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위눈꺼풀에 발생한 원발성 기타 상세불명의 말초 T세포 림프종 1예
노시진,기정혜,김혜영,Si Jin Noh,Jeong Hae Kie,Hye Young Kim 대한안과학회 2012 대한안과학회지 Vol.53 No.11
Purpose: To report a case of primary peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS), of the eyelid. Methods: A 48-year-old healthy male patient presented with a mass on the upper lid of 2 months in duration. The lesion was reddish, well - demarcated, oval shaped, and measured approximately 8 × 4 mm. The mass did not respond to incisional drainage and intra-lesional triamcinolone. An excisional biopsy for diagnosis was performed. Results: On microscopic examination, a localized dense lymphocytic infiltration was observed in the subepithelial area, and cytologic atypia was observed under high power. On immunohistochemical examination, tumor cells were positive for CD3 but negative for CD20, CD30, CD56, ĸ-light chain immunoglobulin, λ-light chain immunoglobulin, and increased Ki-67 activity was noted. A histopathological diagnosis of PTCL-NOS was made. Conclusions: PTCL-NOS, which rarely occurs on the eyelids, commonly accompanies generalized lymphadenopathy and “B symptoms” such as fever and weight loss. Herein, the authors report a case of PTCL-NOS of the eyelid presenting as a rapidly growing solid mass in an otherwise healthy patient.
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원추각막 환자에서의 알코올을 이용한 각막 콜라겐 교차결합술 후 각막곡률의 변화
노시진,안지민,한경은,서경률,Si Jin Noh,MD,Ji Min Ahn,MD,Kyung Eun Han,MD,Kyoung Yul Seo,MD,PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.11
Purpose: To evaluate the changes in corneal keratometry (K) readings after corneal collagen cross- linking (CXL) using 20% alcohol in primary keratoconus and keratectasia after refractive surgery. Methods: Twelve eyes of 10 patients with primary keratoconus and 3 eyes of 3 patients with keratectasia after refractive surgery were included in the present study. Best-corrected visual acuity (BCVA) and mean K, corneal astigmatism by corneal topography, and mean K, corneal astigmatism, and spherical equivalent (SE) by auto refractometer were evaluated at baseline, and 6 months postoperatively. Eight eyes of 7 patients were also evaluated 1 year postoperatively. Results: Mean BCVA improved from log MAR 0.66 ± 0.50 to log MAR 0.55 ± 0.58 (p = 0.100) at 6 month after CXL. In corneal topography, mean K significantly decreased from 50.04 ± 5.88 D to 49.18 ± 6.15 D (p = 0.019), and corneal astigmatism slightly decreased from 5.33 ± 4.47 D to 5.29 ± 4.88 D (p = 0.755) at 6 months after CXL. According to the auto refractometer, mean K significantly decreased from 48.53 ± 5.94 D to 47.95 ± 5.79 D (p = 0.038), corneal astigmatism significantly decreased from 3.95 ± 2.54 D to 3.52 ± 2.40 D (p = 0.010), and SE significantly decreased from -6.25 ± 3.45 D to -5.40 ± 2.91 D (p = 0.037) at 6 months after CXL. Significant mean K and corneal astigmatism decreases in topography were also observed at 1 year after CXL. Complications related to CXL were not observed. Conclusions: CXL using 20% alcohol appears to be a safe and promising treatment modality with less corneal stromal damage in progressive primary keratoconus and keratectasia after refractive surgery.
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노시진(Sijin Noh),조정은(Jungeun Cho) 조선대학교 교과교육연구소 2018 敎科敎育硏究 Vol.39 No.1
This study acknowledged the need for ability to read music for students to play instruments in after school flute classes. To this end, this study intends to create student participation and activity based instruction of the element knowledge of music as reading notes, rhythm, and, key using Kodály’s teaching method. This study reviewed precedent studies on Kodály’s musing teaching method. Also, this study investigated Kodály’s teaching method in depth to suggest music teaching and learning method for instructing flute. Characteristics and results of teachingㆍlearning guidance are as follows. First, class participation was increased by helping students to learn rhythm easily and enjoyably using rhythm syllables, beating rhythm, and rhythm games. Also, it was identified that sense of rhythm of students improved through various rhythm activities. Secondly, interesting and new teaching methods of hand signal song, guessing hand signal, and playing by looking at hand signal of teacher were conducted for hand signal. Thirdly, the movable-do system helped students to learn easily through games. Students learned the concept of notes and built ability to read music through the movable-do system. Fourthly, this study used flying notes for students to learn notes, and was helpful in understanding line and fret on manuscript paper. 본 연구는 학교현장에서 그 수요가 날로 증가하고 있는 방과후학교 프로그램 중 플루트를 통한 청소년의 악기지도를 함에 있어서 음악의 핵심요소인 리듬의 이해를 통한 악기지도를 하고자 하였다. 음악의 주요요소인 리듬을 이해 한다는 것은 음악의 기초적인 이해를 도와 연주를 쉽게 할 수 있다. 이를 위하여 본고에서는 음악교육자 코다이의 이론을 중심으로 플루트 지도에서 리듬학습을 구안하였다. 이는 플루트를 연주함에 있어서 단순히 기술적인 연습이 아니라, 오선악보에 대한 거부감 줄이고 생활 속에서 플루트의 연주를 즐겁게 할 수 있도록 유도하기 위함이다. 이를 바탕으로 방과후학교에서 청소년의 플루트 지도에서 실제 적용할 수 있는 악곡으로 그 방안을 제시하여 청소년의 악기활동이 활성화 될 수 있는 방안을 모색하려는 것에 목적이 있다. 이를 위하여 하였으며, 2016년 6월부터 5월까지 약 5주간에 걸쳐 호남지역에 생활하고 있는 아동ㆍ청소년을 대상으로 방과후학교 플루트 수업을 하였다. 악기지도의 특성상 다수의 자료를 얻을 수는 없었지만, 4개 학교에서 실험집단과 비교집단과의 차이를 살펴보았다. 본 연구를 통해 밝혀진 연구결과를 보면 리듬음절 활동은 플루트 연주와 악곡을 익히는데 도움이 되었으며, 이동도법에 대한 내용은 꾸준한 지도가 필요하였다. 이러한 플루트의 지도 방법의 적용은 악보에 대한 두려움을 줄일 수 있어 청소년기 정서적 안정과 음악적 생활화를 위하여 다양한 악기활동이 활성화 되어지길 바란다.
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