폐경기 골다공증 환자의 골다공증 지식, 건강신념, 자기효능감이 칼슘섭취행위 빈도에 미치는 영향

송혜란(Song Hye Ran),소희영(So Hee Young) 한국성인간호학회 2007 성인간호학회지 Vol.19 No.5

<숙향전>에 나타난 숙향의 二重的 正體性과 그 의미

송혜란(宋惠蘭) ( Song Hye-ran ) 한국어문교육연구회 2024 어문연구(語文硏究) Vol.52 No.1

<숙향전> 연구에서 숙향의 나약성과 수동성이 주로 부각된 것은 다음에서 연유한다. 첫째, 현실적 관점과 숙명론적 관점을 토대로 숙향의 삶을 이해한 것과 관련이 있다. 둘째, 선계의 존재로서 숙향과 속계의 존재로서 숙향의 정체성이 단절적으로 이해되어왔기 때문이다. 셋째, 대중소설로서 <숙향전>의 가치를 강조함에 따라 비극적 정조를 형성하는 숙향의 형상이 주목되었기 때문이다. 이 글은 숙향의 이중적 정체성이 구현되는 양상에 주목하여 숙향의 형상에 대한 이해를 확장하였다. 속계의 숙향은 경계적 신체를 보유하여 고난 극복의 조건을 내재화하고 있다. 선계를 체험한 숙향은 문제에 대한 현실적 해결 능력을 획득하고 자기 보존의 욕구를 추구한다. 초월적 존재에 대한 의문을 회수하여 속계에서의 목표 의식을 전환한다. 숙향의 이중적 정체성은 속죄에 대한 숙향의 책임 의식과 애정성취를 위한 목적의식을 강화하고 속죄와 애정성취라는 모순성을 극복하는 효과를 갖는다. This article aims to supplement the discussion on the shape of Sukhyang in Sukhyangjeon. The weakness and passivity of Sukhyang were mainly highlighted as follows. First, it is related to understanding Sukhyang’s life based on a realistic and fatalistic perspective. Second, the identity of “So-a” and “Sukhyang” has been understood separately. Third, in previous studies, by emphasizing the value of “Sukhyangjeon” as a popular novel, the narrative was understood centering on the shape of Sukhyang, which forms tragic fidelity. In Sukhyangjeon, the identity of “So-a” and “Sukhyang” does not exist disconnectively. Sukhyang in the secular world has a borderline body and is characterized by being able to respond to the transcendental world at any time, and through the intervention of the transcendental world can freely cross from the secular to the transcendental world, enter the transcendental world directly through projection, or stand at the boundary between the transcendental and secular worlds. After experiencing the transcendental world, Sukhyang acquires the ability to solve problems realistically, pursues the desire for self-preservation, and easily resolves realistic barriers by recovering questions about transcendent existence. The dual identity of Sukhyang reinforces her sense of responsibility for atonement and gives her a sense of purpose to achieve affection. Furthermore, it serves to overcome the contradictions between atonement and achieving affection.

청석면에 의한 악성 흉막 중피종 1예

노종래(Jong Rae Roh),손진군(Jin Gun Sohn),송혜란(Hye Ran Song),김진하(Jin Ha Kim),설진곤(Jin Gon Seol) 대한직업환경의학회 2005 대한직업환경의학회지 Vol.17 No.2

전공의들의 직업적 유해인자 및 직업만족도

송혜란,김진하,변주현,이광영,이덕희,김호찬 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.3

목적: 전공의는 여러 유해인자에 노출되어지고 있으며 과중한 업무로 인한 수면 부족에 시달리고 있다. 본 연구는 전공의의 건강상태의 기초 자료를 제공하고 향후개선 방안을 도출하기 위하여 시행하였다. 방법: 연구대상은 2000년 3사관학교와 국군군의학교에 입소한 전체 1,316명 중 전공의 수련과정 없이 입대한 의사와 치과의사, 한의사를 제외한 881명을 대상으로 설문지를 배포하여 784부(회수율: 89.0%)를 회수하고 이중 분석이 가능한 704(79.9%)명의 자료를 최종 분석하였다. 결과: 월평균 당진횟수는 레지던트 1년차에서 19회 정도이었다. 당직 시 평균 수면시간은 레지던트 1년차에서 4시간미만 이었다. 수련기간 동안 전공의의 20%이상에서 방사선, 레이저, 살균소독제, 마취가스, 항암제에 노출되었으며 예방대책은 방사선과 레이저의 노출의 경우 35%정도를 제외하고는 10%내외로 조사되었다. 연구대상자중 91.1%에서 수련기간 동안 주사침이나 시술에 의해 손상을 입었으며 그 중 본인이 감염된 경우는 HBV 2.3%(4명), HCV 0.6%(1명)으로 조사되었다. 응답자의 28.4%에서 자신의 직업에 불만족 하였으며 96.5%가 과중한 업무부담을 느꼈고 69.5%가 동일한 임금수준에서 직업을 바꾸고자 한다고 응답하였다. 결론: 전공의는 수련기간 동안 물리적, 화학적, 생물학적 유해인자에 노출되고 있었으나 이에 대한 보호나 예방대책은 거의이루어지지 않고 있었으며 과중한 업무부담으로 수면부족을 초래하여 가장 중요한 환자 진료에 지장을 받고 있었다. 수련기간 동안 대다수가 의사로서 직업에 대한 흥미를 가지고 있었으나 업무부담과 진료이외의 업무 등으로 소득과 조건이 비슷하다면 다른 직업을 선택하고자 하였다. 이상의 결과를 토대로 전공의들을 위한 유해인자의 보호대책 및 예방대책을 마련하며 과중예방대책이 마련되어야 하고 업무환경개선 및 업무로 인한 건강장해에 대한 정당한 보상이 향후에 마련되어야 할 것이다. Objects: Residents are exposed to various hazards and harassed by sleep dificiency due to overwork. This study was performed to outline the health condition of residents and develop the ways of improving it. Mehtods: A questionnaire was distributed to 881 army doctors who enrolled at the Korea Third Military Academy and The Armed force Health Service School in 2000 with the exception of medical doctors who joined the armed service without going through intern and resident periods, dental and oriental medical doctors. 784(89.0%) of the 881 questionnaires were resident of which 704 cases (79.9%). This should actually be 89.0% were regarded for analyses as being reliable data. Results: More than 20% of residents were exposed to radiation, laser, disinfectants, anesthetic gas, and anticancer drugs during their training periods with preventive neasures for each of these hazards taken in about 10% of the cases of the lesser hazards but in about 35% for the hazards from radiation and laser. 91.1% of residents had experience of needlestick injuries during theirtraining periods with over 36.3% being exposed to patients with infection during that time. The cases contracting HBV and HCV diseases due to pricking are 2.3% and 0.6% respectively. The average number of night duties per month during a one-year resident's period was about 10. The average sleeping time on duty during a one-year residents was less than 4 hours. 28.4% of respondents were not satisfied with their occupation, 96.5% delt tired from overwork and 69.5% wanted to change their occupation to another that would pay the same salary. Conclusion: Residents are exposed to harmful physical, chemical and biological factors, but the preventive care seldom undertaken. In addition, their overwork brings about lack of sleep which causes them problems when giving medical treatment to patients during their training periods. Despite the resident's interest in an occupation as a doctor, many intend to select other occupations if they can receive the same salary. According to the above results, preventative systems and measures should be prepared with environmental improvements for residents, and proper rewards for their overwork should be accomplished

근막통 증후군을 지닌 조선업근로자들에서 스트레스생활사 정도에 따른 통증의 비교

송혜란,김진하,,이용환 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Background : Myofascial pain syndrome is a regional pain syndrome which is abruptly developed by psychological stress or physical stress causing direct muscular trauma or muscular tension. Shipbuilding workers are suffering from pain caused by the hard works treating heavy materials or keeping in an uncomfortable position for a long time in addition to the psychological stress which happened on the life events. This study was performed to survey the psychological feature and the degree of pain according to the stressful life event values of the shipbuilding workers who are suffering from the myofascial pain syndrome. Methods : The study subjects were 61 workers who worked at one of the shipbuilding industrial company. They were diagnosed as a myofascial pain syndrome in April 2002. For the close examination these workers visited in the department of occupational environmental medicine of the Kosin University. They were classified as high stressful group and low stressful group using Holmes and Rahe stressful life event values. We compared high stressful group with low one by visual analogue scale (VAS). Results : In high stressful and low stressful groups according to stressful life event values, mean age was 43.7 years and 43.4 years, and mean working duration was 13.9 years and 14.3 years respectively, which doesn't show significant difference statistically. There was no significant difference in alcohol drinking in those two groups, on the other hand, in high stressful group the frequency of smoking is higher as 21 (87.5%)people than in low stressful group as 16 (43.2%)people. The number of patients who reported severe pain which affected the daily life is 12 (50%) in high stressful group and 17 (45.9%) in low stressful group, and the number of patients who felt pain even by the small amount of daily activity is 5 (20.8%) in high stressful group and 13 (35.1%) in low stressful group, which shows no statistical significance. The duration of pain more than 5 hours was 17 (70.8%) and 26 (70.3%) in each group, and visual analogue scale was higher in high stressful group than in low stressful group as 6.3 points ans 5.6 points each without statistical significance. As a result of physical examination, the number of palpable trigger points was 14 (58.3%) in high stressful group and 27 (73.0%) in low stressful group. As a result of EMG, the case of positive findings was 8 (33.3%) in high stressful group and 13 (35.1%)in low stressful group. Conclusion : As a result of classifying the stressful life event values into high stressful group and low stressful group in the case of myofascial pain syndrome, objective findings(EMG, palpable trigger point) were not significantly different between high stressful group and low stressful group, but visual analogue scale was higher in high stressful group than in low stressful group. Therefore, it is assumed that in order to reduce the pain considered the most severe problem in the case of myofascial pain syndrome, we should analyze the cause of stress caused by daily lives and need proper psychological treatment and intervention as well as reduce the bruden on the parts of body.