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소셜미디어 이용과 TV 시청의 관계 : TV 관련 소셜미디어의 이용동기, 이용행위 및 시청의도를 중심으로
심홍진(Shim, Hongjin),유경한(You, Kyung Han) 문화방송 2014 방송과 커뮤니케이션 Vol.15 No.1
소셜미디어의 등장은 커뮤니케이션 환경을 급격하게 변모시키고 있으며, 이러한 경향은 소셜미디어와 연계된 서비스들로 현재화됨으로써 한층 부상하고 있다. 이러한 추세에서 얼마 전부터 소셜미디어와 TV의 융합 현상이 급격하게 대두되고 있다. 이 연구는 이러한 맥락에서 소셜미디어와 TV 융합 현상을 이용자 측면에서 다각적으로 조명하였다. 구체적으로 TV 시청 중에 소셜미디어를 활용하는 이용자들의 동기 및 행위가 두 매체의 관여도에 따라 이용패턴과 어떠한 관계를 맺고 있으며, 궁극적으로 TV 프로그램의 시청의도와 맺고 있는 연관성을 탐색하고자 하였다. 이를 위해 먼저 수용자의 TV와 소셜미디어에 대한 관여도를 기준으로 적극적 관여, TV 중심, 소셜미디어 중심, 소극적 관여의 네 집단으로 구분한 후 TV와 관련된 소셜미디어의 이용 동기, 이용행위 및 TV 시청의도가 이들 집단 간에 어떠한 차이를 보이는지 살펴보았다. 분석결과 집단별로 TV 관련 소셜미디어 이용동기(사회적 공유, 정보 추구, 휴식/오락)가 유의미한 차이를 보였다. 전반적으로 두 미디어를 모두 적극적으로 이용하는 수용자가 높은 동기를 지니고 있었지만 TV 중심 이용자 또한 소셜미디어를 활용한 잠재적 시청 가능성이 높은 집단임을 밝혔다. 아울러 TV 관련 소셜미디어의 이용행위(타인 의견 수용, 능동적 의견표현, 시청 공유) 역시 집단 간에 두드러진 차이를 보였으나 프로그램 장르별로는 유의미한 편차를 보이지 않았다. 마지막으로 프로그램 장르별 시청의도와 TV-소셜미디어 이용의 관계를 살펴본 결과 드라마 장르가 TV 관여도가 높은 중시청자 집단에서 시청의도가 상대적으로 높은 데 반해 오락/버라이어티의 시청의도는 TV 관여도와는 연관성이 적었다. 특히, 장르별 시청의도는 성별, 연령 등 응답자의 인구사회학적 속성에 따라 그 편차가 두드러지게 나타났다. This study investigates how social TV affects a television viewing behavior in the media convergence age. Specifically, the present study explores how the level of engagement in two media is related to users" motives, behaviors of social TV, and consequently, how it affects television viewing intention, by categorizing four groups (active engagement, TV primary, social media primary, passive involvement) based on the level of engagement in social media and television. Our finding showed that age was the very factor that affected social TV use. Also, three motives for social TV usage were identified on the basis of factor analysis, which were named as social sharing, information-seeking, and entertainment. There was found a significant difference of these motives between TV-SNS groups. That is, active engagement user has overall high level of motives, while TV primary user was found to have a potential to use a social TV. In addition, three usage behaviors for social TV were generated for each program genre, which were named as reception, active expression, watching sharing. These behaviors were found to have a significant difference among TV-SNS groups. Furthermore, Drama viewing intention was relatively high in active engagement and TV primary group, meanwhile intention for viewing entertainment/variety show like reality program was not different among four TV-SNS groups. Lastly, demographics(gender, age) were partially associated with the increase of differences of users" motives and behaviors among TV-SNS groups. Suggestions and further implications were also discussed.
외상 환자 관리에서 Critical Pathway의 적용
심홍진 ( Hong Jin Shim ),장지영 ( Ji Yong Jang ),이재길 ( Jae Gil Lee ),김승환 ( Seong Hwan Kim ),김민정 ( Min Joung Kim ),박유석 ( You Seok Park ),박인철 ( In Chel Park ),김승호 ( Seung Ho Kim ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Purpose: For trauma patients, an early-transport and an organized process which are not delayed in hospital stage are necessary. Our hospital developed a procedure, the trauma Critical Pathway (CP), through which a traumatic patient has the priority over other patients, which makes the diagnostic and the therapeutic processes faster than they are for other patients. Methods: The records of patients to whom Trauma CP were applied from January 1, 2011 through April 15. 2012. were reviewed. We checked several time intervals from ER visiting to decision of admission-department, to performing first CT, to applying angio-embolization, to starting emergency operation and to discharging from ER. In addition, outcomes such as duration of ICU stay, hospital stay and mortality were checked and analyzed. Results: The trauma CP was applied to a total of 143 patients, of whom, 48 patients were excluded due to pre-hospital death, ER death, transferring to other hospital and not severe injury. Thus 95 patients(male 64, 67.3%) were enrolled in this study. Fifty-nine patients(62.1%) were injured by the traffic accident. The mortality rate was 10.5% and the mean Revised Trauma Score (RTS) of the patients was 6.4±2.0. After visiting ER, decision making for admission was completed, on average, in 3 hours 10 seconds. The mean time intervals for the first CT, angio-embolization, surgery and discharge were 1 hour 20 minutes, 5 hours 16 minutes, 7 hours 26 minutes and 6 hours 13 minutes, respectively. Conclusion: The trauma CP did not show the improvement of time interval outcome, as well as mortality rate. However, this test did show that the trauma CP might be able to reduce delays in procedures for managing trauma patients at the university-based hospitals. To find out the benefit of CP protocol, a large scaled data is required. (J Trauma Inj 2012;25:159-165)
수술전 화학방사선 요법을 시행 받은 직장암에서 혈중 암종배아항원과 조직학적 치료반응도와의 상관관계분석
심홍진 ( Hong Jin Shim ),강정현 ( Jeong Hyun Kang ),이형순 ( Hyung Soon Lee ),허혁 ( Hyuk Hur ),민병소 ( Byung Soh Min ),이강영 ( Kang Young Lee ),김남규 ( Nam Kyu Kim ),김영완 ( Young Wan Kim ) 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.1
목적 : 본 연구는 수술 전 화학방사선요법을 시행 받고 수술을 시행한 직장암 환자에서 조직학적 반응도와 혈청 암종배아항원의 상관관계를 알아보기 위해 시행되었다. 방법 : 2005년 8월부터 2007년 12월까지 연세대학교 세브란스 병원에서 직장암으로 진단 받고 수술 전 화학방사선요법을 시행받은 후 전직장간막 절제술을 시행한 85명의 환자를 대상으로 하였다. 화학요법은 5-Fluorouracil에 기초하였고 방사선주사는 총 5,040 cGy 를 조사하였다. 암종배아항원은 화학 방사선요법전(pre-CRT)과 직후(post-CRT), 수술 후 7일째(post-TME)에 각각 측정을 하였다. 조직학적 반응도는 TNM 병기에 따라 반응군(Favorable response : pCR 과ypStage1, 28명)과 비반응군(Unfavorable response : ypStage2와 ypStage3, 57명)으로 구분하였다. 결과 : 환자의 나이, 성별, 암의 위치, 림프혈관의 침범, 신경주위침범 등에서 반응군과 비반응군의 차이는 없었다. 반응군에서 low grade 의 조직학적 분화를 보이는 비율이 높았고(92% vs.70.2%, p=0.018) 항문보존술식을 시행한 비율이 더 높았다(92.9% vs. 71.9%, p=0.026). pre-CRT CEA수치는 반응군에서 유의하게 낮았으나(p<0.001) post-CRT, post-TME CEA값은 두 군간의 차이는 없었다. 다변량 분석에서 낮은 pre-CRT CEA(<5ng/ml) 값과 항문보존술식의 시행여부가 조직학적 반응군과 관련된 독립적인 인자로 확인되었다. 결론 : 직장암 환자에서 화학방사선치료 전 CEA 수치는 수술 후 조직학적 반응정도와 상관관계를 보였으나 화학방사선치료 후나 수술 후의 CEA값은 조직학적 반응정도와 상관 관계가 없었다. 이러한 결과를 바탕으로 CEA가 조직학적 반응정도를 예측하는 인자로서의 역할을 할 수 있는지에 대한 향후 전향적인 연구가 필요하다. Purpose: This study was designed to assess whether serum CEA is associated with pathological tumor response in rectal cancer patients who underwent preoperative chemoradiation therapy (CRT) with total mesorectal excision (TME). Methods: Eighty-five patients with rectal cancer who were treated by preoperative CRT followed by TME were enrolled between August 2005 and December 2007. 5-FU based chemotherapy and 5040 cGy of radiation were delivered. Serum CEA was measured pre-CRT, post-CRT, and post-TME period. Among 85 patients, 29 patients did not have post-CRT CEA level. Pathological tumor response (ypTNM stage) was categorized into two groups as follows; favorable response group (group A: n=28, pathological complete response and ypTNM I) vs unfavorable response group (group B: n=57, ypTNM II and III). Median follow-up period was 29.2 months (range 1.1-50.2 months). Results: There were no differences between favorable and unfavorable response group with respect to age, gender, tumor location, lymphovascular invasion, and perineural invasion (Table 1). Anal sphincter preservation surgery was more commonly performed in the group A when compared with group B (26 (92.9%) vs. 41 (71.9%)) (p=0.026). Well and moderately differentiated histology were more commonly found in the group A (26(92.9%) vs. 40(70.2%) (p=0.018). Low level of pre-CRT CEA (<5ng/ml) was more commonly found in the group A (26(92.9%) vs. 30 (52.6%) (p=0.000). However, there was no difference between group A and B with regard to post-CRT CEA and post-TME CEA. Logistic regression analyses showed that pre-CRT CEA (<5ng/ml) and sphincter preservation surgery were associated with favorable pathological tumor response. Conclusions: Low level of pre-CRT CEA (<5ng/ml) is predictive of favorable pathological tumor response but serum level of post-CRT and post-TME CEA did not have significant association with tumor response. This result should be validated in larger prospective randomized study near future.