전문간호사 과정의 기초간호과학 교과목 교육에 대한 실태조사

이여진,조경숙 기초간호학회 2011 Journal of korean biological nursing science Vol.13 No.3

우리나라의 경우 1990년 의료법의 개정으로 가정 전문간호사가 도입된 후 전문간호사 과정은 전국의 대학원에서 감염관리 전문 간호사 과정, 노인 전문 간호사과정, 마취 전문 간호사 과정, 산업 전문 간호사, 아동 전문간호사 과정, 응급 전문간호사 과정, 임상 전문간호사, 정신 전문간호사 과정, 종양 전문간호사, 중환자 전문간호사 과정, 호스피스 전문간호사의 12개 분야의 전문간호사를 배출해오고 있다(Korean Accreditation Board of Nursing, 2011). 전문 간호사는 일반 간호사의 수준을 능가하는 교육을 받은 여러 전공분야 중 한 분야에서 상급 전문성을 가지고 전문가로서 업무할 권한을 부여받은 간호사라고 하였다(Kim, Lee, & Kim, 1996). 간호가 전문직으로 성장하는 데 중요한 역할을 하는 것은 전문적 간호실무에 적용할 수 있는 지식과 그것을 실무에 적용할 수 있는 능력을 갖게 하는 것이다(Jacobs et al., 1996). 전문간호사로서 전문성을 획득하기 위한 기초로서 모든 전문간호사 과정에는 생리학 및 병리학의 교과목이 포함되어 있다. Morse와 Corcoran-Perry (1996)도 간호학 교과과정은 인간을 이해할 수 있는 과목과 더불어 과학이 꼭 포함되어야 한다고 하였고 Kim, Lee와 Kim (1996)도 간호학에서 기초과학분야에 대한 교육은 필수적이라고 하였다. Choe와 Shin (1999)은 교과운영과 관련한 연구에서 기초간호과학 관련 과목으로 대다수의 학교에서 생리학, 해부학, 생화학, 병리학, 미생물학, 약리학을 개별과목으로 운영하고 있다고 보고하였다.

Cumulative Radiation Exposure during Follow-Up after Curative Surgery for Gastric Cancer

이여진,정용은,임준석,김주희,김영진,이혜정,유제성,김명진,김기황 대한영상의학회 2012 Korean Journal of Radiology Vol.13 No.2

Objective: To quantify the cumulative effective dose (cED) of radiation due to repeated CT and PET/CT examinations after curative resection of gastric cancer and to assess the lifetime attributable risk (LAR) estimates based on Biological Effects of Ionizing Radiation VII models. Subjects and Methods: Patients who underwent a curative resection for gastric cancer between January 2006 and December 2006 and were followed-up until May 2010 were included in this study. The cED was calculated by using the dose-length product values and conversion factors for quantitative risk assessment of radiation exposure. cED and LAR were compared between early and advanced gastric cancer patients and among American Joint Committee on Cancer TNM stage groups (stage I, II, and III). The nonparametric Mann-Whitney U and Kruskal-Wallis tests, followed by a post-hoc analysis with Bonferroni adjustment, were employed as part of the statistical analysis. Results: The overall median cED was 57.8 mSv (interquartile range [IQR], 43.9-74.7). The cED was significantly higher in the advanced (median, 67.0; IQR, 49.1-102.3) than in the early gastric cancer group (median, 52.3; IQR, 41.5-67.9) (p < 0.001), and increased as the TNM stage increased. For radiation exposure, 62% of all patients received an estimated cED of over 50 mSv, while 11% of patients received over 100 mSv. The median LAR of cancer incidence was 0.28% (IQR, 0.20-0.40) and there were significant differences between the early gastric cancer and advanced gastric cancer group (p < 0.001) as well as among the three TNM stage groups (p = 0.015). The LAR of cancer incidence exceeded 1% in 2.4% of the patients. Conclusion: The cED increases proportionally along with tumor stage and, even in early gastric cancer or stage I patients, cED is much higher than that found among the general population. Considering the very good prognosis of early gastric cancer after curative surgery, the cED should be considered when designing a postoperative follow-up CT protocol. Objective: To quantify the cumulative effective dose (cED) of radiation due to repeated CT and PET/CT examinations after curative resection of gastric cancer and to assess the lifetime attributable risk (LAR) estimates based on Biological Effects of Ionizing Radiation VII models. Subjects and Methods: Patients who underwent a curative resection for gastric cancer between January 2006 and December 2006 and were followed-up until May 2010 were included in this study. The cED was calculated by using the dose-length product values and conversion factors for quantitative risk assessment of radiation exposure. cED and LAR were compared between early and advanced gastric cancer patients and among American Joint Committee on Cancer TNM stage groups (stage I, II, and III). The nonparametric Mann-Whitney U and Kruskal-Wallis tests, followed by a post-hoc analysis with Bonferroni adjustment, were employed as part of the statistical analysis. Results: The overall median cED was 57.8 mSv (interquartile range [IQR], 43.9-74.7). The cED was significantly higher in the advanced (median, 67.0; IQR, 49.1-102.3) than in the early gastric cancer group (median, 52.3; IQR, 41.5-67.9) (p < 0.001), and increased as the TNM stage increased. For radiation exposure, 62% of all patients received an estimated cED of over 50 mSv, while 11% of patients received over 100 mSv. The median LAR of cancer incidence was 0.28% (IQR, 0.20-0.40) and there were significant differences between the early gastric cancer and advanced gastric cancer group (p < 0.001) as well as among the three TNM stage groups (p = 0.015). The LAR of cancer incidence exceeded 1% in 2.4% of the patients. Conclusion: The cED increases proportionally along with tumor stage and, even in early gastric cancer or stage I patients, cED is much higher than that found among the general population. Considering the very good prognosis of early gastric cancer after curative surgery, the cED should be considered when designing a postoperative follow-up CT protocol.

Gastritis Cystica Polyposa in the Unoperated Stomach: A Case Report

이여진,김경아,전혜민,정용은,임준석 대한영상의학회 2012 대한영상의학회지 Vol.67 No.4

Gastritis cystica polyposa (GCP) is an uncommon lesion that usually develops at the gastroenterostomy site. A 57-year-old man visited a hospital with a complaint of melena. He did not have any surgical history or past medical history. Endoscopy was performed to evaluate the cause of melena, and a polypoid cystic mass in the stomach was found on an endoscopy and endoscopic ultrasonography. The polypoid cystic mass did not show any enhancing solid portion on a computed tomography. The gastric lesion was conclusively confirmed as GCP through endoscopic submucosal dissection. We report a rare case of GCP that occurred in an unoperated stomach.

경제성 평가를 통한 태양광발전시스템 연계형 에너지저장장치 용량 선정에 관한 연구

이여진,김성열,한세경 대한전기학회 2018 전기학회논문지 P Vol.67 No.1

Due to the international environmental regulations and changes in policies, the demand for generators using the renewable energy is increasing. However, renewable energy generators with intermittent output characteristics such as solar and wind power generators, need the buffer facilities such as ESS during system operations. However, because of low price competitiveness in energy storage system, it is difficult to operate the renewable energy generator with ESS. Therefore, the government has recently proposed a policy to compensate the REC for renewable energy system with ESS. For all this, since the initial cost of the ESS is high, it is the most important to calculate and operate the optimal capacity of the ESS through an economic analysis. In this paper, we proposed the method of calculation the optimal capacity of ESS and analyzed economic feasibility of renewable energy system using the ESS according to depreciation in ESS price.

전후 남성성 재건의 욕망과 여성의 대항 전략 연구 —임희재의 장막극, 「꽃잎을 먹고 사는 기관차」를 중심으로

이여진 한국여성문학학회 2020 여성문학연구 Vol.50 No.-

This study aimed to explore ‘desire to rebuild post-war masculinity’ and ‘women’s counter- strategies’ in the play. By interacting with each other repeatedly, the continuity aspect and delay aspect build repeating structure of suspense and create a unique view of feminism. In the repeating structure, the violent desire of male characters to define female character (Young-Ja) becomes intense. It is foregrounded as a heavy locomotive in the play. But also Young-Ja’s ambiguous reaction dodging male characters’s desire gradually becomes strengthened. As Young-Ja’s ambiguity disturbs male characters who demand dichotomous self-evident to her, the male ruling group cannot recklessly define her identity.

Ginsenoside fractions regulate the action of monocytes and their differentiation into dendritic cells

이여진,손영민,구민정,송기덕,박성무,송효진,강재성,우종수,정지형,양덕춘,한승현,윤철희 고려인삼학회 2015 Journal of Ginseng Research Vol.39 No.1

Background: Panax ginseng (i.e., ginseng) root is extensively used in traditional oriental medicine. It is amodern pharmaceutical reagent for preventing various human diseases such as cancer. Ginsenosidesdthemajor active components of ginsengdexhibit immunomodulatory effects. However, the mechanism andfunction underlying such effects are not fully elucidated, especially in human monocytes and dendriticcells (DCs). Methods: We investigated the immunomodulatory effect of ginsenosides from Panax ginseng root onCD14þ monocytes purified from human adult peripheral blood mononuclear cells (PBMCs) and on theirdifferentiation into DCs that affect CD4þ T cell activity. Results: After treatment with ginsenoside fractions, monocyte levels of tumor necrosis factor (TNF)-a,interleukin (IL)-6, and IL-10 increased through phosphorylation of extracellular signal-regulated kinase(ERK)1/2 and c-Jun N-terminal kinase (JNK), but not p38 mitogen-activated protein kinase (MAPK). Aftertreatment with ginsenoside fractions, TNF-a production and phosphorylation of ERK1/2 and JNKdecreased in lipopolysaccharide (LPS)-sensitized monocytes.We confirmed that DCs derived from CD14þmonocytes in the presence of ginsenoside fractions (Gin-DCs) contained decreased levels of the costimulatorymolecules CD80 and CD86. The expression of these costimulatory molecules decreased inLPS-treated DCs exposed to ginsenoside fractions, compared to their expression in LPS-treated DCs in theabsence of ginsenoside fractions. Furthermore, LPS-treated Gin-DCs could not induce proliferation andinterferon gamma (IFN-g) production by CD4þ T cells with the coculture of Gin-DCs with CD4þ T cells. Conclusion: These results suggest that ginsenoside fractions from the ginseng root suppress cytokineproduction and maturation of LPS-treated DCs and downregulate CD4þ T cells.

Plateau 및 Rise/Fall 시간의 변화에 따른 안구전정유발근전위의 변화

이여진,한수희,하은정,정용수,곽희붕,박문수,신정은,박홍주 대한평형의학회 2008 Research in Vestibular Science Vol.7 No.2

Background and Objectives: The ocular vestibular evoked myogenic potential (OVEMP) is a recently discovered test of labyrinthine function, analogous to the cervical VEMP. Recent works have demonstrated the existence of OVEMPs, which likely reflect otolith-ocular reflex. The purpose of this study was to identify the optimal plateau and rise/fall times of short tone bursts to detect OVEMPs in healthy subjects. Materials and Methods: Thirteen healthy subjects (26 ears) were included in this study. Surface electromyographic activity was recorded from active electrodes placed inferior to each eye. Stimulation with 500 Hz short tone bursts was used. We used a variety of plateau and rise/fall times. Three different plateau times (1, 2, and 3 ms) and rise/fall times (0.5, 1, and 2 ms) were used. The incidence, amplitudes and latencies were compared. Results: VEMP responses were clearly observed in all 26 ears at the plateau time of 2 ms and two rise/fall times (0.5 and 1 ms). The amplitudes in the individual ears tested were lower at the rise/fall time of 2 ms than at the other conditions. The amplitudes were lower at the plateau time of 3 ms compared to the other conditions. When the rise/fall time was prolonged from 0.5 to 2 ms, the n1 and p1 latencies were prolonged in parallel. However, there was no such change in latencies according to the plateau times. Conclusions: Our findings show that the ideal stimulation pattern for evoking OVEMP is at the rise/fall times of 0.5 or 1 ms and the plateau time of 2 ms. The waveform morphology of the VEMP responses observed with this stimulation pattern was simultaneously the most constant and marked. Background and Objectives: The ocular vestibular evoked myogenic potential (OVEMP) is a recently discovered test of labyrinthine function, analogous to the cervical VEMP. Recent works have demonstrated the existence of OVEMPs, which likely reflect otolith-ocular reflex. The purpose of this study was to identify the optimal plateau and rise/fall times of short tone bursts to detect OVEMPs in healthy subjects. Materials and Methods: Thirteen healthy subjects (26 ears) were included in this study. Surface electromyographic activity was recorded from active electrodes placed inferior to each eye. Stimulation with 500 Hz short tone bursts was used. We used a variety of plateau and rise/fall times. Three different plateau times (1, 2, and 3 ms) and rise/fall times (0.5, 1, and 2 ms) were used. The incidence, amplitudes and latencies were compared. Results: VEMP responses were clearly observed in all 26 ears at the plateau time of 2 ms and two rise/fall times (0.5 and 1 ms). The amplitudes in the individual ears tested were lower at the rise/fall time of 2 ms than at the other conditions. The amplitudes were lower at the plateau time of 3 ms compared to the other conditions. When the rise/fall time was prolonged from 0.5 to 2 ms, the n1 and p1 latencies were prolonged in parallel. However, there was no such change in latencies according to the plateau times. Conclusions: Our findings show that the ideal stimulation pattern for evoking OVEMP is at the rise/fall times of 0.5 or 1 ms and the plateau time of 2 ms. The waveform morphology of the VEMP responses observed with this stimulation pattern was simultaneously the most constant and marked.

주시 방향에 따른 안구전정유발근전위의 변화 양상

이여진,한수희,하은정,안재윤,박가현,정용수,곽희붕,박문수,신정은,박홍주 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.3

Background and Objectives:Recent works have demonstrated the existence of ocular vestibular evoked myogenic potentials (OVEMPs), which reflects otolith-ocular reflex. The purpose of this study was to identify an appropriate gaze position to detect OVEMPs produced by air-conducted sound stimulation in healthy subjects. Subjects and Method:Twenty four healthy subjects (35 ears) were included in this study. Surface electromyographic activity was recorded from active electrodes placed inferior to each eye. Stimulation with 500 Hz short tone bursts was used to activate the vestibular end-organs. Results:Sound stimulation evoked negative-positive biphasic responses on both ipsilateral and contralateral eyes, while responses were contralateral eye-dominant. Contralateral eye responses had higher response incidence and larger amplitudes. Altering the direction of gaze generally changed the incidence and size of the inter-peak amplitudes. The higher incidence and larger amplitudes were recorded when the eyes are directed to the superior and ipsilateral side to the sound stimulation. In that gaze position, the amplitude was 5.3 μV, the first negative peak latency was 10.5 ms and the following positive peak latency was 15.4 ms on the average. Conclusion: OVEMPs can be evoked using an air-conducted 500 Hz tone burst and are best recorded contralaterally with a upward gaze towards the source of sound stimulation. Further changes of the test parameters are needed for higher and consistent responses.

1, 2

이여진,전경서 한신대학교 한신신학연구소 1965 신학연구 Vol.9 No.-

분단희곡에 나타난 모성의 양상 연구 -<모자>, <동거인>, <하늘만큼 먼 나라>의 모자(母子) 관계를 중심으로-

이여진 한국드라마학회 2023 드라마연구 Vol.- No.71

본 연구는 어머니와 아들이 중심인물로 나오는 분단희곡 세 편-이용찬의 <모자>, 김자림의 <동거인>, 노경식의 <하늘만큼 먼 나라>-을 살핌으로써, 그 인물들 간의 역학 관계에서 모성이 어떠한 양상으로 구현되는가를 살피는 데 목적을 두고 있다. 세 편의 희곡의 작가들은 작품이 창작된 각 시대의 실제 이슈를 희곡 내부의 그것으로 끌어들이며, 극의 외적 시간과 극의 내적 시간을 얽히도록 한다. 그에 따라, 작품에 구현된 모성상은 작가가 작품 내부로 끌어들인 특수한 시대적 이슈/상황에 맞게 미세한 방식으로 재구성되거나, 과거(전쟁 직후)의 것을 완고하게 재호출하는 것으로 나타난다. 본고는 기존에는 주목하지 못했던 아들과 어머니의 관계를 통해 모성의 개념은 물론 가부장제의 억압적 기제를 살핀다는 점에서 새로운 방법론적 모델을 제시하고 있다고 볼 수 있다. 또한 이 연구는 작품에서 분단체제에 관한 소재와 ‘어머니’라는 존재가 심도있게 그려진다면, 극 중의 모성이라는 개념은 사라지지 않고, 여성을 끊임없이 추적하며 억압하는 사회적 발명품으로 드러나게 됨을 파악할 수 있도록 한다는 점에서 의미를 갖는다. The purpose of this study is to examine three Dramas on Division of Korea(Lee Yong-chan's <Mother and son>, Kim Ja-rim's <Cohabitant>, and Noh Kyung-sik's <A Country as Far as the Sky>) that feature mothers and sons as central characters, and to explore the ways in which motherhood is embodied in the dynamics between these characters. The writers of the three dramas intertwine the external time of the drama with the internal time of the drama by taking real social issues from the time period in which they were written. As a result, the motherhood embodied in the works are either subtly reconfigured to fit the specific issues/situations of the time that the author has brought into the drama, or they are stubbornly re-invoked from the past (post-war). It can be said that this study presents a new methodological model in that it examines the concept of motherhood as well as the oppressive mechanism of patriarchy through the relationship between sons and mothers, which has not been paid attention to before. It is also important to note that if the theme of division and the figure of 'mother' are depicted in depth in the work, the concept of motherhood in the dramas does not disappear, but is revealed as a social invention that constantly tracks and oppresses women.