임상연구 : 서혜부 탈장 환아에서 Sevoflurane 마취 후 각성 흥분: Thiopental Sodium, Propofol과 Ketamine 마취 유도의 비교

김욱종 ( Wook Jong Kim ),길현주 ( Hyun Jue Gill ),김용찬 ( Yong Chan Kim ),이종연 ( Jong Youn Lee ),정금희 ( Kum Hee Chung ),이상우 ( Sang Woo Lee ),손석우 ( Suk Woo Son ),신용섭 ( Yong Sup Shin ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.6

Background: This study compared the incidence of emergence agitation and the recovery profile from sevoflurane anesthesia after thiopental sodium, propofol or ketamine induction in pediatric inguinal herniorrhaphy. Methods: Forty eight children aged 1-7 years undergoing high ligation due to an inguinal hernia were examined. All patients received a 0.004 mg/kg glycopyrrolate injection for premedication prior to induction and were randomly assigned to receive thiopental sodium 5 mg/kg (Group T, n = 16), propofol 2 mg/kg (Group P, n = 16) or ketamine 1 mg/kg (Group K, n = 16) for induction. The side effects during the induction time were checked. All patients received sevoflurane (2-2.5 vol%)-N2O (2 L/min)-O2 (2 L/min) for the maintenance of anesthesia. Ventilation was given to assist spontaneous ventilation using a facial mask. The agitation score, pain score, discharge score, incidence of emergence agitation and postoperative side effects in the three groups were assessed at the recovery room and compared. Results: The emergence time in Group T (7.5 ± 1.8 min) was significantly rapid. The agitation and pain scores were significantly low in Group P. The discharge score was more rapid in Groups P and K than in Group T. The incidence of emergence agitation was similar in all three groups. Conclusions: Although recovery was faster and emergence agitation was low in the propofol group, propofol induction was not smooth compared with thiopental or ketamine induction. The incidence of emergence agitation after sevoflurane anesthesia in pediatric inguinal herniorrhaphy was similar in the thiopental sodium, propofol or ketamine induction groups. (Korean J Anesthesiol 2006; 50: 616~22)

대학교수의 진로지도 역량 모델 개발

손승연(Son, Seung-Youn),이종연(Lee, Jong-Yeun) 한국진로교육학회 2019 진로교육연구 Vol.32 No.2

본 연구는 4년제 대학교수의 진로지도 역량모델을 개발하고 타당화하는 데 그 목적이 있다. 이를 위해, 본 연구에서는 선행연구를 고찰하고 교수대상 포커스 면접, 학생대상 포커스 그룹면접, 전문가협의회 자문을 실시하여 대학교수의 진로지도 개념 정의, 역량군, 역량요소, 역량지표를 포함한 역량모델 초안을 구안하였다. 다음으로 이렇게 구안한 역량모델 초안에 대해 교수 패널을 대상으로 1차, 2차에 걸친 델파이 설문을 통해 내용타당도를 분석하고 의견을 수렴하였다. 또한 전체 항목에서는 대표성, 명확성, 포괄성을 분석하고, 최종적으로 전문가 협의회 자문을 통해 항목에 대한 수정, 보완을 반복하여 역량모델을 확정하였다. 본 연구의 주요결과는 다음과 같다. 첫째, 최종 구안된 대학교수의 진로지도 역량모델은 3개 역량군, 14개의 역량요소, 33개의 역량지표로 구성되었다. 둘째, 역량군은 ‘이론지식군’, ‘직무수행군’, ‘태도자질군’으로 구성되었다. ‘이론지식군’은 4개 역량요소(‘진로이론 및 진로발달 이해’, ‘진로지도 관련 프로그램 및 심리검사에 대한 이해’, ‘학생의 다양성 이해’, ‘미래사회와 직업세계 이해’)와 8개의 역량지표로 구성되었다. ‘직무수행군’은 5개 역량요소(‘학생진로관리’, ‘진로지도 상담기술’, ‘전공직무분야 정보관리 및 활용’, ‘전공진로 관련 전문성 유지 및 향상’, ‘기관연계 및 자원 활용’)와 15개의 역량지표로 구성되었다. ‘태도자질군’은 5개 역량요소(‘윤리적 태도’, ‘자기계발 및 평가능력’, ‘의사소통 능력’, ‘문제해결능력과 리더십’, ‘진로지도에 대한 사명감’)와 10개의 역량지표로 구성되었다. 이러한 본 연구의 결과를 토대로 대학에서 교수의 진로지도의 교육성과를 높이기 위한 방안과 교수의 진로지도 성과를 평가할 수 있는 역량척도개발, 교수의 진로지도 역량수준을 한 단계 높일 수 있는 새로운 방안에 대한 후속 연구의 필요성을 제안하였다. The purpose of this study was to develop and validate the career guidance competency model of four-year college professors. For this purpose, this study reviewed the previous research, conducted focus interviews with professors, interviewed focus groups with students, and consultation with expert council. Based on these results, the preliminary version of the competency model including career guidance concept definition, competency group, competency factor, and competency index was made. Next, this study analyzed the content validity of the preliminary competency model through the first and second Delphi questionnaires with professor panels and collected their opinions on the model. In addition, representative, clarity, and inclusiveness of all items were checked, The competence model was finally confirmed by revising and supplementing some items through consultation with experts. The main results of this study are as follows. First, the career guidance competency model of college professors was composed of three competency groups, 14 competency factors, and 33 competency indicators. Second, competency group consisted of ‘theoretical knowledge group’, ‘job performance group’, and ‘attitude qualification group’. Theoretical knowledge group is composed of 4 competency elements (‘understanding career theory and career development’, ‘understanding career guidance programs and psychological tests’, ‘Understanding student diversity’, and ‘understanding future society and job world’) and eight competency indicators. The ‘job performance group’ is composed of 5 competency factors (‘student career management’, ‘career guidance counseling technology’, ‘information management and utilization of major field’, and ‘maintaining and improving professionalism related to major career’), and 15 competency indicators. The ‘attitude qualities’ group consisted of five competency factors (‘ethical attitude’, ‘self development and evaluation ability’, ‘communication ability’, ‘problem solving ability and leadership’, and ‘commitment to career guidance’) and indicators. Based on the results of this study, it is suggested to develop a 10 competency measure to improve the educational performance of college professor’s career guidance, to develop the competency scale to evaluate the professor"s career guidance performance, and to follow up the new plan to increase the competency level of college professor.

공공시설의 접근성 분석을 통한 서비스 이용 가능 범위 분석 연구 - 청주시를 대상으로

최효준(Hyo-Jun Choi),이종연(Jong-Youn Lee),조민경(Min-Kyoung Cho),정경연(Gyeong-Yeon Jeong),황재훈(Jea-Hoon Hwang) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.5

본 연구는 계층 구분없이 이용할 수 있는 공공시설의 서비스 이용 가능 지역 분석에 관한 연구로서, 공공시설의 공간적인 분포뿐만 아니라 접근성을 고려하여 공공시설의 추가 설치 시 반영할 수 있는 공간적 분석방법을 사용하였으며 청주시 시민들의 공공시설 이용가능 범위를 알아보는 데 목적이 있다. 분석방법으로는 첫째, 공공시설의 공간적인 분포를 알아보기 위하여 QGIS를 통해 도면화하였다. 둘째, 도로망을 추출하여 네트워크 분석을 통해 접근성을 분석하였다. 셋째, 공공시설 접근성 범위 내 거주하고 있는 인구 비율을 추출하여 서비스 이용 가능 범위를 분석하였다. 이를 통해 기존의 공공시설의 입지분석을 수요자의 입장에서 공간을 분석하였다. 연구결과로는 근린공원이 청주시의 서쪽, 생활체육시설은 남쪽과 북쪽에 밀집되어있어 골고루 분포될 필요가 있다. 노인복지시설, 생활체육시설, 병원 등은 청주시에 균일하게 분포되어있으며, 유치원의 경우 어린이들의 적응환경을 위해 초등학교와 비슷한 분포 패턴을 나타내었다. This study sought to analyze the service availability of public facilities in Cheongju City that could be used regardless of class. The purpose was to find out the scope of the use of public facilities by using a spatial analysis method that could lead to the additional installation of public facilities if necessary. First, QGIS, an open-source Geographic Information System, was used to find out the spatial distribution of the public facilities. Second, a road network was extracted, and accessibility analysis was performed using network analysis. Third, the service availability range was analyzed by extracting the proportion of the population residing within the accessibility range of public facilities. Through this, the location analysis of the existing public facilities was carried out from the perspective of the consumer. The results showed that neighborhood parks were concentrated in the west of Cheongju-si, and sports facilities for all users were concentrated in the south and north. An even distribution would be ideal. On the other hand, welfare facilities for the elderly, sports facilities for all, and hospitals were evenly distributed in Cheongju-si, and the distribution of kindergartens was similar to that of elementary schools, which would provide a good adaptation environment for children.

자연기흉으로 발현된 활막육종의 재발 1예

조도연,이종인,변주원,김호영,정낙영,장우익,심영학,김윤미,조미연,박진숙,성기준,이종영,박승일,김은기 대한내과학회 1997 대한내과학회지 Vol.53 No.3S

Synovial sarcomas' are rare malignant neoplasms that arise from mesenchymal cells of tendosynovial tissue, accounting for about 7% of adult soft tissue sarcomas, and occur with maximal frequency in the second through fifth decades of life. The incidence of metastasis is high, most often to the lung, regional lymph nodes and bone, despite of radical surgery for primary tumor. The histologic subtypes of synovial sarcoma generally accepted are monophasic, biphasic and poorly undifferenciated types, and all synovial sarcomas have been classified as high grade soft tissue sarcoma due to high metastatic potentials by the American Joint Committee on Cancer. Spontaneous pneumothorax due to primary pulmonary neoplasm is uncommon, and pneumothorax due to pulmonary metastasis is very uncommon condition. The most common primary tumor causing spontaneous pneumothorax is sarcoma, and of these the majority are osteosarcomas. Various mechanisms have been suggested to explain how a spontaneous pneumothorax occurs as a result of pulmonary involvement of malignancy. Bilateral spontaneous pneumothorax from pulmonary metastasis of synovial sarcoma has been reported very rarely in the world literature, and has not yet been reported in Korea. We present here a very rare case of recurrent synovial sarcoma manifested as bilateral spontaneous pneumothorax, who had been treated with surgical resection and radiotherapy for the synovial sarcoma on left popliteal fossa and review the pertinent literatures.