의사의 일반적 특성이 재왕절개분만율에 미치는 영향에 관한 연구

조은희,Cho, Eun-Hee 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

The number of deliveries by cesarean section has increased internationally. However, The cesarean section rate is different by country to country. It is because each country has different social and cultural background and. practices its unique delivery policies. Hence, it is very important to understand the uniqueness that one country faces related with the cesarean section. In Korea, there have been many researches on the clinical. maternal. hospital and community factors and so on. However, few studies have attempted to reveal the physician factors in Korea because it is difficult to approach hospital records. So, in this study, the physician factors that influence the increase of cesarean section rate in Korea was investigated, and preliminary research agenda for policy establishment to keep the cesarean section rate from excessive increase was provided. In this study, all 2744 cesarean section deliveries performed by 36 physicians at the hospital was considered. and detailed delivery records of 12 months selected randomly from January 1996 to August 1998 was reviewed retrospectively. Chi-square analysis is used to examine the homogeneity of distribution of maternal, fetal, and clinical factors. In addition, multiple regression analysis is used to examine the effect of physician characteristics on the cesarean section rate. Physician characteristics as independent variable and the cesarean section rate as dependent variable was put in this analysis. Follows are the results of this study. 1) Total cesarean section rate is 34.8%. primary cesarean section rate is 12.5 % and repeated cesarean section rate is 22.3 %. Among the indications for the primary cesarean section, 15.6 % is for breech presentation. 40.2 % is for dystocia. 7.6 % is for fetal distress. and 36.6 % is for others. 2) There is positive correlation between physician's age and the cesarean section rate (p<0.001). And statistically significant correlation is found between the physician's educational attainment and the cesarean section rate (p<0.001). A physician with Ph.D degree has lower cesarean section rate than a physician with B.A only and M.A. degree (p<0.001). However. physician's gender, location of graduated university. position at the hospital, and the religious belief were not shown statistically significant relations with the cesarean section rate. 3) Among all cesarean sections in this study, only 15.4 % is performed during weekend. While 18.2 % is performed on monday only. This suggests that physicians may not prefer weekend operation of cesarean section. In addition, 86.1 % among all cesarean section operations is performed from 6 a.m. to 6 p.m. So the cesarean section rate could be related with a day of the week and a time of the day. From this results. there is a possibility that the physicians' personal comfort may influence the cesarean section rate.

적외선(赤外線) 체열(體熱) 촬영(撮影)을 이용한 족삼리(足三里)(ST36)자침(刺鍼)이 안면부(顔面部) 영역간(領域間) 온도차이(溫度差異)의 변화(變化)에 미치는 영향(影響)

조은희,Cho, Eun-hee 대한침구의학회 2003 대한침구의학회지 Vol.20 No.5

Objective: This study was examined for effects of acupuncture of Zusanli(ST36) on the facial thermography in health subjects. Methods: The voiunteers who participating in this study had taken rest for 15 mins in room temperature ($19-21^{\circ}C$) before the examination and informed them what to prohibit smoking. drinking and administration of drug for the previous day. The thermography of face was taken using Digital Infrared Thermographic Imaging (D.I.T.I.: Dorex. DTI-16UT1. U.S.A.) by time interval of 35 minutes at 15 min before and 20 min after acupuncture stimuiation. Thermal temperature of Daying(ST5). Juliao(ST3) and Quanliao(SI18) was measured and compared. Results: The results showed that acupuncture of Zusanli(ST36) significantly decreased the Absolute defference of temperature between Daying(ST5) and Juliao(ST3) (p<0.05, Data were represented meant ${\pm}$S.E.M.(n=33)). The results showed that acupuncture of Zusanli(ST36) significantly decreased the Absolute defference of temperature between Quanliao(SI18) and Juliao(ST3)(p<0.01, Data were represented mean${\pm}$S.E.M. (n=33)). But, acupuncture of Zusanli(ST36) particularly decreased the absolute defference of temperature between Daying(ST5) and Quanliao(SI18). Also. it was observed that acupuncture of ST36 decreased variety of the color tone of thermographic contour line and decreased thermal distribution. Conclusions: The results showed that acupuncture of Zusanli(ST36) significantly decreased the absolute defference of temperature of partial facial surface. Hereafter. study about if acupuncture of Zusanli(ST36) significantly decrease the absolute defference of temperature of all the areas of facial surface is requested. Also. continued study of effects of acupuncture of other meridian on the facial thermography is requested.

컴퓨터 적외선(赤外線) 전신체열촬영(全身體熱撮影)을 통해 살펴본 Bell' palsy에 대한 한방적 치료의 임상적(臨床的) 고찰(考察)

조은희,조남근,허태영,천미나,Cho, Eun-Hee,Cho, Nam-Geun,Hur, Tae-Young,Cheon, Mi-Na 대한침구의학회 2000 대한침구의학회지 Vol.17 No.2

Object : This study is designed to evaluate effects of acupuncture and herb-medication by the data of DITI(Digital Infrared Thermographic Imaging) examination and the changes of clinical symptoms after the therapy of acupuncture and herb-medication in the patients with Bell's palsy. Contents : The conservative therapy with acupuncture and herb-medication was performed during 1-8weeks. The acupuncture points of S4, S6, G14, S2, BL2, SI18, TE23, LI4 and S36 was used. In the pre- and post therapy, DITI examinations were performed in patients who had Bell's palsy and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-and post acupuncture. Setting : The standard routine themographic examinations were performed with thermography (DITI) in the 16 patients with Bell's palsy at pre- and post acupuncture. patients : Thermographic imaging of 16cases was analyzed. They had diagnosed Bell's palsy. They were treated by acupuncture and moxibustion therapy in Wonkwang Oriental Hospital from Jauary, 1999 to February, 2000. Results : The results of treatment showes that 56.25% of patients achieved excellent recovery and 31.25% achieved good recovery. After compairing the DITI results before and after treatment, we found 43.75% of patients achieved excellent recovery and 43.75% achieved good recovery. Conclusion :Acupuncture showed good results over 87.5% in clinical evaluation and 87.5% in DITI. Thermographic examination showes terapeutic effect of acupuncture treatment.

국제질병분류 ( ICD ) 코딩적용상의 문제점 확인과 시정방안모색

조은희,김광애 ( Eun Hee Cho,Kwang Ae Kim ) 한국보건정보통계학회 1994 보건정보통계학회지 Vol.19 No.1

N/A

코레우스의 삽목시 배양액과 생장조절제처리가 발근에 미치는 영향

조은희(Cho Eun-hee),장매희(Chiang Mae-hee) (사)한국생물환경조절학회 1997 생물환경조절학회지 Vol.6 No.4

북한 사회 연구동향과 과제

조은희(Cho, Eun Hee) 북한대학원대학교 2010 현대북한연구 Vol.13 No.1

이긍익의 역사인식에 대한 일고찰 - 연여실기술을 중심으로 -

조은희(Cho Eun Hee) 대구사학회 1986 대구사학 Vol.29 No.1

N/A

연구논문 : PCSQ 척도를 이용한 정책소통 만족수준의 측정과 영향요인 연구

조은희 ( Eun Hee Cho ),조성겸 ( Sung Kyum Cho ) 한국조사연구학회 2015 조사연구 Vol.16 No.3

본 연구는 정책소통 만족도 척도(PCSQ)를 이용하여 현 정부정책에 대한 정책소통 만족도를 측정하고 그 특성을 분석한 것이다. 이를 통해 PCSQ의 특성과 의미 그리고 활용가능성을 살펴보고자 했다. 분석결과는 세 가지로 요약된다. 첫째, 정책소통 만족도와 정책지지 간에는 다소 높은 상관관계가 나타났다. 둘째, 다양한 미디어를 활발히 이용하는 사람들의 정책소통 만족도가 높게 나타났다. 셋째, 지지정당과 정책소통 만족도의 관계는 유의미했으나 이념성향과는 유의미한 관계가 나타나지 않았다. 본 연구결과는 정책별 PCSQ 수준이 유사해도 세부 요인에 대한 평가는 다를 수 있기 때문에 정책에 따라 세부적으로 개선방향을 모색할 필요가 있다는 점을 보여준다. 또한 정책소통 만족도를 높이기 위하여 정책당국은 다양한 매체를 통해 정책을 커뮤니케이션하고 SNS를 이용한 시민 간의 커뮤니케이션도 활성화시킬 필요가 있다. This study aimed to measure the communication satisfaction about three of domestic policy using the scale of Policy Communication Satisfaction Questionnaire(PCSQ) and to analyze the characteristics. As a result, we were exploring the characteristics, meaning and usability of PCSQ. The results of the analysis are summarized in three. First, the correlation between the level of PCSQ and the policy support became very clear. Second, PCSQ level of people who actively utilized in various media was higher than other respondents. The correlation between PCSQ and party identification appeared significantly, but PCSQ and the political orientation was not significant. Even the PCSQ score was the same, the sub-factors` score may be different. To increase the policy communication satisfaction, it is necessary to consider the evaluation of sub-factors of the PCSQ. In order to improve the satisfaction, the authorities needed to communicate policies using various media and to activate the communication using SNS between the citizens.

북한의 답사행군을 통해 본 혁명전통의 의례 만들기

조은희(Cho, Eun-hee) 북한대학원대학교 2007 현대북한연구 Vol.10 No.2

국소 진행성 두경부암 환자에서의 Docetaxel과 Cisplatin 유도화학요법

조은희(Eun Hee Cho),조근혁(Keun Hyok Cho),송영봉(Young Bong Song),최익성(Ik Sung Choi),최재원(Jae Won Choi),남승현(Seung Hyun Nam),김봉석(Bong Seog Kim) 대한두경부종양학회 2005 대한두경부 종양학회지 Vol.21 No.2

Objectives: To evaluate the efficacy and safety of induction chemotherapy with docetaxel and cisplatin in locally advanced head and neck cancer. Materials and Methods: Between June 1998 and December 2004, 30 patients were enrolled and among them, 20 patients were evaluable. Patients were treated with docetaxel 75mg/m² and cisplatin 60mg/m² on day 1 every 21 days. Results: The median age was 71(range 54-80) years old. All 20 patients were male. Nineteen patients had pathologically squamous cell carcinoma and 1 had undifferentiated carcinoma. Fourteen of 20 patients(70%) demonstrated an objective response with two(10%) achieving a complete clinical response and eleven(60%) a partial response. The median response duration was 5.3(1.6-32.1) months and the median time to progression was 5.6(1.4-33.8) months. The median overall survival of all patients was 14(range 2.2-34) months. The median overall survival of responders was 17.5(range 5-34) months and that of non-responders was 3.2(range 2.2-23) months, but it was not statistically significant(p=0.106). During a total of 92 cycles, granulocytopenia worse than CTC(Common toxicity criteria) grade 2 occurred in 6%, thrombocytopenia in 2%, and anemia in 3%, respectively. Non-hematologic toxicities were minor and easily controlled. Conclusion: The induction chemotherapy of docetaxel and cisplatin has moderate efficacy with acceptable toxicities in patients with locally advanced head and neck cancer.