노인의 자산이 건강행위에 미치는 영향 -부부관계만족도와 자녀관계만족도의 매개효과 검증-

이숙현 ( Lee Suk-hyun ),한창근 ( Han Chang-keun ) 한국가족사회복지학회 2021 한국가족복지학 Vol.68 No.1

본 연구는 2017년도 노인생활실태조사를 이용하여 배우자와 자녀가 있는 6,228명의 노인을 분석대상으로, 부부와 자녀관계만족도를 매개로 자산과 건강행위와의 관계를 분석하였다. 독립변수인 자산은 가구총자산에서 총 부채를 뺀 순 자산에 상용로그를 취했으며, 부부와 자녀관계 만족도는 높을수록 만족도가 높음을 의미하는 연속변인으로, 건강행위는 7개 건강행위 각각을 범주화한 변인을 이용하였다. 연구가설 검증을 위해 경로분석 및 Bootstrapping 기법을 실시하였다. 분석결과, 노인의 자산은 금주를 제외한 7개 하위 건강행위 모두에 대해 통계적으로 유의미한 영향이 나타났다. 동시에 노인의 부부와 자녀관계만족도 모두 자산과 금연, 병의원이용 및 치과진료와의 관계에서 매개효과를 가짐이 부트스트랩핑 검증결과 나타났다. 반면, 운동에 대해서는 자녀관계만족도만이, 고른영양섭취에 대해서는 부부관계만족도만이 매개효과가 나타났으며 건강검진은 부부와 자녀관계만족도 모두 매개효과가 통계적으로 유의미하지 않게 나타났다. 연구 결과를 토대로 본 연구는 노인의 건강행위 증진 방안으로, 자산형성을 위한 제도 및 실천 개입 방안이 마련되어져야 함을 강조한다. While assets are important economic resources for older adults, so far asset effects on health behaviors of older adults have been rarely examined. In addition, spousal and child relationship has emerged as one of key factors influencing health behaviors of older adults. In this regard, this study aims to examine whether assets matter for health behaviors and whether the effects of assets on health behaviors (seven indicators: smoking, drinking, exercise, nutrition, medical checkup, use of hospital, and dentist treatment) are mediated by spousal and child relationship satisfaction indicators (spouse relationship and child relationship). This study used 2017 Survey Study on the Aged which is a nationally representative data in Korea. Path analyses have been utilized for the hypotheses testing and the Bootstrapping method was used for missing values. Key research findings of this study are as follows: First, assets were found to have positive impacts on seven indicators of health behaviors (smoking, exercise, medical check-up, use of hospital, dentist and nutrition) except drinking. Second, the relationships between the asset and health behaviors (smoking, use of hospital and dentist treatment) were mediated by both spousal and child satisfaction. Third, while asset effect on exercise was mediated only by child relationship, asset effect on nutrition was mediated only by spousal relationship. This study concludes with several policy implications for asset-building policies for older adults which can play a significant role in enhancing positive health behaviors of older adults.

특허문서의 특징과 언어학적 분석

장지현(Jang Ji hyun),진두현(Jin Du hyeon),이숙의(Lee Suk eui) 한국언어문학회 2018 한국언어문학 Vol.104 No.-

In Korean, patent documents are often show typical types of grammatical errors that are rarely found in other domains of professional documents. This study presents remarkable grammatical errors in patent documents based on lexical, morphological and syntactic analysis. Major factors of the ungrammaticalities are morphological and syntactic characteristics of patent documents. The morphological characteristics are about word-formation and compounding of technical terms. The syntactic characteristics are about routinized use of topicalized noun phrases and frequent passivization of vernal nouns.

일차성 부갑상선 기능항진증 환자에서 수술 중 부갑상선 호르몬 측정 없이 시행한 최소 침습 부갑상선 절제술의 경험

이숙현(Sook Hyun Lee),홍석준(Suk Joon Hong) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.1

Purpose: The aim of this retrospective study was to analyze the outcomes of minimally invasive parathyroidectomy without an intraoperative i-PTH test for the patients with primary hyperparathyroidism. Methods: We analyzed a total of 179 patients with sporadic primary hyperparathyroidism and who underwent parathyroidectomy at ASAN Medical Center between February 1996 and September 2007. Minimally invasive parathyroidectomy without an intraoperative i-PTH test was performed in 75 patients under the guidance of a preoperative localization study that suggested the presence of single gland disease. Bilateral exploration was performed in 70 patients and unilateral exploration was performed in 34 patients. Results: The success rate of minimally invasive parathyroidectomy without an intraoperative i-PTH test was 98.7%. Postoperative persistent hyperparathyroidism developed in only 1 patient among the 75 patients. The frequency of postoperatively confirmed single gland disease and multigland disease was 92.8% (166 patients) and 7.2% (13 patients), respectively. However, for most of the patients with multiglandular disease (11/13 cases, 84.5%), the possibility of multiglandular disease could be predicted by a preoperative localization study and these patients were excluded from the candidates for performing minimally invasive parathyroidectomy without an intraoperative i-PTH test. For cases that the preoperative localization study suggested single lesion, the frequency of multiglandular disease in those patients who underwent bilateral exploration was relatively low (2.7%, 1/38 cases). Conclusion: Selected patients with primary hyperparathyroidism can be successfully managed with minimally invasive parathyroidectomy and without an intraoperative i-PTH test when the preoperative localization study suggests the presence of single gland disease. However, careful evaluation of the preoperative localization study is mandatory to minimize the failure rate of minimally invasive parathyroidectomy without an intraoperative i-PTH test.

전래동화의 현대적 수용과 복원력 -한국과 독일 동화에 나타난 여성상을 중심으로

오민정 ( Min Jung Oh ),이숙현 ( Suk Hyun Lee ),김선영 ( Sun Young Kim ) 한국독일언어문학회 2015 독일언어문학 Vol.0 No.69

In dieser Arbeit werden die Marchen der Gebruder Grimm und traditionelle koreanische Volksmarchen, die jeweils ahnliche Motive aufweisen, exemplarisch analysiert. Dabei wird insbesondere der Frage nachgegangen, wie die in der Regel jungen Leser, bei den hier ausgewahlten Marchen, das narrative Thema und die im Volksmarchen vorkommenden Personen wahrgenommen haben. Durch das Lesen der Volksmarchen werden die Leser nicht nur positiv sondern auch negativ beeinflusst. Besonders bei Kindern ist festzustellen, dass Volksmarchen ihnen oftmals ein stereotypes Bild der in den Marchen vorkommenden Personen vermitteln. Bei den Kindern entsteht so der Eindruck, dass Stiefmutter immer bose sind, dass gute Menschen meistens schone Gesichter haben, dass Frauen zart und zerbrechlich sind, dass das Gute immer siegt und die Bosen fur ihre Taten bestraft werden. Trotz dieser Stereotype, die so nicht der Realitat entsprechen, spielen Volksmarchen eine große Rolle bei der Resilienzentwicklung von Kindern. Resilienz, also die innere Starke eines Menschen Konflikte, Misserfolge, Niederlagen und Lebenskrisen zu meistern, wird bei den meisten Menschen in der Kindheit angelegt. Resilienz ist eine Art seelische Widerstandsfahigkeit. Sie ist sozusagen das Immunsystem der Seele. Aber da Resilienz nicht angeboren ist, ist es wichtig, dass Kinder im Laufe ihrer Entwicklung die Moglichkeit haben, Resilienzfaktoren zu erwerben. Die Konfrontation mit dem Bosen, das in Marchen beschrieben wird, ist sehr wichtig fur die Entwicklung von Resilienz. Daher tragen Marchen zur Entwicklung der Resilienz bei. Um die Aneignung positiver Normen und Werte und die gute Urteilsfahigkeit der Kinder zu fordern, spielt die Anleitung des Lesens eine große Rolle. Kritisch bei der Forderung von Resilienz durch Marchen ist jedoch zu sehen, dass stereotype Rollenbilder vermittelt werden. Diese erschweren Kindern die Entwicklung von Resilienz. Die Begleitung beim Verarbeiten des Gelesenen sollte dem entgegenwirken, indem die Untauglichkeit der stereotypen Rollenbilder fur das reale Leben erkennbar gemacht wird.

정보 프라이버시와 관련한 개인의 태도 및 행동 경로분석

박정훈 ( J. Hun Park ),이숙현 ( Suk Hyun Lee ) 서울대학교 한국행정연구소 2007 行政論叢 Vol.45 No.1

불소기를 도입한 세그먼트 폴리우레탄의 마이크로 상분리 구조의 구축과 혈액 적합성

조남주(Nam Ju Jo),이상걸(Sang Koul Lee),이영수(Young Su Lee),이숙현(Suk Hyun Lee) 한국고분자학회 1999 폴리머 Vol.23 No.4

순천시 신평천 인공습지 조성 후 3년간 식생 및 생활형에 대한 연구

김창환 ( Chang Hwan Kim ),최영은 ( Young Eun Choi ),김종원 ( Jong Won Kim ),명현 ( Hyun Myong ),이숙이 ( Suk I Lee ) 한국환경생태학회 2011 한국환경생태학회지 Vol.25 No.1

신평천 인공습지 조성 후 3년간의 식생 및 생활형 변화 연구를 위하여 2005년 6월부터 2007년 9월까지 현지조사를 실시하였다. 2004년에 조성된 신평천 인공습지의 식재종은 14과 18속 15종 5변종으로 총 20종류가 식재되었다. 식재종의 생활형 구성비는 전체의 65%인 대부분을 다년생이 차지하고 있으며 목본류는 물푸레나무와 왕버들, 동백나무, 남천 4종류가 식재되었다. 3년간의 조사 기간 동안 생활형의 변화는 수생식물(HH)이 가장 많은 비율을 차지하며 증가하였고 소형지상식물(M), 대형지상식물(MM), 지표식물(Ch), 미소지상식물(N), 다년생식물(H)과 지표식물(Ch) 등도 증가하였다. 식생면적 변화는 애기부들, 달뿌리풀, 갈대 등은 군락면적이 증가하였으나, 다른 식재종의 면적은 급격히 감소하였다. 생활형 면적변화를 살펴보면 수생식물(HH), 1년생 수습식물(Th(w))은 점차 증가하였으며 소형지상식물(M), 지중식물(G), 미소지상식물(N) 등은 감소를 보였다. 결론적으로 식재 식물의 선정은 인공습지의 미래를 결정하는 중요한 요인이며 습지 조성 후 정착된 식물상의 파악 및 이들 식물들의 생활형을 분석하여 인공습지 초기정착에 유리한 종, 천이가 진행되면서 습지의 안정화 및 다양성을 유도하는 종을 선정하는 것은 매우 중요하다. A field survey was conducted from June 2005 to September 2007 to explore changes of the vegetation and life form in the man-made Wetland along the Sinpyeongcheon for 3 years after its creation. A total of 20 species including 14 families, 18 genera, 15 species and 5 varieties were planted in the Wetland which was completed in 2004. Divided by life form of the planted species, a prevalent 65% of them was composed of perennation while 4 species of woody plants i.e. Fraxinus rhynchophylla, Salix glandulosa, Camellia japonica and Nandina domestica were planted there, too. The 3-year study revealed that hydatophytes (HH) scored the biggest increase in number, followed by slight increase in the number of microphanerophytes (M), megaphanerophytes (MM), chamaephytes (Ch), nanophanerophytes (N), perennial plants (H), etc., featuring generally a similar tendency for the whole period of study. The change in vegetation area increases in the area of Typha angustata, Phragmites japonica, Phragmites communis, etc. but a sharp decrease in the area of communities for other planted species. In terms of change in the area for planted species by their life form, hydatophytes (HH), HH Th (Th(w)) reported gradual increase while microphanerophytes (M), geophyte (G), and nanophanerophytes (N) continued to record a decrease. In conclusion, selection of plants to be planted turns out to play a vital role in molding the destiny of a man-made Wetland. It seems therefore extremely important to investigate the flora, and life and growth forms of the plants planted in the man-made Wetland in an effort to choose the species that can adapt themselves to the environment from the early phase on, contributing by thus to stabilization and diversification of the damp ground in line with the progression of their succession.

그레이브스병의 수술적 치료방법

성태연(Tae-Yon Sung),김연선(Yon Seon Kim),이숙현(Sook Hyun Lee),윤종호(Jong Ho Yoon),홍석준(Suk-Joon Hong) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.2

Purpose: Subtotal thyroidectomy has been the standard operation for Graves’ disease in achieving a favorable outcome in recovery of euthyroid state. However, the postoperative outcomes following subtotal thyroidectomy differ by surgeon and postoperative thyroid dysfunctions develop as time passes. Here, we have studied the validity of total thyroidectomy for Graves’ disease patients, with a comparison to subtotal thyroidectomy. Methods: A total of 299 patients with Graves’ disease underwent thyroid operation consecutively in Asan Medical Center, Seoul, Korea from December 1995 to December 2005. Among them, 241 cases had subtotal thyroidectomy and 43 had total thyroidectomy. The subtotal thyroidectomy cases were divided into 3 groups according to estimated remnant thyroid; <4 g, 4≤∼<6 g and ≥6 g. Also, according to postoperative thyroid function, the patients were divided into euthyroid, hypothyroidism and hyperthyroidism groups. The postoperative changes of thyroid function, postoperative complications and hospital days were analyzed. Results: In subtotal thyroidectomy, postoperative thyroid function showed euthyroid in 25 (10.4%), hypothyroidism 206 (85.5%) and hyperthyroidism 10 (4.1%). However, total thyroidectomy showed no persistent hyperthyroidism or recurrence. The postoperative thyroid function state changed in 24 patients out of 148 who had more than 2 years postoperative follow-up. Hyper-functional changes developed with higher rates (Hypo-6 vs. hyper-18). The postoperative complication rate was higher in subtotal thyroidectomy including bleeding, hoarseness and hypocalcemia. Conclusion: In our study, the patients showing normal thyroid function after subtotal thyroidectomy were very limited and thyroid dysfunction developed continuously with time lapse, especially towards hyperthyroid state. Therefore, we suggest that total thyroidectomy should be considered as a treatment option in Graves’ disease.