투시 조영 검사 시 확대율에 따른 피폭선량에 관한 고찰

강경미,홍선숙,성민숙,손운흥,Kang, Kyeong-Mi,Hong, Seon-Sook,Seong, Min-Sook,Song, Woon Heung 대한디지털의료영상학회 2013 대한디지털의료영상학회논문지 Vol.15 No.2

Purpose : The purpose of this study is the magnification rates depending on the area of patient dose (DAP) and glass dosimeter see the change of the dose according to the dose characteristics of low-magnification aims to raise standards. Materials and Method : Direct DR equipment Sonialvision DAR-8000f, Shimadzu was used, the patient entrance dose measurements to the surface of the Rando Phantom of the neck and the abdomen was placed on the Xi unfors. glass dosimeter for measuring organ doses at the same time the Rando Phantom of the major organs in place by inserting a 9 ", 12", 15 ", 17" and 30 seconds for each magnification were measured according in fluoroscopy. DAP meter area of the patient dose was measured. Result : Esophagography at 17" 143% than 9"magnification the average area dose was increased. Organ dose of Esophagography at 17" was decreased 25.32% than 9" magnification. UGI at 17" was increased 129.73% DAP than 9" magnification. Organ dose of UGI at 17" was decreased 23.32% than 9" magnification. Where the major organs of magnification at 17" were decreased(lung -25.96%, stomach -33.09%, spleen -27.81%, liver -4.92%) than 9" magnification. Conclusion : Expected to get better quality image While using the proper magnification, and have recognition that difference Organ doses and DAP meter in fluoroscopy.

전통 꽃꽂이 양식과 다화(茶花)의 특성 연구

강경미 ( Kang Kyeong Mi ) 원광대학교 한국예다학연구소 2020 한국예다학 Vol.9 No.-

오늘날 찻자리의 다화(茶花)는 꽃꽂이 형식과 구성이 간결하며 여백의 미가 돋보이는 전통 꽃꽂이 양식이라 볼 수 있다. 그러나 전통방식을 바로 계승하지 못한 전통 꽃꽂이 화형의 의식 부재로 시행되고 있는 다화의 정체성을 바로 알고 개선의 계기로 연구하고자 한다. 선조들의 다화 연출에는 다양한 꽃 소재 사용보다 품종과 색감을 단순하게 사용하며 장소와 상황에 따라 화목을 취급함에도 엄선하여 인간과 자연의 일체감을 추구하는 화형을 완성했음을 문헌을 통해 알 수 있다. 선조들의 전통꽃꽂이 양식과 다화(茶花)의 특성을 연구하여 한국의 전통꽃 꽂이가 다화에 어떻게 영향을 미쳤는가를 살펴보고 이를 토대로 현대 다화, 꽃꽂이 양식과 화형의 특징을 통한 다화를 연구, 제시하였다. Today, spaces dedicated to tea drinking are decorated using a traditional flower arrangement style that features a simple flower arrangement type and composition, and emphasizes the beauty of the negative space. But due to the lack of consciousness of the form of flowers in traditional flower arrangements, and a failure to carry forward the traditional style, I would like to know the identity of tea table flowers that are currently being implemented, and study these as an opportunity for improvement. Ancestors simply used varieties and colors in flower production rather than diverse flower production materials. The literature shows that while flowers and trees were handled differently depending on the location and situation, the flowers were carefully selected to complete a form that sought a sense of unity between humans and nature. By studying the characteristics of traditional flower arrangements and tea table flowers of our ancestors, this study examines how Korean traditional flower arrangements influenced teacup flowers. Based on this, tea table flowers were studied and presented through modern tea table flowers and flower arrangements and the form of flowers.

투시 조영 검사 시 압박 강도에 대한 검사자들의 인식도 조사

강경미(Kyeong-Mi Kang),노현아(Hyun-A Nho),김선화(Seon-Hwa Kim),성민숙(Min-Sook Seong),하동윤(Dong-Yoon Ha) 대한영상의학기술학회 2012 대한영상의학기술학회 논문지 Vol.2012 No.-

행하는 압박paddle에 대한 정기적인 점검이나 관리는 거의 이루어지고 있지 않은 실정이 다. 본 연구는 진단적 가치가 높은 영상을 획득하기 위하여 임상에서 투시 조영 검사를 시행하고 있는 검사자들의 압박에 대한 인지도와 압박paddle에 대한 정도관리 실태를 알아보 고자 하였다. 대상 및 방법: 서울 소재의 종합병원 7곳, 의원 5곳의 투시조영 장비를 보유하고 투시조영 검사를 주 업무로 시행한 경험이 있는 방사선사 28명을 대상으로 설문지를 이용하여 설문 조사를 실시하였다. 설문 문항은 총 8개의 문항으로 검사자들의 경력과 투시 내의 주 업무, 압박검사 시행 여부, 압박paddle 점검 유무 및 압박paddle의 적정 압박 강도 등에 대해 사용자들의 인식도에 관한 문항으로 설문을 실시하였다. 설문 결과를 바탕으로 조사 대상의 병원 분포도와 투시 조영 검사자의 숙련 정도, 압박 검사를 이용한 주 업무 분포도, 압박 paddle의 정기적인 점검 현황도 그리고 장비의 압박강도의 인지 실태를 분석하였다. 본원의 Over tube 타입의 투시조영 장비 7대를 이용, 압박 강도를 10회씩 측정하여 임상에서 사용 되고 있는 압박 강도를 측정·비교해 보았다. 결과: 응답자 28명 모두 압박paddle을 이용하여 압박을 시행하고 있다고 응답하였으나, 정기적인 점검은 85.7%가 시행하지 않는 것으로 조사되었고, 14.3%은 정기적인 점검이 아닌 고장 시나 외형의 변형으로 인한 간헐적인 점검을 하는 것으로 나타났다. 압박paddle의 최대 압박 강도는 응답자 전원이 모르고 있는 것으로 조사되었다. 본원의 투시조영 장비 7대를 이용한 각 장비의 최대 압박 강도를 측정 한 결과 13.08kgf부터 12.77kgf까지 평균 8.93kgf로 나타나 다양한 압박 강도로 압박이 이루어지고 있었으며, 단 2대만이 최고 압박 강도인 약 8kgf를 초과하지 않는 것으로 나타났다. 결론: 투시조영 검사를 시행하고 있는 검사자들이 압박 강도에 대한 정확한 인식이 바탕이 되고 압박paddle의 주기적인 점검을 통하여 장비의 성능이 최적화될 때 환자의 고통을 경감시키면서도 진단적 가치가 높은 영상을 획득할 수 있으리라 생각된다. Purpose: In fluroscopy, the compression method is very important thing for defecting lesion, but the compression cone hasn t be done any of check or quality assurance regularly. So this study is for acquiring high quality images and checking the examiner s knowledge of the pressure level and Quality Assurance[Q.A] about the compression cone Materials and Methods: Make a survey to 28 radiologic technologists who have worked in fluoroscopy at the 7 general hospitals and 5 private hospitals having machines for fluoroscopy and located in seoul. Based on the results of this survey, we studied where located the surveyed hospitals, in fluoroscopy examiners skill, main work range using compression methods, status of regular Q.A of compression paddle and knowledge of compression force. We measured and compared figures of clinical compression force by measuring 10 times using 7 in fluoroscopy machines Using 7 Over tube-type fluoroscopic imaging equipment, we measured and compared the intensity of pressure that is being used in clinical measurement by measuring the compression strength 10 times. Results: Even though All 28 respondents answered that they make it using compression cone, 85.7% out of them hasn t done regular examine, and 14.3% has done some tests only if they are out of order or there is some abnormal changes in shape. By this survey, we found out that All have no idea about the maximum intensity of compression. After measuring the maximum intensity of compression by using 7 in fluoroscopy machines of AMC, we found out that average of degrees of compression was 8.93kgf ranging from minimum 12.77kgf to maximum 13.08kgf which means there has been the diversity of doing compressions. Plus, we figured out as well that only 2 machines do not exceed approximately 8kgf, the highest degrees of compression. Conclusion: In short, we conclude that only if the examiners know very well of the accurate pressure level with optimized machines from Q.A, they will acquire high Quality images for diagnosis and less pain.

쿠레레를 통한 예비유아교사의 경험

강경미(Kang, Kyeong-Mi) 이화여자대학교 교육과학연구소 2019 교육과학연구 Vol.50 No.3

본 연구는 예비유아교사들이 Pinar의 쿠레레(currere)라는 자서전적 방법을 활용하여 이제까지의 교육적 삶을 회고해보는 자서전적 글쓰기를 해봄으로써 그동안 깨닫지 못했던 주관성을 되찾고 거짓 자아로부터 참 자아를 찾아가는 과정 속에서 개인적으로 어떤 경험을 하는지 알아보고자 하는데 목적이 있다. 이를 위해 Y대학교 유아교육과 1학년에 재학 중인 예비유아교사 12명이 Pinar의 자서전적 방법을 활용하여 회귀, 진보, 분석, 종합 단계 거치는 자서전적 글쓰기를 통해 작성한 글로 분석을 실시하였다. 연구 결과 학생들은 나를 제대로 알기, 나의 마음 챙기기, 교사상 생각하기, 주관적이며 실존적 존재로 살아가기와 같은 경험들을 하였다. 회귀(regressive)를 통해 과거의 삶을 회고하며 자신도 인지하지 못했던 나를 제대로 아는 기회를 가졌으며, 나 자신에게 자비를 베풀며 마음을 챙기는 시간을 가졌다. 진보(progressive)를 통해 미래의 삶을 그려보며 예비유아교사로서 교사상을 생각해 보았으며, 분석(analytical)과 종합(synthetical)을 통해 주관적이며 실존적 존재로 살아가기 위해 어떻게 해야 할지 알아보는 시간을 가졌다. 따라서 예비유아교사들을 양성하는 교육기관에서 학생들이 실존적 존재로서 본인의 삶과 교사의 삶에 관심을 갖고 시야를 넓힐 수 있도록 쿠레레(currere)라는 자서전적 방법을 활용한 프로그램을 실시하는 것은 의미가 있다고 할 수 있다. In this study, pre-service early childhood teachers used Pinar "s Currere autobiographical method to reflect on their educational experiences thus far. By doing so, the researchers aimed to subjectively view the unfamiliar and understand personal experience by distinguishing the true self from the false self. For this purpose, twenty-five pre-service early childhood teachers studying Early Childhood Education at Y University in Korea participated in autobiographical writing using Pinar’s autobiographical method through regression, progress, analysis, and synthetic steps. The results of this study showed that pre-service early childhood teachers had various experiences in terms of personal aspects and pre-service early childhood teachers. As a result, students had experiences such as knowing themselves properly, caring for themselves, thinking about teachers, and living as subjective and experiential beings. Students have had the opportunity to look back on their lives through the regressive step, to know themselves well, and to be forgiving of the past and mindful of the future. The students imagined their futures through the progressive step, thought of the teacher"s image as a pre-school teacher, and learned how to live as subjective and experiential entities through the analytical and synthetic steps. Therefore, it is meaningful to implement a program that uses the Currere autobiographical method so that students can develop an interest in their lives and their teacher"s lives as experiential beings, and broaden their horizons in educational institutions that train preschool teachers.

『남가록(南柯錄)』의 서술상 특징과 작가의식

강경미 ( Kyeong Mi Kang ) 우리어문학회 2014 우리어문연구 Vol.50 No.-

This study is intended to clarify narrative characteristics and author`s consciousness of 『Namgarok(南柯錄)』 and to contemplate its novel-historical significance. 『Namgarok』 is a full-length novel written in Chinese Letters, with the whole story that four heroes overcome the calamity of a hypothetical country, Namgaguk(南柯國). 『Namgarok』 describes many different stories of wars, which contain various tactics, diverse showdown aspects and Taoist magic based battles, etc. Namely, it can be said that the stories of the war occupy the centerpiece of 『Namgarok』. Therefore 『Namgarok』 can be characterized as full-length Martial Novels because stories of wars act as the core that leads the narrative. The 『Namgarok』 is the work that made up of various previous era novels. In particular, it received strong influences of the Four Master Works(四大奇書) of the Ming(明) Novel such as 『the Romance of the Three Kingdom(三國志演義)』 But these influences do not mean that 『Namgarok』 imitated Chinese Novels unilaterally. It was newly composed of a mixture of Chinese Novels and Korean long piece Novels, Novel of Manners(世態小說), our nation`s historical tales and so on. The fact is that Korean Classical Novels written in Chinese Letters in the 19th Century shared the characteristic of a hybrid parody and a stylistic combination. The author, Choi, Man-sung(崔晩成) clearly recognized of interesting and entertaining in novels. He enjoyed a full measure of pleasure, through a variety of reading novels. Furthermore, through the creation of novels, he was willing to forget pains and lacks of the real world. So the pleasures of the novel creation can be regarded as a kind of imaginative play. In short, 『Namgarok』 described aspects of the war wholly is a work that shows a tendency to approach vulgar interests as for novels written in Chinese Letters of the Late Chosun Dynasty, away from moral and debating tendency.

시각장애인을 위한 복약 서비스 디자인 제안

강경미(Kang Kyeong Mi),조예은(Cho Ye Eun),고영준(Young Jun Ko) 한국디자인학회 2018 한국디자인학회 학술발표대회 논문집 Vol.2018 No.11

복부투시조영 검사 시 Added filter와 Grid 변화에 따른 선량 및 화질에 관한 연구

홍선숙,강경미,성민숙,이종웅,Hong, Seon Sook,Kang, Kyeong Mi,Seong, Min Suk,Lee, Jong Woong 대한디지털의료영상학회 2012 대한디지털의료영상학회논문지 Vol.14 No.2

Amount of radiation exposure by seeing through fluoroscopy examination while is many patient exposure administration and unprepared misgovernment be. In this study, abdominal fluoroscopy during the scan, the dose and image quality change according to the use of grid and added filter optimized by measuring the test condition is proposed. Uses seeing through fluoroscopy examination equipment of Image Intensifier of Easy Diagnost Eleva (Philips), under tube type and uses Human phantom and measures average area dose according to grid insertion existence and nonexistence and added filter kind change. Measure sum of 29 organ dose and effective dose through PCXMC imagination simulation program and image J program through noise, SNR, image distortion was measured. Resolution, sharpness, and analyzed using the MTF curves. Fluorography the grid to insert the filter thickness and thickening and increased the average area dose and organ doses and effective dose. In the case of spot examination, when inserted grid, average area dose and organ dose and effective dose increased. Filter thickens the average area dose decreased, but the organ doses and effective dose were increased when use 0.2mmCu+1mmAl filter, decreased slightly. Noise and SNR measurements without inserting the gird, if you do not use the added filter was the lowest and when measure the distortion, 0.1mmCu+1mmAl filter was no difference of image quality in case insert grid was judged that when did not use occasion added filter that do not use grid, difference of image quality does not exist. Did not show a big difference, according to the grid and uses of the added filter sharpness, and resolution. Patient dose increases with factors that reduce the quality of the image so reckless grid and the use of the added filter when abdominal fluoroscopy examination should be cautious in using.