기획점검(2) : BRICs 물류시장 부상과 대응방향 ; 물류전략 "BRICKs" 중심체제로 수정

김경미 한국해사문제연구소 2005 (月刊)海洋韓國 Vol.2005 No.3

위에서 전암병변의 분류와 임상적 의의

김경미 대한위암학회 2009 Journal of gastric cancer Vol.9 No.2

암종화 과정 중 침윤성 암종의 발생에 선행하는, 형태학적으로 인지되는 병변이 전암병변이다. 그러나 전암병변의 임상적인 중요성에도 불구하고 전암병변에 대한 목록이나 분류에 대한 노력은 거의 전무한 실정이었다. 2001년 미국 암연구소 주최 전암병변의 분류에 대한 모임에서는 전암 병변이나 비침윤성 병변에 대한 통일된 전문용어가 없음을 결론짓고 모든 주요 장기에서 전암병변의 용어와 진단기준에 대한 협약을 할 것을 권고하였다. 이 모임에서 결정된 바에 의하면 모든 전암병변이 종양으로 진행되는 것은 아니라는 것이다. 그리고 한편으로는 종양으로서의 특성이 명확히 밝혀지지는 않았으나 암과 밀접하게 연관이 있는 것으로 밝혀진 미만성의 증식성 병변도 전암병변으로 분류하였다. 본 종설은 이러한 전암병변의 정의 및 분류 체계에 맞추어 인체의 주요 장기인 위에서의 전암병변을 분류하고 그 임상적 의의를 알아보고자 한다.

Binge Eating Disorder and Other Specified Eating Disorders

김경미 대한소아청소년정신의학회 2022 대한소아청소년정신의학회 학술대회논문집 Vol.2022 No.11

합곡 지압이 자궁절제술 후 환자의 장운동에 미치는 효과

김경미,남상조 병원간호사회 2003 임상간호연구 Vol.9 No.1

Purpose: The purpose of this study was to identify the effect of Hob-Gog(LI-4) acupressure treatment on recovery of bowel movement after hysterectomy, and to provide demonstrative data. Method: This study used a non-equivalent control group non-synchronized research design. Data were collected from December 2. 2002 to March 19. 2003. This subjects were 38 patients, a experimental group (20) and a control group (18), who was admitted at Y Hospital, Gynecological unit. In order to evaluate the effects of Hob-Gog(LI-4) acupressure, the recovery of bowel sound was measured every 4 hours in post-operative day, every 2 hours in post-operative one day until gas out for 1 minute auscultation on total abdomen after 4 hours having general anesthesia end. The time of gas out was measured by self report or objective report. Result: Hypothesis 1, that following Hob-Gog(LI-4) acupressure, the experimental group will have a shorter time of gas out after having hysterectomy than control group, was not supported. Hypothesis 2, that following Hob-Gog(LI-4) acupressure, the experimental group will have a shorter time the recovery of bowel sound after having hysterectomy than control group, was not supported. Conclusion: This study showed that Hob-Gog(LI-4) acupressure isn't significantly different in relation to the time of gas out and the recovery of bowel sound between the two groups therefore these finding are not generalized. But the time of gas out (3.95hrs) and the recovery of bowel sound (2.44hrs) are shorter. It is necessary to replicate the study with larger number of participants to generalize of the results.

결혼이주여성의 인터넷 이용과 한국사회 적응

김경미 한국사회학회 2012 한국사회학회 사회학대회 논문집 Vol.2012 No.6

일부 간호대학생의 혈액매개질환 예방 지침에 대한 지식과 실천 정도

김경미,김민아,정여숙,김남초 한국간호과학회 1999 Journal of Korean Academy of Nursing Vol.12 No.1

The purpose of this study was to identify knowledge of universal precautions and its performance in practice. The research was conducted from November 2 to 30, 1998. A total 515 student nurses ; 249 from a baccalaureate nursing college and 266 from second and third year of a 3-year community nursing college were surveyed. The results are as following : 1. The average score for universal precautions knowledge was 270.41$\pm$19.43/300(range 150-300). The results showed that 99.2% of students avoid injury from used needles, 98.6% answered that they always wash their hands if they had contact with the patient's blood and they always dispose of used needles in special collectors (97.7%) for needles. But, 39.2% responsed that they dispose of used needles after recapping them. 2. The average score for universal precautions knowledge of the senior students in the 4-year college was the highest (277.65$\pm$13.99). 3. The average score for the performance of universal precautions knowledge was 53.18 $\pm$5.91(range 14-70). The items : ‘I cautiously avoid injury from the used needles’(4.92$\pm$0.33), ‘I always wash my hands if there has been contact with the patient's blood’(4.91$\pm$0.34), and ‘I always disposed of used needles in the appropriate collector’(4.89$\pm$0.42) showed the highest performance. However ‘I always dispose of used needles after recapping them’(2.19$\pm$1.39) and ‘I always use protection goggles when in danger of contamination’(2.19$\pm$1.20) showed low performance level. 4. The highest average score for universal precautions performance was shown among the second year students in 3-year nursing college (54.19$\pm$6.92) between the groups. It showed that the level of the universal precautions performance was higher for those who had education on university precautions prior to performance of the universal precautions than for those without any prior education. 5. The percentage of students who reported the experience of direct contact with patients' blood and/or body fluids was 42.30%. The experience of direct contact with blood and/or body fluids of the educational group was significantly higher than those were not educated. 6. The most frequent cause of the direct contact was ‘needle pricking and/or skin cut’(63.04%). The most frequent substance with which the students contact was ‘blood’(59.85%). The majority of the sample had answered that the mode of contamination was ‘unknown’(63.54%). The majority of the sample answered that strategies used after contamination included ‘washing with soap’(33.61%). Reviewing the chart of patients or asking other health professionals(28.85%). 7. The number of students who had the experience of a needle stick and/or skin cut was 145(28.16%). The clinical practice places where the incidents occurred were mainly in the internal medicine unit (45.07%) and the surgical unit (31.92%) followed by the intensive care unit and the emergency unit in order. The experience of a needle stick and/or skin cut happened during on intra-muscular injection 47.34% and intravenous injection 21.81%. The causes of the needle stick and/or skin cut were ‘putting the needle cap back on 77(35.81%)’. The number of students who took an appropriate post management blood test and/or vaccination was 27(18.62%). 8. The Pearson Correlation Coefficient between the knowledge of universal precautions and performance of universal precautions in practice showed a positive correlation.

조선 여성의 또 다른 삶 - 송덕봉

김경미 도서출판여이연 2002 여성이론 Vol.- No.7

로렌스가 바라본 교육의 실상과 대안 : 『무지개』와 에세이 중심으로

김경미 한국로렌스학회 2012 D.H. 로렌스 연구 Vol.20 No.1

As the first English novelist to benefit from the Education Act of 1870, which sought to make elementary education universally available to its English citizens, Lawrence taught in the British public school system from 1908 to 1911. By suppressing the individuality and respecting only public virtues, the mechanical educational system pointed out only "equality" and "standards," which destroyed and endangered the individual. Based on his experiences, he had a unique view on education, critically reflected in his works and he offered education alternatives in his essays. This paper examines his perspectives and solutions in The Rainbow and his essays, especially "Education of the People," and reveals that he saw the public education as unconcerned with authentic self growth. Additionally, my examination pays attention to Lawrence's thoughts on the individual and society related to the educational system, while studying his ideas. He insisted that the living self should have one purpose only: to come into its own fullness of being, and that all education should tend against the fixed mechanical automatism and support its own spontaneous desire and impulse.

여성결혼이민자의 인터넷 이용과 한국사회 적응 – 시민모임 참여와 생활만족도를 중심으로

김경미 한국정보사회학회 2013 정보사회와 미디어 Vol.- No.25

본 연구는 여성결혼이민자의 인터넷 이용이 한국사회 적응에 미치는 영향을 다룬다. 인터넷 변인을 이용 여부와 이용 형태(정보추구, 의사소통, 여가활동, 상거래)로 구분해 지역모임 및 시민단체 참여와 한국생활 만족도에 미치는 영향을 분석했다. 2009년 전국다문화가족실태조사 자료를 이용해 이항 로지스틱과 다중 회귀분석을 실시했다. 분석결과, 인터넷 이용은 지역모임과 시민단체 참여에 정적으로 유의한 영향을 미쳤지만, 생활만족도에는 유의한 영향을 미치지 못했다. 또한, 인터넷 효과는 이용 형태에 따라서도 상이하게 나타났다. 특히, ‘의사소통용’ 이용은 예상과 달리, 지역모임과 시민단체 참여에 유의한 영향을 미치지 못했으며, 생활만족도에는 부적인 영향을 나타냈다. ‘정보추구용’ 이용은 인터넷 이용 형태 중에서 유일하게 시민단체 참여에 유의한 영향을 미쳤다. ‘정보추구’ 이용 변인이 인터넷의 일반 효과를 드러냈다면, ‘의사소통’ 이용 변인은 여성결혼이민자라는 연구대상의 특수성을 반영하는 효과를 나타냈다. 본 연구는 인터넷 효과가 연구대상에 따라서도 상이한 측면을 보여준 점에서 의의가 있다.

갑상선 질환 관해상태 환자에 대한 발 반사요법의 효과

김경미 대한피부미용학회 2007 대한피부미용학회지 Vol.5 No.2

The purpose of this study is to evaluate the effects of foot reflexology on the patients in the remission state of thyroid disease. Experimental trial conducted to observe the change of subjective symptoms and levels of the thyroid hormones in the patients with thyroid disease after foot reflexology operation. The nine study subjects were recruited from the one thyroid specialty clinic. They were in the simple clinical observation without drug medication, and agreed voluntary participation to this study through informed consent. The foot reflexology were performed total twelve times, two times per week, for one and half hour per time by one professional therapist from March to June, 2007. The subjective symptoms including fatigue were assessed before (at 0 week), during (at 3 week) and after (at 6 week) the foot reflexology by questionnaire. The level of thyroid hormones (T3, T4, Free T4, TSH) were measured before (at 0 week) and after (at 6 week) the foot reflexology. The data were analyzed with Fisher's exact test and Wilcoxon signed-rank test by SPSS (ver 12.0) and MedCalc (ver 9.2.1.0). As the results, the mean period after diagnosis of the subjects were three years. For the subjective symptoms, headache, decreased concentration, cold intolerance, dryness of skin, discomfort, dryness and fatigue of ocular region, irritability, edema, dizziness, anxiety, coldness of hands and feet and urinary frequencies were significantly improved (p<0.05). The mean score of the symptoms were also significantly improved as 34.6±6.9 at before, 18.8±4.6 at during, and 11.8±4.2 at after (p<0.01). The mean score of the fatigue were also significantly improved as 27.6±8.7 at before, 13.1±5.4 at during, and 7.7±4.1 at after the operation (p<0.01). However, the changes of levels of thyroid hormones did not show statistically significant differences before and after measurements. In conclusion, nevertheless several limitations including small sample size, unequal severity of the disease state and no control group, this study might be considered as a meaningful trial to evaluate the additive therapeutic effects of foot reflexology. Foot reflexology are would be helpful as a supportive therapy to improve the subjective symptoms including fatigue paralleled with drug medication on the management of the patients with thyroid disease. Further studies should be needed to clarify this issue.