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베이비붐 세대의 성인기 자녀에 대한 자원 제공과 노후 준비에 관한 연구
고은비,계선자 한국가족자원경영학회 2018 가족자원경영과 정책 Vol.22 No.1
This study aimed to investigate resource transfer for baby boomers’ adult children and related factors pertaining to baby boomers’ later-life preparation. This study was conducted in 2016 using written questionnaires completed by 405 baby boomers residing in Seoul and metropolitan cities in South Korea. The data were analyzed using IBM SPSS Statistics 23.0 and the following statistical methods: frequency, percentiles, the mean, standard deviation, a t-test, one-way ANOVA, Cronbach’s alpha, and hierarchical multiple linear regression analysis. Baby boomers’ average level of later-life preparation was found to be 3.45/5, a relatively rational score. Baby boomers tended to transfer more resource from their adult children when they had many adult children, were more satisfied with their romantic relationship. Baby boomers’ level of later-life preparation was higher when there was lesser resource transfer of their adult children. The greatest influential variables pertaining to the respondents’ later-life preparation were their family’s income, children’s marital status, satisfaction with their romantic relationship, and level of transfer from their adult children. It was concluded that baby boomers have insufficient later-life preparation in terms of finances due to their need to support their adult children; thus, nation-wide practical programs are needed to prepare baby boomers for a happy life.
항암화학요법과 통합의학치료를 병행하여 부분 관해 된 간전이 동반 말기 췌장암 1례
고은비,장권준,장주영,송미화,신광순 대한한방내과학회 2020 대한한방내과학회지 Vol.41 No.2
Objectives: This study reports on the effect of Integrative Medicine Therapy (IMT) on a patient with pancreatic cancer with liver metastasis. Methods: One pancreatic cancer with liver metastasis patient was treated using IMT in conjunction with Gemcitabine/Abraxane since September 2019. The cycle was repeated every four weeks for a total of 11 times. At the same time, the patient was treated with IMT. Tumor size was measured by scanning with Computed Tomography (CT). Adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0. Results: After treatment with Gemcitabine/Abraxane and IMT for eight months, the size of the body and tail of the cancer tumor and several hepatic metastatic regions decreased (partial response, [PR]), size, and number of multiple nodules in both lungs decreased. No evidence of newly developed metastatic lesions was found. The patient has maintained a good treatment outcome and has shown prolonged overall survival. Conclusions: This case demonstrates that treatment with IMT may have substantial benefits for patients with end-stage pancreatic cancer.
어머니와의 애착이 아동의 공격행동에 미치는 영향 : 아동-교사관계와 공격에 대한 태도의 조절된 매개효과
고은비,최은실 한국아동심리치료학회 2017 한국아동심리치료학회지 Vol.12 No.3
The purpose of this study was to trace the effects of maternal attachment on the child's aggressive behavior and to test whether attitudes toward aggression has any mediating effects in the relationship between these main two variables. In addition to this mediated model, the study also examines the moderated mediating effect of the child-teacher relationship as an added element in attitudes regarding aggression. 268 elementary school students in Seoul, Incheon, and Gwangju were asked to complete a self-report questionnaire about their perceived mother attachment, child-teacher relationship, attitude toward aggression, and aggressive behavior. The results were as follows. First, mother attachment and child-teacher relationship showed significant negative correlation with attitude toward aggression and aggressive behavior. In a similar vein, attitude toward aggression was positively correlated with aggressive behavior. Second, the study found empirical support for the mediating effect of attitude toward aggression on the relationship between mother attachment and child's aggressive behavior. Lastly, child-teacher relationship moderated the mediating effect of attitude toward aggression on the relationship between mother attachment and aggressive behavior; it also had a main effect on attitude toward aggression. Based on the results, the implications and limitations of this study are discussed.
가구의 경조사비 지출액이 가구주의 노동시장 성과에 미치는 영향
고은비,송헌재,손혜림 한국응용경제학회 2022 응용경제 Vol.24 No.1
경조사비 지출에는 금전적 지출과 경조사 참석이라는 시간 비용이 수반되며, 이것이 사회적 네트워크를 유지하는 비용으로써 축적된다면 개인의 노동시장 성과에 영향을 미칠 수 있다. 즉 경조사비 지출이 쌓여 형성된 인적 네트워크로 인해서 구직에 드는 비용 또는 기간이 감소하거나, 직장유지율이 높아지는 등의 이익이 나타날 수 있다. 이러한 사회적 네트워크의 효과를 분석하기 위해서는 일회성 경조사비 지출의 액수보다는 누적된 경조사비 지출에 대한 정보가 필요하다. 이에 본 연구는 재정패널을 이용하여 13년 동안의 누적 경조사비 지출액이 해당 가구의 중고령층 가구주의 노동시장 성과에 어떠한 영향을 미쳤는지 분석하였다. 분석 결과, 누적 경조사비 지출액의 증가는 2019년 기준으로 가구주가 취업해 있을 확률을 높이고, 연간 근로 개월을 늘리는 것으로 추정되었다.
시험불안 경향성이 있는 대학생의 시험불안, 자동적 사고, 자기조절, 삶의 만족도에 적응적 자기대화가 미치는 영향
고은비,조현주 한국인지행동치료학회 2021 인지행동치료 Vol.21 No.2
본 연구는 시험불안 경향성이 있는 대학생을 대상으로 적응적 자기대화가 시험불안 및 자동적 사고, 자기 조절, 삶의 만족도에 미치는 영향을 확인하고자 하였다. 연구대상은 대학생 530명 중 시험불안(TAI-K)점수 가 80점 이상으로 연구 참여에 동의한 38명이며, 훈련집단(18명), 통제집단(20명)으로 무선 할당되었다. 훈 련집단은 Meichenbaum(1971)의 자기지시훈련을 인지 및 정서조절에 도움을 주는 적응적 자기대화로 보완하 여 일주일간 제공되었고, 통제집단은 무처치 대기집단이다. 두 집단 모두 사전과 사후에 시험불안, 자동적 사고, 인지적․정서조절 전략, 삶의 만족도에 대한 질문지를 작성하였다. 통제집단은 연구윤리에 따라 사후 에 시험불안 심리교육이 제공되었고, 훈련 집단은 가외변인으로 불안통제를 위해 기말고사 2주 전 추후 설 문을 완료하였다. 연구 결과, 훈련집단이 통제집단에 비해 시험불안 및 부정적 자동적 사고의 정도가 감소 하였고, 긍정적 자동적 사고는 증가 경향성이 나타났으며, 인지적 정서조절전략의 수용과 자기비난의 변화 가 있었다. 하지만 삶의 만족도에서는 유의한 차이를 보이지 않았다. 그러나 시험불안은 실험 참여 약 2달 후 추후에서도 개선 효과가 유지되는 것으로 나타나, 자기지시훈련이 시험불안 경향성이 있는 대학생에게 적응적 자기대화를 통해 사회불안 관련 인지 및 행동 수정에 도움이 됨을 시사한다. The purpose of this study was to investigate the effects of adaptive self-talk on test anxiety, automatic thinking, self-regulation, and life satisfaction in university students with test anxiety tendency. The subjects of the study were 38 out of 530 university students who agreed to participate in the study with a test anxiety (TAI-K) score of 80 or higher, and were allocated wirelessly to the training group(18 students) and the control group(20 students). The training group supplemented the self-instruction training of Meichenbaum (1971) with an adaptive self-talk that helps in cognition and emotional regulation, and provided for a week, and the control group was the waiting group without treatment. Both groups completed questionnaires about test anxiety, automatic thinking, cognitive and emotional control strategies, and life satisfaction before and after. After the experiment, the control group was provided with test anxiety psychological education according to the research ethics, and the training group completed a follow-up questionnaire 2 weeks before the final exam for extra anxiety control. As a result of the study, the degree of test anxiety and negative automatic thinking decreased in the training group compared to the control group, positive automatic thinking tended to increase, and there was a change in the acceptance and self-criticism of cognitive emotional regulation strategies. But, there was no significant difference in life satisfaction. However, test anxiety was found to maintain the improvement effect after about 2 months of participation in the experiment, suggesting that self-instruction training helps university students with test anxiety tendency through adaptive self-talk to correct cognition and behavior related to social anxiety.
소아중환자에서 분무용 살부타몰 용량과 심박수와의 상관관계 분석
고은비,김수정,배혜정,조윤희,조윤숙,최유현,박준동 한국병원약사회 2019 병원약사회지 Vol.36 No.4
Background : Nebulized-salbutamol is often used for patients hospitalized in the pediatric intensive care unit (PICU) in need of respiratory support. However, there is a lack of references to establish a guideline for dosage adjustment according to each age group. Thus, the purpose of this study was to analyze the correlation between the dose of nebulized-salbutamol and heart rate (HR) in critically ill pediatric patients. Methods : This study included critically ill pediatric patients younger than age 18, who stayed in the PICU at Seoul National University Children’s Hospital July 1, 2015 July 31, 2018. The correlation between the change of HR and the dose of nebulized-salbutamol was analyzed. After that, there was an effort to identify further risk factors which can contribute to increasing HR during PICU hospitalization. Results : There was a total of 340 cases of 87 patients who were administered nebulized-salbutamol within the first 24 hours of PICU hospitalization. There was no statistical difference in HR changes between the high dosage group (≥0.2 mg/kg/dose) and the low dosage group ( 0.2 mg/kg/dose) for the first 24 hours of administration (p=0.058). The subgroup analysis was conducted using 268 cases excluding 72 cases where body temperature change was observed. There was significant increase of HR in the high dosage group (p=0.017). Twenty-five of 87 patients showed a more rapid HR after the administration of nebulized-salbutamol during PICU hospitalization. Among patients younger than age 36 months, there was a statistically significant correlation between HR rise (OR=8.739; 95% CI, 2.146-35.590; p=0.002) and the high dosage of nebulized-salbutamol (OR=4.204; 95% CI, 1.384-12.776; p=0.011). Conclusions : The use of high dosage nebulized-salbutamol in critically ill pediatric patients may have the potential to increase HR. Thus, close monitoring is recommended when it is administered to young patients with high dosage.
학교 주변 커뮤니티 CPTED에 관한 지역 주민의 인식 연구
고은비,이재송,정승윤,최열 대한토목학회 2017 대한토목학회논문집 Vol.37 No.5
In recent days, school violence has been rising as a significant social problem. The occurrence of school violence can be fueled by a wide range of social and environmental contexts, thus it is very difficult to come up with the ultimate solution. Community CPTED program is one of the more comprehensive set of efforts that has been developed to prevent crime in general, and the primary focus of the study is to investigate suitable components of CPTED to prevent school violence based on the physical conditions of communities as well as the perception of residents outside of school grounds, in the vicinity of schools. Three sets of analyses in series were employed in the research. First, Ward’s minimum-variance cluster analysis was used to classify the places where school violence can occur outside of school grounds based on the physical conditions recognized by local residents. Next, Importance-Performance Analysis was performed to analyze the perception of local residents about the importance and the effectiveness of CPTED components in preventing school violence. Subsequently, Ordered Logit Model was used to analyze the local residents’ awareness on safety regarding school violence in their community space. Combining the results of the analyses, the priority of the community CPTED applications to prevent schoolviolence outside of school was derived. Reflecting the local residents' perception on safety of students in their community, the sense of security in communities against school violence can be reinforced by the communities’ sensible efforts in creating safer environment for their students. 본 연구는 중요한 사회적 문제로 주목받고 있는 학교폭력을 예방하고 감소시키기 위해 범죄예방환경설계에 대한 지역 주민의 인식을 분석하여 적절한 커뮤니티 CPTED 적용 방안을 찾아보는데 그 목적이 있다. 먼저, 학교 외부의 학교 폭력 발생 가능 장소를 유형화하기 위하여 계층적 군집분석을 사용하고 지역 주민의 인식을 지도화했다. 다음으로 학교폭력 예방에 대한 커뮤니티 CPTED 적용의 중요성과 그것을 적용했을 때의 효과성에 대한 지역 주민의 인식을 분석하기 위하여 IPA를 사용하였다. 그리고 학교폭력으로부터 학교 외부가 안전하다고 생각하는지에 대한지역 주민들의 인식을 분석하기 위하여 순서형로짓모형을 이용한 실증분석을 하였다. 세 분석의 결과를 통합하여 학교 외부 공간에서 학교폭력 예방을 위한 커뮤니티 CPTED 적용의 우선순위를 도출할 수 있었다. 학교폭력을 학교 주변에서 효과적으로 근절시키기 위한 커뮤니티 CPTED 적용에 있어서 지역주민의 인식을 반영한다면, 속해 있는 커뮤니티가 학생들에게 안전한 환경을 제공한다는 것으로부터의 커뮤니티 구성원의 만족도가 증가할 수 있다.
갑상선 유두암의 외과적 절제술 이후 발생한 후유증에 대한 면역요법을 병행한 한방 치험 3례
고은비,장권준,양정민,오재성,Ko, Eun-Bi,Jang, Kwon-Jun,Yang, Jung-min,Oh, Jae-sung 대한한방내과학회 2021 대한한방내과학회지 Vol.42 No.5
Objectives: This study assessed the effect of a combination of Korean medicine and immunotherapy on three papillary thyroid cancer patients following thyroidectomy. Methods: The three patients who underwent thyroidectomy received Korean medical treatments, including acupuncture, moxibustion, pharmacopuncture, and immunotherapy. To evaluate the patients, symptoms were measured using the Numerical Rating Scale (NRS) and Karnofsky Performance Status Scale (KPS). Blood tests, including thyroid function tests, were conducted during treatment. Results: After treatment, postoperative pain and general weakness were gradually alleviated. Conclusions: These cases provide evidence that treatment with a combination of Korean medicine and immunotherapy can have substantial benefits for postoperative complications following thyroidectomy.