노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

의료시장개방에 따른 병원마케팅 전략에 관한 연구

문혜옥,최윤홍 호남대학교 대학원 2010 호남대학교 대학원 논문집 Vol.7 No.-

As is investigated above, hospitals in Korea have entered into an extreme struggle for survival. Since the circumstances surrounding hospitals in this endless competition age are progressing at a fast pace, they are doing their best in order to survive but they can not be sure of a promising future unless they do not bring about changes in management and great innovations. In addition, they are faced with a market opening in medical care. In order that they may be able to efficiently meet these changes, it is imperative that they should be armed with patient-oriented marketing and that they should come up with a strategy that would enable them to carry out a managerial rationalization and innovative changes. Namely, in order to meet patients' needs, they need to have a patient-oriented and community-oriented management instead of a hospital-oriented management, making great efforts to offer better services. Conclusively speaking, the degree of patient satisfaction with hospital services will play a pivotal role in determining hospital profitability. If a hospital offers satisfaction to clients, it will continue to have clients and secure a good reputation, thereby further bringing in more satisfaction, more patients and more profits. But if patients are satisfied, the number of patients will decrease resulting in less profits. So, it is very important hospitals conduct a survey to find out why patients are not satisfied and to accommodate any complaints into their managerial decisions. Based on these factors, hospitals should develop their own core capabilities that others can not emulate easily so that they may be competitive in the medical market. Additionally, there are hosts of data that show that hospitals satisfying both patient satisfaction and clinical results succeed in their management. This study aims to show that hospitals need to have hospital-marketing strategies that offer differentiated services in their attempt to provide patient-oriented integrative services along with managerial changes in the information age. First, in terms of service strategies they should offer specialized medical care and recruit top-class medical professionals, be equipped with ultra-modern medical equipment and facilities, increase the professionalism and kindness of medical personnel, and build up mutual trust between medical personnel and patients. Second, in terms of price strategies medical fees, medical cost reduction, credit card use, fee payment requirements, etc. do not play an important role as a universal medical insurance system is in place. Third, in terms of distribution channel strategies it would expedite patient approach and communication if hospitals do their business in a fast and convenient manner when they provide patients with swift and exact test results. Fourth, in terms of promotion strategies hospitals need to activate promotion and put into place a medical information system. As investigated above, applying marketing strategies to hospital management would be of great help in solving difficult issues facing hospitals now. As far as hospital services are concerned in the efforts to efficiently run hospitals, hospitals are urged to consider the following improvement ideas: expansion of service areas for local residents, simplification of patient registration for medical care, shortening the waiting time, better explanation on the part of medical personnel, improving hospital cleanliness and atmosphere, running wards without visitors from patient families, meal system which patients can choose, medication delivery system, differentiated comprehensive health checkup services, etc. Hospitals in Korea are being run not by expert mangers but by doctors who are well-educated in their management, so they need to learn professional management skills in order that they may run their hospitals in a rational and organized manner. In order to achieve hospitals' goals and objectives in a successful manner, the whole hospital organization should make every effort. Now, marketing for hospital should not approached in a near-sighted manner. They had better recruit marketing specialists for active marketing activities. In addition, the swift development and application of new services are required for providing medical services in an efficient manner. These marketing activities are playing an important role in the survival of hospitals.

교차로의 신호등을 고려한 최단경로 링크값 생성

정혜옥,반종오,최형진 강원대학교 정보통신연구소 2001 정보통신논문지 Vol.5 No.-

As the number of cars is rapidly increasing, we have to solve traffic jam. Therefore it is internationally developing IVHS(Intelligence Vehicle Highway System) to solve it. To extract the shortest path from road network, it need that digitized road network database construction, linked cost generation used road attribute and shortest path algorithm. In this paper, We extract twenty six intersections and roads between intersections from road network that extracts the central area of Chun-Chon city map with 1:25000 scale. And We make directed graph with these intersections which mapped nodes and these roads which mapped links. First, link cost be granted road length. Second, link cost be granted travel time of considering signal light at intersections. Shortest Path is extracted using link cost and appling Dijkstra algorithm.

인체혈장 중 에탐부톨의 HPLC 분석법의 검증 및 단일용량 투여에 의한 약물동태 연구

곽혜선,박경호,최준식,송진아,성민경,장정옥,이화정 한국약제학회 2005 Journal of Pharmaceutical Investigation Vol.35 No.2

An HPLC method was employed for the determination of ethambutol in human plasma. After addition of internal standard (IS, octylamine, 2 μg/mL) and alkalinization of the plasma with 5 M sodium hydroxide, the drug and IS were extracted into the mixture of chloroform and diethyl ether (40:60, v/v). Following a 15-min vortex-mixing and a 10-min centrifugation, the organic phase was spiked with 100 pL of phenylethylisocyanate (2000 μg/mL) for chemical derivatization, mixed for 5 min and evaporated to dryness under a stream of nitrogen. The residue was reconstituted with 100 μL of mobile phase and 20 pL was injected into Cl8 column with a mobile phase consisting of methanol:water (70:30, v/v). The samples were detected utilizing an ultraviolet detector at 200 nm. The method was specific and validated with a limit of 0.15 μg/mL. Infra- and inter-day precision and accuracy were acceptable for all quality control samples including the lower limit of quantification. The applicability of this method was demonstrated by analysis of human plasma after oral administration of a single 1200-mg dose to 20 healthy subjects. From the plasma ethambutol concentration vs. time curves, the mean AUC was 9.61 ± 1.64 μg hr/mL. and Cmax of 2.68 μg/mL reached 2.73 hr after administration. The mean biological half-life of ethambutol was 3.46 ± 1.21 hr. Based on the results, this simple and validated assay could readily be used in any pharmacokinetic studies using humans.

폐 내 병변으로 인한 소아 급성 호흡부전의 원인 질환과 예후

이혜영,박지숙,최희라,서지현,김점수,임재영,최명범,박찬후,우향옥,윤희상 대한소아과학회 2004 小兒科 Vol.47 No.5

「유아교육·보육기관 평가인정제 모형(안)」의 평가인정 기준에 대한 타당화 연구

양옥승,이혜원,최경애 덕성여자대학교 고등교육연구소 2000 敎育硏究 Vol.8 No.-

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

관상동맥색전증에 의한 급성심근경색증 4예

김민근,주혜원,강경필,최병돈,박민석,변영섭,고충원,이건주,김병옥 인제대학교 2006 仁濟醫學 Vol.27 No.-

Acute myocardial infarction(AMI) due to coronary embolism can occur in patients with normal coronary artery. Coronary embolism is believed to be a cause of acute myocardial infarction when emergent coronary angiography shows perfectly normal coronary trees, except for the finding of coronary artery occlusion. In this report, we describe four patients with AMI due to coronary embolism who were successfully treated using a thrombus aspiration device and anticoagulation, and those patients had intracardial thrombus arising from the left atrium due to chronic atrial fibrillation and valvular heart disease. Patients with chronic or paroxysmal atrial fibrillation can present with AMI due to coronary embolism, and thrombus aspiration with percutaneous aspiration device is a feasible treatment option for these patients along with anticoagulation the rapy.

간세포암종에 대한 간동맥 화학색전술 후 발생한 급성호흡곤란증후군

조윤원,이정미,최자윤,유동훈,차라리,오혜원,김홍준,민현주,김현진,정운태,이옥재,하창윤,이선영 이화여자대학교 의과학연구소 2013 EMJ (Ewha medical journal) Vol.36 No.1

Transcatheter arterial chemoembolization (TACE) has become an effective alternative treatment strategy for patients with inoperable hepatocellular carcinoma (HCC). Although TACE is relatively safe, acute respiratory distress syndrome associated with pulmonary lipiodol embolism is a rare and potentially fatal complication. We report a rare case of acute respiratory distress syndrome after TACE for inoperable HCC. A 75-year-old man, with huge HCC in right lobe, was treated by TACE for the first time. Seven hours after uneventful TACE procedure, he felt dyspneic and his oxygen saturation recorded by pulse oximetry (SpO2) fell to 80% despite of applying non-rebreathing mask. He underwent mechanical ventilation with a protective ventilatory strategy. We experienced a case of acute respiratory distress syndrome after TACE for HCC.

원예치료 및 미술치료가 학교 부적응 청소년의 자아개념 향상에 미치는 영향연구

손기철,엄수진,배혜진,조문경,은옥주,최외선 충북대학교 한국과학재단 지정 첨단원예기술개발 연구센터 2002 연구보고서 Vol.6 No.-

본 연구는 원예치료와 미술치료가 학교부적응 청소년의 자아개념, 내적 통제력, 불안감소에 미치는 영향을 조사하고자 실시되었으며, 그 결과는 각 치료의 효과성이 비교·분석되었다. 인천 남구에 위치한 W공업고등학교에서 대조군 15명, 원예치료군 15명, 미술치료군 15명을 주 2회씩 2001년 9월 27일부터 12월 13일까지 원예치료군에는 원예치료 프로그램을 미술치료군에는 미술치료프로그램을 실시하였다. 원예치료 및 미술치료는 각각 전문 치료사에 의해서 행해졌다. 원예치료 및 미술치료 프로그램의 효과를 알아보고자 자아개념(Self-Concept Scale), 내적 통제력 척도(Inner-Control Scale), 특성불안 척도(Trait-Anxiety Scale)을 각 프로그램의 실시전과 실시후로 조사하여 비교하였다. 원예치료군에 있어서는 자아개념척도 중 자아수용, 성격적 자아, 총 자아 긍정 항목에서 통계적으로 유의한 향상을 보였고, 특성불안척도에서는 우울 및 불안 항목에서 매우 유의한 감소를 나타내었다. 한편, 미술치료군에 있어서는 내적통제력과 특성불안척도중 자신감이 유의하게 향상된 것으로 나타났다. 이상의 결과를 종합하여 볼 때, 원예치료군은 프로그램 과정중 자기표현의 기회를 제공함으로써 자아개념이 향상되었으며, 또한, 공동작업을 하는 집단 프로그램을 통하여 내면의 불안과 갈등이 완화되었다고 판단된다. 반면, 미술치료군은 치료자와의 개인적인 상담과정을 통하여 내면의 불안과 갈등이 완화되었고, 지점토 및 칼라믹스 만들기 등 활동적인 프로그램을 통하여 내면의 감정을 통제하는 능력이 향상되었다고 판단된다. This study was conducted to evaluate the effect of HT (horticultural therapy) and AT (art therapy) on the changes of self-concept, inner control, trait anxiety of the school maladjusted adolescents. 45 school maladaptive of teenage students participated in therapy program at the W high school were randomly assigned to 3 groups: 15 for the horticultural therapy, 15 for art therapy, 15 for control group. The program were carried out from Sep. 27 to Dec. 13, 2001 as an activity group. Activity group attended twice a week for 1 hour. For evaluation of the effectiveness of each therapy, Self-Concept Scale, Inner-Control Scale, Trait-anxiety Scale were used 2 times, that is, before/after HT or AT program. According to the results, self satisfiction, personal self, and total positive self items among Self-Concept Scale were significantly improved, and tension and anxiety item among Trait anxiety Scale were significantly decreased in HT group. On the other hand, in AT group, both inner control and self confidence item in Trait-anxiety Scale were significantly improved. In conclusion, in HT group it was suggested that the improvement of self concept could be brought about by being provided the chance of self expression during program and the alleviation of inner anxiety and discord resulted from group therapy program in which joint work have been provided. In case of AT group, it was logically postulated that the alleviation of inner anxiety and discord resulted from personal counselling with AT therapist during program and the improvement of inner control was caused by active program such as painting paper clay, making color mix, and etc.