일개 지역 보건진료원들이 지각하는 간호연구 활용의 장애요인

강희경,이은경,전경자,정선옥,김은숙,이수진,변혜민,박지연 한국농촌간호학회 2009 한국농촌간호학회지 Vol.4 No.2

로바젯정으로 유발된 간수치 상승 환자의 한방 치료 증례 보고

강희경,조임학,이찬,허기윤,김민화,권정남,김소연,박성하,윤영주,이인,최준용,홍진우,한창우,Kang, Hee-kyung,Cho, Im-hak,Lee, Chan,Heo, Gi-yoon,Kim, Min-hwa,Kwon, Jung-nam,Kim, So-yeon,Park, Seong-ha,Yun, Young-ju,Lee, In,Choi, Jun-yong,Hong, 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5

Objective: This study evaluated a clinical case of a patient with Rovazet-induced abnormal liver function treated with intradermal acupuncture. Method: A 59-year-old woman with abnormal liver function induced by Rovazet ceased taking the drug and instead received intradermal acupuncture treatment. After 15 days, clinical symptoms and laboratory test results were evaluated. Results: Aspartate aminotransferase and alanine aminotransferase levels decreased, and clinical symptoms such as nausea and fatigue improved after treatment with intradermal acupuncture and cessation of the Rovazet. Conclusion: This study meaningfully examined a clinical case of a patient with abnormal liver function induced by a lipid-lowering agent, which is uncommon in Korea. Unfortunately, the lack of clear evidence and the use of only one case are limitations of the study.

우리나라 어린이 요로 감염의 치료 행태

강희경,김광명,정해일,최황,최용,Kang, Hee-Gyung,Kim, Kwang-Myung,Cheong, Hae-Il,Choi, Hwang,Choi, Yong 대한소아신장학회 2001 Childhood kidney diseases Vol.5 No.1

목 적 : 요로감염은 어린이에서 중요한 신요로계 질환으로 빠르고 정확한 진단과 치료로 신장 손상의 위험을 줄이고 불필요한 검사와 치료를 피할 수 있다. 저자들은 우리나라 어린이 요로감염 치료의 개선을 도모하는 첫걸음으로 설문 조사를 통해 요로감염의 진단, 치료, 영상 검사와 예방에 관한 진료 행태를 알아보았다. 대상 및 방법 : 전국의 소아신장전문의와 비뇨기과 전문의를 대상으로 설문조사를 통하여 요로감염의 진단, 치료, 영상검사, 예방의 진료형태를 조사하였다. 결 과 : 응답자들은 대부분 신생아에서는 소변 채취용 백을, 이후에는 중간소변 채취를 이용하여 소변 배양 검사를 하였고, 소변 배양검사가 음성인 경우에는 농뇨, nitrite 양성, 세균뇨 등의 소견을 보일 때 요로감염이라고 판단하였다. 요로감염 후에는 80$\%$가 예방적 항생제를 사용하였다. 방광 요관 역류가 있는 환아에서는 1-2세 이상의 환아가 고도의 방광 요관 역류를 보이거나 예방 요법 중에도 요로감염이 발생할 때 수술로 치료하는 경우가 많았으나 그 기준에는 차이를 보였다. 대부분이 요로감염 진단시에 신장 초음파 검사를 시행하였고 과반수에서 각각 다양한 시기에 배뇨 방광 요도 조영 검사와 DMSA scintigraphy를 시행하였다. 포경 수술은 대개 권하지 않았으며 반수에서 방광 요관 역류 환아의 형제에 대한 선별 검사를 시행하였다. 결 론 : 이 보고에서 밝혀진 다양한 치료 행태로 보아, 어린이 요로감염 치료의 개선과 발전을 위해 체계적인 진료 방침의 고안이 필요할 것으로 보인다. Purpose : Urinary tract infections (UTIs) of children require prompt and correct diagnosis and treatment to reduce the risk of renal damage. As a first step to improve the outcome of UTI in Korea, we investigated the practical variations in the methods of diagnosis, treatment, and evaluation of children with UTI and UTI prevention. Method :A questionnaire related to the individual policy on UTI diagnosis. treatment, imaging test, and prevention was submitted to 26 experts. Result Majority of the experts used bag-collected urine specimen for infants and mid-stream urine specimen for children for urinary culture. With a negative result of culture study, they diagnosed UTI when there was pyuria, positive results of the nitrite test, or bacteriuria. 80 $\%$ of experts prescribed prophylactic antibiotics after upper tract UTI. Operative treatment of vesicoureteral reflux (VUR) was indicated for children older than one or two years old with high-grade VUR, refractory breakthrough infections, or recurrent UTIs. Most of them performed kidney ultrasonography on the diagnosis of UTI and more than half of them evaluated children treated of UTI with vesicocystourethrogram and/or DMSA scintigraphy. Majority did not recommend circumcision. Half of the experts were screening siblings of VUR patients. Conclusion : Considering the variations exposed through this study systematic guidelines for management of children with UTI in Korean would be necessary. (J. Korean Soc Pediatr Nephrol 5 : 15-21, 2001)

입시 정책에서 학문 정책으로의 교육 개혁을 촉구하며

강희경,Gang, Hui-Gyeong 한국대학교육협의회 1998 大學敎育 Vol.94 No.-

인문학과 사회과학-학문과 교육 발전 방안

강희경,Gang, Hui-Gyeong 한국대학교육협의회 1999 大學敎育 Vol.100 No.-

대학생의 가족 폭력에 대한 인식과 데이팅 폭력

강희경 한국청소년학회 2007 청소년학연구 Vol.14 No.6

The purposes of this study were to report the prevalence of dating violence and to identify the myth about family violence among college students. The subjects included 453 college students in Seoul and Busan. The results indicated that 75.1% of the subjects reported having engaged in psychological aggression, physical assault and sexual coercion. Female students were significantly more likely to report using physical assault than male students in dating relationships. However, male students experienced more sexual coercion than female students. The subjects commonly had the myth about family violence. The degree of myth in males were higher than females. There were significant correlations between the myth about family violence and dating violence. The implications in practice and research were discussed. 본 연구는 미혼의 대학생을 대상으로 하여 데이팅 가해 폭력의 실태 및 가족 폭력에 대한 잘못된 인식의 수준을 확인하고, 가족 폭력에 대한 잘못된 인식과 데이팅 폭력 간의 관련성을 검증하기 위하여 실행하였다. 연구에 참여한 대상자는 서울과 부산에 소재한 대학에 재학중인 미혼의 남·녀 대학생 453명이었다. 연구 결과, 대상자의 75.1%가 심리적 폭력, 신체적 폭력, 성적 폭력 중 어느 한 유형이라도 가해 경험이 있는 것으로 나타났고, 남학생(70.4%)보다 여학생(79.6%)이 가해 경험을 보고한 사례가 유의미하게 높았다. 데이팅 폭력의 하위유형별 경험 유무 분석에서는 심리적 폭력은 전체 대상자의 70.2%, 신체적 폭력은 44.8%, 성적 폭력은 13.2%의 가해 경험이 있는 것으로 나타났다. 신체적 폭력에서는 여학생이, 성적 폭력에서는 남학생의 가해 경험 사례수가 유의하게 높은 것으로 분석되었다. 데이팅 폭력의 정도에 대한 성별 차이 분석에서는 심리적 폭력과 신체적 폭력, 그리고 데이팅 폭력 전체 점수에서 여학생이 남학생보다 폭력의 정도가 심각한 것으로 나타났다. 대학생의 가족 폭력에 대한 잘못된 인식 수준은 20개 문항에 대하여 6-7개 정도의 잘못된 인식을 갖고 있는 것으로 분석되었고, 남학생이 여학생보다 잘못된 인식수준이 높은 것을 알 수 있었다. 가족 폭력에 대한 잘못된 인식과 데이팅 가해 폭력 간의 관련성에 대한 분석에서는 유의미한 정적 상관이 있는 것으로 나타났다. 이상의 결과를 통해, 데이팅 폭력의 심각성과 성별에 따른 데이팅 폭력의 차이가 갖는 의미, 가족 폭력에 대한 잘못된 인식에 대한 예방 교육의 필요성 등에 대한 논의가 이루어졌다.

핵전이에 의한 Aspergillus oryzae var. oryzae와 Penicillium chrysogenum의 잡종에서 Alkaline protease 고생산균주의 개량

강희경,임채영,문명님,여명구,송규상,양영기 조선대학교 생명과학연구소 1997 생명과학 연구 Vol.5 No.-

A. oryzae var. oryzae와 P. chrysogenum간의 alkaline protease 우수 생성 좋간형질전환체를 획득하고 유전분석을 통하여 다음과 같은 결과를 얻었다. 핵전이를 위한 원형질체 형성 및 재생 조건에서는 Novozym 234의 농도 1%, 삼투안정제는 0.6M KCI 그리고 효소의 처리 시간은 189분으로 나타났다. 또한 핵전이에 의한 형질전화의 빈도는 1.3~3.8 x 10^(-4)으로 비교적 낮은 편이었다. 유전적 안정성, conidia의 크기, DNA 함량의 측정 그리고 핵염색 결과 형질전환체의 핵형은 aneuploid로 추정되었고, 형질전환체의 alkaline protease 활성은 모균주와 비교하여 1.1~2.2 배 증가하였다. Interspecific hybrids between Aspergillus oryzae var. oryzae and Penicillium chrysogenum(Tyr^(-)), hyperlipolytic enzyme-producing fungi, were obtained by nuclear transfer technique. Optical contitions for formation of intergeneric hybrids were investigated Maximum production of protoplasts were obtained by 1% Novozym 234 at 30! for 3 hours and the most effective osmotic stabilizers for the isolation of protoplasts were 0.6M KCI. Frequencies of hybrid formation by nuclear transfer were 1.3 10^(-3)∼2.8×10^(-3). From the observation of genetic stability, conidial size, DNA content, and nuclear stain, it was suggested that their karyotypes are aneuploid. The hybrids showed 1.1∼2.2 fold higher alkaline protease activities than parental strains, It was strong1y supported by results of this study that nuclear transfer technique is efficient in the formation of intergeneric hybrids fusion and is very useful for the improvement of strains.

조직문화가 기업의 경쟁력에 미치는 영향

강희경,추교완,신지민 한국전문경영인학회 2017 專門經營人硏究 Vol.20 No.2

This study inquires into the relationship among organizational culture, organizational learning and corporate competitiveness. Whether organizations successfully adapt to dynamic environmental change depends on flexibility of employees toward organizational change. Successful change of members’ value and behavior can be accomplished by change of organizational culture composed of shared value, idea, trust, not by change of adaptation of new strategy or practices. Therefore, we examined the effect of organizational culture on corporate competitiveness and the mediating effect of learning organization between two variables. It is meaningful to choose learning organization as mediating variable between organizational culture and corporative competitiveness, due to synergy effect between cultural factors and learning organization activities. Four types of organizational culture are based on Cameron and Quinn(1999). We measured corporate competitiveness as human resource competitiveness, internal process competency, and customer service competency. Learning organization variables are chosen from Watkins and Marsick(1996)’s research, human and structure dimensions. To test research hypothesis, we did an questionnaire survey targeting 216 Korean companies. According to hierarchical regression analysis, learning organization have mediating effect between three types of culture and corporate competitiveness and only hierarchical culture type have a direct effect on corporate competitiveness. Based on this research results, theoretical and practical insight and limitation of research were suggested.

학령기 아동의 사회적 지지와 자기평가

강희경 한국부모교육학회 2011 부모교육연구 Vol.8 No.1

This study investigated the relationship between social supports and the self-evaluation of school-aged children. The Social Supports Scale is composed of three factors : social supports from family, friends and teachers. The subjects were 397 school-aged children. The main results were as follows. First, the level of social supports was generally high, with the highest level being from family. Second, the level of self-evaluation was also generally high. Finally, all supports from family, friends and teacher had positive influences on self-evaluation. The most influential factor was social support from friends. The implications of these results were discussed.

일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질

강희경 한국농촌간호학회 2017 한국농촌간호학회지 Vol.12 No.1

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.