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발달장애 아동의 치료를 위한 협업 공유 서비스 및 애플리케이션 제안
한지원,강수진,Han, Ji-won,Kang, Jeannie 한국콘텐츠학회 2022 한국콘텐츠학회논문지 Vol.22 No.10
Recently, due to the temporary closure and isolation of facilities for developmental disabilities due to the prolonged COVID-19, the pain suffered by consumers is getting worse, and there is no clear solution due to the lack of information on inpatient services. Therefore, there is a need for a service system that can prevent institutional and psychological problems for consumers. The purpose of this study is to provide systematic inpatient treatment guides, post-discharge management, and correct education for children with developmental disabilities and their guardians. After deriving the needs and improvement factors of consumers through domestic service case analysis, we conducted co-creation with end-users using the double diamond methodology. A possible service concept was derived. Accordingly, a collaborative sharing app service was proposed, and the usefulness of the service was confirmed through the usability evaluation and verification of various stakeholders. It is expected that the results of this study will be utilized in the development of an assistance system for the developmental disability ward based on user experience.
일개 대학병원에서 시행한 최근 20년 간의 Pap smear 결과 분석
한지원,정대훈,김기태,윤혜경,전진호,Han, Ji-Won,Jeong, Dae-Hoon,Kim, Ki-Tae,Yoon, Hye-Kyoung,Chun, Jin-Ho 대한예방의학회 2000 예방의학회지 Vol.33 No.4
Objective : To estimate the significance of the Pap smear as a screening tool for cervical cancer. Methods : A total of 79,840 Pap smear results peformed at Pusan Paik Hospital over the 20 year period from 1979 to 1998 were collected and analyzed. Results : The number of Pap smear cases increased markedly during this period, and the results as a whole were classified as of 96.4% normal and benign cytology, 2.2% pre-cancerous cytology, and 1.4% cervical cancer. The relative frequency of cervical cancer decreased from 1.6% in 1979 to 0.7% in 1998. About 64% of the Pap smears were distributed within the age range of 30 to 49 years, and the rate of cervical cancer increased with age, age of marriage and experience of childbirth (p<0.01). The overall agreement of Pap smear results with histologic diagnosis by one histologic degree was 92.7%(1,128/1,217) with 73 overestimated cases and 16 underestimated cases of Pap smear compared to histologic diagnosis. Conclusion : This result implies that the Pap smear is an excellent screening tool for cervical cancer with respect to both its scale and validity. Periodic and active Pap smear testing would be helpful for the secondary prevention of cervical cancer.
Rituximab 치료로 호전된 재발성 베게너 육아종증
한지원 ( Ji Won Han ),강귀영 ( Kwi Young Kang ),반태현 ( Tae Hyun Ban ),조익현 ( Ik Hyun Jo ),박성환 ( Sung Hwan Park ) 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.5
Granulomatosis with polyangiitis (GPA) is a rare antineutrophil cytoplasmic antibody associated with systemic disease characterized by granulomas and vasculitis affecting small and medium vessels. Neurological manifestations in GPA are less frequent than classical manifestations, such as lung and kidney involvement, and cranial nerve palsies are much rarer. Cyclophosphamide and glucocorticoids have been conventionally administered as an initial induction immunosuppressive therapy for GPA. However, increasing evidence has demonstrated the efficacy and safety of rituximab, an anti-B cell monoclonal antibody, for the treatment of GPA. Herein, we describe a successful treatment of relapsing GPA with cranial nerve involvement using rituximab in a 56-year-old male patient who was previously treated with cyclophosphamide plus glucocorticoids.
한지원(Ji Won Han),김태희(Tae Hui Kim),주진형(Jin Hyeong Jhoo),박준혁(Joon Hyuk Park),김정란(Jeong Lan Kim),유승호(Seung Ho Ryu),문석우(Seok Woo Moon),추일한(Il Han Choo),이동우(Dong Woo Lee),윤종철(Jong Chul Yoon),도연자(Yeon Ja Do) 대한노인정신의학회 2010 노인정신의학 Vol.14 No.1
Objectives : This study aimed to present the normative information of the Mini-Mental State Examination-Dementia Screening (MMSE-DS) and its short form (SMMSE-DS) in the Korean elderly. Methods : The MMSE-DS was administered in a standardized manner to 1,008 healthy volunteers aged 60 years or over recruited from participants in the Korean Longitudinal Study on Health and Aging or from volunteers in the National Dementia Screening and Registry Program. The SMMSE-DS was consisted of 13 items from the MMSE-DS based on the diagnostic accuracy of individual items for dementia. Results : Age and educational level were found to have significant effect on the SMMSE-DS score, but sex was not. Based on this result, overlapping age normative table (60 to 74, 70 to 84, and 75 to 90 years of age) with 4 educational strata (0 to 3 years, 4 to 6 years, 7 to 12 years and 13 years and more) was developed for the SMMSE-DS. For resulting 12 normative units, 5 percentile, lower quartile, median, upper quartile, mean, standard deviation and -1.5standard deviation were calculated. Conclusion : The normative data from this study can be widely used as reference values to objectively interpret the MMSE-DS and SMMSE-DS scores of the Korean elderly.
양파, 마늘 내서성 자원 선발을 위한 구비대기 고온처리 결과
한지원(Ji Won Han),권영석(Young-Seok Kwon),김천환(Chun-Hwan Kim),최민선(Min-Seon Choi),배상경(Sang Kyung Bae) 한국원예학회 2021 한국원예학회 학술발표요지 Vol.2021 No.10
기후변화로 인한 이상기상이 발생함에 따라 농업 현장에서도 병해와 생리장해가 증가하고 있다. 양파와 마늘은 구비대기에 이상고온이 발생할 경우 구비대가 불량해지며 이는 수확 시 수량 감소 및 상품성 저하의 원인이 된다. 기후 변화에 대응하고 농가의 안정적인 소득을 위해서는 내서성 자원의 발굴이 필요하다. 본 실험에서는 내서성 자원을 선발할 수 있는 간이 실험 방법을 모색하였다. 원예원 육성 품종 및 시판 품종을 측창과 천창이 모두 개방 된 비가림하우스에서 노지 기상 조건과 동일하게 재배 후 구비대기인 4월 중순 이후 천창과 측창을 닫아 관리하였다. 측창은 30°C이상 상승할 경우 열리도록 설정하였다. 일반 노지에서 재배한 양파와 구형지수(구고/구경)를 비교하였을 때 ‘스위트그린’의 경우 고온처리 시 1.34, 노지재배 시 1.22로 일반 재배 시에도 고구형인 경향이 있으나 고온처리 시에는 구비대가 적어지는 것을 확인하였으며, ‘엄지나라’의 경우도 고온처리 시 1.08, 노지재배 시 0.94로 본 품종의 특성은 원형에 가까우나 고온처리 시 구비대가 다소 감소하는 것을 확인할 수 있었다. 마늘의 경우 난지형 품종인 ‘남도’와 ‘대서’의 경우 구의 변형이 발생하지 않았으나 한지형 품종인 ‘의성’과 ‘단양’의 구비대가 감소하는 경향을 볼 수 있었다. 의성의 경우 노지 재배 시 구형지수 0.87, 고온처리 시 1.00, 단양은 노지재배 시 0.86, 고온처리 시 0.89로 구비대성이 감소하였다. 또한 의성과 단양은 평균 인편수가 9.4, 10.6쪽으로 증가하여 고온처리 시 품질 및 비대성의 감소를 확인할 수 있었다.
유산소운동을 동반한 들숨근 저항운동이 20대 성인의 흡연 여부에 따라 호흡 기능에 미치는 영향
한지원 ( Ji-won Han ),이건철 ( Keon-cheol Lee ),김현수 ( Hyun-su Kim ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.3
Purpose : This study applies inspiratory muscle resistance exercise with aerobic exercise to smokers and nonsmokers and then determines whether subjects’ breathing functions (FVC, FEV1) are increased and how much effect smoking has on the difference in the increase of breathing functions between the two groups. Methods : For this experiment, 26 male adults were selected and randomly allocated to the smoker group (n=13) and nonsmoker group (n=13). The smokers and nonsmokers performed the inspiratory muscle resistance exercise with aerobic exercise three times a week for four weeks. Regarding the breathing functions, the forced vital capacity (FVC) and forced expiratory volume in one second (FEV<sub>1</sub>) were measured three times: week 0, week 2, and week 4. The aerobic exercise was performed using a stationary bicycle with 8 difficulty levels. The inspiratory muscle resistance exercise was performed using Power Breathe with 10 resistance levels. Results : The study found that the FVC and FEV1 values of the smoker group decreased slightly after four weeks of inspiratory muscle resistance exercise with aerobic exercise. In other words, the difference was not statistically significant. In contrast, the FVC and FEV1 values of the nonsmoker group increased by a statistically significant amount. In addition, the intergroup comparison of the average increases in FVC and FEV1 values showed statistically significant differences. Conclusion : The results of this study show that when inspiratory muscle resistance exercise with aerobic exercise was performed, the increase in the breathing functions of nonsmokers was higher than that of smokers. This confirms that, within the parameters of the study, smoking had a negative effect on the increase of breathing functions. This suggests that quitting smoking must be considered as an essential factor when applying a breathing physiotherapy or a breathing function improvement program in clinical settings.