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청소년의 부모화 경험 및 부모-자녀 대화시간이 자기표현에 미치는 영향
강현희 ( Kang Hyun-hee ),박희현 ( Park Hui-hyun ) 동신대학교 2023 창의융복합연구 Vol.1 No.1
This study aimed to investigate the impact of parentification experience and parent-child communication time on self-expression among adolescents. The study surveyed a total of 465 middle school students. Correlation analysis and multiple regression analysis were conducted using the SPSS 22.0. The findings of this study are as follows: Firstly, regarding the relationship between adolescents' experiences of parentification, parent-child communication time, and self-expression, the results indicated that adolescents' physical parentification showed a positive correlation with proactive self-expression and a negative correlation with passive self-expression. Emotional parentification and perceived unfairness were positively correlated with passive self-expression and self-denial, but unfairness showed a negative correlation with proactive self-expression. Parent-child communication time and its relation to self-expression revealed that both paternal and maternal communication time correlated positively with proactive self-expression and negatively with self-denial. However, maternal communication time showed a stronger negative correlation with self-denial than paternal communication time. Secondly, exploring the impact of adolescents' experiences of parentification on self-expression, it was found that increased experiences of physical parentification led to higher levels of proactive self-expression. Conversely, greater experiences of perceived unfairness were associated with decreased proactive self-expression and increased passive self-expression and self-denial. Thirdly, in investigating the influence of parent-child communication time on self-expression, both paternal and maternal communication time had significant effects. Moreover, maternal communication time had a more pronounced impact on encouraging proactive self-expression compared to paternal communication time. This study suggests that providing appropriate opportunities for adolescents to experience physical parentification and increasing parent-child communication time can facilitate proactive self-expression among adolescents.
강현희 ( Kang Hyun-hee ),박희현 ( Park Hui-hyun ),고나윤 ( Go Na-yoon ) 동신대학교 2023 창의융복합연구 Vol.1 No.1
This study aimed to develop a gender sensitivity education program for middle school students and examine its effects on gender sensitivity, self-esteem, and interpersonal relationship abilities. The research participants consisted of 24 1st-grade middle school students from J region, with 12 students assigned to the experimental group and 12 to the control group. The experimental group underwent a total of 8 sessions of gender sensitivity education program. To validate the effects of the program, a pre-post-follow-up comparison was conducted using self-report questionnaires on gender sensitivity, self-esteem, and interpersonal relationship abilities. Data analysis was performed using SPSS 23.0, employing analysis of covariance (ANCOVA). The results of the study showed that the experimental group exhibited significant improvements in gender sensitivity, self-esteem, and interpersonal relationship abilities compared to before the program implementation. This suggests that gender sensitivity education can enhance gender sensitivity and self-esteem, as well as improve interpersonal relationship abilities. In the follow-up assessment conducted four weeks after the gender sensitivity education program, there were no significant differences between the groups. However, the experimental group showed sustained effects in the subdimension of gender sensitivity within gender sensitivity even after some time had passed. These findings indicate that educational interventions can enhance gender sensitivity in middle school students and have positive effects on self-esteem and interpersonal relationship abilities. This underscores the importance of actively introducing and promoting educational programs aimed at improving gender sensitivity in middle school students.
강혜선 ( Hye Sun Kang ),강지영 ( Ji Young Kang ),강현희 ( Hyun Hui Kang ),김현진 ( Hyun Jin Kim ),임근준 ( Keun Joon Lim ),김승경 ( Seung Kyoung Kim ),이상학 ( Sang Haak Lee ),문화식 ( Hwa Sik Moon ),박종경 ( Jong Kyung Park ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.3
Intussusception primarily occurs in children and is uncommon in adults. Moreover, intussusception caused by intestinal tuberculosis is very rare. We report a case of intussusception induced by intestinal tuberculosis. A 53-year-old man presented to our hospital with complaints of cough and sputum for 2 weeks. We started anti-tuberculosis medication as the patient`s sputum acid-fast staining was positive. After 4 days of treatment, the patient developed abdominal cramping pain. Imaging studies showed ileo-ileal type intussusception. The patient underwent segmental resection of the small bowel and intestinal tuberculosis was confirmed on histological examination. He recovered after surgery and was discharged on anti-tuberculosis medication.
중환자실로 입원한 폐결핵 환자의 임상 양상과 예후 인자
강지영 ( Ji Young Kang ),김명숙 ( Myung Sook Kim ),김주상 ( Ju Sang Kim ),강현희 ( Hyeon Hui Kang ),김승수 ( Seung Soo Kim ),김용현 ( Yong Hyun Kim ),김진우 ( Jin Woo Kim ),이상학 ( Sang Haak Lee ),김석찬 ( Seok Chan Kim ),문화식 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.5
Background: Pulmonary tuberculosis (TB), requiring the intensive care unit (ICU) care, has been a high-mortality condition until now. In the present study, we aimed to investigate clinical features and parameters associated with TB mortality. Methods: From August 2003 to December 2008, patients with microbiologically or histologically confirmed pulmonary TB then admitted to the ICU, were retrospectively enrolled into the study. Upon enrollment, their medical records were reviewed. Results: Forty three patients (30 males, 13 females) were included and their mean age was 63.8 years (range:17~87 years). Twelve patients died, an overall in-hospital mortality of 27.8%. The main reason for the ICU care was dyspnea or hypoxemia requiring mechanical ventilation (n=17). Other diagnoses for ICU care were hemoptysis, monitoring after procedures, neurologic dysfunction, shock, and gastrointestinal bleeding. On univariate analysis, the factors affecting the mortality were malnutrition-related parameters including Low body mass index, hypoalbuminemia, Lymphocytopenia, and hypocholersterolemia, as well as severity-related variables such as high acute physiology and chronic health evaluation (APACHE) score, number of involved Lobes, and high C-reactive protein. In addition, respiratory failure requiring mechanical ventilation and acute respiratory distress syndrome contributed to patient fatality. It was shown on multivariate analysis that respiratory failure and hypoalbuminemia were significantly independent variables associated with the mortality. Conclusion: Acute respiratory failure is the most common reason for the ICU care and also the most important factor in predicting poor outcome. In addition, our data suggest that the parameters associated with malnutrition could be possible factors contributing to mortality.
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.
정해빈 ( Hae Bin Jeong ),강현희 ( Hyeon Hui Kang ),임은주 ( Eun Joo Im ),김현경 ( Hyun Gyung Kim ),이수연 ( Su Yeon Lee ),맹일호 ( Il Ho Maeng ),이지명 ( Ji Myoung Lee ),장은희 ( Eun Hee Jang ),이상학 ( Sang Haak Lee ),문화식 ( Hw 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.3
Rectus sheath hematoma (RSH) is a rare condition that`s caused by a sudden disruption of the deep epigastric vessels or direct damage to the rectus abdominis muscle. This condition is associated with old age, childbirth, abdominal surgery, severe cough, severe sneezing, anticoagulation therapy and/or coagulation disorders. RSH is characterized by abdominal pain and an abdominal mass, so that this is often misdiagnosed as a surgical condition such as appendicitis, intraabdominal abscess, torsion of the ovary and ruptured abdominal aortic aneurysm; this can lead to unnecessary surgery. Thus, we have to be cautious not to miss RSH when a patient with predisposing factors is suffered from abdominal pain and an abdominal mass. We report here on a case of rectus sheath hematoma that was induced by severe cough in a patient who was taking warfarin. (Tuberc Respir Dis 2008;65: 212-215)
외상 후 발생한 Mycobacterium intracellulare에 의한 만성 관절염 1예
김재경 ( Jae Gyung Kim ),김대원 ( Dae Won Kim ),조율희 ( Yul Hee Cho ),임선미 ( Sun Mie Yim ),강주현 ( Ju Hyun Kang ),주영빈 ( Young Bin Joo ),강현희 ( Hyeon Hui Kang ),송정섭 ( Jeong Sup Song ),윤형규 ( Hyoung Kyu Yoon ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.2
While nontuberculous mycobacterium (NTM) infections are recently on the rise, arthritis caused by NTM is hardly reported in Korea. NTM arthritis has no distinctive clinical characteristics from chronic arthritis. Tuberculosis of the joint specifically produces similar clinical and pathologic presentations to NTM arthritis, so it is not easy to distinguish between them. We report a case of Mycobacterium intracellulare in an arthritis patient after trauma and surgical repair of the injury. At the beginning, the patient was diagnosed as tuberculous tenosynovitis through pathology without microbiologic evidence. The final diagnosis was made after subsequent recurrences for several years. The misdiagnosis and delayed diagnosis led to irreversible joint destruction and functional impairment. NTM infection must be included in the differential diagnosis of chronic arthritis at the outset.
박경선,강현희,김지현,이화영,장경윤,양혜경,이상학,문화식,이배영 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.1
A 60-year-old man visited our hospital because of the incidentally found mass of the rib on chest radiography. Chest X-ray showed expansile bony hypertrophy on left 5th rib and bone setting of the computed tomography scan of chest revealed 4.2×2.5 cm sized, elongated bony expansion with geographic radiolucent lesion in the medullary cavity and cortical thinning. Technetium-99m bone scintigraphy showed diffusely increased radioactivity along the left 5th rib. We present this case to discuss about a possible differential diagnosis in this type of lesion.