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      • KCI등재

        혈액종양 입원 환자 대상 임상약사의 처방중재활동 및 회피비용 분석

        김예슬,홍소연,김윤희,최경숙,이정화,이주연,Eunkyung Euni Lee 한국임상약학회 2022 한국임상약학회지 Vol.32 No.3

        Background: Patients with hematologic cancers have a risk of drug-related problems (DRPs) from medications associated withchemotherapy and supportive care. Although the role of oncology pharmacists has been widely documented in the literature, fewstudies have reported its impact on cost reduction. This study aimed to describe the activities of oncology pharmacists with respect tohematologic diseases and evaluate the associated cost avoidance. Methods: From January to July 2021, patients admitted to thedepartment of hemato-oncology at Seoul National University, Bundang Hospital were studied. The activities of oncologypharmacists were reported by DRP type following the Pharmaceutical Care Network version 9.1 guidelines, and the acceptance ratewas calculated. The avoided cost was estimated based on the cost of the pharmacy intervention, pharmacist manpower, andprescriptions associated with the intervention. Results: Pharmacists intervened in 584 prescriptions from 208 patients during thestudy period. The most prevalent DRP was “adverse drug event (possibly) occurring” (32.4%), followed by “effect of drug treatmentnot optimal” (28.6%). “Drug selection” (42.5%) and “dose selection” (30.3%) were the most common causes of DRPs. Theacceptance rate of the interventions was 97.1%. The total avoidance cost was KRW 149,468,321; the net profit of the avoidance cost,excluding labor costs, was KRW 121,051,690; and the estimated cost saving was KRW 37,223,748. Conclusion: Oncologypharmacists identified and resolved various types of DRPs from prescriptions for patients with hematologic disease, by reviewingthe prescriptions. Their clinical service contributed to enhanced patient safety and the avoidance of associated costs.

      • KCI등재

        An Experimental Study of the Scatter Correction by Using a Beam-stop-array Algorithm with Digital Breast Tomosynthesis

        김예슬,박혜숙,김희중,최영욱,최재구 한국물리학회 2014 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.65 No.12

        Digital breast tomosynthesis (DBT) is a technique that was developed to overcome the limitationsof conventional digital mammography by reconstructing slices through the breast from projectionsacquired at different angles. In developing and optimizing DBT, The x-ray scatter reduction techniqueremains a significant challenge due to projection geometry and radiation dose limitations. The most common approach to scatter reduction is a beam-stop-array (BSA) algorithm; however,this method raises concerns regarding the additional exposure involved in acquiring the scatter distribution. The compressed breast is roughly symmetric, and the scatter profiles from projectionsacquired at axially opposite angles are similar to mirror images. The purpose of this study was toapply the BSA algorithm with only two scans with a beam stop array, which estimates the scatterdistribution with minimum additional exposure. The results of the scatter correction with angularinterpolation were comparable to those of the scatter correction with all scatter distributions ateach angle. The exposure increase was less than 13%. This study demonstrated the influence of thescatter correction obtained by using the BSA algorithm with minimum exposure, which indicatesits potential for practical applications.

      • KCI등재

        Effects of Processing Steps with an Edge Image on Determining the Presampled Modulation Transfer Function

        김예슬,박혜숙,김희중 한국물리학회 2012 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.61 No.1

        Several methods are available to measuring the presampled modulation transfer function (MTF) of a digital radiography system by using a slit camera, a slanted edge test device or a bar phantom. Many studies demonstrated the advantages of the edge method compared to the slit method. However, the method of processing to estimate the MTF is slightly different for each publication. The purpose of this study is to compare the effects of various processing steps with an edge image on estimating the presampled MTF. A digital image of a slanted edge test device was acquired and then examined using different image processing such as windowing the edge spread function (ESF), determining a region of interest (ROI) and locally smoothing the ESF data. The results of this study indicated that the impact of determining a ROI on the MTF is relatively modest and that the truncation of the ESF due to a finite window width causes an incorrect inflation error in the MTF estimate and loss of detail at high frequency. Moreover, the influence of ESF smoothing on the MTF is demonstrated, and more rigorous smoothing of the ESF produces a less noisy MTF and, consequently, a high data loss at high-frequency. In conclusion, an ESF processing technique can moderately impact the MTF estimates, and an adequate ROI and window width without a smoothing process is suggested.

      • 관객개발을 위한 국내 복합문화예술공간 예술교육프로그램 연구 - 예술의전당 아카데미 프로그램을 중심으로

        김예슬 경희대학교 문화예술경영연구소 2022 문화예술경영 Vol.5 No.-

        본 논문은 관객개발을 위한 국내 복합문화예술공간 예술의전당 예술교육 프로그램을 분석함으 로써 복합문화공간의 예술교육 현황을 알아보고, 추후 관객개발을 위한 예술교육 프로그램의 시사점을 도출하며, 이에 따른 개선방안을 모색하는데 연구의 목적을 두고 있다. 이를 위해 문 헌연구와 사례연구, 예술의전당 고객만족도 조사, 전문가 면담으로 연구를 진행하였다. 문헌연 구를 통해 복합문화공간 현황과 예술교육의 개념 및 관객개발을 위한 예술교육 유형을 정리하 였다. 또한, 국내·외 복합문화공간인 바비칸센터와 링컨센터, 국립아시아문화전당을 사례기관 으로 정하고 기관별 예술교육 프로그램 유형과 교육방식을 분석한 결과 예술기관과 학교의 협 업을 통한 학교문화예술교육은 학생들에게 창의성과 문제 해결 능력, 능동적인 태도를 갖게 해 주고, 대상별 다양한 교육프로그램과 교육유형을 운영하는 것이 중요하다는 시사점을 도출하였 다. 이에 따라 국내·외 복합문화공간 예술교육 프로그램 사례를 바탕으로 예술의전당 아카데미 강좌프로그램과 전문가 인터뷰를 통해, 예술의전당 아카데미 강좌프로그램 개발 방안을 다음과 같이 도출해 낼 수 있었다. ①예술교육을 통한 관객개발의 효과를 높이기 위해 관객연구가 선 행되어야 한다. ②교육대상 세분화를 통한 다양한 프로그램을 개발하는 것이다. ③코로나19 이 후 비대면 온라인 예술교육 프로그램 활용으로 잠재관객의 접근성을 높이는 것이다. The purpose of this paper is to analyze the art education program of the art center for audience development to understand the current status of art education in the complex cultural space, derive implications for art education programs for audience development, and seek improvement accordingly. To this end, research was conducted through literature surveys, case studies, customer satisfaction surveys at the Seoul Arts Center, and expert interviews. Through literary research, the current status of complex cultural spaces, the concept of art education, and the types of art education for audience development were summarized. In addition, the Barbican Center, Lincoln Center, and the National Asian Cultural Center were designated as case institutions, and the types and methods of art education programs collaborated with institutions and schools were analyzed to provide students with creativity, problem-solving skills, and active attitudes. Accordingly, based on the case of domestic and foreign complex cultural space arts education programs, the following measures could be derived for the development of the Seoul Arts Center academy program and expert interviews. ① Audience research must be preceded in order to increase the effect of audience development through art education. ② It is to develop various programs through segmentation of educational subjects. ③ This is to increase the accessibility of potential audiences by utilizing non-face-to-face online art education programs after COVID-19.

      • 유아의 외로움과 부모 양육태도 및 부모 간 양육태도 일치도와의 관계

        김예슬 이화여자대학교 이화어린이연구원 2016 영유아교육: 이론과 실천 Vol.1 No.1

        This study aims to examine the tendency of child’s loneliness, parents’rearing attitude and the consistency of parents’ rearing attitude; to examine the relationships between child’s loneliness and parents’ rearing attitude, child’s loneliness and the consistency of parents’rearing attitude. The subjects of this study are 103 children who are 4 and 5 years old from three kindergartens located in Gyeong-gi, Incheon and Daegu, and their 103 pairs of mothers and fathers. The results of this study are as follows. First, the study was able to find that 4 and 5 year old children have some levels of feeling of loneliness. Also, both mothers and fathers tend to have affectional attitude rather than rejective attitude in child rearing. In addition, the average level of the consistency of parents’ rearing attitude was higher than normal level, and there was the highest level of consistency in the affectional-autonomous attitude. Second, there was significant negative relationship between child’s loneliness and mother’s affectional-autonomic attitude. On the other hand, there was no significant relationship between child’s loneliness and father’s rearing attitude. Also, there was no significant relationship between child’s loneliness and the consistency of parents’ rearing attitude. 본 연구는 유아의 외로움과 부모 양육태도 및 부모 간 양육태도 일치도의 일반적 경향을 살펴보고, 유아의 외로움과 부모 양육태도 및 부모 간 양육태도 일치도와의 관계가 어떠한지 밝히고자 하였다. 연구 대상은 경기, 인천, 대구 지역에 위치한 사립 유치원 3곳에 재원 중인 만 4세 48명, 만 5세 55명 등 유아 총 103명과 그들의 어머니와 아버지 각각 103명을 대상으로 하였다. 유아의 외로움은 면담을 통해, 부모 양육태도는 설문지를 통해 자료를 수집하고 분석하였다. 본 연구를 통해 얻은 결과는 다음과 같다. 첫째, 만 4, 5세 유아들은 외로움을 느끼고 있는 것으로 나타났다. 또한 부모의 양육태도에 있어서 어머니와 아버지는 모두 자녀 양육에 있어서 거부적 태도보다 애정적 태도를 보이는 경향이 더 높았다. 부모 간 양육태도 일치도는 비교적 높은 수준으로 나타났으며, 특히 애정적-자율적 태도 유형에서 일치도가 가장 높게 나타났다. 둘째, 유아의 외로움은 어머니의 애정적-자율적 양육태도와 부적 상관이 나타났다. 반면 아버지 양육태도와 부모 간 양육태도 일치도와는 유의한 상관이 나타나지 않았다. 본 연구의 결과, 앞으로 유아의 외로움에 대한 지속적인 연구가 이루어져야 하고, 유아의 안정적 정서발달을 위해 어머니의 바람직한 양육태도와 그 역할이 중요함을 강조할 필요성을 시사한다.

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