스폰지 목욕에 대한 미숙아의 생리적상태 및 행동반응

이혜경,홍경자,남은숙,이영희,정은자,Lee Hae Kyung,Hong Kyung Ja,Nam Eun Sook,Lee Young Hee,Jung Eun Ja 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.1

A descriptive exploratory design was used in this study to evaluate the effects of sponge bathing on physiological(heart rate, heart period, vagal tone, oxygen saturation, respiration) and behavioral responses in newly born 40 preterm infants from intensive care unit of S University Hospital in Seoul. Data has been collected from October, 1997 to March, 1999. The infants were between 27-33 weeks gestational age at birth, and were free of congenital defects. The subjects entered the protocol when they were medically stable (determined by initiation of feeding and discontinuation of all respiratory support) but still receiving neonatal intensive care. The infants' physiologic parameters were recorded a 10 - minute before, during, and after bathing. Continuous heart rate data were recorded on a notebook computer from the infant's EKG monitor. The data were digitized off-line on software(developed by Lee and Chang in Wavelet program) which detected the peak of the R wave for each heart beat and quantified sequential R-R intervals in msec(i.e. heart periods). Heart period data were edited to remove movement artifact. Heart period data were quantified as : 1) mean heart period; 2) vagal tone. Vagal tone was quantitfied with a noninvasive measure developed by Porges(1985) in Mxedit software. To determine behavioral status, tools were developed by Scafidi et al(1990) were used. Collected data were analyzed with the SPSS program using paried t-test, ANOVA, and Pearson correlation. The result were as follow. 1. The results of the ANOVAs indicated that vagal tone were signifcantly lower during bathing than baseline and post-bathing. There were significant differences in heart period and heart rate levels across the bathing. But the mean oxygen saturations and respirations were no differences. Also, there were no significant differences on behavioral sign, motor activity, behavioral distress, weight changes, morbidity, and hospitalization period. 2. To evaluate the relation between vagal tone and subsequent parameters, the two groups (the high group had 19 subjects and low group had 21subjects) were divided by the mean baseline vagal tone. Vagal tone measured prior to bathing were significantly associated with respiration before bathing, vagal tone during bathing, and the magnitude of change in both vagal tone. But, other subsequent reactivities were no differences in two groups. 3. Correlations were also calculated between vagal tone and the subsequent physiological reactivities from baseline through after- bathing. Correlations were significant between baseline vagal tone and baseline heart rate, between baseline vagal tone and baseline heart period, between baseline vagal tone and oxygen saturation after bathing. In summary, the bathing in this study showed a stressful stimulus on premature infants through there was significance in the physiological parameters. In addition, our study represents the documentation that vagal tone reactivity in response to clearly defined external stimulation provides an index of infant's status.

Usefulness of Cytologic Study of Intraoperative Suction Fluid in Brain Tumors

이혜경,이형진,이은희,김희정,이일우,Lee, Hye-Kyung,Lee, Hyung-Jin,Lee, Eun-Hee,Kim, Hee-Jung,Lee, Il-Woo The Korean Society for Cytopathology 2002 대한세포병리학회지 Vol.13 No.2

In diagnosing a brain tumor, it is essential to obtain samples from many areas of the tumor. Although there are reports about the suitability of material obtained by cavitron ultrasonic surgical aspirator(CUSA), there is a paucity of reports regarding conventional intraoperative suction. This study was performed to evaluate the usefulness of the suction fluid and the effect of different hemolytic fixatives. Intraoperative suction fluid was obtained from 2 pituitary adenomas and 2 choroid plexus carcinomas. In two cases of mixed astro-oligodendroglioma, one of glioblastoma multiforme and 3 of meningioma, the fluid was collected by CUSA. Each sample was divided into four bottles for the different fixatives such as 0.1N HCI, 10% acetic acid, 95% alcohol, and no additive. All cases were evaluated by the both cytologic smear and cell block preparations, and were reviewed with concomitant histologic diagnosis. The result showed a good correlation between the cytologic study and the histologic diagnosis and 95% alcohol was found to be superior to other fixatives in ceil preservation.

체액 검체에서 톨루이딘 블루 염색의 유용성

이혜경,주명진,이광민,이은희,심상인,Lee, Hye-Kyung,Joo, Myung-Jin,Lee, Kwang-Min,Lee, Eun-Hee,Sim, Sang-In 대한세포병리학회 1999 대한세포병리학회지 Vol.10 No.1

We evaluated the availability of toluidine blue stain in body fluids, such as peritoneal and pleural fluid and urine. Nine hundreds specimens, i.e., 400 pleural and 400 peritoneal fluids and 100 urine samples, respectively, from Jan. 1995 to May 1996 were included. We obtained the result of high sensitivity and high specificity. In toluidine blue stained body fluid in comparison with Papanicolaou stained result. Additionally, we found the diagnostically important crystals in chylothorax and some urine samples, which can not be seen in routine Papanicolaou stain. We thought the toluidine blue stain in body fluid is one of very useful diagnostic methods.

도시홍수 방재를 위한 그린 인프라스트럭처 공간분석

이혜경,Lee, Hye Kyung 한국BIM학회 2020 KIBIM Magazine Vol.10 No.4

Green Infrastructure has been considered as one of strategies for flood mitigation in cities. Although, the diverse benefits of green infrastructure implementation are studies, there is a lack of research on the relationship between spatial composition and configuration of green infrastructure and urban flood mitigation. To address this gap, this study 1) utilized high-resolution satellite imagery to analyze spatial composition and configuration of green infrastructure in highly developed seven cities in South Korea, and 2) conducted an empirical analysis to find the relationship between economic losses from flooding and spatial patterns of green infrastructure and development patterns. The results of this research will be helpful for urban planners to prepare green infrastructure implementation guidelines for effective urban flood mitigation.

장애아전담보육시설을 이용하는 부모들의 작업치료 서비스 이용실태 및 만족도 조사 - 대구·경북지역을 중심으로 -

이혜경,Lee, Hye-Kyoung 대한지역사회작업치료학회 2011 대한지역사회작업치료학회지 Vol.1 No.1

Objective : The study is to suggest basic data for the expansion and the necessity of the occupational therapy at the day care center for infants with disabilities through investigating actual use and satisfaction of parents who use the day care center for infants with disabilities in Daegu Kyonbuk area. Methods : From May 15 to 29, 2009, 105 parents using the day care center for infants with disabilities were surveyed. Results : Terms of age group, parents using the day care center for infants with disabilities are mostly 30s and 40s. In terms of academic background, there were 58% of secondary school graduates and 38.9% of college graduates. Parents with experiencing 3 years of the occupational theory had 37.1%, which held the largest group. 75% of the objects agreed that infants with disabilities received enough occupational therapy, while they pointed out that the financial burden for therapy would be the major factor in the therapy. Conclusion : In order to provide a qualified occupational therapy in accordance with each individual's purpose at the day care center for infants with disabilities, it would be necessary to expand occupational therapy, to increase the demand for the occupational therapy from parents, and to secure enough number of therapists and financial support from the government and municipalities. 목적 : 본 연구는 대구 경북지역을 중심으로 장애아전담보육시설을 이용하는 부모들의 작업치료 이용실태와 만족도를 조사하여 장애아전담보육시설에서 작업치료 저변 확대 및 필요성에 대한 기초 자료를 제시하고자한다. 연구방법 : 2009년 5월 15일부터 29일까지 장애아전담어린이집 부모 105명을 대상으로 설문조사하였으며, 수집된 자료는 대상자의 일반적 사항, 작업치료 서비스 이용실태, 만족도를 분석하였다. 결과 : 장애아전담보육시설을 이용하는 부모의 연령층은 30, 40대가 다수였으며 교육 수준은 중졸과 고졸이 58%, 대졸이상이 38.9%였다. 작업치료 기간은 3년 이상인 경우가 37.1%로 가장 많았으며 치료 빈도는 주당 3~4회, 치료시간은 일회 20~30분이 가장 많았다. 작업치료의 세부적 프로그램으로는 감각통합치료, 사회적응훈련, 일상생활 동작훈련이 가장 많았다. 대상자의 75%가 장애아동이 작업치료를 충분히 받고 있다는 견해를 보였으며 치료비용에 대한 부담이 작업치료를 받는데 있어서 가장 큰 요인이라고 지적하였다. 결론 : 장애아전담보육시설에서 아동의 개별화된 목표에 맞는 질적인 작업치료가 제공되기 위해서는 보육시설에 대한 작업치료의 저변확대, 장애아동부모의 작업치료 욕구 증가, 충분한 인원의 작업치료사 확충과 시설확보, 정부 및 지자체의 재정지원이 적절하게 이루어져야 한다. 작업치료 서비스가 제공되기 위한 바람직한 환경이 조성되도록 정부 및 지자체와 보육시설장, 작업치료사, 부모 모두의 노력이 있어야 할 것이다.

우울 증상과 관련된 어려움 유무에 따른 집단 차이

이혜경,김준원,송열매,이건석,Lee, Hye-Kyung,Kim, Jun Won,Song, Yul-Mai,Lee, Kounseok 대한생물정신의학회 2013 생물정신의학 Vol.20 No.2

Objectives The purpose of this study was to examine the differences according to depressive symptom-related difficulty status. Methods 2828 participants were a divided into depressive symptom-related difficulty group (difficult group, n = 774), and a non-depressive symptom-related difficulty group (not difficult group, n = 2054). The psychological character of the participants were assessed using the Korean version of the Patient Health Questionnaire-9 (PHQ-9), Satisfaction with Life Scale (SWLS), the 12-item General Health Questionnaire (GHQ-12), and Conner-Davidson Resilience Scale (CD-RISC). Statistical analyses were done using t-test, chi-square, and analysis of covariance (ANCOVA). Results Compared with the no difficulty group, the difficulty group reported significantly higher score in all items of PHQ-9. The score of "feeling tired" was the highest and the score of "suicidal ideation" is the lowest in both groups. ANCOVA analysis that is adjusted with the total score of PHQ-9 showed the differences in SWLS, GHQ-12, and CD-RISC scores between the difficulty group and the no difficulty group. Conclusions The findings suggest that there are different characters on PHQ-9, SWLS, GHQ-12, and CD-RISC according to depressive symptom-related difficulty. Therefore, it is required not only to evaluate depressive symptoms in patients with depression, but also the depressive symptom-related difficulty to understand these differences.

귀밑샘의 상피-근육상피암종의 세침흡인 세포소견 -2예 보고-

이혜경,장은주,김주헌,강동욱,손현진,박미자,Lee, Hye-Kyung,Jang, Eun-Joo,Kim, Joo-Heon,Kang, Dong-Wook,Son, Hyun-Jin,Park, Mee-Ja 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2

Epithelial-myoepithelial carcinoma (EMC) is a rare low grade malignant tumor of the salivary glands and it shows a characteristic biphasic population of epithelium and myoepithelium. It shows various cytologic and histologic features, so making an exact diagnosis is difficult. We report here on two cases of epithelial-myoepithelial carcinoma arising from the parotid gland and we compare the cytologic findings of the aspirated samples with the histologic findings of the tumors. We think the finding of mixed pattern of large, clear myoepithelia and small epithelia is the most valuable finding in the diagnosis of EMC.

대한세포병리학회 정도관리 현황 및 결과

이혜경,김성남,강신광,강창석,윤혜경,Lee, Hye-Kyung,Kim, Sung-Nam,Khang, Shin-Kwang,Kang, Chang-Suk,Yoon, Hye-Kyoung 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2

In Korea, the quality control(QC) program forcytopathology was introduced in 1995. The program consists of a checklist for the cytolopathology departments, analysis data on all the participating institutions' QC data, including the annual data on cytologic examinations, the distribution of the gynecological cytologic diagnoses, as based on The Bethesda System 2001, and the data on cytologic-histolgical correlation of the gynecological field, and an evaluation for diagnostic accuracy. The diagnostic accuracy program has been performed 3 times per year with using gynecological, body fluid and fine needle aspiration cytologic slides. We report here on the institutional QC data and the evaluation for diagnostic accuracy since 2004, and also on the new strategy for quality control and assurance in the cytologic field. The diagnostic accuracy results of both the participating institutions and the QC committee were as follows; Category 0 and A: about 94%, Category B: 4-5%, Category C: less than 2%. As a whole, the cytologic daignostic accuracy is relatively satisfactory. In 2008, on site evaluation for pathology and cytology laboratories, as based on the "Quality Assurance Program for Pathology Services" is now going on, and a new method using virtual slides or image files for determining the diagnostic accuracy will be performed in November 2008.

간호대학생의 COVID-19에 대한 지식과 위험 인식이 COVID-19 예방행위에 미치는 영향

이혜경,강나경,김서현,김명서,남유나,노수현,이현동,정다움,주소현,최서린,Lee, Hyea-Kyung,Kang, Na-Gyeung,Kim, Seo-Hyun,Kim, Myeong-Seo,Nam, Yu-Na,Noh, Su-Hyeon,Lee, Hyeon-Dong,Jung, Da-Um,Joo, So-Hyeon,Choi, Seo-Rin 대한산업경영학회 2021 산업융합연구 Vol.19 No.5

The present study attempted to identify how the knowledge and risk perception of nursing students regarding COVID-19 impact COVID-19 preventive behaviors. This study collected data from May 1st to September 20th, 2021, using a self-reported questionnaire targeting 184 nursing students. The collected data were analyzed using Independent t-test, One-way ANOVA, and Multiple regression. The research results indicated that the knowledge(r=.15, p=.019) and risk perception(r=.13, p=.036) of nursing students regarding COVID-19 had a positive correlation with COVID-19 preventive behaviors. The factor that impacted the COVID-19 preventive behaviors of the subjects was COVID-19 knowledge, which had an explanatory power of 4%. Therefore, it is necessary to develop an educational intervention program that enables nursing students to obtain the correct knowledge regarding COVID-19 and improves preventive behaviors. 본 연구는 간호대학생의 COVID-19에 대한 지식과 위험인식이 COVID-19 예방행위에 미치는 영향을 파악하고자 시도되었다. 본 연구는 간호학과 학생 184명을 대상으로 자가 보고 설문지를 이용하여 2021년 5월 1일부터 9월 20일까지 자료를 수집하였다. 수집된 자료는 Independent t-test, One-way ANOVA, Multiple regression을 이용하여 분석하였다. 연구결과, 간호대학생의 COVID-19에 대한 지식(r=.15, p=.019), 위험인식(r=.13, p=.036)은 COVID-19 예방행위와 양의 상관관계가 있는 것으로 나타났다. 대상자의 COVID-19 예방행위에 영향을 미치는 요인은 COVID-19 지식이었으며 설명력은 4%였다. 따라서 간호대학생의 COVID-19에 올바른 지식을 습득하도록 하고 예방행위를 증진시키기 위한 교육중재 프로그램 개발이 필요하다.

과학기술계 정부출연연구기관의 논문 성과에 좁은 세상 구조와 중심성이 미치는 영향

이혜경,김소민,김정흠,Lee, Hyekyung,Kim, Somin,Kim, Jeongheum 기술경영경제학회 2021 기술혁신연구 Vol.29 No.1

연구기관의 협력 네트워크 구조 및 특징은 기관의 학문적 성과에 영향을 미친다. 특히 한국의 정부출연연구기관은 선도적인 국가 연구개발 수행 주체로서 효율적인 협력 체제를 구축해야 할 필요가 있다. 본 연구는 효율적인 네트워크 구조로 논의되어 온 좁은 세상 구조와 노드 간 특징을 나타내는 중심성을 한국 과학기술계 정부출연연구기관 협력 네트워크에 적용하였다. 2010년~2019년 과학기술계 정부출연연구기관의 논문 데이터를 바탕으로 좁은 세상 구조적 특징 및 중심성과 논문 성과 간 관계를 네트워크 분석과 Feasible GLS 회귀모형을 이용하여 분석하였다. 그 결과, 정부출연연구기관 협력 네트워크는 좁은 세상 구조를 취할수록 학문적 성과에 유의미한 양의 성과를 거둘 수 있는 것으로 나타났다. 또한, 직접적인 연결 정도를 나타내는 중심성은 양의 유의성을 보였으나, 중개자 정도를 나타내는 중심성은 유의하지 않거나 음으로 유의했다. 교류 협력하는 기관의 수가 많을수록 논문 성과가 높았으며, 협력의 중심지 역할을 하는 기관과 협력 관계인 기관의 성과가 높다. 또한, 정부출연연구기관의 협력 네트워크가 좁은 세상의 특성을 강하게 가질수록 연구 성과 창출에 효과적이라는 것을 규명하였다. 본 연구는 기존에 효율적인 네트워크 구조로서 논의되던 좁은 세상 구조와 중심성을 정부출연연구기관 협력 네트워크에 적용하고 성과와의 관계를 실증 분석할 뿐 아니라 정부출연연구기관 간 연구개발 협력관련 정책 및 전략 수립에 시사점을 제시한다. The cooperative network structure influences the academic performance of the research institute. In particular, South Korea's Government-Funded Research Institutes(GRI) need to establish an efficient cooperative system as a leading national R&D implementer. This study applied the Small World structure, which has been discussed as an efficient network structure, and the centrality of representing the characteristics of nodes to the cooperative network of GRI in Korea. Based on the SCIE published data from 2010 to 2019, we analyze how the Small World characteristics and centrality of GRI contribute to academic performance using a network analysis and Feasible GLS regression. The GRI cooperative network has shown that the Small World network structure facilitates the academic performance. In addition, centrality indicating the degree of direct connection showed positive significance, but centrality indicating the degree of intermediary was not significant or negative. The results of this study explain that the higher the number of institutions that exchange and cooperate, the higher the academic performance, and the higher the performance of the institutions that serve as the center of cooperation. In addition, it was established that the stronger the cooperative network of GRIs have the characteristics of Small World, the more effective it is to create research results. This study applies centrality and Small World previously discussed as an efficient network structure to the GRI cooperation network and provide implications for establishing policies and strategies related to R&D cooperation among GRIs.