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      • KCI등재후보

        Order Communication System과 연동된 Clinical Decision Supporting System의 효과 평가

        서지연,이은재,이자균,조경희,함정연 한국병원약사회 2010 病院藥師會誌 Vol.27 No.2

        Objectives :We evaluated the effectiveness of Clinical Decision Supporting System (CDSS) which Kangbuk Samsung Medical Center(KBSMC) has developed. Methods: The prescriptions for hospitalized patients during the study period were reviewed before and after the application of two typical CDSS programs interworking with Order Communication System(OCS). The effectiveness of programs which is not applicable to medicinal powder was evaluated by assessing the number of prescriptions of the alternative medicines, Lansoprazole Orally Disintegrating tablets(ODT) and Valproic acid syrup. In the case of the program assessing narcotic drug amount level, the number of prescription was checked for Pethidine 25mg at the specification of 50mg. For the study, the prescription review book of the year 2009 was investigated. Results: After applying the program, Valproic acid usage was increased 6.6 times in terms of the prescription amount: 14,238ml and 82,542ml of year 2006 and 2008, respectively, and 105,122ml at 2009(Annual average 14,238 ml vs 93,832 ml). Annual amount of Lansoprazole prescription increased 7 times after application of the program: 3,140 and 4,189 tablets for year 2008 and 2009, respectively, compared to 524 tablets for year 2006 when the program had not been applied(Annual average 3,664 tablets vs 524 tablets). The number of cases in which Pethidine 50mg was leftover after prescription has decreased after the program application in December 2009: 92 cases for Aug, 57 cases for Sep, 65 cases for Oct, and 71 cases for Nov in the year of 2009 compared to 48 and 9 cases for Dec 2009 and Jan 2010, respectively, with no occur from February to March(Monthly average 71 cases vs 14 cases). The analysis of 2009 prescription review book has shown that simple OCS operational mistakes were mainly found for outpatient prescriptions. In case of inpatient, however, many mistakes were caused by incomplete understanding of the hospital system and prescription drugs as well as the operational errors in OCS. Conclusion: The CDSS programs evaluated in this study were all effective. The prescription of medicines which is not applicable to medicinal powder and the remaining amount of narcotic drug occurred at reduced level. Drug-related CDSS is necessary for all medical institutions. However,the indiscriminate development of the program could drop clinician's acceptance rate and interfere with medical care. Therefore, the information provided must be clinically meaningful and should be constantly updated.

      • KCI등재

        놀이치료자의 직무스트레스와 슈퍼바이지 애착 전략이 심리적 소진에 미치는 영향

        서지연,진미경 한국놀이치료학회 2018 한국놀이치료학회지(놀이치료연구) Vol.21 No.1

        The purpose of this study was to investigate the effects of job stress and supervisee attachment strategies on play therapist’s burn-out and to examine the independent influence of supervisee attachment strategies on the play therapist’s burn-out, controlling for the effects of job stress. The subjects of this study comprised 139 play therapists. The collected data were analyzed by means of multiple- and hierarchical regression analysis. The results revealed that when the play therapists had higher levels of task relating factors and higher levels of rejection attachment strategy in place, the degree of burn-out was found to be higher. Additionally, the play therapist’s rejection attachment strategy had an independent influence on burn-out, controlling for job stress. Based on these results, this study is meaningful in that it acts an exploratory research exercise on supervisee attachment strategies in the supervision contexts. In addition, it also serves as part of the general efforts aimed at improving the employment environment to prevent and cope with burn-out amongst play therapists. 본 연구는 놀이치료자의 직무스트레스와 슈퍼바이지 애착 전략이 심리적 소진에 어떠한 영향을 미치는지 그리고 놀이치료자의 직무스트레스를 통계적으로 통제한 상태에서도 슈퍼바이지 애착 전략이 심리적 소진에 대해 독립적인 영향력을 미치는지 검증하였다. 연구 대상은 놀이치료자 139명이며 수집된 자료는 중다회귀분석과 위계적 회귀분석으로 분석하였다. 그 결과 놀이치료자의 직무스트레스 하위요인 중 직무관련요인과 슈퍼바이지 애착 전략 하위요인 중 거절이 심리적 소진에 유의한 정적 영향을 미치는 것으로 나타났다. 또한 슈퍼바이지 애착전략 거절은 직무스트레스를 통제하고도 심리적 소진에 독립적인 영향력을 가졌다. 본 연구는 놀이치료자의 심리적 소진의 예방과 대처를 위한 직무환경의 개선 노력과 더불어 슈퍼비전 상황에서 나타나는 슈퍼바이지의 애착 전략에 대한 기초연구를 제시하였다는 데 의의가 있다.

      • KCI등재

        A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating

        서지연,임새미,이준호 국민체육진흥공단 한국스포츠정책과학원 2022 International Journal of Applied Sports Sciences Vol.34 No.2

        The aim of this study was to analyze the breast cancer survivors' difficulties in participating in sports as cancer aftercare. This study employed the case study and purposive sampling to obtain the sample from five breast cancer survivors, two surgical oncologists, and a cancer aftercare NGO specialist. This study conducted the participatory observation method and depth interviews to categorize and conceptualize based on transcribed data with selected study participants. The study was to identify the essential themes, and four medical experts addressed within and across cases. Three essential themes were revealed: financial difficulty, severe chronic condition, and social role. Firstly, breast cancer survivors suffer financial difficulty after a cancer diagnosis because of their career breaks or the absence of economic activities. This situation put survivors hard to take part in sports with high expenses or customized personal programs. Secondly, breast cancer survivors suffer experience motor disorders due to low motivation due to poor physical ability. Therefore, follow-up measures for them should be taken at the welfare level. Thirdly, breast cancer survivors continue to shoulder a disproportionate share burden of Balancing work and family obligations. Cancer survivors who are parents or family caregivers have taken on even more during the cancer treatment. They were already shouldering the majority of financial, social, and family care responsibilities. That is wholly inadequate for most cancer survivors to find enough time to work out or do sports regularly but sporadic or never for themselves and their health.

      • KCI등재

        전사테이프에 부착된 섬유의 양상에 따른 효율적인 채취법 연구

        서지연,이가영,허수진,최향빈,이현영,성태명 한국과학수사학회 2023 과학수사학회지 Vol.17 No.3

        섬유는 사건·사고와 관련하여 가해자와 피해자 또는 사건현장과의 상호 관련성을 입증할 수 있는유용한 미세증거물이다. 섬유를 채취하는 가장 일반적인 방법은 전사테이프법으로 추가적인 시험을 위해서는 테이프에 부착된 섬유를 슬라이드 글라스 또는 금속판에 옮겨야 하는데 효율적인 방법에 대한 연구는미흡한 실정이다. 따라서 국내·외에서 활용되고 있는 섬유채취법을 토대로 섬유의 양상에 따른 효율적인채취법을 다음과 같이 검토하였다. 핀셋으로 집을 수 없는 미세 색상섬유는 투명점착판 분리채취법이 적합하였고, 비교적 큰 섬유의 색상섬유를 소량 채취할 경우 V형 절단채취법이 효율적으로 판단되었다. 다수의 큰 색상섬유는 점착면 개방채취법이 적합하였으며, 흰색계 섬유는 검정시트 활용 채취법이 효율적이었다. 이와 같이 전사테이프에 부착된 섬유의 크기 및 색상에 따른 적절한 채취법을 선택한다면 섬유 채취시간을 획기적으로 줄여 섬유증거물 분석의 용의성과 신뢰성을 높일 수 있을 것으로 판단된다. Fibers are useful trace evidence that can establish a connection between perpetrators and victims or crime scenes in incidents and accidents. The most common method of collecting fibers is tape-lifting, but there is a lack of research on efficient methods for transferring the fibers from the tape to a glass slide or metal plate for further examination. Therefore, based on fiber collection methods used domestically and internationally, efficient collection methods based on fiber types have been examined as follows: Small color fibers that cannot be picked up with forceps are suitable for the transparent adhesive film separation collection method; For a few relatively larger color fibers, V-cut collection method is efficient; For multiple large color fibers, the adhesive-face open collection method is appropriate; When collecting white fiber types, it seems to be efficient to use a black sheet background. By selecting the appropriate collection method based on the size and color of fibers attached to the tape, the time for fiber analysis during the collection process can be significantly reduced, thereby increasing the utility and reliability of fiber evidence.

      • KCI등재

        Nrf2-Mediated HO-1 Induction and Antineuroinflammatory Activities of Halleridone

        서지연,표의선,박준수,김정상,성상현,오원근 한국식품영양과학회 2017 Journal of medicinal food Vol.20 No.11

        Nuclear factor E2-related factor 2 (Nrf2) is the master regulator of antioxidant enzymes and is known to act on the nuclear factor kappa-light-chain-enhancer of activated B cell (NF-κB) signaling pathway. Few studies have examined the bioactivity of halleridone. Herein, we investigated whether halleridone, which was isolated from the stems of the plant Cornus walteri, could regulate Nrf2-mediated heme oxygenase (HO)-1 expression and prevent intramicroglial inflammation induced by amyloid beta (Aβ)1-42 overexpression. Biochemical and molecular experiments, such as real-time polymerase chain reaction, Western blot analysis, immunocytochemistry, immunofluorescence, and luciferase reporter gene assays, were performed. The results demonstrated that halleridone promoted the upregulation of Nrf2 expression and its translocation to the nucleus, thereby activating antioxidant response element gene transcription and HO-1 expression in murine hippocampal HT22 cells. Additionally, halleridone removed intramicroglial Aβ1-42 and suppressed the production of inflammatory mediators such as interleukin (IL)-1β, IL-6, prostaglandin E2, and nitric oxide (NO) induced by artificially overexpressed Aβ1-42 and decreased pNF-κB accumulation in the nucleus and the expression of inducible NO synthase and cyclooxygenase II in BV-2 cells. In conclusion, halleridone activated Nrf2-mediated HO-1 expression and inhibited Aβ1-42-overexpressed microglial BV-2 cell activation. These observations suggest that halleridone may have therapeutic potential for targeting neurodegeneration through neuroinflammation.

      • KCI등재

        Ga2O3 박막 상에서의 RF 플라즈마 화학기상증착법의 메테인 분율 조절에 의한 탄소층의 다양한 형상 제어 연구

        서지연,신윤지,정성민,김태규,배시영 한국열처리공학회 2022 열처리공학회지 Vol.35 No.2

        In this study, we controlled the shape of a carbon layer on gallium oxide templates. Gallium oxide layers were deposited on sapphire substrates using mist chemical vapor deposition. Subsequently, carbon layers were formed using radio frequency plasma chemical vapor deposition. Various shapes of carbon structures appeared according to the fraction of methane gas, used as a precursor. As methane gas concentration was adjusted from 1 to 100%, The shapes of carbon structures varied to diamonds, nanowalls, and spheres. The growth of carbon isotope structures on Ga2O3 templates will give rise to improving the electrical and thermal properties in the next-generation electronic applications.

      • KCI등재

        중국 소비자의 커피제품 추구편익이 한국 커피전문점 만족도와 재이용의도에 미치는 영향

        서지연,이형주 (사)한국조리학회 2019 한국조리학회지 Vol.25 No.9

        The purpose of this study is to understand the influence of Chinese customer's coffee sought benefits on satisfaction, reuse intention and moderating role of cultural proximity of Korean coffee shop. Based on total 270 samples obtained from empirical research from 7th of May to 29th of May, 2019. Self-administrated questionaries were completed by customers of Korean coffee shop in Beijing. The conclusions are as follows. First it was found that Chinese customer's sought pursuit, functional & experimental benefits effect on satisfaction of Korea coffee shop. Second, satisfaction of Korean coffee shop effects on reuse intention. Third, cultural proximity, empirical proximity makes moderating role between satisfaction and reusing intention. From the studies, we can conclude following implications; First, cultural proximity is the opportunity for Korean coffee shop. There is a need to analyze the customer's pursuit of benefits in a cool way and to prepare a plan to draw satisfaction and reuse intention. Second, Korean coffee shops need to put more effort into menu quality control because it is not too long for Chinese customers to consume coffee for functional benefits. These results will contribute to manage marketing strategies in China.

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