델파이 방법을 이용한 노인전문치과위생사 핵심역량 도출

이선미,원영순,김형미,심선주,이정화,문상은,김창희,Lee, Sun-Mi,Won, Young-Soon,Kim, Hyeong-Mi,Sim, Seon-Ju,Lee, Jung-Hwa,Moon, Sang-Eun,Kim, Chang-Hee 한국치위생학회 2022 한국치위생학회지 Vol.22 No.5

Objectives: This study derived the core competencies for developing a curriculum for advanced practice dental hygienists in the elderly. Methods: A Delphi survey was conducted thrice times with 12 subjects engaged in dental hygiene-related activities for the elderly. Results: The item with the highest average in each domain was 'understanding the elderly (mean=5.00)' in basic qualities and attitude competency, 'understanding the oral health characteristics of the elderly (mean=5.00)' in the job competency, and 'development and evaluation of oral health programs for the elderly (mean=4.75)' in job support competency. Conclusions: The core competencies of dental hygienists specializing in the elderly are divided into 3 'basic qualifications and attitude competencies', 'job competencies', and 'job support competencies' 27 sub-competencies are presented.

일부 치과 종사자의 치과 건강보험의 지식수준에 미치는 요인에 대한 융합연구

이선미,손화경,Lee, Sun-Mi,Son, Hwa-Kyung 한국융합학회 2021 한국융합학회논문지 Vol.12 No.10

The purpose of this study is to analyze the factors affecting the education experience, education needs, and knowledge level of calculation criteria for dental workers. It was conducted on dental workers in Daegu and Gyeongbuk province and an online survey was conducted using Google Survey. We used frequency analysis, crossover analysis, and ANOVA analysis method to find out general characteristic, education experience, education needs, and knowledge level according to education experience and education needs of candidates. As a result of in the knowledge level survey of dental health insurance, there were high rates of incorrect answers to the calculation criteria when the claim program automatically processes it or notifies you through an error window. The level of knowledge of candidates who are experienced, on a claim, and with experience in dental insurance training in the last six months was high. In conclusion, it seems that accurate and correct insurance claims are possible when the dental workers are familiar with the calculation criteria changed through regular dental health insurance education. We look forward to this study providing basic data in preparation of education system for professional dental insurance claims for dental workers. 이 연구는 치과 종사자들의 치과 건강보험 교육경험 및 교육요구도와 산정기준에 대한 지식수준에 미치는 요인을 분석하는 것을 목적으로 한다. 대구·경북 지역의 치과 종사자들을 연구대상으로 하였으며, 구글 설문지를 활용한 온라인 조사를 실시하였다. 연구대상자의 일반적 특성, 교육 경험, 교육 경험 및 교육요구도에 따른 지식수준을 알아보기 위하여 빈도분석과 교차분석 및 ANOVA분석을 사용하였다. 분석 결과, 치과 건강보험에 대한 지식수준 조사에서 청구 프로그램에서 자동으로 처리를 해주거나 오류창으로 알려주는 경우의 산정기준에 대한 오답률이 높았다. 근무경력이 많고 치과에서 보험청구를 하고 있거나 최근 6개월 동안 치과보험 교육 경험이 있는 대상자들에서 산정기준에 대한 지식수준이 높았다. 결론적으로, 정기적인 치과 건강보험 교육을 통해 변경되는 산정기준을 숙지하도록 해야만 정확하고 올바른 보험청구가 가능하다고 보여진다. 이 연구는 치과 종사자들의 전문적인 치과 보험청구를 위한 교육체계 마련에 기초자료를 제공할 것으로 기대한다.

흰쥐의 배양된 간세포에서 ethanol에 의해 유도된 p42/44 MAPkinase가 IGF system에 미치는 효과

이선미,김종훈,강창원,Lee, Sun-Mi,Kim, Jong-Hoon,Kang, Chang-Won 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.4

Ethanol abuse is associated with liver injury, neurotoxicity, modulation of immune responses, and increased risk for cancer, whereas moderate ethanol consumption exerts protective effects against liver injury. However, the underlying signal transduction mechanisms of insulin-like growth factors (IGFs) which play an important regulatory role in various metabolism mechanisms are not well understood. We investigated the effects of ethanol-induced p42/44 activity on IGF-I secretion, IGF-I receptor and IGFBP-1 secretion using radioimmunoassay and western blotting in primary cultured rat hepatocytes. The p42/44 activity, IGF-I secretion and IGF-I receptor activity significantly accelerated compared to control at 10 and 30 min after 200 mM ethanol treatment, but then it became suppressed at 180 min. In contrast, IGFBP-1 secretion was inhibited compared to control at 30 min after 200 mM ethanol treatment, but increased at 180 min. The IGF-I secretion, IGF-I receptor and p42/44 activity at 30 min after 200 mM ethanol treatment accelerated with increasing ethanol concentration but IGFBP-1 secretion inhibited (p<0.05). The increased IGF-I secretion, inhibited IGFBP-1 secretion and IGF-IR activity by ethanol-induced temporal p42/44 activity at 30 min after ethanol treatment was blocked by treatment with PD98059. Alcohol dehydrogenase (ADH) inhibitor, 4-methylpyramazole blocked the changes of IGF-I secretion, IGFBP-1 secretion, and IGF-IR activity by ethanol-induced p42/44 activity at 30 and 180 min. Taken together, these results suggest that ethanol is involved in the modulation of IGF-I and IGFBP-1 secretion and IGF-IR activity by p42/44 activity in primary cultured rat hepatocytes. In addition, changing of p42/44 activity by ethanol was caused with ADH.

치위생학교육평가·인증체계 정립을 위한 학습성과기반 치위생 핵심역량에 관한 조사

이선미,장경애,이정화,Lee, Sun-Mi,Jang, Kyeung-Ae,Lee, Jung-Hwa 한국융합학회 2020 한국융합학회논문지 Vol.11 No.9

치위생학교육평가·인증체계 정립을 위한 학습성과기반 치위생 핵심역량을 파악하고자 치위생(학)과 전임교수 207명을 대상으로 설문 조사를 실시하였다. 핵심역량별 세부영역에서 전문가적 행동 및 윤리적 의사결정 능력(1영역)과 과학적이고 전문적인 임상치위생과 임상치과업무의 지식과 기술을 적용할 수 있는 능력(2영역)의 전체 점수가 가장 높게 나타났고, 의사소통 능력 정도(3영역)는 4.48점, 근거중심의 통합적 사고와 문제해결 능력 정도(5영역)는 4.35점으로 나타났다. 핵심역량 세부영역들은 강한 상관관계가 있는 것을 확인하여 보건의료서비스 직종간의 핵심역량 파악과 임상 실무현장에 근무하고 있는 치과위생사들의 핵심역량에 대한 질적 연구가 필요하다고 사료된다. This study conducted to investigate the core competency of dental hygiene based on learning outcomes for establishing an educational evaluation and certification system for dental hygiene. The sub-categories of core competencies, the overall score of professional behavior and ethical decision-making ability (category 1) and the ability to apply scientific and professional clinical hygiene and knowledge and skills of clinical dental work (category 2) was highest. and the level of communication skills (category 3) was 4.48 points, and the level of evidence-based integrated thinking and problem solving skills (category 5) was 4.35 points. Furthermore, there was a strong correlation between the core competency sub-categories, and it is necessary to identify the core competency between health care service occupations and to qualitatively study the core competency of dental hygienists working in clinical practice.

MCF-7 cell에서 all-trans retinoic acid에 의한 insulin-like growth factor-I와 insulin-like growth factor binding protein-3 분비조절에 있어서 PKC-δ의 역할

이선미,김상훈,최광수,강창원,Lee, Sun-Mi,Kim, Sang-Hoon,Choi, Kwang-Soo,Kang, Chang-Won 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.2

All-trans retinoic acid (AtRA) induces growth inhibition and apoptosis in a variety of tumer cells, including MCF-7 cells. Insulin-like growth factors (IGFs) system has been reported to be associated with the development of cancer. Although MCF-7 cell with AtRA is to be the major stimulus for the cell growth and apoptosis, the mechanism of insulin-like growth factor-I (IGF-I)/insulin-like growth factor binding protein-3 (IGFBP-3) system remains to be elucidated. Thus, this study was conducted to the effect of AtRA on the gene expression and level of IGF-I and IGFBP-3. In addition, we investigated the involvement of PKC-${\delta}$ on the IGF-I and IGFBP-3 secretion in MCF-7 cell. AtRA(${\geq}10^{-7}M$) decreased the IGF-1 secretion and mRNA expressions, but increased IGFBP-3 secretion and mRNA expressions in MCF-7 cells. Especially, the treatment of AtRA at 72 hours caused a significant reduction in the IGF-I secretion and mRNA expressions but increment in IGFBP-3 secretion and mRNA expressions (p < 0.05). $10^{-7}M$ AtRA activated PKC-${\delta}$ that is one among PKC-$\iota$, ${\alpha}$, ${\lambda}$ and ${\delta}$ in MCF-7 cell. Rotllerin, a PKC-${\delta}$ inhibitor, blocked AtRA-induced inhibition of the IGF-I and mRNA expressions, and increase of lGFBP-3 and mRNA expressions in MCF-7 cell. Together, AtRA inhibited the IGF-I secretion and mRNA expressions, but increased IGFBP-3 secretion and mRNA expressions in MCF-7 cell. Furthermore, AtRA-induced alteration of IGF-I, IGFBP-3 secretion, and the gene expressions were mediated via PKC-${\delta}$ activity.

결혼초기 남편과 아내의 부부갈등과 갈등대처방식이 결혼만족도에 미치는 영향

이선미(Lee Sun Mi),전귀연(Jeon Gwee Yeon) 가정과삶의질학회 2001 가정과삶의질연구 Vol.19 No.5

헵번 스타일, 욕망,교양의 사회, 미국영화와 신문소설

이선미 ( Sun Mi Lee ) 한국문학연구학회 2012 현대문학의 연구 Vol.0 No.47

신문소설은 전적으로 신문 미디어의 역할에 종속되어 있다. 그리고 가 장 논란거리가 된 시사적인 주제를 서사의 소재로 활용하면서 ``사회성``을 추구하고자 했다. 인기있는 신문소설 작가였던 정비석은 이를 의식하면 서 신문소설에서 가장 중요한 것이 사회성이라고 강조한다. 그리고 이런 점 때문에 통속적이라는 비판을 항상 꼬리표처럼 달고 다니기도 한다. 신 문소설의 통속성은 모든 작품이 어떤 방식으로든지 정면돌파해야 하는 하나의 관행일 정도로 신문소설의 사회성, 혹은 당대성 안에 잠복해있다. 따라서 1950년대 한국사회의 도시문화를 시각적으로 장악하고 있었던 미 국영화적 이미지와 그에 결부된 근대성을 향한 상상과 욕망은 신문소설 의 서사에 개입되는 가장 큰 당대적 요소였다. 신문소설과 미국영화는 미 국영화의 미장센과 여배우의 스타일을 적극적으로 모방했던 한국영화보 다도 더 미국영화적 삶의 세계, 혹은 인간이해 방식을 모방한 흔적이 역력 하다. 1950년대 신문소설은 한국에 상영된 미국영화와 텍스트적인 영향 관계를 형성한다는 점에서 텍스트 상호교차를 중심으로 미디어의 성격을 규정할 수 있을 것이다. 특히 대중서사의 중심인 연애와 관련하여 스펙터 클을 구성하는 방식은 미국영화적 미국문명을 이상화하는 사회적 상상을 제안한다는 점에서 주목할 만하다. 미국영화 관람은 영화관람과 함께 도시 자체를 스펙터클로서 경험하는 과정이었다. 게다가 가장 인기있는 미국영화는 대부분 연애서사를 중심 이야기로 삼고있어 연애가 일상적인 삶의 과정으로서는 어떤 절차와 경 험들로 구성되는 것인지를 알려준다. 미국영화에서 다루는 연애의 공간 적 체험은 그대로 ``데이트``나 ``아베크``라는 말들을 구체화하면서 연애를 실 감의 세계로서 일상화한다. 신문소설은 미국영화의 시각적 체험이 제안 하는 화려한 키쓰신 만큼이나 데이트라는 과정을 연애의 내용으로 인식 하게 함으로써 연애의 구체적 상을 마련해준다. 더불어 서구 고전음악이 나 소설을 감상하는 행위 자체를 연애와 연결시키면서 연애/문화체험을 스펙터클로 만들어버린다. 나아가 미국영화를 감상하고, 음악다방에서 서구 고전음악을 들으며 서구 고전 작품에 해당하는 소설을 읽는 행위는 문화체험인데, 그 자체로 ``교양``으로서 상품이 되기도 한다. 이런 서구문 화는 함께 감상하고 공감하는 과정을 연애로 구성함으로써 연애를 실감 적 세계로 구성하고 교양화한다. 이 두 가지 스펙터클적 효과는 미국영화 적 시각성과 신문소설의 상세한 리얼리티가 교차할 때만이 극대화되는 것이다. 가장 인기있는 신문소설 작가였던 정비석을 비롯하여 안수길, 장 덕조 등은 미국영화의 시각적 경험을 신문소설의 서사로 재현하여 소설 을 시각화/공간화한다. 이는 근대적 주체, 근대적 심성구조로 연결되어 욕 망을 인정하는 사회적 상상의 구조를 만들어낸다. 자본주의적 삶의 방식, 근대적인 삶의 방식의 가장 기본적인 특성은 욕 망의 주체를 개인성으로 인정하는 문제이다. 시각화는 감각적 주체를 통 해 욕망을 인정하는 방식으로 ``개인성``을 구축한다. 이 개인성 인정의 구 조는 다원주의적 상상이 가능한 민주주의의 인식적 토대이기도 하다. 내 면으로부터 개인성을 구축하는 계기로서 시각화는 연애를 문화체험으로 구성함으로써 욕망-연애를 교양과 연관시킬 수 있게 한다. 그런데 연애를 성적 사건으로 속화시키지 않고, ``교양``적 문화체험으로 재해석하는 것은, 서구 문화를 체험하는 행위 자체를 ``교양``으로 사물화하는 교양담론의 통 속화라는 댓가를 치루기도 한다. 1950년대 한국사회의 사회적 상상이 욕 망과 교양을 무차별적으로 공인하는 구조 속에서 형성되었다면, 미국영 화와 신문소설이 상호 교차적으로 텍스트화되어 대중문화를 조율/통제했 던 상황과 무관하지는 않을 것이다. A serial story in the newspaper is closely connected to the newspaper as the media. And it was important that a serial story in the newspaper delt with the social problems. Especially, the newspaper in the 1950s` formed the public opinions. The famous writer, Cheong Bi-seok wrote the novel thinking of the role of the newspapers. Therefore, his novels were criticized for the popular litterature. The visual experience of American Films was important for dealing with the social ploblems in a serial story in the newspaper. Because American Films was the most fantastic image and the best sources of the mass media. Most people in Seoul imagined the society baced on the American Films. The crossover interaction between American Films and a serial story in the newspaper is necessary for researching novel in the 1950s`. Owing to the visual experience of American Films, a serial story in the newspaper was visualized, and visualization brought about the subject of modern sensitivity and the love affairs of the cultural experiences. These narrative features mean the social structure that accept the variety of subject. And these are connected to the democratic society.

수돗물불소농도조정사업에 대한 제주시 서부지역 주민의 인식과 사업지지에 미치는 요인

이선미 ( Sun Mi Lee ),강승훈 ( Sung Hoon Kang ),이은경 ( Eun Kyoung Lee ),박순희 ( Soon Hee Park ),배광학 ( Kwang Hak Bae ),김진범 ( Jin Bom Kim ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3

Objectives. The study sought to identify factors among residents in the western area of Jeju, Korea that would increase support for an adjusted water fluoridation program. Methods. Questionnaires were distributed to the parents of schoolchildren in the western area of Jeju in 2005. Responses were collected from 1,381 residents. The questionnaire items were related to the water used for drinking and for cooking, knowledge of the issue, caries prevention effect and safety of fluoridated water and approval of water fluoridation. All collected data were analyzed using the SPSS 14.0 program. Results. Of the residents, 55.1% used public tap water for drinking and 88.2% for cooking. The majority of the residents (73.7%) were aware of the caries prevention goal of the fluoridation program with the 65.4% recognizing the safety of the program. 67.3% of residents approved the program`s implementation. The approval rate of residents being aware of the program`s implementation was 2.4 times compared to residents being unaware of the program`s implementation. The approval rate of residents recognizing the caries preventive effect of the program was 9.9 times compared to residents misunderstanding the caries preventive effect of the program. The approval rate of residents recognizing the safety of the program was 2.7 times compared to residents misunderstanding the safety of the program. Conclusions. In order to secure residents` approval for the continuation of an adjusted water fluoridation program, the education for the benefits of water fluoridation on caries prevention and the safety of fluoridation should be reinforced.

구강기능향상을 위한 프로그램시행 전,후 구강기능의 변화

이선미 ( Sun Mi Lee ),조은별 ( Eun Pyol Cho ),황윤숙 ( Yoon Sook Hwang ),강부월 ( Boo Wol Kang ) 한국치위생과학회 2011 치위생과학회지 Vol.11 No.6

The purpose of this study was to examine the effect of a program geared toward improving elderly people`s oral function. After a program was provided to the selected elderly people free of charge for three months, they were asked to rate their own oral function to see whether they underwent any changes after their participation in the program, and their oral function was tested to obtain objective data. The collected data were analyzed by the statistical package SPSS WIN 18.0. The findings of the study were as follows: As for changes in their self-rated indicators of oral function, they faced less troubles in most of the oral function items after they participated in the program, and there were statistically significant differences in some of the items. As a result of making an objective evaluation of their oral function, they underwent a little change in salivary flow rate from 1.19 to 1.30, though the change was not statistically significant. In terms of opening, they showed a statistically significant rise of scores from 4.22 to 4.53, and they also showed a statistically significant rise of scores in pronunciation from 30.52 to 38.88. Regarding satisfaction with the program, they gave 4.48 to the program, which implied that they were greatly satisfied with the program. The abovementioned findings suggest that oral health experts and program providers should try to encourage elderly people to keep on taking oral health programs with interest. Currently, oral exercise programs are conducted in some public health centers and in the field of clinical dentistry, and it`s required to offer more oral exercise programs as community exercise programs for the elderly

구조방정식을 이용한 치과위생사의 전문직업성, 자기효능감이 직무만족에 미치는 영향

이선미 ( Sun Mi Lee ),김수화 ( Soo Hwa Kim ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.3

This study aims to figure out the effects of dental hygienists`` professionalism and self-efficacy on job satisfaction using structural equations. This research conducted a survey to 616 study subjects. According to the analysis using SPSSWIN 18.0 and AMOS 20, the results are as follows : 1. It was shown that the dental hygienists`` professionalism gained 3.34 points, self-efficacy was 3.76 points, and job satisfaction received 3.36 points. 2. It was found that as their age was higher, educational degree was higher, they were married, and working experience was more, their professionalism, self-efficacy, and job satisfaction were higher, which showed statistically significant difference. 3. Regarding the study model, there was positive effect as the correlation coefficient of professionalism and self-efficacy was .69, that of professionalism and job satisfaction was .33, that of self-efficacy and job satisfaction was .59. In other words, there was correlation between professionalism and self-efficacy. When self-efficacy was higher than professionalism, job satisfaction also increased. Job satisfaction is affected by various environments within an organization and each individual``s internal factors. The reason why job satisfaction is important is that along with the medical service quality and productivity, it is also associated with dental hygienists`` individual life quality. In order to cope with this changeful time, it is needed for an organization to make efforts for change to enhance dental hygienists`` job satisfaction, and also it is necessary to make endeavors so that dental hygienists can have confidence in their job and their professionalism and self-efficacy can be improved.