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흉부둔상환자에서 인공호흡기 관련 폐렴환자의 임상적 분석
오중환 ( Joong Hwan Oh ),박일환 ( Il Hwan Park ),변천성 ( Chun Sung Byun ),배금석 ( Geum Suk Bae ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.4
Purpose: Prolonged ventilation leads to a higher incidence of ventilator-associated pneumonia (VAP), resulting in weaning failure and increased medical costs. The aim of this study was to analyze clinical results and prognostic factors of VAP in patients with blunt chest trauma. Methods: From 2007 to 2011, one hundred patients undergoing mechanical ventilation for more than 48 hours were divided into two groups: a VAP-negative group, (32 patients, mean age; 53 years, M:F=25:7) and a VAP- positive group, (68 patients, mean age; 60 years, M:F=56:12). VAP was diagnosed using clinical symptoms, radiologic findings and microorganisms. The injury severity score (ISS), shock, combined injuries, computerized tomographic pulmonary findings, transfusion, chronic obstructive lung disease (COPD), ventilation time, stay in intensive care unit (ICU) and hospital stays, complications such as sepsis or disseminated intravascular coagulation (DIC) and microorganisms were analyzed. Chi square, t-test, Mann-Whitney U test and logistic regression analysies were used with SPSS 18 software. Results: Age, sex, ISS, shock and combined injuries showed no differences between the VAP - negative group and - positive group (p>0.05), but ventilation time, ICU and hospital stays, blood transfusion and complications such as sepsis or DIC showed significant differencies (p<0.05). Four patients(13%) showed no clinical symptoms eventhough blood cultures were positive. Regardless of VAP, mortality-related factors were shock (p=0.036), transfusion (p=0.042), COPD (p=0.029), mechanical ventilation time (p=0.011), ICU stay (p=0.032), and sepsis (p=0.000). Microorgnisms were MRSA(43%), pseudomonas(24%), acinetobacter(16%), streptococcus(9%), klebsiela( 4%), staphillococus aureus(4%). However there was no difference in mortality between the two groups. Conclusion: VAP itself was not related with mortality. Consideration of mortality-related factors for VAP and its aggressive treatment play important roles in improving patient outcomes.
Immigration, Cultural Adjustment, and Work Values
Oh, Joong-Hwan(오중환) 서울대학교 사회발전연구소 2011 Journal of Asian Sociology Vol.40 No.2
This study addresses the significance of acculturation, known as cultural adjustment, in examining work values among Korean female nail care workers in New York. In this study, acculturation is measured by both English proficiency and personal comfort in the mainstream cultural comfort, while four indicators are used to measure work values: the subjective evaluation of the nature of the work, both perceptions of occupational status and self-development, and the consideration of quitting the current nail job. Using a sample of 312 responses, this study shows that nail care workers have evaluated the nature of the nail care work less devalued as they experience improvements in English proficiency and cultural comfort. Second, this study also supports that cultural comfort plays a positive effect on their perception of nail care work as an employment sector in a upper-middle or upper occupational status. Moreover, there is evidence that more cultural comfort tends to lower their intention of quitting the nail care job. However, this study suggests that acculturation has little to do with perception of self-development in nail care work.
박일환 ( Il Hwan Park ),오중환 ( Joong Hwan Oh ),성승훈 ( Seung Hoon Seong ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.1
Pericardial rupture due to blunt trauma is very rare, but can lead to serious complications. It occurs mainly on the left, is found incidentally during surgery, and is seldom discovered radiologically unless accompanied by cardiac herniation. The following case describes a 53-year-old traffic-accident victim who received emergency pericardial repair and bleeding control via an exploratory thoracotomy and an exploratory laparatomy. The patient was discharged without any complication and remained healthy at six month after injury. (J Korean Soc Traumatol 2009;22:116-118)
인태정(In, Tae-Jeong),오중환(Oh, Joong-Hwan) 한국문화사회학회 2012 문화와 사회 Vol.12 No.-
본 연구는 한인들이 비교적 많이 밀집해 있는 미국의 동북부, 특히 뉴욕, 뉴저지, 보스턴 지역을 중심으로 조사를 실시하였다. 재미 한인에 대한 기존의 연구들은 대체로 한국인 혹은 아시아인의 고유하고도 동질적인 특성에 집중하는 경향이 있었다. 그러나 필자는 재미 한인집단이 동일하거나 동질적인 집단이 아니며 오히려 개인의 사회경제적, 역사적, 문화적 배경에 의해 다양하게 분화되어 있음을 주시하였다. 그래서 본 논문은 개인의 다양한 배경- 이주 시기 및 체재 기간, 수입, 직업, 학력-에 따라 미국과 한국의 사회적 조건에 대한 만족도의 차별적 분화상을 분석하고 그럼으로써 한인 이주민 집단 내의 이질성과 다양성을 드러내고자 하였다. 분석 결과를 요약하면 다음과 같다. 첫째, 미국과 한국사회에 대한 만족도 평균 비교에서 미국사회의 만족도 평균은 3.54이고, 한국은 2.92로서 미국사회의 만족도가 더 높게 나타났다. 특히 미국은 교육 조건에서 만족도가 높게 나타났고 한국은 문화적 적응에 대한 만족도가 높게 나타났다. 이는 한국에서의 치열한 입시경쟁문제에 직면하기보다는 미국에서 교육을 받는 것이 자신뿐만 아니라 자녀들의 미래에 더 많은 기회와 성공 가능성이 높아질 것이라고 기대하고 있는 것 같다. 둘째, 이주 시기 및 체재 기간, 수입, 직업, 학력별로 미국과 한국사회 만족도의 차이를 보기위해 변량분석을 실시하였다. 미국사회에서 체재 기간이 오래될수록, 수입이 높을수록, 학력이 낮을수록 미국사회의 만족도가 높았다. 한편 미국사회에서 체재 기간이 오래될수록, 수입이 높을수록, 학력이 낮을수록 한국사회의 만족도가 낮았으며 이는 미국사회의 만족도와 비교적 상반된 결과였다. 이는 미국사회에서 체재 기간이 오래될수록, 수입이 높을수록, 미국사회에 적응도가 높아짐으로써 만족도가 높아진 것으로 보인다. 요컨대, 미국과 한국사회에 대한 만족도가 재미 한인의 개인적 배경, 혹은 사회경제적 배경, 그리고 두 국가 간의 경제적, 사회적 차이에 따라 다양한 양상이 나타남을 확인할 수 있었다. This study attempts to understand the satisfaction degree of American society and Korean society among Korean Americans in New York, New Jersey, and Boston areas. Moreover, we further argue in this paper that Korean immigrants of different backgrounds in the United States are in different stages of incorporation in the American society. More specifically, this study is to examine whether and the extent to which different social-economic backgrounds among Korean American immigrants(length of residence, 1- and 1.5- generation immigrants, earnings, occupation, education) associate with the satisfaction degree of American society and Korean society. Main findings are as follows. Main findings are as follows. First, the satisfaction degree of social conditions of Korean Americans is more high that of American society than that of Korean society. Especially the satisfaction degree of educational condition of America is the most high, while the satisfaction degree of cultural adaptation of korea is the most high. Second, the satisfaction degree of American society of Korean Americans who dwell for a long time, are old generation, have high earning, have low schooling are apt to be high, while the satisfaction degree of Korean society of Korean Americans who dwell for a long time, are new generation, have high earning, have low schooling are apt to be low.