신생아 이송에서의 저체온증

김향숙,정윤석,조준필,박문성,배기수 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Back Ground : Hypothermia is a condition that can lead to serious complications and even to death in newborn. Although the temperature control is essential in neonatal care, it is often neglected during urgent transfer from local private hospitals. The purpose of this study is to evaluate the incidence and clinical outcomes of transfer induced neonatal hypothermia. Subjects and Method : In this retrospective study, subject is limited to transferred outborn babies with age less than 27 hours from June 1996 to May 1999. A total of 3,086 patients were admitted in NICU during the study period and inborn and outborn babies were 1,743(56%) and 1,343(44%) respectively. Among the 1,343 outborn babies, 212 babies were transferred from the private hospital within 24 hours of birth and were eligible for the study. Rectal temperature on arrival, transfer time, birth weight, gestational age, initial arterial gas study, and clinical outcome were compared. Statistical analysis has been done with chi-sqaure test and multiple logistic regression analysis. Results : There were 84 cases(39.6%) hypothermia(<36℃) among the 212 babies and the rate of hypothermia in transfered babies have not decreased over the study period. There were significantly more hypothermia in lower gestational age (less than 28 weeks) and lower birth weight (less than 2,000gm) caused hypothermia significantly more than normal gestational age or normal range of birth weight. And time interval (less than 12 hour) from birth to arrival at emergency department was also significant factor in hypothermia. The mortality rate was three fold higher in hypothermia than normothermic or hyperthermic babies. Conclusion: This study shows that hypothermia during neonate transportation is a major cause of neonatal mortality and morbidity in prehopital care. Body temperature control during transport of neonates under 24 hours of age should be emphasized for the better outcome of treatment.

발달장애 학생 대상 국내외 금융교육에 관한 연구 동향 고찰

김아영,이숙향 이화여자대학교 특수교육연구소 2023 특수교육 Vol.22 No.3

연구목적: 본 연구는 발달장애 학생을 대상으로 한 금융교육 관련 국내외 연구를 체계적으로 분석하여 연구의 전반적인 동향을 살펴보고 향후 발달장애 학생을 위한 금융교육 연구의 시사점을 도출하는 것을 목적으로 하였다. 연구방법: 이를 위해 체계적 문헌고찰 방법을 사용하여 설정한 기준에 따라 금융교육과 관련된 국내외 선행연구 총 49편을 선정하고 연구주제별 분석하였다. 연구결과: 분석 결과 연구참여자는 장애학생을 대상으로 한 연구가 많았다. 연구방법은 실험연구가 대부분을 차지하였으며 연구주제는 금융교육 관련 프로그램 및 중재의 효과, 금융교육 관련 교사의 경험과 인식으로 나누어졌다. 중재 프로그램의 특성과 효과를 분석한 결과 실험연구 대다수의 중재가 물건값 계산하기와 물건 구입절차 기술 습득에 편중되어 있었고 금융 및 경제 관련 개념 습득에 관한 연구는 부족하였다. 결론: 이를 토대로 발달장애 학생의 향후 금융교육 연구에 관한 제언을 제시하였다. Purpose: The purpose of this study was to examine the trends in domestic and international research on financial literacy and financial education for students with developmental disabilities. Additionally, it aimed to explore future directions regarding this issue. Methods: A total of 49 studies were selected and analyzed using a systematic review to identify research trends and themes. Results: The analysis revealed that most studies were experimental research targeting students with disabilities. Research topics were divided into two themes: a) effects of programs and interventions related to financial education and b) teachers’ experiences and perceptions of financial education. Most of the experimental studies focused on calculating prices or purchasing skills. Only a few studies targeted concepts of finance and economy. Conclusion: Based on results of this study, suggestions and practical implications for future research and financial education for individuals with developmental disabilities are discussed.

응급실로 내원한 급성 호중구 감소성 소장 결장염(Typhlitis) 1례

김향숙,정윤석,조준필 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Typhlitis or neutropenic enterocolitis is a life-threatening, necrotizing process of the cecum whose incidence is increasing. Typhlitis presents as fever, abdominal pain, and diarrhea in neutropenic patients. As the incidence of typhlitis increases, emergency physicians must be aware of this rapidly progressive and potentially fatal disease. The definitive management of typhlitis is controversial. The most prudent course for the emergency physician is to initiate aggressive medical management early in the ED. We describe a 25-year-old man with severe neutropenia presented to the emergency department with fever, abdominal pain, diarrhea that began 2days earlier. Abdominal computerized tomography(CT) demonstrated diffuse concentric thickening of the cecal wall, intramural edema, inflammatory bowel changes but no free air and abscess formation. He was recovered by early diagnosis and aggressive medical therapy. We report a case of typhlitis with literature reviews.

都市夫婦의 權力構造에 관한 硏究

金正玉,崔外仙,李明嬌,具香淑 효성여자대학교 새마을연구소 1985 새마을硏究論文集 Vol.5 No.-

The purpose of this studyy was to explore conjugal power structitrein urban spouses in order to suggest basic data of family problemsolution. For this purpose, a questionnaire was constructed and administratedto 635 married women. The conjugal power structure scale used a modified version ofdecision making meaure constructed by Blood and wolfe. The results of tis study are summarized as follows : 1. Urban family types by conjugal power structure were establishedas follows: Autonomic type 49.6% syncratic type 32.4%, wife-domi-nant type 12.8%, husband-dominant type 5.2%. 2. Conjugal power structure represented more explict difference atpsychological variables rather than social, demographic statistic,family environmental variables. 3. Marital satisfaction was highest in syncratic type and wife-do-rninant type was lowest. 4. Wife's power was highest for "food preparation" and "purchaseof family clothes," Husband's power was highest for "purchase andsale of housing" "method of property management." 5. The degree of joint decision making between husband and wifewas highest in deciding problem of children.

가정과 학교의 협력을 통한 멀티미디어 상황이야기 중재가 자폐 아동의 문제행동과 수업참여행동에 미치는 영향

김경민,이숙향 이화여자대학교 특수교육연구소 2012 특수교육 Vol.11 No.2

The purpose of the study was to examine the effects of multimedia social story intervention with family-school collaboration to decrease problem behaviors and increase on-task behaviors for three children with autism. Intervention was conducted with multiple baseline across subjects. The results of this study were as follows: 1) the frequency of the participants’ problem behaviors was reduced and the frequency of the participants’ on-task behaviors was increased through multimedia social story intervention with family-school collaboration, and 2) the frequency of the participants’ problem behaviors and on-task behaviors was maintained after withdrawal of intervention. Although there were limitations in clearly demonstrating relationship between intervention and its effects in that the intervention was conducted when baseline data for participants C were not stable enough, the above results showed that multimedia social story intervention with family-school collaboration affected decrease of problem behaviors, increase of on-task behaviors of children with autism and maintenance of these effectiveness after the withdrawal of the intervention. 자폐 아동의 문제행동은 행동 그 자체로서의 문제뿐만 아니라 수업활동에 대한 참여를 제한하여 학업성취에도 부정적인 영향을 미치므로 이들의 문제행동을 감소시키고 수업참여를 유도할 필요가 있다. 본 연구에서는 특수학급의 수업 중 문제행동을 보이는 세 명의 자폐 아동을 대상으로 대상자간 중다기초선 설계(multiple baseline across subjects)를 사용하여 가정과 학교의 협력을 통한 멀티미디어 상황이야기 중재를 실시함으로써 이러한 중재가 자폐 아동의 문제행동과 수업참여행동에 어떠한 영향을 미치는지 조사하였다. 중재는 가정과 학교의 협력을 위하여 학교에서의 중재연습 회기 및 가족재자 훈련을 실시한 후 학교와 가정에서 동시에 실시되었다. 비록 대상아동 C의 경우 기초선이 다소 불안정한 상태에서 중재가 도입되어 중재효과를 명확히 입증하는데 제한이 있지만, 본 연구결과 가정과 학교의 협력을 통한 멀티미디어 상황이야기 중재가 자폐 아동의 문제행동을 감소시키고 수업참여행동을 증가시켰으며, 감소된 문제행동과 증가된 수업참여행동이 중재 종료 후 유지되는데도 긍정적인 영향을 미친 것으로 나타났다. 이러한 연구결과를 바탕으로 본 연구의 의의 및 제한점, 후속 연구를 위한 제언들이 논의되었다.

그래픽 조직자를 활용한 설교 및 공과활동이 자폐 범주성 장애인의 성경 이해 및 예배 참여 행동과 주일학교 교사의 효능감에 미치는 영향

김수현,이소현,이숙향,장성철 이화여자대학교 특수교육연구소 2014 특수교육 Vol.13 No.1

본 연구는 자폐 범주성 장애인의 정보 처리 특성을 고려할 때 그래픽 조직자의 활용이 종교 활동 중 이뤄지는 설교와 공과에 접근성을 높일 수 있다는 점을 고려하여, 그래픽 조직자를 활용한 설교 및 공과 활동이 교회 내 발달장애인 부서에 참석하는 자폐 범주성 장애인의 성경 이해도 및 예배 참여 행동과 주일학교 교사의 효능감에 미치는 영향을 조사하였다. 본 연구를 위해 서울 지역의 두 교회에서 자폐 범주성 장애인 38명(실험집단, 통제집단 각각 19명)과 교사 34명(실험집단 16명, 통제집단 18명)이 참여하였다. 실험집단이 참석한 예배에서는 그래픽 조직자를 기반으로 설교와 공과가 진행되었으며 실험집단과 통제집단의 학생 및 교사에게는 관련 종속변인들에 대한 사전검사와 사후검사가 중재 전후에 각각 실시되었다. 두 집단의 검사결과에 대한 분석 결과 그래픽 조직자를 활용한 설교 및 공과 활동은 실험집단 장애인의 성경이해도 및 예배 참여 행동 증가에 효과가 있었으며 교사 효능감에도 긍정적인 영향을 미쳤다. 이러한 연구결과를 바탕으로 논의와 후속연구에 대한 제언을 제공하였다. The purpose of this study is to examine the effect of sermons and curriculum activities with graphic organizer on understanding of core bible knowledge of persons with ASD and their participation behaviors and attitudes in worship along with efficacy of their teachers who are teaching them at a Sunday school of church. A total of 38 people(19 in experimental group, 19 in control group) with ASD and 34 teachers(16 in experimental group, 18 in control group) from 2 churches located in Seoul participated in this study. Sermons and a variety of activities were provided for the participants in the experimental group with the support of graphic organizer for 7 weeks while for those in control group participated in general church services. Pre and post-tests of relevant dependent variables were conducted before and after the intervention for persons with ASD and teachers in the experimental and control groups, respectively. The results of analysis of differences between pre and post-tests in both groups showed that sermons and curriculum activities with graphic organizer had positive influence on understanding of bible knowledge and participating behaviors in worship services of persons with ASD. In addition, there were differences between the groups in terms of efficacy of their Sunday school teachers. Based on the results of this study, a number of key implications for future study related to graphic organizer and meaningful worship service for people with developmental disabilities were provided.

이소말토 올리고당의 첨가가 약과의 품질특성에 미치는 영향

김향숙,서월석,김은겸,이화영 충북대학교 교육 ·생활연구소 생활과학연구센터 2002 생활과학연구논총 Vol.6 No.2

This study was to develope low-calorie Yak-kwa by using oligosaccharides instead of honey. Sensory and instrumental textur properties of Yak-kwa were examined. The calorie of oligosaccharide Yak-kwa was 31% lower than honey Yak-kwa. Color of oligosaccharide Yak-kwa was lighter than that of honey Yak-kwa. Results of nstrumental test of texural proporties showed that hardness increased and cutting decreased as soaking time increased without significant differences between oligosaccharide Yak-kwa and honey Yak-kwa. Accepance test by sensoty panel showed no significant differences between oligosaccharid Yak-kwa and honey Yak-kwa.

비판적 사고능력 신장을 위한 주제 상세화 질문 구성의 원리와 방법

김재봉,위숙량,설향순 한국초등국어교육학회 2007 한국초등국어교육 Vol.33 No.-

Critical Thinking Ability is potential power that we make an inner representation about given problem, and in their point of view find a problem and solve it. This article, named by 'The Principles and Methods of The Construction of Theme Detailing Question for Improving Critical Thinking Ability' is a tentative plan. we can improve critical thinking ability through korean language education. The principles of the construction of theme detailing question are relation, certification, generalization, reconstruction, extension. These are the network of relation. They are based on the principle of relation. Theme detailing question is an asking statement, and an asking statement subdivide a theme of text, especially with an argument as the central figure. In this article, the types of theme detailing question are fact finding question and cause and effect question. With given material as the central figure, at first we grasp the theme of a text. And with theme as the central figure, we make fact finding question. With fact identification and question elicit as the central figure, we make a cause and effect question. And with background variable as the central figure, we make a new fact finding question. Fact finding question plus fact identification and question elicit make a causal and effect question. causal and effect question plus background variable make fact finding question. When we make a fact finding question with new view point, background variable is very important. This activities of the construction of theme detailing question continues through question chain. 비판적 사고능력은 ‘주어진 문제에 대해서 내적 표상을 만들고, 이를 바탕으로 자기의 시각에서 무엇이 문제인지를 발견하고 해결하는 잠재적인 힘’이다. 이 글에서는 국어과교육에서 이러한 힘을 신장시킬 수 있는 하나의 시안으로 ‘주제 상세화 질문 구성의 원리와 방법’을 논의했다. 이 글에서 살핀 주제 상세화 질문 구성의 원리에는 ‘관계성의 원리, 구체화의 원리, 일반화의 원리, 재구성의 원리, 사고확장의 원리’가 있으며, 이들은 관계성의 원리를 바탕으로 하여 하나의 관계의 망을 이룬다. 주제 상세화 질문은 ‘글의 주제의 특정한 논항을 하위 개념으로 세분화하여 묻는 진술’이다. 이 글에서는 주제 상세화 질문을 ‘실태 파악형 질문’과 ‘인과 관계형 질문’으로 유형화해보았다. 주어진 자료를 바탕으로 먼저 글의 주제를 파악하고, 주제를 바탕으로 ‘실태 파악형 질문’을 만든다. 이어서 사실 확인과 질문 유도를 바탕으로 ‘인과관계형 질문’을 만들고, 이것과 ‘배경 변인’을 관련지어 새로운 실태 파악형 질문을 만든다. 실태 파악형 질문에 ‘사실 확인과 질문 유도’를 첨가하여 인과 관계형 질문을 만들고, 여기에 ‘배경 변인’을 고려하여 새로운 실태 파악형 질문을 하위에 만든다. 이 과정에서 새로운 관점이 반영된 실태 파악형 질문을 만들 때 ‘배경 변인’은 매우 중요한 역할을 한다. 이러한 주제 상세화 질문 구성 활동은 질문 연쇄를 이루면서 하위 단계로 계속된다.

최근 10년간 원광의대병원에서 시행한 소아 심장혈관 수술의 임상적 고찰

윤향석,정수미,최두영,오광수,오연균,김종덕,양현웅,이삼윤,김형곤,최종범,최순호,노병석 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

We reviewed 10 years experiences of the clinical aspects and early postoperative results in 544 pediatric patients(age less than 16 years old). Among them. 529 cases had the congenital heart diseases, and 15 had the acquired diseases. Open heart surgery was performed in 413 patients. 115 cases were treated with non-open heart surgery. 16 with interventional catheterization. Annual increase of the cardiac patients was not significant in recent 10 years, except slight increase in 1994. The mean age of the study patients had been evidently changed to younger year by year. Total mortality rate of the open heart surgery was 6.4%. The cyanotic congenital heart diseases were high in early postoperative mortality by 25.7%, whereas 4% in acyanotic group. The age group less than one month was most highest in surgical mortality(66.7%). There were no deaths in patients with patent ductus arteriosus(103 cases), atrial septal defect(83 cases) or pulmonary stenosis(17 cases). Among 220 patients with ventricular septal defects(VSD). 10(4.5%) were died early postoperatively. In cyanotic group, the patients with pulmonary atresia with ventricular septal defects(PAVSD), transposition of the great arteries(TGA), interrupted aortic arch(IAA), complex cardiac anomalies with isomerism seemed to be most susceptible to an early death.

Apollonius의 점의 성질과 복소수

박진석,김향숙,김영미 경북대학교사범대학부속 중등교육연구소 2005 중등교육연구 Vol.53 No.1

내각의 크기가 모두 120° 보다 작은 삼각형에 대해서 Apollonius의 점이 정의되어 있으며, 더욱이 Apollonius의 점은 삼각형의 내부와 외부에 각각 한 개씩 생기지만 수학사에서는 삼각형의 내부에 나타나는 점만을 Apollonius의 점이라 부르고 있다. 본고에서는 삼각형의 외부에 나타나는 점도 Apollonius의 점이라 부르기로 하고, 아울러 이점에 관한 초등기하적인 성질들을 복소수를 활용하여 연구하였다. Let △ABC be a triangle whose angles are all less than 120° . Then there are two points P_(1), P_(2) which satisfy ?? · ?? = ?? · ?? = ?? · ?? ············ (*) as shown in Fig 1. We denote by D_(1), E_(1), F_(1)(resp. D_(2), E_(2), F_(2)) the pedal points from P_(1) (resp. P_(2)) to the sides BC, CA, AB, respectively. Especially the point P_(1) is called the Apllonius point of △ABC. It is well known (cf. [2,3,4]) that P_(1) is the unique point in △ABC such that the pedals D_(1), E_(1), F_(1) from P_(1) to three sides BC, CA, AB makes equilateral triangle. In this paper we investigate some geometric properties concerning the pedals D_(2), E_(2), F_(2) from P_(2) to three sides and prove tha △D_(2)E_(2)F_(2) is also equilateral triangle by using complex numbers. We also find the position of the point P satisfying (*) in △ABC with ∠A=120° .