혼종모형을 이용한 간호사의 성소수자 문화역량 개념분석

김민경(Min Kyung Kim),김혜영(Hye Young Kim) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.8

목적 본 연구의 목적은 간호사의 성소수자 문화역량에 대한 개념을 기술하는 것으로 문헌고찰과 간호사 면담을 통하여 간호사의 성소수자 문화역량 측정도구 개발을 위한 개념적 기초자료로 활용하기 위함이다. 방법 본 연구는 Schwartz-Barcott & Kim이 제안한 혼종모형 방식을 사용하여 간호사의 성소수자 문화역량에 대한 개념을 명확히 하기 위해 분석되었다. 이론적 단계에서 2011년부터 2021년까지 출판된 문헌을 수집하여 최종 12편의 논문을 분석하였다. 현장 조사 단계를 위해 2021년 8월 9일부터 9월 31일까지 10명의 간호사를 인터뷰하였다. 최종 분석 단계를 통해 간호사의 LGBT 문화적 역량의 속성과 차원을 도출하여 개념을 분석하였다. 결과 이론적 단계와 현장 작업 단계에서 파악된 속성을 바탕으로 성소수자 문화 역량을 정의하면, 4가지 차원과 7개 속성으로 종합되었다. 이에 따라서 성소수자 문화역량은 ‘태도 자각’, ‘지식정도 인식’, ‘만남’, ‘안전하고 효과적인 간호기술’, ‘일관된 간호’, ‘자발적 교육요구’와 ‘삶의 양식 존중’을 속성으로 가지고 있다. 종합해 보면, 간호사의 성소수자 문화역량은 성소수자를 만나 그들의 생활양식을 존중하고 교육과 훈련을 통해 긍정적 태도와 지식을 가지고 일관된 간호와 안전하고 편안한 기술을 제공하는 전문적인 간호를 할 수 있는 능력을 의미한다. 결론 성소수자 문화역량은 성소수자의 건강격차를 줄이고 간호의 질을 높일 수 있다. 그리고 본 연구결과를 바탕으로 간호사의 성소수자 문화역량 측정 도구 및 간호중재 개발을 제언한다. Objectives The purpose of this study is to describe the concept of LGBT cultural competence of nurses and use it as a conceptual basic data for the development of nurses cultural competence measurement tool through literature review and nurses’ interviews. Methods This study was analyzed to clarify the concept of nurse’s LGBT cultural competence using a hybrid model method proposed by Schwartz-Barcott & Kim. For theoretical analysis, literature published from 2011 to 2021 was collected and final 12 articles were analyzed. For a field study, 10 nurses were interviewed from August 9 to September 31, 2021. Through the final analysis stage, the concept was analyzed by deriving attributes and dimensions of nurse’s LGBT cultural competence. Results As a result, when the LGBT cultural competence was defined based on the attributes identified in the theoretical stage and the field work stage, it was synthesized into four dimensions and seven attributes. Accordingly, LGBT cultural competence has the attributes of ‘attitude awareness’, ‘knowledge level awareness’, ‘encounter’, ‘safe and effective nursing skills’, ‘consistent nursing skills’, ‘voluntary educational needs’, and ‘respect for lifestyle’. Taken together, nurses LGBT cultural competence refers to the ability to meet LGBT, respect their lifestyle and provide consistent nursing and safe and comfortable skills with positive attitudes and knowledge through education and training. Conclusions In conclusion, LGBT cultural competence can reduce the health gap of LGBT and improve the quality of nursing. Based on the above research results, it is suggested to develop a tool that can measure the cultural competence of LGBT for nurses and develop nursing intervention.

한·양방 병행치료를 시행한 급성기 뇌경색 환자의 운동 기능과 임상 증상 및 증후의 호전도에 관한 연구 : 예비연구

김민경,심소라,김수경,김나희,조승연,박주영,박성욱,정우상,문상관,박정미,조기호,김영석,배형섭,고창남,Kim, Min-kyung,Shim, So-ra,Kim, Soo-kyung,Kim, Na-hee,Cho, Seung-yeon,Park, Joo-young,Park, Seong-uk,Jung, Woo-sang,Moon, Sang-kwan,Park, Jung-m 대한중풍순환신경학회 2011 대한중풍.순환신경학회지 Vol.12 No.1

Objective : Stroke is the most common disabling neurological disease of adult life. And some part of the clinical symptoms and signs are correlated to the post stroke complication. This study was to analyze the therapeutic effect of the East-West collaborative treatment, especially on the motor power and the clinical symptoms and signs improvement of ischemic stroke patients. Method : For 2 weeks as possible, we observed the patients with acute ischemic stroke receiving East-West collaborative treatment. We assessed the patients using Motricity Index (MI) and the changes of clinical symptoms and signs three times at seven-day intervals. At the end of the study, we compared the results. Result : Motricity Index of patients changed from 71.55 to 76.03 (upper limb) and 73.05 to 79.42 (lower limb), respectively. Some items of clinical symptoms and signs showed the statistically significant result. Especially, the urination and defecation symptoms improved obviously. Conclusion : The East-West collaborative treatment has an effect on motor power and clinical symptoms and signs improvement of acute ischemic stroke patients.

Gemcitabine Single or Combination Chemotherapy in Post Anthracycline and Taxane Salvage Treatment of Metastatic Breast Cancer: Retrospective Analysis of 124 Patients

김민경,Sung-Bae Kim,Jin Hee Ahn,Soon Im Lee,Sei-Hyun Ahn,Byung Ho Son,Gyungyub Gong,Hak-Hee Kim,Jung-Shin Lee,Yoon-Koo Kang,Woo Kun Kim 대한암학회 2006 Cancer Research and Treatment Vol.38 No.4

자생 Tuber himalayense 자실체 추출물의 항염증 활성

김민경,홍혜현,김정환,김승영,김창무,Kim, Minkyeong,Hong, Hyehyun,Kim, Jung-Hwan,Kim, Seung-Young,Kim, Changmu 한국버섯학회 2021 한국버섯학회지 Vol.19 No.3

본 연구는 국내 참나무 생육지에서 채집된 송로버섯의 일종인 T. himalayense 자실체 추출물(TH)의 항염증 활성을 확인하였다. LPS로 유도된 RAW 264.7 대식세포를 대상으로 한 염증 억제 실험에서 TH는 100 ㎍/ml 이하의 농도에서 세포독성을 보이지 않았으며 LPS에 의해 증가된 NO와 PGE₂의 생성을 농도 의존적으로 억제하였다. Western blot 분석 결과로 볼 때, TH의 항염증 활성은 iNOS와 COX-2 유전자의 발현억제에 의해 NO와 PGE₂의 생성이 감소된 것으로부터 유발된 것임을 입증한다. 또한, TH가 대식세포에 의해 생산 및 분비되는 cytokine IL-1β와 IL-6의 생성을 효과적으로 저해함을 확인하였다. T. himalayense는 다양한 염증 매개체들의 과발현을 효과적으로 억제하며, 이를 표적으로 하는 항염증 관련 식품 및 의약품에 다양하게 활용 될 수 있을 것으로 기대된다. 추후 염증 예방 물질로 적용 될 수 있는 가능성을 높이기 위하여 염증성 작용 기전에 대한 자세한 연구가 필요할 것으로 사료된다. In this study, the anti-inflammatory activity of an extract of the fruiting body of the Tuber himalayense (TH) truffle collected from oak growing areas in Korea was investigated. The extract was not cytotoxic at concentrations below 100 ㎍/mL in an experiment evaluating inflammation inhibitory effect in lipopolysaccharide (LPS)-stimulated RAW 264.7 macrophages. LPS-induced nitric oxide (NO) and prostaglandin E2 (PGE₂) production was inhibited by the extract in a concentration-dependent manner. Western blot assay results indicated that the anti-inflammatory activity of TH extract was likely caused by the reduced production of NO and PGE₂ via suppression of induced NO synthase and cyclooxygenase-2 gene expression. In addition, TH extract effectively inhibited the production of interleukin (IL)-1β and IL-6 by macrophages. Thus, TH extract effectively inhibits the overexpression of various inflammatory mediators and could be valuable in formulating anti-inflammatory foods and medicines that target these components.

조기난소부전의 한의학적 치료에 대한 국내 연구 동향 고찰

김민경,김순아,김수진,정우진,허효승,김혜경,Kim, Min-Kyung,Kim, Suna,Kim, Su-Jin,Jeong, Wu-Jin,Huh, Hyo-Seung,Kim, Hye-Gyeong 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.3

Objectives: This study was performed to examine the domestic study trends on premature ovarian failure (POF) treated with Korean medicine. Methods: We investigated the studies on Korean medicine treatment for premature ovarian failure via searching 4 online databases. Results: 13 clinical studies were selected. All studies were the noncomparative studies, and mainly case reports. Studies were publicated from 2001 to 2019 and the number of studies with 1 subject was the greatest (76.9%). In accompanying symptoms, there was a study which did not report entire cases. In the 11 case reports (13 subjects), the most accompanying symptoms was hot flush (69.2%). In treatment of premature ovarian failure, the most used treatment was herbal medicine, which was used in all studies. Acupuncture treatment was used in 6 studies (46.2%) and moxibustion treatment was used in 8 studies (61.5%). The most common acupuncture point was 內關 (SP6) in acupuncture treatment, and was 關元 (CV4) in moxibustion treatment. The duration of treatment was between 1 month and 20 months, the average 7.76 months. Used outcome measurements were hormone test (84.6%), menstruation (76.9%), Visual analog sclale (VAS) (15.4%), ultrasonography (15.4%), Numeral rating scale (NRS), Body basal temperature (BBT) and Kupperman index (7.7%). In total 70 subjects, 13 subjects (18.6%) became pregnancy and 25 subjects (35.7%) had no effect. Follow up was reported in 6 studies, and the average duration of follow up was 141.63 days. Conclusions: Further clinical trials are needed to establish the evidence for Korean Medicine treatment for premature ovarian failure.

Calcium Phosphate Glass가 마우스 두개골 세포에 미치는 영향

김민경,김창성,이덕연,이용근,조규성,채중규,김종관,최성호,Kim, Min-Kyoung,Kim, Chang-Sung,Lee, Doug-Youn,Lee, Yong-Keun,Cho, Kyoo-Sung,Chai, Jung-Kiu,Kim, Chong-Kwan,Choi, Seong-Ho 대한치주과학회 2004 Journal of Periodontal & Implant Science Vol.34 No.1

The goal of periodontal treatment is not only to arrest the progression of the disease but also to promote the functional, esthetic regeneration of the periodontium. Flap operation, bone graft, guided tissue regeneration, growth factors and bone morphogenetic protein have been used for this purpose. Among these techniques of regeneration, alloplastic graft, especially calcium phosphate is getting more attention recently. The purpose of this study was to evaluate the effects of calcium phosphate glass on mouse calvarial cell in vitro. The toxicity of calcium phosphate glass was measured using MTT assay, the synthesis of collagen was measured using collagen assay, and ALP activity was measured. The experimental groups were cultured with calcium phosphate glass(both AQ-, and HT-CPG) in concentration of 0.01, 0.02, 0.1, 0.2g/ml. The results are as follows 1. In concentrations not exceeding 0.02g/ml, both the groups(AQ-CPG, HT-CPG) didn't show any toxicity on mouse calvarial cell(p<0.05). 2. In both the experimental groups are the concentration of 0.02g/ml, collagen expressions were significantly up-regulated (p<0.05). 3. In both the experimental groups are the concentration of 0.02g/ml, ALP activity was not significantly up-regulated, but ALP activity in both experimental groups were greater than control group(p<0.05). The results suggested that the use of calcium phosphate glass may promotes periodontal regeneration. Ongoing studies are necessary in order to determine their regeneration effects.

인터넷게임장애 환자들의 내재동기 저하와 기본심리욕구의 관련성

김민경,정영훈,신유빈,김병훈,김은주,김재진,Kim, Min-Kyeong,Jung, Young Hoon,Shin, Yu-Bin,Kim, Byung-Hoon,Kim, Eun Joo,Kim, Jae-Jin 대한생물정신의학회 2017 생물정신의학 Vol.24 No.2

Due to the increasing use of the internet, various social problems have been emerging, and one of them is internet gaming disorder (IGD). The purpose of this study was to investigate whether low internal motivation was present in IGD and basic psychological needs affected internal motivation. Twenty-one individuals with IGD and 21 healthy controls performed a 'motivation task' in which the avatar in virtual reality asked whether they would accept an activity in two conditions stimulating intrinsic or extrinsic motivation. The task performance was compared between the two groups, and was correlated with the Basic Psychological Needs Scale scores. Patients had a significantly lower acceptance rate of the proposal in the intrinsic motivation condition than controls, and this intrinsic motivated tendency was correlated with the satisfaction in their basic psychological needs. As with other substance use disorders, IGD was associated with a lower level of internal motivation, which was related to the dissatisfaction of basic psychological needs such as autonomy, competence, and relationship.

톱밥재배용 표고 품종의 단핵균사체와 2핵균사체의 한천과 톱밥배지에서의 균사생장

김민경,김성태,김소라,김은지,진미경,이용국,서건식,Kim, M.K.,Kim, S.T.,Kim, D.Y.,Kim, E.J.,Jin, M.K.,Lee, Y.K.,Seo, G.S. 국립한국농수산대학교 교육개발센터 2017 현장농업연구지 = Journal of practical agricultural resear Vol.19 No.1

표고 육종 소재를 개발하기 위하여 톱밥봉지재배용 품종의 2핵균사체와 단핵균사체를 한천배지와 톱밥배지에서 배양적 특성을 조사하였다. 품종은 산조 701호, 산조 705호, 참아람, 추제 2호를 사용하였다. 공시 표고 품종의 균사생장은 산조 705호를 제외한 품종 모두 PDA에서 가장 양호하였으나 산조 705호는 MCM에서의 균사 생장이 가장 양호하였다. 품종에 관계없이 표고 균사는 MEA에서 가장 안정적인 균사생장을 보였다. 톱밥배지에서 공시균주의 균사생장은 품종 간의 큰 차이는 보이지 않았으나 산조 701호와 705호보다 약 10%정도 빠르게 생장하는 것으로 나타났다. 산조701호와 참아람의 단핵균사체는 2핵 균사체보다 균사생장이 저조하였다. 2핵균사체는 참아람이 산조 701호보다 균사생장이 양호하였으나 단핵균사체는 전체적으로는 산조 701호가 참아람보다 균사생장이 양호하였다. 선발된 단핵 균사체는 균사생장이 매우 다양하고, 형성된 균총의 형태도 매우 다양하여 유전적으로 매우 다양한 단핵 균사체가 선발된 것으로 추정할 수 있고, 이들 단핵 균사체는 교배육종을 위한 좋은 육종 소재로 기대된다.

한열변증에 따른 중풍 환자의 제반특성 비교

김민경,이인환,신애숙,김나희,김혜미,심소라,나병조,조승연,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Min-kyung,Lee, ln-whan,Shin, Ae-sook,Kim, Na-hee,Kim, Hye-mi,Shim, So-ra,Na, Byung-Jo,Cho, Seung-yeon,Park, Seong-uk,Jung, Woo Sang 대한중풍순환신경학회 2010 대한중풍.순환신경학회지 Vol.11 No.1

Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.

토끼 복부 내벽으로부터 분리된 경락으로 믿어지는 관조직

손준형 ( Joon Hyung Sohn ),윤진하 ( Jin-ha Yoon ),김영주 ( Young Joo Kim ),김민경 ( Min Kyung Kim ),김지화 ( Ji Hwa Kim ),권오현 ( Ohyun Kwon ),김현원 ( Hyun-won Kim ) 대한미용학회(구 대한미용과학회) 2016 대한미용학회지 Vol.12 No.4

Investigation of meridian line and acupoints as anatomical entities should be very important, as acupuncture and meridian massage for medical purpose in the hospital or for skin care in beauty shop are each based on the traditional meridian theory. We isolated tubular structures under the skin of rabbits where the traditional meridian lines are located. The characteristics of these tubular structures isolated from the abdominal wall matches those of Bonghan tubes and Bonghan tubules found by Bong Han Kim. The Bonghan theory established by Bong Han Kim suggests that meridian lines consist of Bonghan tubes and Bonghan tubules. We could observe the presence of large cells inside the Bonghan tubule and the presence of small granules referred to as Sanal in Bonghan theory inside the striae consisting of the Bonghan tubules. Present research suggests that there exist a third unique tubular structure where Sanals flow other than Bonghan tube and Bonghan tubules.