보건계열 대학생의 취업 스트레스에 관한 질적 연구

오예슬,오은환 한국학교・지역보건교육학회 2013 한국학교지역보건교육학회지 Vol.14 No.1

Sequential Organ Failure Assessment score as a predictor of mortality in ventilated patients with multidrug-resistant bacteremia

오예슬,노지연,이재민,정현성,이광하,이민기 대한중환자의학회 2020 Acute and Critical Care Vol.35 No.3

Background: The occurrence of multidrug-resistant (MDR) bacteremia in ventilated patients may be associated with a high mortality rate. We evaluated whether Sequential Organ Failure Assessment (SOFA) score on the day of bacteremia could predict 90-day mortality in these patients. Methods: Data were obtained retrospectively from 202 patients (male, 60.4%; median age, 64 years) hospitalized at a single university-affiliated tertiary care hospital. All adult patients who had were ventilated and had one of the following six MDR bacteremias between March 2011 and February 2018 were enrolled: methicillin-resistant Staphylococcus aureus, extended- spectrum β-lactamase-producing Gram-negative bacteria (Escherichia coli and Klebsiella pneumonia), carbapenem-resistant Gram-negative rods (Acinetobacter baumannii and Pseudomonas aeruginosa), or vancomycin-resistant Enterococcus faecium. Results: The overall 90-day mortality rate after the day of bacteremia was 59.9%. The areas under the receiver operating characteristic curves for the SOFA and Acute Physiology and Chronic Health Evaluation (APACHE) II scores were 0.732 (95% confidence interval [CI], 0.666 to 0.792; P<0.001) and 0.662 (95% CI, 0.593 to 0.727; P<0.001), respectively, with no difference between the two (P=0.059). Also, the cutoff value of the SOFA score was 9 (based on Youden’s index). Multivariate Cox regression analysis showed that this cut-off value was significantly associated with higher mortality rate (hazard ratio, 2.886; 95% CI, 1.946 to 4.221; P<0.001). Conclusions: SOFA score measured on the day of bacteremia may be a useful prognostic indicator of 90-day mortality in ventilated patients with MDR bacteremia.

Decoupling Memory from Desire: T.S. Eliot’s Journey Towards Detachment

오예슬 한국영어영문학회 2022 영어 영문학 Vol.68 No.1

This paper pivots on T.S. Eliot’s impersonality by focusing on the overarching religiosity in his later writings, or in the case of his earlier works, the lack thereof. Such claim is predicated on the paradox of a glaring absence, which is suggestive of intentional, or at least subconscious avoidance. Although the triad paradigm of attachment, indifference, and detachment is introduced much later in “Little Gidding,” the poet’s immersion in religious philosophy dating back to his college days allows us to discover detachment as prefigurative of Eliot’s formulation of poetic impersonality, thereby facilitating a more holistic reading of his oeuvre. To conceptualize attachment, indifference, and detachment, therefore, I borrow from the thirteenth-century German Dominican mystic Meister Eckhart whose works Eliot first became familiar with at Harvard. Opening with Eliot’s early poems of attachment, I demonstrate how the poet often takes up heterosexual relationships to showcase the poetic consciousness as inextricably caught up in the secular, everyday world. Here, I mainly examine “La Figlia Che Piange.” Because the poem delineates an escape from genuine emotion and functions as an exposé of the male speaker’s irresponsible, egotistic aesthetics, it performs indifference, which I next delve into. In this intermission on “Tradition and the Individual Talent” and The Waste Land, I carry out a quick analysis of indifference and Eliot’s poetic impersonality, which attempts to disentangle it from the traps of human emotion and personality. My understanding of impersonality is as a precursor to detachment, a principle more closely and explicitly articulated in “Burnt Norton” and “Little Gidding.”

Development of a prognostic scoring system in patients with pneumonia requiring ventilator care for more than 4 days: a single-center observational study

오예슬,강예원,이광하 대한중환자의학회 2021 Acute and Critical Care Vol.36 No.1

Background:The aim of the present study was to develop a prognostic model using demographic characteristics, comorbidities, and clinical variables measured on day 4 of mechanical ventilation (MV) for patients with prolonged acute mechanical ventilation (PAMV; MV for >96 hours). Methods:Data from 437 patients (70.9% male; median age, 68 years) were obtained over a period of 9 years. All patients were diagnosed with pneumonia. Binary logistic regression identified factors predicting mortality at 90 days after the start of MV. A PAMV prognosis score was calculating ß-coefficient values and assigning points to variables. Results:The overall 90-day mortality rate was 47.1%. Five factors (age ≥65 years, body mass index <18.5 kg/m2, hemato-oncologic diseases as comorbidities, requirement for vasopressors on day 4 of MV and requirement for neuromuscular blocking agents on day 4 of MV) were identified as prognostic indicators. Each factor was valued as +1 point, and used to develop a PAMV prognosis score. This score showed acceptable discrimination (area under the receiver operating characteristic curve of 0.695 for mortality, 95% confidence interval 0.650–0.738, p<0.001), and calibration (Hosmer–Lemeshow chi-square=6.331, with df 7 and p=0.502). The cutoff value for predicting mortality based on the maximum Youden index was ≤2 (sensitivity, 87.5%; specificity, 41.3%). For patients with PAMV scores ≤1, 2, 3 and ≥4, the 90-day mortality rates were 29.2%, 45.7%, 67.9%, and 90.9%, respectively (P<0.001). Conclusions:Our study developed a PAMV prognosis score for predicting 90-day mortality. Further research is needed to validate the utility of this score.

Prognostic factors in patients with pneumonia requiring ventilator care more than four days

오예슬,이광하 대한내과학회 2020 대한내과학회 추계학술대회 Vol.2020 No.1

Comparison of SOI scoring systems for predicting prognosis in ventilated patients with MDRbacteremia

오예슬,이광하 대한내과학회 2018 대한내과학회 추계학술대회 Vol.2018 No.1

Thomas Hardy’s Re-configuration of Time as a Circle in Poems of 1912-13

오예슬 한국현대영미시학회 2015 현대영미시연구 Vol.21 No.1

Thomas Hardy’s Re-configuration of Time as a Circle in Poems of 1912-13 Ye Sul Oh (Seoul Nat’l Univ.) Thomas Hardy’s first wife, Emma, inspired him the most when she died unexpectedly in November 1912. Through the sequence of elegies entitled Poems of 1912-13, the poet aligns himself with the historic lineage of elegists by inheriting their legacies and at the same time revises its generic conventions to secure his originality. Reading the sequence mainly through textual analysis and also by means of the author’s biography, this paper aims to illuminate how Hardy mourns the dead without relying too much on transcendental entities, those often used in the conventional elegies. Most importantly, it examines how the poet re-imagines the generic conception of elegiac time. Instead of overlapping the cyclical time of nature and the linearity of human life, Hardy blurs the boundaries of the sequential time frame. With this strategy, he creates a more unified perception of time as a kind of circle, which ultimately consolidates both his identities as a natural man and a poet. Reading these elegies while paying close attention to his project to rewrite the elegiac concept of time would reconfirm Hardy as the harbinger of the modern elegy. This, in turn, will enable the reader to turn their eyes towards the dynamic transformation of one of the most enduring genres of English poetry.

친환경건축물인증 공동주택의 친환경요소 유지관리 실태 및 개선방안

오예슬(Oh Ye-Seul),최윤정(Choi Yoon-Jung) 대한건축학회 2012 대한건축학회논문집 Vol.28 No.4

The purposes of this study were to investigate management status of environment-friendly features in apartment communities that were certified by Green Building Certification System (GBCS) and to suggest improvement for sustainability. A series of field investigation was conducted at ten apartment communities between July 22 and August 25, 2010. The field investigation included visual inspection and interviews with apartment managers. Among 44 GBCS certification assessment items, 17 items related with management were classified for investigation in this study. Major findings of this study are as follows: 6 features were properly used and maintained in all of the target communities. And 6 features were relatively well used and maintained, but, in some apartment communities, were found to be poorly used and maintained. On the other hand, 5 features were not or poorly used and maintained. Based on the results, the following problems were detected. In order to resolve the problem above, the managers of GBCS-certified apartment communities should make specialized efforts to properly maintain the environment-friendly features through acquiring education and information on GBCS. Also, it is suggested that housing providers including planners and designers who develop environment-friendly apartment communities consider actual use of features from users’ perspective. In addition, efforts should be made to handle potential problems with maintaining the environment-friendly features during the residents are dwelling in a GBCS-certified apartment community. Urgently, a manual that helps the manager to maintain the environment-friendly features professionally should be created and distributed. On the part of institution, the list of assessment items in the maintenance category of 「Green Building Certification System」should be revised or newly drawn up. Furthermore, the apartment management system should require that things about the environment-friendly features in case of the GBCS-certified apartment communities be included in the clause of 「the Enforcement Decree of the Housing Act」that, when the provider of an apartment community turn over the management responsibility, they should hand over documents necessary for managing the community. In addition, the provision of extending or renewing a certification after it expires should be made again. It is also necessary to introduce a follow up maintenance system which checks and assesses the use and maintenance of environment-friendly features and works. And, offering incentives should be considered as a way to spread of extending and renewing the certification and the follow up maintenance of environment-friendly features.

HRD 관점에서 기업의 스마트 러닝 성공을 위한 탐색적 연구

오예슬 ( Yeseul Oh ),안재영 ( Jaeyoung An ),윤혜정 ( Haejung Yun ) 한국지식경영학회 2023 지식경영연구 Vol.24 No.4

디지털 기술의 발전과 코로나19의 영향으로 기업의 혁신과 조직문화가 변화하고 있으며, HRD(Human Resource Development) 분야에서 스마트 러닝의 중요성이 부각되고 있다. 본 연구에서는 HRD 담당자의 관점에서 스마트 러닝을 구성하는 요인들의 상대적인 중요성을 밝히는 것을 목적으로 하였다. 선행 문헌 검토를 통해 현 상황에 가장 부합하는 스마트 러닝 계층 및 요인을 도출하고, AHP 방법을 활용하여 해당 요인의 상대적 중요도를 파악하였다. 결과적으로 1계층 요인에서는 ‘학습 활동’, ‘교육 활동’, ‘학습 콘텐츠’, ‘평가 방법 및 평가’, ‘학습 시간 및 공간’ 순으로 중요도가 확인되었다. 2계층 전체 요인에서는 ‘교육 전략’, ‘학습 결과’, ‘학습 과업’, ‘학습 목표’, ‘학습 지원’이 상위 5위에 나타나는 요인으로 확인되었다. 본 연구 결과는 스마트 러닝 개념을 재정립하고, 추후 연구를 위한 학술적 프레임워크를 제안한 점에서 의의를 가진다. 또한, 실무적으로는 HRD 담당자들이 스마트 러닝을 개선하고 향상시키기 위해 어떤 요인에 주력해야 하는지에 대한 유용한 정보를 제공하는데 기여할 것으로 기대된다. The advancement of digital technology and the impact of COVID-19 have brought about changes in corporate innovation and organizational culture, thereby highlighting the significance of Smart Learning in the field of HRD (Human Resource Development). This trend has led to an increased interest in personalized Smart Learning among employees due to the growth of hybrid work and the widespread adoption of smart work practices. This study aimed to illuminate the relative importance of the factors that constitute Smart Learning from the perspective of HRD practitioners. Through a review of prior literature, Smart Learning hierarchy and factors most fitting to the current context were identified, and their relative importance was determined using the AHP method. Consequently, in the first-tier factors, importance was confirmed in the order of ‘Learning Activities’, ‘Teaching Activities’, ‘Learning Content’, ‘Assessment and Evaluations’, and ‘Learning Time and Space’. At the second-tier encompassing all factors, ‘Pedagogical Strategy’, ‘Learning Results’, ‘Learning Tasks’, ‘Learning Goal’, and ‘Learning Support’ emerged within the top five factors. These findings are significant in that they redefine the concept of smart learning and propose an academic framework for future research. Additionally, from a practical perspective, it is anticipated that this study will contribute valuable insights for HRD practitioners, aiding them in focusing on which factors to prioritize for enhancing and advancing Smart Learning initiatives.

고령의 의료취약계층을 위한 헬스케어디자인 사례분석 - IPA(Intelligent Personal Assistant) 서비스 중심으로 -

오예슬 ( Oh¸ Ye-seul ),정정호 ( Jung¸ Jung-ho ) 커뮤니케이션디자인학회 2021 커뮤니케이션 디자인학연구 Vol.76 No.-

현재 국내는 급속한 고령화에 따라 사회적으로 다양한 문제를 야기하고 있으며, 그 중 의료서비스에 대한 관심과 수요가 증가함에도 불구하고, 공급은 충족되지 못하는 실정이다. 특히, 고령자의 의료형평성 미확보에 따라 지속적인 의료취약계층을 발생시키고 있어 건강수준의 불평등을 유발하고 있다. 최근 ICT 지능형 기술을 활용한 스마트 헬스케어 시장이 확장됨에 따라 본 연구는 고령 의료취약계층의 건강관리를 독려·관리할 수 있는 지능형 개인비서 서비스 중심의 맞춤형 헬스케어 서비스를 제안한다. 이에 본 연구는 고령자의 서비스 수요 및 고충사항을 중심으로 ① 주관적 건강 만족도 향상 서비스, ② 의료기관 및 의료 서비스에 대한 접근성 향상 서비스, ③ 심리적 케어 서비스 관점에서 서비스 사례분석 유형을 구분하였으며, 최근 10년간 지능형 스마트 헬스케어 서비스를 제안한 국내외 기업의 사례를 선정하여 분석하였다. 연구결과, 첫째, 의료서비스의 불균형을 해결하기 위한 환자와 의료기관 간의 연계서비스 및 의료 데이터화, 둘째, 질병의 선제적 예방관리 및 질병 처방과 재활치료 등의 질병관리 서비스 강화, 셋째, 정신 건강을 위한 멘탈케어 통합서비스의 필요가 도출되었다. 본 연구를 통해 의료인력 부족 문제 해결, 의료편의성 증진, 의료사각지대 해결을 도모할 수 있으며, 고령 의료취약계층의 질병에 대한 선제적 대응을 통해 주체적인 건강관리를 견인하고자 한다. Presently in Korea, various social problems are being raised along with rapid aging, and particularly, despite the increase of interest in and demand for medical service, the needs are not sufficiently met with proper supply. In particular, as medical equity for the aged has not been obtained, medically underprivileged class is increasing constantly, which leads to inequality in health conditions. Lately, the smart health care market utilizing ICT-based intelligent technology is being extended; therefore, this study suggests intelligent personal secretary service-based personalized health care service to encourage and manage medically underprivileged senior people for health management. Here, this study has classified the types of service cases for analysis in consideration of their service demand and difficulties into ① services to improve their subjective health satisfaction, ② services to enhance their accessibility to medical institutes and medicine services, and ③ services from the perspective of psychological care and then selected and analyzed the cases of domestic and overseas companies that has proposed intelligent smart health car e service for the last 10 years. According to the study results, as ways to get rid of the imbalance in medical service, this researcher has drawn first, services to connect patients with medical institutes and the establishment of medical data, second, services to provide preemptive prevention and management for disease and also post-management including rehabilitation treatment, and third, mental care services for mental health. This study will be used to solve the lack of medical manpower, improve medical convenience, and remove the medically blind zone, and it is also aimed to provide preemptive coping with diseases medically underprivileged elderly class is suffering from to realize their independent health management.