A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

골다공증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

뇌 아밀로이드 혈관병과 고혈압성 뇌출혈의 감별에 있어서 Apolipoprotein Eε4와 점상 출혈 분포의 유용성

김용범,이광호,이수주,나덕렬,조수진,정진상,이원용 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1

A Study of the Yang-gyeong-gyu-il-ui (兩景揆日儀) in the Joseon Dynasty

Yong Sam Lee,Sang Hyuk Kim,Byeong-Hee Mihn 한국우주과학회 2015 Journal of Astronomy and Space Sciences Vol.32 No.1

The Yang-gyeong-gyu-il-ui (兩景揆日儀) is a kind of elevation sundial using three wooden plates. Sang-hyeok Lee (李尙爀, 1810~?) and Byeong-cheol Nam (南秉哲, 1817~1863) gave descriptions of this sundial and explained how to use it in their Gyu-il-go (揆日考) and Ui-gi-jip-seol (儀器輯說), respectively. According to Gyu-il-go (揆日考) there are two horizontal plates and two vertical plates that have lines of season and time. Subseasonal (節候) lines are engraved between seasonal (節氣) lines, subdividing the interval into three equal lines of Cho-hu (初候, early subseason), Jung-hu (中候, mid subseason) and Mal-hu (末候, late subseason); there are 13 seasonal lines for a year, thus resulting in 37 subseasonal lines; also, there are 12 double-hour (時辰) lines for a day engraved on these plates. The only remaining artifact of Yang-gyeong-gyu-il-ui was made in 1849 (the 15th year of Heon-jong) and is kept at the Korea University Museum. We have compared and analyzed Yanggyeong- gyu-il-ui and similar western sundials. Also, we have reviewed the scientific aspect of this artifact and built a replica. Yang-gyeong-gyu-il-ui is a new model enhanced from the miniaturization development in the early Joseon Dynasty and can be applied to the southern part of the tropic line through a structure change.

Thermoelectric Properties of Bi2Te3 Film Processed by Electrodeposition

Lee, Kwang-Yong,Oh, Tae-Sung Research Institute of Science and Technology HONGI 2005 Hongik Journal of Science and Technology Vol.9 No.-

Thermoelectric properties of the electrodeposited Bi_(2)Te_(3) films have been investigated. Bi_(2)Te_(3) plating solution of 20 mM concentration was prepared by dissolving Bi_(2)O_(3) and TeO_(2) into 1M HNO_(3). Thermoelectric properties of the electroplated Bi_(2)Te_(3) films were changed with the film thickness, and the 40 μm-thick film exhibited Seebeck coefficient of -66 μV/K, electrical resistivity of 2.4 mΩ-cm, and power factor of 1.75x10^(-4) W/K^(2)-m. Using multilayer overhang process, the photoresist pattern to form thermoelectric legs of 30 μm depth and 100 μm diameter was successfully fabricated.

플라즈마 표지소자의 제작

이상윤,라병욱,박동수,황인헌,이덕동,신영남,박성배,이동욱,박용석,박형근,손상호,권태근,채경락,정경득 慶北大學校 自然科學大學 1986 自然科學論文集 Vol.4 No.-

An Ac-type Plasma Display Panel (PDP) operating with Ne-Ar(0.1%) Penning mixture gas is fabicated. The characterics of the panel with electrodes covered with thin and thick dielectric layers are studied. The brightness of the Neon-orange light emitted by the panel measured as function of applied voltage and frequency. As an application, a graphic display system equipped with PDP showing still and moving pictures is made.

식품의 안전성요인의 쌀 구매에 미치는 차별성 검정

이순석,오상헌,이상용,박주섭,김용희 한국식품저장유통학회 ( 구 한국농산물저장유통학회 ) 2004 한국식품저장유통학회지 Vol.11 No.1

본 논문은 브랜드 쌀 구매에 영향을 미치는 요인(factor)들이 소비자 특성에 따라 차이가 있는지를 분석하기 위한 목적으로 수행되었다. 분석을 위하여 서울시에 거주하는 1,000명의 주부를 대상으로 설문조사를 실시하였으며, 그 주요 내용은 다음과 같다. 먼저 주부들이 쌀 구매에 영향을 미치는 11개 항목을 5점 리커르트 척도를 이용하여 분석하였다. 그 결과 소비자들이 가장 높은 점수를 부여하는 것은 쌀의 잔류 농약 정도로서 4.12점이 나왔고, 영양가 높은 쌀(4.01점), 쌀알의 모양(3.96점) 및 쌀의 생산지(3.88점) 등의 순서로 나타났다. 요인분석을 위해 고유치(eigen value) 값이 0.8 이상인 경우를 기준으로 요인 수를 분석한 결과 다섯 가지의 요인이 추출되었으며, 그 특징은 유형적 차원과 무형적 차원으로 구분되었다. 전자인 유형적 차원은 건강성 요인(잔류농약, 도정일자, 완전미 여부), 지역성(생산지), 외관성(크기, 모양) 및 가격성 등의 가시적 차원으로 소비자가 쉽게 판단하거나 쌀 간의 비교가 용이한 특성이며, 후자는 심리적 속성이나 상징성을 의미하는 것으로서 브랜드 상표와 품질 인증 마크가 가지는 신뢰성 등이 영향을 미치는 것으로 분석되었다. 무형적 차원인 식품의 안전성이 도시 주부 간 쌀 구매에 미치는 차별성을 알아보기 위하여 정규성 검정 결과에 따라 독립 2표본 T-검정을 실시하였다. 분석에서 도시주부가 특성별로 두 집단으로 구분되는 기준은 자의적 분류보다는 공통적인 기준을 이용하고자 평균값(나이, 학력, 소득, 동거가족 수)을 기준으로, 그 외의 경우는 더미변수(주부직업 유무, 주거형태 및 거주지역)을 이용하여 구분하였다. 식품의 안전성으로 추출된 요인 값의 평균에 대해 두 집단간 차이를 검정하였으며, 분석 결과 주거형태가 1% 유의 수준에서 , 주부취업 여부 및 거주지역이 각각 5% 유의수준에서 통계적 유의성이 있는 것으로 분석되었다. 반면 주부간의 나이, 학력, 소득수준 및 동거가족 수에서는 유의미한 결과가 추정되지 못하였다. 본 연구결과를 볼 때, 식품의 안전성 요인을 포함하는 쌀의 마케팅 전략은 취업주부, 아파트 거주자 및 강남지역 주부들을 대상으로 한 판매활동 강화가 요구된다. 아울러 통계적으로 유의미한 결과를 나타내는 도시 주부의 특성 변수들을 세밀하게 구분해서 분석하는 시장세분화 연구가 필요하다. Factor analysis is estimated using housewives's intention data in Seoul province. Rice consumers considered safety, high nutritive value, shape and cultivation region as important factors in buying rice. The factors of food safety are brand and quality certification mark. The differences of two housewife groups on safety factor are caused by residence type, employment existence and residence region. The marketing strategies for rice containing food safety target housewives living in apartment, Gang Nam region. Also selling extension for target consumers housewives should be employed.

들잔디 성숙종자로부터 캘러스배양 및 식물체 재분화에 미치는 몇 가지 요인의 영향

이상훈,김범수,원성혜,조진기,김기용,박근제,성병렬,이효신,이병현 Plant molecular biology and biotechnology research 2004 Plant molecular biology and biotechnology research Vol.2004 No.-

In an effort to optimize tissue culture responses of zoysiagrass (Zoysia japonica Steud.) for genetic transformation, factors affecting callus induction and plant regeneration were investigated. MS medium containing 3 ㎎/L 2,4-D was optimal for embryogenic callus induction from mature seed. The plant regeneration frequency of 73.3% was observed when embryogenic calli induced in this medium were transferred to N6 medium supplemented with 0.1 ㎎/L 2,4-D and 5 ㎎/L BA. Among several basic media, MS and N6 medium were optimal for callus induction and plant regeneration, respectively. Regenerated plants were grown normally when shoots transplanted to the soil. A rapid and efficient plant regeneration system established in this study will be useful for molecular breeding of turfgrass through genetic transformation.

급성 단순하부요로감염의 경험적 치료로써 레보플록사신 3일요법의 효과

이지열,이승주,이상돈,정희창,오봉렬,김세웅,최한용,조용현,윤문수 대한화학요법학회 2001 대한화학요법학회지 Vol.19 No.4

목적 : 급성 단순요로감염의 원인균에 대한 내성증가에 따른 경험적 1차치료의 선택에 대한 어려움으로 인하여 최근 미국의 Infectious Disease Society of America(IDSA)에서는 이에 대한 가이드라인을 제시하였다. IDSA의 가이드라인에 따르면 그 지역의 TMP-SMX에 대한 내성균주의 비율이 10-20% 이상일 때는 급성 단순요로감염의 경험적 1차치료제로 플루오로퀴놀론제를 선택하도록 하였다. 이에 저자들은 급성 단순하부요로감염 환자에 있어서 레보플록사신에 대한 임상적, 미생물학적 유효성 및 안전성을 알아보고자 하였다. 방법 : 시험은 전향적, 비맹검, 공개, 비비교, 다기관 임상시험으로 시행되었고 전국 5개 대학병원을 방문한 56명의 급성 단순하부요로감염 환자에게 레보플록사신 100㎎을 1일 3회, 3일간 경구 투여하여 1-3일 후에 추적 관찰하였다. 결과 : 평가가 가능하였던 53명의 환자 중 50명의 환자에서 치료 후 5-7일 후에 증상이 소실되었거나 호전되어 94%의 임상적 유효성을 보였으며, 51명의 환자에서 치료 후 1-3일 후에 원인균이 제거되어 96%의 미생물학적 유효성을 보였다. 약물 관련 이상반응은 2%의 환자에서 나타났으나 이로 인한 치료 중단 사례는 없었으며 심각한 생화학적 또는 혈액학적 이상반응은 나타나지 않았다. 결론 : 레보플록사신 100㎎ 1일 3회 3일 요법은 임상적, 미생물학적 유효성이 뒤어나며 안전한 치료요법으로 급성 단순하부요로감염의 경험적 1차 치료에 적합할 것으로 생각된다. Background : The increasing frequency of clinical failure of uncomplicated urinary tract infections (UTIs) may be due to emerging resistance to commonly prescribed antimicrobials. Infectious Diseases Society of America guidelines state that uncomplicated UTIs should be treated empirically with a fluoroquinolone, if the proportion of trimethoprim/sulfamethoxazole-resistant isolates in the community is >10%-20%. The clinical efficacy and safety of levofloxacin were assessed in patients with acute, uncomplicated lower urinary tract infection. Methods : The study was a multicenter, prospective, open label, non-comparative, non-blinded trial. Fifty-six patients with acute, uncomplicated symptomatic lower urinary tract infections from five university hospitals were treated with levofloxacin 100㎎ tid for 3 days and were followed up for 1 to 5 days. Results : Fifty-three of the 56 patients were evaluable. Ninety-four per cent of patients were symptomatically cured or improved by the fifth to seventh day after therapy started. Bacteriological eradication of initial pathogen was achieved by 1 to 3 days in 96%. Drug related adverse experiences were seen in 2% of patients. None necessitated cessation of therapy. No significant biochemical or hematological abnormalities occurred. Conclusion : These results demonstrate the clinical efficacy and safety of empirical 3-day levofloxacin for acute, uncomplicated urinary tract infections.

A Study on the Mask Symbolism in O’Neill’s The Great God Brown

( Lee¸ Sang-yong ) 현대영미어문학회 1983 현대영미어문학 Vol.1 No.-

본 연구는 O’Neill 이 원초적인 곳에 바탕을 둔 인간의 사고와 행위를, mask 를 사용하여 무대에 표출한 가면극 The Great God Brown에 나타난 mask symbolism 을 고찰하여 이 극의 극적 상황에 따라 미묘하게 변하는 등장인물들의 심상변화를 연구해 봄으로써 O’Neill 의 비극, 그 중에서도 가면극에 대한 보다 깊은 이해를 얻는 데 그 목적을 두었다. 이 작품에서는 등장인물들의 내적 자아와 외적 자아가 mask 를 중심으로 상이하게 나타나며, 특히 mask 뒤에 숨겨진 고뇌와 번민에 찬 인간 본연의 모습을 살펴보기 위해서는 mask symbolism에 대한 분석 검토가 필연적이라 할 수 있다. 따라서, 본고에서는 mask symbolism을 The Dio-nysian Image 와 The Demi-God Image, 그리고 The Earth Mother Image 등 세 측면에서 분석 · 검토하고자 한다. 첫째로, The Dionysian Image 에서는 주인공 Dion Anthony 의 이중 성격 중에서 Christianity 가 부정하는 Dionysus 때문에 괴로워하고 번민하는 Dion의 성격을 Dionysian Image 에 촛점을 맞추어 분석하였으며, 둘째로, The Demi-God Image 에서는 Dion 의 antagonist 인 Brown의 성격을 Mephistopheles 의 측면에서 고찰하여, 그를 “the visionless demi-god of our new materialistic myth”의 symbol 로 조명해 보았으며, 세째로, The Earth Mother Image에서는, 가면을 썼을 때는 일개 창녀이나, 그 가면 밑의 본연의 모습은 영원한 Earth Mother 인 Cybel 의 성격을 분석 고찰해 보았다. The Great God Brown에서 O’Neill 은 mask 를 사용하여 인간 본성의 심연 속에 깊숙히 감추어진 갈등을 적나라하게 표출하였으며, 이 작품 속의 주인공 Dion 과 Brown이 다 같이 최후의 순간에는 Mother Earth 를 찾는 데 이 점에서도 잘 나타나 있듯이 작가 O’Neill 자신이 관심을 갖고 추구한 것은 인간과 인간의 관계가 아닌 인간과 신과의 관계인 것이다.