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박유경 동서대학교 일본연구센터 2014 次世代 人文社會硏究 Vol.10 No.-
Once upon a time, many Korean people had a negative image to cats: they imaged cats as a suspicious, creepy, and revengeful animal. But nowadays such attitude of Korean people to cats is gradually changing mainly among 20s and 30s. The changes of recognition to cats discussed with TV dramas or movies implied that such changes received sympathy from young generations since they dealt with the weak of the existing society or objects which have been considered taboo and have not been paid attention with images of cats. Images which were represented overlaps with an image of new generation which has characteristics of individualism, denial of social order of existing generation, positive expression of one’s own idea, freedom from the rule of authorities and the mind keeping takings from taking over formalism. That is to say changes of recognition to cats in Korean society would be able to allocate as a social phenomenon which represents difference of recognition to cats and has realized with social changes including appearance of new generation.
박유경,임재웅,최창우,허균,신화균,신성호 대한흉부외과학회 2021 Journal of Chest Surgery Vol.54 No.6
Background: The major limitation of arteriovenous graft access is the high incidence of thrombotic occlusion. This study investigated the outcomes of our salvage strategy for thrombosed hemodialysis arteriovenous grafts (including surgical thrombectomy with balloon angioplasty) and evaluated the efficacy of intragraft curettage. Methods: Salvage operations were performed for 290 thrombotic occluded arteriove- nous grafts with clinical stenotic lesions from 2010 to 2018. Of these, 117 grafts received surgical thrombectomy and balloon angioplasty from 2010 to 2012 (group A), and 173 grafts received surgical thrombectomy and balloon angioplasty, with an additional salvage procedure using a curette and a graft thrombectomy catheter, from 2013 to 2018 (group B). Outcomes were described in terms of post-intervention primary patency and second- ary patency rates. Results: The post-intervention primary patency rates in groups A and B were 44.2% and 66.1% at 6 months and 23.0% and 38.3% at 12 months, respectively (p=0.003). The post-in- tervention secondary patency rates were 87.6% and 92.6% at 6 months and 79.7% and 85.0% at 12 months, respectively (p=0.623). Multivariate Cox regression analysis demon- strated that intragraft curettage was a positive predictor of post-intervention primary pa- tency (hazard ratio, 0.700; 95% confidence interval, 0.519–0.943; p=0.019). Conclusion: Surgical thrombectomy and balloon angioplasty showed acceptable out- comes concerning post-intervention primary and secondary patency rates. Additionally, intragraft curettage may offer better patency to salvage thrombotic occluded arteriove- nous grafts with intragraft stenosis.
영양지원팀 자문 수용률 향상을 위한 의료진 인식도 조사
박유경,강선미,민지혜,박초희,박향랑,서유빈,이미희,장미,전지영,윤상남 한국정맥경장영양학회 2016 한국정맥경장영양학회 학술발표논문집 Vol.2016 No.-
배경: 환자의 치료와 관련하여 영양상태를 개선하는 것은 중요하다. 영양지원팀은 경장영양과 정맥영양을 시행하는 환자들의 영양상태를 판정해주고 향후 영양치료 방법에 대해 자문을 시행하고 있다. 그러나 의료진이 자문을 수용하지 않고 임의로 처방하는 것을 경험하고 있다. 이에 영양지원팀은 현재의 자문 수용률을 파악하고, 의료진의 인식도를 조사하여 수용률을 높일 수 있는 방안을 모색하고자 하였다. 대상 및 방법: 한림대학교 강남성심병원에서 2016년 4월1일부터 1개월간 자문수용 실태조사로 시행하였다. 의무기록을 통해 자문 2일후까지 회신결과에 따라 처방을 수용한 환자의 비율을 계산하였다. 인식도 설문조사는 2016년 5월9일부터 16일까지 일주일 동안 본원의 교수, 전공의, 진료보조인력(Physical Assistant) 총 30명을 대상으로 하였다. 결과: 연구기간 동안 영양지원팀에 의뢰된 420건의 자문 중 의료진이 수용하여 처방을 변경한 경우는 219건으로 자문 수용률은 52.1%이었다. 자문에 대한 만족도 또한 53.3%로 수용률과 비슷하였다. 영양지원이 환자에게 미치는 영향에 대해서는 90%에서 중요하다고 인지하고 있었다. 자문 없이 의료진이 영양 처방을 할 경우 본인의 직관적인 판단 하에 처방하는 경우가 43.3%로 가장 많았고, 의국의 약속처방을 따르는 경우가 20%였다. 정확한 계산에 의한 근거중심의 처방은 단지 16.7%였다. 자문을 시행 받아도 본인의 직관적인 판단으로 처방하는 경우가 30%로 높았고, 바빠서 회신 자체를 읽지 못하는 경우가 23.3%였다. 영양처방과 관련하여 어려운 점으로는 제품정보 부족이 23.7%, 수가관련 지식부족이 22%로 가장 높았다. 영양지원팀의 활동에 대하여 의료진의 50%에서만이 그 역할과 중요성을 인지하고 있었다. 결론: 영양지원의 중요성에 대한 인식에 비해 의료진의 영양지원에 대한 자문에 수용이 잘 이루어지지 않고 있다. 본인의 직관에 의한 처방이 주요한 이유이며, 이와 관련하여 영양지원팀의 전문성과 신뢰도를 높이기 위한 노력이 필요하겠다. 그리고 원내 영양제품과 수가관련 정보를 이용한 영양지원팀의 이에 대한 적극적인 홍보도 중요하겠다.
부정 의문문 ‘?지 않아?’에 나타나는 비중립적 태도 의미에 대하여
박유경 우리말학회 2017 우리말학회 학술대회지 Vol.0 No.-
(2ㄱ)과 같은 부정 의문문은 (1)과 같은 긍정 의문문과는 달리 화자가 명제 내용에 대하 여 사실 여부를 ‘확인’하는 용법으로 쓰일 수 있다 (김동식 1981, 장경희 1982, 장석진 1984, 김미희 2010 등). 이 때 부정 의문문은 (2ㄴ)에 나타난 것과 같이 명제 내용에 대한 화자의 비중립적 태도를 함축한다.
박유경,이정연,강지은,김승준,라현오 한국임상약학회 2016 한국임상약학회지 Vol.26 No.3
Objective: Prescription rate of dabigatran and rivaroxaban, which are the direct oral anticoagulants (DOAC), has increased. We have analyzed the prescription trend and medication use of dabigatran and rivaroxaban in patients with non-valvular atrial fibrillation (NVAF). Methods: It was retrospectively studied from September 2012 to April 2014 using the electronic medical records and the progress notes. Patients with NVAF (n=424) were evaluated on the medication use, prescribing preferences, adverse drug reactions (ADRs) and the availability of prescription reimbursement of dabigatran (n=210) and rivaroxaban (n=214). Results: Dabigatran was prescribed higher than rivaroxaban (23.3% versus 7.5%, p<0.001) in the neurology department, but rivaroxaban was prescribed higher compared to dabigatran in the cardiology department (87.4% versus 74.3%, p<0.001). Dabigatran was prescribed more than rivaroxaban in high risk patients with CHADS2 score ≥ 3 (44.3% versus 31.3%, p=0.006). Dabigatran patients seemed to have more ADRs than patients with rivaroxaban (25.2% versus 11.2%, p<0.001), but no serious thrombotic events and bleeding were found. Only 35.6% (n=151) were eligible for prescription reimbursement by the National Health Insurance (NHI). Bridging therapy (86, 31.5%) and direct-current cardioversion (57, 20.2%) were main reasons of ineligibility for reimbursement. Conclusion: Prescription preferences were present in choosing either dabigatran or rivaroxaban for patients with NVAF. Inpatient protocols and procedures considering patient-factors in NVAF need to be developed.
ISM에 의한 어린이보호구역의 잠재위험 요인 구조화모형 구축
박유경,정현정,김영지,금기정 한국도로학회 2012 한국도로학회논문집 Vol.14 No.6
PURPOSES : This study is to develop ISM for potential risk factor in School Zone. METHODS : Based on the literature review, the Analytic Hierarchy Process (AHP) has been used most widely. However, it is difficult to apply in practice because the AHP results have the characteristics of the independence between each element and the interlayer can not explain the interrelationship. The Network Analysis Process (ANP) is possible to analyze the relationship between the elements and the network through the feedback. But, the reliability of the analysis fall because of complicated pair of comparison, also it is difficult to solve the super matrix. In this study, the complicated relationship between each element is inquired through the Interpretive Structural Modeling (ISM). RESULTS : The methodology of ISM is developed to remove the children’s potential risk factors in school zone. CONCLUSIONS : It is possible to remove the children’s potential risk factors from low level to high level step by step and improve safety. Through this, risk factors can be removed from the low-level, and upper-level will automatically improve.