중복 장애 환아의 전신마취 하 치과치료

이은경(Eungyung Lee),김지연(Jiyeon Kim),김신(Shin Kim),정태성(Taesung Jeong) Asia association of Disability and Oral health 2017 대한장애인치과학회지 Vol.13 No.2

Sedation or general anesthesia is often required to offer dental treatment to patients with special needs. However, patients with ASA classification of III or higher are not indicated for moderate sedation and might be exposed to danger when treated at outpatient dental clinic. For this reason, it is recommended to treat those patients under general anesthesia. The dental team can supervise and monitor the whole procedures during treatment with an appropriately equipped facility. This case report describes the dental treatment of a 7-year-old girl with multiple disabilities. Preoperative evaluation including medical consultation was carried out thoroughly and dental treatment was performed under general anesthesia safely.

Space Management of a Child with Autism Having Compromised Permanent First Molar: A case report

Haena Lee,Jonghyun Shin,Taesung Jeong,Eungyung Lee Asia Association for Disability and Oral Health 2021 대한장애인치과학회지 Vol.17 No.1

Autism is a developmental disorder characterized by persistent impairment in reciprocal social interaction and restricted, repetitive patterns of behavior. Its distinctive behavioral features make it difficult to maintain oral health and to get cooperative dental treatments for patients with autism. This report describes space management of a child with autism. The dental treatment was performed under general anesthesia, and the immature right permanent mandibular first molar was extracted due to dental caries. After 2-year follow-up, the right mandibular second molar erupted into the first molar space and the tooth bud of the right mandibular third molar has been developed favorably.

대형 옹관의 보존처리 과정과 이를 활용한 개방형 수장고의 운용

곽은경,이혜진,유소현 국립중앙박물관 2018 박물관보존과학 Vol.19 No.-

이 논문은 국립나주박물관에서 진행했던 대형 옹관의 복원과 활용에 대해 고찰한 것이다. 처리 대상 소장품은 나주 복암리 3호분에서 출토된 것으로, 높이 194cm, 구연부 지름 108cm의 중량급 옹관이다. 복원 전에는 약 40여 개의 조각으로 분리된 상태였고, 복원 기간 동안 유물의 안전을 확보하기 위하여 전용 지지대를 제작했다. 복원 기간은 2018년 2월 5일부터 2월 27일까지 약 3주간 보이는 옹관 수장고에서 진행했다. 이 기간 중 약 2주 동안 진행 과정을 관람객이 직접 볼 수 있도록 상설전시의 하나로 공개했다. 이를 통해 일반 관람객에게 ‘옹관’이라는 대형 유물과 이를 복원하는 작업에 대한 이해와 흥미를 유발하고자 했다. 또한 보존과학 업무 홍보에 대한 국외사례를 조사하여, 보존과학센터 설립과 맞물린 홍보 방안을 고민해 보았다. This paper describes the restoration and display of a large jar coffin at the Naju National Museum. Excavated from Tomb No.3 at Bokam-ri, Naju, the large jar is 194cm in height and its rim diameter is 108cm. The jar had been broken into approximately forty fragments prior to its restoration, and a supporting structure was installed to ensure the safety of the relic during the restoration process. The restoration was conducted inside a visible storage for large jar coffins for approximately three weeks from February 5 to February 27, 2018. Over two weeks during this period, the restoration efforts inside the storage were visible to the public in the permanent exhibition space so that visitors could observe the process in person. This was planned to help visitors understand and arouse their interest in large-sized relics such as jar coffins and the restoration process. This study also investigates the practices of overseas institutions in order to suggest plans for raising public awareness of conservation treatment at conservation science centers.

완도 관음사 목조보살좌상의 제작 방법

곽은경,이혜진,유소현,손종민 국립중앙박물관 2017 박물관보존과학 Vol.18 No.-

이 연구는 전남대학교박물관 소장 완도 관음사 목조보살좌상의 제작 방법에 대해 과학적 분석 결과를 바탕으로 고찰한 것이다. 전체 형태를 이루는 목부재의 X선 투과 촬영과 표면층 시편의 성분 분석 및 미세 관찰을 통하여 제작 방법상의 특징을 연구하였다. 관음사 목조보살좌상은 발원문을 통해 조선 전기인 16세기에 제작된 것임을 정확하게 알 수 있다. 이 유물을 X선 투과 촬영한 결과, 오른손을 제외한 부분을 하나의 나무로 제작한 '일목조'임을 알 수 있었다. 그리고 자연적으로 박락된 표면층 시편을 분석한 결과 제작 당시의 개금층을 후대에 황동 재질로 보수하였다는 사실을 확인할 수 있었다. 이와 같은 특징을 통하여 관련 연구에 대한 흥미로운 사례를 추가할 수 있었고, 해당 유물의 학술적 가치를 재확인할 수 있었다. This study is based on a scientific analysis of the production method of the wooden seated Bodhisattva statue from Gwaneumsa Temple in Wando, which is currently housed at Chonnam National University Museum. The purpose was to investigate the characteristics of the statue’s production through an X-ray inspection of the wooden timbers that make up its base material, a composition analysis of the surface layers, and microscopic observation. The votive prayers found together with the statue allowed the precise dating of the artifact to the sixteenth century, during the Joseon Dynasty. The X-ray transmission identified the statue as being made using the "ilmokjo"(—木造) technique, which means that the entirety of the statue excluding the right hand was produced using a single block of wood. The specimen analysis of the naturally exfoliated surface layer revealed that the current surface was coated with brass to restore the original gilt layer. These research findings added an interesting case to the existing related research and reaffirmed the academic value of this statue.

직무요구-자원모델에 기반한 병원간호사의 잡크래프팅이 조직유효성에 미치는 효과

이은영(Lee, Eun Young),김은경(Kim, Eungyung) 한국간호과학회 2023 Journal of Korean Academy of Nursing Vol.53 No.1

간호근무환경이 병원간호사의 재직의도에 미치는 영향: 경력동기와 직업존중감의 이중매개효과

이유나(Lee, Yu Na),김은경(Kim, Eungyung) 한국간호과학회 2023 Journal of Korean Academy of Nursing Vol.53 No.6

간호관리 분야 연구의 미래 조망: 간호행정학회지 게재 논문분석을 중심으로(2012-2021)

김은경(Kim, Eungyung),조성현(Cho, Sung-Hyun),김지현(Kim, Jihyun),김종경(Kim, Jong Kyung),이은희(Lee, Eunhee) 한국간호행정학회 2023 간호행정학회지 Vol.29 No.5

Purpose: To examine the characteristics, core variables, and their correlations in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) from 2012-2021 and suggest future directions for nursing management research. Methods: A total of 506 articles were analyzed according to study design, participants and setting, statistical methods, keywords, and core concepts and variables. Results: Quantitative research accounted for 73.5%, and most participants were staff nurses (66.8%) and nursing students (9.1%). Furthermore, 318 studies (62.8%) conducted surveys, and settings were mainly acute hospitals(81.5%) and nursing schools (9.7%). Statistical methods for data analysis included independent t-test (81.2%), one-way ANOVA (77.2%), Pearson correlation coefficients (77.2%), post-hoc testing (74.3%), and linear regression(65.9%). Among 2,058 keywords, the most frequent were “nurses” (49.2%), “job satisfaction” (10.7%), and “personnel turnover” (9.1%). The most frequently core concepts were job satisfaction (10.5%), turnover intention(9.5%), organizational commitment (8.5%), and job stress (7.5%). The most frequently variables with significant correlations were turnover intention, work environment, job satisfaction, job stress, burnout, and emotional labor. Conclusion: Most JKANA studies examined nursing-related outcomes and performance. Future research should examine the effects of nursing practice and policy on patient outcomes.

STEAM(융합인재교육)활동이 유아의 과학과정기술과 문제해결력에 미치는 영향

이수기(Suki Lee),윤은경(Eungyung Yun) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.5

본 연구의 목적은 STEAM(융합인재교육)활동이 유아의 과학과정기술과 문제해결력에 미치는 효과를 알아보는데 있다. 연구대상은 G시에 소재한 S어린이집과 H어린이집의 만 5세 유아 34명으로 실험집단 17명과 통제집단 17명 이었다. 실험집단은 8주 동안 STEAM 활동에 참여하였고, 통제집단은 일반적인 과학활동에 참여하였다. 연구절차는 예비연구, 사전검사, 실험처치, 사후검사의 순으로 이루어졌다. 연구결과는 다음과 같다. 첫째, 실험집단은 전체 과학과정 기술에서 통제집단보다 유의미하게 점수가 높은 것으로 나타났다. 둘째, 실험집단은 전체 문제해결 능력에서 유의미하게 점수가 높은 것으로 나타났다. 이러한 결과는 유아의 STEAM 활동 경험이 유아의 과학과정기술과 유아의 문제해결 능력 향상에 효과적인 교수학습방법이 될 수 있다는 것을 제안한다. The purpose of this study was examine the effects of STEAM(Science-Technology-Engineering-Art-mathematics) activities on young childrens scientific process skill ability and problem solving ability. Subjects were 34 five-year-old young children from S and H child care centers located in G city. Subjects were divided into an experimental(n=17) and a control group(n=17). The experimental group took part in the STEAM activities during 8 weeks, while the control group took part in the traditional science activities. The procedure for this study consisted of a pre-study, a pre-test, the treatment, and a post-test schedule. The results of this study were as follows: First, the experimental group showed significantly higher score than the control group in total scientific process skill ability. Second, the experimental group showed significantly higher score than the control group in total problem solving ability. These findings suggest that the experience of STEAM activities for young children can be effective teaching-learning methods for young childrens scientific process skill ability and problem solving ability

외배엽 이형성증 어린이의 구강 회복: 증례보고

이은경,김지연,김신,정태성,Lee, Eungyung,Kim, Jiyeon,Kim, Shin,Jeong, Taesung 대한장애인치과학회 2017 International Journal of Disability and Oral Healt Vol.13 No.1

본 증례에서와 같이 외배엽 이형성증 환자에서는 획일화된 치료 방법은 없다. 술자 입장에서는 기능적 또는 형태적으로 완벽한 장치가 아니라 할지라도, 외배엽 이형성증의 무치악 환아에게는 심미적 요구가 만족됨으로써 자존감을 드높일 수 있는 치료가 될 수 있다. 특히 외배엽 이형성증 환아는 어린 나이에 의치 장착을 시작하기 때문에 환자의 나이와 구강상태, 심미적인 요구 수준, 저작 방법 등 여러가지를 고려한 개별적 맞춤화 과정을 통해 치료방법을 찾는 것이 중요하다. 또한 환자의 성장에 맞춰 장치를 교환해주며 타 과와의 활발한 교류로 최선의 치료를 해주는 것이 추천되며, 술자와 환자 및 환자 보호자간의 충분한 대화를 통해 치료 방법을 신중하게 결정하는 것이 좋다. Ectodermal Dysplasia is a genetic disorder caused by the abnormal development of two or more structures derived from the ectodermal layer. As an aspect in dentistry, ectodermal dysplasia is characterized by hypodontia, conical or peg-shaped teeth, reduced salivary secretion and decreased vertical dimension. These unfavorable oral conditions make children to have difficulties with mastication, esthetics, and even in social activities. This case report presents an alternative oral rehabilitation treatment of a 4-year-old boy with ectodermal dysplasia. A removable space maintainer with artificial teeth in maxillary arch was delivered according to the initial treatment plan. However, the child failed to adapt the appliance because of his masticatory habit. Then a fixed-type space maintainer was delivered on the patient's esthetic demand and it restored function, esthetics and self-esteem of the patient. The treatment described here suggests that individually customized considerations are essential for the oral rehabilitation of a patient with ectodermal dysplasia.

유전치 Resin Infiltration을 위한 표면처리 방법의 대안

이은경,신종현,김지연,정태성,김신,Lee, Eungyung,Shin, Jonghyun,Kim, Jiyeon,Jeong, Taesung,Kim, Shin 대한소아치과학회 2018 大韓小兒齒科學會誌 Vol.45 No.2

Resin infiltration has been used as a treatment option for the management of early caries lesions recently. However, the etching procedure with hydrochloric acid might be somewhat stressful for the clinicians due to safety problem especially for young children, leading to less utility. This study aims at searching for some alternative surface pretreatment methods of resin infiltration for the early caries lesions in primary anterior teeth by comparing penetration depth of various methods. No significant difference was found in penetration ratio between etched surface with 15% hydrochloric acid and 35% phosphoric acid. However, the penetration ratio was significantly higher in groups pretreated either with dental pumice or abrasive metal strip (p < .05). By the result of this study, etching with phosphoric acid as an alternative of hydrochloric acid was thought clinically acceptable as a pretreatment method for resin infiltration in early caries lesions for primary anterior teeth. It was notable that surface conditioning with dental pumice or metal strip before etching was effective in increasing the penetration. This procedural modification might be much more correspondent with minimally invasive concept and hopefully contribute to increased safety and utility in pediatric dentistry. 본 연구는 유전치 순면의 백색병소에 대한 표면처리 방법에 따른 레진 침투법의 침투 깊이를 공초점 레이저 주사 현미경으로 조사함으로써, 유치의 초기 우식병소에 대한 레진침투법 적용 과정에서, 염산 이외의 대안적 표면처리 방법을 모색할 목적으로 시도되었다. 15% 염산 단독으로 2분간 산부식 한 대조군과 35% 인산 단독으로 2분간 산부식을 시행한 I군 간의 유의한 차이는 보이지 않았다. 하지만 이 두 그룹과 인산 산부식 전 치면세마용 퍼미스 또는 연마용 metal strip으로 표면 전처리를 한 그룹 간에는 레진 침투율에서 유의한 차이를 확인하였다(p < .05). 유전치 초기 우식 병소에 레진 침투법을 시행할 때에는 35% 인산 단독 산부식만으로도 15% 염산을 이용한 산부식에 비견할 만한 침투 효과를 보이는 것을 확인하였다. 또한 레진의 침투 효과를 높이기 위해서는 산부식 전 병소 표면에 기계적 마모술을 적용하는 것이 효과적인 방법이 될 수 있음을 보여주었다. 이러한 방법은 소아치과 영역에서 레진침투법을 사용하기에 비교적 안전하고 쉽게 활용할 수 있는 표면처리 방법이라 볼 수 있다.