측두하악관절 골관절염 진단에 있어 전산화 단층촬영의 유용성

전영미,최종훈,김성택,권정승,안형준,Jeon, Young-Mi,Choi, Jong-Hoon,Kim, Seong-Taek,Kwon, Jeong-Seung,Ahn, Hyung-Joon 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

Osteoarthritis is caused by joint degeneration, a process that includes progressive loss of articular cartilage accompanied by attempted repair of articular cartilage, remodeling and sclerosis of subchondral bone, and osteophyte formation. The most common causative factor that either causes or contributes to osteoarthritis is overloading of the articular structures of the joint. The diagnosis of temporomandibular joint(TMJ) osteoarthritis is based on the patient's history and clinical findings such as limited mandibular opening, crepitation and tenderness to palpation on TMJ. The diagnosis is usually confirmed by TMJ radiographs, which will reveal evidence of structural changes in the subarticular bone of the condyle or fossa. Plain radiography techniques such as panoramic, transcranial, transpharyngeal views can be used in most dental offices for evaluation of the TMJs. However, plain radiographs are often limited due to overlapping and distortion of anatomical structures. The aim of this study was to compare the clinical examination and panoramic view with computed tomography for diagnosis of temporomandibular degenerative joint disease, and to compare the findings of condylar bony changes through panoramic radiography with that of computed tomography, hence, to confirm the limitations of clinical and panoramic radiography, and the validity of the computed tomography for diagnosis of temporomandibular degenerative joint disease. The pathophysiology of the TMJ osteoarthritis remains poorly understood, and current treatments are based more on speculation than science, and symptomatic treatments often fail to provide satisfactory pain relief. For diagnosis of TMJ osteoarthritis, clinical examination and radiographic examination for confirmation of the bony changes are essential, and computed tomography are clearly superior to plain radiographs for their limitations.

병원 교육전담간호사가 인지한 신규간호사 필수 간호술기와 실습 교육 개선방안

권소희(So-Hi Kwon),김수현(Su Hyun Kim),정선영(Sun Young Jung),모문희(Moon Hee Mo),전영미(Young Mi Chun),홍선연(Sun Yeun Hong),이우숙(Woo Sook Lee),박주영(Juyoung Park),박지현(Jihyun Park),이현주(Hyoun Ju Lee),손정태(Jung Tae Son) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.2

본 연구는 병원 교육전담간호사가 신규간호사 교육 경험을 통해 인지한 필수 간호술기와 간호학 실습교육의 개선방안에 대해 포커스 그룹 인터뷰와 설문조사의 혼합연구방법을 이용하여 탐색하였다. 총 119개의 간호술기 중에서 교육전담간호사 전원이 매우 중요하다고 평가한 간호술기가 23개였다. 또한 교육전담간호사들은 신규간호사가 실무적응의 어려움을 보이는 원인을 무균술을 포함한 기본 원칙의 준수와 조작의 미숙, 대상자 상황 이해의 어려움, 낯선 상황에서의 미숙한 대처, 간호사로서 태도의 미흡으로 인식하고 있었다. 신규간호사의 임상실무역량을 높이기 위해서는 간호교육에서 간호전문직 의식을 고취시키기 위한 사고력 증진 교육 강화와 더불어 임상실무 역량을 향상시키기 위한 임상 실습의 교육 체계 개선과 프로그램 개발이 필요하다. 본 연구의 결과는 향후 임상의 요구와 대학의 현실을 반영하는 실습내용과 방법을 구성하는데 있어 유용한 기준으로 활용될 수 있을 것으로 기대 한다. This study explored the essential nursing skills recognized by 6 clincal nurse educators through new graduate nurse education experiences and ways to improve nursing practice education using a mixture of focus group interviews and surveys. Of the total 119 nursing skills, 23 skills were evaluated as very important by all participants. In addition, clincal nurse educators pointed out that new graduate nurses fail to comply with basic principles such as the aseptic technique and that the manipulation of medical devices is immature. Clincal nurse educators recognized that new graduate nurses did not understand the patient’s situation well, that they were immature in dealing with unfamiliar situations, and that their attitude as a professional nurse was inappropriate. In order to improve the practical adaptability of new graduate nurses, it is necessary to improve the education system and develop programs for clinical practice education. The findings are expected to be a useful criterion for building practical content and methods of nursing education curriculum.

Mouse Single Oral Dose Toxicity Test of Lactobacillus-fermented Araliae Continentalis Radix Aqueous Extracts (fACR)

Young-Mi Jung(정영미),Sae-Kwang Ku(구세광),Dong Sub Lee(이동섭),Kisang Kwon(권기상) 한국생명과학회 2016 생명과학회지 Vol.26 No.2

본 실험에서는 유산균발효 독활의 마우스 단회 경구 투여 독성 자료를 얻기 위해 식품의약품안전청 고시 제 2013-121 “의약품 등의 독성시험 기준”에 의거하여, 설치류 투여 한계 용량인 2,000 mg/kg을 최고 투여군을 설정하고 공비 2로 1,000 및 500 mg/kg 투여군을 중간 및 저용량 투여군으로 설정하여 실험을 실시하였으며, 그 결과는 독활 열수 추출물 2,000 mg/kg 암수 투여군 및 암수 매체 대조군과 비교 평가 하였다. 본 실험의 결과, 설치류 투여한계 용량인 2,000 mg/kg 투여군까지, 유산균발효 독활 열수 추출물 투여와 관련된 사망례, 임상증상, 체중, 장기중량, 육안부검 및 조직병리학적 소견이 인정되지 않았다. 따라서 유산균발효 독활 열수 추출물의 마우스에 대한 단회 경구 투여 반수 치사량 및 개략적 치사량은 암수 각각 2,000 mg/kg이상으로 산출되었으며, 특정 임상증상 및 표적 장기 역시 없는 것으로 판단되어, 유산균발효 독활은 매우 안전한 물질로 판단된다. 또한 독활 열수 추출물 2,000 mg/kg 투여와 관련된 사망례, 임상 증상, 체중, 장기중량, 육안 및 조직병리학적 변화 역시 인정되지 않았다. 이러한 결과는 독활의 활용도를 증대시키는 기초 자료가 될 것으로 사료된다. The objective of this study was to obtain acute (single) oral dose toxicity information on Lactobacillusfermented Araliae Continentalis Radix aqueous extracts (fACR) in female and male ICR mice, as compared with Araliae Continentalis Radix aqueous extracts (ACR). After administering a single oral dose of fACR, no treatment-related mortalities were observed within 14 days after the end of treatment up to 2,000 mg/kg, the maximum dosage for rodents of both sexes; moreover, no fACR treatment-related changes in the body and organ weights, clinical signs, necropsy, and histopathological findings were detected in this experiment. In addition, no ACR 2,000 mg/kg treatment-related mortalities, clinical signs, body and organ weights, or gross and histopathological findings were observed, as compared with equal genders of vehicle control. The results obtained in this study suggest that fACR is non-toxic in mice and is, therefore, likely to be safe for clinical use. The LD50 and approximate LD in female mice and male mice, respectively, were considered after a single oral dose of fACR over 2,000 mg/kg, the maximum dosage for rodents. In addition, no specific targets or clinical signs were detected in the present study. ACR 2,000 mg/kg-treated mice also did not show any treatment-related mortalities, clinical signs, changes to body and organ weights, or gross and histopathological findings, as compared with equal genders of vehicle control.

병원 간호사의 정서적 소진에 대한 주관성: Q방법론 적용

권영미 ( Young Mi Kwon ),김희정 ( Hee Jeong Kim ),전미순 ( Mi Soon Jeon ),안정화 ( Jeong Hwa An ) 한국주관성연구학회 2018 주관성연구 Vol.- No.42

본 연구는 병원간호사의 정서적 소진에 대한 주관성과 그 특성을 비교 분석하여 병원간호사의 정서적 소진감소 전략에 대한 기초자료를 제공하고자 수행하였다. Q 방법론을 이용하여 병원간호사 40명을 P표본으로 하여, 이들이 증상, 원인, 대처의 3개 범주로 이루어진 38개의 Q표본을 9점 척도Q 분포도상에 강제분포 하도록 하였다. 수집된 자료는 PC-QUANL program을 이용하여 분석하였다. 연구결과 병원간호사의 정서적 소진은 4개 유형으로 분류되었으며 1유형은 ‘전문성 지향형’, 2유형은 ‘에너지 고갈형’, 3유형은 ‘관계지향형’, 4유형은 ‘마인드 컨트롤형’으로 나타났다. 공통적으로 지각한 정서적 소진의 원인은 업무와 관련하여 좋지 않은 상황이나 결과였으며 정서적 소진감소를 위해서는 환자안전을 위한 시스템 개선이 동반되어야 함을 시사한다. 본 연구는 소진의 핵심적인 영역인 정서적 소진에 초점을 맞추어 병원간호사의 주관적 인식구조를 분류하여 확인하였다는 점에서 연구의 의의가 있다. The purpose of this study is to provide basic data on the emotional exhaustion strategies of hospital nurses by comparing the subjective characteristics and the characteristics of emotional exhaustion of hospital nurse. Forty health care providers classified 38 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc-QUANAL program. Principal Component Analysis identified 4 types of the attitudes toward Emotional Exhaustion among the Hospital Nurses and named by researcher. Type Ⅰ is ‘Expertise’, type Ⅱ is ‘Energy depletion’, type Ⅲ is ‘Oriented relationship’, and type Ⅳ is ‘Mind control’. The consensus cause of perceived emotional exhaustion was a bad situation or result in relation to work. So, suggesting that system improvement for patient safety should be accompanied by reduced emotional exhaustion.

간호대학생의 봉사활동 특성에 따른 욕구충족, 사회성, 전공만족도 연구

권영미(Kwon, Young Mi),주혜주(Joo, Hye Joo),조경미(Cho, Kyung Mi) 한국간호교육학회 2004 한국간호교육학회지 Vol.10 No.1

보건의료업의 안전보건활동 및 안전문화의식정도 - 음식·숙박·가스·전기업종과의 비교 -

권영미,김순례,정혜선,이윤정,이관형,Kwon, Young-Mi,Kim, Soon-Lae,Jung, Hye-Suni,Yi, Yunjeong,Yi, Kyun Hyung 한국직업건강간호학회 2008 한국직업건강간호학회지 Vol.17 No.2

Purpose: This study intended to investigate how health and safety organization, management, activities and safety culture of healthcare industries are different from other industries (food, lodging, gas, and electricity industries). Method: Data were analyzed using '2005 The National Survey for Occupational Safety and Health Tendency'. Results: For health and safety training, both new training and regular training time of healthcare sector was lower than comparison sectors. For health and safety manager assigning form, there were many case in healthcare sector to assign a safety manager as a deputy and a health manager as an additional job, there were some differences from comparison sectors. It was found that establishment of countermeasures by cause investigation and analysis execution for occupational accidents in the healthcare sector was lower than comparison sectors. For health and safety activities and safety culture awareness, they were estimated in healthcare sector to be lower than comparison sectors. Conclusion: Healthcare sector had relatively lower health and safety activities and safety culture awareness compared with comparison sectors. So, it is required business owner's concerns and efforts to assign exclusively responsible health and safety manager and to activate health and safety training and occupational accident prevention.

아동양육시설 아동 대상 국내 미술치료 프로그램의 연구동향

권영미(Kwon, Young-Mi),유경미(Yoo, Kyung-Mi) 한국예술심리치료학회 2021 예술심리치료연구 Vol.17 No.2

본 연구는 아동양육시설 아동 대상 미술치료 프로그램 관련 연구동향을 파악하기 위하여 학위논문 51편과 학술논문 22편, 총 73편을 분석하였다. 연구의 분석기준은 연구대상의 진단 및 평가 도구, 연구방법, 미술치료 프로그램 운영, 미술치료 프로그램 내용으로 나누었다. 연구 결과, 진단 및 평가도구로는 투사 검사 측정도구보다 객관적 검사 측정도구가 많이 사용되었고, 연구방법에서 연구설계는 사전-사후검사 통제집단 설계가 많았으며, 통계처리 방법은 t 검정을 많이 사용하였고, 자료분석은 양적·질적 분석방법이 많았다. 연구의 참여 아동은 문제행동과 관련된 부적응 문제를 보이는 아동이 많았으며, 집단을 대상으로 한 실험연구의 수가 많았고, 참여 아동의 연령은 8~13세, 학년은 초4~6학년, 아동 수는 6~10명이 가장 많았다. 기술된 입소사유는 부모이혼이 가장 많았으며, 미술치료프로그램의 총 회기수는 13~17회기, 회기별 중재시간은 40~60분, 주당 시행 횟수는 1회, 활동단계는 3단계, 중재환경은 기술하지 않은 연구가 많았다. 미술치료 프로그램의 치료목표는 자아존중감 향상이 많았고, 활동방법으로는 점토(소조)활동을 많이 사용하였다. 마지막으로 연구 결과의 의미와 아동양육시설 아동 대상 미술치료 프로그램의 발전을 위한 제언을 하였다. This study analyzed 51 dissertations, 22 academic papers, and 73 total to identify research trends related to art therapy programs for children in child care facilities. The analysis criteria of research were divided into the diagnosis and evaluation tools of research subjects, the method of research, the operation of art therapy programs, and the content of art therapy programs. As a result of the study, objective test measurement tools were used more than projection test measurement tools, research design had more pre-post-test control group designs, statistical processing methods used more t-test, and data analysis had more quantitative and qualitative methods. Many children participated in the study showed maladjustment problems related to problem behavior, and the number of experimental studies conducted on groups was high, with the age of 8 to 13, grade 4 to 6, and 6 to 10 children. The reason for the described admission was parents divorce, and the total number of sessions of art therapy programs was 13 to 17 sessions, 40 to 60 minutes of arbitration per session, once a week, three stages of activity, and many studies did not describe the arbitration environment. The treatment goal of the art therapy program was to improve self-esteem and to use clay (sozo) activities as an activity method. Finally, the meaning of the research results and suggestions were made for the development of art therapy programs for children in child care facilities.

병원내 집단간의 수간호사 역할지각에 관한 연구

권영미 ( Young Mi Kwon ) 한국주관성연구학회 1998 주관성연구 Vol.- No.3

The trend in administration of hospital organization is decentrali-zation and specialization by units or by functions. Therefore, there is high need to reinforce administration systems especially tuned for each nursing unit and the nursing unit manager will possess a more important position in the hospital as well as in nursing administration. A head nurse``s role will enhance patients`` satis-faction by providing improved nursing, and will set up a role model for staff nurse that affects various aspects, of the profession such as self achievement and job satisfaction. The study attempts to give understanding of and explanations to the subjective assessment of individual hospital members regarding head nurse``s role. Since perception is the process individuals use to select, organize, store, and interpret stimuli into a meaningful and coherent picture of the world, role perception is a subjective concept. So, the research method utilized Q-methodology that explains the respondent``s subjectivity by objectifying his subjectivity. The purpose of this study is to characterize the subjective structure of head nurse``s role perceptions and to examine the relationships between own cognition and the perception of the second person``s cognition of head nurse``s role according to the coorientation model. 33 head nurses and 29 other department members in 5 university hospitals served as respondents. The result of this study shows that there are three types each, respectively of subjectivity in head nurses and other department members concerning head nurses`` role, and there are four factors each, respectively of recognition of head nurse``s role perceived by each group about the other group. The relationship between the above-mentioned patterns through a coorientation model was as follows; In the relation of head nurses and other department members in Hospital to the head nurse``s role, the degree of their agreement was high. The congruency between own cognition about head nurse`` role and perception of other``s cognition showed low. Also, the accuracy of the own subjectivity on head nurse``s role and own recognition as perceived by other was low. Consequently, this study discovered dissimilarities of head nurse``s role perception between role sectors and role senders. By doing this, available evidence suggests that role conflict exists in head nurse``s role performance and that it may be caused by difference of role perceptions. Few suggestion have been made based on the conclusion. There is a need for relative study of head nurse``s role perceptions between staff nurses / doctors and head nurses.

장기공여와 이식에 대한 일반인의 주관적 특성

권영미(Kwon Young Mi),윤은자(Yeun Eun Ja) 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.30 No.6

삼차신경통 진단 및 치료의 중요 고려사항

전영미,태일호,최종훈,안형준,심우현,권정승,Jeon, Young-Mi,Tae, Il-Ho,Choi, Jong-Hoon,Ahn, Hyung-Joon,Shim, Woo-Hyun,Kwon, Jeong-Seung 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.4

Trigeminal neuralgia is defined as "a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve" by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.