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      • KCI등재

        Effect of Institutional Kidney Transplantation Case-Volume on Post-Transplant Graft Failure: a Retrospective Cohort Study

        오혜원,장은진,김가희,유석하,이한나,임태윤,김한솔,류호걸 대한의학회 2019 Journal of Korean medical science Vol.34 No.40

        Background: The impact of institutional case volume to graft failure rate after adult kidney transplantation is relatively unclear compared to other solid organ transplantations. Methods: A retrospective cohort study of 13,872 adult kidney transplantations in Korea was performed. Institutions were divided into low- (< 24 cases/year), medium- (24–60 cases/ year), and high- (> 60 cases/year) volume centers depending on the annual case volume. One-year graft failure rate was defined as the proportion of patients who required dialysis or re-transplantation at one year after transplantation. Postoperative in-hospital mortality and long-term graft survival were also measured. Results: After adjustment, one year graft failure was higher in low-volume centers significantly (adjusted odds ratio [aOR], 1.50; 95% confidence interval [CI], 1.26–1.78; P < 0.001) and medium-volume centers (aOR, 1.87; 95% CI, 1.57–2.23; P < 0.001) compared to high-volume centers. Low-volume centers had significantly higher mortality (aOR, 1.75; 95% CI, 1.15–2.66; P = 0.01) than that of high-volume centers after adjustment. Long-term graft survival of up to 9 years was superior in high-volume centers compared to low- and medium-volume centers (P < 0.001). Conclusion: Higher-case volume centers were associated with lower one-year graft failure rate, lower in-hospital mortality, and higher long-term graft survival after kidney transplantation.

      • 한국 정상 성인의 미세 손 조작 능력에 대한 연구

        오혜원 가야대학교 2007 가야대학교 논문집 Vol.15 No.-

        Objectives: To find the standard value of fine motor manual dexterity by age, gender, handedness, number of trials, occupation, and educational level of the subjects. Method: Grooved Pegboard Test was done on groups of normal and healthy volunteers classified according to their age, gender, handedness, number of trials, occupation, and educational level. There were four educational groups ranging from 6 to 14 years and eleven age groups subdivided by five-year differences in ages of 20 to 75 years. Three trials of GPT were performed for each hand of subjects. Results: Fine manual dexterity significantly reduces as the ages of subjects get higher. Through out the three trials performed on women and men, women were substantially faster than men. Dominance of the hands of subjects also affected the results. From the first to the second trial, there was a significant improvement in performance of both sex. Groups with more educational background and hand usmg occupation have shown faster completing results. Conclusion: When these fine motor and visuo motor tests need to be applied to a patient, the result above will provide fundamental data of standard value for Grooved Pegboard Test for clinical treatments.

      • KCI등재

        열다한소탕(熱多寒少湯) 관련 기존 연구 분석

        오혜원,신승원,장형진,안광석,이석근,이의주,고병희,이준희,Oh, Hye-Won,Shin, Seung-Won,Jang, Hyeung-Jin,Ahn, Kwang-Seok,Lee, Seok-Geun,Lee, Eui-Ju,Koh, Byung-Hee,Lee, Jun-Hee 사상체질의학회 2014 사상체질의학회지 Vol.26 No.1

        Objectives This paper was aimed to review experimantal and clinical articles on Yeoldahanso-tang(YDHS), figuring out the recent tendency and suggesting the future prospects of YDHS-related studies. Methods The articles published in Korean or English since 2000 were searched, screened, and classified into experimental or clinical studies. And we structured designs, methods and results of the included studies into each table for the experimental studies or the clinical studies. Especially tools to diagnose constitutions and patterns identified in clinical researches were also summarized in the tables. Results 28 articles are finally included. 14 experimental studies are mostly in vitro designs to show efficacy of YDHS. There are only 2 studies for the safety. Among 14 clinical studies, 12 case studies target disorders of central nervous system, viral infection, skin ulcer and so on. 2 studies are before and after studies on cerebral infarction and effects on liver function. Conclusions Based on the efficacy of YDHS on central nervous system, it acquires higher level of evidence such as randomized controlled trials in the future. In addition other diseases such as skin ulcer and so on, it needs to be done more specific experimental or clinical studies so that we can get statistically significant results.

      • KCI등재

        취학 전ㆍ후 정상 아동의 장악력과 손가락 쥐는 힘에 대한 표준화 연구

        오혜원,박은숙,박창일,신지철 대한작업치료학회 2000 대한작업치료학회지 Vol.8 No.1

        The purpose of this study is to find the standard value of hand width, of grip strength and of pinch strength by age, sex, and by left hand and right hand and also to find how the general characteristics influences grip strength and pinch strength. Martin Vigorimeter (List No. 17-27-01) was used for measuring grip strength, and the pinch gauge (0∼30 lbs) of B&L engineering for measuring pinch strength. The subjects of this study are the children at the age of three to seven years, who attending the babies' play room, kindergarten and the primary school in Seoul and the Kyungki province area. They all were normally developed without any significant neurology problem. wo hundred girls and two hundred boys were partifipated in this study. They were divided into ten subgroups according to the age of six month interval. Each group consisted of forty children of twenty boys and twenty girls. Analysis of data presents the technical statistics upon the hand width of right and left hand and the grip strength and pinch strength according to the age and sex. Multiple regression analysis using mixed liner model was operated in order to find how the general characteristics (of the age, sex, and side of hand) influence hand width, grip strength, and pinch strength individually. Also, we calculated the correlation among hand width, grip strength and pinch strength under the condition of controlling general characteristics; and to find correlation between the right hand and the left hand of the age and sex, we carried out paired t-test and came to the conclusion as follows: 1. Hand width is significantly increased with the increase of age (p<0.01). The increase of hand width according to age, boy is wider than that of girl significantly (p<0.01), and the right hand is wider than that of the left hand significantly (p<0.01). 2. Grip strength is significantly increased as the age and hand width increased (p<0.01). The increase of grip strength according to the age, boy is stronger than that of girl significantly (p<0.01), and grip strength of the right hand is stronger than that of the left hand(p<0.01). 3. Three-jaw pinch strength is increased as the age, hand width and grip strength are increased(p<0.01). But there is no significant difference of three-jaw pinch strength according to sex and the side of hand(p>0.05). 4. Tip pinch strength is significantly increased as the age and grip strength are increased(p<0.05). The increase of tip pinch strength according to the age, boy is stronger than that of girl significantly (p<0.05), but there is no significant difference between the right hand and the left hand(p>0.05). 5. Lateral pinch strength is significantly increased as the age and grip strength are increased(p<0.01). But the increase of lateral pinch strength, there is no significant difference according to the hand width, sex and the side of hand(p>0.05). 6. The test of correlation among hand width, grip strength and pinch strength showed the correlation between grip strength and pinch strength was stronger than the correlation between hand width and pinch strength(0.3<r<0.7). There was strong correlation between each pinch strength(0.3<r<0.7). Above all, the correlation of three-jaw pinch strength and tip pinch strength was strongest(0.7<r<1.0). 7. The test of hand width according to the age and sex, and the difference between the right hand and the left hand in grip strength and pinch strength showed that there was significant difference against all the test of hand width, of grip strength, and of pinch strength in the age group from seven years and six months to seven years and eleven months than the age group under six years, specially in girls group(p<0.05).

      • 정상 성인 20-59세를 대상으로 한 Box and Block Test의 표준치에 관한 연구

        오혜원 가야대학교 2004 가야대학교 논문집 Vol.13 No.-

        Objectives: To find the standard value of Gross manual dexterity by age, gender, handedness of the volunteered subjects. Method: Box and Block Test was done on groups of normal and healthy volunteers classified according to their age, gender, handedness. There were eight age groups subdivided by five-year differences in ages of 20 to 59 years. One trials of BBT were performed for each hand of subjects. Results: Gross manual dexterity significantly reduces as the ages of subjects get higher. Dominance of the hands of subjects also affected the results. Dominance of the hands was a significant improvement in performance of both sex. Conclusion: When these fine motor tests need to be applied to a patient, the result above will provide fundamental data of standard value for Box and Block Test for clinical treatments.

      • KCI등재

        특수교육지원센터와 학교에 기반을 둔 치료지원 서비스 전문가의 근무환경 및 직무만족도 조사 : 작업치료 전공자를 중심으로

        오혜원,김세연 대한작업치료학회 2010 대한작업치료학회지 Vol.18 No.2

        목적 : 본 연구는 작업치료를 전공하고 특수교육지원센터와 학교에 기반을 둔 치료지원 서비스 전문가의 근무환경 과 근무 환경에 따른 직무만족도를 알아보기 위해 시행되었으며, 향후 교육기반 작업치료사의 복지향상과 최적의 치료지원 서비스를 제공하기 위한 기초자료를 제시하고자 한다. 연구방법 : 2010년 1월 4일부터 2010년 1월 20일까지 전국에 있는 특수교육지원센터와 학교에 근무하고 있는 작 업치료 전공자를 대상으로 전화, 우편, 이메일을 통해 설문지를 발송하고, 회수한 총 60부를 분석에 사용하였다. 결과 : 고용형태는 계약직 전일제, 직책은 작업치료사, 급여는 150~200만원 미만, 순회 근무지 수는 1곳, 대상 아동 의 장애유형은 지적장애, 치료 기구 및 장비의 구비 상태는‘그저 그렇다’로, 관련서비스 팀원으로 특수교사로 대 답한 응답자가 가장 많았다. 학교에 근무할 때 전체만족도가 높았고, 정규직이고, 급여가 많을수록, 1일 치료 아동 수가 적을수록 보상체계 만족도는 높았으며 근무처와 직책에 따라 자율성 만족도에 유의한 차이가 있었다. 치료기 구 및 장비 구비 여부에 따라 업무만족도에 유의한 차이가 있었으며, 1일 치료 아동 수에 따라 인정지위와 자율성, 만족도 요인에서 유의한 차이가 있었다. 직무만족도 요인 중 업무체계와 보상체계, 업무체계와 자율성, 인간관계 와 인정지위에서 정적으로 유의한 상관관계를 보였다. 결론 : 특수교육지원센터 및 학교에서 근무하는 작업치료사를 비롯한 치료지원 전문가들의 근무환경 개선과 직무 만족도 향상을 위한 정책과 방안이 필요하며 학교기반 작업치료사의 역할과 전문성을 확보하기 위해 세미나 및 보 수교육, 학교 기반 작업치료와 관련된 다양한 연구가 필요하다.

      • KCI등재

        융합형 맞춤 작업치료 활동프로그램이 경도인지장애 노인의 심리 안정과 사회참여에 미치는 영향

        오혜원,김고운 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.4

        본 연구는 경도인지장애 노인을 대상으로 융합형 맞춤 작업치료 활동프로그램을 실시하여, 경도인지장애 노인의 심리 안정 및 사회참여에 미치는 영향에 대해 알아보았다. 경도인지장애 노인 30명을 대상으로 무작위로 실험군과 대조군으로 각각 15명씩 나누어 6주간 주 2회 총 12회기를 3단계로 나누어 진행하였다. 중재 전과 후의 심리 안정을 알아보기 위해, 한국판 노인우울척도(Korean Geriatric Depression Scale; KGDS)을 실시하였고, 사회참여를 비교하기 위해 Frenchay 일상생활활동 자기평가지수(Frenchay Activity Index; FAI)를 실시하였다. 중재 결과 실험군에서 중재 전과 후에 심리 안정, 사회참여는 증가를 보였으며, 대조군에서는 심리 안정에는 증가를 보였으나 사회참여에서는 증가를 보이지 않았다. 따라서 연구결과 융합형 맞춤 작업치료 활동프로그램은 경도인지장애를 가진 노인의 심리 안정 및 사회참여에 긍정적인 영향을 미친다는 사실을 알 수 있었다. This study aims to examine the effect of Convergence Tailed Occupational Therapy Activities Program (CTOTAP) which is customized to elderly people with mild cognitive impairment on their mental stability and social participation. A total of thirty elderly patients with mild cognitive impairment were randomly divided into a test group and a control group of 15 patients each, undergoing a total twelve sessions of the program (two sessions per week for six weeks) in three steps. In order to investigate the mental stability of the patients before and after the program, the Korean Geriatric Depression Scale (KGDS) was used while the Frenchay Activity Index (FAI) was used to explore the social participation of the patients. According to the findings of this study, there appeared to be an increase in the mental stability, social participation of the test group after the program. In addition, after the program there were differences between the test group and the control group in all of the mental stability and social participation. Therefore, the study has shown that the CTOTAP with customization has positive impact on the mental stability and social participation of patients with mild cognitive impairment.

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