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이야기책을 이용한 기능적 읽기 중재가 언어발달지체 아동의 이야기 산출능력에 미치는 효과
구자현(Ja-Hyun Ku),이효진(Hyo-Jin Lee),정한진(Hanjin Jeong),서경희(Kyoung-Hee Sehr) 한국의료정보교육협회 2019 보건의료생명과학논문지 Vol.7 No.2
본 논문에서는 기능적 읽기 중재가 언어발달지체 아동의 문법, 문장의 복잡성을 나타내는 결속장치 사용과 같은 이야기 산출 능력에 미치는 효과를 알아보고자 하였다. 연구는 A-B-A로 설계되었으며 기초선 1회기, 중재 8회기, 중재 철회 1회기, 총 10회기로 진행되었다. 연구 결과, 기능적 읽기중재를 사용하였을 때 대상아동의 자발적 이야기문법 산출과 결속표지의 사용빈도 수가 증가되었다. 이를 통해 기능적 읽기중재가 언어발달지체 아동의 이야기문법 산출에 긍정적인 효과가 있음을 확인할 수 있었다. The purpose of this study was to investigate the effects of functional reading intervention on storytelling ability such as grammar and the use of binding devices that express sentence complexity in children with language development delay. The study was designed as A-B-A and consisted of one baseline session, eight intervention sessions, one withdrawal session. As a result, the use of functional reading intervention increased the voluntary story grammar and the frequency of use of binding signs. Through this, it was confirmed that functional reading intervention has a positive effect on the production of story grammar of children with language development delay.
슬관절 전치환술 후 슬관절 주위주입과 병용한 지속적 정맥 진통과 지속적 경막외 진통의 비교
박정민 ( Jeong Min Park ),임영수 ( Young Su Lim ),이우석 ( Woo Suk Lee ),구자현 ( Ja Hyun Ku ),강포순 ( Po Soon Kang ),권희욱 ( Hee Uk Kwon ),조춘규 ( Choon Kyu Cho ),정성미 ( Sung Mee Jung ),양춘우 ( Chun Woo Yang ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.1
Background: Postoperative continuous intravenous analgesia may not provide effective postoperative analgesia following total knee arthroplasty. This study was conducted to determine if combined continuous intravenous analgesia and peri-articular infiltration provided a better quality of analgesia following total knee arthroplasty than epidural analgesia. Methods: A prospective, double-blind study involving 50 patients who had undergone total knee arthroplasty was conducted. Patients were divided into control group and an experimental group. Patients in the control group (n=25) received peri-articular infiltration with 47 mL normal saline prior to closure of the wound and postoperative epidural analgesia for 48 hours. Patients in the experimental group (n=25) received a mixture of peri-articular infiltration of 16 mL of 0.75% ropivacaine, 6 mg morphine, 0.2 mg of epinephrine and 25 mL normal saline prior to closure of the wound and postoperative continuous intravenous analgesia for 48 hours. The analgesic efficacy was then evaluated using the verbal numeric rating scale at 1, 2, 6, 12, 24, and 48 hours postoperatively. The side effects and the dosage of rescue analgesics were then recorded. Results: The experimental group showed a significantly higher pain score than the control group 2 and, 6 hours postoperatively at rest and 2 hours postoperatively following passive knee movement (P<0.05). In addition, the rescue analgesic requirement was higher for the experimental group during the first 24 hours following surgery than for the control group (P<0.05). Conclusions: We found that combined continuous intravenous analgesia and peri-articular infiltration of a mixture of ropivacaine and, morphine injected into the peri-articular tissue provided minimal benefits for pain control during the early postoperative period when compared to epidural analgesia after total knee arthroplasty. (Korean J Anesthesiol 2009;56:47~53)
빗장 아래 팔신경얼기 차단 환자에서의 0.75% 또는 0.5% Ropivacaine의 비교
박정민 ( Jeong Min Park ),정성미 ( Sung Mee Jung ),조춘규 ( Choon Kyu Cho ),임영수 ( Young Su Lim ),구자현 ( Ja Hyun Ku ),허윤무 ( Youn Moo Heo ),송장호 ( Jang Ho Song ),양춘우 ( Chun Woo Yang ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5
Background: We performed a prospective, double blind study to compare the clinical effect of vertical infraclavicular brachial plexus block produced by 0.75% vs 0.5% ropivacaine for upper limb surgery. Methods: We included 80 patients receiving upper limb surgery under infraclavicular brachial plexus block. The infraclavicular brachial plexus block was performed via the vertical technique with 30 ml of 0.75% or 0.5% ropivacaine. By observation, we determined nerve type was stimulated and scored the level of sensory block and motor block. The quality of blocks was assessed intra-operatively. The duration of sensory block and motor block and their complications were assessed. Results: There were no significant differences in the frequency of stimulated nerve type, evolution of sensory and motor block quality, or success of block. There were no significant differences in the duration of sensory block and motor block. Vascular puncture was noted in 1 patient in the 0.75% ropivacaine. Conclusions: Both the 0.75% and 0.5% ropivacaine had similar effects in the vertical infraclavicular brachial plexus block. (Korean J Anesthesiol 2009;57:572∼8)