Clinical Efficacy of Stratified Management Protocol Using a Risk Prediction Model in Kawasaki Disease

김유나 ( Yoo Na Kim ),이은혜 ( Eun Hye Lee ),윤경림 ( Kyung-rim Yoon ),한미영 ( Mi Young Han ) 중앙대학교 의학연구소 2018 中央醫大誌 Vol.43 No.1

Purpose: Although Kawasaki disease (KD) is a leading cause of acquired heart disease in children, a universal treatment protocol has yet to be established. This study was conducted to investigate the clinical utility of risk prediction model in the stratified management protocol of KD patients. Methods: Data of patients with KD were collected from two affiliated centers, Kyung Hee University Hospital and Kyung Hee University Hospital at Gangdong, from January 2015 to March 2017. Exclusion criteria were as follows: whose diagnosis was recurrent Kawasaki disease, who received initial therapy at other hospital, who were either younger than 100 days or older than six years (72 months), and who were lost to follow-up. Patients are designated into two groups (group A and B) depending on whether the Kobayashi risk stratification model was used. Demographic characteristics, lab data, and patient charts were reviewed, and serial echocardiography was performed. As a primary outcome, patients' coronary artery z-scores were calculated using the McCrindle method and compared. All data were compared using SPSS v. 24, and a p-value of <0.05 was considered statistically significant. Results: After applying exclusion criteria, 98 patients were finally included. Demographic characteristics of sex, age, and laboratory data were not significantly different between the two groups, and there were no differences in fever duration and hospitalization period. However, group A had lower z-scores over time compared to group B, with statistically significant differences (p <0.05). Conclusion: This study suggested that initial KD risk stratification may direct selective management protocol and reduce coronary artery complications. These findings may be useful to optimize the management and outcomes of patients with KD. Chung-Ang J Med 2018; 43(1): 15-21

영화를 이용한 정신질환교육이 중,고등학교 교사의 정신질환에 대한 인식과 태도에 미치는 효과

김유나 ( Yoo Na Kim ),서지민 ( Ji Min Seo ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2010 정신간호학회지 Vol.19 No.4

Purpose: The purpose of this study was to identify effects of `mental illness education using movies` on the perceptions and attitudes toward mental illness held by middle and high school teachers. Methods: The participants were 66 middle and high school teachers, 33 in the experimental group and 33 in the control group. The `mental illness education using movies` was given to the experimental group twice a week for two weeks. The perceptions and attitudes toward mental illness were measured using the Knowledge and Attitude toward Mental Illness Questionnaire developed by Park, Paik, and Kwack (1995). Results: After the mental illness education, there was a significant difference between the experiment and control group for psychological and environmental concepts toward mental illness (t=7.10, p<.001). Conclusion: `Mental illness education using movies` has limited effects on the perceptions and attitudes of middle and high school teachers toward mental illness. The results of this study indicate that further research is needed with a revised contents of `the mental illness education using movies if perceptions and attitudes are to be changed.

산업다양성과 지역경제 간의 관계에서 사회적 자본의 조절효과 분석 : 서울시 25개 자치구 패널자료를 중심으로

김유나(Yoo-Na Kim),문국경(Kuk-Kyoung Moon) 연세대학교 사회과학연구소 2021 社會科學論集 Vol.52 No.2

산업의 다양성이 지역경제에 미치는 효과는 산업이 자리 잡은 지역의 상황에 따라 차별적으로 나타날수 있음에도 불구하고 대부분의 선행연구는 산업다양성의 직접적인 영향에만 주목하였다. 따라서 산업을 둘러싼 지역적 맥락을 고려하지 않은 채, 산업다양성과 지역경제 간의 직접적인 관계만을 분석하는 것은 현실을 지나치게 단순화하는 것이라는 지적이 제기되고 있다. 이에 본 연구는 산업다양성이 지역경제에 미치는 영향을 분석하고, 어떠한 지역적 상황에 따라 산업다양성의 영향력이 달라지는지를 살펴보았다. 특히 사회적자본 이론을 바탕으로 사회적 자본의 하위요소인 사회적 신뢰와 사회적 네트워크가 지역경제에 미치는 직접효과와 더불어 산업다양성과 지역경제 간의 관계에 미치는 조절효과를 검증하고자 하였다. 분석결과 산업다양성은 지역경제에 정(+)의 영향을 미치는 것으로 밝혀졌지만, 사회적 신뢰와 네트워크는 지역경제에 통계적으로 유의미한 영향을 미치지 못하는 것으로 나타났다. 나아가 산업다양성과 지역경제 간의 긍정적 관계는 지역 내 사회적 네트워크의 수준이 높아질수록 강화되는 것을 확인하였다. 이러한 분석결과는 산업다양성이 지역경제에 미치는 긍정적 영향력을 강화하는 방안으로서, 지역 내 사회적 네트워크를 구축하기 위한 지방자치단체의 정책적지원의 필요성을 제시한다. The impact of industrial diversification on local economy can vary depending on circumstance of an administrative region where the industries exist. However, most previous studies on industrial diversification have focused mainly on its direct effects. Yet, doing so without considering various contingencies of administrative region may result in an faulty analysis. This article explores not only direct effects of industrial diversification on regional economy but also moderating effects of social capitals on the relationship between industrial diversification and local economy. Among various contingencies of administrative region, the study chooses social trust and network as those moderating variables and relies on social capital theory to explain the logic behind the moderation. Results presents that industrial diversification has positive impact on local economy. Further analysis reveals that the greater social network becomes, the more impact industrial diversification has on local economy. The results imply that to enhance industrial diversification, local governments need to implement public policies to increase levels of social network between citizens in their administrative regions.

점심 회복활동이 직무열의를 통해 조직시민행동으로 가는 매개모형 연구

김유나(Yoo Na Kim),박형인(Hyung In Park) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.5

본 연구는 근무 중 제공되는 점심시간 동안 근로자들이 취하는 다양한 간이휴게활동(이완, 사회, 인지)이 직무열의 세 하위요인(활력, 헌신, 몰두)을 통해 조직시민행동에 미치는 간접효과를 알아보고자 하였다. 이에 더해, 결정위임이 회복활동과 직무열의 간 관계를 조절하여 궁극적으로 전체 매개모형을 조절하는지를 살펴보고자 하였다. 국내 전일제 직장인 120명을 대상으로 온라인 설문조사업체를 통해 사흘간 하루 두 번씩 점심시간 직후와 퇴근 시간 전에 자료를 수집하였다. 연구결과, 결정위임이 높을수록 이완활동과 활력의 관계가 낮아져 가설과는 다른 양상으로 한계적 유의도 수준의 조절효과가 나타났다. 반면, 인지활동과 몰두의 관계는 결정위임이 낮을 때는 부적이지만 높을 때는 정적으로 나타나 가설과 같은 조절효과가 관찰되었다. 다른 관계에서는 조절효과가 관찰되지 않았다. 또한, 인지활동이 몰두를 높여 개인대상 조직시민행동이나 조직대상 조직시민행동을 증가시키는 모형에서 조절된 매개효과가 나타났다. 구체적으로, 두 유형의 조직시민행동 모두에서 결정위임의 수준이 낮을 때는 간접효과가 존재하지 않았고, 높을 때는 간접효과가 존재하였다. 병렬매개분석을 추가로 실시하여 직무열의 세 하위요인 중 활력의 상대적인 중요성을 확인하였다. 이러한 연구결과를 바탕으로 학문적 의의 및 실용적 의의와 연구의 제한점 및 후속연구 방안을 제시하였다. This study investigated indirect effects of micro-break activities (i.e., relaxation activities, social activities, and cognitive activities) during lunchtime on organizational citizenship behaviors (OCBs) through work engagement subtypes (i.e., vigor, dedication, and absorption). In addition, moderating effects of decision authority was examined on the relationships between recovery activities and work engagement, which might ultimately change the overall mediating effects. The data were collected from 120 Korean employees using daily surveys across three consecutive workdays via online research company. The results showed that the moderating effect was marginally significant such that decision authority alleviated the relationship between relaxation activities and vigor, in the opposite direction of the hypothesis. However, decision authority significantly magnified the relationship between cognitive activities and absorption, as hypothesized. Moderated mediations were observed in the models where cognitive activities predicted OCBs through absorption; the indirect effect did not appear in low decision authority, whereas the indirect effect did appear in high decision authority. Additionally, parallel multiple mediation models revealed the relative importance of vigor. Based on these findings, theoretical and practical implications of this study and suggestions for future studies were discussed.

소아 마이코플라스마 폐렴의 다양한 임상 양상에 연관된 요인들

김유나 ( Yoo Na Kim ),박철휘 ( Chul Hyue Park ),김수희 ( Su Hee Kim ),유수진 ( Soo Jin Yoo ),김효빈 ( Hyo Bin Kim ) 대한천식알레르기학회 2013 Allergy Asthma & Respiratory Disease Vol.1 No.4

Purpose: Mycoplasma pneumonia (MP) is a major cause of community-acquired pneumonia in children and young adults. We aimed to investigate the factors that may influence on the clinical manifestations of MP in children. Methods: A total of 109 admitted children from October 2011 to February 2012 were prospectively enrolled with physical examination and laboratory tests (complete blood count, C-reactive protein [CRP], and particle agglutinin assay). The diagnosis of MP was made when there was an infiltration on the chest X-ray and the particle agglutination test was once over 1:640 or showed 4-fold increase in serial tests. They were grouped by age, fever duration after treatment, presence of pleural effusion and wheezing. Results: Preschool children showed shorter duration of fever (P=0.001), more wheezing (P<0.001), lower segmented neutrophil (P<0.001), and lower CRP levels (P=0.004) compared to schoolchildren. Prolonged fever (>3 days) and pleural effusion were developed in children with higher CRP (P=0.018 and P=0.007). Wheezing has been developed in children with younger age (P=0.007). Conclusion: Younger age was a risk factor to develop wheezing in MP and prolonged fever and pleural effusion were more likely to develop in children with higher CRP.

소아 마이코플라스마 폐렴의 다양한 임상 양상에 연관된 요인들

김유나 ( Yoo Na Kim ),박철휘 ( Chul Hyue Park ),김수희 ( Su Hee Kim ),유수진 ( Soo Jin Yoo ),김효빈 ( Hyo Bin Kim ) 대한소아알레르기호흡기학회 1991 소아알레르기 및 호흡기학회지 Vol.1 No.4

Purpose: Mycoplasma pneumonia (MP) is a major cause of community-acquired pneumonia in children and young adults. We aimed to investigate the factors that may influence on the clinical manifestations of MP in children. Methods: A total of 109 admitted children from October 2011 to February 2012 were prospectively enrolled with physical examination and laboratory tests (complete blood count, C-reactive protein [CRP], and particle agglutinin assay). The diagnosis of MP was made when there was an infiltration on the chest X-ray and the particle agglutination test was once over 1:640 or showed 4-fold increase in serial tests. They were grouped by age, fever duration after treatment, presence of pleural effusion and wheezing. Results: Preschool children showed shorter duration of fever (P=0.001), more wheezing (P<0.001), lower segmented neutrophil (P<0.001), and lower CRP levels (P=0.004) compared to schoolchildren. Prolonged fever (>3 days) and pleural effusion were developed in children with higher CRP (P=0.018 and P=0.007). Wheezing has been developed in children with younger age (P=0.007). Conclusion: Younger age was a risk factor to develop wheezing in MP and prolonged fever and pleural effusion were more likely to develop in children with higher CRP. (Allergy Asthma Respir Dis 2013;1:357-361)

남한주민의 사회적 거리감이 북한이탈주민의 국민정체성에 미치는 영향: 학교통일교육 학습수준의 조절효과를 중심으로

김유나(Yoo-Na Kim),문국경(Kuk-Kyoung Moon) 충남대학교 사회과학연구소 2021 사회과학연구 Vol.32 No.3

DNS-SD 의 프록시 기반 리소스 디렉토리 아키텍처

김유나(Yoo Na Kim),김기형(Ki-Hyung Kim),김강석(Kangseok Kim) 한국통신학회 2015 한국통신학회 학술대회논문집 Vol.2015 No.06

병원 정보 공공 데이터를 활용한 웹 기반 인터페이스

김유나(Yoo Na Kim),이강훈(Kang Hoon Lee) 한국컴퓨터그래픽스학회 2016 한국컴퓨터그래픽스학회 학술대회 Vol.2016 No.7

일체형(벽면형) 바이오필터 내 흡수탑 작동에 따른 토양수분 안정화 및 공기정화효율 평가

최봄(Bom Choi),김유나(Yoo Na Kim),천만영(Man Young Chun),이창희(Chang Hee Lee) 한국원예학회 2014 한국원예학회 학술발표요지 Vol.2014 No.10