廉想涉의 후기소설

김유림 강원대학교 국어교육과 1992 語文學報 Vol.15 No.-

뇌성마비 아동의 한방 및 보완대체의료 이용 실태

김유림,구현경,윤영주,Kim, Yurim,Gu, Hyungyung,Yun, Youngju 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.2

Objective : The aim of this study was to review the use of Korean medicine (KM) or Complementary and Alternative Medicine (CAM) therapies among children with cerebral palsy (CP). Method : Literature searches were performed using Pudmed, CNKI, J-STAGE and four Korean databases. We investigated the frequency, types, predictors of the use of KM or CAM therapies used in children with CP. Results : Thirteen survey studies including use of KM or CAM among children with CP were selected - six Korean studies and seven overseas studies. The utilization rate of CAM among children with CP varied 26.8~56.0% according to the studies. CP children used KM or CAM more than other children with chronic disease. Acupuncture and Korean herbal medicine was the major treatment used in Korea, however physical manipulations such as massage, osteopathy and chiropractic were in high demand in western country. Disease severity of CP, use of CAM in the past by the parent or family member and high education of parent are the factors that significantly affect CAM utilization. Conclusion : Further studies on effectiveness and safety of KM therapies combined with conventional rehabilitation treatment would be required to expand the implementation of KM treatment for CP children.

청소년의 자살위험이 흡연에 미치는 영향에 대한 성별 비교: 제17차(2021) 청소년건강행태조사를 중심으로

김유림,이정원,송경진 한국청소년학회 2023 청소년학연구 Vol.30 No.9

본 연구의 목적은 청소년의 흡연에 영향을 미치는 자살위험 특성을 확인하고, 성별에 따른 차이를 확인하고자 하였다. 본 연구는 제17차(2021년) 청소년건강행태조사에 참여한 54,848명을 포함한 원시자료를 2차 분석하였다. 분석 결과 자살위험 특성 모두 청소년의 흡연에 영향을 미치는 것으로 나타났다. 성별로 분리하여 살펴보면, 남학생의 경우 자살위험 특성 중 자살 생각, 자살 계획, 자살 시도 경험이 있는 경우 흡연 가능성이 높아지는 것으로 나타났으며, 여학생의 경우 자살 생각, 자살 시도 경험이 있는 경우 흡연 가능성이 높아지는 것으로 나타났다. 또한 자살 생각, 자살 시도는 청소년의 흡연에 영향을 주는 강력한 요인이지만 여학생에게 더 큰 영향을 주는 것으로 밝혀졌다. 본 연구는 이러한 결과를 토대로 성별 차이를 고려하여 대상자 맞춤형으로 설계된 자살위험 예방 심리상담 및 교육프로그램을 제공하여 청소년들의 흡연의 위험성을 낮추고, 더욱 나아가 건강한 정신건강의 유지 및 증진을 위해 자살문제와 흡연문제를 통합적인 관점에서 접근되어야함을 시사한다. The purpose of this study was to identify the characteristics of suicide risk that affect adolescents' smoking and to confirm gender differences. This study analyzed raw data, including 54,848 people who participated in the 17th (2021) Korean Youth Behavior Survey. As a result of the analysis, it was found that all characteristics of suicide risk affect adolescents' smoking. Among the suicide risk characteristics, male students are more likely to smoke if they have suicidal thoughts, suicide plans, or attempted suicide, while female students are more likely to smoke if they have suicidal thoughts and attempted suicide. In addition, suicidal thoughts and suicide attempts are powerful factors that affect adolescents' smoking, but they have been found to have a greater impact on female students. Based on these results, this study suggests that suicide and smoking issues should be approached from an integrated perspective to reduce the risk of smoking in adolescents and further maintain and promote healthy mental health by providing psychological counseling and education programs customized for suicide risk prevention.

대학생의 사회적 문제해결력에 미치는 지각된 부모의 심리적 통제의 영향 : 자아존중감의 매개효과를 중심으로

김유림,강지현 교육종합연구원 2014 교육종합연구 Vol.12 No.4

This study aimed to investigate whether self-esteem would mediate the relation between parental psychological control and social problem solving of college students in emerging adulthood. The subjects included 356 college students registered in a four-year college or university in Seoul Metropolitan area. The results of multiple regression analysis showed that self-esteem functioned partially as a mediator in the relation between parental psychological control and social problem solving. The present study was found that parental psychological control continued to have valid effects in college students. The finding that the self-esteem mediated the relation between parental psychological control and social problem solving suggests that counseling interventions focusing on self-esteem can be effective in counseling practice with college students.

Waldenstrom Macroglobulinemia with CD5+ Expression Presented as Cryoglobulinemic Glomerulonephropathy: A Case Report

김유림,공수정,황영환,주종은,조영욱,이정애,성수아,이소영,김내유 대한의학회 2011 Journal of Korean medical science Vol.26 No.6

Waldenstrom macroglobulinemia (WM) is a B-cell lymphoproliferative disorder associated with bone marrow involvement of lymphoplasmacytic lymphoma (LPL) and an IgM monoclonal gammopathy. Generally B-lymphocytes in LPL do not express CD5 that is important for differential diagnosis of B-cell lymphoproliferative disorders. In WM, various renal diseases and type I cryoglobulinemia are well described separately, but cryoglobulinemic glomerulonephropathy is very rarely reported. A 61-yr-old woman complained of generalized edema, cyanosis of the extremities in cold weather, visual disturbance, and pancytopenia. Bone marrow and renal biopsy showed CD5+ expressing B-cells and cryoglobulinemic glomerulonephropathy. With the diagnosis of WM, she received cyclophosphamide, doxorubicin, vincristine and prednisolone chemotherapy and got complete remission. Here, we report a rare case of WM associated with unusual expression of CD5+ B-lymphocytes and cryoglobulinemic glomerulonephropathy, and emphasize the importance of the clinical features in differentiating CD5+ B-cell lymphoproliferative disorders.

국내 다문화 청소년의 사회적 건강결정요인: 통합적 문헌고찰(2018~2020)

김유림,이현경,이혜연,이미경,김수경,Kennedy Diema Konlan 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.4

Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl’s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

1200V급 SiC 기반 트렌치 게이트 MOSFET의전기적 특성에 관한 연구

김유림,이동현,김민서,최진우,강이구 한국전기전자학회 2023 전기전자학회논문지 Vol.27 No.1

This research was carried out experiments with changing processes and design parameters to optimally designa SiC-based 1200V power MOSFET, and then, essential electrical characteristics were derived. In order to securethe excellence of the trench gate type SiC power MOSFET device to be designed, electrical characteristics werederived by designing it under conditions such as planner gate SiC power MOSFET, and it was compared with thetrench gate type SiC power MOSFET device. As a result of the comparative analysis, the on-resistance whilemaintaining the yield voltage was 1,840mΩ, for planner gate power MOSFET and to 40mΩ for trench gate powerMOSFET, respectively, indicating characteristics more than 40 times better. It was judged that excellent resultswere derived because the temperature resistance directly affects energy efficiency. It is predicted that the devicesoptimized through this experiment can sufficiently replace the IGBT devices generally used in 1200V class, andthat since the SiC devices are wide band gap devices, they will be widely used to apply semiconductors forvehicles using devices with excellent thermal characteristics. 본 연구에서는 SiC 기반의 1200V급 전력 MOSFET을 최적 설계하기 위하여 공정 및 설계 파라미터를 변화시키면서 실험을 수행한 후, 필수적인 전기적 특성을 도출하였다. 그리고 최종적으로 설계하고자 하는 트렌치 게이트형 SiC 전력 MOSFET 소자의 우수성을 확보하기 위하여 플래너 게이트 SiC 전력 MOSFET을 같은 조건하에 설계하여 전기적인 특성을 도출하여 트렌치 게이트형SiC 전력 MOSFET 소자와 비교 분석을 하였다. 비교 분석한 결과, 항복전압을 그대로 유지한 상태에서 온 저항은 각각 플래너게이트 전력 MOSFET은 1,840mΩ, 트렌치 게이트 전력 MOSFET는 40mΩ으로 약 40배 이상 우수한 특성을 도출하였다. 온 저항은에너지 효율에 직접적인 영향을 끼치는 바 에너지 효율에 있어 우수한 결과를 도출한 것으로 판단되었다. 본 실험을 통해 최적화된소자는 1200V급에 일반적으로 사용되었던 IGBT소자를 충분히 대체 가능한 것으로 판단되었다.

대학생의 애착불안과 SNS 중독경향성의 관계: 과도한 재확인 추구의 매개효과

김유림,서장원 한국건강심리학회 2022 한국심리학회지 건강 Vol.27 No.2

Although social network service (SNS) is an important service to develop and maintain intimate relationships among university students, maladaptive behaviors like excessive use may result in serious psychological problems. In this study, we investigated the relationship between SNS use behaviors and attachment style that has been regarded as a reliable developmental origin of interpersonal problems and addiction. Especially, the relationship between anxious attachment and SNS addiction proneness was examined and the median effect of excessive reassurance-seeking on the relationship between the two variables was tested. We administered self-reports that assess SNS addiction proneness, excessive reassurance-seeking and anxious attachment style to a sample of university students (N = 271), and conducted correlation and mediation analyses. Our results showed that anxious attachment, excessive reassurance-seeking and SNS addiction proneness were positively correlated. In addition, it was found that excessive reassurance-seeking partially mediate the relationship between anxious attachment and SNS addiction proneness. These findings suggest that it may be crucial to consider interpersonal features such as anxious attachment and excessive reassurance-seeking when treating SNS addiction proneness in university students. 대학생들에게 Social Network Service(SNS)는 친밀한 관계를 형성하고 유지하기위해 필요한 중요한 서비스이다. 하지만 SNS를 과도하게 사용하는 등의 부적응적인 행동은 중독과 같은 심각한 심리적 문제로 이어질 수 있다. 본 연구에서는 SNS의 부적응적 사용양상을 이해하기 위한 일환으로 대인관계 문제 및 중독의 유력한 발달적 기원으로 알려진 애착과 SNS 사용양상의 연관성을 살펴보았다. 특히 애착불안과 SNS 중독경향성의 관계를 탐색하였으며, 두 변인의 관계를 부적응적 대인관계 행동 및 동기 요인인 과도한 재확인 추구가 매개하는지를 검증하였다. 이를 위해 대학생 271명을 대상으로 SNS 중독경향성 척도와 친밀관계 경험 척도-개정판, 우울한 대인관계 질문지-재확인 추구 하위척도를 실시하였고, 수집된 자료에 대해 상관분석 및 매개효과 검증을 실시하였다. 분석 결과, 애착불안과 SNS 중독경향성, 과도한 재확인 추구는 정적 상관관계를 맺고 있는 것으로 확인되었다. 또한 애착불안과 SNS 중독경향성의 관계를 과도한 재확인 추구가 부분매개하는 것으로 나타났다. 이러한 결과는 대학생의 SNS 중독경향성을 개선하고자 할 때 애착불안이나 과도한 재확인 추구와 같은 대인관계 관련 특징들을 고려하는 것이 중요할 수 있음을 시사한다.

총체적 언어 교수법

김유림 한국영어언어과학학회 조기영어교육연구소 1998 English Linguistic Science Vol.- No.1

사람 대장 상피세포에서 HO-1의 세포내 칼슘 조절과 TNF-α에 의한 NF-κB 활성 억제

김유림,장성조 대한해부학회 2006 Anatomy & Cell Biology Vol.39 No.5

Heme oxygenage-1 (HO-1) is the rate-limiting enzyme in heme catabolism, which leads to the generation of carbon monoxide (CO), biliverdin, and free iron. HO-1 has been known to show strong immunosuppressive properties although its mechanisms are not completely understood. In this study, it was therefore investigated anti-inflammatory properties of HO-1 in HT-29 cell, human colonic epithelial cell line. CoPPIX, HO-1 inducer, induced HO-1 expression without NF-κB activation and significantly blocked the IκB-α degradation by TNF-α in HT-29. Inhibition of HO-1 activity by ZnPPIX reversed the suppressive effects of CoPPIX on IκB-α degradation by TNF-α. Calcium chelating agent BAPTA/AM and calcium channel blockers, Verapamil and Flunarizine suppressed IκB-α degradation by TNF-α in HT-29 cells like CoPPIX while calcium ionophore A23187 also dose-dependently reversed the suppressive effects of CoPPIX on IκB-α degradation by TNF-α like a ZnPPIX. Interestingly, treatment of ZnPPIX increased basal intracellular calcium in HT-29 cells. Collectively, these results suggest that HO-1 exerts anti-inflammatory effects by down-regulation of NF-κB activity via suppression of intracellular calcium during pathogenesis of colitis in colonic epithelium. Heme oxygenase-1 (HO-1)은 heme의 분해 대사과정에 관여하는 속도제한효소(rate-limiting enzyme)로 heme을 분해하여 carbon monoxide (CO), biliverdin과 free iron을 생성시킨다. HO-1은 강력한 면역억제제로 알려 져 있지만 그 기작은 잘 알려져 있지 않다. 따라서 본 논문에서는 대장상피세포주인 HT-29세포에서 HO-1의 항 염증 작용에 대하여 조사하였다. 사람 대장상피세포주인 HT-29 세포에서 HO-1의 유도제인 CoPPIX를 전처리를 하면 TNF-α와 IL-1β에 의한 NF-κB 활성이 현저히 억제된 반면 HO-1 활성 억제제인 ZnPPIX은 CoPPIX의 TNF-α와 IL-1β에 의한 NF-κB 활성 억제효과를 차단하였다. 칼슘 포획제인 BAPTA/AM과 칼슘 채널 억제제인 Verapamil과 Flunarizine은 CoPPIX처럼 TNF-α와 ZnPPIX에 의한 NF-κB 활성을 억제하였고 칼슘 inophore인 A23187은 ZnPPIX처럼 TNF-α에 의한 NF-κB 활성에 대한 CoPPIX의 억제 효과를 농도 의존적으로 저해하였다. 또한 흥미롭게도, ZnPPIX는 염증반응에 중요한 역할을 하는 세포내 칼슘을 증가시켰다. 결론적으로, HO-1이 대장 상피세포내 칼슘을 조절하여 NF-κB의 활성을 억제함으로써 항염증 작용을 한다고 생각한다.