정신건강의학과 자문 의뢰된 암 환자의 항우울제 내약성 비교 연구

고은미,박진성,하주원,임세원,김태석,하지현,백종우,이병철,최병무,이강준,김성완,양종철,고영훈,오강섭,Ko, Eunmi,Park, Jin-Seong,Ha, Juwon,Lim, Sewon,Kim, Tae-Suk,Ha, Jee Hyun,Paik, Jong-Woo,Lee, Boung Chul,Choe, Byeong Moo,Lee, Kang-Joon,Kim, Sun 한국정신신체의학회 2013 정신신체의학 Vol.21 No.1

연구목적 암환자들은 다양한 정신건강의학과적 증상을 겪으며 약물 부작용에 취약하다. 본 연구는 정신건강의학과 자문 의뢰된 암환자에서 항우울제의 내약성을 비교하고자 한다. 방 법 9개 대학병원 및 종합병원 정신건강의학과에 자문 의뢰된 암 환자들을 후향적으로 검토하여 자료를 분석하였다. 가장 빈번하게 처방된 세가지 항우울제(Escitalopram, Mirtazapine, Paroxetine)의 6개월 동안 치료 중단율을 비교하였다. 결 과 처방 빈도는 Escitalopram 150(47.2%), Mirtazapine 92(28.9%), Paroxetine 76(23.9%) 순서로 항우울제 투여 중단 비율은 세군 간 유의한 차이가 없었다. 입원 환자에 비해 외래 환자에서 유의하게 약물 중단 위험도가 높았다(p<0.0001). 결 론 임상 현장에서 암환자의 항우울제 치료 중단율은 약물 종류에 따라 차이가 없었다. 치료 순응도 향상을 위하여 암환자의 특성을 고려한 개별 접근이 필요할 것이다. Objectives : Many patients diagnosed with cancer suffer from various psychiatric symptoms such as depression, anxiety and insomnia as well as cancer itself. Patients with cancer are more vulnerable to possible adverse events of psychotropic medications. Although antidepressants are widely used among cancer patients, there is little information about tolerability of antidepressants. This study was conducted to compare tolerability of antidepressants in cancer patients referred for psychiatric consultation. Methods : The participants were cancer patients who had been referred to psychiatrist for their psychiatric symptoms. We retrospectively analyzed the data of patients diagnosed with cancer from 9 general hospitals in Korea. The discontinuation rate for a 6 months period after treatment initiation for three antidepressants(Escitalopram, Mirtazapine, Paroxetine) were compared. Results : Antidepressants were prescribed for 96.3% of subjects and Escitalopram 150(47.2%), Mirtazapine 92(28.9%) and Paroxetine 76(23.9%) were prescribed frequently in order There were no significant differences in discontinuation rates among the three antidepressants during the 6 month period after initiation of pharmacotherapy. But there was a difference in discontinuation rates between inpatients versus outpatients(p<0.0001). Conclusions : In a naturalistic setting for the antidepressant treatment for cancer patients, it seems that there are no differences in discontinuation rates among these three antidepressants. It is therefore essential that such interactions are carefully considered when treating patients of antidepressants who already have cancer.

울릉분지 돌고래 구조대 저류층 특성 분석

고은미(Eunmi Ko),최인영(Inyoung Choi),임용수(Yongsu Lim),추민경(Minkyoung Choo) 대한지질학회 2022 대한지질학회 학술대회 Vol.2022 No.10

유아 흡연예방능력 발달 프로그램에 대한 인식 및 요구

박순호(Soonho Park),고은미(Eunmi Ko) 인지발달중재학회 2019 인지발달중재학회지 Vol.10 No.4

본 연구의 목적은 유아 흡연예방능력 발달을 위한 프로그램 개발에 필요한 유아교육 현장의 운영 현황, 인식 및 요구도를 분석함으로써, 유아 스스로 흡연의 위해로부터 자신을 보호하고, 흡연의 위험성에 대한 인식을 가지는 유아 흡연예방능력의 발달을 돕기 위한 효과적인 프로그램 개발의 기초자료를 제공하는 데 있다. 이를 위해 유아교사 155명을 대상으로 조사를 실시한 결과는 다음과 같다. 첫째, 유아교사의 대부분은 유아흡연예방프로그램을 알고 있으며, 이들 중 절반 이상이 온라인 및 오프라인 연수를 이수한 데 반해 이 내용을 잘 알고 있는 교사의 비율은 낮은 것으로 나타났다. 둘째, 프로그램 활성화 지원방안으로 그림책이나 교재교구 등 관련 활동자료의 보급을 원하고 있었다. 셋째, 유아 흡연예방능력 발달을 위한 프로그램 내용에 대한 필요수준과 실행수준을 분석하여 Borich 공식 및 The locus for focus 모델 공식을 적용하여 요구도 우선순위를 알아본 결과, 담배피는 가족·친척 등과의 스킨십 대처방법, 흡연자에게 금연을 권유하는 방법, 직접흡연으로 인한 질병, 금연장소임을 알 수 있는 방법, 3차 흡연 대처방법, 담배연기를 피하는 방법 순으로 높게 나타났다. 이를 토대로 본 연구에서는 유아 흡연예방능력 발달을 위한 프로그램 개발방향을 논의하였다. The purpose of this study is to analyze the awareness and need for smoking prevention programs for young children, to protect them from the dangers of smoking in future. The study provides the basic material for an extensive smoking prevention program. The study was conducted on 155 kindergarten and day-care teachers. The results were as follows: First, most teachers of young children are aware of smoking prevention programs for children, and more than half of them have received online and offline training for it. Second, the teachers wished to disseminate activity materials such as picture books and teaching aids to support the program. Third, based on the necessity and content of the smoking prevention programs for young children, the salient questions were listed out using the Borich and The locus for focus model formula. They were: how to cope with a smoker in the family, and what are the places that help one to quit smoking. Based on the answers, this study discusses of smoking prevention for young children.

보육교사 양성관련학과 학생의 영유아안전교육에 관한 인식 및 지식

박순호 ( Park Soonho ),고은미 ( Ko Eunmi ),김시영 ( Kim Siyoung ) 열린부모교육학회 2018 열린부모교육연구 Vol.10 No.1

본 연구에서는 효율적인 영유아안전교육 시행을 위하여 보육교사 양성관련학과인 유아교육과, 사회복지과, 언어재활과 졸업반 학생 179명을 대상으로 영유아안전교육에 대한 인식과 지식이 어떠한지를 알아보았다. 이를 위하여 빈도분석, 백분율, 카이검정, F검정을 실시하였다. 그 결과 첫째, 보육교사 양성관련학과 학생들은 영유아안전교육에서 영유아기가 안전사고의 위험성이 높은 시기이기 때문에, 안전사고로부터 자신을 보호할 수 있는 능력을 길러주기 위하여, 반드시 안전교육이 필요하다는 항목에 높은 응답률을 나타냈다. 이러한 결과를 통해 보육교사 양성관련학과 학생들의 영유아안전교육에 대한 인식이 높음을 알 수 있었다. 둘째, 영유아안전 지식은 세 학과가 비슷한 수준이었으나, 기관에서 안전사고예방, 유괴 및 학대신고, 질식 관련 지식의 일부내용과 자신의 지식정도에 관한 생각에서는 통계적으로 유의미한 차이가 있었다. 이에 본 연구는 보육교사 양성관련학과에서 안전교육을 위한 교과를 운영할 때 보완할 내용을 제안함으로써 향후 안전관련 직무능력 향상을 위한 기초자료를 제공하는데 의의를 둔다. The purpose of study is analyzing perception and knowledge about early childhood safety education of 179 students in the three department of child care teacher course(Early childhood education, Language rehabilitation, Social welfare)in Daegu from September, 2016 to November, 2016. Questionnaire is composed of perception, reason, and knowledge of early childhood safety education. Frequency, percentage and X2 examination is implemented to investigate differences of two departments' safety education. All research materials go through statistic process using SPSS 17.0 program. As results are as follow as, First, the general perception of the need for early childhood safety education was found to be high among all three departments. Second, for the knowledge on child safety, all three subjects showed the same high level of safety knowledge as the results of previous studies. The high safety knowledge of the department of child care teacher course students are positive in that they are likely to lead to higher safety behavior at the child care center, as is the case with high safety awareness. The following is suggestive point about the safety education for infants and young children of the prospective teacher based on the results of this research. There were some differences between the safety training areas. However safety is a very important issue that is associated with health and life, and apart from the characteristics of the academic workforce. So it is especially relevant in all departments where child care teachers are nurtured, such as during abduction and child abuse prevention.

동해 울릉분지 CO₂ 지중저장 후보지 암상모델링 결과 개선

최인영(Inyoung Choi),임용수(Yongsu Lim),고은미(Eunmi Ko),배성인(Sungin Bae) 대한지질학회 2022 대한지질학회 학술대회 Vol.2022 No.10

3-Dimensional Numerical Analysis for Thermal Stratification in Surgeline in Nuclear Power Plant

김영종(Young-Jong Kim),김만원(Maan-Won Kim),고은미(Eunmi Ko) 대한기계학회 2008 대한기계학회 춘추학술대회 Vol.2008 No.11

A thermal stratification may occur in the horizontal parts of the surge line during operating transients of the pressurizer, which produces relatively high fatigue usage factor. Heat-up transient is the most severe case among the transient conditions. In this study, to study the relationship between the magnitude of thermal stratification and the length of vertical part of the surge line, some parametric fluid-structure interaction (FSI) analyses with different length variables of the vertical part of the surge line were performed for plant heat-up transient condition by using 3-dimensional numerical analysis. The conservativeness of the traditional finite element model for thermal stratification analysis based on the conservative assumption in the surge line was also discussed by comparison of the results of 3-dimensional transient FSI analysis of this study. Stresses calculated with 3-dimensional transient model were considerably reduced comparing with the traditional analysis.

중국어 ‘坐(SIT)’의미장의 어휘유형론 연구

고은미 ( Ko¸ Eun-mi ) 한국중국언어학회 2021 중국언어연구 Vol.- No.96

Based on the theoretical framework of MLexT, this study examined the conceptualization and extended meaning of the ‘SIT’ semantic field, resulting in the following lexical-typological conclusions. Cross-linguistically, the semantic domain of posture is a parament of supporting area, motion pattern, and face direction, consisting of six basic frames, ‘ZUO’, ‘ZHAN’, ‘TANG’, ‘GUI’, ‘PA’, ‘DUN’, of which ‘SIT’ frame is lexicalized as a parament in the supporting area. The ‘SIT’ frame has a detailed frame ‘PERCH’ with a supporting object, which is meaning-based on stability, while the ‘PERCH’ frame represents instability. In ancient China, people have traditionally sat on the floor, and the introduction of sedentary equipment after the Old Middle Ages has created a modern concept of ‘SIT’. As a result, the Chinese ‘SIT’ frame does not have a ‘PERCH’ frame with support as a parament, unlike cross-linguistic phenomena, but the ‘SIT’ frame with action pattern as a parament(e.g. Old Chinese ‘JU’, Modern Chinese ‘PANJU’). From a cross-linguistic perspective, the Chinese ‘SIT’ frame has no extended meaning to indicate the location or existence of inanimate objects based on the shape of the posture, but a metonymy meaning to represent related behaviors based on the sitting posture. The meaning of < rest > < stop > is based on the function of resting in the sitting position, and the meaning of < work > < carry > is based on the social function of the sitting position, the meaning of < stay > < live > < do porridge >, which represents the fixation in a particular place, is based on the accompanying characteristics of sitting position ‘contact’.