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      • KCI등재

        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.

      • KCI등재
      • 어린이집 조직문화가 보육교사의 배려적사고와 교사효능감에 미치는 영향

        김미경 ( Kim Mi Kyung ),김혜순 ( Kim Hye Soon ) 동국대학교 교육연구소 2018 교육연구 Vol.3 No.2

        본 연구에서는 어린이집 조직문화가 보육교사의 배려적사고와 교사효능감에 미치는 영향을 알아보고자 한다. 이를 위해 연구대상은 경북 G시에 소재해 있는 국·공립, 법인, 직장 및 가정 어린이집 교사 228명이었다. 조직문화를 측정하기 위해 송지혜(2013)의 척도, 배려적 사고를 측정하기 위해 김수동, 안재진, 이정연(2014)의 척도 그리고 교사효능감을 측정하기 위해 김명란(2016)의 척도가 사용되었다. 수집된 자료의 분석은 SPSS/WIN 20.0 프로그램을 이용하여 신뢰도분석, 빈도분석, 기술통계분석, t-test, ANOVA, 상관분석, 위계적 회귀분석이 이루어졌다. 연구 결과는 다음과 같다. 첫째, 관계문화가 높게 지각되었고, 배려적 사고는 보통 수준을 조금 상회하였고, 개인적 교사효능감이 일반적 교사효능감에 비해 다소 높은 것으로 나타났다. 둘째, 어린이집 조직문화와 교사의 배려적사고 및 교사효능감 간의 관계에서는 모두가 유의미한 정적 상관을 보였다. 셋째, 보육교사의 학력이 높을수록 배려적사고가 높고, 근무하고 있는 어린이집의 설립 기간이 짧은 기관의 보육교사가 배려적사고가 높았다. 또한 어린이집의 조직문화 중에서는 관계문화와 합리문화가 보육교사의 배려적사고에 유의미한 정의 영향을 미치는 것으로 나타났다. 넷째, 기혼, 보육교사의 경력이 높을수록 교사의 교사효능감에 미치는 상대적 영향력이 큰 것으로 예측되었다. 결론적으로 어린이집이 관계적이고 합리적인 조직문화가 잘 구축되어 있을수록 교사의 배려적사고와 교사효능감에 긍정적인 영향을 미친다고 볼 수 있다. In this study, we look at the effects of the organization culture of daycare centers on the caring thinking and the effectiveness of teachers. Specific research issues for this purpose are as follows. Research 1. The trend and general background of child care organization culture, child care teacher consideration, teacher efficiency awareness (age, academic background, type of work organization, experience, age of infant, degree of progress, marriage status) Research 2. What is the correlation between daycare center organization culture, child care teacher consideration, and teacher efficiency? Research 3. How does the organization culture of daycare centers affect the consideration and effectiveness of child care teachers ? The methods of this study are as follows. It was done through a survey. The survey included 79 teachers from state, public, corporate, working and children's homes in G City, North Gyeongsang Province, and 149 teachers from private and private schools. Total 228 teachers participated. The researcher used research scale from organization culture by Song-Jihye(2013), child care teacher consideration by Kim-Sudong, An-Jaejin, Lee-jeongyoen(2014) and teacher efficacy by Kim-Myeongran(2016) For the analysis of the collected data, It's calculated Cronbach’ α by using SPSS/WIN 20.0 program, which shows the internal consistency. In order to examine the general background of childcare teachers, frequency analysis was conducted and a t-test and one-way ANOVA were performed to see if there was a difference in the level of variables. The mean and standard deviation of the main variables were calculated , Correlation analysis, and hierarchical regression analysis. The results of the study are as follows. First, the tendency of major variants was high in the culture of relationships, consideration was slightly higher than normal, and personal teacher efficiency was slightly higher than general teacher efficacy. Consideration showed a significant difference depending on age, academic background, experience, length of institution establishment, and marital status, and teacher efficacy varied depending on age, experience, and marital status. Second, the relationship between the organizational culture of daycare centers and the caring thinking of child care teachers, the relationship between child care organization culture and teacher efficacy, and the caring thinking of child care teachers and the teacher's sense of efficiency showed significant static. Third, among background changes of child care teachers, educational background can have a significant effect on the consideration of children, and the period of institution establishment is shown to have a significant influence on the value of care, so the educational background of child teachers is more important. Among the organizational cultures of daycare centers, it was found that the culture of relationship and rationality had a significant influence on the consideration of child care teachers, and that the culture of rationality had a greater influence on the consideration of child care teachers. Among the background changes of child care teachers, the more important the difference in experience and marital status is in the sense of teacher efficiency, the more likely it is for a child teacher to be a single teacher, and the more likely it is for a teacher to be married. Among the organizational cultures of daycare centers, it was found that the culture of relationship and rationality had a significant effect on the teacher's sense of efficacy, and that the culture of relation had a greater influence on the relative effect of the teacher's ability. Therefore, the more relevant and reasonable organizational culture in daycare centers is well established, the more positive the effect is on the consideration and effectiveness of child care teachers.

      • SCOPUSKCI등재

        천연자원으로부터 아실코에이: 콜레스테롤아실 전달효소 저해제의 탐색

        김미경,권병목,배기환,최돈하,이학주,김홍은,김영국,Kim, Mi-Kyung,Kwon, Byoung-Mog,Bae, Ki-Hwan,Choi, Don-Ha,Lee, Hak-Ju,Kim, Hong-Eun,Kim, Young-Kook 한국생약학회 1999 생약학회지 Vol.30 No.4

        Acyl-CoA: Cholesterol Acyltransferase (ACAT) is a key enzyme responsible for cholesteryl ester formation in atherogenesis and in cholesterol absorption from the intestines. In addition under pathological conditions, formation and accumulation of cholesteryl ester as lipid droplets by ACAT within macrophages constitute a characteristic feature of early lesions of atherosclerotic plaques. ACAT inhibitors are expected to be effective for treatment of atherosclerosis and hypercholesterolemia. ACAT inhibitors of natural origin have been rarely reported. In our screening program for ACAT inhibitors, 303 plants were extracted with methanol or ethanol, and screened for the inhibitory activity against ACAT from the rat liver microsome. Extracts of 13 plants including Quercus aliena, Diospyros kaki, Platycarya strobilacea and Hibiscus syriacus inhibited more than 90% of ACAT activity and 43 samples in alcohol extracts such as Magnolia obovata and Panax ginseng also inhibited more than 70% of ACAT activity at a concentration of $100\;{\mu}g/ml$.

      • KCI등재

        부모의 사회경제적 수준이 도시와 농촌 중고등학생의 영양소 섭취에 미치는 영향

        김미경,기모란,방금녀,김기량,최보율,권영준,이상선,김찬,강윤주,Kim, Mi-Kyung,Ki, Mo-Ran,Bang, Kum-Nyu,Kim, Ki-Rang,Choi, Bo-Youl,Kwon, Young-Jun,Lee, Sang-Sun,Kim, Chan,Kang, Yun-Ju 대한지역사회영양학회 1998 대한지역사회영양학회지 Vol.3 No.4

        This study was conducted to assess the nutrient intake patterns among urban and rural adolescents and to investigate the effects due to parent's socioeconomic status and other factors, such as mother's job, family type and regular exercise on that pattern. 2,455 middle and high school students living in Seoul and Yangpong, Kyounffi-Do participated in a self-administered questionnaire that was used to collect data. The one-day dietary intake was surveyed through a 24-hour recall method. The factors significantly different between urban and rural adolescents according to monthly income, parent's education level, mother's job, family type and exercise. Income, the parents' education level and regular exercise were associated with the patterns of nutrient intakes as a percent of the RDA. So, when adjusted for parental income, the father's and mother's education level and regular exercise, there were no signifcant differences within the patterns of nutritional intake between urban and rural adolescents. The results provided the information regarding the determinants of nutrient status among adolescents and were expected to be helpful for planning school health promotion programs.

      • KCI등재

        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.

      • KCI등재

        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.

      • KCI등재

        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.

      • KCI등재후보

        Combined Primary IgA nephropathy and Membranous Glomerulonephritis in a Child

        김미경,최정훈,원남희,유기환,Kim Mi-Kyung,Choi Jeong-Hoon,Won Nam-Hee,Yoo Kee-Hwan Korean Society of Pediatric Nephrology 1999 Childhood kidney diseases Vol.3 No.2

        IgA 신병증은 사구체 중맥에 IgA가 침착하는 것이 특징적인 질환이며 막성 사구체 신염은 IgG가 사구체 기저막의 상피하에 미만성으로 침착하는 질환이다. 원발성 사구체 질환중 IgA 신병증과 막성 사구체신염은 비교적 흔한 질환이나 전체적인 빈도는 낮은 편으로, 한 환자의 사구체에서 두 질환이 동시에 발생하는 경우는 매우 드물다. IgA 신병증과 막성 사구체신염의 중복 신염은 Doi등이 1983년 원발성 신질환으로서 처음 보고한 이래, 성인에서 20여례가 보고되었다. 저자들은 신증후군이 발생한 환아에서 신생검을 시행한 결과 원발성 신질환으로서 IgA 신병증과 막성 사구체신염의 소견이 동시에 보이는 중복신염의 드문 예를 경험하였기에 보고하는 바이다. 환아는 7세된 남아로 내원 한달 전부터 발생한 전신부종을 주소로 내원하였다. 가족력과 과거력상 특이 소견없었으며, 내원시 이학적 소견상 전신적인 허약감과 안와부종, 복부팽만, 하지의 함요부종이 관찰되었고, 검사소견에서는 WBC $19,800/mm^3$, Hb 14.1g/dL, Platelet $397,000/mm^3$, BUN/Cr 10/0.4mg/dL, protein/albumin 4.43/2.73g/dL, cholesterol 429mg/dL, IgA 85mg/dL, $C_3$ 68.8mg/dL, $C_4$ 13.4mg/dL, ANA(-), ANCA(-), RF(-), HBsAg/Ab(-/-)이었다. 뇨검사에서는 RBC many/HPF, WBC 2-3/HPF, protein ${\le}\;300mg/dL$ 였으며, 24시간 소변 검사상 protein 9.18g/day, Ccr 66.67ml/min의 소견을 보였다. 신생검을 시행한 결과 광학현미경상에서 몇몇 사구체의 분절성 경화와 중맥역의 증식이 관찰되었고, 면역형광현미경검사에서는 IgA(3+)가 과립상으로 미만성 분포를 보이며 중맥역에 침착되어 있고, 미세한 과립상과 위선의 양상으로 IgG(1+)가 모세혈관벽에 침착되어 있었으며, 전자현미경 소견상 중맥역과 모세혈관 기저막 상피하에 소량의 전자 고밀도 침착이 함께 관찰되었다. 환아는 prednisolone을 경구 투여 받았으나 단백뇨와 혈뇨가 지속되어 solumedrol pulse therapy, captopril과 cyclophophamide로 치료 받은 후, 전신 상태 호전되고, 혈뇨가 사라졌으며, 24시간 소변 검사상 단백뇨가 487.5mg/day로 감소하여 외래에서 추적 관찰 중이다.

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