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      • KCI등재

        한국인의 허혈성 뇌졸중의 위험요인에 대한 비교고찰 - 다기관 연구

        김혜미,이인환,신애숙,김나희,심소라,김민경,나병조,조승연,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Hye-Mi,Lee, In-Whan,Shin, Ae-Sook,Kim, Na-Hee,Shim, So-Ra,Kim, Min-Kyung,Na, Byung-Jo,Cho, Seung-Yeon,Park, Seong-Uk,Jung, Woo-Sang 대한한방내과학회 2010 大韓韓方內科學會誌 Vol.31 No.4

        Objective : This study is about stroke risk factors which may differ between countries. Methods : We recruited 1725 ischemic stroke patients from multiple-centers. We analyzed stroke risk factors: hypertension, diabetes mellitus, dyslipidemia, depression, cardiac source, smoking, waist-to hip ratio, alcohol intake, physical activity, and psychosocial stress. We then compared risk factor results from other countries (the INTERSTROKE study) with this study. Results : 10 risk factors are related to stroke incidence. They were somewhat different between this study and the INTERSTROKE study. Conclusions : Hypertension is the most important risk factor of stroke, and other 9 risk factors also should be managed to prevent stroke incidence. Frequency of risk factors were different from the INTERSTROKE study. I think it could be partly due to differences of ethnicity and age. More studies are needed to describe characteristics of risk factors of Koreans.

      • 화열과 음허로 진단된 급성기 뇌질환 환자의 특성 비교 연구

        김혜미,곽자영,조승연,신애숙,이인환,김나희,나병조,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Hye-mi,Gwak, Ja-young,Cho, Seung-yeon,Shin, Ae-sook,Lee, In-whan,Kim, Na-hee,Na, Byung-Jo,Park, Seong-Uk,Jung, Woo-sang,Mun, Sang-gwan 대한중풍순환신경학회 2009 대한중풍.순환신경학회지 Vol.10 No.1

        Objects : This study propose to compare on general characteristics of acute stroke patients between Fire-Heat group and Deficiency of Yin group. Method : We recruited acute stroke patient within 4 weeks after stroke admitted to Department of Internal Medicine of Kyunghee University Oriental Medicial Center, Dongguk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Centar and Kyungwon University Incheon Oriental Medical Center from April 2007 to August 2009. We investigate age, sex, type of stroke, past history, general characteristics, smoking, drinking alcohol, marriage sasang constitution, etc. Result : It was significant different in sex, smoking, dringking alcohol and marriage between Fire-Heat group and Deficiency Yin group. We need more cases for another result that could associate with diagnosis of stroke. Conclusion : We found that Fire heat group was more associated with lifestyle than deficiency yin group. Further study will be needed to analysis for the diagnosis and the treatments of stroke.

      • KCI등재

        Nonbacterial Thrombotic Endocarditis in a Patient with Bowel Infarction due to Mesenteric Vein Thrombosis

        김혜미,김학령,Hak Seung Lee,정지현,Chee Hae Kim,Sooyeon Oh,Jung Ho Kim,조주희 대한심장학회 2014 Korean Circulation Journal Vol.44 No.3

        Ante mortem cases of venous thrombosis in patients with nonbacterial thrombotic endocarditis (NBTE) have not yet been reported. We describea rare case of NBTE in a patient with mesenteric vein thrombosis. A healthy 37-year-old man with abdominal pain and fever underwentemergency small bowel resection due to bowel ischemia resulting from mesenteric vein thrombosis. Transthoracic echocardiographyrevealed multiple mobile masses attached to the anterior leaflet of the mitral valves and their chordae tendineae. On suspicion of infectiveendocarditis, the cardiac masses were excised through open-heart surgery. However, pathologic reviews were compatible with NBTE. Thepatient was stable after the cardiac surgery and was treated with warfarin. Laboratory and imaging findings regarding his hypercoagulablecondition were all negative.

      • KCI등재

        디지털 보청기에서의 NAL-NL1 기반 한국형 비선형 fitting formula 연구

        김혜미,이상민,Kim, H.M.,Lee, S.M. 대한의용생체공학회 2009 의공학회지 Vol.30 No.2

        In this study, we suggest Korean nonlinear fitting formula (KNFF) to maximize speech intelligibility for digital hearing aids based on NAL-NL1 (NAL-nonlinear, version 1). KNFF was derived from the same procedure which is used for deriving NAL-NL1. KNFF consider the long-term average speech spectrum of Korean instead of English because the frequency characteristic of Korean is different from that of English. New insertion gains of KNFF were derived using the SII (speech intelligibility index) program provided by ANSI. In addition, the insertion gains were modified to maximize the intelligibility of high frequency words. To verify effect of the new fitting gain, we performed speech discrimination test (SDT) and preference test using the hearing loss simulator from NOISH. In the SDT, a word set as test material consists of 50 1-syllable word generally used in hearing clinic. As a result of the test, in case of moderate hearing loss with severe loss on high frequency, the SDT scores of KNFF was more improved about 3.2% than NAL-NLl and about 6% in case of the sever hearing loss. Finally we have obtained the result that it was the effective way to increase gain of mid-high frequency bands and to decrease gain of low frequency bands in order to maximize speech intelligibility of Korean.

      • BIM/GIS을 활용한 건설폐기물관리시스템 개선방안에 대한 연구

        김혜미,손병훈,김영찬,홍원화,Kim, Hye-Mi,Son, Byeung-Hun,Kim, Young-Chan,Hong, Won-Hwa 한국공간정보학회 2011 한국공간정보학회지 Vol.19 No.5

        Recently environmental pollution and resource depletion have been rapidly progressing in the world. Construction Industries discharge tones of wastes and consumes heavy resource as compared with the production activities of other industries, so it is the main reason of increasing of the Earth's environment. In Korea, as people become aware of the need of technical and institutional infrastructure for the recycling of construction wastes, they manage Allbraro system which is Total Management System in the wastes. Therefore, they promote the handling of standardized information, processing construction waste of transparency procure and promotion of the efficiency of task about the disposal of occurrence and movement of real-time construction waste. However, objective information for dismantling building did not construct in the organization of the system, so the emission of system randomly produces and discharges information of the waste. Because of that reasons, the exact value of waste abandonment is difficult to measure and recycling after waste disposal has the limit point. Therefore, in this study, advantages and disadvantages of the existing waste management system are analyzed, and we improved solution of construction building and environment of the city when BIM / GIS are utilized. 최근 전 세계적으로 환경오염이나 자원고갈이 급속히 진전되고 있다. 그 중 건설 산업은 다른 산업의 생산 활동에 비해 막대한 자원 소비 및 대량의 폐기물을 배출하여, 지구의 환경부하를 증대시키는 주요 원인이다. 우리나라에서는 건설폐기물을 재활용하기 위한 기술적, 제도적 기반이 필요함을 인식함에 따라 폐기물 종합관리시스템인 올바로(Allbaro) 시스템을 구축하여 실시간 건설폐기물의 발생과 이동에 따른 처리에 대한 표준화된 정보처리 및 건설폐기물 처리의 투명성 확보 및 업무의 능률향상을 도모하였다. 하지만 시스템의 구성에서 해체 건물에 대한 객관적인 정보가 구축되지 않아 배출자가 폐기물에 대한 정보를 임의로 생산하고 배출함에 따라 정확한 폐기량을 파악하기 힘들고 폐기 후 재활용이라는 한계점을 벗어나지 못하고 있다. 따라서 본 연구에서는 기존 건설폐기물관리시스템의 장단점을 분석하고 BIM/GIS를 활용하였을 시의 건설폐기물관리시스템 개선방안에 대해 제안하고자 한다.

      • KCI등재

        김동리 연구

        김혜미(Kim, Hyemi) 전남대학교 한국어문학연구소 2014 전남대학교 한국어문학연구소 학술지 어문논총 Vol.- No.25

        본 논문은 김동리에 관한 단순한 작품 창작의 부분적 해명에서 벗어나, 작가의 체험과 문학 작품의 상호 긴밀한 관계를 해명하려는 시도였다. 그러기 위해 정신분석적 방법을 통하여 원형적 체험의 문학적 형상화 과정을 살펴보았다. 먼저, 부모 밑에서 상처받은 주체가 상징계로 진입하는 과정이 김동리의 작품에 어떻게 영향을 미쳤는지를 보았다. 아버지와 어머니의 부재는 사회적 금기와 관련하여 작품으로 형상화되었다. 다음으로, ‘선이’의 죽음 이후 이어지는 일련의 죽음에의 체험이 문학적 형상화와 어떤 관계를 맺는가를 확인했다. 역설적이게도 의도하지 않은 죽음에 대한 직・간접적인 반복이 작가를 ‘글쓰기’의 주체적인 위치에 설 수 있게 해준 것이다. 마지막으로, 위의 부정적인 경험들이 친형 ‘범부’의 영향 하에 작품으로 승화될 수 있었던 기반을 살펴보았다. ‘결핍’과 ‘소외’를 불러일으키던 원형적 체험들이 한학자였던 범부의 정신적, 물질적 영향을 받아 문학적으로 승화될 수 있었다. 즉, 김동리의 원형적 체험들은 스스로 의식하는 부분과 의식하지 못하는 부분에 복합적으로 자리 잡고 있었다. 작가로서 그가 끊임없이 원형적 체험을 진술하고 문학적으로 형상화하는 지점들은 자신의 욕망을 대리적으로 해소하는 일종의 자기 정화(catharsis) 과정일 뿐만 아니라 작가의 치열한 자기 치료의 과정이었음을 보여준 것이었다. This thesis attempts to elucidate the close interrelationship between experiences of an author and literature works, beyond the partial explication of simple creation of works related with Kim Dongli. Therefore, the literary formation of archetypal experience was examined through psychoanalytical method. At first, it examines how the process in which a subject afflicted by his/her parents shifted into the symbolic has an effect on the works of Kim Dongli. The lack of father and mother was formalized as the work related with social taboo. Next, it verifies what relations a series of deaths which were induced following the death of ‘Seon-I’ make with literary formation. Paradoxically, direct/indirect repetitions of unintended death allowed tor the author to stand at subjective position of "writing". Finally, it examines the basis on which such negative experiences can be sublimated into a work under his older brother, ‘Beombu’: The archetypal experiences giving rise to ‘lack’ and ‘alienation’ can be literally sublimated through the psychological and material effects of Beombu, a scholar of the Chinese classics. Thus, the archetypal experiences of Kim Dongli are complicatedly placed in intended and unintended part. The points where the author continuously states and literally formalizes the archetypal experiences seems to be not only a kind of catharsis process in which his own desire is vicariously satisfied, but also an another process of intense self-therapy of the author.

      • KCI등재

        공동주택 대지선정에서 GIS를 활용한 친환경성 평가에 대한 연구

        김혜미(Kim, Hye-Mi),홍원화(Hong, Won-Hwa),김종달(Kim, Jong-Dall),김채복(Kim, Chae-Bogk) 대한건축학회 2013 대한건축학회논문집 Vol.29 No.4

        This paper is about technique that uses GIS to select sustainable site in planning environment-friendly building(Green Building) to reduce greenhouse gas emission that causes global warming. Selecting sustainable site is important, because it is the most fundamental and important step in planning the Green Building. Also when it comes to energy performance and implications for the environment of the building, it is the biggest factor that decides sustainability during the building"s life-cycle. This paper aims to study the technique to select optimum site for the Green building that can reduce the emission of CO₂, through objective data gained from analyzing surrounding infrastructures such as soil, geological features and access to streets, and also analyzing wind ways and illuminance using GIS. Existing environment-friendly architectural design process lacked sustainability, efficiency and objectivity about space analysis by planning space through local site analysis. Therefore if site selection is done through analyzing data from vast area using GIS, improved sustainability will not only improve a environment-friendly building, but even make environment-friendly residential neighborhood and city planning possible.

      • 행동 변화를 유도하는 사회적 실험

        김혜미(Hyemi Kim),김아람(Aram Kim),송세준(Sejun Song),문정현(Junghyun Moon),백한나(Hannah Baek),김진우(Jinwoo Kim) 한국HCI학회 2016 한국HCI학회 학술대회 Vol.2016 No.1

        본 연구는 짧은 시간 동안 혼잡한 지하철 계단을 이동하는 보행자 집단을 노인을 중심으로 한 교통약자와 비교통약자로 구분하고, 그들의 충돌위험을 줄이기 위해 계단 위 경로를 구분하는 사회적 실험을 통해 비교통약자의 행동 변화를 유도할 수 있을지 확인하고자 하였다. 고정된 시각 자극과 유동적인 시각 자극, 청각 자극을 통해 경로의 구분을 안내한 결과 비교통약자의 행동 변화가 관찰되었다. 자극을 인지하고 경로를 변경한 비교통약자를 대상으로 행동변화를 가능하게 한 이유를 인터뷰한 결과, 실험자극에 대한 반사적인 반응으로 관찰된 경로 변경행동과는 별개로 교통약자에 대한 배려의 필요성이나, 배려행위를 하는 스스로에 대한 만족감과 같은 내재적 동기를 이야기하는 것을 확인할 수 있었다. 따라서 단시간 내에 혼잡한 환경에서 보행자의 주의를 보행환경으로 환기하는 행동변화를 공간 디자인을 통해 끌어냈다는 점과 행동 변화가 사회적 규칙으로 자리매김하는 데 필요한 내재적 동기와 외부 자극의 관계에 대한 향후 연구의 방향성을 제시했다는 점에서 본 연구의 의의를 찾을 수 있다. In our study, we attempt to understand the pedestrians’ behavioral change by conducting a social experiment. Using a simple design that consists of fixed visual stimulation, interactive visual stimulation, and interactive audio stimulation, we set a proprietary lane for elder citizens on subway stairways. Through the experiment we found that the stimuli were effective, as it changed the non-elder pedestrians’ behavior in relatively short time. Also through post-experiment interviews of those who displayed changes in their behavior, we found possible relationship between these short-term behavior changes and an individual’s intrinsic motivations, such as self-satisfaction. However, due to limited time and the scope of the study, we keep this finding to be further researched in the future.

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