공공임대주택가구의 주거이동 유형에 관한 연구

고정희(Ko Jung-Hee) 한국사회복지학회 2009 한국사회복지학 Vol.61 No.2

본 연구는 대한주택공사(KNHC)의 국민임대주택 거주자들의 퇴거 이후 주거이동 유형이 상향이동 되었는가 혹은 수평ㆍ하향이동되었는가를 비교분석하여 국민임대 주택이 무주택 저소득 가구의 주거 상향이동에 실제로 기여를 하고 있는가 살펴보았다. 연구대상은 충북 청주시 국민임대주택 입주 후 2년이 경과한 세 단지의 2007년 1년간 퇴거자 333명을 대상으로 하여 전화설문조사를 실시하였고, 분석방법은 “주거면적”과 “주거비용”에 따른 주거이동 유형(하향이동, 수평이동, 상향이동)을 종속변수로하고 개인 및 가족환경과 경제적 환경을 독립변수로 하여 빈도분석, 교차분석, 다중회귀분석을 활용하였다. 분석결과 입주 전과 거주 당시보다 “주거비용”에 있어서 상향이동 된 가구의 비율은 76.4%, 수평이동 1.6%, 하향이동 22%로 나타났고, “주거면적”에 있어서는 상향이동 61.8%, 수평이동 16.5%, 하향이동 19.7%로 나타났다. 주거상향이동에 영향을 주는 변수로는 가구 내 소득자의 수, 직업, 학력으로 나타났고, 소득과 연령, 부양가족 여부는 영향이 미미한 것으로 나타났다. 이상의 결과를 바탕으로 효과적인 국민임대주택의 공급을 위해 첫째, 주거이동 유형에 따라 나타나는 다양한 가구 특성을 반영해야 하며 둘째, 주거 상향이동을 위한 연속적인 주거정책 프로그램을 위한 국민임대주택단지의 자족기능 강화를 제언하였다. This study aimed at examining whether the national rental housing supplied by Korea National Housing Corporation (KNHC) is truly contributing to the upward mobility of housing in low-income households without their own house by comparatively analyzing whether those who moved out of the national rental housing made upward, horizontal or downward housing type mobility. The subjects of this study included 333 people who had moved out of three national rental housing complexes in Cheongju, Chungcheongbuk-do in 2007, which had opened to the first residents two years ago. A telephone survey involving the subjects was carried out. Collected data were analyzed through frequency analysis, cross tabulation analysis and multiple regression analysis, with using the type of residential mobility(downward mobility, horizontal mobility or upward mobility) according to "housing size" and "housing costs" as a dependent variable, and personal and family environment and economic environment as independent variables. According to the results of the analysis, 76.4% of the households made an upward mobility, 1.6% remained little changed, and 22% moved downward in terms of "housing costs," compared to before moving into the national rental housing and while living there. Furthermore, in terms of “housing size” 61.8% of the households moved upward, 16.5% remained little changed and 19.7% moved downward. The variables affecting the upward mobility of housing type included the number of income earners in a household, income earner's occupation and education level. Income earner's amount of income, age and family to support, on the other hand, turned out to have little effect on the upward mobility. Based on the results of the study, the following suggests were made for the supply of effective national rental housing. First, various features of each type of residential mobility should be reflected. Second, national rental housing residents’ self-sufficiency should be enhanced to help them move upward in housing type.

서울시 공공임대주택 거주자의 주거만족 결정요인과 정책적 함의

고정희(Ko Jung Hee) 한국주택학회 2017 한국주택학회 학술대회 발표논문집 Vol.2017 No.2

쇼트트랙 선수의 스피드스케이팅으로의 종목전환 과정

고정희 ( Ko Jung-hee ),전명규 ( Jun Myung-kyu ) 한국체육대학교 체육과학연구소 2018 스포츠사이언스 Vol.35 No.2

본 연구의 목적은 쇼트트랙에서 스피드스케이팅으로의 종목전환 과정 경험에 대한 실체 이론을 개발하고자 하였다. 본 연구의 연구문제는 ‘쇼트트랙선수의 스피드스케이팅으로의 종목전환과정은 어떠한가?’이다. 연구방법으로는 Strauss & Corbin(1998)이 제시한 근거이론을 적용하였다. 쇼트트랙에서 스피드스케이팅으로 종목을 전환하여 국제대회 입상을 한 선수 5명을 연구 참여자로 선정하였다. 자료는 주로 심층면담 및 비참여관찰 등을 통해 수집되었다. 본 연구의 연구결과, 40개의 개념, 17개의 하위범주, 6개의 범주가 구분되었다. 쇼트트랙에서 스피드스케이팅으로의 종목전환과정에서 인과적 조건은 ‘이전종목에서의 좌절’이었고, 중심현상은 ‘전환종목으로의 재사회화-쇼트트랙 국(國)에서 스피드스케이팅 국(國)으로의 이민’이었다. 맥락적 조건은 ‘전환종목의 기본기가 좋은 선수’였다. 현상 조절을 위한 작용상호작용 전략은 ‘이전 종목의 장점 극대화’였다. 현상에 따른 결과는 ‘종목전환의 목적 달성’ 으로 나타났다. 또한 쇼트트랙선수의 스피드스케이팅으로의 지원과정은 ‘쇼트트랙에서의 좌절단계’, ‘스피드스케이팅으로 종목전환 결정단계’, ‘쇼트트랙 은퇴 및 스피드스케이팅으로의 재사회화 단계’, ‘스피드스케이팅에서의 성취단계’로 파악되었다. 선택코딩에서 핵심범주는 ‘쇼트트랙에서 스피드스케이팅로의 이민’이었다. 지속적인 범주들 사이의 연관성으로 ‘선수의지형’, ‘지도자 권유형’, ‘선수의지 지도자권유 복합형’으로 유형이 구분되었다. The purpose of this study was to generate a substantial theory defining to the process of transition from short-track to speed skating. this study applying the grounded theory method based on Strauss and Corbin(1998). In order to accomplish the purpose of the study, five speed skaters who won at international competitions after sports transition from short-track to speed skating were selected. As a result of this study, informants are ‘Frustration at short-track Stage’, ‘transition from short-track to speed skating decision stage, ‘Retire of short-track and re-socialization into speed skating’, ‘Achievement stage in speed skating’. They overcome many difficulties during the course of sports transition. For this process, they have done great works in the Korea speed skating field.

지속성 외래 복막투석 환자에서 영양상태와 투석의 적절도

박미정(Mi Jung Park),이균상(Kyun Sang Lee),조민석(Min Seok Cho),김정기(Jeong Ki Kim),박병석(Byoung Seok Park),마성권(Seong Kwon Ma),고정희(Jung Hee Ko),나명윤(Myong Yun Nah),염충호(chung Ho Yeum),정권(Jung Gwon),김수완(Soo Wan Kim) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4

Purpose - Malnutrition is common in CAPD patients and depends on many factors such as dialysis-related and nondialysis-related factors. The present study aimed to assess nutritional status, dialysis adequacy and their relationships with overall mortality and morbidity. Methods - We studied 102 patients who had been receiving CAPD for at least 6 months. Dialysis adequacy was assessed by parameters derived from urea kinetic modeling(UKM) and nutritional status was assessed by serum biochemical measurement, normalized protein catabolic rate(nPCR), normalized protein equvalent of total nitrogen appearance(nPNA) and urea kinetic studies. Spearman's simple correlation and multiple linear stepwise regression analysis were used to assess correlation between dialysis adequacy and nutritional status in CAPD patients. We compared the differences between patients who suffered morbid events, defined as either an infectious complication or hospitalization, and patients who remained well. Results : The results showed that the total dialysis dose(total weekly Kt/Vurea ) has statistically significant correlation with nPCR(r=0.234, p=0.028), nPNA (r=0.246, p=0.021), total weekly creatinine clearance (WCC)(r=0.479, p=0.0001), serum albumin levels(r= 0.233, p=0.029), serum cholesterol(r=0.266, p=0.013), serum BUN(r=-0.290, p=0.006) and serum creatinine levels(r=-0408, p-0.0001). nPNA was positively correlated with serum cholesterol(r=0.217, p=0.045), serum transferrin(r=0.218, p=0.042) and serum ferritin levels(r=0.220, p=0.043). Patients who suffered morbid events had an old age(p=0.001), long duration of CAPD(p=0.0001), higher CRP(p=0.021), lower serum albumin level(p=0.020), lower hematocrit(p=0.049) and lower WCC(p=0.017). Conclusions: These results indicate that adequate dialysis is very important for the maintenance of adequant nutrition because nutritional status positively correlated with dialysis dose, which is best assessed by UKM. In addition, assessment of nutritional status and dialysis adequacy are important in predicting clinical outcomes in CAPD patients.

만성 신부전 환자에서 고호모시스틴혈증에 관한 연구

박미정(Mi Jung Park),이균상(Kyun Sang Lee),조민석(Min Seok Cho),김정기(Jeong Ki Kim),박병석(Byoung Seok Park),마성권(Seong Kwon Ma),고정희(Jung Hee Ko),나명윤(Myong Yun Nah),염충호(chung Ho Yeum),김수완(Soo Wan Kim),김남호(Nam Ho Kim 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4

Objective : It has been reported that hyperhomocysteinemia is an independent risk factor for atherosclerotic complications, although the mechanisms re- main unclear. The major determinents of total fasting plasma homocysteine(tHcy) concentrations have been recently reported but there are still conflicting data on the influence of those in peritoneal and hemodialysis patients. Therefore, we evaluated the prevalence and association of vascular complications and the determinents of hyperhomocysteinemia in chronic renal failure patients receiving conservative treatment(predialysis), peritoneal dialysis(PD) and hemodia-lysis (HD) patients. Methods We measured the factors, including fasting plasma vitamine levels(folate, vitamin E4 and vitamin B12), serum creatinine concentration, dialysis adequacy-related varibles as well as associated risk factors for vascular diseases that might affect tHcy concentrations in 37 predilysis, 30 PD, 34 HD patients and 21 normal persons. Continuous variables were compared using independent sample t-test. Spearman's correlation was used to determine the strength of association between tHcy and other predictive varia41es. Percentages were compared using Pearson's chi-square test or Fisher's exact test, depending on the frequencies. Independent determinents of tHcy concentration and atherosclerotic vascular complications were identified using multiple regression analysis. Results : The prevalence of hyperhomocysteinemia was 83.8, 72, 88% among predialysis, PD and HD patients, respectively(Odds ratio was 103.33, 81.43, 150.0 vs. controls, respectively). tHcy values in pre- dialysis, PD and HD patients are significantly higher than those in controls(24.68±9.01, 21.04±8.82, 23.62± 9.46 vs. 8.80±2.07 ㎛oL/L, repectively, p<0.01). Pre- dialysis, PD and HD patients with atherosclerotic vascular complications had higher tHcy concentrations than did predialysis, PD and HD patients with- out vascular complications(21.93±8.71 vs. 32.09±4.71 ㎛oL/L, p<0.01, 17.57±5.85 vs. 28.74±9.70 ㎛oL/L, p<0.01, 19.00±4.29 vs. 33.28±10.13, p<0.01 respectively). We also observed increasing odds ratios of vascular events with increasing tHcy concentrations. For predialysis, PD and HD patients, fasting plasma folate level had negative correlation with tHcy concentrations by spearman's simple correlaltion. And using muliple regression analysis, we recognized hyperhomocysteinemia is an independent risk factor for atherosclerosis and fasting plasma folate is a major determinent of tHcy concentrations in predialysis, PD and HD patients. Conclusions: Hyperhomocysteinemia in predialysis, PD and HD patients was more prevalent than that in norrnal controls. Risk of atherosclerotic vascular complications increased with increasing tHcy concentrations. Hyperhomocysteinemia is an independent risk factor for atherosclerosis and fasting plasma folate is a major determinent of tHcy concentrations in predialysis, PD and HD patients.

저체중 출생아에서 생후 혈청 크레아티닌 혈액 요소 질소 값의 변화

김신미 ( Shin Mi Kim ),고정희 ( Jeong Hee Ko ),심은정 ( Eun Jung Shim ),이대형 ( Dae Hyoung Lee ),조도준 ( Do Jun Cho ),김덕하 ( Dug Ha Kim ),민기식 ( Ki Sik Min ),유기양 ( Ki Yang Yoo ) 대한주산의학회 2008 大韓周産醫學會雜誌 Vol.19 No.2

목적: 출생 시 혈청 Cr 수치는 신생아의 크기와 근육량에 비해 증가하여있으며 미숙아일수록 신기능이 미성숙한 상태에 있으나 미숙아에서 혈청 Cr 농도와 재태연령, 혹은 출생체중과의 상관관계에 대해서 알려진 바가 많지 않다. 이에 저자들은 신생아집중 치료실에 입원한 저체중 출생아들을 대상으로 혈청 Cr, BUN 수치의 변화를 출생 당일과 일주일 뒤를 비교함으로써 신기능의 변화를 추정하여 보고 출생체중, 혹은 재태연령과의 관계를 확인하고자 하였다. 방법: 2003년 1월부터 2006년 12월까지 한림대학교 성심병원 신생아 집중 치료실에 입원한 저체중 출생아를 대상으로 의무 기록을 분석하였다. 총 162명이 대상이 되었으며 의무 기록을 후향적으로 검토하여 출생체중, 재태 연령 신장, 성별, 1분, 5분 APGAR 점수와 혈청 내 BUN, Cr (출생 직후, 일주일 뒤)을 조사하였다. 출생체중에 따라 500~999 g, 1,000~1,499 g, 1,500~2,000 g인 세 그룹으로 분류하였다. 결과: 저체중 출생아에서 혈청 Cr 값은 출생 후 시간이 지날수록 감소하였으며 1,000 g 이상은 1주 이후 감소하였으며 1,000 g 미만인 경우 3주 이후 혈청 Cr 값이 감소하였다. 또한, 이전 연구들에서 다양한 형태로 나타났던 BUN의 변화는 본 연구에서 출생체중이 클수록 생후 일주일 뒤에 시행한 혈청 Cr, BUN 값이 낮게 나왔다. 결론: 저체중 출생아에서 혈청 Cr 수치는 출생 후 감소하게 되지만 출생체중 1,000 g 미만인 초극소 저체중 출생아에서는 더 천천히 감소한다는 점으로 미루어 보아 출생 후 신기능 발달은 출생체중과 연관성이 있음을 알 수 있었다. Objective: To study the changes in serum creatinine and correlation between gestational age or birth weight and serum creatinine in low birth weight infants in the immediate postnatal period. Methods: Medical records of all premature infants, who were admitted to the neonatal intensive care unit of Hallym University Hospital between January 2003 and December 2007, were reviewed. 162 infants met our inclusion criteria. Medical records were reviewed for: birth weight, gestational age, length, gender, APGAR scores, use of medications, blood urea nitrogen (BUN) and serum creatinine (Scr) during the first days of life. Premature infants were separated into three groups according to their birth weight: 500 to 999 g; 1,000 to 1,499 g; and 1,500 to 2,000 g. Results: Scr was found to decrease postnatally, however there was a delay in the decrease of Scr in the subgroup of infants <1,000 g BW, Scr was also found to decrease with increasing birth weight at 1 week after birth (Pearson test, p=0.01). Serum BUN was found to decrease with increasing birth weight at 1 week after birth (Pearson test, p=0.00). Conclusion: In low birth weight infants Scr decrease during the first days of life. However, in infants smaller than 1,000 g birth weight there is a delay in the decrease of their Scr that extends beyond the first days of life. Our findings indicate progression of renal function is directly correlated to birth weight.

기초과학연구소설립 10 주년 기념호 : 보문 ; β-thiocyanatobenzylidene malonic acid ester 유도체의 합성에 관한 연구

김순옥(Soon Ok Kim),홍사미(Sa Mi Hong),고정희(Jung Hee Ko) 성신여자대학교 기초과학연구소 1991 基礎科學硏究誌 Vol.8 No.-

혈액투석 남성 환자에서 발기부전

김수완(Soo Wan Kim),김남호(Nam Ho Kim),최기철(Ki Chul Choi),마성권(Seong Kwon Ma),고정희(Jung Hee Ko),박정호(Jeong Ho Park) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.1

목 적 : 말기 신질환으로 혈액투석을 실시하고 있는 남성 환자들을 대상으로 발기부전(erectile dysfunction, ED)의 유병율과 이와 관련된 인자들을 알아보고자 이 연구를 시행하였다. 방 법 : 전남대학교병원 혈액투석실에서 말기 신질환으로 혈액투석을 실시하고 있는 남성 환자 48명을 대상으로 5- item version of the International Index of Erectile Function (IIEF - 5)을 이용하여 발기부전의 정도를 중증 발기부전(5- 7점)부터 발기부전이 없는 경우(22- 25점)의 범위로 조사하였고, 관련인자들을 분석하였다. 결 과 : 모든 대상 환자가 발기부전을 보이고 있었으며, IIEF - 5 점수는 5점인 경우가 22명 (45.8%)으로 가장 많았다. IIEF - 5 점수는 Karnofsky Index score, 혈청 albumin이나 creatinine치와는 양의 상관 관계를 보였으며, 연령, 당뇨병과는 음의 상관 관계를 보였다. 발기부전의 정도는 경도 발기부전 4예(8.3%), 경도/ 중등도 발기부전 9예(18.8%), 중등도 발기부전 9예(18.8%), 중증 발기부전이 26예(54.2%)이었다. 중증 발기부전과 관련 있는 변수로는 60세 이상의 고령과 말기 신질환의 원인 질환, 동반 질환으로서 당뇨병의 합병과 Karnofsky Index와 관련이 있었으나, 다변량 로지스틱 회귀분석에 의한 변수와 관련성은 연령만이 중증 발기부전과 관련 있는 독립 변수이었다. 중증 발기부전 환자군은 혈청 albumin치와 creatinine치가 더 낮았으나, 다변량 로지스틱 회귀분석으로는 유의성이 없어서 관련된 독립 변수로 볼 수 없었다. 약물과의 연관성은 다변량 로지스틱 회귀분석상 nitrate를 투여한 환자군에서 중증 발기부전이 유의하게 높았다. 결 론 : 모든 환자에서 발기부전을 보이고 있으며, 연령이 증가할수록, 또는 관상동맥질환으로 nitrate을 투여한 환자군에서 중증 발기부전이 증가하고 있다. Purpose : Erectile dysfunction (ED) is a common problem in men with end-stage renal disease(ESRD). The present study was aimed at investigating the prevalence and risk factors of ED among patients receiving chronic hemodialysis. Methods : The presence and severity of ED were assessed among 48 ESRD patients using the self-administered International Index of Erectile Function-5 (IIEF-5). Logistic regression was used to examine and test associations between ED and other medical conditions. Results : The mean age was 57.9±11.9 years and the cause of ESRD was diabetes mellitus (47.9%), unknown cause(29.2%) and hypertension (16.7%). All subjects had ED. The proportions reporting mild ED, mild/moderate ED, moderate ED and severe ED were 8.3%, 18.8%, 18.8% and 54.2%, respectively . Age, diabetes mellitus, Karnofsky Index, serum albumin and creatinine levels were statistically correlated with ED. But, a multivariable logistic regression analysis demonstrated age(odds ratio [OR]=12.254, 95% confidence interval [CI] 2.02 to 74.32, p=0.006) and nitrates administration (OR=11.85, 95% CI 1.06 to 132.5, p=0.045) to be independently associated with the presence of severe ED. Conclusion : ED is extremely prevalent among hemodialysis patients. Increasing age and medical conditioning in which nitrates should be administered are associated with higher prevalence of severe ED.

단일 기관에서 경험한 호흡기 아데노바이러스 감염의 임상적 고찰

김태현 ( Tae Hyun Kim ),임정혁 ( Chung Hyuk Yim ),안성윤 ( Sung Yoon Ahn ),강국진 ( Kook Jin Kang ),최유미 ( Yu Mi Choi ),고정희 ( Jeong Hee Ko ),최경은 ( Kyong Eun Choi ),이정현 ( Jung Hyun Lee ),이원욱 ( Won Wook Lee ) 대한천식알레르기학회 2015 Allergy Asthma & Respiratory Disease Vol.3 No.6

Purpose: The purpose of this study is to identify the epidemiologic and clinical characteristics of respiratory adenovirus infections in children, and to investigate the difference in the clinical features between single adenovirus infection and coinfection with adenovirus and other respiratory viruses. Methods: A retrospective study was performed in 470 children hospitalized with respiratory adenovirus infections in Gwangmyeong Sungae Hospital between January 2013 and December 2013. Results: The mean age of the patients was 46.2 months and the peak incidence was in the 12- to 24-month age group. The mean duration of hospitalization and fever were 4.5±1.1 and 4.5±9.2 days, respectively. Seasonally it had occurred throughout the year, but showed the highest prevalence in August and high prevalence in July, September, and October. The frequency of viral coinfection with other respiratory viruses was 39.6%. The age was significantly younger in coinfection group than in the single adenovirus infection group (P<0.001). The prevalence rates of bronchiolitis (P<0.001) and pneumonia (P=0.042) were significantly higher in the respiratory syncytial virus coinfection group. The coinfection rate was significantly higher in children aged less than 2 years (P<0.001), and the prevalence rates of bronchiolitis (P<0.001) and pneumonia (P<0.001) were also higher in the group aged less than 2 years than other age groups. Conclusion: Adenovirus is an important viral agent in hospitalized children with acute respiratory tract infection. Lower respiratory tract infections, such as bronchiolitis and pneumonia, and coinfection with other respiratory viruses were more frequently occurred in patients under 2 years of age. Further studies are needed to clarify whether coinfection with other respiratory viruses would increase the rate of lower respiratory tract infections in patients with respiratory adenoviral infections. (Allergy Asthma Respir Dis 2015;3:402-409)

상염색체우성 다낭신 환자에서 신결핵과 유사한 건락성괴사 육아종 1 예

김수완(Soo Wan Kim),염충호(Chung Ho Yeum),나명윤(Myong Yun Nah),김남호(Nam Ho Kim),최기철(Ki Chul Choi),마성권(Seong Kwon Ma),고정희(Jung Hee Ko),권동득(Dong Deuk Kwon),이민철(Min Cheol Lee) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5

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