한열변증에 따른 중풍 환자의 제반특성 비교

김민경,이인환,신애숙,김나희,김혜미,심소라,나병조,조승연,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Min-kyung,Lee, ln-whan,Shin, Ae-sook,Kim, Na-hee,Kim, Hye-mi,Shim, So-ra,Na, Byung-Jo,Cho, Seung-yeon,Park, Seong-uk,Jung, Woo Sang 대한중풍순환신경학회 2010 대한중풍.순환신경학회지 Vol.11 No.1

Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.

한·양방 병행치료를 시행한 급성기 뇌경색 환자의 운동 기능과 임상 증상 및 증후의 호전도에 관한 연구 : 예비연구

김민경,심소라,김수경,김나희,조승연,박주영,박성욱,정우상,문상관,박정미,조기호,김영석,배형섭,고창남,Kim, Min-kyung,Shim, So-ra,Kim, Soo-kyung,Kim, Na-hee,Cho, Seung-yeon,Park, Joo-young,Park, Seong-uk,Jung, Woo-sang,Moon, Sang-kwan,Park, Jung-m 대한중풍순환신경학회 2011 대한중풍.순환신경학회지 Vol.12 No.1

Objective : Stroke is the most common disabling neurological disease of adult life. And some part of the clinical symptoms and signs are correlated to the post stroke complication. This study was to analyze the therapeutic effect of the East-West collaborative treatment, especially on the motor power and the clinical symptoms and signs improvement of ischemic stroke patients. Method : For 2 weeks as possible, we observed the patients with acute ischemic stroke receiving East-West collaborative treatment. We assessed the patients using Motricity Index (MI) and the changes of clinical symptoms and signs three times at seven-day intervals. At the end of the study, we compared the results. Result : Motricity Index of patients changed from 71.55 to 76.03 (upper limb) and 73.05 to 79.42 (lower limb), respectively. Some items of clinical symptoms and signs showed the statistically significant result. Especially, the urination and defecation symptoms improved obviously. Conclusion : The East-West collaborative treatment has an effect on motor power and clinical symptoms and signs improvement of acute ischemic stroke patients.

쑥뜸치료(Moxibustion)로 호전된 비소세포성 폐암 환자의 암성 통증 1례

김민경,이진수,이상헌,정현식,최원철,김경석,Kim, Min-Kyung,Lee, Jin-Su,Lee, Sang-Hun,Jung, Hyun-Sik,Choi, Won-Cheol,Kim, Kyung-Suk 대한암한의학회 2009 大韓癌韓醫學會誌 Vol.14 No.1

Background & Objective: Regardless of types of cancer, cancer pain means the pain occurred by tumor itself, caused by complication or side effects during treatment and which is neither directly related to tumor nor treatment. This case was performed to relieve the cancer pain and study the effect of moxibustion to the cancer pain. Method: For 27 days, the patient was treated by moxibustion($MANINA^{(R)}$), acupuncture, herbal medicine and narcotic analgesics. We planned to maintain moxibustion on 8 points of Bladder meridian line(BL13, BL17, BL42, BL43) for 20 minutes. The improvement of the symptom was evaluated by BPI/VAS, and the amount of narcotic analgesics applied. Results: The BPI/VAS was declined and amount of applying narcotic analgesics was decreased. Conclusion: It is suggested that moxibustion on BL13, BL17, BL42, BL43 is useful to relief of cancer pain in left flank area.

한국인의 사회경제적 불평등에 따른 주관적 건강수준의 차이와 건강행태 기여요인 분석

김민경,정우진,임승지,윤수진,이자경,김은경,고난주,Kim, Min-Kyung,Chung, Woo-Jin,Lim, Seung-Ji,Yoon, Soo-Jin,Lee, Ja-Kyoung,Kim, Eun-Kyung,Ko, Lan-Ju 대한예방의학회 2010 예방의학회지 Vol.43 No.1

Objectives: The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea. Methods: A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Results: Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities. Conclusions: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

조기난소부전의 한의학적 치료에 대한 국내 연구 동향 고찰

김민경,김순아,김수진,정우진,허효승,김혜경,Kim, Min-Kyung,Kim, Suna,Kim, Su-Jin,Jeong, Wu-Jin,Huh, Hyo-Seung,Kim, Hye-Gyeong 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.3

Objectives: This study was performed to examine the domestic study trends on premature ovarian failure (POF) treated with Korean medicine. Methods: We investigated the studies on Korean medicine treatment for premature ovarian failure via searching 4 online databases. Results: 13 clinical studies were selected. All studies were the noncomparative studies, and mainly case reports. Studies were publicated from 2001 to 2019 and the number of studies with 1 subject was the greatest (76.9%). In accompanying symptoms, there was a study which did not report entire cases. In the 11 case reports (13 subjects), the most accompanying symptoms was hot flush (69.2%). In treatment of premature ovarian failure, the most used treatment was herbal medicine, which was used in all studies. Acupuncture treatment was used in 6 studies (46.2%) and moxibustion treatment was used in 8 studies (61.5%). The most common acupuncture point was 內關 (SP6) in acupuncture treatment, and was 關元 (CV4) in moxibustion treatment. The duration of treatment was between 1 month and 20 months, the average 7.76 months. Used outcome measurements were hormone test (84.6%), menstruation (76.9%), Visual analog sclale (VAS) (15.4%), ultrasonography (15.4%), Numeral rating scale (NRS), Body basal temperature (BBT) and Kupperman index (7.7%). In total 70 subjects, 13 subjects (18.6%) became pregnancy and 25 subjects (35.7%) had no effect. Follow up was reported in 6 studies, and the average duration of follow up was 141.63 days. Conclusions: Further clinical trials are needed to establish the evidence for Korean Medicine treatment for premature ovarian failure.

혼종모형을 이용한 간호사의 성소수자 문화역량 개념분석

김민경(Min Kyung Kim),김혜영(Hye Young Kim) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.8

목적 본 연구의 목적은 간호사의 성소수자 문화역량에 대한 개념을 기술하는 것으로 문헌고찰과 간호사 면담을 통하여 간호사의 성소수자 문화역량 측정도구 개발을 위한 개념적 기초자료로 활용하기 위함이다. 방법 본 연구는 Schwartz-Barcott & Kim이 제안한 혼종모형 방식을 사용하여 간호사의 성소수자 문화역량에 대한 개념을 명확히 하기 위해 분석되었다. 이론적 단계에서 2011년부터 2021년까지 출판된 문헌을 수집하여 최종 12편의 논문을 분석하였다. 현장 조사 단계를 위해 2021년 8월 9일부터 9월 31일까지 10명의 간호사를 인터뷰하였다. 최종 분석 단계를 통해 간호사의 LGBT 문화적 역량의 속성과 차원을 도출하여 개념을 분석하였다. 결과 이론적 단계와 현장 작업 단계에서 파악된 속성을 바탕으로 성소수자 문화 역량을 정의하면, 4가지 차원과 7개 속성으로 종합되었다. 이에 따라서 성소수자 문화역량은 ‘태도 자각’, ‘지식정도 인식’, ‘만남’, ‘안전하고 효과적인 간호기술’, ‘일관된 간호’, ‘자발적 교육요구’와 ‘삶의 양식 존중’을 속성으로 가지고 있다. 종합해 보면, 간호사의 성소수자 문화역량은 성소수자를 만나 그들의 생활양식을 존중하고 교육과 훈련을 통해 긍정적 태도와 지식을 가지고 일관된 간호와 안전하고 편안한 기술을 제공하는 전문적인 간호를 할 수 있는 능력을 의미한다. 결론 성소수자 문화역량은 성소수자의 건강격차를 줄이고 간호의 질을 높일 수 있다. 그리고 본 연구결과를 바탕으로 간호사의 성소수자 문화역량 측정 도구 및 간호중재 개발을 제언한다. Objectives The purpose of this study is to describe the concept of LGBT cultural competence of nurses and use it as a conceptual basic data for the development of nurses cultural competence measurement tool through literature review and nurses’ interviews. Methods This study was analyzed to clarify the concept of nurse’s LGBT cultural competence using a hybrid model method proposed by Schwartz-Barcott & Kim. For theoretical analysis, literature published from 2011 to 2021 was collected and final 12 articles were analyzed. For a field study, 10 nurses were interviewed from August 9 to September 31, 2021. Through the final analysis stage, the concept was analyzed by deriving attributes and dimensions of nurse’s LGBT cultural competence. Results As a result, when the LGBT cultural competence was defined based on the attributes identified in the theoretical stage and the field work stage, it was synthesized into four dimensions and seven attributes. Accordingly, LGBT cultural competence has the attributes of ‘attitude awareness’, ‘knowledge level awareness’, ‘encounter’, ‘safe and effective nursing skills’, ‘consistent nursing skills’, ‘voluntary educational needs’, and ‘respect for lifestyle’. Taken together, nurses LGBT cultural competence refers to the ability to meet LGBT, respect their lifestyle and provide consistent nursing and safe and comfortable skills with positive attitudes and knowledge through education and training. Conclusions In conclusion, LGBT cultural competence can reduce the health gap of LGBT and improve the quality of nursing. Based on the above research results, it is suggested to develop a tool that can measure the cultural competence of LGBT for nurses and develop nursing intervention.

토끼 복부 내벽으로부터 분리된 경락으로 믿어지는 관조직

손준형 ( Joon Hyung Sohn ),윤진하 ( Jin-ha Yoon ),김영주 ( Young Joo Kim ),김민경 ( Min Kyung Kim ),김지화 ( Ji Hwa Kim ),권오현 ( Ohyun Kwon ),김현원 ( Hyun-won Kim ) 대한미용학회(구 대한미용과학회) 2016 대한미용학회지 Vol.12 No.4

Investigation of meridian line and acupoints as anatomical entities should be very important, as acupuncture and meridian massage for medical purpose in the hospital or for skin care in beauty shop are each based on the traditional meridian theory. We isolated tubular structures under the skin of rabbits where the traditional meridian lines are located. The characteristics of these tubular structures isolated from the abdominal wall matches those of Bonghan tubes and Bonghan tubules found by Bong Han Kim. The Bonghan theory established by Bong Han Kim suggests that meridian lines consist of Bonghan tubes and Bonghan tubules. We could observe the presence of large cells inside the Bonghan tubule and the presence of small granules referred to as Sanal in Bonghan theory inside the striae consisting of the Bonghan tubules. Present research suggests that there exist a third unique tubular structure where Sanals flow other than Bonghan tube and Bonghan tubules.

흡수성과 비흡수성 안와 내 삽입물을 이용한 안와 내벽골절 수술결과: 비교 연구

김민경,장선영,최혜선,Min Kyung Kim,Sun Young Jang,Hye Sun Choi 대한안과학회 2014 대한안과학회지 Vol.55 No.5

Purpose: To compare the surgical results and complications of medial wall fracture reconstruction using non-absorbable porous polyethylene implants (Medpor<sup>®, Stryker Instruments, Kalamazoo, Michigan, USA) and an absorbable polymer of polyglycolic acid (PGA) and polylactic acid (PLA) (Mesh plate<sup>®, Inion Ltd, Tampere, Finland). Methods: We retrospectively reviewed the data of patients who underwent reconstruction of medial wall fracture between January 2007 and June 2012 and divided them into 2 groups according to orbital implant type (Medpor<sup>®, Mesh plate<sup>®). Results: Among the 86 patients, 37 were treated with Medpor<sup>® and 49 with Mesh plate<sup>®. There was no statistically significant difference in limitation of motion or diplopia score between the 2 groups at postoperative 6 months (Fisher's exact test,<em> p</em> = 0.192, <em>p</em> = 0.128, respectively). Mean postoperative exophthalmometry differences between the eyes were 0.49 ± 1.04 mm and 0.37 ± 0.62 mm in Medpor<sup>® and Mesh plate<sup>® groups, respectively, showing no statistically significant difference (independent t-test, <em>p</em> = 0.512). Postoperative complications such as inflammation or implant malposition were observed only in 3 patients in the Medpor<sup>® group. Conclusions: No difference was observed between Medpor<sup>® and Mesh plate<sup>® in terms of surgical results during the postoperative 6 month period after reconstruction of orbital medial wall fracture. However, postoperative complications were observed in 3 patients in the Medpor<sup>® group. J Korean Ophthalmol Soc 2014;55(5):640-645

식생 군집분석과 종간친화력 분석을 통한 서울형 다층구조 식재모델 제안

김민경,심우경,Kim, Min-Kyung,Sim, Woo-Kyung 한국조경학회 2010 韓國造景學會誌 Vol.38 No.4

최근 생태환경 조성을 위한 다층구조 식재는 식생복원 등 환경사업뿐만 아니라 군락식재의 방법으로서 활용이 확산되고 있으나, 실제 조경 식재 설계에 있어 다층식재 기법을 활용하는 데에는 어려움이 있었다. 본 연구는 서울지역의 숲 구조를 분석하여 다층식재 시 활용 가능한 기초적 다층 식재모델 개발을 목적으로 하고 있다. 이를 위해 생태분석프로그램인 PC ORD 4.0(MjM Soft, 2002) 프로그램을 활용, ISA(Indicator Species Analysis) 분석을 통한 적정 군집수를 설정하여 군집분석을 실시하였다. 그 결과 상수리나무군락, 신갈나무-팔배나무군락, 소나무-리기다소나무군락, 신갈나무-진달래군락, 선갈나무-노간주나무군락, 소나무-진달래군락, 선갈나무-철쭉나무군락 등의 7개의 자연 식생군락으로 분석되었다. 그리고 대상지에 출현한 빈도 10% 이상의 식물종간의 종간친화력 검정을 통하여, 자연식생에서의 수반종과 함께 수급 및 유통이 가능한 대체 유사종을 제시함으로써 활용도를 높였다. 위의 결과를 종합한 7개 자연식생군락을 기초로 하여, 군락 내 종간 친화력이 있는 식물종을 재선정하여 조경 식재 설계 시 활용할 수 있는 다층식재 모델을 제안하였다. 개발된 다층식재 모델은 변환우점도 값의 평균값을 기준으로 하여 평균 목표피도를 제시함으로써 식재설계 시 폭넓게 응용할 수 있도록 하였다. Although multi-layer planting methods are more widely used as a method for clustered planting and environmental programs such as plant remediation, difficulties have been faced in applying those to planting design. This study develops a basic planting model that can be applied to multi-layer planting in basis on an analysis of forest structures in the Seoul area. An optimal number of clusters was determined through the ISA (Indicator Species Analysis), and 7 basic clusters were found through a cluster analysis by using PC ORD 4.0 software specifically developed for ecological analysis. The 7 basic clusters include the following communities: the Quercus acutissima Community, Sorbus alnifolia-Quercus mongolica Community, Pinus rigida-Pinus densifiora Community, Rododendron mucronulatum var. mucronulatum-Quercus mongolica Community, Juniperus rigida-Quercus mongolica Community, Rododendron mucronulatum var. mucronulatum-Pinus densiflora Community, and Rododendron sclippenbachii-Quercus mongolica Community. The study also selected 57 species with at least a 10% frequency among the plant species existing in the Seoul area and suggested both a companion species and available similar alternative species by conducting an additional interspecific association analysis. This study may help to enhance usefulness of the model in architectural planting design. In addition, the two results named above were synthesized to develop a multi-layer planting model that can be utilized in landscape planting design by selecting similar alternative species through the interspecific association analysis, which includes 7 clusters of natural plants. The multi-layer planting model can be widely applied to design planting because the model has an average target cover range based on the average value of a transformed likelihood.

만성매일두통 환자에 대한 홍화 약침 치료 : 예비연구

김민경,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Min-Kyung,Park, Seong-Uk,Jung, Woo-Sang,Moon, Sang-Kwan,Park, Jung-Mi,Ko, Chang-Nam,Cho, Ki-Ho,Kim, Young-Suk,Bae, Hyung-Sup 대한약침학회 2010 Journal of pharmacopuncture Vol.13 No.4

Objectives : This pilot study is designed to reveal the effect of Carthami-semen acupuncture treatment on chronic daily headache. Methods : 1. All the voluntary subjects were diagnosed as CDH. 2. Carthami-semen acupuncture is applied 2 times a week for 4 weeks. 3. The patients were assessed by Headache impairment test score(HIT), Short Form 36 (SF-36) Health Survey, and Headache Free Days(HFD) before and after 4 weeks treatment, and two weeks the treatment finished. Results : The result were as follows ; 1. HIT score decreased from $65.3{\pm}5.5$ to $53.1{\pm}9.4$, and furthermore declined to $49.5{\pm}8.0$ after 2 weeks the treatment finished. 2. HFD increased from 19.1% to 31.5% during the treatment time. Moreover it showed continuous effectiveness after 2 weeks the treatment finished. 3. SF-36 showed significant improvement on all of the QOL items. Conclusions : This pilot study suggests that Carthami-semen acupuncture treatment has an effect on the CDH patients.