조현병 환자들의 일상적 의사결정 과정에서 무쾌감증 및 자아존중감의 영향

김수정,김민경,홍연주,이선구,김재진,Kim, Soo-Jeong,Kim, Min-Kyeong,Hong, Yeon-Ju,Lee, Seon-Koo,Kim, Jae-Jin 대한생물정신의학회 2017 생물정신의학 Vol.24 No.3

Objectives Decision-making in patients with schizophrenia has been known to be inefficient in both cognitive and affective aspects. The purpose of this study was to investigate the influence of anhedonia and self-esteem on the decision-making process in schizophrenia. Methods Twenty patients with schizophrenia and 21 healthy controls performed the 'apparel purchase decision-making task', during which they were asked to respond to the preference, fitness, and price suitability, before making the final purchase decision. Generalized estimating equation and correlation analysis were conducted to explore for the difference of decision making patterns and influential factors between the two groups. Results The patients showed lower odds ratio (OR) of the fitness on the apparel purchase decision than the controls [OR 0.190 ; 95% confidence interval (CI) 0.047-0.762, p = 0.019). In the patient group, there was no correlation between the number of purchased trials and the severity of anhedonia, but the number of purchased trials was negatively correlated with the Rosenberg Self-Esteem Scale score at a trend level (R = -0.436, p = 0.055). Conclusions Patients with schizophrenia considered the fitness of clothes less than healthy controls on apparel purchasing decisions. Schizophrenia patients with lower self-esteem were intended to buy more clothes.

우리나라 재배지역별 야콘 생산성 및 기능성 프락토올리고당 평가

김수정,손황배,홍수영,남정환,장동칠,김기덕,서종택,구본철,김율호,Kim, Su Jeong,Sohn, Hwang Bae,Hong, Su Young,Nam, Jung Hwan,Chang, Dong Chil,Kim, Ki Deog,Suh, Jong Taek,Koo, Bon Cheol,Kim, Yul Ho 한국작물학회 2017 한국작물학회지 Vol.62 No.3

The purpose of this study was to investigate the effects of envrionmental factors on the ecological responses, yield, and quality properties and physicochemical characteristics of yacon cultivated in various regions of Korea. Experiments were carried out in eight regions from 2010 to 2013. The temperature range in Jinbu, Bonghwa, Cheolwon, and Gangneung during the growth period of yacon cultivation was $17.5-24.6^{\circ}C$. The total yield and marketable yield of tuberous root in Jinbu were 4,065 and 3,196 kg/10a, respectively. The sugar content of yacon tuberous roots comprised 0.11-0.20% fructose, 0.11-0.37% glucose, 0.39-0.68% sucrose, 0.07-0.37% reducing sugar, and 7.03-9.62% fructo-oligosaccharides. The content of fructo-oligosaccharides, which is a functional substance, was the highest in yacon cultivated in Jinbu. Based on the productivity and functional fructo-oligosaccharides, the optimum areas to cultivate yacon are Jinbu and Bonghwa, which are located in the middle-highland zone (500-560 m) and have a suitable growth temperature of $18-25^{\circ}C$. The results of the present study indicate that temperature could be the factor with the greatest influence on the root growth of yacon.

Effect of Antibiotic Prophylaxis on Early-Onset Pneumonia in Cardiac Arrest Patients Treated with Therapeutic Hypothermia

김수정,Jung Kyu Lee,Deog Kyeom Kim,Jong Hwan Shin,Ki Jeong Hong,Eun Young Heo 대한중환자의학회 2016 Acute and Critical Care Vol.31 No.1

Background: Infectious complications frequently occur after cardiac arrest and may be even more frequent after therapeutic hypothermia. Pneumonia is the most common infectious complication associated with therapeutic hypothermia, and it is unclear whether prophylactic antibiotics administered during this intervention can decrease the development of early-onset pneumonia. We investigated the effect of antibiotic prophylaxis on the development of pneumonia in cardiac arrest patients treated with therapeutic hypothermia. Methods: We retrospectively reviewed the medical records of patients who were admitted for therapeutic hypothermia after resuscitation for out-of-hospital cardiac arrest between January 2010 and July 2015. Patients who died within the first 72 hours or presented with pneumonia at the time of admission were excluded. Early-onset pneumonia was defined as pneumonia that developed within 5 days of admission. Prophylactic antibiotic therapy was defined as the administration of any parenteral antibiotics within the first 24 hours without any evidence of infection. Results: Of the 128 patients admitted after cardiac arrest, 68 were analyzed and 48 (70.6%) were treated with prophylactic antibiotics within 24 hours. The frequency of early-onset pneumonia was not significantly different between the prophylactic antibiotic group and the control group (29.2% vs 30.0%, respectively, p = 0.945). The most commonly used antibiotic was third-generation cephalosporin, and the class of prophylactic antibiotics did not influence early-onset pneumonia. Conclusion: Antibiotic prophylaxis in cardiac arrest patients treated with therapeutic hypothermia did not reduce the frequency of pneumonia.

자기노출 심리를 이용한 유비쿼터스 로봇 콘텐츠의 효과

김수정,한정혜,Kim, Su-Jung,Han, Jeong-Hye 한국정보교육학회 2008 정보교육학회논문지 Vol.12 No.1

This study uses the identification which is one of the critical components of psychological mechanism and enables replacing one's own self because of the needs of self-expression(disclosure) and creation. The study aims to improve educational effects using the realistic by increasing sense of the virtual reality and the attention. After the computer-based contents were developed and converted to be applied into robot, and then the contents were combined the student's photo and the avatar using automatic loading. Finally each one of the contents was applied to the students. The results of the investigation indicated that there were significant effects of the contents based on identification. In other words, the contents effect on student's attention, but not their academic achievement. The study could find the effect of the identification's application using the educational robot. We suggested that improving technical ability of the augmented virtuality as a face-detection and sensitive interaction may lead to the specific suggestions for educational effects for further research.

건성피부 및 소양증에 대한 잘스밍R 크림의 임상효과에 대한 연구

김수정,이인욱,최응호,이원수,안성구 ( Soo Jung Kim,In Wook Lee,Eung Ho Choi,Won Soo Lee,Sung Ku Ahn ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3

Background: Xerosis is a relatively common disorder, especially in the elderly. The condition is characterized by fine scaling and is associated with generalized pruritus. Objective : The purpose of this study was to evaluate the clinical efficacy, safety and tolerability of Zalsming cream in patients with xerosis and pruritus. Methods : Thirty patients were treated with Zalsming cream. Clinical efficacy, as measured by the score of subjective symptom and objective signs, transepidermal water loss(TEWL) and electron microscopic finding, were asessed at 2, 4, and 6 weeks after topical application of the cream. Results . The scores of clinical signs and TEWL showed statistically significant improvements. No one developed any local or systemic side effects. Conclusion : Topical application of Zalsming cream was found to be effective and safe for patients suffering from xerosis and pruritus. (Kor J Dermatol 1997;35(3): 418-423)

생강사심탕(生薑瀉心湯)으로 호전된 알레르기성 비염 2례

김수정,임현택,Kim, Su-Jung,Lim, Hyeon-Taek 대한상한금궤의학회 2013 대한상한금궤의학회지 Vol.5 No.1

Objective : This case report evaluated the effect of Saengkangsasim-tang(生薑瀉心湯) on allergic rhinitis. Methods : Two different patients of allergic rhinitis were treated with Saengkangsasim-tang (生薑瀉心湯) in accordance with diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions. Results : After a series of Saengkangsasim-tang treatments, the symptoms of allergic rhinitis patients improved in 2 cases. Conclusions : According to diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions, this case study shows that Saengkangsasim-tang is effective on allergic rhinitis. However further clinical studies in depth are needed.

영어의 비강세 약모음 schwa /e/의 음성실현

김수정,Kim, Soo-Jung 한국음성학회 2005 음성과학 Vol.12 No.4

The present study examines the phonetic realizations of the unstressed weak vowel /e/ in English words produced by native and Korean ESL speakers. Traditionally, the stressed elements in utterance are considered to be prominent. In this sense, the unstressed weak vowel /e/ is predicted to be shorter in length, lower in pitch and intensity than the stressed vowels. The experiment shows that native English speakers correlate the unstressed weak vowel /e/ with both shorter duration and lower pitch; Korean ESL speakers correlate it with lower pitch only. We cannot find any significant statistical difference in intensity between /e/ and the stressed vowels in both cases. This study suggests it is important to acquire and produce the correct prosodic correlates of the unstressed weak vowel /e/ for Korean ESL speakers to command more natural English intonation, since /e/ is the most common vowel in English speech and consists of the English foot rhythm along with stressed vowels.

메티실린 내성 황색포도알균 판독에 있어 항균제 감수성 검사와 mecA PCR법의 비교

김수정,Kim, Su-Jung 한국미생물학회 2011 미생물학회지 Vol.47 No.4

Methicillin-resistant Staphylococcus aureus (MRSA)는 화농성 질환, 균혈증을 유발하고 병원내 감염의 주요 원인균으로 알려져 있다. 병원에서의 MRSA 분리율은 점차 증가하여 80% 이상으로 보고 되고 있으며 Methicillin 뿐만 아니라 다른 항균제에도 내성을 나타냄으로 치료를 위한 항균제 사용에 제한을 받고 있다. 이에 본 연구에서는 MRSA의 정확한 판정을 통해 항생제 남용을 막고자 대부분의 병원에서 사용하는 항균제 감수성 검사법과 경제적인 면으로 인해 병원내에서 많이 사용되고 있지 않지만 정확도가 높은 mecA 유전자 검출법을 서로 비교하였다. 그 결과 대조군인 Methicillin-susceptible Staphylococcus aureus와 실험군 MRSA 20 균주를 대상으로 항균제 감수성 검사법과 mecA 유전자 PCR 검출법을 실시한 결과 MRSA 20 균주는 Oxacillin과 Cefoxitin에 모두 내성을 나타냈으나 mecA 유전자 검출에서는 20 개 중 17 개에서만 유전자가 검출되어 염기서열분석 결과 mecA 유전자임을 확인하였다. 이런 결과로 보아 mecA(-) 3 균주는 mecA 유전자의 변이로 추측할 수 있기에 임상에서의 MRSA의 판정은 항균제 디스크법과 mecA 유전자 PCR 검출법을 동시에 사용함으로 정확한 MRSA 진단에 도움을 주고자 한다. Methicillin-resistant Staphylococcus aureus (MRSA) is one of major pathogen causing hospital infection and several diseases such as purulent infection, bacteremia. The isolation ratio of MRSA is gradually increased up to 80% in the hospital, which makes a limitation for treatment of antibiotics because the isolated MRSA show resistance to methicillin as well as other antibiotics. This study proposes that mecA detecting methods which are not commonly used because of cost in the hospital is a more accurate method than Susceptibility Testing to detect a MRSA. We compared Staphylococcus aureus ATCC 29213 as a negative control and 20 MRSA strains isolated from patients by these two methods. We amplified mecA gene by polymerase chain reaction (PCR) and confirmed the PCR products by sequencing. All of the MRSA showed oxacillin and cefoxitin resistance whereas 85% (16/19) of the strains had mecA wildtype. These results suggest that some of the MRSA are mecA mutants therefore mecA genotyping reinforces the MRSA detection by antibiotic susceptibility test.

독일 원격의료 합법화와 법개정 논의

김수정,Kim, SooJeong 대한의료법학회 2020 의료법학 Vol.21 No.2

원격의료가 이미 허용되어 상당히 진행된 국가도 있는 반면, 원격의료가 법률해석상 금지되는 국가들도 있다. 최근까지 한국과 독일은 모두 후자에 속하였다. 독일에서 원격의료가 금지되는 가장 주요한 근거는 독일연방의사협회가 마련한 표준의사직업규정 제7조 제4항이 "상담을 전적으로 인쇄 및 통신매체를 통해 수행해서는 안 된다. 원격의료절차에서도, 의사가 환자를 직접 진료하는 것이 보장되어야 한다."고 규정하고 있었고 각 주(州)의 의사직업규정이 이를 그대로 수용하였기 때문이다. 그렇지만 독일 내에서도 전적인 원격의료가 허용되어야 한다는 논의 및 전자의료(E-Health) 활성화를 위한 인프라와 그를 규제하는 법을 마련해야 한다는 논의가 상당히 오래 전부터 있어 왔다. 2018년 표준의사직업규정이 변경되었고 대부분의 주(州)의사협회가 의사직업규정을 개정하였으므로 이제 독일에서는 원격의료가 대부분 허용된다고 할 수 있다. 아직 우리나라는 원격의료를 허용하지는 않으나, 우리와 같은 입장이었던 독일이 어떤 준비 하에 원격의료 허용 쪽으로 선회하였는지 살펴보는 것은 우리법이 개정될 경우를 대비하여 여전히 중요한 작업이라 할 것이다. Until recently the German and the South Korean medical associations reacted cautiously to the introduction of telemedicine between doctor and patient which is exclusively on the platform conducted. But the General Assembly of German Physicians voted to lift the ban on remote treatment with the amendment to Section 7 (4) MBO-Ä(Medical Association's Professional Code of Conduct) in 2018 and the situation has been fundamentally changed in Germany. From then until now 16 of 17 rural medical associations have changed their professional code to allow telemedicine. In addition the legislature started to prepare the basis for the introduction of the electronic health card (eGK) and the telematics infrastructure. So far, various laws such as Medicinal Products Act, Drug Advertisement Act and Social Code have been changed to support legalization of telemedicine and digitalization of health care. Unlike in Germany, the social circumstances such as excessive centralization of the big hospitals in Seoul and the resulting concern of small medical practices for profitability are the main obstacles to the introduction of telemedicine. However the German approach how to legalise the telemedicine and to prepare for legal and technical infrastructure is also interesting in South Korea. The discussions for and against the changes in the law and the telematics infrastructure attempted by the German government for several years indicate that not only lifting the ban on remote treatment, but also harmonization of all the related legal system could guarantee successful implementation of telemedicine.

가상화 서비스의 QoS 보장을 위한 네트워크 적응적인 전송 구조 설계

김수정,주광성,정광수,Kim, Sujeong,Ju, Kwangsung,Chung, Kwangsue 한국정보통신학회 2013 한국정보통신학회논문지 Vol.17 No.7

Virtualization service processes all operation including the data creation, storing, and disposal in a server and transmits processed data as the streaming media form. Therefore, client can use the same environment as the traditional desktop environment without considering the type of device. Virtualization service should consider not only the video quality but also the delay bounds and continuity of video playback for improving the user perceived Quality of Service(QoS) of streaming service. In this paper, we propose a network-adaptive transmission architecture that focuses on guaranteeing QoS requirements for virtualization service. In order to provide those, the proposed architecture have the transmission rate adaptation function based on available bandwidth and the content bit-rate control function based on sender buffer state. Through each function, proposed architecture guarantee the delay bounds and continuity of virtualization contents playback. The simulation results show that proposed network-adaptive transmission architecture provides a improve performance of throughput and transmission delay. 가상화 서비스는 데이터의 생성, 저장, 폐기 등의 모든 과정과 연산을 서버에서 처리하며, 클라이언트에게 스트리밍 미디어 형태로 전송한다. 따라서, 클라이언트는 단말의 타입에 구애받지 않고 기존 데스크톱 환경과 동일한 환경을 이용할 수 있다. 이러한 가상화 서비스의 사용자 체감 품질을 만족시키기 위해서는 영상 품질 이외에도 재생연속성과 재생지연한계를 고려해야 한다. 본 논문에서는 가상화 서비스의 QoS를 보장하기 위한 네트워크 상황에 적응적인 가상화 콘텐츠 전송 구조를 제안한다. 제안하는 가상화 콘텐츠 전송 구조는 네트워크의 가용 대역폭을 고려한 전송률 조절 기능과 송신 버퍼 상태를 고려한 콘텐츠 비트율 조절 기능이 있으며, 각 기능을 통해 가상화 콘텐츠의 재생지연한계와 가상화 콘텐츠의 재생 연속성을 보장한다. 실험을 통해 제안하는 가상화 콘텐츠 전송 구조가 패킷 손실률과 전송 지연 등의 측면에서 성능이 향상되는 것을 확인하였다.