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      • 중환자에서 동맥혈 가스분석 횟수와 그로인한 실혈량에 대한 연구

        이석열,전철우,정영수,오희숙,마분란,이정미,정혜영,이만복,이길노 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

        Background : Arterial blood gas analysis is the most comon exam in intensive care unit. In this study, the frequency of blood gas analysis and the amount of blood loss after Blood Gas Analysis in Intensive Care Unit were observed. Methods : From November 1999 to February 2000, 115 patients admitted to intensive care unit at Soonchunhyang university Kumi hospital were studied prospectively for the frequency of blood gas analysis and the amount of blood loss after blood gas analysis in Intensive Care Unit. Results : The mean value of frequency of blood gas analysis was 6.41±6.49 and the mean value of amount of blood loss after blood gas analysis was 0.78ml. This was lower than that of other foreign reports. The patients with ventilator therapy above 24 hours showed higher frequency of blood gas analysis than that of not applied ventilator patients. Pulse oxymetry was applied to all patients and the frequency of blood gas analysis was decreased due to the use of strict pulse oxymetry. Conclusion : Doctors and nurses in intensive care unit keep in mind that adequate blood sampling is needed for the decrease of blood loss. Education and protocol for the decrease of blood loss after arterial blood gas analysis may be necessary.

      • SCOPUSKCI등재

        New polymorphic microsatellite markers in the Korean mi-iuy croaker, $Miichthys$ $miiuy$, and their application to the genetic characterization of wild and farmed populations

        An, Hye-Suck,Kim, Eun-Mi,Lee, Jang-Wook,Kim, Dae-Jung,Kim, Yi-Cheong The Korean Society for Integrative Biology 2012 Animal cells and systems Vol.16 No.1

        Eighteen new polymorphic microsatellite markers were developed for the Korean mi-iuy croaker ($Miichthys$ $miiuy$, Perciformes, Sciaenidae), and allelic variability was compared between a wild population in Mokpo, Korea, and a hatchery population in Tongyeong, Korea. All loci were amplified readily and demonstrated allelic variability, with the number of alleles ranging from 5 to 37 in the wild population, and from 4 to 12 in the farmed population. The average observed and expected heterozygosities were estimated, respectively, to be 0.74 and 0.78 in the hatchery population samples, and 0.79 and 0.86 in the wild samples. These results indicate lower genetic variability in the hatchery population compared with the wild population, and significant genetic differentiation between the wild population and the hatchery samples ($F_{ST}$=0.058, P<0.001). These microsatellite loci may be valuable for future population genetic studies, monitoring changes in the genetic variation within stocks in a commercial breeding program, conservation genetics, and molecular assisted selective breeding of the mi-iuy croaker in the future.

      • 노인의 영적 간호요구

        최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

        This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

      • KCI등재

        일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로

        고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2

        Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.

      • 피부 적용 겔제제의 첨가제에 의한 수분 보유력 평가

        이은미,박종희,경기열,전일순,조혜정,지웅길 충남대학교 약학대학 의약품개발연구소 2004 藥學論文集 Vol.19 No.-

        The aim of this study was to improve the moisturizing and water retaining effects of a gel containing poloxamer 407, glycerin, sod hyaluronate, sorbo(sorbitol 70%). Topical preparations were formulated as a gel containing different concentration poloxamer 407, glycerin, sod. hyaluronate, sorbo(sorbito1 70%), lipid(ceramide. sphingosine ratio 1:l). We tested a various combination of different additives for the moisturizing effect The water holding capacity of the mixture was measured using a moisture analyzer. In vivo test was carried out on human skin using Skicon-200 and water retaining effect was increased by addition of lipid. Water evaporation test was performed by various concentration of additives and water evaporation characteristics of the preparations were determined using the moisture analyzer. Moisturizing and water retaining effects was increased by adequate combination of various additives with topical gel formulations.

      • 다공성 하천구조물을 이용한 2차 처리수의 수질개선 효과

        이혜미,오종민,최이송 경희대학교 환경연구소 2002 環境硏究 論文集 Vol.11 No.-

        This study was performed to application of porous hydraulic structures(porous weir and porous river bed materials) to water purification in small and middle stream. This study was investigated the ability of water purification according to the variety of environmental conditions, periphytons and material of hydraulic structures. When the ordinary hydraulic structure was used as contact d a , the average removal efficiency of SS, BOD and COD were SS(48.4%), BOD(25.2%), COD(12.0%) respectively. Also when the porous hydraulic structure was used as contact media, the average removal efficiency of SS, BOD, COD and T-P were SS(83.0%), BOD(62.1%), COD(45.9%), T-P(32.3%) respectively. Judging from our results, porous concrete applied to the weir from took a great role of removal efficiencies of BOD, COD(low concentration range of organic materials) and T-P

      • KCI등재후보

        척추관 협찬증 환자 진료 프로세스 개발

        이환모,김호중,김긍년,안풍기,천자혜,김양수,신혜선,김인숙,정혜경,김영아,채형기,박인영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

        연구배경: 수술적 치료가 필요한 척추관협착증 환자들은 주로 60세 이상의 고령환자로장기간의 입원 시 기회 감염의 증대와 불필요한 의료비의 증대를 가져오게 되며, 수술후환χ}들의 재원일수의 증가는병원의 병상가 동률을감소시키고, 전공의에게는불필요한 업무를 증가시킨다. 연구목적: 비용·효과면에서 최적화된 진료지침의 개발은 불필요한 의료비의 감소및 Hospital Induced Complication을 줄여 환자만족도를증진시킬 수 있으며, 각 환자에 대한전공의 업무를 줄일 수있다. 의료기관: 서울특별시에 소재한 2,075병상의 종합전문 요양기관 연구방법: 정형외과및 신경외과의 척추관협착증환자 의 처방을 비교하여 최적의 표준진료지침을 개발하고 최종적으로 CP Master Program (EMR 프로그램)에 입력하여 환자에게 적용하였다. 연구결과': CP 적용전, 후비교를통해 재원일수는 3.8일 이 감소하였으며, 이에 따라 병상가동률 및 진료수익이 증가했으리라고 예상되며 현재 비교검토중이다. 또한,CP 개발및 CP Master Program의 사용을 통한 전공의 업무감소에 대해 검토하고 있다.

      • KCI등재

        학동기 손자녀에 대한 조모의 역할수행 : 취업모가족과 비취업모가족 비교

        이미숙,조병은,강란혜 대한가정학회 2004 Family and Environment Research Vol.42 No.4

        The purpose of this study was to compare the grandmothers role performance toward their grandchildren in the elementary school between working and nonworking mother families. The subjects were 274 grandparent-grandchild pairs. The sbuctured questionnaires, from both grandmothers and grandchildren were collected in 2001. Using statistical technique such as factor analysis, t-test, Pearson's correlation, and multiple regression analysis, the major findings were as follows: 1) The level of the grandmothers' role performance is moderate in general. However, the grandmothers in working mother families perform surrogate mother roles more strongly than the grandmothers in nonworking mother families. 2) While contact between grandmother and grandchild is associated with the grandmother's role performance in working mother families, the grandmother's age and the closeness between grandmother and mother are related to the level of the grandmother's role performance in nonworking mother families. In conclusion, the grandmothers' role performance in working mother families was found to be more important in the supporting system than in nonworking mother families.

      • 이야기 구성하기가 쓰기에 대한 태도에 미치는 영향 : 중학교 2학년 남학생을 대상으로 한 연구

        이미혜 이화여자대학교 교육대학원 2006 이화교육논총 Vol.16 No.-

        Language use competence, which is the aim in Korean language education, has not fully been successful only by cognitive oriented education, In the seventh curriculum of Korea, learners' affective factor has been focused and the studies and the interests on the learners' affective factor has been increasing recently. Learners' affective factor is classified to the attitude category in the seventh curriculum, and its' sub-categories are motivation, interest, habit, and value, In the content system of writing education in Korean language, which is national common basic curriculum, the content of writing contains 'substance' of writing, 'principle' of writing, and 'attitude' of writing, In order to acquire Korean language using, the category, 'reality' is divided from other categories. So the attitude and its' functions are recognized as an independent category. However, in the process of the embodiment of the curriculum, the content of attitude category does not contain the contents of each sub-category. Moreover, the affective factor cannot show the result in a short time and there is no objective and verifiable way to test the result. As a result, the learning activities are not deeply done in teaching and learning process. In spite of high interests in writing owing to the essay test for the university entrance examination, learners' writing ability has not been improved because the learners' attitude toward writing has not been formed yet. It is easily found that even the learners who has good grades in their writing performance test show their limited interests in writing itself. Writing education guided by cognitive way can only suggest model writings to the students, not giving intrinsic writing habit or attitude which can make their lives fruitful. To solve the problems mentioned above, the devices for forming the attitude toward writing will be suggested in this study. The attitude toward writing can be formed by motivation and interests which make writing activities into their habits. Motivation and interests have close relationship with learner factors. forming attitude without considering learners' situation is meaningless. Therefore, the reality of learners' attitude toward writing should be researched and it can be helpful for understanding the learners' situations and for considering the way of writing. Under the research through the boy students who are attending in the boys middle school, two-thirds of them show no interests in writing, even though they acknowledge the importance of writing. The result of the research says that the boy students has not built the high attitude toward writing, It also shows that the students have acquired cognitive knowledge related to writing process and writing method. However, it says that the cognitive knowledge about writing cannot make writing activity activated. This study is focused on the teaching and learning method led by the 'story-making', which can be accepted by learners amusingly. Story-making is human beings' lives themselves and is familiar to daily lives. So it can motivate the learners to think variously and to get interests in writing itself. First step of teaching and learning process model led by story-making is presentation of material which can give interests and motivation to learners. Next step is to let learners conceive creative imagination under certain situation. And then learners construct stories and, write them- After completing writing their own stones, learners present their stones and share the stories each other. Those activities make learners get interested in writing and let them want to write again. Through presenting this teaching and learning model repeatedly, learners can have writing habit and their writing attitude can be formed in the end. To make learners get steady interests in story-making teaching and learning process, various activities related to learners' daily lives have been considered in this study. Various activities are following; story-making after reading materials, story-making imagined by pictures, and story-making while listening to music, In addition, story-making under creative situation learners imagine, story-making after setting a time or a place and story-making in other person's side are suggested in this study. Writing class with twenty periods presented story-making teaching and learning process for six students who didn't like to write and five students who generally liked to write. After twenty classes, every participant showed their high interests in writing. Through this writing class, students recognition toward writing has been changed and some of the students were quite willing to write. Also, the students' writing products showed their adventurous creativity and fluency which conceived various ideas and creative thoughts. Those creative ideas are important factors which motivate learners to get interests in writing. When story-making teaching and learning process is steadily applied to Korean language class or Daily Korean language class, or when it is activated throughout the fields such as reading or speaking, learners' attitude toward writing will be positively improved. This study about learners' attitude toward writing and affective factor has limits for proving the objective effect in a short time. this study focuses on a possible solution for improving attitude toward writing through various activities and investigations. And also it is expected that succeeding studies about learners' attitude toward writing will result in advanced progress of education.

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