Xanthogranulomatous Pancreatitis Combined with Intraductal Papillary Mucinous Carcinoma In Situ

김요나,박신영,김영곤,문우성 대한의학회 2010 Journal of Korean medical science Vol.25 No.12

Xanthogranulomatous lesion is a rare condition in which lipid-laden histiocytes are deposited at various locations in the body. Xanthogranulomatous pancreatitis (XGP)associated with an intraductal papillary mucinous tumor (IPMT) is extremely rare. In this study, we described a case of XGP associated with IPMT and include a review of the literature. A pancreatic cystic mass was detected in a 72-yr-old woman by abdominal computed tomography. Pylorus-preserving pancreaticoduodenectomy was performed and diagnosis of XGP combined with intraductal papillary mucinous carcinoma in situ was made. After 13 months of follow-up, the patient is in good health without any evidence of tumor recurrence. Although XGP associated with IPMT is rare, we suggest that such cases should be brought to the attention of clinical investigators, as it may produce clinical features that mimic pancreatic cancer.

Expression of Cortactin and Focal Adhesion Kinase in Colorectal Adenocarcinoma: Correlation with Clinicopathologic Parameters and Their Prognostic Implication

김요나,박호성,최지은,배준상,장규윤,정명자,문우성,강명재,이동근 대한병리학회 2012 Journal of Pathology and Translational Medicine Vol.46 No.5

Background: Cortactin and focal adhesion kinase (FAK) are two important components among actin cross-linking proteins that play a central role in cell migration. Methods: The aims of this study were to evaluate the expression of cortactin and FAK in normal colorectal mucosa and colorectal adenocarcinoma (CRC) using tissue microarray of 2 mm cores to correlate their expression with other clinicopathological factors and, investigate their prognostic significance. Results: Twenty (9%) and 24 cases (11%) of normal colorectal mucosa were immunoreactive for cortactin and FAK. In addition, 184 (84%) and 133 cases (61%) of CRCs were immunoreactive for cortactin and FAK, respectively. Cortactin expression was associated with histologic differentiation and FAK expression. Cortactin, but not FAK expression was also correlated with poor overall and relapse-free survival and served well as an independent prognostic factor for poor survival. Conclusions: Cortactin expression, in association with FAK expression, may plays an important role in tumor progression. Furthermore, it may also be a satisfactory biomarker to predict tumor progression and survival in CRC patients.

임상 간호사의 감성지능, 셀프리더십, 직무착근도가 간호업무수행에 미치는 영향

김요나,Kim, Yo-na 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.2

Objectives : This study investigated the influences of emotional intelligence, self-leadership, and job embeddedness on the work performance of clinical nurses. Methods : A survey was conducted with 258 hospital nurses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 23.0. Results : The mean scores were $4.64{\pm}0.6$ for emotional intelligence, $3.41{\pm}0.42$ for self-leadership, $3.11{\pm}0.52$ for job embeddedness, and $3.49{\pm}0.51$ for nursing work performance respectively. Nursing work performance was positively correlated with emotional intelligence, self-leadership, and job embeddedness. Multiple regression analysis showed that the factors affecting nursing work performance were self-expectation, fit, understanding of self-emotion, links, self-compensation, and age. Conclusions : The results indicate that self-expectation, fit, and understanding of self-emotion are very important factors in nursing work performance. Therefore, nurse managers should enhance nurses self-expectation, fit, and understanding of self-emotion by developing various emotional sensitivity and support programs.

Concurrent Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ascending Colon: A Case Report

김요나,박호성,장규윤,문우성,이동근,이호,이민로,김경열 대한대장항문학회 2011 Annals of Coloproctolgy Vol.27 No.3

Large cell neuroendocrine carcinomas of the colon are rare and represent only a small percentage of all colonic endocrine tumors. Here, we report a case of a colonic large cell neuroendocrine carcinomas concurrent with a colonic adenocarcinoma. A 70-year-old man presented with acute abdominal pain. A spiral computed tomography scan of the abdomen revealed eccentric wall thickening on the ascending colon. An explorative laparotomy and a right hemicolectomy were performed. Grossly, two separated masses were observed in the proximal ascending colon. One was a 7.4 × 5.1 cm ulcerative fungating lesion, and the other was a 2.8 × 1.9 cm polypoid lesion. Microscopically, the ulcerative fungating lesion showed a well-differentiated neuroendocrine morphology with necrosis and increased mitosis. Most of the tumor cells had large,vesicular nuclei with eosinophilic nucleoli, variable amounts of eosinophilic cytoplasm, and immunoreactivity for chromogranin A and synaptophysin. The polypoid lesion was a well-differentiated adenocarcinoma that had invaded the submucosa. We diagnosed these lesions as a concurrent large cell neuroendocrine carcinoma and an adenocarcinoma of the ascending colon.

간호사의 피로도, 감정노동, 직무착근도가 이직의도에 미치는 영향

김요나 보건의료산업학회 2017 보건의료산업학회지 Vol.11 No.1

Objectives : This study investigated the fatigue, emotional labor and job embeddedness factors influencing the turnover intention of clinical nurses. Method : A survey was conducted with 479 hospital nurses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients. and multiple regression with SPSS/WIN 23.0. Result : The mean scores fatigue, emotional labor, job embeddedness. and turnover intention were 3.06±0.71, 3.43±0.60, 2.94±0.47, and 3.39±0.62, respectively. Turnover intention was positively correlated with fatigue and emotional labor, but negatively correlated with job embeddedness. Multiple regression analysis showed that the factors affecting turnover intention were job embeddedness, emotional labor, gender, and with studying. Conclusion : The results indicate that emotional labor and job embeddedness are very important factors affecting nurses turnover intention. Therefore nurse managers should decrease nurses emotional labor and maximize their job embeddedness by developing various emotional sensitivity and support programs.

의료이용지도의 강건성 고찰을 위한 기저의료이용행태 변화 판단 연구

김요나,이태식 대한산업공학회 2016 대한산업공학회 추계학술대회논문집 Vol.2016 No.11

간호사의 감성지능, 셀프리더십, 전문직 삶의 질과의 관계

김요나(Yo-Na Kim) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.8

본 논문은 간호사의 감성지능, 셀프리더십과 전문직 삶의 질의 관계를 확인하고자 하였으며, 대상자는 부산, 울산, 경남 종합병원 간호사 197명으로 하였다. 통계분석은 SPSS/win 23.0 프로그램을 이용하여 평균과 표준편차, 독립 t 검정, 일원분산분석 및 상관관계를 분석하였으며, 그 결과 감성지능 점수는 4.68/7점, 셀프리더십 점수는 3.35/5점, 전문직 삶의 질 점수는 2.98/5점으로 나타났다. 전문직 삶의 질은 공감만족, 소진, 이차 외상성 스트레스의 3가지 하위영역으로 구성되며, 대상자의 19.8%가 높은 전문직 삶의 질을 나타냈다(공감만족75%이상, 소진25%미만, 이차 외상성 스트레스25% 미만인 집단). 대상자의 전문직 삶의 질 하위요인들과 독립변수 간의 상관관계에서 공감만족은 감성지능(r=.41, p <.001) 및 셀프리더십과 양의 상관관계(r=.61, p <.001)에, 소진은 감성지능(r=-.48, p <.001) 및 셀프리더십과 유의한 음의 상관관계에 있었으며(r=-.50, p <.001), 감성지능과 셀프리더십은 유의한 양의 상관관계에 있었다(r=.66, p <.001) 이러한 결과를 토대로 감성지능 및 셀프리더십을 향상 시킬 수 있는 중재 프로그램을 개발, 적용하여 전문직 삶의 질을 향상시켜주고, 공감만족을 위한 간호조직분위기 조성을 위해 힘써야 할 것이다. The Purpose of This Study was to Identify The Relation of Emotional Intelligence, Self-leadership, Professional Quality of Life among Clinical Nurses. Participants were 197 Nurses Drawn from a General Hospital in Busan, Ulsan, & Gyungnam. Mean, Standard Deviation, Independent t-test, One way ANOVA and Correlation with SPSS/Win 23.0 Program were Used for Data Analysis. The Mean score Emotional Intelligence was 4.68/7, Self-leadership was 3.35/5. Professional Quality of Life was 2.98/5. Professional Quality of life is Consisted of 3 Subcategories as Compassion Satisfaction, Secondary Traumatic Stress and Burn out. 19.8% of The Participants Reported a High ProQOL (Compassion Satisfaction more than 75%, Burn out less than 25% & Secondary Traumatic Stress less than 25%). Compassion Satisfaction was Positively Correlated Emotional Intelligence and Self-leadership. Burn out was Negatively Correlated Emotional Intelligence and Self-leadership. Emotional Intelligence was Positively Correlated Self-leadership. On the Basis of Result, Program Development are Required to Improve Compassion Satisfaction, Emotional Intelligence and Self-leadership on Clinical Nurses.

충청북도 수소산업의 발전을 위한 해외사례 분석 및 실증분석 연구

김요요,박준수,정진섭 한국국제경영관리학회 2020 국제경영리뷰 Vol.24 No.2

지금 수소에너지가 미래의 신재생에너지원으로 세계적인 주목을 받고 있다. 특히, 2019년 대한민국 정부가 수소경제 활성화 로드맵을 발표한 이후, 울산, 충청북도 등 각 지자체들은 수소 산업을 바탕으로 지역경제 활성화를 위한 전략을 준비하고 있다. 본 연구에서는 현 단계에 수소산업 전반에 대한 고찰과 해외사례 및 실증분석을 기반으로 충청북도 수소 산업의 발전 방향성 및 그 전략적 시사점을 도출하고자 한다. 이를 위해 본 연구에서는 먼저 수소산업의 발전에 관한 현황, 가치사슬, 기술 등 기본적 배경을 고찰한 뒤, 우리 한국보다 먼저 수소산업 을 발전시킨 해외사례를 고찰하여, 이와 관련된 시사점을 찾고자 한다. 이어 SWOT/AHP 분석을 통해 충북지역에서 수소 산업의 발전가능성 과 중요 요인 및 그 세부 추진이 가능한 분야 등도 탐색하고자 한다. 그리고 이러한 결과를 기반으로, 본 연구에서는 '충청북도가 어떻게 수소 산업을 발전시켜야 할 것인가'에 대한 시사점 및 중장기적 전략방향을 제시하고자 한다. Hydrogen energy is gaining worldwide attention as a new and renewable energy source in the future. In particular, after the government of the Republic of Korea released the road map for the activation of the hydrogen economy in 2019, each local government, such as Ulsan and Chungcheongbuk-do, is preparing a strategy to revitalize the local economy based on the hydrogen industry. This study aims to derive the potential for the development of the hydrogen industry in Chungcheongbuk-do and its strategic implications based on considerations on the overall hydrogen industry at the present stage, as well as overseas cases and empirical analysis. To this end, this study first examines the basic background, such as the current status, value chain, and technology related to the development of the hydrogen industry, and then considers the overseas cases that developed the hydrogen industry before us to find implications related to this. Subsequently, through SWOT/AHP analysis, this study intends to explore the development potential of the hydrogen industry in Chungcheongbuk-do and its important factors and areas where detailed promotion is possible. And based on these results, this research intends to present implications and mid- to long-term directions for development of ‘how to develop the hydrogen industry in Chungcheongbuk-do.'

정상인에서 고빈도의 무통증성 경피적 신경자극이 R3 Nociceptive Flexion Reflex와 Templral Summation에 미치는 영향

김요의 ( Yong Ik Kim ),이장원 ( Jang Weon Lee ),김정순 ( Jung Soon Kim ),정진헌 ( Jin Hun Chung ),박욱 ( Wook Park ) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1

Background: Transcutaneous electrical nerve stimulation (TENS) has been used widely, but its effects are controversial. This is probably due to the varying intensity and type of pain. We designed a study to assess the effects of the TENS on the RIll nociceptive flexion reflex as the resting pain level and the temporal summation as a repeated, movement related pain in 7 normal volunteer subjects. Methods: High frequency (80 Hz), non-noxious TENS was applied over the left popliteal fossa for 20 minutes. Ipsilateral RIll reflexes induced by single electrical stimulus and temporal summation of pain responses to repeated stimuli (five stimuli at 2 Hz) were recorded before, during (just before stopping), and subsequently at 20 minutes after TENS. Results: R (III) nociceptive flexion reflex activity during and after TENS was more significantly decreased than before treatment. However, the temporal summation threshold was not changed. Conclusions: We conclude that high frequency, non-noxious TENS could be effective on resting pain relief in the same segment but not on the movement related pain.

일 대학 간호대학생의 핵심기본간호술에 대한 중요성 인식, 문제해결과정이 수행자신감에 미치는 영향

김요나(Yo-Na Kim),김정이(Jung-Yee Kim),배은희(En-Hee Bae) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.8

본 연구의 목적은 간호대학생의 핵심기본간호술에 대한 중요성 인식, 문제해결과정이 수행자신감에 영향을 수행자신감을 향상시키기 위한 기초자료를 위하여 시도하였다. 연구대상자는 U 지역 소재 간호학과 4학년으로 임상현장실습경험이 있는 131명을 대상으로 하였다. 자료분석은 SPSS 23.0 프로그램을 사용하여 평균, 표준편차, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 분석하였다. 연구결과 간호대학생의 핵심기본간호술 중요성 인식은 평균점수 4.73점, 문제해결과정 3.57점, 핵심기본간호술 수행자신감은 3.90점으로 나타났다. 핵심기본간호술에 대한 중요도 인식은 임상실습 만족도에 유의한 차이가 있었으며, 문제해결과정은 대학생활 만족도, 임상실습 만족도, 전공만족 및 대인관계에 따라 유의한 차이가 있었다. 간호대학생의 수행자신감에 영향을 미치는 요인은 문제해결과정(β=.33, p =.001), 전공만족(β=.27, p =.019)으로 나타났고, 설명력은 15%이었다. 본 연구결과를 통하여 간호대학생의 핵심기본간호술 수행자신감 향상을 위하여 반복연구가 필요하며 간호학과에서는 대인관계능력을 향상시킬 수 있도록 실습환경의 변화와 다양한 간호상황을 제시하여 학생들이 문제를 정의하고 해결할 수 있는 교육과정 운영과 전공만족도를 높일 수 있는 프로그램 개발하는 것이 필요하다. This exploratory study evaluated various factors influencing the level of nursing self-confidence in the performance of core nursing skills among nursing students. This study surveyed 131 senior nursing students in U city with a structured self-report questionnaire analyzed by SPSS 23.0 software. The average perception scores for importance, problem-solving process, and self-confidence in the performance of core nursing skills were 4.73, 3.57, and 3.90, respectively. The most significant factors affecting self-confidence in the performance of core nursing skills included problem-solving process (β=.33, p=.001) and nursing satisfaction (β=.27, p=.019). These variables explained 15% of the total variance in self-confidence in the performance of core nursing skills. Based on the results of this study, it is necessary to perform research in order to improve the self-confidence of performing core basic nursing skills among nursing students, and the department of nursing defines students" problems by suggesting changes in the practice environment and various nursing situations to improve interpersonal skills. Therefore, it is necessary to develop a curriculum that can be solved and a program to increase nursing satisfaction.