억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소활동

곽경선,김성은,배은경,이은숙,이은혜,최윤정,이윤경 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 억제대 적용에 대한구체적 적용지침 없이 의례적으로 억제대를사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정상태 이거나 근력이 약하여 발관능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를볼수 없 는경우, 간호사본인의 판단이 없이 타인의 요구에 따르는등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용및 제거 지침을 마련하고자 한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 개선효과: 억제대 적용에 대한중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p= 0.005 (p <0.0히로통계적으로유의한것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든항목이 개선 활동전 에 비해 2,3차 개선 활동후에 향상한 것으로 나타났다. 개선활동전에 8.1%였던 간호 기록, 0.7%였던 간호중재, 0%였던 의사처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 갑소 및 부적절한 억제대 적용율은 유의하게 감소하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은좀더 나은 간호제공을 위하여 개발 되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은계속적으로 Feedback 되어야 할 것이다.

8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

Isoquinolinium Dichromate에 의한 Alcohol류의 산화반응 속도론과 메카니즘

최선도,박영조,이은주 三陟大學校 産業科學技術硏究所 2003 産業科學技術硏究論文集 Vol.8 No.2

Isoquinolinium dichromate[(C_(9)H_(7)NH)₂Cr₂O_(7)] was synthesized by the reaction of isoquinoline with chromium(VI) trioxide in water. isoquinolinium dichromate[(C_(9)H_(7)NH)₂Cr₂O_(7)] structure was verified by IR. EA and ICP. The oxidation of benzyl alcohol by isoquinolinium dichromate[(C_(9)H_(7)NH)₂Cr₂O_(7)] in carious solvents showed that the reactivity increased with the increase of the dielectric constant s order: cyclohexen < chloroform < acetone < acetonitrile. In the presence of acid, isoquinolinium dichromate [(C_(9)H_(7)NH)₂Cr₂O_(7)] oxidized the substituted benzyl alcohols in N,N-dimethylformamide. The Hammett reaction constant p was -0.69 at 303K. The observed experimental data was used to rationalize the hydride ion transfer in the rate-determining step.

장갑의 적합성 향상을 위한 손부위 2차원 계측정보 DB구축에 관한 연구 : 성인 남·녀 만 18세에서 만 64세를 중심으로 focused on the ages from 18to 64 of male & female adults

최혜선,김은경 한국의류학회 2004 한국의류학회지 Vol.28 No.3,4

The aim of this study was to provide the basic 2-dimensional statistics requisite in the sizing system and design of gloves. The 64 static measurements were selected to provide information about hands. Participants in the study were 824 adults, aged between 18 and 64. Subjects were divided into four age groups: 18 to 29, 30 to 39, 40 to 49, and50 to 64, and separated according to sex. Statistical tests such as Descriptive Analysis, and Anova were conducted to analyze the data and ascertain the differences among the ages. The disparities between sex groups were compared by T-test. In addition, correlation among the 57 measurements was analyzed and the results were compared to the data from Japanese and other studies. The results indicated that all the measurements were significantly larger in the male group. There were significant differences among age groups for most hand circumferences, breadths and thickness items. As the age increased, the hand circumferences, breadths and thickness items became wider and thickrer. In addition, as the age increased, the mean measurement value of the length items decreased, so that it became shorter. Hand length was highly correlated with finger length, palm length and height. Maximum hand circumference Ⅱ was highly correlated with hand circumferences, hand breadth and weight.

종강의 크기가 생강의 생육 및 수량에 미치는 영향

최재을,김정선,이은정 충남대학교 농업과학연구소 1998 농업과학연구 Vol.25 No.1

This study was investigated to find out the optimum rhizome size of ginger characteristics and yield at two planting densities. Seventy five gram of rhizome gave best performance for plant height and yield with comparison with the other sizes at two planting densities. Among 25g, 50g and 75g of ginger rhizome size were not significantly different in plant height and yield at 30×30cm planting density. But, 25g of rhizome size is economically recommended at 30×30cm planting densities.

수평유동장에서 난류증진을 위한 초음파 적용에 관한 연구

최우창,박영호,송민근,주은선 경상대학교 생산기술연구소 2000 生産技術硏究所論文集 Vol.16 No.-

A study on the application of ultrasonic vibration for the turbulence enhancement in a horizontal flow field was carried out by laying emphasis of the Reynolds numberand the ultrasonic incidence angle on the laminar flow field. A large water tank was made of the transparent acrylic plates and city water of 25℃ was used as working fluid. Angles of the ultrasonic oscillator such as 30°, 45° , 60° , 90° , 120° , 135° and 150° were selected and experiments for the above were made. Data, such as time mean velocity vector and time mean turbulent intensity which was obtained by PIV measurement, were examined, compared and discussed at Reynolds No. 2,000 and 4,000 to know the degree of turbulence enhancement in each case.

정맥내 주사로 인한 정맥염 발생의 다기관 공동 역학 조사 : 서울, 경기도 6개 종합병원을 대상으로:Focused on 6 hospitals in Seoul or Gyonggi-do, Korea

최정실,박은숙,진혜영,정선영,박미라,김정은,김금순 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.2

여가 활동 참여와 정신건강 및 생활만족도와의 관계

최선,고은주 韓國舞踊敎育學會 2003 韓國舞踊敎育學會誌 Vol.14 No.1

Purpose of this paper was to identify relation of leisure activity with mental health and life satisfaction. Under this purpose, the subjects of the study are housewives who are engaged in some forms of dance activities at present. They were selected by random sampling method. The considerations in selecting the sample were the regions of residence and the kinds of dance they participated in. Out of the randomly sampled subjects in Daejeon and Cheongju, a total of 199 surveys were selected to be reliable materials. The population consists of 126 participants in Korean traditional dancing and 73 participants in the 'life dancing' (aerobic and jazz dancing). The tools used in the study are Stress Scale (Thomas Holms, 1985; Richard, 1989); Geriatric Depression Scale (1988, mainly used at neuropsychiatric clinics), and Life Satisfaction Inventory (Jin Yun, 1982). A survey was conducted by means of self-administration. For data analysis, ANOVA was carried out using the SPSS Ver. 10.0 for Windows. Schette' (.05) was used in the post-test. The result of this analysis is as follows: First, Relations of General Characteristics (age, education, income, health conditions, etc.) of the Women with Their Mental Health and Life Satisfaction - age, education and income don't seem to make a significant difference in their stress and life satisfaction, but they do make a difference in their depression (p<.01). On the other hand, their health conditions contribute to the significant difference in their stress (p<.05), depression (p<.001), and life satisfaction (p<.001). This result indicates that healthy housewives have less stress and depression and more life satisfaction. Second, Comparison of Mental Health and Life Satisfaction Levels in the Women Depending on Their Participation in Dancing Activities (kinds, frequency, time, and experience of the dancing activities) - there is a significant difference in their stress (p<.01) and life satisfaction (p<.05) depending only on the kinds of dancing activity. Specifically, when they participate in Korean traditional dancing, their stress and depression are lower and life satisfaction is higher. Other variables, such as frequency, time, or experience in dancing, don't seem to make a significant difference. This result is consistent with the previous studies suggesting that participation variables have significant effects only when they are comprehensive. Third, Comparison of Life Satisfaction Levels in the Women Depending on Their Mental Health Conditions (stress, depression) - the levels of their life satisfaction are significantly different depending on the degree of stress (p<.01) and depression (p<.001). In conclusion, among all their general characteristics (background variables), age, education, and income make a significant difference only in the degree of depression. Their health conditions significantly contribute to the differences in all the stress, depression and life satisfaction. Among the participation variables, 'kind of dance' seems to have an influence: When they participate in Korean dancing, their stress and depression are significantly alleviated. Especially, Korean traditional dance seems to be an more affective leisure to mental health and life satisfaction.

청량음료용 고강도 감미료의 혼용 비율에 따른 관능적 특성 및 저장기간 산정

최선영,장은경,황인경 한국조리과학회 2005 한국식품조리과학회지 Vol.21 No.2

This study investigated the sensory characteristics of mixtures of high-intensity sweeteners for beverage and estiniated the shelf life during storage. Sensory characteristics of mixtures of sweeteners (Aspartame/Acesulfarne-K, Aspartame/Sucralose and Acesulfame-K/Stevioside) were evaluated in aqueous (ranging from 90:10 to 50:50) and citrate buffer (ranging from 90:10 to 50:50) solutions, Significant synergistic effects were found in Aspartame/Acesulfarue-K and Aspartame/Sucralose mixtures. No significant differences were found in other taste attributes (astringency, bitterness, metallic taste etc.). Aspartame/Acesulfame-K 5:5 solution showed the most acceptable sensory attributes. Q_(10) values of Aspartame and Accsulfamc-K mixture in citrate buffer (ranging from 90:10 to 50:50) solution were calculated from the temperature data (between 40℃ and 50℃ ) determined by HPLC. Q_(10) values were in the range of 2.01-2.25. Their shelf lives were calculated to be lengthened with increasing Acesulfame-K mixture ratio Their shelf lives in Aspartame/Acesulfame-K 5:5 citrate buffer solution estimated at 20℃ and 30℃ were 178 days and 88 days, respectively.

四七湯이 拘束스트레스 흰쥐의 血淸 catecholamine 含量 變化에 미치는 影響

崔銀洙,李仁仙 동의대학교 한의학연구소 1999 동의한의연구 Vol.3 No.-

Background and Objective : Sachiltang(SCT) was known as anti-stress medicine. The aim of this study is to investigate of plasma catecholamine and the effect of SCT on rats in immobilization stress. Material and Method : Sprague-Dawley female rats were divided into 3 groups. The normal group(NG) was healthy 8 rats. The control(CG) and experimental group(EG) were subdivided 3 groups(CG1, CG2, CG3, EG1, EG2, EG3), were conditioned 12 hours a day immobilization stress for 5, 10, 11 days. And then, the plasma were obtained. Results : Plasma epinephrine(EP), norepinephrine(NE) and dopamine of EG were decreased as compared with CG (EP & NE ; p<0.005, dopamine ; p<0.05) Conclusion : SCT was useful in anti-stress effect.