물리치료(학)과 학생들이 지각한 물리치료사의 이미지와 자아존중감과의 관련성 분석

김은애 ( Eun Ae Kim ),이건철 ( Geon Cheol Lee ),배원식 ( Won Sik Bae ),김지혁 ( Chi Hyok Kim ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.1

PURPOSE: The purpose of this study is to look into relationship between image of physiotherapist and self-esteem of physiotherapy students and desirable image of physiotherapists offer to establish basic materials. METHODS: The subjects of this study are consist of 603 students of department of Physical therapy university and college in Busan and Kim-hae. Data are collected from June 9 to July 9 in 2011 by structured questionnaires. RESULTS: The result are as follows. 1. at the physiotherapist image score, the highest score question is Physiotherapist is specialist(3.45) and the lowest score question is Physiotherapist is treated samely with doctor(2.15). 2. at the self-esteem score, the highest score question is I think that I am at least as valuable as others(3.37) and the lowest score question is I can be poorly sometimes(2.81). 3. at the static results of physiotherapist image score gap by general characteristics, there are significantly different in gender(t=2.27, p=.02), similar profession distinction(t=4.30, p=.00), major satisfaction(t=5.74, p=.00), school system (t=-2.54, p=.01). 4. at the static results of self-esteem score gap by general characteristics, there are significantly different in years (f=5.14, p=.00), gender(t=4.09, p=.00), religion(f=2.87, p=.04), similar profession distinction(t=3.97, p=.00), major satisfaction(t=4.26, p=.00). 5. at the static results of good reputation of physiotherapists increase self-esteem of physiotherapy students score question are significantly different(r=0.53, p=.00). CONCLUSION: Accordingly, these results of this study that there is a very correlation between image of physiotherapist and self-esteem of physiotherapy students. Therefore, good reputation of physiotherapists increase self-esteem of physiotherapy students.

억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소활동

곽경선,김성은,배은경,이은숙,이은혜,최윤정,이윤경 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 억제대 적용에 대한구체적 적용지침 없이 의례적으로 억제대를사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정상태 이거나 근력이 약하여 발관능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를볼수 없 는경우, 간호사본인의 판단이 없이 타인의 요구에 따르는등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용및 제거 지침을 마련하고자 한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 개선효과: 억제대 적용에 대한중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p= 0.005 (p <0.0히로통계적으로유의한것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든항목이 개선 활동전 에 비해 2,3차 개선 활동후에 향상한 것으로 나타났다. 개선활동전에 8.1%였던 간호 기록, 0.7%였던 간호중재, 0%였던 의사처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 갑소 및 부적절한 억제대 적용율은 유의하게 감소하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은좀더 나은 간호제공을 위하여 개발 되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은계속적으로 Feedback 되어야 할 것이다.

Helicobacter pylori 항원을 이용한 면역우유 생산 및 항체특성에 관한 연구

배만종,김수정,예은주,김병기,박창호,김미경 경산대학교 생명자원개발연구소 2003 생명자원과 산업 Vol.7 No.-

본 연구는 위염, 위궤양, 위림프종 및 위암과 같은 소화기 질환의 원인균으로 알려진 Helicobacter pylori균을 항원으로 하여 젖소에 면역시킨 후 생산된 우유의 anti-H. pylorigkdcp의 생성능을 검토하고, 백신투여량과 항체 생성과의 관계, 항원 항체의 특이성, H. Pylori균 응집력, 항체의 산과 열에 대한 안정성, 그리고 백신투여가 젖소에 미치는 영향을 알아보았다. 1. 백신 투여량에 따른 혈청과 유청내의 anti-H. pylori항체의 함량은 10㎖, 20㎖, 30㎖ 백신투여 모든 군에서 대조구에 비해서 높은 양의 항체 생성을 확인하였다. 유의적인 차이는 없었으나 20㎖투여가 항체 생성이 가장 많은 것으로 조사되었다. 백신 투여량에 따른 유청내의 anti-H. pylori항체 생성량은 혈청에서 나타난 결과와 유사한 양상으로 형성되었다. 2. Anti-H. pylori항체의 SDS-PAGE에 의한 분자량측정 결과 heavy chain은 50kDa정도, light chain은 24kDa정도로 확인 되었다. 3. H. pylori항원 단백질의 분자량측정 결과 12개의 band가 형성되었다. Anti-H. pylori의 항원 특이성을 알아보기 위해 western bloting을 한 결과 혈청, 혈청정제, 유청, 유청 정제 모두 7개의 항원성 물질을 확인할 수 있었고, 주 항 원성 물질은 분자량이 97, 66, 34kDa 이었다. 4. 응집반응결과 유청속의 anti-H. pylori항체가 H. pylori균에 대해 1/10의 응집가를 나타내었다. 5. Anti-H. pylori항체의 산·알칼리에 대한 안정성 실험에서는 pH 5 ∼ pH 10 범위에서 안정한 상태로 100%의 활성을 나타내었다. 6. Anti-H. pylori항체의 열에 대한 안정성 실험에서는 60℃에서 60분간 안정한 상태를 보였고, 70℃에서도 비교적 안정한 상태였으나 60분 경과후 40%정도 활성이 감소하였다. 80℃에서는 4분간 처리했을 때 77%의 활성을 유지하였고, 100℃에서도 1분간은 비교적 안정한 상태였다. 7. 백신투요로 인하여 유량이 12% 감소하는 경향을 나타냈고, 최장 1주일 정도 지나면서 회복되었다. 8. 백신투여 후 젖소의 체온을 측정한 결과 대조구에 비해 정상적인 범위 내에서 체온이 상승하는 경향을 나타내었다. This study has been to examine bio-function of anti-H. pylori antibodies of milk produced from cows immune with antigen germ of Helicobacter pylori and search the relation between vaccine dosage volume and antibody formation, peculiarity of antigen antibody, cohesion of H. pylori germ, stability about add and heat of antibody, and impact of vaccine dosage on cows. The content of serum and Anti-H. pylori antibody within whey in accordance with vaccine dosage volume has confirmed the formation of high-quantified antibody compared to the controlled conditions in all groups vaccine dosages of 10㎖, 20㎖, and 30㎖. It has been turned out that the antibody was farmed most in 20㎖ dosage on while there was no attention difference. The molecular weight of Anti-H. pylori antibody measured by SDS-PAGE were turned out as about 50kDa in the heavy chain and about 24kDa in the light chain. 12 bands were formed as the result of measured molecular weight of antibody protein. The western blotting was performed in order to examine the antigen peculiarity of Anti-H. pylori that all 7 antigen substances including serum, serum refining, whey and whey refining could be confirmed and the main antigen substances were 97, 66, 34kDa of molecular weight. As a result of cohesive response Anti-H. pylori antibody in whey showed 1/10 cohesive rate about H. pylori germ. In stability test about acid and alkali of antibody there was 100% activated in the range of pH 5-pH 10. In stability test about heat it showed stable condition in 60℃: for 60 minutes and comparatively stable condition in 70℃, but reduced activation to 40% after 60 minutes. It maintained 77% activation in 80℃ for 4 minutes and comparatively stable in 100℃ for I minute. It was inclined to reduce to 12% of flow caused by vaccine injection, but recovered after about maximum 1 week. In measurement of body temperature of cows after vaccine injected, it was inclined to rise with the normal scope in comparison with the controlled conditions.

마늘이 白鼠의 카드뮴中毒에 미치는 影響 : Alkaline phosphatase 活性度, 臟器內 카드뮴濃度, 臟器의 病理組織學的 變化를 中心으로

金成基,裵恩相,車喆煥 고려대학교 의과대학 1984 고려대 의대 잡지 Vol.21 No.1

Garlic contains some allylsulfide(e.g., diallyldisulfide, propylallyldisulfide, and diallyltrisulfide), 12 kinds of aminoacids(e.g., cystine, and cysteine), thiolactic acid, glutathione, witamin C, vitamin B and etc. It also contains allicin, responsible for the unique smell, which is formed by alliinase from diallyldisulfide. Owing to its contents, that is, allyldisulfide and SH compounds. Garlic has been expected to be involved in the detoxication of heavy metal poisonings by forming thiochelate compounds when reaction with heavy metals in living bodies. To examine this hypothesis more closely, rats were selected as experimental animals and divided into six groups: one which was given only 100 ppm cadmium; one with 3.35% garlic only; three groups given 1.7%, 3.35% and 6.7% garlic(which were represented 50, 100 and 200 ppm by allicin, respectively) in addition to 100 ppm cadmium, and a control. Cadmium dissolved in water was used, and the garlic was mixed with feed. After rearing the selected rats for 11 weeks, weight changes, alkaline phosphatase activities in the blood, and cadmium content in both the liver and the kidney were measured. Additionally, pathological changes in the liver, kidney and chondrocytes of the articular cartilage of the femur which are target organs of cadmium poisoning, were observed. The results were as follows: 1. For weight changes, the control group had gained 61% of its original weight by the first day of examination, while the group given only cadmium gained 47%. On the other hand, the one with 6.70% garlic showed an nearly the same rate increase in weight as the control group. 2. Change in alkaline phosphatase activities was observed in the group with only 3.35% of garlic as being 109.25%(p<0.05) change on the basis of the control group being 100%. This indicates that garlic strengthens activities of alkaline phosphatase. But in the case of the group with cadmium and 3.35% of garlic, the change was lower than in the control group by 4%(96.31%), while higher than in the group with only cadmium by 7.6%. In the group with cadmium and 6.70% of garlic, the change was higher than the one with only cadmium by 20.3%, and higher than the control group(81.33±9.83u/1) by over 75%(87.56±14.22u/1). 3. Cadmium contents accumulated in the liver and kidney were measured. As for the cadmium content in the liver, the control group contained 0.09±0.05㎍/g and the group with only cadmium and 3.35% of garlic showed a decrease in content, 29.02±5.16, and the one with cadmium and 6.70% garlic showed a further decrease, 25.28±4.05㎍/g. Like the phenomena in liver, the cadmium content in the kindneys of the group with cadmium and 3.35% garlic showed a significant decrease; the group with only cadmium contained 33.93±2.65㎍/g of cadmium, while the one with cadmium and 6.70% of garlic contained 29.19±5.16㎍/g. 4. Histopathological changes were observed in the liver, kidney and chondrocytes of the articular cartilage. The group with only garlic showed no change like the control group. But the one with only cadmium clearly showed a big swelling in glomeruli, a cludy swelling in renal tubules, necrosis of hepatic cells at peripheral zone of hepatic lobule as well as numeral decrease and atrophy of chondrocytes of the articular cartrilage. Compared with the one with only cadmium, the group with cadmium and garlic 6.70% showed no histopathological changes. But the group with cadmium and 3.35% garlic showed a little convalescent change in liver, kidney and chondrocytes of articular cartilage. Though the group with cadmium and 6.70% of garlic showed a cloudy swelling in renal tubles, the renal corpuscles, hepatic cell cords, sinusoids of liver and chondrocytes in lacunae of articular cartilages maintained their normal architectures.

한약재료(단삼, 도인, 당귀미, 솔잎) 추출물이 지방산화에 미치는 영향

김수민,김은주,조영석,배만종 경산대학교 생명자원개발연구소 1998 생명자원과 산업 Vol.2 No.-

지방산화 촉진인자인 활성산소종 (Hydrogen peroxide, Superoxide, Hydroxyl radical)과 Iron sources 들이 고혈압 치료제로 사용되고 있는 한약재료추출물들과의 반응효과를 in vitro 상에서 검토한 결과 oil emulsion 상태에서 활성산소종은 OH, H₂O₂, KO₂ 순으로 지방산화 촉진작용이 나타났으며, 한약재료추출물 자체도 산화반응을 어느정도 촉진시키는 경향이었다. 한약재료추출물의 활성산소 포집능은 KO₂에 비해 H₂O₂와 OH은 나타내지 않는 경향이었다. 그러나, 전반적으로 지방산화를 촉진시키는 ?? ion binding 능력은 추출물 모두 탁월하였다. ?? ion의 함량은 도인, 솔잎에 비해 단삼, 당귀미가 높은 수치를 나타내었으며, total iron 함량 역시 같은 경향이었다. 항산화작용을 하는 ascorbic acid 함량은 솔잎이 26.97ppm으로 가장 높은 함량을 나타내었으며, 단삼과 당귀미는 19.74, 22.14ppm으로 유사하며, 도인이 5.50ppm으로 낮은 값을 나타내었다.(P<0.05). 전자공여능은 솔잎, 단삼이 각각 79.54%,77.11%로 도인, 당귀미보다 높게 나타났고, SOD 유사활성측정에서는 도인이 0.16으로 가장 낮은 흡광도 수치를 나타내어, pyrogallol의 자동산화를 억제하는 SOD 유사활성이 다른 추출물에 비해 높은 것으로 나타났다(P<0.05). 아질산염소거작용은 pH에 따라 소거능이 다르게 나타났으며, 솔잎과 당귀미가 pH 1.2에서 각각 99.8%, 98.6%의 강한 소거능을 나타내었고, pH의 증가에 따라 전반적으로 감소하는 경향이었으며, 특히, pH6.0에서는 단삼과 도인의 경우 아질산염 소거작용이 나타나지 않았다. 이상의 결과로 한약재료 추출물 4종의 기능성은 솔잎 추출물이 가장 우수한 것으로 사료된다. This study was carried out to investigate the effects of herb extracts on lipid oxidation and free radical reaction in iron sources reacted with active oxygen species. The results were summarized as follow; The catalytic effects of active oxygen on lipid oxidation in oil emulsion tended to be showed OH, H₂O₂ and KO₂ in order. At the same time, herb extracts itself were tended to be showed a little catalytic effects. Active oxygen scavenging ability of herb extracts didn't show, but herb extracts played role as a strong chelating agents to bind iron ion if ?? ion exist in oil emulsion. The content of ?? ion Salvia miltiorrhiza Bge, and also, the content of total iron was the same persica Stokes and Pinus strobus. And also, the content of total iron was the same tendancy. The content of ascorbic acid of Pinus strobus showed the highest amounts as 26.97ppm among all herb extracts, but Salvia miltiorrhiza Bge., Angelica gigas Nakai and Prunus persica Stokes were 19.74ppm, 22.14ppm and 5.50ppm, respectively(P<0.05). Electron donating ability of Pinus strobus and Salvia miltiorrhiza Bge. were 79.54% and 77.11%, respectively, which was showed higher content than those of Prunus persica Stokes and Angelica gigas Nakai. The SOD-like activity of Prunus persica Stokes was showed optical density(O.D.) 0.16, compared to other berb extracts which means the most strong antioxidant reaction. The nitrite scavenging effects were tended to be different, depending on pH value as pH value was increased. They were decreased overall. Especially, they didn't show the nitrite scavenging effect in pH 6.0. In conculsion, the Pinus strobus extract among herb extracts were the most effective by evaluation as functional sources.

급성 골수성 백혈병 환자에서 발생한 침습성 아스페르길루스중에 대한 수술적치료 1 예

배영환;어원식;어상민;김승만 김태영;박수영;서영경;정은주;안효정 인제대학교 2011 仁濟醫學 Vol.32 No.-

Invasive pulmonary aspergillosis is known to have a poor prognosis and major cause of morbidity and motality in patients with hematologic disease. Without adequate therapy, invasive pulmonary aspergillosis will almost always progress to fatal pneumonia. Early administration of antifungal agents in patient with invasive pulmonary aspergillosis is most important. And surgical resection of aspergillous-infected tissue may be useful in patients with lesions that are contiguous with great vessel and lesions causing hemoptysis. We reported a rare case of surgical resection as curative treatment for invasive pulmonary aspergillosis patient in 58-year-old man who had the history of acute myeloid leukemia.

실내외기의 높이차이가 공기조화기의 성능에 미치는 영향

金鍾培,崔恩洙 明知大學校 産業技術硏究所 2002 産業技術硏究所論文集 Vol.21 No.-

Performance of air-conditioner used of cooling capacity, C.O.P, input power, refrigerant pressure, mass flow rate, degree of superheat and temperature profiles of evaporator were studied. As the height of outdoor unit(reference indoor unit) is increased, the mass of charged refrigerant is decrease. and as the height of outdoor unit(reference indoor unit) is decrease. As a result of high pressure of refrigerant, condensing pressure, is increased input power of air-conditioner is increased. As a result of temperature profiles of evapurator, undercharging results in wide region of superheat vapor of the refrigerant in the evaporator, overcharging results in high temperature of liquid refrigerant in the evaporator and refrigerant threads through evaporator path in liquid-vapor condition.

전문대학 간호과 통합교과과정 개발에 관한 연구

김영희,김정수,김정애,방숙명,배경진,이애경,장은정,정안순,주미경,최나영 경복대학 1998 京福論叢 Vol.2 No.-

교과과정의 조직은 체계적이고 뜻이 있는 순서로 학생들을 가르치기 위해 지식을 어떻게 조직화할 것인지와, 과목들 사이에서 공통된 내용은 통합시켜 중첩되는 일이 없도록 조정할 필요가 있다. 이에 현재 본 대학 간호과에서 운영되었던 97학년도의 17개 전공과목들의 교과과정의 내용을 비교, 분석하여 중복을 줄이며 순차적 지식의 습득을 도모하는 새로운 통합교과과정의 틀을 개발, 제시함으로써 보다 나은 전문직 간호교육이 이루어지도록 하고자 하였다. Most curricula are considered how to teach the student in systematic and meaningful orders. And it is necessary to coordinate the duplicate contents in major subjects in nursing. So this study was designed to set up a new comprehensive curriculum through comparing and ananlyzing each seventeen major subjects in Nursing Department of Kyung-Bok College. Therefore, the purpose of this study is to present the new comprehensive curricula for promoting the efficiency and effectiveness in diploma degree course of nursing education.

뇌동맥류를 진단하는데 침습적 뇌혈관 조영술이 자기공명 혈관 조영술보다 언제나 더 유리한가?

사은희,김대성,정대수,박규현,배지호,김학진 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

식품 기준·규격의 합리적 관리 ·운영에 관한 연구(Ⅰ) : 두부,식용유지, 전분의 분말상 원료에 관하여 Powdered marerials of Tofu, Edible oil, Starch

김희연,홍진환,박혜경,한상배,박종석,이은주,이정성,송경희,최은희,최영준,소경아,성영제,이주엽 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

본 연구는 분말상 원료(전분, 대두분)의 저장유통시 품질변화를 건전성과 안전성 측면에서 검토하여 식품의 기준 ·규격 설정f.」 합지적으로 반영하고자 하였다. 전분과 패두분의 이물을 검사하고, 2종 대두분(중국산, 미국산)을 ?0일간 IS'c와 30t에 저장하면서 성상, 수분, 산가, 과산화물가, 지방산 조성,아플라톡신 BB의 생성여부를 분석하였다. 중국산 대두분 30'』 저장군에서 50일 이후 곰팡이가 발생한 것 이외에 모든 시료에서 양호한 성상을 나타내었고, 전분과 대두닥 모든 시료에서 이물은 검출되지 않았다. 산가는 중국산과 미국산 시료간에 편차를 보여 증국산 30"C, 50일 저장시료에서 약 10배끙도 증가하였고, 과산화물가는 저장 90일후 15'E 저장군은 약 2.3배, 30'c 저장군은 3배정도 증가하였다. 대두분의 주요 지방산은 linoleic acidf18. 2), oleic acid(18 : 1), palmitic acid(16 : 0)이었으며, 3개월 저장에 따른 지방산 함량의 변화는 미미하였다. 아플라톡신 B₁은 모든 시료에서 검출되지 않았다. The objective of this study was to investigate auality changes of type raw materials(starch, soy flour) during various storage conditions. Starchflour(source of China, U.S.A) were slfred under two temperature(15'C, 30'c) forSensory evaluation, (o.reign material test, moisture content, acid value, peroxide ualue,composition, aflatorin Bi were analyzed. China soy flour(stor·ed 30'f) was contaminated by fungj on 50 days. Except for soy flour contardnated by fungi, sensory characteristics were not changed and foreign mater;als were notdetected. Acid value of China soy flour(stored at 30'C, 90 days) was about 10 times higherlevel before storage and acid value was more influenced by source(China, USA). Peroxide valuewas in proportion with the storage period slightly. The major fatty acid of soy flour waslinoleic acid(18 . 2), an(3 the change of fatty acid composition was not observed. Aflatoxlrl Blwas not detected.