젠더와 이야기문화(동화)

연선화(Yeon, Sun Hwa) 연세대학교 상담코칭지원센터 2014 연세상담코칭연구 Vol.1 No.-

이 글은 아동발달의 결정적 시기에 이야기문화(동화)가 어떻게 젠더의 개념과 역할에 영향을 미치는 가에 관한 연구이다. 특히, TCK(Third Culture Kids, 제3의 문화 아이들)가 외국의 전래동화를 통해 학습하게 되는 젠더의 개념과 역할이 이들의 정체성 형성과 하나님 경험에 어떤 영향을 미치는지에 관심한다. 이러한 연구 주제를 가지고, 질적 연구 방법론의 하나인 내러티브 탐구를 위해 연구자의 자녀들을 연구 참여자로 하여, 본 연구를 진행하기 전, 연구 주제와 이론의 틀, 방법론에 관한 것들을 정리한 글이다. 연구자는 외국 전래동화와 페미니즘 대안 동화 등을 비교 분석하여, 상반된 가치관과 성역할 등 서로 다른 이야기 문화 속에서 아동들이 배우게 되는 젠더의 개념과 역할의 영향을 전달하고자 하였으며, 이러한 연구 문제가 시간과 장소의 제한을 넘어, 여러 다양한 이야기문화를 경험하는 아동들의 정체성 형성과 하나님 경험에 크리티컬 리터러시를 통한 이야기문화(동화) 읽기를 제안한다. This study is how narratives affect children who frame their concept and role of gender in their critical period of development. More specifically, how do TCK(Third Culture Kids) form their identity and experience of God through fairytales and narratives in which they learn about the concept and role of gender? These are the questions that shape the exploration that follows this paper. To begin with this study, I chose my two children who are TCK as participants in this study. Actually, this paper does not provide any answers to the questions I asked previously but does articulate in detail the theme, theories, and plan which are based solely on this study. In this paper, I seek to contrast traditional fairytales and feminism alternative narratives in an attempt to affirm our identity and the role of gender in our culture and society. To accomplish this task, I engage in critical literacy and McAdam’s narrative theory. I also suggest, through critical literacy, the importance of educating children about fairytales which convey a lot of images and messages different from their own cultural contexts which, as a result, strongly impacts and forms their identity and experience of God.

COVID-19 백신 접종자를 대상으로 한 COVID-19 Biokit IgG/IgM의 임상적 유효성 평가

김민지,선화연,유병욱 대한임상건강증진학회 2022 Korean Journal of Health Promotion Vol.22 No.2

연구배경: 본 연구는 ELISA 법을 이용한 중화항체키트와LFIA 법을 이용한 신속항체 진단키트를 비교하여 COVID-19 백신 접종 후 항체 형성 유무 평가 성능에 대한 임상적 유효성을검증하고자 하였다. 방법: 중화항체시험은 표준 ELISA 법을 이용하여 정성적방법에 대한 진단용 의료기기의 항체 검출키트를 이용하여수행하였다. 신속항체 진단키트는 LFIA 방법을 사용하여COVID-19 바이오키트 IgG/IgM으로 측정되었다. 표준시험 방법의 중화항체측정시험 결과를 바탕으로 신속항체 진단키트의 시험 결과를 비교 분석하여 민감도와 특이도를 확인하였다. 결과: 두 검사 방법의 결과를 양성, 음성으로 나누었을 때118건이 일치하고 2건이 불일치해 98.3%의 일치도를 보였다. 즉, 민감도 98% (95% CI, 0.94-1.00), 특이도 100% (95% CI, 0.63-1.00), 양성 예측 100% (95% CI, 0.97-1.00), 음성 예측 80% (95% CI, 0.44-0.97) 및 분별 정확도는 98% (95% CI, 0.94-1.00)였다. 결론: 키트 결과의 항체 양성 반응이 COVID-19에 대한면역성을 의미하거나, COVID-19 재감염에 대한 확인과 평가를 할 수 없지만, 이미 여러 연구를 통해 항체 형성과 면역원성사이의 상관관계가 검증되었기 때문에 항체 검사로 실제로 과거 감염 여부나 백신 접종의 유무를 확인할 수 있다. 신속한 항체 진단키트 결과와 ELISA 결과의 높은 상관성은본 연구에서 사용된 키트가 항체 및 중화항체 반응의 선별검 사로서 이용이 가능함을 시사하며, 이는 추가 예방접종의필요성을 평가하는데 신속하고 저렴하게 개인의 면역 반응을 데이터화하고 모니터링하는 데 도움이 될 수 있다

Efficacy and Safety of Intramuscular Injections of Vitamin D3 B.O.N. on Serum Vitamin D Levels in Adults with Vitamin D Deficiency: A Prospective, Single-Center, Open-Label Study

곽영환,선화연,유병욱 대한임상건강증진학회 2024 Korean Journal of Health Promotion Vol.24 No.1

Background: Vitamin D deficiency is a common challenge its consequences are studied to be related to diversity of other health concerns. The efficacy and safety in longevity of vitamin D3 B.O.N. 200,000 IU Intramuscular Injection were examined through investigator-initiated clinical trial.Methods: One-hundred and eight subjects between ages of 19 and 65 who showed vitamin D deficiency (serum 25(OH)D<20 ng/mL) were initially injected once and were checked every 3 months for the next 12 months for serum 25(OH)D and 1,25(OH)2D levels for the drug’s efficacy, and for other safety observations. The percentage of participants maintaining within the normal serum 25(OH)D range were analyzed. Participants who reduced in the serum level below 30 ng/mL during the regular visits were given additional injections.Results: All the subjects showed similar patterns of statistically significant improvements at all times. The percentage of participants remaining in the normal range was higher in the better compliance group. No serious adverse events or severe adverse reactions occurred.Conclusions: Treatment of the vitamin D-deficient subjects with the injection of 200,000 IU vitamin D3 B.O.N. Intramuscular Injection induced a statistically significant increase in blood vitamin D concentration for 12 months demonstrating the clinical efficacy of the intervention. The higher percentage of the better compliance group being within normal ranges strengthens the evidence of the efficacy. No new adverse events or severe adverse events were associated with the injection, demonstrating its safety. Further studies to facilitate development of appropriate guidelines for interventions using vitamin D3 intramuscular injections will be desirable.

수막구균 수막염의 인식, 감염병에 대한 일반 지식 및 예방접종 현황: 국내외 대학 재학생 비교 연구

신경숙,선화연,곽영환,유병욱 대한임상건강증진학회 2022 Korean Journal of Health Promotion Vol.22 No.3

연구 배경: 수막구균성 수막염은 호흡기 또는 사람과의 접촉을 통해 전파되며 심각하면 사망에 이를 수도 있다. 미국에서는 수막구균 예방접종을 의무화하고 있지만 국내는 필수가 아니다. 그렇기 때문에 본 연구를 통해 수막구균과 같은 감염병에 대한 일반적 지식과 예방접종의 필요성에 대한인지도를 미국 캐나다 대학 재학생과 국내 대학 재학생과비교 평가하여 수막구균 예방접종의 필요성을 강조하고자하였다. 방법: 국내〮외 대학생을 대상으로 기숙사 생활시 발생할수 있는 감염 질환(수막구균성 수막염 포함)관련 지식, 백신접종 의향 등에 대해 자기 기입 방식으로 조사하였다. 결과: 해외 대학 재학생들은 감염병에 대한 인식이 국내보다 높았다. 특히 예방접종을 적극 권장하고 있으며 실제접종률 또한 국내 대학 재학생보다 높았다. 고찰: 국내 대학 재학생의 경우 수막구균 예방접종에 대한 인지도와 접종률 모두 낮았다. 질병에 대한 인식이 낮을경우 백신접종의 필요성에 대한 인식 또한 낮아진다. 그렇기 때문에 신입생들을 대상으로 감염 질환에 대한 교육을진행하면 감염병과 백신의 필요성에 대한 인지도를 높일 수있을 것이다

A Study on National Health Insurance Literacy among International Students in Korea and Their Medical Service Use

임재삼,선화연,유병욱 대한임상건강증진학회 2023 Korean Journal of Health Promotion Vol.23 No.3

Background: This study aimed to examine international students’ perceptions, characteristics, use of public medical services, and satisfaction with the National Health Insurance System, and compared the results with the Health Insurance System Perception Survey conducted on Korean population to understand the differences between the two groups’ perceptions of the health insurance system and their use of medical services. Methods: A survey was conducted from May 23, 2022 to June 21, 2022 to measure various data of international students related to the National Health Insurance System and analyzed the results. Results: Most international students were in their 20s (the average age was 23±2.06 years), which showed that they were less likely to use medical services compared to Korean population in their 20s. Both Korean population and international students viewed their subjective health as generally good. Regarding the perceptions of the National Health Insurance System, 75.6% of the Korean population responded positively, while only 16% of international students responded positively. The biggest reason for the negative responses was the higher contributions compared to private health insurance, showing that financial hardship played a large role in the negative perceptions. The insurance contribution calculation methods by the Government showed differences. International students receive the same insurance contributions regardless of their nationality, age, income, or assets. Conclusions: Through this study, it has been confirmed that further research and examination are needed regarding the application of Korean health insurance to foreign residents and the appropriate calculation of insurance contributions.

Performance evaluation of Barozen Lipid Plus for point-of-care testing of lipid profiles: a method comparison study

Soojoung Yu,선화연,Byungwook Yoo 영남대학교 의과대학 2023 Yeungnam University Journal of Medicine Vol.40 No.-

Background: The quick and easy nature of point-of-care (POC) testing devices allows regular monitoring of serum lipid levels to increase efficiency. The purpose of this study was to assess a POC lipid analyzer, Barozen Lipid Plus (MICO Biomed Co., Ltd.), which uses capillary blood to measure total cholesterol (TC), triglycerides (TGs), and high-density lipoprotein cholesterol (HDL-C). Methods: Capillary and venous blood samples were collected from 110 participants at a single center in Korea between June 10 and June 26, 2021. TC, TG, and HDL-C measurements using Barozen Lipid Plus were compared with measurements using our reference device, the Roche-Hitachi Cobas 8000 c702 (Hitachi High-Technologies Corporation). This study followed the guidelines of the Clinical and Laboratory Standards Institute and the Clinical Laboratory Improvement Amendments. We surveyed participants regarding the convenience of the POC device using a questionnaire following the completion of blood collection. Results: When compared to the reference equipment, the measurements obtained using Barozen Lipid Plus were more than 95% satisfactory within TC±10%, TG±25%, and HDL-C±30%. The coefficient of variation in the repeatability testing was within 5% for TC, 5% for TGs, and 7% for HDL-C. The survey results indicated high levels of satisfaction. No adverse events were reported. Conclusion: These findings suggest that Barozen Lipid Plus is reliable for measuring lipid profiles and can therefore be used to monitor lipid levels at the time and place of patient care.

Geographic Distribution of Urologists in Korea, 2007 to 2012

송윤섭,심성률,정인수,선화연,송수현,권순선,고영명,김재헌 대한의학회 2015 Journal of Korean medical science Vol.30 No.11

The adequacy of the urologist work force in Korea has never been investigated. This study investigated the geographic distribution of urologists in Korea. County level data from the National Health Insurance Service and National Statistical Office was analyzed in this ecological study. Urologist density was defined by the number of urologists per 100,000 individuals. National patterns of urologist density were mapped graphically at the county level using GIS software. To control the time sequence, regression analysis with fitted line plot was conducted. The difference of distribution of urologist density was analyzed by ANCOVA. Urologists density showed an uneven distribution according to county characteristics (metropolitan cities vs. nonmetropolitan cities vs. rural areas; mean square = 102.329, P < 0.001) and also according to year (mean square = 9.747, P = 0.048). Regression analysis between metropolitan and non-metropolitan cities showed significant difference in the change of urologists per year (P = 0.019). Metropolitan cities vs. rural areas and non-metropolitan cities vs. rural areas showed no differences. Among the factors, the presence of training hospitals was the affecting factor for the uneven distribution of urologist density (P < 0.001).Uneven distribution of urologists in Korea likely originated from the relatively low urologist density in rural areas. However, considering the time sequencing data from 2007 to 2012, there was a difference between the increase of urologist density in metropolitan and non-metropolitan cities.

National Trend of Uroflowmetry, Urodynamic Study and Cystoscopy Considering the Change in the Population Structure in Korea from 2010 to 2015

백민정,박수연,김기현,김윤현,김우기,선화연,김재헌 대한의학회 2018 Journal of Korean medical science Vol.33 No.20

Background: Although lower urinary tract symptoms (LUTS) show a higher prevalence with age, few studies have reported the trend of these examination tools including uroflowmetry, urodynamic study and cystoscopy. Methods: We evaluated the trend of performance of uroflowmetry, urodynamic study and cystoscopy by using National Health Insurance Data from 2010 to 2015. Primary outcome findings included cumulative number of patients per year, cumulative age-standardized patient rate per year and per age group, and correlation between the number of patients per year and the percentage of population per year in each age group. Results: The overall trend for frequency of uroflowmetry and cystoscopy showed an increasing pattern (P < 0.001, respectively) while the trend for frequency of urodynamic study showed a decreasing pattern (P < 0.001). After age standardization, the overall trend showed similar results. Correlation between the number of patients per year and the percentage of population per year showed a positive correlation in the 50s age group and the above 70s age group (P = 0.003 and < 0.01, respectively) on uroflowmetry and in the above 70s age group (P < 0.01) on cystoscopy. Urodynamic study showed negative correlations in the 50s age group and the above 60s age group (P = 0.001 and 0.01, respectively). Conclusion: National trend for frequency of uroflowmetry, urodynamic study and cystoscopy showed a different trend. The increasing trend of uroflowmetry and cystoscopy was related with growth of the aged population. However, urodynamic study showed a decreasing trend regardless of the age group.

메르스 유행 기간 중 영상의학과의 감염관리

전상훈(Sang-Hoon Joon),추상덕(Sang-Deok Chu):오동진(Dong-Jin Oh),정원규(Won-Kyu Jung),천지현(Ji-Hyun Chun),선화연(Hwa-Yeon Sun):신형호(Hyeong-Ho Shin),한사랑(Sa-Rang Han),김광훈(Kwng-Hun Kim) 대한영상의학기술학회 2017 대한영상의학기술학회 논문지 Vol.2017 No.1

Purpose : On May 20, 2015. A man at the age of 68 was the first to be diagnosed with mers corV in korea. After a month probable 186 MERS cases had been identified in Korea uo to On June 17. and 35 healthcare workers had infected from MERS. 2 Radiographers had been infected by the 17 June. Radiographer could catch infections easily. because they had close contact with probable patients while conducting chest X-ray examinations. Because The department established a MERS infection control team and designed X-ray examination procedures based on the concept of MERS patient s risk grade. The goal of this program was to reduce the infection rate and distribute materials efficiently in the department. This article introduces the infection control and examination procedure of Radiology department during the MERS outbreak and the infection-protection experience of the department staff. Materials and Methods : Duration of MERS, We reallocated human resources in Radiology department and set a criterion of protection and flow of human traffic for operational procedures for radiographers conducting X-ray examinations on MERS patients. Result : Duration of MERS, we had examination 513 cases. but 2 radiographers who was over 37.5 had been isolated for 2 weeks, no one was infected from MERS. that is to say standards was effectiveness. Conclusion : Standards was effectiveness for MERS in National medical center 목 적 : 2015년 5월 20일 한국에서 68세 남자가 메르스 바이러스에 감염된 후 6월 17일 까지 186명의 환자가 한국에서 발생하였다. 이 중 35명의 의료진이 포함되어있고, 2명의 방사선사가 감염되었다. 검사 특성상 방사선사는 portable chest x-ray 검사 중에 환자로부터 감염 될 확률이 높다. 따라서 국립중앙의료원 영상의학과에서는 방사선사의 메르스 감염 방지를 위해 환자의 등급을 나누고 방호 기준을 설정하였다. 이번 기준설정의 목적은 방사선사의 감염 비율을 낮추고, 영상의학과 내에서 이 자료를 효율적으로 배포하기 위함이다. 이 논문은 메르스 창궐 기간 동안 영상의학과에서 감염 방지와 검사 과정 및 검사에 참여한 방사선사의 방호에 대한 경험을 다룬 것이다. 대상 및 방법 : 영상의학과 내 근무인력을 재배치 하였고, 메르스 환자 검사에 관련된 방사선사의 방호기준과 동선을 설정하였다. 결 과 : 메르스 창궐 기간동안 총 513명의 환자를 검사하였으며, 국립중앙의료원 영상의학과에서 설정한 기준에 따라서 검사에 참여한 방사선사 중 체온 37.5도 넘은 의심환자가 2명 발생했지만 감염은 없었다. 결 론 : 국립중앙의료원에서 메르스 검사를 위해 설정한 가이드라인이 직원안전에 적절했음을 알 수 있었다.

우리나라 1-14세 아동의 상해사망 실태분석

이재연 ( Jae-yeon Lee ),윤선화 ( Sun-hwa Yoon ) 한국아동권리학회 2001 아동과 권리 Vol.5 No.1