증례 : 호흡기 ; 임산부에서 발생한 원발성 폐암 1예

고선혜 ( Sun Hye Ko ),강현희 ( Hyeon Hui Kang ),임선미 ( Sun Mie Yim ),황유미 ( You Mi Hwang ),지은혜 ( Eun Hye Ji ),오유석 ( You Suk Oh ),이상학 ( Sang Haak Lee ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1

A 36-year-old primivida, at 29 weeks of pregnancy with no smoking history, was admitted to the hospital complaining of cough for 3 days. Chest X-rays revealed atelectasis of the right upper lobe, and a transbronchial Lung biopsy confirmed primary Lung adenocarcinoma. After consulting with obstetricians and neonatologists, we wanted to deliver the child and treat the mother with chemoradiotherapy. But as she was adamantly opposed to treatment until fetal Lung maturation was complete, we planned to delay the birth until 34 weeks, deliver the baby by caesarian section, and then treat the mother. However, maternal hypoxia and fetal distress resulted in an emergency delivery at 30 weeks. After delivery, we treated the mother`s brain metastases with radiation therapy and systemic cisplatin-pemetrexed, but she deteriorated and expired 95 days after the diagnosis. Lung cancer during pregnancy is a rare disease and raises many medical and ethical issues in deciding the best course of therapy. We describe our clinical approach and review the potentially challenging features of managing a pregnant patient with Lung cancer. (Korean J Med 2012;82:85-89)

대학 운동선수와 성원만족의 관계

고선혜(Sun Hye Ko) 한국여성체육학회 1999 한국여성체육학회지 Vol.13 No.2

The purpose of this research is to empirical test the relationship among sport activities and social problem solving ability and member satisfaction university athletes. This research which to achieve this purpose sample of university athletes male-female sport activitiEes. A sampling abstraction drew a ratndom sampling 300 athletes anncmg selected 29 7 athletes. The survey questionnaire were used to collect data. The method made use of social problem solving ability index; invented by D`Zurilla and Nezu(1990), and translated in Korea language by Tak(1996). In Chelladurai(1984)by member satisfaction and translated in h;orea language by Chae(1997). The Index of adaptive behavior and deviant behavior used the survey sheets which evere made by advice of expert on the basis ofpreceding research and theoretical background. $quot;The data-analysis output the average and the standard deviation about the suh-factor of social problem solving ability and member satisfaction according to speciality of demography. %e use the Residual Analysis and Multiple: Rregression, and Path Analysis. The analyzed-result as followed. First, as the athletes background, sex, social class is drfference that social problem solving ability and member satisfaction. Second, sport activities is drfference that social problem solving ability and member satisfaction. Third, member satisfaction is influenced by social problem solving ability. Finally, according to this research, member satisfaction is influences the sport activities effects social prohlem solving ability. consider the nagative thinking of social problem solving ability as sports emotion, the affimative thinking of member satisfaction which is allo, ed in the sports will reduced the activities.

댄스스포츠 참가수준과 라이프스타일 및 자아실현의 관계

고선혜(Sun Hye Ko) 한국여성체육학회 2008 한국여성체육학회지 Vol.22 No.3

탁구선수의 운동특성과 스포츠 상해의 관계

현주정(Hyun Joo Jung),안길영(Ahn Gil Young),고선혜(Ko Sun Hye) 한국여성체육학회 1998 한국여성체육학회지 Vol.12 No.-

Relationship between training anxiety and sports injuries of table tennis player in order to examine the relationship between the characteristics of ping-pong player`s movement and sports injuries, I conducted a survey based upon a randon sampling with 300 athelets, 50 athelets form each sex and each high school, college, and adult group. The result is as following : 1. There are three forms of sports injuries according to sex. The first one in skin injuries such as abrasion, blisters and boils. The second in muscle and tendon injuries such as cramps and bruise. The third one in injuries related to nerve and sensory organs like neuralgra and sight disorder. According to age, blisters mainly appeared as skin injuries, neuralgra and sight disorder as injuries related to nerve and sensory organs. There are also specified injuries according to the paddle holding style. Boils mostly appeared as a main skin inquiry, cramps and destruction of subcutaneous tissue as a main muscle and tendon injuries. The statistics showed significant differences among surveyed groups according to sex, age and the paddle holding style mentioned above. 2. There were sports injuries related to intensity and frequency, respectively. According to frequency, there were abrasion, blisters, boils, rooting-out of fingernail and toenails for skin injuries. For muscle and tendon injuries, there were cramps and contusions, for joints, dislocation, damage of cartilage, arthritis and chronic joint distortion. In the nerve and sensory organs frequently appeared concussion of the brain, neuralgra, sight disorder and paralysis. According to intensity, all the sysmptoms and injuries appeared from all the three surveyed groups. 3. In the comparison by sex age, there were statistically noticeable differences in the level of p$lt;.01, p$lt;.001. The differences by sex revealed in the abdomen and the difference by age revealed in knee joints and feet. 4. In the comparison by the paddle holding style, there were statistically conspicuous differences in the level of p$lt;.05. The differences appeared in upper limbs specifically arms and in lower specifically thigh. 5. In the comparison by intensity and frequency, there showed statistically noticeable differences in the head, upper limbs, lower limbs and feet.

결핵과 호지킨 림프종이 액와부 림프절에 공존하였던

반우호 ( Woo Ho Ban ),강현희 ( Hyeon Hui Kang ),백명기 ( Myong Ki Baeg ),김재경 ( Jae Gyung Kim ),김현진 ( Hyun Jin Kim ),백인운 ( In Woon Baek ),김은오 ( Eun Oh Kim ),고선혜 ( Sun Hye Ko ),이상학 ( Sang Haak Lee ),문화식 ( Hwa Si 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.4

Herein we report the case of a 71-year-old woman who complained of fatigue and enlarged right axillary lymph nodes for 18 months. At her first visit, her chest X-ray showed diffuse nodular opacities in both lung fields. Initial excisional biopsy of the axillary lymph nodes showed granulomatous lesions and acid fast bacilli were seen on Ziehl-Neelsen staining. However, even after 15 months of anti-tuberculosis (TB) medication, her right axillary lymph nodes were enlarged. We re-performed an excisional biopsy of the nodes, which showed Hodgkin`s lymphoma (HL). A retrograde review of the biopsy before anti-tuberculous medication, revealed HL coexisting with TB. HL and TB cause difficulties in differential diagnosis due to similarities in clinical course, imaging procedures and histopathological analysis of the involved tissue. Therefore, it is important to consider the possibility of concurrent HL and TB when patients who undergo treatment for TB or chemotherapy for lymphoma complain of persistent systemic symptoms or enlarged lymph nodes.

레크리에이션 활동분류의 시대적 고찰

고선혜 한국레크리에이션 교육학회 1999 한국여가학회지 Vol.1 No.1

This study is purposed to speculate on Recreation activity classified by now in chronological order. The document research including literatures and former studies is used to manifest significance of the chronological speculation and the classification of recreation activity. Recreation activities are classified by a criteria of social and personal value in 1960, by more focused on groups than an individual, in 1970∼1980, and then by a person's physical and mental health, as a most prominent characteristic, in 1990. Furthermore, this study provides both sources for recreation activity in 21C and relevance to apply to the field of current recreation throughout delving into the chronological classification of recreation activity.

한국 여성들의 여가참여 제약요소 : 여가활동에서의 불평등 Inequality in the Distribution of Leisure

高善惠 배화여자대학 2000 培花論叢 Vol.19 No.-

이 논문의 목적은 한국 여성들의 여가활동참여를 제약하는 요인들을 밝히는 것이다. 지금까지 여성들은 스스로 여가활동에 대한 적당한 명분이 없다고 일반적으로 생각해왔다는 점이 지적되어왔다. 즉, 여성은 자신들이 여가활동에 참여할 자격이 없다고 여겨왔다. 그리고 이런 생각이 여가활동에 필요한 시간을 할애하는 것이나 여가활동에 대한 여성의 행동에 심각한 제약을 가하고 있다고 많은 연구자들은 지적해왔다. 한국사회 역시 여성의 여가 참여에 대해 그다지 수용적이지 않았다. 이 연구의 자료는 중간규모의 대학에서 여자 대학생들을 상대로 한 집단 설문조사를 통해 수집되어 진 것이다. 이런 구성요소들에서의 변수를 분석하기 위해 응답자의 각 항목에 대한점수를 합한 후 항목의 수로 나누는 방법을 사용해 4개의 평가기준을 만들었다. Cronbach's alpha를 기준의 신뢰성을 평가하기 위해 사용하였다. Cronbach's alpha계수의 범위는 0.57에서 0.76였다. 부연하자면 적은 항목으로 구성된 설문방법에는 특히 alpha점수를 사용하고 있다. 하부 구성요소를 산정한 평균치에 근거해 "시간"적 요소가 가장 많이 경험된 것으로 나타났다. "비용"과 "규범적 압력"이 그 뒤를 이었다. "개인적 이유"는 단지 1.28였고 이것은 결국 별로 중요하지 않다는 것을 의미한다. 여성의 여가 제약 요소는 단순한 생물학적 성의 차이가 아니라 성의 사회문화적 해석이 작동한 결과라고 결론지을 수 있다. 그보다 그것은 성이 생물학적인 것을 넘어서 더 복잡한 현상이라는 것을 의미하는 사회문화적 정의로 결론지어진다. 여대생들의 여가제약요소에 대한 이해는 관리자들이나 정책담당자들이 그런 요소들을 줄여나가거나 없애는 것을 도와줄 것이며 그리고 그것은 여성의 여가활동을 촉진시켜줄 것이다. 이 논문에서 밝혀진 바와 같이, 만일 여대생들의 건강을 위해 좀 더 높은 정도의 여가참여가 필요하다고 여겨진다면 여가의 비용을 좀 더 낮추고, 여가에 대한 대중과 여대생들의 인식을 변화시키고자 하는 노력과 그 외 다른 전략들이 요구된다. 예를 들어 여가 교육프로그램을 대학 교과 과정에 포함되어 학교에서 여가에 대한 지식과 경험을 획득하도록 하는 것이 필요하다. 한국정부는 성에 의한 불평등성을 인식하고 여가에 대한 공평한 기회를 쌓아나가야 한다. 한국에서의 여성 여가에 대한 과거의 연구는 만족감의 개념이나 여가의 유형에 국한되어왔다. 일과 사회의 다른 측면에서의 공평한 기회의 보장이 여가에서의 여성의 참여를 가능하게 한다. 이런 종류의 교육은 정부와 사회공동체를 통해 촉진되고 실행 되어져야 한다. 현대 한국 사회에서는 여성들에게 경제적, 교육적으로 점점 더 특권이 주어지고 있고 여가에서 더 많은 자유를 얻어가고 있다. 그러나 아직도 여가는 여대생을 포함한 한국여성들이 우선적으로 선택하는 사항은 아니다. 한국 여성이 여가참여를 더 많이 할수록 여성들은 가정과 사회전체의 삶의 질을 향상시키는데 공헌하게 될 것이다. 제약요소에 대한 앞으로의 연구는 여성의 여가활동이 제약 받는 이유와 여성의 여가 요구에 부응하는 대안들을 제시하는데 그 방향을 설정해야 할 것이다. 이 연구는 사회 속의 여성여가 참여제한의 본질과 정부와 사회의 노력을 통해 그것들을 줄이거나 개선하는 방법을 통찰하고 있다. 일률적인 제약요소의 강도나 배열에 의해 자동적으로 특징 지워진 여대생과 같은 변수에 따른 특정한 상황을 일반화하는 것은 현실적이지 못하다. 그대신 각 분야에서 맞는 문화적 상황에서의 다양성이 고려되어질 필요가 있다. 다시 말해 특정 여가활동의 참여를 제약하는 요소를 줄이기 위한 전략은 그 특정 분야와 연관시켜 발전되고 충족되어져야 한다.

敎養體育의 活性化 方案 硏究 : 大學生의 意識調査를 中心으로 Based on college Student's Ways of Thinking

李姬範,金鳳淑,高善惠 弘益大學校 1985 弘大論叢 Vol.17 No.1

Physical Education is one of the required courses in the general education courses in college curriculum. The purpose of Physical Education is to improve by daily physical activities the health conditions of the general college students and there by to help them train temselves to become useful leaders of society. In this regard the significance of Physical Education is strongly emphasized as the most needed element for the education of the whole man. Therefore it is very urgent that Physical Education be activated and given special attention in general college education. In order to collect data for the activation of Physical Education courses in general college education, this study has made a random sampling for 800 male and female freshmen of seven universities in Seoul. 756 students responded to our sampling. The following is the results of the analysis of the sampling: 1. Students do not take physical exercise other than those exercises they do in Physical Education courses. 2. Students insist that Physical Education helps keep their health conditions, give vitality to their daily lives and provide a strong foundation for their life-long physical activities. So they realize that it is necessary to retain a solid substance in Physical Education, and for that, to expand the various instruments and facilities for physical activities. 3. Students asked for 40 more events in Physical Education courses, and most of them were individual items. Students also asked that the number of students in each class be reduced and the total class periods of Physical Education be lengthened for better utilization of these events.

여가스포츠활동 참여자의 직업유형과 참여수준이 대인관계 지향에 미치는 영향

高善惠 배화여자대학 2003 培花論叢 Vol.22 No.-

This research is to prove practically the personal relations by occupation types of people who participate in leisure sports activities. To prove it, I did random sampling with 316 persons (women and men over 20 years old) using a method of multi-stage stratified cluster random sampling. I translated and standardized the questionnaire developed by Schutz (1966) to use it as a tool collecting data, modified some parts of the contents of Yik-soo (1991) and Kim Young-mi (1992)' s researches . Reliability figures proved to be reliable with the range from .86 through .98 of Cronbach's a coefficient To analyze the data, I used the methods of co-variate analysis and standard multiple regression analysis. From the research method and procedures above, I concluded like the followings. First, people have different personal relation types according to the occupations of the participants in leisure sports activities. Company employees show the highest figures of personal relations and are followed by housewives, managers of independent enterprises, public service personnel and professionals. Second, level of participation in leisure sports activities affects the personal relations. That is, period a person participates in leisure sports activities affects his inclusion desire, control desire and affection desire. Intensity of participation in leisure sports activities affects inclusion desire and control desire in personal relations. I conclude that the research result shows that improvement of personal relations is resulted not from participation frequency in leisure sports activities but from participation period and intensity.

교양체육에 대한 의식구조 조사연구 : 배화여자 전문대학생을 중심으로 Focussed on Bea wha Women's Junior College Students

高善惠 배화여자대학 1996 培花論叢 Vol.15 No.-

In this study, I surveyed college students to find out their opinion and desire concerning physical education classes held on campus. It was intended to provide basic materials to resolve some problems related to physical education class in college. The results can be summarized as follows. It seems that students of Baewha Junior college are satisfied with their physical education class edpecially about the subject, contents, and the admission fee level of their classes. There are three reasons for the satisfaction. First, students learn new physical activity. Second, they can resolve their stress. Third, they can put the class learning into practice during their leisure time. It also turns out that a large portion of students want the currently one semester class to be changed into two semester class. From these results, we can infer that students desire to extend their physical education class to everyday exercise and furthermore to lifetime physical activity. In order to practice a certain sports for lifetime, one needs to feel some pleasure from the exercise. In order to play one sport through one's lifetime, he should be able to get pleasure from this sport. And in order to get pleasure, he should acquire the techniques. To acquire the necessary technique to some extent takes about at least one year. Therefore, one can draw a conclusion that at least one year is required to make the college physical education a starting point for lifetime physical activity. Most students want to learn how to play the sports that suit the contemporary life style. These include tennis, squash, and raquet ball. In this regard, I suggest that college physical education offer additional classes for such seasonal sports as ski, water ski as well as martial arts which closely meets the needs of women students. Moreover, opening of theory class should be recommended to give students the ability to understand the basic principle of physical activity.