쑥뜸치료(Moxibustion)로 호전된 비소세포성 폐암 환자의 암성 통증 1례

김민경,이진수,이상헌,정현식,최원철,김경석,Kim, Min-Kyung,Lee, Jin-Su,Lee, Sang-Hun,Jung, Hyun-Sik,Choi, Won-Cheol,Kim, Kyung-Suk 대한암한의학회 2009 大韓癌韓醫學會誌 Vol.14 No.1

Background & Objective: Regardless of types of cancer, cancer pain means the pain occurred by tumor itself, caused by complication or side effects during treatment and which is neither directly related to tumor nor treatment. This case was performed to relieve the cancer pain and study the effect of moxibustion to the cancer pain. Method: For 27 days, the patient was treated by moxibustion($MANINA^{(R)}$), acupuncture, herbal medicine and narcotic analgesics. We planned to maintain moxibustion on 8 points of Bladder meridian line(BL13, BL17, BL42, BL43) for 20 minutes. The improvement of the symptom was evaluated by BPI/VAS, and the amount of narcotic analgesics applied. Results: The BPI/VAS was declined and amount of applying narcotic analgesics was decreased. Conclusion: It is suggested that moxibustion on BL13, BL17, BL42, BL43 is useful to relief of cancer pain in left flank area.

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.

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.

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.

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.

한국인의 사회경제적 불평등에 따른 주관적 건강수준의 차이와 건강행태 기여요인 분석

김민경,정우진,임승지,윤수진,이자경,김은경,고난주,Kim, Min-Kyung,Chung, Woo-Jin,Lim, Seung-Ji,Yoon, Soo-Jin,Lee, Ja-Kyoung,Kim, Eun-Kyung,Ko, Lan-Ju 대한예방의학회 2010 예방의학회지 Vol.43 No.1

Objectives: The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea. Methods: A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Results: Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities. Conclusions: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

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.

The Usefulness of Concomitant High-Risk Human Papillomavirus Test and Colposcopy in Combination with the Papanicolaou Test in ASCUS Patients

김민경,손진희,김철환,최종상,Kim, Min-Kyung,Sohn, Jin-Hee,Kim, Chul-Hwan,Choi, Jong-Sang The Korean Society for Cytopathology 2005 대한세포병리학회지 Vol.16 No.1

The objective of this study was to ascertain whether or not the high-risk human papillomavirus (HPV) test, when coupled with Papanicolaou (Pap) smears, would prove useful in the screening and management of patients in whom abnormal Pap smear results had been obtained. Concomitant high-risk HPV detection using the hybrid capture II test and colposcopy with a Pap smear were performed with 176 patients, all of whom had been screened for both cervical carcinoma and precancerous lesions. We concomitantly performed colposcopies on these patients. Upon the follow-ups, the histologic diagnoses of these patients were confirmed via either biopsy or hysterectomy. The rate of high-risk HPV detection was correlated with cytologic diagnoses and colposcopic findings. The group composed of the high-risk HPV-positive ASCUS patients exhibited a 55.7% rate of cervical intraepithelial neoplasia (CIN), a significantly higher rate than the 7.5% result obtained in the high-risk HPV-negative ASCUS group. HPV test showed high sensitivity (87%) and low specificity (62.6%) in detection of CIN and colposcopy also showed high sensitivity (88%) and low specificity (22%). Any combination of these tests improve sensitivity, but not specificity. High-risk HPV tests, when coupled with Pap smears, constituted a useful triage approach with regard to colposcopy-directed biopsies in patients in whom a cytologic diagnosis of ASCUS had been rendered.

다문화가족 남편의 일상생활갈등, 우울 및 가족탄력성과 결혼행복과의 관계

김민경,박경애,Kim, Min-Kyeong,Park, Kyung-Ae 한국가족자원경영학회 2012 가족자원경영과 정책 Vol.16 No.1

The purposes of this study were to find the correlation between daily life conflicts, depression, social support, family resilience and marital happiness, and to explore the mediating role of family resilience between daily life conflicts, depression and marital happiness. The subjects of the survey were 184 intermarried Korean men. The data were analyzed with frequency, Pearson's correlation and structural equation modeling by SPSS and AMOS. The instruments included Jang (2007)'s Daily Life Conflict, Shin (2001)'s Mental Health Scale, Yu (2004)'s Family Health Scale, and Natham et al. (1973)'s Marital Happiness Scale. The major findings were as follows: Daily life conflicts and depression were negatively correlated with family resilience and marital happiness. Family resilience was positively correlated with marital happiness. Family resilience mediated the effects of daily life conflicts, depression and marital happiness. Daily life conflicts and depression influenced family resilience. In conclusion, in order to build family resilience it is important to intervene in intermarried Korean men's marital happiness through special education programs and counseling.

한국인 영유아 장내균총 정상화를 위한 프로바이오틱 유제품의 개발

김민경,최아리,한기성,정석근,채현석,장애라,설국환,오미화,김동훈,함준상,Kim, Min-Kyung,Choi, A-Ri,Han, Gi-Sung,Jeong, Seok-Geun,Chae, Hyun-Seok,Jang, Ae-Ra,Seol, Kuk-Hwan,Oh, Mi-Hwa,Kim, Dong-Hun,Ham, Jun-Sang 한국축산식품학회 2011 한국축산식품학회지 Vol.31 No.2

유아의 장내 균총 정상화에 유용한 새로운 발효유제품을 개발하고자 본 실험을 수행하였다. 신생아 분변시료에서 2,200균주를 분리하고 348 균주의 16S rRNA를 분석한 결과, 유산균의 37.8%가 E. faecalis로 확인되었다. 가장 많은 유전자형을 나타낸 E. faecalis 중에서 MRS 액체배지에서 가장 생장이 우수한 E. faecalis KACC 91532를 선발하였다. 선발 유산균을 이용하여 전통식품인 타락죽을 발효하고 이화학적, 관능적 특성을 분석하였다. 타락죽의 발효시 E. faecalis KACC 91532는 $6.14{\pm}0.19$에서 $7.36{\pm}0.13$ Log CFU/mL로 증가하여, 섭취량과 E. faecalis가 건강기능식품기준 및 규격에 고시되어 있는 점을 고려시 건강기능식품으로 판매가 가능하며, 특히 유아의 장내 균 총 정상화에 기여할 수 있을 것으로 생각된다. This study was conducted to develop an effective probiotic dairy product to normalize the microbial flora in Korean infants. A total of 2,200 colonies were isolated from 25 Korean neonates, and 16S rRNA of 348 isolates was analyzed. Approximately 40% of the lactic-acid producing bacterial isolates were Enterococcus faecalis, and 34.2% of them were strains similar to XR7 in the GenBank database. The fastest growing strain in MRS broth was registered as 91532 by the KACC. The selected strain was freeze-dried and utilized to ferment a milk-containing rice soup, tarakjuk. Microbiological, physico-chemical, and sensory characteristics of the fermented tarakjuk were compared with fermented milk and tarakjuk. E. faecalis KACC 91532 increased from $6.14{\pm}0.19$ to $7.36{\pm}0.13$ Log CFU/mL, and can be useful as a probiotic, as described in the Standards for Functional Health Foods.