후두적출자의 의사소통 태도

강수균,박선희,백은아,이현혜,최경희,강은희,박은실 대구대학교 특수교육재활과학연구소 2005 특수교육재활과학연구 Vol.44 No.3

본 연구는 후두적출자의 주된 발성방법과 후두적출 경과 시기에 따른 의사소통 태도를 살펴보고자 하였다. 연구의 대상은 성인 남자 55명으로 후두암으로 인한 후두적출자들로 구성되었다. 이들에게 실시한 의사소통 태도 설문지는 Erickson의 의사소통 태도 척도-수정판(Modified Erickson Scale of Communication Attitudes: S-24)을 본 연구에 맞게 수정 보완하여 사용하였다. 본 연구의 결과는 첫째, 주된 발성방법에 따라서는 인공후두기 사용자와 식도발성자간의 의사소통 태도에 차이가 없었다. 둘째, 후두적출 경과 시기에 따라 10년 초과된 후두적출자들과 10년 이하의 후두 적출자들 간의 의사소통 태도에 차이가 없었다. 그러므로 이들의 의사소통 태도의 긍정적 태도를 증가시키기 위하여 다양한 방법을 활용하고 습득하여 이들의 의사소통 능력을 빠르게 재습득 하여 긍정적인 의사소통 능력을 가질 수 있도록 해야 한다. The purpose of this study was to determine laryngectomee's communication attitude. 55 laryngectomees, who were in the range of 40 years old to 80 years old participated in the study. Communication attitude measurements were taken by S-24(Modified Erickson Scale of Communication Attitudes). The results showed as follows: First, score of laryngectomees with artificial larynx and esophageal speakers were no significant. Second, score of laryngectomees with over 10 years after latyngectomy and 10 years after latyngectomy were no significant.

장애아동을 위한 특수교육공학의 활용 및 지원방안

강혜경,박은혜 국립특수교육원 2002 특수교육연구 Vol.9 No.2

특수교육분야에 있어서 컴퓨터 및 테크놀로지는 장애를 보완하고 보조하며, 직·간접적인 교육의 도구로 사용될 수 있는 잠재력을 가지고 있음에도 불구하고, 우리 나라의 경우 특수교육진흥법상에서는 치료교육의 항목정도로 이를 대신하고 있다고 볼 수 있을 것이며, 교육 외의 분야에서 장애인의 기술 정보화에 관련된 제도에 있어서도 많은 한계가 있다. 특수교육공학이란 보조 공학적인 접근을 포함하여 지식이나 기능의 부족으로 인해 일상적인 학습이나 활동에 제한을 받는 모든 교육대상자들에게 그들의 실제적인 목적을 달성하기 위해 필요한 모든 장치나 도구 및 그에 관련된 서비스 등까지 매우 포괄적인 범위에까지 이른다고 할 수 있다. 본 연구에서는 이를 바탕으로 특수교육의 공학적 접근성에 관련되어 새로이 소개된 보편적 설계의 개념과 보편적 학습설계의 개념을 논하였으며, 미국과 우리 나라의 정보화 관련법안의 비교 분석을 통해 우리 나라의 현재 특수교육과 관련된 정보화사업 지원체제를 간략히 살펴보고, 실제 교육현장에서의 장애아동을 위한 공학적 적용과 이를 위해 선행되어야할 연구 및 지원의 과제에 대하 논의하였다. The purpose of this study was to review the current literatures about the technological support for the education of students with disabilities and to find out the important issues in actual implementation in special education settings and how to improve and support those technological application for more effective special education. After reviewing related literatures in primary journals and books in special education, following issues were selected and discussed: concept an definitions of related terminologies, comparison of legislative support between the United States and Korea, technology usages in different educational domains, and how to improve and support special education technology implementation. Implications for Korean special education and suggestions for future research were discussed.

한국의 e-Learning 교수설계자 역량 분석

강명희,오은경 한국직업능력개발원 2006 직업능력개발연구 Vol.9 No.1

본 연구는 우리나라 실정에 적합한 e-Learning 교수설계자의 역량 표준안 개발의 근거 마련을 위해 23개 교수설계자 핵심역량을 규명한 후, 국내 설계자의 현재 역량 수준과 현장에서 인식되고 있는 역량별 중요도를 조사 분석하고, 이를 북미 표준인 IBSTPI 결과와 비교하였다. 연구문제는 첫째, 국내 e-Learning 교수설계자 역량의 수준은 어떠한가? 둘째, 국내 e-Learning 교수설계자 역량별 중요도 인식은 어떠한가? 셋째, 국내 e-Learning 교수설계자 역량의 수준은 직무유형과 직급에 따라 차이가 있는가? 넷째, 국내 e-Learning 교수설계자 역량별 중요도는 직무유형과 직급에 따라 차이가 있는가? 이다. 국내 95개 기관을 대상으로 한 설문조사 분석 결과 국내 설계자들은 타 역량보다 효과적인 커뮤니케이션 능력에서 가장 높은 수준을 보였다. 반면 e-Learning에서 교수설계자가 가져야 할 가장 중요한 역량은 요구분석 능력이라고 응답하였다. 그리고 관리, 설계, 운영의 직무유형과 관리자, 사원, 임시직의 직급에 따라서 역량 수준에 차이를 보인 역량이 규명되었으나, 중요도에서는 직무유형별로는 큰 차이가 없었고 직급별로는 교수자료를 개발하거나 설계하는 업무 역량에 대해서만 중요도를 다르게 인식하고 있었다. This paper investigated the level and perceived criticalities of Korean e-Learning instructional designers' competency using IBSTPI (2000) ID Competencies Standards. 95 organizations responded to the survey. This research investigated the following questions: first, what are the level of competencies and criticalities of the Korean e-Learning instructional designers? Second, are there any differences between competency level and criticalities according to the type of jobs? Third, are there any differences between competency level and criticalities depending on one's position? Forth, are there any differences between competency level and criticalities according to the type of organizations? According to the results, first, Korean e-Learning instructional designers have commonly good competency levels. However, from the IBSTPI's viewpoint, they need to improve their competencies through training. Second, Korea's e-Learning instructional designers usually work as managers, designers, or implementers/evaluators/consultants. As managers, the following are regarded as essential competencies: communication; identifying ethical and legal issues; effective project management; collaboration; linking efforts to organizational goals; and business skills. Third, Korean e-Learning designers are positioned as managers, staff members, and temporary employees with various competencies.

개의 대퇴골간에서 발생한 유합부전의 1례

강은경,조성환,류시윤,손화영 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

Fracture healing is a complex physiological process that involves the coordinated participation of several cell types. Unlike other tissues that heal by the formation of poorly organized scar, in fracture healing the original tissue, bone, is regenerated and the properties of the preexisting tissue largely are restored. Fracture healing generally proceeds in an orderly fashion when appropriate biological and mechanical component are present. Many complications may occur with repair and subsequent healing of fracture, including osteomyelitis, implant loosening, and fracture instability. All of these complications may result in delayed union, nonunion or malunion of the fracture. A 1-year-old male, Collie sustained a closed, transverse femoral fracture in a mortor vehicle accident. His initial treatment with open reduction and bone plating was failed. A second surgery was done to remove the plate and perform corrective osteotomy, and bone grafting. Histopathological observation of the bone fragment from fracture end was carried.

정의적 특성이 수학적 문제 해결력에 미치는 영향

강호욱,노은환,박은진,송현준,이혜경,주채연 진주교육대학교 초등교육연구소 2005 科學敎育硏究 Vol.28 No.-

The purpose of this study is to provide some basic data which can be helpful for improving the methods of mathematics teaching-learning emphasizing the affective factors by investigating the effect on affective characteristics and mathematical problem solving ability of the students on the elementary school sixth grade. In order to achieve these purpose, the following research problems were set up for the present study: The results of this study are as follows: First, it was appeared that there was not any difference on attitude on mathematics, belief, self-confidence and the degree of mathematical problem solving ability by sex. Second, it was appeared that there was some statistical meaningful difference on attitude on mathematics, belief, self-confidence and the degree of mathematical problem solving ability according to high middle low ability on mathematics which the students think that they have. Based on the results of this study, I'd like to give some suggestions as followings to provide some help to teaching and learning mathematics. First, the succeeding studies are needed by selecting different population from the population of this study, classifying low-ranking factors consisting of affective characteristics differently from this study, compounding each low-ranking factors in various manners like using new items, etc. Second, the succeeding studies are needed in this part, because what mathematical belief teachers have mathematics can have an effect on students' mathematical belief and action as well as on teachers' thinking process and action in the class. Third, the succeeding studies are needed to develop concrete field study and program which can be helpful for improving actually students' affective behavior characteristics in school field.

남자대학생의 흡연태도와 행동에 관한 연구

강경진,김정미,민혜영,안소진,오경숙,은경희,이현,이희선,홍주미,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

There have been so many researches about problems of cigarettes and relation of smoking and heath since 1950's and generally known that smoking is one of the worst factor of increasing disease and mortality. No matter what such many proofs about various problems of smoking have been researched, smoking rate of current male collage students has not been decreased. Besides, most of the researches about cigarette use and its addiction have been focused on the adolescent or adult women smokers or adult male, not male collage student. Therefore, the subject of this study is about smoking attitude and smoking behavior of male collage students by general features. Smoking attitude was analyzed by modifying 'Guidelines for the content of tobacco smoking surveys of the general population'(WHO, 1982). Two hundred of male collage students participated to the distributed questionnaire for one week in May. The smoking attitude was categorized into duration of smoking and number of cigarette per day(CPD), and nicotine dependency, investigated by Fagerstrom Tolerance Questionnaire(FTQ) (Fagerstorm & Schneider, 1989). All statistics were performed by procedure of SAS according to number, percentage, mean, standard deviation, and ANOVA. The results are as follows: 1. Smoking attitude level was mean 25.73±5.15 marks, ranging from 13 to 39 marks of the total 40 marks. 2. Duration of cigarettes, number of cigarette per day, and nicotine dependency were mean 5.14±2.84 years, 12.88±6.85 pieces, and 4.78±1.69, respectively. 3. Smoking attitude showed significance according to general features such as marital state and allowance, but the significance according to marital state is not valuable because the numerical difference is so big between married one and single that they cannot be compared with each other. 4. Duration of smoking was significant according to general features such as age and allowance. 5. Smoking amount showed significance the factors of age only. 6. ll1ere was no significance in nicotine dependency according to general features. As a result, smoking attitude of male collage student in this study shows moderate level. Smoking attitude and duration is significant according to allowance, and smoking amount is significant according to age. Nicotine dependency according to general features is not significant but comparing with the preceding study about adult male, male collage students in this study are respectively more nicotine-dependent than adult male smokers. In conclusion, the right allowance usage strategies and effective heath education focused on the young are needed. In addition, helpful programs and information spreading strategies are necessary for establishing higher level of smoking attitude. At last, systemic regulations in daily living for ""anti-nico-dependent"" and perspective reforming of male university student are needed for reducing nicotine dependency.

관절염 환자의 삶의 의미와 영적고통과의 관계

한주은,강경아 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

The arthritis patients suffer from psychological, social and spiritual problems as well as physical problems because the arthritis is not curable and has chronic pain, joint deformity, limitation of activity and physical dysfunction for all of his life. Especially if they do not fond the meaning in their lives, they will experience spiritual distress seriously. Therefore, it is important that nurses help the patients to find the meaning in their lives and to reduce spiritual distress. The purpose of this study is to provide a basis for nursing intervention strategies to minimize the arthritis patients' spiritual distress and understand the relationship between the meaning of life and the spiritual distress in arthritis patients. The samples were composed of 157 arthritis patients. Data collection was carried out from October 1, 1998 to February 28, 1999. Data were analyzed using a SAS Program for descriptive statistic, Pearson correlation, t-test, ANOVA, linear regression. The results were as follow, 1. The scores on the meaning of life scale ranged from 51 to 130 with a mean of 93. 2. The scores on the spiritual distress scale ranged from 26 to 91 with a mean of 60. 3. There were significant correlations between the meaning of life and the spiritual distress(r=.53, p=.00). 4. The linear regression analysis showed that the meaning of life explained 13% of the spiritual distress. 5. In the degree of the meaning of life and the spiritual distress according to the general characteristics, the level of the meaning of life in arthritis patients was different by the duration of incidence(F=2.71, p=.03). In conclusion, the nursing intervention strategies to reduce the spiritual distress in arthritis patients must take into account the meaning of life.

통풍 환자에서의 지질대사

이은우,강기서,강수용,이한준,김경환,임정일,박철경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.2

Objective: To evaluate hyperlipidemia, a msjor tisk factor of coronary artery disease, frequently asscoiated with gout patients, we compared the mean lipid level of gout patient with that of non-gout male and accessed statistical significance for treatment of gout patient. Method: This study ws performed in the 266 male gout outpatients of the CAU medical center, who had serum lipid level test from Apr. 1996 to Aug. 2000. Serum uric acid, total cholesterol, triglyceride, HDL -cholesterol, and LDL-cholesterol level were measured after 12 hours of fasting. The patients with high lipid level were further evaluated into each type of the hyperlipidemia through electrophoresis study, and the test results were compared with that of the non-gout male adults(40∼60yr), and the statistical significance was examined. Results : The gout patients showed high levels of total cholesterol, triglyceride, and LDL-cholesterol. Especially they showed high level of triglyceride and LDL-cholesterol which suggested as the risk factors of atherosclerosis and coronary heart disease, but shoewed low level of HDL -cholesterol. But there were no definite relations between lipid level and other factors auch as age of patient, initial uric acid ;eve; and duration od gout. Conclusion: To evaluate the risk factors of atherosclerotic change of cadriac vascular system in gout patient, screening tests of serum lipid level of the patient seem mandatory.

공동주택 서포트의 공간가변성능 평가모델 작성연구

황은경,이강희,김수암 대한건축학회 2004 대한건축학회논문집 Vol.20 No.6

In recently, housing market has changed from new construction to building' stocks maintenance, and from centered on the supplier to users. It suggests that the occupant should change the space form to adapt the life stage at any time. For this, open building is very effective to satisfy the occupant's requirements. Open housing is proposed as a alternative design methods not only to compromise user's various needs but also to be a means of sustainable development by adapting long-life of buildings. Open building could be required to evaluate the capacity-to-change at design stage whether it adapts or copes with the occupant's needs. The evaluation of capacity-to-change is very important to grasp how much open building has the function or performance. The capacity-to-change of open building can be measured through model which is organized and explained the support's attributed. This paper aimed at providing the model to grasp the capacity-to-change of open building with support's components and attributes. For this, it selected the support's factor explaining the capacity-to-change of open building, and the effective number of sample is 81. Various factors would be integrated or controlled through multidimensional scaling. The evaluation model would be set up, utilizing the backward regression method.

하부 늑골골절과 masked 복부손상과의 상관관계

이강현,임경수,홍은석,황성오 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Some emergency physicians neglect abdominal injuries if a patient does not complaint of abdominal pain or abdominal tenderness was absent on physical examination. But intra-abdominal injuries are correlated closely with lower rib fractures and pelvic bone fractures. In cases of lower rib fractures, intra-abdominal organs are injured as a diaphragm is elevated as high as 5th intercostal space in expiration period. When intra-abdominal solid organ is ruptured, a patient complaints of abdominal pain, but there`s no abdominal pain if small hematoma occurs in solid organs. Although the most of solid organ hematoma are resolved spontaneously without complications, sometimes delayed rupture of hematoma occurs especialy in patients with the coagulopathy. So emergency physician must evaluate the abdomen closely when the possibility of intra-abdominal injury is high. To evaluate the intra-abdominal injuries, we investigated 57 patients with lower rib fractures by ultrasonography. The patients were divided in 2 groups according to presence of abdominal symptomes; patients with abdominal symptoms(n=10). Among 57 patients, intra-abdominal injuries were found in 35 patients. In group with lower rib fractures and presence of abdominal symptoms, intra-abdominal injuries were diagnosised in 32 patients(68.9%) with 48 cases(hepatic injury; 20, spleen injury; 19, renal injury 7, hemoperitoneum without solid organ injury; 2). In group with lower rib fractures and abscence of abdominal symptoms, intra-abdominal injuries were diagnosised in 3 patients(30.0%) with 3 cases(spleen injury; 1. hemoperitoneum without solid organ injury;2). In conclusion, emergency physician must do ultrasonography to evaluate intra-abdominal injuries in patients with lower rib fractures although a patient does not complaint of abdominal pain.