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      • 임부의 연령에 따른 보완대체요법에 관한 인식 태도 경험 비교 연구

        김연진,김지연,노경민,신혜리,유예지,이지민,장희조,정아인,최소정,강숙정,이향연,민혜영 이화여자대학교 간호과학대학 2016 이화간호학회지 Vol.- No.50

        Purpose: This study aims to test if the age of pregnant women affects the perception, experience, and attitude towards complementary alternative therapy (CAT), by investigating the perception, experience, and attitude of pregnant women under the age of 35, and above 35 (Advanced Maternal Age). The study will 1) find the general characteristics of pregnant women under and over the age of 35 2) compare the perception, behavior, and experience of pregnant women under and over the age of 35, and 3) find the comparison of the perception, behavior, and experience according to the general characteristics of pregnant women under and over the age of 35. Method: The subjects of this study are composed of 44 women under the age of 35 and 44 women above the age of 35, totaling 88 pregnant women visiting midwiferies, obstetrics and gynecology, and baby fairs in Seoul and Gyeong-Gi area. Data for this study was collected from November 28, 2015 to January 6, 2016 for 40 days. The collected data analyzed mean, standard deviation, t test, ANOVA, and chi-square by using SPSS 23.0. Result Results show that there is a significant difference in the perception, attitude, and experience of the two-sample groups in the use of CAT. The question of “what is most necessary when applying CAT in a hospital clinical environment” for the perception criteria came out with the results of t=9.980, p<.05. For the attitude, results showed that the answers of pregnant women under the age of 35 displayed a more positive attitude towards CAT. (t=2.421, p<.05) Lastly, in the experience section, pregnant women under the age of 35 showed more CAT use than the other sample group. Conclusion Results have shown that there is a difference in the perception, behavior, and experience between the two sample groups. Therefore further research on the efficacy and the adverse effects of CAT needs to be done.

      • 음성 인식 헬스케어 시스템

        신진우,조우승,조성빈,김재훈,정지은,사예지,백경동,박동규 순천향대학교 부설 산업기술연구소 2021 순천향 산업기술연구소논문집 Vol.27 No.2

        As modern people's interest in health grows, wearable healthcare-related technologies that can collect biometric information and receive health-related services regardless of time and place are developing. This paper proposes the healthcare system based on voice recognition function. Unlike conventional wearable healthcare systems, the proposed system provides real-time telemedicine and diagnosis and the direct connection with doctors is possible through it. And almost all functions of the application in it are operated with voice commands to lower user access barriers. Because it deals with personal information including medical information, encryption algorithms have been applied between all data movements. Finally, the healthcare system proposed in this paper is expected to increase convenience in health care and reduce the medical gap.

      • KCI등재후보

        A model for predicting pancreatic leakage after pancreaticoduodenectomy based on the international study group of pancreatic surgery classification

        Jee Ye Kim,Joon Seong Park,Jae Keun Kim,Dong Sup Yoon 한국간담췌외과학회 2013 한국간담췌외과학회지 Vol.17 No.4

        Backgrounds/Aims: With recent advances in pancreatic surgery, pancreaticoduodenectomy (PD) has become increasingly safe. However, pancreatic leakage is still one of the leading postoperative complications. An accurate prediction model for pancreatic leakage after PD can be helpful for pancreas surgeons. The aim of this study was to provide a new model that was simple and useful with high accuracy for predicting pancreatic leakage after PD. Methods: To predict the occurrence of pancreatic leakage, several factors were selected using bivariate analysis and univariate logistic regression analysis. The final model was developed using multivariable logistic regression analysis in the model construction data set. Results: Overall, 41 of 100 patients had pancreatic leakage by the International Study Group on Pancreatic Fistula (ISGPF) criteria. Soft pancreatic parenchyma, small pancreatic duct diameter (≤3 mm), and combined resection of SMV and portal vein were independently predictive of pancreatic leakage. The risk score (R) for individual patients can be calculated by combining the 3 prognostic values with the regression test: R= 0.5986+(0.5533×pancreatic parenchyma)+(0.5448×pancreatic duct diameter)+(0.8453×combined resection). The overall predictive accuracy of the model, as measured by the receiver operating characteristic (ROC) curve, was 0.728 Conclusions: Although continued refinements and improvements in the model are needed, the present model may assist pancreatic surgeons in the prediction of pancreatic leakage after PD.

      • Risk of cardiovascular thrombotic event associated with concomitant use of proton pump inhibitors and dual anti-platelet therapy in patients with acute myocardial infarction

        ( Ye Jee Kim ),( Nam Kyong Choi ),( Jong Mi Seong ),( Joong Yub Lee ),( Mi Sook Kim ),( Ju Young Shin ),( Sun Young Jung ),( Hong Ji Song ),( Byung Joo Park ) 대한보건협회 2013 대한보건협회 보건종합학술대회 Vol.2013 No.-

        Objective : Concomitant use of proton pump inhibitor (PPI) is recommended to reduce the gastrointestinal bleeding events in high risk patients received dual antiplatelet therapy (DAPT) with aspirin and clopidogrel. In recent years, some or all PPIs might decrease the platelet inhibitory effects of anti-platelet drugs there has been controversy about the impact of clinical outcomes in a real world setting. To evaluate the association between use of PPI and risk of cardiovascular thrombotic event (CVTE) in acute myocardial infarction (AMI) patients receiving DAPT. Methods: Using the Korean Health Insurance Review and Assessment Service database, a population-based retrospective cohort study was conducted in patients aged 30 to 99 years old, received DAPT from January 1, 2008 to December 31, 2010 after hospitalization for AMI. The index date was defined as the first prescription date of DAPT within 90 days after discharge. Patient who received PPI treatment within a year after the index date classified as PPI user. We matched each PPI user to one non-user using a propensity score. The Cox proportional hazards model was used to compare the risk of hospitalization for CVTE including acute myocardial infarction, ischemic stroke and transient ischemic attack in users and nonusers of PPIs until December 31, 2011. Results: We identified 25,264 AMI patients received DAPT with aspirin and clopidogrel, 16.6% of whom were PPI user and after matching by propensity score, 4,051 patients remained in each group. During a mean follow-up of 1.02 years, the overall incidence rate of hospitalization for CVTE was 281/1,000 person-years for PPI user and 219/1,000 person-year for PPI non-users. Compared to non-users, the adjusted hazard ratios (95% confidence interval) of PPI users for CVTE was aHR 1.22 (1.14-1.32). In the subgroup analyses, there were no significant differences in risk of CVTE irrespective of gender, age, PCI performed, hypertension and diabetes mellitus. Conclusion: In this study of AMI patients, concomitant use of PPI and DAPT increased the risk of hospitalization for CVTE. Further studies are needed to confirm these findings.

      • KCI등재

        Acoustic analysis of English lexical stress produced by Korean, Japanese and Taiwanese-Chinese speakers

        Ye-Jee Jung,Seok-Chae Rhee 한국음성학회 2018 말소리와 음성과학 Vol.10 No.1

        Stressed vowels in English are usually produced using longer duration, higher pitch, and greater intensity than unstressed vowels. However, many English as a foreign language (EFL) learners have difficulty producing English lexical stress because their mother tongues do not have such features. In order to investigate if certain non-native English speakers (Korean, Japanese, and Taiwanese-Chinese native speakers) are able to produce English lexical stress in a native-like manner, speech samples were extracted from the L2 learners’ corpus known as AESOP (the Asian English Speech cOrpus Project). Sixteen disyllabic words were analyzed in terms of the ratio of duration, pitch, and intensity. The results demonstrate that non-native English speakers are able to produce English stress in a similar way to native English speakers, and all speakers (both native and non-native) show a tendency to use duration as the strongest cue in producing stress. The results also show that the duration ratio of native English speakers was significantly higher than that of non-native speakers, indicating that native speakers produce a bigger difference in duration between stressed and unstressed vowels.

      • KCI등재

        First experiences with laparoscopic assisted distal gastrectomy

        Ye Seob Jee 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.83 No.3

        Purpose: Recently, the number of laparoscopic gastric surgeries increased in Korea. But since many patients prefer to attend larger hospitals, most operations have been performed in high volume center by experienced surgeons, and also most reported studies on laparoscopic gastric surgery have been performed in these hospitals. For better health service and increased access of local residents, district hospitals that have a smaller number of surgical cases also need to perform this surgery safely. Methods: We retrospectively analyzed 58 patients who underwent laparoscopic assisted distal gastrectomy (LADG) from April 2009 to January 2012 in Dankook University Hospital. We compared our data with the retrospective data of the Korean Laparoendoscopic Gastrointestinal Surgery Study (KLASS) group because we thought the KLASS study was a representative study of LADG. Results: A total of 58 patients underwent LADG during a period of 32 months. The male to female ratio, mean age and body mass index were 34:19, 62.4 years and 23.0 kg/m2, respectively. More than D1 + β lymph node was dissected in all patients and the mean number of harvested lymph nodes was 31.4. Mean operation time, estimated blood loss and mean hospital stays were 235 minutes, 176 mL and 7.4 days respectively. During the operation, there were no complication and no conversions to open surgery. After the operation, there were 2 cases of wound complication and 1 case of intra-abdominal abscess which improved with conservative treatment and there was no mortality. These data were not different to the data of high volume centers, especially KLASS. Conclusion: We report first experience with LADG and concluded that LADG could be performed safely in smaller scale hospitals.

      • KCI등재

        Newly Detected PKHD1 Gene Mutation in a Newborn with Fatal Autosomal Recessive Polycystic Kidney Disease

        Ye Jee Byun,Hyun-Jeong Do,Seong-Hee Oh,Chong Jai Kim,Beom Hee Lee,Gu Hwan Kim,Byoung Sop Lee,Ki-Soo Kim,Ai-Rhan Kim 대한신생아학회 2015 Neonatal medicine Vol.22 No.4

        Autosomal recessive polycystic kidney disease is among the most common inherited ciliopathies and is caused by mutations in the polycystic kidney and hepatic disease 1 (PKHD1) gene. Despite its great phenotypic variability, this condition is usually diagnosed during the neonatal and early infantile periods. We report a 37+3-gestational-week neonate presenting with fatal autosomal recessive polycystic kidney disease who died at 28 hours of life from severe respiratory failure. The familial history is significant because a previous sibling died in utero at 24+2 weeks of gestational age and was diagnosed with polycystic kidney disease based on prenatal ultrasonography and autopsy. Our patient’s autopsy revealed findings compatible with polycystic kidney disease. In addition, a PKHD1 gene study of peripheral blood leukocytes identified the compound heterozygote mutation c.274C>T(p.Arg92Trp), as well as the novel heterozygous nonsense mutation c.2770C>T(p.Gln924*).

      • KCI등재

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