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이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1
Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.
한경혜(Han, Gyung-hae),최새은(Choi, Saeeun) 한국가족학회 2013 가족과 문화 Vol.25 No.1
본 연구의 목적은 한국의 여성 베이비부머들의 은퇴과정과 직종에 따른 이질성에 주목하여 여성의 근로생애와 부부관계의 질을 이해하고자 함에 있다. 이를 위하여 1) 경제활동 경험이 있는 여성 베이비부머 2,245명을 대상으로 연령에 따른 주된 일지리로부터의 퇴직 및 완전 은퇴의 생존곡선을 파악하고, 이러한 은퇴과정에 있어서 집단 내의 다양성이 존재하는지를 파악하였으며, 2) 최근 3년간 근로생애를 파악할 수 있는 1,188명의 여성베이비부머를 대상으로 여성의 은퇴과정이 부부관계의 질과 어떠한 관련성을 가지며 그러한 관련성이 직종에 따라 차이가 있는지를 파악하고자 회귀분석을 실시하였다. 이에 따른 Kaplan-Meier 생존함수 분석 결과, 1) 남녀고용평등법 시행의 수혜를 받은 첫 세대인 여성 베이비부머들 역시 노동시장의 진입과 퇴장 등의 형태는 분절적이었고 2) 여성의 은퇴가 남성에 비해 매우 일찍 시작되고 있었으며, 3) 직종에 따라 완전은퇴로의 생존곡선의 모습이 달랐다. 여성의 은퇴과정과 부부관계의 질에 대한 회귀분석 결과 1) 최근 3년 이내에 주된 일자리로부터 퇴직한 여성이 주된 일자리에 지속적으로 종사하고 있는 여성에 비해 배우자로부터 정서적 지지를 더 받고 경제적 문제 및 가사노동을 둘러싼 부부갈등을 덜 경험하는 것으로 나타났다. 2) 전문관리직에 종사하던 여성은 다른 직종에 종사하는 여성들과 비교할 때 은퇴과정에 따른 부부관계의 질에 있어서 차이를 보였다. 본 연구는 직종에 따른 이질성에 주목하여 여성의 은퇴과정과 부부관계를 살펴보았다는 의의가 있으며 여성 은퇴자의 삶의 다양한 측면을 조망하는 후속 연구가 진행되어야 할 것을 제언하였다. This study aims to understand Korean female baby boomer's work life and the martial quality with a focus on the retirement process and the job classification. For this purpose, we conducted 1) a series of Kaplan-Meier analyses by using Korean baby boomer panel data(2010) including 2,441 female baby boomer and 2) a series of ordered logit and OLS regression models with 1,188 boomer women. The findings delineate that the work life of the female baby boomer shows a M-curve and the retirement process began earlier than male baby boomers. The heterogeneity within the retirement process of the female baby boomer can be found across the primary job classification. Regarding the association between the retirement process and marital quality, this study found that retired women were more likely to report higher spousal support and lower marital conflict. The findings from this study suggest that the association between the retirement process and marital quality varies across primary job characteristics. In particular, women with the bridge jobs show low marital quality when their primary jobs were managers/professionals. This study contributes to enhance understanding of women's retirement and marital quality by paying attention to heterogeneity in terms of retirement process and primary jobs.
한경혜(Han Gyung-Hae),윤순덕(Yoon Soon-Duck) 한국사회학회 2000 韓國社會學 Vol.34 No.F
이 연구는 노인의 거주유형 결정요인을 밝히고 있는 서구 선행연구의 분석틀이 우리나라 농촌노인에게 그대로 적용할 수 없다는 관점에서 출발하여 노인의 특성이외에 장남의 특성이 농촌노인의 거주유형 결정에 어떠한 영향을 미칠 것인지를 생애과정 관점(Life Course Perspective)에서 파악하고자 하였다. 농촌노인의 거주유형 결정요인을 탐색하는데 있어, 미혼 자녀와 살고있는 노인은 분석대상에서 제외하였고, 노인의 거주유형을 노인단독가구, 지차남동거가구, 장남동거가구 3유형으로 나누어 분석하였으며, 노인특성 변수외에 노인의 거주유형 결정에 중요하다고 판단되는 장남의 교육수준과 직업 등을 결정모형에 포함시켰다. 제주도를 제외한 전국 8도 32마을에서 수집한 총 954명의 결혼한 생존아들이 있는 농촌노인들을 대상으로 거주유형 결정요인을 분석한 결과, 장남의 학력이 전문대졸 이상일수록, 장남이 전문관리서비스직에 종사할수록 노인단독가구나 지차남동거가구를 선택할 가능성이 높은 것으로 나타났다. 또한 노인의 어려운 경제형편은 독립거주능력을 상실시켜 자녀와의 동거가능성이 높아진다는 기존 연구결과와 반대로 경제적 형편이 나쁜 노인들이 단독가구를 형성할 가능성이 높은 것으로 나타났다. 선행연구에서 노년기 거주유형 결정에 중요요인으로 밝혀졌던 노인의 특성 변수보다는 자녀 특성의 영향력이 더 큰 것으로 나타난 본 연구결과는 한국 농촌노인의 거주유형 결정과정이 서구와 상이함을 보여준다. Traditional family system in Korea has been the stem family where the eldest son live with their parents even after their marriage. However, with rapid sociocultural changes in recent years, living arrangements of the rural elderly have changed dramatically. Using the life course framework, it was hypothesized that the increase of the elder-only household and the elderly live with later born sons in rural area was the results of parental strategy, specifically due to the increase of the educational level of the eldest son and consequent labor force participation in urban area. In order to test this hypothesis, data were gathered from 1,021 rural elderly in Korea using the structured questionnaire. Data were analysed using multinomial logistic analysis. Three forms of living arrangements of the rural elderly were identified; living alone, living with married eldest son, and living with married later born son. Results showed that the economic status of the elderly, the eldest son’s educational level and the kind of job of the eldest son had a significant effect on the likelihood of living apart from their eldest son. The number of the surviving sons had a positive effect on the likelihood of forming a household with later born sons rather than with the eldest son. We found the results particularly interesting in terms of the fact that elderly parents’ age, marital status, and health which were considered to be important explaning the living arrangements in Western culture showed no significant effects in explaining the living arrangements of Korean rural elderly.
A nonsense PAX6 mutation in a family with congenital aniridia
Han, Kyoung Hee,Lee, Hye Jin,Ha, Il-Soo,Kang, Hee Gyung,Cheong, Hae Il The Korean Pediatric Society 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.no.sup1
Congenital aniridia is a rare ocular malformation that presents with severe hypoplasia of the iris and various ocular manifestations. Most cases of congenital aniridia are known to be related to mutations in the paired box gene-6 (PAX6 ), which is an essential gene in eye development. Herein, we report a familial case of autosomal dominant congenital aniridia with four affected members in 3 consecutive generations and describe the detailed ophthalmologic findings for one of these members. As expected, mutational analysis revealed a nonsense mutation (p.Ser122*) in the PAX6 gene. Thus, our findings reiterate the importance of PAX6 mutations in congenital aniridia.
Bilateral iliac and popliteal arterial thrombosis in a child with focal segmental glomerulosclerosis
Han, Kyoung Hee,Park, Ji Youn,Min, Seung-Kee,Ha, Il-Soo,Cheong, Hae Il,Kang, Hee Gyung The Korean Pediatric Society 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.5
Thromboembolic complications (TECs) are clinically important sequelae of nephrotic syndrome (NS). The incidence of TECs in children is approximately 2%-5%. The veins are the most commonly affected sites, particularly the deep veins in the legs, the inferior vena cava, the superior vena cava, and the renal veins. Arterial thrombosis, which is less common, typically occurs in the cerebral, pulmonary, and femoral arteries, and is associated with the use of steroids and diuretics. Popliteal artery thrombosis in children has been described in cases of traumatic dissection, osteochondroma, Mycoplasma pneumoniae infection, and fibromuscular dysplasia. We report of a 33-month-old girl with bilateral iliac and popliteal arterial thrombosis associated with steroid-resistant NS due to focal segmental glomerulosclerosis. Her treatment involved thrombectomy and intravenous heparinization, followed by oral warfarin for 8 months. Herein, we report a rare case of spontaneous iliac and popliteal arterial thrombosis in a young child with NS.