국내․외 지질공원 관리 현황: 유네스코 세계지질공원 보유국을 중심으로

유지희,김대우,유완상,이정영,박영윤,김희정 대한지질학회 2024 지질학회지 Vol.60 No.2

이 논문은 유네스코 세계지질공원의 회원국을 대상으로 지질공원의 운영 및 관리 현황에 대한 설문조사를 통해 국내 국가지질공원의 지속 가능한 발전을 위한 기초 자료를 제공하기 위해서 수행하였다. 유네스코 세계지질공원 48개 회원국 중 17개 회원국이 설문에 응답하였다. 설문에 응답한 국가 중에 41.2%가 유네스코 세계지질공원과 국가 및 지역급 지질공원 시스템을 운영하고있다. 설문조사를 분석한 결과 국가 및 지역급 지질공원의 지속적인 발전을 위해서는 지질공원의 지원을 위한 제도적 기반을 마련하고 지질공원의 운영에 대한 국가 지원 예산을 확보하는 것이 중요한 것으로 나타났다. 국내에서는 지질공원에 대한 제도적 기반이 마련되어 있지만 지질공원의 지속적인 발전을 위해서는 행위 제한이 없고 지역경제 활성화에 목적을 두고 있다는 지질공원의특성에 맞게 제도적인 기반을 정비할 필요가 있다. This study conducted a survey on the operation and management status of national and regional Geoparks in the UNESCO Global Geopark member countries to draw implications for sustainable development of national Geoparks in Republic of Korea. 17 countries out of 48 members participated in the study. The survey indicated 41.2% of participated countries operate the UNESCO Global Geoparks and Geopark systems at both the national and regional levels. The survey analysis results indicated the importance of institutional foundation and stable national financial support in accomplishing a sustainable development of national and regional Geoparks. Although the basic institutional foundation for Geoparks has already been established in Republic of Korea, it is necessary to develop the institutional foundation in accordance with the characteristics of geoparks, which are unrestricted on act and aimed at revitalizing the local economy.

다문화 청소년의 우울경험과 관련요인 : 일반청소년과의 비교

유지희,황숙연 이화여자대학교 사회복지전문대학원 사회복지연구소 2016 사회복지 실천과 연구 Vol.13 No.1

본 연구의 목적은 다문화가정 청소년의 우울에 영향을 미치는 요인을 인구사회학적 요인과 건강행태요인을 중심으로 검토하고 이를 일반청소년의 경우와 비교하는 것이다. 본 연구는 질병관리본부가 실시한 2015년 제 11차 건강행태온라인조사의 원시자료를 사용하여 SPSS 21.0을 이용하여 분석하였다. 연구의 대상자는 총 68,111명으로 일반청소년은 67,316명, 다문화청소년은 795명이었다. 두 집단의 우울에 영향을 미치는 요인을 로지스틱 회귀 분석한 결과에 따르면 일반청소년은 변수의 모든 요인이 우울에 유의미한 영향력을 미치는 반면, 다문화청소년은 여학생일수록, 행복감이 낮을수록, 스트레스가 높을수록, 흡연을 할수록, 그리고 폭력경험이 많을수록 우울한 것으로 나타났다. 이와 같은 연구결과를 통해 다문화 청소년의 우울에 대한 접근과 개입전략의 초점이 논의되었다. 다문화청소년의 경우에는 여학생 및 흡연경험자에 대한 좀 더 적극적인 우울 스크리닝과 스트레스를 감소시킬 수 있는 프로그램이 필요하며, 무엇보다 학교폭력 문제에 대한 면밀한 모니터링과 추후관리가 필요함을 시사한다. The aims of this study are to examine factors influencing depression among adolescents from multi-cultural families in Korea and compare them with those from general families. Socio-demographic and health behavior variables were included in the analysis. The data were derived from the 15th Korea Youth Risk Behavior Web-based Survey 2015 in Korea and analyzed using the IBM SPSS statistics version 20.0 software package. The subject were 68,111 Korean adolescents (general youth 67,316, multi-cultural youth 794). The logistic regression analysis found the following results; most socio-demographic and health behavior factors had effect on depression among general youth, while only gender, happiness, stress, smoking and school violence had significant effect on that among multicultural youth. Based on these results, the focus of approach and intervention strategy to address depression among multicultural youth were discussed. More proactive depression screening and program to reduce stress might be needed. Most of all, close monitoring for school violence and follow-up was suggested.

청소년의 폭력적 미디어 노출이 사이버불링 가해행동에 미치는 영향: 정서조절과 비행행동의 이중매개효과를 중심으로

유지희 한국학교사회복지학회 2023 학교사회복지 Vol.- No.63

본 연구는 청소년의 폭력적 미디어 노출이 이들의 사이버불링 가해행동에 미치는 영향에서정서조절과 비행행동의 이중매개효과를 검증한 것이다. 이를 위해 서울․경기지역의 중학교학생을 대상으로 설문조사를 실시하였다. 최종적으로 402명의 청소년들로부터 수집된 자료를PROCESS Macro for SPSS의 모델6을 활용하여 분석하였다. 본 연구의 주요 분석결과는 다음과 같다. 첫째, 청소년의 폭력적 미디어 노출이 사이버불링 가해행동에 미치는 직접적인 영향력과 첫 번째 매개변수인 정서조절의 효과는 통계적으로 유의미하지 않았으나, 두 번째 매개변수인 비행행동은 두 변수간 매개역할을 하고 있는 것으로 나타났다. 둘째, 청소년의 폭력적 미디어 노출이 사이버불링 가해행동에 이르는 경로에서 정서조절과 비행행동에 의한 이중매개효과가 확인되었다. 이상의 연구결과를 토대로 청소년들의 사이버불링을 감소시킬 수 있는 임상적․정책적 방안에 대해 논의하였다. The purpose of this study was to examine the dual mediating effect of emotional regulation and delinquent behavior in the influence of the exposure to violent media on the cyberbullying perpetration among youth. For this purpose, survey was conducted to 402 adolescents in middle schools based in Seoul and Gyeonggi-do. Data were analyzed using SPSS Macro process. Finding were as follows:, First, the direct effect of exposure to violent media on cyberbullying perpetration was not significant. Second, emotional regulation did not mediate the influence of the exposure to violent media on the cyberbullying perpetration. Third, delinquent behavior was found to mediate the relationship between the exposure to violent media and cyberbullying perpetration among youth. Forth, emotional regulation and delinquent behavior dual-mediated the influence of the exposure to violent media on the cyberbullying perpetration. Based on results, implications were discussed to intervene in preventing cyberbullying perpetration among youth.

The Prevalence of Peripheral Arterial Disease in Korean Patients with Type 2 Diabetes Mellitus Attending a University Hospital

유지희,황윤우,신미선,정창희,김은희,이상아,고은희,이우제,김민선,박중열,이기업 대한당뇨병학회 2011 Diabetes and Metabolism Journal Vol.35 No.5

Background: Peripheral arterial disease (PAD) is a common manifestation of systemic atherosclerosis and is associated with significant morbidity and mortality. Diabetes is known to increase the risk of PAD two- to four-fold. The prevalence of PAD in Korean diabetic patients has not been established. In this study, we investigated the prevalence of PAD in Korean patients with type 2 diabetes attending a large university hospital and analyzed the factors associated with PAD. Methods: A total of 2,002 patients with type 2 diabetes who underwent ankle-brachial index (ABI) measurement in an outpatient clinic were enrolled. PAD was defined as an ABI ≤0.9. Clinical characteristics of 64 patients with PAD were compared with those of 192 age- and sex-matched control patients without PAD. Results: Of the 2,002 type 2 diabetic patients, 64 (3.2%) were diagnosed as having PAD. PAD was associated with higher prevalences of retinopathy, nephropathy, neuropathy, cerebrovascular and coronary artery disease. Patients with PAD had higher systolic blood pressure and serum triglyceride level and reported higher pack-years of smoking. Multivariate analysis showed that the presence of micro- and macrovascular complications and high systolic blood pressure are factors independently associated with PAD. Conclusion: The prevalence of PAD in diabetic patients was 3.2%, suggesting that the prevalence in Korean diabetic patients is lower than that of patients in Western countries.

Molecular Mechanisms of Appetite Regulation

유지희,김민선 대한당뇨병학회 2012 Diabetes and Metabolism Journal Vol.36 No.6

The prevalence of obesity has been rapidly increasing worldwide over the last several decades and has become a major health problem in developed countries. The brain, especially the hypothalamus, plays a key role in the control of food intake by sensing metabolic signals from peripheral organs and modulating feeding behaviors. To accomplish these important roles, the hypothalamus communicates with other brain areas such as the brainstem and reward-related limbic pathways. The adipocyte-derived hormone leptin and pancreatic β-cell-derived insulin inform adiposity to the hypothalamus. Gut hormones such as cholecystokinin,peptide YY, pancreatic polypeptide, glucagon-like peptide 1, and oxyntomodulin transfer satiety signals to the brain and ghrelin relays hunger signals. The endocannabinoid system and nutrients are also involved in the physiological regulation of food intake. In this article, we briefly review physiological mechanisms of appetite regulation.

The Benefits of Continuous Glucose Monitoring in Pregnancy

유지희,김재현 대한내분비학회 2023 Endocrinology and metabolism Vol.38 No.5

Previous studies have consistently demonstrated the positive effects of continuous glucose monitoring (CGM) on glycemic outcomes and complications of diabetes in people with type 1 diabetes. Guidelines now consider CGM to be an essential and cost-effective device for managing type 1 diabetes. As a result, insurance coverage for it is available. Evidence supporting CGM continues to grow and expand to broader populations, such as pregnant people with type 1 diabetes, people with type 2 diabetes treated only with basal insulin therapy, and even type 2 diabetes that does not require insulin treatment. However, despite the significant risk of hyperglycemia in pregnancy, which leads to complications in more than half of affected newborns, CGM indications and insurance coverage for those patients are unresolved. In this review article, we discuss the latest evidence for using CGM to offer glycemic control and reduce perinatal complications, along with its cost-effectiveness in pregestational type 1 and type 2 diabetes and gestational diabetes mellitus. In addition, we discuss future prospects for CGM coverage and indications based on this evidence.

서울 일부지역의 빈민아에 대한 연구 : Ⅱ. 가정생활

유지희,최미세,이인술 이화여자대학교 사범대학 교육학과 1966 교육 연구 Vol.- No.28

The Prevalence of Peripheral Arterial Disease in Korean Patients with Type 2 Diabetes Mellitus Attending a University Hospital (Diabetes Metab J 2011;35:543-50)

유지희,이기업 대한당뇨병학회 2012 Diabetes and Metabolism Journal Vol.36 No.1

다문화청소년의 차별경험이 우울에 미치는 영향: 부모와 대화시간의 조절효과를 중심으로

유지희,황숙연 한국청소년복지학회 2018 청소년복지연구 Vol.20 No.4

The purpose of this study is to examine the effect of discrimination experiences on the depression of adolescents of the multicultural family and to verify the moderating effect of time of parent-child conversation on the relation between discrimination experiences and depression. The National Survey of Multicultural Families conducting in 2015 was analyzed by using a hierarchical regression analysis. Major findings were as follows. First, discrimination experiences had a significant influence on the depression of adolescents of the multicultural family. Second, the effect of time of parent-child conversation mediated the relation between discrimination experiences and depression. Based on these results, measures to lower depression and decrease discrimination experiences which multicultural adolescents go through were discussed. Practical strategies to strengthen the relationship between multicultural parents and adolescents as well as to increase time of parent-child conversation in multicultural families were also discussed. 본 연구는 다문화청소년의 차별경험이 이들의 우울에 미치는 영향을 살펴보고, 부모와의 대화시간이 차별경험과 우울간의 관계에서 조절효과를 나타내는지 검증하였다. 이를 위해 2015년다문화가정실태조사 데이터를 활용하여 다문화청소년의 차별경험이 우울에 미치는 직접적인 영향을 살펴보았고, 차별경험과 우울감과의 관계에서 부모와의 대화시간의 조절효과를 알아보기위하여 위계적 회귀분석을 실시하였다. 연구의 주요결과는 다음과 같다. 첫째, 다문화청소년의차별경험은 우울에 유의한 영향을 미치는 것으로 나타났다. 둘째, 부모와의 대화시간은 다문화청소년의 차별경험과 우울간의 관계에 대해 조절효과를 갖는 것으로 확인되었다. 이러한 결과를 토대로 다문화 청소년의 우울을 감소시키고 차별을 방지하기 위한 방안을 논의하고, 부모와의 대화시간을 비롯한 부모-자녀관계 강화를 위한 실천적 방안을 논의하였다.

일 대학병원 정신과 외래 환자의 약물 순응도에 영향을 미치는 요인

유지희,우영섭,한창태,최지욱,고효진 대한정신약물학회 2010 대한정신약물학회지 Vol.21 No.1

Objective Drug compliance is closely related to progress and prognosis of psychiatric disease. We investigated drug compliance in psychiatric outpatients and factors that influence their compliance. Methods Patients who visited a university hospital were asked about drug information and drug compliance using questionnaires. Medical records of the patients were reviewed. Demographic variables, clinical characteristics and drug compliance related variables were compared between non-compliance group and compliance group. Logistic regression analysis was performed to clarify predictors of poor compliance. Results One hundred eighty one patients participate in this study. 150 patients (82.9%) were compliance group, 31 patients (17.1%) were included in non-compliance group. Patient-related, illness-related and treatment-related factors, DAI total score and knowledge of side effect did not show any difference in both groups. However, illness severity was relatively higher in non-compliance group (p = 0.070) and patient’s satisfaction about explanation of side effect was lower in noncompliance group (p = 0.061). Moreover, patients who negatively answered for question about negative recognition to psychiatric medication in DAI questionnaire were more common in non-compliance group (p = 0.075). In logistic regression,answering negatively to question about negative recognition to psychiatric medication in DAI questionnaire was related to non-compliance, but did not reached statistical significance (p = 0.086). Conclusion This study suggests that improving negative recognition about psychiatric medication through drug education and good doctor patient relationship could enhance drug compliance. 정신과 환자에서 약물치료에 대한 순응도는 질환의 경과및 예후와 밀접하게 관련된다. 이에 본 연구에서는 대학병원 정신과 외래 환자를 대상으로 약물 순응도를 조사하고이에 영향을 미치는 요소를 파악하고자 계획하였다. 연구방법은 자가 보고식 응답에 의하여 약물 순응군과 약물 비순응군으로 구분한 후 각각의 그룹에 대해 연령, 성별 등의사회인구학적 변인과 정신과적 진단명, 신체적 질환 여부,임상변인을 비교 하였다. 결과로는 약물 및 부작용에 대한설명과 이에 대한 만족도, 정신과 약물에 대한 주관적, 부정적 태도 만이 약물 순응도에 영향을 주는 것으로 나타났다. 따라서 환자 개인이 가지고 있던 정신과적 약물치료에대한 부정적 인식을 개선하는 것이 약물 순응도를 높이는데 효과적일 것으로 예상할 수 있다.