• 한국운동역학회지
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• 제12권2호
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• pp.179-195
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• 2002

본 연구의 목적은 현대 스포츠가 점점 스피디하고 격렬한 상황의 연출을 요구하고 있는 상황에서 순간적으로 신속 정확한 판단력과 그에 따른 재빠르고 민첩한 행동이 필요할 때가 많으므로 준비동작에 대한 운동역학적 메카니즘의 이해가 필요하다고 판단되어 연구를 실시하였다. 따라서 본 연구에서는 준비동작의 형태 변화(open stance & cross stance)에 따른 신체움직임을 운동역학적인 분석을 통하여 바람직한 준비동작의 모델을 제시하는데 있으며, 이러한 연구 목적을 달성하기 위하여 연구대상자는 부산 B대학교 핸드볼 선수인 남학생 5명과 부산 S대학교 사격 선수인 여학생 5명을 선정하여 실험하였다. 준비자세에서의 좌 우 전방향으로 이동시의 동작을 2대의 고속 비디오 카메라와 2대의 지면반력기 그리고 전신반응측정 장비를 이용하여 자료를 수집하였고, 준비자세에서의 좌 우 전방향 이동시의 메카니즘을 분석한 결과 다음과 같은 결론을 얻었다. 첫째, 준비자세에서 좌 우 전방향 이동시 cross stance 자세가 open stance 자세 보다 신체중심이동 속도가 빠른 것으로 분석되었으며, Take-off시 슬관절의 굴곡각은 약 $175^{\circ}$의 각도를 유지하고, 고관절의 굴곡각은 약 $172^{\circ}$의 각도를 유지하여 준비자세를 취하는 것이 바람직한 것으로 분석되었다. 둘째, 준비자세에서의 좌 우 전방향으로 이동시 지지시간과 지면반력분석 결과를 종합해 보면 준비동작에서 왼쪽방향으로 이동시 가장 빠른 신체중심이동 속도를 나타냈다. 셋째, 준비자세에서 좌 우 전방향 이동시 지면반력 분석 결과에서도 cross stance 자세가 open stance 자세보다는 왼발과 오른발에 체중을 적절히 분산시켜 준비동작을 수행할 수 있도록 하여 상해를 예방할 수 있으므로 cross stance 준비자세가 바람직한 것으로 분석되었다. 따라서 준비자세의 역학적인 메가니즘은 cross stance 자세가 open stance 자세보다 보다 바람직한 준비자세라고 할 수 있으나 반드시 개인차도 고려되어져야 할 것이다.

• 한국잡초학회지
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• 제31권2호
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• pp.167-174
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• 2011

본 연구는 콩 재배시 동계 피복작물인 크림손클로버, 헤어리벳치, 호밀의 예취물 피복이 잡초발생과 콩생육 및 수량에 미치는 영향을 알아보고자 실시되었다. 연구 결과 크림손클로버, 호밀, 헤어리벳치 피복구에서 모두 이른 봄 잡초 억제율이 높았으며, 콩 정식 64일 후에도 헤어리벳치 피복구는 87.6%, 호밀 피복구는 72.0%로 콩의 초관이 형성될 때까지 높은 잡초억제율이 유지되었다. 그러나 크림손클로버 피복구는 시간에 흐름에 따라 잡초억제율 감소폭이 커서 여름잡초가 많이 발생한 콩 정식 64일 후에는 4.1%로 현저하게 감소되었다. 헤어리벳치 피복구는 월년생과 다년생잡초에 대한 억제율이 98.2%로 가장 높았고, 호밀 피복구는 광엽잡초 억제율이 57.6%인 반면, 화본과잡초 억제율은 93.8%로 광엽잡초 보다 화본과 잡초에 대한 억제 효과가 높았다. 크림손클로버 피복구에서는 다년생과 월년생잡초 억제효과가 거의 없었으며, 광엽잡초에 대한 억제효과도 없었다. 콩의 후기 영양생장기에 초장을 조사한 결과 무피복에 비해 크림손클로버, 헤어리벳치, 비닐 피복구에서 각각 6.9%, 20.2%, 22.0% 초장이 더 길었으나, 호밀 피복구는 오히려 초장이 짧았다. 콩의 입비대시에는 호밀 피복구의 콩 생육이 다소 회복이 되었으며, 수확기때 콩 수량은 헤어리벳치 피복구 ${\fallingdotseq}$ 비닐 피복구 > 크림손클로버 피복구 ${\fallingdotseq}$ 호밀 피복구 > 무피복구 순이었다.

• 한국균학회지
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• 제25권1호통권80호
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• pp.35-45
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• 1997

The yellow fungal isolates inhabiting at the cereals (Hwang-Kuk, HK-fungi) were widely collected from the mejus and nuluks in Korea; the meju is a raw material for Korean traditional foods for soysauce and soypaste, and the nuluk is a raw material for Korean traditional rice wine. These isolates, well known as an Aspergillus oryzae producing amylase for Korean rice wine or producing protease for soybeans, were compared with Aspergillus species known. All isolates were microscopically observed to be a species of A. oryzae or its related, but to be difficult to be identified. Thus, RAPD-DNA techniques were applied for these isolates and analyzed with nummerical values using NT-system, or Ecological programs or Factorial analyses. Several common bands of RAPD-DNA in the 28 isolates were synthesized with the different OPD primers and speculated to be used for identification of HK fungi. The HK-fungi isolated were revealed to belong to the group of A. flavus previously defined. Particularly, the isolates collected from mejus were analyzed to be more closed to A. flavus, The species of A. flavus, A. oryzae and A. sojae were grouped at the values lower than those indicating the diversity of species. In other words, these three fungal species were not distinguishable and all isolates known as a HK-fungus were very closed to A. flavus, All isolates were not diversified at groupings of RAPD-DNA, and considered to be not the natural flora at the mejus or nuluks. The meju or nuluk having the above fungi as the fungal flora were speculated to be not termed "Korean traditional foodstuffs".The yellow fungal isolates inhabiting at the cereals (Hwang-Kuk, HK-fungi) were widely collected from the mejus and nuluks in Korea; the meju is a raw material for Korean traditional foods for soysauce and soypaste, and the nuluk is a raw material for Korean traditional rice wine. These isolates, well known as an Aspergillus oryzae producing amylase for Korean rice wine or producing protease for soybeans, were compared with Aspergillus species known. All isolates were microscopically observed to be a species of A. oryzae or its related, but to be difficult to be identified. Thus, RAPD-DNA techniques were applied for these isolates and analyzed with nummerical values using NT-system, or Ecological programs or Factorial analyses. Several common bands of RAPD-DNA in the 28 isolates were synthesized with the different OPD primers and speculated to be used for identification of HK fungi. The HK-fungi isolated were revealed to belong to the group of A. flavus previously defined. Particularly, the isolates collected from mejus were analyzed to be more closed to A. flavus, The species of A. flavus, A. oryzae and A. sojae were grouped at the values lower than those indicating the diversity of species. In other words, these three fungal species were not distinguishable and all isolates known as a HK-fungus were very closed to A. flavus. All isolates were not diversified at groupings of RAPD-DNA, and considered to be not the natural flora at the mejus or nuluks. The meju or nuluk having the above fungi as the fungal flora were speculated to be not termed 'Korean traditional foodstuffs'.

• 지역사회간호학회지
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• 제14권2호
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• pp.334-350
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• 2003

The purpose of this descriptive study was to evaluate the clinical validity of QSCCII (Questionnaire for the Sasang Constitution Classification), whose high accuracy as a constitutional diagnostic tool has been recognized by medical professionals. The subjects of this study were 568 clients from an A university hospital in Suwon. Of the subjects, 259 were health center visitors and 292 were ambulatory clinic visitors. Data were collected using self-reported questionnaire and were analyzed by $X^2$-test and one-way ANOVA. The results of this study as follows: 1. In 4 types of constitution, Soeumin type was found in 41.5% of the subjects. Taeumin type in 39.2%.,and Soyangin type in 19.2%, respectively. There was no Tayangin type found in this study. There were no significant differences on types of constitution by demographic characteristics such as age, sex, marital status, education, religion, and economic status. 2. As for 15 item-selective questionnaire, there were statistically significant differences on the response rate of the 12 items, except items such as A4, A11 and A14, by the types of constitution. When the subjects' own criteria on their constitution were compared to the given constitutional criteria on each item, 4 items such as A6, A11, A13 and A14 were advisable to be excluded from the questionnaire or to be reunited to the other criteria. In the meanwhile, 3 items such as A7, A18 and A15 were desirable to be re-categorized to the other constitutional types and reconstructed to the QSCC II questionnaire. 3. In terms of 106 true-false questionnaire, there were statistically significant differences on the response rate of 46 items by the types of constitution. The 46 items include 15 items (32.6%) of the domain of 'handling something/strength and weakness', 4 items (8.7%) of the domain of 'interpersonal relationship', 9 items (19.6%) of the domain of 'state of mind at ordinary times', 2 items (4.3%) of the domain of 'distinctive emotional characteristics' area, 11 items (23.9%) of the domain of 'specific behavioral trait' and 5 items (10.9%) of the domain of 'physical characteristics'. Therefore, the areas of 'handling something/strength and weakness' and' specific behavioral trait' mainly contributed to the classification of constitutional type. 4. When the 106 true-false items were simplified to the 46 items, statistically significant differences were found on the rate of items allocated to the 3 types of constitution. The rate of selection assigned to the 3 constitutional types of the simplified 46-item questionnaire was higher than that of the original 106-item questionnaire. Conclusions; It was concluded that the rate of selection of each lay person about his own constitutional type would be still higher even though the simplified items of QSCC II questionnaire were applied. If more replicated studies are conducted on the diverse population using the simplifying QSCC II questionnaire in the future, a more simplified standardized Sasang Constitution Questionnaire that is available to the public rather than to medical staffs in the clinical settings could be developed. Moreover, the simplified scale will help nurses deliver more efficient nursing care by providing a more rapid way of health assessment.

• 한국도서관정보학회지
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• 제5권
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• pp.119-168
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• 1978

This is a survey of the reserved book system in the pilot universities in Korea. We have surveyed only 22 university libraries among 29 pilot schools as of 1977, because of the differences in the library users, library organization, library facilities, and library materials between universities and colleges. In 1972, the Korean Ministry of Education developed a reformation plan for their higher education based on the teaching method of curriculum-oriented faculty instead of that of the faculty-oriented curriculum. The former puts emphasis on the cultivation of a student's thinking, creativity, and judgement through self-teaching to do a given assignment. The reserved book system in a college or university library is one of the most important methods necessary to accomplish the above educational aim. The survey used a questionnaire with 50 question on 28 items concerning the various aspects of the reserved book system in 22 pilot universities. the survey result discovered many problems needing correction. The following list describes the measures needed to correct the problems found in the pilot universities. 1. The management of a centralized reserved book system is much more effective and economical than the decentralized reserved book system when a university is located on the same campus. 2. In the university library, an independent reserved book department requires to gain the desired educational aims as compared with the reserved book room controlled by any other department in the library. 3. The reserved book system should not be adopted by all the departments at once but enlarged gradually, for it needs the understanding and support of faculty members and the university itself. 4. As competence is essential to the effective operation of the reserved book room, the university library should not place an unqualified person in charge of the reserved book department. 5. The librarian in charge of the reserved book department is required to do more professional works such as analysis of users, collection and analysis of syllabuses, maintenance of faculty member cooperation, establishment of measures to acquire unavailable materials, and drawing up an effective management plan. However, he is spending most of his time in clerical works, that is, non-professional works. 6. Three to five titles of each reserved book are considered reasonable and required materials should be shelved in proportion to the number of students, that is, one copy per eight or ten students if the materials are allowed to lend for two hours at a time. For the supplementary materials, the library needs to place two or three copies per subject. 7. Professors must select reserved books with care so that they can be used year after year. 8. Few universities are asking professors the number of class students and the date when the reserved material will no longer be needed on reserve. 9. The library should gather all the lists of reserved books from every professor at least three to five months before the courses open, because it takes a long time to obtain foreign materials. 10. It is desirable that the reserved book department should collect the lists and prepare the materials with promptness and consistency. 11. Instead of block buying, it is desirable to purchase reserved books at the time the library gets the reserved book list from the professors. The library should also inform faculty members whether it obtained each reserved book or not before the course open. 12. The library should make a copy of materials if a professor requires to reserve an out-of-print book or partial contents of a book, journal, and thesis. 13. An independent budger for reserved books from the budget for general materials is desired. 14. The shelf arrangement of reserved books by courses or professors under the same department is much more preferable than a classified arrangement. 15. While most of the universities adopted the open shelves system for all the reserved books, it is more effective and economical to take a compromise system, that is, closed shelves for requires materials and open shelves for supplementary materials. 18. Circulation of reserved books needs a different system between required materials and supplementary materials: two or three hours and/or overnight loan for the former and two and/or three days loan for the latter. 17. A reserved book room should be open a long time after class so that students can have sufficient time to use the room. 18. The library must take daily and monthly statistic as well as statistics on every aspect of the reserved book system in order that the library ma decide on policy and management of the reserved book room in collaboration with the university. Furthermore, regular reports on the use of the reserved book room should be made to the president and the executive council by the library to acquire their understanding and cooperation for the reserved book system. 19. Cooperation of faculty members is indispensable to the effective management of the reserved book department and it is desirable to make a committee which will fix various decisions about the system. Whenever the director of the library make his decision, he must consult with his staff in order to involve them earnestly in the operation of the system.

• 한국식품영양과학회지
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• 제40권10호
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• pp.1423-1429
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• 2011

본 연구에서는 가압가열 및 microwave 처리가 gliadin의 항원성에 미치는 영향을 살펴보기 위해 중력분에 가압가열과 microwave를 단독 또는 병행으로 처리하여 Ci-ELISA, SDS-PAGE 및 immunoblotting을 실시하였다. 가압가열 처리의 경우, 처리 시간이 길어질수록 IgG와의 결합력이 감소하였으며, 특히 50분 처리구에서 약 69%로 가장 낮은 결합력을 보였다. 또한 SDS-PAGE와 immunoblotting 결과에서도 무처리구에서 강하게 보였던 gliadin band가 처리에 의해 거의 소실되고 항체와 반응하지 않았다. 가압가열 및 microwave를 병행 처리한 경우도 마찬가지로 gliadin의 결합력이 다소 감소하였으며, 처리구 중에서는 가압가열 50분, microwave 5분 처리구에서 약 73%로 가장 낮은 결합력을 보였다. 반면 microwave를 단독으로 처리하였을 때에는 일부 단백질의 변화는 관찰되었으나 항원성 감소에는 큰 영향을 미치지 않았다. 이상의 결과를 통해 가압가열을 단독 처리에 의해 gliadin의 항원성이 다소 감소되었으며, microwave 병행처리에 의한 차이는 크게 나타나지 않은 것을 확인하였다.

• 대한한의학회지
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• 제16권1호통권29호
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• pp.505-530
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• 1995

Recently some people in learned circles of oriental medicine raised a Question about a terminological problem, i.e., 'oriental medical'. This question was thought as an attempt to find out the identity of oriental medicine which exists among the various current medical knowledge systems. In spite of same object, human body, there are diverse medical knowledge systems which has different concepts and theories. This come from the difference of a view of object which defines the experiences of that. The knowledge system of oriental medicine was established by the view of object in oriental medicine which depended on the way of thinking as Yin and Yang. The view of object in oriental medicine has come out in the special cultural soil, namely, the oriental world. Because of this the view of object in oriental medicine cannot be seperated from the oriental world view. What distintive feature does the oriental world view have? It can be summarized as the holistic, dynamical and organic ideas of the world. The term 'oriental medical' is being used to emphasize the characteristic and the peculiarity of the oriental medicine among the various medical knowledge systems. Can the current so called scientific method accept this peculiar and special method of oriental medicine? The efforts of philosophers who had been stimulated by the awful scientific achivements and had tried to find out the unified method penetrating through all the empirical science by mobilizing the logic and mathematics has became out of date for the raise of a question about the inductive method. On the contrary, the theses of theory-laden observation was accepted widely and the relativism was accepted as a new established theory. But the relativism has its own problem. The relativism was founded upon the concept, the incommensurability, which Khun and Feyerabend had proposed. This concept was criticized strongly by some of philosophers because of its own self-refuting. The view of object in oriental medicine has a relative characteristic in the aspect of its urge that in accordance with the perspective a different medical knowledge system can be possible. But our possible choice is the moderate conceptual relativism. Therefore if the view of object in oriental medicine includes the relative aspect, there is the 'conceptual relativity' between the knowledge system of oriental medicine and the western medicine. This preview an important aspect for the standardization and modernizing research of oriental medicine by lending the knowledge of the western medicine. And when we choose the moderate conceptual relativism, it means that we do not support the extreme relativism, that is, 'anything goes'. The concept of truth and rationality cannot be abandoned, and it plays the role of the norm on the knowledge system of oriental medicine and other knowledge systems of medicine in a limited meaning. And the view of object in oriental medicine has an organic view about the human body and the characteristic which wants to interpret the phenomena of human body by using the holistic method. But the availability of this method will be evaluated by the achievements of oriental medicine. Finally what relationship does the theory of oriental medicine have with the world the theory is applied to? It is recognized that the theory of oriental medicine has the instrumental characteristic. But it can be thought the instrumentalism is different from the oriental medical standpoint in the aspect that the instrumentalism seperates the theoretical existence from the observational existence sharply. Because in the oriental thinking way there is no seperation between the mind of observer and the object and no conflict between the idealism and the realism like the western world. For this problem there must be a further study.

• 한국식품영양과학회지
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• 제26권2호
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• pp.327-333
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• 1997

본 연구는 도토리추출물이 고지방을 섭취한 흰쥐의 체내 지질대사에 미치는 영향을 구명하고자 실시되었다. 실험동물은 Sprague-Dawley종 수컷 흰쥐를 사용하였으며 도토리추출물은 체중 100g당 0.02g을 매일 일정시각 경구투여하였고 대조군은 생리식염수를 투여하였다. 실험식이는 기본식이의 전분량을 40.9%로 줄이고 lard를 9.1% 첨가하여 6주간 실험에 임하였다. 체중 100g당 간과 성장의 무게는 고지방 섭취시 증가 되었으며 신장의 무게는 감소되었는데, 도토리 추출물 투여시 정상식이군과 유사한 수준으로 회복되었다. 혈청 중 TL과 TG 및 PL 함량은 고지방 섭취시 유의적으로 증가하였으나, 도토리추출물 투여로 증가 정도가 억제되었는데, 특히 물추출물 효과가 현저하게 나타났다. 본 실험에서 도토리추출물 투여시 혈중의 TL 함량이 유의적으로 감소된 것은 TG보다 TC 함량 감소에 기인된 것으로 도토리추출물의 성분이 체내 콜레스테롤 대사에 영향을 미친 때문으로 사료된다. 반면 HDL-콜레스테롤 함량은 고지방 섭취로 인해 유의적으로 감소되었으나 도토리추출물 투여로 회복되었으며, 고지방 섭취로 상승된 동맥경화 지수가 도토리추출물 투여시 낮아지는 것을 관찰하였다. 간조직 중의 TL, TG 및 TC 함량 역시 고지방 섭취로 유의적으로 증가되므로써 혈액에서와 유사한 결과를 나타낸 반면, PL 함량은 유의적으로 감소되었다. 도토리추출물 투여시 간조직 중의 TL과 TG 및 PL 함량은 증가되었으나 유의적이지는 않았으며, TC 함량은 유의적으로 감소되었다. 또한 고지방 섭취시 도토리추출물 투여가 TL 함량에는 영향을 미치지 않았으나 TG와 TC 함량은 유의적으로 감소되었으며, 고지방섭취로 감소된 PL 함량은 정상 수준으로 회복되었다. 이상의 결과에서 도토리추출물은고 지방 섭취로 유발된 고지혈중이나 지방간을 예방 및 치료에 효과적이며, 특히 물추출물 투여가 더 효과적인 것으로 나타났다.가 되었으며 10% 이하(以下)의 극내병계류(極耐病系統)이 3.4%나 점유(占有)하였고, 조명나방 평균(平均) 발생율(發生率)은 8%, 변이폭(變異幅)은 $0{\sim}17$%로 다양(多樣)하였다. 7. 1000립중(粒重)은 개화(開花) 소요일수(所要日數)와 초장(草長) 그리고 성숙립수(成熟粒數)와 등숙율(登熟率)과는 고도(高度)의 정(正)의 상관(相關)을 보였으나 잎마름병 발생율(發生率)과 조명나방 발생율(發生率)과는 5%의 유의(有意)한 부상관(負相關)를 보였다. 농도가 감소되었을 때, ATPase 활성은 증가하였다. 위의 조건에서 실제 마이크로솜 내부로의 $Ca^{2+}$ 유입 여부는 $‘Ca^{2+}’$를 이용하여 확인하였다. 이상의 결과는 마이크로솜 막에 위치한 ATPase의 내부 및 외부에 $Ca^{2+}$에 의한 효소활성 조절부위가 각각존재함을 시사한다. $10{\sim}11.99\;ppm$, 14품종(21.5%)이 $12{\sim}13.99\;ppm$, 9품종(13.8%)이 $14{\sim}15.99\;ppm$, 10품종(15.4%)이 $16{\sim}17.99\;ppm$, 4품종(6.2%)이 $18{\sim}19.99\;ppm$, 5품종(7.7%)이 $20{\sim}29.99\;ppm$, 3품종(4.6%)이 30 ppm 이상이었다. 전반적으로 일본에서 육성된 품종이 구미에서 육성되어 보급되고 있는 품종들에 비해 total terpenoids 함량이 낮은 편이었다.이 크므로 고혈압 환자를 대상으로 한 추후 연구를 통하여 두 제형간 강압효과 차이의 규명이 필요하리라 사료된다. 환자 중 총 6명에서 관찰되었다. 기침이 5명으로 가장 흔하였고, 오심이 2명, 그 외 구토, 열감, 부종,

• 항공우주정책ㆍ법학회지
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• 제7권
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• pp.101-134
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• 1995

Article 3 Paragraph 1 of the Warsaw Convention regulates the requirements of passenger tickets, Article 4 Paragraph 3, the requirements of baggage tickets, Article 8, the requirements of airway bills. In this article the writer has discussed the legal nature of the documents of air carriage, such as air waybills, passenger tickets and baggage checks. Further, the writer has also discussed several issues relating to the use of the documents of air carriage under the Warsaw Convention. Article 3 Paragraph 2, as well as Article 4 Paragraph 4 and 9 provides that the carrier shall not be entitled to avail himself of the provisions of the Convention which evade or limit his liability. In particular, the Montreal Agreement of 1966 provides that the notification on the carrier's liability in passenger ticket should be printed in more than 10 point type size with contrasting ink colors. However, another question is whether the carrier shall not be entitled to avail himself of the liability limit under the Convention in case the type size is below 10 points. The Convention does not specify the type size of certain parts in passenger tickets and only provides that the carrier shall not be entitled to avail himself of liability limit, when a carrier fails to deliver the ticket to passenger. However, since the delivery of passenger tickets is to provide an opportunity for passengers to recognize the liability limit under the Convention and to map out a subsequent measures, the carrier who fails to give this opportunity shall not be entitled to avail himself of the liability limit under the Convention. But some decisions argue that when the notice on the carrier's liability limit is presented in a fine print in a hardly noticeable place, the carrier shall not be entitled to avail himself under the Convention. Meanwhile, most decisions declare that regardless of the type size, the carrier is entitled to avail himself of liability limit of the provisions of the Convention. The reason is that neither the Warsaw Convention nor the Montreal Agreement stipulate that the carrier is deprived from the right to avail himself of liability limit of the provisions of the Convention when violating the notice requirement. In particular, the main objective of the Montreal Agreement is not on the notice of liability limit but on the increase of it. The latest decisons also maintain the same view. This issue seems to have beeen settled on the occasion of Elisa Chan, et al. vs. Korean Airlines Ltd. The U.S. Supreme Court held that the type size of passenger ticket can not be a target of controversy since it is not required by law, after a cautious interpretation of the Warsaw Convention and the Montreal Agreement highlighting the fact that no grounds for that are found both in the Warsaw Convention and the Montreal Agreement. Now the issue of type size can hardly become any grounds for the carrier not to exclude himself from the liability limit. In this regard, any challenge to raise issue on type size seems to be defeated. The same issue can be raised in both airway bills and baggage tickets. But this argument can be raised only to the tranportation where the original Convention is applied. This creates no problem under the Convention revised by the Hague Protocol, because the Hague Protocol does not require any information on weight, bulk, size, and number of cargo or baggage. The problem here is whether the carrier is entitled to avail himself of the liability limit of the provisions of the Convention when no information on number or weight of the consigned packages is available in accordance with Article 4 of the Convention. Currently the majority of decisions show positive stance on this. The carrier is entitled to avail himself of the liability limit of the provisions of the Convention when the requirement of information on number and weight of consigned packages is skipped, because these requirements are too technical and insubstancial. However some decisions declare just the opposite. They hold that the provisions of the Convention Article 4 is clear, and their meaning and effect should be imposed on it literally and that it is neither unjust nor too technical for a carrier to meet the minimum requirement prescribed in the Convention. Up to now, no decisions by the U.S. Supreme Court on this issue is available.

• 대한간호
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• 제31권4호
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• pp.77-99
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• 1992

The study was carried out at W. hospital, an affiliated hospital of Y university, involved a total of 163 patients who were discharged from the hospital between May 1990 und March 199J. Data collection was twice, just prior to discharge and a minimum of three months post discharge. Thirty patients who lived within a hour travel time of the hospital received home care during the three months post discharge. Nursing diagnoses and nursing interventions For these patients were analyzed in this study. The results of the study are summarized as follows : 1. Discharge needs for the subjects of the study were analyzed using Gordon's eleven Functional categories and it was found that 48.3% of the total sample had identified nursing needs. Of these, the needs most frequently identified were in the categories of sexuality, 79.3 %, health perception, 68.2 % self concept, 62.5 %, and sleep and rest 62.5 %. Looking ut j he nursing diagnosis that were made for the 30 patients receiving home care, the following diagnoses were the most frequently given; alteration in sexual pattern 79.3%, alterations in health maintenance, 72.6%, alteration in comfort, 68.0%, depression, 64.0%, noncompliance with diet therapy, 6.3.7%, alteration in self concept, 55.6%, and alteration in sleep pattern, 53%. 2. In looking at the effects of home nursing care as demonstrated by changes in the functional categories over the three month period, it was Found that of the 11 functional categories, the need level for health perception, nutrition, activity and self concept decreased slightly over the three month period. On the average sleep patterns improved, but restfulness was slightly less and bowel elimination patterns improved but satisfaction with urinary elimination was slightly less. On the other hand, role enactment, sexuality, stress management and spirituality decreased slightly. The only results that were statistically significant at the 0.05 level were improvement. in digestion and decrease in pain. No statistically significant changes were found in ability related to ADL, the total ADL Score at discharge was $19.78{\pm}8.234, and after 3 months $19.01{\pm}8.12$. Considering that a majority of the patients were over 60 years of age and that many had brain or spinal cord injuries, the fact that their ADL ability did nor deteriorate after discharge can be interpreted as related to a positive impact by the home health care nurses. Similarly there was a slight be not statistically significant decrease in the quality of life scores between the two lest times(l47.83 at discharge and 113.02 at the three month period). Again, when the chronic nature of thee problems facing these patients is considered this maintenance of quality of life can be interpreted as a positive impact by the home health care nurses. 3. One of the home care nursing activities was diagnosis. For this activity it was found that for nine functional health categories(sexuality and spirituality excepted) there were 20 nursing diagnoses. The most frequent were noncompliance, alteration in skin integrity both actual and potential, and impaired physical mobility in that order. 4. Delivery of home health care by the home health nurses included the following nursing activities; assessment, patient education, demonstration of care activities, counselling, direct care to the patient and referrals. Direct care included changing dressings, bladder irrigations, changing Foley catheters, measurement of residual urine, perineal care, position change, back care, oral hygiene, exercise and massage of motion exercises, cleansing enemas, tracheostomy suctioning and tracheostomy care, care of dentures, applications of heat and other similar nursing activities. In conclusion almost 50% of (he sample indicated a need for continued nursing care at the time of discharge and for the patients in the sample who received home care there was a slight decrease in nursing needs but while the patients had chronic and debilitation problems there was ill decrease in ADL abilities or in quality of life. Further study needs Lo be done La increase the reliability and validity of the tool that was used to measure home health care needs. It is also recommended that study by done using a randomized sampling with a control group to compare patients who receive home care with those who do not.