농업부문의 기후변화 대응, 현황과 과제

임영아 (사)농정연구센터 2020 농정연구 Vol.73 No.-

갑상선 유두암의 술 전 경부 림프절 전이 예측을 위한 초음파검사와 CT 스캔의 효용성

임영아,강경호,김병섭,김이수,Young Ah Lim,M,D,Kyung Ho Kang,M,D,M,S,Byung Seup Kim,M,D,B,S,and Lee Su Kim,M,D,Ph,D 대한갑상선-내분비외과학회 2009 The Koreran journal of Endocrine Surgery Vol.9 No.3

Purpose: Lymph node (LN) metastasis of papillary thyroid carcinoma (PTC) is related to a high local recurrence rate and a low disease-specific survival rate. So, the diagnosis of LN metastasis according to the compartment is important for surgical planning. We evaluated the value of preoperative USG and CT for predicting LN metastasis Methods: USG, CT or both were performed preoperatively for 325 consecutive patients who were newly diagnosed with PTC and who were operated on between Dec 1, 2004 and Dec 31, 2008. The reports of the preoperative USG and CT were compared with the histopathologic results. The accuracy of these studies for assessing LN metastasis were calculated, and we investigated whether combined USG and CT (US/CT) showed any additional benefit over USG or CT only. Results: For the central compartment, USG, CT and US/CT showed high specificities (98.2%, 98.6%, 98.2%, respectively) and low sensitivities (7.1%, 4.6%, 12.0%, respectively),and US/CT showed higher sensitivity than CT only. For the lateral compartment, USG demonstrated higher sensitivity and lower specificity compared with CT (76.2% vs 43.5%, 50.0% vs 70.0%, respectively), and US/CT had a higher sensitivity than CT only (81.0% vs 43.5%, respectively). By the per patient analysis, the sensitivity of US/CT (38.6%) was higher than those of USG (30.6%) or CT (19.3%),and the specificity was highest for CT (96.4%). Conclusion: Prophylactic central LN dissection for PTC can be justifiedby the low sensitivity and high specificity of USG and CT for predicting central LN metastasis. For the lateral LN compartment, a combination of USG and CT can increase the sensitivity for predicting LN metastasis. (Korean J Endocrine Surg 2009;9:149-154)

병원 직원의 의료기관인증제 인식이 감염관리 수행도 및이직의도에 미치는 영향

임영아 인문사회 21 2022 인문사회 21 Vol.13 No.2

병원 직원의 의료기관인증제 인식이 감염관리 수행도 및이직의도에 미치는 영향임 영 아* 요약: 본 연구의 목적은 병원 직원의 의료기관인증제 인식이 감염관리 수행도 및 이직의도에 미치는 영향을 규명하고자 시도하였다. 연구대상은 병원에 근무하는 직원 319명으로 하였으며 자료 수집은 2020년 11월부터 12월 기간 동안에 구조화된 자기기입식 설문을 조사하였다. 연구 결과, 감염관리 수행도에 영향을 미치는 요인으로 연령(20대), 경력(1년 미만), 직위(직원), 직위(대리), 의료기관인증제 인식이 유의한 변수이고, 이직의도에 양향을 미치는 요인으로 성별(여자), 경력(1년 미만), 경력(1-5), 근무부서(의료기사), 직위(직원), 직위(대리), 의료기관인증제 인식이 유의한 변수로 선정되었다. 따라서 병원 직원의 감염관리 수행도를 높이고 이직의도를 낮추기 위해 의료기관인증제 인식을 위한 교육, 긍정적인 효과 인지, 노력에 대한 보상 등을 강화할 필요가 있다. 핵심어: 의료기관인증제 인식, 감염관리 수행도, 이직의도, 병원 직원, 보건 □ 접수일: 2022년 1월 17일, 수정일: 2022년 2월 3일, 게재확정일: 2022년 2월 20일* 유한대학교 보건의료행정학과 조교수(Professor, Yuhan Univ., Email: lya2773@Yuhan.ac.kr) The Effect of Healthcare Accreditation SystemAwareness on the Infection Control Performanceand Turnover Intention of Hospital StaffYounga Lim Abstract: The purpose of this study is to attempted to understand the effect of Healthcare Accreditation System Awareness on the Infection Control Performance and Turnover Intention of hospital staff. The subjects of this study were 319 working in hospitals, and data collection was from November to December, 2020 by using structured self-administrated questionnaire. As a result, factors influencing Infection Control Performance include age (20s), career (less than 1 year), position (employee), position (substitute), Healthcare Accreditation System Awareness, and factors influencing Turnover Intention include gender (female), career (less than 1 year), career(1-5),Department(medicaltechnician),position(employee),position(substitute), Healthcare Accreditation System Awareness. Therefore, it is necessary to strengthen education for recognition of the Healthcare Accreditation System Awareness, recognition of positive effects, and compensation for efforts in order to increase hospital staff’s Infection Control Performance and lower turnover intention. Key Words: Healthcare Accreditation System Awareness, Infection Control Performance, Turnover Intention, Hospital Staff, Public Health

OECD 농업환경공동작업반 동향

임영아 한국농촌경제연구원 2018 세계농업 Vol.209 No.-

대학병원 행정직원의 조직 갈등과 소진의 관련성

임영아 인문사회 21 2020 인문사회 21 Vol.11 No.5

This study was to investigate the relationship between organizational conflict and burn-out in administrative staff of university hospitals. The subjects of this study were 342 working in 4 university hospitals located in D metropolitan city. Data were collected from Oct. to Nov. in 2019 by using structured self-administrated questionnaire. As a result, the distribution of burn-out group was significantly higher in the higher group of organizational conflict, and the score of burn-out found to be in a important positive correlation with organizational conflict. In the result of logistic regression, The risk ratio for the “high-risk group” of burnout was the total organizational conflict and sub-domains (individual conflict, interpersonal conflict, intergroup conflict) significantly increased in the very high group (Q4) than in the low group (Q1). These findings suggest that the level of burn-out in administrative staff of university hospitals is significantly related to the organizational conflict. It is necessary to present realistic measures to resolve conflicts inside an organization in behalf of reduce burn-out for administrative staff at university hospitals. 본 연구는 대학병원 행정직원들의 조직 갈등과 소진의 관련성을 규명하고자 시도하였다. 조사대상은 4개 대학병원에 근무하는 행정직원 342명으로 하였으며, 자료 수집은 2019년 10월부터 11월까지의 기간 동안에 구조화된 무기명 자기기입식으로 설문조사에 의하였다. 연구결과, 조사대상자의 소진은 조직 갈등이 높을수록 유의하게 높았으며, 상관관계에서도 소진은 조직 갈등과 유의한 양의 상관관계를 보였다. 로지스틱 회귀분석 결과, 소진의 고위험 군이 나타날 위험비는 조직 갈등 총점 및 하위영역(개인적 갈등, 개인 간 갈등, 집단 간 갈등)이 낮은 군(Q1)에 비해 매우 높은 군(Q4)에서 유의하게 증가하였다. 위와 같은 결과는 대학병원 행정직원의 소진은 조직 갈등과 유의한 관련성이 있다는 것을 시사하고 있다. 따라서 대학병원 행정직원의 소진을 감소시키기 위해서는 조직 내 갈등을 예방하기 위한 현실적인 대책을 모색할 필요가 있다고 생각된다.

보건계열대학생의 의사소통능력 및 눈치가학업성취도에 미치는 영향

임영아 국제인문사회연구학회 2024 Studies on Humanities and Social Sciences (SHSC) Vol.6 No.1

보건계열대학생의 의사소통능력 및 눈치가학업성취도에 미치는 영향 임 영 아 연구 목적: 본 연구는 보건계열대학생의 의사소통능력, 눈치가 학업성취도에 미치는 영향을 파악하기 위하여 시도하였다. 연구 방법: 조사는 보건계열대학생 210명을 대상으로 하였고 자료 수집은 구조화된 자기기입식 설문조사를 실시하였다연구 결과: 학업성취도에 영향을 미치는 요인으로 연령(20), 연령(21), 연령(22), 연령(23), 학년(1학년), 학년(2학년), 수면 시간(5시간 미만), 의사소통능력, 눈치가 유의한 변수로 선정되었다. 결론 및 제언: 보건계열대학생의 학업성취도가 의사소통능력, 눈치와 유의한 관련이 있다. 따라서 보건계열대학생의 학업 성취도를 높이기 위한 방법으로 의사소통능력과 눈치를 향상시키기 위한 학습법 개발 및 전략이 필요하다. 핵심어: 학업성취도, 의사소통능력, 눈치, 대학생, 보건 The Effects of Communication Skills and Nunchi onAcademic Achievement of Health College Students Younga Lim* Abstract: This study attempted to determine the impact of communication skills and Nunchi on academic achievement of health college students. The survey targeted 210 health college students, and data was collected through a structured self-administered survey. As a result, factors affecting academic achievement were age (20), age (21), age (22), age (23), grade (1), grade (2), sleep time (<5), communication skills, nunchi were selected as significant variables. The academic achievement of health college students is significantly related to communication skills and nunchi. Therefore, it is necessary to develop learning methods and strategies to improve communication skills and nunchi as a way to increase the academic achievement of health college students. Key Words: Academic Achievement, Communication Skills, Nunchi, College Student, Health □ 접수일: 2024년 2월 11일, 수정일: 2024년 2월 21일, 게재확정일: 2024년 2월 28일* 유한대학교 보건의료행정학과 조교수(Professor, Yuhan Univ., Email: lya2773@yuhan.ac.kr)

Impact Assessment of Climate Change on Rain-fed Lowland Rice Productivity in Lao PDR and Farmers’ Adaptation Preference

임영아,이현정,전종안,김대하,이은정 한국농촌경제연구원 2019 한국농촌경제연구원 기본연구보고서 Vol.- No.-

Rice (Oryza sativa L.) is one of the most important crops in the context of food security and economy in Lao PDR. We attempted to provide adequate adaptation strategies to cope with climate change by the assessment of the climate change impacts on rice productivity in wet season lowland rice production systems in Lao PDR through the CERES-Rice model for the two rice cultivars (TDK8 and TDK11) and to evaluate adaptation preference of the rice farmers in the country through a climate change adaptation survey approach. The two rice cultivars (TDK8 and TDK11) were selected for the rice productivity simulations under climate change in Vientiane Capital (Lao PDR). The National Aeronautics and Space Administration Prediction Of Worldwide Energy Resource (NASA POWER) meteorological variables and Coordinated Regional Climate Downscaling Experiment (CORDEX) climate variables were collected for the inputs of the CERES-Rice model. A total of eight adaptions including no adaptation from irrigation, nitrogen application rates, and transplanting date shifting were simulated by the CERES-Rice model. The simulation results showed that the highest increase (14.1%) in rice yield was simulated in the 2040s under the RCP 4.5 scenario with the nitrogen fertilizer application rate of 180kg-N ha<SUP>-1</SUP> (i.e. three times as much as the recommended application rate), while a decrease (-26.5%) in rice yield was highest in the 2080s under the RCP 8.5 scenario with the +20 days shifting transplanting date. These findings indicate that nitrogen fertilizer application rates can be an efficacious adaptation to offset the negative impacts of climate change. The study also revealed that the transplanting date shifting may not be a sufficient adaption for this region to cope with climate change. These adaptations were evaluated from a climate change adaptation survey to investigate rice farmers’ preference in Vientiane Capital. The results from the survey showed that the farmers prefer installing the auto irrigation system and applying nitrogen fertilizer doubled (180kg-N ha<SUP>-1</SUP>) to applying nitrogen fertilizer tripled and shifting transplanting date. Specifically, the farming experience of household head (years), yearly machine rental cost (thousand kip 10a<SUP>-1</SUP>), yearly harvest cost (thousand kip 10a<SUP>-1</SUP>), whether they think climate change has affected/would affect rice production negatively (no=0, yes=1) are statistically significant variables to determine whether the farmers would install the auto irrigation system. With regard to nitrogen fertilizer application doubled, yearly harvest cost (thousand kip 10a<SUP>-1</SUP>) and yearly household labor used (hours) are statistically significant for the farmers to decide whether to apply the nitrogen fertilizer doubled. Among those variables, the farming experience of household head and opinion about climate change impact, and the yearly harvest cost and household labor used are significant variables to determine the willingness to pay for installing the auto irrigation system and applying the nitrogen fertilizer doubled. It is concluded that this study can be useful to enhance food security of Lao PDR by providing efficacious agricultural managements to reduce the negative impacts of climate change on rice productivity.

농업의 공익적 가치 확산과 농업환경정책

임영아 (사)농정연구센터 2018 농정연구 Vol.66 No.-

OECD 농업환경공동작업반 동향

임영아 한국농촌경제연구원 2017 세계농업 Vol.205 No.-

OECD 농업환경공동작업반 동향

임영아 한국농촌경제연구원 2018 세계농업 Vol.219 No.-