다발성 백악질공이형성증 조직병리검사시 임상, 방사선양상의 중요성

한미라,김영희,강병철,Han Mi-Ra,Kim Young-Hee,Kang Byung-Cheol 대한영상치의학회 1998 Imaging Science in Dentistry Vol.28 No.1

This case was diagnosed as multiple cementoosseous dysplasia on the basis of clinical & radiological features but was diagnosed as ossifying fibroma on the basis of histopathological feature. The histopathologic features of the multiple cementoosseous dysplasia and cementoossifying fibroma have common features of cementum, fibrous network and bone. Multiple cementoosseous dysplasia is reactive lesion and shows restricted lesion size, occurred on anterior and posterior tooth of the mandible and needs no treatement except periodic follow up. But Cementoossifying fibroma is the true neoplasm and grows continuously and needs surgical removal. The final diagnosis of the multiple cementoosseous dysplasia requires good correlation of the clinical, histopathological, and radiological features.

가상간호시뮬레이션을 활용한 정신간호실습 교육의 효과

한미라,이지혜,Han, Mi Ra,Lee, Jihye 한국융합학회 2021 한국융합학회논문지 Vol.12 No.10

본 연구의 목적은 간호대학생에게 가상간호시뮬레이션을 적용한 정신간호실습 전·후 전이동기, 학습자기효능감의 차이를 비교하고 실습 후 실습만족도를 비롯한 전이동기, 학습자기효능감 간의 상관성을 확인하여 효과적인 정신간호실습 교육의 기초자료로 제공하기 위함이다. 본 연구는 2020년 10월 부터 12월 까지 진행되었으며 U시 소재 대학 3학년에 재학 중이고 가상간호시뮬레이션을 적용한 정신간호실습 교육을 받은 41명을 대상으로 하였다. 자료분석은 Paired t-test와 피어슨상관관계(Pearson's correlation coefficient)로 분석하였다. 연구결과, 가상간호시뮬레이션을 적용한 정신간호실습 후 실습 전에 비하여 전이동기는 유의하게 상승하였고 학습자기효능감은 상승하였으나 통계적으로 유의하지 않았다. 가상간호시뮬레이션을 활용한 정신간호실습 후 전이동기, 학습자기효능감, 실습만족도는 통계적으로 유의한 상관관계를 보였다. 이를 통해 가상간호시뮬레이션을 활용한 정신간호실습 교육은 부분적으로 효율적인 실습 전략임이 확인되었다. The purpose of this study is to compare the differences in transfer motivation and learning self-efficacy before and after applying virtual simulation for nursing in psychiatric nursing practice, and to provide them as basic data for effective psychiatric practical education. This study was conducted from October to December 2020. The subjects were 41 people who were enrolled in the third year of a located in U city, and who had received psychiatric nursing practice education using virtual simulation for nursing. Data were analyzed by paired t-test and pearson's correlation coefficient. After practice compared to before psychiatric nursing practice with virtual simulation nursing applied, transfer motivation was significantly increased and learner self-efficacy increased, but it was not statistically significant. Therefore, It was confirmed that psychiatric nursing practice education using virtual simulation for nursing is partly an effective practice strategy.

간호사의 직장 내 약자 괴롭힘, 리더-구성원 교환관계가 이직의도에 미치는 영향

한미라(Mi Ra Han),구정아(Jeung Ah Gu),유일영(Il Young Yoo) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.4

The purpose of this descriptive study was to identify the impact of workplace bullying and LMX (Leader- Member Exchange) on turnover intention among nurses. Methods: The participants were 364 nurses from the Seoul metropolitan area who were attending a continuing education program. A structured questionnaire was used for data collection and data were analyzed using the SPSS/Window program. Hierarchical multiple regression analysis was performed to verify the effect of variables on turnover intention. Results: Higher workplace bullying was associated with higher turnover intention. Workplace bullying was negatively correlated with leader-member exchange. The most influential factors for turnover intention were LMX (β=-7.22, p<.001), work load (β=2.96, p=.003), and workplace bullying (β=2.64, p=.009). These factors accounted for 28% of the variance in turnover intention. Conclusion: The study results indicate that there is need to develop strategies to prevent workplace bullying and cultivate a good relationship between nursing managers and nurses to lower nurses’ turnover intention.

보문 : 선복화, 감국, 홍화 에탄올 추출물의 주름개선 및 항산화 효과

한미라 ( Mi Ra Han ),김남우 ( Nam Woo Kim ),이양숙 ( Yang Suk Lee ) 대한미용학회(구 대한미용과학회) 2013 대한미용학회지 Vol.9 No.4

The ethanolic extracts of Inula Flos (IF), Chrysanthemi Flos (CSF) and Carthami Flos (CTF) were carried out to investigate the anti-wrinkle and antioxidative effects as part of the development of natural cosmetics materials. Total polyphenol content in CTF (134.71 mg/g) and total flavonoid content in IF (79.38 mg/g) were higher than those of other ethanolic extracts. The collagenase and elastase inhibition rate for anti-wrinkle effect showed 34.06% and 54.09% in the IF, respectively, at the concentration of 2.0 mg/mL. The tyrosinase inhibition of CTF was 19.67% at 2.0 mg/mL. IF at a concentration of 2.0 mg/mL was the highest xanthine oxidase inhibition effect of 43.81%. The electron donating ability of IF was 93.43% at 2.0 mg/mL, especially IF was over 80% at 0.1 mg/mL. In the analysis of nitrite scavenging activity, CSF (97.17%) and CTF (98.44%) showed a significantly higher effect than ascorbic acid (95.21%) at the condition of pH 1.2 and 2.0 mg/mL. At the condition of pH 3.0, CTF was 94.49% at the concentration of 2.0 mg/mL. The SOD-like activity of IF was 90.85%, and that was 4.2 times to 6.2 times greater than CSF and CTF. These results suggest that the CTF was rich in total polyphenol content and nitrite scavenging activity was better than other extracts. IF showed relatively higher effect of collagenase and elastase inhibition than the CSF and CTF ethanolic extracts, and its electron donating ability and SOD like activity were over the 90% rate. These results suggest that the IF is a potentially useful anti-wrinkle and antioxidant source for the development of functional cosmetic.

중학생의 수학적 성향이 수학성취에 미치는 영향 : 수학불안의 매개효과

한미라(Han Mi-ra),김광수(Kim Gwang-su) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.19

본 연구의 목적은 중학생의 수학적 성향이 수학성취에 미치는 영향에서 수학불안의 매개효과를 확인하는 데 있다. 이를 위해 수학적 성향의 하위요인으로 ‘수학적 자신감, 수학적 의지력, 수학적 가치, 수학적 융통성, 수학적 반성’을 선정하였다. 그리고 수학불안의 하위요인으로 ‘수업불안, 시험불안, 학습동기, 선입견’을 선정하였다. 본 연구의 대상은 중학교 2학년 191명이며, 1학기 수학과목 1차 고사를 마친 후 2차 고사 전에 설문조사를 하였다. 연구 목적을 달성하기 위하여 구조방정식 모형을 적용하여 연구모형을 구성하였다. 연구모형을 검증하기 위해서 측정모형 분석 후 구조 모형 분석을 하였다. 간접효과의 통계적 유의성 검증에는 부트스트래핑 분석을 적용 하였다. 연구결과는 다음과 같다. 첫째, 중학생의 수학적 성향과 수학성취 사이에 유의한 정적 상관이 있었고, 수학적 성향은 수학성취에 정적인 영향을 주었다. 둘째, 중학생의 수학불안과 수학성취 사이에 유의한 부적 상관이 있었고, 수학불안은 수학 성취에 부적인 영향을 주었다. 셋째, 중학생의 수학적 성향과 수학불안 사이에는 부적 상관이 있었고, 수학적 성향은 수학불안에 부적인 영향을 주었다. 넷째, 수학적 성향이 수학불안의 매개효과를 통한 수학성취에 미치는 간접효과는 유의하게 나타났다. 마지막으로 본 연구의 제한점과 향후 연구에 대한 몇 가지 제언을 하였다. The purpose of this study is to confirm the effect of mathematical disposition and mathematics anxiety on achievement of middle school students. And to identify the mediating effects of mathematics anxiety on the relationship between mathematical disposition and achievement. To this end, we selected a mathematical confidence, mathematical willpower, mathematical values, mathematical flexibility, mathematical reflection as a sub-factors of the mathematical disposition. And class anxiety, test anxiety, learning motivation, prejudice were selected as sub-factors of math anxiety. 191 students in the second year of middle school were included in the study, questionnaire survey was conducted between the first and second exams of the mathematics subjects in the first semester. The research model was constructed by applying the structural equation modeling to achieve the research purpose. In the verification of the research model, the structural model was analyzed after the analysis of the measurement model. The bootstrapping analysis was applied to the statistical significance test of the indirect effect. The results of the study are as follows. First, there was a significant positive correlation between the mathematical disposition and mathematics achievement of middle school students, and the mathematical disposition had a positive effect on mathematics achievement. Second, there was a significant negative correlation between math anxiety and achievement, and math anxiety had a negative effect on achievement. Third, there was a negative correlation between mathematical disposition and math anxiety, and mathematical disposition had a negative effect on math anxiety. Fourth, the indirect effect of mathematical disposition on math achievement through math anxiety was significant. Finally, some limitations of this study and some suggestions for future research were suggested.

중학생의 그릿과 부모의 긍정적 양육태도가 창의적 성격에 미치는 영향

한미라(Mi-Ra Han),김광수(Gwang-Su Kim) 한국영재교육학회 2023 영재와 영재교육 Vol.22 No.1

본 연구에서는 한국아동청소년패널조사(KCYPS 2018)의 중학교 1학년 패널의 1차년도 자료를 사용하여 중학생의 그릿(Grit)과 이들이 지각하는 부모의 긍정적 양육태도가 창의적 성격에 어떠한 영향을 주는지를 살펴보고자 하였다. 그리고 이 과정에서 학업열의가 매개역할을 하는지 확인하였다. 연구대상은 전국 162개 중학교에 재학중인 남학생 1,405명과 여학생 1,185명으로 총 2,590명이며, 연구모형의 검증에 구조방정식 모형을 적용하였다. 연구결과는 다음과 같다. 첫째, 청소년의 그릿은 창의적 성격과 학업열의에 정적인 영향을 미치는 것으로 나타났다. 둘째, 청소년의 학업열의는 창의적 성격에 정적인 영향을 미치는 것으로 나타났다. 셋째, 그릿은 학업열의를 매개로 창의적 성격에 간접효과를 미치는 것으로 나타났다. 넷째, 청소년이 지각하는 부모의 긍정적 양육태도는 자녀의 창의적 성격과 학업열의에 대해 유의한 영향을 미치지 않았다. 그리고 청소년의 창의적 성격에 정적인 영향을 주는 그릿과 학업열의를 강화할 수 있는 교육과 훈련에 대해 논의하였다. 끝으로 본 연구의 제한점과 후속 연구에 대한 제언을 제시하였다. In this study, we tried to examine how middle school students' grit and their perceived parents' positive parenting attitude affect creative personality using the first-year data of the middle school first wave panel of the Korea Children and Adolescents Panel Survey(KCYPS 2018). And it was confirmed whether academic engagement plays a mediating role in this model. The subjects of the study were 1,405 male students and 1,185 female students enrolled in 162 middle schools nationwide, totaling 2,590 students, and a structural equation model was applied to verify the research model. The research results are as follows. First, it was found that adolescents' grit had a positive effect on creative personality and academic engagement. Second, academic engagement of adolescents was found to have a positive effect on creative personality. Third, it was found that grit had an indirect effect on creative personality through academic engagement. Fourth, parents' positive parenting attitude perceived by adolescents did not have a significant effect on their children's creative personality and academic engagement. In addition, we discussed education and training that can strengthen grit and academic engagement which have a positive effect on the creative personality of adolescents. Finally, we presented the limitations of this study and suggestions for follow-up studies.

노인ㆍ아동 상호작용 프로그램 운영 실태 및 요구 조사

한미라(Han Mi-Ra),서영희(Seo Young-Hee),허우정(Hur Woo-Jeong),임재택(Lim Jae-Tack) 한국열린유아교육학회 2007 열린유아교육연구 Vol.12 No.2

본 연구는 유아교육기관에서 노인ㆍ아동 상호작용 프로그램 운영 실태와 요구를 파악해 보는데 목적을 두었다. 이를 위하여 부산시와 울산시에 소재한 유아교육기관 247곳을 대상으로 하여 질문지를 이용하여 조사하였다. 연구결과, 노인ㆍ아동 상호작용 프로그램을 실시하는 유아교육기관은 전체 대상의 46.2%였으며, 이들 유아교육기관에서는 교육청 및 지방자치단체의 지원과 권유에 의해 운영하는 비율이 높았고, 프로그램에 참여하는 노인의 활동비도 지방자치단체에서 지급하는 경우가 가장 많았다. 또한 프로그램의 운영 평가는 긍정적이었으며, 원할한 프로그램 운영을 위해 노인의 자질 향상이 이루어져야 하며, 현재 실시되고 있는 이야기 들려주기, 예절교육, 특기지도 이외의 다양한 프로그램에 대한 요구가 높았다. The study was to look into the actual condition of the management of and demand for ElderlyㆍChild Interaction Program for the Preschool education institutes. To this end, questionnaires were distributed among the 247 of Preschool education institutes in the region of Busan and Ulsan and the investigation resulted in that 46% of the sample group of Preschool education institutes put the ElderlyㆍChild Interaction Program in practices and the better part of them did so with the recommendation and support of the office of education and municipal organizations and the activity expenses for the elderly participating in the program were mostly supported by the municipal organizations. And the overall assessment of the program was positive, but more improvement on the part of elderly participants was proved to be necessary for more smooth operation of the program. Besides current story telling, manner education and special skill education, demand for other various programs was high.

19세기 후반 경상도 함양 栢吐里鄕約의 구성과 재정운영

한미라(Han, Mi Ra) 역사실학회 2020 역사와실학 Vol.72 No.-

본 논문은 『栢吐里鄕約案』과 『栢吐鄕約稧本錢記』자료를 기반으로 경상도 함양 백토리향약의 성립 배경, 구성과 운영, 재정운영에 대해서 살펴보았다. 백토리향약은 경상도 관찰사 이헌영의 향약 정책과 백토리 사족들의 협조로 인하여 1892년에 성립되었다. 백토리향약은 백토리의 上栢, 太古亭, 內栢, 楮田, 南孝, 麥亭마을을 중심으로 운영되었다. 『栢吐里鄕約案』의 「節目」을 살펴보았을 때, 혼상시 부조와 관련된 내용을 확인할 수 없었으며, 강회, 善籍, 過籍관련 내용이 강조되고 있음을 확인할 수 있었다. 이를 통해 백토리향약이 향촌의 교화에 주목했음을 알 수 있었다. 즉, 18세기 주현향약은 사회경제적 변동을 막는 방파제로, 향촌통제 목적이 강했다면 19세기 후반 시행된 주현향약은 강력한 향촌통제보다는 향촌의 풍속교화에 중심이 있었던 것으로 사료된다. 백토리향약은 1892년부터 1894년까지의 임원 명단을 확인할 수 있는데, 約正은 매번 바뀌지만 訓導, 直月, 下任등은 2~3번 연임하였다. 또한 백토리향약은 강회 재정 자료가 남아 있는 것이 특징인데, 1892년 8월 13일과 1893년 4월 16일 강회의 재정 기록을 중심으로 살펴보았다. 매 강회 때마다 약원들에게 회비를 거두었으며, 회비는 대부분 강회 관련 물품 비용으로 지출되었다. 1893년 4월 강회 지출항목에서 눈에 띄는 점은 白紙를 구입한 후 일부를 奴의 집에 賻儀하였다는 점이다. 19세기 후반이 신분제가 해체되고 있었던 상황 등임을 고려하면 奴는 약원마다 1명씩 명목상 기재된 것이며, 실제는 약원의 집에 부의했을 가능성이 농후하다. 백토리향약은 19세기 후반 향약이 동・리에서 시행된 향약 운영의 확인할 수 있는 사료로서 가치가 있다. 1892~1893년을 중심으로 자료가 남아있어, 그 이후의 운영에 대해서 살펴볼 수 없다는 한계가 있다. 그러나 1894년 동학농민운동 등의 다양한 변화로 인하여 함양 백토리향약은 지속적으로 운영되기는 어려웠을 것이라 사료된다. 제한된 사료의 결과이지만 추후 다양한 지역의 향촌관련 사료들을 중심으로 19세기 후반 주현향약 연구 지평을 확대하고자 한다. This paper is about background of establishment, composition, operation and financial operation of Baektori in Hamyang, Gyeongsangdo, based on the data from “Baektorihyangyakan” and “Baektohyangyakgyeobonjengi”. Baektori Hyangyak was established in 1982 due to Hyangyak policy of Lee HunYoung, governor of Gyeongsangdo and cooperation of nobles of Baektori. Baektori Hyangyak was operated mainly in Sangbaek, Taegojeong, Naebaek, Jeonjeon, Namhyo and Maekjeong villages of Baektori. When looking at “Jeolmok” of “Baektori Hyangyakan” contents related to contributions for marriage and funeral were not checked but it was confirmed that the contents related to lectures, names of righteous people and names of bad people were emphasized. Through this, it was found that Baektori Hyangyak paid attention to reformation of villages. In other words, while the 18th century Juhyun Hyangyak was a seawall to prevent socio-economical fluctuation which served a strong purpose to control villages, Juhyun hyangyak, implemented in the late 19th century was considered to focused on reformation of villages rather than strict control of villages. The lists of executives of Baektori Hyangyak from 1892 to 1894 were confirmed and contract were changed each time but Hundo, Jikwol, Haim and etc. served 2-3 terms consecutively. Also, the key feature of Baektori Hyangyak was that the financial data of lecture remains. This research was focusing on the financial records of the lectures on August 13th, 1892 and April 16th, 1893. From each lecture dues were collected from the members and most of the dues were spent on supplies for the lecture. A distinguished item from the expense list on the lecture of April,1893 was that after purchasing white paper some of it was distributed to a house of a slave as an aid to a funeral. Considering that the social hierarchy got weakened in the late 19th century, one slave per a member of Hyangyak was nominally recorded but there is a high chance that the aid for funerals were actually paid to the member. Baektori Hyangyak is historically valuable as an example to confirm the operation of Hyangyak that was exercised in Dong/Ri in the late 19th century. Since the records remain focusing from 1892 to 1893, there are limits to the research about the operation after that period. However, due to various changes such as Donghak Peasants Revolution, it is considered to unable to maintain the operation of Hamyang Baektori Hyangyak. Although this research is the result of limited feed, I intend to expand the horizon of the research of Juhyun Hyangyak in the late 19th century with Hyangchon related data from various regions.

신속대응팀의 활성화 시간에 영향을 주는 요인

한미라 ( Han Mi Ra ),강은형 ( Kang Eun Hyoung ),이용숙 ( Lee Yong Suk ),장은주 ( Chang Eun Ju ),이수정 ( Lee Su Jeong ),허윤아 ( Heo Yoon A ),남궁서화 ( Namgung Seo Hwa ),서서희 ( Seo Seo Hee ) 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: The rapid response team is a patient safety system that detects symptoms and signs of deteriorating inpatients and provides intervention and treatment. This study analyzed the factors influencing the activation time of the team. Methods: This is a descriptive correlation study that analyzed the electronic medical records of patients activated by the rapid response team. The collection period was from January 2014 to December 2017. We analyzed 278 pieces of data activated by the rapid response team for patients aged 16 years or older at C University S Hospital in Seoul. We employed the SPSS 23.0 program for data analysis. Results: The reasons for activation of the rapid response team were oxygen saturation of less than 90.0%, other causes, and change in consciousness. The most common diagnosis of activated patients was respiratory failure (32.4%). The average activation time was 153.43±286.05 min. The activation time was shortest during convulsions (13.29±7.32 min). For patients with a history of kidney disease (B=0.58, p=.008), in case of surgery (B=0.55, p<.001), if the first symptom is mediated by the physician (B=0.53, p=.007) the active time is often extended. On the other hand, activation time is reduced when consciousness changes (B=-0.51, p=.002), especially when oxygen saturation is below 90.0% (B=-0.64, p<.001). Conclusion: Based on the results of the study, it is expected that patients deteriorating in the general ward would be recognized early, which will help in the effective activation of the rapid response team.

19세기 말 향촌지배질서 위기에 대한 대응 양상 -전라도 龍潭鄕約을 중심으로-

한미라(Han, Mi Ra) 역사문화학회 2021 지방사와 지방문화 Vol.24 No.2

본 논문은 19세기 말 동학의 확산 등으로 인한 기존의 향촌지배질서의 위기와 이러한 위기를 해결하기 위한 관과 향촌사회의 대응을 전라도 용담향약을 중심으로 살펴보았다. 용담향약은 1893년 전라도관찰사 김문현의 신칙에 의해 시행하였으며, 용담향약 관련 사료는 『龍潭縣鄕約節目』, 『本縣鄕約規例』, 『鄕約笏記』, 『生祠堂位畓付置鄕約節目』 등이 있다. 이를 토대로 분석한 결과는 다음과 같다. 첫째, 용담향약의 임원 중 도약장과 부약장을 주목할 필요가 있다. 용담향약의 도약장은 전라도관찰사 김문현이 맡았으며, 부약장은 용담현령 오정선이었다. 이는 같은 시기 전라도의 다른 지역의 향약과는 다른 점으로, 용담향약에서는 향약 운영을 뒷받침해 줄 사족 세력이 불충분했기 때문이라고 보여진다. 둘째, 용담향약은 주기적인 약회를 통해 讀約儀와 선악적 작성을 시행하였으며, 이를 통해 향촌민들에게 기존의 성리학적 질서를 주지시키고자 하였다. 셋째, 용담향약은 「勿許入籍秩」을 통해 향약 명부에 들어갈 수 없는 기준을 제시하였다. 이를 통하여 전통 질서에 순응하는 사람과 그렇지 않은 사람을 구분하고, 뿐만 아니라 동학과 관련된 사람들을 향촌 내에서 구분하였다. 마지막으로 용담향약은 지속적인 향약의 운영을 위하여 재원을 生祠堂位畓 소출에서 마련하였다. 즉, 생사당위답의 소출 중에서 일부만 생사당 운영을 위하여 사용하도록 하였으며, 나머지 소출은 향약의 춘추 강신회 때 사용하도록 하였다. This paper examines threats in governing order of hyangchon, including the spread of Donghak at the end of the 19th century. In addition, the responses of the government and hyangchon communities to resolve the issue was studied as well, focusing on Yongdam Hyangyak in Jeollado Province. Yongdam Hyangyak was implemented in 1893 and was conducted by the forcible press of the Governor of Jellado Province, Kim Munhyun. The primary sources related to Yongdam Hyangyak are 『Yongdamhyeonhyangyakjeolmok(潭縣鄕約節目)』, 『Bonhyeonhyangyakkyurye(本縣鄕約規例)』, 『Hyangyakholgi(鄕約笏記)』, 『Saengsadangwidapbutchihyangyakjeolmok(生祠堂位畓付置鄕約節目)』, etc. Based on these, the analysis results are as follows. First, it is important to pay attention to doyakjang, a chairman of hyangyak, and buyakjang, a vice chairman of hyangyak, among the executives of Yongdam Hyangyak. The Governor of Jeollado Province, Kim Moonhyun took the role of doyakjang, and buyakjang was the mayor of Yongdamhyeon, Oh Jeong Seon. This type of structure is different from other regions of Jeollado province at that time. It is considered that Yongdam hyangyak had not enough aristocrats to support its operation. Second, Yongdam hyangyak enforced the recording of virtue and vice at the periodic hyangyak meetings. It was intended to have villagers understand the order of Neo-Confucian from these meetings. Third, Yongdam Hyangyak presented a standard for a person who should be excluded from the list of Hyangyak through 「mulheoibjeogjil(勿許入籍秩)」. Through this, villagers were classified by the group who conformed to the traditional order and those did not, as well as those related to Donghak. Lastly, for the continuous operation, Yongdam Hyangyak was financed from the crop of saengsadangwidap(生祠堂位畓) which is a farm to support saengsadang shrine. In other words, only a part of the harvest of Saengsadangwidap was used for the operation of Saengsadang, and the remaining yields were used for Chunchu Gangsinhoe of Hyangyak.