• 한국학교보건학회지
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• 제16권2호
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• pp.71-84
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• 2003

This study was attempted to offer the basic data required for composing a systemic education contents for health by analyzing the contents related to health education shown in the guidebook for teachers and the schoolbook for students of all grades in the current 7th education course for elementary school. The objectives and data were totally 162 copies which were 90 copies of national schoolbook for 1~6 grades and 72 copies of guidebook for teachers used in elementary schools in the 7th educational course. The standards of selection for the contents related to health education including in each schoolbook were divided into 11 themes using the health care model suggested by Kim, Hwa Joong(1995) in the guidebook for health curriculum for elementary middle high schools. The results of this study are as follows: Firstly, the total hours of health education suggested in the 7th educational course for elementary school were 274 hours and it was 6.2% of the total class of 4,442 hours. Secondly, the contents about health education were distributed into 9 subjects of The right livelihood, The wise livelihood, The cheerful livelihood, Korean, Morals, Society, Science, Physical education, and Practical course etc. Physical education had the most contents about health education and there was nothing in Mathematics, Music and Arts. Thirdly, contents about health of regional society and environmental health were the most of 53 hours(19.3%), and contents about understanding of health were the least of 4 hours(1.4%). Fourthly, contents included equally in every grades were those about safety and emergency response, health of home and society, health of regional society and environmental health.

• The Korean Journal of Pain
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• 제31권3호
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• pp.206-214
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• 2018

Background: Immune responses appear to be affected by anesthetics and analgesics. We investigated the effects of caudal tramadol on the postoperative immune response and pain management in pediatric patients. Methods: Sixty ASA-I pediatric patients aged 3-10 years undergoing lower abdominal surgery. Patients were randomly assigned either to a caudal bupivacaine (0.25%) group (group B), or a group that received caudal tramadol (1 mg/kg) added to the bupivacaine (0.25%) (group T). Both were diluted in a 0.9% NaCl solution to a total volume of 1ml/ kg. The systemic immune response was measured by collecting blood samples preoperatively, at the end of anesthesia, and at 24 and 72 hours postoperatively, and studied for interleukin IL-6, C-reactive proteins (CRP) cortisol levels, and leucocytes with its differential count. Postoperative pain was assessed along with sedation scales. Results: Postoperative production of IL-6 was significantly higher in group B at the end of anesthesia, than at the $24^{th}$ hour, and at the $72^{nd}$ hour in group B and group T, respectively. The immune response showed leukocytosis with increased percentages of neutrophil and monocytes, and a decreased lymphocyte response rate within both groups with no significant differences between the groups. Cortisol and CRP were significantly higher in group B. Conclusions: Adding tramadol to a caudal bupivacaine block can attenuate the pro-inflammatory cytokine response, Cortisol, and CRP in children undergoing lower abdominal surgery.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2012년도 춘계학술논문집 1부
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• pp.22-24
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• 2012

The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$, .734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$, .612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

• 디지털융복합연구
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• 제16권10호
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• pp.357-366
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• 2018

본 연구는 수형자 교정에 대한 개념분석을 통해 그 속성을 파악하고 개념을 명확히 하여 간호중재프로그램 개발시 기초자료를 제공하기 위함이다. 2011년에서 2015년까지 발표된 국내외 수형자 교정에 대한 연구문헌을 PubMed, NDSL RISS을 이용하여 2016년 4월 1일부터 7월 30일까지 검색하였다. 37편의 문헌을 Walker와 Avant의 개념분석방법 절차에 따라 분석하였다. 수형자 교정의 속성은 응보, 자기성찰, 긍정적인 문제해결, 재사회화로 나타났다. 수형자 교정의 정의는 법에 위반되는 반사회적이고 반도덕적인 행위로 교정시설에 수용된 수형자를 대상으로 과학적이고 개별화된 형벌을 집행하고, 수형자의 내면적 성찰을 통해 삶에 대한 긍정적인 태도를 지니게 할 뿐만 아니라 개별적 특성을 고려한 서비스 제공으로 문제해결과 사회적응능력의 향상, 신체적 정신적 건강의 조화를 통한 재사회화와 범죄로부터 국민과 사회를 안전하게 보호하는 것이었다. 본 연구는 수형자 교정의 바람직한 방향을 설정하고, 치료적 교정을 위한 간호중재프로그램 개발 시 이론적 근거를 제공하였다.

• 한국보건간호학회지
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• 제14권2호
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• pp.332-341
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• 2000

Children's accident is a largely preventable public health problem. Little is known. however, about population-based incident and outcome of pediatric accident. From 1997.9 through 1998,8. admission data from emergency center in I city were collected. 1418 patient from 0 through 13 years of age were selected. All children with unintensional accidental problems were identified through coded sheet which categorizes epidemiologic characteristics. The specific purposes of this study are analysis about the characteristics of pediatric accidents. And it aims to produce the basic data necessary for accident prevention policy development. The results of this study were as follows; 1. The number of male children$(62.6\%)$ were higher than female children$(37.4\%)$ 2. The age group from 1 to 3 years represents the highest proportion$(45.4\%)$ of every accidents except on traffic accident. 3. The highest proportion of accident were as follows occured during the June-August$(34\%)$, Sunday$(22.6\%)$, and 17-21 p.m. $(37.2\%)$ 4. The main causes of accident include general trauma$(70.9\%)$, environmental accident$(l6.8\%)$. and traffic accident$(l2.1\%)$, 5. Preschool age group represents more than half$(65.4\%)$ of traffic accident. 6. environmental injury includes burns $(46.6\%)$, foreign body$(43.6\%)$, exposure to poisonous materials$(6.3\%)$. and bite(3.3) This results could be used to develope prevention programs and assist in accident prevention system development. And also these data substantiate that accident prevention program decrease safety-related injury rate in preschool age group must be concentrated on enhancing access to a system to have a significant effect. Furthermore, it is necessary for accident prevention. So several suggestions are described here: 1. Development of parent's educational program for accident prevention and safety education should be done actively. 2. Home safety surveillance system should be initiated. 3. The initiation of children's accident report system could be contribute the analysis and the reduction of accident.

• 대한간호학회지
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• 제16권2호
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• pp.44-52
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• 1986

Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2％ in comparison to Cmax（56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2011년도 추계학술논문집 1부
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• pp.163-165
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• 2011

본 연구에서는 해부학강의에 있어 혼합강의의 적용가능성을 평가하였다. 2007~2009년 매 1학기동안 강원대학교 의과대학 간호학과 학생(n=143)을 대상으로 해부학강의를 가상강의 9회, 면대면 강의 3회, 사체해부실습 2회로 구성된 혼합강의로 실시한 후 설문을 통해 자기평가요인(만족도, 난이도, 흥미도, 유용성, 평가의 적절성, 학업성취도, 운영의 적절성, 이론실습연계성), 학업성취별 자기평가요인, 자기평가요인간의 상관관계를 분석하였다. 자기평가요인의 난이도는 평균$2.96{\pm}0.63$점으로 전반적인 강의수준은 적절했던 것으로 나타났고 나머지 모든 요소들은 평균 3.82~4.21점 사이로 평가되어 간호학과에서 해부학강의를 위한 혼합강의의 적용이 매우 긍정적인 것으로 나타났다. 학기종료 후 화보한 최종성적을 기준으로 세 그룹(상위, 중위, 하위)으로 나누어 자기평가요인과의 관계를 분석한 결과, 모든 요소에서 통계적으로 유의하지 않았다(p>0.05). 자기평가요인 간의 상관관계는 난이도와 전공연계성의 유용성(r=0.300, p<0.0003),혼합강의의 유용성(r=0.210, p<0.0137), 평가의 적절성(r=0.323, p<0.0001), 이론실습연계성(r=0.216 0.0097)이 높을수록 상관성을 보였다, 만족도, 전공연계성의 유용성, 혼합강의의 유용성, 이론실습연계성에서는 학업성취도를 제외한 모든 요소에서, 흥미도는 난이도와 학업성취도를 제외한 모든 요소에서 유의성 있게 높은 상관성을 보였다. 하지만 학업성취도에서는 평가의 적절성을 제외한 다른 요소에서는 연관성을 보이지 않아 성적과 관련해 영향을 미치는 요소가 없다는 것으로 판단되어지며 본 연구를 위해 도입된 강의구성이 해부학의 균형 있는 학업성취를 유도할 수 있는 수업방식이라 판단되었다. 결론적으로 본 연구를 통해 해부학강의에 있어 혼합강의의 우수한 교육효과를 알 수 있었고, 간호학과만이 아닌 최근 급증하고 있는 의료-보건계열의 다양한 전공자를 위한 적용, 확대로 해부학지식의 질적 향상과 강의수요에 비해 부족한 해부학 전공 교수진들의 교육 부담을 경감할 수 있는 효과적인 교수법으로 활용가치가 있다고 사료된다.

• 디지털융복합연구
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• 제17권2호
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• pp.447-451
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• 2019

본 연구는 건강식품으로 많이 사용되는 32종의 약용식물에 대한 헬리코박터 파이로리 항균효과를 살펴보기 위해서 디자인되었다. 연구에 사용된 약용식물은 모든 사람들이 매일 먹을 수 있는 것으로 H.pylori 활성에 대한 디스크 확산법을 이용하여 32종의 약용식물 추출물을 사용하였고 Amoxicillin sodium (150mg/ml,일동제약)과 메트로니다졸 (Metronidazol, 50mg/ml)을 대조군으로 사용하였다. 투명한 영역의 면적을 측정하고 그 면적이 더 큰 크기가 H. pylori에 많은 효과가 있다고 평가했다. 이 연구의 결과, 고련피 억제 값은 $372.90mm^2$로 가장 높았고, 둘째, 오배자 $358.30mm^2$, 그리고 청호 $348.32mm^2$이었다. 양성 대조군인 Metronidazole (50mg / ml CJ) 값은 $503,29mm^2$이었다. 향후 H. pylori 억제를 위해 다양한 약용식물의 항균소재개발이 가치가 있을 것으로 사료된다.

• 한국융합학회논문지
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• 제12권4호
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• pp.285-291
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• 2021

본 연구는 외상성 경막하 혈종 환자의 생존 여부에 영향을 미치는 요인을 규명하기 위해 시도된 후향적 조사연구이다. 연구대상자는 G광역시에 소재한 C대학교 병원에 2017년 1월부터 2019년 2월까지 응급실로 내원한 외상성 경막하 혈종 환자 207명이다. 자료분석은 SPSS 23.0 프로그램을 이용하였으며, χ2-test, t-test, 로지스틱 회귀분석을 시행하였다. 연구결과 대상자의 생존 여부에 영향을 미치는 요인은 기저질환, 입원 시 합병증, 내원 시 GCS로 나타났다. 따라서 대상자의 과거력을 확인할 수 있는 의료시스템 구축과 합병증 예방을 위한 의료진의 교육이 이루어져야 할 것이다. 이와 함께 의료기관 이송 전 단계부터 대상자의 GCS를 측정하여 신속히 치료 가능한 병원으로 이송될 수 있도록 이송체계의 개선이 필요하다.

• 한국융합학회논문지
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• 제12권2호
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• pp.295-300
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• 2021

본 연구는 Celeriac Extract의 전 염증성 사이토카인의 생성 억제에 미치는 영향을 살펴보고 억제 정도를 확인하기 위하여 실시되었다. 염증은 전 염증성 사이토카인인 TNF-α나 IL-6, IL-1β 및 활성산소와 같은 매개인자에 의해 나타난다. 이에 RAW264.7 세포에 lipopolysaccharide(LPS) 로 자극하여 생성된 TNF-α나 IL-6, IL-1β과 같은 전염증성 사이토카인과 NO 같은 활성산소에 대한 Celeriac Extract(1ug/mL, 10ug/mL, 100ug/mL)의 영향을 살펴보았다. 그 결과 Celeriac Extract은 세포 독성 없이 TNF-α나 IL-6의 생성과 NO생성을 유의성 있게 저해하였다. 따라서 이러한 결과는 셀러리악 추출물이 전 염증성 사이토카인 및 NO 생성을 억제하여 염증 반응을 약화시킬 수 있음을 시사한다.