경수 손상환자에서 비침습적 호흡관리

최원아,신지철,이두연,김동현,김선도,강성웅 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.5

Objective: To verify the safety and clinical utility of noninvasive respiratory management as an alternative method of invasive respiratory management for the patients with cervical spinal cord injury (CSCI) who often present with ventilatory insufficiency (due to inspiratory muscle paralysis) or difficulty in removing airway secretions (because of expiratory muscle weakness). Method: Nineteen patients with CSCI (male: 15, female: 4, mean age: 45.6) were recruited. All of the patients were in need of mechanical ventilation due to ventilatory failure or indwelling tracheostomy tube for secretion management. In order to switch from invasive to noninvasive means of respiratory management, expiratory muscle aids such as manual assist or CoughAassistⓇ and inspiratory muscle aids such as noninvasive ventilatory support were applied to all candidates. Results: Fifteen out of the 19 patients had indwelling tracheostomy tubes, and the remaining 4 patients were intubated via endotracheal tubes at admission. Through the noninvasive respiratory management, we were able to remove intubation or traheostomy tubes for all of the patients. Eleven patients were able to maintain normal ventilation status without ventilatory support, as time went on. The rest 8 patients were continuously in need of ventilatory support, but they could maintain normal ventilation status by noninvasive method. Conclusion: Noninvasive respiratory management is safe and equally effective in treating ventilatory insufficiency or removing airway secretions for patients with CSCI. In cases of long-term ventilator dependency or chronic tracheostomy state, it can be replaced as a creditable alternative to invasive respiratory management. (J Korean Acad Rehab Med 2010; 34: 518-523)

정상 성인의 한계 진폭-활성도와 소분절 수-활성도의 영역 설정

최원아,이상철,박윤길,문재호,김완,이수현 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.2

대학생의 MBTI 성격유형에 따른 자아방어기제 사용상의 차이 연구

최원아,유형근,권순영 한국교육치료학회 2009 교육치료연구 Vol.1 No.2

어린이 뮤지엄 놀이 중심 전시물의 놀이 개념과 몰입 요인 분석 방안 및 적용 - 2015 개정 교육과정『즐거운 생활』교과서를 기준으로-

최원아,류재만,곽신숙 한국박물관학회 2020 博物館學報 Vol.- No.39

This paper is an analysis of the play concept reflected in the children’s museum by sampling ‘Seoul Children’s Museum’ from the perspective of the national curriculum. Therefore, we wanted to find the connection between children’s museums and schools, which are in charge of education for children. To facilitate interaction between the two institutions, we wanted to extract the factors of how the children’s museum is drawing the immersion that has been proven to be effective in the learning effect. To this end, we developed two analysis plans. The first can check the play concept and educational value of children’s museums based on the schoolbook of 2015 revised national curriculum. The second extract the factors of immersion through the observation of children’s viewing and participation behavior. The two analysis methods, produced through prior research analysis and on-site survey of ‘Seoul Children’s Museum’, proved their reliability and potential for utilization through cross-validation with museum professional educators. Today, when many facilities for children’s experience and various educational programs are created, it is meaningful to shed new light on the educational significance of the play-oriented composition and to enhance its utilization. The analysis methods and their application process produced in this study are aimed at helping the teachers at the museum and school sites work together to create high-quality exhibitions and make educational use of them. 본 논문은 서울상상나라를 표본으로, 어린이 뮤지엄에 반영된 놀이 개념을 국가 교육과정의 관점으로 분석하여 어린이 교육을 담당하는 어린이 뮤지엄과 학교 두 기관 사이의 연계성을 찾고자 한 연구이다. 그리고 높은 학습 효과를 보이는 몰입이 어린이 뮤지엄에서 어떻게 발생하는지 그 요인을 추출하여 두 기관 사이의 상호 작용을 촉진할 수 있도록 하였다. 이를 위해, 초등학교 2015 개정『즐거운 생활』교과를 기준으로 어린이 뮤지엄의 놀이 개념 및 교육적 가치를 점검할 수 있는 분석방안과, 어린이들의 관람 및 참여 행태 관찰을 통해 몰입 요인을 추출할 수 있는 분석방안을 개발하였다. 선행 연구 분석과 뮤지엄 현장 조사를 통해 제작된 두 분석방안은 뮤지엄의 전문 에듀케이터들과의 교차 검증을 통해 신뢰도를 높이고, 이를 활용해 분석한 결과 유의미한 가능성을 증명하였다. 본 연구는 어린이 뮤지엄의 놀이 중심 구성의 교육적 가치를 재조명하고, 활용도를 높이는 것에 의의를 둔다. 본 연구에서 제작한 분석방안과 그 적용 과정은, 뮤지엄과 공교육 현장의 교사들이 협력해 교육적으로 활용하여 양질의 전시를 만들어내는데 기초가 됨을 목적으로 한다.

학급공동체 의식 증진 프로그램이 초등학교 일반학생이 지각하는 장애학생과의 친구관계에 미치는 영향

최원아,이소현 이화여자대학교 특수교육연구소 2009 특수교육 Vol.8 No.1

The purpose of this study is to create positive classroom environment by using a Classroom Community Development Program, and to measure how much the program affects the perception of elementary school students on building friendship with students with disabilities in their classroom. The participants for this study were 102 students in 4 general education classrooms where those with disabilities were included. The Program was implemented to the experimental groups once a week, for 11 weeks and to measure the quality of friendship using a 'Friendship Quality Questionnaire'? Results of this study showed that there were statistically significant differences among the students in the experimental groups, in their perception in their friendship with the students with disabilities. According to the results, the Classroom Community Development Program has significant impacts on assisting social inclusion of the students with disabilities in the classrooms by enhancing the perception of the students in regular education classroom towards those with disabilities. The results also showed a need for the development of new evaluation tools and more programs which facilitate social inclusion for students with disabilities. 최근의 통합교육은 모든 학생들의 교육적 요구가 충족되는 교육이라는 개념으로 확산되고, 통합학급이 다양성을 인정하고 서로를 존중하는 지원과 배려의 공동체로 기능하여야 한다는 것이 강조되고 있다. 따라서 본 연구에서는 장애학생의 사회적 통합 증진을 위해 통합학급 학생을 대상으로 학급공동체 의식 증진 프로그램을 실시하여 일반학생이 장애학생과의 친구관계를 지각하는 데 어떠한 변화가 있는지 대해 살펴보고자 하였다. 본 연구의 참여자는 서울․경기 지역의 초등학교 4․5학년 중 4개의 통합학급 학생 102명으로, 2학급씩 실험집단과 통제집단으로 나누었고 실험집단은 주 1회 40분씩 11회에 걸쳐 학급공동체 의식 증진 프로그램을 실시하였다. 측정도구로 오선영(2000)의 ‘친구관계에 관한 질문지’를 수정․보완하여 사용하였다. 공분산 분석을 통해 친구관계 지각 점수의 차이를 살펴본 결과 실험집단이 통제집단에 비해 장애학생과의 친구관계 지각에서 유의미한 향상을 보이는 것으로 나타났고, 하위영역에서는 공유활동, 친사회적 행동, 친밀감 영역에서 실험집단이 통제집단보다 유의미한 향상이 있는 것으로 나타나 학급공동체 의식 증진 프로그램이 일반학생이 장애학생과의 관계가 향상되었다고 지각하는 데 긍정적인 영향을 미쳤음을 알 수 있다. 향후 연구에서는 장애학생과 일반학생 간 친구관계의 의미를 재정립하고, 장애학생의 친구관계를 평가할 수 있는 도구와 다양한 통합지원 프로그램의 개발이 필요하다.

플라스크 배양에서 Bacillus subtilis BK-17의 혈전용해효소 생산에 대한 환경 및 영양 조건의 영향

최원아,이진욱,이경희,박성훈 한국생물공학회 1998 KSBB Journal Vol.13 No.5

The production of fibrinolytic enzyme from Bacillus subtilis BK-17 was studied in the shake flask cultures. The important medium components studied include nitrogen source, carbon source and inorganic salts. The environmental conditions include initial pH, temperature, shaking speed and working volume. Among various N-sources, C-sources and inorganic salts tested, soybean flour, D-glucose and Na2HPO4 gave the best results, and their optimal concentrations were 1.5%, 0.5% and 0.05%, respectively. The optimal pH and temperature were 9.0 and 37$^{\circ}C$. With decreasing working volume in the range of 25∼100ml in the 250ml flask or increasing shaking speed in the range of 100∼300rpm, the enzyme production was greatly enhanced. The enzyme activity under the optimal conditions was about 1400I.U./ml with urokinase as a standard.

병원 건강검진센터 고객관계관리 시스템의 성공적 활용

최원아,박지윤,김광점,최인영 대한의사협회 2012 대한의사협회지 Vol.55 No.8

Customer relationship management (CRM) is a valuable method for establishing long-term customer relationships across different business areas. CRM system stores and analyzes a vast amount of customer information and provides alternatives to meet customer expectations using data warehouse and on-line analysis processing technology. Intensified competitiveness in the healthcare industry has increased the number of healthcare centers and propelled the introduction of CRM systems to meet diverse customer satisfaction. Leading the adoption of information technology in the healthcare businesses has enabled the use of CRM technology to develop close patient-provider relationship. Especially, healthcare centers are using CRM system to provide better healthcare services as well as customer management services. This study aims to explore the current status and influential factors that will stimulate and drive the successful use of CRM system in healthcare centers. For this purpose, a survey has been conducted for CRM system users in 13 healthcare centers to investigate the current status of CRM system and the influential factors for successful use. The evaluation criteria include four categories; system quality, information quality, service quality and perceived usefulness. These criteria have been developed based on previous researches, especially DeLone & McLean information system success model. In addition, the system output is evaluated by user satisfaction, personal performance and organizational performance. The study showed that users evaluated information quality and service quality positively and to be higher than other factors in terms of influence. And the user evaluation proved that CRM system provides increased user satisfaction, organizational performance, and especially, individual performance. This is clear evidence that CRM system will improve organizational efficiency and effectiveness, which in turn, can provide competitive advantage for the healthcare centers.

Information System Success Model for Customer Relationship Management System in Health Promotion Centers

최원아,노미정,박지윤,김광점,권영대,최인영 대한의료정보학회 2013 Healthcare Informatics Research Vol.19 No.2

Objectives: Intensified competitiveness in the healthcare industry has increased the number of healthcare centers and propelled the introduction of customer relationship management (CRM) systems to meet diverse customer demands. This study aimed to develop the information system success model of the CRM system by investigating previously proposed indicators within the model. Methods: The evaluation areas of the CRM system includes three areas: the system characteristics area (system quality, information quality, and service quality), the user area (perceived usefulness and user satisfaction), and the performance area (personal performance and organizational performance). Detailed evaluation criteria of the three areas were developed, and its validity was verified by a survey administered to CRM system users in 13 nationwide health promotion centers. The survey data were analyzed by the structural equation modeling method, and the results confirmed that the model is feasible. Results: Information quality and service quality showed a statistically significant relationship with perceived usefulness and user satisfaction. Consequently, the perceived usefulness and user satisfaction had significant influence on individual performance as well as an indirect influence on organizational performance. Conclusions: This study extends the research area on information success from general information systems to CRM systems in health promotion centers applying a previous information success model. This lays a foundation for evaluating health promotion center systems and provides a useful guide for successful implementation of hospital CRM systems.

일본 정부의 디자인행정에 관한 연구

최원아 한국디자인리서치학회 2022 한국디자인리서치 Vol.7 No.2

As design emerges as a key element of national brands, the role of the state in design is becoming more important than in the past. This thesis examines the design administration of the Japanese government as part of a case study to find the direction of the government's design administration. To this end, design administration and concepts are summarized, and then the design policy and role changes of the Ministry of Economy, Industry and Energy as the main body of the Japanese government's design administration system and design policy are examined. Design administration is an active and active action of the state on design. In terms of design policy types that differ by country, Japan seems to be moving from a centralized type to a mixed type to an integrated type. The government-led design administration was indispensable in the process of promoting industrialization, and therefore it is evaluated that it was able to achieve results. However, limitations have been pointed out, such as the scope of administration and organizational system failing to accommodate the expansion of the design domain, and the widening gap between the policy vision and reality, which is the task of our design policy 디자인이국가브랜드의핵심요소로부상하면서디자인에대한국가의역할이과거보다더욱중요해지고있다. 본논문은정부의디자인행정의방향성을모색하기위한사례연구의일환으로일본정부의디자인행정에관해고찰한다. 이를위해디자인행정과개념을정리한다음일본정부디자인행정체계및디자인정책의주무기관으로서경제산업성의디자인정책과역할변화를살펴본다. 디자인행정은디자인에대한국가의능동적이고적극적인작용이다. 국가별로차이를보이는디자인정책유형으로보면, 일본은중앙집중형에서혼합형을거쳐통합형으로가고있는것으로보인다. 정부주도의디자인행정은산업화추진과정에서불가결했고, 그렇기때문에성과를거둘수있었던것으로평가된다. 그러나디자인영역의확대를행정의범위와조직체계가수용하지못하고, 정책비전과현실과의괴리가확대되는등의한계가지적되고있으며, 이는곧우리디자인정책의과제라고할수있다.

소아 천식 환자의 혈청 총 IgE에서 IL-13 (+2044G/A)과 FCER1B (E237G)의 유전자 상호작용

최원아 ( Won Ah Choi ),송영화 ( Young Hwa Song ),김병주 ( Byoung Ju Kim ),유진호 ( Jin Ho Yu ),김효빈 ( Hyo Bin Kim ),이소연 ( So Yeon Lee ),김자형 ( Ja Hyung Kim ),김봉성 ( Bong Seong Kim ),강미진 ( Mi Jin Kang ),장성옥 ( Seong O 대한천식알레르기학회 2008 천식 및 알레르기 Vol.28 No.4

Background: Interleukin-13 (IL-13) is essential for the synthesis of Immunoglobulin E (IgE) which is a critical risk factor for the development of asthma. The high-affinity IgE receptor β (FCER1B), which is expressed on mast cells and basophils, plays an important role in the IgE-mediated allergic response. Objective: To analyze the association between IL-13 (+2044G/A) and FCER1B (E237G) polymorphisms, and IgE production in asthmatic children. Method: Seven hundred sixty asthmatic children and 235 healthy controls were enrolled, and the levels of serum total IgE and blood eosinophil counts were evaluated. Pulmonary function test and methacholine challenge test were also performed. The genotypes of IL-13 (+2044G/A) and FCER1B (E237G) polymorphisms were analyzed by using the restriction fragment length polymorphism method. Result: IL-13 (+2044G/A) and FCER1B (E237G) polymorphisms were not associated with the development and phenotypes of asthma. However, in homozygote of variant genotypes, gene-gene interaction of IL-13 (+2044G/A) and FCER1B (E237G) polymorphisms was associated with an increase of serum total IgE, whereas in homozygote of wild genotypes, this interaction was not associated with an increase of serum total IgE (P=0.030). Conclusion: Gene-gene interaction between IL-13 (+2044G/A) and FCER1B (E237G) polymorphisms may be associated with increased levels of serum total IgE in children with asthma. (Korean J Asthma Allergy Clin Immunol 2008;28:284-291)