Gastric cancer risk is reduced by a predominance of antioxidant factors in the oxidative balance: a hospital-based case-control study

김지미,이정희,최일주,Kim Young Il,김정선 한국역학회 2022 Epidemiology and Health Vol.44 No.-

OBJECTIVES: Gastric carcinogenesis is linked to oxidative stress from both exogenous and endogenous exposures. This study aimed to determine the association between the risk of gastric cancer and the oxidative balance score (OBS), which comprises antioxidant and pro-oxidant factors, including diet and lifestyle. METHODS: For this hospital-based case-control study, 808 controls and 404 patients with gastric cancer who had clinical records indicating Helicobacter pylori infection and the histological subtype of cancer were recruited. The OBS was determined based on diet and lifestyle factors obtained from a 106-item semiquantitative food frequency questionnaire and a constructed questionnaire. Logistic regression analysis was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS: A higher OBS was associated with a reduced gastric cancer risk (OR, 0.49; 95% CI T3 vs. T1, 0.33 to 0.71; p for trend < 0.001). In a subgroup analysis, antioxidant factors showed inverse associations with gastric cancer risk (OR, 0.53; 95% CI T3 vs. T1, 0.35 to 0.79; p for trend= 0.003). A stronger association with antioxidant factors was observed in patients with intestinal gastric cancer (OR, 0.34; 95% CI T3 vs. T1, 0.19 to 0.62; p for trend< 0.001) and those with H. pylori infection (OR, 0.57; 95% CI T3 vs. T1, 0.37 to 0.88; p for trend= 0.014). CONCLUSIONS: A predominance of antioxidant factors compared to pro-oxidant factors from diet and lifestyle reduced the risk of gastric cancer. The combined effect of oxidative stress, which involves an altered balance between antioxidants and pro-oxidants, is important for modulating the risk of gastric cancer.

日本における保育所要求運動の展開とその意義

김지미(金智美)(Kim, Ji-Mi) 일본어문학회 2012 일본어문학 Vol.59 No.-

本研究の目的は、日本の高度経済成長期に展開された保育所要求運動を追跡し、とりわけ、その運動の展開過程において｢権利としての保育｣への認識がどのように生成·確立されていったかを捉えることである。そこで、本研究では、高度経済成長期の日本における保育所要求運動が、日本各地でさまざまな｢運動｣と結びつきながら広がっていったことに着目し、地域社会(川崎市)レベルにおける事例研究を進めていく。こうした川崎市における事例研究を通して、本研究では、高度経済成長期の日本における保育所要求運動の展開においては、子どもの保育に対して｢権利｣として認識していく過程が見られることを明らかにするとともに、その運動の意義が母親をはじめとする地域の住民らに｢権利としての保育｣への認識を目覚めさせたことにあることを主張したい。

日本における保育所制度と家族主義

김지미(金智美, Kim, Ji-Mi) 일본어문학회 2009 일본어문학 Vol.47 No.-

本研究の目的は、女性の就労保障の観点から、高度経済成長期の日本における保育所制度の制度的内容と女性の労働条件との関連構造を解明し、その上で、日本の保育所制度における家族主義のもつ意味を再吟味しようとするものである。そこで本研究では、日本の保育所制度を分析する上で、先行研究の保育所制度へのアプローチの限界を踏まえ、自治体レベルでの保育所制度の決定․執行レベルを通ずる政策主体の意図に着目し、諸主体が女性労働をどのように捉えていたかを中心に保育所制度の制度的内容と女性の労働条件との関連構造を捉えていった。その際、特に女性の労働条件という観点からは、日本の保育所制度が、女性にフルタイムとして働き続けることを保障していたか、また女性に経済的自立を達成․維持することを保障していたか、などといった側面に注目することにした。 こうした過程を通じて、高度経済成長期の日本の保育所制度は、｢公務員․専門職｣のような｢一部の安定した職業に従事する女性｣の社会的地位を全的に保障し、社会における彼女らのジェンダー平等を成し遂げていたことが分かった。こうした保育所制度のジェンダー平等の効果は、これまで言われてきた保育所制度における家族主義という名の下では捉えることができなかった側面であり、それゆえ、本研究の成果は大きいと言える。

임상 간호사의 윤리적 딜레마에 관한 태도조사

김주희(Kim Ju Hee),안수연(Ahn Soo Yeon),김지윤(Kim Ji Yoon),정주연(Chung Ju Yeon),김지미(Kim Ji Mee),최선하(Choi Sun Ha),권영은(Kwon Young Eun),전미영(Chon Mi Young),김명희(Kim Myoung Hee) 한국간호과학회 1995 Journal of Korean Academy of Nursing Vol.25 No.3

한국 복지체제에서의 여성 역할 변화에 관한 연구 : 보육·장기요양 정책 확대를 중심으로

김지미 ( Kim Ji Mi ) 부산대학교 여성연구소 2013 여성학연구 Vol.23 No.1

본 연구의 목적은 한국 복지체제(특히 ‘가족주의’)에서의 가족·여성의 역할에 주목하여, 지금까지 한국의 복지국가 하에서 여성이 담당하였던 기능이 최근(특히 2000년대 중반 이후) 보육·장기요양서비스가 대폭 정비·확충되면서 어떻게 재구성되고 있는지 그 현상을 분석하는 것이다. 이를 위해 본 연구에서는 비교복지국가론의 이론적 틀을 응용한 ‘탈가족주의’라는 분석틀을 설정하여 지금까지 한국의 복지체제 하에서 여성이 놓여 있었던 ‘가족 내 돌봄제공자’, ‘노동시장 내 생계보조자’로서의 입장이 최근 보육·장기요양정책이 확대되면서 어떻게 ‘변화’하고 있는지 그 현상을 분석한다. 이러한 분석을 통하여, 본 연구에서는 최근 한국정부가 추진해온 돌봄서비스의 확대 과정 속에서 여성의 역할이 재구성되고 있음을 포착함으로써 그것이 한국 복지체제에 시사하는 바가 무엇인지 생각해보고자 한다. The main purpose of this study is to examine how the roles of family and women in particular, which are thought to replace the function of the Korean welfare regime which was strongly determined by ‘familialism’, has changed after the 2000s. In order to examine this accurately, this paper uses an analytical frame of ‘de-familiarization’ which is applied in the comparative study of welfare states. The analysis concentrates on changes which the new care policies like child care and long-term care policy for elderly that are focused on de-familiarization brought for the roles of women who work as “primary care givers” and “part-time workers supplementing household income on the labour market.” This article concludes with considerations about the meaning which the changes of women’s roles have for the welfare regime in Korea.

성인의 걷기실천과 지역환경요인

김지미(Jimee Kim),이선혜(Seon-Hye Lee),이은영(Eun-Young Lee),이혜영(Hye-Young Lee) 한국생활환경학회 2015 한국생활환경학회지 Vol.22 No.1

The aim of this study was to investigate the association between walking and community-based environment [CBE] in adults. From the original data of Community Health Survey 2012, this study was analyzed 215,895 adults aged 19 years and over by using SAS 9.3. Walking is defined physical activity more 5 times a week at least 30 minutes per day. Prevalence of walking was 39.9%(male 41.6%, female 38.4%) in adults. There were significant different in walking according to socio-demograhic factors(p<.05), health related factors(p<.05), CBE(p<.001) irrespective of sex excluding number of chronic disease, drinking. After adjustment for socio-demographic factors and health related factors, walking was significantly associated with residence, area distribution of public sports facilities, number of public sports facilities, number of daily life sports facilities(p<.001). These finding suggest that CBE may have an effect on walking in adults.

간호대학생의 자기성찰과 자아존중감 및 공감능력이 행복지수에 미치는 영향

김지미 ( Kim Jimee ),홍성경 ( Hong Sungkyung ) 경희대학교 동서간호학연구소 2016 동서간호학연구지 Vol.22 No.2

Purpose: The purpose of this study was to explore the levels of self-reflection, self-esteem, and empathy and identify influential factors on happiness index in nursing students. Methods: The data was collected using questionnaires from a convenience sample of 275 nursing students. The data was analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: Mean scores of self-esteem, empathy and happiness index were 3.55, 2.89, 3.43, and 66.76, respectively. Self-understanding, self-esteem, and economic status had significant positive effects with a 42% of explained variance of the happiness index. Conclusion: The results suggest that self-understanding, self-esteem, and economic status should be considered as factors when developing intervention strategies to increase the level of the happiness index among nursing students.

한국 영화의 "판옵티콘"과 "시놉티콘" - 시선의 권력과 성차화된 재현의 문제

김지미 ( Ji Mi Kim ) 겨레어문학회 2014 겨레어문학 Vol.53 No.-

일상적인 영역에서 무차별적으로 대상을 포착하는 카메라들의 존재와 이를 적극적으로 차용한 영화의 서사는 이전과는 다른 방식으로 시선의 권력관계를 재현하고 있다. 카메라 뒤에서 시선을 던지는 주체와 피사체 의 권력 작용은 단지 젠더적인 차원에서 차별성을 갖는 것도, 사회적 계 층의 차이에 따라 차등적으로 분배되는 것도 아니다. 카메라를 통해 감시되는 피사체는 다른 한편으로는 보이고 있다는 그 사실로 인하여 물리 적 폭력이나 권력의 횡포로부터 안위를 보장받을 수 있다. 본고는 이와 같은 시선의 권력이 한국 영화 안에서 재현되는 방식을 분석함으로써 그 권력관계를 규명해 보고자 한다. 2장에서는 여성의 육체를 폭력의 전시 장으로 활용하고 있는 영화들을 대상으로 시선의 권력 관계를 분석해보았다. <지슬 - 끝나지 않은 세월 2>은 현대사에서 소외되었던 ‘4.3 사건’을 재조명하며 폭압적인 권력의 실체를 고발한다. 그러나 그 과정에서 여성의 육체를 수난사 재현을 위한 장소로 시각화하는 관습을 되풀이 한 다. <분노의 윤리학>은 한 여성의 죽음을 둘러싼 사건을 다루면서 ‘몰래 카메라’를 관음증적 욕망을 충족시키기 위한 장치로 활용한다. 이 영화에 서 가시성의 확보는 권력의 획득과 밀접한 연관을 이루고 있으며, 여성 은 그 과정에서 철저하게 소외되었다. <노리개>는 ‘성상납’을 소재로 한 여성에게 일어난 물리적, 정신적 착취를 고발하기 위해 만들어졌음에도 불구하고 미장쎈은 그 여성을 다시 성적으로 대상화한다. 형식이 주제를 배반하고 있는 것이다. <공정 사회>는 아동 성폭행에 과한 부실한 수사체계와 실추된 사법적 정의를 고발하는 작품이다. 그 과정에서 ‘아줌마’로 호명되는 여성과 어린이와 같은 약자에게 가해지는 차별적인 시선이 드러난다. 하지만 CCTV화면을 통한 복수를 담고 있는 영화의 마지막 시퀀스는 기존 권력 구조를 조롱하고 역전시키는 전복적 에너지를 담고 있다. 3장에서는 남성 인물이 시선의 주체로 등장하는 <감시자들>과 <더 테러 라이브>를 분석하였다. 전자는 CCTV와 첨단 테크놀로지를 통한 ‘감시’체계의 주체들과 그것을 위반하려는 범죄인과의 대결을 다룸으로써 범죄 통제가 완벽하게 가능해지는 ‘판옵티콘’적 사회에 대한 판타지를 그려내고 있다. 후자는 테러라는 극단적인 상황에서 하층민과 지배층의 불 균등한 권력 체계와 사회 정의에 대한 언론의 감시와 고발 기능을 강조 함으로써 ‘시놉티콘’을 통한 쌍방향적 권력 감시 체제를 극적으로 형상화 하고 있다. A narrative that proactively exploits the existence of cameras indiscriminately capturing ordinary daily lives reconstructs the power of the viewer in a manner different from that of the past. The power dynamics between the subject casting sight from behind the camera and the object is not just distinct in gender or variably distributed over different social classes. The object watched by the camera, on the other hand, is guaranteed safety from physical violence or hegemonial oppression by the very fact of being watched. This article attempts at analyzing how the power of the viewer is reconstructed in Korean cinema and assesses the power relations therein. In Chapter 3, it attempts at analyzing the viewer’s power relations in the films utilizing female bodies as the site of exhibiting violence. <Jiseul> redirects attention back to the April 3 Massacre thus far alienated within Korean history. In doing so, however, the film repeats the habit of visualizing female bodies as the site of the history of persecution <An Ethics Lesson> uses a candid camera as a device of satisfying voyeuristic desires surrounding a woman’s death. In this film, acquiring sight is closely related to acquisitionof power, and the woman is completely alienated. <Norigae> is supposed to be an open accusation of physical and mental exploitation occasioned upon a woman who is forced to provide sexual bribes, but its mise-en-scene sexually objectifies the woman and is unable to break out of such framework. Here, form has betrayed theme. <Azooma> is an open accusation of faulty investigations on sexual crimes against children and the failing judicial system. There, it reveals a discriminatory viewpoint imposed upon minorities such as a woman called ‘Azooma’ and a child. However, the film’s last sequence showing revenge through CCTV ridicules the existing power structure and shows the subversive energy inverting that structure. Chapter 3 examines <Cold Eyes> and <The Terror Live> in which males take stage as the viewers. The former draws from a showdown between watchers equipped with CCTVs and cutting edge technology and criminals trying to violate such survillance scheme and recreates a fantasy about a Panopticonic society where crimes are perfectly controlled. The latter emphasizes the watching and accusatory role of media on an unequal power relationship and social justice between the lower class and the governing class and thereby dramatically shows the interactive surveillance system through a Synopticon.

전문대학 4년제 간호학과의 임상실습교육 현황조사

김지미(Ji Mee, Kim),김진경(Jin Kyung, Kim),류경희(Kyung Hee, Ryu),양정하(Jeong Ha, Yang),양진주(Jin Ju, Yang) 한국간호연구학회 2019 한국간호연구학회지 Vol.3 No.3

Purpose : The purpose of this study was to investigate the current state of clinical practice education among 4-year nursing program in college and to find out how to improve clinical practice education that combines effectiveness and efficiency. Methods : This study was sent to 86 member university of the Korean Deans Association of Nursing College by email with questionnaires for college and their practice institutes from December 10, 2018 to January 12, 2019. Results : The response rate was 60.5%. 78.8% of respondents thought that the current standard of 1,000 hours of clinical practice was not appropriate. The ideal person in charge of clinical curriculum operation was clinical dedicated professor(32.7%), but only 7.7% of the respondent said that there was actually clinical dedicated professor. On how to practice in the unit of practice, 65.4% of the respondents said that more than 60% was by observation, 69.2% of them said that less than 10% was by performing directly to the patient. 42.3% of the respondents said that the current method of nursing practice was not appropriate. Conclusion : In order to improve clinical practice education, it is considered necessary to adjust the current standard hours of clinical practice, set up dedicated training system, indicate co-responsibility of legally prescribed clinical training, relax of standards of practice institutions and establish the condition of the practical training institution appropriate for clinical training education.

압전소자를 이용한 자가발전 방한화 기술 연구

김지미(Ji-mi Kim),전순용(Soon-yong, Jeon) 대한전자공학회 2017 대한전자공학회 학술대회 Vol.2017 No.11