극소 저체중 출생아에서 Synagis^Ⓡ (palivizumab) 접종이 respiratory syncytial virus 감염으로 인한 재입원에 미치는 영향

박수경,정유진,유혜수,안소윤,서현주,최서희,김묘징,전가원,구수현,이경훈,장윤실,박원순,Park, Soo Kyoung,Jung, Yu Jin,Yoo, Hye Soo,Ahn, So Yoon,Seo, Hyun Joo,Choi, Seo Hui,Kim, Myo Jing,Jeon, Ga Won,Koo, Soo Hyun,Lee, Kyung-Hoon,Chang, Yun 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.3

목 적 : 본 연구에서 저자들은 $Synagis^{(R)}$ 접종으로 극소 저체중 출생아에서 respiratory syncytial virus 감염으로 인한 재입원이 감소하는지 여부와 이러한 접종이 특히 효과적인 세부 그룹을 알아보고자 하였다. 방 법 : 2005년 1월부터 2007년 12월까지 3년간 서울 삼성병원 신생아 중환자실에서 입원 치료 후 생존하여 퇴원한 출생체중 1,500 g 미만의 극소 저체중 출생아 350명을 대상으로 퇴원후 1년까지 후향적으로 조사하여 생후 28일째 보조적 산소투여가 필요하였던 기관지폐이형성증 유무 및 $Synagis^{(R)}$ 접종 여부에 따라 RSV 재입원율을 비교하였고, BPD의 중증도 와 재태연령 및 출생체중을 세분하여 각 군별 RSV 재입원율의 차이를 비교 분석하였다. 결 과 : 전체 350명중 11명(3.1%)가 RSV로 인해 재입원하였고, 시나지스 미접종군에서 재입원율이 5.0%였던 반면, 접종군에 서 재입원율은 0.7%로 시나지스 접종에 의해 RSV 재입원율이 86% 감소하였다(P =0.02). 기관지폐이형성증이 있는 환아에서의 재입원율은 접종군에서 0.7%, 미접종군에서 5.2%로 접종군에서 유의하게 감소되었고(P =0.045), 기관지폐이형성증이 없는 환아에서의 재입원율 또한 통계학적 유의성은 확인할 수 없었으나(P =0.35), 접종군에서는 0%, 미접종군에서는 4.9%로 접종군에서 감소하였다. 결 론 : 극소 저체중 출생아에서 시나지스 접종은 RSV로 인한 재입원율을 감소시켰고, 기관지폐이형성증 유무 및, 출생주수, 출생체중에 상관없이 재입원율의 감소 추세가 확인되었다. Purpose : The aim of this study was to determine the efficacy of $Synagis^{(R)}$ (palivizumab) in reducing the respiratory syncytial virus (RSV) readmission rate in very low birth weight infants (VLBWI ) and the subgroup that showed the most effective vaccination. Methods : We enrolled 350 VLBWI who had been discharged alive from the neonatal intensive care unit of Samsung Medical Center from January 2005 to December 2007 and were followed up for at least one year. A retrospective study based on medical records was performed for a period of one year after discharge. RSV readmission rate was investigated according to BPD (bronchopulmonary dysplasia, requiring oxygen at postnatal day 28) and $Synagis^{(R)}$ prophylaxis. We categorized the subgroups by the severity of BPD gestational age, and birth weight and compared the RSV readmission rates between subgroups. Results : Eleven VLBWI were readmitted. $Synagis^{(R)}$ prophylaxis resulted in a 86% reduction in the rate of readmission due to RSV infection (prophylaxis group, 0.7% and no prophylaxis group, 5.0%; P =0.02). Readmission rate in BPD patients was also reduced in the prophylaxis group (0.7% in the prophylaxis group vs. 5.2% in the no prophylaxis group, P =0.03). The readmission rate in patients without BPD was reduced in the prophylaxis group (0% in the prophylaxis group vs. 4.9% in the no prophylaxis group, P =1.00), but this was not statistically significant.Conclusion : $Synagis^{(R)}$ prophylaxis was effective at reducing RSV readmission in VLBWI. Its efficacy was verified irrespective of BPD, gestational age, or birth weight.

서비스약관과 관련된 소비자문제의 실증연구

박수경,이기춘 ( Soo Kyoung Park,Kee Choon Rhee ) 대한가정학회 1998 Family and Environment Research Vol.36 No.5

OES를 이용한 질화막/산화막의 식각 스펙트럼 데이터 분석

박수경,강동현,한승수,홍상진,Park, Soo-Kyoung,Kang, Dong-Hyun,Han, Seung-Soo,Hong, Sang-Jeen 한국전기전자재료학회 2012 전기전자재료학회논문지 Vol.25 No.5

As semiconductor device technology continuously shrinks, low-open area etch process prevails in front-end etch process, such as contact etch as well as one cylindrical storage (OCS) etch. To eliminate over loaded wafer processing test, it is commonly performed to emply diced small coupons at stage of initiative process development. In nominal etch condition, etch responses of whole wafer test and coupon test may be regarded to provide similar results; however, optical emission spectroscopy (OES) which is frequently utilize to monitor etch chemistry inside the chamber cannot be regarded as the same, especially etch mask is not the same material with wafer chuck. In this experiment, we compared OES data acquired from two cases of etch experiments; one with coupon etch tests mounted on photoresist coated wafer and the other with coupons only on the chuck. We observed different behaviors of OES data from the two sets of experiment, and the analytical results showed that careful investigation should be taken place in OES study, especially in coupon size etch.

누에바 에스파냐의 사회정치적 단위로서의 원주민공동체

박수경(Park, Soo-Kyoung) 한국라틴아메리카학회 2014 라틴아메리카연구 Vol.27 No.4

This article proposes that the Republic of Indians can be taken as a socio-political unit for analysis of the colonial regime of New Spain. After the military victory in Tenochtitlan, the encomienda and the municipality were implanted in New Spain as the first colonial systems. However, the power struggles carried out between the conquistadors, the Spanish Crown, the royal authorities, the settlers, and the clergy resulted in the modification of the colonial system. The Republic of Indians appeared as the legal status that the Crown introduced to regain jurisdiction over the colony and to restrain the power of the conquistadors. However, it allowed the Republic of Indians to have indigenous autonomy in politics and economy. It is important to analyze the two meanings of the Republic of Indians. First, it allows us to reflect on the indigenous peoples as political subjects under the colonial system, and to distinguish differences between the indigenous peoples although the Spaniards categorized all under the label of “indio.” Second, the Republic of Indians provides a bridge between prehispanic and modern societies so that we may study the history of indigenous peoples over time.

임상연구 : 액와 대퇴 동맥 우회술을 위한 척추마취 시행 시 환자의 자세가 혈압과 심박수에 미치는 영향

박수경 ( Soo Kyoung Park ),김영국 ( Young Kug Kim ),정성량 ( Sung Lyang Chung ),진지현 ( Ji Hyun Chin ),이청 ( Chung Lee ),이유미 ( Yu Mi Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6

Background: Hypotension is one of the most common complications from the spinal anesthesia frequently used for surgery on the lower abdomen or extremities. It might be important in prognostic improvements to maintain cardiovascular homeostasis in elderly or patients with cardiovascular diseases. This study evaluated the effect of the patients` position on the preservation of cardiovascular stability when elderly patients suffering from hypertension undergo surgery for an axillo-femoral arterial bypass. Methods: 24 patients with hypertension undergoing an elective axillo-femoral bypass surgery were examined. The patients were randomly allocated into two groups (Lateral 20 min group: patients with lateral position for 20 min after spinal anesthesia; Supine group: patients with the supine position immediately after spinal anesthesia). The observers recorded the hemodynamic variables, as well as the loss of sensation on both sides. Results: Considering the changes in the arterial blood pressure and heart rate from the baseline values, patients in the supine group showed a greater decrease in arterial blood pressure and heart rate (P < 0.05). In the lateral 20 min group, there was a lower block level of cold sensation that reflected the sympathetic blockade at the non-operated site (P < 0.05). Conclusions: The lateral decubitus position for 20 min after spinal anesthesia can contribute to the maintenance of cardiovascular stability during unilateral axillo-femoral bypass surgery in elderly patients with hypertension. (Korean J Anesthesiol 2006; 51: 675~9)

사회적 구성물로서 메스티소에 관한 연구

박수경(Park, Soo Kyoung) 한국외국어대학교 중남미연구소 2021 중남미연구 Vol.40 No.2

메스티소는 라틴아메리카의 과거와 현재를 논의하기 위한 필수적인 개념으로, 백인과 원주민의 혼혈이라는 인종 분류로 이해되는 경향이 강하다. 그러나 생물학적, 형질적 의미에서 백인 혹은 원주민과 차별화되는 메스티소란 오늘날 그 유효성을 상실했으며, 상징적 문화적 정체성을 표현할 뿐이다. 그런데도 문화적 정체성을 끊임없이 인종분류로 소환시키는 까닭은, 메스티소라는 용어가 16세기 초반 유럽인과 원주민이라는 서로 다른 혈통 사이에서 태어난 경우를 지시하기 위해 등장했고, 18세기 인종 분류의 범주로 자리 잡았기 때문이다. 메스티소는 역사적으로 다양한 의미가 중첩되어 만들어진 개념으로, 그 의미를 역사화하지 않고 라틴아메리카의 과거와 현재를 분석하는 데 사용할 수 없다. 본 논문은 에스파냐권 아메리카에서 메스티소 개념의 의미를 16세기부터 20세기까지 통시적인 관점에서 5가지로 구분하여 살펴본다. Mestizo is an essential concept to discuss the past and present of Latin America, and the term has traditionally been applied mixed-race populations of white European and Indian in Hispanic America. However, Mestizo, biologically and phenotypically differentiated from Whites and indigenous, has lost its meaning today and only expresses symbolic ethnic/cultural identity. Nonetheless, it has been interpreted as a racial category because the term was introduced to indicate persons who were born between Europeans and Indian in the early 16th century and settled down as an racial category in the 18th century. Mestizo is a concept formed by overlapping various historical meanings, and the term cannot be used to analyze the past and present of Latin America without considering such meanings historically. This paper examines the concept and meaning of Mestizo in Spanish America in five aspects from a diachronic perspective ranging from the 16th century to the 20th century.

소비자사회화측면에서의 본 아동소비자의 TV광고정보처리능력

박수경(Soo Kyoung Park),이기춘(Kee Choon Rhee) 가정과삶의질학회 1990 가정과삶의질연구 Vol.8 No.1

H₂O₂에 의한 결막 세포주의 세포고사에서 녹차추출물 EGCG의 보호효과

박수경(Su Kyoung Park),채수철(Soo Chul Chae),고은경(Eun Gyeong Kho),유근창(Geun Chang Ryu),김재민(Jai Min Kim),나명석(Myung Suk Na),이종빈(Jong Bin Lee) 한국안광학회 2008 한국안광학회지 Vol.13 No.3

간호사들의 임상근무의 어려움 관련 주요 요인과 임상근무 활성화 방안 분석 - 현장에서 근무하는 간호사 대상 -

박수경 ( Soo Kyung Park ),조경미 ( Kyoung Mi Cho ) 한국병원경영학회 2016 병원경영학회지 Vol.21 No.3

The purpose of this study is to investigate the degree of difficulty and turnover of nurses working in the field and to derive clinical work activation and supply policy improvements. Data was collected from December, 2014 to January, 2015, from 23 hospitals, and participants were 3,887 nurses working in the field, Survey details : the difficulty of the clinical work of nurses working in hospitals, turnover intentions status and policy proposals for clinical research work enabled General characteristics, difficulties in clinical working, turnover intention and clinical work plan activation are frequency analysis. The difference between each of the variables in accordance with the general characteristics are one-way ANOVA analysis, Correlation analysis of the variables is also a Pearson correlation coefficients. .difficulties in clinical working. was a statistically significant difference depending on the type of hospital, nursing class, number of beds, location, age, position, employment, gender, working form, working department, salary, career, and degree level. .turnover intention. was a statistically significant difference depending on nursing rate, number of beds, region, age, position, sex, shifts, departments, annual income, and career. .policy recommendation. was a statistically significant difference depending on type of hospital, nursing rate, age, position, employ, shifts, departments, annual income, degree level and career .difficulties in clinical working. is .turnover intention.(p<.001), .policy recommendations.(p<.001) and had a significant positive correlation. and .turnover intention. had a“policy recommendation. significant positive correlation with the relationship (p<.001) The most difficulties point of the nurses working in the field are the environment, such as shift, urgent and dangerous. Major policy proposals are improve treatment such as wages, and welfare.

간호대학생의 임상분야 진로선택의 유형과 관련요인

박수경(교신저자) ( Soo Kyung Park ),조경미 ( Kyoung Mi Cho ) 한국보건경제정책학회(구 한국보건경제학회) 2016 보건경제와 정책연구 Vol.22 No.1

간호대학생의 임상분야 진로선택에 대한 이해를 기반으로 간호사 수급정책 마련에 기초자료를 제공하고자, 향후 진로를 임상분야로 선택한 간호대 졸업학년 807명을 대상으로 진로선택의 유형과 그 이유에 대해 설문조사를 수행하였다. 진로를 희망하는 의료기관은 수도권 지역, 대학병원 또는 상급종합병원을 선호하였는데, 진로희망 지역을 수도권으로 선택한 경우, 3년제보다 4년제 재학생, 소속 대학 및 출신 고등학교의 소재지가 수도권, 희망초봉이 평균보다 높았을 때 유의한 영향력을 나타내었고, 진로희망 기관을 대학병원 또는 상급종합병원으로 선택한 경우, 3년제보다 4년제 재학생, 소속 대학 및 출신 고등학교의 소재지가 대도시와 수도권, 임상근무 희망년수와 희망초봉이 평균 이상, 사회적 명성에 대한 중요도를 높게 평가하였을 때 유의한 영향을 나타내었다. 임상 현장과 간호대학생의 선호도간에 격차가 존재하였으며, 이는 의료현장의 임상근무 여건 차이가 반영된 결과로 추정된다. 의료기관 유형간 임상근무 여건의 격차를 줄이려는 정책적 노력이 필요하다. This study aims to identify clinical career preferences and associated factors of nursing students, and to further provide an evidence of nursing policy development. A survey was conducted with 807 senior nursing students using a structural questionnaire. The questionnaire included questions about career preferences and the reasons for the preferences. The capital area and tertiary hospital were the most preferred type of region and hospital. For capital area prefer, it analyzed that education program(4year), site of university and high school(capital), and expectation salary(above average) have significant association. And for tertiary hospital prefer, it analyzed that education program(4year), site of university and high school(capital and metropolitan), expectation salary and working period(above average), and importance of social reputation(important and very important) have significant association. There were gap between the actual clinical fields and preferences of nursing students. For quality nursing care, Reducing the gap is necessary.