방사선 요법을 받는 유방암 환자에게 적용한 아로마 요법이 우울, 불안 및 자율신경계 반응에 미치는 효과

윤선희,차정희,유양숙,김영인,정수미,정해림,Yun, Sun-Hee,Cha, Jung-Hee,Yoo, Yang-Sook,Kim, Yeong-In,Chung, Su-Mi,Jeong, Hea-Lim 한국호스피스완화의료학회 2012 한국호스피스.완화의료학회지 Vol.15 No.2

목적: 본 연구는 아로마 요법이 방사선 요법을 받는 유방암 환자의 우울과 불안정도, 자율신경계 반응에 미치는 효과를 파악하는 것이다. 방법: 대상자는 가톨릭대학교 서울성모병원에서 유방 보존술 후 보조적인 방사선 요법을 받는 여성 중 선정 기준에 적합한 33명(실험 I군 16명, 실험 II군 10명, 대조군 7명)이었다. 아로마 요법은 직접 흡입법으로 6주 동안 실시되었으며, 아로마 에센셜 오일은 Lemon (Citrus limonum), Lavender (Lavandula angustifolia), Rosewood (Aniba rosaeodora), Rose (Rosa damascena)를 혼합하였다. 방사선 치료 전에 대기실에서 처방된 아로마 에센셜 오일을 거즈에 묻혀 흡입하도록 하였고, 주말에는 가정에서 같은 방법으로 흡입하도록 하였다. 실험 I군은 아로마 요법을 하루에 3회 시행하였고, 실험 II군은 실험 I군과 같은 아로마 요법을 방사선 치료 전에 1회, 대조군은 티트리 오일을 이용한 아로마 요법을 방사선 치료 전에 1회 시행하였다. 아로마 요법의 효과를 파악하기 위하여 우울은 Beck의 Depression Inventory로, 불안은 Spielberger 등의 도구로, 자율신경계 활성도와 균형도 및 스트레스에 대한 신체 저항도는 SA-5000P (MEDICORE CO., LTD)로 측정하였다. 자료는 SPSS WIN ver. 12.0 통계 프로그램을 이용하여 분석하였다. 결과: 우울정도는 실험 I군과 실험 II군이 실험 후 감소하고 대조군은 증가하여 집단과 시점간의 교호작용이 있었다. 불안정도와 부교감신경 활성도 및 스트레스에 대한 신체 저항도는 세 군 모두 실험 후 감소하는 경향이었으나 집단과 시점간의 교호작용은 없었다. 교감신경 활성도는 실험 후 실험 I군과 실험 II군에서 감소하고, 대조군에서는 증가하는 경향이 있었다. 결론: 방사선 요법을 받는 유방암 환자에게 아로마 요법을 하루 3회 실시한 실험 I군과 하루 1회 실시한 실험 II군 모두 우울정도가 감소되었다. Purpose: The study was designed to verify effects of aromatherapy on depression, anxiety and the autonomic nervous system in breast cancer patients who are undergoing adjuvant radiotherapy. Methods: Data were collected from November 2006 through March 2007 at the C university hospital in Seoul. The study included 33 patients and they were assigned to three groups. Group I had aroma oil inhalation for 2 minutes per time, three times a day for six weeks whereas Group II and a control group inhaled aroma oil for 2 minutes per time, once a day for six weeks. For Groups I and II, a mixture of lemon, lavender, rosewood and rose essential oils were used while control group inhaled tea tree oil. Results: Depression was significantly decreased in patients in the experimental groups only. In Groups I and II patients, anxiety level was lower than that in control patients. Patients in Groups I and II also showed stronger physical resistance to stress than control group patients. Conclusion: Aromatherapy should be considered as a method that can significantly decrease depression in breast cancer patients who are undergoing adjuvant radiotherapy.

PET/CT 검사에서 선량변화와 QAC기법 적용 시 Metal Artifact 유무에 따른 SUV 비교분석

윤선희,김양중,강영직,박수영,김호신,류형기,Yun, Sun-Hee,Kim, Yang-Jung,Kang, Young-Jik,Park, Su-Young,Kim, Ho-Sin,Ryu, Hyoung-Ki 대한핵의학기술학회 2015 핵의학 기술 Vol.19 No.1

Purpose As medical radiation exposures on patients are being social issues an interest in a relief of radiation exposures on patients is increasing. Further, there are many cases where some patients among who are getting PET/CT tests choose to get implanted with metal artifacts in their bodies. This study is to find out effects of presence or absence of metal artifacts when dose change or CT attenuation correction for the relief of radiation exposures are applied using phantoms through changes in standard uptake value (SUV). Materials and Methods GE company's Discovery 710 machine was used for PET/CT test equipments. We used NEMA IEC body phantoms. We also used screw and mesh cage made of titanium which are used in real clinical processes for the metal artifacts. Two experiments were conducted: One is to test and measure repeatedly about SUV about differences in CT attenuation corrections according to dose changes and another is to do the same procedure for SUV about the presence and absence of the metal artifacts. We injected $^{18}F-FDG$ into NEMA IEC body phantoms with a TBR ratio of 4:1 and then put the metal material into the transformation phantoms. Once a scanning for the metal artifacts was done we eliminated the metal artifacts and went on non-metal artifacts. For the each two experiments, we scanned repeatedly with CT kVp (140, 120, 100, 80) and mA (120, 80, 40, 20, 10) for an experimental condition. For PET, we reconstructed each with standard AC (STD) technique and quantitation achieved cnsistently QAC) technique among CT attenuation correction methods. We conducted a comparative analysis on measured average values and variations which were measured through repeated measure of SUV of region 1, 2, 3 spheres for each conditions of non-metal /metal scan. Results For each kVp, 120, 80, 40 (mA) of non/metal (screw, mesh cage) showed low frequency of fluctuation rates of above 2%. In 20, 10 mA above 2% of fluctuation rates appeared in high frequency. Also, when we compared the fluctuation rates of STD and QAC techniques in non/metal (screw, mesh cage) tests QAC technique showed about 1-10% of differences for each conditions compared to STD technique. In addition, metal types did not have significant effects on fluctuation rates. Conclusion We confirmed that SUV fluctuation rates for both STD and QAC techniques increase as dosage is lower. We also found that the SUV of PET data was maintained steadily in a low dosage for QAC technique when compared with STD technique. Hence, when the low dosage is used for the relief of radiation exposures on patients QAC technique may be exploited helpfully and this could be applied in the same way for patients with metal artifacts implanted in their bodies.

뇌손상 환자의 장애정도와 간병가족의 교육요구도

윤선희,유양숙,조옥희,황경혜,Yun, Sun-Hee,Yoo, Yang-Sook,Cho, Ok-Hee,Hwang, Kyung-Hye 한국가정간호학회 2012 가정간호학회지 Vol.19 No.1

Purpose: This study was conducted in order to identify the brain injury patients's disability degree and educational needs of family caregivers. Methods: A convenience sample of 94 families with brain injury patients, who have been receiving treatment at the neurological intensive care unit and neurosurgery ward, were used. Data was collected with a self-report questionnaire from September 5 to November 28, 2011, and was analyzed using SAS program. Results: 'Defecation/urination' disability was the highest score of patient's physical disability and the next ranking was 'paralysis'. 'Memory impairment' disability was the highest score of patient's cognitive disability, and the next ranking was 'personality changes'. Overall, educational needs of family caregivers scored 4.15 out of the perfect score of 5. The factor, which scored highest, was 'information related with disease'. In addition, educational needs of family caregivers were positively related with patient's degree of. Conclusion: Educational needs of family caregivers are distinct, according to the disability degree of brain injury patient. Therefore, the study suggests the development of individualized educational program for family with brain injury patient.

기업간 통합 데이터 환경을 위한 데이터공유 지원 시스험의 설계 및 구현

윤선희,Yun, Sun-Hee 한국컴퓨터산업학회 2004 컴퓨터産業敎育學會論文誌 Vol.5 No.9

The area of business applications in the internet are extended enormously in result of fast development of computing and communication technologies, increase of internet use, and use of intranet/extranet in enterprise information system. In recent days network computing technologies have been developed rapidly and the extended use of Internet applications for enterprises such as intranet/extarnet in and between enterprises has been increased enormously. Therefore the business in the future will be executed by Electronic Commerce based on Business to Business(B2B). <중 략) This paper introduce the design and implementation of the data sharing support system that can be accessed data transparently by the users of participated enterprises in the integrated data environment supporting B2B Electronic Commerce. The system uses Java/CORBA technology in Web environment, relational and object-oriented database system, Object Query Language (OQL) to process the queries of the file information. 최근 컴퓨팅 기술과 통신 기술의 급속한 발전으로 클라이언트/서버 컴퓨팅 환경에서 네트워크 컴퓨팅 시대를 지나 인터넷 컴퓨팅 시대가 도래하고 있다. 인터넷 사용이 보편화되어 감에 따라 기업의 정보 시스템이 인터넷 기반의 인트라넷/익스트라넷 시스템으로 구축되어 가고 있으며 미래의 비즈니스 환경은 기업의 이익 및 효율성을 최대화하기 위해 기업간 전자상거래가 보편화될 것으로 예상된다. <중략> 본 논문에서는 기업간 전자상거래의 통합 데이터 환경을 위하여 각 기업에 존재하는 기존의 시스템을 유지하면서 이질적인 데이터베이스들을 투명하게 접근할 수 있는 방법으로 웹 환경에서 Java/CORBA 기술, 관계형 및 객체지향형 데이터베이스와 파일 정보를 수용하기 위한 객체 질의 언어를 사용하는 데이터 공유 지원 시스템을 설계 및 구현 한다.

지주막하 출혈로 입원한 환자가 경험하는 두통의 특성과 중재

윤선희,조옥희,유양숙,Yun, Sun-Hee,Cho, Ok-Hee,Yoo, Yang-Sook 한국가정간호학회 2014 가정간호학회지 Vol.21 No.2

Purpose: The objectives of this study were to identify interventions and to analyze the characteristics of headaches among hospitalized patients with subarachnoid hemorrhage with moderate or severe headaches. Methods: A retrospective review of the electronic medical records of 210 patients who received treatment for subarachnoid hemorrhage was conducted. Data collection was done using a structured headache record sheet. Data analysis was carried out using the PASW 18.0 version program. Results: There were significant differences in number and duration of headaches of headaches according to the presence of vasospasm, increased intracranial pressure, extraventricular drainage, use of hypertonic solution, and hospitalization period (p<0.05). Patients with vasospasm and extraventricular drainage experienced the most severe headache for a duration of 3 to 7 days. Other patients experienced the most severe headache for around 1-2 days. Conclusion: Hospitalized patients with subarachnoid hemorrhage who had vasospasms experienced more headaches and the duration of these headaches were longer. In particular, the assessment and interventions for headaches should increase and be carried out actively during this time because the intensity of these headaches is severe and lasts for 3-7 days. Additionally, we emphasize the need for regular administration of analgesics in order to promote patients' well-being. On the basis of the results of this study,we suggest that evidence-based interventions for the care of headaches among hospitalized patients with subarachnoid hemorrhage should be developed.

아로마 에센셜 오일을 이용한 회음부 간호가 유치도뇨관 삽입환자의 요로 감염 감소에 미치는 효과

윤선희(Yun Sun Hee),유양숙(Yoo Yang Sook),이재정(Lee Jae Jung),차정희(Cha Jung Hee) 한국성인간호학회 2006 성인간호학회지 Vol.18 No.2

직무발명(職務發明)에 있어서의 보상제도

윤선희 ( Sun Hee Yun ) 법조협회 2005 法曹 Vol.54 No.11

특허법 제40조에 의하면, 종업원은 고용계약이나 사무규칙 등에 의하여 사용자에게 특허를 받을 권리 내지 특허권을 승계한 경우 또는 전용실시권을 설정한 경우에는 그에 대한 상당한 보상금을 받을 권리를 갖는다. 이러한 보상액은 사용자가 받을 이익과 발명의 완성에 있어 사용자 및 종업원의 공헌에 의하여 판단된다. 이에 우리는 상당한 보상액을 판단하여야 하는 문제에 직면하게 된다. 과거 상당한 보상액은 개별 사용자의 특허 보상정책에 따라 결정되었다. 대체로, 출원이나 등록시에 일정의 고정 보상액이 지급되었으며, 이 보상액은 사용자측 회사의 수익에 특허가 기여에 기하여 다양하였다. 특허법 제40조 제1항·제2항의 규정은 강행규정으로 일체의 계약이나 사무규칙에 앞서 상당한 보상액의 지급을 강제한다. 즉 사용자는 일방적으로 상당한 보상액을 결정할 수 없으며, 종업원 내지 발명자는 상당한 보상액의 차액을 요구할 수 있다. 오늘날, 많은 한국 회사는 직무발명에 대한 그들의 근본적인 인식을 재고하고 있다. 즉, 현재의 프로페이턴트 환경에서 어떻게 종업원들이 처우되고 보상받아야 할지를 다시 하고 있다. 일부는 일반종업원과는 구별되는 발명자 종업원에 적용되는 별도의 보상체계를 강구하여야 한다고 하며, 일부는 정당한 보상이라는 현재의 특허법 규정에 대한 불만을 토로하고 있다. 종업원들은 현재 받는 것 이상의 것을 기대하고 있으며, 이에 직무발명과 관련한 소송과 그 소송액은 증가될 추세이다. 특히 최근 일본의 올림푸스 사건이나 나카무라 교수 사건과 같이 직무발명과 관련한 사회적 관심이 증대되면서, 종업원의 권리의식 역시 증가하였다. 이러한 경향에 반하여 사실 사용자측의 의식은 큰 변함이 없는 상태이다. 이와 관련하여 정당한 보상과 사용자의 공헌이라는 특허법 제40조의 규정이 불명료한 것이 지적된다. 이들 판단 요소는 다양한 일본 재판례에서 확인되지만, 이는 특정한 사실 관계를 전제로 한 것으로, 선례나 일반적인 가이드라인으로 삼기에는 부족한 면이 없지 않다. 우리는 이러한 문제점을 해결하기 위하여는, 다시 직무발명 제도의 의의를 판단하여야 한다. 이는 사용자와 종업원간의 이익 조정을 위하여 규정된 것이며, 정당한 보상액의 판단 역시 그러한 관점에서 판단되어야 할 것이다.

종업원발명(從業員發明)

윤선희 ( Sun Hee Yun ) 법조협회 2003 法曹 Vol.52 No.1

제2주제 : 지적재산권 보호의 조화를 위한 국제적 협력 -한,중,일 중심으로 -

윤선희 ( Sun Hee Yun ) 한남대학교 과학기술법연구원 2004 과학기술법연구 Vol.10 No.1

Since the latter half of the 1990`s, world trade market consists of multilateralism (through WTO) and regionalism(such as EU, NAFTA, AFTA). Coping these circumstances, we seek to contract the FTA with China and Japan, and it is desired to harmonize and unify the intellectual property systems of the country concerned. In this paper, first we compare and analyze the intellectual protection systems of Korea, China and Japan and then suggest the harmonizing point. Owing that Korea, China and Japan are in common with one another, there will be no such confusions in the intellectual property right fields. But there are some differences between the each countries, such as the administrations of system, languages, and concrete contents. We should study more sincerely ① the matter of harmonization of legal systems, ② the matter of differences in technical level, ③ the matter of unification of inspection datums, ④ the matter of differences in inspectors`s quality and so on.

상표의 유사와 출처의 혼동에 관한 연구 -판단주체 및 판단시점의 확장을 중심으로-

윤선희 ( Sun Hee Yun ) 법조협회 2015 法曹 Vol.64 No.5

This Article critically examines the core infringement standard for Trademark Act and Unfair Competition Prevention Act-the “likelihood of confusion” test. Even though the Trademark Act does not clearly stipulate confusion as a requirement for finding infringement of right, it has become an established view that, if the mark is actually used but not in the manner harmful to a trademark``s function to identify the source of origin of goods, infringement should be denied on the grounds that such use of the mark does not constitute the use as a trademark. Infringement of registered marks and unfair competition are governed by the test of whether the defendant``s use is “likely to cause confusion.” Most courts, in analyzing a claim of infringement based on both Trademark Act and Unfair Competition Prevention Act, will apply to both a single analysis of the likelihood of confusion issue. If an appreciable number of reasonable buyers are likely to be confused by the similar marks, then there is liability for trademark infringement or unfair competition. When examining whether or not the defendant``s use of the mark harms the trademark``s function of identifying the source of origin of goods, a question arises as to the scope of consumers or potential consumers who are to be taken into account as the reference targets, or at which point in time these target consumers should be demarcated. The most common and widely recognized type of confusion that creates infringement is purchaser confusion of source which occurs at the time of purchase. However, point of sale confusion does not mark the outer boundaries of trademark infringement. The vast majority of US courts recognize post-sale confusion, which may occur among those who see an infringing mark in use by an owner who were not confused at the time they bought the product. Similarly, initial interest confusion which is dispelled by the time of purchase can also be actionable. The initial interest confusion doctrine has been used to combat a new set of problems for trademark owners which have created by web sites. Initial interest confusion involves infringement based on confusion that creates initial customer interest, even though no transaction takes place. The post-sale confusion doctrine is arguably the most complex and the least understood of the three doctrines, which may be why it is often sidelined in the debate on confusion. Korea courts have recently rendered rulings in which they discussed post-sale confusion or initial interest confusion. Thus far, we have not seen many court rulings that permitted the time extension of the concept of confusion in Korea. Little scholarship has explained the doctrines in depth, so there is no unified view being refuted. Instead, an accumulation of mistakes, borne of a lack of breadth and understanding of the law, need to be corrected. And it is anticipated that the number of court rulings discussing initial interest confusion and post-purchase confusion will increase in the future. Therefore, making a theoretical study on the time extension of the concept of confusion is meaningful to some degree under the Korean trademark Act. In this article, we have clarified through the review of trends relating to post-sale confusion and initial interest confusion. Some movements toward extension of protection under Trademark Act are compatible with the traditional rationale of trademarks, while others are incompatible with it. Such movements toward extension of trademark protection are expected to continue in the future. With this in mind, we should note that there is the risk that the extension of the scope of trademark protection might excessively deter trademark owners`` competitors and the general public from carrying out business activities or other activities to display expressions using trademarks.