유아를 위한 그림책에 나타난 죽음의 의미 탐색

서현 ( Hyun Seo ),김영보 ( Young Bo Kim ) 미래유아교육학회 2012 미래유아교육학회지 Vol.19 No.4

본 연구는 유아를 위한 그림책을 통해 다양한 죽음의 대상을 이해하고 죽음에 대한 개념을 형성시키는 것이 중요하다고 생각하였다. 이에 죽음과 관련된 그림책을 연구대상으로 하여, 그림책에 나타난 죽음의 의미를 분석하고자 하였다. 이를 위한 분석대상은 유아를 위한 그림책 24권이며, 2011년 10월~2012년 4월까지 내용분석연구방법을 사용하였다. 연구결과 첫째, 유아를 위한 그림책에 나타난 죽음의 개념은 ‘우리는 언젠가는 이별해야 한다’, ‘죽음은 다시는 볼 수 없다’, ‘죽음은 하고 싶어도 못한다’, ‘죽음은 원인이 있다’, ‘살아 있는 것은 늙어간다’, ‘죽으면 다른 세계로 간다’로 나타났다. 둘째, 유아를 위한 그림책에 나타난 죽음의 의미는 ‘끊임없이 이어지는 불안과 두려움의 시간: 불안함’, ‘아무것도 할 수 없는 고립된 시간: 무감각’, ‘자꾸만 떠오르는 추억의 시간: 그리움’, ‘어쩔수 없는 선택의 시간: 타협함’, ‘슬프지만 아름다운 시간: 인정함’, ‘또 다른 삶의 시간: 이겨냄’으로 나타났다. 이러한 연구결과는 유아교육현장에서 그림책을 통해 유아들이 죽음의 의미를 보다 정확히 이해할 수 있도록 교육하는 데 실질적인 도움을 줄 수 있을 것이다. This study is to analyze the meanings of death in young children`s picture books on the premise that it is important to understand various targets of death and build the concept of death, intended for research with the picture books related to death. According to the study purposes above, this study assumed research questions below: First, how are the concepts of death appearing in young children`s picture books established? Second, how are the meanings of death appearing in young children`s picture books represented? This study employed the content analysis as a research method. The analysis of each book`s content was performed from October 2011 to April 2012. The researchers classified 24 finally chosen picture books, and those classified books were again sub-classified as words on death, upper concept on words and lower concept on words. According to the results of this study, first, it was found that the concepts of death appearing in young children`s picture books were ``I am going to get separated someday,`` ``I can`t see death once again,`` ``I can`t die even though I want to,`` ``Death has a cause,`` ``Living creatures are to get aged,`` ``When you die, you go to another world.`` Second, it was found that the meanings of death appearing in young children`s picture books were ``ceaseless continuance of time of anxiety and fear: anxiety,`` ``isolated time of nothing you can do: insensibility,`` ``time of memories that pop up repeatedly: nostalgia,`` ``choice of time with nothing to do: compromise,`` ``sad but beautiful time: acknowledgment,`` ``time of another life: surmount.`` In conclusion, young children experienced reasonable and systemic understanding of death with picture books in their education field.

심한 요통과 급성 양하지 마비증상으로 나타난 복부 대동맥 폐쇄증 - 증 례 보 고 -

김래상,한기수,이언,박철완,김영보,이상구,김우경,유찬종,Kim, Rae Sang,Han, Ki Soo,Lee, Uhn,Park, Chol Wan,Kim, Young Bo,Lee, Sang Gu,Kim, Woo Kyung,Yoo, Chan Jong 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1

Acute intraabdominal aortic obstruction ends in progressive fatal course or severe permanent disability unless it is diagnosed and treated promptly. However, the incidence of such disease is very rare, so there is very little chance for a neurosurgeon to encounter a patient with acute intraabdominal aortic obstruction. The authors present a case of 62-year-old man with severe low back pain and acute paraplegia caused by acute intraabdominal aortic obstruction.

유아죽음교육에 대한 유아교사의 인식

서현 ( Hyun Seo ),김영보 ( Young Bo Kim ),박미자 ( Mi Ja Park ) 미래유아교육학회 2013 미래유아교육학회지 Vol.20 No.4

본 연구는 유아죽음교육에 관한 교사의 인식을 조사하고, 이를 근거로 유아죽음교육 프로그램 개발의 기초 자료를 제공하여 유아죽음교육에 대한 교사교육의 방향을 제시하는 것이 연구의 목적이다. 연구대상은 G시, J도, K도, N시에 소재한 유치원 및 어린이집 교사 223명이었다. 연구도구는 유아죽음교육에 대한 교사의 인식을 알아보기 위해 24문항으로 구성된 설문지이다. 연구결과, 교사들은 유아죽음교육에 대해 대부분 들어본 적이 없었으나 유아죽음교육은 필요하다고 인식하고 있었다. 또한 죽음개념에 대한 교사의 인식은 대체적으로 높았고, 죽음교육의 목표, 교수·학습 내용, 죽음교육 활동 계획 시 유아가 죽음에 대한 이해와 긍정적인 생각을 갖게 하는 것을 강조하였다. 만 5세를 중심으로 년 1~2회, 이야기나누기나 동화, 역할놀이를 통한 죽음교육의 교수·학습 방법을 제시하였고, 이론과 실제를 겸비한 교사연수의 필요성을 강조하였다. 마지막으로 죽음교육의 평가 시 교사들은 유아의 발달 단계와 유아의 이해도를 중요하게 생각하고 있었다. 본 연구 결과를 근거로 유아죽음 교육을 교육적으로 활용할 수 있는 다양한 전략을 제시하는 유아교육프로그램 개발이 필요하며, 유아죽음교육에 대한 교사의 인식의 전환이 필요함을 알 수 있었다. The purpose of this study was to identify the perception of teachers on children`s death education, to secure basic materials of children`s death education program development, and to provide direction of teachers` education on children`s death education. The subjects were 223 kindergartens and 300 children`s home teachers in G city, J Province, K Province and N city. Research tool was a questionnaire composed of 24 questions to identify the perception of teachers on children`s death education. From the study, researchers found that most of teachers have not heard of children`s death education. However, they perceived the necessity of it. The perception of teachers on death concept was high, and they emphasized the understanding and positive thought of children on death when they planned purpose of death education, -teaching-learning contents and death education activities. Additionally, they proposed teaching-learning method through story sharing, fairy tales, and role playing focusing on 5 year old children. They emphasized the necessity of teachers` training dealing with both theory and practices. Finally, teachers thought the development stage and children`s understanding level important in the evaluation of death education. Based on the results of this study, it was concluded that researchers would need to develop children`s teaching program proposing various strategies to utilize children`s death education educationally and emphasize that teachers should have paradigm shift on children`s death education.

[뇌영상기기의 발전 동향 (뇌기능분자영상의 미래)]

조장희(Zang Hee Cho),김영보(Young Bo Kim),장동표(Dong Pyo Jang),한재용(Jae Yong Han),구정훈(Jeong Hun Ku) 한국정보과학회 2005 정보과학회지 Vol.23 No.10

척추 결핵의 전방유합술시 Titanium Mesh Cage의 효과

정주호,이상구,유찬종,한기수,김우경,김영보,박철완,이언,Jeong, Ju-Ho,Lee, Sang-Gu,Yoo, Chan-Jong,Han, Ki-Soo,Kim, Woo-Kyung,Kim, Young-Bo,Park, Cheol-Wan,Lee, Uhn 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.8

Objective : The maintenance of the correction of kyphotic deformity is one of the difficult problem in tuberculous spondylitis after anterior debriment and fusion with tricortical bone graft. The goal of this study is to find out the efficacy of titanium mesh cage impacted with autogenous bone chip in tuberculous spondylitis treated with anterior intervertebral fusion. Materials and Method : Twelve patients were treated with anterior intervertebral fusion using titanium mesh cage for tuberculous spondylitis from January 1996 to June 1999. We analized the changes in the correction of kyphotic deformity, changes of ESR and CRP, fusion state and recurrence after anterior intervertebral fusion with titanium mesh cage. Results : Clinical symptoms were improved in all twelve patients without any neurologic complications. The mean kyphotic angle corrected was 7.3 degrees immediately after operation, but the loss of correction of kyphotic angle was 2.2 degrees after 3 months and 2.6 degrees after 6 months. We found that the loss of correction of kyphotic deformity occurred mainly within the first 3 months after surgery. Only one patient, suffered from acute hepatic failure after first operation and had an insufficient anti-tuberculous medication therapy, showed recurrence of tuberculous spondylitis after 6 months. The patient underwent a second operation with posterior fixation procedure with good outcome. The changes of ESR and CRP were not specifically important factor to reveal recurrence of tuberculosis of the spine in our series. Conclusion : The surgical procedure of tuberculous spondylitis using titanium mesh cage with bone chip seems to be an effective procedure to minimize loss of the correction of kyphotic deformity without any aggravating inflammatory change and recurrence with titanium mesh cage, when sufficient debridement and anti-tuberculous chemotherapy are achieved.

본태성 수전증과 파킨슨병 환자에서 미토콘드리아 DNA 비교 분석

김래상,유찬종,이상구,김우경,한기수,김영보,박철완,이언,Kim, Rae Sang,Yoo, Chan Jong,Lee, Sang-Gu,Kim, Woo-Kyung,Han, Ki-Soo,Kim, Young-Bo,Park, Cheol-Wan,Lee, Uhn 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.11

Essential tremor(ET) is the most common movement disorder however there has been little agreement in the neurologic literature regarding diagnostic criteria for ET. Familial ET is an autosomal dominant disorder presenting as an isolated postural tremor. The main feature of ET is postural tremor of the arms with later involvement of the head, voice, or legs. In previous studies, it was reported that ET susceptibility was inherited in an autosomal dominant inheritance. As with previous results, it would suggest that ET might be associated with defect of mitochondrial or nuclear DNA. Recent studies are focusing molecular genetic detection of movement disorders, such as essential tremor and restless legs syndrome. Parkinson's disease(PD) is a neurodegenerative disease involving mainly the loss of dopaminergic neurons in substantia nigra by several factors. The cause of dopaminergic cell death is unknown. Recently, it has been suggested that Parkinson's disease many result from mitochondrial dysfunction. The authors have analysed mitochondrial DNA(mtDNA) from the blood cell of PD and ET patients via long and accurate polymerase chain reaction(LA PCR). Blood samples were collected from 9 PD and 9 ET patients. Total DNA was extracted twice with phenol followed by chloroform : isoamylalcohol. For the analysis of mtDNA, LA PCR was performed by mitochondrial specific primers. With LA PCR, 1/3 16s rRNA~1/3 ATPase 6/8 and COI~3/4 ND5 regions were observed in different patterns. But, in the COI~1/3 ATPase 6/8 region, the data of PCR were observed in same pattern. This study supports the data that ET and PD are genentic disorders with deficiency of mitochondrial DNA multicomplexes.

경막내 요추 추간반 탈출증 - 증례보고 -

정주호,이상구,유찬종,한기수,김우경,김영보,박철완,이언,Jeong, Ju-Ho,Lee, Sang-Gu,Yoo, Chan-Jong,Han, Ki-Soo,Kim, Woo-Kyung,Kim, Young-Bo,Park, Cheol-Wan,Lee, Uhn 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10

The intradural lumbar disc herniation which was first described by Dandy in 1942 is unusual. The pathogenesis is obscure and preoperative diagnosis is not easy. The patient usually have more severe neurologic deficits than those found in the much more common extradural disc herniations. We experienced two cases of the intradural lumbar disc herniation who had previous disc operations and the symptoms and neurologic signs were improved after removal of the intradural sequestration of disc fragments.

침의 진통효과: 체성감각신경자극으로 유도된 진통작용에 대한 기능성자기공명영상장치를 이용한 연구

조장희,황선출,손영돈,강창기,배선준,이언정,성강경,박태석,김영보,민훈기,Cho, Zang-hee,Hwang, Seon-chool,Son, Young-don,Kang, Chang-ki,Wong, Edward K.,Bai, Sun-joon,Lee, Un-jung,Sung, Kang-kyung,Park, Tae-seok,Kim, Young-bo,Min, Hoon 대한침구의학회 2004 대한침구의학회지 Vol.21 No.2

Objective : Physiological evidence regarding acupuncture's effect in human patients is not yet well established, despite considerable evidence for its therapeutic efficacy. Besides target or disease specificity of acupuncture, acupuncture analgesia (AA) appears to be another large subclass that poses many questions, such as whether there is point specificity with respect to which acupoint is most effective for a particular condition. Methods : We observed brain activation with functional magnetic resonance imaging (fMRI) using a set of stimuli that consist of pain, pain following Meridian acupuncture, and pain following Sham acupuncture. Results : Among the new observations, the most interesting fact is that data sets of both Meridian acupuncture and Sham acupuncture show decreased activation of the same brain areas related to the pain processing signals. Present functional MRI study demonstrate two important biological observations that could elucidate AA mechanism in human participants: the effects of acupuncture occur through mediation of the higher brain areas. Sham acupuncture stimulation appears to be almost as effective as traditional Meridian acupoint stimulation, suggesting that acupuncture is not entirely point specific. Decreased activation in the limbic paleo cortical areas appears to be the probable neurological manifestation of AA and strongly implies that acupuncture stimulation inhibits the transmission of ascending pain signals to the higher cortical areas by the previously known descending pain inhibitory circuit. Conclusion : We, therefore, a hypothesized that this pain inhibitory circuit is initiated and mediated via the broad sense Hypothalamus Pituitary Adrenal (BS HPA) axis in conjunction to the "sensory stimulation."

뇌하수체 종물로 나타난 림프양 뇌하수체염 : Lymphocytic Adenohypophysitis 증례 보고

김영보,오석전,정환영,김남규,김광명,김명호,이승로 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.5

A case of lymphocytic adenohypophysitis presenting as a pituitary tumor is reported. This 30-year-old woman, gravida 1, sought medical attention during the eight month of pregnancy because of progressive headache and blurring of vision and scintillations across both visual field. After delivery, her symptoms were progressive. A large round shaped homogeneous enhancing sellar mass, as a pituitary tumor, was shown on brain CT and contrast enhanced MR images. Total removal of the tumor was done via subfrontal approach without further neurologic deficit. The tumor was diagnosed as lymphocytic adenohypophysitis with H&E staning postoperative hormonal therapy was performed.

정상인에서 뇌척수액의 뇌실내로의 역류 정도에 대한 연구

김영보,김광명,정환영,김남규,오석전,이승로 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.4

Using Omnipaque CT cisternogram, author prospectively studied on the level of physiologic CSF reflux into ventricles in 42 cases, who had not history of brain pathology or abnormal findings in neurologic examination. Results were as follows : 1) Age of all cases ranged from 26 to 78 years and male to female ratio was 2.8:1. 2) Of 7 cases used control, 6 cases showed maximum reflux at 2 hours scan and remaining 1 showed at 5 hours. 3) CSF reflux to 4th ventricle were detected in all cases, but reflux to Aqueductus of sylvius. posterior 3rd ventricle, anterior 3rd ventricle, foramen Monro and lateral ventricle were in 17 out of all 42 cases(40.5%), 12/42(28.6%), 3/42(7.2%), 3/42(7.2%), 2/42(4.8%) respectively. 4) Cases with reflux to 4th ventricl could be considered as normal, but authors with reflux above 4th ventricle need follow-up scan after 3 to 6 hours to decide as normal.