개정한정승인제도에 관한 소고

김유미 ( Yoo Mee Kim ) 아세아여성법학연구소 2003 아세아여성법학 Vol.6 No.-

In 1998 the Constitutional Court concluded that § 1026 ② of korean civil law was not coincident to the coincidetutional law of korea and ordered co amend the article, after chat there was an amendent of § 1019 ③, § 1026 ②and transitional provision which limited the application of the retroactive effect of § 1019 ③. This paper is to point out some problems of the new articles on the qualified acceprance. I have some conclusions as follows; first the revised bill of the government on the § 1034, § 1038 is not necessary, second § 1024 ②must be amended so that the successor can revoke his qualified acceptance for ten years from the opening of succession. Third the retroactive effect of § 10(9 ③ must not be limited, instead there muse be a period to exclude the qualified acceptance for ten years from the opening of succession.

인슐린 저항성이 있는 제 2형 당뇨병 환자에서 Rosiglitazone의 치료 효과 및 반응도 예측인자의 분석

김유미 ( Yoo Mee Kim ),김대중 ( Dae Jung Kim ),강은석 ( Eun Seok Kang ),김혜진 ( Hae Jin Kim ),이광은 ( Kwang Eun Lee ),정혜원 ( Hae Won Chung ),최성희 ( Seung Hee Choi ),안철우 ( Chul Woo Ahn ),차봉수 ( Bong Soo Cha ),송영득 ( Yo 대한내과학회 2003 대한내과학회지 Vol.64 No.1

목적 : Rosiglitazone은 thiazolidinedione계 약물로, PPARγ 핵수용체에 작용하여 인슐린 저항성과 관련된 여러 가지 대사장애를 개선시킬 수 있는 약물로 알려져 있다. 본 연구는 metformin과 sulfonylurea 등의 기존의 경구 혈당 강하제로 혈당조절이 되지 않고, 인슐린 저항성을 갖은 제 2형 당뇨병 환자를 대상으로 rosiglitazone 병용투여를 통해 혈당조절 정도와 인슐린 저항성 및 인슐린 분비능의 개선정도를 Background : Rosiglitazone, an insulin sensitizer of thiazolidinedione class, is known as a highly selective and potent agonist for the peroxisome proliferator-activated receptor-γ. This study was performed to evaluate the antidiabetic activity and insuli

조손가족 조부모의 손자녀 양육경험에 대한 근거이론접근

김유미 ( Yoo Mee Kim ),김명희 ( Myung Hee Kim ),정여주 ( Yeo Joo Jung ) 한국사회복지연구회 2008 사회복지연구 Vol.38 No.-

비비만인에서 발견되는 비알콜성 지방간의 대사적 의미

이광은 ( Kwang Eun Lee ),김유미 ( Yoo Mee Kim ),강은석 ( Eun Seok Kang ),김혜진 ( Hae Jin Kim ),정혜원 ( Hae Won Chung ),이시훈 ( Sh Hoon Lee ),김형진 ( Hyeung Jin Kim ),김대중 ( Dae Jung Kim ),김수경 ( Soo Kyung Kim ),안철우 ( Ch 대한내과학회 2002 대한내과학회지 Vol.63 No.5

N/A Background : It is well known that non-alcoholic fatty liver disease is associated with metabolic syndrome such as obesity, type II diabetes mellitus, dyslipidemia. Non-alcoholic fatty liver disease is frequently found in non-obese adults, but the meaning of it is unknown. So we studied the association of non-alcoholic fatty liver disease in non-obese adults and metabolic abnormalities. Methods : We examined 779 Korean adults above 30 years old (274 men, 505 women) participating in medical check-up in Health Promotion Center. Hepatitis B and C serologies were negative, and average weekly alcohol intake was .2 drinks. A standard interview, physical examination and biochemical study was conducted. An experienced operator carried out ultrasound liver studies. Results : 370 subjects had non-alcoholic fatty liver disease (47.3%). The frequency in men was higher than that in women (57.3 vs 42.2%, p<0.05). The frequency in non-obese (BMI<25 kg/m2, n=431) group was lower than that in obese (BMI.25 kg/m2, n=348) group (65.5 vs 32.3%, p<0.05). Compared with obese group, waist circumference, waist hip ratio, body fat, impaired fasting serum glucose, total cholesterol, HDL-cholesterol, total cholesterol to HDL-cholesterol ratio, fasting insulin, proinsulin, HOMA-IR and HOMA-beta were significantly different in non-obese, non-alcoholic fatty liver group. After multiple regression analysis, waist circumference was associated with non-alcoholic fatty liver disease in non-obese individuals. Odd ratios of insulin resistance in non-obese, non-alcoholic fatty liver group were 5.8 (CI: 3.1.10.9). Conclusion : The frequency of non-alcoholic fatty liver disease was very high in non-obese adults and well associated with central obesity and insulin resistance.(Korean J Med 63:488-495, 2002) Key Words : Non - alcoholic fatty liver disease, Body mass index, Metabolic syndrome, Central obesity

원저 : 한국 성인 대사증후군 환자에서 허리둘레의 기준치수에 관한 연구

최성희 ( Sung Hee Choi ),김대중 ( Dae Jung Kim ),이광은 ( Kwang Eun Lee ),김유미 ( Yoo Mee Kim ),송영득 ( Young Duk Song ),김하동 ( Ha Dong Kim ),안철우 ( Chul Woo Ahn ),차봉수 ( Bong Soo Cha ),허갑범 ( Kap Bum Huh ),이현철 ( Hyun 대한비만학회 2004 The Korean journal of obesity Vol.13 No.1

연구 배경: 대사증후군의 진단 기준은 현재 National Cholesterol Education Program Adult Treatment Panel III(NCEP ATP III) 의 기준이 세계적으로 받아들여지고 있다. 그러나, 서양인의 체형에 근거한 이러한 진단기준은 동양인에게 부적합한 것으로 보고되고 있다. 2000년 WHO 서태평양 지부에서는 동양인의 비만의 진단 기준으로 체질량 지수는 25.0㎏/㎡ 이상, 복부비만의 허리 둘레의 기준치는 남 Backgrounds: The metabolic syndrome is the clustering of cardiovascular risk factors such as glucose intolerance, hypertension, dyslipidemia and visceral obesity. The National Cholesterol Education Program Adult Treatment Panel III(NCEP ATP III) criterion

진균성 부비동염의 병리학적 유형에 따른 치료 효과 및 임상 양상

김유미,허애정,임홍석,허규연,장경희,홍성관,김창오,염준섭,최영화,송영구,김준명 대한의진균학회 2001 대한의진균학회지 Vol.6 No.3

Background: There are three basic types of fungal sinusitis: noninvasive, invasive, and allergic. Both noninvasive and invasive fungal sinusitis necessarily require surgery with or without antifungal treatment. This study was performed to evaluate the efficacy of treatment modalities and clinical characteristics between pathologically proven noninvasive and invasive fungal sinusitis. Methods: 40 patients pathologically proven to have fungal sinusitis from July, 1990 to January, 2000 were enrolled in this study. This retrospective study was performed in Severance Hospital, Yong-Dong Severance Hostpital and Ah-Joo University Hospital. The efficacy of treatment modalities and prognosis between pathologically proven noninvasive group (group A) and invasive group (group B) were evaluated. Results: Of the to total 140 patients, 13 were male and 27 were female, and the mean age was 51.6± 14.2 years, 32 patients belonged to noninvasive group and 8 Patients belonged to invasive group. Of the total 40 patients, 20 (50%) patients had underlying diseases, such as 8 cases of Diabetes Mellitus, 3 cases of hematologic malignancy, 2 cases of solid cancer, 1 case of steroid overuse, and the others 6 cases. In group A, only 12 patients (37.5%) had underlying diseases, however, all 8 patients (100%) in groups B had underlying diseases. All 32 patients of groups A went chronic course but in group B, all 8 patients appeard to be acute in course. The pathogens were classified to 36 cases of Aspergillus spp. (69.2%),3 cases of Rhizopus spp. (5.8%), and 1 case of Candida spp. (1.9%). As for the treatment modalities, in group A, 30 cases had surgery only and 2 cases performed surgery and antifungal treatment. Both showed 100% of treatment efficacy. In group B, 5 cases were treated with antifungal therapy only and 2 cases performed surgery and antifungal treatment. The former showed 20% and the latter, 33% of treatment efficacy. Noninvasive fungal sinusitis revealed good results even in surgery only therapy, but invasive fungal sinusitis tended to reveal better results in both surgery and antifungal treatment. Conclusion: The pathologic type of fungal sinusitis is now thought to be very important for the choice of treatment modalities and efficacy of treatment. Also the type of pathogens, immunologic state of patients, and early diagnosis of fungal sinusitis attribute to the treatment efficacy of fungal sinusitis. [Kor J Mee Mycol 6(3): 167-173]

자기조절전략 수업과 상위인지가 아동의 작문수행에 미치는 효과

김유미 한국교육학회 1996 敎育學硏究 Vol.35 No.5

본 연구는 자기조절전략 수업의 효과와 상위인지 수준에 따른 작문수행의 차이 및 자기조절전략 수업과 상위인지 수준이 작문수행에 미치는 상호작용 효과를 연구하기 위해 이루어졌다. 연구 대상자는 국민학교 6학년 학생 78명(2학급)으로, 각 학급을 실험집단과 통제집단에 각각 무선으로 배정하여, 10차시에 걸친 실험을 실시하였다. 본 연구에 사용된 측정도구는 상위인지 검사와 작문검사(사전검사, 직후검사, 파지검사)이다. 분석결과는 다음과 같다. 1) 자기조절전략 수업의 효과는 긍정적이었다. 2) 상위인지 수준이 높은 집단의 작문수행이 전반적으로 높았다. 3) 자기조절전략 수업과 상위인지 수준이 작문수행에 미치는 상호작용 효과는 없었다. 일반학급에서 자기조절전략 수업의 적용가능성에 대해서 논의한다. The purposes of this study were to examine the effects of self-regulating strategy instruction and metacognition on the writing performance, and to test the interactive effectiveness of metacognition to the effects of self-regulating strategy instruction on the writing performance. The subjects were 78 students in grade 6 who had been randomly assigned to experimental group and control group. Prior to the experimental treatment, the writing and metacognition test were administered. And then experimental group was treated with self-regulating strategy instruction, while control group was treated with traditional procedure. The instruction lasted for 10 sessions, each session consisting of 40 minutes. In order to test the effectiveness of the self-regulating strategy instruction, pretest, posttest (immediately after the instruction), delayed posttest (three weeks after the instruction), and transfer test were administered. In scoring writing tests, Two different kinds of criteria were applied, thus yielding two different kinds of scores, primary trait scores and holistic score, respectively. The results were analyzed by using a 2(experimental group and control group)×2(low group and high group by metacognition level) analysis of variance. The findings of the study were as follows: 1. Both primary trait scores(total) and holistic score of the posttest were significantly higher in experimental group than control group. To describes a little further, of the six sub-criteria of primary trait scores, five sub-criteria scores exceeded significantly those of control group with exception of a "data" sub-criteria. 2. The delayed posttest scores of experimental group were significantly higher than those of control group in primary trait scores(total) and holistic score. The results for the 6 sub-criteria scores of primary trait scores showed statistically significant effects for claims, warrant, proposition. 3. The transfer test score of experimental group showed higher than that of control group. The difference was statistically significant. 4. The pretest scores of the high metacognition group showed higher than those of the low metacognition group in the writing test. The results for primary trait scores (total), holistic score, and 6 sub-criteria scores of primary trait scores indicated that there were significant effects for primary trait scores(total), holistic score, claims, data, and warrant. 5. The scores of all three tests given after the experimental treatment showed no statistically significant interaction effects between the instruction and the metacognition in both primary trait scores and holistic score. However, of the six sub-criteria scores, only the "data" score showed significant interaction effects between the instruction and the metacognition. The above results could be taken as the indication that the self-regulating strategy instruction could be applied in regular classrooms to promote writing performance including students with learning disabilities.

상안와열 증후군을 동반한 안와로 전이된 원발성 간세포암 1예

김유미,심광용,노재경,박정엽,유내춘 대한내과학회 2001 대한내과학회지 Vol.60 No.2

The superior orbital fissure syndrome is a rare condition characterized by opthalmoplegia, ptosis, and proptosis of the eye, fixation and dilation of the pupil, and anesthesia of the upper eyelid and forehead. Tumor metastasis to the orbit is uncommon and there were only 11 histologically proven cases of metastatic hepatocellular carcinoma to the orbit. There was only one case of metastatic hepatocellular carcinoma to the orbit with superior orbital fissure syndrome. The prognosis were poor for all reported cases, but palliative radiotherapy could be some help. We report a rare case of metastatic hepatocellular carcinoma to the orbit with superior orbital fissure syndrome.(Korean J Med 60:179-182, 2001)

초기 당뇨병성 신증과 동반된 Erythropoietin 결핍성 빈혈에 대한 합성 조혈호르몬의 치료효과

김대중,김수경,김형진,김유미,윤용석,안철우,차봉수,송영득,임승길,김경래,이현철,허갑범 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.5

연구배경:본 연구자 등은 과거에 진행성 당뇨병성 신증 이전 단계에서 원인미상의 빈혈을 동반한 환자들을 관찰할 수 있었으며, 빈형에 대한 Epo의 반응성 감소, 즉 Epo의 상대적 결핍이 빈혈의 원인이 될 수 있음을 보고한 방 있다. 이에 본 연구의 목적은 초기 당뇨병성 신증과 동반된 Epo 결핍성 빈혈에서 rHuEpo의 치료효과를 보고자 하였다. 방법:총 29명의 Epo 결핍성 빈혈을 가진 당뇨병 환자를 Epo 투여군(남:여=8:12, 평균나이 52.9±12.4세)로 무작위 배정하였다. Epo 투여군에게는 rHuEpo(Epokine,㈜제일제당)을 하루 4,000단위씩 주 3회 피하주사하였고 최대 8주간 사용하였다. 추적기간 동안 혈색소치가 2g/dL 이상 상승하거나 혈색소치가 남자 14g/dL, 여자 13g/dL 이상으로 상승한 경우를 반응군으로 하였고 나머지를 비반응군으로 하였다. 결과: Epo 투여군과 대조군 사이의 임상적 및 생화학적 특성의 차이는 없었다. 반응군(n=14)은 비반응군과 대조군에 비해 치료 8주째 의미있는 혈색소치의 상승을 보였다(각각 13.6±1.0, 10.1±1.5, 11.2±1.2g/dL, p<0.01). 반응군의 rHuEpo의 평균투여기간은 4.9±2.3주였다. Epo 투여군중 반응군과 비반응군 사이의 성별, 연령, 당뇨병의 유병기간, 혈청 크레아티닌치, 24시간 소변내 알부민농도, 당뇨병성 미세혈관합병증의 유무, 그리고 혈청 Epo 농도의 차이는 관찰되지 않았다. 그러나 반응군은 비반응군에 비해 혈청 ferritin(각각 240.3±108.4, 25.8±3.0㎍/L, p<0.05)과 transferrin saturation(각각 32.7±7.9, 21.2±5.3%, p<0.05)이 의미있게 높은 소견을 보였다. 결론:이상의 결과로 초기 당뇨병성 신증과 동반된 Epo 결핍성 빈혈에서 rHuEpo의 투여를 통해 빈혈을 교정할 수 있었으며, rHuEpo에 대한 반응의 정도는 당뇨병과 관련된 임상적 특성보다는 기능성 철결핍 정도와 관련되어 있다고 생각된다. Background : We have previously reported that reduced erythropoietin (Epo) responsiveness to anemia could explain the anemia in diabetic patients before advanced diabetic nephropathy. Thus, the aim of this randomized prospective study is to investigate the therapeutic effect of recombinant human erythropoietin (rHuEpo) on anemia with Epo deficiency in early diabetic nephropathy. Methods : Twenty-nine diabetic patients with the normocytic normochromic anemia of Epo deficiency were randomized into Epo-treatment group (n=20, M:F=8:12, mean age=52.9±9.2) and control group (n=9, M:F=4:5, mean age=53.6±12.4). Twenty patients of Epo-treatment group were treated with rHuEpo (Epokine® (CheiUedang Co.) 4,000 unit/ day SC., 3 times/ week) for 8 weeks. The Epotreatment group were divided into the responder or non-responder. Patients with increments in Hemoglobin (Hb) during the follow-up duration was above 2g/ dL, or with the final Hb was above 14g/ dL in men or 13g/ dL in women were decided the responder. In order to analyze factors affecting the therapeutic effects of rHuEpo, the clinical and biochemical characteristics were compared between the responder and non-responder group. Results : There was no difference in the clinical and biochemical characteristics between the Epo-treatment and the control group at randomization. The responder group (n=14) had significant increments in Hb, compared to the non-responder group (n=6) or the control group (13.6±1.0 vs. 10.1±1.5 vs 11.2±1.2g/ dL, p<0.001, respectively). The treatment duration of rHuEpo in the responder group was 4.9±2.3 weeks. Among the Epo-treatment group, there was no differences between the responder and the non-responder group in sex, age, duration of diabetes, serum creatinine level, 24 hour urinary album in excretion rates, HbA_1c, frequency or severity of microangiopathy, and serum Epo level. However, the responder group had higher serum ferritin (240.3±108.4 vs 25.8±3.0 ㎍/L, p<0.05) and transferin saturation level (32.7±7.9 vs 21.2±5.3 %, p<0.05). Conclusion : These results concluded that the administration of rHuEpo could be useful in treating anemia with Epo deficiency in early diabetic nephropathy and that the degree of iron storage and functional iron deficiency might affect the therapeutic effects of rHuEpo on this type of anemia (J Kor Diabetes Asso 25:364~373, 2001).

개인 맞춤형 정보서비스 현황연구 : 전문도서관 SNS와 RSS

김유미, 유사라 서울여자대학교 사회과학연구소 2015 사회과학논총 Vol.22 No.-

전문도서관은 특수한 정보 요구를 갖는 이용자를 대상으로 하는 도서관으로 최근 이용자 개인 맞춤형 정보 서비스를 발전시키고 있다. 맞춤형 정보 서비스를 실현할 수 있는 SNS와 RSS의 적용실태를 국내 전문도서관을 대상으로 조사하고 제공되는 서비스에 대한 담당자 설문조사와 심층 인터뷰를 진행했다. 본 연구는 조사결과를 바탕으로 맞춤형 정보 서비스의 현주소와 문제점 그리고 개선여부를 진단하는 목적을 갖는다. In overcoming the functional limitations of library home-pages, many libraries take advantage of SNS and RSS to provide new information services that users can get involved and share their ideas with others. By examining the meaning of SNS and RSS, the need to take advantage of such services in special libraries(publidc sector) were discussed. A survey and interviews with special libraries on the current status as well as practical difficulties of SNS and RSS services were conducted, and some implications based on the results were summarized.