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      • KCI등재

        Meaning and Status of Health-related Quality of Life Recognized by Medical Professionals: a Qualitative Study

        Jeehee Pyo,Minsu Ock,Park Bohyun,Nam-eun Kim,Eunjeong Choi,박혜숙,Hyeong Sik Ahn 대한의학회 2021 Journal of Korean medical science Vol.36 No.3

        Background: Medical professionals must maintain their health to provide quality medical care to patients safely. However, the health-related quality of life of medical professionals is a complex issue that currently lacks a standardized evaluation approach. Therefore, the purpose of this study was to identify their perceptions of the health-related quality of life of medical professionals and explore ways to measure their quality of life as accurately. Methods: This study explored the subjective health status and well-being of Korean medical professionals by conducting three focus group discussions (FGDs) with 12 physicians and 6 nurses (November to December 2019). In the FGD, we elicited participants' opinions on existing health-related quality of life measurement tools. Also, we analyzed transcribed data through content analysis. Results: Participants in this study noted the ambiguity in the current definitions of health provided by the World Health Organization. They shared various problems of their health, mainly concerning fatigue and sleep disorders due to their work pattern. Also, participants shared anxiety, burden, and fear of negative consequences due to the complexity of their work. Participants voiced the necessity of a questionnaire on health-related quality of life that reflects the working lives of medical professionals. Conclusion: Medical professionals in Korea were mainly criticizing about health-related quality of life problems caused by their work characteristics. The results of this study will provide valuable information for future health-related quality of life surveys targeting medical professionals in Korea, and also help to determine the method for monitoring the health- related quality of life for health professionals. In addition, the aspects and items identified by medical professionals as important for their health-related quality of life may be used as a basis for developing a new health-related quality of life measurement tools for medical professionals.

      • KCI등재후보

        Descriptive analysis of prevalence and medical expenses of cancer, cardio-cerebrovascular disease, psychiatric disease, and musculoskeletal disease in Korean firefighters

        Jeehee Min,Yangwoo Kim,Hye Sim Kim,Jiyoung Han,Inah Kim,Jaechul Song,Sang-Baek Koh,Tae-Won Jang 대한직업환경의학회 2020 대한직업환경의학회지 Vol.32 No.-

        Background: Firefighters are exposed to many dangerous working conditions. Many studies have identified the risk of disease for firefighters, but only a few studies have addressed the medical expenses of firefighters, which represents a concrete scale of disease. Our purpose in this study was to determine the medical expenditures of firefighters to assess the overall scale of disease in Korea. We focused on cancer, mental disorders, cardio-cerebrovascular disease, and musculoskeletal disease, the prevalence of which was expected to be high in firefighters. Methods: This study utilized National Health Insurance Service data. We targeted firefighters, police officers, and government officials. We classified disease based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes. We compared prevalence by the age-standardized prevalence rate, considering standard distribution of the population. Medical expenditure of disease was defined as outpatient fees, hospitalization fees, and drug costs. Total medical expenditures were calculated by the sum of those 3 categories. Results: The age-standardized prevalence of cancer, mental disorders, and cardiovascular disease in firefighters was slightly higher than or similar to that of government officials and police officers (no significant difference). However, medical expenditures for stomach cancer, mental disorders, and most cardio-cerebrovascular diseases were higher in firefighters than in others. In particular, firefighters spent 12 times more money for ischemic heart disease than did government officials. Of musculoskeletal diseases, lumbar disc disorder had the highest expenditures among firefighters. Conclusions: The age-standardized prevalence of most of diseases of firefighters was not as high as in the other groups, but the medical expenses of firefighters were much higher than those of government officials and police officers.

      • KCI등재

        Qualitative Research in Healthcare: Necessity and Characteristics

        Jeehee Pyo,Won Lee,Eun Young Choi,Seung Gyeong Jang,Minsu Ock 대한예방의학회 2023 예방의학회지 Vol.56 No.1

        Quantitative and qualitative research explore various social phenomena using different methods. However, there has been a tendency to treat quantitative studies using complicated statistical techniques as more scientific and superior, whereas relatively few qualitative studies have been conducted in the medical and healthcare fields. This review aimed to provide a proper understanding of qualitative research. This review examined the characteristics of quantitative and qualitative research to help researchers select the appropriate qualitative research methodology. Qualitative research is applicable in following cases: (1) when an exploratory approach is required on a topic that is not well known, (2) when something cannot be explained fully with quantitative research, (3) when it is necessary to newly present a specific view on a research topic that is difficult to explain with existing views, (4) when it is inappropriate to present the rationale or theoretical proposition for designing hypotheses, as in quantitative research, and (5) when conducting research that requires detailed descriptive writing with literary expressions. Qualitative research is conducted in the following order: (1) selection of a research topic and question, (2) selection of a theoretical framework and methods, (3) literature analysis, (4) selection of the research participants and data collection methods, (5) data analysis and description of findings, and (6) research validation. This review can contribute to the more active use of qualitative research in healthcare, and the findings are expected to instill a proper understanding of qualitative research in researchers who review qualitative research reports and papers.

      • KCI등재

        Synthesis and Reactivity of a Mononuclear Manganese(II) Complex Having Pseudo-Seven Coordination Environment

        Jeehee Yoon,서미숙,김영미,김성진,윤성호,장호겸,남원우 대한화학회 2009 Bulletin of the Korean Chemical Society Vol.30 No.3

        Utilizing a planar five coordinating N3S2 ligand, 2,6-bis(2-methylthiophenyliminomethyl)pyridine, a pseudo 7-coordinated manganese(II) complex with two labile triflate anions in the axial positions was synthesized. The reaction of the manganese(II) complex with an oxidant, iodosylbenzene, produced a metastable high-valent manganese(IV)-oxo species at 0 °C . The high-valent Mn(IV)-oxo intermediate was characterized with a UV-vis spectrophotometer and an electrospray ionization mass spectroscopy. Reactivity studies of the Mn(IV)=O species revealed that the intermediate is capable of oxygenating PPh3 and N-dealkylating N,N-dimethyl-toludine.

      • Effective Control of a Severely Progressive RRP with Repetitive Cryotherapy

        ( Jeehee Lee ),( Yong Chul Lee ),( Jae Seok Jeong ),( Yong Hun Choe ),( So Ri Kim ),( Kum Ju Chae ),( Myeong Ja Jeong ) 대한결핵 및 호흡기학회 2021 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.129 No.0

        Background Recurrent respiratory papillomatosis(RRP) is a rare disease characterized by multiple, relapsing papilloma throughout aerodigestive tract, caused by Human papillomavirus(HPV) infection. The predilection site is the larynx, but RRP can involve every site of airway, including trachea, bronchus, even lung parenchyme. Although several approaches including surgical excision and medication were attempted, there has been no definite curative treatment for RRP. In particular, its spread to the lower airways is uncommon, with involvement of trachea and/or proximal bronchi in 5% of the total RRP patients, and extension to the lungs in only 1% of the cases. Likewise, there are no definite treatment guidelines for the severe RRP, and management of RRP involving central airway is much more demanding. Methods Herein, we report our clinical case of successful management of rapidly progressive RRP symptom involving trachea and bronchi with repetitive cryotherapy. A 36-year-old male was admitted for a sudden onset of dyspnea. HRCT showed multiple polypoid lesions bulging into the lumen of the trachea and the left main bronchus. Diagnostic bronchoscopy demonstrated severely progressive multiple papillomata throughout the central airway. Pathologic examination revealed squamous papilloma with moderate dysplasia, and human papilloma virus type 11 was detected on polymerase-chain-reaction assay. For the management of the symptom, we decided to perform a series of cryotherapy. We performed 21 times of cryotherapy at three-day to two-week intervals from September 2019, to December, 2020. Results The patient has had 21 times of cryotherapy, and he receives regular follow-up outpatient care. Dyspnea and airway obstruction have been controlled effectively and stably with repeated cryotherapy up to now. Conclusion With cryotherapy, patient’s suffering symptoms caused by RRP were considerably abated. Cryotherapy can be an effective alternative among several possible treatments for RRP, even though no clear treatment guideline has been established for the disease.

      • KCI등재

        실시간 동기화 서비스에 대한 포렌식 조사 절차에 관한 연구

        이지희(Jeehee Lee),정현지(Hyunji Jung),이상진(Sangjin Lee) 한국정보보호학회 2012 정보보호학회논문지 Vol.22 No.6

        인터넷 연결 기기와 원격지 데이터 서비스의 증가로 실시간으로 데이터를 동기화 시켜주는 서비스가 증가하고 있으며 대표적인 서비스의 형태로는 실시간으로 데이터를 동기화하는 메일, 캘린더, 저장소 서비스 등이 있다. 이러한 실시간 동기화 서비스는 사용자에게 편의성을 제공하지만 실시간으로 동기화되는 특성 때문에 기기 압수 후 데이터가 변경될 수 있으므로 수사에 어려움이 발생한다. 본 논문은 수사 시 이런 어려움이 없도록 하기 위해서 각 기기에 남는 흔적들을 조사하고 실시간 동기화 데이터 보존 방법에 대해 제안한다. 이를 기반으로 실시간 동기화 데이터의 수집 절차를 제안한다. The number and use of Internet connected devices has dramatically increased in the last several years. Therefore many services synchronizing data in real-time is increasing such as mail, calendar and storage service. This service provides convenience to users. However, after devices are seized, the data could be changed because of characteristic about real-time synchronization. Therefore digital investigation could be difficult by this service. This work investigates the traces on each local device and proposes a method for the preservation of real-time synchronized data. Based on these, we propose the procedures of real-time synchronization data.

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