Giant Brain Abscess in a Neonate: Good Outcome with Single Transfontanelle Aspiration and Antibiotic Therapy

고진희,최유미,심계식,배종우,정사준,방재승,윤경림 대한신생아학회 2011 Neonatal medicine Vol.18 No.2

Brain abscesses in neonates are extremely rare and usually occur in patients with certain risk factors. A 1-month-old boy presented at the hospital with fever and irritability. As a result of preterm delivery and low birth weight, he had a history of admission to the neonatal intensive care unit. Neuroimaging revealed a large, space-occupying lesion in both frontal lobes, which was suspected to be an abscess with the midline shifting to the right. With a single aspiration and abscess drainage along with concurrent prolonged parenteral antibiotic therapy, the patient showed an excellent treatment outcome with normal development. The focus will be placed on minimally invasive surgical management as well as positive outcomes.

청소년의 스마트폰 의존도가 삶의 만족도에 미치는 영향 - 공격성의 매개효과 -

고진희,김상미 한국지역사회복지학회 2020 한국지역사회복지학 Vol.0 No.75

The purpose of this study was to investigate the influence of smartphone dependency in adolescents on their life satisfaction, and the mediating effect of aggression between these two variables. To this end, panel data on 2,590 students in their first year of middle school was analyzed, using the data produced from the Korean Children and Youth Panel Survey 2018 (KCYPS, 2018) conducted by the National Youth Policy Institute. To analyze the panel data, a frequency analysis, a reliability test, a correlation analysis, t-tests, and a regression analysis were performed using the IBM SPSS Statistics 25 statistical software. As a result, this study found that adolescents’ smartphone dependency had a statistically significant positive influence on their aggression and a statistically significant negative influence on their life satisfaction. In the relationship between adolescents’ smartphone dependency and life satisfaction, aggression had a partially mediating effect. In other words, it was confirmed that adolescents’ aggression not only had a direct impact on their life satisfaction, but also had an indirect impact on it via their smartphone dependency. Based on these results, practical and policy-oriented measures were proposed in the Conclusion and Discussion sections. 본 연구의 목적은 청소년의 스마트폰 의존도가 삶의 만족도에 미치는 영향과 이들 사이에서 공격성의 매개효과를 알아보고자 하였다. 이를 위해 한국청소년정책연구원(National Youth Policy Institute, NYPI)에서 수행한 한국아동ㆍ청소년패널조사 2018(Korean Children and Youth Panel Survey 2018, KCYPS 2018) 자료를 활용하여, 중학교 1학년2,590명의 패널 데이터를 사용하였다. 자료분석은 IBM SPSS Statistics 25 통계 프로그램을 사용하여 빈도분석, 신뢰도측정, 상관관계분석, T-test 및 회귀분석을 실시하였다. 분석결과, 스마트폰 의존도는 공격성에 정적으로, 삶의 만족도에 부적으로 유의미한 영향을 미치는 것을 알 수 있었다. 청소년의 스마트폰 의존도와 삶의 만족도 관계에서 공격성은부분매개 효과가 있는 것으로 나타났다. 즉, 청소년의 공격성은 삶의 만족도에 대한 직접적인 영향뿐만 아니라 스마트폰 의존도를 통한 간접적인 영향도 가지고 있음을 규명하였다. 이러한 결과를 토대로 결론 및 논의에서 실천적ㆍ정책적 방안을 제시하였다.

간호대학생의 다문화수용성, 공감능력이 세계시민의식에 미치는 융합적 영향

고진희,강명주,김혜진 중소기업융합학회 2019 융합정보논문지 Vol.9 No.9

본 연구는 간호대학생의 다문화수용성, 공감능력, 세계시민의식 간의 관계를 확인하고 세계시민의식에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 자료 수집은 B시, U시와 S시에 소재한 3, 4학년에 재학 중인 간호대학생 187명을 대상으로 진행하였으며, 수집된 자료는 t-검정, ANOVA, Pearson 상관계수 및 단계적 다중회귀분석을 사용하여 분석하였다. 연구결과 세계시민의식은 다문화수용성(r=.48, p<.001), 공감능력(r=.58, p<.001)과 정적 상관관계를 보였다. 간호대학생의 세계시민의식에 공감능력, 다문화수용성 순으로 유의한 영향을 미쳤고, 이들 변수들의 설명력은 40%로 나타났다. 본 연구를 토대로 글로벌 역량이 중요시되고 있는 간호교육 현장에서 세계시민의식 향상을 위한 지속적이고 실천적인 프로그램 및 다양한 학습방법의 개발과 적용이 요구된다. This study is a descriptive survey study intended to analyze the relationship between multicultural acceptability, empathy, and global citizenship of nursing students and identify the factors influencing global citizenship. The data was collected targeting 187 nursing students at universities located in the cities of B, U, and S. The collected data was analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. The results were as follows: global citizenship of nursing students was positively correlated with multicultural acceptability and empathy. Factors influencing the level of global citizenship were empathy, multicultural acceptability, which together explained 40.0% of the total variance in global citizenship. Consequently, this study raises the need for the development and application of steady practical programs and various learning methods for the enhancement of global citizenship, which is required in the fields of nursing education where global competence is considered to be important.

임상간호사의 조직몰입과 회복탄력성이 프리젠티즘에 미치는 영향요인

고진희,임미해,권정옥 한국직업건강간호학회 2020 한국직업건강간호학회지 Vol.29 No.1

Purpose: This study was conducted to identify the factors influencing organizational commitment and resilience onpresenteeism in clinical nurses. Methods: The subjects were 202 nurses working at 5 hospitals in B city. The data were collected through questionnaires and analyzed by t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: Work impairment was negatively correlated with organiza- tional commitment and resilience. Perceived productivity was positively correlated with organizational commitment and resilience. Influencing factors on work impairment were organizational commitment (β=-.22 p=.005) and hardiness (β=-.16, p=.042), with 10% explanatory power. Influencing factors on perceived productivity were organ- izational commitment (β=.24, p=.002) and hardiness (β=.16, p=.042), with 11% explanatory power. Conclusion: Based on this research, appropriate programs and policies that consider influencing factors such as organizational commitment and hardiness in resilience are needed to reduce the level of presenteeism in clinical nurses.

신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과에 대한 융복합적 연구

고진희,구미옥 한국융합학회 2020 한국융합학회논문지 Vol.11 No.4

본 연구는 신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과를 규명하기 위해 시도된 서술적 상관관계연구이다. 연구대상은 2개 광역시와 1개 도의 300병상 이상 종합병원에서 근무하는 신규간호사 232명이었다. 자료분석은 기술통계, t-test, one-way ANOVA, Pearson’s correlation coefficient로 하였고, 매개효과 분석은 Baron과 Kenny의 다중회귀분석을 활용한 3단계 분석방법과 Sobel test로 하였다. 연구결과 신규간호사의 그릿과 임 상수행능력(r=.38, p =.011), 그릿과 재직의도(r=.32, p =.016), 임상수행능력과 재직의도(r=.33, p <.001)는 유의한 정적 관계가 있었고, 그릿과 재직의도의 관계에서 임상수행능력은 부분 매개효과가 있는 것으로 확인되었다(z=3.14, p <.001). 본 연구결과를 근거로 신규간호사의 임상수행능력과 재직의도를 높여주기 위해 그릿을 향상시킬 수 있는 중재 수행을 적극 권장한다. This study was conducted to examinate the mediating effect of clinical competence on the relationship between grit and retention intention among new graduate nurses. Participants were 232 nurses working at hospitals with over 300 beds in Korea. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. As a result, There were significant relationships between grit and clinical competence(r=.38, p =.011), grit and retention intention(r=.32, p =.016), and clinical competence and retention intention(r=.33, p <.001). Clinical competence showed partial mediating effect in the relationship between grit and retention intention(z=3.14, p <.001). The results of this study suggest that interventions enhancing grit would be useful to improve retention intention of new graduate nurses.

Bone Mineral Density in Ambulatory Epileptic Children with New Antiepileptic Drug Monotherapy

고진희(Jin Hee Ko),이규민(Gue Min Lee),이은혜(Eun Hye Lee),정사준(Sajun Chung) 대한소아신경학회 2011 대한소아신경학회지 Vol.19 No.3

목적 : 새로운 항 경련제를 복용하는 간질 환아에서 항 경련제 복용은 골밀도 감소와 이에 따르는 병적 골절을 일으킬 수 있다. 특히 성장기에 있는 소아에서는 이러한 부작용에 대해 더 주의를 기울일 필요가 있다. 저자들은 새로운 항경련제를 단독으로 복용하는 소아간질 환자에서 항경련제가 골밀도에 미치는 영향에 대하여 연구하였다. 방법 : 35명의 새로운 항경련제를 복용한 소아 간질 환자와 나이와 성별이 같은 35명의 대조군을 연구에 포함되었다. 14명은 topiramate, 10명은 la-motrigine, 11명은 oxcarbazepine으로 1년 이상 단독 요법으로 치료 받는 환아들이었으며 모두 정상적인 일상 생활을 하고 있었다. 혈청 calcium, alkaline phosphatase, 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D 수치를 측정하였고, L1-L4 요추에서 dual-energy X-ray absorptiometry로 골밀도를 측정하였다. 결과 : Oxcarbazepine을 투여한 군에서 25-hy-droxyvitamin D와 1,25-dihydroxyvitamin D가 대조군보다 유의하게 감소되어 있었다(25-hydroxyvitaminD: 40.3±10.5 ng/㎖ vs. 44.6±11.5 ng/㎖, 1,25-dihydroxyvitamin D: 57.9±15.2 pg/㎖ vs. 66.2±10.5 pg/㎖, P <0.05). Toporamate 투여군과 lamotrigine 투여군은 대조군과 유의한 차이가 없었다. 골밀도 역시 oxcarbazepine을 투여한 군(0.73±0.11 g/㎠ )에서 대조군(0.84±0.06 g/㎠)보다 유의하게 감소되어 있었으며(P <0.05), topira-mate 투여군(0.82±0.08 g/㎠ )과 lamotrigine 투여군(0.81±0.14 g/㎠ )과도 유의한 차이를 보였다 (P <0.05). 결론 : Oxcarbazepine을 투여한 환자들에서 vi-tamine D와 골밀도가 대조군보다 유의하게감소되었으나, topiramate와 lamotrigine을 투여한 환자들에서는 유의한 차이를 보이지 않았다. 새로운 항경련제를 복용하는 환아, 특히 oxcarbazepine을 복용하는 경우 골밀도에 대한 지속적인 모니터링이 필요할 것으로 생각된다. Purpose : This study was conducted for evaluation of the effects of new antiepileptic drugs on bone mineral density in children with epilepsy. Methods : The study group consisted of 35 age and gender matched controls and 35 epileptic children taking new antiepileptic drugs: 14 on topiramate, 10 on lamotrigine, and 11 on oxcarbazepine in monotherapy. All patients were treated for more than one year and all were normally ambulatory children. We measured serum levels of calcium, alkaline phosphatase, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D. BMD was measured by dual-energy X-ray absorptiometry at lumbar spine regions L1-L4. Results : Vitamin D levels of the oxcarbazepine group (25-hydroxyvitamin D:40.3 10.5 ng/㎖ and 1,25-dihydroxyvitamin D: 57.9 ± ±15.2 pg/㎖) were significantly lower than in controls (44.6±11.5 ng/㎖, 66.2±10.5 pg/㎖, P<0.05); however, they did not differ significantly in the topiramate and lamotrigine groups. The bone mineral density value was significantly lower in the oxcarbazepine (L1-L4: 0.73±0.11 g/㎠) group, compared with the controls (0.84±0.06 g/㎠, P<0.05) or patients taking topiramate or lamotrigine. Conclusion : Monitoring of bone metabolism is recommended for patients treated with new antiepileptic drugs, particularly oxcarbazepine.

저항업셋용접에 의한 Zircaloy-4 용접부의 형상과 미세조직에 관한 연구

고진희,박춘호 韓國技術敎育大學校 1995 論文集 Vol.2 No.1

A Study on the weld contour and the microstructure of welds for Zircaloy-4 sheath end closure by a magnetic force and a multi-impulse resistance upset welding was carried out. The weld contour, microstructure, grain size and microhardness across welds were analysed in terms of welding parameters. The magnetic force resistance weld with one cycle unbalanced mode showed a smaller upset length and finer α-grain size in the heat-affected zone than those of the multi-impulse welds because of a lower heat input and shorter welding time. heat-affected zones formed by two resistance welding methods revealed the fine Widmanstatten structure or martensitic α' structure due to the high heating rate and the fast cooling rate. It was also found that magnetic force resistance welds showed recrystallized grains before the grain growth, whereas the multi-impulse resistance welds showed the full grain growth.

Problems and Improvement of Livestock Products Traceability System

Jin-Hee Ko(고진희),Chul-Ju Park(박철주) 한국식품보건융합학회 2016 한국식품보건융합학회지 Vol.2 No.1

한국의 2005-2009년도 영아사망률 중에서 출생체중, 임신나이 별 구분에 따른 신생아 사망률의 비율 관찰

조미진,고진희,정성훈,최용성,한원호,장지영,배종우 대한신생아학회 2011 Neonatal medicine Vol.18 No.2

Purpose: Recently in Korea, there have been significant improvements in neonatal mortality rate (NMR) and infant mortality rate (IMR). This study aimed to investigate the proportion of the NMR among IMR, with the goal of discerning the influence of improved NMR on the reduction of IMR in the last 5 years in Korea. Methods: All data were from Statistics Korea. Changes in the NMR percentage among IMR and the percentage of the death by the distribution of the birth weight and gestational were investigated. Results: The total birth rate decreased, but the total number of preterm and low birth weight infants increased. These was a large decrease in NMR and IMR. The proportion of NMR among INR exceeded 50%. Early NMR was higher than late NMR. Among the total infant death, the mortality of preterm and low birth weight infants was high. Conclusion: Between 2005 and 2009, the total birth has declined in Korea, but the frequency of low birth weight infants is trending upward. The improvements in NMR and IMR, and the downtrend of the NMR percentage in IMR, are encouraging. It seems that the continued decrease of mortality of preterm and LBWI is required for better improvements NMR and IMR in Korea. This result is expected to be used for the basic data to improve the management of the newborns in Korea.

졸업학년 간호대학생의 임상추론역량에 미치는 융합적 영향요인

강명주,고진희,라미옥 중소기업융합학회 2019 융합정보논문지 Vol.9 No.7

This study is a descriptive research study for investigating the factors influencing clinical reasoning competency of senior grade nursing students. This study was targeted at 160 senior grade nursing students in M city and G city and data was collected from April 15, 2019 to May 15, 2019. The collected data was analyzed using the SPSS/WIN 21.0 program, and t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis were carried out. There was a significant correlation between clinical reasoning competency, critical thinking disposition, metacognition, and empathy. The factors influencing the clinical reasoning competency included metacognition(β=.48, p<.001), critical thinking disposition(β=22, p=.021), and empathy(β=-.19, p=.012). These variables explained 35.0% of the clinical reasoning competency. Based on the results of this study, a demonstration study for developing a convergence education program including metacognition, critical thinking disposition, and clinical reasoning competency and verifying its effect is necessary. 본 연구는 졸업학년 간호대학생의 임상추론역량에 미치는 영향요인을 규명하기 위한 서술적 조사연구이다. 연구대상자는 M시와 G시의 졸업학년 간호대학생 160명으로 자료수집은 2019년 4월 15일부터 5월 15일까지 하였다. 수집된 자료의 분석은 SPSS/WIN 21.0 program을 이용하여 t-test, ANOVA, Pearson의 상관계수, 다중회귀분석을 하였다. 임상추론역량과 비판적 사고성향, 메타인지, 공감능력 간에는 유의한 상관관계가 있었고 임상추론역량에 영향을 미치는 요인을 분석한 결과 메타인지(β=.48, p<.001), 비판적 사고성향(β=22, p=.021), 공감능력(β=-.19, p=.012)으로 확인되었으며, 이 변인들은 임상추론역량을 35% 설명하였다. 본 연구결과를 토대로 메타인지, 비판적 사고성향, 임상추론역량을 포함한 융합교육 프로그램 개발 및 효과를 검증하는 실증연구가 필요하다.