쇄골하 정맥 도관법 합병증이 발생한 후기 발병형 B군 연쇄 상 구균 패혈증 1례

김우경,김미란,김덕하,이혜란,박종영,황대현 대한소아감염학회 1998 Pediatric Infection and Vaccine Vol.5 No.2

Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-fleck snare catheter via right femoral vein. This case was presented with a brief review of the literatures. B군 연쇄상 구균(Group B streptoccocus)은 신생아기에 패혈증, 뇌수막염 등의 침습성 질환을 일으키는 주요 원인중 하나이다. 이로 인한 패혈증의 유병율은 1990년 미국의 경우 출생아 1000명 당 1.8명이며, 3개월 미만의 환아 중 310명이 이로 인하여 사망하였다고 보고되었다. 주로 후기 발병형에서 발생하는 뇌수막염의 경우 생존자의 15∼30%에서 신경학적 후유증이 발생할 수 있다. 최근 중심 정맥로 확보에 흔히 사용되는 쇄골하 정맥도 관법(subclavian vein catheterization)은 관헐적 수기로써 기흉, 혈흉, 수흉, 혈종, 공기 색전, 도관색전, 쇄골하 정맥 혈전, 심근 천자, 감염 등의 합병증이 발생할 수 있다. 저자들은 패혈증성 쇽 및 뇌수막염으로 발현된 후기 발병형 B군 연쇄상 구균 패혈증 환아에서 치료도중 쇄 골하 정맥 도관의 guide wire가 혈관 내 잔류된 1례를 경험하여 문헌 고찰과 함께 보고하고자 한다.

다문화교육정책 방향 탐색을 위한 소셜 네트워크 분석 및 현황 비교·분석

김우경,김영환,박지숙 한국 리터러시 학회 2022 리터러시 연구 Vol.13 No.6

To understand people’s interest and demand for multicultural education policy, this study conducted a keyword network analysis of YouTube videos and comments with multicultural education policy as keywords. The most important keyword was found to be “culture,” followed by “education,” “school,” “student,” and “teacher.” The crucial keywords with high connection centrality were “culture,” “education,” “policy,” “support,” “school,” and “society,” which formed a complex network. In the analysis of the connection centrality of YouTube big data, “culture” and “education” showed the highest connection centrality, and interest in educational policies was high. Policy targets with high connection centrality were classified into foreigners, families, students, youth, women, children, citizens, parents, counseling, career, employment, human rights, safety, and migration. Beside the issues caused by language differences, problems related to health and human rights, which are basic rights, arose. Finally, the five themes were classified through topic modeling analysis. The first set of major keywords includes “world,” “understanding,” “citizen,” “lecture,” “university,” and the second set is “family,” “country,” “women,” “youth,” and “problem”; “school,” “student,” “office of education,” “broadcasting,” and “learning” make up the third set. The fourth set of major keywords comprises “family,” “woman,” “foreigner,” “health,” and “marriage.” It can be predicted that there are more multicultural families resulting from marriage with foreign women than with multicultural families arising from marriage with foreign men. Lastly, “citizen,” “future,” “research,” “plan,” and “forum” appeared as the main keywords. Therefore, when establishing a multicultural education policy, policies on minority religions addressing religious differences and policies on women should be established more broadly, and further attention should be paid to elementary and higher education. Simultaneously , policies to address problems caused by language differences and problems related to health and human rights, which are basic rights, should be established. Lastly, in line with the changing society, it is necessary to consider future education and civic education and reflect them in multicultural education policies.

댄스스포츠 선수의 멘토링 경험, 자기관리행동, 스포츠수행전략의 구조모형 검증

김우경,박창범 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.16

This study examines the cause and effect relationships among variables in the relationships among the mentoring experiences of dance sports athletes and their self-management and sports performance strategies and aims to provide material that is significant from aspects of dance sports athlete game performance enhancement. For these purposes, dance sports athletes who had participated in Korean dance sports athletic competitions were selected and a total of 256 were used in the final analysis through convenience sampling. The SPSS 22.0 and AMOS 22.0 programs were used for analysis and relationships among variables were examined and the deduced results are as follows. First, the mentoring experiences of dance sports athletes had a positive effect on self-management. Second, the mentoring experiences of dance sports athletes had a positive effect on sports performance strategies. Third, the self-management of dance sports athletes had a positive effect on sports performance strategies. A general observation of these research results shows that the mentoring experiences of dance sports athletes allows them to flexibly deal with issues that they face and anticipations can be made towards eventual game performance enhancements through effective self-management and the establishment of successful sports performance strategies. 이 연구는 댄스스포츠 선수 대상으로 멘토링 경험과 자기관리 행동 및 스포츠수행전략의 관계에서 변수 간 인과관계를 규명하고 멘토링 경험과 스포츠수행전략의 관계에서 자기관리 행동의 매개효과를 검증하는 데 목적이 있다. 이러한 목적을 달성하기 위해 국내 댄스스포츠 선수권 대회 참가 경력이 있는 댄스스포츠 선수를 선정하여 편의표본추출법(convenience sampling)을 통해 256명을 최종 대상으로 분석하였다. 이를 분석하기 위하여 SPSS 22.0과 AMOS 22.0 프로그램을 활용하여 변인간의 관계를 규명하고 도출된 결과는 다음과 같다. 첫째, 댄스스포츠 선수의 멘토링 경험은 자기관리에 영향을 미치는 것으로 나타났다. 둘째, 댄스스포츠 선수의 멘토링 경험은 스포츠수행전략에 영향을 미치는 것으로 나타났다. 셋째, 댄스스포츠 선수의 자기관리는 스포츠수행전략에 영향을 미치는 것으로 나타났다. 넷째, 댄스스포츠 선수의 자기관리는 멘토링 경험과 스포츠수행전략의 관계에서 부분매개를 하는 것으로 나타났다. 이러한 결과들을 종합해 볼 때, 댄스스포츠 선수의 멘토링 경험이 자기관리 행동과 스포츠수행전략를 향상시킬 수 있는 수단이며, 자기관리 행동은 멘토링 경험과 스포츠수행전략에서 중요한 매개변수 역할을 하고 있다는 것을 시사하고 있다.

해양오염방제 관리·운영의 법체계와 입법방향에 관한 고찰

김우경,조현진,신병석,백계진 한국해양경찰학회 2019 한국해양경찰학회보 Vol.9 No.4

해양경찰의 해양오염방제에 관한 사무는 「정부조직법」 제43조와 2020년 2월 21일에 시행되는 「해양경찰법」 제14조에 명시하고 있으며, 해양수산부 소관 법률인 「해양환경관리법」 중 일부 조항에 근거하여 업무를 수행하고 있다. 현행 「해양환경관리법」은 관련 분야가 방대하고 다수의 관련기관이 산재되어 있어 통합적·효율적 업무처리가 어려우며, 특히 새로운 규제 강화 등 해양에서의 환경변화에 대비하고, 재난적 해양오염사고 발생 시 국민의 생명과 재산을 보호하기 위해서는 현장에서의 방제 정책과 현장 업무의 집행사이 간극을 줄이기 위한 제도적기반 마련이 필요하다. 즉, 업무의 효율적 집행, 특성화·전문화하기 위해서는 다양하고 복잡한 단일법 체계의 현행 「해양환경관리법」에서 해양오염방제 분야를 발췌한 「(가칭)해양오염방제에 관한 법률」인 개별법 체계로 분법 할 필요성이 있다. 현재 「해양환경관리법」의 분법화가 지속적으로 이루어지고 있는 추세이므로, 방제업무 총괄기관인 해양경찰청에서도 「(가칭)해양오염방제에 관한 법률」을 제정하여개별법화 함으로써 해양오염방제라는 보다 명확한 목적의 입법적 설정이 가능하며, 이에 관한 자원, 예산 확보 등 제반사항도 보다 체계적이고 적극적으로 이행할 수있을 것이라 사료된다. The affairs related to marine pollution control of Korea coast guard are specified in Article 43 of the Government Organization Act and Article 14 of the Korea coast guard Act in effect on February 21, 2020 The current Marine Environment Management Act has a wide range of related fields and a large number of related agencies, which makes integrated and efficient business processes difficult. In particular, in order to prepare for environmental changes at sea such as strengthening new regulations and to protect people’s lives and property in the event of a disaster of marine pollution, it is necessary to establish an institutional basis to reduce the gap between on-site control policy and execution of field work. In other words, for the efficient execution, specialization of work, it is necessary to divide it into individual law system, which is a law on marine pollution control, which extracts marine pollution control field from various and complicated current single law system. As the diversification of the Marine Environment Management Act is being made continuously, the Maritime Police Agency, which is the general authority for the control of the Marine Affairs Act, will also enact individual laws so that lefislative purposes can be more clearly established. In addition, it is expected that various matters such as securing resources and budget will be implemented more systematically and actively.

운동이 비만초등학생 체지방율 감소에 미치는 효과: 메타분석

김우경 한국초등체육학회 2012 한국초등체육학회지 Vol.18 No.3

비만 아동을 체지방율 감소에 미치는 효과에 대한 다양한 선행연구들이 이루어져 왔으나 운동프로그램 효과가 어느 정도인가를 분석하거나 어떤 프로그램이 보다 우수한지를 분석하기 보다는 처치 전·후간 측정값이 통계적 유의성만을 강조하는 경향이 있어 현장에서 적용하기에는 효과성 측면에서 한계가 있다. 따라서 본 연구에서는 2000년부터 2012년 1월까지 연구재단 등재, 혹은 등재후보급 국내 학술지에 게재된 관련 선행연구 42편에 대한 메타분석을 통해 아동의 비만 문제 해결에 도움이 되는 운동처방의 구성요소 및 효과성 있는 비만관리 프로그램의 형태를 제안하고자 하였다. 분석결과 전체 ES 분포에서는 이질적이었으나 각각의 중개변인에서는 통계적으로 유의한 차이가 나타나지 않았다. 그러나 비록 통계적으로 유의한 차이가 나타나지는 않았지만 운동유형에서는 유산소성운동, 운동빈도에서는 주당 5회 이상, 운동시간에서는 회당 30~60분, 그리고 운동기간에서는 9~12주에서 체지방율 감소에 보다 효과적인 경향을 보인 것으로 나타났다. 연구결과를 고려할 때 비만아동을 대상으로 한 효과적인 운동프로그램은 매일의 일상생활에서 30분 이상 지속할 수 있는 걷기나 수영과 같은 유산소운동을 장기간 지속적으로 실시하게 함으로써 운동습관을 생활의 한 부분으로 인식하게 하는 것이 최선의 방법이 될 수 있을 것으로 생각된다.

[S7-3] 학교 식생활교육과 급식에서의 녹색 식생활 적용

김우경 한국식품영양과학회 2009 한국식품영양과학회 학술대회발표집 Vol.2009 No.11

특수교육지원센터에 대한 유치원 통합학급 교사와 장애유아부모의 인식

,김우경,,황순영,이은화 부산대학교 교육연구소 2013 교육혁신연구 Vol.23 No.2

본 연구는 부산 및 경상남도 지역에 배치된 특수교육대상유아를 담당하고 있는 유치원 통합학급 교사 160명과 장애유아부모 150명을 대상으로 특수교육지원센터에 대한 인식을 조사하였다. 이에 대 한 연구결과, 두 집단 모두 특수교육지원센터에 대해서는 잘 알고 있었으나 기능과 역할에 대해서는 제한된 인식을 보여주고 있는 것으로 나타났다. 이는 우리나라 특수교육지원센터의 기능과 역할이 불 균형적이고 제한되어 있는 현실을 반영하고 있으며 앞으로 특수교육지원센터에 대해 홍보를 확대하 고 다양한 기능을 위한 모형이 개발되도록 행·재정적 지원과 다양한 활동을 통해 지속적으로 노력해 야 할 것이다 The purpose of this study was to examine the awareness of kindergarten teachers in charge of inclusive education about the special education support center, the awareness of parents with disabled preschoolers diagnosed with special needs about the same and the needs of the two groups for the support center in an effort to suggest some of the right directions for the revitalization and development of the special education support center. The subjects in this study were 160 kindergarten teachers in charge of inclusive classes and 150 parents with disabled preschoolers in Pusan and South Gyeongsang Province. A survey was conducted with two different questionnaires. One dealt with the general characteristics of the respondents, and the other covered their needs. The collected data were analyzed by the statistical package SPSS. A frequency analysis was made to find out the general characteristics of the kindergarten teachers in charge of inclusive classes and those of the parents with disabled preschoolers, and a frequency analysis was carried out again to address Research Question about intergroup gaps in awareness of the special education support center. The findings of the study were as follows. First, the respondents were well aware of the special education support center, but they didn't actually make good use of the center. Second, both of the kindergarten teachers in charge of inclusive classes and the parents with disabled preschoolers just knew that the special education support center provided service related to special education, assistance for inclusive education and diagnosis/evaluation support, though the function and roles of the center were more diverse. The special education support center should pull its weight as an assistant to help satisfy the educational needs of disabled preschoolers, parents and teachers.

집먼지진드기에 감작된 비염환자에서 메타콜린에 대한 기관지과민성의 증가

김우경,반준우,이병재,김윤근,조상헌,민경업,김유영 (Woo Kyung Kim,Jun Woo Bahn,Byung Jae Lee,Yoon Keun Kim,Sang Heon Cho,Kyung Up Min,You Young Kim) 대한천식알레르기학회 1998 천식 및 알레르기 Vol.18 No.2

Background: Allergic rhinitis is often associated with bronchial asthma, and intranasal treatment with topical corticosteroids reduces bronchial responsiveness. Objective '. In this study, it was evaluated that the bronchial responsiveness to methacholine increased in non-asthmatic adults with house dust mites (HDM)-sensitive allergic rhinitis compared to those without, chronic nasal symptoms. Subjects and methods .' A questionnaire, skin prick t,est to common inhalant allergens, and methacholine bronchial provocation test (MBPT) were performed in a total of 216 subjects, who were composed of 40 non-asthmatic subjects with HDM-sensitive allergic rhinitis (HAR), 63 HDM-sensitive subjects without nasal symptoms (HS), and 113 non-atopic subjects without nasal symptoms (NHS). The bronchial responsiveness was evaluated by positive rate of MBPT (PC,-methacholine200mg/ml), provocative concentration of methacholine at which FEV, decline to 15% compared to baseline value (PC,-methacholine), and slope of dose-response curve (%fall of FEV, / log[last concentrat,ion of methacholine, mg/ml]). Results '. Positive rate of MBPT was significantly increased in HAR than in HS and NHS, and there was no difference between HS and NHS (77.9% vs. 50.7% vs. 38.0%). Log PC[5- methacholine was lower in HAR than in HS and NHS, and lower in HS than in NHS (mean+ SE, 1.568+0.126 vs. 2.05+0.085 vs. 2.277+0.047). Slope of dose-response curve was higher in HAR than in HS and NHS, and there was no difference bet,ween HS and NHS (mean+SE, 22.7 + 11.3 vs. 7.3+ 1.2 vs. 4.9+ 0.5%/mg/ml); Conclusion .' In non-asthmatic adults with HDM-sensitive allergic rhinitis, the bronchial responsiveness to methacholine increased compared to those without chronic rhinitis.

Construct Validity of Korean Leisure Sports Instructor Job Crafting Questionnaire Scale(KSIJCQ : Korean Sports Instructor JCQ)

김우경,정원정 한국코칭능력개발원 2018 코칭능력개발지 Vol.20 No.2

In previous researches, Job Crafting questionnaire to develop is consists of 3 factors which are Task Crafting, Cognitive Crafting, and Relationship Crafting with 12 to 17 items. The purpose of study is to develop JCQ for leisure sports instructor of Korean. 274 valid samples are used for analysis. Data collecting is purposeful sampling. At result, for Korean Sports Instructor Job Crafting Scale is constructed 3 factors with 12 items is constructed by 3 step procedure. KSIJCQ is confirmed on convergent discriminant validity evidence. In conclusion, KSIJCQ is a valid scale of the measuring and distributes Job Crafting of generalization in sports.

무용전공 대학생의 외모에 대한 사회문화적 태도(SATAQ-4R)척도 타당화

김우경 한국무용연구학회 2018 한국무용연구 Vol.36 No.4

This study aims to conceptually and statistically validate the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4R) for university students majoring in dance. For this, item analysis was conducted using proof based on inspection contents created by professionals regarding the SATAQ, which was developed by Schaefer et al.(2016) and validity was verified through item reliability analysis, exploratory factor analysis, and confirmatory factor analysis. After item validity was verified by applying a structural equation model, validity was shown with CFI=.924, TLI=.913, and RMSEA=.060. After calculating and verifying construct reliability (CR) and average variance extracted (AVE) to verify convergent validity and discriminant validity, validity was verified. Lastly, measurement reliability verification with Cronbach’s α checked internal consistency and all were found acceptable. Therefore, it was found that construct validity was satisfied with the final 6 factors (Thin, Muscular, General Attractiveness, Family, Peers and Significant Others: PSO, and Media) and 25 questions. 이 연구는 무용전공 대학생의 외모에 대한 사회문화적 태도 척도(SATAQ-4R)를 개념적, 통계적으로 타당화 하는데 목적이 있다. 이를 위해 Schaefer등(2016) 등이 개발한 SATAQ을 대해 전문가를 통해 검사내용에 기초한 증거로 문항분석을 실시하였으며, 문항에 대한 신뢰도 분석, 탐색적 요인분석 및 확인적 요인분석을 통해 타당도를 검증하였다. 구조방정식 모형을 적용하여 문항의 적합도를 검증한 결과 CFI=.924, TLI=.913, RMSEA=.060으로 적합하게 나타났으며 수렴타당도와 판별타당도 확인을 위해 개념신뢰도(CR)와 평균분산추출지수(AVE)를 산출하여 검증한 결과 타당도가 확인되었다. 마지막으로 도구의 신뢰도검증은 Cronbach’s α로 내적일관성을 확인한 결과 모두 수용할 만한 것으로 나타났다. 따라서 최종 6요인(마른/적은 체지방, 근육질, 전반적인 매력, 가족압력, 동료 및 소중한 사람압력, 미디어압력), 25문항의 설문지로 구인타당도를 만족하는 것으로 나타났다.