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.

8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

종강의 크기가 생강의 생육 및 수량에 미치는 영향

최재을,김정선,이은정 충남대학교 농업과학연구소 1998 농업과학연구 Vol.25 No.1

This study was investigated to find out the optimum rhizome size of ginger characteristics and yield at two planting densities. Seventy five gram of rhizome gave best performance for plant height and yield with comparison with the other sizes at two planting densities. Among 25g, 50g and 75g of ginger rhizome size were not significantly different in plant height and yield at 30×30cm planting density. But, 25g of rhizome size is economically recommended at 30×30cm planting densities.

Smart Wear 개발동향 및 사용사례에 관한 연구

최혜선,유은주 이화여자대학교 생활환경대학 인간생활환경연구소 2007 인간생활환경연구소 논집 Vol.- No.5

This paper aims to provide an overview of development trends and applications in smart wear. Electronics products are increasingly penetrating all aspects of daily life. Modern people who have to get around here and there without staying at a specific place tend to take mobile products and computer with them to access network at any time and any place. No one ever leaves the house without having been occupied with textiles. So electronics devices or computer are added to the textile and clothing, Wearable computer and smart wear are good examples. For the textile industry, the integration of electronics can create new market opportunities in the areas of sports, medicine and health, and in the area of safety. And the advent of smart textiles makes it possible to bring the traditional textile sector to a level of high-technological industry.

장갑의 적합성 향상을 위한 손부위 2차원 계측정보 DB구축에 관한 연구 : 성인 남·녀 만 18세에서 만 64세를 중심으로 focused on the ages from 18to 64 of male & female adults

최혜선,김은경 한국의류학회 2004 한국의류학회지 Vol.28 No.3,4

The aim of this study was to provide the basic 2-dimensional statistics requisite in the sizing system and design of gloves. The 64 static measurements were selected to provide information about hands. Participants in the study were 824 adults, aged between 18 and 64. Subjects were divided into four age groups: 18 to 29, 30 to 39, 40 to 49, and50 to 64, and separated according to sex. Statistical tests such as Descriptive Analysis, and Anova were conducted to analyze the data and ascertain the differences among the ages. The disparities between sex groups were compared by T-test. In addition, correlation among the 57 measurements was analyzed and the results were compared to the data from Japanese and other studies. The results indicated that all the measurements were significantly larger in the male group. There were significant differences among age groups for most hand circumferences, breadths and thickness items. As the age increased, the hand circumferences, breadths and thickness items became wider and thickrer. In addition, as the age increased, the mean measurement value of the length items decreased, so that it became shorter. Hand length was highly correlated with finger length, palm length and height. Maximum hand circumference Ⅱ was highly correlated with hand circumferences, hand breadth and weight.

Head-Space SPME에 의한 생체시료 중 메스암페타민류 분석(Ⅱ)

최화경,양원경,한은영,최상길,정희선 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-

여가 활동 참여와 정신건강 및 생활만족도와의 관계

최선,고은주 韓國舞踊敎育學會 2003 韓國舞踊敎育學會誌 Vol.14 No.1

Purpose of this paper was to identify relation of leisure activity with mental health and life satisfaction. Under this purpose, the subjects of the study are housewives who are engaged in some forms of dance activities at present. They were selected by random sampling method. The considerations in selecting the sample were the regions of residence and the kinds of dance they participated in. Out of the randomly sampled subjects in Daejeon and Cheongju, a total of 199 surveys were selected to be reliable materials. The population consists of 126 participants in Korean traditional dancing and 73 participants in the 'life dancing' (aerobic and jazz dancing). The tools used in the study are Stress Scale (Thomas Holms, 1985; Richard, 1989); Geriatric Depression Scale (1988, mainly used at neuropsychiatric clinics), and Life Satisfaction Inventory (Jin Yun, 1982). A survey was conducted by means of self-administration. For data analysis, ANOVA was carried out using the SPSS Ver. 10.0 for Windows. Schette' (.05) was used in the post-test. The result of this analysis is as follows: First, Relations of General Characteristics (age, education, income, health conditions, etc.) of the Women with Their Mental Health and Life Satisfaction - age, education and income don't seem to make a significant difference in their stress and life satisfaction, but they do make a difference in their depression (p<.01). On the other hand, their health conditions contribute to the significant difference in their stress (p<.05), depression (p<.001), and life satisfaction (p<.001). This result indicates that healthy housewives have less stress and depression and more life satisfaction. Second, Comparison of Mental Health and Life Satisfaction Levels in the Women Depending on Their Participation in Dancing Activities (kinds, frequency, time, and experience of the dancing activities) - there is a significant difference in their stress (p<.01) and life satisfaction (p<.05) depending only on the kinds of dancing activity. Specifically, when they participate in Korean traditional dancing, their stress and depression are lower and life satisfaction is higher. Other variables, such as frequency, time, or experience in dancing, don't seem to make a significant difference. This result is consistent with the previous studies suggesting that participation variables have significant effects only when they are comprehensive. Third, Comparison of Life Satisfaction Levels in the Women Depending on Their Mental Health Conditions (stress, depression) - the levels of their life satisfaction are significantly different depending on the degree of stress (p<.01) and depression (p<.001). In conclusion, among all their general characteristics (background variables), age, education, and income make a significant difference only in the degree of depression. Their health conditions significantly contribute to the differences in all the stress, depression and life satisfaction. Among the participation variables, 'kind of dance' seems to have an influence: When they participate in Korean dancing, their stress and depression are significantly alleviated. Especially, Korean traditional dance seems to be an more affective leisure to mental health and life satisfaction.

투석환자의 성생활 만족 및 관련요인

최경희,김은영,김진선 朝鮮大學校 附設 醫學硏究所 2003 The Medical Journal of Chosun University Vol.28 No.2

Objectives: The purposes of this study were to examine the sexual satisfaction and to identify the factors related to sexual satisfaction of dialysis patients. Method: For this descriptive correlational study, a convenient sample of 96 hemo or peritoneal dialysis patients was selected. Data were collected using structured questionnaire and analyzed using the SPSS/PC 10.0. For data analysis, descriptive statistics, t-test, ANOVA, correlation. and stepwise multiple regression analysis were used. Results: Sexual satisfaction of the respondents was negatively changed after dialysis. The current level of sexual satisfaction was low. Dialysis patients with diabetes mellitus reported lower sexual satisfaction than their counterparts. The respondents' age and spousal support were significant predictors of sexual satisfaction in dialysis patients. and these two variables explained 22.7% of variance of respondents' sexual satisfaction. Conclusion: The results of this study demonstrated that there are great needs for development of intervention programs to improve sexual satisfaction of dialysis patients. To identify aging effect on sexual satisfaction. sexual satisfaction of dialysis patients is need to be compared with that of general population. Moreover, interventions to improve sexual satisfaction of dialysis patients should be included their spouses.

트윈세대(Tween Generation) 아동복의 치수적합성에 관한 연구 : 초등학교 5,6학년,중학교 1,2학년을 중심으로 focused on the Tween Generation from fifth grade to eighth grade

최혜선,김은경,강여선 한국의류학회 2002 한국의류학회지 Vol.26 No.5

The purpose of this study was to provide basic information on the propriety of the ready to wear garment sizes of Tween Generation(ages from 5th grade to 8th grade) who has different clothing preferences in color, styles, and design and also different body sizes and shapes from younger and older students. The objectives of the study were to ascertain (a) the body figure changes occurring during Tween Generation; (b) the coverage of manufactures' garment sizes. The body measurements of elementary school students(5th & 6th grades) and junior high school students(7th & 8th grades) provide the basic statistics for this study. The mean differences of each size within each figure type are compared by using t-tests. The differences in various manufacturers apparel sizing and figure size are investigated. Also the body measurements and the apparel sizes of the manufacturers are compared in order to evaluate the suitability of the garment size. Results indicate that the body type factors are different in each age group. And manufactures' sizes come out to be much smaller than the actual body measurements. Young casual wear can cover junior high school students satisfactorily but for elementary school students, because of low drop-value, the overall satisfaction with fitting is low.

디밍 안정기를 이용한 형광등의 퍼지 제어기 설계

崔洪圭,全光鎬,姜太垠,崔琁雄 홍익대학교 산업기술연구소 1997 産業技術 Vol.7 No.-

This paper proposes Dimming Ballast illumination control method using fuzzy reasoning the proposed method has the following effects. First the power saving above 50% is accompanied by the automatic control of the illumination and the choice of a turn-on or -off of a fluorescent lamps that is accompanied by the number of person and working time and weather Second the maintainment of the best illumination in spite of time and weather variation. Third More simple establishment and low than BAS(Building Automation System) because need not main control unit or communication cable