응급실 간호사의 환자안전 위험요인에 대한 위험성 인식과 안전 간호활동

윤정미(Yun, Jung MI),박형숙(Park, Hyoung Sook) 기본간호학회 2014 기본간호학회지 Vol.21 No.4

Purpose: This was a descriptive research study to examine the patient safety risk factors and the level of safety management of nurses in emergency service, hospitals and to analyze the relationship between the two factors. Method: Data for analysis were collected from 232 nurses in emergency service, hospitals in Busan and Gyeongnam from July 30 to September 7, 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients. Results: Therapeutic agents showed the highest risk level. The prevention of transfusion errors showed the highest performance. As the nurses were working in regional emergency medical centers and received education more than 7 sessions on patient safety, they readily recognized the riskiness of the safety risk factors. In addition, as the nurses were older than 40, married, having more education about safety and understood the incident report registration system well, they performed safety management better. There were significant correlations between perception of the patient safety risk factors and performance for safety management. Conclusion: Nurses in emergency service, hospitals should try to improve safety management to reduce the risk factors shown to be higher based on the results and ensure the patient safety.

고혈당으로 유도된 염증반응 모델에서 유황양파즙의 항염증 효능 평가

윤정미(Jung-Mi Yun),서정희(Jeonghee Surh) 한국식품과학회 2014 한국식품과학회지 Vol.46 No.6

고혈당으로 유도된 염증반응 모델에서 유황양파즙(onion juice)의 항염증 효능을 평가하였다. 고혈당(HG, 25 mM glucose) 조건하에서 48시간 배양된 THP-1 세포들은 정상혈당(NG, 5.5mM glucose) 조건의 세포들에 비해 유의적으로 낮은 세포 생존율을 보였으나, 50-150 μL 유황양파즙을 함께 처리하자 NG군 수준으로 회복되었다. 이는, 유황양파즙이 고농도 당에 의한 세포독성을 완화시켜 주었음을 시사한다. 고혈당으로 유도된 HG군에서 염증성 사이토카인 TNF-α는 NG군의 290% 수준까지 분비되어 유의적으로 증가하였으나, 50 μL 유황양파즙 처리로 TNF-α의 분비 수준이 전반적으로 저해되었으며, TNF-α의 발현 수준 역시 낮아져, 유황양파즙이 고혈당에 의한 염증반응을 저해하였음을 시사해 주었다. 이는 유황양파즙에서 보고된 높은 수준의 플라보노이드에 의한 효과로 일부 해석되었다. 본 연구는 식품 섭취를 통한 당뇨 및 당뇨합병증 예방의 가능성을 보여줌으로써, 식이인자의 항염증 효능에 관한 향후 연구들의 기초적 근거 자료로 활용될 수 있다. The anti-inflammatory activity of onion juices prepared from sulfur-fertilized onions was investigated by measuring the secretion of proinflammatory cytokines from human monocytes cultured under hyperglycemic condition. Human monocytic (THP-1) cells were cultured under normoglycemic (NG, 5.5 mM glucose) or hyperglycemic (HG, 25 mM glucose) conditions, with or without onion juice. Without onion juice, cell viability decreased significantly in the HG state for 48 h, compared to that in the NG state. With onion juice (50-150 μL) treatment, the cell viability was not different from that under the NG condition, suggesting that onion juice prevented HG-induced monocytes cytotoxicity. While the HG condition in vitro significantly induced TNF-α release from THP-1 cells and its gene expression, onion juice (50 μL) significantly suppressed them. This indicates that onion juice inhibited HG-induced cytokine production in monocytes. These results suggest that onion juice from sulfur-fertilized onions can be used for the prevention of diabetes and related diseases.

스트렙토조토신으로 유도한 당뇨마우스에서 Sodium Butyrate의 혈당, 혈청 지질 성상 및 염증 억제에 미치는 영향

윤정미,Yun, Jung-Mi 한국식품영양학회 2015 韓國食品營養學會誌 Vol.28 No.2

Sodium butyrate is a short-chain fatty acid derivative found in foods, such as Parmesan cheese and butter and is produced by anaerobic bacteria fermentation of dietary fibers in the large intestine. There have been reports that butyrate prevented obesity, protected insulin sensitivity, and ameliorated dyslipidemia in dietary obese mice. This study investigated the effects of sodium butyrate on fasting blood glucose level and serum lipid profile in streptozotocin(STZ)-induced diabetic mice. Male C57BL/6 mice were fed AIN-93G for four weeks prior to intraperitoneal injections with STZ (100 mg/kg body weight). Diabetic mice had supplements of 5% sodium butyrate for four weeks. The 5% sodium butyrate diet significantly improved fasting blood glucose level and lipid profile in STZ-induced diabetic mice. Inflammation has been recognized to decrease beta cell insulin secretion and increase insulin resistance. Circulating cytokines can directly affect beta cell function, leading to secretory dysfunction and increased apoptosis. Thus, anti-inflammatory therapies represented a potential approach for the therapy of diabetes and its complications. In this animal study, the 5% sodium butyrate supplementation also inhibited inflammatory cytokine production in STZ-induced diabetic mice. These results suggested that sodium butyrate can be a potential candidate for the prevention of diabetes and its complications.

모싯잎 가루를 첨가한 찰보리 찐빵의 항산화 활성, 이화학적 특성 및 관능적 품질 특성에 관한 연구

김지현,김세정,윤정미,Kim, Ji-Hyun,Kim, Se-Jung,Yun, Jung-Mi 한국식품영양학회 2014 韓國食品營養學會誌 Vol.27 No.2

Increased consumption of a polysaccharide, ${\beta}$-glucans, in foods may prevent health related problems such as cancer, cardiovascular diseases and diabetes. ${\beta}$-glucans is a fibrous polysaccharide having proven both functional and medicinal properties. Recently, the FDA recommends the consumption of oat or oat products containing a total of at least 3 grams of bea-glucans per day for health improvement. The content of ${\beta}$-glucans in barley was almost four times higher than that in oat. In this study, the physicochemical and sensory characteristics and biological properties of steamed barley bread added with ramie leaf powder was investigated. The study of sensory characteristics was performed using the Quantitative Descriptive Analysis (QDA). 30 panelists were selected among our university students. They then evaluated the different sensory characteristics, such as overall preference, color, flavor, chewiness, moistness and taste. The color and texture analyses were determined using a colorimeter and texture analyser, respectively. In the sensory, color and texture evaluation, barley bread with ramie leaf showed higher values than barley bread and wheat bread did. The physiological activities were investigated through the total phenol content and 1,1-diphenyl-2-picrylhydrazyl(DPPH) radical scavenging activity. Hence, barley appears to be a suitable food resource for making bread. This study suggests that barley bread added with ramie leaf can be used as one of the processing methods in promoting the consumption of barley. It might also help with the improvement of barley food industry.

어린이 영양지수(NQ)를 이용한 광주 지역 일부 고학년 초등학생의 영양상태 평가

조희연,김경윤,윤정미,Jo, Heeyoen,Kim, Kyoung Yun,Yun, Jung-Mi 한국식생활문화학회 2020 한국식생활문화학회지 Vol.35 No.4

This study was conducted to evaluate the overall dietary habits and nutritional status of 294 elementary school students located in Gwangju using the NUTRILITE nutrition quotient (NQ). The NQ score of the subjects was 59.5 out of 100, which corresponds to the level requiring "monitoring". Compared to the 64.4 score of students in the 5^th and 6^th grades of six metropolitan cities, the scores of the present subjects were lower. The NQ components were 57.4 for balance factors, 52.4 for moderation factors, 55.0 for diversification factors, 57.6 for practice factors, and 80.1 for environmental factors. Regarding the characteristics according to the NQ level, the score (61.5 in 7 times/wk vs. 55.3 in 1-2 or none times/wk) tended to be higher in subjects who frequently eat with their families (p<0.001). In conclusion, nutrition education should be provided to students to increase the frequency of meals with their families, to develop a habit of exercising regularly, and reduce the consumption of ramen, cookies, and processed drinks that are frequently consumed. These results can be used as basic data to develop nutrition education programs to improve the dietary habits and nutritional status of students in Gwangju.

광주광역시에 거주하는 재한 중국유학생의 식생활 분석

진림,김경윤,윤정미,QIN, LIN,Kim, Kyoung Yun,Yun, Jung-Mi 한국식생활문화학회 2021 한국식생활문화학회지 Vol.36 No.4

With the globalization of Korean education and the rise in the average level of education, the number of international students in Korea, especially those from China, is rapidly increasing every year. This study aimed to provide the basic information for healthy dietary education by evaluating the dietary and nutritional status of Chinese students living in Gwangju province of Korea. Data from 468 subjects who met the study participation criteria and who had given their written informed consent were used for analysis. Of the total subjects, 52.4 and 80.1% were non-drinkers and non-smokers, respectively (p<0.01). It was observed that women were more stressed than men when they did not have convenient access to a Chinese food market near their place of residence (p=0.032). The subjects with a high cultural adaptation consumed kimbap (p<0.001) and pizza (p=0.017) more frequently than the subjects with a low cultural adaptation. An analysis of the nutrient quotient revealed that male scores were higher than those of the females with regard to water intake (p=0.035) and exercise level (p=0.021). For Chinese students living in Korea to maintain proper dietary habits, it is necessary to educate them on how to purchase convenience foods and improve their lifestyle, including limiting drinking and smoking. It is also necessary to develop emotional support programs for stress management and cultural adaptation.

광주 지역 건강검진센터를 내원한 수진자의 인스턴트 커피믹스 섭취와 대사적 위험요인과의 연관성

김경윤(Kyoung Yun Kim),양수진(Soo Jin Yang),윤정미(Jung-Mi Yun) 한국식품영양과학회 2017 한국식품영양과학회지 Vol.46 No.5

본 연구는 2015년 7월부터 2016년 6월까지의 연구기간 동안 내원한 광주선한병원의 건강검진 수진자들의 인스턴트 커피믹스 섭취량을 조사하여 대사증후군 위험인자와의 연관성을 분석하고자 하였다. 그 결과 인스턴트 커피믹스 섭취와 대사증후군의 위험인자 중 특히 허리둘레와 혈중 중성지방 농도는 양의 상관성을 보였고, 인스턴트 커피믹스 섭취빈도가 증가할수록 공복혈당과 혈중 중성지방 농도가 증가하는 유의적인 상관성을 보였다. 또한, 다중회귀분석에서도 1 cup/d 이상 인스턴트 커피믹스를 섭취하는 대상자에서 보정 여부와 상관없이 대사증후군 위험인자인 혈중 중성지방 농도가 상승하는 유의적인 연관성을 나타냈다. 이와 같은 인스턴트 커피믹스와 관련한 연구 조사와 선행 연구 결과를 통하여 볼 때 건강인은 물론 지방 섭취에 주의해야 할 대상자는 섭취 커피 종류에 따른 섭취 빈도와 섭취량 조절 교육이 중요하다. Metabolic syndrome is associated with risk of developing cardiovascular disease and type 2 diabetes, and incidence of metabolic syndrome is showing an increasing trend. Recently, coffee intake is argued to have an effect on the gut-brain axis, and it is widely recognized has being associated with many beneficial effects, including those related to metabolic imbalance. However, it is essential to understand how the dietary aspects of coffee intake and type of coffee intake affect diet and overall health. The association between coffee consumption and health is still controversial, and the average body weight of the Korean population is increasing. Therefore, this study focused on analyzing the effects of instant coffee (particularly instant coffee mix) in Korea, especially with respect to metabolic syndrome. The study was conducted on participating subject’s that visited Sun-Han hospital, and instant coffee mix intakes and metabolic risk factors during the study period were examined from July 2015 to June 2016. The results showed that waist circumference (r=0.405, P=0.036) and serum triglyceride level (r=0.435, P=0.023) were positively correlated with instant coffee mix intakes. In addition, instant coffee mix intakes were significantly associated with serum triglyceride level in subjects who consumed more than 1 cup/d of coffee (P<0.05). Therefore, subjects should be careful about fat intake and be educated about the type and frequency of coffee intakes.

광주 지역 건강검진센터를 내원한 수진자의 유제품 섭취와 전당뇨병 위험 인자와의 연관성

김경윤(Kyoung Yun Kim),윤정미(Jung Mi Yun),양수진(Soo Jin Yang) 한국식품영양과학회 2016 한국식품영양과학회지 Vol.45 No.7

본 연구는 2015년 7월부터 2016년 3월까지 내원한 대상자들을 공복혈당에 따라 정상군과 전당뇨병군으로 구분하고 각 대상자의 유제품 섭취량과 당뇨병 위험인자 및 전당뇨병 발병 유무와의 연관성을 분석하고자 하였다. 분석한 당뇨병 위험인자 중 특히 수축기 혈압과 이완기 혈압이 전당뇨병 발병 위험과 유제품 섭취량과 유의적인 연관성을 보였다. 또한, 유제품 섭취 수준에 따른 당뇨병 위험 인자의 특성에 있어 유의적인 차이는 없었지만 유제품 섭취량과 전당뇨병 발병 위험과 유의적인 음의 연관성을 보여주어 대규모 연구수행의 필요성을 제안하였다. 그리고 당뇨병 관리의 대상을 전당뇨병 대상자까지 확대시켜 지속적인 공복혈당 모니터링을 실시하고, 당뇨병 예방 영양중재와 유제품 식사 가이드라인을 개발하는 것이 중요하다. The prevalence of diabetes is increasing worldwide, particularly in Asian regions such as Korea. It is estimated that the number of diabetic patients will exceed 5 million by 2030 and that about 30% of people with diabetes are unaware of their condition. A comparative analysis was conducted to determine the relationship between dairy food intake and pre-diabetes risk factors in subjects that visited the health examination center of Sunhan Hospital, Republic of Korea. Subjects were classified into two groups according to fasting blood glucose concentrations: 1) normal (fasting blood glucose <100 mg/dL, n=57) and 2) pre-diabetes (100 mg/dL≤ fasting blood glucose ≤125 mg/dL, n=56). Total dairy food intake tended to be lower in females and subjects with pre-diabetes compared with males and normal subjects, respectively; however, differences between groups were not significant due to a wide range of variations. HbA1c, systolic and diastolic blood pressures were significantly associated with the prevalence of pre-diabetes. Odds ratios for pre-diabetes were significantly reduced per incremental increases in dairy food intakes after adjusting for confounding factors. Findings in the current study suggest that appropriate intake of dairy foods may need to be considered for the prevention of pre-diabetes.

간호학과 편입학생의 비판적 사고성향, 자아존중감 및 스트레스 대처간의 관계

박형숙(Park, Hyoung Sook),윤정미(Yun, Jung Mi),김영미(Kim, Young Mi),최인영(Choi, In Young),황재현(Hwang, Jae Hyun) 기본간호학회 2016 기본간호학회지 Vol.23 No.3

Purpose: The purpose of this study was to evaluate the effect of critical thinking and self-concept on stress adaptation in transfer nursing students. Methods: For this study, data were collected from 196 transfer nursing students from Busan and South Gyeongsang Province Data collection was done during the period from September to December, 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients and multiple regression. Results: The results showed that for critical thinking gender (t=2.48, p=.014), age (F=2.90, p=.044) and club activities (t=2.05, p=.041) were significant. Stress adaptation was significant according to academic year (F=3.81, p=.025). Critical thinking, self-concept and stress adaptation had positive correlations. Conclusion: Findings indicate that college adjustment for transfer nursing students could be enhanced through the development of programs to promote critical thinking and self-concept in the nursing curriculum.

촌관척(寸關尺)부의 검측한 부정맥과 electrocardiographic 결과와의 한의학적 검토

류희영,허은정,김지현,윤정미,전성하,Lyu, Heui-Yeong,Heo, Eun-Jung,Kim, Ji-Hyon,Yun, Jung-Mi,Jeon, Seong-Ha 대한한의정보학회 2008 大韓韓醫情報學會誌 Vol.14 No.1

The ECG which used for this paper, is analysis result from alogrisms of arrythmia, and we have studied that how we could certain Cold(寒 )type or Heat(熱) type and that Deficiency(虛) type or Excess(實)type of organs from various special diseases, and we obtained like these results. 1. we depend on our examination about Pulse(脈) because we can't discriminate arrythmia using EKG analysis instruments. 2. We obtained that Cold(寒) type diseases had wave that prolonged above normal baseline and ST wave which had downward aptitude. 3. We obtained that Heat(熱) type diseases had the fibrillation which had shortend wave that compare to normal and had downward aptitude or negative aptitude. 4. We obtained that Respiratory system (肺) diseases had wave that is within normal or is short of normal range and had much fluctuation in potential difference or trans on P wave. 5. The character of EKG which presented about diseases of gastric systems is prolonged above narmal range of wave, and the EKG had represented mixed wave with Heat(熱) type when accompany inflammatory in gastric system. 6. The wave of Blood Stasis(瘀血) type had upward aptitude of QRS wave, and the wave of anemia or blood loss type(少血 ) had downward aptitude of QRS wave, the wave which had both Cold(寒) and Heat (熱) represented mixed waves. 7. The Knotted Pulse(結脈) and Intermittent Pulse(代脈) is corresponded with sinus brady cardia, and the Swift Pulsle(疾脈) is corresponded with fibrillation. 8. We pay attention to the relations of formations about pressures pulse from formations of EMD( electromechanical dissociation ). From these results, we will have to study about EKG which using in tests of change of Parkinsons disease.