소아에 발생한 Castleman's Disease 2례

김은아,이종국,김한성,Kim, Eun Ah,Lee, Chong Guk,Kim, Han Sung 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.2

저자는 우연히 발견된 무통성 종괴로 내원한 환아에서 소아과 영역에서 드문 Castleman 씨 병 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 림프절 종창으로 추정되는 무통성의 종괴를 보이는 환아에서는 Castleman 씨 병을 감별 진단으로 반드시 고려해 보아야 할 것이다. Castleman's disease is an atypical lymphoproliferative disorder of unknown origin. It has three histologic variants(hyaline vascular, plasma-cell, and mixed) and two clinical types(localized and multicentric). Some sufferers have constitutional symptoms and laboratory abnormalities such as anemia, hypoalbuminemia, hypergammaglobulinemia, and elevated erythrocyte sedimentation rate. The localized form is cured by complete surgical excision whereas the multicentric form is managed by prednisone and other immunosuppressor drugs. The prognosis of the multicentric form is worse than the localized form since malignancies and severe infections may lead to a rapidly fatal outcome. Castleman's disease has been rarely reported at pediatric age in Korea. We experienced two cases of Castleman's disease detected at 3 and 5 years of age. They were presented with painless enlargement of submandibulars and axillary lymph nodes but had no associated symptoms. The lesions were excised and diagnosed as Castleman's disease, and no recurrence was noted during follow-up periods.

동시 양안 열공망막박리의 임상적 특징

김은아,장우혁,박영훈,Eun-Ah Kim,Woo-Hyok Chang,Young-Hoon Park 대한안과학회 2005 대한안과학회지 Vol.46 No.7

Purpose: To analyze the incidence, clinical characteristics and postoperative prognosis of simultaneous bilateral rhegmatogenous retinal detachment (SRD). Methods: We retrospectively analyzed the medical records of 22 patients who visited the Department of Ophthalmology, Yeungnam University College of Medicine, for treatment of SRD and who had been in regular surveillance for at least 6 months. Results: The incidence of SRD was 22 patients among 792 (2.8%). Eleven were male and 11 were female, and the average age was 27.6 years. Eighteen patients (81.8%) complained of visual disturbance and visual field defect of one eye, and myopia of more than -4.00D was noted in 30 eyes (68.2%). The size of the detached area was 2 quadrants in 19 eyes (43.2%). The most common type of retinal break was atrophic hole with lattice degeneration. The most common location of the break was the inferotemporal quadrant. The anatomical success rate of primary operation was 91.9% (34 of 37 eyes). Conclusions: Simultaneous bilateral rhegmatogenous retinal detachment was associated with young age, and myopia. As for the retinal break, the most common type was atrophic hole with lattice degeneration, and the most common location was the inferotemporal quadrant.

소아에서 결핵성 중이염 1례

김은아,함세창,김영균,박용원,강윤경,Kim, Eun Ah,Ham, Se Chang,Kim, Young Kyoun,Park, Yong Won,Kang, Yun Kyung 대한소아감염학회 2002 Pediatric Infection and Vaccine Vol.9 No.1

결핵성 중이염은 매우 드문 질환이나 최근 결핵의 유병률이 증가하는 추세이므로 장기간의 항생제 치료에도 반응하지 않는 만성 중이염의 경우 결핵성 중이염의 가능성을 염두에 두어 감별진단 하여야 한다. 이런 관심은 조기 진단과 이에 따른 적절한 치료를 하게 되어 고막 파열, 청력 소실 및 안면신경마비와 같은 중한 합병증을 줄일 수 있을 것이다. Tuberculous otitis media is a very rare disease in extrapulmonary tuberculosis and in chronic otitis media nowadays. The characteristic signs seem to have altered from the past ones. And the suspicion index is very low that there is often a considerable delay prior to diagnosis. This might result in irreversible complications such as hearing loss, facial nerve paralysis and labyrinthitis. It is difficult to be defined by culture, so many patients with tuberculous otitis media are subjected to have surgery without a correct etiologic diagnosis. Therefore bacteriologic study of secretion and pathologic examinations of biopsied tissue are mandatory. We report one year and 11 months old boy with tuberculous otitis media having painful otorrhea and perforated tympanic membrane diagnosed by histologic finding and polymerase chain reaction(PCR). And we would like to emphasize the fact that tuberculous otitis media must be considered in the differential diagnosis of persistent suppurative otitis media despite appropriate antibiotic therapy considering the increasing tendency in incidence of Tuberculosis in Korea these days.

X-ray tomography 분석과 기계 학습을 활용한 금속 3D 프린팅 소재 내의 기공 형태 분류

김은아,권세훈,양동열,유지훈,김권일,이학성,Kim, Eun-Ah,Kwon, Se-Hun,Yang, Dong-Yeol,Yu, Ji-Hun,Kim, Kwon-Ill,Lee, Hak-Sung 한국분말재료학회 (*구 분말야금학회) 2021 한국분말재료학회지 (KPMI) Vol.28 No.3

Metal three-dimensional (3D) printing is an important emerging processing method in powder metallurgy. There are many successful applications of additive manufacturing. However, processing parameters such as laser power and scan speed must be manually optimized despite the development of artificial intelligence. Automatic calibration using information in an additive manufacturing database is desirable. In this study, 15 commercial pure titanium samples are processed under different conditions, and the 3D pore structures are characterized by X-ray tomography. These samples are easily classified into three categories, unmelted, well melted, or overmelted, depending on the laser energy density. Using more than 10,000 projected images for each category, convolutional neural networks are applied, and almost perfect classification of these samples is obtained. This result demonstrates that machine learning methods based on X-ray tomography can be helpful to automatically identify more suitable processing parameters.

두눈올림근마비 환자의 눈꺼풀처짐에 대한 평가 및 치료

김은아,이상혁,김명미,정화선.Eun-Ah Kim. M.D.. Sang-Hyeok Lee. M.D.. Myung-Mi Kim. M.D.. Wha-Sun Chung. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.3

Purpose: To estimate the predictable factors of postoperative true ptosis remaining after squint surgery in patients with double elevator palsy (DEP), and to analyze the factors that must be considered before the correction of true ptosis. Methods: We retrospectively reviewed the medical records of 6 patients who had undergone strabismus surgery for DEP at the Department of Ophthalmology, Yeungnam University College of Medicine, between 1989 and 2003. The MRD (margin reflex distance) of paretic and nonparetic eye with each eye fixation, palpebral aperture, levator function, and Bell`s phenomenon were analyzed before and after squint surgery. Results: True ptosis was noted in 3 patients, one of whom underwent external levator resection. Postoperative Bell`s phenomenon improved in 2 patients who had poor Bell`s phenomenon preoperatively. Scleral show remained in 2 patients who underwent inferior rectus recession, and was taken into account before the correction of ptosis. Conclusions: Upper lid drooping in DEP patients is expected to be improved after squint surgery if preoperative MRD of paretic eye with paretic eye fixation has the same measured amount as that of non-paretic eye. MRD, Bell`s phenomenon and the amount of scleral show after the squint surgery should be carefully examined and assessed before the correction of residual ptosis.

시신경형성저하 환자의 임상적 특징

김은아,홍정석,장우혁,김명미,Eun Ah Kim,M,D,Jeong Seok Hong,M,D,Woo Hyok Chang,M,D,Myung Mi Kim,M,D 대한안과학회 2006 대한안과학회지 Vol.47 No.9

Purpose: To estimate the baseline demographic and ocular characteristics of patients with optic nerve hypoplasia (ONH), and to analyze the different features and frequency of coexistent CNS abnormalities and pituitary hormone deficiency. Methods: The authors reviewed the medical records of the patients who were seen between January 1988 and July 2005. Eyes with disc-to-macula / disc diameter ratio of 3.0 or more were eligible. The study comprised 70 patients (45 male, 25 female) and the average age was 6.4 years. Results: Ocular manifestations included strabismus and nystagmus in 60 patients (85.7%) and 23 patients (32.9%), respectively. Eighty-four patients (87.5%) had visual acuity of 0.3 or less. Neuroradiologic examination of 27 patients revealed two with septo-optic dysplasia, two with pituitary hypoplasia, one with an absence of corpus callosum, one with diffuse encephalomalacia, one with a cerebral infarction in the right cerebral hemisphere, and one with a cerebellar injury. Of 12 patients who had undergone a clinical laboratory test, two had isolated growth hormone deficiency, one had a combined deficiency of growth hormone and gonadotropin and one had a combined deficiency of growth hormone and thyrotropin. Conclusions: Ocular features frequently associated with ONH are strabismus, nystagmus and poor vision. ONH is often associated with a wide variety of central nervous system abnormalities and pituitary hormone defect, so a systematic approach to patients with ONH is always recommended.

협동학습 모형에 근거한 숲 체험 활동에서의 유아리더십 효과 분석

유구종 ( Gu Jong Yoo ),김소리 ( So Ri Kim ),김은아 ( Eun Ah Kim ) 한국어린이문학교육학회 2016 어린이문학교육연구 Vol.17 No.1

본 연구는 유아의 리더십 증진 방안의 일환으로 협동학습 모형에 근거한 숲 체험활동이 3-5세유아의 리더십을 증진시킬 수 있을 것이라는 가정을 검증하는데 목적이 있다. 이를 위하여 본 만 3,4세 유아 15명에게 협동학습 모형에 근거한 숲 체험 활동을 적용하였고, 비교집단 만 3, 4세 유아 15명에게는 3-5세 누리과정에 기초한 자유선택활동을 적용하였다. 또한 유아의 리더십을 측정하기 위하여 김경현(2007)의 AF분석법과 리더십 구성요소를 사용하였으며, 총 16주간 실험처치와 더불어 3회기에 걸쳐 반복측정을 실시하였다. 그 결과 첫째, 협동학습 모형에 근거한 숲 체험활동 집단과3-5세 누리과정에 기초한 자유선택활동 집단 간 처치회기에 따른 유아 리더십은 통계적으로 유의미한 차이가 있었다. 둘째, 협동학습 모형에 근거한 숲 체험활동 집단과 3-5세 누리과정에 기초한 자유선택활동 집단 간 처치회기에 따른 유아 리더십의 하위요인 간에도 통계적으로 유의미한 차이가 있었다. 결론적으로 본 연구에서는 협동학습 모형에 근거한 숲 체험활동이 유아의 리더십과 하위요소에 미치는 영향이 크다는 것이 입증되었다. As an effort to promote young children’s leadership, the aim of this study was to test the hypothesis ‘forest experience activities based on a cooperative learning model will enhance young children’s leadership’ by comparing them with play-centered integrated education activities. The subjects of this study were 15 three or four-year-old children for whom cooperative learning model based on a forest experience activities were applied, and 15 three or four-year-old children attending to whom free choice activities were applied. The children’s leadership was measured with Gyeong-Hyeon Kim’s AF analysis and leadership components. In order to analyze young children’s leadership behaviors based on the forest experience activities and play centered integrated education activities, the experimental treatment was done for 16 weeks’ experimental treatment was used. The results of this study for each research question are as follows. First, young children’s leadership during the treatment sessions was statistically significantly different between the cooperative learning model forest experience activity group and the free choice activity group. That is, young children’s leadership level was higher in the cooperative learning model forest experience activity group than in the free choice activity group. Second, a statistically significant difference was observed also in the sub-factors of leadership during the treatment sessions between the cooperative learning model forest experience activity group and the free choice activity group. In conclusion, it was proved shown in this study that ‘forest experience activities based on a cooperative learning model have a significant effect on young children’s leadership. The educational implication of this finding is that young children’s leadership may be enhanced through forest experience based on a cooperative learning model.

임상연구 : 고혈압 환자에서 Desflurane에 의한 혈역학적 변화

김은아 ( Eun Ah Kim ),이정우 ( Jung Woo Lee ),임형선 ( Hyung Sun Lim ),손지선 ( Ji Seon Son ),고성훈 ( Seong Hoon Ko ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5

Background: A rapid increase in the desflurane concentration induces tachycardia and hypertension and increases the plasma catecholamine concentration. This study compared the desflurane-induced hemodynamic responses in hypertensive patients with those of normotensive patients. Methods: Sixty patients, 30 normotensive patient (group 1) and 30 hypertensive patients (group 2), were scheduled to undergo elective surgery under general anesthesia. The hypertensive patients have been taking regular antihypertensive drugs and their blood pressure and heart rate was well controlled. Thirty normotensive patients were not premedicated. The inspired concentration of desflurane through the mask was increased abruptly to 12.0 vol%. The target was to produce an end-tidal concentration of desflurane (ETdesf) of 10.0 vol% which was maintained until the end of the study by adjusting the vaporizer dial setting. The heart rate (HR), blood pressure (BP), cardiac index (CI), systemic vascular resistance (SVR), ETdesf, end-tidal concentration of carbon dioxide, and peripheral oxygen saturation were measured at the baseline and every 30 seconds for 5 minutes after inhaling of desflurane and for 2 minutes after intubation. Results: The HR, BP, and CI increased significantly in the two groups compared with the baseline. However, the HR, blood pressure, CI, SVR, and ETdesf were similar in both groups. In addition, there were no significant differences of hemodynamic changes between the β-blocker and the calcium channel blocker in the hypertensive patients. Conclusions: In patients with well-controlled hypertension, the hemodynamic responses to desflurane are similar to those in normotensive patients. (Korean J Anesthesiol 2007; 52: 516~20)

영화(映畵) 「벨벳 골드마인(Velvet Goldmine)」에 나타난 글램 스타일(Glam Style)

김은아 ( Eun Ah Kim ),염혜정 ( Hae Jung Yum ) 한국패션비즈니스학회 2001 패션 비즈니스 Vol.5 No.1

The purpose of this study is to understand what the Glam Style is, focus on the movie 「Velvet Goldmine」. The Glam Style is refered early 1970s Glam rockers` costume, typified by silver lurex, corksoled platform, men in make-up, personified, for example, by David Bowie, Marc Bolan, New York Dolls, Roxy Music and Iggy Pop. To approach the Glam Style comprehensively, I have divided the formative background of Glam Style into the improvement technology, the advent of the young generation and the diffusion of mass media, the rock music fever and influence on Pop art. Following is the result of analyzing of the character in the movie. First, Brian Slade has the flamboyant transsexual image by skin-tight space suit, glitter pants, lurex, satin and sequined stretch fabrics, vivid color, gauze make-up, feather boa. Second, Curt Wild expresses the outrageous sexual image by black leather jacket, emphasized black eyes make-up. Third, Mandy Slade appears the exaggerated and frivolous image by gold leopard patterned one piece, fur coat, ornamented with beads, tropical make-up, spangles and the costume jewelry. Forth, Auther Stuart has the complex image by black leather jacket, velvet jacket, skin-tight bold shirt, glitter pants, glitter make-up, silk scarf, cherry-red sunglasses. The characteristics meaning of Glam Style implied in this formative characteristic could be presented as the experimental expression of androgynous, the hordes of outrageous alien and kitsch parody.

복지와 도시브랜딩

김은아(Kim, Eun Ah) 한국디자인지식학회 2007 디자인지식저널 Vol.5 No.-

브랜딩에 있어서 국제사회의 경쟁은 국가 간의 경쟁뿐만 아니라 각 도시간의 경쟁도 치열한 양상을 보이고 있다. 각 도시마다 도시의 상징적인 이미지를 가지고 있다. 파리는 낭만, 밀라노는 스타일, 뉴욕은 에너지, 바르셀로나는 문화등과 같은 대표적인 브랜드 이미지를 가지고 있으며, 각 도시들은 브랜딩을 위해 엄청난 경쟁을 벌이고 있다. 그러나 한정된 자원을 가지고서 그 안에서 치열한 경쟁을 함에 있어서는 어려운 선택을 할 수밖에 없으며, 새로운 전략을 위한 방법들은 이미 진부해졌으며, 도시브랜딩을 위한 전략들도 혁신적인 이노베이션이 요구되어지는 시대가 되었다. 즉, 다각적인 소비자의 요구나 국제경쟁시장에서는 보는 견해와 시각을 달리해야만이 글로벌 환경에서 경쟁력 있는 도시로 생존 할 수 있다는 것을 시사 하는 것이다. 본 연구에서는 도시브랜딩 툴로서의 복지의 핵심적 요소들을 분석하여 복지와 도시브랜딩의 상관성을 연구해보고, 현재 전라남도에서 계획 중인 행복마을사업을 분석하여 행복마을이 글로벌 환경에서 전라남도의 경쟁력 있는 브랜딩의 툴로서 활용될 수 있는 방안을 모색해보고자 한다. The global marketplace for place branding has never been more competitive both among nations and cities. Each city has its own symbolic associations such as romance in Paris, style in Milan, energy/business in New York, or culture in Barcelona and the competition for global attention is fierce. The demand for the most effective place brand-building strategies has never been greater, and for many places with only a limited amount of resources, difficult choices must be made on which brand strategies to implement. The main problem for those trying to engage in place branding is that many strategies require a great deal of market awareness and innovation In other words, diversified perspectives on customer’s demands and the global marketplace are required to survive as a competitive city in the global environment. In this research paper I attempt to study the relationship between place branding (city branding) and welfare by analyzing elements of place branding and elements of welfare, which is a new strategy for place branding (welfare). In addition, I attempt to propose strategies for Happy Town to be a competitive branding tool in the global environments by analyzing the Happy Town Project which is under construction in Jeollanamdo, Korea.