남성화를 보이는 여성에서 발견된 난소의 Steroid Cell Tumor 1예

조인호,정대훈,박영미,서영진,손영실,정철회,강영미,정수전,김영남,이경복,성문수,김기태 인제대학교 2006 仁濟醫學 Vol.27 No.-

Steroid cell tumor is a rare ovarian sex cord-stromal tumor which accounts for 0.1% of all ovarian tumors. Until now, only 4 cases have been reported in domestic literatures. Steroid cell tumor often secrets testosterone and presents virilization in adult women or precocious puberty in children. Treatment is often performed by surgical removal, adjuvant chemotherapy and radiation, but completely accepted treatment was not existed. We experienced a case of steroid cell tumor, which was manifested by typical virilization in a 43-year old patient, who was previously performed hysterectomy and unilateral oophorectomy. So, we present with a brief review of the literatures.

대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예

김도연,김화정,김효정,남준식,박수영,박영미,신정은,주미순,황민규,정혜경,손혜영,이선영,이한주 大韓消化器內視鏡學會 1999 Clinical Endoscopy Vol.19 No.부록2

소아에서 성장호르몬 결핍증 진단을 위한 혈중 IGF-1과 IGFBP-3의 절단값

손미란,안영선,정우영,유병철 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background : It is essential to have reference criteria for the diagnosis of growth hormone deficiency in children. The objective of study was to decide the cut-off value for Insulin-like Growth Factor-Ⅰ(IGF-Ⅰ) and Insulin-like Growth Factor Binding Protein-3(IGFBP-3) for diagnosis of growth hormone deficiency. Methods : We studied the serum level of IGF-Ⅰ and IGFBP-3 in 231 subjects(131 boys and 100 girls) with idiopathic short stature(ISS) and 37 subjects(23 boys and 14 girls) with complete or partial growth hormone deficiency(GHD). IGF-Ⅰ were measured by radioimmunoassay(RIA) method and IGFBP-3 were measured by immnoradiometric assay(IRMA) method. We conducted chi-square test, Fisher's exact test, student t-test, receiver operating characteristic(ROC) curve and discriminant anaylsis using MedCalc and SPSS Program. Results : The ROC curves showed that the best IGF-Ⅰ and IGFBP-3 cut-off value. Cut-off value of serum IGF-Ⅰ concentration was 346ng/mL(sensitivity 86.49%, specificity 85.71%) and of serum IGFBP-3 concentration was 3196ng/mL(sensitivity 81.82%, specificity 81.66%). If discriminant value (Z=0.442+0.661×IGF-Ⅰ+0.469×IGFBP-3) was below -1.47, the subject is discriminated GHD respectively. Conclusion : Our study results support that the measurement of serum IGF-Ⅰ and IGFBP-3 concentration might be an essential supplementary tools in the diagnostic evaluation of children with GHD.

과산화수소의 농도와 적용시간이 상아질의 깊이에 따라 레진 수복물의 미세인장결합강도에 미치는 영향

손정룡,이계영,강유미,오영택,이광원,김태균 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.5

본 연구의 목적은 심부 상아질과 치수실 상아질에 H₂O₂를 각기 다른 적용시간과 농도로 적용하였을 때, 레진수복물과의 미세인장결합강도에 미치는 영향을 평가하는 것이다. 준비된 각각의 치아에 전형적인 근관와동을 형성하고 다음과 같이 무작위로 1개의 대조군과, 4개의 실험군으로 나누었다: 1군, 전처리를 시행하지 않았다; 2군, 20% H₂O₂를 20분, 10분, 5분간 적용하였다; 3군, 10% 를 20분, 10분, 5분간 적용하였다; 4군 5% H₂O₂를 20분, 10분, 5분간 적용하였다; 5군, 2.5% H₂O₂를 20분, 10분, 5분간 적용하였다. 위와 같이 처리한 후 와동 내를 Superbond C&B(Sunmedical, Co., Shiga, Japan)로 충전하였다. 각 치아는 증류수에 24시간 저장한 뒤 심부 상아질과 치수실 상아질로 잘라 미세인장결합강도 시험을 시행하였다. 각 군에서 측정된 미세인장결합강도를 3-way ANOVA와 Tukey post hoc test로 통계 처리하였다(p < 0.05). 실험 결과 모든 군에서 심부 상아질(D1)의 미세인장 결합강도가 치수실 상아질(D2)보다 높게 나타났다. 평균 결합강도는 H₂O₂의 농도와 적용 시간이 증가할수록 감소하였다. 통계분석에서 상아질의 깊이, H₂O₂농도와 적용 시간이라는 세 가지 변수간의 교호작용 효과는 없으나(p > 0.05). 상아질의 깊이와 H₂O₂농도 사이, H₂O₂농도와 적용 시간 사이에서는 교호작용 효과가 있었다(p < 0.05). SEM 관찰에서는 H₂O₂의 농도가 증가할수록 상아세관이 좀 더 개방된 양상을 보였다. The purpose of this study was to examine the effect of hydrogen peroxide at different application time and concentrations on the microtensile bond strength of resin restorations to the deep and the pulp chamber dentin. A conventional endodontic access cavity was prepared in each tooth, and then the teeth were randomly divided into 1 control group and 4 experimental groups as follows: Group 1, non treated; Group 2, with 20% Hydrogen peroxide (H₂O₂); Group 3, with 10% H₂O₂; Group 4, with 5% H₂O₂; Group 5, with 2.5% H₂O₂; the teeth of all groups except group 1 were treated for 20, 10, and 5min. The treated teeth were filled using a Superbond C&B (Sun medical Co., Shiga, Japan). Thereafter, the specimens were stored in distilled water at for 24-hours and then sectioned into the deep and the chamber dentin. The microtensile bond strength values of each group were analyzed by 3-way ANOVA and Tukey post hoc test(p < 0.05). In this study, the microtensile bond strength of the deep dentin (D1) was significantly greater than that of the pulp chamber dentin (D2) in the all groups tested. The average of microtensile bond strength was decreased as the concentration and the application time of H₂O₂ were increased. Analysis showed significant correlation effect not only between the depth of the dentin and the concentration of H₂O₂ but also between the concentration of H₂O₂ and the application time(p < 0.05), while no significant difference existed among these three variables(p > 0.05). The higher H₂O₂ concentration, the more opened dentinal tubules under a scanning electron microscope(SEM) examination.

특수교육지원센터의 역할에 대한 특수학급 교사의 인식 연구

손영미,김영한,장희대 大邱大學校 師範大學 附設 敎育硏究所 2010 學校敎育硏究 Vol.5 No.2

The purpose of this study is to draw the role and the function of the Support Center for Special Education through analysing the domestic and international references and the special education method for the handicapped and to improve the efficiency of performing the role of the Support Center for Special Education by studying how different teachers' understandings the role of the Support Center for Special Education are, who directly communicate with it, by the background factors such as their experience, the working areas, the classes of the schools, their academic backgrounds. For this study, I conducted the survey composed of 30 sub-elements under 3 types of the function of the diagnosis test of the special education targets, the function of the informative support of the special education and the training, and the function of teaching activities of the special education. The results through the specific analysis are as follow. First, in the teachers' understanding of functions of Support Center for Special Education by their teaching experience, the teachers who have less 5 years of teaching experience thinks the function of diagnosis and assessment test importantly. Second, there are no notable differences of the teachers' understanding the functions of Support Center for Special Education by their working areas. However, in case of teachers working at schools in Metropolitan cities, they think the function of diagnosis and assessment and the support function of teaching activities importantly while the teachers in Eup or Myeon areas think the function of the informative support and training importantly. Therefore, it seems to be necessary to reflect the teachers' needs and the characteristics on Support Center for Special Education by each area. Third, according to the classes of the schools, teachers working at elementary schools think the function of diagnosis and assesment, the function of the informative support and training and the function of supporting teaching activities more importantly compared to the ones at middle or high schools. Therefore, it is necessary that Support Center for Special Education support differently by the class of the school. Last, in the study of teachers' understanding the functions of Support Center for Special Education by their academic backgrounds, the teachers who finish their undergraduate schools think the function of diagnosis and assessment, the function of the informative support and training more importantly than the ones who finish their graduate schools 본 연구에서는 특수교육지원센터의 역할을 분명히 하기 위하여 역할 요인에 대한 특수학급 교사들의 인식을 살펴보고, 그 요인에 대한 인식이 특수학급 교사들의 주요 배경 변인인 특수교육경력, 근무지역, 학교급별, 최종학력에 따라 어떠한 차이가 있는지를 파악하는데 그 연구 목적이 있다. 본 연구 목적을 구체적으로 살펴보면 다음과 같다. 첫째, 특수교육지원센터의 역할에 대한 특수학급 교사의 인식이 특수교육경력에 따라 차이가 있는지 알 아본다. 둘째, 특수교육지원센터의 역할에 대한 인식이 근무 학교의 지역별로 어떠한 차이가 있는지 살펴본 다. 셋째, 특수학급 교사들이 특수교육지원센터의 역할에 대한 인식이 학교급별에 따라 차이가 있는지 알아 본다. 넷째, 특수교육지원센터의 역할에 대한 인식이 특수학급 교사의 최종학력에 따라 차이가 살펴본다. 본 연구의 대상은 대구, 울산, 충북, 충남, 경북 등에 소재하고 있는 초등학교, 중학교, 고등학교의 특 수학급을 담당하는 교사들을 대상으로 하였다. 학교당 1학급에서 4학급까지 특수학급이 설치되어 있는 관계로 전체 112개교를 임의적으로 선정하여 해당 학교 교사를 대상으로 설문지법을 사용하였다. 그리 고 최종수거된 108부의 설문지를 가지고 결과를 분석하였는데 얻어진 결론은 다음과 같다. 첫째, 특수교육경력에 따른 특수학급 담당교사의 특수교육지원센터의 기능에 관한 인식에서는 진단 및 평가기능에 대하여 특수교육경력이 5년 이하인 교사들이 그 기능을 중요하게 인식하고 있다. 둘째, 근무지역에 따른 특수학급 담당교사의 특수교육지원센터의 기능에 관해서는 지역별로 큰 차이점이 없으나 광역시의 학교에 근무하는 교사들의 경우, 진단 및 평가기능, 교수활동 지원기능을 중요하게 인식 하고 있으며 읍면지역의 학교에 근무하는 교사들은 정보지원 및 연수기능에 대하여 중요하고 인식하고 있다. 셋째, 학교급에 따라서는 초등학교에 근무하는 교사들이 중학교, 고등학교에 근무하는 교사에 비 해 진단 및 평가기능, 정보지원 및 연수기능, 교수활동 지원기능을 중요하게 인식한다. 넷째, 학력에 따 른 특수학급 담당교사의 특수교육지원센터의 기능에 관한 인식에서는 대학교를 졸업한 교사들이 대학원을 졸업한 교사들보다 진단 및 평가기능, 정보지원 및 연수기능에 대한 중요하게 인식한다.

쉼터 생활을 중심으로 본 일본군 ‘위안부’의 삶에 관한 사례연구

손영미,조원일 부산대학교 한국민족문화연구소 2009 한국민족문화 Vol.34 No.-

본 연구의 목적은 과거 일본군 ‘위안부’ 피해자들이 불가항력으로 맞아야했던 사건들이 현재 피해자들의 삶의 질에 어떠한 영향을 끼쳤는지를 분석하고, 이들이 남은 생애 동안에 건강하고 행복한 여생을 보낼 수 있도록 정책적·실천적 함의를 위한 기초적 자료를 제공하는 데 있다. 연구내용으로는 일본군 ‘위안부’ 문제가 사회적으로 본격적으로 조망되기 시작한 신고 시기 이후를 중심으로 ‘위안부’ 신고 후부터 쉼터 생활 이전까지의 사회적 처우에 대해 일본군 ‘위안부’ 피해자 신고의 계기와 신고 후의 삶에 대해 살펴보았다. 더불어 쉼터 생활 후부터 현재까지의 삶에 관해서는 쉼터 발족의 계기부터 쉼터에서의 현재 삶에 대해 고찰하였다. 이들 연구과제에 대한 사례연구법에 의한 분석 결과 피해자들에게는 경제적 지원만이 아닌 정서적 지원이 여생의 삶에 중요함을 알 수 있었으며, 그 전제로 우리 사회의 사회적 약자에 관한 인권 측면의 접근이 중요함을 제시하였다. This research focused on life-stories of victims of the Japanese military sexual slavery who have been living in physical and psychological pain from the experiences as 'comfort women'. The victims of the 'comfort women' who were forcibly drafted to serve the Japanese soldiers neither could live normal lives nor could get married to have a family due to post traumatic syndrome. To understand the lives of the victims, we adopted case study methodology. The main purpose of this research is to analyze how the forced experiences as 'comfort women' influenced the current lives of the victims and to provide a foundation for the victims to live healthy and happier remaining lives from the social welfare perspective. To discover how the victims' past experiences are connected with the current lives and how they influence each other, two of the four victims residing at the shelter 'Woorijip' have been selected for the research. The victims still suffer from physical and psychological trauma from their past experiences as 'comfort women'. The majority of the victims are now over 80 years old. Not only with the physical and economical support, it is also significant to provide the victims ways to improve their remaining lives and overcome their sufferings.

各種 建築物의 中水道施設의 現況 및 運轉實態에 관한 分析 硏究

손민준,최미영,홍원화 대한건축학회 2003 대한건축학회논문집 Vol.19 No.2

"The next great world crisis will be water supply" This prediction is increasingly frequent as countries downstream threaten war over water rights with countries upstream. State against state, county against county, water rights continue to cause problems with a finite planetary water supply pitted against an increasing population and, worse yet, n increasing per capita consumption of water, we see again the problem of limited resources versus growing demand. So we have to reduce consumption of water and saving. Here, one of methods of saving water demand is applying a wastewater reclamation and reusing system which make used water reuse by purification of water. In Korea, the annual usage of water amounts to thirty thousand one hundred million ton, the annual usage of industrial water that has an effect on water pollution amounts to two thousand six hundred million ton. The purpose of this study is about the actual state and evaluation of wastewater reclamation and reusing system as this research is a basic study for wastewater reclamation and reusing system, in the future the data of the research will attribute to the application of wastewater reclamation and reusing system for wastewater reuse.

인터넷신문 이용자의 만족요인 연구 : 대학생 이용자 집단을 중심으로

나승안,손경수,이미영,이형탁 연세대학교 언론연구소 2000 언론 사회 문화 Vol.- No.8

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

Silaethene CL₂Si=CHCH₂?Bu의 엔반응 : Unsaturated Compounds of 14Group Elements(Ⅸ)

김정균,박은미,구미영,박경래,손병영 東亞大學校 大學院 1992 大學院論文集 Vol.17 No.-

Silaethene Cl₂Si=CHCH₂?Bu 1, generated as a reaction intermediate by the thermal elimination of LiX from Cl₃SiCHLiCH₂?Bu 2, combines with ene-component containing compounds(propene, 2-methylpropene, DMB) to give 40∼90% yield ene-products. They can be isolated and spectroscopic identified.