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      • 동물보건사의 자기효능감에 대한 개념분석; 문헌고찰

        김향미(Hyang-mee Kim) 한국동물보건학회 2023 한국동물보건학회지 Vol.2 No.4

        This study was done self-efficacy on the relationship between veterinary nurses’ self-efficacy and their work. However it couldn’t find any literature about the self-efficacy in veterinary nurses. Self-efficacy is the confidence that one has the ability to perform a task, self-regulation efficacy, challenge for difficult tasks, and the ability to identify the cause of results. It is composed of cognitive, motivational, affective, and selection processes, and is manifested in behavior. The self-efficacy of nurses not only affects their individual abilities but also the organization, improving patient safety management, compliance with standard guidelines, and nursing work. It is thought that a measure of self-efficacy in veterinary nurse is needed to judge individual abilities, adaptability to organizations, and job performance capabilities.

      • KCI등재

        공배양이 생쥐 난자의 체외수정 및 초기배아의 발달에 미치는 영향

        김향미(Hyang Mee Kim),손영수(Young Soo Son) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.12

        목적: 생쥐 난자의 체외수정시, 체외수정후 초기 2-세포기 배아의 성장발달, 체내수정된 초기 2-세포기 배아의 체외에서의 성장발달에 미치는 공배양의 효과에 대하여 비교 관찰함으로써 공배양이 어떤 시점에서 어떤 양상으로 체외수정프로그램에 영향을 미치는지 알아보고자 하였다. 연구방법: 4-6주령의 제 1대 잡종 생쥐(C57BL × CBA)를 과배란 유도후 획득한 난자와 정자의 체외수정을 실시함에 있어서 체외수정시, 체외수정후에 얻은 초기 2-세포기 배아, 체내수정된 후 얻은 초기 2-세포기 배아의 배양시 배양액내에 공배양을 실시하지 않는 군(대조군), Vero 세포로 공배양한 군, 사람의 양막세포로 공배양한 군으로 나누어 체외성장 발달을 120시간후 관찰하였다. 결과의 통계적 유의성은 chi-검증을 이용하였다. 결과: 체외수정당시 공배양의 효과는 대조군, Vero 세포로 공배양한 군, 양막세포로 공배양한 군을 비교할 때 수정률은 대조군이 공배양한 군 보다 유의하게 높았으며, 120시간후 배아의 성장발달은 세군간에 각각 유의한 차이가 없었다. 체외수정후 얻은 초기 2-세포기 배아의 성장발달을 관찰한 결과 대조군과 공배양한 두 군 사이에 유의한 차이가 없었다. 체내수정후 얻은 초기 2-세포기 배아의 성장발달을 관찰한 결과 포배기 배아로의 발달은 대조군과 두 공배양한 두군 사이에 유의한 차이가 없었다. 그러나 부화배반포로의 발달은 공배양한 두 군이 대조군보다 유의하게 높았다. 결론: 생쥐난자를 처음부터 체외에서 수정 및 발육시키는 경우 배아의 성장발달은 배아 외부의 환경에 대한 의존성은 그다지 크지 않은 것으로 보인다. 즉 체외수정된 배아에 있어서는 생리적 환경조성을 위한 공배양에 의한 배아성장발달의 촉진 효과보다는 수정난자체의 어떤 세포내 기전 등의 내부인자에 의해 성장이 주도되는 것으로 생각된다. 체외수정된 배아에서 성장을 주도하는 내부인자에 대한 규명을 위해서는 향후 많은 연구가 필요할 것으로 생각한다. Objectives: Our objective was to investigate the effect of coculture system on in vitro fertilization and development of mice embryos. Methods: F1 hybrid mice were superovulated with PMSG/hCG. Recruited oocytes were divided into three subgroups which are control(subgroup a), Vero cell coculture(subgroup b) and human amniocyte coculture subgroup (subgroup c) respectively. For 3 subgroups, we observed fertilization after 24 hours of incubation. In vitro fertilized early 2-cell stage embryos were allocated to Group I and in vivo fertilized early 2-cell stage embryos were allocated to Group II. Also, each group was divided into control (subgroup a), Vero cell coculture(subgroup b) and human amniocyte coculture subgroup(subgroup c) respectively. For 6 subgroups, we observed in vitro development to blastocyst and that to hatching blastocyst after 120 hours of incubation. Results: As to recruited oocytes, the in vitro fatilization rate of subgroup a was significantly higher than that of subgroup b and subgroup c (p<0.05). In Group I, the developmental rates were not significantly different between the three subgroups. But in Group II, the developmental rates to hatching blastocysts of subgroup b and c were significantly higher than that of subgroup a (p<0.05). Conclusion: The development of the in vitro fertilized mouse embryos seemed to be independent of physiologic condition which we think coculture system may give to the embryos. The independent developmental capability of the in vitro fertilized embryos might be obtained through a certain intracellular mechanism for which there should be the need of many more investigations to be verified.

      • KCI등재

        외식 자원 구성 요인이 여가 만족도 및 삶의 질에 미치는 영향에 관한 연구

        김태희,김향미,이은정,Kim, Tae-Hee,Kim, Hyang-Mee,Lee, Eun-Jung 동아시아식생활학회 2006 동아시아식생활학회지 Vol.16 No.6

        The purpose of this study was to examine the differences in satisfaction of leisure life and quality of life using standardized evaluation tools developed by WHO. Resource availability when dining out was measured by objective index(time of dining out, dining out expense) and subjective index(perceived satisfaction with time of dining out and dining out expense). In this study, 500 questionnaires(male & female adults) located in Seoul and the metropolitan area were sampled by convenience sampling and gather in 433 sheets of questionnaire. Data was analyzed by frequency analysis, factor analysis, reliability analysis, correlation analysis and regression analysis using SPSS Win 12.0. As a result there was high positive correlation between time of dining out, dining out expense and perceived satisfaction with time of dining out and dining out expense. Moreover, dining out resources impact on leisure life satisfaction and quality of life. Leisure life satisfaction had fairly high effects on quality of life. Since there is an increase in leisure time the desire to improve quality of life while enjoying dining out as a part of leisure life is increasing and as various forms of consumption takes place, it suggests that segmentation of dining out market is necessary and marketing strategy should be established.

      • SCOPUSKCI등재

        냉동보존된 생쥐배아를 이용한 정도관리에 관한 연구

        한선남,김향미,정혜원,오승은,손영수,유한기,안정자,우복희,Han, Sun-Nam,Kim, Hyang-Mee,Jung, Hae-Won,Oh, Seung-Eun,Son, Young-Soo,Yu, Han-Ki,Ahn, Jung-Ja,Woo, Bock-Hee 대한생식의학회 1993 Clinical and Experimental Reproductive Medicine Vol.20 No.2

        These studies were carried out to investigate the optimal freezing protocol for 2 cell mouse embryos and to find the probability of quality control with 2-cell embryos frozen. The embryos showed the best survival by the protocol composed of a freezing solution with the cryoprotectants(1.5M propanediol + 0.1M sucrose), and a 2-steop thawing method(room temperature, 20 sec-37$^{\circ}C$, 20 sec). The developmental ability of frozen-thaw 2-cell embryos did not differ from that of fresh 2-cell embryos in m-KRB medium with 0.4% bovine serum albumin. But development of frozen-thaw embryos was depended on the supplements of the medium. In the albumin-free medium, the developmental rate(rate of blastocysts) was significantly reduced, compared with that in the medium with 0.4% BSA. Also, when frozen-thaw embryos were cultured in the meduim with human fetal cord serum(HCS), the developmental rate of frozen-thaw embryos was sligtly reduced, compared with that of fresh 2-cell embryos. Finally, frozen-thaw 2-cell mouse embryos were more sensitive to the toxic agent of disposable-plastic syringe. Therefore, toxicity of medium could be effectively detected by frozen-thaw 2-cell mouse embryos.

      • 개의 발톱골절 이후 전신염증 증례보고

        한세명(Sei-Myoung Han),김향미(Hyang-Mee Kim) 한국동물보건학회 2022 한국동물보건학회지 Vol.1 No.1

        Claw fracture disease can often be encountered in veterinary medicine, but the rate of visits related to claw diseases in South Korea has not been accurately investigated. This case is about systemic inflammation after a toenail fracture. A 2-year-old male, a Pomeranian dog visited the animal medical center with acute vomiting and anorexia after undergoing declawing for a fractured claw at another hospital. To evaluate the cause of vomiting, blood tests, X-rays, and abdominal ultrasonography were performed. In blood tests, C-reactive protein and D-dimer levels were 105 mg/L and 560.05 ng/ml, respectively, which were higher than normal, and the cPL kit test was negative. At the time of admission, the affected area was not properly protected and did not coalesce with a purulent exudate. It was judged that the cause of vomiting was an inflammatory reaction that progressed throughout the body. Therefore, an antibiotic injection and fluid treatment were performed during hospitalization, and the affected area was treated with sugar dressing 4 times a day. As the inflammation level gradually improved, the clinical symptoms also improved. Therefore, this case suggests the importance of correct postoperative management after initial claw damage and declawing from the animal health point of view.

      • 체내 수정을 이용한 보조적 생식술에 대한 임상적 연구

        김향미,손영수,유한기,우복희 梨花女子大學校 醫科大學 醫科學硏究所 1994 EMJ (Ewha medical journal) Vol.17 No.3

        We reviewed IUI(28 cases), IPI(5 cases), POST(4 cases), GIFT(6 cases), performed in EWHA Woman's University Hospital from 1988 March to 1993 June. And the results were as follows. 1) The mean ages of patients were 29.9±3.7(IUI), 30.7±2.6(IPI), 29.3±1.2(POST), 30.3±4.3(GIFT) and the durations of infertility were 3.7±1.9(IUI), 3.0±1.9(IPI), 2.3±0.9(POST), 3.4±1.7(GIFT) years. 2) The major causes of infertility in IUI were tubal factor(9 cases), unexplained infertility(5 cases), in IPI and IUI tubal factor was 2 cases, and in GIFT, unexplained in fertility was 5 cases. 3) The major method of ovulation induction was clomiphene citrate in IUI, and FSH/hMG in IPI, POST and GIFT. 4) The result of pregnancy were 2 cases in IUI(7.1%), 1 case in IPI(20%), POST 1 case(25%), and 2 case in GIFT(33.%).

      • 질식 초음파를 이용한 난소 난종 흡인술

        김향미 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.2

        Ovarian cyst aspiration guided by transvaginal sonography in EWHA Woman's university hospital from 1993 June to 1995 April was performed in 18cases. And the results were as follows. 1) The mean age of patients was 32.2±10.7 years, nulli-gravida was 8 cases(44.5%). multigravida was 10cases(55.5%), and mean serum CA-125 level before aspiration was 29.5±15.1U/ml. 2) The chief complaints of patients were ; lower abdominal pain in 8 cases(44.5%), post TAH status in 3 cases(16.7%), and vaginal spotting in 2cases(11.0%) 3) The mean diameter of ovarian cyst by transvaginal sonography was 5.9±1.4cm. 4) The mean amount of cystic fluid was 110.8±84.5ml and in 15 cases the fluid was clear yellowish color. In 1 case, that was chocolate color, thick nature and it was compatible with endometrioma. 5) During the follow-up, 3 cases(16.7%) had recurrenece, for the treatment of recurrence, 1 case was by pelviscopy, 1 case was by reaspiration, and 1 case was simply followed-up. Conclusively, benign ovarian cyst could be managed satisfactorily by transvaginal sonography guided aspiration of cyst. Careful examination using transvaginal sonography and assessment of serum CA-125 is recommended before managing ovarian cyst by transvaginal sonography guided aspiration. And cytologic examination of aspirated fluid is mandatory as well to rule out the existence of malignacy. Therefore, ovarian cyst aspiration guided by transvaginal sonography would be the complete treatment as well as the definite diagnosis.

      • 체외 수정 및 자궁내 배아 이식후 임신에 대한 임상 연구

        김향미 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.1

        I reviewed the 20 pregnancies after In Vitro Fertilization and Embryo Transfer in EWHA Woman's University Hospital from 1990 September to 1994 December. And the Results were as follows. 1) The mean age of patients were 31.7±3.9 and the average duration of infertility was 4.3±2.3 years. 2) The major cause of infertility was tubal factor and especially bilateral tubal obstruction was most frequent. 3) Controlled Ovarian Hyoerstimulation methods were FSH/hMG and GnRH-agonist/GSH/hMG(long, shohrt, and ultrashort protocol). Long protocol using GnRH-agonist/GSH/hMG had the highest pregnancy rate(35.3%). 4) Regarding the response to controlled ovarian hyperstimulation, serum estradiol level in the day of hCG administration(DO) was 3169.4±3611.5pg/ml. Do endometrium thickness was 9.3±2.7mm, the number of aspirated oocytes was 9.8±7.1, the number of preovulatory oocytes was 9.3±14/7.4mm, the number of cleaved oocytes was 6.1±6.3 and so fertilization rate was 66.3%. 5) The outcomes of pregnancy comprised chemical pregnancy(2 cases), abortion(7 cases), ectopic pregnancy(1 case), term delivery(9 cases), and ongoing pregnancy(1 cases). As considered the number of fetus, singleton pregnancy was in 13 cases(76.5%) and twin pregnancy was in 4 cases(23.5%).

      • 미세수술을 이용한 난관복원술의 임상적 연구

        김종일,김향미 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.4

        From Feb. 1989 to July 1993, 84 cases of microsurgical tubal reanastomosis were performedat the Department of Obstetrics and Gynecology, Ewha Womans University Hospital. And49 cases of tubal reanastomosis were fo11owed-up more than 6 months after operation. The charateristics of 84 reanastomosis and the results of 49 reanastomosis which have beenfol1owed up more than 6 months are as follows : 1) At the time of reanastomosis, mean age of the patients was 32.5 years and average intervalbetween sterilization and reanastomosis was 6.0 years. The mean postoperative tubal lengthwas 5.5cm. 2) The site of the reanastomosis in majority is isthmic to isthmic portion(85.7%) and cornusto isthmic(8.3%). 3) After more than 6 months of postoperative fo11ow-up, it revealed a pregnancy rate of63.2% (31/49). And by the sterilization type, the pregnancy rate is 68.7% (11/16) in ring group,63.3% (19/30) in cautery group. 4) The outcome of the 31 pregnancies after reanastomosis were 26 cases of full term delivery, 2 ongoing pregnancy, 2 abortion and 1 tubal pregnancy.

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