지연 상관된 종관규모 예측인자를 이용한 통계적 태풍발생빈도 예측

안숙희,권혁조 한국기상학회 2004 한국기상학회 학술대회 논문집 Vol.2004 No.-

정부와 개발 NGO 간의 파트너십에 관한 연구

안숙희 한국사회복지실천연구학회 2010 미래사회복지연구 Vol.1 No.1

본 연구는 개발원조 사업에 있어서의 정부와 개발 NGO의 협력의 필요성에 초점을 맞추었다. 정부와 개발 NGO는 원조 사업의 주체로서 빈곤퇴치라는 동일한 목적을 성취하기 위해 노력하 고 있지만 원조에 대한 관점에는 차이가 있어 원조의 효과성을 제고하기 위해 공공부문과 민간 영역의 협력체제가 요구되고 있다. 그러나 현재 우리나라는 ODA 대비 NGO지원 규모는 아직 초보적인 수준에 머물고 있으며, NGO와의 파트너십의 양적․질적 부분에서도 해결해야 될 문 제가 많다. 이러한 정부-개발 NGO의 효율적인 파트너십을 모색하기 위해서 본 연구는 정부와 개발 NGO의 개발원조 사업을 현황을 파악하고, 영국과 일본을 포함한 선진 외국의 파트너십 방식과 프로그램에서의 시사점을 살펴보았다. 효과적인 원조성과를 거두기 위해서 개발 프로그 램을 평가하는데 참여하고 있는 다양한 이해당사자들의 피드백이 교환되어야 하며, 이러한 과정 들 통한 다양한 방식의 평가 결과와 의견을 홍보할 수 있는 상시적인 대화채널이 확보되어야 한 다. 마지막으로 개발 NGO를 통한 ODA의 양적 규모를 확대하여 정부의 원조사업의 민간동반 자로서 개발 NGO의 참여를 적극적으로 활용한다면 정부와 개발 NGO 간의 상호보완적인 파트 너십 구축 형성에 기여할 수 있다.

Effects of Self-care Health Behaviors on Quality of Life Mediated by Cardiovascular Risk Factors Among Individuals with Coronary Artery Disease: A Structural Equation Modeling Approach

안숙희,송라윤,Si Wan Choi 한국간호과학회 2016 Asian Nursing Research Vol.10 No.2

Purpose: The project was to test a structural equation model in which self-efficacy, self-care health behaviors, and modifiable risk factors predict the quality of life (QOL) of individuals with coronary artery disease. Methods: The data set from the intervention study with 130 patients with coronary artery disease before the intervention was included in the secondary analysis for this study. The following parameters were measured: self-efficacy, self-care health behaviors with the subscales of health responsibility, exercise, consumption of a healthy diet, stress management, and smoking cessation; modifiable risk score; and QOL (assessed using the 36-item Short-Form Health Survey instrument). Results: The mean age of the participants was 66.1 years. The following evaluation parameters indicated that the proposed model provided a good fit to the data: comparative fit index at .87, goodness of fit index at .91, adjusted goodness of fit index at .84, standardized root mean square residual at .06, root mean square error of estimation at .09, and confidence interval at 0.06-0.13. Self-efficacy, self-care health behaviors, and modifiable risk factors had significant effects on QOL and explained 64.0% of the variance, with modifiable risk factors mediating between self-care health behaviors and QOL. Conclusions: The findings indicate that self-efficacy, self-care health behaviors, and modifiable risk factors play an important role in QOL in adults with coronary artery disease. Patients could be more confident in performing self-care health behaviors, leading to a better QOL, by more effectively managing their cardiovascular risk factors. Nursing strategies to improve QOL in this population should include motivating them to perform self-care health behaviors.

한반도 기상재해의 원인별 발생 및 피해 특성

안숙희,박기준,김정윤,김백조 한국방재학회 2015 한국방재학회논문집 Vol.15 No.2

In this study, 690 meteorological disasters that are recorded on the Disaster Yearbook from NEMA (the National Emergency Management Agency) from 1979 to 2013 have been analyzed to investigate the frequency and damage and to evaluate the influence of meteorological disasters on the Korean economy. As a result, the total damage has so far reached the 28 trillion won, and 19.7 disasters has been occurred and brought 804 billion won damages on average. 41.9 percent of meteorological disasters have been occurred in the 1980s and 19.3 percent in the 2000s, but the corresponding damage cost was opposite: 11.4 percent in the 1980s and 60.6 percent in the 2000s. This result means meteorological disasters are becoming larger. 45.5 percent of the meteorological disasters have been found in summer season which is intensively affected by heavy rains and typhoons. The Disaster Yearbook from NEMA classifies the cause of meteorological disasters into 31 cases, and most of disasters are a single phenomenon (94.9%) than a complex phenomenon (5.1%). It was confirmed that the meteorological disaster trend has been changed in that heavy rain has appeared consistently every year, and the number of typhoons has been decreased compared to the 1980s. Heavy rain took the highest portion (37.8 percent) of total disasters and followed by typhoons (8.7 percent), but the amount of damages of meteorological disasters is more related to typhoons (45.6 percent) than heavy rains (35.4 percent). Both of them accounts for 81 percent of the total damage. Therefore, it is necessary to build intensive prevention measures for two phenomena. The highest loss, approximately 0.9% of GDP, was taken place in 1987. Categorically, typhoon RUSA brought 0.68 percent of GDP loss in 2002 and heavy rains caused 0.45 percent of GDP loss in 1987. This result means that if a high impact meteorological disaster occurs, the ripple effect is enormous as socioeconomic. 본 연구에서는 기상재해의 발생빈도 및 피해액을 조사하고 기상재해가 우리나라의 경제에 미치는 영향을 평가하기 위하여 1979년부터2013년까지 소방방재청 재해연보에 기록된 690건의 기상재해를 분석하였다. 그 결과 총 피해액은 28조 원에 이르며, 평균적으로 매년19.7건의 재해로 인해 8,039억 원의 피해가 발생한 것으로 나타났다. 발생빈도는 1980년대에 41.9%, 2000년대는 19.3%이지만 피해액은1980년대 11.4%, 2000년대 60.6%로 기상재해가 대형화되고 있으며, 계절별로는 집중호우와 태풍의 영향을 받는 여름철(45.5%)에 집중적으로 발생하였다. 재해연보에 나타난 기상재해의 발생원인은 총 31가지로 분류되며, 복합현상(5.1%) 보다는 대부분 단일현상(94.9%) 에 의해 기상재해가 발생하였다. 호우는 한해도 빠짐없이 지속적으로 나타나고 있으며, 태풍은 1980년대에 비해 적은 수의 영향을 받고있는 등 기상재해를 일으키는 기상현상의 발생 양상이 달라진 것을 확인할 수 있었다. 기상재해의 발생원인은 호우가 37.8%, 태풍이8.7%이었으나, 피해액은 태풍이 45.6%, 호우가 35.4%로 두 개의 현상으로 인한 피해액이 전체의 81%를 차지하였다. 따라서 이에 대한집중적인 방재대책이 필요한 것으로 보인다. 기상재해 손실률은 GDP 대비 1987년에 0.9%로 가장 크게 나타났으며, 태풍의 경우, 태풍‘루사(RUSA)’의 영향을 받은 2002년에 0.68%, 태풍 ‘매미(MAEMI)’의 영향을 받은 2003년에 0.52%로 높게 나타났고, 호우는 1987년0.45%, 1980년 0.41% 등으로 나타났다. 이를 통해 단 한번이라도 대형재해가 발생한다면 사회경제적으로 미치는 파급효과가 크다는 것을 알 수 있다.

MFICU 간호사 실무역량 강화 온라인 기본교육프로그램 효과

안숙희,김증임,신기수,김미옥 한국모자보건학회 2021 한국모자보건학회 학술대회 연제집 Vol.2021 No.2

여성의 취업여부와 사회적 역할 만족도에 따른 건강상태

안숙희 여성건강간호학회 2004 여성건강간호학회지 Vol.10 No.1

장마철 빗길 교통안전정보 제공을 위한 서비스 개발

안숙희,이채연,이종학 한국기상학회 2018 한국기상학회 학술대회 논문집 Vol.2018 No.10

신생아중환자의 약동학적 다양성에 영향을 미치는 요인

안숙희 한국임상약학회 2017 한국임상약학회지 Vol.27 No.2

Neonates have large inter-individual variability in pharmacokinetic parameters of many drugs due to developmental differences. Theaim of this study was to investigate the factors affecting the pharmacokinetic parameters of drugs, which are commonly used incritically ill neonates. Factors that reflect physiologic maturation such as gestational age, postnatal age, postconceptional age, birthweight, and current body weight were correlated with pharmacokinetic parameters in neonates, especially preterm infants. Comorbiditycharacteristics affecting pharmacokinetics in critically ill neonates were perinatal asphyxia, hypoxic ischemic encephalopathy, patentductus arteriosus (PDA), and renal dysfunction. Administration of indomethacin or ibuprofen in neonates with PDA was associated withthe reduced clearance of renally excreted drugs such as vancomycin and amikacin. Therapeutic hypothermia and extracoporealmembrane oxygenation were influencing factors on pharmacokinetic parameters in critically ill neonates. Dosing adjustment and carefulmonitoring according to the factors affecting pharmacokinetic variability is required for safe and effective pharmacotherapy in neonatalintensive care unit.

Predictors of Women’s Postpartum Health Status in the First 3 Months After Childbirth

안숙희,JoAnne M. Youngblut 한국간호과학회 2007 Asian Nursing Research Vol.1 No.2

Purpose The purpose of this study was to examine the significant predictors of postpartum health indicated by physical health, mental health, and role performance during the first 3 months postpartum. Methods This study used a correlational survey design. The study subjects were 152 mothers at 6 weeks postpartum (T1) and 131 mothers at 3 months postpartum (T2). At 6 weeks and 3 months postpartum, subjects completed a packet of instruments—measuring physical and mental health, role performance, sense of mastery, social support, and infant temperament. Results Findings indicated that lower family income, more difficult infant temperament, and lower sense of mastery were consistently significant predictors of poorer health outcomes during the postpartum period. Having preterm infants and caring for them was related to higher levels of maternal fatigue in the morning at 6 weeks. Employment did not influence postpartum health. Conclusion The findings suggest that mother and infant’s individual factors and environmental context may continue to negatively affect the mother’s health outcomes during the postpartum period.

Amikacin Pharmacokinetics and a New Dosing Guideline in Korean Neonates

안숙희,신혜영,김재연,곽혜선 한국병원약사회 2006 病院藥師會誌 Vol.23 No.3

The objectives of this study is to evaluate the correlations between patient characteristics and amikacin pharmacokinetics, and develop a new dosing regimen for Korean neonates. This study was conducted in the Neonatal Intensive Care Unit at Asan Medical Center in Seoul, Korea, between February 2003 and February 2005. Demographic and pharmacokinetic data were collected for 107 neonates of 24 to 41 weeks` gestational age (GA) treated with amikacin and received therapeutic drug monitoring by a pharmacist. The medication was infused over 30 minutes and 268 serum amikacin concentrations (134 peak and trough pairs) were taken at steady state. The pharmacokinetic parameters of amikacin in the study population were as follows: Vd (0.56 ± 0.13 L/kg), t1/2 (6.6 ± 4.1 hr), K (0.14 ± 0.06 hr-1) and CL (0.07 ± 0.03 L kg-1 hr-1). CL (L kg-1 hr-1) significantly increased with body weight (CL = 1.795 × 10-5 × body weight + 0.038), postnatal age (CL = 0.001 × PNA + 0.057), postconceptional age (CL = 0.004 × PCA - 0.073) and decreased with serum creatinine (CL = -0.045 × Scr + 0.107) (P 0.001). The mean peak and trough concentrations were 26.9 ± 7.8 and 3.4 ± 3.3 μg/mL, respectively. The overall ratios within the therapeutic range of peak (20~30 μg/mL) and trough (2~5 μg/mL) were 50.8 and 44.8%, respectively. Compared to the current therapy, the dose was reduced from 15~18 mg/kg to 13 mg/kg in neonates with PNA ≤ 7 days while dose increased from 12 mg/kg to 13 mg/kg in neonates with PNA ≥ 8 days in the new dosing guideline. The dosing interval was prolonged from 24 to 36 hr in neonates with PCA ≤ 29 and PNA ≥ 8 days. CL was influenced by PCA and PNA, and a new dosing guideline was constructed based on the results.