Recent Trends in Opioid Prescription in Cancer Patients in Korea

윤지현,김형섭,이재우,김정연,강희택 대한가정의학회 2021 Korean Journal of Family Practice Vol.11 No.2

Background: This study aimed to estimate the trends in opioid prescriptions for pain control in patients with and without cancer between 2002 and2015. Methods: This retrospective study was based on data from the 2002 and 2015 Korean National Health Insurance Service-National Health ScreeningCohort Study. Prescriptions of commonly used opioids, including morphine, oxycodone, fentanyl, and hydromorphone, were included in this study. A joinpoint regression analysis was adopted to analyze significant changes in the trends of annual opioid prescriptions, specifically considering theannual percentage change (APC) and average APC (AAPC). Results: The proportion of cancer patients to the total number of opioid prescriptions increased significantly, from 0.18/10,000 registrants in 2002 to62.27/10,000 registrants, increasing with an AAPC of 62.3% (95% confidence interval [CI], 44.7–82.1, P<0.05) during this study. The annualprescription rate also increased by 49.9% (95% CI, 22.6–83.2, P<0.05) in the non-cancer groups over the study period. In particular, there was adramatic increase in prescriptions from 2006 to 2009, with an APC of 230.2% (95% CI, 27.0–758.6; P<0.05). Conclusion: Opioid prescriptions substantially increased, regardless of the cancer diagnosis, over the study period. This may imply that awareness ofactive pain control has improved in Korea.

Acetyl hexapeptide와 Palmitoyl pentapeptide의 주름개선 효과

윤지현,김은주 대한피부미용학회 2006 대한피부미용학회지 Vol.4 No.2

This research was aimed at evaluation of effects of acetyl hexapeptide and palmitoyl pentapeptide on reducing the appearance of wrinkles or fine lines. To test this, 20 women aged between 32 and 55 years old were selected, and the preceding team were tested from 7 March 2006. Test was completed within 8 week’s time. Participants were divided into two teams; A team (10 women) consists of the experimental group who contains 14% acetyl hexapeptide and the control group, B team (10 women) comprises the experimental group who contains 14% palmitoyl pentapeptide, and the control group. And, to evaluate effects of these compounds on wrinkles on the skin, participants were requested to use it two times (morning, evening) a day. To examine and judge carefully the efficacy thereof, evaluations were performed through means of questionnaire and a coputer-based image analyzer, and the following conclusions were made: The results from analysis of questionnaires revealed that more participants who belonged to the experimental group than those who belonged to the control group appraised the effects of use of the compound on reduction of appearance of wrinkles in their objective manners that it was not significant, and that there were statistically significant differences. The results from the evaluation of improvements made on appearance of wrinkles on the skin during the 4th week of the period of time with weather abnormality caused by yellow sand wind and dry air using Visioscan, the image analyzer indicated that there were statistically significant differences, and that there were decreases of appearance of wrinkles on the skin in A team as much as 18% in R1, 21% in R2, and 12% in R3, and that there were decreases of appearance of wrinkles on the skin in B team as much as 18% in R1, 23% in R2 and 7.4% in R3. The results from evaluation during the 8th week displayed that the experimental group in A team experienced effect of reducing appearance of wrinkles at the rate of 10%, and the experimental group of B team experienced effect of reducing appearance of wrinkles by 20%. Despite the fact that appearance of wrinkles might have been induced in a more serious fashion due to problematic skin or excessive appearance of corn and callous at the period of time with environmental changes because of the results of researches in which 14% palmitoyl pentapeptide will promote to combine collagen, fibroblast and glycosaminoglycans (GAGs) into new whole, the results from the test showed that there were effects of reduction of the appearance of wrinkles on the skin, and that there were no statistical significances.

새로운 무용사를 위한 구술채록의 의미 -2008년 한국근현대예술사 무용인 구술채록연구 참여를 중심으로

윤지현 한국춤문화자료원 2012 춤과 지성 Vol.4 No.-

The Value of Elastic Modulus Index as a Novel Surrogate Marker for Cardiovascular Risk Stratification by Dimensional Speckle-Tracking Carotid Ultrasonography

윤지현,조인정,장혁재,성지민,이진용,류호진,심지영,홍그루,정남식 한국심초음파학회 2016 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.24 No.3

Background: Carotid intima media thickness (CIMT) and the presence of carotid plaque have been used for risk stratification of cardiovascular disease (CVD). To date, however, the association between multi-directional functional properties of carotid artery and CVD has not been fully elucidated. We sought to explore the multi-directional mechanics of the carotid artery in relation to cardiovascular risk. Methods: Four hundred one patients who underwent carotid ultrasound were enrolled between January 2010 and April 2013. A high risk of CVD was defined as more than 20% of 10-year risk based on the Framingham risk score. Using a speckle-tracking technique, the longitudinal and radial movements were analyzed in the B-mode images. Peak longitudinal and radial displacements, strain and strain rate were also measured. Beta stiffness and elastic modulus index were calculated from the radial measurements. Results: Of the overall sample, 13% (52) of patients comprised the high-risk group. In multivariate logistic regression, CIMT and elastic modulus index were independently associated with a high-risk of CVD {odds ratio (OR): 1.810 [95% confidence interval (CI) 1.249–2.622] and OR: 1.767 (95% CI: 1.177–2.652); p = 0.002, 0.006, respectively}. The combination of CIMT and elastic modulus index correlated with a high-risk of CVD more so than CIMT alone. Conclusion: The elastic modulus index of the carotid artery might serve as a novel surrogate marker of high-risk CVD. Measurement of the multi-directional mechanics of the carotid artery using the speckle tracking technique has potential for providing further information over conventional B-mode ultrasound for stratification of CVD risk.

온라인 여행사의 고객만족, 고객충성도, 재구매의도 관계연구

윤지현 한국관광서비스학회 2006 한국관광서비스학회 학술대회 Vol.- No.10

This study was conducted to ascertain the influence of customer satisfaction on the customer loyalty and repurchase intention in the on-line travel agency. After reviewing the previous researches, a conceptual model was chosen. The model was consisted of customer satisfaction, customer loyalty and repurchase intention The study was carried out with a web based test. It was tested using the Structural Equation Model(AMOS 4.0). Total 390 subjects were used to collect the data for this study. The customer had the previous transaction on the travel agencies using internet were chosen as the subjects for the study. Test was conducted to assess the model to reveal the relationship between customer satisfaction and others. The conclusions obtained from this study were as follows. 1) The customer satisfaction influenced on the customer loyalty. On the other hand, it did not significantly affect on the repurchase intentions. 2) The customer loyalty influenced on the repurchase intention. Therefore customer loyalty is an essential element for the marketing in the travel business. The agents need to use more scientific measurement and long-term marketing strategies to examine and to establish their customer satisfaction and their loyalty. And they must improve the customer loyalty by providing more benefits than their rival ones. By doing this, they might establish a competitive edge and promote total numbers of customers and revenue.one.

전통춤 연행의 동시대성 연구 - 상호문화적 사례를 중심으로

윤지현 한국예술종합학교 한국예술연구소 2023 한국예술연구 Vol.- No.41

세계화가 본격화된 20세기 중반 이후 지역에 전승된 전통춤 다수는 세계화된 문화와 지역문화의 상호문화적 변용의 결과이다. 지구의 시공간이 압축된 2000년대 이후 전통춤의 변용은 국가나 민족문화 등의 지리적 경계에서만이 아니라 지역 내부의 세대, 성, 계급, 취향 등 문화적 경계로 혼종화의 접점을 확대했다. 이 연구는 세계 전통춤 변용의 다양한 사례와 이들 사이의 유사성 또는 차이 등 춤의 상호문화적 맥락과 사례에서 2020년대 전통춤의 동시대 연행의 일단에 접근했다. 국내 사례로 신전통춤의 출현과 이를 수용하는 태도의 변화, 무형문화재 전통무용의 지정범위에 대한 최근의 조사 결과를 살펴보고, 이를 시대와 사회적 맥락에 따른 전통춤의 개념과 범위의 변화라는 점에서 전통춤의 상호문화적 변용 사례로 관찰했다. 해외 사례로 문화세계화의 지형에서 지역 전통춤이 공통으로 처한 연행맥락을 보여주는 두 사례를 살펴본다. 에티오피아의 전통춤에서 비서구 춤이 이국적 과거의 춤으로 유형화하는 문제를, 우간다의 전통춤을 전유하는 젊은 무용가의 사례에서 동시대 전통춤의 상호문화적 변용과 특성의 이해를 확장한다. Many of the regional traditional dances after the mid-20th century, are the results of intercultural transformations between globalized culture and local culture. Since the 2000s, traditional dance transformation have expanded to hybridization in cultural boundaries such as generation, gender, and taste within the region. This article aims to approach the issues of traditional dance and contemporaneity in the 2020s from the perspective of the diversity of traditional dance transformations. To this end, the article examines the emergence of ‘New Traditional Dances’ and discusses the scope of designation of traditional dances as intangible cultural assets, which show changes in the attitudes of Korean traditional dance community toward the concept and scope of traditional dances. It further looks at the appropriation of traditional dances in Ethiopia and Uganda, which reveals the context of local dances in the terrain of cultural globalization.

성인지 감수성이 녹아 있는 인물중심 교실수업을 위한 실천 접근법 개발 및 ‘이태영’의 삶을 중심으로한 실과(기술・가정) 교과의 수업 사례 연구

윤지현 한국실과교육연구학회 2022 實科敎育硏究 Vol.28 No.1

The purpose of this study is to suggest instructional method for gender sensitivity education based on the character in Practical Arts subject and Technology・Family & Consumer Science Education subject. The main themes related with character based instructional method for gender sensitivity education in the subjects are family・human development, technology, agriculture・life, vocation・career, labor・ environment. There’re two steps of practical approach of instructional method focused on character in which gender sensitivity is dissolved. First, instruction design step before class beginning include finding character decision, motivation of decision, educational factors of gender sensitivity, and developing of main instruction. Second, main instruction step include refinding character decision, looking into the character, introducing the character, symbolizing and discussing the character. In this study, as a case of instruction for gender sensitivity focused on Dr. Taeyoung Lee is developed with the ‘family’ theme in the subjects. Also, it’s needed to study about more themes or units in the subjects because of the subjects deal with human life, human rights, labor, technology, and human life. 이 연구는 교과 수업을 성인지감수성의 관점에서 바라보고 성인지력 향상을 위한 보다 실천적인 방안을 모색하기 위하여 실과(기술・가정) 교과 특성에 맞는 인물중심 성인지감수성의 수업방안을 제안하는 것을 목표로 하였다. 인물중심 성인지감수성 교육과 관련성이 있는 실과(기술・가정) 교과의 관련 주제로 가족・발달, 기술, 농업・생명. 직업・진로, 생활문화・자원, 노동・환경 등을 제시하였다. 교실수업 실천 접근법 및 절차 개발은 크게 수업 이전의 설계단계와 본시 수업의 실행단계로 구분할 수 있는데 수업 이전의 설계 단계에서는 성인지감수성과 관련된 인물의 선정, 인물의 선정 동기, 성인지감수성의 교육적 요소 추출, 주제에 반영한 수업활용 방안 개발 등의 절차들이 이루어진다. 두 번째 본시수업의 실행단계에서는 인물 선정하기, 들여다보기, 소개하기, 표상하고 토의하기 등이 이루어진다. 본 연구에서는 실과(기술・가정) 교과의 ‘가족’ 주제에 관한 수업에서 이태영이라는 인물을 중심으로 하여 성인지감수성 교육의 수업 방법과 절차를 개발하여 제시하였다. 실과(기술・가정) 교과는 인간, 인권, 노동, 기술, 생명 등을 다루는 일상생활과 밀접한 교과이므로 앞으로 여러 단원에서 성인지감수성을 높일 수 있는 인물중심 교수방법을 개발하고 실행할 필요가 있다.

UK-ESM 기반 지역기후모델과 PRIDE 모델의 기온과 강수량에 대한 모의 특성

윤지현,상정,김맹기 건국대학교 기후연구소 2020 기후연구 Vol.15 No.4

In this study, a high-resolution daily data set of surface weather were obtained from PRIDE(PRISMbased Dynamic downscaling Error correction) model for the period of 2000 to 2017 over South Korea. The simulation data of five RCM(Regional Climate Model) were also used which are forced by the CMIP6 participating model UK-ESM as the boundary condition under historical period (2000-2014) and SSP 5-8.5 period (2015- 2017). Here we compared the RCM data and the PRIDE data with MK-PRISM data in terms of ensemble mean and ensemble spread. Results show that the PRIDE model effectively eliminates systematic error in the RCM up to 63.0% for daily average temperature, 72.2% for daily maximum temperature, 68.2% for daily minimum temperature, and 28.7% for daily precipitation when evaluated from the RMSE perspective. Overall, the ensemble spread of the PRIDE model is significantly decreased from 1.46°C to 0.36°C for daily temperature and from 2.0 mm/day to 0.72 mm/day for daily precipitation compared to the RCM ensemble spread, indicating that the largest systematic error of the RCMs is effectively removed in the PRIDE model.

The Problem of Theorizing Agency in Reading Robert Lowell’s Poems

윤지현 한국현대영미시학회 2023 현대영미시연구 Vol.29 No.2

This paper analyzes the limitations of the concept of agency in explaining the complex personhood that refuses normative modes of self-making and meaning-making in Robert Lowell’s Day by Day. Under the master rubric of agency, people are often rendered either as helpless individuals without agency or as active agents whose agency may not always appear as strength. This paper traces how the notion of agency was first forged amidst Western liberal individualism in the eighteenth century and how later critics made various attempts to revise the model of agency, including the relational approach to a theory of agency. In pointing out the inadequacy of applying the concept of agency to a reading of Day by Day, this paper gestures to an alternative theoretical statement proposed by Avery Gordon which emphasizes the complexity of people who have been bracketed off from the official history.

팬데믹 시대의 스마트 급식 방안

윤지현 한국식품영양학회 2021 한국식품영양학회 학술대회논문집(학술심포지움) Vol.2021 No.11