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      • KCI등재후보

        Initial Experience of BABA Robotic Thyroidectomy Using the Da Vinci Xi System in Incheon, Korea

        윤혜정,Jong Hyuk Ahn,김재환,이진욱,허민희 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.3

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

        Purpose: The incidence of thyroid cancer in Korea is high, with the disease usually observed in young women. Thyroid cancer surgery should focus on both oncologic safety and good cosmetic outcomes. The bilateral axillo-breast approach (BABA) to thyroid surgery, which has been performed for over 10 years, has shown good oncologic and cosmetic outcomes. This study reports the initial results of robotic BABA thyroidectomy with the Da Vinci Xi system at Inha University Hospital in Incheon, Korea. Methods: This study included 53 patients who underwent BABA robotic thyroidectomy, performed by a single endocrine surgeon using the Da Vinci Xi system, between December 2018 and March 2019. Patients' medical records and surgery videos were retrospectively reviewed, and their clinical and surgical characteristics, pathological findings, and shortterm postoperative outcomes were evaluated. Results: The 53 patients included 9 men and 44 women of mean age 44.51±10.36 years (range, 24–64 years). Mean robotic console times were 75.08±15.96 minutes for lobectomy and 93.53±17.86 minutes for total thyroidectomy. Forty-five patients were diagnosed with papillary thyroid carcinoma. Vocal cord palsy occurred in one patient and transient hypocalcemia in 8, with all resolving after 2 months. Cosmetic outcomes were excellent and there were no serious or unexpected complications. Conclusion: BABA robotic thyroid surgery using the Da Vinci Xi system was successfully started at a hospital in Inchon, Korea. Long-term prospective cohort studies including larger numbers of patients are required to assess outcomes.

      • 임진강 개발계획 수립을 위한 기초연구

        윤혜정 평택대학교 1999 論文集 Vol.13 No.-

        최근 3년간 발생한 경기북부지역의 홍수피해는 그 지역의 주요 하천인 임진강에 대한 계획적 대응 없이는 해결될 수 없는 문제로 지적되고 있다. 그러나 임진강의 개발은 단순히 재해의 방지차원에서 접근하기 보다는 한반도의 중심을 흐르는 국토의 심장부로서 국토계획적 차원에서 검토되어야 한다. 수자원의 보전이나 이용이라는 소극적 관점보다는 광범위한 유역개발을 통한 신도시개발 및 산업육성, 주민생활의 향상이라는 포괄적 목적의 설정이 필요한 것이다. 한반도 통일과 함께 남북간의 무력대결은 회피해야 한다는 민족적 자각이 무르익는 시점에서 이 지역의 개발은 한반도 전체 균형개발의 관점에서 필수적이라 할 수 있다. 본 논문에서는 임진강개발의 고전적 모형으로서 미국의 TVA개발사업의 사례를 살펴보았다. TVA사례를 분석한 결과 임진강 개발의 목표는 유역의 홍수방지와 필요전력의 생산, 농경지 확보 등을 설정할 수 있으며, 개발주체로는 강력한 집행이 요구되는 만큼 남북양측 중앙정부가 합의한 별도의 조직이 필요할 것이다. 그밖에 국제하천의 이용과 개발에 대한 국제관습법적 검토를 통해 임진강개발을 위한 기본원칙은 다음과 같이 설정한다. 첫째, 반드시 남북공동의 협약에 의거한다. 둘째, 의사결정에서의 호혜평등이 반드시 이루어져야 한다. 목표설정과 집행결과에 따른 이익분배에 있어서 형평성이 존중되어야 한다. 셋째, 통일국토계획에서의 접근을 통해 한반도 균형개발과 개발성과의 극대화가 추진되어야 하며, 그 바탕에는 환경친화적 개발이라는 원칙이 지켜져야 한다. 무엇보다도 임진강 유역에 대한 개발을 위해서는 어떠한 형태로든 외교적 합의가 있어야 한다. 이 같은 외교적 합의이전이라도 전체유역을 대상으로 한 현지조사를 통해 토지이용현황 및 개발가능성(feasibility)에 대하 검토가 우선적으로 이루어져야 할 것이다.

      • KCI등재

        환자만족이 의료이용에 미치는 영향-환자-의사 커뮤니케이션 만족을 중심으로

        윤혜정,유명순 한국병원경영학회 2019 병원경영학회지 Vol.24 No.4

        Purpose: Importance of patient satisfaction related to patient-centeredness has been emphasized, and it is known to have effect on various health outcomes including health resource utilization. However, the effect of patient satisfaction has been discussed mostly in terms of hospital marketing in Korea. This study aims to examine the effect of patient satisfaction in patient-physician communication on healthcare utilization in a nationally representative adult population of South Korea. Method: Patient satisfaction with physician communication is assessed using 4 items in the 2011 Korea Health Panel Survey. Generalized linear regression analysis is conducted using 9,325 adultsʼ healthcare utilization in 2012. Findings: Adjusting for the socio-demographic, economic factors, individual health status, health behaviors and healthcare utilization in 2011, more satisfied individuals, more likely to utilize the outpatient service, especially in clinical setting. Practical Implications: The study findings suggests that in context of South Korea healthcare system such as insufficient medical consultation time and the absence of health delivery system, patient satisfaction as a subjective healthcare quality indicator would have effect on the individualʼs outpatient visit. This study contributes to stimulate patient satisfaction research and discussion in South Korea to further explore its relationship with potential and various health related outcomes. Further implications of the study are discussed.

      • KCI등재

        물리치료사의 직무스트레스와 심리적 소진 사이의 관계에서 자기효능감과 사회적 지지의 조절효과

        윤혜정,문경래 한국컴퓨터정보학회 2020 韓國컴퓨터情報學會論文誌 Vol.25 No.8

        In this paper, we propose the moderating effects of self-efficacy and social support on the relationship between physical therapists' job stress and psychological burnout. Based on the previous studies, this study set up three types of variables: 1) independent variable, 2) moderating variable, 3) dependent variable. Job stress was identified as an independent variable, self-efficacy and social support was identified as a moderating variable and psychological burnout was identified as a dependent variable. To empirically conduct this study, a total of 200 questionnaires were distributed to physical therapists. Consequently, a total of 155 survey responses were collected. The survey results are as follows. First, the result showed a high-level of correlation among job stress, psychological burnout, self-efficacy, and social support. Second, self-efficacy was found to have a moderating effect on the relationship between the physical therapists' job stress and psychological burnout. Third, social support was found to have a moderating effect on the relationship between the art therapists' job stress and psychological burnout. 본 연구의 목적은 물리치료사의 직무스트레스와 심리적 소진과의 관계에 있어 자기효능감과 사회적 지지의 조절효과의 실증 분석 결과를 제시하는 데에 있다. 선행연구를 바탕으로 독립변인으로는 직무스트레스를, 조절변수로는 자기효능감과 사회적 지지를, 종속변인으로는 심리적 소진을설정하여 연구모형을 구성하고 변인 간의 효과 및 관계를 검증하였다. 이를 위해 물리치료사를대상으로 200부의 설문지를 배포하여 최종 155부를 실증분석에 이용하였다. 본 연구의 결과는 다음과 같다. 첫째, 물리치료사의 직무스트레스, 심리적 소진, 자기효능감, 그리고 사회적 지지는 변인 간의 높은 상관관계를 보였다. 둘째, 물리치료사의 직무스트레스와 심리적 소진과의 관계에서 자기효능감은 조절효과를 가지는 것으로 확인되었다. 셋째, 물리치료사의직무스트레스와 심리적 소진과의 관계에서 사회적 지지는 조절효과를 가지는 것으로 확인되었다.

      • KCI등재

        미국의 스마트성장과 도시개발정책의 시사점

        윤혜정 대한국토·도시계획학회 2002 國土計劃 Vol.37 No.7

        The purposes of this study are to introduce the Smart growth movement in U.S and to find the implications for urban development policy in our country. Smart growth meets the key goals of sustainable development - a prosperous economy, a quality environment and social equity - through community design. The most important principles of the Smart growth are the mixed land use, transit-oriented, walkable, attractive and compact development and conservation of open space. The cases are the Montgomery County's Smart Growth strategies and Bethesda Row in Montgomery County. The good strategies of local government make good places. Bethesda Row is the one of the best development practices in U.S. The implications for our situation are those : Local governments have to be competent for planning and development management ; The developed areas should infill and renew compactly and efficiently. It is the one way natural environment conserves ; Local plans need flexibility. But, they have the minimum requirements standard which should be clear and precise and cover the affordable housing and infrastructures ; Collaboration is the most important. We have to consent the ESSD in our country and to make opportunities of participation in development planning procedure.

      • KCI등재
      • 인삼 사포닌이 일산화탄소와 노화에 의한 신경전달계 변화에 미치는 영향 : 기억력 장해에 미치는 영향 Effect on the Memory Impairment

        윤혜정,신정희,최현진,윤재순 梨花女子大學校 藥學硏究所 1992 藥學硏究論文集 Vol.- No.2

        The present study examined the effects of carbon monoxide (CO) intoxication and aging on learning and memory deficit in young(5~8 weeks) and aged (52~66 weeks) mice, using the step down and step through passive avoidance failure techniques. We also investigated the effects of ginseng saponins on memory deficit. Significant decrease in memory registration, retention and retrieval function in young mice and decrease in memory registration and retention function in aged mice were observed. Normal young mice were apt to perform to a great degree of passive avoidance response than normal aged mice, but there was no difference between both groups by CO exposure. Administration of ginseng saponins showed an improvement on passive avoidance failure induced by CO exposure.

      • KCI등재후보
      • KCI등재

        지방정부의 주택정보서비스체계구축방안 및 사례연구

        윤혜정 한국주거학회 2004 한국주거학회 논문집 Vol.15 No.2

        The purpose of this study has two folds. For the local government it gives a guide to establish the housing information system, which provides various housing information in order to promote service to the public on Internet. It also gives a guide for the local government to collect the fundamental data from local housing market and provide them to the policy makers as well as the housing producers (landlords, builders and owner-occupiers). Contents of housing information system website for the local government consist of three main parts. The first part provides housing policy and local housing market information to the upper level local government as well as housing producers. The second part provides housing information for the people who are looking for houses to move the own. Final part provides the procedures of building construction and development plan for landlords to the public. In case of Pyongtaek-City, this study makes them by cluster analysis of houses and households moving pattern as the Internet contents. Housing markets of Pyongtaek-City divide 3 sectors by housing type, tenure type and housing supply ratio etc. And populations prefer to move intra sectors. According to this information, policy-makers should define local housing problems and find solutions and housing producers can supply the house just in sites and in time. In conclusion, local government should provide valuable housing information based on local housing market research to the public for the effective housing policy. As local housing market is formed by various factors it is needed for local government to research housing sub-markets due to apply these research results to the local government for the future.

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