간호학과 학생들의 노인에 대한 지식 및 태도

양경미,오현이,김진선,백영주 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

Objectives: The purposes of this study were to investigate nursing students' knowledge and attitudes toward the elderly, to examine the correlation between knowledge and attitudes, and to identify predictors of nursing students' attitudes toward the elderly. Method: Study participants were 195 nursing students who enrolled in a university located in Gwangju. Data were collected using structured questionnaires. Results: The average FAQ Ⅰ score for nursing students in this study was 50.2%. The level of nursing students' knowledge was relatively low compared to knowledge of Western nursing students in previous studies. Moreover, the average scores of psychological dimension and family/sociological dimension were lower than those of physical/physiological dimension. Negative biases were prevalent when the biased scores were computed. Nursing students also reported a little preference for working with older patients after graduation. Although the average attitude score was in a neutral range, the number of items in a negative attitude score range were more than those in a positive attitude score range. Contrary to expectation, the correlation between knowledge and attitude was not statistically significant. Nursing students who have clinical experiences with the elderly reported higher scores on FAQ Ⅰ than their counterparts. A current relationship with elderly living in their household was a significant predictor of nursing students' attitudes toward the elderly. Conclusion: Results from this study suggest that nursing education should be directed to increase the nursing students' knowledge and positive attitudes toward the elderly. Exposure to well elderly as clients before they are hospitalized or institutionalized may be helpful to increase nursing students' positive attitudes toward the elderly.

건강신념 모형에 따른 유방자가검진 수행에 영향을 미치는 관련요인 연구

강현주(Kang, Hyun-Ju),홍지영(Hong, Jee-Young),이무식(Lee, Moo-Sik),나백주(Na, Bak-Ju),이보우(Lee, Bo-Woo) 한국산학기술학회 2010 한국산학기술학회 학술대회 Vol.- No.-

본 연구는 일반 여성과 유방암 환자를 대상으로 유방 자가검진의 이행율과 유방 자가검진에 영향을 미치는 요인을 파악하기 위하여 시도된 단면적 조사 연구이다. 건강신념 변수에 대해 일반 여성군과 유방암 환자군을 비교하면 일반 여성군이 유방암 환자군에 비해 유방암에 대한 심각성이 높은 것으로 나타났다. 유방암 환자군에서는 일반 여성군에 비해 유방암에 대한 민감성이 높았으며, 유방암 검진에 대한 유익성이 높고, 건강관심도가 높은 것으로 나타났다(p<0.01). 건강신념 변수에 대해 유방 자가검진 이행자와 불이행자를 비교해 보면 유방 자가검진 이행자는 불이행자보다 건강 관심도가 높고(p<0.01) 유방 자가검진에 대해 설명을 들은 경험이 있는 경우 자가검진 이행율이 높은 것으로 나타났다(p<0.05). 유방 자가검진 불이행자에서는 이행자보다 건강관심도가 낮고, 주위에서 유방 자가검진을 권하는 사람이 없는 경우가 많았다(p<0.01).유방 자가검진 이행자와 불이행자간 민감성, 심각성, 유익성, 장애성에 대해서는 유의한 차이가 없는 것으로 나타났다. 유방 자가검진 이행 여부에 관해서는 유방암 환자군이 일반 여성군에 비해 유방 자가검진을 3.5배 시행하지 않는 것으로 나타났고(p<0.01), 연령은 40대 미만보다 60대 이상여성이 1.6배 유방 자가검진을 시행하지 않는 것으로 나타났다. 교육수준은 대졸이상 보다 고졸이하가 2.4배 유방 자가검진을 시행하지 않고, 가구 소득은 200만원미만보다 400만원이상 고소득자가 2.7배 유방 자가검진을 시행하지 않는 것으로 나타났다. 자녀수는 자녀가 없는 여성이 자녀수가 3명이상인 여성에 비해 12.1배 유방 자가검진을 시행하지 않는 것으로 나타났다(p<0.05). 건강 신념과 유방 자가검진 실천의 관계를 본 결과 건강관심도와 행동계기가 유방 자가검진 수행에 유의한 영향을 미치는 것으로 나타났다. 건강관심도가 높을수록 유방 자가검진 실천도가 높고, 행동 계기 즉 주위에서 유방 자가검진을 권하는 사람이 있는 경우가 유방자가검진 수행율이 높은 것으로 나타났다(p<0.05). 본 연구 결과를 통해 유방암 환자를 포함한 일반여성을 대상으로 유방 자가검진의 중요성과 유방 자가검진 방법에 대해 정기적인 교육 프로그램, 포스터, 안내책자 등을 통한 적극적인 교육과 권유가 필요할 것으로 보여 진다. 유방 자가검진 프로그램 개발 시 유방암 환자와 일반 여성을 대상으로 한 차별화 된 교육 프로그램 개발이 필요하고 이를 통해 유방암 환자에게 유방암의 재발 위험성과 자가검진의 필요성, 올바른 유방암 환자의 자가검진법을 인지시킴으로서 유방 자가검진 실천율을 향상 시킬 수 있을 것이라고 생각된다.

Increased Expression of Nerve Growth Factor Receptor and Neural Endopeptidase in the Lesional Skin of Melasma

BAK, HANA,LEE, HYUN JU,CHANG, SUNG-EUN,CHOI, JEE-HO,KIM, MYEUNG NAM,KIM, BEOM JOON Blackwell Publishing Inc 2009 Dermatologic surgery Vol.35 No.8

<P>BACKGROUND</P><P>Characteristic clinical features of melasma are symmetry of hyperpigmentation and distribution related to trigeminal nerves, which suggest that the neural involvement could play a part in the pathogenic mechanisms of pigmentation.</P><P>OBJECTIVE</P><P>To evaluate whether some neuropeptides and neurotrophins and their receptors were associated with the pathogenesis of melasma.</P><P>METHODS</P><P>To investigate the involvement of neuronal system and neuropeptides in melasma, we examined the expression of nerve growth factor receptor (NGFR) and neural endopeptidase (NEP) in melasma lesional and nonlesional skin. Skin biopsies were obtained from lesional and nonlesional facial skin of six Korean women with melasma. Confocal laser scanning microscopic examination and western blot were performed.</P><P>RESULTS</P><P>Melasma lesions showed markedly greater expression of NGFR and NEP than nonlesional skin.</P><P>CONCLUSION</P><P>We suggest that neuroactive molecules, including NGF, is one of the critical factors for the pathogenesis of melasma, which may directly affect the microenvironment around melanocytes through a NGFR immunoreactivity (NGFR-IR) nerve fiber pathway, and higher levels of NEP in melasma has an important role in regulation of melanogenesis.</P>

Utilization of Cornus officinalis Powder for Value-Added Madeleines

Hyun A An,Ju Yeon Bak,Jun Ho Lee 한국산업식품공학회 2021 학술대회 및 심포지엄 Vol.2021 No.05

지주막 낭종을 동반한 잠복성 천추내 수막류 - 증례 보고 -

김주헌,김충현,최일승,백광흠,김재민,김남규 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.8

가변 탄성체 구현을 위한 실린더 형태의 영구자석 힘의 해석

박성호(Bak Seongho),이현주(Hyun Ju Lee),박희진(Hee Jin Park),홍대한(Dae-han Hong),강태훈(Tae Hun Kang),문전일(Jeon IL Moon) 대한기계학회 2016 대한기계학회 춘추학술대회 Vol.2016 No.12

보릿가루가 첨가된 침엽수 톱밥을 이용한 꽃송이버섯 재배

박현(Hyun Park),이봉훈(Bong-Hun Lee),오득실(Deuk-Sil Oh),가강현(Kang-Hyeon Ka),박원철(Won-Chull Bak),이학주(Hak-Ju Lee) 한국산림바이오에너지학회 2005 산림바이오에너지 Vol.24 No.2

꽃송이버섯은 1,3-β-D-glucan의 함량이 다른 버섯에 비하여 훨씬 높은 식용버섯이다. 이 버섯은 항암 및 면역증강 효과가 큰 식용버섯으로 알려지면서 최근에는 일본과 한국에서 재배하고 있다. 하지만, 쉽게 재배할 수 있는 방법이 알려지지 않고 일부 기업이 특허권의 범주 내에서 재배를 하고 있는 형편이다. 본 연구는 이러한 문제를 해결하고자 간단한 공정으로 꽃송이버섯을 재배할 수 있는 방법을 개발한 것이다. 낙엽송, 소나무, 잣나무의 톱밥을 이용하여 보릿가루와 설탕을 80:20:3의 중량 비율로 섞은 후 수분함량을 65% 내외로 맞춘 병배지에서 꽃송이버섯을 생산할 수 있었다. 톱밥 종류 및 균주에 따라서 자실체 생산성은 다르게 나타났는데 650g의 배지에서 최고 177g(수율 27%)를 수확할 수 있었다. 따라서 실용적인 꽃송이버섯 재배방법으로 이 배지를 적극 추천한다. 단, 생산성 향상을 위해서는 보릿가루의 적정 농도와 톱밥종류에 맞는 균주의 선발이 지속적으로 필요하다. Cauliflower mushroom (Sparassis crispa) is an edible mushroom that shows remarkably high contents of 1,3-β-D-glucan compared to other edible mushrooms. The mushroom is known to give high antitumor and immunologic activities, thus the mushroom is recently cultivated in Japan and Korea. However, cultivation methods are being kept in secret or under patents by some companies with complicated procedures. This study was conducted to solve the problem by providing a simple method for the cultivation of cauliflower mushroom. We could produce the mushroom using sawdust-based media of Larix leptolepis, Pinus densiflora and P. koraiensis with addition of barley flours and sugar. The ratio of the sawdust:barley flours:sugar used for this study was 80:20:3 in dry-weight base, and the water content was adjusted as 65%. The productivity was somewhat different among the species of sawdust media and the strains of Sparassis crispa for the cultivation, and the mushroom production reached up to 177g from 650g base (productivity:27%). Thus, this medium is strongly recommended as a practical cultivation method for cauliflower mushroom. By the way, further study for the determination of adequate concentration of barley flour and the selection of proper strain for each sawdust species is needed.

Endoscopic findings around the gastroesophageal junction: an experience from a tertiary hospital in Korea

( Ji Hyun Kim ),( Jin Ki Hwang ),( Ju Hyung Kim ),( Sehe Dong Lee ),( Beom Jae Lee ),( Jae Seon Kim ),( Young Tae Bak ) 대한내과학회 2008 The Korean Journal of Internal Medicine Vol.23 No.3

Background/Aims: Important lesions related to gastroesophageal reflux disease (GERD) are located around the gastroesophageal junction (GEJ). This study examined the distribution of endoscopic findings around the GEJ and elucidated their relationship to each other and esophageal manometric features. Methods: Endoscopic data were collected prospectively from 2,450 consecutive diagnostic upper gastrointestinal endoscopies. The presence and degree of hiatal hernia (HH), columnar-lined esophagus (CLE), and reflux esophagitis (RE) were recorded. Esophageal manometric data were collected from 181 patients. Results: The prevalence of HH, CLE, and RE was 9.8, 18.8, and 9.9%, respectively. Of all HH and CLE cases, 62.8 and 98.9%, respectively, were of the short-segment variety. Of all RE cases, 95.0% were mild. Younger age, male gender, the presence of HH, and a higher gastroesophageal flap valve (GEFV) grades were associated with the presence of RE. Increased ZAP grades were associated with increased prevalence and grades of HH, CLE, and RE. Higher GEFV grades were associated with increased prevalence and grades of HH, CLE, and RE. Lower esophageal sphincter pressure (LESP) decreased in patients with HH or RE compared to those without HH or RE. Conclusions: Endoscopic findings around the GEJ revealed that a substantial proportion of our patients showed features potentially related to GERD. In combination with other recent reports, our study implies that Korea is no longer a very-low-prevalence area of GERD, although it may predominate in silent or milder forms.

배우자 부모와의 관계와 부부의 결혼안정성

이주리(Ju-lie, Lee),박현남(Hyun-nam, Bak) 중앙대학교 문화콘텐츠기술연구원 2012 다문화콘텐츠연구 Vol.0 No.13

이 연구에서는 행위자-상대자 상호의존모형을 적용하여 배우자 부모와의 관계와 부부의 결혼안정성간의 관계를 탐색하였다. 연구 참여자는 서울?v경기 지역과 제주도 지역의 265쌍의 부부들이었으며, 남편의 평균 연령 39.16세(SD=7.39), 아내의 평균 연령은 36.45세(SD=7.36)였다. 분석은 행위자-상대자 상호의존모형을 적용하여 분석하였다. 결과는 다음과 같다. 첫째, 아내에 대한 시부의 수용-거부가 아내의 결혼안정성에 미치는 영향은 유의하지 않았다. 반면, 아내에 대해 시부가 수용적일수록 남편의 결혼안정성은 높아졌다. 둘째, 시부/장인 모형에서 남편의 행위자효과는 아내의 행위자 효과보다 유의하게 더 컸던 반면, 남편의 상대자 효과는 아내의 상대자 효과보다 유의하게 더 작았다. 셋째, 아내에 대해 시모가 수용적일수록 아내의 결혼안정성과 남편의 결혼안정성은 모두 높아졌다. 넷째, 시모/장모 모형에서 남편의 행위자효과 및 상대자효과와 아내의 행위자효과 및 상대자 효과는 동일하였다. This study examined the influences of the relationships with parents in law on husbands and wives marital stability using actor-parter interdependence model. Participants were 265 married couples living in Seoul?KyungKi-do and JeJu Island, and the husbands mean age was 39.16 (SD=7.39), the wives, 36.45 (SD=7.36). Measurement of acceptance-rejection of mothers in law and fathers in law is ILARQ(In Law Acceptance-Rejection Questionnaire) developed by Rohner in 2010, which includes four domains, sixty questionnaires. Measurement of marital stability is Marital Status Inventory which was developed by Weiss and Cerreto in 1980 and translated by Kim and Kim in 2010. It consists of three questionnaires. The results showed that 1) the influence of fathers in law acceptance-rejection for wives on wives marital stability was not significant, while fathers in law acception for wives positively influenced husbands marital stability, 2) in fathers in law model, husbands actor effects was more significant than wives actor effects, while wives partner effects was more significant than husbands partner effects, 3) mothers in law acception for wives positively influenced both wives and husbands marital stability, 4) in mothers in law model, husbands actor and partner effects were the identical with wives actor and partner effects.

기미 병변에서 신경 펩티드와 그 수용체의 발현에 대한 연구

이현주 ( Hyun Ju Lee ),박하나 ( Ha Na Bak ),장성은 ( Sung Eun Chang ),최지호 ( Jee Ho Choi ),김명남 ( Myeung Nam Kim ),김범준 ( Beom Joon Kim ) 대한피부과학회 2008 大韓皮膚科學會誌 Vol.46 No.5

Background: The pathogenesis of melasma has not yet been clearly demonstrated. But, clinical manifestations such as remarkable lesional symmetry and the distribution related to trigeminal nerves, suggest that the neural system could play a pathogenic role in melasma. Objective: This study was carried out to examine the expression of some neuropeptides and their receptors, which are well known to be major contributors of neuroinflammation in many dermatoses, in melasma lesions. Methods: Skin biopsies were obtained from the lesional and non-lesional facial skin of 6 Korean women with melasma. Immunofluorecence staining and confocal laser scanning microscopy were performed. Results: In our results, no difference could be detected with regard to the intensity of immunoreactivity for vasoactive intestinal peptide (VIP), calcitonin gene-related peptide (CGRP), calcitonin gene-related peptide receptor (CGRPR), substance P (SP), substance P receptor (SPR), somatostatin (SOM), pituitary adenylate cyclase activating peptide (PACAP) and pituitary adenylate cyclase activating peptide receptor (PACAPR) in the lesional skins compared with the non-lesional skins. Conclusion: These results suggest that neuroinflammation induced by neuropeptides such as substance P, calcitonin gene-related peptide, vasoactive intestinal peptide, and somatostatin and their receptors included in this study, are not directly associated with melasma pathogenesis. (Korean J Dermatol 2008;46(5):627∼632)