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임부의 연령에 따른 보완대체요법에 관한 인식 태도 경험 비교 연구
김연진,김지연,노경민,신혜리,유예지,이지민,장희조,정아인,최소정,강숙정,이향연,민혜영 이화여자대학교 간호과학대학 2016 이화간호학회지 Vol.- No.50
Purpose: This study aims to test if the age of pregnant women affects the perception, experience, and attitude towards complementary alternative therapy (CAT), by investigating the perception, experience, and attitude of pregnant women under the age of 35, and above 35 (Advanced Maternal Age). The study will 1) find the general characteristics of pregnant women under and over the age of 35 2) compare the perception, behavior, and experience of pregnant women under and over the age of 35, and 3) find the comparison of the perception, behavior, and experience according to the general characteristics of pregnant women under and over the age of 35. Method: The subjects of this study are composed of 44 women under the age of 35 and 44 women above the age of 35, totaling 88 pregnant women visiting midwiferies, obstetrics and gynecology, and baby fairs in Seoul and Gyeong-Gi area. Data for this study was collected from November 28, 2015 to January 6, 2016 for 40 days. The collected data analyzed mean, standard deviation, t test, ANOVA, and chi-square by using SPSS 23.0. Result Results show that there is a significant difference in the perception, attitude, and experience of the two-sample groups in the use of CAT. The question of “what is most necessary when applying CAT in a hospital clinical environment” for the perception criteria came out with the results of t=9.980, p<.05. For the attitude, results showed that the answers of pregnant women under the age of 35 displayed a more positive attitude towards CAT. (t=2.421, p<.05) Lastly, in the experience section, pregnant women under the age of 35 showed more CAT use than the other sample group. Conclusion Results have shown that there is a difference in the perception, behavior, and experience between the two sample groups. Therefore further research on the efficacy and the adverse effects of CAT needs to be done.
Effect of Terminalia chebula fruit on anaphylaxis by anal therapy
Shin, Hye-Young,Lee, Kyung-Bo,Jung, Yun-Hee,Kim, Eun-Ah,Lee, Mi-Young,Lee, Mi-Ri,Kim, Sang-Yong,Kim, Sang-Hyun,Shin, Tae-Yong Kyung Hee Oriental Medicine Research Center 2003 Oriental pharmacy and experimental medicine Vol.3 No.2
The effect of aqueous extract of Terminalia chebula fruit (Combretaceae) (TCAE) by anal administration on mast cell-dependent immediate-type anaphylactic reactions was investigated. TCAE (0.005 to 1 g/kg) inhibited systemic anaphylaxis induced by compound 48/80 in mice. When TCAE was pretreated at the same concentrations with systemic anaphylaxis, the plasma histamine levels were reduced in a dose-dependent manner. TCAE (0.1 and 1 g/kg) also significantly inhibited local anaphylaxis activated by anti-DNP IgE. TCAE (0.001 to 1 mg/ml) dose-dependently inhibited the histamine release from rat peritoneal mast cells (RPMC) activated by compound 48/80 or anti-DNP IgE. Moreover, TCAE (0.01 and 0.1 mg/ml) had a significant inhibitory effect on anti-DNP IgE-mediated tumor necrosis $factor-{\alpha}$ $(TNF-{\alpha})$ production from RPMC. These results provide evidence that anal therapy of TCAE may be beneficial in the treatment of systemic and local mast cell-dependent anaphylaxis.
코로나 팬더믹 사태의 고령자 일상생활 변화에 관한 탐색적 연구 - 기술 사용과 노인복지관 참여 제한을 중심으로 -
신혜리(Shin, Hye Ri),윤태영(Yoon, Tae Young),김수경(Kim, Su Kyoung),김영선(Kim, Young Sun) 한국노인복지학회 2020 노인복지연구 Vol.75 No.4
본 연구는 코로나19 위기 상황에서 비교적 건강하고 활동적인 노인들이 정보통신기술(ICT) 및 지역사회복지관 참여 제한과 관련하여 어떠한 경험을 하는지를 탐색한다. 전례를 찾아볼 수 없는 전염병 확산에 대한 이론 및 선행연구가 충분하지 않은 환경에서 노인 당사자들의 생생한 경험을 포착하기 위하여 질적 접근을 기반으로 탐색적 경험연구를 수행하였다. 자료를 수집하기 위하여 노인복지관에서 이용자, 자원봉사자, 참여자 등으로 참여하고 있는 60세 이상의 남녀 13명을 대상으로 개별심층면접 및 초점집단면접(FGI)을 실시하였다. 연구결과 연구 참여자들은 일상의 변화, 마스크 구매와 기술 이용에의 어려움, 그리고 노인복지관 참여의 제한을 경험하였다. 첫째, 연구 참여자들은 이동 및 신체활동 제한으로 인한 고립감과 우울감을 느꼈다. 둘째, 코로나19로 인하여 마스크 구매의 어려움을 경험하였고, 코로나19와 관련되어 기술 사용에 대한 욕구는 증가하였으나 기술의 활용은 가족 및 지인과의 교류에 따른 영향을 받았다. 마지막으로 노인복지관에서 이용자, 봉사자, 종사자로서 다양하게 참여하고 있던 노인들은 코로나19로 인하여 노인복지관 운영이 중단됨에 따라 무료함, 부실한 식사, 소득 중단 등 다양한 어려움에 직면하였다. 코로나19 위기 상황에서 사회적 거리두기는 불가피하며 감염 위험을 최소화할 수 있으나, 장기간의 사회적 고립은 심각한 심리사회적 문제로 이어질 수 있다. 본 연구는 코로나19 위기 상황에서 노인의 삶의 질 향상을 위해 비대면 상담 프로그램 및 긴밀한 사회적 교류 등이 필요함을 제안한다. This study explores the experiences of relatively healthy and active elderly people amid COVID-19 in relation to information communication technology (ICT) and restrictions on participation in elderly welfare centers. Under the condition that there are not enough theories and previous studies on this pandemic disease, an exploratory empirical study based on a qualitative approach is suitable to capture the vivid experiences of the elderly. In order to collect data, an in-depth interview and focus group interviews (FGIs) were conducted with 13 participants aged 60 years or older who participated in an elderly welfare center as users, volunteers, and employees. As a result of the study, the participants experienced changes in daily life, difficulty in purchasing masks and using technology, and restrictions on participation in elderly welfare centers. At this time, the degree of acceptance of the technology was influenced by exchanges with acquaintances and family members. Lastly, it was found that the elderly, who were variously participating as users, volunteers, and employees in the elderly welfare center, faced various challenges such as weariness, nutritional deficiency, and suspension of income due to the shutdown of the center amid COVID-19. Social distancing during the COVID-19 crisis is inevitable and a way to minimize the risk of infection, but long-term social isolation also can lead to serious psycho-social risks. This study suggests the need for non-contact counseling and social contact with close acquaintances to improve the quality of life of the elderly.
스웨덴 알메달렌의 경제적 효과 분석을 통한 지역축제 성공방안 모색
신혜리(Hye-Ri Shin),홍희정(Hee-Jeong Hong) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.1
이 연구는 한국에서는 논의 된 적 없는 스웨덴의 알메달렌 사례를 중심으로 지역축제가 지역 경제 활성화에 기여하였는지에 대해 실증적 관점에서 연구하고자 하였다. 이를 위해 알메달렌 개최 기간 동안 고틀란드의 사회 · 문화적 측면과 경제적 측면을 3단계로 분석하고 평가함으로써 향후 한국에서의 알메달렌 벤치마킹에 정책적 시사점을 도출하고자 하였다. 스웨덴 알메달렌의 경제적 효과를 3단계에 걸쳐 분석한 결과, 1단계 자원조사분석에서는 고틀란드의 아름다운 자연경관을 바탕으로 관광객 유치에 긍정적인 효과가 있는 것으로 나타났다. 2단계 운영평가에서는 지역경제 활성화와 관련한 평가지표로서 인구의 증가 및 안정에 대해 살펴본 결과, 고틀란드는 꾸준히 새로운 인구의 유입과 다양한 일자리가 창출됨으로써 지역 소득이 증대되는 것을 확인 할 수 있다. 마지막 3단계 지역이미지 제고에서는, 각계각층의 다양한 구성원이 고틀란드 축제에 참가함으로써 외부와의 소통이 유연해지고, 사회참여 기회가 증가함으로써 지역 이미지에 긍정적인 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 스웨덴 지역축제인 알메달렌을 벤치마킹하기 위한 정책적 시사점은 다음과 같다. 첫째, 다양한 사람들의 참여를 유도하기 위한 적합한 장소의 선정이 필요하다. 둘째, 특정 기관 중심의 일방적 정보 제공이 아닌 의견을 주고 받을 수 있는 소통의 장이 될 수 있도록 해야 한다. 셋째, 비영리를 목적으로 진행하면서 지역 이미지를 긍정적으로 변화 시킬 수 있는 노력이 필요하다. This study attempted to do a research on whether local festivals contributed to local economic vitalization in an empirical aspect focusing on Almedalen`s case of Sweden has not been discussed in Korea. For this, by analyzing Gotland`s sociocultural and economic aspects into 3 steps and evaluating them, the study tried to derive policy implications for benchmarking Almedalen in Korea in the future. As a result of analyzing the economic effect of Almedalen in Sweden into 3 steps, it was shown that in the analysis of resources in Step 1, Almedalen positively affected tourist allurement based on Gotland`s beautiful natural landscape. In the evaluation of operation in Step 2, according to the result of examining an increase in population and stabilization with a valuation index related to the activation of local economy, Gotland was steadily seeing a new inflow of population, due to which it can be confirmed that local income increases as various jobs are being created. Finally, as a result of examining the improvement in local image in Step 3, it was shown that as diverse members from all walks of life participated in Gotlands festival, external communication became flexible and the opportunity of social participation increased, which positively affected local image. Based on the study results, the policy implications for benchmarking Almedalen, Sweden`s local festival, are as follows: First, selecting an appropriate place for attracting the participation of various people is needed. Second, local festivals should be places for communication to exchange opinions, not specific institute-oriented unilateral provision of information. Third, while advancing local festivals for nonprofit, the efforts to make positive changes in local image are needed.
( Bo Hye Kim ),( Hee Kyung Kim ),( Hye Jeong Cho ),( So Dam Hong ),( Jae Kyoung Shin ),( Hee Jin Hong ),( Sae Ahm Kim ),( Hak Su Kim ),( Suk Pyo Shin ),( Ha Na Park ),( Seong Gyu Hwang ),( Kyu Sung Ri 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Pyogenic liver abscess is the most common type of visceral abscess with a mortality rate of 10% to 25%. The mortality of liver abscess markedly decreased due to the improvement of diagnostic methods, antibiotics and other treatment modalities. We describe the clinical feature, changing trends of etiology and poor prognostic factors of pyogenic liver abscess during the recent 2 decades. Methods: We retrospectively reviewed the medical records of patients with pyogenic liver abscess who were treated in CHA Bundang Medical Center between 1996 and 2014. The period was divided into period 1 (1996-2004) and period 2 (2005-2014). We compare these two groups in age, etiology, etc. Results: 148 patients were indentifi ed. 60 patients were included period 1 and 86 patients were included period 2. There were no signifi cant interval changes in symptom, sign, number and size of abscess and laboratory fi nding between the two periods. The average age increased in period 2 (aged 62. 7) relative to period 1 (aged 57. 2) (P=0. 001). Klebsiella pneumoniae was the most common pathogen both two periods. The most common infection route was biliary tract (45. 5%) in period 1 and cyptogenic cause (53. 8%) in period 2 (P=0. 042). Interestingly, the percentage of hepatobiliary malignacy in etiology increased from 4. 5% in Period 1 to 10. 2% in period 2. (P= 0. 03) Liver abscess originated from hepatobiliary problem showed a higher recurrent rate (P=0. 018). Conclusions:The average age of patients with pyogenic liver abscess has increased substantially and the predominant pathogen originates from the biliary tract because biliary procedures has increased. Hepatobiliary malignancy is the major risk factor and poor prognostic factor for pyogenic liver abscess. Therefore early diagnosis and close observation is important for patients with biliary problem or hepatobiliary malignancy.