• 대한불안의학회지
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• 제10권2호
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• pp.176-181
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• 2014

Objective : Despite high prevalence and effective treatments of panic disorder, lots of patients are not properly treated due to lack of awareness of the disorder. This study summarizes and presents the results from Public Awareness Survey of Panic Disorder during the Mental Health Exposition held in Seoul in April, 2014. Methods : A total of 401 participants who visited the booth of the Korean Academy of Anxiety Disorder agreed and completed the survey. The questionnaires comprised of three sections; first, after given a case of patient with panic disorder, participants were asked to choose a diagnosis and treatment options. Second, participants were asked to differentiate the symptoms of panic disorder from those of other mental disorders and answer where they acquired the knowledge of the disorder. Third, visual analogue scales were used to get more detailed information for several issues about panic disorder. The incidence and ratio for each question were provided and compared. Results : Among the participants, 78% reported a patient within the case need treatment, and 30% accurately recognized it was panic disorder. As for treatment needed, 40% selected psychotherapy by psychiatrists, 28% chose counseling by psychologist, 23% said that they can overcome it by self-care. Only 2% of participants selected the pharmacotherapy as treatment needed. Approximately 40% of participants have encountered information about the disorder from gossips of celebrities, 32% from mass-media, and merely 6% from medical professionals. About 80% of participants could discriminate the symptom of panic disorder from those of depression, schizophrenia, or generalized anxiety disorder. Conclusion : Our results suggest that substantial proportions of participants have the awareness of panic disorder, while as for treatment they were strongly biased against pharmacologic treatments. Most of their source of the awareness was not relied upon professional information. Efforts for giving correct information and increasing public awareness of panic disorder are needed to bridge a gap between professionals and general public.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.59-63
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• 2015

Background: The standard treatment of local advanced nasopharyngeal cancer is chemoradiotherapy. There is a lack of data concerning induction therapy. In this study we retrospectively examined patients treated with induction therapy and chemoradiotherapy. Materials and Methods: Locally advanced nasopharyngeal cancer patients treated between 1996 and 2013 in our clinic were included in the study. Three different induction regimens were administered to our patients in different time periods. The regimen dosages were: CF regimen, cisplatin $50mg/m^2$ 1-2 days, fluorouracil $500mg/m^2$ 1-5 days; DC, docetaxel $75mg/m^2$ 1 day, cisplatin $75mg/m^2$ 1 day; and DCF, docetaxel $75mg/m^2$ 1 day, cisplatin $75mg/m^2$ 1 day, 5-Fu $750mg/m^2$ 1-5 days. Most of the patients were stage III (36.4%) and stage IV (51.7%). Results: Median follow-up time was 50 months (2-201 months). Three-year progression-free survival (PFS) was 79.3%, and 5-year PFS 72.4% in all patients. Three-year overall survival (OS) was 87.4% and 5-year OS 76% in all patients. In terms of induction therapies, 3-year OS was 96.5% in the DCF group, 86.6% in the DC group and 76.3% in the CF group (p=0.03). Conclusions: There was no significant differences in response rate and PFS between the three regimens. OS in the DCF group was significantly higher than in the other groups. However, this study was retrospective and limited toxicity data were available; the findings therefore need to be interpreted with care.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3129-3132
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• 2014

Aims: Genome-wide association studies (GWAS) have identified several risk variants for prostate cancer (pCa) mainly in Europeans, which need to be further verified in other racial groups. We selected six previously identified variants as candidates and to define the association with PCa in Northern Han Chinese. Methods: 749 subjects from Beijing and Tianjin in Northern China were included. Six variants (rs10505474, rs7837328, rs4242384, rs7813, rs486907 and rs1058205) were genotyped by high resolution melting (HRM) assays. The individual and cumulative contribution for of the risk of PCa and clinical covariates were analyzed. Results: Among the six candidate variants, onlyrs10505474, and rs7837328, both locating at 8q24 region, were associated with PCa in our population.rs10505474 (A) was associated with PCa ($OR_{recessive}=1.56$, p=0.006); and rs7837328 (A) was associated with PCa ($OR_{dominant}=1.38$, p=0.042/$OR_{recessive}=1.99$, p=0.003). Moreover, we observed a cumulative effects between them ($p_{trend}=2.58{\times}10^{-5}$). The joint population attributable risk showed the two variants might account for 71.85% of PCa risk. In addition, we found the homozygotes of rs10505474 (A) and rs7837328 (A) were associated with PCa clinical covariants (age at onset, tumor stage, respectively) ($p_{age}=0.046$, $P_{tumorstage}=0.048$). Conclusion: rs10505474 (A) and rs7387328 (A) at 8q24 are associated with PCa and cumulatively confer risk, suggesting the two variations could determine susceptibility to PCa in the Northern Chinese Han population.

• 벤처창업연구
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• 제13권4호
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• pp.155-168
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• 2018

본 논문은 스마트 카의 다양한 기능 중 30개를 선별하고 이에 대한 고객의 요구사항을 실증적으로 분석하였다. 각 기능의 실질적 효과와 소비자가 인식하는 만족도가 비선형적 관계라는 가정 하에, Kano모형을 분석의 주요 도구로 사용하였다. 또한 기존의 Timko 계수를 활용하여 이들 간의 표준편차를 이용한 Timko분산과 Kano 품질속성의 분포를 표시하는 Kano분포지수의 두 지수를 새로이 설정하여 분석 결과를 정량적으로 평가할 수 있는 분석 모형을 제시하였다. 선행 연구에 따르면 전통적 Kano식 질문은 일반 고객들을 설문대상으로 채택하는 경우, 스마트 카와 같이 아직 일반화가 덜 되었거나 또는 대중화가 진행 중인 신기술의 품질 평가에 한계를 나타내었다. 본 연구에서 스마트 카의 품질요소와 같이 신기술을 활용한 품질요소들은 Kano식 분석을 하는데 있어서 일반적인 상품이나 서비스와는 다른 분석 방식, 즉 일정 통제 변수를 활용해야 다양한 품질속성의 결과를 얻을 수 있음을 계량적으로 밝혔고 이를 실증적으로 보여주었다. 본 연구는 스마트 카의 기능이라는 아직 국내에서 연구사례가 희소한 분야를 연구대상으로 하였다. 13개의 응답자 그룹으로 분류하고 계량적 지수로 분석을 시도한 최초의 연구 사례로 볼 수 있다. 다른 유사한 신기술 분야를 대상으로 한 일반적 소비자 연구에 본 연구가 적용될 수 있을 것이다.

• 유통과학연구
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• 제10권11호
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• pp.61-70
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• 2012

Purpose - The entry of Super Supermarkets (SSM), operated by large corporations, into the retail distribution market weakens the competitive power of local supermarkets (SM) and their families leading to a rapid collapse of the local-SM market. Accordingly, this is a very sensitive and urgent issue in Korean society and politics. Therefore, the government is required to take steps to activate a local-SM market and regain the loyalty of their customers. However, in spite of the urgent need of a comparative study on the advantages and competitive power of local-SM in relation to the SSM, little research has been done on this issue to date. One purpose of this study is to analyze the differences in store characteristics of the local SM and SSM, and to explore the relationships amongst various store characteristics, such as consumption emotion, relation quality, and store loyalty between store types to provide an efficient solution to activate a local-SM market. Research design, data, methodology - To analyze the differences in the evaluation of store characteristics between store types, and to test the moderator and mediator effects, data were collected from 488 customers in Seoul, Incheon,and Gyeonggi Province. The theoretical model consists of four hypotheses, and data was processed to test these using factor analysis, t-test, regression analysis, hierarchical regression, and the three step regression proposed by Baron and Kenny. Results - First, the analysis shows that local-SM customers evaluate location characteristic factors significantly higher compared to SSM customers. However, SSM customers evaluate quality of merchandise, sales promotion activities, and store environment significantly higher. Yet, there are no significant differences in the evaluation of consumption emotion, relation quality,and store loyalty between the store types. Second, the analysis of moderator effects of the store type show that sales promotion and store atmosphere factors have a significantly negative moderating effecton positive consumption emotion, while positive consumption emotion has a significantly positive moderating effect on absorption of relation quality, while there are no significant moderating effects between consumption emotion and store loyalty. Third, while both trust and absorption of relation quality are partially mediated between consumption emotion and store loyalty, only absorption is partially mediated between positive consumption emotion and store loyalty. There are no significant mediating effects of absorption between negative consumption emotion and store loyalty. Conclusions - We strongly recommend that location restrictions on entrance of SSM into local-SM market should either be further strengthened or sustained for the activation of the local store market. Government should strengthen financial support to improve the quality of merchandise, sales promotion, employee education, store environment of the local-SM by providing appropriate business consulting. Moreover, the result implies that the owners of alocal-SM should take measures to increase customers' absorption and store loyalty, such as store cleanliness, maintaining a delightful atmosphere at the store, and training employees on attitudes towards customers. As this study is restricted within Seoul, Incheon, and Gyeonggi Province, care needs to be taken in generalizing the interpretation and application to the national level.

• 한국콘텐츠학회논문지
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• 제19권11호
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• pp.314-324
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• 2019

2017년 기준 1,825개 인증 사회적기업 가운데 장애인을 고용한 곳은 593(32.5%)에 이르지만 사회적기업 재직 장애인 근로자의 직무성과와 직무만족에 대한 연구는 거의 없는 실정이다. 본 연구는 2019년 3월에서 6월까지 서울과 경기도에 소재하는 사회적 기업에 근무하는 장애인 근로자 203명을 대상으로 장애인 근로자의 자기효능감, 사회적지지, 임금 및 처우, 상사관계, 동료관계가 직무성과와 직무만족에 영향을 주는 요인이 무엇인지 탐색적으로 검정하는 데 목적이 있다. 본 연구의 시사점으로는 첫째, 장애인 근로자의 직무성과에 긍정적 영향을 주는 요인은 자기효능감과 동료관계로 국내 사회적 기업에 종사하는 장애근로자가 인지하는 동료들과의 신뢰와 존중, 직무와 관련한 어려움 발생 시 서로 도움을 주고받으며 직장동료와의 편견 없이 직무를 열심히 수행하는 것이 직무성과로 이어지고 있음을 보여주고 있다. 둘째, 직무만족에는 현재 장애인 근로자가 인지하는 능력과 기술, 현재작업량이 나의 능력에 맞고 회사의 임금을 결정하고 현재의 월수입으로 이전보다 안정된 생활을 할 수 있다는 인식이 직무만족으로 이어졌다. 셋째, 상사와의 커뮤니케이션을 통한 일의 도움을 받거나 일을 격려하고 나의 자율성을 인정해 줄 때, 직속상사에 대하여 개인적인 신상문제에 대한 관심 등은 직무만족으로 이어질 수 있음을 보여주고 있다. 마지막으로, 본 연구에서 장애인이 인지하는 사회적 지지는 업무성과나 직무만족에 긍정적 영향을 보이지 않고 있다는 점에서 장애인 근로자에 대한 사회적 인식의 변화도 필요하다 하겠다.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.196-202
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• 2012

Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiac-related examinations. Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups, which one with elevated Tn-I level ($Tn-I{\geq}0.1ng/dL$) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes. Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant. Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care.

• 대한방사선기술학회지:방사선기술과학
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• 제34권1호
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• pp.35-41
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• 2011

항암 치료를 받는 환자들은 장기간의 안정적인 정맥확보를 위해 중심정맥 카테터 삽입이 점차 증가하는 추세로 장기간의 항암제 투여, 종합 비경구적 영양법, 반복적 혈액채취와 항생제 투여, 혈액 투석을 위해 시행되고 있다. 그중 주입구를 완전히 피하에 심는 피하매몰형 중심정맥포트(chemo-port)의 설치가 많이 시행되고 있다. 본 연구에서는 항암치료를 받은 환자 중 중재적 방사선과에서 전형적인 카테터 끝이 열려 있는(non-valved) 포트와 새로운 형태의 카테터 끝이 닫혀 있는(valved) 포트를 삽입했던 환자를 대상으로 발생한 합병증이나 문제점에 관한 후향적 조사를 바탕으로 올바른 피하매몰 중심정맥 포트의 선택 및 관리, 해결 방안을 모색하고자 함이다. 2006년 1월부터 2010년 5월까지 피하매몰 중심정맥포트를 삽입한 438명을 대상으로 하였다. 이중 valved 포트를 삽입한 경우는 109명이었고 non-valved 포트를 삽입한 경우는 329명이었다. 포트의 사용상의 문제점을 의뢰한 56명 중 실제로 발생된 30명의 합병증이나 문제점을 valved. non-valved 포트로 나누어 비교 평가하였다. 포트 시술 후 valved 포트에서 문제점과 합병증이 11.93%, non-valved 포트에서 문제점과 합병증이 5.17% 발생하여 상대적으로 valved 포트에서 문제가 더 많이 발생하였다. Valve사용 유무에 따른 포트 사용 시 두께가 얇은 포트의 사용을 권장하고 시술시 환자 감염이 유발하지 않게 가이드라인을 설정해야 하며 시술이후에도 포트를 사용 시 전용바늘을 사용하고 사용 후 생리식염수의 의한 관 세척 등 포트관리에 체계적인 관리가 필요하다. 추가적인 문제점이 발생 시 원인을 찾아내어 해결책을 제시하고 향후 반복적인 합병증이나 문제점이 발생하지 않게 하여 포트 삽입술의 유용성과 안전성을 증대해야 한다.

• 재활치료과학
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• 제2권1호
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• pp.87-91
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• 2013

목적 : 본 연구는 첫째, 지역사회 아스퍼거 장애 아동을 대상으로 대처모델(coping model)을 적용한 작업치료 평가를 실시한다. 둘째, 평가결과를 바탕으로 중재계획을 수립해 본다. 연구방법 : 본 연구에 참여한 대상자는 지역사회 아동시설에 거주하는 만 7세 남자 아동이다. 대처모델을 바탕으로 2주간 외적 및 내적 요인으로 나누어 평가를 실시하였다. 외적 요인 평가에는 대상자와 주변환경의 상호작용 및 학교와 지역사회 참여에 대한 내용이 포함되어 있다. 내적 요인 평가는 관찰과 구조화된 평가를 통한 발달 상태와 의학적 상태를 확인하고, 상황에 대한 적절한 기분과 감정 상태에 대한 관찰이 포함되어 있다. 결과 : 대처모델을 적용하여 작업치료 평가가 이루어진 후, 중재 계획을 수립하였다. 첫째, 시간자원을 효과적으로 사용할 수 있도록 한다. 둘째, 지연된 운동 능력을 향상시키기 위해 소운동 영역에 대한 중재 프로그램을 실시한다. 셋째, 아동이 조절하지 못하는 행동들에 대한 자기조절방법과 대처 방법에 대한 교육을 실시한다. 넷째, 시설 내에서 아동에게 지속적으로 관심을 가지고 관리해 줄 수 있는 인적, 물리적 자원에 대해 찾아보고 이를 활용할 수 있도록 한다. 결론 : 본 연구는 지역사회 아스퍼거 아동을 대상으로 대처모델을 적용한 작업치료 평가 및 중재계획을 수립하였다. 향후 연구에서는 직접적인 중재를 통해 실질적인 모델 적용 사례를 제시되어야 할 것이다.

• 보건의료산업학회지
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• 제1권1호
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• pp.59-74
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• 2007

Considering the characteristics of the Korean family which maintain a close connection with their patients from the moment of their falling sick to hospitalization to discharge, the family is the most important environmental factor of the social supporting system, and is the important object of the client as well as activity system. The medical social work intends to meet the practical needs of aged chronic patients, providing them and their family with a professional human service. The end of this study is to find out the hardships of both the aged chronic patients and their family as well as their needs for the social welfare service, and to search out the way of comprehensive social work service. The summary of the analysis of the survey is as follows: 1. The needs of aged chronic patients are divided into those of the solution of the problems of falling ill, social welfare program and discharge. Those needs arc affected by the various factors of the types of hospitals, the patients' age, the kinds of insurance, and the supporting systems, etc. Accordingly, the assessment of the needs of the patients are asked to be done comprehensively in accordance with the kinds of diseases and social environments. 2. The importance of the family to the aged chronic patients is evident. The family plays a decisive role in the patients' hospitalization and discharge, the family being an important supporting system and making it necessary to take an approach to client system. The family has difficulty in getting connection of community resources, in adapting to social life after the patient's discharge, and in paying the treatment. The family suffers the secondary hardships more than the burden of the treatment expenses. 3. For this reason various interventions are needed to reduce the stress caused by supporting and nursing patients. Thus the social welfare service for the aged chronic patients and their family needs the following prepositions: 1. It is the characteristics of the aged chronic patients that they need continuous care and that the strengths of the patients and their family cannot be too much emphasized, and that comprehensive assessment based on the connection 'with the community and the mutual interchange 'with the environment, is much emphasized. 2. The family of the aged chronic patient is a resources system as well as a client one. 3. Another characteristic of the aged chronic patients is that with the resources connection in mind, it needs an active intervention of social workers in the community. With these prepositions considered, the development of practical social work service for the aged chronic patients is thought urgently needed.