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      • 발달장애학생을 위한 웹기반 의사소통능력신장 프로그램의 개발과 적용 사례

        김동현,유영환,김좌중,천경철,이청용,김봉수 국립특수교육원 2005 연구보고서 Vol.- No.10

        발달장애학생의 의사소통능력은 단순한 언어문제 이상의 의미를 지닌다. 의사소통능력은 모든 학습의 기초가 되고 결국 인간의 삶의 질을 좌우하게 하는 중요한 요소가 되고 있기 때문에 의사소통능력에 문제가 많은 발달장애학생에게 있어서 의사소통능력 신장은 매우 중요하다. 발달장애학생의 언어 및 의사소통능력의 결함은 사회적 결함과 인지적 결함에 상호 관련성이 있어 다른 사람으로부터의 의사소통을 이해하는 능력과 자신의 생각을 표현하는 능력이 제한되어 다른 사람과의 상호관계를 맺는데 어려움이 많았다. 따라서 발달장애학생의 언어지도는 생활 장면에서 교수하는 것이 가장 바람직하다고 하겠다. 그러나 지금까지 주로 활용된 전통적인 언어지도 방법은 어휘를 증가시키고, 발화의 길이를 널리는 데는 효과가 있었지만, 학습된 내용을 생활 장면에서의 일반화에는 문제점이 있는 것으로 지적되고 있다. 발달장애학생의 언어지도 방법은 일상생활 속에서 학습 내용을 선정하고 이를 실생활 장면 혹은 이와 유사한 환경에서 효과적으로 지도할 수 있는 적절한 교수 방법이 필요하다. 그래서 발달장애학생의 의사소통능력 신장을 위한 환경중심 언어지도 방법을 활용한 웹(Web)기반 언어지도 프로그램을 개발하였다. 웹(Web)기반 언어지도 프로그램은 제7차 특수학교 기본교육과정과 국립특수교육원에서 발간한 ‘발달장애학생의 언어교육 프로그램(1998)’ 분석을 통하여 개인 · 가정생활, 학교 · 사회생활, 경제 · 여가생활 등의 6개 영역으로 구분하여 각 영역별 학습주제를 선정하였으며, 학습주제에 대한 학습의 진행 형태는 학습목표, 낱말학습, 상황학습, 평가로 진행할 수 있도록 하였으나, 학습자의 현재 수행 능력을 고려하여 능력에 따른 진행의 절차를 학습자가 선택할 수 있게 하였다. 본 프로그램을 적용해본 결과 다음과 같은 교육적인 효과를 얻을 수 있었다. 첫째, 웹을 활용한 가상체험을 통하여 적극적이고 흥미 있는 참여를 유도하며, 학습자 중심의 주도적인 학습과 안내자, 촉진자로서의 교사의 역할을 통해 발달장애학생의 의사소통 능력을 신장시킬 수 있었다. 둘째, 교실에서 이루어지는 지금까지의 수업방식을 탈피하여 학습자가 언제, 어디서나, 누구든지 학습할 수 있는 열린 학습체제의 교육환경을 조성할 수 있었다. 셋째, 문자정보, 그래픽, 애니메이션, 사진, 음성, 비디오 등 다양한 형태의 정보가 상호대화 형식으로 활용되며, 수준별 반복학습을 실시함으로써 교수-학습 방법의 개선뿐만 아니라 양질의 수업을 진행하는데 도움을 줄 수 있었다. 본 프로그램을 활용한 언어지도가 발달장애학생의 의사소통능력 신장을 위한 최선의 방법이라고 말할 수는 없으며, 언어지도의 한 가지 방법이라고 말할 수 있다. 따라서 본 프로그램의 활용한 언어지도는 학교에서 교사가 학생의 능력과 흥미를 고려하여 지도한다면 발달장애 학생의 의사소통능력 신장에 많은 도움이 될 것이다. The developmental disability of the metal handicapped children means more than simple linguistic problem. The developmental disability is the base of all the learning and important factor which decides the happiness of the human being finally, so the extension of mutual understanding ability is so important, in the case of the metal handicapped children who have a problem of the mutual understanding ability. In the case of the metal handicapped children, the defects of the mutual understanding and linguistic ability are related with the social defect and the defect of recognition, and the ability of understanding about mutual relations with other people and self-expression ability are limited. So they have many problems in mutual relations with other people. Therefore, the linguistic instruction of the metal handicapped children is recommended to be done in the living. But, the traditional linguistic instruction which's used mainly as yet, is effective in increase of a vocabulary and the length of a locutionary act, but it has a problem in the popularization of the learning in the real life. The method of the linguistic instruction for the metal handicapped children, should be selected as contents in the real life, and the right learning method which can be done under the real life or the similar environment with it, is needed. Because of the above realities, the linguistic teaching web-based program is developed, using the linguistic instruction which is focused on the environment, for the extension of the mutual understanding ability of the metal handicapped children. In the linguistic teaching web-based program, it is divided with 6 field (personal · home life, school · social life, economical · leisure life) and the educational subject classified by each field is selected, by the analysis of 'The linguistic educational program for the children who have developmental disability' published by the 7th basic education course of special school and the national special education organization. Besides, the progress form of learning about the educational subject is directed by educational goal, word learning, situation learning and valuation, but a learner can choose a procedure followed by ability, regarding to his accomplishment ability. As the result of the application of this program, the educational effects that we could get are the following : 1. We could lead a positive and interesting participation by virtual experience through WEB, and the communication ability of the metal handicapped children was extended by a role of a teacher, as a guide and promoter and a leading learning focused on a learner. 2. The teaching method which is done in school now, is dismissed and we could form the educational environment of the learning system that a learner could learn, without distinction of time, a place and a person. 3. The various form of information, like text, graphic, animation, photo, sound, video and so on, is applied as a form of communication. Therefore, the program was useful in not only the improvement of the teaching-learning method, but also the proceeding of the effective lesson. The linguistic teaching which use this program, can not be the best method of the extension of the mutual understanding ability and it's just one method of linguistic teaching. if the linguistic teaching which use this program is conducted, regarding to a ability and a interest of a student, it will be so useful in the extension of the mutual understanding ability, for the children who have developmental disability.

      • 科學的 態度 및 興味를 爲한 學習方法 및 學習資料 開發에 關한 硏究

        吳允謙,金英昊,左升元 濟州敎育大學 科學敎育硏究所 1977 科學敎育硏究誌 Vol.2 No.-

        The purpose of this study is to lead learners to observe the natural objects and phenomena correctly, and set up practical examples of effective methods for the study of elementary science by the learners participating at positive activities in the study with absorbing interest. I have analysed the problems existing in the study of elementary science which is being progressed in the proper educational institutes upon my investigation of the study from the following points of view : 1. Learning method in elementary science which pupils are desirous of. 2. Constitution of school course requested in the study of elementary science 3. Interest of the pupi1s in their study of elementary science. 4. Response shown by the parents of the pupils ill their own study of elementary science. As the result of my analysis mentioned above, the followinig problems have been detected : 1. The further pupils advance in their study of the subject, the more they are interested in independent study of method, and the more they are desirous of individual experiment needed in its study. 2. Questions, instructions, and demonstrations given on the part of teachers have great influences on durability of the pupils' interest and concern in consequence of their teaching methods. 3. The result of my analysis shows 5,2% of the pupils are fond of the subject, and 22,3% of them are not; (N=578) the followings are the reasons shown in otation as described : a. Contents of the subject are hard to make out. b. Vast bulk of contents of the subject is unbearable. c. Scientific terms used in the subject are inintelligible. d. The subject is uninteresting. The reasons of their being fond of the subject are : a. They have chances of conducting experiments and observation on the subject. b. They can enjoy pleasure experiments on the subject. 4. The subject meets with little response on the part of the parents on the occasion of their own study of the subject, proving of little service to them. The reasons ascertained are : a. They lack understanding of the contents of the subject. (54.2%) b. They can hardly afford to prepare for research materials (36.2%) This shows the fact that we can hardly warrant any sanguine expectations regarding their home learning of the subject, The following are methods of teaching conducted practically in order to solve the abovementioned problems, the result of which got the Pupils interested intensively in their study of the subject, bring on a remarkable change in their learning attitude : 1. Teaching method by funny form style ( applied by the lesson, "Light and Shawdgw", 2nd Pear grae) 2. Teaching method by vigorous mannerr of acfivity in teaching (applied by the lesson, ('Eleectric Current and Magnetic Field, 6th year grade) a. Investigation of the pupils, readiness. b. Presentation of phenomena for independent study of the subject. 3. Teaching method by analysis of teaching materials.

      • SCIESCOPUSKCI등재
      • KCI등재
      • KCI등재

        Clinical significance of radiation-induced liver disease after stereotactic body radiation therapy for hepatocellular carcinoma

        ( Baek Gyu Jun ),( Young Don Kim ),( Gab Jin Cheon ),( Eun Seog Kim ),( Eunjin Jwa ),( Sang Gyune Kim ),( Young Seok Kim ),( Boo Sung Kim ),( Soung Won Jeong ),( Jae Young Jang ),( Sae Hwan Lee ),( Ho 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.6

        Background/Aims: The aim of this study was to investigate parameters that predict radiation-induced liver disease (RILD) following stereotactic body radiotherapy (SBRT) in patients with hepatocellular carcinoma (HCC) and to identify the clinical significance of RILD. Methods: We retrospectively reviewed the medical records of 117 HCC patients who were treated by SBRT from March 2011 to February 2015. RILD was defined as elevated liver transaminases more than five times the upper normal limit or a worsening of Child-Pugh (CP) score by 2 within 3 months after SBRT. All patients were assessed at 1 month and every 3 months after SBRT. Results: Median follow-up was 22.5 months (range, 3 to 56) after SBRT. RILD was developed in 29 of the 117 patients (24.7%). On univariate analysis, significant predictive factors of RILD were pretreatment CP score (p < 0.001) and normal liver volume (p = 0.002). Multivariate analysis showed that CP score was a significant predictor of RILD (p < 0.001). The incidence of RILD increased above a CP score of 6 remarkably. The rate of recovery from RILD decreased significantly above a CP score of 8. Survival analysis showed that CP score was an independent prognostic factor of overall survival (p = 0.001). Conclusions: CP score is a significant factor to predict RILD in patients with chronic liver disease. RILD can be tolerated by patients with a CP score ≤ 7. However, careful monitoring of liver function is needed for patients with a CP score 7 after SBRT.

      • KCI등재

        은 나노 연고가 측두하악관절낭염의 환자의 치료에 미치는 영향에 관한 연구

        채창훈(Chang-Hoon Chae),김좌영(Jwa-Young Kim),김미자(Mi-Ja Kim),정훈(Hoon Chung),김승호(Seung-Ho Kim),오현우(Hyun-Woo Oh),김영남(Young-Nam Kim),김영일(Young-Il Kim),양병호(Byung-Ho Yang),김성곤(Seong-Gon Kim) 대한구강악안면외과학회 2006 대한구강악안면외과학회지 Vol.32 No.3

        The silver nanocrystalline is widely used for biological field because of its biocompatibility and anti-microbial effect. The objective of this study was to evaluate the therapeutic efficacy of the silver nanocrystalline ointment on the temporomandibular joint (TMJ) capsulitis. Total 39 patients were included in this study and all patients were received single topical application of the silver nanocrystalline ointment (group A, n=30) or placebo ointment (group B, n=19). Measured variables were maximum mouth opening (MMO), visual analog scale (VAS) for pain, and VAS for function. In results, we could not assess any therapeutic efficacy of single application in the chronic TMJ capsulitis (p〉0.05). However, the single application of silver nanocrystalline ointment showed significant improvement in MMO and VAS for pain compared to placebo effect in the acute TMJ capsulitis(p〈0.05). We could not find any complications related to ointment application in both groups. In conclusion, the single application of silver nanocrystalline ointment was effective in improving patient’s symptom in acute TMJ capsulitis without any noticing complications.

      • S-516 A higher ultrafiltration rate is associated with worsening of the left atrial volume index

        ( Young Jin Ryu ),( Young Rim Song ),( Hyung Jik Kim ),( Sung Gyun Kim ),( Jwa-kyung Kim ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1

        Background: Optimal fluid management is essential in caring hemodialysis patient. However, too rapid fluid removal and the resultant higher ultrafiltration rate (UFR) disadvantageously promote hemodynamic instability and cardiac injury. We evaluated the effects of the rapid UFR on the changes of echocardiographic left atrial volume index (LAVI) over period. Methods: A longitudinal observational study enrolled 124 new hemodialysis patients. Echocardiography was performed at baseline and repeated 19.7 (11.3-23.1) months apart. The changes in LAVI (?LAVI/yr, mL/m2.7/year) were calculated, and the 75th percentile of the ?LAVI/yr distribution was regarded as a “pathological” increment. The UFR was expressed in mL/h/kg, and we employed a mean UFR over 30 days (approximately 12~13 treatments). Results: The mean inter-dialytic weight gain was 1.88±0.94 kg, and the UFR were 8.01±3.87 mL/h/kg. The significant pathological increment point in ?LAVI/yr was 4.87 mL/1.73 m2/yr. Correlation analysis showed that ?LAVI/yr was closely related to the baseline blood pressure (BP), hemoglobin level, residual renal function, and UFR. According to the ROC curve, the best cut-off of value of UFR for the predicting the pathological increment was 10 mL/h/kg, with the area under the curve of 0.712. In multivariate analysis, systolic BP, a history of coronary artery disease, hemoglobin <10 g/dL, and high UFR were significant predictors. An increase of 1 mL/h/kg in the UFR was associated with a 22% higher risk of a worsening of the LAVI (odds ratio, 1.22; 95% confidence interval, 1.05-1.41). Conclusions: For patient starting hemodialysis, a rapid UFR over 10 mL/h/kg may be associated with maladaptive worsening of the LAVI, a strong predictor of long-term adverse outcomes. Keywords: ultrafiltration rate; left atrial volume index; mortality; hemodialysis; ESRD

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