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우리나라 성인 고혈압환자의 외래진료 지속성과 이에 영향을 미치는 요인 분석
손경애(Son, Kyung-Ae),김윤신(Kim, Yoon-shin),홍민희(Hong, Min-hee),정미애(Jeong, Mi-Ae) 한국산학기술학회 2010 한국산학기술학회논문지 Vol.11 No.6
본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남․북)에 개설 되어있는 전체 의료기관을 대상으로 진료일 기준 ‘08.7월~’08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 485,953명을 대상으로 하였다. 진료지속성과 영향 요인을 분석한 결과 다음과 같다. 우리나라 성인 고혈압 환 자의 평균 진료지속성 수준은 MMCI, 0.96±0.13, MFPC 0.96±0.12으로 높게 나타났다. 외래진료 지속성에 영향을 미 치는 요인으로는 여성일수록, 55세~64세 이상 연령일수록, 동반상병이 있을수록 통계적으로 유의하게 낮았으며, 주 이용기관이 상위 종별일수록 통계적으로 유의하게 MMCI와 MFPC 모두 높게 나타났다. 이 연구에서는 우리나라 성 인 고혈압환자의 평균 진료지속성 수준은 높은 것으로 나타났으며, 여성, 64세 이상 연령 등 진료지속성이 낮은 대상 자에 대한 관리가 필요할 것으로 보인다. 이 연구 결과는 우리나라 고혈압환자들의 건강관리 행태를 모니터하는 지표 및 국가의 고혈압관리사업의 성과지표로써 활용할 수 있을 것이다. The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 485,953 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December, 2008. As a result of analyzing their Continuity of Ambulatory Care and factors affecting it, the following findings were given: The continuity of ambulatory care among the adult patients with hypertension in our country turned out to be on a high level(MMCI 0.96±0.13, MFPC 0.96±0.12). Given examining the outpatient medical-cure continuity level according to index, the averagely medical-cure continuity level was calculated to be high level with MMCI, 0.96±0.13, and MFPC 0.96±0.12. Thus, the tendency of visiting only one medical provider was high. The findings of the study illustrated that the average continuity of ambulatory care among the adult patients with hypertension in our country was on a high level, and it seemed that special care should be provided to patients with a low-level continuity of ambulatory care, such as women and elderly people aged 64 and over. The findings of the study are expected to serve as one of the barometers for the health care of patients with hypertension and for the performance of national hypertension management plans.
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비문법적인 문장 분석을 통한 올바른 문장 지도 방안에 대한 연구
손경미(Son Kyung-mee) 한국어문교육학회 2006 어문학교육 Vol.33 No.-
Current elementary school Korean language curriculum includes a set of rules for Korean language usage, that is, Korean language knowledge-related contents, divided by grade in conformity to the educational goal, which is to help students use the Korean language in a correct and effective manner. The problem with the Korean language education today is that students are still using ungrammatical sentences, even though the Korean language education has been carried out in accordance with such Korean language knowledgerelated contents classified by grade.<BR> Beginning with such a problem lingering in the field of the Korean language education, this paper reaffirms the educational value that the area of the Korean language knowledge has under current elementary Korean language curriculum in chapter Ⅱ and investigates present situations of ungrammatical sentence use on the basis of collected data of sentences composed by elementary school students and then categorizes ungrammatical sentences in chapter Ⅲ. Chapter Ⅳ presents a desired teaching method of sentence use based on ungrammatical sentences used by students, given that there is no independent textbook or lesson relative to the Korean language knowledge under the current curriculum, significantly less time is given to the Korean language knowledge, and learning contents of the Korean language are composed of basic and further study topics.<BR> Basic flow of the desired teaching method developed in this paper has its foundation on exploratory learning activities. This teaching method is designed to put in practice in the order of finding errors in given ungrammatical sentences ▶ guessing what makes those sentences ungrammatical ▶ figuring out a way to correct those errors and revising the sentences ▶ presenting desired writing skills after comparing given ungrammatical sentences and correctly revised sentences ▶ and finally applying resulting new methods to different situations.<BR> The implication of this paper lies in that it has examined ungrammatical sentences produced by higher graders of elementary school and categorized errors generated as a result. Moreover, unlike existing teaching methods, this study is important in the sense that it is based on error patterns found in the sentences used by students and that sets a stage for an education of sentence use for a native speaker, providing an opportunity to learn how to use correct sentences on the basis of the sentences that students themselves made in order to stimulate students’ interest.<BR> However, more detailed and in-depth studies on the efficiency of desired teaching method of sentence use based on ungrammatical sentences used by students and a phased-in teaching method of Korean sentences on which an exploratory learning model are reflected should be further conducted, together with a test on the effect of the teaching method suggested in this study.
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손경애(Kyung Ae Son),고종욱(Jong Wook Ko),이덕로(Deug Ro Lee) 한국사회학회 2003 韓國社會學 Vol.37 No.6
본 연구는 우리나라 산업체 근로자들을 대상으로 인터넷 중독 실태를 파악하고, 인터넷 중독에 대한 관련변인들의 영향력을 분석함으로써 인터넷 중독의 결정변인을 탐색하고자 하였다. 이를 위해 본 연구는 1,256명의 전국 소재 산업체 근로자들을 대상으로 설문조사를 실시하였으며, 경로분석을 이용하여 자료분석을 수행하였다. 인터넷 중독 실태에 대한 분석 결과, 우리나라 산업체 근로자 다섯 명 중 한 명꼴(20.4%)이 이미 인터넷에 ‘중독’(7.2%)되어 있거나 중독이 ‘의심’(13.2%)되는 것으로 나타났다. 인터넷 중독의 결정변인들을 분석한 결과, 인터넷 활용기술(.326), 충동성(.264), 인터넷 태도(.223), 인터넷 활용정도(.185) 등이 인터넷 중독의 주요 결정변인으로 확인되었다. 반면, 성, 연령, 학력, 직종 등의 사회인구학적 변인들의 인터넷 중독에 대한 영향은 미미한 것으로 나타났다. 본 연구는 인터넷 중독이 더 이상 남자, 젊은 층, 고학력층, 전문직 직종 종사자 등의 특정집단에 국한된 문제가 아니라 우리 사회 전반에 걸쳐서 나타나는 하나의 보편화된 현상이라고 강조하였다. 아울러 본 연구는 인터넷 중독에 대한 해결방안으로 산업체 현장에서의 인터넷 활용기술 향상을 위한 인터넷 활용교육 프로그램의 개발과 인터넷 중독에 대한 예방 및 처치를 위한 제도적 장치 마련 등을 제시하였다. This study attempted to explore the determinants of the Internet addiction among white-collar employees in Korea. Data for this study were collected from 1,256 white-collar employees with self-administered questionnaires and analyzed by using LISREL as a statistical tool. The study results showed 7.2% of the total employees as an addicted group, 3.2% as a suspicious group, and 11.4% as a reservation group. The results implied that one out of five employees were exposed to internet addiction. The study results also showed that, while the total effects of internet utilization skills(.326), impulsivity(.264), attitudes toward the Internet(.223), and the degree of internet utilization(.185) on internet addiction were found to be statistically significant, that of internet efficacy was not. Particularly, study results showed that the effects of socio-demographic variables such as gender, age, level of education, type of occupation on internet addiction were not significant. The study argued that the typical internet-addicted person is not male, in the age group of 20s to 30s, highly educated, and working in professional fields. The study also argued that internet addiction is a common social pathology revealed in the whole society. The study suggested that diverse in-service training programs be developed in order to improve internet utilization skills and to prevent and treat internet addiction.
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손경선(Kyung Sun Son),조해정(Hai Jeong Cho),김애경(Ae Kyoung Kim),이종진(Jong Jin Lee),한표성(Pyo Seong Han),김주옥(Ju Ock Kim),김선영(Sun Young Kim) 대한내과학회 1995 대한내과학회지 Vol.48 No.4
N/A Objectives: EGFR is a transmembrane molecule and is characterized by tyrosine protein kinase activity and ligand-stimulated autophosphorylation. It was found in various cell types including fibroblast and keratinocytes. EGFR appears to have an important role in the development and proliferation of certain human malignancies, including those of neuroglia, bladder, and breast. The heterogeneity of EGFR expression is known to be related with proliferating fraction, histological grade, and susceptibility of anti- cancer drugs, etc. We investigated the biologic significance of the expression of EGFR in lung cancer tissues. Methods: The expression of EGFR was assessed immunohistochemically on paraffin imbedded lung cancer tissues including 28 primary sites with 16 lymph nodes using monoclonal antibody and indirect peroxidase technique. Results: 1) EGFR expression of primary tumor in squamous cell carcinoma was higher than in the others. 2) EGFR expression of primary tumor in stage III was higher than in stage I and stage II. 3) EGFR expression rates of primary and metastatic sites were 60.7% and 61.1%, respectively. No significant difference between primary site and metastatic one was noticed. 4) EGFR expression rates in primary tumor with metastasis was 64.7% and without metastasis was 54.5%. 5) EGFR expression rates of lung cancer by nodal stage were 50% in N1 and 60% in N2. But significant difference among nodal stages was not noticed. 6) EGFR expression rates of lymph nodes according to EGFR positivity of primary tumor were 50% in lymph nodes that have negative steins in lungs and 60% in lymph nodes that have positive stains in lungs. 7) No significant difference in 12-month survival between positive group and negative group was noticed. Conclusion: EGFR expression of routinely processed tissue is a simple technique for the assessment of cell growth and terminal differentiation in non small cell lung cancer. Whether EGFR expression has an independent prognostic value and deserves special attention in pathobiological evaluation in lung cancer remains to be investigated from large series with longer follow - up and to be correlated with multiple biological markers.
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