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      • KCI등재

        한 눈의 시력이 0.1 이하인 순수 굴절부등약시의 임상 분석

        최미영,김연희,Mi Young Choi,Youn Hui Kim 대한안과학회 2008 대한안과학회지 Vol.49 No.6

        Purpose: To analyze the results of treatment in pure anisometrpic amblyopia with unilateral visual acuity of 0.1 or worse. Methods: The major eligibility criteria included pure anisometropic amblyopia with age <10 years, best-corrected visual acuity 0.1 or worse in the worse eye and 0.5 or better in the good eye after the wearing of optimal spectacle correction for a minimum of 4 weeks, and the minimum follow-up was 6 months. Twenty-one patients were selected and we analyzed the age at the amblyopia treatment, the type and degree of anisometropia, and the final visual acuity after treatment for visual improvement. Successful treatment was defined as a final visual acuity of 0.3 or more. Results: The mean age at treatment was 5.2 years. The types of anisometropia were hypermetropic in 14 patients, astigmatic in 4, and myopic in 3. The mean duration of treatment of amblyopia was 16 months, and 13 of 21 children with pure anisometropic amblyopia achieved 0.3 or better. The age at treatment was younger and the compliance rate was higher in the success group than in the failure group. Conclusions: The most common type was hyperopic in the pure anisomteropic amblyopia. Compliance and age at treatment were significantly related to best visual acuity attained in pure anisometropic amblyopia with unilateral visual acuity of 0.1 or worse. J Korean Ophthalmol Soc 49(6):973-978, 2008

      • KCI등재

        가미생간탕(加味生肝湯)이 고지방식이로 유발된 지방간에 미치는 영향

        최미영,우홍정,김영철,이장훈,Choi, Mi-Young,Woo, Hong-Jung,Kim, Young-Chul,Lee, Jang-Hoon 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.2

        Objectives : The aim of this study was to investigate the effects of Gamisaenggan-tang on high fat diet induced nonalcoholic fatty liver disease. Methods: Rats were randomly divided into four groups. The Normal group was fed a solid diet containing 10% fat. The Gamisaenggan-tang (GS) group was fed a solid diet containing 10% fat and Gamisaenggan-tang (90mg/100g body weight). The Control group was fed a solid diet containing 60% fat. The HFD-Gamisaenggan-tang (HFD-GS) group was fed a solid diet containing 60% fat and Gamisaenggan-tang (90mg/100g body weight). Six weeks later, rats body weight, liver weight, serum ALT, GGT, ALP levels were measured. Histological findings (Oil red O staining), hepatic triglyceride, TNF-${\alpha}$, and TGF-${\beta}$ levels in the liver tissue were studied. Results: Average body weight of the HFD-GS group was significantly less than that of the Control group. There were no significant liver weight differences among each group. The GGT levels of the HFD-GS group were significantly less than those of the Control group. However, there were no significant differences in the ALT or ALP levels among the groups. TNF-${\alpha}$ protein production assessed by western blot analysis was reduced by Gamisaenggan-tang. Greater fat accumulation was observed in the liver tissue of the Control group than in the HFD-GS group, which means the Gamisaenggan-tang has an inhibitory effect on the accumulation of fat in the liver. Conclusion : The results suggest that Gamisaenggan-tang can be potential candidate for the treatment of nonalcoholic fatty liver disease in clinics.

      • KCI등재후보

        소아 눈모음부족외사시에서 근거리/원거리 사시각에 따른 단안 절제술 및 후전술

        최미영,황정민.Mi-Young Choi. M.D.. Jeong-Min Hwang. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.10

        Purpose: The purpose of this study was to evaluate prospectively the long-term surgical results of unilateral lateral rectus (LR) muscle recession and medial rectus (MR) muscle resection in children with convergence insufficiency exotropia (XT). Methods: This prospective study included 14 children with an angle of XT greater at near than at distance by 10 prism diopters (PD) or more. The amounts of resection and recession were based on near and distance deviation, respectively. Minimum follow-up was one year (mean, 26.6±19.4 months) after surgery. Results: Significant postoperative reduction was achieved in mean distance exodeviation from 22.5 PD to 9.1 PD (p=0.000), and in mean near exodeviation from 33.8 PD to 13.6 PD (p=0.000). The mean near-distance difference decreased from 11.3 PD preoperatively to 4.6 PD postoperatively (p=0.000). A Fresnel prism was used temporarily to treat postoperative esotropia in only one patient for 6 months postoperatively. Conclusions: Unilateral surgery biased more to MR strengthening than to LR weakening in children with convergence insufficiency XT, was found to successfully reduce both distance and near deviation and to collapse near-distance differences with a low risk of long-term postoperative esotropia.

      • KCI등재후보

        기질약시에 의한 소아 감각사시의 임상 분석

        최미영,황정민,Mi-Young Choi,Jeong-Min Hwang 대한안과학회 2005 대한안과학회지 Vol.46 No.8

        Purpose: To study the clinical characteristics of pediatric sensory strabismus in Korean children. Methods: A retrospective analysis was performed on 71 patients with the diagnosis of sensory strabismus before the age of 16 years. Patients with strabismic amblyopia or anisometropic amblyopia were excluded from consideration. The age at onset of vision loss, diagnosis, type of strabismus, deviated angle, etiologic factors leading to vision loss, and visual acuity of the deviated eye were recorded. The surgical results were analyzed in the case of strabismus surgery for sensory strabismus. Results: The mean age at the onset of vision loss was 4.6 years and the mean age at diagnosis was 7.5 years. Forty-one patients (58%) had congenital vision loss and the most common cause of vision loss was optic nerve disease in 35 (49%). Exotropia developed in 58 (82%), and patients with severely impaired visual acuity were more likely to develop exotropia (P=0.054). The age at the onset of vision loss and the age at diagnosis in esotropia were younger than in exotropia (P=0.049, P=0.047, respectively). Twenty-five (78%) of 32 patients who had undergonewere strabismus surgery had ocular alignment within 10 prism diopters of orthophoria. The frequency of consecutive exotropia was 40% in surgery for esotropia. Conclusions: Children with organic amblyopia tend to develop sensory exotropia. We considered that the age at initial vision loss and the severity of vision loss could play a role in determining the direction of deviation. The surgical results were favorable, but we should pay attention to the development of consecutive exotropia in surgery for esotropia.

      • KCI등재

        대구시 하수처리장 운전실태에 따른 중수도 도입 방안 연구

        최미영,나욱호,홍원화,김삼열,Choi Mi-Young,Na Wook-Ho,Hong Won-Hwa,Kim Sam-Yeul 한국주거학회 2005 한국주거학회 논문집 Vol.16 No.1

        It has seen the significant increase of water consumption rate due to rapid industrialization, high-densities of city, and increasing the population; thereby leads further water resource required in near future. In order to solve this deficit there are one of solution that gray water method demonstrates advantages regarding the questions of optimal water utility and thereby master plan of water. The method of study is analysis of investigation data through interview and research of sewage treatment plants in Daegu City. Through these analysis, this paper examines the capacity of graywater and optimal graywater facility.

      • KCI등재

        지적장애 학생의 기초 탐구 기능 평가

        최미영 ( Mi Young Choi ) 한국특수교육문제연구소 2014 특수교육저널 : 이론과 실천 Vol.15 No.4

        수도권에 위치한 3개 특수학교의 지적장애 중·고등학생 8명(남 4명, 여 4명)을 대상으로 탐구 활동을 통한 기초 탐구 기능(관찰, 분류, 측정, 예상, 추리)을 평가하였다. 선행 연구의 분석틀을 기준으로 기초 탐구 기능 요소별 특성을 질적으로 분석하였고, IQ에 따른 차이가 있는지를 알아보았다. 그 결과는 다음과 같다. 첫째, 대부분의 지적장애 학생들은 주로 일부 감각만을 사용한 단순 관찰과 경험이나 추측에 근거한 비과학적 관찰을 하였다. 둘째, 대부분 물체의 속성을 잘 파악하지 못하거나 분류기준 및 방법에 대해 잘 알지 못하였다. 셋째, 대부분 과학 실험 기구의 조작이 서툴러 비과학적으로 측정하였다. 넷째, 대부분 인과관계와 경향성을 잘 파악하지 못하여 바르게 예상하지 못하였다. 다섯째, 일부를 제외한 대부분의 학생들이 객관적이고 사실적인 정보를 바탕으로 바르게 추리하였다. 마지막으로 측정의 일부 기능과 추리 기능을 제외한 나머지 기초 탐구 기능 요소에서 IQ에 따른 차이가 나타났다. 이러한 결과를 바탕으로, 장애학생의 기초 탐구 기능 향상에 대해 논의하였다. This study was to assess the basic science process skills through science inquiry activities for 8 students with intellectual disability in special schools. The results were as follows. First, most students mainly performed simple observation in a certain sense or observation based on guess or experience from real life. Second, most students did not know the method and the criterion to classify or identify properties of objects correctly. Third, most students were unable to measure scientifically because of poor skills to manipulate for science experiment equipments. Fourth, most students did not identify the relationship between cause and effect and tendency, so that they could not predict it well. Fifth, some students had a good reasoning based on objective and realistic informations. Sixth, there were some differences in the basic process skills according to IQ except some measurement and reasoning. Lastly it was discussed the enhancement of the basic process skills for students with disabilities.

      • KCI등재
      • KCI등재후보

        노인우울에 미치는 동네효과와 사회자본의 영향에 관한 연구

        최미영(Mi Young Choi) 연세대학교 사회복지연구소 2008 한국사회복지조사연구 Vol.18 No.-

        본 연구의 목적은 노인우울에 미치는 동네효과와 사회자본의 영향을 실증적으로 분석하는데 있다. 동네효과를 파악하기 위해 사회계층을 구분 지을 수 있는 동네의 경계를 마련하고, 전체 가구 수에 대한‘빈곤가구비율’(국민기초생활수급자 가구 비율)을 산정하는 절차를 거쳐, 빈곤계층과 중산층 이상의 계층 간 확연한 차이가 있다고 판단되는 동네 12곳을 선정하였다. 만 60세 이상 노인을 대상으로 353부의 설문응답결과를 최종 자료로 사용하였다. 노인 우울에 미치는 사회자본의 영향을 파악하기 위해서는 사회자본을 구성하는 차원들을 동네애착, 이웃과의 유대, 이웃신뢰, 주민조직 참여로 나누어, 위계적 선형모형을 적용하여 분석을 수행하였다. 실증분석결과, 동네수준분산은 통계적으로 유의미하게 나타났으나 동네수준 사회경제적 지위는 통계적으로 유의미한 영향을 미치지 않는 것으로 나타났다. 사회자본과 관련해서는 유일하게 동네 주민조직의 참여정도가 유의미한 영향을 미치는 것으로 나타났다. 결론적으로 본 연구에서는 다양한 지역사회에 대한 관심과 태도 및 행동 중에서 지역사회 주민조직에 대한 참여가 노인의 우울을 감소시키는데 도움이 된다는 것을 시사하고 있으며, 실증분석결과의 시사점과 연구의 방향을 제시하였다. 본 논문은 노인우울에 미치는 영향 요인에 대해 아직까지 우리사회에서 수행되지 않은 동네효과와 사회자본이라는 변수를 통해서 분석을 했다는 데 큰 의의를 두고 있다. The purpose of this study is to objectively inquire into neighborhood effect on elderly people Depression and the effect of social capital. This study was performed with inquiring into literature and the actual proof study to achieve this purpose. Samples were extracted and questionnaire were carried out with elderly people who were over 60 years old to measure neighborhood effect in Daejeon Metropolitan City among selected 12 places that were estimated to have significant difference in classes between the poor and over the middle class. The period of questionnaire distribution was from May 21th to May 31th and total 360 copies were distributed and collected 100% due to face to face survey but 353 copies were used as final data by removing unfaithful 7 copies. As a result by analyzing rank linear model to grasp the effect of socioeconomic status of each neighborhood on elderly people depression, it appeared that neighborhood level dispersion was meaningful. However, socioeconomic status of neighborhood level was shown not to have an meaningful effect statistically. In reference to social capital, it showed that only the degree of participation in residential organization of neighborhood affected on depression. The direction of a regression coefficient of participation in residential organization tells that the more participating in residential organization, the lower depression they have.

      • KCI등재

        무소 소세키(夢窓疎石)가 작정한 정원에 나타난 사상

        최미영 ( Mi Young Choi ),홍광표 ( Kwang Pyo Hong ) 한국전통조경학회 2013 한국전통조경학회지 Vol.31 No.4

        본 연구는 무소 소세키의 작품을 통해서 그의 사상적 배경을 알아보고자 하는 목적을 가지고 진행되었다. 본 연구에서는 현존하고 있는 무소 소세키의 작품을 고찰하고 그 작품 이루고 있는 그의 생각이나 의도를 조경학적으로, 종교적으로 이해하고자한다. 그의 작품 가운데 가장 대표적이라고 생각하는 죠고지, 에이호지, 즈이센지, 텐류지 사찰을 대상으로 무소 소세키가 작정한 정원속의 사상적 배경을 찾아보았다. 이 연구대상지들의 선정기준은 깨달음의 수행을 시작한 곳에서 그 생각이 작품으로승화되기까지 대활약을 한 장소로서 큰 의의를 가진다. 우리가 무소 작품에 집중하고 생각해야 할 것은 그의 작품을 보면서 감동하고 느낀다는 것이다. 연구결과 무소 소세키는 불교의 선사상을 기본으로, 본인이 터득한 다양한 사상과 철학을 정원에공간구성으로 상징화하고 일본의 정원 속에 선사상의 뿌리를 확고히 하였을 뿐만 아니라 사비적인 정원미를 이루었다. 그의 중심적인 사상이 농축되어 있는 저술서『몽중문답(夢中問答)』을 통해 그의 작품을 더 잘 이해할 수 있다. 본 연구는 무소의 작품을 통해 작품 속에 심어진 사상적 배경을 알 수 있다. 본 연구의 결과를 요약하면 다음과 같다. This study was performed with an aim to examine the inner thoughts of Muso Soseki through his works. In this study, we reviewed currently existing Mus? Soseki. Works in which his idea or intention behind his works are to be understood in terms of landscaping science or religious perspective. Targeting his best representative works of temple gardens such as Jochou-ji, Eiho-ji, Zuisen-ji, Tenryu-ji, it was sought his view of gardening and technique of garden making. Those temples, selected as target of this study, have significance as a places to have started his learning till matured of his thought into his gardening works. What we need to concentrate and think about regarding the works of Muso is the fact that we are to be impressed upon just looking at his works. The study result indicates that Muso not only symbolized his various mastered ideas & philosophies into spatial configuration into the garden based on Zen Buddhism idea, but also accomplished the Sabi-gardening beauty. Through his writing 『Mongjoongmundap(夢中問答)』 that is created using his core thoughts, his works can be understood better. This study has significance in that the idea. It could be understood that Muso`s work is rooted in the basic idea of three ideas. The first of it is Zen philosophy being indicated in his configuration of gardening such as Zen meditation Stone, cave, chamdo etc. The second of it is shown as the merciful heart of Sangguboje(上求普提), Hahwajoongsaeng(下化衆生), being indicated in his configuration of gardening such as the pond And finally, there appears the Tao idea. Taoist thought has become of where the background space.

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