중학교 가정교과서 단원구성을 위한 선행조직자로서 도식자(Graphic Organizer) 개발

구성현,채정현 한국가정과교육학회 2009 한국가정과교육학회 학술대회 Vol.2009 No.-

선행조직자로서 중학교 가정교과서 ‘식단과 식품 선택’ 단원의도식자(Graphic Organizer) 개발

구성현,채정현 한국가정과교육학회 2009 한국가정과교육학회지 Vol.21 No.2

The purpose of this study was to develop Graphic Organizer as Advance Organizer. The ‘Menu Planning and Food Selection’ unit of second grade middle school Technology & Home Economics(revised curriculum of 2007) was selected as the study subject. The course of abstracting an essential education element got done 3rd times. It abstracted the first essential education elements to analyze the presented sentence or a concept with the educational contents factor which is on the achievement standard of the area of dietary life from 5grade to 10grade in curriculum revised in 2007. The first 4 essential education elements selected were superiority and cultural value of Korean traditional meal, preparing a balanced diet for the family, food purchasing, and food selection based on the various information’. It abstracted second essential education elements that it concretized the first content factor on a unit of this study and solved overlapping when it was happened at the first contents factor and made connecting with between grade. The 3rd essential education elements abstracted to classify the contents which abstracted essential education elements in second. And, it developed Graphic Organizer on a unit of ‘Menu Planning andFood Selection’ in eight-grade Technology & Home Economics based on the abstracted essential education elements. Graphic Organizer was developed in according to order of the way for making on a Concept Map of Heo In Sook(2000). Developed Graphic Organizer is all of 10 which are ‘nutrition value on food of the season’, ‘harmony and combination of food’, ‘natural dressing and a garnish’, ‘the recipe’, ‘fermented food’, ‘a traditional instrument and a vessel’, ‘factor of food harm’, ‘present food’, ‘food quality certification’ and ‘selecting food with food information’. 본 연구는 2007년 개정 기술·가정 교육과정에서 중학교 2학년 ‘식단과 식품 선택’ 단원의 교육내용요소를 추출하고 이를 바탕으로 도식자를 개발하는데 목적이 있다. 내용요소를 추출하는 과정은 3차에 걸쳐서 이루어졌다. 1차 내용요소는 2007년 개정 교육과정 해설서의 5학년부터 10학년까지 식생활영역 성취기준에서 교육내용요소로 제시하는 문장이나 개념을 분석하여 추출하였다. 본 연구 단원에서는 4개의 1차 내용요소가 추출되었는데 ‘우리나라 전통 식사의 건강적 측면의 우수성, 영양적·식품적 문화가치’, ‘균형잡힌 가족의 식단 작성’, ‘식단에 따른 식품의 계획적 구입’, ‘다양한 식품표시정보를 통한 식품 선택’이다. 2차 내용요소는 본 연구 단원의 1차 내용요소를 구체화하여 다른 학년의 1차 내용요소에서 발생한 중복성을 해결하고 학년간 연계성을 이루도록 하여 추출하였다. 3차 내용요소는 2차에 추출된 내용요소를 더욱 세분화하여 추출하였는데 이를 위해 7차 교육과정 교과서, 전문기관에서 발행하는 자료, 관련전문서적 등을 분석·참고하였다. 이어서 추출한 내용요소를 바탕으로 기술·가정 8학년 ‘식단과 식품선택’ 단원의 도식자를 개발하였다. 도식자는 허인숙(2000)의 개념도 작성방법의 순서를 따라서 개발되었다. 개발된 도식자는 총 10개로 ‘계절음식의 영양적 가치’, ‘식품의 조화와 배합’, ‘천연양념과 고명’, ‘조리법’, ‘발효식품’, ‘전통도구와 그릇’, ‘식품구입목록표 작성’, ‘식품위해요소’, ‘식품표시’, ‘식품품질인증’으로 구성된다.

‘청소년의 발달’ 단원의 교수-학습 전략

구성현,김교연,김자영 한국가정과교육학회 2010 한국가정과교육학회 학술대회 Vol.2010 No.-

Phentermine Hydrochloride에 의한 급성 근시와 전방각 폐쇄 1예

구성현,최원석,이종욱,박영정,이규원,Sung Hyun Koo,Won Suk Choi,Jong Wook Lee,Young Jeung Park,Kyoo Won Lee 대한안과학회 2011 대한안과학회지 Vol.52 No.7

Purpose: To describe a case of bilateral acute myopia and acute angle-closure associated with phentermine hydrochloride, a drug used for obesity treatment. Case summary: A 25-year-old woman visited our hospital with blurry vision and ocular pain after taking phentermine hydrochloride for three weeks. Manifest refraction accompanied myopic shift in the both eyes, slit-lamp examination showed forward displacement of the lens-iris diaphragm and fundus examination revealed retinal folds. Suspecting phentermine hydrochloride induced acute myopia and acute angle closure, discontinuation of the drug and administration of cycloplegic agents and antiglaucomatic agent successfully resolved the symptoms. Conclusions: Although the exact mechanism is unknown, phentermine hydrochloride may generate ciliochoroidal effusion and ciliary edema, lead to acute myopia and acute angle closure resulting from forward displacement of the lens-iris diaphragm. J Korean Ophthalmol Soc 2011;52(7):881-886

속립성 결핵의 고해상도 CT 경과관찰 다발성 낭종성 변화를 보인 3예 보고

구성현,정성철,이선민,박광주,황성철,이이형,한명호,박경주 대한결핵 및 호흡기학회 1998 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.87 No.0

포스타 전시 발표 : 감염, 알레르기, 류마티스 ; 간경변증 환자에서 병발한 자발성 세균성 농흉 1예

구성현,조일현,이선민,박광주,황성철,이이형,한명호 대한내과학회 1998 대한내과학회 추계학술대회 Vol.1998 No.1

연성콘택트렌즈 착용기간에 따른 눈물막, 각막 및 안구표면의 변화

구성현,이병희,이규원,박영정 대한안과학회 2012 대한안과학회지 Vol.53 No.10

Purpose: The present study evaluated the changes in tear film, cornea and ocular surface according to the duration of soft contact lens wear. Methods: A total 65 patients with 130 eyes were enrolled the present study, and were divided into 4 grous. The control group (group A) was composed of 32 eyes of 16 patients who had not worn soft contact lenses, group B, (34 eyes of 17 patients), had worn soft contact lenses less than 5 years, group C, (32 eyes of 16 patients), had worn soft contact lenses for 5 to 10 years and group D, (32 eyes of 16 patients), had worn soft contact lenses for more than 10 years. The tear break-up time (BUT), Schirmer’s test, corneal sensitivity test, central corneal thickness, ocular surface disease index (OSDI), corneal fluorescein staining score, specular microscopy and conjunctival impression cytology were analyzed. The results were compared between the control group and the soft contact lens groups. Results: In group B, BUT significantly decreased, but corneal fluorescein staining score and squamous metaplasia significantly increased (p < 0.05). In group C, OSDI and snake-like chromatin pattern significantly increased, but corneal thickness and goblet cell density significantly decreased (p < 0.05). In group D, the coefficient of variation for endothelium significantly increased, but corneal sensitivity and hexagonality significantly decreased (p < 0.05). Conclusions: Duration of soft contact lens wear influences changes in tear film, cornea and ocular surface. J Korean Ophthalmol Soc 2012;53(10):1403-1411

고용량 항암요법후 말초혈액 자가조혈모세포 이식환자에서의 감염 양상

구성현,최소연,조요한,한동석,마경애,김현수,김효철 대한조혈모세포이식학회 1996 대한조혈모세포이식학회지 Vol.1 No.1

목적: 동종골수이식이나 자가골수이식, 말초혈액 자가조혈모세포이식에서 공통적으로 이병률과 사망률에 관여하는 중요한 인자중의 하나가 항암 치료후 발생하는 감염이다. 감염의 발생빈도 및 정도에 대해서 확실히 알수 있고, 위험인자를 감별해 낼수 있다면 고용량 항암요법 후에 발생하는 이병률과 사망률을 줄여 더 나은 결과를 얻을수 있다고 사료되어 저자 등은 고용량 항암요법을 시행한 환자들을 대상으로 후향적인 연구를 통해 감염 및 그로 인한 합병증을 발생빈도, 정도 및 감염과 관련된 위험인자를 규명하려고 하였다. 방법: 1995년 11월부터 96년 8월까지 아주대학교병원에서 고용량 항암요법후에 말초혈액 자가조혈모 세포이식을 시행한 33명의 환자를 대상으로 하여 나이, 성별, 진단명, 조혈모세포이식 날짜, 사용한 항암제의 종류, 방사선 치료 유무 여부, 호중구 감소증 기간, 사망여부, 사망원인을 분석하였다. 결과 33명의환자에서 37회(4명은 2번 항암치료)의 고용량 항암 요법을 시행한 결과를 분석하였다. 1) 기존에 가지고 잇는 질환을 종류별로 보면, non-Hodgkin's lymphoma(n=13), Hodgkin's disease(n=1), breast cancer(n=5), stomach cancer(n=14)이었으며 모든 환자가 기존의 항암 치료에 불응하는 악성 종양이었다. 2) 대상환자의 평균 연령은 42세이었으며 여자가 18명이었고, 평균 호중구 감소기간은 9.62일 이었다. 3) 37회 고용량 항암 요법후 8회를 제외한 29회 (78.3%)에서 열이 있었으며, 29회의 발열 중 8예(21.6%)에서 감염이 균 검출로 증명되었거나 임상적으로 확실히 의심되었다. 8회의 감염중 Staphylococcus epidermidis가 1예, E coli가 2예, Bacteroides fragilis가 1예 있었다. 4) 33명의 환자중 모두 10명이 현재까지 추적관찰중 사망하였는데 이중 2명이 고용량 항암요법후 호중구가 감소되어있는 기간에 발생한 패혈증으로 사망하여 사망원인이 고용량 항암요법에 의한 합병증과 직접적인 연관이 있었다. 5) 감염에 연관되는 위험인자를 알아보기 위하여 나이, 성별, 방사선치료유부, 호중구 감소증 기간, 악성종양 종류 등을 감염군과 비감염군으로 나누어 비교하였는데 모든 항목에서 감염군과 비감염군 사이에 통계적으로 의미있는 차이를 찾을수 없었다. 결론: 고용량 항암요법후 감염이 가장 중요한 이병률 및 사망률의 원인이 되고 있는데 현재 말초혈액 자가조혈모 세포이식후 조혈촉진인자를 사용하여 감염 발생률을 많이 줄이기는 하였으나 앞으로 좀더 많은 환자를 오랜기간 추적 관찰하여 감염으로 인한 문제점을 찾아 개선해 나가야 하겠다. Objectives: Infection is one of the most important factor in the morbidity and mortality of both allogenic and autologous bone marrow transplantation, and peripheral blood stem cell transplant patients. Therefore, an accurate knowledge of the incidence, severity, and risk factors can lead to reduction in the morbidity and mortality. We performed a retrospective analysis in patients with high dose chemotherapy to clarify these infections and also the incidence of complication, severity and associated risk factors. Methods: The subjects of our study were patients who had been admitted at Ajou University Hospital from November 1995 to August 1996 and received autologous peripheral blood stem cell transplantation(PBSCT) after high dose chemotherapy. There were 33 patients in all and the following were analyzed : age, sex, disease diagnosis, date of PBSCT, the duration of neutropenia, and the cause of death. Results: The results of 37 trials (4 patients had two trials) of high dose chemotherapy in 33patients were analyzed. ① The diagnosis included non-Hodgkin's lymphoma(n=13), Hodgkin's disease(n=1), breast cancer(n=5), stomach cancer(n=14). All of the patients were refractory to the conventional chemotherapy. ② The average age was 42years, 18 of the patients were female and the mean duration of netropenia was 9.62days. ③ 29 out of37trials was associated with fever. In 8 out 29case, infection was diagnosed by detection of bacteria or clinically suspicious. Staphylococcus aureus was detected in 4case, Staphylococcus epidermidis in 1 case, E coli in 2 case, and Bacteroides fragilis 1 case. ④10patients died during follow up. 2 case died of sepsis during the period of neurtropenia. Therefore 2 death were directly related to the complications of high dose chemotherapy. ⑤The following factors were analyzed in both infected and non-infected group to determine if there any significant different: age, sex, radiation therapy, duration of neutropenia, disease. There was no significant different between the 2 groups. Conclusion: Infection is the most important cause of morbidity and mortality in high dose chemotherapy. The rate of infection has been largely reduced as a result of rapid marrow engraftment following autologous PBSCT. A longer duration of follow up must be done on more patients to find and improve the problems after autologous PBSCT.

내과적으로 치료한 당뇨병 환자의 기종성 신우신엽 1예

구성현,윤명호,정윤석,김현만,김세중,김영수 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

Emphysematous pyelonephritis is a rare disease complicated from diabetes or obstructive uropathy. The characteristic of this disease is the presence of gas within the renal parenchyma, which may enter the perinephric space by extension. It was first reported in 1898 by Kelly and MacCallum. Up to 1992 only about 90 cases have been reported in English literature. In Korea, Shin et al. reported the first case of emphysematous pyelonephritis in 1982, and only about 28 cases reported in the next decade. In most cases, surgical therapies were recommended for emphysematous pyelonephritis. We report on a case of emphysematous pyelonephritis in diabetic patient who had been treated with medical therapy (antibiotics and blood glucose control by open loop insulin pump). Without surgical intervention, the patient (34-year-old female) recovered from emphysematous pyelonephritis.

제 50 차 대한내과학회 추계학술대회 초록집 : 간경변증 환자에서 병발한 자발성 세균성 농흉 1 예

구성현,조일현,이선민,박광주,황성철,이이형,한명호 대한내과학회 1998 대한내과학회 추계학술대회 Vol.55 No.-