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김경완 한국복음주의선교신학회 2010 복음과 선교 Vol.13 No.-
This paper examines the way Kevin J. Vanhoozer’s scholarship delved into a variety of disciplinary fields, such as systematic theology, hermeneutics, postmodern theology, biblical studies,theology and culture, religious philosophy, and epistemology. His life had a dynamism that always stayed close to and cogitated on such topics as music, art, and literature, and his Christian cultural hermeneutics was a search for the culture creating spirit, a pursuit of the meaning of evangelism and the gospel. His hermeneutics was a scholarship that not only revealed creation through the words of culture and maintenance by the spirit, but also demonstrated a humility amidst the uncertainties of and conviction for the hope of salvation. It was a hermeneutics that envisioned a glorious eschatology. Strengthened by Vanhoozer’s insights, today’s Christian cultural hermeneutics has presented the need to view the world through a relationship with the Creator God, to understand with the eyes of a redeeming Jesus Christ, and to find solutions with the insight of the Paraclete Holy Spirit. It can be said that the spirit of interpreting culture comes from the value systems of the interpreters. Interpreters carry out the hermeneutics of Christian culture with their Christian world‐views,which are based on the Bible, namely the Word of God. The creation of culture begins with the Creator God, and through this creation it can be seen that God’s mind is the spirit that creates culture. God shows that He is very happy to see the world He created and the people who are in His image living their lives and carrying out his cultural commands in this world (Genesis 1:31). With regard to the past, present, and future Christian culture existing within the diverse realms of culture, such as music, art,literature, architecture, and film, Christian cultural hermeneutics must always make an effort to distance Christian culture from the culture of sin and darkness, and adjust its heightened sense of direction towards the culture of salvation and life.
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일 권역응급의료센터를 방문하는요양병원 환자들의 특성 및 사망 위험요인
김경완,장숙랑 한국지역사회간호학회 2016 지역사회간호학회지 Vol.27 No.4
Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.
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김경완,장숙랑 한국간호과학회 2018 Asian Nursing Research Vol.12 No.4
Purpose: Health care-associated infections increase disease prevalence and mortality and are the main reason for the hospitalization of the elderly. However, the management of underlying infections in patients hospitalized in long-term care hospitals (LTCHs) is insufficient, and the transfer of these poorly managed patients to the emergency room (ER) of an acute care hospital can lead to rapid spread of infection. This study investigated the risk factors associated with an ER visit due to infections that developed in LTCHs. Methods: The electronic medical records of patients who were transferred to the ER of a university hospital in South Korea were used. Infection prevalence, causative infectious agent, and antibiotic sensitivity were assessed. The associations between patient characteristics and hospital-associated infections were examined using multiple logistic regression analyses. Results: Among the 483 patients transferred to the ER during the study period, the number of infection cases was 197, and 171 individuals (35.4%) had one or more infections, with pneumonia being the most common (52.8%), followed by urinary tract (21.3%) and bloodstream (17.8%) infections. Patients with bedsores, fever, an indwelling catheter, and a higher nursing need were more likely to be seen in the ER because of infectious disease from an LTCH. Conclusion: Both an intensive care system and surveillance support should be established to prevent infections, particularly in high-risk patients at LTCHs.
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김경완,임인철 한국방사선학회 2022 한국방사선학회 논문지 Vol.16 No.2
본 연구는 설문조사를 통해 혈관조영검사실 종사자의 감염관리 실태를 조사하여 그에 따른 인식도와 수행도를 알아보고자 하였다. P지역에 소재한 종합병원급 이상 10개 병원의 혈관조영검사실에 근무하는 종사자 126명을 대상으로 2022년 1월 3일부터 1월 28일까지 설문조사를 실시하였으며 내용으로는 대상자의 일반적 특성 10문항과 혈관조영검사실의 감염관리의 주요 항목인 4개 영역 즉, 의료기관 내 감염관리체계, 개인위생, 혈관조영검사실 환경, 혈관조영검사실 장비로 구분한 총 56문항을 Likert 5점 척도로 측정하였다. 자료 분석은 SPSS for WindowTM release 25.0을 이용하여 통계 처리를 하였다. 일반적 특성에 따른 각 영역의 인식도와 수행도의 분석은 t-test, one-way ANOVA로 하였고 변수들 간의 관계는 Pearson 상관관계분석을 시행하였다. 결과로는 모든 영역에서 인식도가 수행도보다 높게 나타나 인식의 수준에 비하여 수행력이 낮음을 알 수 있었다. 또한 인식도와 수행도가 양의 상관관계를 보이고 있어 종사자의 인식 정도가 수행력에 유의한 영향을 미치는 감염관리의 중요한 변수임을 알 수 있었다. 따라서 효과적이고 체계적인 감염관리를 위해서 혈관조영검사실의 종사자는 감염관리의 수행도를 반드시 높여야 할 것이며 그러기 위해선 감염관리 교육이 필요할 것으로 생각되며 앞으로 혈관조영검사실 감염관리 지침이 체계화되어야 할 것으로 판단된다. The purpose of this study was to investigate the status of infection control of angiography room workers through a survey, and to find out their awareness and performance. A survey was conducted from January 3 to February 28, 2022 on 126 workers working in angiography room of 10 hospitals at or above general hospital level located in Busan City. The questionnaire consists of 10 general characteristics of the subject and 56 items in total, divided into 4 main items of infection control in an angiography room: infection control system in a medical institution, personal hygiene, angiography room environment, and angiography room equipment. was measured on a Likert 5-point scale. Data analysis was performed statistically using SPSS for WindowTM release 25.0. t-test and one-way ANOVA were used to analyze the awareness and performance of each domain according to general characteristics, and Pearson correlation analysis was performed for the relationship between variables. As a result, the awareness level was higher than the performance level in all areas, indicating that the performance level was lower than the awareness level. In addition, awareness and performance showed a positive correlation, suggesting that the degree of awareness of workers is an important variable in infection control that has a significant effect on performance. Therefore, for effective and systematic infection control, workers in angiography room must improve the performance of infection control. In order to do that, infection control education is needed, and it is judged that infection control guidelines for angiography room should be systematized in the future.
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水?(Oenanthe stolonifera)엑기스가 白鼠의 實驗的 高脂血症에 미치는 影響
金庚完,丁明鉉 朝鮮大學校 1988 藥學硏究誌 Vol.10 No.1
This study was attempted to investigate the effect of "Oenanthe stolonifera" extract on the activities of SGOT SGPT and on the level of total-lipids total-cholesterol triglyceride and HDL-cholesterol in the serum of normal rats and experimentally induced hyperlipemic rats, and on the effect of body, liver and spleen weight in rats. The results were shown as follows ; The activities of SGOT and SGPT were significantly decreased in proportion to administered amounts, that is, for 7 days in all sample groups, when compared with the control group, whereas the activity of SGOT was remarkably increased by sample 500mg/kg and 1,000mg/kg for 10 days, and those of SGPT was slightly increased. The levels of total-lipids, total-cholesterol triglyceride and HDL-cholesterol were significantly decreased in proportion to administered amounts, when compared with the control group. The body weight of the rats increased by high lipid diet was remarkably decreased in proportion to administered amounts for 10 day administration. The liver and spleen weight of the rats increased by the high lipid diet was not shown decreasing effect in all sample groups. All sample groups for 7 days showed slightly good recuperative effect to the injured liver, but not in 500mg/kg and 1,000mg/kg for 10 days, whereas no recuperative in spleen.
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