신문사별 최근 3년간 환경기사에 관한 연구

고유미,김지현,배희준,신유정,정희송,조창미,함윤경 한국환경교육학회 2011 한국환경교육학회 학술대회 자료집 Vol.2011 No.12

초등학교 비만교실 프로그램 운영사례

고유미 한국보건교육건강증진학회 2000 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

과학탐구기능 교수,학습 자료를 활용한 명시적 수업이 중학생의 과학탐구능력에 미치는 효과 : “광합성” 단원을 중심으로

고유미,정은영 韓國生物敎育學會 2014 생물교육 Vol.42 No.1

The purpose of this study was to test the effectiveness of teaching-learning materials for science process skills applying explicit instructional model. These materials were composed of 3 levels for explicit instruction about science process skills; ‘explanation and demonstration’, ‘guided practice’, and ‘independent practice’. And the topics of materials were based on ‘Photosynthesis’ unit of the 2009 revised curriculum. For this study, 4 lessons using these materials were applied to the experimental group, while the traditional lessons using inquiry activities in textbook were applied to the control group. And science process skill test were carried out before and after lessons. The result of posttest showed that the difference between the two groups was not statistically significant in overall science process skills, although the experimental group scored higher than the control group. But the experimental group scored higher than the control group meaningfully in observation (p<.05) and data interpretation (p<.01). Also, the students in experimental group improved their overall science process skills meaningfully (p<.001), and they had great improvements in observation (p<.01), data transformation (p<.01), and data interpretation (p<.01) after explicit instruction using teaching-learning materials for science process skills. And most of them had positive thoughtsabout the lessons. Based on these results, the explicit instruction using teaching-learning materials for science process skills are effective in improving middle school students' science process skills. In addition, these materials can be complements to inquiry activities of science textbook to improve students' science process skills in school.

극소 저체중 출생아에서 식이 불내성을 임상적 특징으로 하는 알레르기성 장염

고유미,김진규,안소윤,유혜수,전가원,김은선,장윤실,박원순 대한신생아학회 2011 Neonatal medicine Vol.18 No.2

Purpose: Feeding intolerance is common in very low birth weight infants(VLBWI); however, research on the etiology is limited. We investigated the incidence of allergic enterocolitis (AEC) as a cause of feeding intolerance and present the clinical characteristics of VLBWIs. Methods: The medical records of VLBWIs admitted to the neonatal intensive care unit of Samsung Medical Center between January 2009 and July 2010 were retrospectively analyzed. AEC was defined as patients who had feeding intolerance with eosinophila and who responded to hypoallergenic feeding intervention. Feeding intolerance symptoms included blood tinged stools, abdominal distension, residual feeding and regurgitation. Eosinophilia was defined as an eosinophil count ≥700 cells/mm3. Patients with feeding intolerance were divided into the AEC or non-AEC group. Results: Of the 181 patients, 161 (88.9%) had a feeding intolerance, and 119 (65.7%) had eosinophilia. Seventeen infants were diagnosed with AEC. No difference in mean gestational age, birth weight, antibiotics duration, TPN duration, hospitalization, or symptom onset day was observed between patients with AEC and non-AEC patients. The percentage of eosinophilia was significantly higher in patients with AEC than in non-AEC patients. Two patients (12%) improved with restricted breast milk, 10 patients (59%) with extensively hydrolyzed formula and five patients (29%) with free amino acid-based formula. Conclusion: Our results suggest that AEC should be considered in VLBWIs who have clinical features of feeding intolerance and eosinophilia. An aggressive increase in feeding would be possible through feeding intervention in VLBWIs with feeding intolerance.

민속에 바탕을 둔 우리춤의 원류 탐색 : 양종승, 『우리춤 담론』 (민속원, 2014)

고유미 무용역사기록학회 2016 무용역사기록학 Vol.42 No.-

65세 이상 저소득층 1인 가구 대상 한의약 건강증진 프로그램 타겟 선정을 위한 탐색적 조사연구: 2017년 국민건강영양조사 결과를 바탕으로

고유미,조원제,임정권,전윤정,강경래,신용철,장보형,고성규 대한예방한의학회 2019 대한예방한의학회지 Vol.23 No.1

Objectives : The aim of this study was to explore the general characteristics and health risk factors of the low income single person household in elderly Korean population for target selection of Korean medicine public health promotion program. Methods : We collect the 826 low income over 65 years old participants data from 7th Korean National Health and Nutrition Examination Survey. The demographic, life habit, health status, medical history were used to compare the difference between single and multiple low income senior households. Results : All variables except drinking and smoking were statistically significant between single and multiple low income senior households. The health risk factors in single low income senior households were gender, overweight, Medicaid, annual drinking habit, diagnosis of diabetes. Conclusions : Through this study, we found out that the overweight, monthly drinking habit, diagnosis of diabetes were health risk factors in low income senior single households.

요오드 DB 구축 및 한국 성인의 요오드 섭취 추이 분석 : 1998~2014 국민건강영양 조사 데이터를 이용하여

고유미,권용석,박유경 한국영양학회 2017 Journal of Nutrition and Health Vol.50 No.6

Purpose: This study analyzed iodine intake by establishing an iodine database of general Korean foods eaten by Korean adults based on the data from the 1998 ~ 2014 KNHANES (Korea National Health and Nutrition Examination Survey). Methods: Data on 56,818 subjects aged 19 years and older were obtained from health behavior interviews and a 24-hour dietary recall survey. Iodine intake of subjects was analyzed according to general characteristics, dietary lifestyle, food groups, and cooking method. Results: An iodine database was established for 312 food items. The mean iodine intake of Korean adults decreased from 641.6 μg in 1998 to 236.2 μg in 2014 per day. Iodine intake of women was higher than that of men. For age distribution, those aged 30 ~ 49 years constituted more than 39 ~ 46% of subjects by survey year. Regarding iodine intake according to dietary lifestyle, the highest iodine intake was 29.4 ~ 34.4% for lunch while that of breakfast decreased. The highest iodine contribution by food group was seaweed such as kelp, sea mustard, and laver. Conclusion: The results of this study indicate that iodine intake of Korean adults has been decreasing, and iodine intake is associated with the prevalence of thyroid disease. This study provides basic data for the estimation of iodine intake in Korean adults.

P-6 Predicting factors for the failure of high flow nasal cannula therapy in patients with acute respiratory failure

고유미,김신영,김성경,송소향,김치홍 대한결핵 및 호흡기학회 2017 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.124 No.0

Background: The clinical outcome of some patients with acute respiratory failure (ARF) treated with high flow nasal cannula (HFNC) may be favorable, but in others, ARF deteriorates and requires mechanical ventilation (MV). However, little is known about the factors affecting this difference. The aim of this study was to investigate the predicting factors for HFNC failure in patients with ARF treated with HFNC. Methods: A cohort of consecutive patients with ARF treated with HFNC was studied. HFNC failure was defined as MV or death following HFNC. Results: 112 patients were enrolled, of whom 72 (64.3%) required MV or died (HFNC failure). In univariate analysis, the significant factors associated with HFNC outcome were PaCO2, PaO2, P/F ratio, platelet count, CRP level, APACHE II score, P/F ratio difference (difference of P/F ratio before and after HFNC), and lung infiltration extent (P<0.05). Multivariate analysis identified APACHE II score and P/F ratio difference as independent predicting factors for HFNC failure, with odds ratio of 1.224 (p=0.021) and 0.979 (p=0.027), respectively. Receiver operating characteristic curve analysis determined cutoff values of 16.5 for APACHE II score and 41.72 for P/F ratio difference. Conclusion: We demonstrated that APACHE II score over 16.5 and oxygenation improvement (P/F ratio difference below 41.72) were independent predicting factors for HFNC failure. This suggests their role as evaluate criteria in setting indication for early MV in patients with ARF treated with HFNC. A larger, prospective study is required to confirm these finding.

대학생의 음주억제와 음주행동의 관계에서 음주거부 자기효능감의 매개효과

고유미,현명호,박지선 한국건강심리학회 2009 한국심리학회지 건강 Vol.14 No.4

This study was designed to investigate the relationship among drinking restraint, drinking refusal self-efficacy and drinking behaviors in college students. Specifically, the mediating effects of drinking refusal self-efficacy on the relationship between drinking restraint and drinking quantity, drinking frequency, and drinking problem were hypothesized. 232 students (male 104, female 128) completed the Temptation and Restraint Inventory, the Drinking Refusal Self-Efficacy Questionnaire-Revised, and the Problem Drinking Screening Test, as well as frequency and quantity measure of self-reported drinking. Since gender differences were found in two dependent variables, drinking quantity and drinking frequency, data of males and females were analyzed separately. The results showed that drinking refusal self-efficacy partially mediated the relation between drinking restraint and drinking quantity. In the relation between drinking restraint and drinking frequency, drinking refusal self-efficacy was a partial mediator in males and a full mediator in females. Drinking refusal self-efficacy did not mediate the relation between drinking restraint and drinking problem. These results suggest that the relationship between drinking restraint and drinking refusal self-efficacy should be considered in order to understand alcohol consumption, and that a therapeutic approach to drinking restraint is needed for prevention and treatment of drinking problem. 본 연구에서는 대학생의 음주억제, 음주거부 자기효능감과 음주행동의 관계를 알아보고자 하였다. 특히 음주억제와 음주량, 음주빈도, 음주문제간의 관계에서 음주거부 자기효능감의 매개효과를 가 정하고 검증하고자 하였다. 대학생 232명(남자 104명, 여자 128명)을 대상으로 유혹 및 억제척도, 음주거부 자기효능감 질문지, 문제음주 선별검사를 실시하고 음주량, 음주빈도를 보고하도록 하였 다. 종속변인인 음주량과 음주빈도에서 성차가 발견되어 남녀의 자료를 나누어 매개효과를 검증 하였다. 자료 분석 결과 음주거부 자기효능감은 음주억제와 음주량간의 관계를 부분 매개하는 것 으로 나타났다. 음주거부 자기효능감은 남자의 경우 음주억제와 음주빈도간의 관계를 부분 매개 하고, 여자의 경우 음주억제와 음주빈도간의 관계를 완전 매개하는 것으로 나타났다. 음주억제와 음주문제와의 관계에서는 음주거부 자기효능감의 매개효과가 나타나지 않았다. 이러한 결과는 대 학생의 음주량, 음주빈도를 이해함에 있어서 음주억제와 음주거부 자기효능감간의 관계를 고려해 야 하며, 음주문제 예방과 치료에 있어서 음주억제에 대한 접근이 필요함을 시사한다.

P-78 A case of primary pulmonary low grade marginal zone B-cell lymphoma originating in bronchus-associated lymphoid tissue (BALT), presenting as pneumonia

고유미,송소향,김성경,유진영,김치홍 대한결핵 및 호흡기학회 2016 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.121 No.0

서론: 폐림프종은 폐종양 질환 중 0.5% 미만을 차지하며, 폐림프종의 약 80% 정도는 bronchus-associated lymphoid tissue(BALT)에서 기인한 low grade marginal zone B-cell lymphoma (MALToma)가 가장 흔하다. 이것은 흉부CT에서는 주로 고립성 결절이나 종괴의 형태로 나타나나 드물게 미만성 형태의 폐렴양상으로도 나타날 수 있다. 저자들은 폐렴과 농흉의 치료 후에도 지속된 폐병변의 경기관지폐생검 시행 결과 원발성 폐림프종이 진단되어 이를 보고하는 바이다. 증례: 43세 남자가, 2년 전부터 시작된 호흡곤란을 주소로 내원하였다. 환자는 20갑년의 흡연력, 2년 전 우측 폐에 농흉과 괴사성 폐렴으로 본원 흉부외과에서 흉강경 하 흉막박피술을 시행 받은 과거력이 있었다. 생체징후는 정상이었으며, 흉부 청진시 좌측 폐에서 수포음이 들렸고, 심음은 정상이었다. 말초혈액검사에서 백혈구 6,310/mm3, 혈색소 16.3 g/dl, 혈소판 211,000/mm3 이었고, CRP, LDH, albumin 등의 혈액화학검사 소견도 특이사항 없었다. 동맥혈가스분석에서 저산소증은 없었으며, 폐기능검사에서는 경도의 제한성 기류장애가 관찰되었다. 흉부 CT에서는 2년 전 촬영하였을 때와 비교하였을 때 과거 우측 농흉은 호전된 양상이었으나, 우중엽과 좌측혀구역, 양측 하엽에서 관찰되던 경화 부위가 더 증가한 양상으로 관찰되었다. 만성 육아종성 염증 혹은 경화성 악성질환 등의 감별을 위하여 경기관지폐생검을 시행하였다. 면역조직화학검사에서 CD20, CD79, Pax-5 염색에서 양성 소견, Ki67이 2%로 낮아 low grade marginal zone B-cell lymphoma로 확인되었다. 이후 시행한 골수 검사는 정상이었으며, 경부CT, 복부CT, PET-CT에서는 양측 액와부위와 양측 폐를 제외한 기타 부위에서 림프종의 병발부위는 없었다. MALToma, Stage II로 최종 진단하였으며, 현재는 혈액내과에서 항암치료 받으며 추시 중에 있다.