속담의 ‘變化’ 요인에 대하여

김미순(Mi-Sun Kim) 한국중원언어학회 2015 언어학연구 Vol.0 No.37

This study was intended to explore what factors could alter proverbs, and how they could affect proverbs’ forms and meaning. In other words, the purpose of this study was to identify the factors of alteration in Korean proverbs. A proverb essentially features a word-of-mouth which is passed down orally. There are more probabilities to deviate from the original forms if a certain proverb is passed down orally. If the variation is insignificant, it can readily take the original form; however, if the variation is considerable, it can settle another proverb. Like this, a proverb goes through the general alteration such as ‘formation, settlement, alteration, extinction.’ In the course of alteration in proverbs, are involved many factors that could be classified into three categories: ‘linguistic factors,’ ‘social factors,’ and ‘psychological factors.’ Linguistic factors feature pronunciation errors, phonetic change, and analogy and omission, while social factions contain regional variations, chronological changes, and the evolution of civilization and the change of social environment. Some examples of psychological factors include the change of awareness and intentional twist.

의도적 간호순회 인식과 배경요인이 이행에 미치는 영향

김미영 ( Kim Mi Young ),김미순 ( Kim Mi Soon ),김애란 ( Kim Ae Ran ),김희선 ( Kim Hee Sun ) 병원간호사회 2021 임상간호연구 Vol.27 No.1

Purpose: This descriptive study aimed to explore the performance, nurses' perception, and influencing contexts of intentional rounding (IR), and to identify the factors influencing the performance of IR. Methods: 498 questionnaire responses were collected from clinical nurses with more than six months of work experiences in general wards performing IR in a general hospital. Results: The mean scores of the performance, nurses' perception, and influencing contexts of IR were 3.81(±0.68), 3.46(±0.42), and 3.79(±0.51) out of 5.00, respectively. There were significant differences in performance (F=20.51, p<.001) and nurses' perception (F=4.96, p=.001) based on the work department. There were significant differences in the influencing contexts based on age (F=6.02, p=.003) and the length of clinical experience in the ward (F=3.36, p=.010). Performance and nurses’ perception(r=.42, p<.001), performance and influencing contexts (r=.46, p<.001), and nurses' perception and influencing contexts (r=.58, p<.001) showed a statistically positive correlation. Work unit (F=10.45, p<.001), nurses' perception of the benefits to patients (F=-2.46, p=.014) and to nurses (F=4.34, p<.001), and influencing contexts at the individual (F=7.77, p<.001) and department levels (F=2.99, p=.003) were found to be significant factors on the performance of IR. Conclusion: It is necessary to support the education programs and active participation of nurses in their role as leaders to raise their awareness regarding the benefits of IR. Furthermore, there is a need to adapt the IR protocol according to the unique characteristics of each unit and evaluate the effectiveness.

임산부 말초 혈액에 존재하는 태아 세포 분리 및 이를 이용한 산전 다운증후군의 유전자 분석

김성훈(Sung Hoon Kim),양영호(Young Ho Yang),조동제(Dong Jae Cho),김세광(Sae Kwang Kim),박용원(Yong Won Park),김인규(In Kyu Kim),이윤호(Yoon Ho Lee),김미순(Mi Sun Kim),남명숙(Myung Sook Nam) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.2

배경 및 목적 : 다운증후군 (Down's syndrome)은 700-1000명당 1명꼴로 발생하는 출생아에서 가장 흔한 선천성염색체 이상 질환이다. 현재까지 이의 산전 유전 진단을 위해 사용되어 온 양수천자, 융모막 채취, 태아 제대 혈액 채취등은 침습적인 방법으로 태아 및 산모에게 드물지만 치명적인 위험이 있으며, Triple marker등의 비침습적인 방법은 그 정확도가 60%에 그쳐 보다 정확한 방법이 요구되었다. 본 연구에서는 모체 혈액내에 미량으로 존재하는 태아 유핵적혈구(nRBC)의 분리와 이를 이용한 chromosome 21의 유전자 분석을 통하여 다운증후군의 새로운 비침습적 산전 진단법을 확립하고자 한다. 재료 및 방법 : 본원에 내원한 총 76명의 산모를 대상으로 20ml의 말초 혈액을 뽑아 heparin 처리한 후, 태아 세포의 분리를 위해 triple density gradient법과, CD45, CD71을 이용한 Vario-MACS와 Mini-MACS를 시행한 후, Kleihaur-Betke stain으로 태아 유핵적혈구의 형태학적인 구분하였다. 또한, GPA-immunostain을 실시하여 태아 유핵 적혈구를 확인하고, 그 위치를 marking한 후 FISH를 시행하였다. 결과 : 총 76명의 임신 8주에서 41주 사이의 산모에서 유핵적혈구는 모든 예에서 발견되었으며, K-B stain을 실시하여 형태학적인 구분을 하였다. 20ml의 말초 혈액 중에 평균 15개의 유핵적혈구가 발견되었으며, 임신 12-18주 사이에 가장 많은 수의 유핵적혈구가 관찰되었고(18.9±6.0개), 임신 20주이후에는 주수에 따라 감소하는 양상을 나타내었다. 또한, GPA-immunostain을 시행한 후, probe X, Y를 이용하여 시행한 FISH를 통하여 태아의 성별을 진단하였고, 고령의 임산부와 Triple marker에서 양성 소견을 보인 30예에서 probe 21을 이용하여 FISH를 시행하여 3예의 다운증후군을 진단하였다. 이 결과들은 동시에 실시된 양수천자나 융모막 채취의 결과와 일치함을 확인하였다. 결론 : 태아 유핵적혈구는 임신 8주 이상의 모든 산모에서 분리 가능하였다. 분리된 태아 유핵적혈구를 이용한 GPA-immuno FISH 분석을 통한 다운증후군(trisomy 21)의 산전 유전 진단법은 유용하고, 혁신적이며, 정확하고, 빠른 비침습적 방법이나, 임상적으로 사용되기 위해서는 추후 더 많은 예의 연구가 필요할 것으로 사료되어진다. Introduction : Down's syndrome is the most common congenital chromosomal anomalies which occurs 1 out of 700-1000 births. Until now, for prenatal diagnosis of Trisomy 21, invasive techniques such as amniocentesis, chorionic villus sampling(CVS) and cordocentesis were used, but they encompass the rare possibility of morbidity to the mother and fetus. Triple marker using maternal serum is a currently used noninvasive method, but it only shows the accuracy of 60%. Accordingly, a noninvasive method, using fetal cells from maternal blood is under extensive investigation. This study was undertaken to establish a noninvasive prenatal genetic diagnostic method of trisomy 21 using fetal nRBCs rarely present in maternal circulation. Materials and Methods : Peripheral venous blood samples were collected from 76 women and treated by heparin. For the isolation of fetal cells, we used a triple density gradient centrifugation, and Vario-MACS and Mini-MACS using CD45 and CD71, and then, the morphological differentiation of the fetal nRBC was performed by Kleihaur-Betke stain. With GPA immunostain, nRBCs were identified by cytoplasm and GPA attatchment, and after marking the site, a FISH was performed. Results : This study population included 76 patients from 8 to 41 weeks of gestation, and nRBC was separated from all cases. The morphological differentiation was achieved by K-B stain. The mean number of nRBC collected from 20 ml of maternal peripheral blood was 15. The number of nRBCs retrieved reached its peak in 12-18 gestational weeks(18.9 6.0) which decreased from 20 gestational weeks and thereafter. Fetal sex was determined by FISH analysis using probe X, Y with GPA-immunostained cells. GPA-immuno FISH analysis using probe 21 in 30 cases of advanced maternal age or positive triple markers, we confirmed 3 cases of Down's syndrome. These results were also confirmed using the CVS or amniocentesis. Conclusions : Fetal nRBCs were separated from all cases after 8 gestational weeks. Prenatal diagnosis of trisomy 21 through GPA-immuno FISH analysis of chromosome 21 using separated fetal nRBCs is an useful, innovative, accurate, rapid and non-invasive diagnostic method. But for clinical use, more cases of experiments will be needed.

가입자선로 고장진단을 위한 전문가 시스팀 개발

용환승,양지호,김미순,김재훈,김상기,양재우,임영환,Yong, Hwan-Seung,Yang, Ji-Ho,Kim, Mi-Sun,Kim, Jae-Hun,Kim, Sang-Gi,Yang, Jae-U,Im, Yeong-Hwan 한국전자통신연구원 1987 전자통신 Vol.9 No.2

공중 전화 통신망에서의 가입자 선로에 대한 고장진단을 전문적인 지식을 이용하여 수행하는 전문가 시스팀 (expert system)을 LAMBDA 2x2 /PLUS에서 ZetaLISP를 이용하여 개발하였다. 본고에서는 이를 위한 현장 지식의 습득과 모델화, 지식을 표현하기 위한 소프트웨어의 개발과 지식의 표현 방법, 그리고 시험 환경의 구성을 통한 시험에 대해 기술하였다. 본 시스팀에는 추론을 위해 룰과 프레임을 혼합하여 사용하였으며 사용이 용이한 사용자 인터페이스를 구성하였다.

간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발

조성현(Cho, Sung-Hyun),송경자(Song, Kyung Ja),박인숙(Park, Ihn Sook),김연희(Kim, Yeon Hee),김미순(Kim, Mi Soon),공다현(Gong, Da Hyun),유선주(You, Sun Ju),주영수(Ju, Young-Su) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.2

Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients" families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

식품중 치자황색소의 분석법에 관한 연구

김희연,김소희,홍기형,김미순,김현종,이주연,이영자,하상철,이철원,김길생 식품의약품안전청 1998 식품의약품안전청 연보 Vol.2 No.-

신입간호사를 위한 e-learning 예비교육 프로그램 개발 및 적용

김수영,최선숙,김연희,곽월희,김미순,현미숙 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: To develop and apply an e-learning orientation program that enables the new nurses to be acquainted with their works more rapidly so that they could perform their abilities more efficiently in the field. Method: The study was designed with 4 stages in the order of demand survey done by 159 new nurses, program development based on Network Instructional System Design Model, program application done by 433 other new nurses and user evaluation. Result: The total of the following 18 courses have been thoroughly developed in the order listed as follows: oxygen therapy, suctioning, peripheral intravenous therapy, emergency drugs, drug management, drug dosage calculation, clinical drugs Ⅰ, clinical drugs Ⅱ, blood transfusion, medication administration, tube feeding, enema, urinary catheterization, vital sign checking method, infection control, safety control, overview of clinical pathology and emergency nursing. The overall average score of the evaluation was 4.13 out of 5 points in satisfaction. Conclusion: In order to continuously develop and promote the e-learning program, the applicants study demand and clinical nursing practice must be reflected to the program.

중환자 통증사정 도구 개발

최은희,김진희,최경옥,유정숙,김미순,김필자,장인순 병원간호사회 2012 임상간호연구 Vol.18 No.1

Purpose: The purpose of this study was to develop a reliable and valid pain assessment tool suitable for critically ill patients with communication problem in Korean intensive care unit. Methods: This pain assessment tool, Critical Care Non-verbal Pain Scale (CNPS), was developed based on review of national and international researches. Data were collected from ten intensive care units at five major general hospitals in Seoul. Reliability and validity were tested during performance of position change and endotracheal suctioning. Pain was measured before, during, and 20 minutes after the two procedures. Results: Interrater reliability of the CNPS was analyzed by ICC (Intraclass correlation coefficients). ICC values were significant from .833 to .883. Significant correlation between the FPS (Face Pain Scale) scores and the CNPS scores verified concurrent validity of the CNPS. For position change, CNPS scores increased significantly between before and during (t=-23.399, p<.001) and decreased significantly between during and 20 minutes after (t=22.760, p<.001). For endotracheal suctioning, CNPS scores increased significantly between before and during (t=-29.064, p< .001) and significantly decreased between during and 20 minutes after (t=28.194, p<.001), verifying construct validity of the CNPS. Conclusion: Results indicate that the CNPS can be used to assess pain of critically ill patients who have communication problem.