표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구

김경옥,김희경,안효자,신헌태,Kim, Kyeong-Ok,Kim, Hee-Kyung,An, Hyo-Ja,Shin, Heon-Tae 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

방화범죄자에 대한 Criminal Profiling 적용 가능성 고찰

김경옥,Kim, Kyeong-Ok 한국화재조사학회 2008 한국화재조사학회 논문지 Vol.11 No.1

범죄자 프로파일링은 최신 과학수사기법으로 외국에서는 물론 국내에서도 많은 관심을 받고 있는 분야이며, 이에 대한 연구가 최근 들어 경찰 실무에서 뿐만 아니라 사회과학자들에게서도 주목을 받고 있는 실정이다. 범죄자 프로파일링은 미국에서 1960년대 이후 급증한 연쇄살인 범죄에 대한 새로운 수사기법으로 개발된 분야로서, 연쇄살인 범죄자에 대해서는 비교적 다양한 연구가 수행된 반면 방화범죄자에 대해서는 국내 외의 연구가 매우 부족한 상황이다. 이에 본 논문에서는 외국에서 수행된 연구 및 방화범죄자의 유형 구분이 가능한가에 대한 외국의 연구 결과들을 검토하여 국내에서 방화범죄자의 프로파일링이 어떻게 이루어져야할 것인가에 대한 기초 연구를 제공하고자 한다. Recently, police agency and social scientists' interest in the criminal profiling is increasing. Since serial killings had sharply increased during 1960s in U.S. the American law enforcement agency were pushed to solve those criminal incidents. Therefore, they drew various investigative techniques. But there are no study for the criminal profiling of arsonists. So, this paper reviewed prior studies on the arsonist's type and suggested how to apply this kind of basic information for investigating arson cases in Korea.

Regional Realtime Ocean Tide and Storm-surge Simulation for the South China Sea

김경옥,최병호,이한수,육진희,Kim, Kyeong Ok,Choi, Byung Ho,Lee, Han Soo,Yuk, Jin-Hee Korean Society of Coastal and Ocean Engineers 2018 한국해안해양공학회 논문집 Vol.30 No.2

남중국해는 심해 분지, 대륙 붕단, 얕은 대륙붕, 많은 해협, 복잡한 수심 특징을 가진 전형적인 연안 영해이다. 본 연구에서는, 비구조 격자 기반으로 대상 해역을 상세하게 해상할 수 있으며, 개방경계에 조석을, 해표면에 기상자료를 입력하여 조석 및 폭풍해일을 모의할 수 있는 수치 모델을 구축하여 남중국해의 조석 특성과 전파 양상을 조사하고, 태풍에 의한 폭풍해일을 재현하였다. 태풍에 의한 폭풍해일 모의는, 2013년에 필리핀에 막대한 피해를 초래하였던 태풍 하이옌에 대해서 수행하였다. 관측치 및 선행 연구의 조석 분포와의 비교 결과, 4개의 주요 분조의 진폭과 위상은 대체적으로 잘 모의되었다. 선행 연구들에 따르면, 당 해역은 모델을 이용하여 조석을 예측하기가 어렵다고 보고되고 있는데, 이 점을 감안한다면 본 연구에서 예측한 조석은 허용 범위에 있다고 생각된다. 본 연구에서 수행한 자유 진동 모드 실험을 통해서 남중국해가 일주조 조석이 우세한 이유를 알 수 있었으며, 조석 잔차류(tidal residual current) 및 총에너지 소실(total energy dissipation) 산정을 통해서 조석 및 퇴적환경을 파악하였다. 본 연구에서 구축한 모델을 이용하여 태풍 하이옌에 의한 폭풍해일을 타당하게 모의하였으며, 모델 검증 및 조석 환경 규명을 통하여 남중국해의 지역 실시간 순압 조석/수위 예측 시스템을 구축하였다. The South China Sea (SCS) is a typical marginal sea characterized with the deep basin, shelf break, shallow shelf, many straits, and complex bathymetry. This study investigated the tidal characteristics and propagation, and reproduced typhoon-induced storm surge in this region using the regional real-time tide-surge model, which was based on the unstructured grid, resolving in detail the region of interest and forced by tide at the open boundary and by wind and air pressure at the surface. Typhoon Haiyan, which occurred in 2013 and caused great damage in the Philippines, was chosen as a case study to simulate typhoon's impact. Amplitudes and phases of four major constituents were reproduced reasonably in general, and the tidal distributions of four constituents were similar to the previous studies. The modelled tide seemed to be within the acceptable levels, considering it was difficult to reproduce the tide in this region based on the previous studies. The free oscillation experiment results described well the feature of tide that the diurnal tide is prevailing in the SCS. The tidal residual current and total energy dissipation were discussed to understand the tidal and sedimentary environments. The storm-surge caused by typhoon Haiyan was reasonably simulated using this modeling system. This study established the regional real-time barotropic tide/water level prediction system for the South China Sea including the seas around the Philippines through the validation of the model and the understanding of tidal characteristics.

반영구화장 이용 요인 및 만족도 연구 : 베트남 여성을 대상으로

김경옥(Kyeong-Ok Kim) 한국인체미용예술학회 2021 한국인체미용예술학회지 Vol.22 No.1

This study investigated factors affecting the use of Semi-permanent Makeup, satisfaction with the treatment and recommendation intention against Vietnamese women and discussed key implications based on the results. For this, a total of 294 women were survayed in Hanoi, who have shown an interest in Semi-permanent Makeup from May 10 to August 10 (90 days), 2019, and the results found the followings: First, 67.3% of the respondents had the Semi -permanent Makeup treatment before, showing a high interest in Semi-permanent Makeup. When asked what made them get this treatment, ‘Persistence of the effects’ and ‘Image changes’ were most responded. In terms of a body part already treated or to be treated, ‘Eyebrows’ was most responded. When asked where they got the treatment, ‘Spa’ was the highest. When asked from whom they wanted to get treatment, ‘Semi-permanent Makeup specialist’ was most responded. In terms of the length of treatment, ‘1-2 hour(s)’ was the highest. When asked what aspect they considered most before the treatment, ‘Makeup skills’ and ‘Aesthetic effects’ were most responded. Second, when asked what considered most for Semi-permanent Makeup, ‘Costs’ was the highest. In terms of satisfaction with the treatment and intention to recommend it to others, satisfaction was more than average and recommendation intention was also high. Third, in terms of the effects of consideration of the factors affecting the use of Semi-permanent Makeup on satisfaction and recommendation intention, as treatment costs decreased, safety and recommendation intention were higher. It is predicted that the study results would be useful as foundation data for a better future by investigating consumers’ propensities and market differentiation with a goal of penetrating into Vietnamese Semi-permanent makeup industry.

베트남 여성의 반영구화장에 대한 인식

김경옥(Kyeong-Ok Kim),유왕근(Wang-Keun Yoo) 한국인체미용예술학회 2020 한국인체미용예술학회지 Vol.21 No.3

This study was conducted to provide basic data needed to analyze and develop Korean semi-permanent makeup training and treatment methods in consideration of Vietnamese women’s needs after investigating their perception of semi-permanent makeup. For this purpose, a survey was conducted from May 10 to August 10, 2019 (90 days) on 294 women living in Hanoi, who have been interested in semi-permanent makeup and the results found the followings: When asked how much they were aware of semi-permanent makeup, ‘little’ was responded. When asked how they got to know it, ‘spa’ was most responded. More than half of the respondents were aware of semi-permanent makeup, and 59.2% believed that it is close to plastic surgery. When asked how safe the makeup treatment is, they mostly had a positive response. In comparison to with tattoos, nearly 66% of the respondents were aware of the differences. When asked if they were informed of semi-permanent makeup training institutions, about 70% said ‘Yes’. In terms of relations among disinfection, hygiene and infection, 75.5% were aware of the risk of infection. It is anticipated that the study results would be available as useful basic data needed to develop Korean semi-permanent makeup programs and give related training in Vietnamese aesthetic industry which has been rapidly growing.

염증성 장질환 환자에서 5-Aminosalicylic Acid의 신장기능에 대한 영향

김경옥 ( Kyeong Ok Kim ),장병익 ( Byung Ik Jang ),김태년 ( Tae Nyeun Kim ),이시형 ( Si Hyung Lee ) 대한장연구학회 2008 Intestinal Research Vol.6 No.1

Background/Aims: An increasing number of case reports indicate the potential nephrotoxicity of 5-aminosalicylic acid (ASA). The aim of this study was to investigate the effect of long-term use of 5-ASA on renal function in patients with inflammatory bowel disease (IBD). Methods: The medical records of 318 patients with IBD that were treated with 5-ASA from 2001 to 2007 at Yeungnam University Hospital were reviewed. Changes in creatinine clearance (CCr), as measured by modification of diet with the renal disease study (MDRD) method, and risk factors were analyzed. Results: One-hundred patients were available for analysis. The male to female ratio was 55:45 and the mean age was 35.89±14.1 years. Fifty-eight patients were diagnosed with Crohn’s disease and the other patients were diagnosed with ulcerative colitis. The mean treatment duration with 5-ASA was 2.6±2.5 years and 85 patients were treated with mesalazine and eight patients were treated with sulfasalazine. The mean baseline glomerular filtration rate (GFR) was 112.9±25.3 mL/min. The mean CCr declined to 106.3±28.3 ml/min/m2 with an annual decline of 1.44 ml/min/year/m2, but there was no statistically significant change in the mean CCr. Changes in the CCr were correlated with the pretreatment CCr. Conclusions: There was no statistically significant change in serum CCr. Although 5-ASA therapy in IBD patients resulted in no meaningful effect on renal function, the annual decline was within the normal range (0.4-1 mL/min/m2). Serial follow-up of GFR has significance. A large prospective study with a longer time is needed to confirm these findings. (Intest Res 2008;6:45-49)

염증성 장질환 환자에서 기능성 위장관 질환

김경옥 ( Kyeong Ok Kim ) 대한소화기학회 2022 대한소화기학회지 Vol.79 No.1

With emerging more effective drugs, the therapeutic goal of inflammatory bowel disease (IBD) has progressed from clinical remission to mucosal healing. Although the inflammation could be controlled more effectively than before, symptoms such as abdominal pain and bowel habit change is still bothersome to some IBD patients. Recently, these “refractory functional gastrointestinal symptoms” in quiescent IBD patients has been paid more attention. The pathophysiology could be multifactorial with genetics, change in gut motility associated with post inflammatory condition, increased permeability, impaired colorectal function, visceral hypersensitivity and gut microbiota. Because both IBD and functional gastrointestinal disease (FGID) could share similar symptoms and some pathophysiology, it is sometimes challenging to distinguish them exactly. However, to reduce the risk of overtreatment or insufficient control of inflammation, exact diagnosis of functional disease or symptoms in quiescent IBD patients is important. Because there is limited randomized controlled trials or prospective study currently, most of the therapeutic approach in IBD patients are empirical or referred to those of functional gastrointestinal disorders. However, approaches based on pathophysiological mechanisms could give appropriate therapies for both IBD and FGIDs. (Korean J Gastroenterol 2022;79:4-11)

관해기 궤양성 대장염의 재발

김경옥 ( Kyeong Ok Kim ),장병익 ( Byung Ik Jang ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.1

한반도 주변해역의 공간적 조위기준면의 산정전략

김경옥(Kim, Kyeong Ok),최병호(Choi, Byung Ho) 대한토목학회 2016 대한토목학회 학술대회 Vol.2016 No.10

대장 게실의 연도별 발생빈도 및 임상양상에 대한 고찰

김경옥 ( Kyeong Ok Kim ),장병익 ( Byung Ik Jang ),김태년 ( Tae Nyeun Kim ),문희정 ( Hee Jung Moon ) 대한장연구학회 2008 Intestinal Research Vol.6 No.2

Background/Aims: The prevalence of colonic diverticulosis in Korea is lower than in Western contries and the involved site is different. But, the recently increasing prevalence in Korea may be due to changing life style and advances in diagnostic approachs. We analyzed the annual incidence and clinical manifestations of colonic diverticulosis of the patients who underwent colonofibroscopy. Methods: Medical records of 25,808 patients who underwent colonofibroscopy at Yeungnam University Medical Center from January 2000 to December 2007 were retrospectively reviewed. Results: Overall prevalence was 5.5%. The mean age of the patients was 57.02±12.41 years (range 19-97 years) and the most frequent occurrence (28.8%) occurred in the 7th decade of life. Male to female ratio was 977:159. The annual incidence rate increased from 4.6% to 7.2% since 2000. Diverticulum occurred more frequently in the right side colon (997 cases) than the left side colon (159 cases), with involvement of both sides in 62 cases. The rate of left sided colon increased with age. In 516 patients, only one diverticulum was detected and the other 682 patients had multiple diverticuli. Complications were evident in 51 cases, consisting of diverticulititis in 35 cases and bleeding in 16 cases. Conclusions: According to this single center analysis, the annual incidence rate of colonic diverticulosis is increasing with right sided colon as the predominant site. But, the frequency in left-sided colon is increasing with age. (Intest Res 2008;6:116-120)