위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

중학교 가정 교과 수행평가 방법 및 도구 개발

박선영,조필교,이양심,윤인경,임양순,최창숙,장명희 한국 가정과 교육 학회 1998 한국가정과교육학회지 Vol.10 No.2

The purpose of the study is to develop a Performance Assessment Method & Tools for Home Economics at middle school. Through the content analyses of middle school Home Economics curriculum and 8 textbooks of lst, 2nd, and 3rd grade respectively, teching elements for each content area were drawn and each specific learning objectives were idntified accordingly. In addition, assessment element for student's performance in each teaching element were specified for analysis. Analytic framework for the development of Performance Assessment Method and Tools were proposed by each teaching element. Beased on the analytic framework proposed, a model method and tools were developed by 10 different test measures of description written test, statement written test, oral test, pro and con discussion, performance test, experiment, interview, observation, self-test report, and portfolio. The model proposed in the study has been modified and improved through the feasibility studies of experts' examination and field research application. The model assessment method and tools for the study has been compleeted finally by proposing 45 performance assessment tools for the content areas of food, clothing, housing, resource management and consumerism, human development and family relationship.

원전 고등제어 알고리즘 설계를 위한 소규모 시뮬레이터 개발

나만균,심영록,신선호,노희천 조선대학교 에너지.자원신기술연구소 2003 에너지·자원신기술연구소 논문지 Vol.25 No.2

There has been a difficulty in implementing control algorithms (including even proportional-integral-derivative control algorithms) designed to verify and test to many small-scale simulators. In particular, it was almost impossible to implement advanced control algorithms to them. Therefore, it is required to develop a new simulator that facilitates the implementation of advanced control algorithms and the interface between different kinds of application programs. The objective of this work is to improve the existing small-scale simulator (FISA-2/WS) for the Kori unit 2 nuclear power plant and thus enable advanced control algorithms to be tested and verified by being applied to it. The developed simulator consists of FORTRAN, Visual C++, and MATLAB programs and an advanced control method using a receding horizon control method was applied to it to control the steam generator water level.

운동유발성 아나필락시스 환자에서 혈 중 tryptase 측정 1례

예영민,임선교,서유진,최정희,서창희,남동호,박해심 대한천식 및 알레르기학회 2004 천식 및 알레르기 Vol.24 No.1

Exercise-induced anaphylaxis(EIA) is a medical emergency in that it derives from a physical allergy. We reported a case of food-independent EIA based on history and laboratory data. A 40-year-old male patient was presented with generalized urticaria, angioedema, and syncope after jogging. He had suffered from allergic rhinitis for 25 years. Increased level of serum tryptase was noted. Mast cell activation might be suggested in the pathophysiologic mechanism of EIA. (J Asthma Allergy Clin Immunol 24 : 152-5, 2004)

장기간 보관한 멸균물품의 오염 상태에 관한 연구

주홍순,조순덕,정재심,신동분,임바올라,노은지,이선희,송영미,최정화,백병윤,김미나 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.1

간호 지식관리시스템 개발

민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

C-shaped root canals of mandibular second molars in a Korean population: a CBCT analysis

Hee-Sun Kim,Da-Un Jung,Ho Lee,Yoon-Sic Han,So Hee Oh,Hye-Young Sim 대한치과보존학회 2018 Restorative Dentistry & Endodontics Vol.43 No.4

Objectives: The purpose of this study was to investigate the C-shaped root canal anatomy of mandibular second molars in a Korean population. Materials and Methods: A total of 542 teeth were evaluated using cone-beam computed tomography (CBCT). The canal shapes were classified according to a modified version of Melton's method at the level where the pulp chamber floor became discernible. Results: Of the 542 mandibular second molars, 215 (39.8%) had C-shaped canals, 330 (53%) had 3 canals, 17 (3.3%) had 2 canals, 12 (2.2%) had 4 canals, and 8 (1.7%) had 1 canal. The prevalence of C-shaped canals was 47.8% in females and 28.4% in males. Seventy-seven percent of the C-shaped canals showed a bilateral appearance. The prevalence of C-shaped canals showed no difference according to age or tooth position. Most teeth with a C-shaped canal system presented Melton's type II (45.6%) and type III (32.1%) configurations. Conclusions: There was a high prevalence of C-shaped canals in the mandibular second molars of the Korean population studied. CBCT is expected to be useful for endodontic diagnosis and treatment planning of mandibular second molars.

미적 노동(aesthetic labor), 신체의 동원과 개발

심선희(Sim, Sun-Hee) 한국여성학회 2013 한국여성학 Vol.29 No.2

이글은 ‘미적 노동(aesthetic labor)’의 개념을 소개하고, 백화(면세)점 판매직을 대상으로 한 심층면접 자료를 바탕으로 한국사회에서 미적 노동의 양태와 쟁점을 분석한다. 미적 노동은 워허스트 외(Warhurst et al., 2000)가 처음으로 개념화한 것으로 기업/조직의 이해를 위해 노동자의 ‘신체’를 ‘동원’하고, ‘개발’하며, ‘상업화’하는 것이다. 미적 노동의 등장은 감정, 태도, 그리고 외적 재현 양식까지 포함하는 소프트기술(soft skills)이 보다 중요해지고 있는 서비스직종의 증가와 관련이 있으며, 개인의 신체성(corporeality)을 전면화한다는 점에서 감정노동(emotional labor)과 다르고, 성적 매력보다는 감각(senses)에 호소한다는 점에서 성애화된 노동(sexualized labor)과 차별화된다. 미적 노동은 고용의 전 과정에서 드러나는데, 미적 노동의 양태와 동력은 다음과 같다. 첫째, 일부 서비스 판매직에서는 채용 시 ‘적절한’ ‘외양’과 ‘태도’를 갖추었는지를 중요하게 본다. 눈에 띠는 외적 결함이나 공손하지 못한 태도 및 자세가 문제시되며, 표준적인 체형이나 외적 상태를 기본으로 전제한다. 둘째, 채용 이후에 기업/조직은 자사의 복장 및 외모 관련 규정들을 인지시키고 자사에 적합한 노동자로 주조해간다. 셋째, 기업/조직의 미(학)적 규범들은 노동과정에서 일상적인 규제와 관리속에서 강제되면서 이행된다. 미적 노동이 제기하는 쟁점은 다음과 같다. 첫째, 미적 노동에서 요구되는 ‘미적인(aesthetic)’ 혹은 ‘미(beauty)’는 무엇인가이다. 둘째, ‘매장용 얼굴’로 호명되기도 하는 서비스직종에서 고객 대면을 위해 갖추어야 할 바람직한 외적 조건이나 상태는 무엇인가이다. 셋째, 노동자는 기업/조직의 미(학)적 요구에 응답하면서 기업/조직의 미학적 재현물이 되어간다는 점이다. 넷째, 기업/조직의 미(학)적 규범을 수용하고 실천하면서 노동자들은 내?외적으로 변화하고 있다는 것이다. 이처럼 미적 노동은 노동의 영역에 개인의 신체가 어떻게 결합하고 있는지를 보여주는, 노동세계의 또 하나의 패러다임이다. This paper introduces the concept of ‘aesthetic labor’ and explores how aesthetic labor is practiced in Korean society with a case study. Aesthetic labor, first termed by Warhurst et al.(2000), is defined as the mobilization, development and commodification of laborers’ physical traits for corporate/organizational benefit. This practice is correlated with the increase of service jobs, which has led to changes in the required capacities and skills in these sectors. Soft skills such as interpersonal and social skills have become more important than hard, technical skills, which include attitude, emotion and personal grooming etc. Aesthetic labor is different from emotional labor in terms of its focus on corporeality, and sexualized labor in that it appeals to the senses. This study firstly examines the forms and dynamics of aesthetic labor in Korea with a focus on sales in department stores or duty free shops. The findings are as follows: 1) corporations/organizations recruit people possessing the desired attitude and appearance, 2) after selection, laborers are molded into the appropriate image as a staff member for the projection of a particular corporate image/identity through training related to service and appearance rules etc., and 3) the appearance norm of corporations/organizations is practiced under their regulation and management. Secondly, some points raised after an investigation of aesthetic labor are discussed as follows: 1) what ‘beauty’ or ‘aesthetic’ means in the context of aesthetic labor, which is associated with ‘tidiness’, ‘cleanness’ and/or ‘elegance’, 2) what an acceptable look for staff interacting with customers is, 3) how laborers have become human hardware, required to portray the corporate/organizational aesthetic for brand distinction and its image, and 4) how laborers have changed in both their personal appearance and practices for a better image.

모바일 SNS속성이 관계형성과 정보공유를 매개로 사용자 만족도에 미치는 영향

심선희 ( Sun Hee Sim ),문재영 ( Jae Young Moon ) 한국품질경영학회 2012 품질경영학회지 Vol.40 No.1

This research conducted a survey targeting mobile SNS users in order to see whether mobile SNS attribute(accessibility, usefulness, newness, connectivity) through the medium of information share and relationship formation had a positive influence on user satisfaction. The results of the analysis showed that usefulness and accessibility had a significant influence on information share, while accessibility and connectivity had a significant influence on relationship formation. Information share and relationship formation both had a significant influence on user satisfaction. Based on this research, an angle of approach different from the business transactions and information services offered in existing mobile networks is necessary when corporations provide SNS through mobiles. When considering that the most important part in the use of mobile SNS is the social component, this can be actively used for the development and marketing of SNS services. Therefore, the SNS provider must focus its efforts on finding a method to stimulate user sensibilities in order to increase customer satisfaction and draw out continuous usage.

The Influence of Social Relation and Trust on Sense of Safety - Moderated Mediation Effect of Community Attachment among Adolescents after the 912 Gyeongju Earthquake -

Ki Sun Sim,Hee Jeong Moon,Hye Sun Joo,Hyun Nie Ahn 위기관리 이론과 실천 2018 Crisisonomy Vol.14 No.5

본 연구는 재난 이후 안전감 회복 과정에 효과적인 변인을 규명하기 위해 912 경주 지진을 경험한 청소년들을 대상으로 사회적 관계(부모, 또래, 교사)가 사회적 신뢰를 매개하여 지진 이후 안전감에 영향을 미치는지 검증하고, 이 영향력이 지역사회 애착 수준에 따라 차이가 있는지 탐색적으로 확인 하고자 하였다. 이를 위해 조절된 매개 분석을 실시하였으며 본 연구의 결과는 다음과 같다. 첫째, 사회적 관계와 안전감 간의 관계를 사회적 신뢰가 완전 매개하는 것으로 나타났다. 둘째, 사회적 관계가 사회적 신뢰에 미치는 영향력의 정도는 지역사회 애착에 의해 조절되는 것으로 나타났다. 셋째, 사회적 관계와 안전감 간의 관계에서 지역사회 애착을 통한 사회적 신뢰의 조절된 매개효과가 유의한 것으로 나타났다. 즉, 지역사회 애착이 높을수록 사회적 관계가 사회적 신뢰를 통해 안전감을 회복하는 과정을 촉진시키는 것을 확인하였다. 본 연구결과를 바탕으로 연구의 의의와 제한점 및 추후 연구에 대한 제안을 논의하였다. This study examined the moderated mediation effect of community attachment on the relationships between social relation and trust and sense of safety among adolescents after the 912 Gyeonju earthquake. For this purpose, the data were gathered though the online survey from 134 high school male students living in Gyeonju area. The results of the study were as follows. First, social trust fully mediated the relationship between social relation and sense of safety. Second, community attachment moderated the effect of social relation on social trust. Third, community attachment moderated the mediating effect of social trust in the relationship between social relation and sense of safety. Based on these findings, the limitations and implications of the study were discussed.