발달지체 영아 조기개입의 시행 현황과 어려움 및 지원요구 : 5개 기관 유형 특수교사 면담을 중심으로

조윤경,김수진,송영희 이화여자대학교 특수교육연구소 2017 특수교육 Vol.16 No.1

Purpose: The purpose of this study was to investigate the present implementation status, difficulties and support needs of early intervention for developmental delayed infants and toddlers by special educators' individual interviewing. Method: A total of five special educators who were working at five different types of early intervention institutions were interviewed. The results of the interviews were recorded for transcription and analysed using a consensual qualitative analysis method. Results: The results of the analysis revealed 12 themes and 55 sub-themes under three categories. Special educators replied that the diagnosis period was getting earlier, the number of developmental delayed infants and toddlers were increasing, and the contents and strategies of early intervention varied by types of facilities. The difficulties of functional assessment, IFSP implementation practices, family-centered approach, parents’ emotional problem and lack of parenting-role recognition, education opportunities of interventionist, multidisciplinary collaboration etc. were reported. Conclusion: This study suggested five desirable directions in establishing the implication frame of early intervention for special educators. 연구목적 : 본 연구는 발달지체 영아 조기개입 주요 제공자인 특수교사와의 면담을 통해 발달지체 영아 조기개입 시행 관련 현황과 어려움 및 지원요구를 찾아내고 이에 대한 해결방안을 모색하고자 하였다. 연구방법 : 발달지체 영아 조기개입 제공기관을 5개 유형으로 분류하고, 각 기관마다 특수교사 1명을 연구참여자로 선정하여 총 5명의 특수교사와 개별면담을 실시하였고, 면담 내용은 질적 분석을 통해 3개의 범주 하에 총 12개의 주제와 55개 하위주제가 도출되었다. 연구결과 : 면담 내용 분석 결과, 첫째, 특수교사는 조기개입 대상 영아의 진단시기가 빨라지고, 그 수가 증가하고 있으며 조기개입의 내용과 방법은 각 기관유형별로 조금씩 다르게 진행되고 있다고 응답하였다. 특수교사는 가족기능 진단의 어려움, IFSP 실행지침의 부재, 가족중심 접근의 부족, 팀협력 체계 부족, 부모의 심리적 불안, 부모역할인식의 부족, IFSP 실행을 위한 전문지식과 사전교육의 부족, 제공인력의 부족, 다영역 전문가와의 협력의 부족 등을 조기개입에서의 주요 어려움으로 보고하였다. 셋째, 조기개입을 위해 부모심리정서지원, 가정 내 양육기술지원, 제공기관 확대, 제공자의 부모 지원 역량 강화, 현직연수, 조기개입 실행지침 제공, 다영역 전문가 배치, 가족중심 강화 등을 요구하였다. 결론 : 이러한 결과를 토대로 특수교사가 발달지체 영아 조기개입의 효과적 수행하기 위해 시급히 실현되어야 하는 주요 다섯 가지 주제를 중심으로 논의하였다.

참다래 수품종의 형태적 특성과 RAPD에 의한 유연관계 분석

조윤섭,조혜성,노일섭,김월수 전남대학교 농업과학기술연구소 2000 農業科學技術硏究 Vol.35 No.-

To examine the taxonomic relationships among 13 male kiwifruits by 36 morphological characters, principal component analysis and cluster analysis were carried out. Of 36 characters, hair density on ventral midribs and between ventral midribs, leaf length/leaf width ratio etc. were considered as very useful characters for the classification of Actinidiacea plants and number of white dots on branch, full flowering period and flower color etc. also showed significant differences among A. deliciosa, A. chinensis and wild kiwis. Results of cluster analysis using scores of the principal component indicated that 13 male kiwifruits could be grouped into A. deliciosa, A. chinensis and wild kiwis phenon at 0.5 of average distance in WMVCA. This result was also very similar to that of RAPD analysis. However, it seems that more characters including various kinds of Actinidia species are needed for the exact classification.

심실중격결손증-치험 1예-

조광현,우종수,황윤호,이양행,박철호,김종성,김철호,이경순,조영일,박태인 인제대학교 1985 仁濟醫學 Vol.6 No.4

A successful treatment of infants and children with congenital heart defects depends upon several factors: diagnosis must be accurate, the operative technique, including techniques of perfusion and myocardial preservation, must be suited to the needs of patients and intensive cares, including accurate anesthesia, must be applied through all stages of investigation and treatment, i.e. before, during and after the operation. Recently we performed a open heart surgery successfully for a six-years old girl who had suffered from frequent upper respiratory tract infection and mild to moderate exertional dyspnea with congenital heart defects (ventricular septal defect, Kirklin type II, with patent foramen ovale). The operation and postoperative course were very smooth. And now we report this with review of literatures.

해부학 실습에 의한 의과대학생들의 formaldehyde 폭로 정도와 formaldehyde 과민반응에 대한 조사연구

조수현,김헌,남윤정,김용대 충북대학교 의과대학 충북대학교 의학연구소 1993 忠北醫大學術誌 Vol.3 No.1

Formaldehyde induces not only irritation symptoms of eyes and respiratory tract but hypersensitivity reactions, such as contact dermatitis, allergic rhinitis, and asthma. To estimate the levels of exposure to formaldehyde during cadaver dissection in anatomy laboratory and to investigate the prevalence rates of irritation symptoms, allergic rhinitis and bronchial asthma, air concentrations of formaldehyde within cadaver dissection room were measured, and self-administrative questionnaire and enzyme linked immunosorbent assay(ELISA) were performed upon medical(n=182) and premedical students(n=69). For measurement of air formaldehyde level, chromotropic acid method(NIOSH method 3500) was used. Formaldehyde was conjugated to human serum albumin, and used as antigen in ELISA after identification of conjugation with immunoelectrophoresis. Prevailing symptoms during cadaver dissection were soreness of eyes or throat(92.9%), lacrimation(74.3%), rhinorrhea(49.7%), and sneezing(32.2%). Mean titers of IgE and IgG antibodies specific to formaldehyde-human serum albumin conjugate(F-HSA) of medical students were higher than those of premedical students. However, there was no case whose titers of anti-F-HSA antibody were higher than the twice of those of anti-HSA antibody or higher than the twice of the mean titers of premedical students. These results suggest that medical students were exposed to relatively high concentration of formaldehyde, but few asthma or allergic rhinitis were induced by formaldehyde exposure during cadaver dissection practice.

지역마케팅 전략수립을 위한 구매력지수 측정

조흥수,고윤배 안성산업대학교 1997 論文集 Vol.29 No.2

This research focuses on introducing buying power index(BPI) as area marketing tool and estimating market potentials of 18 major cities. Buying power index measures the overall market power in each areas. The result can be use to evaluate market demand for retail and advertising strategies. We use 3 variables ; population of paticular regions, retail sales amount and disposable income to produce buying power index. This article concludes with some recommendations on the practical use of the index and future study.

李節學期制授業에 關한 硏究

造延順,朴凡洙 德成女子大學校 1981 德成女大論文集 Vol.10 No.-

"Elastic tie back"을 이용한 발치공간 폐쇄에 관한 임상적 고려

조기수,전윤식 대한치과교정학회 1993 대한치과교정학회지 Vol.23 No.2

Preadjusted appliance, following the original concept of the Andrews Straight-Wire appliance, became increasingly common in the 1980s. In six phases of treatment, anchorage control, leveling and aligning, overbite control, overjet reduction, space closure, and finishing are very effective with using the preadjusted appliances. Space closure is th phase of treatment in which the difference between standard edgewise and preadjusted mechanics is most noticeable. Orthodontists have been able to reduce the use of closing loops and, because of the level slot lineup, enjoy the advantages of sliding mechanics. In 1990, Dr. John C. Bennett and Richard P. McLaughlin introduced the new space closure system, namely, elastic "tiebacks'. They found an .019"×.025" working archwire most effective in an .022"­slot system. Hooks of .024" stainless steel or .028" brass wire are soldered to the upper and lower archwires. The force required for space closure is delivered by elastic "tiebacks". An elastic module stretched by 2­3mm(to twice its normal length) usually delivers 0.5­1.5mm of space closure per month. Group movement and sliding mechanics are combined for gentle, controlled space closure, so that about 0.5mm of incisor retraction and 0.5mm of mesial molar movement can be seen each month. The tiebacks are replaced every four to six weeks. By using the elastic "tiebacks", the next two cases were treated during space closure. Even though we found some clinical problems of this mechanics, long treatment time, hard to control of vertical dimension and anchorage, the application method of this system is so simple that orthodontists can manage many patients during short chair time. But we must apply this mechanics after perfect understanding of the biomechanics in tooth movement.

Hydrodynamic 베어링에 지지된 회전체의 모드해석에 관한 연구

조윤국,김정수 弘益大學校 科學技術硏究所 1997 科學技術硏究論文集 Vol.8 No.-

A hollow crankshaft is considered as part of an effort to reduce the weight of the automobile powertrain. since the resulting mass reduction alters both the inertia and stiffness properties of the crankshaft, the vibration characteristics of the hollow crankshaft needs to be investigated in comparison with the original solid crankshaft. The crankshafts are modeled by 38 lumped mass and stiffness elements, in which the dynamic parameters for each lumped element are obtained by the finite element calculation. The fluid-film bearings supporting the crankshaft give rise to linear spring and damping elements that can be derived from the hydrodynamic bearing model The transfer matrix method is applied to yield the natural frequencies and mode shapes of the crankshaft vibration. The natural frequencies of the hollow crankshaft are found to be greater than that of the solid crankshaft, and the incorporation of the bearing stiffness tends to accentuate the difference.

심내막상 결손증 : 3예 보고 A Report of 3 Cases

황윤호,이양행,우종수,조광현 인제대학교 1986 仁濟醫學 Vol.7 No.4

심내막상 결손증(Endocardial cushion defect)은 선천성 심장기형의 약 3% 정도를 차지하는 비교적 드문 질환이며, 복잡한 동반 기형을 나타내고 있고, 그 수술 방법에 있어서도 많은 논란이 있으며, 사망율도 높은 질환인 바, 저자들은 지난 1년간에 3예의 본 증례에 대한 수술 치험에서 술후 3∼6개월간에 만족할만한 임상적 추적 결과를 얻었기에 보고하는 바이다. In Pusan Paik Hospital, Inje Medical College, there were two complete endocardial cushion defects (ECD) and a partial one, which were successfully repaired in 1986. In a patient of partial ECD, primum atrial septal defect was closed with pericardial patch. In a patient of complete ECD, associated with secundum ASD, pulmonary stenosis and Down's syndrome, the atrial and ventricular septal defects were closed separately with bovine pericardium and Dacron patches respectively, and then pulmonary stenosis was relieved by transannular patch widening in addition to valvotomy and infundibulectomy. In another patient with complete ECD, small interventricular communication was closed with simple suture with pledget, and primum ASD closed with pericardial patch. In all patient, the mitral clefts were closed with three or four 5-0 Prolene interrupted sutures. Transient A-V dissociation developed postoperatively in two patients, and heart failure in complete ECD with Down's syndrome was overcome with medical treatment.

CPPU유도 참다래 단위결과 과실의 특성

조윤섭,조혜성,박문영,박재옥,박태동,김월수 全南大學校 農業科學技術硏究所 2001 農業科學技術硏究 Vol.36 No.-

This study was designed to find out an alternative to artificial pollination in kiwifruit production. The parthenocarpic kiwifruits induced by (N-2-chloro-4-pyridyl)-N-phenyl urea (CPPU) treatment tended to be less attractive due to deep furrowing and excessive outgrowth of stigma in mature fruits. Especially, on flower buds after CPPU spray, severe fruit-drop was induced. It was considered enough to spray CPPU at more than 4ppm to attain sufficient fruit set but needed to spray CPPU at more than 16ppm to attain marketable fruit size. When CPPU at 16ppm was sprayed to the same flower once, twice or three time, the fruits received CPPU treatment more time was larger but less attractive. Application of CPPU mare than at 16ppm seemed to be necessary to produce fruits heavier than 80 gr. Enlargement of the fruits received CPPU treatment mainly occurred cross wisely and vertical development was not affected and thickening of outer pericarp primarily contributed to the fruit enlargement. Difference in flesh color or contents of vitamin C and sugars between control fruits and CPPU-treated fruits was not noticed. In conclusion, CPPU treatment to induce parthenocarpic kiwifruits could be commercially applicable, only the method for improving fruit appearance is worked out.