• 재활간호학회지
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• 제2권2호
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• pp.257-270
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• 1999

The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

• 대한한의학회지
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• 제21권3호
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• pp.149-165
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• 2000

As recent developments of Immunology and Nuclear medicine, serum IgE and IgG values are helpful in the diagnosis and evaluation of the therapeutic effects of nasal allergies. But in Korea, air pollution and the increased use of food additives have become leading factors in nasal allergies, It seems to be induced by environmental change, especially industrialization and urbanization, so allergic rhinitis in our environment has changed in accordance with the changes made in the living environment. Therefore this study is attempted in order to observe a clinical analysis which places more importance on allergic rhinitis. We studied 200 patients who had visited Kyunghee Oriental Medical Center with allergic rhinitis from January 1, 1999 to December 31, 1999 The results were as follows: 1. The sex distribution was 114 males(57%) and 86 females(43%). In age distribution, the average age was 25. In males, ages ranged from 3 to 66 years old and the average was 23.81. In females, ages ranged from 4 to 67 years old and the average was 28.57. The peak age was 30～39 years old(24%); under 9 years old and 10～19 years old were each 18%; 20～29 years old was 22%; 40～49 years old was 11 %; over 50 years old 6.5%. The gulf between males and females showed a statistically significant difference(P<0.025). 2. In the age of onset, male' s maximum was 62.5, minimum was 0.25; female s maximum was 59.5, minimum was 0.2. Under 9 years old was the most with 34%(male 24%, female 10%), 10～19 years old was 18%, 20～29 years old was 22.5%, 30～39 years old was 13.50%, over 40 years old was 12%, The gulf between males and females were showed statistically significant difference.(p<0.014) 3. The average duration of the disease was 5.67 years. In male and female, the maximum was 30, the minimum was 0.05; under 5 years old was the most with 62%(male 34.50%, female 27.50%); 6～10 years old was 23%. So, under 10 years old was 85%. There was no statistically significant difference in the duration of disease. 4. Regarding type of residence, 47.50% of patients with allergic rhinitis lived in apartments, 52.50% lived in houses. In males, 29.50% lived in apartments, 27.50% lived in houses. In females, 18% lived in apartments, 25% lived in houses. There was no statistically significant difference in the residence by T-test and chi-test. 5. In the distribution of season, spring is the most with 29.5% of patients, winter 28%, fall 25.5%, and summer 17%. But there was no statistically significant difference. 6. After observing 200 patients with allergic rhinitis, classifying main symptoms into 5 types, sneezing was the main symptom in 177cases(88.50%), nasal obstruction in 176cases(88%), rhinorrhea in 169cases(84.5%), post nasal discharge in 87cases(43.50%), and itching in I04cases(52%). The Cumulus ration is 98.50% and symptoms overlapped with an average 3.57±0.1 times but in an analysis of variance of these symptoms, the gulf between males and females was not recognized as statistically significant by T-test and ANOVA. 7. Patients whose families have allergic diseases account for 90 cases(45%) : 49cases(24.50%) male and 41cases(20.50%) female. There were 4 cases (71.11 %) whose families have allergic rhinitis, 9cases(10%) of asthma, and 7.78% with allergic dermatitis. There were 61 (67.80%) cases of patients whose parents have allergic diseases; cases wherein the patient s child had allergic diseases numbered 13 (14.45%); and cases with a sibling with allergic diseases totalled 16cases (17.80%). There was no statistically significant difference in allergic disease regarding sex, parents, or siblings by chi-test. 8. Blood type: For males, type A is the most common, with 37cases(18.5%), followed by type B with 32cases(16%), type O 28cases(l4%) and type AB 13cases(6.5%). For females, type B is the most common, with 30cases(15%), followed by type O with 23cases(l1.5%), type A with 18cases(9%) and type AB with 13cases(6.5%). There was no statistically significant difference in blood type by chi-test. 9. In the selection of prefered food, most patients prefer cool food, with 98 such cases(49%), tepid food in 54cases(27%) and warm food in 48cases(24%). These showed a statistically significant difference in the selection of prefered food between males and females by chi-test(p<0.009). 10. The state of Past History was classified into II types. chronic hypertrophic rhinitis is the most common with 11cases (18.64%), tonsil and adenoid hypertrophy is 8cases(l3.56%), sinusitis is 6cases(10.17%), nasal septum deviation is 4cases, nasal polyp is 2cases, others are 10cases(l6.95%). No statistically significant difference in past history between males and females was shown, but a statistically significant difference was shown when males and females were compared with total cases by T-test(p<0.002, P<0.0008). 11. Regarding complications, 37 patients (28.91%) had sinusitis: 22cases(17.19%) in male, 15cases(11.72%) in female. Chronic hypertrophic rhinitis was found in 15cases(11.72%). Others are under 10%. There was no statistically significant difference in the type of complications between males and females, but a statistically significant difference was shown when males and females were compared with total cases by T-test(P<0.00l, P<0.007). 12. In the treatment, medication was used 1691 times, an average of 2.58 times. No.34 was used 370 times for 124 cases, an average of 2.98 times. No. 152 was used 318 times for 106 cases, an average of 3.00 times. No.151 was used 307 times for 97cases, an average of 3.16 times. No. 31 was used 117 times for 33 cases, an average of 3.55 times. No 25 was used 116 times for 33 cases, an average of 3.52 times. 13. In the duration of treatment, the most frequent is 1 week(69cases, 34.50%), the maximum is 20weeks, and the minimum is 1week. A treatment period of 2～3 weeks accounted for 32% of cases, a period of 4～5weeks accounted for 13.5%. The gulf between males and females showed a statistically significant difference in the duration of treatment.(p<0.01). There was a statistical significance when the males were compared with total cases by ANOVA(P<0.03). 14. A comparison between before-treatment and after-treatment showed a statistically significant difference in treatment by T-test (p<0.01) and F-test (p<0.0058).

• 의료법학
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• 제11권1호
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• pp.331-393
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• 2010

Psychiatrists who treat violent or potentially violent patients may be sue for failure to control aggressive outpatients and for the discharge of violent inpatients. Psychiatrists may be sued for failing to protect society from the violent acts of their patients if it was reasonable for the psychiatrists to have known or should have known about the patient's violent tendencies and if the psychiatrists could have done something that could have safeguarded in public. The courts of a number of jurisdictions have imposed a duty to protect the potential victims of a third party on persons or institutions with a special relationship to that party. In the landmark case of Tarasoff v Regents of University of California, the California Supreme Court held that the special relationship between a psychotherapist and a patient imposes on the therapist a duty to act reasonably to protect the foreseeable victims of the patient. Under Tarasoff, when a therapist has determined, or under applicable professional standards should determine, that a patient poses a serious threat of violence to another, he incurs an obligation to use reasonable care to protect the intended victim against such danger. In addition to a Tarasoff type of action based on a duty to warn or protect foreseeable victims of psychiatric outpatients, courts have also imposed liability on mental health care providers based on their custody of patients known to have violent propensities. The legal duty in such a case has been stated to be that where the course of treatment of a mental patient involves an exercise of "control" over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls on the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient. After going through a period of transition, from McIntosh, Thompson and Brady case, finally, the narrow rule of requiring a specific or foreseeable threat of violence against a specific or identifiable victim is the standard threshold or trigger element in the majority of states. Judgements on these kinds of cases are not enough yet in Korea, so that it may be too early to try find principles in these cases, however it is hardly wrong to read the same reasons of Tarasoff in the judgements of Korea district courts. To specific, whether a psychiatric institute was liable for violent behavior toward others depends upon the patients conditions, circumstances and the extent of the danger the patients poses to others; in short, the foreseeability of a specific or identifiable victim. In this context if a patient exhibit strong violent behavior toward others, constant observation should be required. Negligence has been found not exist, however, when a patient abruptly and unexpectedly attack others or unidentifiable victim. And the standard of conduct that is required to meet the obligation of "due care" is based on what the "reasonable practitioner" would do in like circumstances. The standard is not one of excellence or superior practice; it only requires that the physician exercise that degree of skill and care that would be expected of the average qualified practitioner practicing under like circumstances. All these principles have been established in cases of the U.S.A and Japan. In this article you can find the reasons which you can use for psychotherapist's liability for failure to protect third person in Korea as practitioner.

• Tuberculosis and Respiratory Diseases
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• 제57권4호
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• pp.329-335
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• 2004

연구 배경 : 중환자의 예후를 예측할 수 있는 지표로 현재까지 APACHE II, III 점수체계와 SAPS 등이 임상에 응용되고 있다. 1996년 유럽에서 SOFA 점수체계가 제안되었고 1998년 다기관 전향적 연구를 통하여 장기부전을 평가하고 경과를 감시하는 간편하고 효과적인 점수체계임을 입증하였다. 이 연구는 춘천성심병원에서 내과계 중환자만을 대상으로 SOFA 점수체계의 유용성을 조사하였다. 방 법 : 2000년 5월 1일부터 6월 30일까지 춘천성심병원 내과계 중환자실에 입원한 154명을 대상으로 하였고, 이중 타과환자, 타병원으로 전원된 경우, ECG 관찰만을 위하여 입원한 경우, 처치 후 관찰을 위해 48시간 이내만 체류한 환자를 제외한 105명을 연구에 포함시켰으며, 91명에서 평가가 가능하였다. SOFA 점수와 APACHE III 점수는 입원 시부터 매일 24시간 간격으로 중환자실에서 퇴실할 때까지 하였다. 결 과 : 1) 사망률은 20%였고 중환자실 체류기간의 중앙값은 3일이었다. 2) 사망군과 생존군 간의 24시간 내 SOFA 점수는 각각 $8.17{\pm}4.05$, $3.85{\pm}3.24$로 유의한 차이가 있었다. 3) 장기부전이 없는 경우의 사망률은 6.5%, 5개의 다발성 장기부전이 있는 경우 사망률은 100%였다. 4) 48시간 이상 체류했던 74명을 분석한 결과 사망군에서는 최대 SOFA 점수가 81%에서 증가하였고 생존군에서는 21%에서 증가하여 유의한 차이를 보였다. 5) 24시간 내 SOFA 점수와 APACHE III 점수와의 관련성을 평가한 결과 r=0.85 (p<0.01)로 유의한 상관관계가 있었다. 결 론 : SOFA 점수체계는 다발성 장기부전이 있는 환자에서 장기부전을 평가하고 예후를 예측하며 임상경과를 관찰하는데 이용할 수 있는 간편하고 임상적 효용성이 있는 지표로서 임상적으로 많은 도움이 될 것으로 생각한다.

• 대한환경공학회지
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• 제29권3호
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• pp.317-324
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• 2007

형광측정법은 자연유기물질을 간편하고 신속하게 분석함으로써 타 분석법에 비해 현장에서 실시간으로 수질관리에 활용할 수 있는 월등한 장점을 가지고 있다. 본 연구에서는 버섯배지용 톱밥 침출수와 생활하수의 영향을 받는 부산지역 수영천 상류 소하천에서 채집한 제한된 수의 대표시료를 대상으로 synchronous 형광스펙트럼을 분석하고 오염원 추적 및 감시 모니터링 가능성 여부에 대한 예비 실험을 실시하였다. 형광스펙트럼 분석에는 오염원 상류 하천, 생활하수 2개 지점, 톱밥 침출수, 하류지점 하천의 5가지 현장 시료를 사용하였다. 사용된 시료 중에서 톱밥 침출수는 다른 시료와 뚜렷한 형광 스펙트럼 차이를 보여 synchronous 형광 스펙트럼 측정을 통해 톱밥 침출수에 의한 오염 추적 및 감시가 가능함을 보여 주었다. Synchronous 형광 스펙트럼에서 적용 가능한 오염원 식별지표(discrimination index)로는 ${\Delta}\lambda=30nm$의 경우 276 nm와 350 nm에서의 형광세기, 275 nm와 285 nm에서의 형광세기 1차 미분 값이 선택되었고, ${\Delta}\lambda=60nm$의 경우 239 nm, 275 nm, 347 nm에서의 형광세기와 315 nm에서의 형광세기 1차 미분 값이 포함되었다. 다양한 혼합비율을 가진 톱밥 침출수와 상류 하천수 혼합 시료를 사용하여 선택된 식별지표의 민감도를 다음의 두 가지 기준을 바탕으로 비교하였다 - (1)실측치와 두 시료 간 혼합 비율에서 예측되는 지표 값과의 차이와 (2)식별 지표와 혼합 비율 사이의 일차 상관관계 정도. 그 결과 276 nm(${\Delta}\lambda=30nm$ 조건)와 347 nm(${\Delta}\lambda=60nm$ 조건)에서의 형광 세기가 현장에서 톱밥 침출수 오염을 식별하는 가장 이상적인 식별지표로 밝혀졌다. 비록 이 연구가 제한된 대표시료와 오염원 종류에 국한되었지만 여기에 사용된 식별지표 평가 과정 및 구체적인 실험방법은 향후 형광측정을 이용한 실시간 오염원 추적 연구에 중요한 기초자료를 제공할 것으로 기대한다.

• 한국작물학회지
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• 제49권3호
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• pp.167-171
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• 2004

콩나물 재배에서의 살수방법과 그에 따른 콩나물 생육형태와 수율변화를 비교해본 결과 다음과 같다. 1. 살수방식에 따른 콩나물의 생육에 큰 차이를 나타내었으며, 왕복살수형, 용기담수형, 고정살수형 중 고정살수형 방식(재배통 상부에 하부타공된 고정형 물통설치에 의해 샤워형태로 살수)은 살수시 일시에 물을 샤워형식으로 쏟아내려 재배통 내부의 품온저하($22^{\circ}$ 유지), 내부 gas 배출, 유기물 제거 등의 효과가 탁월하여 콩나물 생육에 있어 몸통길이 13.3 cm로 다른 형식(15.2 cm, 15.9 cm)에 비해 짧았으나, 몸통두께(2.19 mm), 수율(535%)은 높게 나타나, 외관이 양호하고 부패가 억제되어 선도가 가장 잘 유지되었으며, 또한, 콩나물 재배시 필요한 용수량의 경우는 1회 살수량이 250∼300 L/통(원료콩 투입량 50 kg/통 기준)가 가장 양호한 것으로 나타났다. 2. 고정살수형 방식은 내부 gas($\textrm{CO}_2$ 5% 이하)배출이 탁월하여 재배완료 후 콩나물의 색택향상 및 부분부패 방지효과 등을 나타내는 장점이 있었으며, 재배 6일차에 재배통 하부(바닥깔판으로부터 약 30 cm이내)의 $\textrm{CO}_2$ 농도는 4-6%, $\textrm{O}_2$ 농도는 13-14%이었다. 따라서 재배시 재배통내 적정 gas조건은 농도 10% 이상, $\textrm{CO}_2$ 농도 5% 이하로 유지되어야 할 것으로 판단되었다. 3. 살수방식에 따른 재배통내의 품온 변화에서도 고정살수형 방식(4일차, $20^{\circ}$)이 용기담수형 방식(4일차, $22^{\circ}$)보다 품온 억제가 양호하여 콩나물의 생육향상 및 부패 등을 방지하므로 건강한 콩나물 생산의 중요한 요인임을 알 수 있었다.되지 않은 부분에 대해서 안전성 확보를 위하여 더 자세한 연구가 필요하다..6%이었다.program should be prepared through the long-period of monitoring and experiment. System methods such as guidelines of management program through monitoring was also required due to the emphasis on public ownership among the managers of the invasive species. 보이며 가장 높은 평가를 받았으며, chlorella 향, 단맛, 신맛에 있어서도 비교적 우수한 평가를 받아 관능적으로 높은 기호도를 나타내었고 올리고당의 첨가량은 20% 첨가시 후미와 전체적인 기호도에서 가장 좋게 평가되었다.ts might or might not be for tobacco use. However, most of the cigarette companies self impose a list of ingredients to guide flavor suppliers to design flavors. Unfortunately, the number of ingredients in those lists is getting shorter every year. It is understandable that the health is not the only reason. Some cigarette companies are playing safe to protect the company from potential lawsuit, while others are just copying from their competitors. Moreover, it is obvious that it needs more assistance from casings and

• 간호행정학회지
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• 제2권1호
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• 한국식품영양과학회지
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• 제39권9호
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• pp.1305-1312
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• 2010

본 연구는 병원 영양과에서 실시하고 있는 치료식 섭취환자의 영양상담에 대한 인식과 영양상담 만족도 요인으로서의 지식전달 요인, 인지적 대화요인, 감성적 대화요인, 촉진능력 요인과의 관계를 파악함으로써 앞으로 병원 영양과에서 환자들의 영양상담에 대한 만족도를 높이는데 필요한 기초자료를 제공하고자 시도하였다. 조사대상은 부산지역 400 병상 이상의 병원에 입원중인 치료식 섭취환자를 퇴원하기 직전에 직접 1:1 면담법을 이용하여 설문조사를 실시하였다. 배부된 설문지 중 총 153부(98.7%)를 분석에 사용하였으며 본 조사는 2008년 1월 21일~2월 28일에 진행하였다. 조사대상 환자 중 영양상담을 받은 경험이 있는 환자가 전체의 57.5%로 나타났고, 영양상담을 받은 계기는 의료진이 권해서가 64.1%로 가장 높았고 영양상담 방법은 개별교육이 58.0%로 나타났다. 영양상담에 대한 인식에서 영양상담 이해에 대한 긍정적인 견해는 75.0%, 중요도는 83.0%, 영양관리에 도움이 되는 정도는 78.7%로 나타났다. 영양상담에 대한 전체 만족도 점수는 3.80점이며, 각 세부요인에서 지식전달 요인 3.80점, 인지적 대화 요인 3.71점, 감성적 대화 요인 4.05점, 촉진능력 요인은 3.61점으로 나타났다. 영양상담의 만족도 점수가 낮은 항목은 '퇴원 후 식사요법 정보제공', '맞춤형 영양정보 제공', '구체적인 식단 제시', '식단 작성 방법 설명'으로 나타났다. 영양상담에 대한 인식인 이해도, 중요도 및 영양관리 도움정도는 영양상담에 대한 만족도인 지식전달 요인, 인지적 대화 요인, 감성적 대화 요인, 촉진 능력 요인과 모두 유의적인(p<0.01) 양의 상관관계를 나타냈다. 이상의 결과를 살펴볼 때, 영양사들은 환자들의 영양에 대한 이해도 및 중요도를 높일 수 있는 다양한 영양상담 도구의 개발 및 활용 방안에 대한 노력이 필요하겠다. 환자와의 영양상담시 환자 스스로 영양관리를 독립적으로 실행에 옮길 수 있도록 환자들을 위한 구체적인 식단제시, 조리방법, 맞춤형 영양관리 방법 등의 촉진 요인들에 대해서 영양사들은 더 많은 관심을 가져야 하겠다. 즉, 실제 식사와 관련된 조리체험교실, 시식회 등의 개최를 통해 환자들에게 보다 직접적이고 실질적으로 다가갈 수 있는 환자 중심적인 영양상담이 필요하며 특히, 맞춤형 영양상담을 통해 환자의 치료 효과를 높이기 위해서는 현재로서는 부족한 영양사 인력의 증원이 절실히 필요하겠다.

• 한국토양비료학회지
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• 제37권3호
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• pp.177-183
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• 2004

최근 시설 재배지에서는 사용된 배양액을 그냥 방출하고 있어서 지표수의 부영양화와 지하수의 오염을 유발시키는 것으로 알려져 있으며, 이와 같은 폐양액 처리 기술이 요구된다. 따라서 본 연구는 국내토양에서 분리된 광합성 독립영양 세균인 cyanobactria 중 우수한 균주를 선발하고 이의 생장에 필요한 다량의 N, P와 미량 필수원소 등 각종영양 물질이 충분히 함유된 폐양액을 이용하여 광합성 세균을 대량배양 하고자 하였다. 4종 (Anabaena HA101, HA701과 Nostoc HN601, HN701)의 미세조류 중 BG-II ($NO_3{^-}$) 액체배지에서 생장과 양분흡수능이 우수한 균체는 Nostoc HN601이었고, 이 균체는 질소 고정능 뿐만 아니라 균체 내 양분 보유능이 우수하여 본 실험을 위하여 최종 선발하였다. 선발된 Nostoc HN601의 최적 배양 조건는 통기처리 시 배양액 부피의 1/2수준의 조건과 초기 폐양액의 pH를 8.0으로만 조절 해주는 non-buffering 시스템이 효과적이었다. 최적 배양 조건하에서 Nostoc HN601을 15 L의 광배양기에 토마토를 수경 재배한 10 L의 폐양액을 이용하여 배양한 결과 균체의 생장은 $16mg\;Chl-a\;L^{-1}$로 실험실조건에서 배양된 균체 ($8.3mg\;Chl-a\;L^{-1}$)보다 약 2배정도 빠르게 증가되었으며, 폐양액 내 인산도 1주일 이내에 100% 제거시킴으로서 인산 제거효율이 매우 우수하였다. 또한 선발된 Nostoc HN601의 질소 고정능은 $22.4nmol\;C_2H_4\;mg^{-1}\;Chl-a\;h^{-1}$로 매우 우수하였고, 균체 내 총 인산과 총 질소함량은 각각 19.1 mg P와 63.3 mg N으로 높게 나타났다. 이러한 결과로 광반응기에서 폐양액을 이용한 cyanobacteria의 대량배양은 부영양화와 지하수 오염을 일으키는 폐양액 내 인산제거에 큰 효과가 있고. 배양된 균체는 높은 질소와 인산을 함유하고 있어서 생물비료로도 이용할 수 있을 것으로 기대된다.

• 한국수자원학회논문집
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• 제50권7호
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• pp.455-465
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• 2017

2차원 유속장(flow field)은 하천흐름의 특성을 이해하기 위한 중요한 수리학적 자료 중 하나로서, 수공구조물 위치선정 및 설계, 하천에서의 이송-확산 예측, 하천의 수리학적 거동을 예측하기 위한 중요한 기본 자료로 사용된다. 지금까지 이러한 하천흐름 특성을 예측하기 위해 제한적인 현장조건과 적절한 계측방법, 계측기기의 기술적 한계로 인해 현장실험 보다는 다양한 수치모형을 이용하여 왔다. 하지만 최근에는 계측기기의 발달로 과거보다 정확하고 정밀한 현장계측이 가능하여 졌으며, 현장 계측자료의 질적이고 양적인 수요를 만족시키고 있다. 대표적으로 초음파도플러유속계(ADCPs; Acoustic Doppler Current Profilers)는 유량을 정확하게 측정하는 것으로 유명하며, 2차원 뿐만 아니라 3차원 유속장 등 자세한 유속자료를 제공한다. 하지만 이러한 측정 능력에도 불구하고, ADCP를 활용한 유속 측정은 주로 횡단면 측정을 기본으로 수행하기 때문에, 수치모형의 결과와 같이 높은 밀도의 유속장을 얻기 위해서 공간보간기법이 활용되고 있다. 하지만 만곡이 존재하는 자연하천은 하도형상에 따라 유속이 지속적으로 변화하기 때문에 일반적인 공간보간기법을 적용하기 어렵다. 즉, 자연하천의 만곡에 따른 비등방성을 고려하지 않는다면, 역거리가중법(IDW)과 크리깅(Kriging)과 같은 일반적인 공간보간기법으로는 잘못된 결과를 초래할 수 있다. 본 연구에서는 이러한 문제점을 해결하고자 만곡이 존재하는 사행하천을 대상으로 방향성을 고려하기 위한 곡선좌표계와 비등방성을 고려하기 위한 비등방적 참조범위를 적용한 공간보간기법을 개발하였다. 본 연구에서 제시한 기법을 한국건설기술연구원 하천실험센터에 존재하는 3개의 사행수로가 포함된 실규모의 실험수로를 대상으로 적용한 결과, 평균제곱근오차와 상관계수는 기존의 공간보간기법과 비교하여 각각 41.5% 감소, 40.0%가 증가하여 정확성과 상관성이 개선되었다.