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검색결과 62건 처리시간 0.025초

돼지 도축공정 중의 미생물 증감 추이 (Incidence of Microorganisms during Slaughtering Process of Pig)

  • 차성관;서미영;김명호;김윤지
    • 한국축산식품학회지
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    • 제25권1호
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    • pp.1-6
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    • 2005
  • 본 연구는 돼지 도축 규모 및 계절별로 도축단계에 따른 미생물 오염도와 변화를 조사하기 위하여 수행하였다. 도축 5단계 즉, 내장적출 전, 내장적출 후, 최종세척 전, 최종세척 후 그리고 냉장실에서 돼지 도체 복부 표면에 대한 미생물 오염도를 조사하기 위하여 가로 세로 10×10 cm의 면적에 대하여 swab 방법으로 시료를 채취하였다. 그 결과 가을철 시료의 경우 소규모 도축장의 일반세균수는 모든 도축공정에서 10⁴∼10/sup 5/ CFU/㎠로서 10²∼10³ CFU/㎠의 균수를 보인 대규모 도축장에 비하여 높은 경향을 보였고, 냉장실 시료의 경우 대규모 도축장에 있어서 일반세균수가 10² CFU/㎠ 수준으로 10⁴ CFU/㎠ 수준값을 보여준 소규모 도축장과 일반세균수의 값에 있어서 큰 차이를 보였다. 겨울철 시료와 봄시료에 있어서도 가을 시료와 마찬가지로 대규모 도축장은 모든 도축공정에서 중소규모 도축장에 비하여 적은 미생물수준을 보였으나, 봄 시료의 경우 최종세척 전(10⁴ CFU/㎠)과 냉장실(10³ CFU/㎠)의 미생물수에 있어서는 도축장 규모에 따른 차이를 보여주지 않았다. 최종 세척 공정의 시료 채취 부위에 따른 세척 효과를 보기 위한 실험에서 둔부 및 복부 부위에서는 세척 효과를 보였지만, 턱 부위에서는 오히려 세척 후 미생물 수가 최종세척 전 단계보다 증가하는 경향을 보였다.

소 도축공정 중의 미생물 증감 추이 (Incidence of Microorganisms during Slaughtering Process of Cattle)

  • 차성관;김윤지;김명호;신점호;이무하
    • 한국축산식품학회지
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    • 제24권3호
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    • pp.232-237
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    • 2004
  • 본 연구는 도축장 규모 및 계절별로 도축 공정 단계에 따른 미생물학적 오염도와 변화 추이를 조사하기 위하여 수행되었다. 도축 5단계 즉, 박피 후, 내장 적출 후, 최종 세척 전, 최종 세척 후 그리고 냉장실에서 소 도체 흥부 표면에 대한 미생물학적 분석을 위하여 가로세로 10${\times}$10 cm의 면적에 대하여 swab 방법으로 시료를 채취하였다. 그 결과 겨울철 시료에 있어 대규모 도축장은 박피, 내장 적출 및 최종 세척 전까지의 도축단계에서는 $10^{0}$$10^2$CFU/ $\textrm{cm}^2$ 수준의 일반세균이 검출되어 $10^{0}$$10^3$ 수준을 보인 중소규모 도축장에 비하여 1∼2 log값이 적은 미생물이 검출되었으나, 최종세척 후($10^2$CFU/$\textrm{cm}^2$)와 냉장실($10^1$CFU/$\textrm{cm}^2$)의 미생물 검출값에 있어서는 도축장 규모에 따른 차이를 보여주지 않았다. 겨울철 시료는 봄철 시료에 비하여 도축장 규모에 차이 없이 일반세균이 1 log 값 정도 적게 검출되었다. 최종세척 공정의 시료채취 부위에 따른 세척 효과를 보기 위한 실험에서 둔부 부위에서는 세척 효과를 보여주었지만, 옆구리와 흉부 부위에서는 오히려 세척 후 미생물 수가 최종 세척 전 단계보다 증가하는 경향을 보여주었다.

산약(山藥)의 품질인증(品質認證) 방안(方案) (Quilitative certificational plan of shanyao)

  • 조은환;노성수;길기정;서부일;서영배
    • 혜화의학회지
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    • 제13권2호
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    • pp.187-196
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    • 2004
  • Now many sustitution and false articles is used in korea instead of shanyao. To use shanyao correctly, we will make a quilitative certificational plan of shanyao to investigate all of lieraturea, records and documents. And we could reach conclusions as folloews. 1) Source About a source of shanyao, though korea and china has a each other source, we think there is no problem in use of both. 2) Process In our country producing shanyao as medical use is a 'duanma', we can divide into peeling and non-peeling, drying at bulks and at briquets, steaming shanyao and fresh shanyao. Regardless of existence for peeling and steaming, a distributing shanyao is received a proper judgment. Like this result was expressed by insufficiency of standards about medical components or indicating components. We detected a reminding S02 more than 10 ppm. And this expresses that there ia a problum at a drying method. To suggest proper processing methods, a standard of quility will have to be made which the existence of peeling, difference of quility between 'changma' and 'duanma', drying method and exudation test with cutted thickness are adaptable. Besides, 'maoshanyao' and 'guangshanyao' of china is processed by various methods which decrease a medical effect such as too much soaking shanyao in water, steaming with a sulfur, too much peeling, So we must process shanyao like the next methods. (1) When harvesting, dig deeply not to cut off roots. (2) Not to peel, wash shanyao in a washing machine. (3) Dry to 50-60% degree at sunny place or drying machine. (4) To be easy for drying and exudation, cut off a thick piece with 5 mm (5) Dry perfectly at ding machine. 3) Quality3) Quality (1) Functional standards It is not Proper that 'guangshanyao' is used in china because it has a problem with quility on process of working, If they did not soak shanyao in water or heat with steam, it is the real situation that they cannot cutt off shanyao evenly. In conclusion, shanyao must be heavy, powdery with a perfectly non-peeling surface, section surface is yellow-white color, unequal and has no holes. (2) Physicochemical standards It is the real situation that we can not distinguish into quility of shanyao with established test because various workings which decrease medical effects is used. Therefore we suggest a testing standard of S02 which is used in bleaching. And testing standards relatived with decrease of medical effects must be established at once. It must that Dry on loss is less than 14.0%, content of ash is less than 6.0%. Content of acid-nonsoluble ash is less than 0.5%. Contens of heavy metal has to detect less than 30 ppm and there is no reminding agricultural medince.

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3~6세(歲) 아동(兒童)의 행동발달(行動發達)과 부모(父母)의 기대(期待)에 관(關)한 연구(硏究) (A Study on Children(3~6 years old)'s Behavior Development and Parent's Expectation)

  • 박위상
    • 아동학회지
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    • 제2권
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    • pp.17-30
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    • 1981
  • This study is designed to analyze the child's behaviour development and consider parent's expectation toward it. In the research of the aspect of child's behaviour development, first, this study will analyze the change and development a child shows according to his age, sex, and the community where he is brought up, and then, the relationship between child's behaviour development and parent's expectation toward it. (1) Child's Behaviour Development. a) According to Age. At the age of three ; In such behaviours as wiping nose, dressing, brushing teeth, putting on coat alone, going to toilet for B.M., going on errands, and playing contentedly alone, washing hands, greeting his elders, a child at the age of three to four shows a rapid development, and therefore it seems better to train a child in these behaviors age of three. At the age of four ; In such behaviors sharing cakes with friends, riding on a tricycle, a child shows great development, at the age of four to five, and therefore it seems better to train him in them at the age of four. At the age of five ; In such behaviors as combing hair, putting toys away in proper place, telephoning a child shows great development at the age of five to six, and therefore it seems better to train him in them at the age of five. b) According to sex and community. As a whole, there is little difference between sexes and the communities. It can be estimated from this that sex or the community has on the whole no great influence on the basic aspects of child's behavior development. (2) Parent's expectation. On the whole parent's expectation falls short of a child's development in behaviors ; especially, bathing himself, dressing, going to toilet for B.M, going to toilet to urinate, telephoning, etc. This tendency is consficuous in the case of three or four year old children. This results from parent's protecting in excess their children and reducing the opportunities to encourage the children's independence by delaying the babyhood. (3) The relationship between child's behaviour development and parent's expectation. a) On the whole, the behaviour of a child is at a higher level than parent's expectation. b) As a child grows from three years to six, his behaviour develops on the whole in accordance with the increase of parent's expectation. But the level of the former is lower than that of the latter. c) According to computing a coefficient of correlation is as follows. 3 years old ; .84 4 years old ; .90 5 years old ; .87 6 years old ; .89 It shows there is a high correlation between child's Behaviour and Parent's Expectation.

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불소화 알킬기와 이소시아네이트기를 가지는 고분자의 합성과 발수성 (Synthesis and Water Repellency of Polymers with Fluorinated Alkyl Group and Isocyanate Group)

  • 백창훈;공종윤;현석희;임용진;김우식
    • 폴리머
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    • 제29권5호
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    • pp.433-439
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    • 2005
  • 내구발수성 고분자를 얻기 위해 불소화 알킬아크릴레이트-스테아릴아크릴레이트-m-이소프로페닐-$\alpha,\;alpha$-디메틸벤질 이소시아네이트(TMI)를 유화중합시켜 불소화 알킬기와 이소시아네이트기를 가지는 공중합체를 제조하였다. 3 단량체의 공중합속도는 비이온 유화제 및 비이온-양이온 혼합 유화제의 사용에 따라 상당히 의존하였고 그 최적조건을 얻었다. 공중합체의 입자크기는 105에서 222nm의 범위에 있었고 비이온-양이온의 혼합 유화제에 의해 만들어진 공중합체가 비이온 유화제로 만들어진 공중합체보다 입자가 작았다. 나일론과 면의 모델 화합물로 N-메틸아세트아미드와 셀로비오스 각각과 TMI는 반응하지 않았다. 반면에 TMI와 부틸아민은 실온에서 반응하였다. 혼합 유화제에 의해 제조된 공중합체를 코팅한 나일론과 PET 천에 대한 세탁 전후의 물의 접촉각은 $139^{\circ}$$133^{\circ}$ 정도였다. 따라서 공중합체의 내구발수성은 우수하였다

2019년도 국내 골재 수급 분석 (II) - 시군구단위 분석 - (Analysis of Domestic Aggregate Production of Korea in 2019 (II) - by Local Governments)

  • 홍세선;이진영
    • 자원환경지질
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    • 제54권4호
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    • pp.427-439
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    • 2021
  • 이번 연구에서는 골재채취통계를 기초로 하여 골재의 채취현황을 분석하고, 향후 골재의 안정적이고 지속적인 수급을 예측하고자 하였다. 2019년에는 전국 229개 시군구 중 약 65%인 148개 시군구에서 한 종류 이상의 골재를 개발하였다. 7대 광역시에서는 19개 시군구에서 골재를 개발되었다. 광역시를 제외하면 8개도의 155개 시군 중 83%인 129개 시군에서 골재개발이 이루어져 우리나라의 대부분 시군에서 골재를 개발하고 있다고 볼 수 있다. 모래는 110개 시군구에서, 자갈은 132개 시군구에서 개발되었다. 골재원별로 볼 때 하천골재는 4개 시군구, 육상골재는 42개 시군구, 산림골재는 75개 시군구, 선별파쇄골재는 105개 시군구, 선별세척골재는 15개 시군구에서 개발되었다. 또한 육지원 골재의 채취가 전혀 이루어지지 않은 시군구는 81개 지역이다. 골재원별로 볼 때 한 종류의 골재만 개발하는 시군구는 71개, 두 종류의 골재를 개발하는 시군구는 55개, 3종류 이상은 22개 시군구이다. 2019년에 골재의 개발이 가장 많은 지역은 울주군이며, 그 다음으로 화성시, 청주시, 포천시, 파주시, 용인시, 김해시, 광주시의 순이다. 100만m3 이상의 골재를 개발한 지역은 41개 시군구로 시군구은 골재채취 시군구의 약 28%이지만 골재개발량은 2019년도 총 개발량의 약 70%를 점유한다. 이는 각 시군의 골재채취가 대형화, 집중화되고 있음을 보여준다.

간호기기 개발수요 조사연구 (A Study on the Demand for Equipent Development in Nursing)

  • 장순복;김의숙;황애란;강규숙;서미혜
    • 대한간호
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    • 제35권2호
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    • pp.71-91
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    • 1996
  • The objectives of thes study were to identify the need for equipment development in nursing, and to determine the priorities for that development. The study was descriptive study done between March 2 and May 30, 1995, in which the subjects, including 421 patients, 223 family members, and 198 nurses from neurosurgery, orthopedic, rehabilitation medicine, internal medicine and intensive care units of nine general hospitals in Seoul, completed a questionnarie developed by the research team. The questionnaire consisted of 35 open and closed questions. Data was analyzed using frequencies and percentages. The results ware summarized as follows: 1) The average age of the nurses was 27.9 years, 48% of the patients were between 20 and 40 years of age, and 17% were over 60. The average lingth of experience for the nurse subjects was four years five months with 36.9%. having over five years experience. The most frequent diagnoses of patients were spinal disc(35.9%), internal medicine disease(26.0%), cerebral vascular accident(16.6%) and spinal cord injury(10%) 2) Many of the nurses(96.4%) reported deficiencies with existing equipment and 96.5% of the nurses, but only 79.8% of the patients, nurses' time. Further, 82.3% of the nurses and 75.8% of the patients felt that the development of new equipment would lead to a decrease in the cost of nursing care. 3) Nurses felt that the greatest areas of inconvenience were patient feeding(71.7%), hygiene(71.2%), caring for a patient confined to bed(70.7%), patient clothing(67.2%), mobility transfers(63.5%) and urinary elimination(52.0%). However, patients and family members listed the following as being the most inconvenient: urinary elimination(58.7%), Hygiene(50.5), feeding(48.4%), mobility transfers(47.1%) and bed care(45.2%). 4) Generally the nurses listed more inconveniences and patients and family members listed more demands for the development of equipment. These included utensils with large handles, and regulators for tube feedings; mattresses that provide for automatic position change and massage, which have patient controlled levers and a place for bed pan insertion; automatic lifts or transfer from bed to wheelchair; equipment to facilitate washing and oral hygiene as well as equipment that will allow patients with spinal cord injuries easy access to showers; a bed pan/urinal for women that is comfortable and effective from which urine can be measured and disposed of easily; disposable dressing sets and tracheostomy care sets and a convenient way of measuring changes in wound size; a safe delivery system for oxygen, a variety of mask sizes and better control of humidity, tracheal material than at present, as well as a communication system for patients with tracheostomies; clothing that will allow access to various parts of the body for treament or assessment without patients having to remove all of their clothing; and finally a system that will allow the patient to control lighting, telephones and pagers. Priority areas for equipment development reported by the nurses were, urinary elimination(58. 7%), hygiene(50.5%), feeding(48.4%), mobility transfers(47..1%), bowel elimination(40.8%). Those reported by the patients family members were feeding(71.7%), hygiene(70.0%), bedcare(70.7%), clothing(67.2%), mobility transfers(63.6%), urinary elimination(52.9%) and bowel elimination(50.5%) Altogether, nurses, patients and family members listed the following as priorities; clothing (178), bed care(144), urinary elimination(92), environment(81), hygiene(70). Further, a health professional forum listed urinary elimination, oxygen delivery, medication delivery, mobility transfers, bed care and hygiene in that order as priority areas. From this study it can be concluded that the first need is to develop equipment that will address the problems of urinary elimination. To do (l)This nurses who are interested in equipment development should organize an equipment development team to provide a forum for discussion and production of equipment for nursing.

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치과위생사의 진료실 감염방지에 대한 행태 분석 (The Analysis of the Prevention against Virus Infection in Dental Hygienist at Medical Treatment)

  • 윤미숙;최미숙
    • 치위생과학회지
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    • 제7권2호
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    • pp.101-106
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    • 2007
  • 1. 조사 대상자는 총 128명으로 연령은 24세~28세가 71.1%(91명)으로 가장 많았으며, 임상경력은 2년~5년 사이가 36.7%(47명) 우세하게 나타났으며 일 진료환자수는 56.3%(72명)가 25명 이하이고, 대부분 치과위생사수가 3명 이하인 치과의원에 근무하는 것으로 조사되었다. 2. 감염노출 행태 및 감염방지처치실태는 응답자의 76.6%(98명)가 날카로운 기구나 주사바늘에 찔린 경험이 있으며 대부분이 즉시 소독하는 방법으로 감염방지 처치를 하며 진료시 감염은 경험하지 않은 것으로 조사되었다. 3. 감염방지교육 실태에 대한 조사결과 응답자의 75.8%(97명)가 감염관리에 대한 이론과 시술법에 대한 교육경험이있는 것으로 응답하였으며 89.1%(114명)가 병원의 감염 관리에 대한 교육이 필요하다고 생각하며 학생시절(49.2%, 63명)에 학교교육을 통해서(45.3%,58명) 경험하였으며 응답자의 81.3%(104명)가 감염방지교육의 확대를 주장하고 있는 것으로 나타나 학교교육을 통해서 뿐만 아니라 지속적인 보수교육이 필요하다고 판단된다. 4. 치과위생사의 감염방지 행태분석결과 의료용 장갑을 사용하는 비율은 24세~28세의 임상경력이 5년~10년이면서 치과병원에 근무하는 치과위생사일수록 높았으며 진료 후 대부분이 폐기하며 진료시 마스크를 착용하는 비율은 29세, 임상경력이 10년 이상의 경우에서 높게 나타났으며 근무하는 병원규모에 상관없이 높게 나타났으며 진료시 마스크 습기가 찰 경우 대부분이 교체하는 것으로 나타났다. 5. 환자진료시 보안경사용 및 기구세척 과 재처리시 고무장갑을 사용하는가에 대한 조사 결과 보안경을 사용하는 비율은 나이, 임상경력, 근무하는 병원규모에 상관없이 낮은 것으로 나타났으며 대부분이 기구세척과 재처리시 고무장갑을 사용하는 것으로 나타났다. 6. 진료감염방지 교육 경험자와 비경험자에 대한 진료시 감염방지행위의 차이를 분석하기 위하여 각종 감염방지행태 항목을 변수로 하여 독립표본 T검증(Independent -sample T Test)을 실시한 결과 대부분의 항목에서 진료감염방지 교육을 경험한 치과위생사가 진료시 감염방지 행위를 잘하고 있는 것으로 나타났다. 7. 진료 시 의료용 장갑을 사용 및, 진료 후 의료용 장갑폐기, 기구세척 및 재처리시 두꺼운 가사용 고무장갑 사용의 항목에서 두집단 간에 유의수준 0.05, 0.01에서 각각 의미 있는 차이가 있었으며 나머지 3개 항목은 유의수준 0.05에서 의미 있는 차이를 보이지 않았다. "진료시 마스크 사용"에 대한 항목에서는 두집단 간에 큰 차이를 보이지 않았는데 이는 감염방지교육과 상관없이 진료시 기본필수사항으로 인식하기 때문인 것으로 판단된다.

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급성(急性) 기아(饑餓)마우스의 간단백질(肝蛋白質), 핵산(核酸) 및 Guanine Deaminase 활성(活性)에 관(關)한 연구(硏究) (A Study on The Content of Liver Protein, Nucleic Acids, and Guanine Deaminase Activity of Mouse During Acute Starvation)

  • 박승희;김승원
    • Journal of Nutrition and Health
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    • 제1권2호
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    • pp.107-115
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    • 1968
  • Number of aspects, not only nutritional but social as well as political involved in human starvation pose nowadays global problems. In order to help establish the minimum nutritional requirements in the daily life of a man and to free people as well from either undernourishment, malnutrition or even starvation many workers have devoted themselves so far on the research programs to know what and how number of metabolic events take place in animals in vivo. It is the purpose of the present paper to examine in effect to what extent both of the protein and nucleic acids (DNA & RNA) together with an enzyme, guanine deaminase, which converts guanine into xanthine and in turn ends up to uric acid as an end product, undergo changes, quantitatively during acute starvation, using the mouse as an experimental animal. The mouse was strictly inhibited from taking foods except drinking water ad libitum and was sacriflced 24, 48, and 72 hours following starvation thus acutely induced. The animals consisted of two experimental groups, one control and another starvation groups, each being consisted of 6-24 mice of whose body weights ranged in the vicinity of 10 g. The animals were sacriflced by a blow on the head, followed by immediate excision of their livers into ice-cold distilled water, washing adherent blood and other contaminant tissues. The liver was minced foramin, by an all-glass homogenizer immersing it in an ice-bath, followed by subsequent fractionatin of the homogenate (10% W/V in 0.25M sucrose solution made up with 0.05M phosphate buffer of pH 7.4). For the liver protein and guanine deaminase assay, the 10% homogenate was centrifuged at 600 x g for 10 minutes to eliminate the nuclear fraction; and for the estimation of DNA and RNA, the homogenate was prepared by the addition of 10% trichloroacetic acid in order to free the homogenate from the acid-soluble fraction, the remaining residue being delipidate by the addition of alcohol and dried in vacuo for later KOH (IN) hydrolysis. The changes in body and liver wegihts during acute starvation were checked gravimetrically. Protein contents in the liver were monitored by the method of Lowry et al; and guanine deaminase activities were followed by the assay of liberated ammonia from the substrate utilizing the Caraway's colorimetry. The extraction of both DNA and RNA was performed by the Schmidt-Thannhauser's method, which was followed by Marmur's method of purification for DNA and by Chargaff's method of purification for RNA. The determinations of both DNA and RNA were carried out by the diphenylamine reaction for the former and by the orcinol reaction for the latter. The following resume was the results of the present work. 1. It was observed that the body as well as liver weights fall abruptly during starvation, and that the loss of body weight showed no statistical correlation with the decreases in the content of liver protein. 2. The content of liver protein and activity of liver guanine deaminase activity as well decline dramatically, and the specific activities of the enzyme (activity/protein), however, decreased gradually as starvation proceeded. 3. Both of the nucleic acids, DNA and RNA, showed decrements in the liver of mouse during acute starvation; the latter, however, being more striking in the decline as compared to the former. 4. The decreases in the liver protein content as resulted from the acute starvation had no statistically significant correlation with the decrements of DNA in the same tissue, but had regressed with a significant statistical correlation with the fall of RNA in the tissue. 5. The decrease in the activity of guanine deaminase in the liver of mouse during acute starvation was functionally more proportional to the decrease in RNA than DNA, and moreover correlated with the changes in the content of the liver protein. 6. The possible mechanisms involved during in this acute starvation as bring the decreases in the contents of DNA, protein, and guanine deaminase were discussed briefly.

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가정간호실무에 적용가능한 이론적틀 (Appling Nursing Theory to Clinical Practice of Home Health Care)

  • 우선혜
    • 가정∙방문간호학회지
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    • 제11권1호
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    • pp.5-13
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    • 2004
  • The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

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