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내시경을 이용한 코경유눈물주머니코안연결술의 수술 시간 관련 예측 인자
박혜인(Hye In Park),이강원(Kang Won Lee),강성모(Sung Mo Kang) 대한안과학회 2017 대한안과학회지 Vol.58 No.7
목적: 내시경을 이용한 코경유눈물주머니코안연결술 시행에 있어서 수술 시간에 영향을 미치는 예측 인자에 대해 분석하고자 한다. 대상과 방법: 2009년 4월부터 2014년 6월까지 5년에 걸쳐 내시경을 이용한 코경유눈물주머니코안연결술을 받은 66명 66안을 대상으로 수술 시간을 측정하고, 환자의 나이, 성별, 질환의 분류(염증성 vs. 비염증성), 전신 질환(당뇨, 고혈압, 항응고제 사용 여부, 부비동염 과거력), 술 전 안와 컴퓨터 단층 사진을 통해 측정한 상악동의 전두돌기 두께 등 각 요인들과 수술 시간의 관련성, 수술 시간과 증상 재발 혹은 재수술 여부의 상관관계에 대하여 후향적 분석을 시행하였다. 비정상적 비강 구조를 가진 경우, 다른 수술을 동반 시행했거나 코경유눈물주머니코안연결술을 양측에 동시에 시행한 경우는 제외하였다. 결과: 평균 수술 시간은 49.95분이었다. 또한 코눈물길 막힘의 원인을 분류했을 때 비염증성보다 염증성의 경우(p=0.047)에서 술 전안와 컴퓨터 단층 촬영을 통해 측정한 상악동의 전두돌기 두께가 얇을수록 평균 수술 시간이 더 짧았다(p=0.001). 또한 연구 기간인 5년을 크게 세 시기로 나누어 분석했을 때 최근 마지막 시기의 수술 시간이 가장 짧은 것으로 나타났다(p=0.001). 또한 수술 시간이 길수록 증상이 재발했거나 재수술을 한 빈도가 높은 것으로 나타났다(p=0.012). 결론: 술자의 숙련도와 코눈물관막힘의 원인을 분석하고 술 전 안와 컴퓨터 단층 사진을 통한 상악동의 전두돌기 두께 측정을 통해 내시경을 통한 코경유눈물주머니코안연결술의 소요 시간을 예측 가능하며 이는 수술 예후와도 관련성이 있다. <대한안과학회지 2017;58(7):757-762 > Purpose: To determine the prognostic factors associated with surgical time of endonasal dacryocystorhinostomy (DCR). Methods: From April 2009 to June 2014, 66 eyes of 66 patients who underwent endonasal DCR for 5-year periods were retrospectively evaluated with regard to surgical time and several other factors. The factors were patient factors (age, sex), category of diagnosis (inflammation and non-inflammation), and systemic factors (diabetes mellitus [DM], hypertension [HTN], anticoagulant agents, sinusitis history). We divided the study period into three subperiods and compared their surgical time. The anatomical factor of thickness of the maxillary frontal process was evaluated by computed tomography (CT), as was the existence of symptom recurrence after surgery and reoperation according to surgical time. A total of 66 cases (right: 31, left: 35) were included. Any case with concurrent surgery, abnormal structure of the nasal cavity, or bilateral DCR was excluded. Results: Average surgical time was 49.95 minutes. Surgical time of endonasal DCR was short in inflammatory cases (p = 0.047), in the third surgical period (p = 0.001), and was correlated with thickness of the maxillary frontal process (p = 0.001). In addition, surgical time correlated with the existence of symptom recurrence after surgery and reoperation (p = 0.012). Conclusions: It is considered that surgeon skill affects surgical time, and the thickness of the maxillary frontal process by CT will aid in the prediction of surgical time and success rate of endonasal DCR. J Korean Ophthalmol Soc 2017;58(7):757-762
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자원봉사 개념화를 위한 시론 -가족복지적 관점에서 본 가족원 역할-
박혜인 ( Hye In Park ) 한국아동가족복지학회 2002 한국가족복지학 Vol.7 No.1
This study is intended to clarify the family welfare concept and to induce volunteer activities, which related to family characteristics and family member`s voluntary participation motives. Voluntary activities would enhance the quality of life by family welfare service agencies, welfare practice programs, manager`s ability, the managering program and their skills. Therefore it would be essential for the family members to participate into voluntary activities to over come the family conflicts and family problems.
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조선총독부청사 철거문제를 통해 본 한국건축계의 의식변화에 관한 연구
박혜인(Park Hye-In),김현섭(Kim Hyon-Sob) 대한건축학회 2010 대한건축학회논문집 Vol.26 No.10
The purpose of this research is to study on the change of consciousness in Korean architectural circles through the demolition matter of the Chosun Government General Building. The function of the building has changed several times throughout the Korean modern history owing to its context related to history, location, and architectural & constructional style. In particular, the demolition of this building became a turning point for Korean architectural circles to raise their consciousness. That is to say, this event made them rethink about an interpretation of historical buildings and also about placeness of them in the historical urban context. In addition, they pursued independence of architecture from external factors like the political power, and tried to reach to a contact point between architecture and the public. However, the change of their consciousness still left limitations to be considered, such as that they were not able to subjectively interpret Korean modernity and that no practical movements followed up to complete the demolition debates. Despite these limitations, this paper argues that the debates concerning the building's demolition were meaningful in itself, particularly because they illustrated social meanings of architecture and raised Korean architectural circles' consciousness in history.
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박혜인(Hye In Park) 한국아동가족복지학회 2001 한국가족복지학 Vol.6 No.1
The first purpose of this study is to identify the characteristics of the family ritual transition in order to comprehend the structural and symbolic process of Korean family life. And the second purpose is to explore the directions toward the new century in the rapidly industrializing Korea. It may be summarized as follows: I discovered the pervasive themes of family ritual transition : westernization, commercialism, socialization, feudalism, cultural lag and anomie. But contemporary rituals repoduce the forms and contents of traditional ones as family rituals. They continue to provide a place where participants reproduce the ideology of patriarchal family group. Therefore foreign elements exist in parallel with pre-existing traditional elements. Therefore, in contemporary rituals the family must restore its cultural meaning as a space for the interaction among family members, kins and neighbors. So culture movement to accede creative family ritual tradition by NGO is recommended.
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지역사회 청소년에서 체중과 자아존중감, 우울 및 불안 간의 관계
박혜인(Hye-In Park),권선영(Seon-Young Kwon),정철호(Chul-Ho Jung) 대한생물치료정신의학회 2010 생물치료정신의학 Vol.16 No.1
Objectives:This study was designed to evaluate the association among the degree of obesity, body satisfaction, self-esteem, depression and anxiety in adolescents, and to examine the mediation effect of self-esteem on body satisfaction and psychological distress such as depression and anxiety. We also sought to investigate the gender differences between depression and anxiety according to the degree of obesity. Methods:The information on weight, height, age and gender was collected from 342 high school students. The self-reporting questionnaires composed of Visual analog scale of body satisfaction, Rosenberg Self-Esteem Scale(RSES), Korean version of Beck Depression Inventory(BDI), and State-Trait Anxiety Inventory(STAI) were completed by the subjects and the results were analyzed. Results:112(63.3%) of the 177 male students were normal, 25(14.1%) were overweight, and 40(22.6%) were obese. 140(84.8%) of the 165 female students were normal, 14(8.5%) were overweight, and 11(6.7%) were obese. Body Mass Index(BMI) of the male students was negatively correlated with body satisfaction and RSES and was positively correlated with BDI and STAI. BMI of the female students had significantly negative correlation only with body satisfaction. Body satisfaction and RSES were negatively correlated with BDI and STAI among both male and female students. As a result of path analysis, self-esteem mediated the association between body satisfaction and psychological distress such as depression and anxiety. As the three weight groups were compared with the mean score of each scale, there were significant differences among the male groups in body satisfaction, RSES, BDI and STAI. However, there was significant difference only in body satisfaction among the three female groups. Conclusion:These findings showed that the more obese the adolescents were, the lower their body satisfaction was. They also suggested that its effect on psychological distress such as depression and anxiety was mediated by self-esteem. Therefore, it suggests that psychological approach for improving self-esteem and correcting the distorted cognition for body image is helpful for the obese adolescents.
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