대장암 발생 고위험군의 예측모형 개발과 활용

이애경,박일수,김수영,윤태호,정백근,이상이,Lee, Ae-Kyoung,Park, Il-Soo,Kim, Su-Young,Yoon, Tae-Ho,Jeong, Baek-Geun,Lee, Sang-Yi 대한예방의학회 2006 예방의학회지 Vol.39 No.5

Objectives: We developed the predictive model for the incidence of colon cancer by utilizing the health screening data of the National Health Insurance in Korea. We also explored the characteristics of the high risk group for colon cancer. Methods: The predictive model was used to determine those people who have a high risk for colon cancer within 2 years of their NHI health screening, and we excluded the people who had already been treated for cancer or who were cancer patient. The study population is the insured of the NHI, aged 40 or over and they had undergone health screening from the year 2000 to 2004, according to NHI health screening formula. We performed logistic regression analysis and used SAS Enterprise Miner 4.1. Results: This study shows that there exists a higher rate of colon cancer in males than females. Also, for the population in their 60s, the incidence rate of colon cancer is much higher by 5.36 times than that for those people in their 40s. Amongst the behavioral factors, heavy drinking is the most important determinant of the colon cancer incidence (7.39 times in males and 21.51 times in females). Conclusions: Our study confirms that the major influencing factors for the incidence of colon cancer are drinking, lack of exercise, a medical history of colon polypus and a family history of colon cancer. As a result, we can choose the group that is at a high risk for colon cancer and provide customized medical information and selective management services according to their characteristics.

임상간호사의 의사소통능력, 직무스트레스, 직무만족도와의 관계

이애경(Ae-Kyoung Lee),여지영(Ji-Young Yeo),정성원(Sungwon Jung),변상석(Sang Seok Byun) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.12

목적 본 연구는 임상 간호사의 의사소통능력과 직무스트레스, 직무만족도 수준을 확인하고 그 차이와 관계를 확인하고자 수행되었다. 방법 서울과 경기지역의 임상간호사 209명을 대상으로 대인 의사소통능력 척도(GICC), 간호직무스트레스척도, 간호사 직무만족도구를 사용하여 빈도와 백분율, 평균과 표준편차, 상관분석 및 t-test, ANOVA를 SPSS 16.0 program으로 분석하였다. 결과 임상간호사의 의사소통능력 평균은 3.30(±0.43)이며, 임상간호사가 느끼는 직무스트레스 평균은 2.90(±0.33), 직무만족도 평균은 3.01(±0.30)이었다. 의사소통능력과 직무스트레스(r=-.247, p<.001) 그리고 직무스트레스와 직무만족도(r=-.215, p=.002)간에는 통계적으로 유의한 음의 상관관계가, 의사소통과 직무만족도(r=.248, p<.001)간에는 유의한 양의 상관관계가 제시되었다. 결론 본 연구는 임상간호사를 대상으로 의사소통능력이 현재의 직무스트레스 및 직무만족도와 관련성이 있음을 규명하여 임상간호사의 직무스트레스를 감소시키고 만족도를 높이는 효율적 인력 관리를 위한 방안으로서 의사소통능력의 활용가능성과 의사소통능력 향상을 위한 프로그램 개발 필요성을 제시하였다. Purpose The aim of this study was to identify the differences and relations among the communication competence, job stress and job satisfaction of clinical nurses. Method The participants included 209 nurses who worked at general hospitals in metropolitan Seoul and Gyenggi province. The instruments used for this study were the revised version of the Global Interpersonal Communication Competence Scale(GICC), the Job Stress Scale, and the Job Satisfaction Scale. Data were analyzed using frequencies, t-test, ANOVA, Spearman rank-order correlation coefficient with the SPSS 16.0 program. Result The results of this study were as follows: The mean score for communication competence was 3.30(±0.43). For job stress and job satisfactions mean score were 2.90(±0.33) and 3.01(±0.30). Significant negative correlation were found between the communication competence and job stress of clinical nurse(r=-.247, p<..001). Significant positive correlation between the communication competence and Job Satisfaction of clinical nurse(r=.248, p<.001) was also found. Conclusion The findings of this study support the importance of the communication competence of clinical nurses for efficient human resource management. Studies for developing programs to facilitate communication competence of clinical nurses are highly recommended.

건강보험 체납예측모형을 통한 체납세대의 유형화 및 특성

이애경 ( Ae Kyoung Lee ),최인덕 ( In Duck Choi ) 한국보건행정학회 2004 보건행정학회지 Vol.14 No.2

The purpose of this study was to categorize the contribution evasion and develop the expected models for contribution arrears in National Health Care System. The modified logistic regression model in non-payments was used as logistic regression model based on the statistical method. By using this model, we arranged non-payment types and typical branches those are appeared by statistical technique. First fact, sex and age branches those are able to take a part in economy had effect mostly. Also they had difference in non-payment probability by existence of their incomes and property. Especially people who didn`t have their own house and car were appeared in high non-payment probability, disease and reduction characteristic(rare diseases, reduction of seniors, handicaps, numbers of medical treatments) didn`t effect much in probability. The reason for some characteristic of non-payment which is higher than the correct threshold value of Logistic Regression Model (a suggested model for predicting non-payment)`s distribution of probability was mostly moral hazard. Living difficulty was big reason for non-payment, but moral slackening was the bigger reason for non-payment. But it is careless to decide that moral hazard is just the reason, there is a necessity to examine on the side of sociology based in family. By the reason, the member`s non-payment reason can be classified by economy, population, and psychology, but there was a comprehension that losing of work desire could be one reason. So we analyzed informations for composition of family of members. In conclusion, we grasped that family conflict makes non-payment and conversion of member in the National Basic Livelihood Protection System difficult.

건강검진 사후관리 서비스의 건강증진 효과

이애경(Ae Kyoung Lee),이상이(Sang-Yi Lee),강임옥(Im Ok Kang),정백근(Bak-Keun Jung),한준태(Jun Tae Han),박일수(Il Soo Park) 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.1

Mobi-Kids Study: 휴대전화의 전자파 노출량 평가 II. 머리 SAR 및 누적노출 평가 방법

이애경(Ae-Kyoung Lee),홍선의(Seon-Eui Hong),최경화(Kyung-Hwa Choi),하미나(Mina Ha),최형도(Hyung-Do Choi) 한국전자파학회 2013 한국전자파학회논문지 Vol.24 No.12

본 논문은 Mobi-Kids 연구의 노출량 평가를 위해 휴대전화 대표 모델에 대해 연구 프로토콜에 따른 SAR 계산방법을 분석하고, 역학조사 대상자가 사용한 휴대전화의 무선주파수 누적 노출량을 평가하는 방법을 제안한다. 휴대전화 대표 모델의 출력을 동일하게 가정하고, 서로 다른 연령의 4개 머리 모델에서의 SAR 분포를 계산하여 데이터베이스를 구축한다. 역학조사 대상자가 사용한 특정 휴대전화 모델의 머리 SAR은 SAR 적합성 시험결과를 활용하여 보정 인자를 적용함으로써 구한다. 그리고 휴대전화 특성과 함께 사용 시간, 좌·우측 비율 같은 대상자의 휴대전화 사용 패턴에 대한 인자를 고려하여 누적 에너지를 산출하게 된다. SAR calculation method following the Mobi-Kids study protocol is analyzed and evaluation method of cumulative RF dose from mobile phones which have been used by a subject of case and control groups is proposed. An SAR database is built by calculating SAR distributions in 4 head models at different ages for representative phone models with the same conducted power. To obtain SAR distribution in a subject’s head for a specific commercial phone which had/have been used by him/her, an SAR correction factor using SAR compliance test results is determined. Cumulative dose is calculated by considering mobile phone characteristics and use pattern such as call time and laterality(right and left).

무선 주파수 전자기장 인체영향 연구 현안

이애경(Ae-Kyoung Lee),최형도(Hyung-Do Choi) 한국전자파학회 2021 한국전자파학회논문지 Vol.32 No.10

본 논문은 무선 주파수 대역의 전자기장의 노출로부터 인체를 보호하기 위한 ICNIRP 지침과 IEEE 표준의 근거를 서술하고 이동통신 주파수 대역에서 장기간 전자기장 노출의 건강 위험성에 대해 현재까지 진행되어 온 역학 연구들을 간단히 살펴본다. 역학 연구를 위한 전자기장 노출량 평가는 휴대기기 사용 패턴, 실환경에서의 이동통신 상향링크 및 하향링크 노출 분석, 연령별 인체 모델 개발 및 전자기장 흡수량 계산 등의 과정이 요구되며, 이 주제들에 대한 동향과 한계점을 서술한다. This study describes the basis of the International Commission on Non-Ionizing Radiation Protection guidelines and IEEE standards for protecting the human body from exposure to electromagnetic fields (EMF) in the radio frequency band. A brief summary of epidemiological studies that have been conducted on the health risks of long-term EMF exposure in the mobile communication frequency range are reviewed. EMF exposure assessment for epidemiological studies should incorporate mobile-device usage patterns, mobile communication uplink and downlin\k exposure analysis in real environments, age-specific human model development, and dosimetry. Trends and limitations on these topics are described.

국민건강보험공단 건강검진 결과 비만으로 판정된 사람들을 대상으로 한 사후관리사업의 효과

이애경(Ae Kyoung Lee),이상이(Sang-Yi Lee),윤태호(Tae-Ho Yoon),정백근(Baek Geun Jeong) 한국보건교육건강증진학회 2009 보건교육건강증진학회지 Vol.26 No.3

의약분업 전후 의원의 건강보험 진료비 분포변화 및 결정요인분석

이애경 ( Ae Kyoung Lee ),정현진 ( Hyun Jin Jeong ) 한국보건행정학회 2004 보건행정학회지 Vol.14 No.3

The National Health Insurance Expenditure has been increased rapidly since the introduction of the separation of prescription and dispensing in 2000, and this trend of rapid growth in overall spendings rate has been observed predominantly among medical practitioners. This study was conducted to investigate the growth rate and distributional changes in private medical practitioners` expenses from 1999 to 2002 and its determinants using the National Health Insurance claims data. The total increasing rate of all medical practitioners` expenditure paid by the National Health Insurance between 1999 and 2002 was 41.71%, which exceeding that of general hospitals by 20%p. But the income distribution among each practitioner was improved as the changes in Gini coefficient(from 0.40 to 0.38) and decile distribution ratio(from 0.25 to 0.29) during the same period showed. However, this improvement in distributional patterns is not enough since even in 2002 it turned out that the highest 10% income group earned 33times more than the lowest 10% income group did. Also, higher Gini coefficient was observed in larger cities and some department like plastic surgery, obstetrics and gynecology. The major causes of this differentials in medical practitioners` expenses were factors related to medical demand like proportion of old population, residential economic status in a given area. In addition, providers` economic incentives also played an important role in determining their income distribution. The large income differentials among physicians may imply a skewed distribution of patients and thus long waiting time, inefficient utilization of resources and potential inadequate quality of care. In this sense, unreasonable distributional gaps should be reduced, so effective measures as well as ongoing monitoring would be necessary to correct current distributional problems.

유전체 지지대를 고려한 TEM Cell의 전자파 특성

이애경(Ae-Kyoung Lee),이상회(Sang-Hoi Yi),김정기(Jung-Ki Kim) 한국통신학회 1990 한국통신학회 학술대회논문집 Vol.1990 No.11

TEM CELL의 공진주파수 해석

이애경(Ae-Kyoung Lee),이상회(Sang-Hoi Yi),김정기(Jung-Ki Kim) 한국통신학회 1991 한국통신학회 학술대회논문집 Vol.1991 No.8