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Retrospective Analysis of Equine General Anesthesia performed at Korea Racing Authority
김아람,양영진,송대영,김진갑,김하기,권철재,서유진,정효훈,이인형 한국임상수의학회 2014 한국임상수의학회지 Vol.31 No.2
This study was conducted to analyze the results of inhalation anesthesia performed at the equine hospitalof Korea Racing Authority (KRA) and to find out the influencing factors on mortality during and/or after inhalationanesthesia. Among 585 cases of anesthesia, orthopedic surgery (410) was performed the most frequently, followedby colic surgery (85) and upper airway surgery (45). Twenty out of 585 horses were either euthanized or died duringand/or after anesthesia. Among those twenty horses, fourteen horses received colic surgery, three received orthopedicsurgery, and three others received upper airway surgery. The major causes of mortality were rupture of intestine incolic surgery and airway obstruction during recovery in upper airway surgery. Myopathy, refracture, laminitis werethe causes of mortality in orthopedic surgery. Consequently, the horses that received colic and upper airway surgeriesshowed significantly high mortality rate rather than horses that received orthopedic surgery (p < 0.01). According tothe results, horses that received colic surgery showed the highest mortality rate from euthanasia due to poor and graveprognosis. To reduce the perioperative mortality of horses, it is recommended to perform perioperative intensive carefor colic surgery and careful monitoring for upper airway surgery during recovery.
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김아람,박미혜 한국청각언어장애교육학회 2016 한국청각·언어장애교육연구 Vol.7 No.2
A purpose of this study is to know a perceptions of speech pathologist about classroom-based language intervention(CBLI). We made a questionnaire based on literatures, carried out survey targeting 153 speech pathologists and found out the general understanding of CBLI and the perception of a roles of speech-language pathologist and intervention models. As a result of the study, First, it is low level that the speech pathologist's general understanding of CBLI, and there are meaningful differences on the categories as qualification class, place of work and work experience. Second is that speech pathologists recognized required roles on a stage preceding intervention's significantly, indicating meaningful differences as work place and work experience. The Third is that there are meaningful differences as the awareness of suitable model on CBLI. Through the research, speech pathologists didn't know well about the idea or substance of CBLI generally. In case of CBLI, however, it is accepted to be an applicable form of intervention at the language intervention of school age children. For speech pathologists, it is a pressing challenge to develop a program of CBLI to fit in with domestic circumstance. Also, prior professional education in training courses is important to recognize the role of speech pathologists on CBLI. With regard to the model of CBLI, alternative teaching similar to domestic individual language treatment currently is accepted to be the most suitable model owing to lack of understanding about classroom situation. With thoroughly reviewing about intervention model based on those awareness, to arrange a systematic guidebook that best suit our circumstance is conclusion of this study. 본 연구는 학령기 언어장애 학생을 위한 언어치료의 한 형태로서 교실중심 언어중재에 대한 언어치료사의 인식을 알아보기 위한 것이다. 연구 대상은 언어치료사 153명이며, 설문지는 교실중심 언어중재에 대한 일반적인 이해, 언어치료사의 역할과 중재 모델에 대한 인식 영역으로 구성하였다. 조사 결과 첫째, 언어치료사들은 교실중심 언어중재에 대해 충분히 인식하지 못하고 있는 것으로 나타났다. 그러나 교실중심 언어중재에 대한 언어치료사의 역할에 대해서는 비교적 높은 인식을 하는 것으로 나타났다. 또한 교실중심 언어중재를 실시하는데 있어 가장 중요한 것은 적합한 프로그램의 개발이라고 인식하고 있었다. 둘째, 언어치료사의 배경변인인 자격종별, 근무지 및 경력에 따른 인식에는 차이가 나타나지 않았다. 결론적으로 교실중심 언어중재에서 언어치료사가 역할을 수행하기 위해서는 교실중심 언어중재에 대한 이해를 높일 수 있는 연수나 교육의 기회가 반드시 필요하며, 국내의 상황에 맞는 학교 혹은 교실중심 언어중재 및 적합한 중재 모델 개발과 관련된 심층적인 논의가 필요할 것으로 판단되었다.
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한글판 The Child and Adolescent Scale of Participation(CASP) 타당도 및 신뢰도 연구
김아람,김정란,박지혁 대한작업치료학회 2019 대한작업치료학회지 Vol.27 No.3
Objective: The Child and Adolescent Scale of Participation(CASP) measures the extent to which children participatein home, school, and community activities compared to children of the same age as reported by caregivers. In thisstudy, tried to translate CASP into Korean and to develop Korean version of CASP by verifying the validity andreliability of the translated test. Methods: This study recruited 22 people with disabilities and 38 people without disabilities, which were conductedfor a total of 60 children ad adolescents for about 5 months from September 2018 to January 2019. CASP wasconducted as a self-report questionnaire for parents and guardians of children and adolescents. The validity andreliability of the collected data were verified using Statistical Package for Social Science(SPSS) statistical analysisprogram. Results: There was no difference between the two groups in the general characteristics of the subjects of thisstudy. As a result of comparing the scores of the groups according to the presence or absence of the disability,there was s significant difference in verifying the validity of the Korean version CASP. In the reliability test, ahigh level of internal consistency and test-retest reliability were verified. Conclusion: Korean version CASP is a participation assessment tool for child and adolescent who can evaluateparticipation regardless of disability. This study confirmed high level of validity and reliability. Based on theresults of this study, it is expected that it will be used as a basic data for establishing treatment plan to promoteeffective participation of children and adolescent with disabilities in occupational therapy and research. 목적 : 본 연구는 8~19세 아동 및 청소년의 가정, 학교, 지역사회, 공동체 생활에서의 참여를 측정할 수있는 참여 평가도구인 The Child and Adolescent Scale of Participation(CASP)을 우리나라 문화에적합하게 한국어로 번안하고, 타당도와 신뢰도를 검증하여 한글판 CASP를 개발하고자 하였다. 연구 방법 : 본 연구는 장애 22명 및 비장애 38명을 모집하였으며, 아동 및 청소년 총 60명을 대상으로2018년 9월부터 2019년 1월까지 약 5개월간 진행되었다. 아동 및 청소년의 보호자를 대상으로 한글판The Child and Adolescent Scale of Participation(CASP)을 자가 보고식 설문으로 진행하였다. 수집된 자료는 Statistical Package for Social Science(SPSS) 통계분석 프로그램을 사용하여 타당도 및신뢰도를 검증하였다. 결과 : 대상자의 일반적 특성에 대한 검증에서는 두 집단 간 유의한 차이를 보이지 않았으며, 장애 유무에따른 집단 간 점수를 비교한 결과, 한글판 CASP의 타당도 검증에서 유의미한 차이가 발생하여 높은 판별타당도가 검증되었으며, 신뢰도 검증에서는 높은 수준의 내적일치도와 검사-재검사 신뢰도를 확인하였다. 결론 : 한글판 CASP는 장애 유무에 상관없이 아동 및 청소년을 대상으로 참여를 평가할 수 있는 참여 평가도구이다. 본 연구를 통해 높은 수준의 타당도와 신뢰도가 확인되었다. 연구결과를 바탕으로 작업치료임상 및 연구에서 장애 학령기 아동 및 청소년의 효과적인 참여 증진을 위한 치료 계획 수립의 기초자료로 활용되기를 기대한다.
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