국소한약외용제의 알레르기성 비염 치료 효과에 대한 문헌 고찰

방미란,김장현,민상연,Bang, Mi Ran,Kim, Jang Hyun,Min, Sang Yeon 대한한방소아과학회 2016 대한한방소아과학회지 Vol.30 No.3

Objectives The purpose of this study is to analyze studies about the effects of topical application of Chinese herbal medicine for allergic rhinitis within randomized controlled trials (RCT). Methods The search database includes KJTK (Korean Traditional Knowledge Portal), OASIS (Oriental Medicine Advanced Searching Integrated system), CNKI (China National Knowledge Infrastructure), PubMed, and EMBASE. We used the following key search terms: "allergic rhinitis", "traditional Chinese medicine", "traditional Korean medicine", "Chinese herbal medicine", "randomized controlled trial", "clinical study", "nasal spray", and "nasal drop" Results Five studies were selected for analysis. Three studies used nasal spray of Chinese herbal medicine and two studies used nasal drops of Chinese herbal medicine for the intervention. Frequently used herbs were Magnoliae Flos (辛夷), Scutellariae Radix (黃芩), Coptidis Rhizoma (黃連), and Astragali Radix (黃芪). For the outcome measures, studies used symptom score, questionnaire of Quality of Life, nasal airway resistance, or laboratory studies. From all 5 studies, it has been shown that topical application of Chinese herbal medicine was effective for improving symptoms of allergic rhinitis. Two out of five studies showed statistical difference between study group and control group. Conclusions This study shows that topical application of Chinese herbal medicine can improve symptoms of allergic rhinitis. Well-designed RCT studies with low risk of bias and studies with outcome measures for assessing the immunomodulatory effects are necessary to confirm these findings.

소아 천식 치료의 국외 보완대체의학 임상 연구 동향

방미란,김장현,민상연,Bang, Mi Ran,Kim, Jang Hyun,Min, Sang Yeon 대한한방소아과학회 2015 대한한방소아과학회지 Vol.29 No.3

Objectives : The purpose of this study is to analyze the trends in foreign clinical trials for pediatric asthma in complementary and alternative medicine (CAM). Methods : We reviewed 31 randomized controlled trials (RCT) for pediatric asthma treatment in CAM published from 2005 to 2015 in PubMed and analyzed their treatments, compounds of herbal medicines, acupoints, methods of assessment, and treatment results. Results : The treatments used in the studies were herbal medicines, acupuncture, acupoint application, breathing training, supplement, normocaloric diet, yoga, massage therapy, and art therapy. The frequently used herbs were Asari Herba Cum Radix (細辛). Ephedrae Herba (麻黃), Astragali Radix. The most common acupoints were Feishu (肺兪, BL13). The methods of assessment in pediatric asthma were symptom scale, questionnaire of Quality of Life, lung function test, laboratory studies, and medication usage. In 28 out of 31 studies, treatment group gets better than non-treated group. Conclusions : This study shows that CAM is effective in treating pediatric asthma. More clinical studies using objective outcome measures are needed to prove its efficacy clearly.

노인대상 보건소 방문건강관리사업 간호사의 역할과 직무

한영란(Han, Young Ran),박언아(Park, Eun A),방미란(Bang, Mi Ran),안나원(An, Na Won) 한국보건간호학회 2021 韓國保健看護學會誌 Vol.35 No.3

Purpose: The purpose of this study was to analyze the role and tasks of nurses who were working for the elderly in the visiting health services at the public health centers. Methods: Literature reviews, two rounds of meetings with 5 experts and a two-round Delphi technique with 15 experts were performed in this study. Results: The nurses" role and job analysis revealed 5 roles, 16 duties and, 71 tasks. The nurses’ roles, including discovery and registration of households/groups in visiting health service in the community, case manager, administrative management, program planning, operation and evaluation, and development of job competency. Sixteen duties included client registration and management, need assessment and plan establishment, education, consultation and support, seasonal health care, prevention and monitoring of infectious diseases, basic nursing care, chronic disease management, linkage and utilization of resources, team cooperation and coordination, home environment management, monitoring and support for intervention outcomes, evaluation, administrative management, program planning, operation and evaluation, development of professional competency and, adoption of fourth industrial revolution technology. Conclusions: Based on the results, the government should provide sufficient nursing personnel to provide universal preventive health services for the elderly and a job training program to perform these roles well.

간호대학생의 자아탄력성, 의사소통능력과 문제해결능력

지은주(Ji, Eun Joo),방미란(Bang, Mi Ran),전혜진(Jeon, Hye Jin) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.4

Purpose: This study was done to identify the influences of ego resilience and communication ability on problem-solving ability in nursing students. Methods: The subjects consisted of 448 first and second year nursing students. The data were collected from June 10 to 21, 2013. The data were analyzed using t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficients and multiple linear regression with IBM SPSS Statistics version 19.0. Results: The Ego resilience score of subjects was 2.84 out of a perfect score of 4, the communication ability score of subjects was 3.51, and the problem-solving ability score of subjects was 3.44 out of a perfect score of 5. A positive correlation was found for problem-solving ability with ego resilience and communication ability. The strongest predictor of problem-solving ability was a communication ability. Conclusion: These findings indicate that there is a need to increase communication ability to improve the problem-solving ability of nursing students. The results should be reflected in the development of effective curricula.

자기주도학습능력과 협동학습 유형이 영어과 학업성취에 미치는 효과

박일수 ( Il Soo Park ),방미란 ( Mi Ran Bang ),권낙원 ( Nak Won Kwon ) 경북대학교 사범대학부속 중등교욱연구소 2008 중등교육연구 Vol.56 No.2

상수원수 내 천연유기물질의 계절적 변화와 정수공정에서의 제거특성

배병욱,김영일,임봉수,방미란 ( Byung Uk Bae,Young Il Kim,Bong Su Lim,Mi Ran Bang ) 한국물환경학회 1998 한국물환경학회지 Vol.14 No.2

The seasonal variations of natural organic matters(NOM) in drinking water source and their removal characteristics through water treatment processes were investigated for two kinds of source waters in Kum-River. The quality of raw water at the Chungju water treatment plant(WTP) was stable throughout one year of sampling period. However, the source water at the Puyo WTP showed higher variations in DOC(dissolved organic carbon) and turbidity compared to the Chungju WTP. The SUVA(specific UV absorbance) values of both raw waters were less than 3 and had a trend to decrease after coagulation/sedimentation process. This results indicate that relatively large organic matters which have higher absorptivity per unit DOC might be easily removed during coagulation process. The AHS(aquatic humic substance) contents of both raw waters varied seasonally, but the Puyo WTP had a relatively higher AHS contents than the Chungju WTP. Results from the change in molecular weight distribution(MWD) before and after AHS measurement showed that AHS was mainly composed of organics higher than MW 1,000. The PAC(powdered activated carbon) might be used as an effective method for removing organic matters, especially for AHS, and the addition of PAC before coagulation showed the most satisfactory result with respect to DOC removal.

일부 농촌지역 주민의 건강관련 행태에 관한 연구

원달호(Dalho Won),임현술(Hyun-Sul Lim),방미란(Mi-Ran Bang) 한국농촌의학 지역보건학회 2003 농촌의학·지역보건 Vol.28 No.2

동국의대에서 실시한 2002년 전염병관리실무과정에 대한 평가

방미란,임현술,정해관,한영란,정철 대한보건협회 2003 대한보건연구 Vol.29 No.1

Communicable diseases have recently reemerged, with new communicable diseases continually breakmg out on a global scale; threaten the health and economics of populations. The Korean National Institute of Health carries out Field Management Training Prcgrams (FMTP) to address this problem The objectives of this study were the evaluation of the understanding and satisfaction for this program, and recommendation for improvement strategies. We conducted a questionnaire survey of 80 persons who completed the FMTP, at Dongguk University, between March 1 and November 30, 2002. The data collected was analyzed by Student s t-statistics. The understanding of the curriculum was Well in 42 (52.5%) and Moderate in 24 persons (30.0%). The satisfaction with the curriculum was Moderate in 38 (47.5%) and Good in 30 persons (37.5%). The satisfaction for the period of education was Bad for 31 persons (38.7%), which accounted for the majority of cases. The mean scores, by Likert s scale, for the understanding and satisfaction of the curriculum were 3.70 (±0.71) and 3.32 (i0.721, respectively. The mean score for the epidemiological survey was the highest for satisfaction with the course, at 3.78 (±0.62). The mean value of satisfaction for curriculum in education of period was significantly higher in health department group than in nursing department group (P<0.05). From this survey it appears the respondents were satisfied with this program. The FMTP will be systematically revised for curriculums, and effort will be required to develop controls for communicable disease, both by the government and the university.

일부 농촌 주민의 영아 엎어 재우기 실태

방미란,임현술 東國大學校醫學硏究所 2003 東國醫學 Vol.10 No.2

우리나라 농촌지역에서는 전통적으로 영아들을 바로 재웠는데, 최근 젊은 주부들 사이에 영아의 두상을 아름답게 하려는 목적으로 영아들을 엎어 재우는 경향이 있다. 서양에서는 대부분 영아를 엎어 재웠으나, 영아 엎어 재우기가 영아 돌연사 증후군의 위험을 증가시킨다는 보고와 함께 영아 바로 재우기 캠페인을 벌이고 있다. 따라서 본 조사는 우리나라 일부 농촌 주민의 영아 엎어 재우기 실태를 파악하고자 하였다. 경상북도 울진군 북면 및 포항시 기계면에 거주하는 30세 이상 기혼 여성 688명을 대상으로 자기 기입 방식의 설문지를 이용하여 조사하였다. 대상자의 평균 연령은 56.5(±14.1)세였으며, 교육수준은 초등학교 졸업 이하가 491명(71.4%)이었다. 대상자의 흡연율은 1.6%이었고, 음주율은 24.3%이었다. 전체 688명의 대상자는 총 2,795명의 영아를 출산하였으며, 영아 사망의 경험이 있는 대상자는 161명(23.6%)으로 총 255명의 영아 사망이 있었다. 영아를 재우는 자세에 대한 분포는 '바로 재우기만 시행한 경우'가 635명(92.3%), '엎어 재우기만 시행한 경우'가 27명(3.9%)이었다. 영아를 바로 재운 이유는 '과거부터 계속 바로 키워왔기 때문에'가 571명(86.5%)이었으며, 엎어서 재운 이유는 '두상을 아름답게 하기 위해서'가 27명(51.9%)이었다. 영아를 엎어서 재운 경우, 영아가 갑자기 사망할 가능성이 높다는 사실에 대한 인식 여부는 '알고 있지 않다'라고 응답한 대상자가 370명(53.8%)으로 절반 이상을 차지하였다. 영아를 재운 주 양상은 '부모와 함께 잤다'가 533명(77.5%)으로 가장 높았다. 현재 우리나라는 영아 엎어 재우기에 대한 정확한 실태조사 및 영아 돌연사 증후군을 예방하기 위한 대책이 미흡한 실정이다. 따라서 교육과 홍보를 통해 영아 바로 재우기를 실시함으로서 영아 돌연사 증후군을 사전에 예방하고 더 나아가 원인 규명을 위한 노력 및 연구가 필요하다. 본 조사는 일부 지역농촌 주민들을 대상으로 한 것이기 때문에 도시지역, 고학력, 신세대 주민들을 포함한 광범위한 연구가 필요하리라 생각한다. Objectives: It is traditional, in Korean villages to make the infants sleep in a supine position. However, these days, it has become the trend for young housewives to sleep in a prone position to be rounded head shape of infants. This study was carried out to investigate the status of the prone sleeping position in a Korean village. Methods: A self-administered questionnaire survey was administered to 688 married women, over the age of 30 years, in Buk-myeon, Uljin-gun and Gigye-myeon, Pohang-si, Gyeongsangbuk-do, in 2001 and 2002. Results: The prevalence of smoking and drinking were 11 (1.6%) and 167 cases (24.3%), respectively. The proportions sleeping in the supine and prone positions were 635 (92.3%) and 27 cases (3.9%), respectively. The main reason given for sleeping in a supine position, in 571 (86.5%) of cases was 'it has always been done in the past' and the main reason given for sleeping in a prone position, in 27 (51.9%) of cases was 'the influence of Western countries'. When asked if they recognized the risks of sleeping in a prone position, 370 cases (53.8%) answered 'don't know'. Conclusions: In our study, the proportion of questioned of those sleeping in a prone position was small. However, the prone sleeping position has been associated with an increased risk of SIDS. There is a need for education and campaigns regarding the effects of sleeping in a supine position, and further studies will be required to find the causes of unknown death.

원수 수질변화에 따른 정수장 응집제의 효율평가

방미란,임봉수,배병욱,김태응 대전대학교 산업기술연구소 1998 산업기술연구소 論文集 Vol.9 No.2

This study was carried to estimate the turbidity and organic removal efficiency of the coagulants, such as Alum, PACl, and PACS, depends on the variation of raw water quality. When turbidity, pH of the raw water quality were 1.0∼10.0NTU, 7.0NTU respectively, in other to get the goal water quality below 1.0NTU of turbidity, the optimum input doses of Alum, PACl, and PACS were 20∼30mg/ℓ, 10∼20mg/ℓ, and 10∼20 mg/ℓ, respectively. In that case of optimum input does, the removal efficiency of UV254 was about 30∼60%. When the turbidity, pH of the raw water quality were 10∼40NTU, around 7.0, respectively, the optimum input doses of PACl, and PACS were 30 mg/ℓ , 20 mg/ℓ, respectively But Alum, in other to get less than 2NTU of turbidity, was required to 50 mg/ℓ . In that case the removal efficiency of UV254 was also about 30∼60%.