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      • KCI등재

        의약분업 전후의 의약정보서비스의 질의응답과 질의자의 만족도 분석

        신정인,김미애,허경희,김미정,신현택,오정미 한국병원약사회 2003 병원약사회지 Vol.20 No.2

        Drug Information Centers(DICs) are responsible for providing updated and relevant drug information on the efficacy, safety and quality of drugs to health-care practitioners and finally to patients. After the establishment of new prescription law(Bunup)' on August 2000, the future direction for DICs is strongly needed to provide specified, appropriate and rapid information to health-card practitioners and patients. This project was undertaken to provide a future direction of DICs via comparing differences of Q&A before and after Bunup, based on the analysis of Q&A worksheets that were conducted from August 1999 to July 2001 at Drug Information Research Institute(DIRI) of Sookmyung Women's University. In addition, feedback sheets were collected from the users of DIRI from April 2001 to August 2001, to evaluate the satisfaction scores by '5-point Likert scale' on the response. The number of inquiries responded by DIRI was increase from 201 to 574 and the most frequently asked inquirers were pharmacists, specifically community pharmacists. The mean time to respond before and after Bunup was 5.35 and 4.68 hours, respectively. The method of inquiry utilized the most was electronic mailing system followed by telephone both before and after Bunup(66.2% vs. 65.7% via e-mail, from 32.8% vs. 32.4% via telephone). The most frequently asked category of question was on the 'clinical drug' category both before and after Bunup (79% vs. 73.6%). The tertiary literature was the most frequently used reference to answer the inquiries. Mean feedback result via questionnaires was good. That included accuracy, quality of information, time to respond, attitude of provider, accessibility, etc. The most increased inquirer after Bunup was general person, compared with before. Therefore DICs should provide separate responds according to inquirers, develop the systemic program to improve the response for each request, have systemic Q&A worksheet, and develop the educational program for drug information providers. DICs should continuously provide more appropriate and rapid information to health-care practitioners and patients.

      • KCI등재

        저체중 또는 과체중 청소년에서 캠프 프로그램을 이용한 영양 교육효과에 관한 연구

        성미경,승정자,류화춘,박재년,박동연,최미경,조경옥,최선혜,이윤신,김유경,이은주 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.4

        This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exercise habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

      • KCI등재

        일반학교와의 교류교육을 통한 우정지원프로그램 적용이 자폐아동과 일반아동간의 친구관계기술 습득 및 태도 변화에 미치는 효과

        신경미 한국특수교육문제연구소 2002 특수교육저널 : 이론과 실천 Vol.3 No.4

        Rencently most fo special schools have tried various educational methods to practice a large number of qualified intergration program because of prevailing intergrated education between special school and genral school, but they recognized some limitations to meaningful integration. The purpose of this study was to make friends and maintain friendship with autistic children and general children, to bring about qualitative conversion to present integration education being practiced in special school and general school at the same time. In this study, on-group pretest-protest design was used. The forth grade twelve autistic children in Miral School and forth grade thirty two children in Wonchon elementary school are the subjects in this study. To verify the effects of application of the friendship support program, which was deviced and planned on the basic of litrtature study by investigator, the data was analyzed X² test and qualitative research analysis. The results were the intended education outcom 최근에 이르러 특수학교와 일반학교 간의 통합교육이 활성화되어 각 학교마다 여러가지 양질의 프로그램을 실행하고자 다양한 교육적 방법을 시도하고 있지만, 의미있는 사회적 통합에 이르는데 한계를 경험하고 있다. 이에 '우정지원프로그램'을 자폐아동과 일반아동에게 적용하여 통합교류교육의 질적인 전환을 이루고 더 나아가 자폐아동과 일반아동간의 친구 관계를 형성ㆍ유지하고자 본 연구를 실시하였다. 연구대상으로 정서장애 특수학교에 재학 중인 4학년 12명과 일반학교 4학년 32명을 대상으로 본 프로그램을 적용하였고, 효과를 검증하기 위해 단일집단 사전ㆍ사후 설계를 하였다. 연구결과는 x² 검증과 질적 자효 분석으로 결과 처리하였고, 의도한 교육적 효과를 산출하였다.

      • 고온 하에서 고 강도 철근 콘크리트 보의 구조거동

        신미경,신영수,이차돈,홍성걸,박재영 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

        This paper deals with structural behavior of reinforced concrete beams under fire. The main purpose of this study is to investigate the effect of concrete covers and exposure time to fire on the structural behavior of the beams under high temperature condition. The structural behaviors of RC beams with ordinary and high strength concrete under high temperature are compared. For this purpose, twelve beam specimens are fabricated and experimented. Twelve specimens are exposed to the fire for 60 and 90 minutes and to the failure. The research result shows that the main variables of the test, concrete cover and exposure time to fire influence the structural behavior.

      • 비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

        최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

        Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

      • Sectional arch technique 및 Continuous arch technique에 의한 치료후 악궁 형태의 변화에 대한 연구

        신미라,차경석 단국대학교 치의학연구소 1995 논문집 Vol.7 No.1

        This study was carried out in order to ocompare the amount of tooth movement and the arch size and shape following sectional and continuous arch technique treatment. The sample group for this study consists of 24 persons (older than Hellman stage Ⅲc, Angle's classificationⅠ), who received orthodontic treatment with first premolar extraction in both jaw at Orthodontic Department of Dankook Univ. Dental Hospital. They are classified into Sectional arch technique treatment group (GroupⅠ), Continuous arch technique treatment group (Group Ⅱ) according to methods of treatment. Following conclusions were obtained by cephalometric linear measurements and dental arch measurements using pre- and post- treatment lateral cephalograms and plaster study models. 1. Intercanine widths were increased in both jaw of Group Ⅰ and Group Ⅱ after treatment. The amount of increase in Group Ⅰ was sigmificantly larger than that of Group Ⅱ. 2. Intermolar widths were reduced in both jaw of each groups after treatment. The amount of decrease in Group Ⅱ was significantly larger than that of GroupⅠ. 3. Arch lengths were decreased in both jaw in each group after treatment. Between two groups, no difference was noted before and after treatment. 4. Considering the antero-posterior movement of canine, canine was moved posterioly in both jaw in each group. The amount of canine movement was significantly different in maxilla between two groups. But in mandible, no difference was found between them. 5. Considering the antero-posterior movement of the first molar, the first molar was moved anteriorly in both jaw in each group. But no difference was found between two group.

      • 화재 피해를 입은 고 강도 철근 콘크리트 보의 보수 성능

        신미경,신영수,이차돈,홍성걸,강지연 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

        This paper is to evaluate practically the techniques and materials of repair for high strength concrete elements with fire damages as well as to investigate the structural behavior of beams according to pre- or post-repair after fire-damages. For this purpose, flexural specimens with high strength concrete were exposed to high temperatures by the ISO 834 specification. After natural cooling and post-fire-curing in a natural environment for 1 months, 6 specimens were loaded to failure after they were repaired with polymer cement mortar for 1 month curing.

      • 거주자 평가를 통해 본 담장 허물기 사업 : 성동구, 관악구, 구로구의 사례를 중심으로

        노윤미;신경주;장상옥 한양대학교 2010 韓國 生活 科學 硏究 Vol.30 No.2

        The wall removal campaign was being held to exam its impact on living quality for tenants. From this study we tried to prove what are achievements and positive effects from the campaign through out the surveys and opinions from tenants. It will guide the campaign to the better direction to support housing plan. The conclusions from the study are as follows. (1) The level of satisfaction had been increased on safety sanitation, convenience, amenity aesthetics and sociability after the campaign.. (2) The high level of satisfaction refers positives changes on light dust, ventilation, clean environment, larger space on street, parking lots, and car accessibility to house. But they did not satisfy on security, privacy, noise, vibration, indoor air pollution, use of yard space, inconvenience of laundry space, disvalued of property, pre-facilities, independent operation, and reflection of their response when it planed. (3) Survey shows that the percentage of agreement on the campaign was low before it executed, but the percentage gets doubled after it. (4) About fifty percent of total tenants disagreed on this campaign. Although the percentage of disagreements got lower after the campaign.

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