Acupuncture for in vitro fertilization in women with poor ovarian response: a systematic review

장수빈,Kyeong Han Kim,Ji Hee Jun,Sooseong You 한국한의학연구원 2020 Integrative Medicine Research Vol.9 No.2

Background: Poor ovarian response (POR) is one reason for infertility. In vitro fertilization (IVF) is frequently used to help achieve pregnancy, and performing acupuncture before IVF may promote ovulation and reduce egg retrieval pain. The purpose of this systematic review was to evaluate the effectiveness of acupuncture on clinical pregnancy rates (CPR) after IVF in women with POR. Methods: Eight electronic databases were searched in January 2020, and reference lists of retrieved articles and previous review articles were hand-searched. Randomized controlled trials (RCTs) using any type of acupuncture for women with POR undergoing IVF were considered. Risk of bias was assessed using the Cochrane risk of bias standards. Results: Three RCTs were included in this review. CPR and the number of retrieved oocytes were measured in two studies, while the values of anti-Mullerian hormone (AMH) and antral follicle count (AFC) were only reported in one study. In two studies, CPR was higher in the intervention group than the control group [37.8 % vs 24.3 %]. We did not conduct a meta-analysis, as there was a high level of heterogeneity in interventions among the included trials. Conclusions: This study suggests that acupuncture may improve CPR, AMH, AFC and the number of retrieved oocytes in women with POR undergoing IVF. However it is difficult to conclude that acupuncture is more effective than conventional treatment. Additionally, more clinical trials are needed to evaluate the effectiveness of acupuncture on CPR and other outcomes of POR. Study registration: PROSPERO CRD42018087813; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42018087813

5·31 교육개혁 이후의국가 교육과정 총론 텍스트의 비판적 담론 분석

장수빈 한국교육과정학회 2018 교육과정연구 Vol.36 No.4

This paper author critically analyzes the South Korean national curriculum framework texts that were written after the 5-31 Educational Reform to uncover how the mainstream educational policy discourse permits and forbids the relationship and meaning between a state and schooling. Fairclough’s critical discourse analysis methods, which are based on Foucault’s power-discourse theory, were applied for linguistic and interdiscursive analyses of the seventh(1997), 2007, 2009, and 2015 national curriculum frameworks and guidebooks. The partial list of linguistic analysis strategies included genres (statement/manifesto, administrative order, and white paper) and styles (brevity, comprehensiveness, listing strategy), which all reinforced the authority of the framework documents and the Ministry of Education. In addition, this study finds that neoliberal discourse has proliferated in four sets of national curriculum framework texts since the 5-31 Educational Reform. This means that a number of educators and students are exposed to neoliberal discourse, which identifies individuals just as laborers working under certain economic conditions. The final chapter briefly discusses the meaning of these findings in relation to the social practice of national curriculum-making. 이 연구는 5·31 교육개혁 이후의 국가 교육과정 총론과 해설서 텍스트에 나타난 국가와 학교 교육에 관한서술을 비판적으로 분석함으로써, 지배적인 교육 담론에서 국가와 학교 교육의 관계 및 의미를 어떤 방식으로허용하고 제한하는지 파악하고자 하였다. Foucault의 권력-담론이론의 관점에 기초한 Fairclough의 비판적담론 분석 방법을 사용하여, 7차, 2007, 2009, 2015 교육과정 총론 문서와 해설서 텍스트의 언어적 분석과상호담론성(장르, 담론, 스타일) 분석을 시도했다. 국가 교육과정 총론 문서의 선언적이고 행정 명령적 장르의특징, 해설서의 백서 장르적 특징이나, 교육부가 스스로를 국가로 호명하는 주어의 사용, 형식적이고 권위적인 문체 및 표현에서 나타나는 스타일은 모두 국가 교육과정 총론 문서와 그 화자인 교육부의 권위를 강화하는 언어적 전략으로 분석되었다. 또한, 그러한 문서의 권위에 기대어 교육부가 점유하는 신자유주의적 담론이5·31 이후 국가 교육과정 총론에서 계속 더 강화되는 것으로 나타나면서 수많은 교육자와 학생이 개인을 물질적 조건에 매인 노동자로만 호명하는 신자유주의 담론 질서에 놓여있음을 밝히고자 했다. 마지막 장에서는 이러한 분석 결과가 국가 교육과정이라는 사회적 행위의 실천이라는 측면에서 어떤 의미가 있는지 간략히 논하였다.

융합 교육에서 학습자역량 향상을 위한 교수-학습 탐색

장수빈,조문흠 한국교육공학회 2017 한국교육공학회 학술대회발표자료집 Vol.2017 No.1

4차 산업혁명시대는 과거와 달리 어떤 한 가지의 지식을 함양한 능동적인 주체의식을 가진 인재양성보다 복합적이고 융합적인 사고를 가진 인재를 양성하는 것을 목표로 하고 있다. 즉, 현재 시대는 다차원적이고 어느 한 분과의 지식으로는 실생활의 문제를 해결할 수 없는 복합적인 문제들이 제기되고 있는 실정이다. 하지만 현재 교실에서 이루어지고 있는 교육은 지식과 실생활의 문제를 분리하여 가르치는 교육이 다수로 진행되고 있으며, 학습자는 교실에서 배운 지식이 실생활에서 어떤 관계가 있으며, 그 관계 속에서 해결해야하는 것들을 찾지 못하는 경우가 있다. 이러한 부분을 해소하고자 우리나라의 고등교육기관에서 융합적인 교과과정을 실시하고자 하는 노력으로써 진행되는 융합적인 교육은 병렬적 교육과정 편성방식(연계전공, 복수전공, 부전공, 협동과정 등)인 교육이 주로 이루어지고 있다. 그러나, 최근 4차 산업혁명시대의 요구에 따라 융합인재, 융합교육이 대두되면서 간 학문적 또는 다학문적 융합교육의 방식으로서 캡스톤디자인 설계, STEAM 교육 등이 실시되고 있는 실정이다. 이러한 교육은 학습자 능력을 향상시킬 수 있는 교육이라고 제기되고 있는데, 이를 뒷받침하고 학습자들이 효과적으로 체득할 수 있는 교수-학습법 방법이 대두되고 있지 않은 실정이며, 융합교육을 통한 학습자의 능력에 대한 초점 역시 뚜렷이 제기되고 있지 않다. 본 논문은 다학제간 융합교육의 사례를 통하여 융합교육, 간 학문적 교육 또는 다학문적 융합교육의 교수-학습방법을 탐색하고, 학습자의 능력 향상을 위한 방안에 대하여 모색해보고자 한다.

소아 성장 한의약건강증진프로그램 개발

장수빈,이조현,박서경,이보람 대한예방한의학회 2022 대한예방한의학회지 Vol.26 No.1

Objectives : The aim of this study was to introduce the development process of Korean medicine health promotion program for short stature children that is suitable for applied at public health center. Methods : The draft of health promotion program was developed through literature search of previous similar programs and advice of several experts. A small conference targeted public health Korean medicine doctors was also held to introduce the developed program and discuss for improvements. Results : The details of 12-week of Korean medicine health promotion program for children growth are as follows: 4-week of taking herbal medicines (Yukmijihwang-tang or Yukgunja-tang), contactless counseling with Korean medicine doctor, self-care home kit consisting of Sogeonjung-tang tea leaf, Sogeonjung-tang with Cervi Parvum Cornu extract, ear acupressure stick, finger chuna manual, growth diary, and jump rope. Conclusions : This health promotion program can help to increase the height of children and self-esteem of children with short stature as well as decrease the stress of parents.

보건소 한의약 호흡기관리 프로그램의 효과

장수빈,이주은,김경한,박선주,장보형,신용철,고성규,Jang, Soobin,Lee, Ju Eun,Kim, Kyeong Han,Park, Sunju,Jang, Bo-Hyoung,Shin, Yong-Cheol,Ko, Seong-Gyu 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.2

Objectives : The aim of this study is to introduce the Korean medicine respiratory management program in public health center and to analyze the effects of that program. Methods : The respiratory management program was targeted on 22 soldiers during March 2016. The interventions of this program were herbal medicines (Gilgyung-tang and so on), aromatherapy, peppermint tea, fine dust mask, and health education. Data were collected by retrospective reviewing medical chart and analyzed using SPSS 18.0. Results : Total symptoms scores were measured by 4-point likert scale. Total score was $5.50{\pm}4.848$ at 1st week and $3.27{\pm}3.058$ at 4th week (p=0.008). The severity of respiratory discomfort reduced by $-1.14{\pm}2.46$ compared with last year. The satisfaction score was $7.82{\pm}4.16$. The most hoping program was muscular skeletal disease management program. Conclusions : This study suggests that Korean medical world should prepare countermeasures to cope with diseases caused by air pollution.

요통 처방을 통하여 본 한약제제 효능 개정의 필요성

장수빈,고호연,장보형,송윤경,신용철,고성규,Jang, Soobin,Go, Ho-Yeon,Jang, Bo-Hyoung,Song, Yun-Kyung,Shin, Yong-Cheol,Ko, Seong-Gyu 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.1

Objective : There are many documents that explain efficacy of herbal medicine products (HMP), however, explanations on efficacy are not consistent with the clinical use. The objective of this study is to identify the differences between herbal medicines used in clinics and Korean Medicine literatures. The disease was restricted in low back pain (LBP). Method : In order to investigate HMP for the treatment of LBP, we selected five Korean medical documents as reference and searched for key words related to LBP. Five databases were Information on Herbal prescription published by Ministry of Food and Drug Safety, 56 Herbal Medicines covered with Health Insurance, Guideline for prescribing herbal medicines announced by Ministry Health & Welfare, Explanation on Herbal Medicines published by Korean Pharmaceutical Association, website of Korea Pharmaceutical Information Center (http://www.health.kr/). The keywords were 'low back pain', 'lumbar', 'pain', 'myalgia', 'neuralgia', 'arthralgia', 'arthroneuralgia', and 'sciatica'. We also utilized the result of retrospective cross-sectional study in five university hospitals to investigate HMP used in practice for LBP. Results : From five databases, the number of searched HMP was 25, 12, 40, 12 and 38 respectively and 83 remained after removing duplications. There were 43 kinds of HMP used in clinical practice and only 20 (46.51 %) were included in one or more databases. Conclusion : This study suggests the necessity for reorganizing efficacy of herbal medicine. Standardizing explanation on herbal medicine should reflect the clinical conditions in further study.

경기도 일부 어린이집 조리종사자의 내분비계 장애물질 인식도 및 노출 저감화 행동 조사

장수빈,임경숙,김영주,김형숙 대한영양사협회 2020 대한영양사협회 학술지 Vol.26 No.3

Endocrine-disrupting chemicals (EDCs) are chemicals present in the environment that interfere with the normal hormone functions of various organisms and cause genetopathy, deformities, or cancer. This study surveyedthe awareness of EDCs with 242 cooking staff at 242 meal service facilities for children located in apart of Gyeonggi Province. To minimize infants’ exposure to EDCs, the subjects were provided with informationon EDCs for two months. The behavior of reducing exposure to EDCs was analyzed according to the awareness of EDCs and work ethics. In addition, the effects before and after being provided with the information were evaluated. According to the results, the levels of awareness of EDCs and work ethics’ scores of the cooking staff were high with 3.95 and 4.39 points, respectively, out of five points. In addition, a higher awareness of EDCs and a higher work ethics’ score were associated with an improved behavior of reducing exposure to EDCs (P<0.05). The overall cooking and cleaning behavior for reducing exposure toEDCs showed improvement after providing information (P<0.01). Therefore, these results suggest that it is important to provide continuous education to enhance the awareness of EDCs, work ethics, and behavior to reduce exposure to EDCs.

Relationship Between Water Intake and Metabolic/Heart Diseases: Based on Korean National Health and Nutrition Examination Survey

장수빈,천천후,장보형,박선주,오소미,신용철,고성규 질병관리본부 2016 Osong Public Health and Research Persptectives Vol.7 No.5

Objectives: The aim of this study was to identify the correlation between adequate water intake and the prevalence of metabolic/heart diseases. Methods: We analyzed the data from the 2012 Korea National Health and Nutrition Examination Survey. All participants were divided into Group Above Adequate Intake (n = 736) and Group Below Adequate Intake (n = 4,819) according to water intake. The thresholds were 1.8 L for men and 1.4 L for women based on the World Health Organization report findings. Logistic regression analyses were performed to verify the correlation between water intake and prevalence of hypertension, diabetes mellitus, dyslipidemia, myocardial infarction, and angina pectoris. Results: There were significant differences between the two groups in terms of the following variables: age, smoking, alcohol, stress, dietary supplements, body weight, physical activity, total calorie intake, water intakes from food, and sodium intake. Participants in Group Above Adequate Intake showed a higher prevalence of hypertension [odds ratio (OR) = 1.22; 95% confidence interval (CI), 0.58-2.55], diabetes mellitus (OR = 1.38; 95% CI, 0.51-3.73), angina pectoris (OR = 0.94; 95% CI, 0.47-1.86), and myocardial infarction (OR = 5.36; 95% CI, 0.67-43.20) than those in Group Below Adequate Intake, whereas the latter showed a slightly higher prevalence of dyslipidemia (OR = 2.25; 95% CI, 0.88-57.84) than the former. Conclusion: There was no statistically significant association between water intake and any of the metabolic/heart diseases. However, further studies on water intake are needed to confirm our findings.

청소년의 사회적 위축과 삶의 목표의 관계에서 공동체 의식의 매개효과

장수빈 이화여자대학교 사회복지연구소 2019 사회복지 실천과 연구 Vol.16 No.2

본 연구는 청소년의 사회적 위축이 삶의 목표에 미치는 직접적인 영향을 공동체 의식이 매개하는지 파악하고 사회적 위축 성향 청소년들을 위한 사회복지, 특히 청소년복지의 개입방안을 모색하는 데 그 목적이 있다. 이를 위해 한국 청소년정책연구원에서 실시한 「한국아동·청소년패널조사 2011(KCYPS: Korean Children and Youth Panel Survey 2011)」의 초등학교 4학년 패널의 6차년도 자료 가운데 2,061명의 청소년 자료를 활용하여 Baron과 Kenny의 3단계 매개회귀분석을 실시한 후 sobel test를 실시하였다. 분석 결과 청소년의 공동체 의식은 사회적 위축과 삶의 목표 사이에서 부분 매개 역할을 하는 것으로 분석되었으며 이는 청소년의 사회 구성원으로서의 소속감이 삶의 목표 설정에 긍정적인 역할을 할 수 있다는 것을 시사한다. 이에 본 연구에서는 증가하는 사회적 위축문제를 가진 청소년들에 대한 개입 방안으로 공동체 의식을 증진시키고 이를 기반으로 한 삶의 목표를 형성할 수 있는 방안을 제언하였다. This study is to examine the mediating effect of a sense of community in the relationship between social withdrawal and life goals in Korean adolescents in order to draw implications for social welfare with adolescents. For the purpose of the study, authors used data from Korean Children and Youth Panel Survey 2011 (KCYPS 2011), which included 2,061 adolescents in the 4th grader panel study and tested the mediating effects of a sense of community with Baron & Kenny’s method for mediation and sobel test. Results of the study showed that sense of community has partial mediating role in social withdrawal and life goals and suggest that a sense of belonging as a member of society in adolescents can play a positive roles in setting life goals. Based on the results, authors discussed implications for social welfare with adolescents so as to improve a sense of community and life goals in Korean adolescents.

ARCS전략을 활용한 수업이 학습동기, 수업참여, 학업성취도에 미치는 영향

장수빈,이인숙 한국교육공학회 2014 한국교육공학회 학술대회발표자료집 Vol.2014 No.1