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상담 효과 및 이용편의에 관한 후기가 잠재적 내담자의 상담에 대한 태도에 미치는 영향
신예지,김계현 한국상담학회 2016 상담학연구 Vol.17 No.1
This experimental research analyzed the effect of reviews about counseling services on establishing a positive attitude toward counseling services of potential clients. Two different types of reviews were given to potential clients. Their attitudes toward counseling services were measured before and after reading the reviews about counseling services. According to the Construal Level Theory, reviews divided into the effectiveness (high-level construal) and the convenience (low-level construal) of using counseling services. 114 university students in Seoul who had no previous experience in using counseling services and did not intend to use counseling services in the near future were chosen to analyze the following research. The subjects were divided into two groups: one group received reviews about the effectiveness of counseling services, and the other group received reviews about the convenience of using counseling services. Using analysis of covariance (ANCOVA), the results showed that there was a statistically significant difference in changes of attitude towards counseling services between the two groups that read reviews of effectiveness of counseling services and the group that received online reviews of the convenience of using counseling services. This result suggests that online reviews about the effect of counseling services have a positive effect on the attitude toward counseling services. 본 연구는 상담 후기가 잠재적 내담자의 상담에 대한 호의적 태도 형성에 미치는 영향을 분석하기 위한 실험연구이다. 잠재적 내담자에게 두 종류의 상담 후기를 제시하고, 상담 후기를 읽기 전과 후에 상담에 대한 태도를 측정하였다. 상담 후기는 해석수준 이론에 따라 상담 효과에 관한 후기(상위 해석수준)와 상담 이용편의에 관한 후기(하위 해석수준)로 분류하였다. 상담 경험이 없고, 상담을 빠른 시일 내에 받을 계획이 없다고 응답한 서울 소재의 대학(원)생 114명의 자료가 분석되었다. 연구 참여자는 두 집단으로 나뉘어 각각 상담 효과에 관한 후기와 상담 이용편의에 관한 후기를 제시 받았다. 공분산분석(ANCOVA) 실시 결과, 상담 효과에 관한 후기를 읽은 집단과 상담 이용편의에 관한 후기를 읽은 집단 간 상담에 대한 태도 변화에 통계적으로 유의미한 차이가 나타났다. 이 결과는 상담 효과에 관한 후기가 잠재적 내담자의 상담에 대한 호의적 태도 형성에 보다 효과적임을 시사한다.
신예지,류창우,장건호,박문서,변재용 대한자기공명의과학회 2019 Investigative Magnetic Resonance Imaging Vol.23 No.1
Purpose: One of the suggested potential mechanisms of tinnitus is an alteration in perception in the neural auditory pathway. The aim of this study was to investigate the difference in laterality in functional connectivity between tinnitus patients and healthy controls using resting state functional MRI (rs-fMRI). Materials and Methods: Thirty-eight chronic tinnitus subjects and 45 age-matched healthy controls were enrolled in this study. Connectivity was investigated using independent component analysis, and the laterality index map was calculated based on auditory (AN) and dorsal attention (DAN), default mode (DMN), sensorimotor, salience (SalN), and visual networks (VNs). The laterality index (LI) of tinnitus subjects was compared with that of normal controls using region-of-interest (ROI) and voxelbased methods and a two-sample unpaired t-test. Pearson correlation was conducted to assess the associations between the LI in each network and clinical variables. Results: The AN and VN showed significant differences in LI between the two groups in ROI analysis (P < 0.05), and the tinnitus group had clusters with significantly decreased laterality of AN, SalN, and VN in voxel-based comparisons. The AN was positively correlated with tinnitus distress (tinnitus handicap inventory), and the SalN was negatively correlated with symptom duration (P < 0.05). Conclusion: The results of this study suggest that various functional networks related to psychological distress can be modified by tinnitus, and that this interrelation can present differently on the right and left sides, according to the dominance of the network.
단일기관 소아청소년 입원환자에서의 허가 외 약물 사용 현황 분석
신예지,김찬영,박근미,정주원,한혜원 한국병원약사회 2021 병원약사회지 Vol.38 No.3
Background : Because of the lack of clinical research and drug evaluation for children, off-label prescribing has been widely observed in children. However, studies on the prevalence of off-label prescribing in children are rare in Korea. The purpose of this study was to investigate the characteristics of off-label prescribing in pediatric inpatients at a tertiary university hospital in Korea. Methods : All pediatric patients age 0-18 years were included Jun 1-7, 2020 at Asan Medical Center. We retrospectively collected patient characteristics and medication profiles and off-label prescriptions were defined based on the Korea Food and Drug Administration–approved labeling. Results : Of the 286 inpatients, 229 (80.1%) patients received at least one off-label drug use. Additionally, 380 drugs were used, and 129 (33.9%) drugs are not approved in children. Of 1,784 prescriptions, 722 (40.5 %) were for off-label use. The proportion (n=107, 46.7%) of children under age two was higher in the off-label group than in the No off-label group. Gastrointestinal agents (n=183, 25.3%) were the most common causative drugs, followed by cardiovascular agents (n=111, 15.4%), and anti-Infective agents (n=82, 11.4%). Conclusion : Off-label prescribing is common among pediatric patients, especially in premature and neonates. Thus, pediatric pharmacists should be actively engaged in off-label drug use for safe and effective medication use in pediatric patients. A practical guideline for off-label drug use in children, and further research on adverse drug reactions from off-label drug use is needed.
신예지,권나현,박현애,우현수,백용현,박동석,고형균,Shin, Ye-Ji,Kown, Na-Hyoun,Park, Hyun-Ae,Woo, Hyun-Su,Beak, Yong-Hyeon,Park, Dong-Suk,Koh, Hyung-Kyun 대한침구의학회 2009 대한침구의학회지 Vol.26 No.1
Objectives : This study was performed to categorize and define causes of recurrent peripheral facial nerve palsy. Methods : 54 patients was identified with recurrent peripheral facial nerve palsy among 726 patients who visited the Facial Palsy Center in East-West Neo Medical Center between May 2006 and August 2008. We reviewed the medical records including gender, age, laterality, number of recurrence, primary onset age, interval between recurrences, accompanied disease(e.g. DM, HTN), and axonal loss. Results : Patients whose primary palsy onset was before their second decade had a higher possibility of recurrence and tended to recur more than twice. Double-episode ipsilaterally recurrent group showed definitely worse result of axonal loss compared with non-recurrent group and single-episode ipsilaterally recurrent group. But There was no statistically significant difference between mean axonal loss of the non-recurrent group and single-episode ipsilaterally recurrent group. Conclusions : This study was designed for 54 patients and further studies are necessary.
결혼이주여성의 문화적응스트레스와 우울 및 불안의 관계 : 사회적 지지를 통한 양육스트레스의 조절된 매개효과
신예지,강영신 한국국제문화교류학회 2023 문화교류와 다문화교육 Vol.12 No.6
The purpose of this study is to investigate the mediating effect of parenting stress in the relationships between acculturative stress, depression, and anxiety among married immigrant women. Additionally, the study aims to determine whether this mediation process stress is moderated by social support. For this purpose, 154 married immigrant women in a metropolitan city participated and results are as follows. First, parenting stress partially mediated the relationship between acculturative stress and depression. Second, parenting stress partially mediated the relationship between acculturative stress and anxiety. Third, social support moderated the mediating effect of parenting stress in the relationship between acculturative stress and depression. Fourth, social support moderated the mediating effect of parenting stress in the relationship between acculturative stress and anxiety. Our findings suggest that culturally sensitive and family-focused support interventions could be effective in addressing mental health problems among married immigrant women.