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유재영(Jaeyoung Yu),문동민(Dongmin Moon),박근원(Geunwon Park),손준호(Junho Shon),안진표(Jinpyo Ahn),이서윤(Seoyun Lee),박현주(Hyunju Park),김승민(Seungmin Kim) 한국HCI학회 2024 한국HCI학회 학술대회 Vol.2024 No.1
대학교에서 제공하는 다양한 웹 서비스들은 학생들에게 정보를 제공하는 창구의 역할을 하고 있다. 하지만 일부 서비스는 사용자인 학생의 상황을 고려하지 않고 서비스 하는 것으로 파악된다. 본 논문은 기존의 웹 서비스를 사용자인 학생 중심으로 개선한 과정을 고찰한다.
유재영 ( Jaeyoung Yu ),류시원 ( Seewon Ryu ) 대한보건협회 2017 대한보건연구 Vol.43 No.2
연구목적 : 본 연구는 배우자와의 나이차이와 건강상태 및 의료이용의 관련성을 파악하고자 하였다. 연구방법 : 자료는 한국의료패널 연간데이터 중 2012년 데이터를 활용하였으며, 배우자자료가 있는 40세 이상의 응답자 6,910명을 분석대상으로 선정하였다. 배우자와의 나이차이에 따라 건강상태(주관적 건강상태, 동년배 비교 건강상태, 불안/우울)와 의료이용(외래이용횟수, 재원일수)의 관련성을 파악하였다. 연구결과 : 남자(여자)는 배우자보다 평균 3.7세(3.4세) 많았으며(적었으며), 남자와 여자 모두 3세 차이가 가장 많은 빈도(최빈값)를 차지하였으며, 배우자보다 1세~5세 많은 남자(1세~5세 적은 여자)의 경우가 각각 59% 수준이었다. 남자의 경우, 배우자와의 나이차이는 주관적 건강상태 및 동년배 비교 건강상태와 모두 약한 음의 상관성이 있었으며, 불안/우울, 외래방문수, 재원일수 등과는 약한 양의 상관성이 있었다. 여자의 경우, 배우자와의 나이차이는 자신의 주관적 건강수준 및 동년배 비교 건강상태와 약한 양의 상관성이 있었으나, 불안/우울과는 음의 상관성이 있었으나, 유의하지 않았다. 결론 : 배우자와의 나이차이에 대한 기술통계, 그리고 배우자의 나이차이와 건강상태 및 의료이용의 상관성은 건강을 고려한 배우자 선택과 보건의료정책에 활용성이 기대된다. 그러나, 연령대, 생활습관, 배우자의 지지, 혼인기간, 혼인상태 등을 고려한 추가연구를 통하여 보다 유용한 의미를 도출하여야 할 것이다. Objective: The purpose of this study was to investigate the relationships of age gap between partners with health status and utilization of health service. Methods: We used the data of year 2012 in the annual Korea Health Panel administered by joint supervision of Korea Institute for Health and Social Affairs and National Health Insurance Corporation. We analyzed data for 6,910 individuals that had a spouse and were above 40 years old. Results: Man(woman)`s average age gap with partner was 3.7(-3.4) years, and mode of man`s(woman`s) age gap with partner was 3(-3) years. For men, age gap between partners had weak positive correlations with frequency of outpatient service utilization, anxiety and depressive symptoms, and length of hospital stay, and weak negative correlations with self-rated health status. For women, age gap between partners had weak positive correlations with self-rated health status, and weak negative correlations with frequency of outpatient service use. Conclusion: The relationships of age gap between partners with health status and health service utilization have implications to culture of marriage and health policy on family life. Further research on the mediating factors with the relationships are needed.
Bleeding complications in critically ill patients with liver cirrhosis
( Jaeyoung Cho ),( Sun Mi Choi ),( Su Jong Yu ),( Young Sik Park ),( Chang Hoon Lee ),( Sang Min Lee ),( Jae Joon Yim ),( Chul Gyu Yoo ),( Young Whan Kim ),( Sung Koo Han ),( Jinwoo Lee ) 대한내과학회 2016 The Korean Journal of Internal Medicine Vol.31 No.2
Background/Aims: Patients with liver cirrhosis (LC) are at risk for critical events leading to Intensive Care Unit (ICU) admission. Coagulopathy in cirrhotic patients is complex and can lead to bleeding as well as thrombosis. The aim of this study was to investigate bleeding complications in critically ill patients with LC admitted to a medical ICU (MICU). Methods: All adult patients admitted to our MICU with a diagnosis of LC from January 2006 to December 2012 were retrospectively assessed. Patients with major bleeding at the time of MICU admission were excluded from the analysis. Results: A total of 205 patients were included in the analysis. The median patient age was 62 years, and 69.3% of the patients were male. The most common reason for MICU admission was acute respiratory failure (45.4%), followed by sepsis (27.3%). Major bleeding occurred in 25 patients (12.2%). The gastrointestinal tract was the most common site of bleeding (64%), followed by the respiratory tract (20%). In a multivariate analysis, a low platelet count at MICU admission (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.97 to 0.99) and sepsis (OR, 8.35; 95% CI, 1.04 to 67.05) were independent risk factors for major bleeding. The ICU fatality rate was significantly greater among patients with major bleeding (84.0% vs. 58.9%, respectively; p = 0.015). Conclusions: Major bleeding occurred in 12.2% of critically ill cirrhotic patients admitted to the MICU. A low platelet count at MICU admission and sepsis were associated with an increased risk of major bleeding during the MICU stay. Further study is needed to better understand hemostasis in critically ill patients with LC.
Jaeyoung Cho,이창훈,Deog Kyeom Kim,Hun-Gyu Hwang,Yu-Il Kim,Hye Sook Choi,Jeong-Woong Park,Kwang Ha Yoo,Ki-Suck Jung,이상도 대한내과학회 2020 The Korean Journal of Internal Medicine Vol.35 No.5
Background/Aims: Despite increasing awareness of the burden of chronic obstructive pulmonary disease (COPD) in women, knowledge regarding gender differences in COPD outcomes is limited. Therefore, we aimed to evaluate whether COPD outcomes, including exacerbations, lung function, and symptoms differ by gender. Methods: We recruited patients with COPD from two Korean multicenter prospective cohorts. After propensity score matching, the main outcome, the incidence of moderate or severe exacerbations was analyzed using a negative binomial regression model. We also assessed changes in lung function and symptom scores including the St. George’s respiratory questionnaire for COPD (SGRQ-C), COPD assessment test (CAT), and the modified Medical Research Council (mMRC) dyspnea score. Results: After propensity score matching, 74 women and 74 men with COPD were included. The incidence rates of exacerbations in women and men were not significantly different (incidence rate ratio, 1.49; 95% confidence interval [CI], 0.88 to 2.54). There was no significant difference in the incidence rates adjusted for medication possession ratios of long-acting muscarinic antagonists, long-acting β-agonists, and inhaled corticosteroids during the follow-up period (incidence rate ratio, 1.47; 95% CI, 0.86 to 2.52). Rates of decline in post-bronchodilator forced expiratory volume in 1 second and forced vital capacity did not differ between women and men during 48 months of follow-up. The changes in scores on the SGRQ-C, CAT, and mMRC Questionnaire in women were also similar to those in men. Conclusions: We observed no gender differences in the rate of exacerbations of COPD in a prospective longitudinal study. Further studies are needed to confirm these findings in the general COPD population.
면역저하 소아에서 발생한 다제내성 녹농균 균혈증을 ceftolozane-tazobactam으로 성공적으로 치료한 증례보고
Yu Hyesun,Shin Areum,Kim Doo Ri,Choi Jaeyoung,Ju Hee Young,Cho Joongbum,Kang Cheol-In,김예진 대한소아감염학회 2023 Pediatric Infection and Vaccine Vol.30 No.1
With the widespread use of broad-spectrum antibiotics in clinical practice, the emergence of multidrug-resistant (MDR) gram-negative bacteria has become a global problem. The MDR Pseudomonas aeruginosa infection is especially difficult to treat and increases mortality in critically ill patients. Ceftolozane-tazobactam (Zerbaxa™) is a fifth-generation cephalosporin and beta-lactamase inhibitor that has proved to be effective for treating complicated urinary tract infections and complicated intra-abdominal infections caused by MDR P. aeruginosa. Herein, we report the first case of pediatric hematologic cancer in Korea that was successfully treated for MDR P. aeruginosa bacteremia with Ceftolozane-tazobactam.