(PPV) and negative predictive value(NPV) of gross bloody stools in patients with suspected intussusception were as follows; sensitivity=77.8%(95% CI 60.8-89.9), specificity=78.0%(95% CI 69.7-85.0), PPV=50.9%(95% CI 37.1-64.6), NPV=92.3%(95% CI 85.4-96.6)(Diagnostic accuracy 78.0 %; 95% CI 70.7-84.2). Conclusion:It is useful for diagnosis of intussusception to confirm the presence of gross blood in stools.
남경아 한국동서철학회 2019 동서철학연구 Vol.0 No.94
This study is originated from the concern which involves both some errors death concept has and the possible negative judgment derived from it. So this tries to examine the death concept more critically and puts its emphasis on the review regarding the metaphysical topology for it. What I have found is the problematic role of death concept, functioning as if a pure concept of the understanding. What I intend to elucidate is that those problems result from the nature of the reason which eventually put its aim at generalization. At the end of this critic on death concept, I conclude that we should set the bounds of death concept to the Kantian transcendental scheme; according to Kant, the root of the transcendental scheme is the imagination. Accordingly, death, an imaginary representation can never have the opposite status against life, since life is not the one imaginary but real. All logical concepts are virtually ambivalent, so the unconditional expansion of an empty concept could lead to negative judgments. Besides, we should not overlook the transpirable negative impacts from those judgments if taking account of the practical role of ideas. The ultimate objective of Kantian critical philosophy is to expose an illusion brought about by both the understanding and the reason being supernaturally used and to criticize and protect pure understanding which, when it merely corresponds to forms, the reason tries to expand. It is the focal argument of this paper that we should not only previse the erroneous reasoning of death concept, functioning as if it has real status; also not to empower the logically opposite representation of life to it. It would be a definite fundamental caution against all the illusions we are possible to have regarding death if we solidify the status of death as the thing in itself that is truly impossible to cognize. 본고는 일상에서의 죽음 개념이 갖는 오류와 그것에서 비롯될 수 있는 판단에 대한 경계에서 비롯됐다. 이에 필자는 죽음 개념에 대한 보다 비판적인 검토와 그것의 형이상학적 지위에 대한 재고를 역설하고자 했다. 필자는 죽음 개념이 하나의 순수 지성 개념으로서 사용되고 있는 문제점을 발견해냈고, 아울러 그것이 이성의 보편화하려는 본성과 함께 발생한다는 것을 해명하려 했다. 죽음 개념에 대한 필자의 이와 같은 비판은 결국 죽음이 칸트가 말한 선험적 도식으로 제한되어야 한다는 주장으로 귀결되었다. 칸트는 도식이 상상력의 소산이라는 것을 분명히 했다. 따라서 가상인 죽음의 표상은 논리적으로 삶의 반대 지위를 가질 수 없다. 논리적인 개념은 언제나 양가적이기 때문에 철저하게 재고되지 않은 공허한 개념의 확장은 부정적인 판단으로 귀결될 수 있고, 이념의 실천적 역할을 고려했을 때 그러한 부정적 판단이 불러올 사태는 결코 단순한 염려의 차원에서 마무리되어서는 안 된다. 칸트의 비판철학이 추구한 궁극 목적은 초자연적으로 쓰이는 지성과 이성의 환상을 적발하고, 형식에 부합하는 것만으로 초자연계까지 확장을 시도하려는 이성을 경계하여 순수한 지성을 비판하고 보호하는 것이었다. 그래서 필자는 칸트 비판철학의 이런 정신에 기초하여 죽음이 실재의 지위를 갖는 것처럼 오류 추리되어 삶의 표상에 대한 논리적 반대 항으로 작용하는 것을 제한하고자 한다. 이렇게 함으로써 이 글은 물자체로서의 죽음이 결코 인식될 수 없음을 분명히 하고자 하며, 아울러 이로부터 우리가 죽음에 관해 가질 수 있는 환상을 제거하고자 한다.
감자의 전처리 방법에 따른 환원당 함량과 potato chip 의 색상
남경아,노원섭 한국농화학회 1992 Applied Biological Chemistry (Appl Biol Chem) Vol.35 No.6
In order to develop color of potato chip made from Superior variety and Irish Cobbler variety, various conditions on NaCl and CaCl₂ contents, heat treatment and soaking time were applied. The content of reducing sugar decreased by 30∼40% in blanching without NaCl and CaCl₂. In NaCl soaking case, reducing sugar content decreased by 15∼30 %, however, partial colorization was appeared that the sample turned to brown. In the sample that were soaking in NaCl solution and heat treated, reduction of reducing sugar was 40% and desirable time for heat treatment was 5 min and 7 min. In the sample treated CaCl₂ solution, reduction of reducing sugar was 25∼30% and then color was not acceptable. In the sample soaking CaCl₂ solution and heat treated, seducing sugar content rapidly by 50% and the color development was the most ideal.