닭 상징 연구

임영실 한국모래놀이치료학회 2023 모래놀이상담연구 Vol.19 No.1

This study explored the symbolism of the chicken that frequently appears in sandplay therapy and examined it within sandplay cases. When examining the symbolic meanings of the chicken, there are first the creation of heaven and earth and the birth of the righteous, secondly the time signal, Third wealth, rank and fame, achieve fame and prestige, fourthly the sound of the soul, fifthly enlightenment, sixthly bravery, seventhly exorcism of demons and evil spirits, eighthly maternal love, and ninthly sacrificial offerings. Having expanded on the symbolism of the chicken and examining whether the same symbolism appeared in actual sandplay therapy cases, it was found that in the case of a mother with two brothers in their 40s, the chicken symbolized warm maternal love and bravery to protect the home, while in the case of a married woman in her 30s, it represented the desire to live strongly and confidently projected onto the chicken's bravery. This connection allowed her to realize the power within herself, become conscious of it, and move forward in forming relationships with others without fear. In the case of a 10-year-old boy's sandplay therapy, the appearance of various large and small eggs and a rooster symbolized the potential for the birth of a new righteous person and powerful masculine strength. 본 연구는 모래놀이치료에서 자주 등장하는 ‘닭’의 상징성을 확충한 후 모래놀이 사례 안에서 살펴보았다. 닭의 상징적 의미를 살펴보면, 첫 번째 천지창조와 의인 탄생, 두 번째 계명과 시보, 세 번째 입신출세와 부귀공명, 네 번째 영혼의 소리, 다섯 번째 깨달음, 여섯 번째 용맹성, 일곱 번째 잡귀나 요물 퇴치, 여덟 번째 모성성, 아홉 번째 희생 제물 등이 있다. 이러한 닭의 상징성을 확충하고, 실제 모래놀이치료 사례에 나타난 닭에도 위와 같은 상징성이 나타나고 있는가 살펴본 결과, 40대 두 형제를 둔 어머니의 사례를 통해 닭은 품어주는 따뜻한 모성성과 가정을 지키고자 하는 용맹성으로 나타났고, 30대 기혼여성 사례에서는 강인하고 당당하게 살고 싶은 마음을 수탉의 용맹성에 투사하고 있음을 볼 수 있다. 이는 자기의 내면에 힘이 있음을 깨닫고 이를 의식화해서 다른 사람들과의 관계 형성에 두려움 없이 나아가는 힘과 연결이 되었다. 10세 남자 아동의 모래놀이 사례에서는 크고 작은 다양한 알과 수탉의 모습으로, 이는 새로운 의인 탄생을 고대하는 잠재력과 용맹한 남성적인 힘으로 나타났음을 볼 수 있었다.->8살 남아의 모래놀이 사례에서는 두 번째 상징인 계명과 시보로서의 상징성을 나타내고 있음을 알 수 있다.

폐결핵 환자 간호

임영실 대한간호협회 1968 대한간호 Vol.7 No.5

Factors relating to Success to Quit Smoking among Citizens Receiving Smoking-Cessation Clinics Services in a Public Health Center

Young-Shil Lim(임영실),Moo-Sik Lee(이무식),Jee-Young Hong(홍지영),Hyun-Soo Kim(김현수),Eun-Young Kim(김은영) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.8

이 연구는 일개광역시 보건소 금연클리닉 서비스 이용자의 금연관련 요인을 찾고자 수행되었다. 연구 대상자는 2007 년 일개광역시 보건소 금연클리닉에 등록된 이용자 2,125명이었다. 빈도분석, 카이제곱검장, 다중로지스틱 회귀분석 등이 이 용되었다. 6개월 금연 성공률은 39.8%였다. 남성, 65세 이상에서 금연률이 높았다. 고혈압, 주 2회 이상 음주자, 규칙적인 운동 자, 10ppm 이상의 일산화탄소량 일수록 금연성공률이 유의하게 높았다. 다른 독립변수는 금연성공률과 통계학적으로 유의한 결과를 보이지 않았다. 로지스틱회귀분석 결과, 연령, 사용된 니코틴패치 수, 총 의뢰횟수 등이 금연성공과 유의한 기여요인 으로 도출되었다. 특히 총 의뢰횟수가 가장 높은 오즈비를 보였다. 규칙적인 의뢰가 보건소 금연클리닉 프로그램에서 금연성 공의 가장 효과적인 중재가 될 수 있음을 확인하였다. The aim of this study was to find the factors related to smoking-cessation among citizens receiving smoking-cessation clinics' services in a public health center in Daejeon metropolitan city. The study subjects were 2,125 participants registered in "smoking-cessation clinic", public health centers in 2007. Frequency analysis, chi-squared test and multiple logistic regression analysis were used to determine the relationships between the success rate of smoking-cessation and the characteristics. The success rate of smoking-cessation during 6 months was 39.8%. Males had a higher rate than females, and people over 65 years of age had a higher rate than those less than 40 years of age. High blood pressure, drinking of more 2 times per week, regular exercise, CO under 10ppm had significantly relationships with the smoking-cessation rate. The other independent variables had no statistically significance with the smoking-cessation success rate. Logistic regression analysis showed that age, number of nicotine patches used and total consultation times had significantly relationships with the smoking-cessation success rate. The total consultation times showed the highest odds ratio than the other significant factors. This study suggests that regular consultations will be the most effective intervention towards maintaining smoking cessation programs of smoking-cessation clinics in public health centers.

토마토 농가 환경에서 분리한 Bacillus cereus의 열저항성 분석

류민경,임영실,이지연 공주대학교 자원과학연구소 2022 자원과학연구 Vol.4 No.2

Bacillus cereus (B. cereus) is a spore forming bacteria with a highly adhesive ability on the food surface and which expresses concern about commercial sterilization due to heat resistance. In this study, the heat challenge was performed at 60℃ for 60 min to derive the importance of the inactivation of bacteria by time during heating 14 isolates of B. cereus from the tomato farm environment. As a result, the final cell counts of B. cereus reduced after heating were –3.6 Log CFU/mL on average (minimum: –2.8 Log CFU/mL, maximum: –4.7 Log CFU/mL). Reduced cell counts of B. cereus after heating for 60 min ranged from 0.5 Log CFU/mL to 2.4 Log CFU/mL. Remained B. cereus after heating can recover in an appropriate environment, and cause foodborne illness. B. cereus existed in the farm environment during the cultivation stage of agricultural products can be transferred to agricultural products through various routes such as soil, toilet handles and worker gloves, thus, the management of B. cereus in a farm environment is essential. In addition, improper sterilization, manufacturing, processing and packaging in the food processing stage cannot be expected to inhibit the complete growth of foodborne pathogenic bacteria, and the risk of foodborne illness can be increased. Therefore, thorough management of these processes is considered important.

Trends in the Incidence of Hospitalized Acute Myocardial Infarction and Stroke in Korea, 2006-2010

김록범,김병권,김유미,서정욱,임영실,김희숙,이혜진,문지영,Keon Yeop Kim,신지연,박형근,송정국,박기수,정백근,박찬경,신희영,강종원,오경재,이영훈,성인환,유원섭,홍영습 대한의학회 2013 Journal of Korean medical science Vol.28 No.1

This study attempted to calculate and investigate the incidence of hospitalized acute myocardial infarction (AMI) and stroke in Korea. Using the National Health Insurance claim data, we investigated patients whose main diagnostic codes included AMI or stroke during 2006 to 2010. As a result, we found out that the number of AMI hospitalized patients had decreased since 2006 and amounted to 15,893 in 2010; and that the number of those with stroke had decreased since 2006 and amounted to 73,501 in 2010. The age-standardized incidence rate of hospitalized AMI, after adjustment for readmission, was 41.6 cases per 100,000-population in 2006, and had decreased to 29.4 cases in 2010 (for trend P < 0.001). In the case of stroke was estimated at 172.8 cases per 100,000-population in 2006, and had decreased to 135.1cases in 2010 (for trend P < 0.001). In conclusion, the age-standardized incidence rates of both hospitalized AMI and stroke in Korea had decreased continuously during 2006 to 2010. We consider this decreasing trend due to the active use of pharmaceuticals, early vascular intervention, and the national cardio-cerebrovascular disease care project as the primary and secondary prevention efforts.

Rocket salad(Eruca sativa) 중 glucosinolate 동정 및 정량

김초록(Cho-Rok Kim),임영실(Young-Sil Lim),이상원(Sang-Won Lee),김선주(Sun-Ju Kim) 충남대학교 농업과학연구소 2011 농업과학연구 Vol.38 No.2

Glucosinolate (GSL) contents were investigated (ⅰ) at 1~7 days after sowing (DAS) in seed sprouts and (ⅱ) at 3-7 weeks after sowing for the time-course. Moreover, (ⅲ) They were compared with five different cultivars of rocket salad (Eruca sativa). Seventeen GSLs were separated by HPLC analysis, and 10 GSLs among them were identified as glucoraphanin, sinigrin, glucoalyssin, diglucothiobeinin, glucobrassicanapin, glucoerucin, glucobrassicin, dimeric, 4-mercaptobutyl GSL, 4-methoxy glucobrassicin, gluconasturttin by using LC-APCI-MS analysis, but 7 compounds were not identified. (ⅰ) The total GSL content in seed sprouts initially increased up to 3 DAS and then decreased according to their seedling growth. In particular, glucoraphanin known as a strong anti-cancer reagent was found the highest level (5.05 μ㏖/g dry wt.) at 3 DAS. The most abundant GSL was glucoerucin ranged from 26.0~49.6 μ㏖/g dry wt. (ⅱ) In the time-course, the total GSL contents increased dramatically from 3-week (5.91 μ㏖/g dry wt.) to 7-week after sowing (32.2 μ㏖/g dry wt.). The major GSLs were glucoraphanin, glucoerucin and 4-methoxy glucobrassicin. (ⅲ) By comparing GSL contents with five different cultivars, the total GSL contents increased from 4-week to 6-week after sowing, regardless of cultivar. In 4-week-old, the order with the total GSL content was “Rucola” > “Rocket Herbs” “Odyssey” > “Takii” > “Herb”, but in 6-week-old it is changed as “Takii” > “Herb” > “Odyssey” > “Rucola” > “Rocket Herbs” even there was almost no significantly difference between them.

뇌졸중경고증상과 위험인자 인식도: 2010년 광주 지역주민 설문결과

이영훈,신민호,권순석,최진수,박만석,조기현,임영실 대한신경과학회 2012 대한신경과학회지 Vol.30 No.1

Background: A high level of public awareness of stroke may reduce the stroke risk. The aim of this study was to assess the public’s awareness of stroke warning signs and risk factors, and to determine the associated factors. Methods: The study population was 2492 community-dwelling adults aged 50 years and older who participated in the 2010baseline Dong-gu Study. Information regarding knowledge of stroke warning signs, stroke risk factors, and demographics was collected using standardized open- and closed-form questionnaires. Results: The stroke warning signs that were most frequently identified by respondents were “sudden numbness or weakness” (73.7%) and “sudden difficulty in speaking or in understanding speech” (73.6%). In multivariate analysis,incomplete awareness of stroke warning signs was significantly associated with a lower education level, no history of past stroke, and incorrect knowledge of the definition of stroke. Hypertension and stress were most commonly recognized as risk factors when open-ended questions were used (by 22.3% and 14.1% of the respondents, respectively) and also with close-ended questions (77.7% and 82.4%, respectively). In multivariate analysis, older age, current smoking, lower education level, and incorrect knowledge of the definition of stroke were associated with a worse awareness of stroke risk factors. Conclusions: A community-based program is needed to improve public awareness of the warning signs and risk factors for stroke. In order to reduce the risk of stroke, public health education and media efforts should focus on people who are older and have a lower level of education.

Characteristics of Inpatient Care and Rehabilitation for Acute First-Ever Stroke Patients

장원혁,김연희,신용일,이삼규,오경재,임영실 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.1

Purpose: The purpose of this study was to analyze the status of inpatient care for acute first-ever stroke at three general hospitals in Korea to provide basic data and useful information on the development of comprehensive and systematic rehabilitationcare for stroke patients. Materials and Methods: This study conducted a retrospective complete enumeration survey of all acute first-ever stroke patients admitted to three distinct general hospitals for 2 years by reviewing medical records. Both ischemic and hemorrhagic strokes were included. Survey items includeddemographic data, risk factors, stroke type, state of rehabilitation treatment, discharge destination, and functional status at discharge. Results: A total of 2159 patients were reviewed. The mean age was 61.5±14.4 years and the ratio of males to females was 1.23:1. Proportion of ischemic stroke comprised 54.9% and hemorrhagicstroke 45.1%. Early hospital mortality rate was 8.1%. Among these patients,27.9% received rehabilitation consultation and 22.9% underwent inpatient rehabilitation treatment. The mean period from admission to rehabilitation consultationwas 14.5 days. Only 12.9% of patients were transferred to a rehabilitation department and the mean period from onset to transfer was 23.4 days. Improvementsin functional status were observed in the patients who had received inpatient rehabilitation treatment after acute stroke management. Conclusion: Our analysis revealed that a relatively small portion of patients who suffered from an acute first-ever stroke received rehabilitation consultation and inpatient rehabilitation treatment. Thus, applying standardized clinical practice guidelines for post-acute rehabilitationcare is needed to provide more effective and efficient rehabilitation services to patients with stroke.

한국역학회 춘계학술대회 : 우리나라의 급성심근경색 조기증상 인지도

김희숙,이혜진,문지영,김건엽,박형근,박기수,신희영,강길원,김록범,오경재,이영훈,박진규,유원섭,임영실,박혜경,송정국 대한보건협회 2013 대한보건협회 보건종합학술대회 Vol.2013 No.-

권역심뇌혈관질환센터의 공익성 측정도구 개발

이건세 ( Kun Sei Lee ),신은영 ( Eun Young Shin ),정효선 ( Hyoseon Jeong ),이정현 ( Jung Hyun Lee ),김희숙 ( Hee Sook Kim ),임영실 ( Young Sil Lim ),김영택 ( Young Taek Kim ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.4

Background: Regional Cardiocerebrovascular Centers (RCC) were established for the prevention and treatment of cardiocerebrovascular disease and funded by the Ministry of Health and Welfare. The purpose of this study was to develop and validate the measurement tool of public benefits in RCC. Methods: Through the intensive literature review, experts surveys and their repetitive feedback, we selected the 46 items about the public benefits in RCC. Development of measurement tool involved content validity test using Content Validity Index (CVI), construct validity test through factor analysis and reliability test. Results: Thirty-five items were selected by content validity test, which CVI was 0.08 or higher. Through the construct validity test, 32 items in 7 factors were derived. And Cronbach`s alpha was 0.951. Finally, public benefits measurement tool is composed of 32 items in 7 factors which are comprehensiveness of health care services, market complement, emergency care, cost, governance, quality improvement, and government control. Conclusion: Though we developed the measurement tool of public benefits in RCC, it would be utilized to measure the public benefits of various health agencies.