소아 천식 치료의 국외 보완대체의학 임상 연구 동향

방미란,김장현,민상연,Bang, Mi Ran,Kim, Jang Hyun,Min, Sang Yeon 대한한방소아과학회 2015 대한한방소아과학회지 Vol.29 No.3

Objectives : The purpose of this study is to analyze the trends in foreign clinical trials for pediatric asthma in complementary and alternative medicine (CAM). Methods : We reviewed 31 randomized controlled trials (RCT) for pediatric asthma treatment in CAM published from 2005 to 2015 in PubMed and analyzed their treatments, compounds of herbal medicines, acupoints, methods of assessment, and treatment results. Results : The treatments used in the studies were herbal medicines, acupuncture, acupoint application, breathing training, supplement, normocaloric diet, yoga, massage therapy, and art therapy. The frequently used herbs were Asari Herba Cum Radix (細辛). Ephedrae Herba (麻黃), Astragali Radix. The most common acupoints were Feishu (肺兪, BL13). The methods of assessment in pediatric asthma were symptom scale, questionnaire of Quality of Life, lung function test, laboratory studies, and medication usage. In 28 out of 31 studies, treatment group gets better than non-treated group. Conclusions : This study shows that CAM is effective in treating pediatric asthma. More clinical studies using objective outcome measures are needed to prove its efficacy clearly.

국소한약외용제의 알레르기성 비염 치료 효과에 대한 문헌 고찰

방미란,김장현,민상연,Bang, Mi Ran,Kim, Jang Hyun,Min, Sang Yeon 대한한방소아과학회 2016 대한한방소아과학회지 Vol.30 No.3

Objectives The purpose of this study is to analyze studies about the effects of topical application of Chinese herbal medicine for allergic rhinitis within randomized controlled trials (RCT). Methods The search database includes KJTK (Korean Traditional Knowledge Portal), OASIS (Oriental Medicine Advanced Searching Integrated system), CNKI (China National Knowledge Infrastructure), PubMed, and EMBASE. We used the following key search terms: "allergic rhinitis", "traditional Chinese medicine", "traditional Korean medicine", "Chinese herbal medicine", "randomized controlled trial", "clinical study", "nasal spray", and "nasal drop" Results Five studies were selected for analysis. Three studies used nasal spray of Chinese herbal medicine and two studies used nasal drops of Chinese herbal medicine for the intervention. Frequently used herbs were Magnoliae Flos (辛夷), Scutellariae Radix (黃芩), Coptidis Rhizoma (黃連), and Astragali Radix (黃芪). For the outcome measures, studies used symptom score, questionnaire of Quality of Life, nasal airway resistance, or laboratory studies. From all 5 studies, it has been shown that topical application of Chinese herbal medicine was effective for improving symptoms of allergic rhinitis. Two out of five studies showed statistical difference between study group and control group. Conclusions This study shows that topical application of Chinese herbal medicine can improve symptoms of allergic rhinitis. Well-designed RCT studies with low risk of bias and studies with outcome measures for assessing the immunomodulatory effects are necessary to confirm these findings.

원수 수질변화에 따른 정수장 응집제의 효율평가

방미란,임봉수,배병욱,김태응 대전대학교 산업기술연구소 1998 산업기술연구소 論文集 Vol.9 No.2

This study was carried to estimate the turbidity and organic removal efficiency of the coagulants, such as Alum, PACl, and PACS, depends on the variation of raw water quality. When turbidity, pH of the raw water quality were 1.0∼10.0NTU, 7.0NTU respectively, in other to get the goal water quality below 1.0NTU of turbidity, the optimum input doses of Alum, PACl, and PACS were 20∼30mg/ℓ, 10∼20mg/ℓ, and 10∼20 mg/ℓ, respectively. In that case of optimum input does, the removal efficiency of UV254 was about 30∼60%. When the turbidity, pH of the raw water quality were 10∼40NTU, around 7.0, respectively, the optimum input doses of PACl, and PACS were 30 mg/ℓ , 20 mg/ℓ, respectively But Alum, in other to get less than 2NTU of turbidity, was required to 50 mg/ℓ . In that case the removal efficiency of UV254 was also about 30∼60%.

보호자 없는 병동 간호사와 일반병동 간호사의 근골격계 자각증상, 직무스트레스 및 간호업무환경 비교

방미란,심선숙,이동숙 기초간호학회 2015 Journal of korean biological nursing science Vol.17 No.2

일지역 간호대학생의 자기 주도적 학습능력, 교수-학생 상호작용, 이러닝 서비스 만족도⋅재이용 의도 및 대학생활 적응 간의 관계

방미란 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.21

Objectives This study is a descriptive survey research for understanding the relations of self-directed learning ability, professor-student interaction, e-learning service satisfaction & repurchase intention, and college life adjustment of nursing students. Methods For five days from April 26 to April 30, 2021, a survey was conducted targeting total 145 second-year nursing students(four-year-course-college) in a region. The IBM SPSS Statistics 23.0 Program was used for data analysis. Results The subjects’ overall scores were shown as 3.36 out of 5 for self-directed learning ability, 3.76 for professor-student interaction, 3.17 for e-learning service satisfaction & repurchase intention, and 3.54 for college life adjustment. In the results of analyzing the correlations between variables, the self-directed learning ability showed positive correlations with professor-student interaction(r=.420, p<.001), e-learning service satisfaction & repurchase intention(r=.225, p<.01), and college life adjustment(r=.645, p<.001). Also, the professor-student interaction showed positive correlations with e-learning service satisfaction & repurchase intention(r=.305, p<.001) and college life adjustment(r=.557, p<.001) while the e-learning service satisfaction & repurchase intention showed a positive correlation with college life adjustment(r=.275, p<.01). Conclusions Therefore, it would be necessary to increase the college life adjustment of nursing students and also to establish their self-directedness and active attitude by including various training programs that could promote their self-directed learning ability and professor-student interaction in curriculum. Also, it would be required to improve service quality and problems of e-learning service for the expansion of its continuous use, and also to develop online contents about e-learning teaching method that could complement the problems.

동국의대에서 실시한 2002년 전염병관리실무과정에 대한 평가

방미란,임현술,정해관,한영란,정철 대한보건협회 2003 대한보건연구 Vol.29 No.1

Communicable diseases have recently reemerged, with new communicable diseases continually breakmg out on a global scale; threaten the health and economics of populations. The Korean National Institute of Health carries out Field Management Training Prcgrams (FMTP) to address this problem The objectives of this study were the evaluation of the understanding and satisfaction for this program, and recommendation for improvement strategies. We conducted a questionnaire survey of 80 persons who completed the FMTP, at Dongguk University, between March 1 and November 30, 2002. The data collected was analyzed by Student s t-statistics. The understanding of the curriculum was Well in 42 (52.5%) and Moderate in 24 persons (30.0%). The satisfaction with the curriculum was Moderate in 38 (47.5%) and Good in 30 persons (37.5%). The satisfaction for the period of education was Bad for 31 persons (38.7%), which accounted for the majority of cases. The mean scores, by Likert s scale, for the understanding and satisfaction of the curriculum were 3.70 (±0.71) and 3.32 (i0.721, respectively. The mean score for the epidemiological survey was the highest for satisfaction with the course, at 3.78 (±0.62). The mean value of satisfaction for curriculum in education of period was significantly higher in health department group than in nursing department group (P<0.05). From this survey it appears the respondents were satisfied with this program. The FMTP will be systematically revised for curriculums, and effort will be required to develop controls for communicable disease, both by the government and the university.

일부 농촌 주민의 영아 엎어 재우기 실태

방미란,임현술 東國大學校醫學硏究所 2003 東國醫學 Vol.10 No.2

우리나라 농촌지역에서는 전통적으로 영아들을 바로 재웠는데, 최근 젊은 주부들 사이에 영아의 두상을 아름답게 하려는 목적으로 영아들을 엎어 재우는 경향이 있다. 서양에서는 대부분 영아를 엎어 재웠으나, 영아 엎어 재우기가 영아 돌연사 증후군의 위험을 증가시킨다는 보고와 함께 영아 바로 재우기 캠페인을 벌이고 있다. 따라서 본 조사는 우리나라 일부 농촌 주민의 영아 엎어 재우기 실태를 파악하고자 하였다. 경상북도 울진군 북면 및 포항시 기계면에 거주하는 30세 이상 기혼 여성 688명을 대상으로 자기 기입 방식의 설문지를 이용하여 조사하였다. 대상자의 평균 연령은 56.5(±14.1)세였으며, 교육수준은 초등학교 졸업 이하가 491명(71.4%)이었다. 대상자의 흡연율은 1.6%이었고, 음주율은 24.3%이었다. 전체 688명의 대상자는 총 2,795명의 영아를 출산하였으며, 영아 사망의 경험이 있는 대상자는 161명(23.6%)으로 총 255명의 영아 사망이 있었다. 영아를 재우는 자세에 대한 분포는 '바로 재우기만 시행한 경우'가 635명(92.3%), '엎어 재우기만 시행한 경우'가 27명(3.9%)이었다. 영아를 바로 재운 이유는 '과거부터 계속 바로 키워왔기 때문에'가 571명(86.5%)이었으며, 엎어서 재운 이유는 '두상을 아름답게 하기 위해서'가 27명(51.9%)이었다. 영아를 엎어서 재운 경우, 영아가 갑자기 사망할 가능성이 높다는 사실에 대한 인식 여부는 '알고 있지 않다'라고 응답한 대상자가 370명(53.8%)으로 절반 이상을 차지하였다. 영아를 재운 주 양상은 '부모와 함께 잤다'가 533명(77.5%)으로 가장 높았다. 현재 우리나라는 영아 엎어 재우기에 대한 정확한 실태조사 및 영아 돌연사 증후군을 예방하기 위한 대책이 미흡한 실정이다. 따라서 교육과 홍보를 통해 영아 바로 재우기를 실시함으로서 영아 돌연사 증후군을 사전에 예방하고 더 나아가 원인 규명을 위한 노력 및 연구가 필요하다. 본 조사는 일부 지역농촌 주민들을 대상으로 한 것이기 때문에 도시지역, 고학력, 신세대 주민들을 포함한 광범위한 연구가 필요하리라 생각한다. Objectives: It is traditional, in Korean villages to make the infants sleep in a supine position. However, these days, it has become the trend for young housewives to sleep in a prone position to be rounded head shape of infants. This study was carried out to investigate the status of the prone sleeping position in a Korean village. Methods: A self-administered questionnaire survey was administered to 688 married women, over the age of 30 years, in Buk-myeon, Uljin-gun and Gigye-myeon, Pohang-si, Gyeongsangbuk-do, in 2001 and 2002. Results: The prevalence of smoking and drinking were 11 (1.6%) and 167 cases (24.3%), respectively. The proportions sleeping in the supine and prone positions were 635 (92.3%) and 27 cases (3.9%), respectively. The main reason given for sleeping in a supine position, in 571 (86.5%) of cases was 'it has always been done in the past' and the main reason given for sleeping in a prone position, in 27 (51.9%) of cases was 'the influence of Western countries'. When asked if they recognized the risks of sleeping in a prone position, 370 cases (53.8%) answered 'don't know'. Conclusions: In our study, the proportion of questioned of those sleeping in a prone position was small. However, the prone sleeping position has been associated with an increased risk of SIDS. There is a need for education and campaigns regarding the effects of sleeping in a supine position, and further studies will be required to find the causes of unknown death.

정수처리 (2) : 소석회 투입방법에 따른 정수장 응집제 효율평가

방미란,김영일,배병욱,임봉수 한국물환경학회 ( 구 한국수질보전학회 ) 1997 공동 추계학술발표회 Vol.1997 No.2

대청댐 내부와 역조정지 댐에서의 수질특성 비교

방미란,김태응,임봉수 대한환경공학회 1997 대한환경공학회 학술발표논문집 Vol.1997 No.12

간호․간병 통합서비스병동 간호사의 재직의도 영향요인

방미란(Bang Miran),심선숙(Sim Sunsook),이상복(Lee Sangbok) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.21

본 연구는 간호․간병 통합서비스병동 간호사의 간호전문직관, 역할스트레스, 동료간 돌봄-배려행위 및 재직의도 간의 상관관계를 알아보고, 간호사의 재직의도에 영향을 미치는 요인을 파악하고자 시도되었다. 서울 및 경기 지역의 300병상 이상의 중소종합병원의 간호․간병 통합서비스병동 간호사 165명을 대상으로 2018년 9월 12일부터 21일까지 이루어졌다. 간호사의 재직의도에 유의하게 영향을 미친 요인은 연령(β=.287, p<.001), 간호전문직관(β=.234, p<.01), 주관적 직무 만족도(β=.223, p<.01) 및 역할스트레스(β=-.190, p<.01)였으며, 이들 요인의 총 설명력은 38.5%이었 다. 간호업무의 전문성을 인정해주어 간호사 스스로 긍정적인 자가 평가를 통해 자기효능감을 높일 수 있도록 도와주어야 하며, 급여 및 복지체계 개선과 업무스트레 스를 낮출 수 있는 다양한 방안을 모색해야 한다. The purpose of this study is to investigate the relationship between nursing professional values, role stress, peer group caring behaviors and intention to stay and to investigate the factors influencing on intention to stay of comprehensive nursing care service ward nurses. A self-report type survey was conducted targeting a total of 165 of nurses in Seoul and Gyeonggi-do from September 12 to 21, 2018 were enrolled. Factors that significantly influenced nurses intention to stay was age (β=.287, p<.001), nursing professional values (β=.234, p<.01), subjective job satisfaction (β=.223, p<.01) and role stress (β=-.190, p<.01). These four variables explained 38.5% of intention to stay. Nurses should be able to improve their self-efficacy through positive self-evaluation by recognizing their professionalism. It is necessary to find ways to improve the pay and welfare system and to reduce work stress.