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        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.

      • KCI등재

        Safety of subtotal or total colectomy with primary anastomosis compared to Hartmann procedure for left-sided colon cancer obstruction or perforation

        Eun-Do Kim,Jin-Kwon Lee,Jin-Kyu Cho,Jae-Myung Kim,Ji-Ho Park,Ju-Yeon Kim,Sang-Ho Jeong,Young-Tae Ju,Chi-Young Jeong,Eun-Jung Jung,Young-Joon Lee1,Soon-Chan Hong,곽승진 대한종양외과학회 2019 Korean Journal of Clinical Oncology Vol.15 No.2

        Purpose: Whether subtotal or total colectomy with primary anastomosis (PA) is safer than Hartmann procedure (HP) for left-sided colon cancer obstruction or perforation remains controversial. The purpose of this study was to compare postoperative morbidity, mortality, and defecation frequency between PA and HP for left-sided colon cancer obstruction or perforation. Methods: This retrospective study enrolled 54 patients from January 2014 to February 2018 who underwent emergency surgery due to left-sided colon cancer obstruction or perforation. Results: PA was carried out in 20 patients while HP was performed for 34 patients. Thirty-day mortality did not show significant difference between the two groups (15.0% vs. 14.7%, P=1.000). No anastomotic leakage occurred in PA group while three (8.8%) cases of stump leakage occurred in HP group. Stoma repair was performed for 13 cases (44.8%) and stoma reformation was performed for one case in HP group (7.7%). Stoma related complications occurred in five cases (17.24%). For patients after stoma repair, defecation frequency at 3 months after operation was 2.91±2.88 times per day in PA group and 2.86±2.63 times per day in HP group. At 1 year after operation, defecation frequency was changed to 1.40±1.12 times per day in PA group and 1.17±0.39 times per day in HP group. Conclusion: Primary ileosigmoid or ileorectal anastomosis for left-sided colon cancer obstruction or perforation is safe, and shows similar outcome of defecation frequency compared to H

      • KCI등재

        The Role of Multiple Mediating Effects of SNS Channel between Perceived Quality and Revisit Intention in Coffee Concept Shops

        Lee,Jee Eun,Lee,Sang Suk 한국상품학회 2021 商品學硏究 Vol.39 No.5

        The purpose of this study is to examine the relationship between the perceived quality and revisit intention of the use of SNS, and then verifies the mediating role of the SNS channel between them. To achieve the purpose of this study, a total of 350 questionnaires were distributed at various coffee concept shops in the Korean metropolitan area (Seoul / Gyeonggi), including global / domestic brands. After removing the response with the missing information, the sample was 320 (91.4%). A structural equation model using AMOS 20.0 tested the hypotheses. Hypotheses are tested and confirmed by analyzing Korean coffee concept shops and the results have shown that information sharing and interaction of SNS play an important role in understanding perceived quality and revisit intention. Moreover, this study empirically verifies that when customers recognize the quality of products, including service and experience quality, they use SNS channels to visit the coffee shop again. The result of the study supported that information sharing and interactivity of SNS played critical roles in understanding perceived qualities and revisit intention. We empirically provide evidence that product quality of perceived qualities has direct positive in fluence on SNS channel and revisit intention. In addition, information sharing and interactivity of SNS channel has indirect significant impacts on intent to revisit. The result of research has shown that product quality had crucial impact on SNSs channel than service or experience quality. The study also shows that increasing the quality level of a product has a positive relationship with social media channels, which in turn can have a positive effect on information sharing and interactions. This study empirically examines that when customers perceive a product quality including service and experience quality, it induces them to use SNS channel, which eventually make them to revisit the store.

      • KCI등재

        Resistive switching characteristic of Ce0.9Y0.1O2/ TiO2 bi‑layer structure by photochemical metal‑organic deposition

        SungEun Kim,Jin-Gyu Lee,In-Young Choi,Ha-Eun Kim,Hong-Sub Lee 한국세라믹학회 2020 한국세라믹학회지 Vol.57 No.1

        Sneak current is one of the main bottlenecks for dense crossbar array resistive random access memory. This study reports highly non-linear resistive switching characteristic from Ce0.9Y0.1O2/ TiO2 bi-layer (1S/1R device) structure, fabricated by photochemical metal-organic deposition, as a solution for sneak current issue. Ce0.9Y0.1O2 material, possessing oxygen vacancies, was used as a potential barrier as well as oxygen reservoir which rectified the current of low resistance state without an electrical breakdown in 1S/1R device. TiO2 was adopted for resistive switching property, and TiO2 layer having mixed phase (anatase and brookite) showed typical diode switching behavior. The photochemical reaction of photochemical metal-organic deposition process and phase formation were monitored and established using by Fourier-transform infrared spectroscopy and X-ray diffraction, respectively. The 1S/1R device showed highly non-linear resistive switching characteristic, large on/ off ratio of above three orders of magnitude with low operating current.

      • The Influence of Anxiety and Dyadic Adjustment on Maternal–Fetal Attachment in High-Risk Pregnant Women

        Sung–Hee Lee,Eun-Young Lee 보안공학연구지원센터 2015 International Journal of Software Engineering and Vol.9 No.12

        Purpose: This study attempted using a descriptive survey to elucidate the influence of anxiety and dyadic adjustment on maternal–fetal attachment in high-risk pregnant women. Methods: The data used in this study were collected from March 3rd, 2015, to March 30th, 2015, and the participants were 118 pregnant women including those undergoing prenatal tests and those admitted to a delivery room in the obstetrics outpatient center of 3 university hospitals located in B, D, and Y after diagnosis with high-risk pregnancy during 20–38 weeks of gestation. Collected data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson’s correlation, and stepwise regression analysis using the IBM SPSS 22.0 program. Results: The level of maternal–fetal attachment according to participants’ general and obstetric characteristics showed significant differences in history of childbirth, prenatal tests, and planned pregnancy. The factors that influenced maternal–fetal attachment were history of childbirth, prenatal tests, anxiety, and dyadic adjustment. Lower anxiety and high dyadic adjustment of high-risk pregnant women led to a high maternal–fetal attachment. Among them, anxiety was the factor with the greatest impact, explaining 20.5%. Conclusion: This study presents the need for development and application of prenatal nursing intervention to enhance maternal–fetal attachment by lowering anxiety through prenatal care in high-risk pregnant women and improving dyadic adjustment.

      • KCI등재

        공적 지평 속의 교회

        이상은(LEE Sang-Eun) 장로회신학대학교 기독교사상과 문화연구원 2017 장신논단 Vol.49 No.2

        본 논문은 춘계 이종성의 신학에 나타난 교회와 사회의 관계를 고찰하고 있다. 교회와 사회의 문제를 다룬 이종성의 신학은 그의 통전적 신학의 핵심 정신을 보여준다. 이종성은 신학을 전개함에 있어서 항상 사회를 염두에 두었고, 그에 따라 수많은 논문과 수상록, 설교문을 통해 사회적 책임에 대한 입장을 표명했다. 그는 국권 상실과 한국 전쟁과 같은 사회적 격변기를 보내면서 삶과 분리된 신학이란 존재할 수 없다는 신념 가운데 양자의 관계를 다루었다. 여기에서 그는 우선 초월적 진리의 장소인 교회를 우선시했다. 하나님 나라와 보다 직접적 관계가 있는 교회가 사회에 대해 각성의 의무를 가지고 있으며, 이러한 계도에 따라서 사회의 희망이 있다고 보았다. 그러나 보다 본질적인 차원에서 인간이 살아가는 공통적인 장으로서 교회와 사회를 다루었고, 궁극적으로 하나님 나라를 향한 인간의 온전한 삶의 자세를 강조하는데 초점을 두었다. 교회와 사회에 대한 이종성의 설명은 신학의 공적 지평의 확대라고 하는 차원과 통전적 신학의 중요한 지향점을 보여주었다. 그 결과로 교단의 신학 뿐 아니라 한국 사회를 위해서도 중요한 신학적 역할을 감당했다. 이종성의 통전적 신학은 혁명이나 비판 정신을 지향하기보다 인간과 교회의 자정과 그를 통한 세상의 변혁을 지향했다. 그러한 자세로 인해 그의 신학은 시대와 장소를 넘어선 보편적 변혁의 원리로 오늘날에도 동일한 중요성을 발하고 있다고 평가할 수 있다. 21세기 한국 사회의 현장에서 공적인 관점하에 교회와 사회의 관계를 고민해야 할 우리들에게 그의 통전적 신학은 모범이 된다고 평가할 수 있다. 특히 우리에게 경건을 바탕으로 한 실천의 추구를 보여주는 좋은 예가 된다. This study examines the relationship between church and society in the theology of Rhee Jong Sung. His discussions in this area illustrate the essence of his holistic theology. Society was an indispensable category in his theology. Rhee developed his idea of the church’s social responsibility through numerous papers, essays, and sermons. Having lived through national crises such as the fall of Korea and the Korean War, he came to a strong conviction that theology can never stand apart from life in society and devoted himself to explicating the relationship between the two. Rhee placed priority on the church as the place of transcendental truth. The church, which has a more direct relationship with the kingdom of God, is obligated to awaken the society, and the society finds its hope when the church is faithful to this task. At the same time, he regarded church and society as a common ground of human existence in a more fundamental sense, and he tried to emphasize the wholeness of human life in anticipation of the coming kingdom of God. His thoughts have expanded the realm of public theology and shown possibilities of holistic theology, influencing not only his denomination but also the Korean society at large. Instead of calling for a revolution or fomenting a radical spirit, Rhee’s theology pursues a reformation through purifying the church and people. Therefore, it remains important as a universal principle of reformation in today’s world. In the twenty-first-century Korea, his holistic theology can help us find the right relationship between church and society. Especially for the Presbyterian Church of Korea, it serves as a good model of pursuing social action based on spiritual piety.

      • A Case of a Gallbladder Infarction after Transcatheter Arterial Chemoembolization, Recovered with Only Medical Treatment

        Yena Kang,Eun-Jung Kim,Young Seok Kim,Sang Gyune Kim,Jae Myeong Lee2,Boo Sung Kim 순천향대학교 순천향의학연구소 2015 Journal of Soonchunhyang Medical Science Vol.21 No.2

        Transcatheter arterial chemoembolization (TACE) is suitable treatment method of hepatocellular carcinoma (HCC) for patients with decreased underlying liver function or unresectable disease. But this procedure can induce some embolic events. We report a case of a gallbladder infarction caused by the embolic event in TACE procedure. A 61-year-old man had been going to undergo 6th TACE for marginal recurrence of HCC. After the procedure, gallbladder infarction occurred and was detected by abdominal computed tomography (CT) scan for response evaluation of the treatment at out-patient-clinic. Then, he was treated with oral antibiotics and conservative therapy at out-patient clinic. In 6th week after the event, abdominal CT scan showed improved state of gallbladder.

      • 유전자 알고리즘을 이용한 일회용 인증 암호 키 설계

        이용권(Yong-Kwon Lee),안성은(Sung-Eun Ahn) 한국정보과학회 강원지부 2007 한국정보과학회 강원지부 학술대회 논문집 Vol.1 No.1

        컴퓨터와 통신을 기반한 정보유통과정에서 공유되는 공개 암호 커의 노출은 보안성이 쉽게 상실될 수 있으므로, 이를 위한 보안 경비의 부담이 문제 된다. 따라서 이러한 문제점은 암호 키의 요소로서 기밀성, 무결성, 인증 그리고 부인이 방지되어야 하며, 반복기능과 반복횟수에서 확신성을 가져야 한다. 그러므로 서버와 클라이언트에서는 정보통신과정에서의 가로채기를 예방할 수 있는 대안으로 데이터를 시스템 DB에 저장하지 않고서도, 또 유통되는 데이터에도 암호화키의 정보를 배제하면서, 또 서버가 클라이언트와의 유통정보에서 발생되는 실행 순서를 일시 메모리에 기록 저장되는 암호화 문을 복호화 할 수 있도록 LEE’c 시스템 모형을 설계한다. 여기서, 유전자 알고리즘을 적용하므로, 부모 난수(R)로부터 교배된 자식 난수CR’)의 관계를 전이(轉移) 해 LEE’c 시스템의 모형을 설계한다.

      • KCI등재

        기관지폐 이형성증의 임상 양상: 다기관 연구

        성기혜 ( Ki Hye Sung ),김민희 ( Min Hee Kim ),김은령 ( Eun Ryoung Kim ),심재원 ( Jae Won Shim ),이정주 ( Jung Ju Lee ),임재우 ( Jae Woo Im ),진현승 ( Hyun Seung Jin ) 대한주산의학회 2009 Perinatology Vol.20 No.3

        목적: 최근 극소 저출생 체중아의 생존율의 개선으로 기관지폐 이형성증(bronchopulmonary dysplasia, BPD)이 늘고 있다. 다기관 연구에 의해 전국적인 BPD의 역학, 임상 양상과 각 병원 간의 차이를 조사하여 향후 우리나라의 BPD 감소와 중증도를 줄이는 것을 목적으로 본 연구를 시행하였다. 방법: 2005년 6월부터 2007년 5월까지 건국대학교병원, 영등포 성애병원, 강북삼성병원, 중앙대학교병원, 건양대학교병원, 강릉아산병원의 신생아 집중 치료실에 입원하였던 신생아 4,476명을 대상으로 하였다. BPD의 진단 기준은 비전형적인 BPD를 포함하여 병인적인 분류를 하고 있는 Ogawa 등의 분류법을 이용하여 신생아 호흡 곤란 증후군(respiratory distress syndrome, RDS)과 전형적 또는 미만성 혼탁의 방사선 소견, 산전 감염의 유무에 따라 6가지 type으로 분류하였다. 또한 전체 신생아의 출생체중 분포와 생존율, 각 출생체중 군별 BPD의 발생률, 병태 비율, 사망률 등을 조사하고, 이 후 재택 산소요법 시행 여부와 미숙아 망막증, 괴사성 장염 등의 합병증 여부를 조사하였다. 결과: 생후 28일째 산소 치료가 필요한 신생아는 89명이었고, 이 중 Ogawa 분류법에 의한 BPD 환아는 70명(1.6%)이었으며, 특히 1,500 g 미만의 환아 237명 중 60명(25.3%)이었다. 생후 28일 이상 생존율은 98.7%이고, 사망 예는 없었으며 평균 재원 기간은 97.8±51.2일(43~405일)이었다. BPD는 900~999 g, 1,000~1,249 g의 체중 군에서 발생률이 각각 15명(21.4%)으로 가장 높았으며, 교정 36주 이후에도 산소투여가 필요한 중증 BPD의 경우 900~999 g의 체중 군에서 7명(23.3%)로 가장 높았다. Ogawa 분류법으로 BPD의 각 병태 비율로는 RDS 이후에 나타나는 I, II형이 각각 전체의 17예(24.3%), 44예(62.9%)로 대다수를 차지하였다. 이외에도 III`형은 2예(2.9%), IV형은 2예(2.9%), V형은 5예(7.1%)이었고, III형, VI형은 없었다. 재택 산소요법은 8예에서 시행되어 전체의 11.4%였으며, 이 중 BPD I형이 7예로 87.5%를 차지하였다. 미숙아 망막증은 35명(50.0%)에서 발생하였으며, 700 g 이하 신생아에서 9예(26.5%)로 가장 많았다. 또한 괴사성 장염은 3명(4.3%)이었다. 결론: 본 연구는 국내에서 처음으로 진행된 BPD의 전국적인 다기관 역학 조사로, 대상 신생아의 Ogawa 분류에 의한 BPD 유병률은 1.6% 이었고 1,500 g 미만 신생아의 25.3%이었으며, 전체 신생아의 BPD 70명 중 Ogawa 분류의 I, II형이 각각 24.3%, 62.9%로 대다수를 차지하였다. Purpose: As the neonatal intensive care advanced, the incidence of neonatal bronchopulmonary dysplasia (BPD) has increased. We conducted a multi-center investigation of the prevalence of BPD in six hospitals to investigate the epidemiology of BPD in Korea. Methods: Retrospective reviews ware performed for survival rate, prevalence of BPD of total 4,476 newborn infants who were admitted to neonatal intensive care unit in Konkuk university hospital, Sung-Ae General hospital, Kangbuk Samsung hospital, Chung-Ang university hospital, Konyang university hospital, and Gangneung Asan hospital between June, 2005 and May, 2007. By Ogawa, BPD was defined as oxygen dependency at 28 days after birth, with respiratory distress symptoms and the change of chest x-ray finding, and classified as 6 subtypes. Classic BPD was defined as oxygen dependency at 36 weeks of postmenstrual age. Results: Survival rate at 28 day after birth was 98.7%. BPD infants by Ogawa classification were 70 (1.6% of overall newborn infants), classic BPD infants were 30 (0.7%). Especially, among 237 preterm infants with birth weight less than 1,500 gram who survived to 28 days of life, 60 (25.3%) had BPD by Ogawa classification and 23 (9.7%) had classic BPD. In Ogawa classification, infants with RDS as type I and II, were 17 infants (24.3%) and 44 infants (62.9%). Home oxygen therapy was performed 8 infants (11.4%). Prevalence of retinopathy of prematurity was 35 infants (50.0%), necrotizing enterocolitis was 3 infants (4.3%), and intraventricular hemorrhage was 6 infants (8.6%). Conclusion: Prevalence of BPD infants was 1.6% of overall newborn, 25.3% of preterm infants with birth weight less than 1,500 gram. Among 70 BPD infants, BPD by Ogawa classification with history of RDS as type I and II were 24.3%, 62.9% as the majority of BPD. This study would be the first report of epidemiology of Korean BPD infants by multi-center study.

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