우리나라 노인에서 심방세동의 유병률

은정남,조정관,김성수,박형욱,이기홍,윤남식,김종윤,원주민,신민호,신준호 대한노인병학회 2016 Annals of geriatric medicine and research Vol.20 No.1

Background: Atrial fibrillation (AF) is the most common arrhythmia particularly in the elderly and a potent risk factor for ischemic stroke. Screening for AF in asymptomatic individuals might prevent strokes by earlier detection and anticoagulation therapy. We investigated the prevalence of AF in the Korean elderly and its clinical characteristics. Methods: This study included 1,483 participants (839 males, 644 females) ≥60 years (72.9±5.4 years) who had undergone electrocardiogram (ECG) screening at the senior health promotion center, Gwangju, from March 2014 to June 2014. Their assessments included 12 lead electrocardiograms, questionnaires and physical examinations. Results: AF was detected in 46 individuals (3.1%), and newly detected in 20 of these 46 (43.4%). The prevalence of AF increased sharply with age-1.0% in 60-69 years group, 3.3% in 70-79 years group, and 7.2% in ≥80 years group. Multivariate logistic regression analysis showed that age (odds ratio [OR], 1.11; 95% confidence interval [CI], 1.05-1.17; p<0.001), male gender (OR 5.28, 95% CI 2.04-13.66; p=0.001), obesity (body mass index>25kg/m2) (OR, 2.17; 95% CI, 1.14-4.11; p=0.017), and heart failure (OR, 8.74; 95% CI, 1.45-52.46, p=0.018) were associated with increased risk for AF. Conclusion: The prevalence of AF in the Korean elderly was 3.1% and increased steeply with age from 1.0% to 7.2%. Screening with ECG may be considered as nearly half (43.4%) of AF cases were newly detected.

초등학교 여교사의 체육수업에 대한 스트레스와 대처방식의 관계

백은정,남재화 한국스포츠학회 2019 한국스포츠학회지 Vol.17 No.3

The purpose of this study is to clarify the stress and coping style of physical education class in elementary school female teacher. For this purpose, a questionnaire was administered to 300 elementary school teachers in Seoul and Gyeonggi area, We used 282 data for analysis. The reliability and validity test of the questionnaire itself was conducted by using SPSS Window 21.0 program; the result of descriptive statistical analysis, exploratory factor analysis, reliability analysis, correlation analysis, standard multiple regression analysis are as follows; The results were as being follows. First, the stress is partially not influences on the democratic types of physical education class in elementary school female teacher. Second, the stress is partially influences on the absolutism types of physical education class in elementary school female teacher. Third, the stress is partially influences on the moninterference management types of physical education class in elementary school female teacher. Fourth, the stress is partially influences on the management types of physical education class in elementary school female teacher. Fifth, the stress is partially influences on the compromise types of physical education class in elementary school female teacher. 이 연구는 초등학교 여교사의 체육수업에 대한 스트레스와 대처방식의 관계를 실증적으로 구명하는데 그 목적이 있다. 이 연구는 서울과 경기도에 소재하고 있는 초등학교의 여교사이며 총 282명을 유층집락무선표집법으로 표집하였다. 그리고 자료는 컴퓨터에 개별 입력(coding)시키고, Window용 SPSS 21.0 Version 통계프로그램을 이용하여 기술통계분석과 탐색적 요인분석, 신뢰도 분석, 상관분석, 표준중다회귀분석을 실시하여 검증하였다. 이상의 연구방법과 절차를 통하여 다음과 같은 결론을 얻었다. 첫째, 초등학교 여교사의 체육수업에 대한 스트레스와 민주형의 관계를 살펴본 결과 관계가 없는 것으로 나타났다. 둘째, 초등학교 여교사의 체육수업에 대한 스트레스와 전제형의 관계를 살펴본 결과 부분적으로 유의한 관계가 있는 것으로 나타났다. 셋째, 초등학교 여교사의 체육수업에 대한 스트레스와 방임형의 관계를 살펴본 결과 부분적으로 유의한 관계가 있는 것으로 나타났다. 넷째, 초등학교 여교사의 체육수업에 대한 스트레스와 지원형의 관계를 살펴본 결과 부분적으로 유의한 관계가 있는 것으로 나타났다. 다섯째, 초등학교 여교사의 체육수업에 대한 스트레스와 타협형의 관계를 살펴본 결과 부분적으로 유의한 관계가 있는 것으로 나타났다.

근거기반실무 교육 프로그램이 임상간호사의 근거기반실무 준비도 및 근거기반 의사결정에 미치는 효과

남애리나(Nam, Ae Ri Na),이은호(Lee, Eun Ho),박정옥(Park, Jeong Ok),기은정(Ki, Eun Jung),남수민(Nam, Su Min),박미미(Park, Mi Mi) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.3

Purpose: Today"s clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. Methods: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. Results: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. Conclusion: The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

환경교육 웹 사이트의 상호작용 분석

곽은정,남상준 한국초등사회과교육학회 2009 초등사회과교육 Vol.21 No.1

근거기반실무 교육 프로그램이 임상간호사의 근거기반실무 준비도 및 근거기반 의사결정에 미치는 효과

남애리나,이은호,박정옥,기은정,남수민,박미미,Nam, Ae Ri Na,Lee, Eun Ho,Park, Jeong Ok,Ki, Eun Jung,Nam, Su Min,Park, Mi Mi 간호행정학회 2017 간호행정학회지 Vol.23 No.2

Purpose: Today's clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. Methods: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. Results: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. Conclusion: The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

대학 창업지원제도 개선방안 도출을 위한 IPA분석: D대학 사례를 중심으로

남정민,유현경,김윤희,강은정,이현석,장경화,김수진 한국벤처창업학회 2022 벤처창업연구 Vol.17 No.2

The purpose of this study is to analyze the difference in importance and performance of the university start-up support system focusing on D university students to grasp the perception of the start-up support system provided the university from the perspective of students who are real users. Through this, a plan for qualitative growth and advancement of the university start-up system was derived using the IPA (importance-performance analysis) analysis. The findings are as follows. The importance of all elements of university start-up education and start-up support system is higher than the performance, which means that the start-up education and support programs currently implemented by universities are recognized as important, but do not play a big role in terms of performance for students. In addition, the highest priority factors for improvement in the importance-performance matrix were funding and investment support, start-up space and facilities support, management advisory, patent and intellectual property support, and entrepreneurship field practice. Therefore, This study can be used as objective data to identify the factors that universities should focus on and establish a start-up support system from a long-term perspective, and to build and operate a start-up support system that reflects the needs of students. 본 연구의 목적은 실수요자인 학생들의 입장에서 대학에서 제공하는 창업지원제도에 대한 인식을 파악하고자 D대학 학생을 중심으로 대학 창업지원제도의 중요도 및 성취도 차이를 분석하였다. 이를 위하여 IPA(importance-performance analysis)분석 방법을 활용하여 대학 창업지원제도의 질적인 성장과 고도화 방안을 도출하였다. 연구 결과는 다음과 같다. 대학 창업교육 및 창업지원의 모든 요소에 대하여 중요도가 성취도보다 높게 나타났는데 이는 현재 대학에서 실행하고 있는 창업 교육 및 지원프로그램이 중요하다고 인지되고 있으나, 수요자(학생)에게 성취도 측면에서 크게 작용하지 못하는 것을 의미한다. 또한 중요도-성취도 매트릭스에서 가장 개선의 우선순위가 높은 요인은 「자금 및 투자지원」, 「창업 공간 및 시설지원」, 「경영자문」, 「특허 및 지식재산 지원」, 「창업현장실습」 순으로 나타났다. 따라서 본 연구는 대학이 집중적으로 노력해야 하는 요소를 파악하고 장기적인 관점에서 창업지원제도를 수립하여 공급자 중심에서 벗어나 학생(수요자)의 요구를 반영하는 시스템을 구축·운영하는데 객관적인 자료로 활용될 수 있을 것이다.

모체 말초혈액내에서 중합효소연쇄반응을 이용한 Y-특이 DNA 염기서열의 검색

남궁성은,박종섭,김수평,이종건,나종구,신종철,이종승,백은정 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.1

저자들은 Y 염색체의 단완에 존재하는 DYS14 유전자좌로부터 얻은 single-copy Y-특이 DNA 염색기서열에 대해 이중 종합효소연쇄반응(dual PCR)을 시행하여 모체에는 존재하지 않는 Y-특이 DNA 염색기서열이 모체의 말초혈액내에서 발견되는 시기와 발견정도를 알아보고, 또한 이를 반성유전질환의 산전 선별검사로써 이용될 수 있는지 알아보기 위해 본 연구를 시행하여 다음과 같은 결과를 얻었다. 1. 1차 증폭에서는 정상남자의 말초혈액에서 얻은 DNA의 10^4배 희석까지 Y-특이 양성 띠가 발견되었으며, 2차 증폭에서는 10^8배 희석까지 발견되었다. 반면에 정상여자에서는 1차 및 2차 증폭 모두 Y-특이 양성띠가 발견되지 않았다. 2. 남아인 경우, 24 cycle의 2차 증폭에서는 임신 6주에서 처음 발견되었다. 3. 이차 증폭의 회수(18,21 및 24 cycle)에 따른 예민도가 임신 제 1기에서는 각각 18.2%, 45.5% 및 72.7%이었고, 임신 제 2기에서는 각각 12.5%, 37.5% 및 75%이었으며, 임신 제 3기에서는 각각 16.7%, 33.3% 및 83.3%이었다. 4. 24 cycle의 2차 증폭에서의 음성예측도는 임신 제 1기에서 83.3%, 임신 제 2기에서 71.4%, 임신 제 3기에서 80.0%이었다. 이상의 결과로 보아, 종합효소연쇄반응을 이용한 모체혈액내의 Y-특이 DNA 염기서열의 발견은 임신초기부터 가능할 뿐아니라 비교적 높은 예민도 및 특이도를 보이고 있음을 알 수 있다. 그러나 이러한 방법을 임상에 이용하기 위해서는 극소수의 태아세포를 효과적으로 얻을 수 있는 방법과 좀 더 특이한 Y-특이 DNA 염기서열등에 대한 연구가 많이 이루어져야 할 것으로 생각된다. The detection of a Y-specific DNA sequence from the peripheral blood of a pregnant woman who bears a male fetus has theoretical and practical importance as it would open up the possibility of prenatal diagnosis of genetic diseases, especially X-linked recessive inheritance, using small amount of maternal peripheral blood. Numerous attempts have been to identify XY cells in the blood of mother bearing male fetus. However, the results have been controversal. In this study, we have investigated the use of a dual polymerse chain reaction for the detection of a Y-specific DNA sequence(DYS14) from unsorted peripheral blood of 43 pregnant women who had a gestatinal age of 5 to 40 weeks. The Y-specific band was detected as early as 6 weeks in gestation. The sensitivities for 25 male fetuses were 16%, 40% and 76% in the 18, 21 and 24 cycles of the second PCR, respectively. In the 24 cycles of the second PCR, the sensitivities for male fetuses were 72.7%(8/11), 75%*6/8) and 83.3%(5/6) in the first, second and third trimester, respectively. The corresponding specificities were 83.3%(5/6), 71.4%(5/7) and 80.0%(4/5). Overall 19 of 25 male fetus were positive(76%) and 14 of 18 female fetus were negative(specificity 77.8%). Thus, the positive predictive value was 82.6%(19/23) and the negative predictive value was 70%(14/20). This study was suggested the usefulness of dectection of T-specific DNA sequence from the maternal peripheral blood by using polymerse chain reaction. However, further inverstigatio is necessary to increase the reliability for clinical application because of its false-negative and especially false-positive results.

제왕절개술시 복막 비봉합술

신종철,백은정,신희정,이근우,이필호,남궁성은,김수평 대한산부인과학회 1994 대한산부인과학회 학술대회 Vol.73 No.-

Clinical Trail of 13-cis-Retinoic Acid in Cervical Intraepithelial Neoplasia

안웅식,곽은정,박종섭,한구택,남궁성은,김승조 대한산부인과학회 1995 대한산부인과학회 학술대회 Vol.76 No.-

일반연제 발표 : 부인과종양학 ; 부인암환자에 있어서 항암제 투여후 백혈구가소중 환자에 대한 GM-CSF 약제의 임상적 효과

홍재성,백은정,유기성,나종구,정재근,남궁성은,김승조,이헌영 대한산부인과학회 1991 대한산부인과학회 학술대회 Vol.68 No.-