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      • KCI우수등재

        메타분석을 이용한 가족 탄력성 증진 프로그램의 효과

        김영아,서윤암,정향인,윤상후 한국데이터정보과학회 2019 한국데이터정보과학회지 Vol.30 No.4

        The purpose of this study was to identify the status and effectiveness of domestic experimental programs conducted to enhance resilience to families. Fifteen studies reported from 2006 to 2017 were finally analyzed. All studies were designed non-equivalent control group pre-post test designs, and the sample size was 454 in total. Most of the subjects were members of vulnerable families such as disabled children, cancer patients, chronic schizophrenia, dementia, multicultural families, and divorced families. The intervention program consisted of 4~12 weeks/4~12 sessions/45∼180 minutes per session. Major dependent variables measured in these studies were family resilience, communication, family relation, family adaptation, and parenting efficacy. The standardized effect sizes of the measured variables excluding the communication and family relation were above the high level. This study is meaningful in that it systematically analyzes the domestic research results that are used to improve the resilience of the family and objectively presents the size of the effect, and provide specific evidence-based data for future intervention strategies to enhance family resilience. 본 연구의 목적은 취약가족을 대상으로 가족 탄력성을 증진시키고자 수행된 국내 실험연구들의 현황을 파악하고 지금까지의 연구결과를 체계적으로 정리하는데 있다. 2006년부터 2017년까지 가족 탄력성에 대해 출판된 연구의 질을 평가하여 최종 15편을 선정하여 분석하였다. 모든 연구는 비동등성대조군전후설계였고, 표본크기는 총 454명이었다. 연구대상자의 대부분은 장애 아동, 암환자, 만성 조현병 환자, 치매, 다문화가정 및 이혼가정과 같은 취약가족의 일원이었다. 가족의 기능을 회복하기 위한 중재프로그램은 4~12주/4~12회기/1회 45~180분으로 구성되어 있었다. 관련연구에서 측정된 주요 종속변수는 가족 탄력성, 의사소통, 가족관계, 가족적응 및 양육효능감이다. 연구간 동질성 여부를 확인하여 동질성을 만족하지 않은 종속변수인 가족 탄력성과 의사소통은 소그룹 분석을 추가 실시하였다. 분석결과 의사소통과 가족관계를 제외한 종속변수의 통합 효과크기는 큰 수준이었다. 본 연구의 결과는 향후 가족 탄력성 증진 중재전략을 위한 구체적인 근거기반자료를 제공하였다는 데에 의의가 있다.

      • KCI등재

        원유로 오염된 갯벌 지역의 자연정화 기능 향상 기술의 개발

        김영아,성기준,Kim, Young-A,Sung, Ki-June 한국지하수토양환경학회 2011 지하수토양환경 Vol.16 No.5

        Tidal flats which are ecologically sensitive, are hard to remediate once they are contaminated by oil spill accidents. Traditional oil remediation measures focus on removal efficiency, and their improper implementation can adversely affect crude oil contaminated coastal areas and greatly disrupt the structure and functions of crude oil contaminated tidal flats. In this study, the oil degradation due to the implementation of remediation measures naturally enhanced using air and natural oil sorbents was evaluated in the lower strata of tidal flats. The effects of air and natural oil sorbents on oil degradation for two concentration levels (< 500 ppm and > 500 ppm) were tested at artificially contaminated tidal flats. Fifty days after these treatments, the natural oil sorbent treatment showed the lowest total petroleum hydrocarbon (TPH) concentration ($4.46{\pm}1.47%$) at the low concentration level, whereas both air and natural oil sorbent treatments showed high degradation efficiencies at the high concentration level ($29.30{\pm}4.39%$). Although the phosphatase activity decreased for all treatments, there was no significant difference between the decreases for the different treatments; on the other hand, B-glucosidase activities were high for both air and natural oil sorbent treatments. Although degradation efficiencies decreased as the concentration increased, the air provision and natural oil sorbent treatment could be an effective ecological restoration measure for oil contaminated tidal flats while minimizing the environmental impact of the remediation efforts.

      • KCI등재

        위의 저등급 점막 관련 림프조직 림프종에서 Helicobacter pylori치료에 따른 p16메틸화의 변화

        김영아,박성신,이보영,김유선,송인성,김철우 대한병리학회 2002 Journal of Pathology and Translational Medicine Vol.36 No.1

        Inactivation of p16 has been associated with promoter region hypermethylation in different types of malignancies, including non-Hodgkin’s lymphomas (NHLs). This loss of p16 was found frequently in cases of mucosa-associated lymphoid tissue (MALT) lymphomas. Recent studies indicate that promoter hypermethylation is often an early event in tumor progression, and it has been reported that p16 methylation could be a marker of disease progression in the follow-up of NHLs. Methods : To investigate the usefulness of p16 methylation in the diagnosis and follow-up of gastric low-grade MALT lymphomas, we analyzed methylation status of p16 using methylation-specific polymerase chain reaction methods in the sequential biopsy specimens of 13 patients with gastric low-grade MALT lymphomas undergoing Helicobacter pylori eradication therapy. Results : Five of thirteen cases showed p16 hypermethylation upon diagnosis. In four of five methylation positive cases, abnormal methylation was detected in the specimen even after the treatment, although there were no histologic evidence of disease. This methylation disappeared in the later samples of two of the cases, and they have remained in complete remission. Immunohistochemically, the loss of p16 protein expression was detected in one of three methylation-positive cases, and in none of the methylation-negative cases. Conclusions : These results suggest that p16 methylation is relatively frequent in low-grade gastric MALT lymphomas, and it may have clinical applications in the management and follow-up of low-grade gastric MALT lymphomas.

      • KCI등재

        韓國人日本語學習者の語彙習得のための 類義副詞の考察 -「ついに」·「とうとう」·「いよいよ」を中心に-

        김영아 한국일본어문학회 2016 日本語文學 Vol.1 No.71

        본 연구는 한국인 일본어 학습자의 어휘교육을 위한 부사 유의어 연구로서 어휘빈도가 높은 기본어휘이며, 新일본어능력시험에서도 중·상급 부사에 해당하는 「ついに」·「とうとう」와「いよいよ」의 의미 용법을 비교 고찰한 것이다.세 부사의 공통점은 현재의 사태실현을 관여하며 미래에 일어날 사태의 실현을 나타낸다.차이점으로는 「ついに」·「とうとう」는 부정표현과 호응해서 비실현을 나타내나, 「いよいよ」부정표현과 호응하지 않는다. 「ついに」·「いよいよ」는 기대성과 최종결과성을 나타내며, 「とうとう」는 반기대성(反期待性)과 점자척인 과정에 초점을 둔다.이 고찰 결과를 일본어 교육 현장에서 활용하여 일본어 학습자가 유의어 부사의 중심적 의미뿐만이 아니라, 주변적인 의미, 유의어와의 의미관계, 용법 뉘앙스까지 파악할 수 있도록 하는데 그 목적을 두었다. The study focused on the similar adjectives which are the basic vocabulary used frequently for teaching Japanese vocabulary to Korean learners. The meaning and how to use were compared and considered for ‘Tsuini’, ‘Toutou’ and ‘Iyoiyo’ which correspond to medium ·high class adjectives in new test of Japanese language test. The common point of 3 adjectives is that they engage to the realization of present situation and display the realization of the situation to be occurred in the future. The difference is that ‘Tsuini’ and ‘Toutou’ are not corresponded with unrealization and negative expression of ‘Iyoiyo’. The adjectives of ‘Tsuini’ and ‘Iyoiyo’ are focused on the expectation and final result, and ‘Toutou’ is focused on the non-expectation and progressive course. The study is purposed for the learner of Japanese language to use this consideration to identify the seconding meaning, related meaning with synonym and nuance of usage as well as the main meaning of the adjectives by utilizing it at the site of Japenese language education.

      • KCI등재후보

        학습도시의 사회적 자본 형성 : 연계·협력을 중심으로

        김영아 한국방송통신대학교 원격교육연구소 2008 평생학습사회 Vol.4 No.1

        본 연구에서는 학습도시의 사회적 자본 형성에 관해 연계ㆍ협력을 중심으로 논의하 였다. 이를 위해 먼저 학습도시와 사회적 자본의 개념을 살펴보았고, 둘째, 학습도시의 사회적 자본 형성에 대한 국내ㆍ외의 사례를 통한 비교연구와 문헌분석을 병행하였다. 또한 학습도시 실무자를 대상으로 심층 분석을 통해 학습도시의 사회적 자본 형성에 관해 연계ㆍ협력을 중심으로 살펴보았다. 학습도시에서의 사회적 자본 형성은 아직 초 기단계로서 연계・협력 체제 구축에 힘을 주고 있으며, 호혜성에 기초한 다양한 연계ㆍ 협력이 이루어지고 있다. 그러나 학습도시의 연계ㆍ협력 실태나 효과성 등은 아직은 미 흡한 측면이 있다고 볼 수 있다. 마지막으로 학습도시의 사회적 자본 형성에 대한 방안 은 국가나 지방자치단체의 노력으로 기관이나 시설 등의 물리적이고 환경적인 연계ㆍ협 력 체제 구축과 더불어, 사회적 측면에서 학습동아리 활성화, 사회통합 프로그램 활성화 등의 방안, 개인적 측면에서의 학습도시 주민 각자의 삶의 질 향상을 위한 학습기회 확 대와 유대감 강화를 위한 지역학 활성화 등이 필요하다. This study is about fostering of social capitals for the Learning City . For the relevant purpose, first, we have covered the concept on the City of Lifetime Education followed by the comparative study and document analysis through the cases of in-and-out of the nation that are related to the topic of this study. Secondly, we have examined the association and cooperation in connection with fostering the social capital of the lifetime education city by deeply analyzing those in charge of applying the concept of the city. This social capital fostering of the city is still young, being a driving force of building the association-cooperation system which is being realized in diverse ways based on mutual benefits. However, it can be argued that the implementation status and efficiency in terms of association and cooperation side of this city have some week points. Finally, as a solution for the realization of this city, the nation and self-government bodies should make an effort to build the physical and environmental association and cooperation among the institutions and establishments. Additionally, they must come up with a solution to crank up the study clubs' activities in the interest of sociality and method for wide-spread programs for social consolidation as well as ways to extend the study of regions regarding the enhancement of sense of connection among individuals.

      • KCI등재

        Development of Mobile Platform Integrated with Existing Electronic Medical Records

        김영아,김성수,Simon Kang,김경덕,김준 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.3

        Objectives: This paper describes a mobile Electronic Medical Record (EMR) platform designed to manage and utilize the existing EMR and mobile application with optimized resources. Methods: We structured the mEMR to reuse services of retrieval and storage in mobile app environments that have already proven to have no problem working with EMRs. A new mobile architecture-based mobile solution was developed in four steps: the construction of a server and its architecture; screen layout and storyboard making; screen user interface design and development; and a pilot test and step-by-step deployment. This mobile architecture consists of two parts, the server-side area and the client-side area. In the server-side area, it performs the roles of service management for EMR and documents and for information exchange. Furthermore, it performs menu allocation depending on user permission and automatic clinical document architecture document conversion. Results: Currently, Severance Hospital operates an iOS-compatible mobile solution based on this mobile architecture and provides stable service without additional resources, dealing with dynamic changes of EMR templates. Conclusions: The proposed mobile solution should go hand in hand with the existing EMR system, and it can be a cost-effective solution if a quality EMR system is operated steadily with this solution. Thus, we expect this example to be shared with hospitals that currently plan to deploy mobile solutions.

      • KCI등재

        증식성 갑상샘조직과 갑상샘암종에서 Id-1과 Id-2의 발현

        김영아,박영주,박도준,박성회,김지은 대한병리학회 2006 Journal of Pathology and Translational Medicine Vol.40 No.1

        Background : Id proteins are a family of helix-loop-helix proteins and are regarded to be negative regulators of cell differentiation. In general, Id-1 and Id-2 expressions are upregulated during tumor development and progression in a variety of neoplasms, and these expressions may be associated with aggressive tumor behavior. However, little is known about the roles of Id-1 and Id-2 in thyroid neoplasms. Methods : The expressions of Id-1 and Id-2 were assessed immunohistochemically in 310 normal, hyperplastic, and neoplastic thyroid tissues using tissue microarrays. Results : Normal thyroid tissues rarely expressed Id-1 or Id-2. Moreover, whilst Id-1 expression was more elevated in malignant thyroid tissue than in hyperplastic thyroid tissue, Id-2 expression was more variable. No significant differences were observed between histologic subtypes of thyroid carcinomas with respect to Id-1 or Id-2 expression. Follicular adenomas showed higher expressions of Id-1 and Id-2 than thyroid carcinomas. No significant association was found between clinicopathological parameters and Id-1 expression, though Id-2 expression was significantly reduced in metastatic, stage IV tumors. Conclusion : The expressions of Id-1 and Id-2 were elevated in hyperplastic and neoplastic thyroid tissues. However, neither appears suitable as a marker of malignancy or an aggressive phenotype, although Id-2 expression in advanced thyroid carcinomas may reflect a favorable prognosis.

      • KCI등재후보

        제왕절개술 환자의 Critical Pathway 자동화시스템 개발에 관한 연구

        김영아,유지수 대한의료정보학회 2003 Healthcare Informatics Research Vol.9 No.1

        The main objectives of this study were: to provide a computerized program for Patients with Cesarean Section in predicting lengths of stay, and to evaluate the model of Automated Critical Pathway in Hospital information System. ; The Results of this study had shown the accessibility to the development of Automated Critical Pathway and can be contributed to aid developing the Automated Critical Pathway for other DRGs. The application of developed Automated Critical Pathway in clinical areas will induce easiness for the users and the substantial effect.

      • KCI등재
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