A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

傷寒論에 대한 精神醫學的 硏究

文相泰,辛容玹,具炳壽 대한한방신경정신과학회 2000 동의신경정신과학회지 Vol.11 No.1

This study was aimed to get the course which is caused by Neuropsychiatric symptoms in Sang-Han. Therefore this study is based on 『Euhak-Ipmun. Sang-Han』(『醫學入門.傷寒』) classfied mainly by symptoms. The results were summerized as follows: 1. Neuropsychiatric symptoms in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』) are explained as Pal-Gang(八綱), which shows those are settled down to a systematic oriental medical theory. 2. Pal-Bup (八法) used in the cure of symptomatische psychose in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』), which is intended to boost the effect of cure, choosing the respondent cure method about various causes. 3. Pal-Gang(八綱) and Pal-Bup(八法) in『Euhak-Ipmun. Sang-Han』(『醫學入門·傷寒』) are improved by Lee-Chun(李 ) who added Jang-gi(張機)'s Sang Han theory and new medical thought in the ages of Geum. Won. 4. Lee-Chun(李 ) believed that Neuropsychiatric symptoms which appeared in Sang Hang is caused by the "Unbalance(不平)". So he wanted to reach harmony of "Jeong(精), QI(氣), Shin(神), Hyul(血)" after improving the status of "Unbalance(『不平』)" toward the status of "Balance(平)".

단순다각형의 최단 외부가시선분을 구하는 최적 알고리즘

이승용(Seung-Yong Lee),신성용(Sung Yong Shin),좌경룡(Kyung-Yong Chwa) 한국정보과학회 1991 한국정보과학회 학술발표논문집 Vol.18 No.1

다각형 P의 내부를 지나지 않는 선분 L로 부터 P의 경계가 모두 보이면 L을 P의 외부가시선분이라 한다. Shin은 정점이 n개인 다각형 P가 주어졌을 때 P의 외부가시선분이 존재하는 가를 조사하고 존재할 경우 외부가시선분을 구하는 O(nlogn) 시간 알고리즘을 제시하였고 Bhattacharya 등은 다각형의 sector 가시성을 이용하여 같은 문제가 O(n) 시간에 해결됨을 보였다. Bhattacharya와 Toussaint은 주어진 다각형이 정점이 n개인 볼록다각형일 때 최단 외부가시선분을 구하는 O(n) 시간 알고리즘을 제시하였다. 본 논문에서는 정점이 n개인 단순다각형 P가 주어졌을 때 P의 최단 외부가시선분을 구하는 O(n) 시간 알고리즘을 제시한다.

혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

실용음악 전공 학생들의 발성치료 전후 성대 및 음성 특성 비교

황연신,심미란,김철준,최용석,김상연,최찬호,선동일,Hwang, Yeon Shin,Shim, Mi Ran,Kim, Chul Jun,Choi, Yong Suk,Kim, Sang Yeon,Choi, Chan Ho,Sun, Dong Il 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2

Background and Objectives : Many students major in applied music singing have various difficulties in phonation when they sing or perform. But the studies about this cause are lack. The purpose of this study is whether singing voice therapy based on vocal music is effective or not to applied music singing students that have difficulties in phonation. Materials and Methods : Singing voice therapy program had been done to 8 students major in applied music singing during 7 weeks. We did laryngeal stroboscope, perceptual, acoustic and aerodynamic examination before and after singing voice therapy to this students. And we studied post examination results have differences or improvements compared to pre examination results. Results : Four male students don't have effective improvement after singing voice therapy but they shows slight improvement in aerodynamic examination values compared to pre examination values. Four female students shows improvement in aerodynamic examination values and pitch range increasing. Above all, one student's vocal nodules disappeared after singing voice therapy. Conclusion : Singing voice therapy based on music singing is very effective to the students major in applied music singing. Above all, their curriculum in applied music singing should include phonation training based on music singing before training perform and technic practices.

Al 7075합금의 열간성형 및 반응고성형 공정에 따른 미세조직과 경도 특성

신평우,이상용,전재일 國立 昌原大學校 産業技術硏究所 1998 産技硏論文集 Vol.12 No.-

Various precision forging processes were applied for Al 7075 alloy. Among the each forging parts produced by existing multi-stage forging, improved single-stage forging and thixoforging(new technology of a near-net shape manufacture), thixoforging was excellent at viewpoints of homogeneity and formability. Hardness values of each forging parts produced by single-stage forging and thixoforging process came close to existing multi-stage forging parts. Irregular grain boundary and particle for thixoforging process were homogenized by artificial aging treatment(T6) and the hardness value was increased considerably.

하수처리의 문제점과 연속접촉회분식 반응조를 이용한 고도처리

신항식,남세용,이상형 경산대학교(대구한의과대학) 1999 環境硏究 Vol.4 No.1

The volume of sewage increases as the population grows and the standard of living rises, and also varies in direct proportion to the volume of available water supply. Present1y(at the end of 1998), the sewage treatment ratio is 60%, and 85 facilities are woiking for sewage treatment While sewage treatment plant has been constructed in large cities and heavily industrialized cities, the most treatment plant employ one type of process, i.e. activated sludge process, which may not be desirable for some cities in economical point of view and also in terms of process optimization. Moreover, poor sewer systems resulted in lower strength influet than the designed strength. In this study, to develop a proper process for treating low strength sewage several existing sewage treatment plants were diagnosed. A continuously contacted sequencing batch reactor composed of pre-anoxic contact zone and intermittently aerated zone was operated for biological nitrogen removal. The removal efficiencies of organic matter (SCOD) and total nitrogen (T-N) were 89% and about 60% at the TCOD/T-N ratio as low as 6.0, respectively.

영상의학 진단검사 서비스 이용자의 만족도에 영향을 미치는 요인

신성규,유병철,이용환 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

Background : To assess the influencing factors of patients satisfaction on service of diagnostic radiology and to recommend for the improving method of patients satisfaction on service of diagnostic radiology. Methods : We conducted a SERVQUAL questionnaire survey during the period from January 2008 till August 2008. The data was collected from questionnaires filled out by 289 patients visiting at 4 tertiary and 5 secondary hospitals located in Busan Metropolis City. Collected data were analyzed descriptive analysis, t-test, one-way ANOVA and multiple regression analysis using SAS Win(ver 9.0k) program. Results : The mean score of patient's satisfaction on diagnostic radiology was -0.01±0.50 and empathy as subcategory of SERVQUAL was only positive satisfaction(0.10±0.72). Patient's satisfaction on diagnostic radiology was high in admission experienced group, operation experienced group and medical administration satisfaction group, respectively. Patient's satisfaction on diagnostic radiology was influenced by appointment of diagnostic radiology examination and satisfaction of medical administration. Conclusion : This study show that patient of diagnostic radiology experienced dissatisfaction and the influencing factors of patient's satisfaction on diagnostic radiology were appointment and satisfaction of medical administration. In order to improve patient's satisfaction of diagnostic radiology, more exact appointment system and advanced medical administration support were needed in the hospital organization.

하악과두에 발생하는 골연골종의 진단학적 방법

신상훈,차승만,황대석,김용덕,김욱규 부산대학교 병원 암연구소 2006 부산대병원학술지 Vol.- No.20

Pulpose : Osteeochondroma is a common benign tumor of the axial skeleton, especially the distal metaphysis of the femur and the proximal metaphysis of the tibia, however, is\ occured rarely on the facial skeleton. Tumors of the mandibular condyle are various and rare. so common interest is a little and its clinical symptoms are similar to the others. therefore, early diagnosis is very difficult. In this study, we will present our cases and review the literatures. Patients and Methods: We studied 17 patients(8 males, 9 females) who were diagnosed a osteochondroma of the mandibular condyle in the department of oral and maxillofacial surgery, Pusan National University Hospital. We reviewed the medical records. Results : Patients' mean age was 30.05 years. The sexual distribution is almost same. Twelve left condyles and five right condyles were involeved. The main symptoms was noise and facial asymmetry. Conclusion : Osteeochondroma is a rare benign tumor of the mandibular condyle. The differential diagnosis is difficult. However, using CT and MRI, we diagnosed early the osteochondroma and treated properly. Thus, we presented the cases of the osteochondroma with the literature reviews.

천연 활엽수림의 입지 유형별 미기후 추정과 직경생장과의 관계 : 강원도 평창 지역 국유림을 중심으로 A Case Study on the National Forest in Pyungchung, Kangwon Province

신만용,정상영,이돈구 한국농림기상학회 2001 한국농림기상학회지 Vol.3 No.1

This study was conducted to estimate microclimate of natural deciduous forest in national forest of Pyungchang, Kangwon province and to investigate the effects of the microclimatic conditions on the periodic annual increment of diameter by site types. In this study, site was first classified by nine types considering both elevation (higher than 1,000 m, 700~1,000 m, and lower than 700 m) and topographical conditions (ridge, slope and valley). For each of site types, diameter growth was measured by using increment borer and periodic annual increment of diameter was then analyzed. A topoclimatological technique, for estimating microclimatic conditions, which make use of empirical relationships between the topographical factor and the climatic normals in the study area was applied to produce monthly mean, maximum and minimum temperatures, relative humidity, precipitation and hours of sunshine. From these monthly estimtes, 17 weather variables such as warmth index, coldness index, index of aridity etc. which affect the diameter growth were computed for each of site types. The periodic annual increment of diameter was then correlated with and regressed on the 17 weather variables to examine effects of microclimatic conditions on the diameter growth by site types. From the correlation analysis, it was found that the diameter growth by site types was positively correlated with all of 17 weather variables except the warmth index. Especially, the conditions such as high relative humidity and large amount of sunshine hours provide favorable environment for the growth of diameter. On the other hand, it was also found that diameter growth was negatively influenced by warmth index. According to the regression analysis, the periodic annual increment of diameter could be well predicted by index of aridity and mean relative humidity for the growing season.