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.

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.

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.

일부대학 치위생과 졸업생의 근무경력, 근무기관별 취업 시 고려사항 및 임상치위생계의 개선사항

이선미 ( Sun-mi Lee ),전미경 ( Mi-kyoung Jun ),이정화 ( Jung-hwa Lee ) 한국치위생학회(구 한국치위생교육학회) 2018 한국치위생학회지 Vol.18 No.3

Objectives: The purpose of this study was to provide basic data on the current status and ways to improve the dental hygiene society by investigating working conditions, working experience, dental institution types among some dental hygienists, and ways to improve the dental hygiene society. Methods: This study conducted an online survey to 450 graduates of the department of dental hygiene in colleges in Gyeonggi, Jeolla and Gangwon Provinces. This study got some help in securing the list of graduates from the heads of the departments. SPSS WIN 23.0 was used to analyze the data. Results: To questions on what is the most important thing in considering to apply for jobs, the highest proportion (39.1%) of respondents designated employee welfare, followed by improvement of clinical dental hygiene (34.0%), of welfare related contents (26.0%), and salary (19.5%). In the relationship between employee welfare and dental institution type and between employee welfare and work experience, employee welfare tend to rise with the increase of work years. In the relationship between the director and staff members, it was found that as work years accumulate, the relationship tends to decrease. The dental clinic with no more than five staff members showed the best relationship between the leader and co-workers, while employee welfare was the highest in the other types of clinics, and the differences were statistically significant. Conclusions: Dental hygienists need to make various efforts to improve their statuses as professionals. In order to secure a part of professionalism, it is necessary for them to make more efforts to realize the health-care professionals being promoted by the Dental Hygienists Association of Korea.

시민참여로서의 자원활동 - 참가의 동기와 결정요인을 중심으로 -

이선미 ( Sun Mi Lee ) 한양대학교 제3섹터연구소 2003 시민사회와 NGO Vol.1 No.1

객체지향 모형 간 일관성 검증을 지원하는 CASE 도구 설계 및 구현

이선미(Sun Mi Lee),전진옥(Jin Ok Jeon),류재철(Jae Chol Ryou) 한국정보처리학회 1999 정보처리학회논문지 Vol.6 No.11

A deductive database consists of facts being the extensional database and rules being the intensional database. Because of the difficulty of evaluating rules, many parallel evaluation algorithms for rules have beeen presented. But we hvae not gotten an acceptable result. This paper proposes a new methoddology to evaluate proof-theoretic meaning of the linear recursion rule which contains transitive dependency by using a shared-nothing parallel architecture. At first, we prove that there exists the equivalent expression for a linear recursion rule, design the algorithm for evaluating the linear recursion rule based on the equivalent expression, and finally analyse performance of the proposed algorithm.

생강(Ginger) Essential oil의 휘발성 향기성분 분석 및 미백, 항균효과에 관한 연구

이선미(Sun-Mi Lee) 한국화장품미용학회 2019 한국화장품미용학회지 Vol.9 No.3

Spices containing flavor components began to be used since the primitive hunter-gatherer societies approximately 50,000 years ago, to remove spoilage odors in meat or preserve it for a long time. Recently various biological effects of volatile flavor ingredients contained in the natural spices have been investigated in scientific fields. Ginger, one of the most common spices, is broadly used as a food material in most of countries including Korea. However, it is relatively unknown if ginger is of value as a functional material for cosmetics. Therefore, inhibitory effect of ginger essential oil on melanogenesis was examined, and the flavor component analysis was also performed by GC-MS, in order to estimate components with strong potential to block activation of melanogenesis. As a result, α-MSH-induced melanin synthesis and secretion was significantly decreased in ginger essential oil-treated B16F10 cells in dose-dependent manner, which suggest that ginger essential oil has strong whitening effect. Totally 177 volatile components were detected in GC-MS, in which only 42 components had peak area higher than 0.3% each in chromatogram and they account for 90.7% of the essential oil. The most abundant components were α-Curcumene, 1,3-Cyclohexadiene, norbornane, sabinene, β-Bisabolene, showing the peak area 16.17, 13.91, 8.56, 6.80, and 6.31%, respectively. There were several known anti-melanogenic or anti-oxidative components in ginger essential oil. Based on that flavor or fragrance molecules contained in essential oils are small hydrophobic molecules with high level of skin penetrance, this study suggests that ginger essential oil could be a valuable functional material for cosmetics.

황금, 황련, 황백 및 어성초 추출물을 함유한 피부 개선 화장품 조성물

이선미(Sun-Mi Lee),박규열(Gyu-Ryeul Park) 한국화장품미용학회 2017 한국화장품미용학회지 Vol.7 No.2

In our modern society, high level of economic growth and extension of human lifespan have led people to make efforts to maintain their health and be concerned about beautiful and healthy skin. Although various types of cosmetics are being developed and released to satisfy these customers needs, use of essential additives such as emulsifiers and preservatives seems inevitable, considering that the cosmetics are produced through physico-chemical processing of various chemical components and fragrances. Since dangers of these additives have begun to be proved, the maximum permissible amount of them is specified. Nevertheless, the general standards for the hazardous components can still lead expression of symptoms or aggravation of the diseases in sensitive skin or skin diseases. Therefore, it is important to develop the products with safety and effectiveness for continuous use and the symptom relief. Natural herbs used in oriental medicine have a high value as the cosmetic materials, as their excellent benefits such as antiseptic or antimicrobial properties have been reported in several industrial fields including cosmetics and foods, as well as their positive image. In this study, we have examined antioxidative effect of water and ethanol extracts of four natural herbs, Scutellariae radix, Coptidis rhizoma, Phellodendron amurense, and Houttuynia cordata. They all showed a significant antioxidative effect in a dose-dependent manner, and it suggested their potential as the functional ingredients that protect the skin cells from oxidative stress. We expect that further investigation on their anti-inflammatory and anti-microbial effect will provide a strong possibility that they could be used as the active ingredients of functional herbal cosmetics to improve atopic dermatitis.