노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교

김연경,KIM CLARA TAMMY 한국노년학회 2019 한국노년학 Vol.39 No.4

The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly. 주관적 기대여명(Subjective Life Expectancy)이란 자신의 수명에 대한 평가로, 주관적 인지평가에 그치지 않고, 건강한 삶을 위해 건강증진, 사회적 활동, 경제적 활동 등에서 실천적 행위를 하게 하는 기전으로 알려져 있다. 본 연구는 연령집단별 노인의 주관적 기대여명에 영향을 미치는 요인을 일반적 요인과 개입요인으로 나누어 파악하여 비교해보는 것에 목적이 있다. 연구대상자는 제 6차 고령화연구패널(KLoSA)을 이용하여 연령집단별로 연소노인(65세-74세) 2,106명, 중고령노인(75-84세) 1,803명, 초고령노인(85세 이상) 574명으로 총 4,483명이다. 일반적 요인은 통제변수로써 인구사회학적요인, 건강상태요인을, 개입요인은 독립변수로써 건강증진행위, 공적돌봄인지여부, 공식적 사회활동 참여, 일자리 및 소득보장 등에 해당하는 9가지의 변수를 설정하여 카이제곱검정, ANOVA, t-test, 위계적 다중 회귀분석을 실시하였다. 그 결과 주관적 건강상태와 기초연금은 모든 연령집단의 주관적 기대여명에 영향을 미쳤지만, 그 외의 변수들은 집단별로 차이가 있었다. 공식적 사회활동 참여, 일자리 및 소득보장요인은 연소노인과 중고령노인 집단에서 유의했고, 건강증진행위요인은 연소노인에서만 유의했다. 중고령노인은 다른 연령집단에 비해 개입요인보다 일반적 요인에서 유의미한 결과가 치중된 것으로 나타났다. 본 연구의 결과는 연령집단별 노인의 주관적 기대여명과 남은 노후를 잘 보내기 위한 실천적이고 개입 가능한 요인 탐색에 기초자료를 제공할 수 있을 것이다.

65세 이상 노인에서 사상체질에 따른 식습관, 영양소 섭취상태 및 질병 양상에 관한 연구(II)

김연경,조미란,장린,조여원,Kim, Youn-Kyoung,Cho, Mi-Ran,Chang, Rin,Choue, Ryo-Won 대한지역사회영양학회 2002 대한지역사회영양학회지 Vol.7 No.1

Since the 1970s, the average life expectancy of Koreans has been increasing. Our concerns are not simply about longevity, but also about disability-free life. lately, Sasang constitutional medicine has attracted public attention, especially with respect to the elderly. The purpose of this study was to investigate the food habits, nutrients intake, and disease distribution among the elderly, according to their Sasang constitutions. The results are as follow : The distribution of constitutions of the subjects were Tae-eum 48.8%, So-yang 27.4%, So-eum 22.6%, and So-yang + So-eum 1.2%. In both elderly men and women, body weight, percent ideal body weight, and diastolic pressure of the Tae-eum were significantly higher than those of other constitutions. In both men and women, the level of hemoglobin in the Tae-eum was significantly higher than those of other constitutions. The level of LDL-cholesterol was higher, and the level of HDL-cholesterol was lower in the So-eum elderly women. Food habits of the So-eum were the most irregular, and nutrients intake of the So-eum was lower than that of other constitutions in both elderly men and women. In elderly men, the incidence of hypertension was the highest in the Tae-eum, and the incidence of gastritis was the highest in both So-yang and So-eum. In elderly women, the incidence of fatty liver was the highest in the Tae-eum and So-yang, and gastritis and hypertension were the highest in the So-eum. In the elderly, obese and anemic persons were significantly more in the Tae-eum and the So-eum, respectively. The results of this study showed that there were significant differences of physical, characeristics, food, habits, and distributions of disease for the subjects according to each Sasang constitutions. Intake of nutrient was poor, regardless of Sasang constitutions, in both men and women.

랜덤효과를 포함한 영과잉 포아송 회귀모형에 대한 베이지안 추론: 흡연 자료에의 적용

김연경,황범석,Kim, Yeon Kyoung,Hwang, Beom Seuk 한국통계학회 2018 응용통계연구 Vol.31 No.2

It is common to encounter count data with excess zeros in various research fields such as the social sciences, natural sciences, medical science or engineering. Such count data have been explained mainly by zero-inflated Poisson model and extended models. Zero-inflated count data are also often correlated or clustered, in which random effects should be taken into account in the model. Frequentist approaches have been commonly used to fit such data. However, a Bayesian approach has advantages of prior information, avoidance of asymptotic approximations and practical estimation of the functions of parameters. We consider a Bayesian zero-inflated Poisson regression model with random effects for correlated zero-inflated count data. We conducted simulation studies to check the performance of the proposed model. We also applied the proposed model to smoking behavior data from the Regional Health Survey (2015) of the Korea Centers for disease control and prevention. 0이 과도하게 많이 나타나는 자료는 여러 다양한 분야에서 흔히 볼 수 있다. 이러한 자료들을 분석할 때 대표적으로 영과잉 포아송 모형이 사용된다. 특히 반응변수들 사이에 상관관계가 존재할 때에는 랜덤효과를 영과잉 포아송 모형에 도입해서 분석해야 한다. 이러한 모형은 주로 빈도론자들의 접근방법으로 분석되어왔는데, 최근에는 베이지안 기법을 사용한 분석도 다양하게 발전되어 왔다. 본 논문에서는 반응변수들 사이에 상관관계가 존재하는 경우 랜덤효과가 포함된 영과잉 포아송 회귀모형을 베이지안 추론 방법을 토대로 제안하였다. 이 모형의 적합성을 판단하기 위해 모의 실험을 통해 랜덤효과를 고려하지 않은 모형과 비교 분석하였다. 또한, 실제 지역사회 건강조사 흡연 자료에 직접 응용하여 그 결과를 살펴보았다.

65세 이상 노인에서 식습관, 영양소 섭취 및 질병 양상에 관한 연구(I)

김연경,이혜옥,장린,조여원,Kim, Youn-Kyoung,Lee, Hye-Ok,Chang, Rin,Choue, Ryowon 대한지역사회영양학회 2002 대한지역사회영양학회지 Vol.7 No.4

The purpose of this study was to investigate the food habits, nutrient intake, and disease distribution in the elderly (aged over 65 years). The correlation of diseases with anthropometric measurements and nutrients was investigated. The correlation of blood parameters with anthropometric measurements and nutrient intake was also studied. The results are as follow: 1) Most elderly men (68.6%) and women (81.6%) had more than three diseases. The food habits of the elderly women were worse than those of the men. Their intake of protein, calcium, iron, vitamin A, and vitamin $B_2$ were lower than the RDA for those particular nutrients.2) The incidence of gastritis (51.2%) , fatty liver (46.4%) , and hypertension (45.2%) were the highest among elderly men and women. 3) Anemia was negatively correlated with body weight. Hypercholesterolemia was positively correlated with body fat and negatively correlated with intake of calcium, vitamin A, and vitamin $B_2$ . Hypertension was negatively correlated with alcohol consumption. 4) Blood total cholesterol concentration was positively correlated with percent ideal body weight (% IBW) . Blood hemoglobin level was positively correlated with Body Mass Index (BMI) . Systolic and diastolic blood pressure were positively correlated with % IBW and BMI. Blood cholesterol concentration was negatively correlated with the intake of iron, vitamin A, vitamin $B_2$, and cholesterol, and positively correlated with the consumption of alcohol. Blood hemoglobin level was positively correlated with the intake of total calories, carbohydrates, fat, protein, iron, vitamin $B_2$, phosphorus, cholesterol, salt, and alcohol.

A Fifteen-year Epidemiological Study of Ventriculoperitoneal Shunt Infections in Pediatric Patients: A Single Center Experience

김연경,신형진,김예진,Kim, Yeon Kyung,Shin, Hyung Jin,Kim, Yae Jean The Korean Society of Pediatric Infectious Disease 2012 Pediatric Infection and Vaccine Vol.19 No.3

목 적 : 뇌실-복강 단락 수술은 수두증이 있는 소아 환자에서 중요한 치료 방법 중 하나이다. 뇌실-복강 단락에서 단락 감염은 중요한 합병증이며 수술의 예후를 결정하는 중요한 요인이다. 이 연구는 소아 환자에서의 뇌실-복강 단락 감염의 역학적 특성과 임상 증상, 치료와 예후를 파악하고 진단 및 치료에 도움이 되고자 하였다. 방 법 : 1995년 4월부터 2010년 6월까지 뇌실-복강 단락 수술을 시행 받은 18세 이하의 환자를 대상으로 하였으며 후향적으로 의무 기록을 분석하였다. 결 과 : 총 190명(여자 82명, 남자 107명)의 환자에서 327건의 뇌실-복강 단락 수술을 시행하였다. 중위 연령은 2.4세이며(0.02-17.9세) 뇌실-복강 단락 수술의 가장 흔한 원인은 악성 뇌종양이었다. 수술 1건 당 감염률은 6.7% (22/327건), 환자 1명 당 감염률은 9.5% (18/190명)이며 100건의 수술-년 당 감염은 0.45건 이었다. 가장 흔한 원인 균은 coagulase-negative staphylococcus (7건) 이며 methicillin resistant Staphylococcus aureus에 의한 감염은 1건 이었다. 10건의 감염에서 vancomycin과 beta-lactam antibiotics (cephalosporin or carbapenem)의 복합 정주 치료를 시행하였으며 7건의 감염에서 vancomycin 단독 정주 치료를 시행하였다. 치료 기간의 중앙값은 26일(7-58일)이었으며 수술적 치료는 18건에서 시행하였다(18/22건, 81.8%). 결 론 : 본 연구는 단일 기관에서 15년 동안의 뇌실-복강 단락 감염의 역학을 요약한 연구로 소아 환자에서의 뇌실-복강 단락 감염의 역학적 정보는 적절한 치료를 시행하는데 큰 도움이 될 것이다. 향후 단락 감염의 발생과 관련한 위험 인자에 대한 추가적인 연구가 필요할 것으로 사료된다. Purpose : Ventriculoperitoneal (VP) shunt insertion is an important treatment modality in children with hydrocephalus. VP shunt infection is a major complication and an important factor that determines the surgery outcome. This 15-year study was performed to evaluate the epidemiology of VP shunt infections in pediatric patients treated at our center. Methods : A retrospective review of medical records was performed in patients 18 years old or younger who underwent VP shunt insertion surgery from April 1995 to June 2010. Results : Three hundred twenty-seven VP shunt surgeries were performed in a total of 190 pediatric patients (83 females, 107 males). The median age of the patients was 2.4 years (range, 0.02-17.9 years). Having a malignant brain tumor was the most frequent cause for VP shunt insertion. The shunt infection rate was 6.7% (22/327) per 100 operations and 9.5% (18/190) per 100 patients, and the incidence rate was 0.45 infection cases per 100 shunt operations-year. The most common pathogen was coagulase-negative staphylococcus (n=7) followed by methicillin resistant Staphylococcus aureus (n=1). Ten cases were treated with vancomycin and beta-lactam antibiotic (cephalosporin or carbapenem) combination therapy and 7 cases were treated with vancomycin monotherapy. The median duration of antibiotic treatment was 26 days (range, 7 to 58 days). Surgical intervention was performed in 18 cases (18/22, 81.8%). Conclusion : Epidemiologic information regarding VP shunt infections in pediatric patients is valuable that will help guide proper antibiotic management. Additional studies on the risk factors for developing VP shunt infections are also warranted.

김억의 세계문학 지향 (1) : 岸曙 문학의 내재적 논리를 찾아서

김연경(Elizabeth Yeonkyung Kim ; 金延暻) 우리문학회 2013 우리文學硏究 Vol.0 No.40

기존의 김억 연구는 1925년 이후 김억의 문학이 서구문학에서 민족문학으로 전환하였다는 일종의 ‘방향전환설’을 기정사실화 했다. 이 연구에서는 그러한 방향전환설에 문제를 제기하고 김억의 문학을 관통하는 것이 서양과 동양이라는 이분법적 구도가 아님을 보여주고자 하였다. 이렇게 될 김억의 문학적 궤적에서 방향전환은 없었으며, ‘세계문학’을 추구하기 위해 단일한 방향으로 나아갔음을 확인할 수 있을 것이다. 김억에게 ‘세계문학’은 그 자체가 하나의 방법론이었고, 그러한 내적 논리 속에서 일관된 궤적을 보이고 있음을 증명하고자 한다. 김억은 세계문학과 조선문학의 밀접한 관계 사이의 긴장을 충분히 인식하고, ‘보편’과 ‘특수’ 혹은 세계문학과 조선문학이라는 함의를 치열하게 고민한 문인이었다. 약소국가였던 조선의 현실에서 김억이 생각할 수 있는 세계문학의 방법은 제한적일 수밖에 없었지만, 끊임없이 이분법을 교란시켜 하나로 통합시키려는 노력을 보였다. 그러한 노력 속에서 구체적인 성과를 거둘 수 없었다고 하더라도 김억은 아직 도래하지 않은 미래의 세계문학을 추구해왔다. 이것을 가능케 하는 것은 바로 국제공통어 에스페란토어였다. 그가 꿈꾼 세계 문학이란 에스페란토어를 통해 他민족들과 향유될 수 있는 것이었으며, 모든 나라를 포괄하는 것이었으며, 민족문학을 배제하는 것이 아니라 동반하는 것이었다. This paper proposes to interpret Kim Ŏk primarily from the perspective of world literature. This way, Kim Ŏk, heretofore understood as a writer that had taken a literary ‘shift’ in 1925-from his previously Western-style works to those works realizing the ideology of the 1920’s national literature movement-can be understood within an internal logic, instead of the binary opposition of the West vs. East, and the modern vs. traditional. This internal logic is ‘world literature,’ which stands on the well-known premise that ‘world literature’ and ‘national literature,’ like two sides of a coin, are two concepts in a mutually reinforcing, dynamical relationship that subsumes the works of Kim Ŏk in one large frame. Here, the former is usually identified as the ‘universal,’ and the latter, the ‘particular.’ This is to say that, Kim Ŏk, despite his repertoire of seemingly contrasting works, had been aiming for the same ultimate purpose consistently throughout his literary life, namely the ideology of world literature. Indeed, evidence found in his theories and criticisms calls for a new understanding of Kim Ŏk as a writer whose primary literary orientation was ‘world literature.’ The reason why he had devoted much of his career to advocating Esperanto and conducting translations, then, also comes to make sense in this new perspective. While much can be said about the idealistic picture of world literature which he dreamt of and carefully planned to carry out, it will suffice to point out that, most importantly, this picture of world literature was one of a model inclusive of national literature.

장기기증에 대한 대학생들의 지식수준과 태도

박휘향,김연주,김진희,박미현,김연경,김연빈,김윤서,김지안,민지현,배성철,김진아,안성아,김은희,Park, Hwi-Hyang,Kim, Yeon-Joo,Kim, Jin-Hui,Park, Mi-Hyeon,Kim, Yeon-Gyeong,Kim, Yeon-Bin,Kim, Yoon-Seo,Kim, Ji-An,Min, Ji-Hyeon,Bae, Seong-Cheol,Kim 한국임상보건과학회 2015 한국임상보건과학회지 Vol.3 No.1

Purpose. The purpose of this study was to investigate level of knowledge and attitude about organ donation in university and provide basic information on correct education and promotion. Method. The sample is consisted of 90 the students related to health and 90 general college students ; total 180 students in J city. The questionnaires were used to obtain the results. Data was collected from November 6th to 8th, 2013. For data analysis, the SPSS for window 12.0 K program was utilized to get descriptive statistics including the percentage, average, standard deviation and t-test. Results. Comparing the results between a series of health students and general college students, a series of health students showed high level of more knowledge and more positive attitude about organ donation than general college students. A series of health showed significant correlation but general college didn't show significant correlation. Conclusion. To educate correct knowledge draw positive attitude about organ donation is needed to improve the level of Knowledge and Attitude about organ donation.

실사용을 고려한 신재생 시스템의 신뢰성 분석에 관한 연구

김연경(Kim Yeon Kyeong),김유민(Kim Yu Min),김명진(Kim Myungchin) 한국통신학회 2022 한국통신학회 학술대회논문집 Vol.2022 No.2

본 논문은 신재생 시스템으로 구성된 DC 마이크로그리드를 사용하는 과정에서 고려해야하는 스위칭 소자들의 신뢰성 분석을 기반으로, 수명평가에 관한 연구를 진행하였다. DC 마이크로그리드에 연결된 신재생 에너지원의 간헐적 출력에 대한 보완책으로 배터리와 배터리용 부스트(boost) 컨버터를 이용하여, 전압을 일정하게 유지시켜주는 것을 고려하였다. 신재생 에너지원의 출력변동에 따라 배터리의 출력량이 달라지게 되는데, 이 때 부스트 컨버터에 사용된 스위칭 소자의 수명분석 결과를 소개한다. 배터리에 연결된 컨버터 고장으로 인한 시스템 중단 및 유지보수 비용 증가 등을 막기 위하여, 컨버터의 수명분석이 필요하다. 컨버터에 사용되는 스위칭 소자의 주요 고장 매커니즘이 열적 스트레스임을 고려하여, 열적 스트레스에 의한 전력 손실 등을 기반으로, 반도체 소자의 수명특성 분석을 진행하였다. 이를 바탕으로 DC마이크로그리드에 사용된 스위칭 소자의 수명분석을 진행한다.

구어체 종결어미 ‘-을걸’에 대한 연구

김연경 ( Kim Yeon-kyung ) 문창어문학회 2021 문창어문논집 Vol.58 No.-

The Purpose of this study is to investigate syntactic restriction in final endings of colloquial language, while taking syntactic characteristics and morphological characteristics into account. In Korean language, the modality has been defined withing the era of meaning. However, this paper deems the mood as sentential type relevant to certain illocutionary force, while taking the modality as narrator’s attitude on proposition, which is independent category from the mood. According to this definition, ‘-eul-geol’ comes in the semantic category: [speculation] and [regret]. However, it has differnet syntactic restrictions by the semantic category, which is outstanding characteristic. Such phenomenon could be explained as scope of modality. As reported by Palmer(2001), [speculation] refers to epistemic modality, while [regret] stands for event modality. epistemic modality means narrator’s attitude on proposition and is to recognized whether it could possibly happen, especially with regard to factuality of the propostion or if it must be true or reasonable proposition in the sentence. On the other hand, the event modality is element for making event within the propostion. The phenomenon-a single word form have diverse meanings-is cross linguistic phenomenon. Diversity could be derived from grammaticalization, and another characteristics of ‘-eul-geol’ is that all of them are formed through ‘grammaticalization’.

국내 체육학회지에 발표된 유아체육 관련 논문 비교 분석 -2000년~2005년 한국유아체육학회지와 한국사회체육학회지를 중심으로-

김연경 ( Yeon Kyung Kim ) 연세대학교 체육연구소 2006 체육연구논문집 Vol.13 No.1

Meta-Analysis, based on academic journals published on A and B during the period of the year 2000 - 2005, has been performed to address the improvement in effectiveness of conducting infant physical education. By identifying and categorizing the previously published journals` research directions, issues such as goals and importance along with trends and problems facing current infant physical education have been discussed. It is a hope of this author that, by doing so, this paper would serve as a preliminary data in determining the future direction of infant physical education and an aid to those who are involved in researches regarding this field. This study has collected, organized and analyzed 61 articles on infant physical education which were published from 2000 to 2005 in Journal of the Korean society for child physical education and Journal of sport and leisure studies. These papers were sorted by publishing year, fields that they were dealing with. The results are summarized as follows. 1) The number of articles on infant physical education in Journal of sport and leisure studies in creased in 2005 compared to the published papers in 2000. On the contrary, the number of articles which were published in Journal of the Korean society for child physical educationdecreased in 2005 compared to the number of papers in 2000. 2) The fields that the 61 papers are dealing with are 13 on Sports sociology(21.31%), 10 on Growth and Development(16.39%), 7 on Measurement and Evaluation in Physical Education(11.48%), 6 on Teaching Methods in Physical Education(9.84%), 5 on Exercise Physiology(8.20%), 4 on Sports Psychology(6.56%), 4 on Curriculum(6.56%), 4 on Dancing(6.56%), 2 on Adapted Activity and Exercise(3.28%), 1 on Physical Exercise History(1.64%), 1 on Physical Exercise Administration and Management(1.64%), 1 on Physical Exercise Health(1.64%) and others(3 papers, 4.92%)