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.

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.

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.

대학생들의 구강건강증진행위와 관련된 요인 연구

이선미 ( Sun Mi Lee ) 한국치위생과학회 2006 치위생과학회지 Vol.6 No.3

보육교사가 인식하는 보육현장에서의 보육교사 리더십

이선미 ( Sun Mi Lee ),변혜원 ( Hye Won Byun ),김혜리 ( Hye Rhee Kim ) 미래유아교육학회 2011 미래유아교육학회지 Vol.18 No.3

The purpose of this study was to explore what early childhood teachers say about teacher`s leadership in early childhood setting. The study was conducted by in-depth interview with seven early childhood teachers who were mainly worked in the early childhood field with more than three years of teaching experiences. By analyzing the interview data, the result indicated that early childhood teachers perceived leadership as facilitative and cooperative leadership. Teachers indicated that in the early childhood setting they used leadership to interacting with young children and maintain a good relationship with the parents. Moreover, teachers mentioned that support from director, co-workers helped them to use leadership in teaching and develop their leadership ability. However, teachers indicated that low expectation from the society, low paying, and lack of getting information and education related to the leadership was the main element to improve their leadership skill in early childhood setting.

예비보육교사의 보육실습 경험에 대한 질적 탐색

이선미 ( Sun Mi Lee ) 미래유아교육학회 2012 미래유아교육학회지 Vol.19 No.4

The purpose of this study was to examine four-week practicum experience for early childhood pre-service teachers and provide solution to improve the quality of early childhood practicum experience and develop early childhood teachers` professionalism. Twenty early childhood pre-service teachers were participated in in-depth interview with semi-structured questionnaires. The participant`s reflective journals were also analyzed to collect the date. According to the participants, early childhood practicum experience was useful to change their negative perception on early childhood field and teachers into positive one. The early childhood pre-service teachers were also able to gain professional knowledge and practical knowledge to care and teach young children through practicum experience. However because of the busy schedule of supervising teachers and sudden changes in daily practicum schedule the participants expressed difficulties. Moreover, lack of information to care and teach infants and toddles were mentioned as an another barriers. Thus, establishing more structured and well planned early childhood practicum system should be needed, and more teacher education opportunities to supervising teachers should be given to create advanced professional teaching experience to early childhood pre-service teachers.

`조국`의 지리적 경계로서 휴전선과 냉전의 심상지리 - 이은상의 『피 어린 육백리』와 냉전의 감각 -

이선미 ( Lee Sun-mi ) 배달말학회 2016 배달말 Vol.59 No.-

『피 어린 육백리』는 휴전선이 수려한 자연경관을 유지하는 국토의 한자락 이지만, 어느 곳이나 핏 자국이 어려있는 고난의 경험을 간직한 길임을 답사 하면서 확인하는 서사이다. 이 수난이 민족의 수난이기에 핏 자국은 거대한 희생을 치룬 증거가 되고, 휴전선 육백리를 걸어가면서 정의를 회복하기 위해 북한을 적으로 규정하고, 자유진영을 중심으로 `국가`의 관념을 재배치한다. 휴전선을 통해 국경을 상상하는 피 어린 육백리의 서사는 휴전선과 이북을 적으로 규정하면서 반공전선을 중심으로 구획되는 자유진영, 자유세계로 국가의 영역을 확장하는 국경인식을 구성한다. 휴전선을 통해 국가를 상상하는 것은 적대감을 통해 위기를 고착화하고, 전쟁을 준비하는 냉전의 감각으로 현실을 인식하는 것이다. 이은상의 기행문은 휴전선에서 벌어진 침략의 역사적 사건들을 겹쳐서 기억함으로써 고려와 조선과 중국의 경험들이 어우러져 적과 아를 구분하고, 그 경험 속에서 결코 타협하거나 공존할 수 없었던 적들의 모습을 북한과 겹쳐서 해석해낸다. 이은상 기행문의 역사적 기억은 휴전선 저편의 적이 어떤 대상인지를 비유적으로 상상하게 하며, 절대로 용서할 수 없는 대상임을 각성하게 한다. 또 북진론을 주장했던 맥아더의 전쟁론이 가장 애국적이며 필요한 정책임을 알려주며, 맥아더의 전술이 혈맹으로서 미국의 입장으로 생각하도록 유도한다. 이은상의 기행문은 단순히 휴전선 너머의 북한을 적으로 규정하고 자유진영을 구축하는 것을 넘어서는 것이다. 기행문의 서정적인 한시와 침략전쟁에 대한 비유적 동일시는 한국전쟁의 성격을 북한 괴뢰의 도발로 해석하고, 맥아더의 북진론 만이 혈맹으로서 자유진영의 전술이 어야 한다는 전쟁인식을 구체적으로 제시한다. This paper is a study about the conciousness of the Cold War represented in the travel narrative of Lee Eun Sang. The area around truce line has magnificent landscape. However, Lee wrote that the truce line is bloody way with the experience of the Korean war, describing magnificent landscape in the < Bloody Six Hundred-Li >. The way is filled with suffer. Because the way got bloody, Lee thought he have to recover justice while walking the truce line. And he imagined that he made an enemy, the North Korea. He formed the idea of nationa focused on the Free World. 『Bloody Six Hundred-Li』 is a narrative that imagines the nation based on the anti-Communist front and expands the area of the nation toward the Free World. This narrative remembers the history of invasion with overlapping. It remembered the history of Chinese invasion in that area near the truce line in Goryo and Joseon Dynasty. Therefore, the author imagined there was war between North and South Korea like the two ancient dynasty had war with China. Also, he described the North Korea as the same enemy. He mentioned the episode that described the a commander in Joseon Dynasty who argued in the side of continuing the war with Japan as the great one and overlapped with the commander Macarthur who insisted to attack North Korea. He regarded the tactics of Macarthur as the political stance of United States. The memory of the war of two ancient dynasty is the narrative that made the North Korea as a complete enemy and portrayed Macarthur as our side. It created the cognition - The enemy of the Korean War was North Korea and the United States represented by Macauthur is on our side as the Free World. It is a narrative of the Cold War that refuses peace and prepares war.

농촌 폐교 시설의 활용 증대를 위한 치유농업 인식과 제도화 수요에 대한 인식 특성 - 웃다리문화촌, 에제르와 우리누리문화관 이용자를 대상으로 -

이선미 ( Lee Sun-mi ),김정은 ( Kim Jeong-eun ),김대식 ( Kim Dae-sik ),박신애 ( Park Sin-ae ) 한국농촌계획학회 2023 농촌계획 Vol.29 No.1

Although Due to industrial development and urbanization, the number of schools closing due to a decrease in the school-age population is increasing due to the phenomenon of relocation from farming and fishing villages. Closing schools are used as social and cultural facilities, or they are used to generate income by providing education and experiences. Agro-healing is an activity that promotes psychological, social, and physical health by using rural resources. By reflecting the Agro-healing in the services operated by the closed school, the perception of the provision of the Agro-healing service was investigated as a way to provide a therapeutic service to visitors and to increase the utilization of the closed school. The questionnaire consisted of 10 questions, a total of 5 questions related to demographic information, a total of 5 questions related to the perception of agro-healing activities in closed school facilities. As a result, 347 people participated in the survey. The higher the awareness of agro-healing, the need for a agro-healing expert, the satisfaction with the use of rural closed school facilities, and the willingness to participate in agro-healing activities, the higher the awareness that the provision of agro-healing services was necessary by the state. Theses results are expected to be useful as basic to data to solve the diverse limitation in rural closed school and agro-healing activities.