노인 전전두엽 뇌파 비대칭과 우울 수준 상관분석

김은미 한국감성과학회 2015 춘계학술대회 Vol.2015 No.-

우리나라는 급속하게 고령사회로 편입되면서 노인 우울이 심각한 사회문제가 되고 있다. 노인 우울은 치매 가능성과 사망률 증가에 영향을 미치므로 조기 진단과 다양한 처방이 시급하다고 할 수 있다. 우울증은 정상인에 비해 긍정 정서는 짧게, 부정 정서는 더 강하게 오랫동안 경험함으로써 회복탄력성이 낮아진다(Henriques & Davidson, 1991; Davidson, 2000). 긍정 및 부정 정서는 각각 좌뇌의 접근적 행동 성향(BAS)과 우뇌의 회피적 행동 성향(BIS)과 연관되는데, 우울증에서는 좌뇌 비활성 혹은 우뇌 과활성이 나타날 수 있다(Davidson, Jackson, & Kalin, 2000). 좌뇌 활성인 사람들은 동일한 중재법이라도 더 큰 효과를 보이는데, 이는 긍정적이며 적극적인 태도 때문일 수 있다(김은미, 2013). 전두엽 알파 비대칭은 우울증과 정상인의 차이를 보여주는 상태 (trait) 지표일 가능성이 제시되어 왔다(최승원, 제갈은주, 안창일, 2008; Stewart, Bismark, Towers, et al., 2010). 우울증의 다양한 하위 증상이 각 주파수 대역 비대칭과 연관될 수 있으므로, 알파 비대칭 이외에도 베타 비대칭 또는 세타 비대칭과 우울증간의 관련성에 대한 가능성도 제시되고 있다(정규희, 이준석, 이장한, 2008). 본 연구에서는 임상적 우울증 환자가 아닌 일반 노인의 우울 수준과 전전두엽 알파 비대칭 및 베타 이어느 정도 관련이 있는지 분석해 보고자 한다.

기본심폐소생술 교육이 초등학생의 심폐소생술 태도에 미치는 효과

김은미,이은경 지역사회간호학회 2009 지역사회간호학회지 Vol.20 No.2

Purpose: In order to elucidate the effects of BLS (Basic Life Support) education for primary students, we analyzed data collected using a questionnaire on attitude toward CPR. Methods: Students were divided into two groups, the experimental group with BLS education and the control group without BLS education. Data was collected after BLS education for the experimental group. While they were learning BLS, the control group completed the questionnaire. Results: There were significant statistical differences in the total score of students' attitudes. The students in the experimental group indicated a more positive attitude toward CPR than the others. Conclusion:This study showed that BLS education had a positive influence on elementary students' attitudes toward CPR. We expect that

양격산화탕 투여와 식이요법을 병행하여 호전된 공복혈당장애 증례 보고

김은미,김기태,Kim, Eun-mi,Kim, Ki-tae 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.2

Diabetes mellitus, commonly known as diabetes, comprises a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time. Diabetes is classified into type 1 diabetes and type 2 diabetes, and the incidence and prevalence of diabetes, mostly type 2, have increased remarkably in recent decades. A diagnosis of type 2 diabetes is greatly influenced by heredity, and it is important to prevent diabetes in people with a family history by improving lifestyle and environmental factors. Controlling overeating, obesity, lack of exercise, and stress is effective to prevent diabetes. The patient in this case report had impaired fasting glucose and mild hyperlipidemia. The patient experienced improvements in these sequelae after the administration of herbal medicine (Yangkyuksanwha-tang) for 12 weeks and the implementation of a plant-based diet. The complete blood count, XXXX, fasting blood sugar, HbA1c, insulin, and C-peptide levels were measured, and the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) and HOMA-β were calculated according to the FBS and fasting insulin levels. Total cholesterol, triglyceride, FBS, and HbA1c levels all decreased after 12 weeks compared with baseline measures. There was no change in the insulin secretory ability; the C-peptide level did not change as a result of β-cell function; and the HOMA-β level reflected an improved insulin secretory ability.

베개 높이에 따른 SCM과 Upper trapezius의 근 두께, 근 긴장도, 근 활성화 측정비교

김은미,박민지,유은정,이동엽,홍지헌,유재호,김진섭,남연교,김성길 대한물리의학회 2024 대한물리의학회지 Vol.19 No.1

PURPOSE: The study aimed to analyze the effect of pillow height on upper trapezius and sternocleidomastoid (SCM) muscle activity and overall human body comfort to determine the optimal pillow height. METHODS: The study included 32 healthy college students, of both genders, who provided prior consent. It examined three pillow heights (flat, 6cm, 12cm) and measured the upper trapezius and SCM muscles using ultrasonography, myotone, and electromyography(EMG). Muscle activation, thickness, and fatigue were assessed. RESULTS: The study found significant differences in muscle thickness and muscle tone based on the pillow heights (flat, 6cm, and 12cm) with a p < .05. The SCM and upper trapezius muscles were thinnest at a pillow height of 6cm. Muscle tone in the SCM was lower at both 6cm and 12cm pillow heights. Post-hoc measurements showed significant differences in both the SCM and upper trapezius muscles thickness at the 6cm pillow height (p < .05). Also, significant differences in muscle tone were observed only in the SCM, particularly between the 6cm and 12cm pillow heights. CONCLUSION: The ultrasonography and myotone measurements showed a significant difference in muscle thickness and muscle tension, both of which were above 6cm, while there was no difference in muscle activation. Based on the strong correlation between muscle tension and muscle thickness with pillow height, this study concluded that the human body feels comfortable with a 6cm pillow height. Therefore, it is recommended to use a pillow height of 6cm when lying in a supine position.

[P7-16] 초등학교 급식 식단별 식재료 크기 설정에 관한 연구

김은미,김재원,홍상필,이경은 한국식품영양과학회 2007 한국식품영양과학회 학술대회발표집 Vol.2007 No.10

헬기 조종사의 자격 미달과 자동연장조항의 해석

김은미 한국항공우주정책⋅법학회 2022 한국항공우주정책·법학회지 Vol.37 No.2

계약당사자 사이에 어떠한 계약 내용을 처분문서인 서면으로 작성한 경우에 문언의 의미가 명확하다면, 특별한 사정이 없는 한 문언대로 의사표시의 존재와 내용을 인정해야 하며, 그 문언의 의미가 명확하게 드러나지 않는 경우에 한하여 규범적 요소들을 고려한 합리적 해석이 가능하다 대법원 1996. 7. 30. 선고 95다29130 판결 등. .법원이 행하는 처분문서의 해석은 사실인정과 구별되는 법률적 판단의 영역이라는 점에서 규범적 해석이 개입할 여지가 상당하므로, 법관이 형성한 심증에 따라 전혀 다른 해석의 결과로 이어질 가능성이 존재한다. 법관의 자의적인 해석은 법치주의에 대한 중대한 침해이자 합리적 해석의 범위를 넘어 당사자의 진정한 의사까지 왜곡할 우려가 있으므로 경계하여야 하고, 문언의 객관적인 의미와 다르게 해석함으로써 당사자 사이의 법률관계에 중대한 영향을 초래하는 경우라면 그 문언의 내용을 더욱 엄격하게 해석할 필요가 있다 대법원 2008. 11. 13. 선고 2008다46531 판결 등. .특히 근로계약의 해석은 당사자 사이의 구체적인 근로관계를 결정짓는 매우 중요한 요소가 되므로 신중한 접근이 필요하다. 근로계약서는 처분문서이므로 문언의 의미가 명확하다면 특별한 사정이 없는 한 문언대로의 의사표시의 존재와 내용을 인정하여야 하고, 당사자 사이의 근로관계에 중대한 영향을 미치게 된다는 점에서 그 내용은 더욱 엄격하게 해석되어야 한다 대법원 1996. 7. 30. 선고 95다29130 판결, 대법원 2008. 11. 13. 선고 2008다46531 판결 등. . 문언의 의미가 명확한데도 합리적인 해석만을 앞세워 그 내용을 축소하거나 객관적 의미에 반하는 결과를 초래한다면 오히려 법률행위 해석의 법리를 그르치고 그 취지에 역행할 수 있다. 대상판결은 ‘자동연장조항’의 해석과 관련하여 이러한 원칙을 강조하고 확인하였다는 점에서 그 의의가 있다고 볼 수 있다. 이 글에서는 이 사건 자동연장조항 심급별 판결의 내용을 분석하고, 처분문서의 해석방법 등을 바탕으로 문언의 객관적 의미나 합리적 해석의 한계를 설정해 보기로 한다. 대상판결의 법률적 의미를 파악하고, 견해가 대립하는 부분에 대한 심도 있는 논의를 통해 이 사건 ‘자동연장조항’의 의미를 되새겨 보고자 한다.

산란계 사료에의 홍게박 첨가에 의한 난황착색 효과

김은미,최진호 한국동물자원과학회 2000 한국축산학회지 Vol.42 No.3

Three experiment were conducted to evaluate the feeding value of red crab meal(CM) and to investigate the effect of its dietary supplementation on productivity and egg yolk pigmentation in laying hens. In the first experiment a total of 120 brown layers at the age 29wks in commercial cage were fed for 3 wks with 5 different diets containing 0, 3, 4.5, 6% CM or 0% CM with Carophyll Red. In second experiment, effect of supplemental squid oil(SO) and yellow grease (YG) together with CM on egg yolk color was investigated by feeding one hundred twenty 29 wk old brown layers(ISA Brown) for 3 wks with one of following 5 diets ; control diet containing no CM and SO 6.0%CM+SO, 3%CM+SO, 4.5%CM+SO, or 6%CM+YG. The third experiment was designed for field test of the diet containing 0.85% CM and 1.88% SO by six hundred fifty 30wks old ISA Brown laying hens. Measurements were made on yolk color score, egg production rate and egg weight during the experimental periods. Egg production rate were not different among the treatments indicating the CM did not adversely affect the reproductive performances of laying hens. Dietary supplementation of CM resulted in increased egg yolk pigmentation compared to that of controls, suggesting that CM can be used as a feed additive for yolk pigmentation up to 6% without any adverse effects on productivity. The level of CM supplementation produced egg yolk color as good as commercially available synthetic pigment such as Carophyll Red in laying hens.

SOA 기반 소프트웨어의 구조적 복잡도 측정을 위한 메트릭스

김은미 한국융합보안학회 2010 융합보안 논문지 Vol.10 No.1

SOA 기반의 응용 프로그램의 개발이 급격히 진전되는 시점에서 이에 따른 SOA 기반 소프트 웨어의 품질평가는 중요하며 특히, 이러한 품질에 영향을 주는 중요한 요인 중의 하나가 시스템 의 복잡도임을 고려할 때 SOA 기반 소프트웨어의 복잡도 측정은 중요하다. 따라서 본 논문에 서는 SOA기반 소프트웨어의 구조적 복잡도를 측정할 수 있는 메트릭을 제안한다. 제안한 메트 릭은 시스템의 구조적인 관점에서 서비스의 크기, 서비스의 깊이 및 상호종속도로 구성된다. 마 지막으로 제안한 메트릭을 예제에 적용하여 본다. It is very important to evaluate the quality of softwares based on SOA, which develops rapidly. Particularly, one of the most important properties influencing on the quality of system is complexity. Therefore, we propose the metrics for measuring a structural complexity of softwares bsed on SOA. The proposed metrics is composed of the size of a service, the depth of a service and interdependency from the viewpoint of system structure, and finally we applied the proposed metric to an example.

마약남용자 11명의 타액 중 메스암페타민의 분석

김은미,이주선,최혜영,최화경,정희선,Kim, Eun-Mi,Lee, Ju-Seon,Choi, Hye-Young,Choi, Hwa-Kyung,Chung, Hee-Sun 대한약학회 2008 약학회지 Vol.52 No.6

A qualitative and quantitative analytical method was developed for detection of methamphetamine (MA) and its main metabolite amphetamine (AM) in oral fluid. Oral fluids of eleven drug abusers were provided by Police, specimens were collected by stimulation with a cotton swab treated with 20 mg of citric acid ($Salivette^{(R)}$; Sarstedt, USA). As the preliminary test, oral fluid samples were screened for amphetamines by Fluorescence Polarization Immunoassay (TDxFLx, Abbott Co.). Extraction for MA was performed using solid-phase extraction (SPE) by $RapidTrace^{TM}$ (Zymark, USA) with mixed mode cation exchange cartridge, CLEAN $SCREEN^{(R)}$ (130 mg/3 ml, UCT) after dilution with phosphate buffer. Samples were evaporated and derivatized by pentafluoropropionic acid anhydride (PFPA). Quantitation of MA and AM was performed by gas chromatography-mass spectrometry (GC-MS) using selective ion monitoring (SIM), the quantitation ions were m/z 204 (MA), 208 (MA-$D_5$), 190 (AM) and 194 (AM-$D_5$). The selectivity, linearity of calibration, limit of detection (LOD) and quantification (LOQ) within- and between day precision, accuracy and recoveries were examined as parts of the method validation. All oral fluid samples gave positive results to immunoassay for MA (cut-off level, 50 ng/ml as d-amphetamine). Concentrations of MA and AM by GC-MS in eleven samples were ranged 104.2${\sim}$4603.3 ng/ml and 32.4${\sim}$268.6 ng/ml, respectively. Extracted calibration curves of MA and AM were linear over the two concentration range of 1${\sim}$100 and 50${\sim}$1000 ng/ml with correlation coefficient of above 0.999. LOQ of MA and AM was 1 and 3 ng/ml, respectively. The intraand inter-day run precisions (CV) for MA and AM were less than 10%, and the accuracies (bias) for MA and AM were also less than 10% at the two different concentrations 5 and 100 ng/ml at low calibration range, 50 and 1000 ng/ml at high calibration range. The absolute recoveries of MA and AM at low and high calibration ranges were more than 82% and 75%, respectively. In this study the qualitative and quantitative analytical method of MA in oral fluid was established. Oral fluid testing may detect drug use in past hours because of its shorter detection window than urine, and be useful in post-accident situations. So oral fluids will be most useful for testing drug abuse in the driving under the influence of drug (DUID) as the alternative specimens of urine.

맛있는 국을 찾아라

김은미,이민정,김보영,박지은,이현경,류지수,김주연,김영란,안갑순 한국의료QA학회 2005 가을학술대회 Vol.2005 No.1