과천시민의 고혈압 인지, 치료, 조절과의 관련요인

최연희,남정모,주미현,문기태,심지선,김현창,서일,Choi, Youn-Hee,Nam, Chung-Mo,Joo, Mi-Hyun,Moon, Ki-Tae,Shim, Jee-Seon,Kim, Hyeon-Chang,Suh, Il 대한예방의학회 2003 예방의학회지 Vol.36 No.3

Objectives : To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheen population. Methods : This study surveyed 1,176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 295 females) with hypertension defined as a systolic blood pressure $\geq$140 mmHg, diastolic blood pressure $\geq$90 mmHg or reported treatment with antihypertensive medication. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors .was collected through person-to-person interviews with a structured questionnaire. Results : Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (<140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with haying a partner and marital status in females.. Conclusion : These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as a9e, family history, and marital status. However, these factors should be further investigated for their causal relationship.

유방자가검진(BSE) 교육프로그램이 유방자가검진실행의 효율성에 미치는 영향 -개별처방식 지도모형 적용-

최연희,Choi, Yeon-Hee 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

Breast cancer ranks as one of the major health problems of adult women. Studies have shown that the BSE educational program based on the Individually Prescribed Instruction Model is effective in BSE practice. To motivate women in BSE practicing, a one-group pretest-posttest design was conducted. The subjects of the study were 49 Women who participated in the educational program of BSE and were mothers of D middle school in D City. The instruments of study were a BSE frequency & proficiency recording chart and a BSE confidence scale developed by Elearnor. The data was collected from September 4 in 1997 to April 30 in 1998 and was analyzed with an SAS program. The results were summarized as follows : 1) Frequency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest(t=1.32, P<.01). 2) Proficiency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest (t = 1. 69, P<.001). 3) Confidence scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretes(t=l1.48, P<.01). 4) The Pearson correlation coefficient between BSE frequency scores and confidence scores in BSE practice was significant (r =.72, P<.001). On the basis of this study, it can be concluded that the BSE educational program has improved BSE compliance.

유방암위험사정이 일 여성의 유방자가검진(BSE)실행에 미치는 영향

최연희,Choi, Yeon-Hee 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

제 2형 당뇨병환자의 자기효능에 관한 연구

최연희,Choi, Yeon-Hee 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.2

This study was designed to identify the degree of perceived self-efficacy and self-esteem in non - insulin dependent diabetes mellitus. The 278 Diabetic patients participating in this study were selected from a diabetic clinic. The period of data collection was September 2 to September 10, 1996. Collected data were analyzed by means of Frequency, Mean, SD, t - test, Pearson correlation, ANOVA using SPSS/PC+. The result are summarized as follows: 1. The mean score of perceived self-efficacy were 3.52 in total, 3.91 for medication, 3.40 for exercise, 3.60 for diet control, 3.18 for glucose test, 3.53 for general management. And the mean score of self-esteem were 3.51 2. Perceived self-efficacy and self-esteem had statistically significant positive correlations (r=.3125, p=.001). 3. The results of testing for the degree of perceived self -efficacy, according to the subject's demographic variables, showed that there were significant differences in sex (t=4.14, p<0.001), the level of education(t=6.24, p<0.01) and diabetic education(t=3.25, p<0.05). These results suggest that perceived self-efficacy and self-esteem is an important variable in the compliance of diabetic patients.

일 지역 여성의 유방자기검진(BSE)과 관련 변인에 관한 연구

최연희,Choi, Yeon-Hee 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.1

Breast cancer ranks as one of the major health problems in adult women. The purpose of this study is to determine relationships among the practice of Breast Self-Examination(BSE) and the variables of cancer risk and other genernal factors. This knowledge may be helpful in designing a BSE educational program to promote breast self-examination on a regular basis. The study population included 205 women who live in K city. Personal interviews were conducted to determine the individual's breast self-examination behavior, the level of Breast Cancer Risk according to general factors as well as her reasons for not doing a breast self-examination. The collected data was analyzed with an SAS program The results were summarized as follows : 1. The level of Breast Cancer Risk of the subjects is as follows: high risk(9%), moderate risk(11%), boderline risk(12%), no increased risk (68%). 2. There was no difference in the practice of BSE between women who were at high cancer risk and at no increased cancer risk. 3. BSE practice levels according to general foctors were significantly related to the residence and the level of education of the subjects. The performing of regular breast self-examination in urban areas was 7% and in rural areas was 0%. Regularly practiced breast self-examination in women with a low education was 5% and in college educated women, it was 29%. 4. BSE education was significantly related to the residence and the level of education of the subjects. The majority learned BSE through 'a magazine or journal'. 5. The reason of the majority of women did not perform a regular breast self-examination was, 'Didn't know the BSE technique'. On the basis of this study it can be concluded that the development of a BSE education program is needed to help women perform the examination correctly.

日本近代詩の中の<海洋>- <抒情>の海から<観念>の海へ

최연희,Choi Yeonhee 부경대학교 인문사회과학연구소 2015 인문사회과학연구 Vol.16 No.1

본고는 일본에서 크게 부각되지 않았던 문학장르인 <해양시>의 의의를 고찰하는 것으로 일본 근대문학의 새로운 측면을 찾는 것이다. 바다가 가지는 복잡하고 다양한 이미지는 문학의 형상에 중요한 배경이 된다. 우선, 바다에 관한 이미지의 확장에 대해 몇 몇 작품의, <海>에 주목, 육지의 세계와 상대화된 문학을 <해양문학>이라 정의하였다. 안정된 육지에 사는 定住者를 그린 일본문학의 전통이, 불안정하고 단조로운 해상의 非定住者의 시선에 의해 상대화된 시에 주목한 것이다. 국경을 넘는 바닷길로서의 해양을 무대로 한 문학뿐만 아니라 <海>의 형상을 통해 육지의 세계(定住者의 논리)가 상대화된 문학도 <해양문학>으 이라 규정하였다. 주목한 시는 萩原朔太郎의「月光と海月」와 金子光晴 「くらげの唄 」이다. 萩原朔 太郎와 金子光晴의 시에 나타난 육지의 세계를 상대화하는 관념적인 바다의 형상을 두 시인의 시속에 등장하는 <해파리>의 이미지를 통하여 자세히 검토하였다. 萩原朔太郎는 인간 세상을 마이너스 세계로 보고, <海>의 세계를 동경, 인간과는 대비되는 모습으로 <해파리>를 이상형으로 잡으려 했다. 한편, 金子光晴는 인간이 살아가는 세계를 플러스 세계로 보았지만, 현실사회는 인간으로부터 인간다움을 박탈하고, 뼈를 빼앗긴 <해파리>와 같은 존재로 변화, 바다에 내던져지는 이미지로 그리고 있다. 두 시인의 <해파리>는 대조적이나, 모두 인간세계의 현실을 농도 짙게 반영한 것임에는 틀림없다. 朔太郎는 인간의 삶의 고뇌로 인하여 바다로 향하지만, 光晴는 인간의 삶에 물이 차올라, 바다가 되고 육지가 없어져 버린 느낌을 준다. 일본근대시 속의 <海洋>은 中原中也가 그린 서정적인 바다에서, 萩原朔太郎의 관 념적 바다로 변화하였다. 그러한 세계는 金子光晴에게로, 谷川俊太郎로 이어지고 있다는 것을 분명히 하였다. The purpose of this essay is to consider definition of the ocean poetry which has not highlighted in Japan and to find out new side of Japanese modern literature. Many images the ocean possessing give important background to idea of literature. At the beginning of this essay, about expansion of the image that the ocean has, noticing the ocean through some works, I defined the ocean literature is both of world of land and of relativized literature. I paid attention to tradition of Japanese literature that drawing permanent residents living on the land by the sight of non-permanent residents in a monotonous and unstable ocean. And I want to categorize ocean literature not only Literature that describe the ocean as background but also Literature that land of the world (logics of permanent resident) is relativized through shape of ocean. In this essay, especially, I studied poetry named “Moon light and Jellyfish” of Sakutaro Hagiwara and “A song of Jellyfish” of Mitsuharu Kaneko. I looked the ideological ocean which relativize land with images of <Jellyfish> on both poet’s poetry. Reckoning world of human as negative one and the ocean as positive, Sakutaro Hagiwara tried to describe <Jellyfish> as ideal image which is compared with human. On the other side, Mitsuharu Kaneko thought human world positive. But the present world divest virtue of humanity from human being so that humans in the poetry described as <Jellyfish> which flayed there bone and cast away to the ocean. Even if Images of <Jellyfish> in both poetry are contrastive, it is same that they are reflecting the reality of human world considerably. “Human”, in the poetry of Sakutaro, heads to ocean because there life is so harsh. However, in the poetry of Mitsuharu, Water is surging to human life, it becomes ocean, giving the feeling that had run out of land. In Japanese modern poetry, The ocean has changed from “Lyrical ocean” Chuya Nakahara wrote to “Ideological ocean” Sakutaro Hagiwara wrote. And that world has being inherited to Shuntaro Tanigawa from Mitsuharu Kaneko.

Primary Structure of Two Proteinase Inhibitor II Genes Closely Linked in the Potato Genome

최연희,문영호,이종섭,Choi, Yeon-Hee,Moon, Young-Ho,Lee, Jong-Seob 생화학분자생물학회 1990 한국생화학회지 Vol.23 No.2

감자의 유전자은행에서 분리된 8.0 kb Eco RI 절편에 존재하는 2개의 단백질 분해효소 억제제 II 유전자의 염기서열을 결정하였다. 그 결과 이들 2개의 유전자는 약 1.5 kb의 간격을 두고 동일한 전사방향으로 배열되어 있었다. PI-II-8.0A로 명명된 제1유전자는 158개의 아미노산으로 구성된 암호화 부위가 GT와 AG로 둘러 쌓인 하나의 intervening sequence에 의해 나뉘어져 있었다. 이 유전자의 5' 근접부위에는 promoter 요소로서 TATAAA와 CAAT의 염기서열이 존재하고 있었으며 3' 비해독 부위에는 poly(A) 첨가신호로 작용하는 것으로 알려진 AATAAG의 염기서열이 존재하고 있었다. 이러한 사실로 미루어 보아 PI-II-8.0 A 유전자는 기능을 간직하고 있는 유전자로 생각되어 진다. 그러나 PI-II-8.0B로 명명된 제 2 유전자는 암호화부위에서 염기서열이 부분적으로 제거되어 있었으며 기능을 간직하고 있지 않는 pseudogene으로 생각된다. We determined the nucleotide sequence of two proteinase inhibitor II genes present on a 8.0 kb Eco RI fragment which was isolated from a EcoRI-partial genomic library of potato. It revealed that the two genes were present at the same transcriptional orientation with an intergenic region of about 1.5 kb long. The first gene (PI-II-8.0A) coded for an open reading frame of 158 amino acids which was interrupted at the position of codon 17 by an intervening sequence of 101 bp in size flanked with GT and AG. The 5' flanking region revealed the presence of two putative regulatory sequences, TATAAA and CAAT, while the 3' untranslated region contained the polyadenylation signal, AATAAG. These suggest that the PI-II-8.0A gene may be functional. The second gene (PI-II-8.0B), however, revealed the presence of several deletions at the coding regions, two of which disrupted the reading frame, suggesting that the PI-II-8.0B gene may be a pseudogene.

미국 이민 한국 중년 여성의 유방자가검진 빈도에 영향을 미치는 요인

최연희,Choi, Yeon-Hee Korean Academy of Community Health Nursing 2000 지역사회간호학회지 Vol.11 No.2

본 연구의 목적은 유방자가검진(BSE)의 지식정도, 훈련도, 숙련도 및 빈도와의 관계를 파악하고, BSE 빈도를 가장 잘 예측하는 변수를 결정하기 위함이다. 연구대상자는 미국에 이민 온 40세-60세 사이의 중년 여성 58명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있었다. 연구도구는 미국암협회의 BSE 안내책자를 기초로 하여 개발하였다. 자료는 자가보고형 질문지를 이용하여 한국교회 4곳으로부터 연구의 취지를 설명하고 연구대상자들의 연구동의를 얻은 후 우편으로 질문지를 회수하였다. 자료수집 기간은 2000년 3월 6일부터 2000년 5월13일이었으며. 질문지 회수율은 77%이었다. 수집된 자료는 SPSS를 이용하여 Frequency, Percentage, Pearson correlation, Regression analysis로 분석하였다. 연구 결과는 주요 변수사이의 관련성에서 그 이전연구 결과와 대개 일치하였다. 대상자의 BSE 빈도는 년간 10회-12회 실행이 21.08%이였고, 전혀 실행하지 않는 정도가 4.80%를 차지했다. BSE 빈도와 관련변수와의 상관관계에서 나이는 BSE 빈도와 역상관 관계(r=-.289, p=.038)를 나타냈고, BSE 훈련에 대한 지도(r=0521, p=.000). BSE 지식에 대한 기술(r=.573, p=.000) 및 BSE 숙련도(R=.694 P=.000)는 BSE 빈도와 정상관 관계를 보였다. 회귀분석 결과는 BSE 빈도의 가장 유의한 예측변수로서 BSE 지식에 대한 기술(beta=.5813. p=.003)로 지지되었다. 이 연구의 의의는 지역사회간호사가 이민 온 한국 중년여성들의 BSE실행에 대한 이해를 높임으로 유방암의 조기발견에 대한 예방적 행위를 증진시키는 데 유용한 기초 자료로 제공될 것이다.

일부 도시.농촌 노인의 일상생활 활동, 자기효능 및 사회적 지지에 관한 연구

최연희,Choi, Yeon-Hee 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

This study was designed to investigate and compare levels of Instrumental Activities in Daily Living(IADL), Self-efficacy and Social support, and their relationships among the aged who lived in urban and rural areas. The subjects consisted of 239 persons (urban = 120, rural = 119), aged 65 over. Data was collected through interviews and questionnaires from July 20 to August 30, 1998, and analyzed by frequency, percentage, means, Pearson Correlation, t -test $X^2$-test and ANOVA, using an SAS program. The Results of this study were as follows. 1) The mean score of IADL was 2.06/5, the mean score of Self-efficacy was 49.61/100 and the mean score of Social support was 2.37/5. 2) Concerning house ownership, the group of urban elderly were significantly higher than rural elderly while in the handling of pocket money, the rural elderly were significantly higher than the urban elderly. 3) Concerning Self-efficacy, the group of urban elderly were significantly higher than rural elderly. 4) The IADL was significantly related to Self-efficacy and to Social support. 5) Concerning the demographic characteristics of the subjects, age, educational level, religion, living with a spouse, money and participation in social activities were significantly resated to the IADL scores, to Self-efficacy and to Social support.

CA를 인증 경로 처리 작업에 참여시키는 새로운 인증서 검증 방안

최연희,박미옥,전문석,Choi, Yeon-Hee,Park, Mi-Og,Jun, Moon-Seog 한국정보처리학회 2004 정보처리학회논문지 C : 정보통신,정보보안 Vol.11 No.1

PKI를 채용한 대부분의 어플리케이션들은 사용자로 하여금 인증서 검증 작업을 수행하도록 한다. 인증서 검증 작업의 사용자 측 수행은 사용자 부담을 증가시키고 검증 속도를 떨어뜨려 전체적인 사용자 시스템의 효율성을 저하시킨다. 본 논문에서는 인증기관(Certificate Authority :CA)을 검증 작업에 참여시킴으로서 사용자 측 부담을 감소시킬 수 있는 새로운 형태의 인증서 검증 방안을 제안하였다. 따라서 제안한 방안은 새로운 검증 서버의 구현 없이 사용자 측의 검증 작업에 대한 부담을 감소시킬 수 있을 뿐만 아니라 검증 작업의 축소로 인해 검증 수행 시간을 향상시킬 수 있다. Most applications using the PKI allows a user to execute the certificate validation processing. The efficiency of user system can be declined by the user-side processing resulting the overhead and low speed of the validation processing. Therefore, in this paper, we propose a new certificate validation processing method can decrease the overhead on user by allowing CAs of the hierarchical PKI to participate in the validation processing. Therefore, our proposed scheme can not only reduce the considerable overhead caused by the user-side whole processing without a new implementation of the delegated server but also improve the time spent for the processing by the reduction of the validation processing job on user.