일부지역 생산직 근로자의 스트레스 생활사건과 삶의 질과의 관계 연구

문정란,김인숙 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.1

This study was designed to identify the relationship between stressful life events and quality of life in blue-collar workers. The subjects were 113 workers working at Korea Tobacco & Ginseng coorporation manufacturer located in Kwang-ju city. The data were collected by use of qustionnaire from July 11 to 19, 1995. The instruments used for this study were the Stressful Life Events Measure Instrument developed by Lee and the Quality of Life Scale developed by Ro. The data were analysed by t-test. ANOVA and Pearson's Correlation Coefficient. The results of this study were as follows: 1. This study hypothesis, "there would be relationship between stressful life event and quality of life" was not supported (r=-0.16994, P> 0.05). 2. The total average score for stressful life events was 292.3 with a range between the lowest 101.0 to the highest 374.0. Of each factor of the stressful event, death factor (4.4) showed the highest mean score and sociability and recreation factor(3.0) showed the lowest mean score. 3. The total average score for quality of life was 149.8 with a range between the lowest 101.0 to the highest 217.0. Of each factor of the quality of life, family relationship factor(3.5) showed the highest mean score and ecconomic life factor(3.0) showed the lowest mean score. 4. There were no significant differences in relationship between general characteristics of subjects and stressful life events. 5. There was significnat difference between health state(F=4.26, P<0.05) and quality of life.

노인의 생산적 활동에 대한 영향요인 연구

문정란 ( Jung Ran Moon ) 한국가족사회복지학회 2011 한국가족복지학 Vol.33 No.-

본 연구는 통계청에서 발간된 ``2009년 국민생활시간조사``의 결과를 활용하여 노인의 생산적 활동에 영향을 미치는 요인들을 밝히고 각 변인에 대한 설명력의 정도를 파악하는 것을 목적으로 하였다. 통계청의 ``2009년국민생활시간조사``의 결과를 활용하여 분석하였으며, 65세 이상 대상자인 5,392명을 전수조사하였다. 연구의 결과 하루생활시간 중에서 노인들이 생산적 활동시간에 참여하는 시간은 평균 291분으로 나타났는데, 그 중 가정관리활동에 가장 많은 시간을 할애하여 참여하였고, 다음으로 일관련활동, 사회적 참여활동, 가족 돌봄 활동의 순으로 참여하였다. 인구사회학적 요인 중에서 성별, 연령, 배우자 유무, 경제활동경험여부, 요일, 농가여부변인은 생산적 활동에 유의미한 영향을 미치는 요인으로 밝혀졌다. 주관적 인식요인에 따른 결과는 다음과 같다. 시간부족감을 느낄수록 생산적 활동시간이 많았고, 생활시간만족감의 경우 시간을 사용하는 데 대한 만족감이 낮을수록 생산적 활동이 많은 것으로 나타났다. 이러한 연구결과를 토대로 정책적 함의를 제시하였다. The purpose of this study is to find out the facts that have effect on the productive activity of elderly Koreans, making use of the result of 2009 national life time research published in the agency of statistics and to give an account of each variable. The result of the study was found the time that the elders participate in productive activity was average 291 minutes. Among their life of a day, they spent the most time on home manage activity including household labour and next they spent their time on work related activity, social participating activity, family care activity. Also there was noticeable difference in the productive activity of the elders according to sociological variables such gender age day the experience of economic activity, the level of education the existence of spouse. On the, other hand, the result according to subjective recognition factor was found the more lack of their time they felt the more the productive activity they have, and the lower satisfaction of their life is the more productive activity they have. Based on these study results, policy-related implications and proposals are presented.

객체 모델의 프로토타이핑을 위한 명세 및 시뮬레이션 환경

정란(Jung Lan),김정아(Kim Jung A),문충렬(Moon Chung Ryeal),김정두(Kim Jung Doo) 한국정보처리학회 1997 정보처리학회논문지 Vol.4 No.5

Object modeling has been considered as an efficient technique for eliciting user requirements and communicating between developers and customers. But model itself is not easy to understand what result will be after coding and whether it will be meet with the requirements of customers. In this paper, we developed the environment for visualization of object model for validating with requirement at the early stage. Therefore, we defined correct and complete rules which can transform the object model, the deliverables of Shlaer/Mellor''s method, into a formal specification language of VDM(Vienna Development Methods) with a mathematical basis. This basis provides the means of providing that a specification is realizable and proving properties of a system. Therefore, the completeness, preciseness of object model can be verified by proving the transformed VDM specification and prototyping by constructing a visualization supporting environment.

The Usefulness of the Glycosylated Hemoglobin Level for the Diagnosis of Gestational Diabetes Mellitus in the Korean Population

류아정,문혁진,나주옥,김여주,김상진,모상일,변정란 대한당뇨병학회 2015 Diabetes and Metabolism Journal Vol.39 No.6

Background: An oral glucose tolerance test (OGTT) is the current method used for screening and diagnosis of gestational diabetes mellitus (GDM). OGTT is a relatively complicated procedure and is expensive. Thus, new strategies that do not require fasting or more than a single blood draw may improve the diagnosis of GDM and increase the rate of GDM testing. We investigated the utility of monitoring glycosylated hemoglobin (HbA1c) levels for the diagnosis of GDM. Methods: The data from 992 pregnant women with estimated gestational ages ranging from 24 to 28 weeks were retrospectively reviewed. There were 367 women with plasma glucose levels ≥140 mg/dL 1 hour after a 50-g OGTT. GDM was diagnosed according to the Carpenter-Coustan criteria for a 3-hour 100 g OGTT. A HbA1c assessment was performed at the same time. Results: We enrolled 343 women in this study, and there were 109 women with GDM. The area under the curve the receiver operating characteristic curve for HbA1c detection of GDM was 0.852 (95% confidence interval, 0.808 to 0.897). A HbA1c cutoff value ≥5.35% had maximal points on the Youden index (0.581). The sensitivity was 87.2% and the specificity was 70.9% for diagnosing GDM. A threshold value ≥5.35% indicated that 163 patients had GDM and that 68 (41.7%) were false positive. The positive predictive value was 58.3% at this threshold value. Conclusion: Despite substantial progress in methodology, HbA1c values cannot replace OGTT for the diagnosis of GDM.

외래 예약 부도율 감소 및 과초진 환자증대를 위한 QI활동

차주은,박홍준,이정숙,문정란,황은선,최선희,김창숙,장보영,심은주 한국의료QA학회 2006 가을학술대회 Vol.2005 No.2

궤양성 대장염의 임상적 관찰

최희정,박정은,손희정,김금미,변정란,고영엽,김도영,문일환 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.3

저자들은 1983년 1월부터 1993년 2월까지 이화여대 부속병원을 내원하여 궤양성 대장염으로 진단받은 환자 36예에 대하여 후향적 방법으로 분석하여 다음과 같은 결과를 얻었다. 1) 발병연령은 20대에서 가장 호발하였으며 남녀비는 1:1.7로 여자에서 더 많았다. 2) 병력기간은 6개월이내가 전체의 63.9%로 대다수를 차지했다. 3) 임상증상은 혈변이 31예(86.1%)로 가장 많았으며 다음으로 복통 27예 (75.0%), 설사 26예(72.2%), 발열 11예(30.6%), 체중감소 10예(27.8%)의순이 었다. 4) 경중도(severity)를 나누어보면 중등도가 52.8%로 가장 많았고 중증이 33.3%, 경증이 13.9%의순이었다. 5) 해부학적 위치에 따른 병변은 pancolitis 36.1%, 직장과 S자상결장이 16.6% , 좌측결장과 직장만침범된 경우가 각각 13.8%, 횡행결장까지가 8.3%,backwash ileitis가 동반된 경우가 11.1%였다. 6) 혈액학적 검사소견은 비특이적이나 빈혈, 백혈구다증, 적혈구 침강속도 상승, 저알부민혈증,전해질장애, 혈청 transaminase 및 alkaline phosphatase상승등을 보였다. 7) 내시경 소견은 점막궤양을 보이는 경우가 27예(77.1%)로 가장 많았고 충혈이 18예(51.4%), 출혈15예(42.5%), 점막의 friability 8예(22.9%), 가성폴립 8예(22.9%), 과립상 7예(20.2%) 등의 소견을보였다. 8) 바륨대장 조영술 소견은 과립상이 18예(62.1%)로 가장 많았고 대장 팽찰부 소실 16예(53.2%), 내강협소 10예(34.5%), 연통모양의 강직 4예(13.8%), 가성폴립 1예(3.4%) 등을 보였고, 정상소견도3예(10.3%)에서 있었다. 9) 조직생검의 병리학적 소견은 염증소견이 30예(83.3%)로 가장 많았고, cryptitis가 20예(55.6%),궤양이 18예(50%), goblet cell 고갈 7예(19.4%),가성폴립 7예(19.4%), 괴상 5예(13.9%), 과립상 3예(8.3%) 등을 보였다. 10) 내과적 치료로 70.8%에서 호전되었고 17.7%에서 재발되었다. 수술은 내과적 치료에 실패한4예를 포함한 6예(16.7%)에서 실시되었으며 장천공 2예의 응급수술이 있었고 4예는 선택적 수술이 었다. Objects : Ulcerative colitis is an waxing and waning inflammatory bowel disease characterizedby rectal bleeding and diarrhea, affecting principally the mucosa of the rectum and colon.Its incidience is being higher in Europe and America and it also seems to be rising increasinglyin our country because diagnostic methods are much developed and Korean life styles arewesternized. So, we investigated its clinical characteristics. Mothods : We analyzed 36 cases of ulcerative colitis which had been treated in the Hospitalof Ewha Womans' University from Jan. 1983 to Feb. 1993. retrospectively. Results : 1) The most prevalent age group was 3rd decade and male to female ratio was 1:1.77. 2) The duration of symptoms was less than 6 months in 63.9%. 3) The most common clinical manifestation was hematochezia(86.1%). abdominal pain(75.0%). diarrhea(72.2%). fever(30.6%), weight loss(27.8%) in the order of frequency. 4) According to the severity. moderate type was shown in 52.8%, severe in 33.3% and mildin 13.9%. 5) According to the anatomical distribution of the lesion pancolitis was shown in 36.1%,the involvement of the rectum and sigmoid colon in 16.6%, the left-sided colon in 13.8%.rectum only in 13.8%, transverse colon in 8.3% and backwash ileitis in 11.1%, respectively. 6) The hematologic laboratory finding was non-specific including anemia. leukocytosis. increased erythrocyte sedimentation rate, bypoalburninemia, electrolyte imbalance, increased serumtransaminase and alkaline phosphatase. 7) Colonoscopy revealed ulceration(77.1%) commonly, including hyperemia(51.4%). bleeding(42.5%), mucosal friability(22.9%), pseudopolyp(22.9%). granularity(20.2%). 8) The Barium enema showed granularity commonly and loss of haustral marking(55.2%),luminal narrowing(34.5%), lead pipe rigidity(13.8%), pseudopolyp(3.4%). Also, normal finding was shown in 10.3%. 9) The most common histopathologic finding was inflammation(83.3%) and ryptitis(55.6%), ulceration(50%), goblet cell depletion(19.4%), pseudopolyp(19.4%). necrosis(13.9%), granolarity(8,3%) were also noted. 10) With the medical treatment 76.5% of the cases showed initial improvement of the symptom, but the recurrence developed in 17.7%. The surgery was performed in 6 cases of patients(16.7%). Emergency operation was performed in 2 cases due to bowel perforation and electiveoperation in 4 cases.

임상 치과위생사의 직제실태 조사

노희진 ( Hie-jin Noh ),배성숙 ( Sung-suk Bae ),김선경 ( Seon-kyeong Kim ),문소정 ( So-jung Mun ),한선영 ( Sun-young Han ),조효순 ( Hyo-soon Cho ),남정란 ( Jeong-ran Nam ),김성옥 ( Seong-ok Kim ),김보경 ( Bo-kyoung Kim ),정경이 ( K 한국치위생학회(구 한국치위생교육학회) 2017 한국치위생학회지 Vol.17 No.1

Objectives: The present study is aimed at comprehending the organizational setup of clinical dental hygienists and to establish an organizational setup that fits their roles. Methods: The survey data of 776 clinical dental hygienists who understood the purpose of the study and agreed to write the questionnaire was utilized. Statistical analysis was performed using SPSS Ver. 20.0 program and the significance level was 0.05. Results: The presence of an organizational setup in dental hygienists was surveyed as being higher, with university dental hospital (89.86%) showing the highest. However, the presence of position terms was highest in dental hospitals with 76 subjects (38.78%). Standards for positions most commonly followed hospital regulations in the case of general hospitals (48.42%), whereas they were often based on service period in the case of dental hospitals (48.90%). Salary standards were most commonly determined by service period in all institutions. The job satisfaction of dental hygienists was significantly different according to social status and financial satisfaction depended on having organizational hierarchy for those who work in university dental hospitals. Conclusions: The results of the present study show that dental hygienists who work in organizational setups mostly enjoy high satisfaction in terms of job satisfaction. In other words, the study shows that systemizing the organizational setup of dental hygienists within dental institutions is required, and additional research to achieve efficient human resource management within the organization is necessary as well as institutional utilization of the results of the present study.