녹내장 및 고안압증 환자에서 근시 정도에 따른 망막신경섬유층 두께 차이

김정완,김용연,Jung Wan Kim,M,D,Yong Yeon Kim,M,D,Ph,D 대한안과학회 2008 대한안과학회지 Vol.49 No.10

Purpose: To evaluate the changes in retinal nerve fiber layer (RNFL) thickness according to the degree of myopia in patients with glaucoma and ocular hypertension. Methods: Ninety-eight patients (165 eyes) diagnosed with glaucoma or ocular hypertension underwent optical coherence tomography (OCT) and scanning laser polarimetry using variable corneal compensation (GDx-VCC) to analyze the correlation between the degree of myopia and the thickness of the RNFL. A partial correlation coefficient analysis was performed to adjust for various factors such as age, laterality, intraocular pressure, and the mean deviation from visual field test, which can influence the RNFL thickness. Results: The average, nasal, superior, and inferior sectorial RNFL thicknesses measured by OCT significantly decreased with increasing myopia (p<0.05). However, RNFL thickness measured by GDx-VCC was not significantly correlated with the degree of myopia. Conclusions: The RNFL thickness measured by OCT decreased with increasing myopia in eyes with glaucoma and ocular hypertension. J Korean Ophthalmol Soc 2008;49(10):1634-1640

비침습적인 유전자 검사법으로 진단된 아벨리노 각막이상증의 임상 양상

김정완,김효명,송종석,Jung Wan Kim,Hyo Myoung Kim,Jong Suk Song 대한안과학회 2008 대한안과학회지 Vol.49 No.9

Purpose: To introduce a new genetic method for the diagnosis of Avellino corneal dystrophy (ACD), which is non-invasive and can be easily performed on an outpatient basis, and to evaluate the relationship between the degree of corneal opacity and age or sex. Methods: A genetic study was performed on 11 patients who had a specific corneal opacity by slit-lamp examination and on four normal patients by using a specific adhesive tape to obtain epidermal keratinocytes. Corneal dystrophy was diagnosed according to the genetic study. Results: All 11 patients were confirmed as having heterozygous ACD. Heterozygous ACD patients were classified into five stages: trace, mild, moderate, severe, or very severe, based on slit-lamp photography status. Corneal stages had no relationship with sex (p=0.982), but the severity of ACD increased with age (p=0.005). Conclusions: A non-invasive sticker-type genetic study kit, the “U-gene test” is a good method to diagnose corneal dystrophy genetically. Avellino corneal dystrophy becomes more severe over time but has no relationship with sex. J Korean Ophthalmol Soc 2008;49(9):1431-1436

정상 노인과 알츠하이머성 치매 환자의 자발화 산출에서의 언어적 특징

김정완(Kim, Jung Wan) 한국노년학회 2012 한국노년학 Vol.32 No.3

본 연구는 임상 현장에서 정상 노인과 변별되는 알츠하이머성 치매 환자의 자발화 과제에서의 수행력을 알아보기 위해 실시되었다. 연구방법은 65세 이상의 정상노인 13명과 알츠하이머성 치매 환자 26명(치매 의심(questionable) 9명, 경도(mild) 치매 9명, 중도(moderate) 치매 8명)을 대상으로 대화하기 및 연속그림 설명하기 과제를 실시하였고, 전체 발화 템포, 주저시간(초단위), 조음ㆍ음운 오류, 그리고 문법적 오류를 포함한 네 가지 구어적 요소에 대해 분석, 비교하였다. 연구결과, 네 가지 요소 모두에서 집단 간 차이를 보였다. 특히, 전체 발화 템포는 정상노인과 세 치매 환자군 각각에서 유의한 차이를 보였는데, 주저시간은 중도 치매에서만, 그리고 조음ㆍ음운 오류는 경도, 중도 치매군에서만 증가되었다. 문법적 오류는 정상노인과 비교하여 치매의 심군과 중도 치매군에서 유의하게 증가되었다. 상기 연구 결과를 통해, 다음과 같은 결론을 제시할 수 있다. 첫째, 정상노인과 세 치매 환자군을 가장 변별력있게 구분할 수 있는 구어적 요소는 전체 발화 템포이다. 둘째, 조음ㆍ음운능력은 치매의심군에서는 감소하지 않지만, 경도 및 중도치매군에서는 그 수행력이 떨어진다. 셋째, 문법적 오류는 중도 치매환자군에서부터 확연히 증가한다. 향후, 자발화 과제를 통해 의료기관 외의 장소에서 도 치매 선별의 용이성을 더할 수 있으며, 담화 차원의 언어능력에 대한 관찰이 가능하므로 다양한 원인질환을 가진 치매 환자들의 정보를 얻을 수 있을 것으로 기대된다. Detecting probable Alzheimer's disease (AD) at an early stage is crucial in slowing the progression of the disease and initiating drug therapy for more effective symptom management. Therefore, this study aimed to identify linguistic features that allow us to distinguish between patients with AD and normal controls. This paper reports on characteristics of spontaneous speech in subjects in three stages of AD (questionable, mild, moderate) compared with education- and age-matched normal controls. Four components of speech were measured in Korean native speakers with AD and normal aging: speech tempo, hesitation (measured in seconds), rate of articulation errors, and rate of grammatical errors. The results revealed significant differences in most of these speech components among the four groups, including significant differences between normal controls and the questionable AD group in the areas of speech tempo and rate of grammatical errors. Phonologicalㆍarticulatory ability was preserved in questionable AD, and grammatical ability was preserved in questionable and mild AD. Subjects with moderate AD were severely impaired in grammatical ability. Prospective assessments of spontaneous speech skills using a dialogue and picture-description task are useful in detecting the subtle, spontaneous speech impairments that AD causes even in its early stage.

강체 운동모델에 기초한 안정성 해석에 따른 대용량 플라이휠 에너지 저장장치의 최적설계

김정완(Jung-wan Kim),유승열(Seong-yeol Yoo),배용채(Yong-Chae Bae),노명규(Myounggyu D.Noh) 한국소음진동공학회 2009 한국소음진동공학회 학술대회논문집 Vol.2009 No.11

『클라우드 나인』에 나타나는 해체적인 성담론 연구

김정완 ( Jung Wan Kim ),조숙희 ( Sook Hee Cho ) 한국영미문화학회 2010 영미문화 Vol.10 No.3

Caryl Churchill is one of the representative playwrights whose major concern is to bring the feminist issues to the fore. She has worked with some experimental theatre groups to enlighten the under-privileged women of lower class. Consequently, her stage is an arena where women can become aware of the truth that the various suppressions on them are political and social issues derived from the patriarchal ideology. In addition, Churchill excels other feminist playwrights in that she extends the focus from feminist issue to other related ones. For example, she deals with many other minority groups such as the colored people, and homosexuals on her stage so that the audience has to face different kinds of social injustice practiced on the weak and vulnerable groups of people. Cloud Nine is a good example that shows Churchill`s characteristic attempts on stage. One major issue in Cloud Nine is an innovative idea of sexuality. Many characters of the play are liberated from the traditional, binary distinction of sexuality: man/woman, or heterosexual/homosexual, marriage/single. Instead, the characters transform their sexuality according to the change of social or political situations and/or their emotional feelings. As a result, the audience can experience the speedily changing and amorphous aspects of sexuality, which is defined as "plastic sexuality" by Anthony Giddens, a well-known social scientist. By analyzing the play with the new concept of the “plastic sexality,” Churchill effectively attacks the falsehood and injustice exerted on the minority groups by the patriarchal ideologies.

얇은 식생기반재 취부공법에 의한 비탈면 녹화 식생배합 및 적용시험 연구 -S.O-Soil Spray공법을 중심으로-

김정완 ( Jung Wan Kim ),정태건 ( Tea Geun Jung ),김남춘 ( Nam Choon Kim ),권병성 ( Byeong Soung Kwon ) 한국환경복원기술학회 2006 한국환경복원기술학회지 Vol.9 No.6

飮酒가 十二原穴의 체표전위에 미치는 영향

김정완(Jung-Wan Kim),김재홍(Jae-Hong Kim),임윤경(Yun-Kyoung Yim) 대한한의학회 2018 대한한의학회지 Vol.39 No.1

Proteus균의 항균제 내성 및 R plasmid의 특성

김정완(Jung-Wan Kim) 大韓微生物學會 1989 大韓微生物學會誌 Vol.24 No.4

제주지역 범죄발생 유형 분석 및 전략적 대응 방향

김정완(Jung-Wan Kim),조현빈(Hyun-Bin Jo) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.7

인간이 탄생한 이후, 범죄는 항상 있어왔고, 이를 예방하기 위한 수단들도 다양하게 변천되고, 발달되어왔다. 하지만, 그 범죄를 예방하는 과정에 있어서 과거를 무시하고, 현실에 안주하며, 미래를 회피하는 근시안적이고 비전략적 방식들 또한 다수를 차지하고 있었다는 점도 간과되어져서는 안된다. 그렇다면 현재는 전략적인 범죄예방활동이 이루어지고 있는 것일까? 여기에서 논자는 그간 강조되어져 왔던 전략적 범죄예방활동 중 하나인 지역사회경찰활동(community orientied policing, COP)에 국가경찰이 병행되는 방식을떠올렸고, 그 확인 대상으로 ’07년 7월 특별자치도 지정과 함께 자치경찰이 발족하고, 기존 2개 경찰서에 하나의 경찰서가 추가로 설치되어 운영되고 있는 제주특별자치도가 가장 알맞을 것 같다는 생각을 하게 되었다. 논자는 이러한 본인의 생각을 확인하는 방법으로 자치경찰 및 경찰서가 추가로 설치 되기 전 제주지역 범죄발생통계와 그 이후의 통계를 비교분석하여 그 추세를 확인하고, 제주지역만의 독특한 범죄유형을 알아보기 위해 제주지역 인구별 범죄현황을 비교분석해 보았다. 그 결과는 논자의 최초 기대에는 미치지 못했지만, 제주지역의 전략적 범죄예방을 위하여 나아가야 할 뚜렷한 방향성은 확인할 수 있었다는 점에서 의미가 없지는 않다고 생각한다. It is the fact that crime has always co-existed with human history;that preventive measures have always been taken while it has been transformed and developed in some forms. We, in the meantime;should not be negligent in the matter that our preventive measures are rather short sighted, and non strategic in many ways. Now then, would we be able to question, if our modern crime preventive measures have been modernized and become more strategic? Certain point has been raised to myself;especially regarding (community oriented policing cop); this has been one of the strategic crime preventive measures co-performed by the central police;Jeju-special independent province maybe an appropriate example; which has become special self rule province in July, 2007; establishing not only independant police but also have established police station addition to already existing police stations. To proof my opinion; I have tried to compare and contrast the statistics of the crime rates and types of the Jeju area before and after the establishment of the self police and police station; also to see how patterns changed.(if there has been any.) I have also tried to analyse if there is any special type of crime statistics in Jeju province, by analysing current crimes in accordance to populations. Altough it has not much reached my initial expectations, I hope it still is meaningful to have been able to show some ways to prevent crimes in Jeju-strategically.

자폐 장애 아동 보호자의 언어치료 교육 서비스 만족도에 대한 실태조사

김정완(Jung-Wan Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.3

본 연구는 자폐 장애로 진단받은 아동의 주양육자 총 52명을 대상으로 현재 받고 있는 언어치료 교육 서비스에 대한 만족도와 욕구를 조사하기 위해 실시되었다. 연구방법은 설문조사 방식을 사용하였고, 설문 내용은 치료 교육 기관의 환경(7문항)과 치료사가 제공하는 프로그램(7문항), 그리고 치료 교육 만족도 및 서비스 욕구(7문항)를 포함한 세 가지 측면으로 구분하여 작성하였다. 연구 결과, 치료 교육 기관의 환경면에서, 치료비 등을 이유로 복지관 이용자의 만족도가 가장 높았으며, 사설 치료실, 종합병원 순으로 낮게 나타났다. 치료사가 제공하는 교육 프로그램 면에서, 실시하는 프로그램의 적절성 및 상담 내용 등을 이유로 종합병원 이용자의 만족도가 가장 높았으며, 사설치료실, 복지관 순으로 낮게 나타났다. 치료 교육 만족도 및 서비스 욕구 면에서, 언어치료 및 전체 치료 교육 서비스에 대한 만족도는 다소 만족하는 수준인 것으로 나타났다. 자녀가 언어치료를 받게 되고 난 후, 좋아진 점으로 일상적인 생활 기술의 향상과 심리적 안정이 높게 나타났으며, 추후 받고 싶은 치료 교육과 관련하여 개별, 집단 언어치료 교육 서비스에 대한 욕구가 매우 높게 나타났다. 이상의 결과를 통해, 치료 교육 기관에서 제공하는 서비스의 문제점을 파악하고, 자폐 아동의 치료 교육 만족도를 높이기 위해 언어치료사 및 관련 영역 전문가들이 노력해야 할 여러 가지 함의를 얻을 수 있었다. This study was conducted to determine the degree of satisfaction and the demand for the current education service of language therapy. We surveyed a total of fifty two nurturers of children who had been diagnosed as autistic. A three-part questionnaire that covered the environment of the therapy institution (7 questions), the programs provided by the Speech-Language Pathologist (7 questions) and the degree of satisfaction and the demand for therapy education (7 questions) was used. The study results showed, in the area of the institution environment for therapy education, that the degree of satisfaction was highest for Social Welfare Center users due to the therapy costs. The level of satisfaction then decreased in the order of private clinic users and general hospital users. However, in the area of education programs provided by Speech-Language Pathologists, it was highest for the users of general hospitals due to the proper contents of the programs and consulting service. The satisfaction level then decreased in the order of private clinic users and Social Welfare Center users. Regarding the level of satisfaction with therapy education and related demand, the degree of satisfaction with language therapy and all therapy education services was generally satisfactory. After the language therapy, the children showed considerable improvement in their living skills (60% of survey respondents) and psychological stability (stress reduction, 30% of the total survey respondents). Regarding the future demand for therapy education, the degree of demand was high for the individual and group language therapy education service. In summary, the results of this study uncovered a number of problems related to services provided by language therapy education institutions and suggested various implications that Speech-Language Pathologists and relevant professionals should endeavor to use so as to enhance the satisfaction level of therapy education for autistic children.