• Neonatal Medicine
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• 제18권2호
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• pp.409-411
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• 2011

In Korea, pulmonary surfactant (PS) replacement therapy in respiratory distress syndrome (RDS) was started in 1991 since when Surfacten$^{(R)}$ was imported from Japan. At the present time, Surfacten$^{(R)}$, Newfactan$^{(R)}$, Curosurf$^{(R)}$, and Infasurf$^{(R)}$ are available in Korea. The governmental health insurance covers the expense for multiple dose treatment since 2002 and the early prophylactic treatment (BW: <1,250 g or GP: <30 wks) since 2011. We undertook a multi-institutional collective study to evaluate the outcomes of PS over past 20 years in Korea (Period-I; 1990/91, P-II; 1996, P-III; 2002, and P-IV; 2007, P-V; 2010). There were 60 RDS neonates with PS treatment in P-I (16 hospitals), 1,179 in P-II (64), 1,595 in P-III (62), 1,921 in P-IV (57), and 3,160 in P-V (72). Decreased mortality rate, defined as the percentage of neonates who died within 28 days of birth, was seen between periods, P-V vs P-I, II, III, and IV (mortality rate: 10.1% vs. 40.0%, 30.0%, 18.7%, and 14.3%). We conclude that PS therapy contributed to improve remarkable outcome in RDS neonates over the last 20 years in Korea. However, more efforts should be made to optimize PS therapy for better outcome. Multiple PS doses for relapse and poor response, early prophylactic use, and better supportive care for pre-term infants are mandatory.

• 대한지역사회영양학회지
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• 제25권2호
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• pp.137-149
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• 2020

Objectives: This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity. Methods: For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors. Results: The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea. Conclusions: This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.124-132
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• 2017

본 연구는 소아병동간호사와 일반병동간호사의 간호근무환경, 직무스트레스 및 이직의도 차이를 비교하는 서술적 조사연구이다. 연구대상은 G광역시 소재 200병상 이상의 중소병원과 종합병원 및 대학병원에서 근무하는 경력 1년 이상의 간호사 174명을 대상으로 하였다. 자료 수집은 2016년 8월부터 구조화된 설문지를 이용하여 간호근무환경, 직무스트레스, 이직의도를 측정하였다. 연구결과 소아병동간호사와 일반병동간호사간에 간호근무환경은 유의한 차이가 없었고, 직무스트레스는 유의한 차이가 있었다. 특히, 소아병동간호사가 간호근무환경이 나쁠수록, 직무스트레스가 높을수록 이직의도가 더 높은 것으로 나타났다. 소아병동간호사는 일반병동간호사보다 직무스트레스가 더 높은 이유는 아동의 건강문제 뿐 아니라 그 가족으로 부터 받는 스트레스가 가중되기 때문이므로 소아병동간호사의 직무스트레스를 줄일 수 있는 의사소통, 자아성취감을 높일 수 있는 전문가 교육 등 다양한 방안이 요구된다.

• 대한임상검사과학회지
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• 제48권4호
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• pp.343-347
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• 2016

각질친화성 진균(keratinophilic fungi)은 대부분 토양에 분포하면서 사람이나 동물의 피부에 감염되어 상재균으로 존재하고, 각질에 침입하여 백선이라는 피부질환을 유발하기도 한다. 전세계적으로 광범위하게 분포되어 있으나 발생 양상은 기후나 지리적인 요건 등에 뚜렷한 차이를 보인다. 이 균주들은 피부나 손톱, 모발 등에 풍부한 케라틴을 분해하면서 영양분을 공급받으며 증식한다. 이 논문에서는 우리나라 여름철 휴가지로 가장 많은 인파가 몰리는 해운대를 선택하게 되었으며 매년 많은 사람들이 모이는 해운대 백사장에 피부사상균의 존재와 검출되는 균의 종에 대해 조사하고 고찰하였다. 토양시료는 무작위로 총 100개를 채취하였고 채취된 검체는 hair-baiting technique을 이용하여 분석하였으며 100개 시료 중 21곳의 모래시료에서 23종의 피부사상균이 검출되었다. 검출된 균들은 Microsporum gypseum (43%), Chrysosporium spp. (35%), Trichophyton ajelloi (13%), Microsporum cookie (9%) 순이었다. 본 연구를 통해 많은 사람들이 모이는 해변 모래사장에 다양한 병원성 진균들이 분포함을 확인하였다. 향후 지속적인 자료수집을 통해 각질친화성 피부사상균의 분포 추이를 조사할 수 있을 것으로 사료된다.

• 성인간호학회지
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• 제12권1호
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• pp.77-87
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• 2000

This study tried to suggest the basic materials that can be efficiently applied in clinical cases by understanding problems through a content analysis of an adult nursing assessment tool and opinion agreement about nurse's practical usage presently used in the hospital. The study was carried out in 36 attached hospitals in nationwide universities from May to December, 1999, the two hundred and twenty five reports were for analysis. The contents of the collected nursing assessment tool were analyzed. It was found that the tool had been used with various names and content and there were instances of partial omission of a number of items, such as documentation and time records. Other results revealed that they mostly had a systematic classification of items, formation of details a form of a check list, and the effect of saving time. In spite of the adult nursing assessment tool, it was suggested that its style be subdivided according to the specialized of a department and that standardized style be amended and supplemented. The respondents also answered that there had to be education about continuous and sufficient health assessment skills on the physical examination record. The most frequently suggested items to be added were: past history, marital status, patient and caregiver's address and telephone number. It was found that a patient's education career, economic status, religion, hygienic practice, sexual life and hobby were the most frequently omitted items on record. The reason given wes because the items were associated with his/her privacy. These results highlight the importance of analyzing the content with an complete data collection, supplying basic content for a more accurate nursing record, computerization, sharing information and standardization of the form.

• 한국콘텐츠학회논문지
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• 제20권9호
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• pp.494-502
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• 2020

이 연구는 장기간 운동에 참여한 여성 노인들의 긍정심리자본 경험과 긍정심리자본 획득·발달에 영향을 미치는 요인을 심층적으로 이해하기 위하여 수행된 현상학적 연구이다. 우리나라는 여성이 남성보다 평균연령이 8세나 높고, 도움이 필요한 국내 노인 중 2/3가 여성이므로 여성 노인 문제에 관한 연구는 시급하다. 연구참여자는 서울시에 소재한 스포츠 센터 소속 여성 노인 7명이다. 자료수집은 2020년 3월부터 5월까지 1회 90~180분, 각 참여자당 2회의 심층 면담을 통해 진행되었으며, Colaizzi의 현상학적 연구방법을 활용하여 분석하였다. 분석결과 규칙적인 삶, 관계α관심의 삶, 변화하는 삶, 만족하는 삶이 노인 여성의 긍정심리자본을 획득α발달시키는 요인으로 나타났으며, 이것은 건강을 유지하고, 규칙성과 관계성을 유지하여야 가능한 것으로 나타났다. 운동으로 긍정심리자본을 획득하며 성공적인 노화를 이루어낸 참여자들의 경험은 고령 사회문제에 해법으로 제시되며, 나아가 노년기를 앞둔 청·장년층에게 성공적 노화를 위한 건강한 길잡이 역할을 할 것으로 예상한다.

• 한국한의학연구원논문집
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• 제6권1호
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• pp.13-27
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• 2000

1. Purpose: This study was intended to consider through a bibliographical comparison between the system of Kabo-Bon ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ and that of Shinehook-Pan ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$. 2. Method: This study was based on the ${\ulcorner}$Hamsansachon Dongyi Soose Bowon old Kabo-Bon${\lrcorner}$, which was compared with a bibliographical data from Shinchook-Pan ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ and the collection of manuscripts left unpublished in Lee Je-ma's lifetime. 3. Result & Conclusion: Exterior-Interior Pathological system was found in the system of Kabo-Bon ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$, and it might be referred to that of Jang Joong-kyung's ${\ulcorner}$Shanghan Ron${\lrcorner}$. There were no 'the Discourse on the Origin of oriental Medicine' and 'the Discourse on the General Health Maintenance' in the Kabo-Bon ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$. And it was supposed to be many changes of contents on 'the Discourse on Nature and Order', 'the Discourse on the Four Principles', 'the Discourse on the Establishment and Supplement' and 'the Discourse on Viscera and Bowels' in the Shinchook-Pan ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ compared with those in the Kabo-Bon ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$.

• Physical Therapy Rehabilitation Science
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• 제4권2호
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• pp.108-114
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• 2015

Objective: The purpose of this study was to examine the effect on vital capacity (VC) and inspiratory muscle activation according to the anterior and posterior pelvic tilt positions. Design: One group pretest-posttest design. Methods: Twenty-six healthy adult men and women, age 19 to 27 years, volunteered to participate in this study. Forced vital capacity (FVC), and forced expiratory volume in 1 second ($FEV_1$) were measured by desktop spirometer in the pelvic positions during respiration, and muscle activation was recorded from sternocleidomastoid, upper trapezius, external intercostal, rectus abdominis, and external oblique muscles by surface electromyography (EMG) at the same time. EMG values were normalized by maximum muscle contractions (% maximum voluntary isometric contraction). Subjects were to breathe in as much air as possible and then exhale as quickly as possible in both anterior and posterior pelvic tilt positions. To measure lung capacity, inspiration was measured for 5 seconds and expiration was measured for 7 seconds with data collection taken place during the middle three seconds. Lung capacities were measured in each position three times. Results: For the results of this study, there was a significant increase in both FVC and $FEV_1$ values during the anterior pelvic tilting compared to the posterior pelvic tilting posture (p<0.05). The sternocleidomastoid, upper trapezius muscle, rectus abdominus and external oblique muscle activation was significantly increased during anterior pelvic tilt compared to the posterior pelvic tilt position (p<0.05). Conclusions: These findings suggest that pelvic anterior tilt position could be more effective for vital capacity and respiratory muscles activation during respiration.

• 간호행정학회지
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• 제22권1호
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• pp.46-56
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• 2016

Purpose: Purpose of this study was to identify major trends of action research from 2006 to 2013 and suggest directions for activating and advancing domestic action research in nursing. Methods: A review was made of 118 action research studies in hospital settings reported in international journals. Search from PubMed, Ovid, and CINHAL was done using analysis criteria developed by the researchers. General and methodological characteristics and focus on changing outcomes of action research were analyzed. Results: The major group of researchers belonged to colleges/universities (40.7%). Methods included use of qualitative methods (61.0%), research questions (24.6%), and use of theoretical models (35.6%). Prevalent data collection methods were interviews (20.2%), and 48.3% showed more than a 1-cycle process including spiral circulation structure. Focus of changing outcomes of the 56 papers including more than 1-cycle were practice (66.1%), environment (8.9%), client-nurse (7.1%). Conclusion: Trends in action research in nursing were identified providing necessary reasons to increase action research in nursing as follows: needs of various researchers including stakeholders as well as healthcare providers, various research designs including unconstrained reflection and writing, specific presentation of adapted theoretical models and action strategies, and quality assurance for validity and reliability of research processes and outcomes.

• 한국임상약학회지
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• 제25권3호
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• pp.145-150
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• 2015

Objective: Pain is very common in the elderly, so there is a high prevalence of analgesic use among this population. The purpose of this study was to assess patterns of analgesic use and evaluate factors associated with analgesic use in elderly patients. Method: The subjects of this study were patients over 65 years old hospitalized in a teaching hospital located in Chuncheon-si, Korea between January 1, 2014 and March 31, 2014. Data collection regarding analgesic prescriptions and baseline characteristics was conducted using computerized hospital database by medical information team. Logistic regression analysis was used to identify factors related to analgesic use. Results: A total of 2,394 patients were finally included. Among these patients, 700 (29.2%) took analgesics; 521 (74.4%) out of these 700 patients were received opioid analgesics and 179 (25.6%) were received only non-opioid analgesics. The most frequently prescribed opioid analgesic was pethidine (45.7%), and the most frequently prescribed non-opioid analgesic was acetaminophen (44.1%). Fracture was associated with increased odds of opioid analgesic prescriptions (OR = 2.766, 95% CI = 2.019-3.790, p < 0.001) and any analgesic prescriptions (OR = 2.394, 95% CI = 1.766-3.244, p < 0.001). Stroke or cerebral infarction was associated with decreased odds of opioid analgesic prescriptions (OR = 0.636, 95% CI = 0.471-0.858, p = 0.003). Conclusion: A significant proportion of hospitalized elderly patients use analgesics. Health care professionals should consider factors associated with analgesic use in this population to improve pain management.