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      • 전방 십자 인대 재재건술 후 발생한 전경골 낭종 - 증례 보고 -

        김하경,윤정로,김택선,여의동,Kim, Ha-Kyung,Yoon, Jung-Ro,Kim, Taik-Sun,Yeo, Eui-Dong 대한관절경학회 2008 대한관절경학회지 Vol.12 No.3

        전방 십자인대 재건술 후 발생하는 전경골 낭종은 드물게 발생하는 질환이다. 저자들은 전경골근 동종건을 이용한 전십자인대 재재건술 후 발생한 전경골 낭종을 보고하고자 한다. 본 합병증은 경골 터널을 통하여 관절과 낭종이 이어져 발생한 것으로 추정된다. 저자들은 전십자 인대 재건술 후 전경골 낭종의 발생 가능성이 있음을 보고하고자 한다. Pretibial cyst formation is a rare occurrence after anterior cruciate ligament (ACL) reconstruction. We report this complication after ACL revision surgery using tibialis anterior allograft. This complication seems to be the consequence of a direct communication between the joint and the cyst through the tibial tunnel. In the present study, the authors report that there is a pretibial cyst formation after a revisional ACL reconstruction.

      • 심상그리기가 좌편 무시현상에 미치는 영향: 사례연구

        김하경,황영진,정옥란,Kim, Ha-Kyung,Hwang, Young-Jin,Jeong, Ok-Ran 한국음성학회 2005 음성과학 Vol.12 No.3

        This study investigated to the effects of a mental image drawing in RHD patients with left neglect. Three subjects participated in this study. All subjects were right handed and native speaker of korean. In task 1, the patients were presented with visual stimulus card directly above the response sheet and were asked to draw the picture. In task 2, they were presented with items auditorily and asked to draw the picture(mental image drawing). In all experimental conditions, there was no response time limit. The results showed that the subjects showed left neglect leaving some space on the left side in task 1. And the picture was drawn the left side from the right in direction. However, the neglect disappeared in task 2. And the picture was drawn the right side from the left in direction. The results of the present study suggested that a mental image drawing technique can be effective in treating individuals who exhibit left neglect. Also, the picture direction showed that the korean normality was same.

      • 성장기 태권도 선수의 만성 통증과 손상 유형

        김하경,김창윤,심희종,박성민,배병조,Kim, Ha-Kyung,Kim, Chang-Yoon,Shim, Hee-Jong,Park, Sung-Min,Bae, Byung-Jo 대한정형외과스포츠의학회 2009 대한정형외과스포츠의학회지 Vol.8 No.1

        목적: 성장기 태권도 선수가 호소하는 만성 통증의 유형과 원인을 분석하고 이에 대한 선수 및 지도자의 인식 조사와 함께 만성 통증을 줄일 수 있는 방법을 모색해 보고자 하였다. 대상 및 방법: 2006년 3월부터 2007년 6월까지 1년 4개월 동안 광주광역시의 초, 중, 고교 태권도 선수 210명과 지도자 12명을 조사하였다. 진단은 이학적 검사와 단순 방사선 촬영, MRI 등을 통해 이루어졌다. 결과: 조사 대상 선수 210명 중 만성 통증을 겪은 선수는 162명(77.1%)이였으며 세 부위의 만성 통증을 겪은 선수는 19명(11.7%), 두 부위는 74명(45.7%), 한 부위는 69명(42.6%)이였다. 162명의 만성 통증 274예에서 손상 부위로는 족부, 족관절부가 145예(52.9%)로 가장 많았고 수부, 수근관절부 47예(17.2%), 슬관절부 38예(13.9%), 고관절부 25예(9.1%), 요추부 19예(6.9%)였다. 만성 통증의 손상 유형으로는 족부의 좌상(타박상)이 103예로 가장 많았고 다음으로 족관절부 염좌 40예, 수부, 수근관절부 좌상 28예 등이었으며 이러한 만성 통증을 유발하는 손상 원인으로는 겨루기 연습 손상이 가장 많았고, 다음으로 무리한 훈련이었으며, 경기 손상 등이 있었다. 결론: 성장기 태권도 선수들에게 만성 통증이 흔히 있었고 족부, 족관절부 통증이 많았으며 손상 유형으로는 좌상과 염좌가 많았다. 손상 원인으로는 겨루기 연습 손상이 가장 많았으며 만성 통증으로의 이행은 무리한 훈련과 잦은 경기가 큰 원인이 되고 있었다. 이러한 선수들의 손상을 예방하고 치료하기 위한 다각적인 노력이 필요할 것으로 사료된다. Purpose: This study was designed to analyze? the chronic pain of adolescent Taekwondo athletes, to research the understanding about chronic pain of coaches and athletes, to? reduce the development of chronic pain. Materials and Methods: From March. 2006 to June 2007, 210 athletics and 12 coaches of elementary, middle and high school in Kwang-ju city were surveyed. They was evaluated by physical examination, simple radiographs and MRI. Results: In 210 athletics, 162(77.1%) athletes had chronic pain. 19(11.7%) athletes had over three regions of pain, 74(45.7%) athletes had two regions of pain, 69(42.6%) athletes had one region of pain. In 274 cases of 164 athletes, the most common region was foot and ankle(145 cases, 52.9%), followed by hand(47 cases, 17.2%) and knee(38 cases,13.9%), hip(25 cases, 9.1%), and lumbar area(19 cases, 6.9%) The chronic pain was classified by injury type. Contusion of foot was 103 cases(most common), sprain of ankles was 40cases, Contusion of hands and wrists was 28 cases, and so on. The etiologies of injury that causes the chronic pain were match injury in training that is most common, intensive exercise and match injury in competition. Conclusion: The chronic pain was common in adolescent Taekwondo athletes. The ankle and foot were the most common region of chronic pain and the match injury was the most common injury, caused the chronic pain. Although athletes had considerable mental stress about chronic pain, the treatment of chronic pain and rest were insufficient. Therefore the variable effort to prevent injury and to treatment injury must be considered importantly.

      • KCI등재

        Dr. Fluency를 이용한 연장 기법이 아동 말더듬에 미치는 효과

        김하경(Ha-Kyung Kim),권도하(Do-Ha Kwon) 한국언어치료학회 2004 言語治療硏究 Vol.13 No.1

        In these days, there are so many researches of stutter treat program using computer. The strength of stutter treat program using computer; first, it is possible to self-practice and self-feedback, and second, it is possible to receive variety feedbacks include visual and aural feedback.The purpose of this study was to find the change in frequency, patterns, stuttering interview of young stutterer when to use prolonged speech using Dr. Fluency.Three subjects were pre-school and school age children, and those are treated during 30 sessions. After sessions, three subjects's frequencies were improved.In stuttering patterns, subject A's struggle was reduced. Subject B's whole word repetition and partial word repetition were reduced. Subject C's partial word repetition was improved.Future, prolonged speech using Dr. Fluency has needs to research for improvement of stuttering frequency and shape of children, youth and adult.

      • KCI등재

        한반도 서남부 하천 하구역의 수질 및 부착돌말 군집 특성

        김하경 ( Ha Kyung Kim ),이민혁 ( Min Hyuk Lee ),김용재 ( Yong Jae Kim ),원두희 ( Du Hee Won ),황순진 ( Soon Jin Hwang ),황수옥 ( Su Ok Hwang ),감상훈 ( Sang Hoon Kim ),김백호 ( Baik Ho Kim ) 한국하천호수학회(구 한국육수학회) 2013 생태와 환경 Vol.46 No.4

        Environmental factors and epilithic diatom communities in the lower streams near the harbor region of South Korean peninsula were examined during no monsoon period in May 2013. The sampling of water and epilithic diatoms was conducted at both streams, 19 regulated streams (RS) that there are one or several dams constructed in the river system, and 19 un-regulated streams (US) that there are no dams within the river. A cluster analysis based on the number of species and abundance of epilithic diatoms through the stations, divided into three groups such as groups I (mainly US), II (mixed with US and RS) and III (mainly RS), respectively. Group I showed that water quality is good and high diversity of diatom, while Group II and III was water quality is relatively poor, but not differed in biomass of diatom from Group I. In addition, Group II that had high conductivity, nitrogen and phosphorus, was the lowest in diatom diversity among them. Dominant species were Nitzschia palea (17%) and Navicula seminuloides (11%) in Group I, Nitzschia inconspicua (19%) and Navicula perminuta (9%) in Group II, and Nitzschia inconspicua (15%) and Nitzschia palea (14%) in Group III, respectively. These taxa were widely distributed in brackish water, and not closely related with specific water quality, like eutrophic water. However, the groups II and III belonged to RS, had not only little biomass, but bad water quality such as high concentrations of nutrient and chlorophyll-a. Therefore, to determine the effect of dam construction on the lower water ecosystem, the planktonic algae, which can occur algal bloom in the estuary, also was considered to be a parallel investigation.

      • KCI등재

        일개 대학병원에서 경험한 소아의 경증 두부 외상에서 Brain CT 측정 및 효용성

        김하경 ( Ha Kyung Kim ),김진주 ( Jin Joo Kim ),조진성 ( Jin Seong Cho ),장재호 ( Jae Ho Jang ),양혁준 ( Hyuk Jun Yang ),이근 ( Gun Lee ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.3

        Purpose: In children, mild traumatic brain injuries (TBI) account for 70~90% of head injuries. Without guidelines, many of these children may be exposed to excess radiation due to unnecessary imaging. The purpose of this study was to evaluate the impact of a mild TBI guideline in imaging of pediatric patients. Methods: The medical records of all children who had head computed tomography and were admitted to our hospital with a TBI with Pediatric Glasgow Coma Scale and Glasgow Coma Scale of 14 to 15 were retrospectively reviewed and compared with PECARN Rule. Results: A total of 1260 children were included and all children checked with head computed tomography. 61 pediatrics had CT positive and presented skull fracture 40, hemorrhage 8, hemorrhagic contusion 7, and diffuse axonal injury 1. Also, 4 patients diagnosed both skull fracture and brain haemorrhage and 1 patient diagnosed both haemorrhage and haemorrhagic contusion. Conclusion: There are many pediatric traumatic patients who exposed to radiation due to CT. But, the most of results were negative. So, consider to follow the CT guideline for children and many do not require brain CT. [ J Trauma Inj 2014;27:63-70 ]

      • KCI등재

        고등학교 영어 I 교과서 삽화 분석

        김하경(Ha-kyung Kim),박치홍(Chi-hong Park) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.9

        This study delineates the process of analyzing the illustrations in high school English I textbook. The goal of this study is to shed light on the issues related to producing better English textbooks. The methods include analysis of the illustrations in the textbook developed under the 2009 Revised National Curriculum and surveys of teachers and students" awareness about them. This study classified common features in the illustrations to devise four analysis criteria: cultural aspects, expression styles, expression techniques, and linguistic functions of the illustrations. The questionnaire was made for both teachers and students. The questions in the survey of teachers were about the relevance to the contents, the layout and formation, learners" interest, cognitive aspects, easiness of teaching and learning, and connectivity with language functions. In the survey of students, familiarity, interest level, learnability, favored expression technique and expression material were considered. The result of the surveys showed that the teachability and learnability are key factors in developing illustrations for English textbooks, and they should look familiar to the students. 본 연구는 2009개정 교육과정에 따라 2013년부터 적용된 고등학교 영어I 교과서에 실린 삽화의 문화권 표현의 특징, 내용과의 관련성 및 외형적 특징에 대해 분석하고, 실제 학교 현장에서의 교사와 학생을 대상으로 설문을 실시함으로 삽화에 대한 인식을 살펴보고, 보다 더 좋은 교과서를 제작할 수 있도록 하는데 그 목적을 두었다. 연구를 위해 고등학교 영어교과서 삽화에 나타나는 공통적인 특징들을 분류하여 4가지의 분석 기준을 고안하였고, 그 내용은 삽화에 나타난 문화권 표현, 삽화의 표현유형, 삽화의 표현기법, 삽화의 언어의 기능별 제시로 구분하였다. 설문 내용은 고등학교 교사를 대상으로 삽화와 교과내용과의 관련성, 삽화의 배치와 구성, 학습자의 학습 흥미도와 인지적 측면, 교수 및 학습 용이성, 언어의 기능과의 연계성으로 제작하였고, 학생들을 대상으로는 삽화에의 친숙성, 흥미도, 학습 용이성, 선호하는 표현기법과 표현재료로 제작하였다. 설문을 실시한 결과 학생들의 교수·학습 효과를 높이기 위해 교수 및 학습 용이성을 높이고, 학생들이 친근하게 느낄 수 있는 삽화개발이 요구되었다.

      • KCI등재

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