의료보장 형태가 혈액투석 서비스 제공에 미치는 영향에 대한 다수준 분석

정진희,권순만,김경훈,이선경,김동숙,Jung, Jin-Hee,Kwon, Soon-Man,Kim, Kyoung-Hoon,Lee, Seon-Kyoung,Kim, Dong-Sook 대한예방의학회 2010 예방의학회지 Vol.43 No.3

Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

이질형 바이오 데이터베이스 통합을 위한 게이트웨이 시스템

정진희,정민아,Jung, Jin-Hee,Jung, Min-A 한국정보통신학회 2005 한국정보통신학회논문지 Vol.9 No.8

이질적인 생물 데이터베이스의 통합은 데이터간의 연계 분석의 필요성이 높아짐에 따라 중요한 문제로 대두되고 있다. 그러나 이러한 데이터베이스들은 초기에 이질적 환경에서 각기 다른 목적에 의해 생성되므로 포맷, 설계자가 불일치하는 등 여러 가지 문제점으로 인해 통합하는데 어려움이 따른다. 그러므로 이질적인 데이터베이스의 통합을 위해서는 초기단계의 설계가 무엇보다도 중요하다. 본 논문에서는 대표적인 핵산 데이터베이스인 Genbank와 단백질 데이터베이스인 Swiss-Prot을 통합하기 위해 ER 모델을 사용하여 개념적 모델을 보인 후, 이를 합병하여 통합모델을 제시한다. 또한, 핵산-단백질 자료로 연계되는 정보를 통합 서비스할 수 있는 시스템 구조를 제안한다. 제안된 바이오 게이트웨이 시스템은 개념적 설계 단계에서 가장 원자적인 단위로 분할하여 모델링 함으로써 정교한 질의 처리가 가능하고, 사용자가 상세 조건을 알고 있을 경우에 기존의 검색시스템과 달리 여러 번의 검색 과정을 거치지 않고, 단시간에 원하는 결과를 얻을 수 있다는 장점을 지닌다. The Integration of biological databases is critically important because of the interconnectedness of biological research. But it's not easy to integrate these databases for the different formats and designers in heterogeneous environments. So initial design is indispensable to integrate heterogeneous databases. In this paper, after we performed conceptual modeling on a popular nucleotide database, GenBank and a protein database, Swiss-Prot and integrated them by considering cross-reference. we also propose the integration system architecture called Bio-Gateway System, which can help users query closely linked information between two biological databases within one system differently from existing systems as well as query easily on condition that user knows fine condition for less effort.

Pimozide와 Haloperidol 과량 복용 후 반복적으로 발생한 심실 빈맥 1례

정진희,장혜영,어은경,Jung, Jin-Hee,Jang, Hye-Young,Eo, Eun-Kyung 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1

Pimozide and haloperidol are typical antipsychotics. They share a similarity in pharmacotherapeutic and adverse effect profiles. Cardiovascular effects may be seen as alterations in heart rate, blood pressure, and cardiac conduction. Conduction disturbances may occur ranging from asymptomatic prolongation of the QT interval to fatal ventricular arrhythmia. So in the case of anti psychotics overdose, the patient must be carefully monitored by continuous electrocardiography (ECG). We experienced a 34-year-old woman of schizophrenia with recurrent ventricular tachycardia after pimozide and haloperidol overdose. Initially she was slightly drowsy, however her ECG showed normal sinus rhythm. After 6 hours on emergency department entrance, her ECG monitoring showed ventricular tachycardia and we successfully defibrillated. There were five times events of ventricular arrhythmia during the in-hospital stay. She was discharged 5 days later without any other complications.

혈액관류 요법과 함께 L-카르니틴을 투여한 valproic acid 중독 환자 1례

정진희,김기범,안기옥,어은경,Jung Jin Hee,Kim Gi Beom,Ahn Ki Ok,Eo Eun Kyung 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2

Valproic acid (VPA) is used in the management of a variety of conditions including simple and complex absence seizure disorder. bipolar disorder, and migraine prophylaxis. Clinical manifestation of VPA overdose vary in severity from mild confusion and lethargy to severe coma and death. The treatment of VPA toxicity is mainly supportive. There is no specific antidote, nor are there specific guidelines for the management of VPA intoxication. Anecdotal reports describe the efficacy of naloxone and L-carnitine, but the data are insufficient to make strong conclusions. Various techniques of extracoporeal therapy for the management of VPA toxicity have been described, but none has prevailed as standard therapy. We report a patient with VPA overdose who was successfully treated with hemoperfusion with activated charcoal and L-carnitine. VPA levels of the patient was more than 1,000 ${\mu}g$/ml and was normalized after 3 times hemoperfusion. The patient was injected with L-carnitine by maximum 600 mg/kg/day for 5days without complications.

어린이집 평가인증 3차 지표 실행에 따른 교사의 성장과정

정진희(Jung, Jin-Hee),이대균(Lee, Dae-Kyun) 한국열린유아교육학회 2017 열린유아교육연구 Vol.22 No.5

본 연구는 어린이집 평가인증 3차지표의 5영역인 보육활동과 상호작용에 대한 어린이집 교사들의 고충을 심층적으로 알아보고, 교사들이 직접 실행해보면서 어떤 어려움이 있고, 보육활동과 상호작용이 어떻게 개선되었는지 교사들의 이야기를 분석한 질적 연구이다. A시 소재 B직장어린이집 교사 14명이 연구에 참여하였고 2017년 4월1일∼6월10일까지 총 10주간 저널, 실행기록, 면담, 관찰 등의 자료를 수집하여 분석하였다, 연구결과, 교사들은 3차지표 영역 중 보육활동과 상호작용이 가장 어렵다고 인식하고 있었으며, 럭비공 같은 아이들, 수박 겉핥기 식 지표교육, 베일에 가려진 평가기준 때문인 것으로 나타났다. 또한 교사들은 지표에 맞게 제대로 상호작용을 하고 있는가에 대한 의문점을 가지며 새로운 신체활동에 도전하도록 어떻게 지원해야 하는지, 쓰기(끼적이기)활동 및 감정조절이 어려운 영유아에 대한 지도의 어려움, 창의적 표현을 어떻게 격려하고, 탐구심을 어떻게 지속시켜야 하는지, 영유아의 정서적 상태에 대한 민감한 반응 시의 어려움 등을 느끼고 있었고, 역할(상상)과 쌓기 놀이 확장의 필요성을 알게 되었다, This study aims to investigate difficulties that nursery school teachers had in depth about child care activities and interactions, which are in the 5th domain out of the 3rd index of child care center accreditation. This qualitative study analyzed teachers" story to examine the difficulties that they felt in performing activities and interactions, as well as how activities and interactions were improved. 14 teachers from B workplace child care center in A city, participated in the study. For 10 weeks from April to June, the data were collected from the teachers" journal, implementation diary, interview, and observation. The results of the study showed that the teachers recognized child care activities and interactions were the most difficult in the 3rd index domain, followed by unexpected children like rugby ball, superficial education, and veil-covered evaluation criteria. The teachers also had questions whether they were interacting properly according to the index and felt difficulties in followings: the need for practice, difficulty of making children writing (scribbling), difficulty of guiding children who could not control their emotions, difficulty of encouraging creative expression, difficulty of keeping inquiring spirit, the need for expansion of role (imagination) and stacking play, and difficulty of sensitive response to emotional state of infants and toddlers. This was an opportunity for the teachers to look back on the interaction with infants and toddlers and to find out changes in themselves by performing various interactions with children.

치성광여래도(熾盛光如來圖)에 그려진 신선문자도상(神仙文字圖像) 고찰 -서울 안양암 금륜전 치성광여래도를 중심으로-

정진희(Jung jin hee) 한국민화학회 2020 한국민화 Vol.- No.13

서울 종로구 창신동에 자리한 안양암은 1889년 거사 이창진에 의해 만들어진 도심지에 설치된 포교소와 같은 성격을 보이는 사찰이었다. 안양암이 창건될 때 지었던 칠성각은 이후 금륜전으로 전각명이 바뀌게 되는데 그 내부에는 七元星君像들과 2점의 〈熾盛光如來降臨圖〉가 소장되어 있다. 금륜전 상단 후불도로 현괘된 〈치성광여래강림도〉는 20세기 전반 최고의 화승으로 이름이 높았던 고산당 축연이 1924년 그린 작품이고 그 옆 봉안된 〈치성광여래강림도〉 역시 비슷한 시기에 조성된 것으로 추정된다. 불교 칠성신앙을 도해한 이들 불화의 화면에는 도화원 화가와 민화 화가들이 歲畫의 주제로 다루었던 〈신선문자도〉 도상을 차용하여 화면을 구성하는 특징이 나타난다. 19세기 후반 이후 조성된 치성광여래도에서 壽星老人은 화면에 빠지지 않고 그려지는 구성요소 가운데 하나로 노자를 신격화한 태상노군을 그린 것이다. 안양암 치성광여래도 제작에 참여하였던 화승 축연은 불화의 도상이 공유되고 화풍이 전승되던 시대적 양상을 따르는 과정에서 壽星老人과 仙童獻壽圖가 합쳐진 神仙文字圖像을 적극적으로 활용하여 독창적인 구성으로 수성노인을 재해석하였다. 안양암 금륜전 〈치성광여래강림도〉에 〈신선문자도〉 도상을 차용하여 그려진 수성노인은 19세기 치성광여래도에서 태상노군을 나타내던 의미가 아니 아닌 연수와 복록을 부여하는 남극수성노인이라는 본연적 의미로 변용되어 표현한 것이다.이와 같은 시도는 이 작품 이전에도 이후에도 볼 수 없는 특징적인 사례로 불화와 민화의 관련성을 보여주는 사실이라 할 수 있다. 그의 새로운 시도가 이후 화승들에 의해 공유되지 않았던 사실에서 불화라는 장르에서 노골적으로 표현된 도교적 색채는 당시 화승들에게 호응을 얻지 못하였음을 말해준다. 하지만 고산이 그린 이 작품들을 통해 당시 민화와 불화의 도상이 공유되었고, 화승이 불교회화뿐만 아니라 일반 민화도 그렸을 가능성을 보여주고 있다는 점에서 그 의미는 적지 않다. Located in Changshin-dong, Jongno-gu, Seoul, Anyang-am was a temple with the same characteristics as a missionary center built in the city center created by Lee Chang-jin in 1889. Chilseonggak, which was built when Anyangam was founded, was later renamed Geumryunjeon Hall, which has 〈七元星君像〉 and two pieces of and 〈熾盛光如來降臨 圖〉 inside it. 〈Chiseonggwangnyeollaegangnimdo〉 inside the Geumryunjeon Hall was painted in 1924 and created by the most famous Hwaseung in the first half of the 20th century, and it is estimated that another 〈Chiseonggwangnaegangnimdo〉, which was enshrined next to it, was also created at the similar time. The Shinsunmunjado drawn on Sehwa also features a painting borrowed from Chilseongdo, a Buddhist painting, to form a painting. In Chisung Gwangnyeondo, which was created after the late 19th century, has the main charactersitic that depicts Taesang-no-gun, a deified elder. The monk called Hwaseung , who participated in the production of Anyangam Chisung Gwangnyeondo, reinterpreted Suseong Noin in its original composition by actively utilizing 神仙文字圖像 which is the combination of 壽星老人 and 仙童獻壽圖 and strictly followed tradition. The Suseong Noin, who was copied from the painting Shinseonjajajado and drawn in the 〈Chiseonggwangbearimdo〉, was transformed into an Antarctic Suseong Noin who gave training and retrogression, not a representative of Taesang-do in the 19th century. Such an attempt, which shows the connection between buddhist painting and folk painting, is an exotic example that cannot be seen in any paintings. The explicit use of Taoist color in the Buddhist painting, which was his new attempt, did not appeal to the monks as his new attempts were not shared and admitted by the monks at that time. However, the paintings by Gosan showed that the paintings of folk paintings and Buddhist paintings at that time were shared, and that Hwaseung may have painted not only Buddhist paintings but also ordinary folk paintings.

中國熾盛光如來圖像考察(중국치성광여래도상고찰)2

정진희(Jin Hee Jung) 동국대학교 불교문화연구원 2012 佛敎學報 Vol.0 No.63

9세기 초반 이후에 성립 되어진 치성광여래도상은 시대에 따라 전승되며 변화를 보이는데 이는 신앙의 성격이 변화하였음을 보여주는 것이다. 9세기 중기 五星이 眷屬으로 그려진 초기도상은 외래신앙인 九曜信仰을 받아들이는 과정에서 중국인들에게 익숙한 전통점성신앙인 오성신앙과 연관지어 치성광여래신앙을 이해하였다는 것을 의미한다. 그리고 12궁과 28수가 나타나는 10세기 이후 강림형식의 개인공덕용 도상과 설법회형식의 예배용도상의 유행은 당시 신앙이 정착되어 대중의 인기를 얻었다는 사실을 알려준다. 14세기 이후 도상에서 12궁과 28수가 사라지고 있는 현상과 치성광여래가 화면에서 강조되고 대승의 보살행을 의미하는 白牛車가 출현하는 것은 신앙의 내용이 초기 星變과 관련된 특수한 목적의 소재길상에서 수명장수와 부귀영화를 희망하는 일반적인 기복신앙으로 변화하고 있다는 것을 의미한다. 이와 같은 이유로 도상에서도 星宿像은 본질적인 의미를 잃고 불화의 일반권속들과 같은 의미로 그려져 전승되고 있었다. The periodical transformation which has been shown in the transmission of the icon of Buddha in China indicates that the characteristics of Buddhist faith in the country had also been changed with the course of time. During the formation of the belief of Tejaprabha Buddha(熾盛光如來), Chinese had understood the Navagraha(九曜) faith introduced from India as their traditional astrology. As a result of this inclination, the initial form of the icon ``the Advent of Buddhas in Progression’(降臨圖上) in Tang(唐) Dynasty and Five Dynasties and Ten Kingdoms(五代十國) period had a transitional feature in which Tejaprabha Buddha depicted with the Five Stars(五星) or the Big Dipper(七星). Most of the icons with this initial form had narrow width, and more related to ``the Print of Invoking A Blessing’(消災吉祥圖) which had been used to practice the Buddhist merit of an individual person, rather than the Scene Painting of a Buddhist(後佛畵) used for worship. By the 10th century, the full-scaled icon of worship that illustrates the assembly of Tejaprabha Buddha(說法形式) had begun to emerge with the icon of the Advent of Buddhas in Progression for private practice of virtue. This phenomenon refers to the prosperity and establishment of the faith on the country. The reconciliation of tradition had progressed as a branch of the establishment, which is characterized by the advent of the icon of a government official(卿相形) holding chinese ritual baton(笏板) and the transformation of the form of the Star Icon(星宿) into a hermit in a robe of feathers. Furthermore, the Golden Wheel(金 輪) known as the distinct symbol of Tejaprabha Buddha had been firmed in China and become the significant feature of the icons after the 12th century. Since astronomical knowledge in Islamic culture had been introduced into China in the 14th century, Constellations of the Zodiac and Twenty-eight mansions(十二 宮·二十八宿) disappeared from the icons. The trait of the belief of Tejaprabha Buddha had also changed to focus mainly on the wish of good auspices(消災吉祥), and there had been a change of the figures in the icons to be arranged with Tejaprabha Buddha as the central figure. The icon which was painted as the scene painting in a royal palace(殿閣) for worship depicting the assembly of Tejaprabha Buddha, especially, was a large scale as a worship picture. In addition, multifarious figures appeared in the icon, including a attendant Bodhisattva(脇侍菩 薩) who had not been in existence in the icons of the earlier periods. The form of icons on the descent from heaven(降臨形式) is surmised that it had been transmitted by being used in smaller scale works, such as the icon giving an explanation as a picture of Sutra(經變相圖). Moreover, it is noticed that the shape of the Saturn(土曜) which had appeared in the icons illustrating the assembly of Tejaprabha Buddha and the Holy Crowd(聖衆) that had been shown in that of Yuan·Ming(元·明) Dynasty also exist in the form of icons on the advent.

어린이집 평가인증 현장관찰자로 살아가기

정진희(Jung, Jin-Hee),이대균(Lee, Dae-Kyun) 한국열린유아교육학회 2019 열린유아교육연구 Vol.24 No.2

본 연구는 어린이집 평가인증 현장관찰자들이 현장관찰직을 수행하면서 겪고 있는 어려움은 무엇이고 어떻게 개선되기를 바라고 있는지, 현장관찰자들의 이야기를 분석한 질적 연구이다. 이를 위해 어린이집 평가인증 현장평가 경력 5년 이상의 현장관찰자들을 심층 면담하여 상위범주로 분석한 결과는 다음과 같다. 첫째, 현장관찰자의 어려움은 ‘새롭고 긴 여정, 늘 다른 일터’, ‘정확하고 확실하게’, ‘모든 책임이 우리에게’, ‘동전의 양면과 같은 직업’이다. 둘째, 현장관찰자의 바람은 ‘한국보육진흥원의 기능과 위상이 강화되어야’, ‘정확한 지표 평정을 위해’, ‘평가인증의 실효성을 위해’이다. 이러한 연구결과를 토대로 현장관찰자들의 체계적인 교육 및 처우 개선의 필요성, 한국보육진흥원의 법정기관화, 보육교사의 상호작용에 대한 지원, 평정기준의 명확성 등 정확한 현장평가를 위한 구체적 개선방안에 대해 논의하였다. 본 연구는 현장관찰자들의 경험을 분석하여 어린이집 평가인증제를 개선하고 현장평가의 정확성을 높이기 위한 기초자료를 제공했다는 데 의의가 있다. This study is a qualitative study analyzing the story of the field observers to see what difficulties they are experiencing while observing the field for child care center accreditation and how the difficulties can be improved. For this purpose, the field observers with more than 5 year career participated in in-depth interviews and the results are as following. First, the difficulties of the field observers were ‘new and long journeys, always different workplace’, ‘precisely and surely’, ‘all responsibilities to us’, and ‘occupation like a coin with two sides’. Second, the wishes of the field observers were ‘the function and status of KCPI(Korea Childcare Promotion Institute) should be strengthened’, ‘for accurate assessment indicators’, and ‘for the effectiveness of accreditation’. Based on the results of this study, specific improvement plans for accurate assessment such as the need for systematic education and treatment of the field observers, becoming a legal agency of KCPI, support for interactions of child care teachers, and clear evaluation standard were discussed. This study is significant in that it provides a basic data for improving the accuracy of on-site evaluation and the accreditation system for child care centers by analyzing experiences of the field observers.

하수방류수 재이용을 위한 Birm filter + UF 적용시 용도별 사용 가능성 및 막오염 특성

정진희 ( Jin-hee Jung ),이승철 ( Seung-chul Lee ),성낙창 ( Nak-chang Sung ),최영익 ( Young-ik Choi ) 한국환경과학회 2016 한국환경과학회지 Vol.25 No.11

In response to the water shortage problem, continued attempts are being made to secure consistent and reliable water sources. Among various solutions to this problem, wastewater effluent is an easy way to secure the necessary supply, since its annual output is consistent. Furthermore, wastewater effluent has the advantage of being able to serve various purposes, such as cleaning, sprinkling, landscaping, river management, irrigation, and industrial applications. Therefore, this study presents the possible use of reclaimed industrial wastewater treated with Birm filters and a UF membrane, along with an analysis on membrane fouling. The preprocessing stage, part of the reclamation process, used Birm filters to minimize membrane fouling. Since this study did not consider heavy metal levels in the treated water, the analyses did not include the criterion for irrigation water quality. However, the wastewater reclaimed by using Birm filters and a UF membrane met every other requirement for reclaimed water quality standards. This indicated that the treated water could be used for cleaning, channel flow for maintenance, recreational purposes, and industrial applications. The analysis on the fouling of the Birm filter and UF membrane required the study of the composition and recovery rate of the membrane. According to SEM and EDX analyses of the UF membrane, carbon and oxygen ion composition amounted to approximately 57%, whereas inorganic matter was not detected. Furthermore, the difference in the recovery rates of the distressed membrane between acidic and alkaline cleaning was more than ~78%, which indicated that organic rather than inorganic matter contributed to membrane fouling.

지상파 디지털 TV 수신기의 적응등화기 설계

정진희(Jin Hee Jeong),김정진(Jung-Jin Kim),권용식(Yong-sik Kwon),장용덕(Yong-Duck Jang),정해주(Hae-Joo Jeong) 한국방송·미디어공학회 2003 방송공학회논문지 Vol.8 No.2