크라우드소싱(crowdsourcing)을 이용한 환경보건 연구 방법의 고찰

이보람,이기영,Lee, Boram,Lee, Kiyoung 한국환경보건학회 2014 한국환경보건학회지 Vol.40 No.3

Background: The development of technology can be beneficial for the life and health of human society. Crowdsourcing refers to drawing upon a large pool of individuals in order to seek services, ideas, or other contributions. With the development of information communication technology, crowdsourcing is able to provide powerful results in environmental health research. Methods: We searched 'crowdsourcing' and 'citizen science' for keywords related to the environmental health field and only selected journal articles and conference proceedings material, such as research reports and WHO reports. Results: This paper reviewed environmental health research using crowdsourcing. Examples of such research based on crowdsourcing included practices in environmental disasters, noise monitoring, global positioning system (GPS) technology, smart phones, attached portable devices and information delivery by web. Crowdsourcing methods can provide notably distinct approaches for future environmental health research. However, it is also important to protect personal information whenever crowdsourcing is applied to data generation and information dissemination. Conclusion: We expect that this review may provide useful information for the development of new environmental health research methods using crowdsourcing and citizen science.

소아에서 사봉혈(四縫穴) 활용에 대한 문헌 조사

이보람,신혜진,이지홍,장규태,Lee, Boram,Shin, Hye Jin,Lee, Jihong,Chang, Gyu Tae 대한한방소아과학회 2018 대한한방소아과학회지 Vol.32 No.3

Objectives The objective of this study is to investigate the application of Sifeng point (EX-UE 10) in children and to make suggestions for domestic research and clinical application by reviewing relevant randomized controlled trials. Methods Eight electronic databases including English, Chinese, Korean databases were comprehensively searched for randomized controlled trials evaluating the effects of Sifeng point in children up to May 2, 2018. We extracted the year of publication, country, target diseases or symptoms, location of Sifeng, acupuncture method; such as acupuncture tool and depth of insertion, and frequency, number, and duration of the treatment. Results Fifty studies were included for analysis. All the included studies were conducted in China, and studies were published from 1962 to 2017. The most frequent target symptom was anorexia (46%). In addition, Sifeng point was used for digestive diseases or symptoms such as diarrhea, constipation, and mesenteric lymphadenitis, as well as respiratory diseases or symptoms such as cough, cold, acute bronchiolitis, recurrent respiratory tract infections, bronchopneumonia, and asthmatic bronchitis. Also, allergic diseases such as chronic urticaria, and other variety of symptoms such as malnutrition, fever, and iron-deficiency anemia were treated with the Sifeng point. The location of Sifeng points was inconsistent, and the most common location of the Sifeng point was the midpoint of transverse creases of the proximal interphalangeal joints of the index, middle, ring and little fingers (84.2%). The most commonly used acupuncture tool was three-edged needle (40.9%). All included studies have the method of squeezing out blood or mucus from the Sifeng points. The treatment was mostly conducted once per week (35.4%), mostly repeated for 4 times (32.6%). The most common treatment duration was 4 weeks (18.6%). Conclusions We could identify acupuncture method and various indications for the Sifeng points treatment. Based on this study, there is a need for the clinical application and related researches on the Sifeng points in children in Korea. In addition, the treatment location of Sifeng point should be standardized.

국가유공자를 간호하는 보훈병원 간호사의 자기자비, 적극적 대처 및 소극적 대처가 공감피로와 공감만족에 미치는 영향

이보람 ( Lee¸ Boram ),안숙희 ( Ahn¸ Sukhee ) 부산대학교 간호과학연구소 2021 글로벌 건강과 간호 Vol.11 No.2

Purpose: This study was conducted to present the levels of self-compassion, active coping, passive coping, and compassion fatigue and satisfaction, and explore the influence of self-compassion, active coping, and passive coping on compassion fatigue and satisfaction among nurses working at veterans’ hospitals. Methods: A correlational study design was used. The respondents were 148 staff nurses who had worked for more than a year in the general ward of four veterans’ hospitals in Korea. Data were collected from March to April 2019 via a self-administered questionnaire. Results: The respondents’ mean age was 31.49±6.85 and clinical experience 8.82±6.67 years. While compassion fatigue was significantly higher in nurses having veterans in the family (t=-2.59, p=.010), compassion satisfaction was significantly higher in those aged 41 and above (F=4.18, p=.018), married (t=-2.38, p=.018), having a higher monthly income (t=-2.59, p=.010), and having a hobby (t=-3.34, p=.001). There was a significant relationship between compassion fatigue and satisfaction (r=.21, p=.010). Regression analysis showed that the compassion fatigue score was higher when nurses had veterans in the family(β=.21, t=2.68, p=.008), with a 4.8% explained variance. Nurses engaging in more active coping (β=.34, t=3.70, p<.001) and less passive coping (β=-.24, t=-2.89, p=.004), and having a hobby (β=.19, t=2.50, p=.013) reported higher levels of compassion satisfaction. Conclusion: More active coping and less passive coping impacted compassion satisfaction significantly. Thus, there is a need to provide support to nurses so that they can utilize effective ways of coping with stress to improve their compassion satisfaction.

Predicted Mean Vote(PMV)를 이용한 겨울철 종합병원의 실내 온·열 환경의 평가

이보람,김정훈,김규상,김혜진,이기영,Lee, Boram,Kim, Jeonghoon,Kim, KyooSang,Kim, Hyejin,Lee, Kiyoung 한국환경보건학회 2015 한국환경보건학회지 Vol.41 No.6

Objectives: A hospital is a complex building that serves many different purposes. It has a major impact on patient's well-being as well as on the work efficiency of the hospital staff. Thermal comfort is one of the major factors in indoor comfort. The purpose of this study was to determine thermal comfort in various locations in a hospital. Methods: Various indoor environmental conditions in a general hospital were measured in February 2014. The predicted mean vote (PMV) and carbon dioxide ($CO_2$) concentration were measured simultaneously in the lobby, office, restaurant, and ward. Results: The ward was the most thermally comfortable location (PMV=0.44) and the lobby was the most uncomfortable (PMV = -1.39). However, the $CO_2$ concentration was the highest in the ward (896 ppm) and the lowest in the lobby (572 ppm). The average PMV value was the most comfortable in the ward and the lowest in the lobby. In contrast, for concentration of carbon dioxide, the highest average was in the ward and the lowest in the lobby. Due to air conditioner operation, during operating hours the PMV showed values close to 0 compared to the non-operating time. Correlation between PMV and $CO_2$ differed by location. Conclusion: The PMV and concentration of carbon dioxide of the hospital lobby, office, restaurant and ward varied. The relationship between PMV and carbon dioxide differed by location. Consideration of how to apply PMV and carbon dioxide is needed when evaluating indoor comfort.

특발성 저신장의 경제성 평가 연구 경향 분석: 체계적 문헌고찰

이보람,권찬영,장수빈,Lee, Boram,Kwon, Chan-Young,Jang, Soobin 대한한방소아과학회 2021 대한한방소아과학회지 Vol.35 No.2

Objectives We aimed to examine health-related economic analysis of available interventions on idiopathic short stature (ISS). Methods Eight studies were reviewed from English, Korean, and Chinese databases which were published up to December 24, 2020. Effectiveness, utility, and cost data were extracted from the studies and descriptive analysis of the individual studies was conducted Results Five studies were chosen. In the two economic evaluation studies, the incremental cost-effectiveness ratio (ICER) of growth hormone (GH) treatment was presented by performing cost-effectiveness analysis based on the deterministic decision tree approach for the GH and untreated group. Final adult height and direct medical costs were analyzed as effectiveness and cost outcomes. In 1 review article, an ICER of GH was presented based on systematic review on the effects of the GH treatment. In the two clinical trials, the effectiveness and cost of the 12 months Oriental medicine combination treatment were presented in comparison with the GH treatment alone. There were no literatures that provided utility data of available intervention on ISS. Conclusions The results of this study will be used as basic data for the economic analysis of Oriental medicine treatment on ISS in the future.

건강보험 청구자료를 이용한 전립선염 환자의 의료 이용 및 항생제 처방 현황

이보람,최윤정,최연송,공나영,최민선,Lee, Boram,Choi, Yoon Jung,Choi, Younsong,Kong, Nayoung,Choi, Minsun 한국임상약학회 2018 한국임상약학회지 Vol.28 No.2

Background: Prostatitis, one of the most common diseases of the prostate, is a complex disease with various clinical features. This study aims to analyze the utilization and prescribing patterns of antibiotics in Korean patients with prostatitis between 2008 and 2015. Methods: We used the National Health Insurance Database complied from the Health Insurance Review and Assessment Service (HIRA). The outcomes included the number of claims, number of patients, medical cost, and length of stay for each year. In addition, the prescribing patterns of antibiotics, including fluoroquinolone, and low-dose use of ciprofloxacin and levofloxacin were investigated. Results: The total number of patients and medical cost increased by 9.5% and 51.7% from 2008 to 2015, respectively. Most prostatitis patients were classified as chronic prostatitis patients. The prescribing proportion of antibiotics for chronic prostatitis outpatients decreased from 71.0% to 66.9% from 2008 to 2015, and fluoroquinolone accounted for more than half of the total antibiotics. Over 80% of prescription of levofloxacin and ciprofloxacin was identified to be for low-dose use. Conclusion: Most of the patients with prostatitis experienced pain relief and condition improvement after antibiotic treatment; however, chronic prostatitis and chronic pelvic pain syndrome recur easily. Therefore, active disease management and further studies are needed to enhance our understanding of effective treatment for prostatitis.

보건의료시설의 실내 예상 평균 온열감(PMV), 이산화탄소 농도, 소음도, 조도의 통합실내쾌적도(IEQh)를 통한 연간 실내 쾌적도 평가

이보람(Boram Lee),이대엽(Daeyeop Lee),반현경(Hyunkyung Ban),이세원(Sewon Lee),김규상(KyooSang Kim),이기영(Kiyoung Lee) 한국환경보건학회 2017 한국환경보건학회지 Vol.43 No.3

Objectives: A hospital is a complex building that serves many different purposes. The indoor environment in a hospital plays a major role in patient well-being and the work efficiency of the hospital staff. This study was conducted to evaluate overall comfort in two major hospitals over the course of one year. Methods: Various indoor environmental conditions were measured in two general hospitals for one year (April 2014 to April 2015). Monitoring alternated between the hospitals at one month per respective monitoring session. The indoor air temperature, relative humidity (RH), mean radiant temperature and air velocity were measured in order to calculate the predicted mean vote (PMV). Carbon dioxide concentration, noise level and illumination level were concurrently measured and applied to the overall IEQ acceptance model for the hospitals (IEQh). Results: The IEQh at the two general hospitals was different at five spaces within a building. The IEQh for summer and winter were significantly different. Real-time IEQh demonstrated that indoor comfort was affected by the hospital s operating hours due to operation of the HVAC system. The percentage of indoor comfort in the hospitals was higher using PMV than IEQh. Conclusion: IEQh in the hospitals was different at locations with different purposes. Indoor comfort assessment using IEQh was stricter than with PMV. Additional research is needed in order to optimize the IEQh model.

몽골 울란바토르시 게르촌 주택의 겨울철 실내 초미세먼지(PM 2.5 ) 농도의 시간적 변이

이보람(Boram Lee),이지영(Jiyoung Lee),장예림(Yelim Jang),김윤지(Yoonjee Kim),하헌성(Hunsung Ha),이우석(Wooseok Lee),최우석(Wooseok Choe),김규성(Kyusung Kim),우철운(Cheolwoon Woo),Chimedsuren Ochir,이기영(Kiyoung Lee) 한국환경보건학회 2018 한국환경보건학회지 Vol.44 No.1

Objectives: In Mongolian housing, they use coal as a fuel for indoor heating and cooking. The combustion of coal releases particulate matter, which can affect indoor air quality. The purpose of this study was to analyze the concentrations of indoor PM 2.5 Methods: In this study, indoor PM 2.5 concentrations, temperature and humidity in houses were measured by a real-time PM monitor, while the time activity patternsof the residents were also observed. Results: The correlation between factors that may affect the indoor air quality was analyzed.The indoor PM 2.5 concentrations were 178.4±152.7 µg/m 3 (n=37). Five types of indoor PM 2.5 concentrations have been classified, which were associated with indoor activity. The stove type, fuel types and indoor activities such as cleaning, cooking and opening the stoves were not significantly associated with indoor PM 2.5 levels. Conclusions: Further study is needed to determine the effect of stove type through 24hours of indoor air quality monitoring.

민간 소형발사체의 자중 및 풍압을 고려한 VHD(Vehicle Holding Device)의 고정력 분석

이보람(Boram Lee),지상연(Sang Yeon Ji),양태호(Taeho Yang),나정흠(Jeong Heum Na) 한국추진공학회 2022 한국추진공학회 학술대회논문집 Vol.2022 No.5

특발성 저신장 소아 대상 한의치료의 비교 효과

이보람(Boram Lee) 경희대학교 학술단체협의회 2023 高凰論集 Vol.72 No.-

특발성 저신장은 최종 성인 키와 아동의 심리사회적 측면에 영향을 미친다. 한약과 침술 등을 포함한 한의치료는 오랜 기간 동안 특발성 저신장 치료에 널리 사용되어 왔다. 이 연구의 목적은 체계적 문헌고찰 및 네트워크 메타분석를 통해 특발성 저신장에 대한 한의치료의 비교 효과를 확인하는 것이었다. 특발성 저신장 소아에 대한 다양한 한의치료를 평가한 무작위배정 비교 임상시험을 검색하기 위해 14개의 전자 데이터베이스에서 포괄적인 검색을 수행하였다. 1차 결과지표는 성장 속도였다. 네트워크 메타분석을 수행하기 위해 Stata 버전 16.1이 사용되었다. 네트워크 메타분석 효과 추정치, 근거수준 및 치료 순위를 기반으로, GRADE 부분적 맥락화된 프레임워크에 따라 네트워크 메타분석 기반 결론을 도출하였다. 21편의 무작위배정 비교임상시험이 포함되었다. 모든 중재들을 고려했을 때 연간 성장 속도에 대해 한약과 성장호르몬 병행 치료는 아마도 중등도의 유익한 효과가 있다. 혈위첩부요법과 지압 병행치료, 성장호르몬, 한약과 침술병행치료, 혈위첩부요법, 한약과 영양 보충제 병행치료, 침술 및 한약은 아마도 약간의 유익한 효과가 있다. 또한, 지압은 약간의 유익한 효과가 있을 수 있다. 6개월간 성장 속도의 경우, 한약과 성장호르몬병행치료 및 성장호르몬 단독치료는 아마도 큰 유익한 효과가 있다. 한약과 지압 병행치료는 아마도 중등도의 유익한 효과가 있으며, 한약, 한약과 추나 병행치료 및 영양 보충제는 약간의 유익한 효과가 있을 수 있다. 모든 한의치료 중재는 치료 6개월 후 뼈 나이 변화에 미미한 영향을 미칠 수 있다. 한약과 성장호르몬 병행 치료는 성장호르몬 또는 한의치료 단독에 비해 성장 속도에 최적의 효과를 나타낼 수 있다. 일반적으로 한의복합치료가 단독치료보다 더 효과적인 경향을 보였다. 향후 잘 설계된 전향적 장기 대조군 비교 임상연구를 바탕으로 재확인되어야 한다. Idiopathic short stature (ISS) can affect the final adult height and the psychosocial well-being of children. Korean medicine, including herbal medicine (HM) and acupuncture, has been widely used for the treatment of ISS for many years. This study aimed to determine the comparative effectiveness of Korean medicine treatment for ISS using a systematic review and network meta-analysis (NMA). A comprehensive literature search was performed using 14 electronic databases. Randomized controlled clinical trials (RCTs) that evaluated various Korean medicine treatment strategies for children with ISS were selected. The primary outcome was growth velocity (GV). The Stata version 16.1 was used to perform the NMA. Based on the NMA effect estimates, the quality of evidence, and treatment ranking, the NMA-based conclusions were drawn according to the GRADE partially contextualized framework. Twenty-one RCTs were included. When considering all the interventions, HM plus recombinant human growth hormone (GH) probably has a moderate beneficial effect for the GV per year. Acupoint herbal patching (AHP) plus acupressure, GH, HM plus acupuncture, AHP, HM plus nutritional supplements, acupuncture, and HM probably have a small beneficial effect. In addition, acupressure might have a small beneficial effect. For GV per 6 months, HM plus GH and GH alone probably have a large beneficial effect. HM plus acupressure probably has a moderate beneficial effect, while HM, HM plus Chuna, and nutritional supplements might have a small beneficial effect. All Korean medicine treatment interventions might have a trivial effect on the change in bone age change 6 months post-treatment. HM plus GH showed an optimal effect on GV when compared with GH or Korean medicine treatment alone. Generally, Korean medicine combination treatment tended to be more effective than Korean medicine treatment monotherapy. Well-designed prospective longitudinal controlled clinical studies are warranted in the future.