부분 무치악 임플랜트 보철 수복시 자연치와의 비고정성 연결형태에 따른 3 차원 유한요소법적 연구

이선아,정재헌 朝鮮大學校 口腔生物學硏究所 1995 口腔生物學硏究 Vol.19 No.2

Use of Health Information Systems for Evidence-based Practice Implementation: Literature review

이선아 전남대학교 간호과학연구소 2018 Nursing and Health Issues(NHI) Vol.23 No.1

Abstract Purpose: Use of health information systems is a requisite to activate evidence-based practice(EBP) and there have been diverse attempts at implementation, but EBP remains a challenge. Little attention was paid to that different uses of health information systems would bring a difference in EBP implementation. This study aimed to explore the practical applications of health information systems for EBP implementation at the point of care. Methods: Studies published between 1995 and 2010 were retrieved using databases of Medline, CINAHL, and EMBASE. The search terms used were ‘nursing, evidence-based practice, information system’ and ‘nursing, evidence, a decision support system. Of 296 studies retrieved, twenty seven studies meeting the inclusion criteria were analyzed. Results: Use of health information systems designed for EBP implementation were divided to two categories: health information systems that provide electronic links to numerous evidence resources(9 studies) and health information systems that provide structured electronic formats embedding evidence systematically filtered and preprocessed from evidence resources(18 studies). The former was rarely useful for EBP implementation in clinical situations where organizational and individual barriers were common. These barriers made it difficult to handle plentiful evidence provided from evidence resources In contrast, the latter was useful for immediate use of evidence for EBP implementation. Electronic formats were embedding evident contents for assessments, diagnoses, care plans, outcome evaluation, and alerts. Conclusion: A strong culture for EBP implementation is required and it is necessary to improve use of health information systems for EBP implementation at the frontline nurse level.

대학생의 부모 애착과 의사소통의 유형이 대학생활 적응에 미치는 영향

이선아 명지대학교 아동가족심리치료센터 2014 아동가족치료연구 Vol.12 No.-

본 연구자는 부와 모의 애착이 대학생활 전반에 걸친 적응과 하위 요인별 적응에 어떤 영향을 주고 있는지? 그리고 이미 형성된 애착과 상관없이 현재 부모가 사용하고 있는 의사소통 방식에 따라서 대학생활 적응에 어떤 영향을 주고 있는지? 또한 아버지와 어머니의 애착, 의사소통 방식이 함께 작용했을 때는 대학생의 학교생활 적응에 어떤 영향을 주는지 알아보고 대학생들의 상담 시 참고가 될 만한 자료를 제공하고자 하였다. 연구결과는 부모 애착이 높고, 부모가 개방형 의사소통을 할 경우 대학생활 적응 전체, 학업적응, 사회적응, 개인정서적응, 대학환경적응은 잘한다고 나타났다. 그리고 부모 애착과 대학생활 적응에 대한 부모 의사소통 유형에 대한 매개효과의 통계적 유의성을 알아보기 위하여 위계적 회귀분석을 실시하였는데 그 결과 모든 모형의 매개효과가 통계적으로 유의한 것으로 나타났다. 특히 이 연구에서는 부모와의 애착보다 부모의 의사소통 방식이 자녀의 대학생활 적응에 더 많은 영향을 주고 있다는 결과가 나왔다.

<단군신화>와 <게세르칸>서사시의 비교 연구와 쟁점 -한국 비교신화학 연구에 대한 전망을 중심으로

이선아 한국몽골학회 2013 몽골학 Vol.0 No.34

This study considered the existing comparative-mythology discussions, which were made at home, and analyzed generally by extracting main issues of a research, focusing on <Geser Khan> in Mongolia, which is huge heroic epic of covering the Altaic cultural cluster, and <Dangun Myth>, which is representative foundation myth in the Korean race. Especially, it examined the research performance of Korea-Mongolia comparative mythology and considered generally on main issues targeting domestically prior researches on Korea’s <Dangun Myth> and Mongolia’s <Geser Myth>. It examined prior researches up to now in relation to comparison of Korea-Mongolia myths and presented the research themes enough to become issues inside it as a problem of reconstituting key concept, which becomes the basis of analyzing myth, a problem of analyzing mytheme and extracting common mytheme, and a problem of forming local cultural theory based on myths in both areas. As a name of hero as the progenitor, which is raised in topic of myth such as ‘Dangun’ and ‘Geser Khan,’ is key word of analyzing myth, there are many cases unexpectedly of being hidden in a veil. Thus, a research of reconstructing this was emphasized. Necessity of interdisciplinary research on myth was realized keenly through the process of analyzing ‘Dangun’ and ‘Geser Khan.’ A conquest of a research on individual myth was confirmed as well through comparative research of each myth. As a comparative research of Korea-Mongolia myths comes to newly form the peculiar sphere of Northeast Asian Mythology, which is discriminated from myths of focusing on the West, it will come to contribute to diversity of myths in the world. The era of glocalism in the 21st century will come to claim to stand for the period of mythology, which continuously communicates with inter-discipline, genre, region, and time like attributes of opening and convergence, which are possessed by myth in Northern Nomadic people. Accordingly, there will be a need of exploring the right identity of individual myth by coming up with Northeast Asian Mythology and Altaic mythology, and also of seeking the identity of Northeast Asia’s cultural cluster, which shares mytheme and mythological archetype in common.

18세기 호남과 근기 실학자의 ‘사이’와 ‘거리’

이선아 동양한문학회 2022 동양한문학연구 Vol.63 No.-

Hwang Yoon-seok, a Noron scholar from Jeolla-do, and Ahn Jung-bok, a Namin scholar from Gyeonggi-do, were recognized as a well-informed and professional scholar, and were given a chance to get into office through the Tangpyeong policy promoted by King Yeongjo. Though Hwang Yun-seok and Ahn Jung-bok had never met each other in their lives, they were similar in office after becoming bureaucrats. However, Hwang Yun-seok was appointed to the Jangneung Chambong, and he met Jeong Sul-jo, the vice governor of Yeongwol, and listened to Ahn Jung-bok's story in detail. Jeong Sul-jo introduced 『Dongsagangmok』written by Ahn Jung-bok, saying he was close to Ahn Jung-bok. After that, Hwang Yoon-seok worked as the head of the central department and participated in the compilation project of 『Moonheonbigo』. At that time, a Namin scholar, Shin Kyung-joon took charge of the historical geography of 『Moonheonbigo』, summarizing the views of Namin, including Ahn Jung-bok. Hwang Yun-seok and Ahn Jung-bok went through a similar route in the government office, and in 1779, Hwang Yun-seok was promoted to the rank of Mokcheon governor after Ahn Jung-bok. Hwang Yoon-seok, who was appointed as the head of Mokcheon, obtained and read 『Daerokji』 compiled by Ahn Jung-bok. Daerok was the old name of Mokcheon. Hwang Yoon-seok, who had looked through 『Daerokji』, said Ahn Jung-bok described it in great detail. Ahn Jung-bok, as the magistrate of Mokcheon, thought of it as an opportunity to research the practical knowledge and tried to establish the ethics of the village. The compilation of 『Daerokji』 was part of such efforts. Hwang Yoon-seok praised Ahn Jung-bok's efforts, but pointed out the limitations, saying that he ruled too loosely.However, Hwang Yoon-seok also failed to overcome the limitations of Ahn Jung-bok and was pushed him out of office by the lower management of Mokcheon. In short, This situation was not their limitations at that time, but a social evil of local administration. 전라도 흥덕 출신의 노론 황윤석과 광주군 출신의 근기 남인 안정복은 博學多識한 학자로 영조가 추진한 탕평정책으로 관직에 나갈 기회를 얻었다. 그들은 일생 동안 만난 적은 없었지만 출사한 이후 官路에서 몇 차례 교차하였다. 특히 황윤석은 장릉 참봉에 임명되어 영월 부사 정술조를 만나 안정복에 대해 ‘구체적으로’ 들을 수 있었다. 정술조는 자신과 안정복이 竹馬交友였다고 하면서 ‘安書’- 東史綱目 을 소개하였던 것이다. 황윤석은 장릉 참봉을 거쳐 중앙 관서에서 근무하면서 안정복 등 남인의 학문을 접하였다. 황윤석은 종부시 직장으로 근무하면서 文獻備考 편찬에 참여하였는데, 남인 신경준이 맡고 있는 「輿地考」에 관심이 많았다. 신경준은 안정복 등 남인의 견해를 수용하여 「여지고」를 편찬하였고, 황윤석은 문헌비고 를 편찬하는 과정에 남인의 학문을 직,간접적으로 접하였다. 이후 황윤석과 안정복은 비슷한 관로를 거쳤는데, 황윤석은 정조 3년(1779)에 안정복의 후임으로 목천 현감에 임명되었다. 목천현에 임명되었다는 소식을 들은 황윤석은 목천현에 대한 정보와 자료를 모았고, 안정복이 편찬한 大麓誌 를 열람하였다. 대록지 를 검토한 황윤석은 발문을 짓는 등 그 내용에 대한 자신의 생각을 정리해 두었다. 목천현감으로 부임한 안정복은 평소 ‘下學’의 학문을 실천할 기회로 생각하고 향촌의 질서를 확립하기 위해 洞契를 회복하는 등 노력을 기울였다. 읍지의 편찬도 이러한 노력의 일환이라고 할 수 있다. 그러나 이러한 안정복의 노력에 비해 ‘악습’은 쉽게 해결되지 않았다. 안정복의 후임으로 부임한 황윤석은 ‘백성을 지나치게 사랑한’ 안정복의 행정에 대해서는 긍정적으로 평가하지 않았다. 그는 전임 현감 안정복의 ‘흔적’과 경쟁하며 지방관으로 치적을 남기려다가 오히려 파직되는 불운을 겪게 되었다. 안정복과 황윤석은 근기 남인과 호남 노론이라는 지역과 당색으로 인한 거리에도 불구하고 그 경계에 갇히지 않고 박학과 전문을 추구하며 새로운 시대를 예고하는 삶을 살았다. 특히 황윤석은 호남 노론이라는 정체성에 매몰되지 않고 안정복 등 남인의 학문을 수용하며 자신의 시대를 인내하였다.

Correlation Between Serum Vitamin D Level and the Severity of Atopic Dermatitis Associated With Food Sensitization

이선아,홍소영,김현정,이수형,염혜영 대한천식알레르기학회 2013 Allergy, Asthma & Immunology Research Vol.5 No.4

Purpose: A growing body of literature has linked vitamin D deficiency with allergic diseases, particularly atopic dermatitis (AD). In this study, weinvestigated the association between serum vitamin D status and the clinical manifestation of AD. We also developed an analytical method for thesimultaneous determination of 25-hydroxy vitamin D3 (25(OH)D3), using liquid chromatography (LC) coupled with tandem mass spectrometry (MS/MS). Methods: This study included 157 patients (79 males and 78 females) with AD, aged 4 months to 56 years. We evaluated disease severityusing the SCORing Atopic Dermatitis (SCORAD) index. Serum levels of 25(OH)D3 were determined by LC coupled with MS/MS. Total IgE and specificIgE levels were assayed using the immunoCAP system. ANOVA was used for statistical evaluation. Results: We found mild, moderate, and severeAD in 30 (11.1%), 87 (55.4%), and 40 (25.5%) patients, respectively. There was no significant correlation between serum levels of 25(OH)D3 andAD severity. However, among the 36 patients with food sensitization, the mean±SD serum levels of 25(OH)D3 were significantly higher (P<0.05) inpatients with mild disease (21.2±5.18 ng/mL) compared with the levels in patients with moderate (17.9±4.02 ng/mL) or severe AD (13.3±5.11ng/mL) disease. Conclusions: These results suggest that vitamin D deficiency is related to the severity of AD associated with food sensitization. Thus, these data suggest a role for vitamin D in a select group of AD patients.

Effect of Korean Red Ginseng on Sleep : A Randomized, Placebo-Controlled Trial

이선아,강승걸,이헌정,정기영,김린,Lee, Sun-Ah,Kang, Seung-Gul,Lee, Heon-Jeong,Jung, Ki-Young,Kim, Leen KOREAN ACADEMY OF SLEEP MEDICINE 2010 수면·정신생리 Vol.17 No.2

목 적: 인삼은 한국을 비롯한 아시아 국가에서 전통적으로 불면증의 치료에 사용되어 왔으며 쥐를 이용한 동물실험에서 수면을 촉진시키는 효과가 있다는 연구 결과가 있어왔다. 하지만 이러한 효과를 입증할 만한 임상 실험은 거의 이루어지지 않았다. 이에 본 연구에서는 고려 홍삼이 수면에 미치는 영향을 알아보고자 한다. 방 법: 건강한 성인 남성 20명을 대상으로 하였으며 이들은 무작위로 홍삼군과 위약군에 배정되어 2주간의 실험이 진행되었다. 홍삼군의 경우 하루 4,500 mg의 홍삼을 섭취하였다. 실험 시작시점과 2주 후인 종료시점에 수면다원검사를 시행하여 두군간의 변수의 변화를 비교하였다. 결 과: 총 15명의 대상자, 즉 홍삼군 8명과 위약군 7명이 수면다원검사를 시행 받았으며 홍삼군이 위약군 보다 실험 종료 시점에서 3단계 수면이 증가한(p=0.087) 반면에 2단계 수면이 감소하는(p=0.071) 경향을 나타냈다. 결 론: 본 연구 결과는 고려 홍삼이 깊은 잠은 증가시키고 얕은 잠은 감소시키는 경향이 있음을 보여준다. 이는 통계적으로 유의한 결과는 아니지만 홍삼이 수면의 질을 향상시키는 데 효과적임을 짐작하게 한다. 그러나, 보다 많은 대상군과 충분한 홍삼 용량으로 보다 긴 기간 동안 진행되는 연구를 통해 고려 홍삼의 수면에 대한 효과를 확인할 필요가 있다. Objectives: Ginseng has a long history of being used in insomnia treatment and there is some evidence from animal studies of its sleep-enhancing property. From this, it can be assumed that ginseng has sleep-promoting effect in humans. The purpose of this study was to investigate the effect of Korean red ginseng on change of sleep architecture in humans. Methods: A total of 20 healthy young males with regular sleep and wake habits and without any psychiatric nor cognitive problems were selected based on review of sleep questionnaires and sleep diaries they completed followed by an interview with a board-certified psychiatrist. The subjects were randomly assigned to red ginseng or placebo for 2 weeks of trial. The total daily dose of ginseng was 4,500 mg. The polysomnographic recordings were made at baseline and at 2 weeks after. The effects of red ginseng and placebo on sleep were assessed by comparing the changes in polysomnographic variables between the two groups. Results: A total of 15 subjects, 8 from red ginseng group and 7 from placebo group, were included to undergo polysomnographic procedures. The red ginseng group showed tendencies to increase stage 3 sleep (p=0.087) and to decrease stage 2 sleep (p=0.071) from the baseline compared with the placebo group. Conclusion: Korean red ginseng tends to increase deep sleep and decrease shallow sleep. Our result is in line, at least in part, with previous findings that Korean red ginseng increased total and NREM sleep in rats. Further studies with higher ginseng dosage, larger sample size and longer trial duration should be conducted to confirm the sleep stabilizing and balancing effects of Korean red ginseng.

진로장벽과 구직행동 간의 관계에서 심리적 고용가능성의 조절효과: 경력단절여성 대상 연구

이선아,신강현 한국자료분석학회 2018 Journal of the Korean Data Analysis Society Vol.20 No.4

The importance of psychological employability is highlighted as a variation in predicting job search behaviors. This purpose of this study identifies the impact of career barriers (personal internal factors, social relationships, and structural problems) on job search behaviors (preparatory, active) in job seeking and to ascertain the effect of perceived employability on the relationship between career barriers and job search behavior. To this end, 184 people were used in the analysis by conducting a survey of women with career interrupted. Research has shown that only personal internal factors are a negative prediction of preparatory and active job search behaviors. Employability is a positive prediction of preparatory and active job search behaviors. The moderating effect of employability mitigates the relationship between personal internal factors and preparatory job search behavior and mitigates the relationship between structural problems and preparatory job search behavior. However, it was difficult to see the moderating effect of employability in active job search behaviors. Finally, the implications, limitations, and future research issues of the study were discussed. 구직행동을 예측하는 변인으로 심리적 고용가능성의 중요성이 부각되고 있다. 심리적 고용가능성은 노동시장이나 직업세계에서 개인이 고용상태를 획득하고 유지하는 데 필요한 구직 능력, 전문성, 적응성 및 이동성 등을 의미한다. 본 연구는 구직상황에서 진로장벽(개인내적 요인, 사회적 관계, 구조적 문제)이 구직행동(준비, 실행)에 미치는 영향을 확인하고 진로장벽과 구직행동 간의 관계에서 심리적 고용가능성(경력정체성, 경력적응성, 사회 및 인적자본)의 조절효과를 확인하고자 하였다. 이를 위해 경력단절여성을 대상으로 설문을 실시하여 184명을 분석에 사용하였다. 연구 결과, 진로장벽의 각 차원에서 개인내적 요인만 준비 및 실행적 구직행동을 부적으로 예측하였으며, 고용가능성은 준비 및 실행적 구직행동을 정적으로 예측하였다. 고용가능성의 조절효과는 개인내적 요인과 준비적 구직행동의 관계, 구조적 문제와 준비적 구직행동의 관계를 완화하는 것으로 나타났다. 하지만 실행적 구직행동에서는 고용가능성의 조절효과를 발견하기 어려웠다. 마지막으로 본 연구의 시사점과 제한점, 그리고 향후 연구방향을 제안하였다.

용담현령 洪錫(1604-1680)의 ‘三川書院’ 건립과 賜額 과정

이선아 전북사학회 2021 전북사학 Vol.- No.63

옛 용담현은 2001년에 완공한 용담댐에 의해 수몰되었다. 수몰된 용담현의 유적 가운데 삼천서원은 용담현령에 부임한 홍석이 주도하여 건립되었다. 홍 석은 1664년(현종 5)에 용담현령에 임명되어 향교를 이건하고 용연사우를 건 립하는 등 유학을 진흥하기 위해 노력하였다. 홍석은 용연사우를 건립하고 사액을 요청하였으나 송시열의 입장을 수용한 예조의 반대로 성사되지 않았 다. 송시열은 추후의 관리 문제를 거론하며 사우 건립을 만류하였는데, 홍석 이 듣지 않고 강행하여 사우를 건립하였던 것이다. 그러다가 용연사우가 건립된 지 25년이 지나 1692년(숙종 18) 12월에 전라 도 관찰사에 부임한 이봉징은 용연사우의 혁파에 대해 건의하였고, 조정의 논의 끝에 혁파되었다. 당시 용연사우를 혁파한다는 결정에 대해 서인도 수 긍하였던 것으로 생각한다. 1694년(숙종 20) 갑술환국으로 노론이 다시 정국 의 주도권을 장악한 이후, 용담현의 유생 한만석이 주도하여 1695년(숙종 21) 에 용연사우의 복설을 요청하였고 숙종은 복설과 함께 사액을 윤허하였다. 용담현의 사족과 중앙의 노론 사족의 지원으로 용연사우는 노론정권 아래 복 설되고 ‘삼천(三川)’이라고 사액되었다. 태백오현으로 칭송된 홍석이 용담현령에 부임하여 건립한 삼천서원은 남인 과 서인이 갈등하고 경쟁하는 정치 구도 속에 그 존폐에 대한 논란이 전개되 었다. 남인정권에서 혁파되었다가 노론정권에서 복설되어 사액까지 된 삼천 서원은 용담현의 노론 서원으로 그 위상이 확고해졌으며 노론의 명사(名士)가 경유하는 명소가 되었다. 이와 같이 삼천서원의 위상이 높아진 것은 삼천서원의 혁파와 복설이 남인 과 노론이 충돌하는 기사환국과 갑술환국이 전개되는 정국에서 진행되었기 때문이다. 노론은 남인이 주도하여 삼천서원을 혁파한 것으로 인식하였고, 이 러한 파편적 인식은 노론 내부에서 ‘사실’로 굳혀졌다. 더욱이 기사환국으로 송시열이 정읍에서 사사된 이후, 삼천서원은 노론이 남인과의 정치 투쟁에서 승리한 결과를 상징하는 서원이 되었으며, 이러한 붕당의 대결적 자기장 안 에서 호남의 대표적인 노론 서원으로 삼천서원의 위상도 확고해졌다. The old Yongdam-hyeon was submerged by the Yongdam Dam, which was completed in 2001. Among the ruins of submerged Yongdamhyeon, Samcheon seowon Confucian Academy was built by Hong Seok, who was appointed to Yongdam hyeonryeong. He was appointed to Yongdam Hyeonryeong in 1664 and made efforts to promote studying abroad by relocating Hyanggyo and building Yongyeon shrine. Hongseok built Yongyeon shrine and asked for a memorial service, but it was not achieved due to the opposition of Yejo, who accepted Song Si-yeol's position. Song Si-yeol dissuaded him from constructing the shrine because of future management issues, but Hong Seok did not listen and pushed ahead with the construction of the shrine. Then, 25 years after the construction of Yongyeon shrine, Lee Bong-jing, who was appointed to the Jeolla-do Observatory in December 1692, suggested the closure of Yongyeon shrine and carried out it after discussions with the court. At that time, I think Seo-in also accepted the decision to break through Yongyeon shrine. After Noron took power again in 1694 with Gapsulhwanguk, Han Man-seok, a Confucian scholar in Yongdam-hyeon, requested the reconstruction of Yongyeon shrine in 1695, and King Sukjong allowed it. With the support of the Local Confucian scholars of Yongdam-hyeon and the Noron Confucian scholars in the center, Yongyeon shrine was restored under the Noron regime and royally bestowed as Samcheon. Samcheon seowon Confucian Academy, built by Hong Seok, who was praised as Taebaek Ohhyeon, was established at Yongdam Hyeonryeong Pass, and controversy arose over its existence amid the political structure in which Nam-in and Seo-in conflict and compete. Samcheon seowon Confucian Academy, which was destroyed in the Nam-in regime and then reinstated in the Noron regime to the bestowal of Title Board has become a Noron seowon Confucian Academy in Yongdam-hyeon and a famous place for Noron. The reason the status of Samcheonseowon Confucian Academy is that it has been destroyed and restored in a political conflict between Nam-in and Seo-in. Noron recognized that the Nam-in claimed to destroy Samcheon seowon Confucian Academy, and this fragmentary perception was solidified as a 'fact' within Noron. After Song Si-yeol died in Jeongeup in 1689, the process of Samcheonseowon Confucian Academy being restored and royally bestowed became a symbol of Noron's victory in the political struggle with Nam-in.

현미경적 대장염; 24명 환자에서의 병리학적 고찰

이선아,정성애,구혜수,강민정 대한병리학회 2009 Journal of Pathology and Translational Medicine Vol.43 No.2

Background : The clinical presentation of microscopic colitis (MC) consists of chronic nonbloody watery diarrhea for weeks or months at a time, abdominal pain, and changes in bowel habits with a normal mucosal appearance upon performing colonoscopy. MC includes two relatively well established histopathologic entities: collagenous colitis (CC) and lymphocytic colitis (LC) as well as atypical forms. The recognition of the microscopic findings of this heterogeneous entity is very important for making the correct diagnosis and providing proper treatment. Methods : We studied the colonoscopic biopsy specimens that were obtained from 26 patients who had clinical findings that were suggestive of MC. Results : Fifteen patients (M: F=9:6) and 9 patients (M:F=5:4) showed the microscopic features of LC and MC, not otherwise specified, respectively. Conclusions : The clinicopathologic findings (the incidence of the subtypes, the patients’ ages and the male/female ratio) of the 24 cases of MC in this study showed differences from the previously reported findings from other countries. Further studies with a sufficient number of patients from multi-centers would be necessary to confirm the regional or ethnic influence.