혈청 감마지티(gamma glutamyl transferase)치와 대사증후군 연관성

장미,유병욱,조용진,오정은,홍성호,조주연 순천향대학교 의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.1

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학습자 자율성에 기초한 한국어 어휘 교육 사례 연구 : 인터넷 사전과 인터넷 자료 검색 과정을 중심으로

한상미 국제한국어교육학회 2002 한국어 교육 Vol.13 No.2

Sang-Mee Han. 2002. A Case Study on Teaching Korean Vocabulary based on Learners' Autonomy. Journal of Korean Language Education 13-2: 279∼307. This is a case study about a vocabulary teaching method that is based on learners' autonomy in teaching Korean as a foreign language (TKFL). This process uses internet dictionaries and internet searching materials as a way to encourage learners' autonomy in teaching and learning vocabulary. The purpose of this research is to prove the effect of using internet dictionaries and materials on the use of vocabulary in speech and writing in Korean. The subjects are 11 students from 8 countries who are learning Korean as a foreign language in Korea and the data was collected for 10 weeks from March to June, 2002. This research uses both quantitative and qualitative research methods such as survey questionnaires, classroom observation, interviews and the analysis of speech and writing test results in order to show the results more objectively and in detail. The results prove that teaching and learning vocabulary using internet dictionaries and materials have a fairly positive effect on students' using vocabulary more 'diversely' and 'appropriately' in the area of speech and writing. (Yonsei University)

원형의 관점에서 본 초등문학교육

이성은,우미라 한국초등국어교육학회 2007 한국초등국어교육 Vol.33 No.-

본 연구의 목적은 문학교육의 접근 방법의 하나인 원형의 관점에서 초등문학교육의 특성을 살펴보는 데 있다. 이를 위해 먼저, Aristoteles의 일원론적 인식론, Kant의 무목적의 합목적성, Moulton의 종합예술로서의 ballad dance설을 중심으로 문학 원형의 의미를 고찰하였다. 원형의 일원론적 인식론은 문학을 종합예술로 인식하고 있다는 점에서 기존의 문학에 대한 관점을 새롭게 조명한다. 그리고 텍스트, 학습자, 수업방법적 특성으로 나누어 문학 원형으로서 초등문학교육의 특성을 제시하였다. 이 논의는 아동문학 작품의 상징성과 윤리성 및 아동의 특성인 원형적 심상(동심)을 충분히 살려야 초등문학교육의 본질에 다가서는 교육을 할 수 있으며, 이를 위해 기호언어와 비기호언어 등 다양한 방법을 활용하여 초등문학교육이 이루어져야한다는 것을 시사한다. The purpose of this study was to investigate the characteristic of elementary literature education from the viewpoint of archetype. To begin with, we examined the meaning of literature archetype, focusing on the Aristotelian epistemology of monism, Kant's purposeless of purposiveness, and Moulton's theory of ballad dance. In epistemology of monism, we redefine the existing literature as a synthetic art. The characteristic of elementary literature education as literature archetype was suggested according to the characteristic of text, learner, and teaching method. This study suggest that we will perform to approach the nature of the elementary literature education in consideration of symbolism and ethicality of the children's literature and the innocence of a child. Therefore we will use various methods as colloquial language, written language, paralanguage, aural medium and visual medium.

임신성 영양모세포 질환에서 bcl-2 및 p53 단백 발현의 상관성에 관한 면역조직화학적 연구

조미연,송지선,김윤미,이상엽,정순희,이광길 연세대학교 원주의과대학 1999 원주의대논문집 Vol.12 No.1

산업보건에 대한 보건담당자의 지식·태도·실천 조사

오미성 순천청암대학 1986 論文集-順川看護專門大學 Vol.11 No.-

Nowadays rapid industrial development demands improved industrial health services. This survey was conducted to find out the useful data for the development of industrial health services. Data were obtained from 80 health workers who had attended at continuing education on May 28th, 1986, by means of questionnaire. Data were analyzed using means, standard deviations, X^2-test, ANOVA, Pearson correlations. The results obtained were summarized as follows : 1. Subjects were high school graduate(62.5%), twenties of age(82.6%), unmarried(77.5%), female(80%), no clinic(66.3%), concurrent position(68.8%), disqualification(46.3%). According to the employee numbers, there were significant differences among subject's educational levels(P<.001), qualification(P<.001), full charge status(P<.01), Clinic(P<-001). 2. The knowledge, attitude, and practice levels of industrial health of health workers, were analyzed according to Likert's five point scale. The total mean score of knowledge was 3.03, attitude 3.94, and practice 2.98. According to the roles, the mean scores of knowledge, attitude & practice of industrial health, were highest for administrator's fort lowed by consultant & educator's, and care provider's. 3. The knowledge of industrial health was significantly related with subject's age (P<.05), career (P<.05), full charge status (P<.01), the attitude of industrial health was related with subject's qualification(P<.05). The practice of industrial health was related with subject's career (P<05), full charge status(P<.001), supervision frequency (P<.01), clinic equipment(P<.05). 4. There were significant positive correlations among the knowledge, attitude, and practice of industrial health of health workers(P=.000)

여름에 비정형 폐렴으로 발현한 쯔쯔가무시병 1예

박상돈,정문현,이혜명,김미경,강재승 대한감염학회 2008 감염과 화학요법 Vol.40 No.4

Scrub typhus usually occurs in October and November in Korea. Its typical clinical manifestations are fever, rash, eschar, and lymphadenopathies. Pneumonitis may occur, however it occurs as a complication at the late phase of scrub typhus, when it is inappropriately treated. We encountered a case of pneumonitis that was an initial manifestation of scrub typhus which was confirmed by rickettsial culture, Positive seroconversion, and polymerase chain reaction. The case was a 16-year-old high school adolescent who presented with fever and headache that lasted for 1 day in July, 2007, He denied of any outdoor activities. A chest radiograph showed patchy infiltrates in the left lower lung, which improved with the administration of cefotaxime and azithromycin for empirical treatment of community-acquired pneumonia. Blood taken on the second febrile day showed a positive culture for Orientia tsutsugamushi and was also positive for O. tsutsugamushi DNA polymerase chain reaction. Immunofluorescent antibody (IFA) test for O. tsutsugamushi showed that the initial antibody was negative, but convalescent serum tested positive with an antibody titer of 1:80. IFA for Coxiella burnetii showed false positive results; the initial IgM and IgG liters were 1:128 and 1:256, respectively, and the IgM and IgG titers in convalescent serum were 1:128 and 1:128, respectively.

흉선종 : 외과적으로 절제된 6예 분석 Muller-Hermelink 분류체계를 중심으로 Analysis of 6 surgically excised cases Centered to Muller-Hermelink Classification

오미혜,임병성,김미영,오삼세 世宗醫學硏究所 2000 世宗醫學 Vol.17 No.1

보육료 지원방식 변경에 따른 공공성 평가

한상미 가톨릭대학교 사회복지연구소 2006 사회복지리뷰 Vol.11 No.-

최근의 보육정책은 공공성의 강화를 강조하고 있다. 이 일환으로 2005년 보육료 지원방식이 보육시설 종사자의 인건비 지원 비율을 줄이고, 보육료 지원 대상 및 지원 비율을 확대하는 내용으로 바뀌었다. 그러나 이러한 지원 방식의 변화는 그 효과에 대해 많은 논란을 불러 일으켰는데, 주요한 이유는 우리 사회에서 '공공성'의 개념에 대해 합의되어 있지 않기 때문이다. 따라서 본 연구에서는 보육서비스에서의 공공성을 첫째, 보육비용의 사회화라는 점에서 정부의 보육비용 분담률 확충으로, 둘째, 보육비용 부담의 형평성이라는 점에서 보호자의 부담 능력에 따른 보육비용 부담의 차등화로 정의하고, 이를 기준으로 보육료 지원방식의 변화가 '공공성'의 강화에 어떤 영향을 미쳤는지를 평가하고자 한다. 본 조사에서는 보육시설 유형별로 7개의 어린이집을 선정하여, 보육료 지원방식 변경 전후인 2004년과 2005년 3-8월의 재정현황을 파악하였다. 조사 결과 정부 의보육비용 분담 비율과 보호자 부담능력에 따른 비용의 차등화라는 두 가지 측면 모두에서 '공공성'이 크게 강화되었음을 알 수 있었다. 구체적으로 살펴보면 첫째, 보육료가 인상되었음에도 불구하고 실제 보호자가 부담하는 보육료가 감소하고 총 보육비용 중에서 보호자 부담률이 낮아지고 정부 부담률이 높아졌다. 둘째, 차등보육료를 지원받는 아동 수가 크게 증가한 것으로 보육비용 부담의 형평성이 높아졌다고 할 수 있다. Ministry of Gender Equality and Family recently changed the policy on expenditures for child care. The subsidy rate for personnel expenses was reduced, while those whom were subsided were expanded and subside rate were increased. In this study, the effects of the changes of expenditures on publicity were analysed. Publicity of child care, in this study, is defined in two aspects; the rate of government child care expenditure against the total costs in the respects of socialization of child care costs; and the differentiation of child care fees according to parents' income in the respects of equity. The results of the study are as follows; First, the changes of expenditures for child care cost reduced the rates of parents' share while increased the rates of government's share. Second, equity was raised in that the numbers of childs who were subsidized. In conclusion, the changes of child care expenditure strengthened the publicity of child care services.

뇌혈관질환을 동반한 당뇨병 환자에서 지속적 혈당측정의 유용성 평가

정성훈,강인구,박철영,류미숙,우정택,김성운,김진우,김영설 대한당뇨병학회 2002 임상당뇨병 Vol.3 No.2

연구배경: 뇌혈관질환을 동반한 고령의 당뇨병환자는 이들의 신경학적 결손으로 경고 증상없이 심한 저혈당에 노출될 가능성이 크다. 실제로 하루 4번 정도의 자가 혈당 측정으로는 이를 감지하기 어려울 뿐 아니라 검사에 따른 고통으로 적극적인 혈당 조절에 제한이 따르게 된다. 이에 저자들은 Mini Med사의 지속적 혈당측정기(CGMS, continuous glucose monitoring system)를 이용하여 뇌혈관질환을 동반한 당뇨병 환자에서 24시간 혈당의 변동양상을 알아보고 각기 다른 인슐린 치료방침에 따른 혈당조절의 효율성을 비교하고자 하였다. 방법: 2001년 1월부터 6월까지 경희대학교 부속병원에 입원해 있는 10명의 뇌혈관질환을 동반한 제 2형 당뇨병환자를 대상으로 하였다. 이 들은 모두 튜브식이를 받고 있엇고 최소 1개월 이상 인슐린 치료를 시행 받았다. 지속적 혈당측정기를 착용하고 3일간의 연속적인 혈당을 측정하였고, 치료 첫 날은 NPH, 둘째 날은 속효성 인슐린과 NPH, 마지막 날은 혼합형 인슐린제제로 치료하여 그 효과를 비교하였다. 이들 각기 다른 인슐린 제재의 하루 총량에 차이는 없었다. 혈당치가 3.3mmol/L 미만이거나 7.8mmol/L를 초과하는 경우 그 차이값의 총합을 시간으로 나누어 이 값(△Glu)이 적을수록 치료효과가 우수한 것으로 판정하였다. 또한 당 수치가 3.3mmol/L 미만인 경우를 저혈당 event, 16.7mmol/L 초과한 경우를 고혈당 event로 임의로 정의하였고, 이를 통해 지속적 혈당측정의 유용성을 간접적으로 평가하고자 하였다. 결과: 평균 △Glu값은 첫째 날이 0.93 ± 0.43mmol/Lㆍmin?¹, 둘째날이 0.71 ± 0.29mmol/Lㆍmin?¹ 마지막 날이 0.58 ± 0.29mmol/Lㆍmin?¹로서 서로 다른 3가지 치료방침사이에 통계학적으로 유의한 차이는 없었다(p=0.115). 10명의 환자들 중 자가 혈당측정기로는 1명에서 저혈당 event, 2명에서 고혈당 event를 인지하였으나 지속적 혈당측정기로는 각각 9명에서 event를 확인하였다. 결론: 지속적 혈당측정기를 이용한 각각의 인슐린 치료방침에 따른 혈당조절 효율성의 차이는 없었으나, 자가혈당 측정기로는 알 수 없었던 일 중 혈당 변동사항을 정확하게 알 수 있어, 뇌혈관질환을 동반한 당뇨병 환자에서 보다 적극적인 인슐린 치료 및 관리를 할 수 있을 것으로 생각된다. Background: Diabetic stroke patients are susceptible to hypoglycemia. However, there are many limitations in detecting hypoglycemic events, even though glucoses levels are checked 3 to 4 times per day using the fingerstick method. Therefore, we investigated the glycemic excursions and pattern in diabetic stroke patients using the continuous glucose monitoring system (CGMS, MiniMed) and its clinical utility. The other objective was to compare the treatment dfficacy between insulin regimens. Methods: From jan 2001 to jun 2001, 10 adult type 2 diabetic stroke patients wore CGMS for consecutive 3 days, which continuously checked the glucose level. NPH insulin, multiple daily injection of regular insulin ± NPH and the mixed type(Novolet 30/70, Novo Nordisk) were used on the first, second and third days of the study, respectively. If the mean delta glucose(△Glu = A+B/time, A=∑(hlucose-7.8), glucose > 7.8 mmol/l, B=∑(3.3-glucose) if, glucose < 3.3 mmol/l) was calculated in order to recognize the degree of individual glycemic changes and to compare the efficacy of each treatment diverse insulin regimen. We arbitrarily defined a glucose level less than 3.3mmol/l, as a hypoglycemic event, and more than 16.7mmol/l as a hyperglycemic event. Results: Variable patterns of glycemic changes were observed among patients with the same dosage, but a different insulin regimen. The mean △Glu was 0.93±0.43 on the first day, 0.71±0.29 on the second day and 0.58±0.29 on the third. There was no significant difference in treatment efficacy between the 3 different insulin modalities(p=0.115). Of the 10 patients, a hypoglycemic event was detected in 1 with the fingerstick method, in contrast to 9 with CGMS, with hyperglycemic events being detedted in 2 and 9, respectively. Conclusion: Continuous glucose monitoring maybe useful in providing the information necessary for optimal glycemic control in the diabetic stroke patients.

청소년기 여성의 영양소 섭취실태에 관한 연구

김성미,성호준 啓明大學校 生活科學硏究所 1999 科學論集 Vol.25 No.-

This study has investigated the nutritional intake status of female adolescents. The subjects were two hundred high school girl students. The questionnaires were utilized for the general survey and 3 days dietary intake assessment. This study showed that 69.0% of the subjects were underweight, 25.0% normal and 6.0% overweight by BMI. In general they took in less energy(76.8%), protein(90.8%) and iron(51.1%) than Korean Recommened Dietary Allowances(RDAs) of them, but they took in more Vit C(124.4%) than Korean RDAs of it. They took in the greatest amount of energy and nutrients at lunch. Heme iron was significantly correlated with animal protein(r=0.77) and nonheme iron with vegetable protein(r=0.65) and fiber(r=0.67). TV was the greatest source of their nutritional knowledge, followed by school textbooks and magazine. Overweight subjects were to the group of high food expenditure and underweight subjects to the group of more educated mothers. 69.5% of the group skipped one more meals during 3 days, breakfast being most likely to be skipped. Nutrient intake by nutrition knowledge score was significantly different from each groups and over 81 group(in nutrition knowledge score) took in more iron than other groups.