초음파 유도하 생검후 병리학적 진단이 불가능하였던 간종괴에 관한 고찰 : Analysis of False Negative Results

서보경,서형석,김택군,이기열,조성범,김윤환,박철민 대한초음파의학회 1998 ULTRASONOGRAPHY Vol.17 No.1

秦氏와 ‘遣唐使’ - 秦朝元 부자의 入唐 사례를 중심으로 -

서보경 동양사학회 2020 동양사학회 학술대회 발표논문집 Vol.2020 No.8

新撰姓氏錄의 기초적 연구

서보경 일본학연구소 2017 한림일본학 Vol.30 No.-

5세기의 高句麗와 倭國 -宋書 倭國傳의 倭武王 上表文에 나타난 '고구려 정토' 문제를 중심으로-

서보경 충남대학교 백제연구소 2006 百濟硏究 Vol.43 No.-

高句麗와 倭國의 관계를 해명하기 위한 첫 단계로서 武의 '고구려 정토'의 실재성을 증명하는 기본 논거를 검토했다. 아울러, 검토 결과를 기반으로 하여 武가 對宋 교섭을 시도한 실제 의도를 규명하고자 했다. 우선, '蓋盧王의 상표문'에 제시된 고구려의 백제 침탈 '시기'라는 문제를 동시대 한·중 관계 사료와의 비교를 통해 살펴보았다. 그 결과, 개로왕이 고구려의 침탈의 시점으로 '馮氏의 종말기'를 강조한 것과 '30 여년에 걸친 침탈상'을 강조한 것이 모두 북위를 대상으로 한 '외교적인 수사'에 지나지 않는 것임을 규명했다. 다음으로, 고구려를 둘러싼 동아시아 諸國의 움직임을 통해 백제와 왜국의 '군사동맹' 여부를 살펴보았다. 이 경우, 개로왕이 구상한 '反高句麗軍事同盟'의 구도가 南으로는 가야와 신라, 北으로는 물길과 북위에 이르렀음을 추론해 냄으로서, 倭國이 '反高句麗軍事同盟' 구도에 포함되어 있지 않았음을 명시했다. 더구나, 5세기 초 이후에 전개된 고구려와 백제의 어떠한 전투에도 왜군의 개입 흔적을 찾을 수가 없었다. 따라서, 백제와 왜국이 고구려에 대한 '군사동맹' 관계를 지속적으로 유지하고 있었다고 보기는 무리가 따름을 확인했다.마지막으로, 두 가지 전제에 대한 검토에 기초하여 武의 對宋 교섭의 의도를 검토했는데, 상표문에 제시된 武의 요청 사항은 두 가지였다. 그 하나가 '고구려 정토'에 대한 원조였는데, 이것은 송을 둘러싼 당시의 주변 상황을 고려할 때 현실에 기반을 둔 요청이었다고 보기 어렵다는 사실을 지적했다. 다른 하나는 송 황제에게 將軍號와 官職號를 요청한 것이었다. 이 경우, 政變을 통해 왕위에 오른 武 즉 雄略天皇이 자신의 장군호와 屬僚의 관직호의 요청을 통해 왜국의 결속과 통합을 지향하고자 했음을 명확히 했다.위와 같은 검토는, 武의 對宋 상표문의 실재성을 논증해 온 기존의 두 가지의 논리-백제와 '군사동맹' 상태였던 왜국이 430년대 말 이래 고구려의 공격 대상이 된 백제를 구원하기 위해 고구려 정토를 계획하고 실행에 옮기려 했다-가 내포한 문제점은 물론이고, '고구려 정토'를 주장한 武의 상표문 내용이 '고구려'와 '왜국' 관계의 실태를 나타낸 것이 아님을 분명히 보여준다고 생각된다.

의료진의 커뮤니케이션 스타일과 증상의 심각성 수준이 환자의 신뢰, 만족, 순응도에 미치는 영향

서보경,복혜진,조은희,김성호 한국고객만족경영학회 2020 고객만족경영연구 Vol.22 No.2

This study analyzes the interaction between the severity of a patient’s symptoms and the communication style of healthcare providers in medical services and proves how it affects the patient’s trust, satisfaction, and compliance levels. To achieve this objective, this study examines patient reactions to various communication styles of healthcare providers and verifies the impact of symptoms’ severity and communication styles on trust, satisfaction, and compliance. It also comprehensively analyzes the impact of trust and satisfaction on compliance. The following results are obtained. First, whether healthcare providers’ communication styles are cooperative or controlling does not have a statistically significant effect on trust, satisfaction, or compliance. Second, the interaction effect between healthcare providers’ communication styles and the severity of symptoms has a significant effect on trust and satisfaction but not on compliance. Third, healthcare providers’ trust and satisfaction have a significant positive effect on compliance and this effect is greater for trust than satisfaction. Based on the above results, this study empirically shows that there is no definite answer as to the best communication style for a healthcare provider. This study is important as it derives an optimal communication style for each level of severity of a patient’s symptoms. Lastly, it presents practical implications for building strategies to improve healthcare providers’ communication styles. 본 연구의 목적은 의료 서비스에서 환자 증상의 심각성과 의료진의 커뮤니케이션 스타일의 상호작용을 분석하고, 환자의 신뢰, 만족, 순응도에 미치는 영향을 규명하는 데 있다. 이를 위해 의료진의 커뮤니케이션 스타일에 따른 고객 반응을 살펴보고, 증상의 심각성과 커뮤니케이션 스타일이 신뢰, 만족, 순응도에 미치는 영향을 검증하였다. 또한, 신뢰와 만족이 순응도에 미치는 영향을 통합적으로 분석하였다. 해당 연구의 결과를 요약하면 다음과 같다. 첫째, 의료진의 커뮤니케이션 스타일이 협력적인지 통제적인지에 따라 신뢰, 만족, 순응도에는 통계적으로 유의하지 않았다. 둘째, 의료진의 커뮤니케이션 스타일과 증상의 심각성 수준 간의 상호작용 효과는 신뢰와 만족에는 유의하였으며, 순응도에는 유의하지 않았다. 셋째, 의료진의 신뢰와 만족은 순응도에 정의 영향을 미치고, 신뢰가 만족보다 더 큰 효과가 있는 것으로 나타났다. 이를 바탕으로, 의료진의 커뮤니케이션 스타일은 이분법적으로 어떤 커뮤니케이션이 좋다고 볼 수 없다는 점을 실증적으로 입증하고, 환자 증상의 심각성을 고려한 상황별 최적의 커뮤니케이션 스타일을 도출했다는 점에서 의미가 있다. 또한, 의료진의 커뮤니케이션 능력을 높일 수 있는 전략 수립을 위해 실무적인 시사점을 제시한다.

중등 영재 지도교사들의 융합인재교육(STEAM)과 융합영재교육에 대한 인식

서보경,맹희주 韓國英才學會 2016 영재교육연구 Vol.26 No.1

This research studies the perception to gifted education teachers between the middle school gifted education for STEAM and Convergence Gifted Education for revitalizing Convergence Gifted Education. The conclusions according to the analysis, it shows that the awareness of gifted education teachers for Convergence Gifted Education is lower than the level of the awareness for STEAM, and it appears that the Gifted education teachers especially has the experience adapting Convergence Gifted Education who awareness for Convergence Gifted Education is the highest. On the other hand, not only teachers has the experience adapting Convergence Gifted Education and the very poorly recognition for the task of Comprehensive Plan for Gifted Education promotion including the development of an creative and convergence content, a they has the very low experience for the development. And it analyzes that although there is no meaningful differences, teachers who are in science gifted teachers and the mature experienced man realizes very optimistically the necessity need of Convergence Gifted Education. Therefore, it analyzes that recognition to the necessity need of Convergence Gifted Education is reinforced through the training for the gifted teachers in the mathematics gifted education and in less teaching experience. But it points out that answers over the majority cognized to resemble the Convergence Gifted Education and STEAM, though the object is only different. Furthermore, it suggests that the differentiated Convergence Gifted Education curriculum providing the suitableness for the characteristic and level is needed for the desirable fixedness. 본 연구는 융합영재교육의 활성화를 위하여 중등 영재 지도교사들을 대상으로 융합인재교육(STEAM)과 융합영재교육에 대한 인식을 조사하였다. 연구 결과, 영재 지도교사들의 융합영재교육에 대한 인지도는 융합인재교육(STEAM)에 대한 인지도보다 더 낮은 것으로 나타났으며, 융합영재교육에 대한 인지도가 높은 교사들은 현장 적용 경험이 더 높은 것으로 나타났다. 반면 영재교육진흥종합계획의 추진과제로서 창의․융합형 콘텐츠 개발이 포함되어 있음에 대한 인지도는 매우 낮았으며, 콘텐츠 개발 경험 또한 매우 낮은 것으로 나타났다. 또한 통계적으로 유의미한 차이는 없지만 과학영재 지도교사와 영재 지도 경력이 높을수록 융합영재교육의 필요성에 매우 긍정적으로 인식하고 있는 것으로 나타나 영재교육 교원 연수를 통해 수학영재 지도교사와 저경력의 영재 지도교사들에게 융합영재교육의 필요성에 대한 인식을 강화시킬 필요가 있는 것으로 분석되었다. 그러나 과반 수 이상의 응답자들이 융합인재교육(STEAM)과 융합영재교육이 대상만 다를 뿐 유사하다고 인식하고 있는 것으로 나타나 융합영재교육의 올바른 정착을 위해 영역별 영재의 특성과 수준에 적합한 차별화된 융합영재교육이 필요함을 인식시킬 필요가 있는 것으로 시사되었다.

渡倭한 百濟系 韓人과 河內 —百濟王族의 渡倭와 관련하여—

서보경 역사학연구회 2009 사총 Vol.88 No.-

This paper aims to inquire the issue of Baekje people residing in Kawachi of Japan with respect of the international relation between Baekje and Wae. First, I looked over the move of the royalty from Baekje (百濟) crossing over to Wae (倭), that is Japan at present, with the focus on some of its members: Gonzi (昆支), Jijinwon (池津媛) and Jugun (酒君). Jugun worked at Ishikawa (石川) in Kawachi (河內), not Yamato (大和) as a base; Gonzi, at Aska (飛鳥) in Kawachi. Thus, all of these Baekje royal family members had a close relation with the area of Kawachi. It can be inferred from this result that royalty from Baekje were dispatched to Kawachi where Koreans (韓人) from Baekje passing over to Wae lived in groups in the islands. Therefore, as part of 'royal diplomacy', Jugun and Gonzi are thought to have been dispatched to the islands, fulfilling the role of managing people from Baekje living in Kawachi and contributing to maintenance of the Baekje-Wae alliance. Next, I cast a question of what kinds of needs the royalty of Wae had to admit the people of Baekje to migrate into Kawachi in groups. Based on some philological and archaeological materials, the development and governance in Kawachi throughout the fifth century reflected that large-scale immigration of people from Baekje into Kawachi was done (solely) after the royal authority of Wae had asked Baekje for engineering techniques needed for its massive development, one of Wae's major issues at that time. From the viewpoint of the royalty of Baekje, sending its people to Wae can be considered as a sort of people-dispatching, more specifically, sending forth its people in a certain region of a foreign country for the purpose of establishing a new and autonomous county there. After Baekje's request of building its autonomous county at Chukja (筑紫) was turned down by Wae, Baekje stopped dispatching people to Wae. Wae's disapproval was caused by the opposition from the party of Mononobe (物部) seen as relations of power inside Wae administration. Although the party of Mononobe was stepped down and that of Soga (蘇我) came to power and Baekje-Wae relationship became much closer again, no discussion on the request from Baekje was broached any more. Therefore, this issue can be clearly explained in terms of an antagonistic relationship between the two parties with some consideration of other factors as well. Throughout the sixth century, the royalty of Wae had spurred to centralize power. Given this situation, it can be inferred that Wae had no choice but to take sanctions against Baekje's direct governance of the its descendants living in the islands as well as of new settlers from Baekje. Accordingly, the issue that people from Baekje dispatched into Kawachi in the fifth century is considered a situation made by an interest between Baekje -sending forth its people and Wae-admitting Baekje's people.

지각된 의료진의 전문성과 상호작용성이 신뢰를 통하여 환자의 순응도에 미치는 영향

서보경,김성호 한국서비스경영학회 2019 서비스경영학회지 Vol.20 No.4

The purpose of this study is to empirically demonstrate the impact of perceived medical staff's expertise and interaction on the patient compliance through trust. The direct effect of medical staff's expertise and interaction, as well as the indirect effect of those factors through patient's trust, were examined using the patient compliance as the outcome variable. The results showed that medical staff's expertise had a direct effect on compliance and also, an indirect effect mediated by trust. On the other hand, interaction had a direct effect on compliance, although an indirect effect through the mediation of trust was not statistically significant. Based on the above, this study has a theoretical significance in that it comprehensively elucidated the causal relationship of expertise, interaction and trust with compliance. This study also exhibits a practical implication in that it has provided the basis for marketing strategies intended to enhance patients' trust and improve patient compliance.

Efficacy of Antibiotics Sprayed into Surgical Site for Prevention of the Contamination in the Spinal Surgery

서보경,문성환,김태환,오재근,권용신,박정섭,박문수 대한척추외과학회 2015 Asian Spine Journal Vol.9 No.4

Study Design: Retrospective study. Purpose: To evaluate the effect of intraoperative wound application of vancomycin on preventing surgical wound contamination during instrumented lumbar spinal surgery. Overview of Literature: Postoperative infection is the one of the most devastating complications of lumbar surgery. There are a few reports showing the benefits of intraoperative wound application of vancomycin during spinal surgery. However, there is no report about the effectiveness of local vancomycin instillation in prevention of surgical wound contamination. Methods: Eighty-six patients underwent instrumented lumbar spinal surgery. Mean patient age was 65.19 years (range, 23–83 years). There were 67 females and 19 males. During surgery, vancomycin powder was applied into the surgical site before closure in 43 patients (antibiotic group) and vancomycin powder was not applied into the surgical site before closure in 43 patients (control group). The tip of the surgical drain was cultured to evaluate surgical wound contamination. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were measured on the first, third, seventh, and fourteenth day after the operation. Results: We found two patients with a positive culture from the tip of surgical drains in the antibiotic group, and one patient with a positive culture from the tip of the surgical drain in the control group. Postoperative ESR and CRP levels did not show significant differences between the two groups. On the third postoperative day, ESR in patients of the antibiotic group was more significantly decreased than that in patients of the control group, while CRP level did not show a significant difference between the two groups. Conclusions: There was no evidence to suggest that intraoperative vancomycin application is effective in decreasing the risk of postoperative wound infection after instrumented posterior lumbar fusion surgery.

악성 간종양의 전산화단층촬영 소견 : 간피막의 함몰을 중심으로

서보경 대한영상의학회 1998 대한영상의학회지 Vol.38 No.2

Purpose : To evaluate the prevalence of capsular retraction in malignant hepatic tumors and the factorsinvolved. Materials and Methods : Between January 1994 and December 1996, we retrospectively reviewed the CT scansof 152 patients with pathologically-proven, peripherally-located, malignant hepatic tumors. We evaluated size,site, portal and hepatic venous obstruction, bile duct dilatation, and liver atrophy in 18 cases involvingcapsular retraction. Results : The overall prevalence of capsular retraction among malignant hepatic tumors was18/152(12%) ; the prevalence was 9/129(7%) in hepatocellular carcinoma, 6/14(43%) in cholangiocarcinoma and3/9(33%) in metastatic cancer ; among cases of cholangiocarcinoma and metastatic cancer, the prevalence washigh(p<0.05). Portal venous obstruction was seen in six patients with hepatocellular carcinoma (a high incidence ;p=0.041) and one with cholangiocarcinoma. Hepatic venous obstruction was demonstrated in one patient withhepatocellular carcinoma and one with cholangiocarcinoma. Among cholangiocarcinoma patients, bile duct obstructionwas seen in four and liver atrophy in three, but among metastatic cancer cases there were no similar findings.Conclusion : The main factors causing capsular retraction were portal venous obstruction in hepatocellularcarcinoma and bile duct obstruction and liver atrophy in cholangiocarcinoma.