의무기록의 다각적 활용을 통한 충실도 높은 병원 암등록 체계의 구축: 서울아산병원의 경험

김화정,조진희,유용만,이선혜,황경하,이무송,Kim, Hwa-Jung,Cho, Jin-Hee,Lyu, Yong-Man,Lee, Sun-Hye,Hwang, Kyeong-Ha,Lee, Moo-Song 대한예방의학회 2010 예방의학회지 Vol.43 No.3

Objectives: An accurate estimation of cancer patients is the basis of epidemiological studies and health services. However in Korea, cancer patients visiting out-patient clinics are usually ruled out of such studies and so these studies are suspected of underestimating the cancer patient population. The purpose of this study is to construct a more complete, hospital-based cancer patient registry using multiple sources of medical information. Methods: We constructed a cancer patient detection algorithm using records from various sources that were obtained from both the in-patients and out-patients seen at Asan Medical Center (AMC) for any reason. The medical data from the potentially incident cancer patients was reviewed four months after first being detected by the algorithm to determine whether these patients actually did or did not have cancer. Results: Besides the traditional practice of reviewing the charts of in-patients upon their discharge, five more sources of information were added for this algorithm, i.e., pathology reports, the national severe disease registry, the reason for treatment, prescriptions of chemotherapeutic agents and radiation therapy reports. The constructed algorithm was observed to have a PPV of 87.04%. Compared to the results of traditional practice, 36.8% of registry failures were avoided using the AMC algorithm. Conclusions: To minimize loss in the cancer registry, various data sources should be utilized, and the AMC algorithm can be a successful model for this. Further research will be required in order to apply novel and innovative technology to the electronic medical records system in order to generate new signals from data that has not been previously used.

노인 인구에서 흡연과 대장암 발생 위험간의 관련성

김화정,이승미,최남경,김선하,송홍지,조용균,박병주,Kim, Hwa-Jung,Lee, Seung-Mi,Choi, Nam-Kyong,Kim, Seon-Ha,Song, Hong-Ji,Cho, Young-Kyun,Park, Byung-Joo 대한예방의학회 2006 예방의학회지 Vol.39 No.2

Objectives : The incidence of colorectal cancer increased greatly among the elderly in Korea, but the relationship between smoking and colon cancer remains controversial. Few studies have targeted Asian elderly people. We analyzed the smoking status, the amount smoked, and the smoking duration as risk factors of colorectal cancer to determine their association and causality. Methods: The cohort members (n=14, 103) consisted of 4,694 males and 9,409 females, and they were derived from the Korea Elderly Phamacepidemilogic Cohort (KEPEC), which was a population-based dynamic cohort. They were aged 65 years or more and they lived in Busan Metropolitan City between from 1993-1998; they were beneficiaries of the Korean Medical Insurance Corporation (KMIC). The baseline information was surveyed by a self-administered mailed questionnaire; after 8.7 person-years of mean follow up period, 100 cases of colorectal cancer occurred. The adjusted relative ratio (aRR) of smoking status, the smoking amount and the smoking duration were calculated from the Cox's proportional hazard model with the never-smokers as a reference group and the Cox model controlled for age, gender, precancerous lesions of CRC, medication history of NSAIDs & antibiotics, the alcohol drinking status and BMI. Results : Compared with the never smokers, the aRRs were 2.03 (95% CI=1.02-4.03) and 1.36 (95% CI=0.80-2.32) for the ex-smokers and current smokers, respectively. Statistical significant trends were not observed for the dose-relationship among the elderly, either for the mean daily amount smoked (p for trend=0.28) or for the total amount (p for trend=0.15). Still, the aRRs were 1.51 (95% CI=0.97-2.34) for the elderly who smoked less than 40 years and 2.35 (95% CI=1.16-4.74) for the elderly who had 40 years or more of smoking (p for trend=0.06). Smokers who started smoking before the age 20 had an increased aRR of 2.15 (95% CI=1.17-3.93) compared to the never smokers. Conclusions : After controlling for age, gender, precancerous lesion of CRC, medication history of NSAIDs & antibiotics, the alcohol drinking status and BMI, smoking increases the risk of colorectal cancer among elderly people. The age when starting smoking is also important.

디지털 시대에서의 발전방향과 한국 공공외교의 현황

김화정 ( Kim Hwa-jung ) 한국외교협회 2025 외교 Vol.153 No.0

21세기 디지털 시대는 공공외교의 새로운 가능성을 제시하며 한국은 디지털기술을 활용한 혁신적인 공공외교를 통해 국제사회에서 주목을 받고 있다. 디지털 외교에 대한 이론과 실제를 살펴보고, 한국 공공외교가 태동기(한국 전쟁 이후부터 2010년대까지)와 발전기(2016년 공공외교법 제정부터 1차 기본계획(2017∼2021) 실행)를 거쳐 포스트-코로나 시대와 외교적 난제가 산재한 근자에 어떻게 도약기(2차 기본계획(2023∼2027) 실행)로 진입했는지 탐색했다. 2차 기본계획의 주요한 차별점은 디지털 공공외교 실행에 있다. 중앙부처의 사업을 중심으로 디지털 공공외교 추진 현황을 살펴본 결과 우리 정부는 디지털화(digitalization)와 디지털전환(digital transformation)을 적극적으로 추진하는 것으로 나타났다. 가장 성공적인 사례는 외교부의 메타버스 플랫폼을 활용한 글로벌 캠페인 ‘PLANT OUR PLANET’으로 디지털 공공외교의 효과성을 극대화했다. 이에 기초해, 필자는 세 가지의 발전 방향을 제시했다. 첫째, 디지털 공공외교의 특징을 고려한 투입-산출-성과에 따른 평가체계 확립의 필요성, 둘째, 성공 사례 공유와 실패 사례에 대한 정확한 진단, 셋째, 새로운 공공외교 플랫폼으로 메타버스 활용의 확대이다. 이를 통해 우리 정부는 디지털 시대에 대응하여 효과적으로 소프트파워를 투사하며 공공외교를 성공적으로 이끌 것으로 기대한다. This study examines the evolution of the public diplomacy (PD) of the Republic of Korea(ROK, South Korea) within the 21st-century digital landscape, a period marked by novel opportunities and persistent diplomatic challenges. Employing a theoretical and empirical analysis of digital diplomacy, it traces the country’s PD trajectory from its nascent stage (post-Korean War to the 2010s) and developmental stage (2016 PD Act and First Basic Plan, 2017-2021) to its current leap stage (Second Basic Plan, 2023-2027), particularly in the context of the post-COVID-19 era. A central feature of the Second Basic Plan is its emphasis on digital PD. Analyzing digital PD initiatives implemented by central government ministries, this study reveals a proactive approach to digitalization and digital transformation. The ROK Ministry of Foreign Affairs’ ‘PLANT OUR PLANET’ campaign, leveraging a metaverse platform, exemplifies a successful strategy for maximizing digital PD effectiveness. This paper proposes three future directions for South Korea’s digital PD: (1) developing an input-output-outcome based evaluation framework tailored to the unique characteristics of digital PD; (2) facilitating the sharing of successful cases and conducting rigorous analyses of failures; and (3) expanding the utilization of metaverse platforms as a novel PD medium. Implementing these recommendations will enable Seoul to effectively endanger its soft power and lead PD in the evolving digital age.

통합학급 교사의 자질과 역할 기대에 대한 특수교사와 일반교사의 인식 비교

김화정 ( Hwa Jung Kim ),장종수 ( Jong Soo Jang ),최용재 ( Yong Jae Choi ) 한국초등특수교육학회 2012 초등특수교육연구 Vol.14 No.1

This study aims to comprehend the perception of the special education teachers and general education teachers about the quality and role expectations which the inclusive classroom teacher should prepare in order to support the role as a member of the society where the disabled should live together with non-disabled and in order to prepare the qualitative life for the disabled through the various supports depending on the special educational needs of the disabled children, and the study also aims to contribute to improve the special education ultimately by developing their performing role in the education system of the schools for the realization of the responsible and efficient inclusive education realization. The results of this study are as follows. First, about the special education teachers and the general education teachers, the teachers with more than 11 years of teaching experience perceived highest personality traits about the quality factors which the inclusive classroom teacher should prepare among the regular teachers, and the importance perception level of quality domain of the special education teachers graduated from graduate school was higher than the teachers graduated from the University and the general education teachers. Second, the inclusive classroom teacher`s role expectations level by the gender, school level, teaching experience, inclusive education job training experience of the special education teachers and the general education teachers were similar but in the case of the special education teachers graduated from graduate school, the expectations level about the physical and social environmental composition, inclusive education skill, teaching information and method, revision of evaluation methods was high. Third, the quality sub- elements(personality traits, knowledge about special education, knowledge about inclusive education and attributes, attitude to refinement & teaching profession) which the inclusive classroom teacher should prepare perceived by the special education teachers and the general education teachers had significant effects on the sub-domain(physical and social environmental composition, inclusive education skill, teaching information and method, revision of evaluation methods, cooperation between the teachers) of the role expectation and many domains.

알루미늄 용탕에서 Al-TiO2-C의 연소합성반응에 의한 in-situ Al/TiC 복합재료의 제조에 미치는 공정변수의 영향

김화정 ( Hwa Jung Kim ),이정무 ( Jung Moo Lee ),조영희 ( Young Hee Cho ),김종진 ( Jong Jin Kim ),김수현 ( Su Hyeon Kim ),이재철 ( Jae Chul Lee ) 대한금속재료학회(구 대한금속학회) 2012 대한금속·재료학회지 Vol.50 No.9

A feasible way to fabricate in-situ Al/TiC composites was investigated. An elemental mixture of Al-TiO2-C pellet was directly added into an Al melt at 800-920℃ to form TiC by self-combustion reaction. The addition of CuO initiates the self-combustion reaction to form TiC in 1-2 ㎛at the melt temperature above 850℃. Besides the CuO addition, a diluent element of excess Al plays a significant role in the TiC formation by forming a precursor phase, Al3Ti. Processing parameters such as CuO content, the amount of excess Al and the melt temperature, have affected the combustion reaction and formation of TiC, and their influences on the microstructures of in-situ Al/TiC composites are examined.

청소년의 비자살적 자해와 수치심경향성, 죄책감경향성의 관계

김화정(Hwa-Jung Kim),송현주(Hyun Joo Song) 한국심리치료학회 2019 한국심리치료학회지 Vol.11 No.1

자해는 자살에 선행하는 주요한 원인 중 하나로, 개인에서 여러 가지 부정적인 결과들을 초래한다. 그리고 이러한 자해행동은 임상군 뿐만 아니라 임상적 문제를 가지지 않은 삶의 기능이 높은 개인에게도 나타난다. 이에 본 연구에서는 중, 고등학생을 대상으로 비자살적 자해 경험과 수치심경향성, 죄책감경향성 간의 관계를 살펴보려고 한다. 연구도구는 자해기능평가지(The Functional Assessment of Self-Mutilation), 자의식적 정서 척도(Test of Self-Conscious Affect-adolescent)를 사용하였다. 그 결과, 수치심경향성과 죄책감경향성은 비자살적 자해 행동을 유의하게 예측하였다. 또한 중등도/중증도 수준의 자해는 죄책감경향성과 유의미한 부적 상관을 보였고, 경도수준의 자해는 수치심경향성과 유의미한 정적 상관을 보였다. 중등도/중증도 수준의 자해 집단과 경도 수준의 자해 집단 간 수치심경향성과 죄책감경향성에서 유의미한 차이는 없었으나, 중등도/중증도 수준의 자해 집단이 경도수준의 자해 집단에 비해 죄책감경향성 점수가 다소 낮은 경향성이 있었다. 즉, 본 연구에서는 중등도/중증도 자해에 개입을 할 때 죄책감경향성을 고려해야 함을 확인할 수 있었다. 마지막으로 본 연구가 갖는 의의와 제한점, 향후 연구를 위한 제언점 등을 논의하였다. Self-injury is one of the leading causes of suicide, it is known to cause several negative consequences in individuals. Self-injurious behavior even occurs in high-functioning individuals who do not have clinical problems. In this study, 994 middle and high school students having experiences in non-suicidal self-injury were surveyed to find out the relationship among shame proneness, guilt proneness, frequency and severity of nonsuicidal self-injury. The Functional Assessment of Self-Mutilization and the Test of Self-Concern Affect-adolescent were used for the research tools. The result shows shame proneness and guilt proneness predicted non-suicidal self-injury, moderate/severe level of non-suicidal self-injury showed a negative correlation with guilt proneness, and nonsuicidal self-injury of mild level showed a significant positive correlation with shame proneness. In addition, there was no significant difference in guilt proneness and shame proneness between the moderate/severity level and mild level non-suicidal self-injury group, but the moderate/severe non-suicidal self-injury group showed a tendency to have a lower guilt proneness score compared to the other group. In other words, this study confirmed that should also considered account guilt proneness when intervening in the non-suicidal self-injury group at the moderate/severe level. At the end, the significance and limitations of this study were discussed, and suggestions for future research were included.

한국에서(가칭) 긴꼬리도둑갈매기(Stercorarius longicaudus)와 검은슴새(Bulweria bulwerii)의 첫 기록

김화정(Hwa-Jung Kim),강창완(Chang-Wan Kang),강희만(Hee-Man Kang),지남준(Nam-Joon Ji),김은미(Eun-Mi Kim),김진한(Jin-Han Kim) 한국조류학회II 2011 한국조류학회지 Vol.18 No.1

2010년 6월 13일에 제주특별자치도 서귀포시 대정읍 마라도 인근 해상에서 긴꼬리도둑갈매기(Stercorarius longicaudus) 1개체와 2010년 7월 28일에 제주특별자치도 제주시 조천읍 함덕리에서 검은슴새(Bulweria bulwerii) 1개체가 확인되었다. 두 종 모두 한국에서의 첫 기록이다. A Long-tailed Skua (Stercorarius longicaudus) was observed in the sea near Marado Island, south of Jeju-do on 13 June 2010 and a Bulwer’s Petrel (Bulweria bulwerii) was found at Hamdeok-ri, Jocheon-eup, Jeju-do on 28 July 2010. Two species are the first record in Korea.

연구 대상수 산출

김화정 ( Hwa Jung Kim ) 대한간학회 2018 임상연구방법론워크숍 Vol.2018 No.1

First Record of a Specimen of the Tufted Puffin Fratercula cirrhata from Korea

Hwa-Jung Kim(김화정),Wee-Haeng Hur(허위행),Shumpei Kitamura,Jin-Han Kim(김진한) 한국조류학회II 2010 한국조류학회지 Vol.17 No.4

일본 효고현 사람과 자연의 박물관에서 지금까지 한국에 기록이 없던 종인 댕기바다오리 (가칭) Fratercula cirrhata의 표본 1점을 확인하였다. 이 표본의 도쿄농업대학 라벨에는 1933년 8월 2일자 함경북도 경흥군 두만강이라고 표기되어 있다. The Tufted Puffin Fratercula cirrhata is newly recorded on the basis of a specimen from Korea in the Museum of Nature and Human Activities, Hyogo in Japan. This specimen was collected from Dumangang, Gyeongheung-gun, Hamgyeongbukdo on 2 August 1933.

저비용항공사의 내부마케팅이 항공승무원의 직무만족과 조직몰입 및 고객지향성에 미치는 영향

김화정(Hwa-Jung Kim),임근욱(Keun-Uk Lim) 한국관광연구학회 2018 관광연구저널 Vol.32 No.8

The purpose of this study is to analyze the effect of internal marketing factors of national and low-cost airlines on job satisfaction, organizational commitment, and customer orientation of cabin crew. To this end, the concept and the components of internal marketing, job satisfaction, organizational commitment, and customer orientation were derived through a literature review. Through an empirical analysis of the influence relationships among variables, the implication is that the management of the cabin crew should be able to maintain a continuous customer-oriented attitude. According to the results of the analysis, empowerment, education and training, and reward system, which are sub-factors of internal marketing, had a positive effect on job satisfaction, organizational commitment, and customer orientation. Internal communication was significant only for job satisfaction. In particular, the influence of education and training, contrary to the results of large airline companies, was found to be important for low-cost airlines cabin crews to supplement and systematize their service know-how and customer experience proficiency with education and training programs. Also, the higher the job satisfaction, the higher the organizational commitment and customer orientation; and the higher the organizational commitment, the higher the customer orientation. Therefore, because it is important to give appropriate self-determination authority and compensation in safety and service situations due to the job characteristics of the cabin crew, this study suggests the importance of internal marketing strategies and diversification of educational programs so that job satisfaction, organizational commitment, and customer orientation can be increased.