수술환자 정서적 간호의 최근 동향

신영운 수술실간호분야회 1997 수술간호 Vol.5 No.1

Unroofing 기법을 포함한 단계적 내시경적 치료로 제거한거대 대장 지방종 1예

신영국,김은영,전승운,허창재,김병석,신재욱,정진태,권중구,조창호 대한소화기내시경학회 2008 Clinical Endoscopy Vol.36 No.4

위장관의 지방종은 주로 점막하층에 발생하는 양성 상피하 종양으로 전 장관을 통해 발견되는데 맹장에서 가장 호발하며 그 다음으로 S상결장, 소장, 위장 순이다. 지방종은 대부분 크기가 작아 임상 증상을 일으키는 것은 드물며, 흔히 내시경 검사나 수술 시 우연히 발견한다. 그러나 지방종의 위치나 크기에 따라 복통, 변비, 장폐색, 장중첩증이나 위장관 출혈을 일으키는 원인이 되기도 한다. 지방종의 치료는 내시경을 이용한 절제가 보고되고 있으나, 지방종의 크기가 2 cm 이상인 경우에는 내시경적 제거 시 장천공이나 출혈 등의 합병증으로 인해 외과적 절제술을 시행해왔다. 최근에는 박리성 올가미를 이용한 내시경적 용종 절제술을 시행하여 지방종을 제거한 예가 보고되었고, 이러한 방법은 내시경적 제거술의 합병증을 줄일 수 있다. 저자들은 대장의 무경성 거대 지방종을 unroofing 기법과 박리성 올가미를 이용하여 단계적으로 종양의 크기를 줄인 후 절제용 올가미를 사용하여 안전하게 완전 제거한 1예를 경험하였기에 문헌고찰과 함께 보고한다.

스크립트를 활용한 보완.대체의사소통 (AAC) 도구사용훈련이 비구어 정신지체아동의 의사소통기능에 미치는 효과

신영배(Shin, Young-Pae),전병운(Jeon, Byung-Un) 한국언어청각임상학회 2001 Communication Sciences and Disorders Vol.6 No.2

본 연구는 스크립트를 활용한 보완·대체의사소통 도구사용훈련이 비구어 정신지체아동의 의사소통기능에 효과를 미치는지를 알아보고자 하였다. 그 결과, 모든 대상 아동들은 스크립트를 활용한 AAC 도구사용훈련을 통하여 의사소통기능이 향상되었고, 친숙하지 않은 스크립트 활동에서보다 친숙한 스크립트 활동에서 보다 높은 의사소통기능을 나타냈다. 또한, 친숙한 스크립트 활동을 제외하고 의사소통도구 유형의 차이가 의사소통기능 수행에 뚜렷한 차이를 찾을 수 없었으며, 모든 아동들에게 의사소통기능이 다양하게 나타났다. 결과적으로 볼 때, 스크립트를 활용한 보완·대체의사소통 도구사용훈련이 비구어 정신지체아동의 의사소통기능 향상에 긍정적인 효과가 나타났음을 알 수 있었다. The purpose of this study was to investigate the effect of AAC device training through script s on communicative functions of children with nonverbal mental retardation. The subject s were four students with nonverbal mental retardation in a special school. This study used parallel treatment s design across subject s. An AAC device was offered without instruction for its use in the baseline condition. The training program was composed of instruction for learning the AAC symbols, and script -based pragmatic training by AAC use to do proper communicative functions. The conclusions drawn from this study were as follows: Fir st , all four subject s acquired the proper communicative functions through scripted-based AAC device training. Second, all of the subject s acquired the proper communicative functions in the known- script s more than in the unknown- script s. Third, except for known- scripts, there is little or no difference between AAC device types regarding their influence on acquisition of communicative functions. Fourth, various communicative functions of the children were increased by the AAC device training.

통계 및 이미지 데이터를 활용한 가짜 SNS 계정 식별 기술

유승연,전찬준,방채운,신영서 (사)한국스마트미디어학회 2022 스마트미디어저널 Vol.11 No.1

As Internet technology develops, SNS users are increasing. As SNS becomes popular, SNS-type crimes using the influence and anonymity of social networks are increasing day by day. In this paper, we propose a fake account classification method that applies machine learning and deep learning to statistical and image data for fake accounts classification. SNS account data used for training was collected by itself, and the collected data is based on statistical data and image data. In the case of statistical data, machine learning and multi-layer perceptron were employed to train. Furthermore in the case of image data, a convolutional neural network (CNN) was utilized. Accordingly, it was confirmed that the overall performance of account classification was significantly meaningful. 인터넷 기술이 발전함에 따라 SNS 사용자가 늘어나고 있다. SNS의 대중화가 진행되면서 소셜 네트워크의 영향력과 익명성을 활용한 SNS형 범죄가 나날이 증가하고 있는 추세이다. 본 논문에서는 인스타그램에서 SNS형 범죄에 주로 이용되는 가짜 계정 분류를 위해 통계 데이터와 이미지 데이터를 이용하여 각각 기계학습 및 딥러닝(deep learning) 기법을 활용한 가짜 계정 분류 방법을 제안한다. 모델 학습에 사용된 SNS 계정 데이터는 자체적으로 수집하였으며, 수집된 데이터는 통계 데이터 및 이미지 데이터에 기반한다. 통계 데이터의 경우에는 기계학습 및 다층 퍼셉트론 기반으로 학습을 진행하였고, 이미지 데이터의 경우에는 합성곱 신경망(Convolutional Neural Network, CNN) 기반으로 학습을 진행하였다. 학습을 진행한 결과 계정 분류에 대하여 정확도가 전반적으로 높게 나온 것을 확인하였다.

진정과 마취영역에서 dexmedetomidine의 다양한 임상적 적용

김두식,나효석,이지향,신영덕,심재광,신혜원,강효석,정경운 대한마취통증의학회 2017 Anesthesia and pain medicine Vol.12 No.4

Many sedatives are used clinically and include benzodiazepines, barbiturates, antihistamines, propofol, and alpha-2-agonist. Benzodiazepines activate GABA neuronal receptors in the brain and present sedating, hypnotic, anxiolytic, amnestic, and anticonvulsant effects, but low analgesic effects. Propofol induce sedative, anxiolytic, and amnestic effects but no analgesic effects. However, risks such as cardiopulmonary instability and hypotension must be considered during administration. Dexmedetomidine is a high selective alpha-2 agonist and has many advantages as a sedative. Patients under dexmedetomidine sedation awaken easily and are more likely to be cooperative. Risk of respiratory depression and cardiopulmonary instability is low as well. Additionally, dexmedetomidine decreases amount of analgesic needed during and after surgery, presenting analgesic effects. Dexmedetomidine also decreases risk of delirium. However, bradycardia may occur and biphasic effects on blood pressure may be observed during beginning of administration. Because of lengthy symptom onset and offset time, physicians should carefully control administration at the beginning and end of dexmedetomidine administration. The purpose of this review is to evaluate the efficacy and availability of dexmedetomidine in various clinical fields including sedation for critically ill patients, regional anesthesia, monitored anesthesia care for some invasive procedures, stabilization of heart in cardiac surgery or endoscopic procedures.

[책의 집을 소개합니다] 책의 집에서 머무는 호젓한 밤 : 전주 북스테이 〈서고〉 외

김미경,이수환,김영건,백창화,이미라,한지운,전영석,최정은,이밤수지,박주호,신영배,조이슬 메이데이 2020 Paper Vol.258 No.-

A comparative study of DA-9601 and misoprostol for prevention of NSAID-associated gastroduodenal injury in patients undergoing chronic NSAID treatment

이오영,강대환,이동호,정일권,장재영,김진일,조진웅,유종선,이강문,김경오,최명규,이상우,이수택,김태오,신영운,설상영 대한약학회 2014 Archives of Pharmacal Research Vol.37 No.10

Misoprostol is reported to prevent non-steroidalanti-inflammatory drug (NSAID)-associated gastroduodenalcomplications. There is, however, limited informationregarding the efficacy of DA-9601 in this context. Weperformed a comparative study on the relative efficacy ofDA-9601 and misoprostol for prevention of NSAID-associatedcomplications. In this multicenter, double-blinded,active-controlled, stratified randomized, parallel group,non-inferiority trial, 520 patients who were to be treatedwith an NSAID (aceclofenac, 100 mg, twice daily) over a4-week period were randomly assigned to groups forcoincidental treatment with DA-9601 (60 mg, thrice daily)(236 patients for full analysis) or misoprostol (200 lg,thrice daily) (242 patients for full analysis). A total of 236patients received DA-9601 and 242 received misoprostol. The primary endpoint was the gastric protection rate, andsecondary endpoints were the duodenal protection rate andulcer incidence rate. Endpoints were assessed by endoscopyafter the 4-week treatment period. Drug-relatedadverse effects, including gastrointestinal (GI) symptoms,were also compared. At week 4, the gastric protection rateswith DA-9601 and misoprostol were 81.4 % (192/236) and89.3 % (216/242), respectively. The difference between thegroups was -14.2 %, indicating non-inferiority of DA-9601 to misoprostol. Adverse event rates were not differentbetween the two groups; however, the total scores for GIsymptoms before and after administration were significantlylower in the DA-9601 group than in the misoprostolgroup (-0.2 ± 2.8 vs 1.2 ± 3.2; p\0.0001). DA-9601 isas effective as misoprostol in preventing NSAID-associated gastroduodenal complications, and has a superioradverse GI effect profile.

핵심성공요인 간의 관계분석을 통한 지방공항 활성화 방안: 중앙정부의 역할을 중심으로

이세운,안신영,이남령,유찬,안영태 한국항공운항학회 2024 한국항공운항학회지 Vol.32 No.1

Globalization has significantly elevated the importance of the aviation sector in the global economy. However, despite the pivotal role airports play, some have struggled to maintain sustainability. Based on these problems, the purpose of this study is to understand the effect of Regional airports‘ perceived critical success factors and its effect on the performance of airports. This paper surveyed personnel who worked at regional airport and conducted an empirical analysis based on survey results. The study validates hypotheses pertaining to the critical success factors within regional airports and its influences on management performance. The comprehensive analysis reveals that, central governments has a positive impact on the regional airports’ team·process·organizational factors. Furthermore, the team and organizational factors exerts positive influence on the management performance. This paper offers empirical insights to regional airports’s critical success factors and its impact on airports’ performance.