Poly(N-isopropylacrylamide-co-dimethylamino ethyl methacrylate)가 고정화된 알지네이트 비드 제조 및 방출 특성

강미경(Mi Kyoung Kang),김진철(Jin Chul Kim) 한국고분자학회 2010 폴리머 Vol.34 No.1

KT BcN 에서 개방형 서비스 제공

강미경(Mi-Kyoung Kang),최대우(Dae-Woo Choi),손진수(Jin-Soo Sohn) 한국통신학회 2005 한국통신학회 학술대회 및 강연회 Vol.2005 No.12

산부인과적 수술로 인한 빈혈교정에 정맥 철분제제의 사용

강미경 ( Mi Kyoung Kang ),방성윤 ( Seong Yun Bang ),김지영 ( Ji Young Kim ),박은희 ( Eun Hee Park ),김미경 ( Mi Kyung Kim ),최규연 ( Ku Yeon Choi ),이정재 ( Jeong Jae Lee ),이임순 ( Im Soon Lee ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.1

수술실 간호사의 병원감염관리에 대한 인지도와 실천정도에 관한 연구

강미경(Kang Mi Kyoung),김경희(Kim Kyoung Hee),최미혜(Choi Mi Hye) 기본간호학회 2004 기본간호학회지 Vol.11 No.3

세라밴드를 이용한 PNF 기법 적용이 65세 이상 여성노인의 균형과 보행에 미치는 영향

강달원,강미경,강은실,고유리,김다운,김대용,김정은,김원황,김자연,김환,정대인,김명훈,김상엽,이동진,김찬규,김현진,Kang, Dal-Won,Kang, Mi-Kyoung,Kang, Eun-Sil,Go, Yu-Ri,Kim, Da-Woon,Kim, Dae-Yong,Kim, Jung-Eun,Kim, Won-Hwang,Kim, Ja-Yeon,Kim, Hwan,Jung 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.1

Purpose: Study on the effect of the use of Proprioceptive Neuromuscular Facilitation(PNF) method by use of the direction and charge regulation which is the advantage of the Thera-band therapy on the walks and balances in old people and comparison with the result after applying the general PNF technique. Method: The study has been performed on 30 females over 65 years old. The study has been done by dividing the object group in 3 patterns, which are number 1, the comparison group of 10, two ones that are applied the PNF technique using Thera-band and third, the ones that are applied only the PNF technique. For the PNF and the Thera-band using PNF, we have divided the group into Combination of Isotonic technique and the Rhythmical stabilization technique according to the patient's acquaintance pattern and applied them to the patient's body. Evaluation was the balancing ability which was calculated by using the BIODEX Balance system / FRT and for the evaluation of walking ability, we have used the speed of walking for 10M / TUG. Result: In the comparison group of 10, the balancing ability and the walking ability did not change much before and after the experiment, which made it possible to compare the group with the other two easily(p>0.05). For the other two groups, we have recognized the enhancement both in the balancing ability and the walking ability, but they did not know much difference between themselves(p<0.05). Conclusion: Though there were not a big difference in the sense of improvement between the Thera-band using PNF and the PNF technique only, we could infer that these two therapy has enhanced much in the walking and balancing ability for people over 65 and through these result we can foresee that not only using the method shown in this study but also by using many advantages of Thera-band, we could diminish the tiredness of healer, enhance the efficiency of exercise in them and also by forming self training program for older people we could help them build the prevention program from falls.

BCG 접종에 의한 화농성 림프절염의 Rifampicin 국소 주입 요법

김미정,장성희,안영민,강미경,김상재,Kim, Mee Jeong,Jang, Seong Hee,Ahn, Young Min,Kang, Mi Kyoung,Kim, Sang Jae 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.4

목 적 : BCG접종 후에 소속 림프절에 발생하는 화농성 림프절염은 비교적 심각한 부작용 중 가장 흔하다. 대부분 치료를 하지 않더라도 결국은 퇴행되지만, 보통 몇 주 또는 몇 개월 동안 배농이 지속되어 매우 불편하고, 상당한 예에서 궤양으로 남게된다. Pan American Health Organization은 isoniazid 또는 rifampicin 국소 주입을 권장하였다. 이에 저자들은 BCG접종 후에 발생한 화농성 림프절염을 rifampicin 국소 주입으로 치료한 경험을 보고하고자 한다. 방 법 : 최근 3년간 대한결핵협회 결핵연구원 및 본원에서 BCG에 의한 림프절염으로 진단된 영아를 대상으로 하였다. BCG 림프절염은 동측의 액와부 또는 쇄골상부에 생긴 림프절염으로, BCG 접종 외에는 림프절염의 다른 원인이 없을 때 진단하였다. 화농하지 않고 림프절이 커져 있는 경우에는 자연 소실될 가능성이 있으므로 경과를 관찰하다가, 화농하면 자연적으로 파열되기 전에 주사기로 림프절을 흡인하고 rifampicin을 국소 주입하였다. 결 과 : BCG에 의한 림프절염 환아 37명을 경험하였다. 1) 림프절염의 양상 : 림프절염은 BCG를 접종한 후 대부분 4개월 이내에 발생하였다. 발생부위는 대부분 좌측 액와부였고, 쇄골상부에 생긴 예도 있었다. 크기는 대부분 2-3 cm였고, 5 cm 이상인 경우도 있었다. 2) 림프절염의 치료 : 37명 중 3명은 림프절염이 화농하지 않고 자연적으로 소실되거나 크기가 감소하였다. 화농하면 rifampicin을 주입하려고 경과를 관찰하다가 9명은 시술 전에 자연적으로 터져서 배농되어 드레싱만으로 치유되었다. 25명은 림프절염이 화농되어 주사기로 흡인한 후에 rifampicin을 국소로 주입하였다. 18명은 한번 시술해서 치유가 되었다. 7명에서는 한번 시술한 후에 다시 유동성이 생겨서 한번 더 시술하였다. 이중 1명은 두번 시술하였으나 크기가 더이상 감소하지 않아서 외과적 절제술을 고려하고 있다. Rifampicin 국소 주입 후 많은 경우에서 몇 일 이내에 배농이 없어지고, 그 이후 크기가 감소하였다. 림프절이 크면 일부에서 배농이 1-2개월 지속되었다. 결 론 : BCG에 의한 림프절염 중 일부는 자연적으로 소실된다. 화농성 림프절염으로 이행되면 침흡인 후에 rifampicin을 국소 주입하는 방법이 효과적이다. 즉 자연적 배농을 방지하고 비교적 빠른 시간 내에 림프절염이 치유된다. Purpose : Bacillus Calmette-$Gu\acute{e}rin$(BCG) lymphadenitis is one of the most common complications of BCG vaccination. The involved lymph nodes usually subside spontaneously, but they may become enlarged and form an abscess. Treatment of these infants is controversial. The Pan American Health Organization recommends local isoniazid or rifampicin instillation for patients with suppurative BCG lymphadenitis. Methods : The study group comprised 37 patients who presented with BCG lymphadenitis over the last three years. BCG lymphadenitis was diagnosed if the affected patient developed an ipsilateral axillary or supraclavicular lymphadenitis, with no other identifiable cause for the lymphadenitis. We used rifampicin instillation therapy for patients with suppurative BCG lymphadenitis. Results : Lymphadenitis regressed spontaneously in three patients. Thirty four patients showed a progression to abscess formation. Among 34 patients with suppurative lymphadenitis, drainage developed spontaneously during the follow-up period in nine patients before therapy. Twenty five patients received needle aspiration and local rifampicin instillation therapy. Reaspiration was performed in seven patients. One of these patients still has large lymph nodes after the second attempt. Conclusion : Needle aspiration and local rifampicin instillation therapy into the node is a safe and effective form of treatment for suppurative BCG lymphadenitis.

임신중기 선별검사로서 자궁동맥 도플러 파형 분석의 임상적 유용성

박선영 ( Seon Yeong Park ),최규연 ( Kyu Yeon Choi ),강미경 ( Mi Kyoung Kang ),방성윤 ( Sung Yun Bahng ),박은희 ( Eun Hee Park ),김미경 ( Mi Kyoung Kim ),이정재 ( Jeong Jae Lee ),이임순 ( Im Soon Lee ) 대한주산의학회 2005 Perinatology Vol.16 No.3

목적: 임신 제 2삼분기 임신부를 대상으로 자궁동맥 도플러 파형을 측정하여 임신성 고혈압과 자궁내 태아발육부전의 예측을 위한 선별검사로서의 임상적 유용성에 대하여 평가하고자 하였다 방법: 2001년 3월부터 2002년 8월까지 순천향대학교병원 산부인과에서 산전관리를 받은 임신부를 대상으로 하여, 그중 쌍태임신, 조기양막파수, 선천성 기형이 있는 경우와 추적관리가 안된 21명을 제외한 458명의 임신부에서 임신 20~24주 사이에 자궁동맥 도플러 파형을 측정하였으며, 이들의 임신결과를 통하여 임신성 고혈압과 자궁내 태아발육부전의 선별 검사로서의 임상적 유용성에 대하여 평가하였다. 결과: 통계분석에 이용된 임신부 458명 중 16명(3.5%)에서 임신성 고혈압을, 16명(3.5%)에서 자궁내 태아발육부전이 발생하였다. 임신성 고혈압은 정상 도플러 파형소견을 보이는 군에서 8명(2.0%), 비정상소견을 보인 군에서 8명(11.4%)에서 발생하였으며, 자궁내 태아발육부전이 발생된 경우는 정상 자궁동맥 도플러 파형을 보인군에서 13명(3.4%), 비정상소견을 보인군에서 3명(4.3%) 발생하였다. 임신성 고혈압 혹은 자궁내 태아발육부전이 발생된 경우는 정상 자궁동맥 도플러 파형을 보인군에서 21명(5.41%), 비정상소견을 보인군에서 11명(14.2%)으로 비정상군에서 높았으며 통계적으로 유의하였다. 자궁동맥 S/D치(Systolic/Diastolic ratio)와 초기 이완기 함요의 유무를 이용하였을 때 임신성 고혈압 혹은 자궁내 태아발육부전 발생에 대한 민감도는 34.3%, 특이도 86.1%, 양성예측도 15.7%, 음성예측도는 94.5%였다. 결론: 정상 임신부에서 임신 제 2삼분기에 자궁동맥 도플러 파형을 측정하여 임신성 고혈압 혹은 자궁내 태아발육부전의 발생의 예측에 있어 양성예측도의 향상을 위해서는 추적검사가 필요하며, 검사방법의 표준화를 통해 이 검사의 유용성에 대한 평가가 필요할 것으로 사료된다. Objective: We performed uterine artery doppler flow velocity waveforms between 20~24 weeks of gestation to access the screening properties for predicting pregnancy-induced hypertension or intrauterine growth retardation in general population. Methods: Total 458 normal pregnant women were enrolled in this study. The abnormal uterine artery doppler flow velocity waveforms was defined that systolic/diastolic ratio is greater than 2.6 or diastolic notch waveforms are seen. Results: The incidence of PIH and IUGR among study population was 3.5% and 3.5%, respectively. The incidence of PIH in normal and abnormal uterine artery Doppler flow velocity waveforms group were 2.0% and 11.4%, and those of IUGR were 3.4% and 4.2%, respectively. The incidence PIH or IUGR among abnormal doppler group was 14.2%, which was higher than in normal group of 5.4%. This method had a sensitivity of 34.3%, a specificity of 86.1% and positive predictive value of 15.7% for the prediction of PIH and IUGR. Conclusion: Although abnormal uterine artery doppler flow velocity waveforms is associated with an increased risk of PIH or IUGR, the lowered positive predictability lead to apply the follow-up examination or standardization of doppler ultrasonography.

반복성 단늑골 다지 증후군 1예

방성윤,최규연,박은희,강미경,김미경,이정재,이임순 순천향의학연구소 2005 Journal of Soonchunhyang Medical Science Vol.11 No.1

Short-rib polydactyly syndromes(SRPS) comprise a group of rare, generally lethal skeletal dysplasias. This group is manifested by short-limb short stature, short ribs with thorasic hypoplasia, and polydactyly. This heterogenous group of recessively inherited disorder has distinct imaging findings and ancillary findings on both pre-and postnatal assessments may enable individual cases to be classified into one of four subtypes : SRPS Ⅰ(Saldino-Noonan); SRPS Ⅱ (Majewski); SRPS Ⅲ (Verma-Naumoff); and SRPS Ⅳ (Beemer-Langer)1,2,3). All forms of the SRPS described to date are thought to be inherited in an autosomal recessive manner. There are difficulties in the clssification of these disorders because of the frequent overlap. We experienced one case of recurrent short-rib polydactyly syndrome and presented with review of literature.

신규간호사와 경력간호사의 업무스트레스 비교

이소정,강미경,권순희,송경향,이종화,최정란,현은숙,박경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.1

This experiment studies on difference in the degree of stress that experienced nurse and new nurse are going through and see if there is any difference in between them. Consequetly, the data will be used to control and manage the human resources (nurse in this case) by controlling the level on stress. Furthermore this study is conducted in hope that it will provide fundamentals in the Nurse Creer as a whole. Experimental tool that has been used in this study is the one that Bae Jung Ee(배정이) and Seo Moon Ja(서문자) has invented in 1989 and edited. Reliability of the tool is rated as cronba a=.9501. Fifty-nine questions are categorized in ten sections by the causes of stress, and 9 general questions resulting in 68 questions. The summary of the result on this study is as follows: 1. In the comparison of the work stress between the questionnaire, the experienced nurse showed higher level on work stress in 46 questions including; when the promotion speed varies in between the fellow nurses(p=.038), unfair work scheduling(p=.031), longer and more frequent night shits(p=.004) 2. In the comparison of the work stress beween the Experienced vs. Non-expeeerienced nurse conducted by the causes, the experienced nurse showed higher level on work stress in several factors including; significant difference in inadequate compensation(p=.044) and rigid work figure(p=.035), and all areas except professionalism, lack in skill, complication between nurse and patients, and nurse and the patients guardian. With the above result, it is quite clear that the experienced ones are going through higher level of work stress, thus resolution to reduce the stress level by conducting experiments and come up with a measuring instrument that can measure the level of stress systematically, is highly recommended.

입원환자의 수술경험

황윤영,양기우,채정선,이필호,장미,강미경,서효신,박성희,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2000 중앙간호논문집 Vol.4 No.2

This study was to understan the experience of patients before and after operation with general anesthesia, and find specific nursing intervention unique to each patients so that they could keep peaceful mind and recover sooner. Patients in front of operation would experience anxiety and even emotional crisis in almost of them even though individual variation. To provide effective nursing care to them, it is essential to estimate nd understand the experiences of subjects. So this study is aimed to estimate the experience of patients in perioperative period in view of them. Subjects were 25 adult patient over 20 years who had been operated under general anesthesia in one university hospital in seoul. They did not have any special complication or psychological problem or change consciousness in perioperative period and agree this study. Data were gathered through in - depth interview using open and unstructive questions. Interview was done twice per one patients before and after 3 days of opeartion in their room and each interview tooks 30 - 40 minutes. Data analysis tool was Giorgi's phenomenological analysis method. Result were as follows ; 1) preoperative experiences of the patients were categorized into "Anxiety" "Hoping·Wishing" and "Transcendental Attitue" 2) postoperative experiences of the patients were categorized nto "Comfortability" "Hoping·Wishing" and "Dissatisfaction" Before operton most patients felt anxiety on the possibilities of operative pain, complication of failure of awakening from anesthesia. But patients tried to keep peaceful mind expecting good results or relying on medical teams. After opearton most patients felt comfortability and dissatisfaction a special treatment to reduce patients dissatisfaction. For satisfaction that perioperative nursing needs of the patients in admission is above all nurse's supporting and thinking patient's situation and specific nursing care to unique patients. Specially, patient's satisfaction that important role of operation room nurse to provide information and emotional support in opeartion waiting room and operation room. Therefore nursing intervention developed in properly operation waiting room and operation room and then performed by operation room nurse. Suggestions for further studies as follows ; 1) various approach for supportive nursing intervention methods by that perioperative patients in admission could be opearted and recovered in more comfortable state. 2) further study about perioperative nursing needs of the patients in same operation would be needed.