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      • KCI등재후보

        경북 지역사회서비스투자사업 활성화를 위한 지역별 접근방식 개발 연구

        최금주,엄태영 동의대학교 지방자치연구소 2019 공공정책연구 Vol.36 No.2

        본 연구는 지역사회서비스투자사업의 활성화를 위해 지역특성을고려한 전략마련을 목적으로 한다. 이를 위해 행정자료를 바탕으로한 문헌연구 방법을 적용하였으며, 경북의 인구특징과 사회서비스수요공급상황을 고려하여 총 3개의 권역으로 구분하였다. 1권역은도시중심이고 2권역은 도시와 농촌의 복합, 3권역은 농촌으로 구성된다. 분석결과 도시와 농촌 간 지역편차가 컸으며, 도시지역 내에서도사업 활성화 지역과 사업 미진 지역으로 구분되어졌다. 그리고 권역별 활성화를 위해 본 연구에서는 홍보와 신규사업개발, 제공기관지원, 제공인력 편차감소, 권역별 성과평가와 관련한 제언을 하였다.

      • TP-85 : Thematic Poster ; Prognostic Implications of Computed Tomographic Right Ventricular Dilation in Patients with Acute Pulmonary Embolism

        최금주,차승익,서혜원,오세림,김미영,유승수,이재희,이신엽,김창호,박재용 대한결핵 및 호흡기학회 2013 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.116 No.-

        Introduction: Whether right ventricular (RV) dilation on computerized tomography (RVD-CT) is a useful predictor for clinical outcomes of acute pulmonary embolism (PE) remains debatable. Furthermore, data regarding the best combination of prognostic markers for predicting the adverse outcome of PE are limited. Materials and Methods: The authors retrospectively reviewed 657 consecutive patients hospitalized at a tertiary referral center with a diagnosis of PE based on multi-detector row CT scan. Results: Patients were allocated into an adverse outcome group (11% [n=69]) or a control group (89% [n=588]). Multivariate analysis showed that RVD-CT (RV/ left ventricle [LV] diameter ratio ≥1), high pulmonary embolism severity index (PESI) score (class IV-V), high N-terminal-pro-B-type natriuretic peptide (NT-proBNP, ≥1,136 pg/ml), and elevated troponin I (≥0.05 ng/ml) significantly predicted an adverse outcome (odds ratio [OR] 6.26, 95% confidence interval [CI] 2.74-14.31, p <0.001; OR 4.71, 95% CI 2.00-11.07, p<0.001; OR 2.71, 95% CI 1.15-6.39, p=0.023; and OR 3.00, 95% CI 1.27-7.07, p=0.012, respectively). The addition of RVD-CT to PESI, NT-proBNP, troponin I or their combinations enhanced the positive predictive values and positive likelihood ratios of an adverse outcome. Conclusions: RVD-CT could be an independent prognostic factor of adverse outcomes in patients with acute PE, and provides additional prognostic value when combined with other prognostic factors. Introduction: Whether right ventricular (RV) dilation on computerized tomography (RVD-CT) is a useful predictor for clinical outcomes of acute pulmonary embolism (PE) remains debatable. Furthermore, data regarding the best combination of prognostic markers for predicting the adverse outcome of PE are limited. Materials and Methods: The authors retrospectively reviewed 657 consecutive patients hospitalized at a tertiary referral center with a diagnosis of PE based on multi-detector row CT scan. Results: Patients were allocated into an adverse outcome group (11% [n=69]) or a control group (89% [n=588]). Multivariate analysis showed that RVD-CT (RV/ left ventricle [LV] diameter ratio ≥1), high pulmonary embolism severity index (PESI) score (class IV-V), high N-terminal-pro-B-type natriuretic peptide (NT-proBNP, ≥1,136 pg/ml), and elevated troponin I (≥0.05 ng/ml) significantly predicted an adverse outcome (odds ratio [OR] 6.26, 95% confidence interval [CI] 2.74-14.31, p <0.001; OR 4.71, 95% CI 2.00-11.07, p<0.001; OR 2.71, 95% CI 1.15-6.39, p=0.023; and OR 3.00, 95% CI 1.27-7.07, p=0.012, respectively). The addition of RVD-CT to PESI, NT-proBNP, troponin I or their combinations enhanced the positive predictive values and positive likelihood ratios of an adverse outcome. Conclusions: RVD-CT could be an independent prognostic factor of adverse outcomes in patients with acute PE, and provides additional prognostic value when combined with other prognostic factors.

      • TP-75 : Thematic Poster ; Clinical Significance of Ground Glass Opacity in Miliary Tuberculosis

        최금주,임재광,이소연,유승수,이재희,이신엽,차승익,박재용,김창호 대한결핵 및 호흡기학회 2013 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.116 No.-

        Objective: After the application of chest computed tomography (CT), ground glass opacity (GGO) was introduced as one of major accompanying findings of miliary tuberculosis (MT). However, little is known about whether GGO is associated with the clinical manifestations and outcomes of MT. Therefore, the present study examined the clinical significance of GGO in patients with MT. Methods: Chest radiographs and CT scans of MT patients were retrospectively reviewed. Clinical manifestations and outcomes were compared in terms of the extent of GGO revealed by CT. Results: One hundred and eleven MT patients were included. GGO was observed in 76 (68%) patients. MT patients with an extent of GGO >50% (n=23) had symptoms of shorter duration, more frequent dyspnea, and more pronounced changes in the levels of acute phase reactants. Miliary nodules were less discernible on CT in those with an extent of GGO >50%. MT patients with an extent of GGO >50% was significantly associated with a longer hospital stay (p=0.01) and with acute respiratory failure (p=0.001). Conclusions: MT patients with an extent of GGO >50% had more rapidly progressive manifestations and a greater potential for delayed diagnosis and poorer prognosis. Objective: After the application of chest computed tomography (CT), ground glass opacity (GGO) was introduced as one of major accompanying findings of miliary tuberculosis (MT). However, little is known about whether GGO is associated with the clinical manifestations and outcomes of MT. Therefore, the present study examined the clinical significance of GGO in patients with MT. Methods: Chest radiographs and CT scans of MT patients were retrospectively reviewed. Clinical manifestations and outcomes were compared in terms of the extent of GGO revealed by CT. Results: One hundred and eleven MT patients were included. GGO was observed in 76 (68%) patients. MT patients with an extent of GGO >50% (n=23) had symptoms of shorter duration, more frequent dyspnea, and more pronounced changes in the levels of acute phase reactants. Miliary nodules were less discernible on CT in those with an extent of GGO >50%. MT patients with an extent of GGO >50% was significantly associated with a longer hospital stay (p=0.01) and with acute respiratory failure (p=0.001). Conclusions: MT patients with an extent of GGO >50% had more rapidly progressive manifestations and a greater potential for delayed diagnosis and poorer prognosis.

      • 한방화장품의 시장현황과 세계적인 명품화 방안

        최금주,이유주 한국뷰티경영학회 2013 한국뷰티경영학회지 Vol.1 No.1

        Cosmetics market is permanently bound to become an attractive market by occasion of human being's pursuit of beauty in nature unless this sense of value will be vanished. Nobody cannot keep human desire to have a beautiful life away and cosmetics market is the commercial market accomplishing this desire. Western color cosmetics is already firmly positioned on as luxury brand and popularization. Herbal Cosmetics systems introduced little late in the market actively need to perform strategic promotional marketing informing of excellence, preference of Herbal Cosmetics functions to move to larger markets. Regardless of age, people want to get attractive good looking and transition to an aging society increases the demand of healthy and beautiful old age. In addition, it is a society emphasizes individuality and personality rather than efficiency, which requires rarity and creativity more than popularity. Such variety consumption pattern is resulted from the marketing of world's leading luxurious cosmetics company with the strong finance and strategic public marketing. How to make herbal cosmetics global prestige brand lies upon effective promotional marketing as broadcasting and mass media deeply affect the human life whereas quantity and quality of cosmetics are important.

      • KCI등재

        사회서비스원 설립 및 운영 지원조례 제정 방향에 관한 연구

        최금주,엄태영 인문사회 21 2022 인문사회 21 Vol.13 No.1

        A Study on the Direction of Enactment of Ordinances toSupport the Establishment and Operation ofthe Public Agency for Social ServiceGeumju Choi & Taeyoung Um Abstract: The main purpose of this study is to suggest a direction for enactment of the ordinances to support the establishment and operation of the public agency for social service in metropolitan government. To this end, the contents of the ordinances to support the establishment and operation of the public agency for social service in 14 metropolitan governments were analyzed. As a result of the analysis, it is necessary to supplement the items related to the project that the public agency for social service provides emergency care services and the pilot project for the introduction of new social services. In addition, the provision of home service should be added. organizations such as advisory committees and policy review committees should be considered for professionalism and transparency in the operation of the public agency for social service, and additional financial support and fund management were suggested for stable operation. Key Words: Public Agency for Social Service, Public Agency for Social Service Establishment and Operation Support Ordinance, Metropolitan Governments, Ordinance Enactment, Content Analysis 사회서비스원 설립 및 운영 지원조례 제정 방향에 관한 연구최 금 주*ㆍ엄 태 영** 요약: 본 연구는 광역자치단체 사회서비스원 설립 및 운영 지원조례에 대한 제정 방향을 제시하는 것을 주요한 목적으로 한다. 이를 위해 14개 광역자치단체의 사회서비스원 설립 및 운영 지원조례 내용을 분석하였다. 분석 결과 사회서비스원이 긴급돌봄서비스를 제공하는 사업과 새로운 사회서비스 도입을 위한 시범사업 실시 관련 항목에 대한 보완이 필요하다. 또한 재가 서비스 제공에 대한 내용도 추가되어야 하겠다. 그 외 사회서비스원 운영의 전문성과 투명성을 위해 자문위원회, 정책심의위원회 등의 조직도 고려되어야 하겠으며, 안정적 운영을 위해 추가재정지원과 기금운용에 대한 내용을 제언하였다. 핵심어: 사회서비스원, 사회서비스원 설립・운영지원 조례, 광역자치단체, 조례제정, 내용분석 □ 접수일: 2022년 1월 16일, 수정일: 2022년 2월 5일, 게재확정일: 2022년 2월 20일* 주저자, 대구가톨릭대학교 사회복지학 박사(First Author, PhD, Daegu Catholic Univ., Email: kantcgj@hanmail.net)** 교신저자, 경일대학교 ICT경영학과 부교수(Corresponding Author, Professor, Kyungil Univ., Email: bokjisa@kiu.ac.kr)

      • KCI등재SCOPUS
      • KCI등재후보

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