• 한국산학기술학회논문지
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• 제17권12호
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• pp.307-315
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• 2016

의료 기술의 발달은 암 환자의 생존율을 크게 향상시켰으며, 암치료는 종료되었지만 암생존자들은 지속되는 신체적, 심리적, 사회적 문제로 고통 받고 있다. 따라서 암생존자들이 경험하는 문제에 총체적으로 접근하기 위해서는 다양한 통합 재활프로그램이 개발되어야 한다. 본 연구는 암생존자를 위한 재활 프로그램의 내용 및 구성을 확인하고 재활의 효과를 분석하여 향후 통합재활프로그램 개발의 자료로 사용하고자 한다. 문헌검토를 통해 검색된 13개의 연구 논문을 고찰한 결과 암생존자를 위한 재활 프로그램은 운동, 심리사회적, 통합 프로그램으로 분류되었으며, 운동 프로그램은 신체 기능 향상과 피로, 이차암 또는 암 재발과 관련된 호르몬의 변화를 통해 재활의 효과를 측정하였다. 심리사회 프로그램은 삶의 질, 우울, 불안 등과 같은 정서의 변화, 긍정적 자기 변화를 표현하는 외상 후 성장으로 효과를 측정하였고 긍정적인 결과를 보여주었다. 통합재활프로그램은 신체적, 심리사회적 측면을 모두 향상시켰다. 향후 암생존자를 위한 재활 프로그램은 신체적, 심리사회적 측면뿐만 아니라 직업 재활 측면까지 고려되어야 하며 암생존자의 다양성에 맞추어 프로그램을 탄력적으로 적용할 수 있도록 구성되어야 한다.

• 한국병원경영학회지
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• 제23권1호
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• pp.28-40
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• 2018

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

• 부모자녀건강학회지
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• 제4권1호
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• pp.19-34
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• 2001

The childbearing process is not only a biological phenomenon of a woman who gives birth to a child but also a sociocultural phenomenon which is reflected on her value, belief in the sociocultural context according to social change and acculturation. The familial relation and sociocultural context in the multigravidas are more complex and intermingled than in the primigravidas. The purpose of this ethnographic research study was to explore the experience of identity from the first trimester of pregnancy to the third trimester of pregnancy in the Korean multigravidas and to understand deeply the perspectives of pregnant women reflected on Korean sociocultural values, beliefs, norms and familial culture. The participants of 10 pregnant women in Seoul, Korea were observed for 10 months from January to October 2000 and interviewed in their homes and comfortable place. Data analysis was accomplished 'line by line method' and significant concepts were classified according to themes, categories, and domains. The results of this study were as follows : The participants experienced 4 categorized subjects : understanding the oneself - mother to be, performing the dual role, drifting the emotion, and living disheartened during pregnancy. The participants were showed universality and diversity pattern in the self understanding process. The universal pattern were 'mother to be' showing maturation, life along family and priority on motherhood between being a mother and a woman. The diverse pattern were taking the dual role in working mothers having the higher self actualized value and personal identity rather than maternal identity, drifting emotion in resigned mothers, and living disheartened in mothers who have two daughters and no son. In conclusion, the Korean multigravidas experienced womanhood as well as motherhood through the self understanding process with familial connections during pregnancy. Therefore it is suggested that if the harmony and the balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting during pregnancy in the perspectives of the women with children. Therefore, the health care providers have to divert their attention from biomedical perspectives to biocultural perspectives integrating bio-psycho-sociocultural aspects of pregnant women in a clinical setting.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2012년도 춘계학술발표회 초록집
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• pp.190-193
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• 2012

The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$,.734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$,.612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

• 생명과학회지
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• 제24권7호
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• pp.762-768
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• 2014

Starvation에 의해서 down-regulation 되는 유전자 10개를 얻었다(Comt, RGN, Scd1, Temt, Idi1, Fabp5, Car3, Cyp2c70, Pinx1, Poldip3). 이들은 starvation에 의한 대사변화의 대부분은 liver와 관련된 것으로 볼 수 있다. Starvation중에 물 공급은 암수 동일하게 apoptosis, autophage, endoplasmic reticulum quality control (ERQC)유도에 영향을 미치지 않았다. 이 같이 starvation에 의해서 down-regulation되는 유전자발현조절이 liver에 국한된 것이라기보다는 개체의 항상성유지에 관련 많은 pathway가 관련되어있는 것으로 판단된다. 장기간의 간혈 starvation은 glucose소비가 많은 brain과 면역기능조절에 중요한 thymus의 정상기능에 영향을 미칠 수 있는 것으로 보인다. 유전자 Scd1의 경우는 ♀보다가 ♂이 민감한 반응을 보이는 것으로 보아 ♀/♂의 성 특이적인 대사에 starvation과 NaCl이 밀접한 관계가 있는 것으로 보인다. Starvation시 물 공급도 중요하지만 개체의 항상성유지에 NaCl공급이 중요하다는 결과를 얻었다.

• 한국병원경영학회지
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• 제25권3호
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• pp.29-37
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• 2020

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

• 한국임상약학회지
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• 제24권4호
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• pp.255-264
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• 2014

Objective: The aims of this study are to investigate the total volume of prescribed medicines against Alzheimer's disease (AD) and the trends of usage by analyzing the claims-data from the Korea National Health Insurance Service. Method: The demographic and claims-data were included the major AD treating medicines such as donepezil, galantamine, rivastigmine and memantine, and analyzed during the period of 2010~2012. The assessing criteria were gender, age, habitation, types of medical institution, code of ingredients, outcomes of treatment, volume and amount of claims, and the numbers of patients with dementias. After trimming the data, it were analyzed by the market size, demographic traits, characteristics of medical service, characteristics of each anti-AD medicine, etc. Results: Among the chosen 4 medicines, donepezil had the top prescription volumes. Most prevalent prescribing preparations of donepezil were conventional types. However, among the non-conventional types, oro-dispersible formulation is the fast increasing one in both volume and growth rate. This specialized preparations to improve both toleration and adherence, tend to being prescribed generally at the tertiary medical institutions. While the younger patients with mild-to-moderate AD mostly treated by expensive medicines in resident at the tertiary hospitals, the rest older patients with severe AD have been treated non-expensive one at long-term care facilities. Conclusion: AD is a chronic illness therefore, long-term use of therapeutic medications are highly important. If an anti-AD treatment was applied steadily in the earlier stages, it would be achieved not only improving the quality of life of patient but also reducing the expenses in the medical and nursing cares. As the socioeconomical impacts of AD is expanding, healthcare professionals need to aware the importance of pharmacotherapy and to improve sociopolitical fundamentals.

• 한국콘텐츠학회논문지
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• 제19권10호
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• pp.432-441
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• 2019

본 연구는 국내 질병지각 연구의 동향을 알아보기 위한 체계적 문헌고찰로서 질병지각 연구의 특성을 확인하고 이와 관련된 요인 간의 관계를 파악하였다. 2019년 5월까지 국내 학술지에 발표된 논문 10편을 최종 분석에 사용하였다. 포함된 논문 모두 상관관계 조사연구로, 평균 대상자 수는 175명이었으며, 혈액투석, 폐결핵, 암 등의 질병을 대상으로 하였다. 질병지각 측정 도구로는 Illness Perception Questionnaire-Revised (IPQ-R)를 사용한 연구가 3편(30%), Brief Illness Perception Questionnaire (BIPQ)를 사용한 연구가 7편(70%)이었고, BIPQ를 사용한 연구는 모두 총점을 이용하여 대상자의 질병지각을 분석하였다. 질병지각과 관련된 요인으로는 우울, 삶의 질, 자가관리, 사회적 지지 등이 연구되었으며, 그 중 사회적 지지가 가장 높은 빈도로 대상자의 질병지각과 관련이 있는 것으로 나타났다. 추후 다양한 질병군을 대상으로 질병지각 개별 영역에 대한 연구가 수행되어야 할 것으로 보이며, 질병지각을 고려한 중재프로그램을 개발해야 할 필요성이 있다.

• 한국콘텐츠학회논문지
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• 제21권9호
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• pp.595-608
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• 2021

본 연구는 장기화된 팬데믹 상황에서 COVID-19관련 환자를 돌보는 간호사들의 직무스트레스와 회복탄력성이 소진에 미치는 영향을 알아보는 것을 목적으로 하였다. 간호사 162명을 대상으로 구조화된 설문지를 배포하여 분석하였고, 직무스트레스의 보상부적절, 직무요구, 직장문화, 회복탄력성의 철학적 패턴, 관계적 패턴이 통계적으로 유의하게 나타났다. 직무스트레스와 회복탄력성이 소진에 미치는 효과를 단계적다중회귀분석 방법으로 파악한 결과 최종적으로 유의한 변수는 직무스트레스였다. 간호사의 소진은 간호서비스 질 저하, 병원 경쟁력의 감소, 나아가 방역체제에 영향을 줄 수 있다. 이에, 본 연구는 간호사의 처우 및 근무환경 개선 등 적절한 보상의 정책적인 지원이 필요함을 제언한다.

• 한국환경보건학회지
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• 제45권2호
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• pp.154-163
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• 2019

Objectives: The hazardous heavy metal contents of cosmetics were investigated and the resulting values were compared by type of cosmetics: skin care preparations (SCP), hair preparations (HP), makeup preparations (MP), and eye makeup preparations (EMP). Methods: The hazardous heavy metal contents (Pb, As, Cd, Sb, Ni and Hg) were analyzed for 358 cosmetics products (187 SCP, 82 HP, 56 MP, and 33 EMP). Hg was measured by the amalgamation method, and other hazardous heavy metals were measured by inductively coupled plasma optical emission spectrometer (ICP-OES) after decomposition using the microwave method. Results: The mean contents of Pb, As, Cd, Sb, Ni, and Hg in cosmetics were 0.424, 0.068, 0.024, 0.398, $0.567{\mu}/g$, and Not Detected, respectively. All of the hazardous heavy metals were detected in most products, but below the recommended maximums of the Ministry of Food and Drug Safety. The level of Cd was the lowest at 14.8%, and Sb was the highest at 41.2%. Pb, Sb and Ni showed the highest mean value and detection rate in EMP. As, Cd, and Hg showed the highest in SCP, HP, and MP, respectively. Conclusion: Hazardous heavy metals were detected in most products. In particular, Pb, Sb, and Ni were broadly detected in EMP, meaning more stringent quality control is required.