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      • KCI등재
      • SCOPUSKCI등재

        의사의 일반적 특성이 재왕절개분만율에 미치는 영향에 관한 연구

        조은희,Cho, Eun-Hee 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

        The number of deliveries by cesarean section has increased internationally. However, The cesarean section rate is different by country to country. It is because each country has different social and cultural background and. practices its unique delivery policies. Hence, it is very important to understand the uniqueness that one country faces related with the cesarean section. In Korea, there have been many researches on the clinical. maternal. hospital and community factors and so on. However, few studies have attempted to reveal the physician factors in Korea because it is difficult to approach hospital records. So, in this study, the physician factors that influence the increase of cesarean section rate in Korea was investigated, and preliminary research agenda for policy establishment to keep the cesarean section rate from excessive increase was provided. In this study, all 2744 cesarean section deliveries performed by 36 physicians at the hospital was considered. and detailed delivery records of 12 months selected randomly from January 1996 to August 1998 was reviewed retrospectively. Chi-square analysis is used to examine the homogeneity of distribution of maternal, fetal, and clinical factors. In addition, multiple regression analysis is used to examine the effect of physician characteristics on the cesarean section rate. Physician characteristics as independent variable and the cesarean section rate as dependent variable was put in this analysis. Follows are the results of this study. 1) Total cesarean section rate is 34.8%. primary cesarean section rate is 12.5 % and repeated cesarean section rate is 22.3 %. Among the indications for the primary cesarean section, 15.6 % is for breech presentation. 40.2 % is for dystocia. 7.6 % is for fetal distress. and 36.6 % is for others. 2) There is positive correlation between physician's age and the cesarean section rate (p<0.001). And statistically significant correlation is found between the physician's educational attainment and the cesarean section rate (p<0.001). A physician with Ph.D degree has lower cesarean section rate than a physician with B.A only and M.A. degree (p<0.001). However. physician's gender, location of graduated university. position at the hospital, and the religious belief were not shown statistically significant relations with the cesarean section rate. 3) Among all cesarean sections in this study, only 15.4 % is performed during weekend. While 18.2 % is performed on monday only. This suggests that physicians may not prefer weekend operation of cesarean section. In addition, 86.1 % among all cesarean section operations is performed from 6 a.m. to 6 p.m. So the cesarean section rate could be related with a day of the week and a time of the day. From this results. there is a possibility that the physicians' personal comfort may influence the cesarean section rate.

      • KCI등재

        High Serum Osteopontin Levels Are Associated with Low Bone Mineral Density in Postmenopausal Women

        조은희,Keun-Hyok Cho,이향아,김상욱 대한의학회 2013 Journal of Korean medical science Vol.28 No.10

        Osteopontin (OPN) is an acidic, noncollagenous matrix protein produced by the bone and kidneys. It is reportedly involved in bone resorption and formation. We examined the association between serum OPN levels and bone mineral density in postmenopausal women. Premenopausal women (n=32) and postmenopausal women (n=409) participated in the study. We measured serum osteopontin levels and their relationships with bone mineral density and previous total fragility fractures. The postmenopausal women had higher mean serum OPN levels compared to the premenopausal women (43.6±25.9 vs 26.3±18.6 ng/mL; P<0.001). In the postmenopausal women, high serum OPN levels were negatively correlated with mean lumbar bone mineral density (BMD) (r=-0.113, P=0.023). In a stepwise multiple linear regression model, serum OPN levels were associated with BMD of the spine, femoral neck, and total hip after adjustment for age, body mass index, smoking, and physical activity in postmenopausal women. However, serum OPN levels did not differ between postmenopausal women with and without fractures. Postmenopausal women exhibit higher serum OPN levels than premenopausal women and higher serum OPN levels were associated with low BMD in postmenopausal women.

      • KCI등재

        컴퓨터 적외선(赤外線) 전신체열촬영(全身體熱撮影)을 통해 살펴본 Bell' palsy에 대한 한방적 치료의 임상적(臨床的) 고찰(考察)

        조은희,조남근,허태영,천미나,Cho, Eun-Hee,Cho, Nam-Geun,Hur, Tae-Young,Cheon, Mi-Na 대한침구의학회 2000 대한침구의학회지 Vol.17 No.2

        Object : This study is designed to evaluate effects of acupuncture and herb-medication by the data of DITI(Digital Infrared Thermographic Imaging) examination and the changes of clinical symptoms after the therapy of acupuncture and herb-medication in the patients with Bell's palsy. Contents : The conservative therapy with acupuncture and herb-medication was performed during 1-8weeks. The acupuncture points of S4, S6, G14, S2, BL2, SI18, TE23, LI4 and S36 was used. In the pre- and post therapy, DITI examinations were performed in patients who had Bell's palsy and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-and post acupuncture. Setting : The standard routine themographic examinations were performed with thermography (DITI) in the 16 patients with Bell's palsy at pre- and post acupuncture. patients : Thermographic imaging of 16cases was analyzed. They had diagnosed Bell's palsy. They were treated by acupuncture and moxibustion therapy in Wonkwang Oriental Hospital from Jauary, 1999 to February, 2000. Results : The results of treatment showes that 56.25% of patients achieved excellent recovery and 31.25% achieved good recovery. After compairing the DITI results before and after treatment, we found 43.75% of patients achieved excellent recovery and 43.75% achieved good recovery. Conclusion :Acupuncture showed good results over 87.5% in clinical evaluation and 87.5% in DITI. Thermographic examination showes terapeutic effect of acupuncture treatment.

      • KCI등재

        적외선(赤外線) 체열(體熱) 촬영(撮影)을 이용한 족삼리(足三里)(ST36)자침(刺鍼)이 안면부(顔面部) 영역간(領域間) 온도차이(溫度差異)의 변화(變化)에 미치는 영향(影響)

        조은희,Cho, Eun-hee 대한침구의학회 2003 대한침구의학회지 Vol.20 No.5

        Objective: This study was examined for effects of acupuncture of Zusanli(ST36) on the facial thermography in health subjects. Methods: The voiunteers who participating in this study had taken rest for 15 mins in room temperature ($19-21^{\circ}C$) before the examination and informed them what to prohibit smoking. drinking and administration of drug for the previous day. The thermography of face was taken using Digital Infrared Thermographic Imaging (D.I.T.I.: Dorex. DTI-16UT1. U.S.A.) by time interval of 35 minutes at 15 min before and 20 min after acupuncture stimuiation. Thermal temperature of Daying(ST5). Juliao(ST3) and Quanliao(SI18) was measured and compared. Results: The results showed that acupuncture of Zusanli(ST36) significantly decreased the Absolute defference of temperature between Daying(ST5) and Juliao(ST3) (p<0.05, Data were represented meant ${\pm}$S.E.M.(n=33)). The results showed that acupuncture of Zusanli(ST36) significantly decreased the Absolute defference of temperature between Quanliao(SI18) and Juliao(ST3)(p<0.01, Data were represented mean${\pm}$S.E.M. (n=33)). But, acupuncture of Zusanli(ST36) particularly decreased the absolute defference of temperature between Daying(ST5) and Quanliao(SI18). Also. it was observed that acupuncture of ST36 decreased variety of the color tone of thermographic contour line and decreased thermal distribution. Conclusions: The results showed that acupuncture of Zusanli(ST36) significantly decreased the absolute defference of temperature of partial facial surface. Hereafter. study about if acupuncture of Zusanli(ST36) significantly decrease the absolute defference of temperature of all the areas of facial surface is requested. Also. continued study of effects of acupuncture of other meridian on the facial thermography is requested.

      • KCI등재

        셰익스피어의「The Tempest」무대의상(舞臺衣裳) 연구(硏究) -색채(色彩) 상징성(象徵性)을 중심(中心)으로-

        조은희 ( Eun Hee Cho ),조규화 ( Kyu Hwa Cho ) 한국패션비즈니스학회 2001 패션 비즈니스 Vol.5 No.2

        The purpose of this study was illumination of the stage costume by applying the study of a subject of human expression, which establishes identity of dramatic characters. This study was conducted by referring a variety of theses, an extensive national and international literature. The color symbolism that is depicted in Shakespeare`s work manifests the transition period of old days, which was influenced by the Renaissance and the Religious Reformation. And color preferences and the meanings I attach to them in his play, definitely reveal the Middle Ages Christian way of thinking which was obsessively dominated their mind. I also determine that the color preferences and use in Elizabeth Era also distinctively separate the social status, which were also influenced by its social conditions. Besides this, colors that were depicted in Shakespeare`s work also shown many similarities from Italian Commedia dell`arte, which were in vogue all over the Europe. Customary color symbolisms which from natural color experiences were also applied in 「The Tempest」. 「The Tempest」was presented on the first day of November in 1611 for the first time. Following this, many plays and films have been produced in foreign countries and Korea. With an analysis of 「The Tempest」, costume designs for Miranda and Ferdinanad were illustrated at the end. The costumes for Miranda and Ferdinand were mainly considered to express pure love and vigorous youth of two lovers, symbolizing the image of the theme love, forgiveness, and reconciliation.

      • KCI등재후보

        사실혼ㆍ동거 가족의 법률문제와 해결방안

        조은희(Cho Eun Hee) 인하대학교 법학연구소 2009 法學硏究 Vol.12 No.2

        현대 사회는 다변화, 다양화, 다문화 되어 가고 있다. 개인은 보다 폭넓은 자유와 선택을 원하고 있으며, 이러한 현상은 혼인과 가족에도 많은 영향을 끼치고 있다. 기존에는 당연시 하였던 결혼관은 변화하고 있으며, 혼외적 삶의 방식도 다양하게 시도되고 있다. 이에 기존의 전통적 의미의 가족에서 사실혼ㆍ동거가족 역시 증가하고 있다.이에 이들 사실혼ㆍ동거가족의 다양한 문제를 기존의 전통적 시각으로 해결하기 어려운 상황에 처하게 되었다. 본 논문은 혼외적 사실혼ㆍ동거가족을 어떻게 바라보아야 하는가라는 측면에서 오늘날 규범의 범주에서 혼인과 가족의 의미를 검토하였고, 이에 통해 사실혼ㆍ동거가족의 의미를 살펴보고자 하였으며, 또한 사실혼ㆍ동거 당사자의 그리고 그들 자녀에 대한 현행 법리와 이에 대한 문제를 검토하였으며, 더 나아가 이들 문제점에 대한 해결방안을 모색해 보았다.

      • KCI우수등재
      • QoS를 지원하는 SIP 서버 및 Policy 서버의 기능 및 구조에 관한 연구

        조은희 ( Eun-hee Cho ),신강식 ( Kang-sik Shin ),유상조 ( Sang-jo Yoo ),이종훈 ( Jong-hoon Lee ),홍경표 ( Kyung-pyo Hong ) 한국정보처리학회 2004 한국정보처리학회 학술대회논문집 Vol.11 No.2

        본 논문에서는 All-IP 기반의 차세대 네트워크에서 중요한 역할을 하게 될 SIP (Session Initiation Protocol)를 이용하여 사용자의 QoS (Quality of Service) 요구 사항이 반영 된 세션이 설정 될 수 있도록 하는 방법을 제안하기 위해, 세션 설정 요청시 SIP 메시지가 QoS 관련 정보를 포함 할 수 있도록 SDP (Session Description Protocol)의 새로운 속성 필드를 추가하여 그 기능을 확장하였다. 또한 세션 설정 뿐 아니라 QoS 관련 업무를 지원하도록 기능이 향상된 SIP 서버와 정책 서버를 이용한 QoS를 제공하는 세션의 설정 과정과 각 서버의 새로운 기능 및 구조를 제시하였다.

      • KCI등재

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