• 지역사회간호학회지
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• 제7권1호
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• 한국보건간호학회:학술대회논문집
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• 한국보건간호학회 2002년도 제27회 보건종합학술대회
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• pp.224-227
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• 2002

Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

• 대한간호학회지
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• 제11권1호
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• pp.45-63
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• 1981

This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

• 대한두개안면성형외과학회지
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• 제13권1호
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• pp.68-71
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• 2012

Purpose: Eczema herpeticum, caused by herpes simplex virus, is an infectious disease involving skin and internal organs. Varieties of physiologic, psychosocial, or environmental stress reactivate reservoir virus which exists in the trigeminal nerve ganglia. Authors report rare cases of nasal eczema herpeticum following corrective rhinoplasty. Methods: First case, 22-year-old female underwent corrective rhioplasty through an external approach in a local clinic. She developed progressive and painful erythema, nodules and vesicles on nose on the 9th day postoperatively. This unfamiliar lesion lead to a misdiagnosis as a bacterial infection, and had accelerated its progress to the trigeminal innervation of the nasal unit. Second case, a 23-year-old female underwent corrective rhinoplasty by external lateral osteotomy. Ten days after the surgery, disruption occurred on the external osteotomy site, and the ulceration gradually worsened. The surgeon misdiagnosed it as secondary bacterial infection and only an antibacterial agent was applied. Results: Both cases were healed effectively without any complication with proper wound dressing and antiviral therapy, and show no sequelae during an 8-month follow-up period. Conclusion: Eczema herpeticum is rare in the field of plastic surgery, but it should be kept in mind that secondary bacterial infections may lead to serious complications such as full-thickness skin loss. Thus, acknowledgement of the patient's past history regarding perioral or intraoral lesion may provide the surgeon with the possible expectancy of eczema herpeticum. Thus, if anyone develops eczema herpeticum, following facial plastic surgery, early diagnosis and immediate proper antiviral therapy will allow fast recovery without serious complications.

• 한국해안·해양공학회논문집
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• 제32권1호
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• pp.55-68
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• 2020

너울이 우세한 온화한 해양환경에서 출현하는 beach cusp에서의 경계층 streaming 수리특성을 살펴보기 위해 edge waves의 천수 과정을 수치 모의하였다. Beach cusp을 유지하는 것으로 알려진 synchronous edge waves는 같은 주기와 파고를 지니는 두 개의 Cnoidal wave가 전면해역에서 비스듬히 조우 되도록 조파하여 재현하였다. Beach cusp의 진폭 A_B과 파장 L_B은 맹방 해변에서 수행된 관측결과를 토대로 각각 1.25 m, 18 m로 선정하였다. 모의결과 천수 각 단계에서 예외 없이 경계층 streaming을 관측할 수 있었으며 최대 경계층 streaming은 사주 정점에서 발생하였다. 주기가 가장 짧은 RUN 1의 경우 그 세기는 약 0.32 m/s 내외에 분포하며 이러한 수치는 free stream 유속 u_∞ 진폭의 두 배에 달하는 것으로 wave Reynolds 응력에 기반한 Longuet-Higgins(1957)의 해석 해와는 상당한 차이를 보였다. 수치 모의과정에서 온화한 해양환경에서 해빈이 복원되는 과정을 특정할 수 있었으며 이 과정을 정리하면 다음과 같다: 너울로 구성된 파랑 무리에서 성분 파랑 간의 공진성 상호작용으로 생성된 외 중력파가 쇄파선 인근에 도달하는 경우 중력으로 인한 가속이 더해진 Phase II 파랑 궤도 운동으로 수면 가까이 상승한 많은 모래가 쇄파 시 발생하는 파 마루로부터 시작된 up-rush에 의해 전 빈 정점 가까이 이동하며 이 과정에서 발생하는 침투로 인해 퇴적되는 것으로 모의 되었다.

• 한국전기전자재료학회논문지
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• 제24권3호
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• pp.182-187
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• 2011

In this paper, PBTI characteristics of NMOSFETs with La incorporated HfSiON and HfON are compared in detail. The charge trapping model shows that threshold voltage shift (${\Delta}V_{\mathrm{T}}$) of NMOSFETs with HfLaON is greater than that of HfLaSiON. PBTI lifetime of HfLaSiON is also greater than that of HfLaON by about 2~3 orders of magnitude. Therefore, high charge trapping rate of HfLaON can be explained by higher trap density than HfLaSiON. The different de-trapping behavior under recovery stress can be explained by the stable energy for U-trap model, which is related to trap energy level at zero electric field in high-k dielectric. The trap energy level of two devices at zero electric field, which is extracted using Frenkel-poole emission model, is 1,658 eV for HfLaSiON and 1,730 eV for HfLaON, respectively. Moreover, the optical phonon energy of HfLaON extracted from the thermally activated gate current is greater than that of HfLaSiON.

• Journal of Preventive Medicine and Public Health
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• 제35권4호
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• pp.282-286
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• 2002

Objectives : The level of 4-hydroxyproline (4-Hyp) in human urine was measured using high performance liquid chromatography (HPLC) with a fluorescence detector. This method is useful for medical examinations and investigating the radicals induced by physical, chemical, mental stresses. This method is superior to many published several methods in terms of its low cost and ability to analyze many samples. Methods : The urine from workers in a tire manufacturing company (22 male pre- and post-shift workers) and 18 office-workers as controls were analyzed. Data concerning age, the cumulative drinking amount and the cumulative smoking amount was collected with a questionnaire. The optimum applied amount of dansyl-Cl, the optimum reaction temperature and time, the recoveries and the optimum pH of the eluent and buffer were determined.4-Hyp from human urine was derivatized with dansyl-Cl (dimethylamino-naphthalene-1-sulfonyl chloride) after removing the a-amino acid by a treatment with phthalic dicarboxaldehyde (OPA) and cleaned with Bond Elut C18 column. The 4-Hyp derivatives were separated on a reversed phase column by gradient elution with a phosphate buffer (5 mmol, pH 8.0) and acetonitrile, and detected by fluorescence measurements at 340 nm (excitation) and 538 nm (emission). Results : The detection limit for the urinary free 4-Hyp was $0.364{\mu}mol/l$. The recovery rate of 4-Hyp was 99.7%, and the effective pH of the phosphate buffer and borate buffer were 3.0 and 8.0, respectively. From statistical analysis, age, drinking and smoking did not affect the urinary free 4-Hyp in both the controls and workers. The range of urinary 4-Hyp in the controls, pre-shift, and post-shift workers were 0.33-16.44, N.D-49.06, and $0.32-56.27{\mu}mol/l$. From the pared-sample t-test, the urinary 4-Hyp levels in post-shift workers ($11.82{\pm}6.73\;nmmol/mg\;Cre$) were 2-fold higher than in pre-shift workers ($5.36{\pm}5.53\;nmol;/mg\;Cre$) and controls ($4.91{\pm}4.89\;nmol;/mg\;Cre$). Conclusions : This method was developed with high sensitivity, accuracy, and precision. The present method was effectively applied to analyze the urinary free 4-Hyp in both controls and workers.

• Journal of Preventive Medicine and Public Health
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• 제30권3호
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• pp.599-608
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• 1997

6명의 20대 여성을 대상으로 VDT작업으로 인한 조절반응 및 동공대광반사의 작업부과에 따른 변화와 다른 사무작업을 부과할 때와의 차이를 보았다. 그 결과 다음과 같은 결과를 얻었다. 1. VDT작업에서 작업부과 시간이 증가함에 따라 조절 수축속도가 감소했으며 1시간의 휴식시간 후에는 현저하게 증가했고 다시 작업을 부과함에 따라 감소하는 경향을 보였다. 조절 수축속도의 변화보다는 뚜렷하지 않지만 이완속도도 VDT작업부과에 따라 감소되고 휴식에 의한 회복되는 경향을 보였다. 2. 일반 사무작업과 근거리 사무작업에서는 조절 수축속도에서 VDT작업부과때와 같은 반응은 보이지 않았으며, 근거리 사무작업에서 이완속도가 작업부과에 따라 감소하였으나 휴식 후 회복되지 않았다. 3. 동공대광반사에서 최초동공직경, 최초동공면적은 VDT작업에서만 작업시간의 증가에 따라 유의한 감소를 보였는데 휴식 후 회복되지 않았다. 이러한 결과는 조절 수축속도의 변화, 조절 이완속도, 동공직경과 면적의 변화가 VDT작업의 특성을 연구하는데 사용될 가능성을 보여주며, 이를 위해서 연구대상이 개인차, 생체리듬, 감정적 자극 등을 보정한 연구가 필요하다고 생각된다.

• 한국측량학회지
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• 제39권4호
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• pp.211-221
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• 2021

클로버는 잔디의 대표적 유해 식물로 양지식물인 잔디보다 일찍 생육활동을 시작하여 잔디의 상부에 수관을 형성하고 잔디의 광합성과 성장을 방해한다. 이로 인해 두 식생종 간 경쟁에서 대부분, 클로버 영역은 확산되고 잔디의 경우는 훼손과 고사가 진행되게 된다. 훼손된 부분은 장마 및 생장 휴면 기간 중, 토양표출 확산으로 전개되어 잔디 복구에 심리적 스트레스 및 많은 경제적 부담을 초래하고 있다. 본 연구의 목적은 잔디의 대표적 유해식물인 클로버를 구분하고 클로버의 확산에 따른 훼손지역 분포, 퇴치 전·후의 식생변화 추이를 고찰하는 것이다. 이를 위해 RGB, BG-NIR 센서를 탑재한 융·복합 드론기반 영상을 활용, 3가지 식생지수의 시계열 분석을 통해 선별적 퇴치를 위한 식생구분, 복구전략 수립을 위한 잔디 훼손 분포 등을 고찰하였다. 특히, 인력 및 기기에 의한 선별적 제초 및 예초 전·후, 클로버의 생태변화 추이를 시계열로 분석하였다. 또한, 잔디와 클로버의 성장 중반기 기간 중, 식생 종간 구분 방안도 모색하였다. 연구결과, 잔디와 클로버 생육 특성에 따른 RGB 및 BGNIR 드론영상의 MGRVI 및 NDVI, MSAVI 지수의 시계열 분석을 통해 잔디 훼손과 클로버 퇴치 후 변화 추이 분석의 활용성을 확인하여 잔디 유해 잡초에 대한 효율적 관리의 활용 가능성을 입증할 수 있었다.

• 비교문화연구
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• 제47권
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• pp.163-190
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• 2017

이 연구의 목적은 최근 할리우드에서 영적 주제를 다루는 영화가 크게 증가하는 현상에 주목하여 이런 주제가 등장하게 된 배경과 맥락을 밝히고, 이러한 새로운 흐름이 함의하는 바를 살펴보는 것이다. 이를 위해 종교와 문화, 그리고 예술의 관계를 탐구한 신학자 틸리히와 종교현상학자 반 데르 레우후의 연구를 이론적 틀로 차용하였으며 이들의 관점을 근거로 영화매체에 나타나는 영적 주제의 의미를 풀어내고자 한다. 2010년대 이후 제작된 할리우드 영화 중에서 다각도로 영적 주제를 다루고 있는 작품들을 추려보면 이들을 아우르는 몇 가지 공유점을 찾아낼 수 있다. 이 작품들은 관객에게 친숙한 대중적인 내러티브를 통해 본질적인 문제에 대한 보편적인 접근을 시도하고 있으며, 실존인물 혹은 실화 같은 리얼리티를 영화 속에 재현함으로써 '역사적 진실성과 신빙성'을 강조하고 있다. 또한 주인공들은 할리우드 수퍼 히어로의 전형성에서 탈피한 '승리한 패자'로 그려지며, 끊임없이 절대자에게 '질문하는' 인간의 모습이 반복적으로 보여진다. 이런 특징을 분석해보면 할리우드에서 영적 주제를 다루고 있는 최근 작품들이 선교나 신앙을 넘어선 보편적인 신념과 가치의 문제를 형상화하면서 기존 종교 영화와의 차별화에 성공하고 있으며 관객과의 공감대를 확장해가고 있음을 알 수 있다. 본고는 이런 분석을 통해 현대 과학과 지식의 진보에도 불구하고 대중은 여전히 영적회복과 인간구원에 대한 갈망이 있으며 영화매체는 관객의 이런 욕구를 표출할 수 있는 잠재적인 원천으로 기능하고 있다는 점을 보여준다.