A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

도시공원 이용자들의 형태 분석 및 이용 만족도에 관한 연구

박장근(Jang Geun Park),임란희(Ran Hee Lim),지용범(Yong Beom Ji),신희진(Hee Jin Shin) 한국여가레크리에이션학회 2001 한국여가레크리에이션학회지 Vol.21 No.-

The purpose of this study was to investigate of form analysis and extent of Satisfaction of people using park. For this study, the population was the user Mansuck Park in Suwon City from 06.06.2001 to 06.07.2001. Sampling was made according to the self-administration method The participants in the questionnaire were 224. From the analysis of data, this study reached the following coclusions. 1. An analysis of form ; 1) A walking was 53.1 percent according to the analysis of using form in traffic means. There were some differences by age, job, education level, income. 2) The evening was 41.5 percent , and the afternoon was 28.6 percent according to the time period of using. There were some differences in all items as gender, age, job, education level, income. 3) The family or relative was 48.2 percent, and the friends (lover) was 32.6 percent according to the companion. There were some differences in all items as gender, age, job, education level, income. 4) The rest and walk 50.0 percent , and meeting, talk was 17.4 percent according to the using park. There were some differences by gender, age, job, income. 5) The shade of a tree, bench, grass was 55.4 percent, and the promenade was 23.7 percent according to the place and facilities for using. There were some differences by age. 2 And extent of satisfaction for using park ; The satisfaction in the location of facilities, the management and scene of the park was in high content degree. But, the satisfaction in the number of facilities and the staff was in low content degree.

Design principles for interactive user experience through net art

Park,Ji Yong(박지용) 한국디지털디자인학회 2007 디지털디자인학연구 Vol.7 No.3

이 논문은 웹사이트 디자인에서 진정한 사용자 중심 디자인 (User-Centred Design)을 실현하기 위해 사용자들이넷 아트를 통해 경험하는 특징을 분석하여 웹 인터페이스 디자인 원칙을 정의한다. 넷 아트는 사용자의 위상을 인터렉티브 아티스트 (An interactive artist)로 격상시킴으로써 전통적인 그래픽 디자인과 인터렉티브(Interactive)한 사용자 경험 간의 간격을 메운다. 넷 아트의 특징을 분석해 보면, 시각 디자인의 일반적인 접근법에서 본 사용자에 대한 이해는 곧 눈에 보이는 그래픽의 한계 속에 사용자 중심의 디자인(User-Centred Design)을 제한시키는 것임을 알 수 있다. 더욱이 인터넷 사용자를 단지 생산자의 반대 개념에서 정의한다면, 인터렉티버티(Interactivity)는 한 방향 통신(One-way communica-tion) 개념 수준으로 전락하게 된다. 이 논문은 넷 아트에 대한 분석과 연구을 통해 인터렉티브(Interactive)한 웹사이트 디자인에 필요한 네 가지 원칙을 다음과 같이 도출했다. 보이지 않는 디자인 요소(invisible design elements), 공동 참여를 통한 생산(collaborative participation), 무정부적 구조(Anarchic structure), 비선형적 의사소통(non-linear communication). 참고: 본 논문은 디지털 디자인 학회지 14 호에 실린'Interactive design principles: online communities and the user experience'(박지용 2007)의 연장선상에 진행된 연구이며, 이 두 연구는 웹사이트 사용자 경험 디자인을 위한 개념적 구조 (conceptual framework)을 개발하는 것에 필요한 이론적 토대를 제공하기 위해 계획된 것이다. The paper is to define interface design principles for web site design through user experiences in net art that will allow the designer to achieve truly user-centred design (UCD). Net art enables the designers to bridge the gap between traditional graphic design and interactive user experience in that it has empowered the users to be an interactive artist. Analysis of the characteristics of net art indicates that understanding of online users from generic approach to visual design could confine UCD into a merely visible graphical frame. Furthermore, it implies that the interactivity will degenerate into one-way communication so long as designers define the Internet user as a user which is the opposite concept to a producer. The paper presents the four principles extracted from net art for interactive experience design - invisible design elements, collaborative participation, Anarchic structure and non-linear communication. Note: This paper is the extension of 'Interactive design principles: online communities and the user experience' (Park 2007) published in Journal of Digital Design (vol. 14) and the both studies were intended to provide the theoretical foundation for developing a conceptual framework of interactive user experience design.

군기지 이전지 활용에 관한 참여설계과정 - 요코하마 후카야 통신소 이전지 아이디어 공모사업 사례 -

박지현,손용훈,츠게 키하루,Park, Ji-Hyun,Son, Yong-Hoon,Tsuge, Kiharu 한국조경학회 2011 韓國造景學會誌 Vol.39 No.3

일본의 요코하마시는 1950년대부터 장기간에 걸쳐 미군기지 반환운동을 실시하였으며, 반환된 이전지를 활용함에 있어서 체계적인 활용계획을 수립하였다. 후카야 통신소는 2004년 반환이 확정된 요코하마 시내의 미군기지 중 하나이다. 후카야 통신소는 원형의 부지형태 및 부지 전체가 국유지라는 활용에 용의한 조건을 갖고 있으며, 이에 요코하마시는 후카야 통신소 이전지 활용에 대해 다양한 시민들의 의견을 수용한 대규모 녹지공간으로 조성하기 위해 아이디어 제안공모사업을 실시하였다. 본 연구에서는 후카야 통신소를 대상으로 참여설계과정을 유도하는 아이디어 공모사업의 추진 배경과 진행과정을 정리하고, 또한 공모전에 참가한 아이디어를 분석하여 이전지 활용에 대한 최근 시민들의 수요를 해석하였다. 요코하마시는 아이디어 공모를 통해서 최근 도시녹지의 기능 및 테마에 대한 시민들의 요구사행에 관해 많은 아이디어를 얻을 수 있었다. 시민들은 후카야 통신소 부지에 녹지 인프라로서 새로운 녹지공간을 창조하는데 많은 관심을 보였다. 또한 아이디어들 중에는 개별녹지의 활용을 넘어 자연과 소통하는 지역의 새로운 라이프스타일을 제안하기도 하였다. 요코하마시는 아이디어 공모사업의 진행과정과 결과를 가능한 많은 시민들이 함께 공유할 수 있도록 '응모-심사-응원-참관-이해'의 다양한 참여 방식을 도모하였다. 후카야 통신소 이전지 활용에 관한 참여설계의 과정은 도시 기반시설로, 다양한 참여설계가 이루어져야 하는 공공사업에 있어서 커뮤니티 설계의 원칙과 프로세스가 구현되어지고 있는 사례라고 볼 수 있다. 따라서 후카야의 사례는 이전지 공원화 계획안이 수립된 우리나라의 의정부시 미군기지, 서울시 용산 미군기지에 시사하는바가 적지 않다고 생각된다. 본 연구내용을 바탕으로 할 때, 향후 우리나라의 미군부대 반환지 활용에 있어 시민을 위한 이전지 활용방안을 위해서는 보다 체계적인 이전지 활용계획의 틀, 투명한 절차 및 정보공개, 다양한 참여설계에 의한 협업 과정 등이 중요하다고 하겠다. Since 1950, the city of Yokohama has been demanding the return of US. military base sites in Yokohama. Yokohama has established a systematic utilization plan for these relocation sites. The Fukaya communication site is one of former US. military bases verified for return in 2004. The Fukaya communication site is distinctively circular in shape and is entirely national land. Yokohama took an idea competition to its citizens to create a new park at the relocation of the Fukaya communication site, involving lots of citizen opinion in its utilization goals. This study determined the process of the idea competition at the Fukaya communication site in encouraging civic participation and analyzing citizen demands for the utilization of the relocation site. Through the idea competition, Yokohama city was able to obtain several ideas on the new park from various angles such as the function and shape of the urban open spaces. Citizens showed great interest in creating a park as green infrastructure on the Fukaya communication site. In addition, beyond utilization as an urban open space, many ideas suggested new lifestyles for the region in connection with the natural environment in the vicinity. Yokohama city tried to share the process and results of the idea competition with as many citizens as it could through a variety of means such as Participation, Judging, Support, Observation and Understanding. The case study on the idea competition at the Fukaya communication site is a good example of community design practice in public projects, and is full of suggestions for military bases in Korea, which has just established the plan of utilizing relocation sites as parks. Based on this case study, it can be concluded that it is important to make a systemic form for utilization planning with a clear process, open information and partnership in a variety of participatory design processes in order to ensure maximum civic utilization of relocation sites.

태안해안국립공원 학암포 지역의 조류 현황

강화연(Hwa-Yeon Kang),서슬기(Seul-Gi Seo),박세영(Se-Yeong Park),이지용(Ji-Yong Lee),권영수(Young-Soo Kwon) 국립공원연구원 2015 국립공원연구지 Vol.6 No.4

서해안 육상지역을 통과하는 조류의 이동생태를 파악하기 위해, 2014년 7월부터 2015년 6월까지 태안해안국립공원 학암포 지역의 조류상을 조사하였다. 조사 결과 관찰된 조류는 총 14목 30과 88종 23,230개체이며, 평균 조사일당 159.7개체가 관찰되었다. 전체 우점종은 괭이갈매기 Larus crassirostris 21.1%, 되새 Fringilla montifringilla 18.5%, 박새 Parus major 12.7%, 붉은머리오목눈이 Paradoxornis webbianus 8.2%, 노랑턱멧새 Emberiza elegans 5.8% 순이었다. 이동시기인 5월과 10월에는 각각 56종, 조사일당 평균 310.5개체로 가장 많은 종과 개체수가 기록되었다. 종과 개체수가 가장 적은 시기는 여름철인 8월로, 기록된 종 수는 24종이며 조사일당 평균 95개체가 관찰되었다. 종풍부도(R ) 지수는 가장 많은 종이 관찰된 5월에 가장 높았으나, 종다양도(H )와 종균등도(E )는 오히려 이동시기에 낮은 편으로 나타났으며, 이는 일부 상위 우점종의 개체수가 월등히 증가했기 때문인 것으로 판단된다. 환경부, 문화재청, IUCN 등이 지정한 멸종위기 및 법정보호종은 총 9종이 관찰되었다. From July 2014 to Jun 2015, bird survey was conducted in Hakampo, Taeanhaean National Park. A total of 23,230 and 159.7 per day of birds representing 14 orders, 30 families, 88 species were observed. The most abundant species were the Black-tailed Gull Larus crassirostris (21.1%), the Brambling Fringilla montifringilla (18.5%), the Great Tit Parus major (12.7%), the Vinous-throated Parrotbill Paradoxornis webbianus (8.2%), Yellow-throated Bunting Emberiza elegans (5.8%). The number of species and individual was the highest in May and October, respectively, as 56 species and 310.5 individual per day were recorded. According to Korean Ministry of Environment, Cultural Herigage Adinistration of Korea and IUCN Red List, a total of 9 protected species were recorded during the survey.

대량의 각혈로 사망한 장티푸스 1예

한상우,유진홍,권순석,김성훈,박지찬,홍은정,최경성,박용완,장준희,안지원,박유경,강지영,박상미,신완식 대한감염학회 2004 감염과 화학요법 Vol.36 No.5

We experienced a 25 year-old male patient with typhoid fever complicated with massive hemoptysis. Pulmonary complication in typhoid fever is very rare and to our knowledge, there has been no report of hemoptysis as a main cause of death with this disease. We herein report a rare case of typhoid fever.

여성 복압성요실금에서 술 전 발살바요누출압에 따른 Suprapubic Arch 술식의 결과

박준명,유지형,성락희,정재용,노충희 인제대학교 2008 仁濟醫學 Vol.29 No.-

Objective : There were variant results for correlation between the postoperative cure rate and valsalva leak point pressure (VLPP) for female stress urinary incontinence (SUI). Therefore the aim of this study was to assess the influence of VLPP on the outcome of suprapubic arch (SPARC) procedure. Materials and Methods : A retrospective analysis was made of 246 women who underwent SPARC procedure for SUI. Based on VLPP, the patients were divided into 2 groups: group A (VLPP<60cmH2O) and group B (VLPP≥60cmH2O). The objective success rate and subjective success rate were assessed. Before surgery, the patients were evaluated with history taking, physical examination, urinalysis and urodynamic studies. The objective success rate was evaluated by clinical examination and the 1-hour pad test postoperatively and the subjective satisfaction rate was assessed using questionnaires for the patients' satisfaction and evaluated by recommendation rates of SPARC procedure to other patients. The objective success rate included cure and improvement, the subjective success rate included satisfaction and fair. Results : The number of patients in each group was 145 patients (group A) and 101 patients (group B). The objective success rate was 99.3% (group A) vs 98.0% (group B) (p=0.285). The subjective success rate was 98.6% (groupA) vs 98.0% (group B) (p=0.500). Recommendation rates of SPARC procedure was 94.5% (group A) vs 95.0% (group B) (p=0.422). Conclusion : It is our belief that SPARC procedure for female SUI is efficacious and safe regardless of preoperative VLPP.

흰쥐 척수 및 등뿌리신경절에서 Tyrosine Hydroxylase 함유구조물의 분포

박매자,배용철,조희중,김지윤,김용주,김지윤 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

정상 흰쥐의 각 분절별 척수 및 등뿌리신경절에서 catecholamine 함유구조물의 분포를 알아보고자 tyrosine hydroxylase(TH)에 대한 항체를 이용하여 면역조직화학적 염색을 실시하였다. 그 결과 TH 함유신경세포는 목척수분절과 엉치척수분절에서 관찰되었다. 목척수분절의 TH 함유신경세포는 첫째와 둘째 목척수분절에서만 관찰되었으며 신경돌기가 잘 발달된 다각형의 세포인 것으로 보아 이들은 뇌줄기의 TH 함유신경세포군이 목척수분절로 연장된 것이라 생각된다. 그러나 엉치척수분절에서 관찰되는 대부분의 TH 함유신경세포는 세포돌기가 보이지 않고 세포체부분만 면역염색되어 관찰되는 것으로 보아 퇴화단계의 세포인 것으로 생각된다. TH 함유신경섬유는 척수의 모든 분절에서 관찰되었으며 이들 TH 함유신경섬유가 각 척수분절의 등뿔보다 배쪽뿔과 중간뿔에서 훨씬 높은 밀도로 관찰되는 것으로 보아 catecholamine은 척수에서 체성감각뿐만 아니라 자율신경계 및 운동신경계의 조절에 관여하리라 생각된다. 등뿌리신경절에서 관찰되는 TH 함유신경세포는 척수의 엉치분절에서 관찰되는 것과 마찬가지로 세포돌기가 거의 보이지 않고 세포체부분만 염색되어 보였다. 또한 등뿌리 신경절의 TH 함유신경섬유는 혈관의 벽을 나선형으로 감고 돌아가는 형태로 관찰되었으며 어느 것도 등뿌리신경절의 신경세포와 연관되어 관찰되지는 않았다. 이로 보아 정상 쥐의 등뿌리신경절에서 catecholamine은 신경세포 사이의 신경전달이나 졸절보다는 신경절 내의 혈류조절과 관계있을 것으로 생각된다. With the aim of gaining more insight into the catecholaminergic system in the nervous system of the rat, we have studied the precise distribution pattern of the tyrosine hydroxylase immunoreactive (TH-IR) fibers and soma in the spinal cord and dorsal root ganglion. In the dorsal root ganglion (DRG) TH-IR fibers were observed to run along the vessel wall, spirally and not found in the neural tissue itself. A few TH-IR fibers were found in the spinal nerve, not in the ventral root. Many TH-IR neurons were distributed in the L3, 4, 5, and 6 DRG but none of them were found in the other DRG segments. In the spinal cord, TH-IR fibers have shown sparse distribution all over spinal cord but relatively dense distribution in the ventral hom, intermediolateral column, lamina I of the dorsal horn of the cervical, lumbar, sacral, and coccygeal segment. TH-IR neurons were found in the interrmediolateral column, dorsal gray commissure, dorsal horn of the C1 and C2 segments and S1-4 segments. TH-IR neurons in the cervical segments were polygonal or spindle shaped with well developed processes. In contrast to this, TH-IR neurons in the sacral segments were oval or spindle shaped withe no processes. In conclusion, neurons in the DRG were not influenced by catecholaminergic nervous input. Intrinsic catecholaminergic nervous systems were found in both of spinal cord and DRG.

최초 임상증상으로 볼부위의 종괴로 나타난 전이성 신세포암 : 증례보고

박용일,유지형,성락희,노충희,김현정,정재용 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

신세포암의 골격근으로의 전이는 매우 드문경우로 현재까지 약 20편정도의 증예 보고만이 있을뿐이다. 우리는 이 증례보고에서 매우 드문 경우인 최초 임상증상으로 볼부위의 종괴를 주소로 내원후 전이성 신세포암으로 진단받은 65세 남자의 증례와 전이성 신세포암이 골격근으로 전이된 경우의 문헌들을 리뷰하였다. 환자는 내원 3개월전 왼쪽 볼부위에 무통성 종괴가 있는것을 처음 인지하였다. 절제된 종괴의 병리학적 소견은 전이성 신세포암으로 나타났으며 영상의학검사상 좌측신장에 6x5㎝ 크기의 종괴를 보였고 양측 폐에 다수의 작은 결절들을 보였다. 환자는 근치적 신절제술을 받았으며 이후 폐전이에 대해 5-fluorouracil, interferon-a과 interleukin-2을 이용한 변역요법을 시행하였다. 이후 폐 전산화단층촬영상 암이 진행된 것으로 나타나 Sutene^(?)을 이용한 경구 표적요법을 시행중이다.

글리세린 처리에 의한 종이의 물성 변화

박세진,차지영,김학상,김봉용 경북대학교 농업과학기술연구소 2006 慶北大農學誌 Vol.24 No.-

This study was carried out to investigate the influence of glycerine on the properties of paper. Two types of glycerine treatment were used. First type, when making handsheets, glycerine was added in the plup slurry. Second type, copying paper was soaked in glycerine solution. Microwave treatment was used for the test of paper degradation. The obtained results were summarized as follows: 1. The glycerin was very effective to improve the property of softness. 2. The glycerine was helpful to increase sizing performance of paper as a fixing agent of sizing emulsion. 3. Curl tester was comparatively useful for the measuring of sizing degree.