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전민영,유상호,박훈기 한국의학교육학회 2015 Korean journal of medical education Vol.27 No.4
Purpose: Recent studies have emphasized the importance of empathy in the physician-patient relationship (PPR). The purpose of this study was to examine the association between empathy scores, as measured by the student version of the Jefferson Scale of Empathy, Korean edition (JSE-S-K), and PPR scores on the clinical performance examination (CPX). Methods: The sample comprised 104 third-year medical students. Prior to undertaking 12 cases on the CPX, the students completed the JSE-S-K and Myers-Briggs Type Indicator. We analyzed the differences in empathy and PPR scores according to their sociodemographic characteristics and personality types and verified the link between empathy and PPR scores by stepwise multiple linear regression analysis. Results: PPR scores were positively associated with total JSE-S-K scores (r=0.232, p<0.05) and its affective domain scores (r=0.229, p<0.05). Education program (undergraduate or graduate entry) and empathy score were the best predictors of PPR score (R2=0.153). Conclusion: The positive association between empathy and PPR scores suggests that empathy is an important factor that influences the PPR.
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The Association between Symptoms of Autonomic Neuropathy and the Heart Rate Variability in Diabetics
전민영,박훈기,황환식,한재일,지영준,이종실 대한가정의학회 2011 Korean Journal of Family Medicine Vol.32 No.5
Background: There are few tools to detect the diabetic autonomic neuropathy at an earlier stage. This study was conducted to investigate the association between symptoms of autonomic neuropathy and the heart rate variability (HRV) in diabetics. Methods: Study subjects consisted of 50 diabetic patients and 30 outpatient hospital control patients at a university family medicine department. The patients completed a Korean version of composite autonomic symptom scale (COMPASS). Electrocardiography was recorded in the supine position, on standing, and during deep breathing, for 5 minutes each. HRV of frequency domain was calculated by power spectral analysis. Results: The COMPASS score was higher in female diabetic patients compared with that in controls. Among 50 diabetic patients, the total COMPASS score correlated positively with normalized low frequency (LF) score (normalized units, n.u.)(r = 0.62, P < 0 .001) and low frequency/high frequency (LF/HF) (r = 0.77, P < 0.001), negatively with normalized HF score (n.u.) (r = -0.59, P < 0.001) and RMSSD (square root of the mean of the sum of the square of differences between adjacent NN interval; r = -0.33, P = 0.031). The decrease in LF (n.u) and the increase in HF (n.u) by deep breathing from the supine position were higher in diabetic patients compared with those in controls. The increase in LF (n.u) and the decrease in HF (n.u) by standing from the supine position were lower in diabetic patients compared with those in controls. Conclusion: The COMPASS score correlated with some component score of the HRV in diabetics. The HRV may be used as a tool to detect diabetic autonomic neuropathy by augmentation with position change.
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전민영 대한의료커뮤니케이션학회 2013 의료커뮤니케이션 Vol.8 No.1
Purpose: There are many factors that patients establish a goal weight before weight loss treatment. But little is known about how these factors affect selecting a goal weight. The aim of this study was to evaluate the patient's ratings of factors important in establishing a goal weight and effect of rating of factors on goal weight reduction (%) and goal BMI (body mass index). Methods: A total of 112 female obese subjects, aged ≥ 20 and < 60 from one clinic participated in this study. Patients' goal weight and ratings of factors important in establishing a goal weight were evaluated. Univariate and multivariate analysis were performed to evaluate effect of ratings of factors on goal weight reduction (%) and goal BMI. Results: Mean BMI of subjects was 28.4±3.2 kg/m2. Goal weight averaged a 21.8% reduction in body weight. Patients rated physical and daily life comfort as the most important factors in selecting a goal weight. In univariate regression analysis, ratings of physical and daily life comfort, work efficiency, specific body measurement were effect on goal weight reduction (%) and goal BMI. In multivariate regression analysis,rating of work efficiency was effect on goal weight reduction (%). And ratings of physical and daily life comfort and suggestion by friends were effect on goal BMI. Conclusion: The results of this study demonstrated that physical and daily life comfort, work efficiency,and specific body measurement were effect on establishing a goal weight.
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전민영,이종민,정지향,노지훈,오승준,오민영,오정수,김재승,문승환,우숙영,김영주,최영심,김희진,나덕렬,장혜민,서상원 연세대학교의과대학 2022 Yonsei medical journal Vol.63 No.3
Purpose: Neuroinflammation is considered an important pathway associated with several diseases that result in cognitive decline. 18F-THK5351 positron emission tomography (PET) signals might indicate the presence of neuroinflammation, as well as Alzheimer’sdisease-type tau aggregates. β-amyloid (Aβ)-negative (Aβ–) amnestic mild cognitive impairment (aMCI) may be associatedwith non-Alzheimer’s disease pathophysiology. Accordingly, we investigated associations between 18F-THK5351 PETpositivity and cognitive decline among Aβ– aMCI patients. Materials and Methods: The present study included 25 amyloid PET negative aMCI patients who underwent a minimum of twofollow-up neuropsychological evaluations, including clinical dementia rating-sum of boxes (CDR-SOB). The patients were classifiedinto two groups: 18F-THK5351-positive and -negative groups. The present study used a linear mixed effects model to estimatethe effects of 18F-THK5351 PET positivity on cognitive prognosis among Aβ– aMCI patients. Results: Among the 25 Aβ– aMCI patients, 10 (40.0%) were 18F-THK5351 positive. The patients in the 18F-THK5351-positive groupwere older than those in the 18F-THK5351-negative group (77.4±2.2 years vs. 70.0±5.5 years; p<0.001). There was no difference betweenthe two groups with regard to the proportion of apolipoprotein E ε4 carriers. Interestingly, however, the CDR-SOB scores ofthe 18F-THK5351-positive group deteriorated at a faster rate than those of the 18F-THK5351-negative group (B=0.003, p=0.033). Conclusion: The results of the present study suggest that increased 18F-THK5351 uptake might be a useful predictor of poor prognosisamong Aβ– aMCI patients, which might be associated with increased neuroinflammation (ClinicalTrials.gov NCT02656498).
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전민영 한국원자력산업회의 1997 원자력산업 Vol.17 No.2
정부는 금년에 적극적인 에너지 소비 절약 시책을 추진하여, 에너지 소비를 지난해 보다 7.2$\%$ 증가한 176,972천TOE로 억제키로 하였다. 원자력 수요 전망은 금년 6월 월성 2호기(700MW)의 준공으로 총발전량은 지난해보다 2.6$\%$ 증가한 75,862GWh, 이용률은 지난해 보다 다소 낮은 85.5$\%$를 기록할 것으로 예상된다. 그러나 최대 전력 수요가 지난해 대비 10.8v가 증가한 35,758천kW를 기록할 것에 대비, 화력 발전소 건설이 크게 늘어남에 따라, 총발전량 중 원자력이 차지하는 비중은 33.5$\%$로 낮아질 전망이다.
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