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.

상악 절치부-토크에 의한 치아 이동과 응력 분포에 관한 유한요소법적 연구

윤현주,임용규,이동렬,조영수 대한치과교정학회 2005 대한치과교정학회지 Vol.35 No.2

본 연구는 상악 절치부에 active 토크가 가해졌을 경우, 교정력을 직접 받은 치아와 인접 치아의 반응을 알아보고자 상악 치아 및 치조골의 유한요소 모델을 제작하고, stainless steel, NiTi, TMA 세 종류의 각형 호선을 육면체 요소로 모델링하여 유한요소 모델을 완성하였다. 호선이 브라켓에 삽입되었을 때 브라켓에 발생하는 반력과 모멘트를 구하였고, 이것을 유한 요소 모델에 적용하여 각 치아의 변위와 응력 분포를 측정하였다. 브라켓에 발생하는 반력은 근원심 방향과 협설 방향으로의 힘은 0에 가까우며, 중절치, 측절치, 견치의 브라켓 근심측에서는 정출력이 원심측에서는 압하력이 발생하였다. 힘과 모멘트의 크기는 측절치에서 최대였고, 중절치, 견치 순으로 감소하였고, 소구치 부위와 대구치 부위에서는 급격히 감소하였다. 중절치와 측절치는 치관 협측, 원심 경사 이동과 압하를 보였으며, 견치는 치관 설측 원심 경사와 정출을 보였고, 제1소구치는 치관 설측 경사이동을 보였다. .019×.025 SS을 사용하여 상악 절치부에 토크를 부여하는 경우에는 측절치에 과도한 힘이 집중되므로, 임상에서 토크를 조절할 경우에는 NiTi나 TMA 호선을 사용하는 것이 바람직하리라고 생각된다. The purpose of this study was to investifate the stress distribtion in the periodontal tissue and the displacement of teeth when active torque was applied to the maxillary incisors by three-dimen-sional finite element analysis. A three- dimensional finite element model consisted of the maxillary teeth and surrounding periodontal membrane, .022×.028 Roth prescription bracket and stainless steel. NiTi and TMA rectangular ideal arch wires which were modeled by hexahedron elements. Applied active torques were 2, 5 and 10 degrees. The findings of this study showed that the reaction force acting on the bracket was the extrusion force on the mesial side of the incisors and canine and the intrusion force on the distal side of the incisors and canine.The amount of force and moment was greatest at the lateral incisor. When active anterior labial crown torque was applied, labial crown and distal tipping and intrusion of the incisors took place, and lingual crown distal tipping and extrusion of the canin occured. An excessive force was concentrated on the lateral incisor, when the stainless steel wire was used. NiTi or TMA wire os desirable for torque control.

정신분열병 환자에서 가족력, 산과적 합병증 및 신체미세기형의 관련성에 관한 연구

안용민,김용식,정희연,신지용,윤세창,배안,이중서,주은정,이창인 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

연구목적 : 저자들은 태생기 동안에 받는 유전외적 요인, 즉 환경적 요인이 산발성 정신분열병 환자들의 발병에 크게 관여할 것이라고 가정하였다. 이를 검증하기 위하여 형제 중 1인 이상이 발병하여 가족력을 분명히 알 수 있는 정신분열병 환자군(이하 형제 환자군)과 가족력이 없는 산발성 정신분열병 환자군(이하 산발성 환자군) 및 정상대조군을 대상으로 산과적 합병증, 신체미세기형 및 정신분열병의 임상 양상을 비교하였다. 방 법 : 연구 대상은 형제 환자군 43명(남 22명, 여 21명), 산발성 환자군 43명(남 23명, 여 20명), 정상대조군 43명(남 20명, 여 23명)이었다. 산과적 합병증은 Lewis 척도를 이용하여 평가하였고 신체미세기형은 Waldrop 척도를 이용하여 측정하였다. 임상 양상으로서 발병 연령, 병전 기능 수준, 정신병리, 약물에 대한 반응, 회복시의 전반적 기능 수준, 지연성 운동장애의 유무를 평가하였다. 결 과 : 정상대조군과 정신분열병 환자군 전체를 비교하였을 때 산과적 합병증과 신체미세기형의 총점과 각 소항목의 점수에 차이가 없었다. 산발성 환자군과 형제 환자군을 비교하였을 때 산과적 합병증의 전체 점수에서는 유의한 차이가 없었으나, 출생 당시에 태아가 받은 스트레스 항목의 점수가 산발성 환자군에서 유의하게 높았다. 신체미세기형에서는 전체 점수 및 입의 미세기형 점수가 산발성 환자군에서 유의하게 높았다. 신체미세기형의 전체 점수가 4점 이상인 환자수도 산발성 환자군에서 높은 경향성을 보였다. 산과적 합병증과 신체미세기형 사이의 상호 연관성은 찾을 수 없었다. 정신분열병의 임상 양상 중에서는 Krawiecka 척도의 총점 및 양성 증상 점수와 회복시의 전반적 기능 수준만이 형제 환자군에 비해 산발성 환자군에서 유의하게 높았다. 성별에 따라서는 형제 환자군에서 남자 환자의 산과적 합병증이 유의하게 높았다. 결 론 : 본 연구를 통해 산과적 합병증 및 신체미세기형 연구가 정신분열병의 원인을 규명하기 위한 유용한 방법임이 시사되었지만, 가족력, 산과적 합병증 및 신체미세기형의 관련성에 대해서는 분명한 결론을 내리지 못하였다. The authors hypothesized that sporadic schizophrenic patients had more chances of receiving environmental insults during the fetal neural development compared with familial schizophrenics. We tested our hypothesis by comparing obstetric complications(OCs), minor physical anomalies(MPAs) and other clinical features, and examining the correlation between OCs and MPAs in schizophrenic patients who had one or more sibling with schizophrenia(sibling group) and sporadic schizophrenics(sporadic group) and normal controls. OCs were evaluated by the scale of Lewis, and MPAs were measured by the Waldrop scale. There were no significant difference in OCs and MPAs between schizophrenic and control groups. Sporadic group had significantly higher fetal distress, total Waldrop score and Waldrop score for mouth than sibling group. And there was a tendency that the number of subjects having the Waldrop score over 4 points was greater in the sporadic group. No significant correlation was observed between CCs and MPAs. The scores of initial psychopathology and post-treatment functioning were much higher in the sporadic group, but the other clinical feature showed no difference. Although male patients had more OCs than female patients in sibling group, no sex difference were observed as a whole. Our results suggest that, if the methodological weakness were complemented, OCs and MPAs would be useful tools in the search for the cause of schizophrenia.

광주시 대기오염과 일별 사망의 상관성에 관한 시계열적 연구 : 1998~2001년

조용성,이종태,김윤신,현연주,박원석 대한보건협회 2003 대한보건연구 Vol.29 No.2

This study is performed to examine the relationship between air pollution exposure and mortality in Gwangju for the years of 19% - 2001. Daily counts of death were analyzed by general additive Poisson model, with adjustment for effects of seasonal trend, air temperature, humidity, and day of the week as confounders in a nonparametric approach. Daily death counts were associated with CO(current day), 03(6 day before), PMdcurrent day), NO₂(1 day before), SO₂(2 day before). Increase of 29.74 pg/m (interquartile range) in PM_(10)was associated with 1.4 % (95% CI = 0 % - 2.8 %) increase in the daily number of death. This effect was greater in children(1ess than 15 aged) and elderly(more than 66 aged). We concluded that Gwangju had 1 - 24 % increase in mortality in association with IQR in air pollutants. Daily variations in air pollution within the range currently occurring in Gwangju might have an adverse effect on daily mortality. These findings also support the hypothesis that air pollution, at levels below the current ambient air quality standards of Korea, is harmful to sensitive subjects, such as children or elderly.

정보통신시장에서 다양한 혁신상품 수용의도간 연관성에 관한 연구 : 컨버전스 서비스를 중심으로 Focused on Convergence Services

김용철,주영혁,윤석훤 정보통신정책학회 2005 정보통신정책연구 Vol.12 No.1

정보통신시장에서는 유무선통합, 통방융합 추세로 인해 다양한 혁신상품들이 출시되고 있다. 본 연구에서는 한 소비자가 갖고 있는 다양한 혁신상품의 수용의도를 파악하여, 특정 혁신상품의 수용의도에 다른 혁신상품의 수용의도가 미치는 영향을 파악하였다. 연구 결과, 통방융합 혁신상품의 수용의도에 유무선통합 혁신 상품의 수용의도가 영향을 미치는 것으로 나타났다. 이를 통해 혁신상품 목표고객 선정에 대한 전략적 시사점과 수용의도를 기반으로 한 소비자 혁신성 연구의 가능성이라는 이론적 시사점이 도출되었다. Recently, there have been so many innovative services introduced in information and communication market according to the development of ICT and the convergence of related industry. In this article, the authors examine the impact of adoptions of related innovative services on adoption of a innovative service in the view of adoption intention. Predictions are developed and tested using survey data(n=800) from professional marketing research firm. Result shows that adoption of each innovative service is significantly influenced by adoptions of other innovative services. This research has implication for targeting of innovative services strategically and measuring of consumer innovativeness practically.

내시경적 점막절제술로 치험한 식도 과립상 세포종 1례

강혁주,김성욱,최석진,이중현,장재식,서영범,윤병구,박건욱,김성자,김용섭,강승완,이구,양창헌,이창우,김욱년,이광헌,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

과립상 세포종은 Schwann 세포 기원으로 생각되며 인체에 비교적 드물게 발생한다. 과립상 세포종은 전신 어느 곳에서나 발견될 수 있으나 주로 혀, 구강, 피부 혹은 유방 등에서 호발하며 드물게 위장관에서 발견된다. 위장관에서는 식도에서 가장 호발하며 다음으로 위, 대장 순이다. 과립상 세포종은 대부분, 특히 위장관에서는 양성이며 소수의 악성 병변이 보고되었다. 이러한 이유와 함께 수술 전의 진단이 어렵기 때문에 과립상 세포종에 대한 근본적인 치료는 현재까지 외과적 절제술이다. 최근에 시도되는 치료방법들로는 내시경적 레이저 치료, 용종절제술, 내시경적 점막 절제술 등이 있다. 저자들은 상부 소화관 내시경검사를 시행하여 식도 과립상 세포종을 진단하고 내시경적 점막 절제술을 시행하여 합병증 없이 퇴원하여 현재 재발없이 경과 관찰중인 1례를 경험하였기에 보고하는 바이다. Granular cell tumors, which occur infrequently, are probably of Schwann cell origin. They can occur almost anywhere in the body but usually affect the tongue, oral cavity, skin, or breasts and are rarely found in the gastrointestinal tracts. The esophagus is the most frequent gastrointestinal site, followed by the stomach and the colon. Granular cell tumors are generally benign, especially in the gastrointestinal tract, some malignant lesions have been reported. For this reason, and also because preoperative diagnosis is difficult, the standard treatment for granular cell tumor has until now been surgical excision. In recent years, other therapeutic methods is endoscopic laser therapy (ELT), polypectiomy, endoscopic mucosal resection (EMR). We report a case of esophageal granular cell tumor which was diagnosed by an endoscopy and managed using an endoscopic mucosal resection without complication.

아가리쿠스버섯에서 분리한 조단백다당류의 막분리 및 분무건조 특성

홍주헌,윤광섭,최용희 한국식품저장유통학회 ( 구 한국농산물저장유통학회 ) 2004 한국식품저장유통학회지 Vol.11 No.1

η_(evap)분자량에 따라 다양한 생리활성을 나타내는 아가리쿠스버섯에서 분리한 조단백다당류를 고부가가치 기능성 소재로 개발하기 위하여 막분리 및 분무건조 공정에 따른 특성을 조사하였다. 아가리쿠스버섯 조단백다당류를 분자량 크기에 따라 여과하는 동안 공정온도에 따른 투과플럭스의 변화는 10 kDa와 150 kDa 모두에서 유사하였는데, 막분리 온도 및 압력이 증가함에 따라 비례적으로 증가하였으며,40℃에서의 투과플럭스가 가장 높았다. 시간에 따른 투과플럭스의 변화는 막분리 30분 경과시 급속히 감소하였으며, pore size가 10 kDadhk 150 kDa일 때 공정압력이 각각 1.2 kg_(f)/㎠ 와 2 kg_(f)/㎠에서 가장 높았다. 한외여과 후 아가리쿠스버섯 조단백다당류의 점도는 여과 전 13.9cP에서 여과후 10 kDa이하와 10∼150 kDa구간은 각각 10.8, 11.9cP로 점도가 저하되었으나, 150 kDa이상은 20.1cP로 점도가 증가되었다. 분자량 크기가 다른 3가지 분획물에 대한 분무건조 공정에서의 열효율성은 가열공기온도, 시료공급속도 및 농도가 증가할수록 열효율성이 증가함을 알 수 있었으며, 시료공급속도가 가장 중요한 영향인자임을 확인하였다. This study was conducted to investigate the characteristics of ultrafiltration and spray drying process for crude protein bound polysaccharide(CPBP) isolated from Agaricus blasei Murill. In ultrafiltraion process, the permeate flux increased with the increase of operating pressure and temperature. The permeate flux declined continuously while the fouling materials were accumulated on the membrane as the operation time increased. In comparing of raw CPBP and filtered CPBP, the viscosity of CPBP treated UF was decreased and AE value of treated samples was increased. Thermal efficiencies of spray drying process were increased by increasing inlet temperature, feed rate and feed concentration.

C_(1)-HVOCs 제거를 위한 Ru-Sn/γ-Al_(2)O_(3) 촉매 제조 및 반응성 평가

김영주,황운연,구기갑,김용렬,박종수,윤왕래 한국화학공학회 2004 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.42 No.1

HVOCs 제거에 사용되는 백금-팔라듐계보다 저렴한 촉매 개발을 목적으로 다양한 루테늄계 촉매를 제도하여 C_(1)-HVOCs 분해 특성 평가 실험을 수행하였다. 그 결과 Ru[2]-Sn[2]/γ-Al_(2)O_(3) 촉매가 가장 우수한 성능을 보였다. 구조 증진제인 주석은 흡착 산소의 양을 증가시키고, 다양한 산소 이온 종의 생성에 기여함을 알 수 있었다. HVOCs 분해 반응에 첨가되는 산소 원자는 주로 루테늄과 주석에 흡착되며, CH_(3) 등 HVOCs는 지지체인 γ-Al_(2)O_(3)의 브뢴스테드 및 루이스 산점에 흡착됨을 알 수 있었다. 흡착된 HVOCs의 염소와 브뢴스테드 산점의 수소 화학 결합에 의한 HCl의 생성 반응이 HVOCs 분해의 주 반응 기구임을 알 수 있었다. Various ruthenium(Ru) based catalysts, which were less expensive than Pt-Pd based catalysts, were prepared and their activity with C_(1)-HVOCs(Halogenated Volatile Organic Compounds) was evaluated. Ru[2]-Sn[2]/γ-Al_(2)O_(3) was found to have the most desirable effect on the destruction of HVOCs. Tin taken as a structural promoter was found to increase the amount of oxygen adsorption and to generate various oxygen ions. Oxygen atoms were found to be mainly adsorbed on the surface of ruthenium and tin and HVOCs such as CH_(3)Cl to adsorbed on Bronsted and Lewis acid sites of γ-Al_(3)O_(3) supports. It was found that the formation of HCl by the reaction of chlorine in HVOCs with hydrogen atom on Bronsted acid site was the main reaction mechanism in the destruction of HVOCs.

전자상거래를 위한 XML 기반의 Interorganizational Order-Processing System의 컴포넌트 설계

김용수,방승윤,주경수 순천향대학교 부설 산업기술연구소 2001 순천향 산업기술연구소논문집 Vol.7 No.1

In the present day, The universality of internet is increasingly become vigorously from store center to business over internet in cyberspace. Development of such electronic commerce is changing rapidly and want to buy better goods in minimum price, and want to fink easily this information. this paper describes the imagination shopping mall that has designed with CBD method so that can handle relevant shopping mall about compare price information of good automatically and draw lowest price information and connects several shopping malls.

환경 변화에 따른 국제 레크리에이션 지도자협회 조직 환경 분석

성영호,김병주,윤필규 龍仁大學校 體育科學硏究所 2003 體育科學硏究論叢 Vol.13 No.2

From above in focus SWOT the result getting position thing of SWOT analysis with afterwords escape it did a same strategy in the object. Strong point - Opportunity strategy * it rears the recreation leader which is necessary to the leisure which increases. * It connects it improves the mountain crane cooperative body and the employment rate of the trainees. * It executes the seminar against meaning and a value of passing leisure from life in the social members. Strong point - Threat strategy * inner it induces the voluntary participation which is causal by with motive. * With increase of the recreation leader it endeavors it m e s together to temperament improvement and other association and a competitive power. * It rears the leader it will be able to be sufficient the gain and loss against the class which is various and these craving. Weakness - Opportunity strategy * the public finance solution which is weak from hazard it plans the profitability event which is various association. * It discharges the leader it will be able to be sufficient the leisure craving of the modems with diversification of mind contents. * It confronts the teaching material for the original program development which hits to the paradigm which changes it produces to a leisure and a work and Weakness - Threat strategy * inner motive the mortar it develops the program which is suitable in the expectation of the participants who are the possibility of making. * Weakness of association was probably, it holds the service activity for an overcome and the public information characteristic event. * It improves the level of the lecturers with reeducation and the research expenditure support back of the association assigned lecturers.