간호사의 전자의무기록(EMR) 인식도와 만족도에 따른 자율성 및 간호업무성과

강지숙(Kang, Jisook),김순자(Kim, Sunja),김원정(Kim, Wonjeong) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.9

본 연구는 간호사를 대상으로 전자의무기록(EMR) 인식도, 만족도에 따른 간호사 자율성과 간호업무성과와의 관계를 파악하기 위한 서술적 상관관계연구이다. 구조화된 설문지를 이용하여 2013년 8월 종합병원 간호사 194명을 임의표집하여 자료를 수집하였으며, 수집된 자료는 SPSS 20.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson's correlation coefficiency로 분석하였다. 연구 결과는 다음과 같다. 대상자의 EMR에 대한 인식도는 3.68, 만족도는 3.47로 중간이상이었고, 대상자의 자율성은 3.25로 중간수준, 간호업무성과는 3.55로 비교적 낮은 수준이었다. EMR 인식도 에서는 특수부서간호사가 일반병동간호사에 비해 유의하게 높았고, 컴퓨터자격증 소지자가 미소자에 비해 유의하게 높았다. EMR 만족도는 컴퓨터자격증 소지자가 미소지자에 비해 높았고, 간호업무성과는 수간호사이상이 일반간호사나 주임간호사 에 비해 높았다. 또한 대상자의 EMR에 대한 인식도가 높을수록 만족도가 높았고, 만족도가 높을수록 간호사자율성 및 간호 업무성과가 높았다. 따라서 간호사의 자율성과 간호업무성과를 높이기 위해 간호사의 EMR 인식도 및 만족도를 높이고 이를 위한 컴퓨터 자격증에 대한 활용 등의 방법에 대한 고려가 필요하다. The purpose of this study was to examine relations on the autonomy, nursing performance based on the awareness and satisfaction of electronic medical record system for nurses. This Study was a descriptive survey design using convenience sampling. There were 194 general hospital nurses, who agreed to participate in this study, taken a structured questionnaire during august 2013. SPSS 20.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA and Pearson correlation coefficiency. The major findings of this study were as follows. The mean score on the awareness of EMR was 3.68, the mean score on the satisfaction was 3.47 and nursing autonomy mean score was 3.25, nursing performance mean score was 3.55. There were significant differences in the awareness according to working field and computer certificate. There were significant differences in satisfaction depending on whether they held computer certificates Head nurses and the above scored significantly higher in nursing performance compared to nurses at the lower position. Also, higher awareness was significantly related to higher satisfaction. Higher satisfaction was significantly related to higher nursing autonomy and performance. The findings of this study imply that nurses need to raise their EMR awareness and satisfaction and make best used of their qualification with their computer certificate

Distributions and fluxes of methylmercury in the East/Japan Sea

Yang, Jisook,Kim, Hyunji,Kang, Chang-Keun,Kim, Kyung-Ryul,Han, Seunghee Pergamon Press 2017 Deep-sea research. Part I, Oceanographic research Vol.130 No.-

<P><B>Abstract</B></P> <P>The East/Japan Sea (EJS) is well ventilated to deep water via brine rejection from ice formations and thermohaline convection, resulting in a short overturning period in several decades. Due to these characteristics, the dissolved oxygen concentration in the EJS deep water is much higher (190–200μgL<SUP>−1</SUP> at 3000m water depth) than that found at the same depths of the Northwestern Pacific (30μgL<SUP>−1</SUP>) or anywhere in the Pacific Ocean. The total mercury (THg) and methylmercury (MeHg) distributions, and MeHg mass budgets were investigated to identify how the EJS's distinct circulation pattern affects Hg speciation. Whereas the THg concentration in the surface seawater (ranging from 0.20 to 1.2pM, mean 0.59 ± 0.24pM) showed no site variation between the Japan Basin and the Ulleung Basin, the MeHg concentration in the surface seawater was significantly higher (p < 0.05) in the Japan Basin (32 ± 24fM) than in the Ulleung Basin (12fM), with a south to north increasing gradient. This observation was supported by the mass budget estimation showing that upward diffusion as well as net methylation of Hg(II) was the primary source of MeHg in the surface seawater; the upward diffusion value was higher in the Japan Basin (3.2nmolm<SUP>−2</SUP> yr<SUP>−1</SUP>) than in the Ulleung Basin (1.9nmolm<SUP>−2</SUP> yr<SUP>−1</SUP>) due to the shallow thermocline depths in the Japan Basin. In contrast, the MeHg concentration in deep seawater (1000–3000m) was similar between the Japan Basin (530 ± 87fM) and the Ulleung Basin (610 ± 99fM) and significantly (p < 0.05) higher than in the North Pacific (24 ± 40fM) or North Atlantic (87 ± 96fM) deep seawater. The Hg(II) methylation capacity, represented by the MeHg concentration normalized to apparent oxygen utilization, was also higher for the EJS deep water (0.0048) than the Northeastern Pacific (0.0030) and Northwestern Pacific (0.0025) intermediate waters, implying that the short overturning period of EJS may cause exclusively high MeHg concentrations in the deep water.</P> <P><B>Highlights</B></P> <P> <UL> <LI> MeHg in deep water of EJS was significantly higher that at the same depth of North Pacific. </LI> <LI> There was a net methylation in the EJS deep water according to mass budgets estimation. </LI> <LI> A net methylation in deep water is attributable to the short overturning period of the EJS. </LI> </UL> </P>

Preclinical Analysis of Fetal Human Mesencephalic Neural Progenitor Cell Lines: Characterization and Safety In Vitro and In Vivo

Moon, Jisook,Schwarz, Sigrid C.,Lee, Hyun‐,Seob,Kang, Jun Mo,Lee, Young‐,Eun,Kim, Bona,Sung, Mi‐,Young,Hö,glinger, Gü,nter,Wegner, Florian,Kim, Jin Su,Chung, Hyung‐,Min unknown 2017 Stem cells translational medicine Vol.6 No.2

<P><B>Abstract</B></P><P>We have developed a good manufacturing practice for long‐term cultivation of fetal human midbrain‐derived neural progenitor cells. The generation of human dopaminergic neurons may serve as a tool of either restorative cell therapies or cellular models, particularly as a reference for phenotyping region‐specific human neural stem cell lines such as human embryonic stem cells and human inducible pluripotent stem cells. We cultivated 3 different midbrain neural progenitor lines at 10, 12, and 14 weeks of gestation for more than a year and characterized them in great detail, as well as in comparison with Lund mesencephalic cells. The whole cultivation process of tissue preparation, cultivation, and cryopreservation was developed using strict serum‐free conditions and standardized operating protocols under clean‐room conditions. Long‐term‐cultivated midbrain‐derived neural progenitor cells retained stemness, midbrain fate specificity, and floorplate markers. The potential to differentiate into authentic A9‐specific dopaminergic neurons was markedly elevated after prolonged expansion, resulting in large quantities of functional dopaminergic neurons without genetic modification. In restorative cell therapeutic approaches, midbrain‐derived neural progenitor cells reversed impaired motor function in rodents, survived well, and did not exhibit tumor formation in immunodeficient nude mice in the short or long term (8 and 30 weeks, respectively). We conclude that midbrain‐derived neural progenitor cells are a promising source for human dopaminergic neurons and suitable for long‐term expansion under good manufacturing practice, thus opening the avenue for restorative clinical applications or robust cellular models such as high‐content or high‐throughput screening. S<SMALL>TEM</SMALL> C<SMALL>ELLS</SMALL> T<SMALL>RANSLATIONAL</SMALL> M<SMALL>EDICINE</SMALL><I>2017;6:576–588</I></P>

객체 지향 DBMS에서 질의 재수행 과정이 없는 뷰 메카니즘의 설계

강성주(Sungjoo Kang),박지숙(Jisook Park),이석호(Sukho Lee) 한국정보과학회 1995 한국정보과학회 학술발표논문집 Vol.22 No.2A

OODB에서 뷰를 제공할 때 RDB에서의 저장 뷰 방법을 그대로 적용할 경우 객체 중첩의 문제가 발생하게 된다. 본 논문에서는 뷰에 저장된 저장 객체의 OID와 애트리뷰트 경로로 저장 객체의 데이타에 접근할 수 있는 방법을 제시하였으며, 이를 통해 뷰 실행시 매번 질의를 재수행하지 않으면서 관계 데이타베이스 시스템에서 쓰이는 저장 뷰 방법이 객체 지향 모델에서 가지는 문제점을 극복하였다. 특히 이 방법은 뷰 정의문의 조건절에서 지정한 애트리뷰트에 대한 변경이 거의 없는 환경에서 효율적이다.

인터넷 상에서 논리 언어 Prolog 프로그램 수행을 위한 도구 개발

강명화(Myunghwa Kang),권지숙(Jisook Kwon),신동하(Dongha Shin) 한국정보과학회 1999 한국정보과학회 학술발표논문집 Vol.26 No.1A

논리 프로그래밍은 다른 프로그래밍과 달리 의미적 명확성, 높은 생산성, 메타 프로그래밍의 용이성 그리고 추론 기능 등의 장점이 있지만 현재 인터넷 응용 프로그램으로 많이 사용되고 있지는 않다. 본 논문은 논리 언어의 하나인 Prolog 프로그램을 인터넷 상에서 서비스할 수 있게 하는 도구 개발에 대하여 기술한다. 이 도구는 크게 CGI 프로그램 부분과 라이브러리 프로그램 부분으로 이루어진다. CGI 프로그램은 웹 브라우지에서의 입력이 있을 때마다 수행되고 종료되지만 라이브러리 프로그램을 사용한 응용 Prolog 프로그램은 서비스가 종료될 때 까지 계속 수행한다. 본 연구에서는 CGI 프로그램과 응용 Prolog 프로그램 사이의 데이터 전달을 위하여 소켓 프로세스 간 통신 방법을 사용하였다. 본 연구에서 개발된 도구의 특징은 기존은 CGI 만으로 Prolog 프로그램을 인터넷 상에서 제공하려던 방식과는 달리 어떠한 Prolog 프로그램도 인터넷 상에서 제공할 수 있다. 또한 개발된 도구는 다중 사용자 서비스 기능도 가지며 CGI 프로그램이 C 언어로 작성되어 매우 효율적으로 수행한다.

Analysis of the Difference between the Pyroxenes LiFeSi₂O₆ and LiFeGe₂O₆ in Their Spin Order, Spin Orientation, and Ferrotoroidal Order

Lee, Changhoon,Kang, Jinhee,Hong, Jisook,Shim, Ji Hoon,Whangbo, Myung-Hwan American Chemical Society 2014 Chemistry of materials Vol.26 No.4

<P>The pyroxenes LiFeSi<SUB>2</SUB>O<SUB>6</SUB> and LiFeGe<SUB>2</SUB>O<SUB>6</SUB> are isostructural and isoelectronic, but they differ in their spin order, spin orientation and ferrotoroidal order. The reasons for these differences were probed by density functional theory electronic structure calculations and magnetic dipole–dipole (MDD) interaction energy calculations. The ferromagnetic Fe-zigzag chains of LiFeSi<SUB>2</SUB>O<SUB>6</SUB> arise from the antiferromagnetic interchain spin exchanges and the antiferromagnetic Fe-zigzag chains of LiFeGe<SUB>2</SUB>O<SUB>6</SUB> from the antiferromagnetic intrachain spin exchange. The preferred spin orientations of LiFeGe<SUB>2</SUB>O<SUB>6</SUB> and LiFeSi<SUB>2</SUB>O<SUB>6</SUB> are not caused by spin–orbit coupling but by MDD interactions. LiFeSi<SUB>2</SUB>O<SUB>6</SUB> undergoes a ferrotoroidal order because it has spin exchange rings made up of an even number of antiferromagnetic spin exchanges paths with comparable strengths. A ferrotoroidal order is not expected for LiFeGe<SUB>2</SUB>O<SUB>6</SUB> because it has no such spin exchange rings.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/cmatex/2014/cmatex.2014.26.issue-4/cm5001413/production/images/medium/cm-2014-001413_0004.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/cm5001413'>ACS Electronic Supporting Info</A></P>

Difference in Treatment Outcome according to Oxygen Supply Time in Patients with Myocardial Infarction

Kyengho Yun,Jisook Kang J-INSTITUTE 2022 International Journal of Crisis & Safety Vol.7 No.1

Purpose: The purpose of this study was to compare the effects of oxygen therapy on cardiac status and therapeutic outcomes after percutaneous coronary intervention (PCI) and to reduce unnecessary oxygen supply. Our intervention focused on reducing the six hours of oxygen therapy that was previously available to two hours. Method: A non-equivalent control group non-synchronized design was used. After IRB approval, we started experimental study. Total 42 patients participated in this study, 12 in the experimental group and 30 in the con-trol group. The experimental group received oxygen for 2 hours and the control group was compared to the experimental group by chart review of patients who maintained oxygen for 6 hours. We measured Ejection Fraction (EF) by Echo-cardiogram and Myocardial Condition by Myocardium SPECT. We also checked hospital days by reviewing medical chart. For the analysis, descriptive statistics, X2 test, and t-test were used for statistical analysis with SPSS 23.0 program. Results: The test in Myocardium SPECT showed no significant difference in Myocardial condition between the experimental group and the control group. Especially, ‘stress defect’ among the test items was significantly lower in the experimental group than in the control group (t=2.118, p=.040). In addition, there was no significant dif-ference in the hospital day in the experimental group and the control group(t=-0.341, p=.735). Conclusion: Therefore, it is recommend to maintain oxygen therapy for 2 hours reduced and compared previ-ous oxygen therapy protocol.

Renal hypouricemia as the cause of exercise-induced acute kidney injury

( Haeun Lee ),( Donghyuk Kang ),( Hanbi Lee ),( Jisook Yim ),( Myungshin Kim ),( Cheol Whee Park ) 대한신장학회 2023 Kidney Research and Clinical Practice Vol.42 No.4

Reporting on the significance of the racehorse feed test conducted by Korea Racing Authority and the statistical analysis for years

Dong-il Jeong,Sinwook Kang,Jisook Han,Taeksoo Kim 한국분석과학회 2023 학술대회논문집 Vol.2023 No.11

간호사의 노인에 대한 인식과 의사소통과의 관계

유명환(Myeonghwan Yu),강지숙(Jisook Kang) 한국노년학회 2021 한국노년학 Vol.41 No.4

본 연구는 간호사의 노인에 대한 인식과 의사소통과의 관계를 파악하여 간호사의 의사소통 관련 연구 및 간호 중재 개발의 기초자료로 활용되고자 하는 목적으로 시도되었다. 본 연구는 노인에게 돌봄을 제공하는 간호사를 대상으로 간호사의 노인에 대한 인식, 노인과의 의사소통 장애, 의사소통 행위, 의사소통 만족을 확인하고 그 관계를 조명하는 설문지를 이용한 서술적 조사연구이다. 자료수집은 IRB 승인을 받은 후 노인에게 돌봄을 제공하는 병원 및 관련기관에 근무하는 간호사를 대상으로 면대면 조사와 구글엔진을 통한 온라인 자료수집을 병행하여 진행되었고, 총 292명이 참여하였다. 수집된 자료는 SPSS/WIN 26 프로그램을 사용하여 기술통계, t-검정과 ANOVA, 사후검증으로 Duncan test, Pearson’s Correlation, 다중회귀분석으로 분석하였다. 그 결과, 노인에 대한 인식과 의사소통 장애, 의사소통 행위, 의사소통 만족도 간에 유의미한 상관관계를 확인할 수 있었으며, 노인에 대한 인식이 긍정적일수록 의사소통장애는 감소하고 의사소통 행위는 좋아지며 노인과 의사소통 만족도가 높아짐을 확인 할 수 있었다. 따라서 실무적으로 노인을 만나는 간호사의 의사소통 교육과 함께 노인에 대한 인식 향상과 관련된 교육 또한 이루어져야 될 것이다. 또한, 관련하여 간호사의 노인에 대한 인식 향상과 의사소통 향상에 대한 추가적인 연구가 필요할 것으로 사료된다. This study was performed to utilize for foundation data of research related nursing communication and developing nursing intervention by examining the relationship between nurses perception of the elderly and communication. This study is a descriptive research using a set of questionnaires that examines the relationship between nurses who provide care to the elderly by confirming their perception of the elderly, communication difficulties with the elderly, communication behavior, and satisfaction with communication. After IRB approval, data were collected either face-to-face survey or by online survey. A total of 292 nurses participated in this study. The collected data were analyzed as descriptive statistics, t-test and ANOVA, Duncan test and Pearson s Correlation Coefficients, Multiple Regression Analysis by using SPSS/WIN 26 program. As a result, a significant correlation was identified between perception of the elderly and communication disorders, communication behavior, and communication satisfaction. We found that nurses who had more positive perceptions about the elderly had less communication disorders, better communication behaviors, and higher communication satisfaction with the elderly. From this result, we suggest that nurses caring for the elderly should receive education on communication methods with elderly to improve their perception. Furthermore, we suggest future studies to improve nurse s perception of the elderly and communication.