한방병원 근무 한방수련의의 기본심폐소생술에 대한 태도와 교육 효과

김미경,서준석,이승철,이정훈,도한호,한창호,Kim, Mi-Kyung,Seo, Jun-Seok,Lee, Seung-Chul,Lee, Jeong-Hun,Do, Han-Ho,Han, Chang-Ho 대한한방내과학회 2010 大韓韓方內科學會誌 Vol.31 No.4

Objectives : To save the lives of patients with cardiac arrests, CPR must be performed rapidly and precisely. Regarding its critical necessity, there is a growing tendency to encourage whomever witnesses the cardiac arrest to perform basic CPR. However, the attitude toward basic CPR nor its current state of education in Korean Oriental Medical arena, which is one of the dual axes unique to Korean medical system, are not known. This is a kind of pilot study to research attitudes toward and the educative effect of basic CPR among oriental medical doctors in Korea. Methods : We carried out surveys and tests targeting nineteen apprentice doctors working in Dongguk University Ilsan Oriental Hospital, who were receiving training for 'AHA BLS course for healthcare providers', on the attitude toward and educative effect of basic CPR before and after the education. Results : The pre-educational survey showed that most of the participants felt the necessity to be trained in the BLS course, were not confident about performing CPR, and not well-acquainted with the whole process of performing CPR. After education, however, none of them responded with a lack of confidence to perform basic CPR, and the score of the confidence to perform basic CPR was significantly increased, too (from $2.05{\pm}0.71$ to $4.05{\pm}0.40$, n=19, p<0.001). Moreover, all of them answered they were satisfied with this BLS course, and it aroused their sense of responsibility as oriental medical doctors. All the participants passed the exam, and their average score for BLS scheme performance was $28.2{\pm}1.3$. Conclusions : It is necessary, in the future, to set up a management system for intensive, regular and continuous reeducation and expand the research on the perception and attitude targeting larger numbers and more multilevel groups of oriental medical doctors.

당근과 시금치 저장에 있어서 자몽종자추출물의 항균효과

김미경,박미숙,최선욱,박해룡,황용일,Kim Mi-Kyung,Park Mi-Suk,Choi Sun-Uk,Park Hae-Ryong,Hwang Yong-Il 한국생명과학회 2005 생명과학회지 Vol.15 No.1

In order to preserve the freshness of vegetables and to reduce the rate of decay, grapefruit seed extract (GFSE), a natural microorganism growth inhibiting agent, was applied during the preservation process of heat treated carrot and spinach. To investigate synergic effect of heat and GFSE treatment, carrots and spinaches were treated with or without 10 ppm of GFSE at $70^{\circ}C$. Surface color, texture and microbial counts of the samples were measured during storage at $4^{\circ}C$. GFSE showed an effective inhibitory activity against aerobic bacteria and yeast which might be involved in the decay of vegetables. Heat treatment at 2 min at $70^{\circ}C$ could also well preserve the color and texture of the vegetables. From the results, optimal concentrations of GFSE were 10 ppm and 50 ppm with heat treatment of 2 min $70^{\circ}C$ for the growth inhibitory effect to aerobic bacteria and yeast and preservation of color and texture. 본 연구에서는 천연 항균제 CFSE를 이용하여 적절한 온도 하에서 당근과 시금치의 저장성 향상에 대한 효과를 보았다. 먼저, $70^{\circ}C$ 및 $90^{\circ}C$에서의 당근과 시금치의 열처리에 대한 영향과 아울러 GFSE 첨가시의 효과에 대한 예비 실험을 실시한 결과, 당근과 시금치의 경우 CFSE첨가에 관계없이 $70^{\circ}C$에서 2 분간 열처리하였을 때 비교적 정상적인 색상과 texture유지 및 미생물의 생육억제 가능성을 나타내었다. 이들 예비실험으로부터 이후 열처리는 $70^{\circ}C$에서 고정하고 GFSE의 농도별 영향을 실시한 결과, GFSE를 10 ppm 이상 첨가한 경우 당근이나 시금치 모두 $4^{\circ}C$에서 저장 17일까지 호기성세균 및 yeast의 성장을 억제하는 효과를 보였으며 특히 50 ppm 이상에서는 뚜렷한 억제 효과를 보였다. 당근과 시금치의 다양한 농도의 GFSE 첨가와 아울러 $70^{\circ}C$ 2 분간 처리는 이미 1차 실험에서와 같이 색상 및 조직의 연화에는 영향이 없었다. 그러므로 잔류독성 문제가 대두되고 있는 화학 항균제가 아닌 천연 항균제 GFSE를 활용한 과일과 채소류의 저장성을 높인 상품을 개발함으로서 소비자들에게 호응을 얻을 수 있는 식품으로써의 개발이 가능할 것이다.

정체 수역 내에서 미세조류의 생리생화학적 분석에 의한 수화발생 잠재력 탐색

김미경,신재기,지홍기,Kim, Mi-Kyung,Shin, Jae-Ki,Ji, Hong-Ki 한국조류학회(藻類) 2005 ALGAE Vol.20 No.2

Algal growth potentials were probed by algal growth rates, maximal PSII quantum yields and ATP amount as well as dry weights of algae to evaluate the water fertility due to the algal growth in the stream (CT) and stagnant watershed (WW). Oscillatoria agardhii (CY) and Coelastrum reticulatum (CH) were cultured in nitrogen (N) and phosphorus (P) starvation media (CH-10 medium) and re-inoculated in CT and WW for 7 days. Cell division rates of CY were the highest (k = 7.5) in WW after N starvation, while those of CH were the hight (k = 2.97) in WW after P starvation. The growth of CY was limited by P, while that of CH was by N. Conversely, maximal PSII quantum yields of CH were generally higher than those of CY in CT and WW according to culture time. CY was much more sensibly adapted than CH according to the variations of nutrient amounts in WW. The water fertility was much higher in WW than in CT. The potential assessment tool for water fertility will be able to compensate for the limit of physio-chemical analyses and to be applied as a monitoring system to forecast red-tide.

당뇨병성 방광병증으로 진단된 배뇨장애 환자 치험 1례

김미경,김보람,김용형,최동준,한창호,정승현,신길조,이원철,Kim, Mi-Kyung,Kim, Bo-Ram,Kim, Yong-Hyung,Choi, Dong-Jun,Han, Chang-Ho,Jung, Seung-Hyun,Shin, Gil-Jo,Lee, Won-Chul 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.4

There's a case of a 74-year-old male patient who was recommended urethral catheterization because of voiding problem which is diagnosed as diabetic cystopathy. According to the Differentiation of Symptoms(辨證), we classified his situation as kidney yang deficiency (腎陽虛衰), prescribed Uchasingi-hwan(牛車腎氣丸). and treated with moxibustion and electroacupuncture. After nine days of such treatments, he started voiding himself without catheterization, and the volume of residual urine decreased. So we report this case.

중풍 환자의 NIHSS에 따른 중풍 변증 분형 분포의 특성 연구

김미경,양나래,최동준,한창호,Kim, Mi-kyung,Yang, Na-rae,Choi, Dong-jun,Han, Chang-ho 대한중풍순환신경학회 2009 대한중풍.순환신경학회지 Vol.10 No.1

Objectives : This study was aim to investigate the relationship between NIHSS and distribution of pattern identification in stroke patients. Methods : 1471 participants from the patients hospitalized for stroke within 4 weeks from April 2007 to August 2009 were included. They were grouped according to the NIHSS score; group 1 for the participants whose NIHSS were less than six, group 2 for seven to fifteen, and group 3 for over than sixteen. And the patients were re-divided into two groups according to their post-onset interval. The difference of distribution of five pattern identification for each group were investigated. And five pattern identification were re-analyzed according to the deficiency-excess pattern identification. K-W test was used for statistical synthesis, and the result was regarded as significant one, if its p-value was below 0.05. Results : Dampness-phelegm pattern was the most frequent out of five patterns in total participants as well as all the subgroups. In group 3 with more serious neurological deficit, larger proportion of patients in early acute stage was diagnosed as excess pattern including Fire-Heat pattern. On the other side the proportion of Deficiency of Qi and Yin was larger in late convalescent stage of group 3 than in other groups. But nothing was statistically significant. Conclusions : Further study including patients with more variant classification with follow-up evaluation is needed to reflect the real characteristics of stroke population.

논문편 : 석고법에 의한 남성 상반신 체표면변화에 관한 피복인간공학적 연구

김미경,김혜경 ( Mi Kyung Kim,Hae Kyung Kim ) 대한가정학회 1992 Family and Environment Research Vol.30 No.3

한의과대학생 대상 기본심폐소생술 교육 효과: 태도, 지식 및 술기 영역에서

김미경,서준석,이승철,박희옥,한창호,Kim, Mi-Kyung,Seo, Jun-Seok,Lee, Seung-Chul,Park, Hee-Ok,Han, Chang-Ho 대한한방내과학회 2013 大韓韓方內科學會誌 Vol.34 No.2

Objectives : Basic life support (BLS) is considered one of the essential clinical skills medical students should master. Nevertheless, neither the current state of education nor the educative effect of and attitudes toward BLS in Korean medical students have yet been reported. The aim of this study was to examine the educative effect of BLS training for Korean medical students in terms of attitudes, knowledge, and skills. Methods : Surveys concerning attitudes toward BLS and its education, and tests for knowledge and scheme performance were conducted with 85 students in a college of Korean medicine under training for American Heart Association (AHA) BLS course for healthcare providers. Results : Before training, 70.6% of students answered they felt the necessity to be trained in the BLS course. The levels of confidence to perform and self-presumed knowledge on BLS were low at first. After training, however, the level of confidence and knowledge increased significantly. In the final test, the mean scores of written test and scheme performance significantly decreased, while the level of confidence didn't. Most of the participants answered they wanted to be re-trained under regular re-education system. Conclusions : To evaluate the current state of BLS education and its educative effect in Korean medical schools, it's required to expand the target of research to larger number of colleges and students over the country.

경상남도 함안군, 법수늪의 식물플랑크톤 군집구조의 양상

김미경,Kim, Mi-Kyung 한국조류학회(藻類) 2008 ALGAE Vol.23 No.3

The structure of phytoplankton community was studied for one year round at 6 stations in the Beopsu Marsh, Haman-gun, Gyeongsangnam-do, Korea. One hundred seventy-eight taxa (69 taxa belonging to Chlorophyta, 55 taxa to Bacillariophyta, 33 taxa to Cyanophyta, 15 taxa to Euglenophyta, 2 taxa to Rhodophyta, 2 taxa to Dinophyta and 1 taxon to Xanthophyta) were observed. Phytoplankton bloom occurred at the staions 2, 3 and 4 where waters were polluted by sewage and treated water of purification plants from the vicinity. The species diversity index of phytoplankton was the lowest (0.66) in November at the station 3, which the station showed the most eutrophic water due to the diverse pollutants from surroundings of the marsh. For the whole seasons, Fragilaria sp. and Euglena sp. appeared in pollutant water at the station 3, while Cyclotella sp. and Pinnularia sp. inhabited in relatively clean water at the station 5. To reserve the natural treasure, the wetland should be more specially managed by a local governing institution.

울릉도 연안 수심 1500 m에 서식하는 해양미생물군집의 분포

김미경,강용호,Kim, Mi-Kyung,Khang, Yongho 한국미생물학회 2012 미생물학회지 Vol.48 No.4

울릉도 연안의 심해(1500 m)에 서식하는 미생물의 다양성을 조사하였다. Ultramembrane filter를 사용하여 해양미생물을 여과한 다음 미생물군집 DNA를 정제하여 16S rDNA를 증폭하였다. Pyrosequencing 방법으로 염기서열을 분석한 결과 총 13,029 reads를 얻었으며, 이중에 54.1%가 uncultured bacteria, 23.4%가 alphaproteobacteria, 22.3%가 gammaproteobacteria이었고 flavobacteria, actinobacteria, epsilonproteobacteria 등이 0.2%이내에서 분포하고 있었다. 울릉도 지역의 해양심층수에서 배양이 가능한 것으로 알려진 미생물로서는 alphaproteobacteria의 Rhodobacteraceae과 (family), gammaproteobacteria의 Alteromonadaceae, Halomonadaceae, Piscirickettsiaceae과가 주로 분포하였다. Microbial diversity in the 1500 m depth sea waters off the coast of Ulleung island of the East Sea, Korea, was investigated. Genomic DNAs were extracted directly from the marine microbes filtered through ultramembrane filters. Pyrosequencing of 16S rDNAs of these microbes resulted in 13,029 reads, of which uncultured bacteria consisted of 54.1%, alphaproteobacteria 23.4%, and gammaproteobacteria 22.3%. Other classes such as flavobacteria, actinobacteria, and epsilonproteobacteria were distributed within 0.2% of total reads. Among the cultivable bacteria, it was found that Rhodobacteraceae family of alphaproteobacteria, Alteromonadaceae, Halomonadaceae, and Piscirickettsiaceae families of gammaproteobacteria were mostly distributed in the deep-sea waters.

주문식 교육을 위한 산업 · 환경공학부 교재 개발 (pp.42-51)

김미경(Mi-Kyung Kim) 한국환경관리학회 2001 한국환경관리학회 학술연구발표회 논문초록집 Vol.2001 No.7