전격성 간염의 소아에서 간이시의 치료 효과

서영미,최보화,김경모,박광민,이영주,이승규 대한소아청소년과학회 2000 Clinical and Experimental Pediatrics (CEP) Vol.43 No.4

Purpose : Liver transplantation(LT) is regarded as an important management option for fulminant hepatitis(FH), which is associated with considerable mortality under conservative management. The aim of this study was to evaluate the outcome of children with FH according to management. Methods : We reviewed medical records of patients presented with FH from January 1994 until April 1999. The children were grouped according to the treatment. Group A was classified for supportive treatment only and group B for supportive treatment plus LT. Children were considered as candidates for LT if the level of factor V decreased to below 20% of normal or the patient's condition deteriorated despite intensive care during the initial 48 hours. Underlying disease, duration after jaundice, grade of encephalopathy, laboratory findings, treatment and outcomes were analyzed. Results : The study group comprised 7 females and 8 males aged from 8 months to 15 years old(median age of 4 years). The causes of FH were Wilson disease(4 cases), Epstein-Barr virus infection(1 case), drug(1 case) and idiopathic(9 cases). There were 5 children in group A and 10 in group B, and there were no significant differences in age, sex ratio, underlying diseases, grade of hepatic encephalopathy and laboratory findings between the two groups. One out of 5 in group A and 9 out of 10 in group B survived. But all the children in group A who met the criteria for LT and received only supportive care died. One out of 10 in group B died because of grade IVa hepatic encephalopathy which advanced to brainstem herniation. Conclusion : This study showed that patients who were managed with supportive care only, although LT was indicated, died and that 9 out of 10 who received LT survived. Therefore, we suggest LT should be considered in the management of FH. 목 적 : 전격성 간염은 발병후 2주 혹은 8주 이내에 심한 급성 간부전과 혼수로 진행하는 간염으로 집중적인 내과적 치료에도 불구하고 대부분 사망하였으나, 최근 간이식의 도입후 생존률에 커다란 변화를 가져왔다. 이에 저자들은 서울중앙병원에서 전격성 간염으로 진단받고 치료를 받은 환아들을 평가함으로써 전격성 간염의 치료 방법에 따른 예후를 분석하고자 하였다.방 법 : 1994년 1월부터 1999년 4월까지 전격성 간염으로 서울중앙병원에서 치료한 15명의 환아를 대상으로 연령, 성별, 선행질환, 검사소견, 임상경과 등을 분석하였으며 보존적 치료만을 시행한 환아군(A군)과 간이식을 시행한 환아군(B군)으로 분류하여 각군에 있어서 간이식의 적응증을 만족한 환아 수와 간이식의 유무에 따른 예후를 비교하였다. 간이식의 적응증은 V번 응고인자가 정상의 20% 이하이거나 입원 48시간동안 집중적인 내과적 치료에도 불구하고 프로트롬빈시간의 유지를 위하여 지속적으로 신선냉동혈장의 수혈이 필요한 경우나 뇌증이 심화된 경우로 삼았다.

전기 여성노인의 관계성과 운동참여 간의 관계에서 주관적 건강상태의 매개효과

서영미,최원희 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3

Purpose: In this study the mediating effects of subjective health status on the relationship between relatedness and participation in exercise in younger elderly women were examined. Methods: This study was a cross-sectional survey using structured questionnaires including questions on general characteristics, relatedness, subjective health status and participation in exercise. From September to October 2018, 122 women were recruited from two general welfare facilities for elders in J city. The data were analyzed using descriptive statistics, independent t-test, ANOVA, Point-biserial correlation, Pearson correlation coefficient and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for relatedness was 3.37±0.75 (range of scale 1~5) and the mean score for subjective health status was 3.10±0.97 (range of scale 1~5). The participation rate in exercise was 68.9%. There were significant positive correlations among relatedness, subjective health status and participation in exercise. Subjective health status had a partial mediating effect (β=.28, p=.001) in the relationship between relatedness and participation in exercise (Sobel test: Z=3.07, p=.002). Conclusion: Based on these results, development of interventions to improve the subjective health status of elderly women are necessary in order to encourage them to participate in exercise.

지역사회 노인의 낙상 경험 별 낙상 두려움 관련 요인

서영미,이은숙 한국지역사회간호학회 2023 지역사회간호학회지 Vol.34 No.1

Purpose: This study aimed to identify factors associated with fear of falling (FOF) by fall experience in the community-dwelling elderly. Methods: Multivariate logistic regression with complex samples was used to analyze the data of 74,475 elders aged 65 and over from the Community Health Survey in 2019. Results: Factors associated with FOF included gender, age, education level, smoking, high-risk drinking, physical activity, stress, depression, cognitive impairment, subjective health status, hypertension, and diabetes mellitus in the non-fall group. In the single fall group, the associated factors were gender, age, physical activity, stress, depression, cognitive impairment, and subjective health status. Related factors in the recurrent fall group included gender, age, physical activity, cognitive impairment, and subjective health status. Conclusion: The study’s findings suggest that it is necessary to develop different strategies to prevent FOF by understanding the contributing factors of FOF in each group of fall experience.

Factors Affecting People's Adherence to Precautionary Rules in a Public Health Emergency Based on Health Belief Model: Focusing on the Moderating Effect of Optimistic Bias

서영미,최원희 (사)위기관리이론과실천 2023 Journal of Safety and Crisis Management Vol.13 No.6

This study was conducted to determine the effects of the health belief and optimistic bias on COVID-19 preventive behaviors. Data were collected from 311 adults using a questionnaire. The collected data were analyzed through descriptive statistics and structural equation modeling, and multigroup analysis was performed to analyze the moderating effect. The results showed that all HBM variables, except for perceived susceptibility, had statistically significant effects on COVID-19 preventive behaviors. Perceived susceptibility, perceived severity, perceived benefits, and cues to action had statistically significant effects on the optimistic bias group, and perceived benefits, perceived barriers, and cues to action affected the group without optimistic bias. A statistically significant moderating effect was found only for perceived severity. The results of this study are expected to contribute to the establishment of crisis response policies by contributing to the establishment effective and elaborate strategies that promote individual preventive behaviors to cope with COVID-19 pandemic.

A Focus Group Study on Korean College Students’ Awareness and Applications of Reading Strategies

서영미 현대영어교육학회 2013 현대영어교육 Vol.14 No.2

This study explores four Korean college students’ ways of understanding English texts and discusses their awareness and use of reading strategies. Using a case study approach, I looked at how four college students approached the reading of an expository passage in English by themselves silently and described how they arrived at their understanding of the text. In a focus group interview, they discussed each other’s reading strategies and current English reading practices in formal educational setting. The data analysis revealed that the two female students who were more confident in English were more aware of their reading strategy use and also applied more types of metacognitive strategies such as determining what to read and noting textual characteristics than did the male students. Additionally, the students self-reported that they became more aware of useful reading strategies by participating in the study. The students seemed to rely primarily on test-taking strategies when dealing with English texts at the college level and identified these skills as their primary reading strategies. Despite this, students showed a marked interest in learning how to apply different types of reading strategies to various types of text. Pedagogical implications regarding the findings are also addressed

중·고등학교 영어 교과서 수정 활동 연구: 예비 영어교사의 비판적 접근법 활용 사례

서영미 현대영어교육학회 2020 현대영어교육 Vol.21 No.4

This study explored how pre-service teachers at a teacher’s college in Korea perceived and applied what they learned in an English textbook evaluation and modification class utilizing a critical approach. Under the premise that learners give too much authority to English textbooks, they were invited to analyze and modify English textbooks through critical perspectives and were asked how they perceived such English textbook evaluation and modification experience. Middle school English textbooks for first and second graders and high school English textbooks for first graders were analyzed and modified by the students. Their artifacts, textbook evaluation reports, pre-modified and post-modified English textbooks, group progress reports, and group interviews were collected and analyzed using qualitative methods. Results of this project-based participatory class revealed that students are able to critically analyze English textbooks in terms of prejudice towards minorities and cultural imperialism. Also, such textbook modification experiences help them develop more constructive points of view as learners as well as future material developers and teachers. Pedagogical implications and future research suggestions are also addressed.

한국의 유아교육 및 보육(Early Childhood Education and Care:ECEC) 통합에 대한 정책적 고찰

서영미 한국정책개발학회 2023 정책개발연구 Vol.23 No.2

This study sought to examine Korea's integrated early childhood education and care (ECEC) policy from the perspective of historical institutionalism. Specifically, we analyzed the path change process until the dual early childhood education and child care policy was promoted as an integrated policy. As a result, first, after the enactment of the Infant and Toddler Care Act, a dual path between early childhood education and childcare was formed, and path dependence of private sector dependence emerged as a historical factor. Second, from the perspective of path evolution, the Kim Young-sam government promoted the May 31st Education Reform and the Kim Dae-jung government prepared a bill to integrate infant schools, but it was scrapped due to conflicts between stakeholders and ministries and drifted into a dual system. Afterwards, the Roh Moo-hyun administration laid the foundation for public childcare for the integration of kindergartens by establishing a childcare policy development center and promoting childcare policy as a national responsibility, and the Lee Myung-bak administration promoted a national-level common curriculum by introducing the Nuri curriculum and supporting education and childcare expenses. New elements have been added, such as the Park Geun-hye administration's establishment of the Education Integration Promotion Committee, development of an integrated model and implementation of stages 1 and 2, the Moon Jae-in administration's full government support for the Nuri course, and the Yoon Seok-yeol government's promotion of the integration of education as a national education responsibility system as a national task. A layering phenomenon occurred in which existing systems were changed. In the future, for complete integration of kindergartens, the re-establishment of the concept of integration of kindergartens and educational philosophy within the ambiguous boundaries of education, childcare, and care should be prioritized in terms of lifelong education on the continuum for the highest interest of infants and young children and sustainable development suggested.

직급별 감사시간이 영업권 손상 관련 재량적 의사결정에 미치는 영향

서영미 대한경영학회 2024 대한경영학회지 Vol.37 No.1

The amendment to the Act on External Audit of Stock Companies(referred to herein as the “Act”), which requires an auditor to attach to an audit report, documents starting details of the external audit conducted, such as the number of persons who have participated in the external audit, the details of the audit, and the required time, had become effective in May, 2014. It is required to disclose the audit hours for five different rank: director, registered accountant, associate accountant, expert in other areas such as tax, IT audit, and asset valuation, and audit quality reviewer. Audit efforts, proxied by audit hours, may be different depending on the auditors experience, expertise, rank, etc. of the auditors participated in the external audit. Under the impairment-only approach, the recognition and measurement of goodwill impairment can be based on a high degree of subjectivity and greater managerial discretion. Therefore, the role of external auditor is important to increase the reliability of goodwill impairment tests and limit the opportunistic earnings management with respect to timing and magnitude of goodwill impairments. This study investigates the effect of rank-specific audit hours on goodwill impairment. The empirical results show that an increase in audit hours of director, registered accountant, and audit quality reviewer is positively associated with goodwill impairment. However, an increase in audit hours of all ranks is not significantly associated with the magnitude of goodwill impairment. The findings of this study shed light on how audit efforts by each rank work differently when assessing the timeliness and magnitude of goodwill impairment. 현행 주식회사 등 외부감사에 관한 법률에 따르면 충실한 외부감사를 유도하고 이해관계자의 감사보고서 이해에 필요한 감사정보를제공하기 위하여 2014년부터 외부감사인의 직급별 감사시간을 포함한 외부감사 실시내용을 공시해야 한다. 직급별 감사시간은담당이사, 등록공인회계사, 수습회계사, 외부전문가, 품질관리검토자로 구분하여 공시된다. 감사인의 감사시간은 감사노력의대용치로 볼 수 있으며, 더 많은 감사노력을 기울일수록 감사품질이 향상된다. 하지만 감사업무에 참여한 구성원의 경험, 전문성, 직급 등에 따라 감사노력이 감사품질에 미치는 영향이 차별적으로 나타날 수 있기 때문에 직급별 감사시간 관점에서 감사노력을세부적으로 살펴보는 것이 필요하다. 특히, 영업권과 같이 경영자의 재량적인 판단이 상당한 수준으로 개입되는 항목의 경우감사인이 보다 주의를 기울여 감사업무를 수행해야 하며 감사인의 역할이 보다 중요하다고 할 수 있다. 경영자가 영업권 평가를위해 적용하는 가정 등은 객관적으로 검증하기 어렵고 경영자와 감사인 간의 정보비대칭이 존재하기 때문이다. 이에 본 연구에서는직급별 감사시간이 영업권 손상징후가 있는 경우 손상차손 인식 여부 및 인식한 손상차손의 크기에 미치는 영향을 살펴보고자한다. 실증분석 결과, 수습공인회계사를 제외한 품질관리검토자, 담당이사, 등록공인회계사의 감사시간이 증가할수록 영업권 손상징후가있을 때 손상차손을 인식하는 것을 발견하였다. 이는 수습공인회계사의 경우 상대적으로 경험, 전문성 등이 충분하지 않아 영업권과같이 경영자의 가정 등이 반영된 항목은 효과적으로 감사하지 못하고 있음을 시사한다. 한편, 모든 직급에서 감사시간의 증가는영업권 손상징후가 있을 때 인식한 손상차손의 크기에는 유의한 영향을 미치지 못하는 것으로 나타났다. 추가분석으로는산업전문감사인 여부 관점에서 직급별 감사시간이 영업권 손상징후가 있을 때 손상차손 인식 여부에 미치는 영향을 살펴보았다. 산업전문감사인인 경우에는 모든 직급의 감사시간이 증가할수록 영업권 손상징후가 있을 때 손상차손을 인식하는 것으로 나타났다. 본 연구는 선행연구들이 외부감사인이 영업권 손상에 미치는 영향을 총감사시간, 계속감사기간, 분・반기검토시간 등의 측면에서검증해 본 것을 확장하여 감사노력을 직급별로 세분화하여 분석하였다는 점에서 의의가 있다. 특히, 직급별로 살펴본 감사노력이영업권과 같이 경영자의 재량적인 판단이 상당한 수준으로 반영되어 손상평가 이슈가 중요한 항목에 미치는 영향을 살펴보았다는측면에서 공헌점이 있다.

외국인투자자와 기업의 ESG 활동수준: 외국인투자자 투자기간을 중심으로

서영미 대한경영학회 2024 대한경영학회지 Vol.37 No.8

본 연구에서는 외국인투자자가 기업의 ESG 활동수준에 미치는 영향을 외국인투자자 투자회전율로 측정한투자기간을 중심으로 살펴본다. 2012년 2022년까지 유가증권상장 및 코스닥상장 기업을 대상으로 8,345 기업연도를 분석하였다. 분석 결과, 외국인투자자의 투자기간이 길어질수록 한국ESG기준원의 ESG 평가 등급으로측정한 기업의 ESG 활동수준은 높아지는 것으로 나타났다. 이러한 결과는 기업의 ESG 활동수준을 ESG 종합등급과 E(환경), S(사회), G(지배구조) 등급으로 구분하여 측정한 경우 모두 동일하게 나타났다. 이는 외국인투자자가장기 투자자인 경우에는 시세차익 등의 단기적인 투자성과를 얻는데 치중하지 않고 보다 장기적인 관점에서 기업의ESG 활동을 적극적으로 모니터링하고 있기 때문으로 볼 수 있다. 첫 번째 추가분석으로 외국인투자자 투자기간과지분율을 함께 고려하여 기업의 ESG 활동수준에 미치는 영향을 살펴보았다. 외국인투자자의 투자기간이 장기인경우에는 지분율이 높고 낮음과 관계없이 기업의 ESG 활동수준이 높게 나타났으나, 투자기간이 단기인 경우에는기업의 ESG 활동수준에 유의한 영향을 미치지 못하거나 오히려 기업의 ESG 활동수준이 낮아지는 것을 확인할수 있었다. 이는 연도 말과 같은 특정 시점의 외국인투자자 지분율만으로는 외국인투자자의 모니터링 역할을파악하는데 한계가 있다는 것을 보여주는 결과이며, 투자성향이 반영되어 있는 투자기간을 함께 고려할 필요가있다는 것을 시사한다. 또한, 두 번째 추가분석으로 기업규모에 따라 외국인투자자의 투자기간이 기업의 ESG 활동수준에 미치는 영향이 상이한지를 살펴보았다. 자산총액 2조 원 이상의 유가증권상장 기업 표본에서는 외국인투자자의 투자기간이 기업의 ESG 활동수준에 유의한 영향을 미치지 못하였으나, 그 외의 기업 표본에서는 외국인투자자의 투자기간이 길어질수록 기업의 ESG 활동수준이 높아지는 것을 알 수 있었다. 본 연구는 기업의 ESG 활동과 관련하여 외부감시주체로서 외국인투자자의 역할을 투자기간 관점에서 살펴보았다는 점에서 의의가 있다. 선행연구에서는 외국인투자자의 지분율만을 고려함으로써 투자성향을 반영하지 못하고 있다는 한계점이 있을 수있으나, 본 연구는 장・단기 외국인투자자가 기업의 ESG 활동수준에 미칠 수 있는 영향이 차별적으로 나타날 수있다는 것을 보여주고 있어 공헌점이 있다. Using 8,345 firm-year data set comprised of listed firms from 2012 to 2022, this study analyze the impact of foreign investors’ horizon measured by investment turnover on a firm’s ESG activities. Empirical results show that an increase in foreign investors’ investment horizon enhances a firm’s ESG activities. The results remain the same when a firm’s ESG activities is measured by total ESG grade or individual E(Environmental), S(Social), G(Governance) grade provided by KCGS(Korea Institute of Corporate Governance and Sustainability). This indicates that long-term foreign investors focus on sustainable growth of a firm rather than pursuing short-term gains, and exert influence over a firm to engage in ESG activities. The first additional analysis of this study is to examine the effect of foreign investors on a firm’s ESG activities considering both investment horizons and ownership. Long-term foreign investors encourage a firm’s ESG activities regardless of the level of ownership, while short-term foreign investors with large or small ownership do not effectively monitor a firm’s ESG activities. This suggests the importance of investment horizons when evaluating the monitoring role of foreign investors on a firm’s ESG activities. The second additional analysis shows that the effect of foreign investors’ investment horizons on a firm’s ESG activities is not significant in large firms, while an increase in foreign investors’ investment horizon intensify a firm’s ESG activities in other firms. This study contributes to the literature by focusing on the monitoring role of foreign investors on a firm’s ESG activities with respect to investment turnover. Prior studies look at the effect of foreign investors on a firm’s ESG activities in terms of ownership only, but this study shows that long-term foreign investors and short-term foreign investors have differential effect on a firm’s ESG activities.

입원환아 부모의 간호요구

서영미,권인수,조명옥,최운주,Seo Young Mi,Kwon In Soo,Cho Myeong Ock,Choi Woon Ju 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.1

The main purpose of this study is to identify nursing needs of parents who have hospitalized child. Research design is a descriptive survey. The subjects for the study were 79 parents who have hospitalized child at a pediatric ward of one of the general hospital attached to a university in J city. The data was collected by researchers using a structured questionnaire. The questionnaire was Likert type 5 point scale, composed of 5 categories with 61 items. The data was analyzed by SPSS/PC. The results of the study were as follows ; 1) Mean score of nursing needs of subjects were 3.93 at 2nd day of admission and 3.99 at 7th day of admission. 2) Among the categories, the highest nursing need at the End day and 7th day of admission was ‘dilect nursing’, in desending order, ‘facilities and environment’, ‘education and counseling’, ‘nursing assessment’. The lowest nursing need was ‘reference’. 3) Differences between the nursing needs of subjects at 2nd day and 7th day were as follows : (1) By categories, there was a significant difference only in the ‘reference’ categoly(t=2.74, P=.008). (2) By items, there were significant differences in items of ‘to check necessary materials(t=2.31, P=.024)’, ‘to understand family function and family relationship(t=2.12, P=.041)’, ‘to set up study room(t=2.22, P=.030)’, and ‘to mediate parent's meeting group(t=3.89, P=.000)’. The above result indicated that nursing needs of parents with hospitalized child were above average, especially very high in items about disease process, and items directly associated with treatment and nursing care. So, nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement mure effective care for the hospitalized children and their parents. And some future researche is needed to identify the difference of degree of nursing needs of parents with hospitalized child according to admission duration using a different sample and a longer sampling interval.