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      • 어울림프로그램을 통한 지적장애인의 스트레스해소와 비장애인의 장애인식개선 효과성에 관한 연구

        백삼현 한국장애인개발원 2017 장애인복지연구 Vol.8 No.1

        In this research, 5 socializing programs in total (camping, sport stacking tournament, movie watching, hiking, cultural experience) were conducted for 25 people with intellectual disabilities and non-disabled people using M welfare center in M city, Jeollanam-do. People with intellectual disabilities were tested for change of stress level before and after each program using health checker, stress measurement equipment. As well, the questionnaire was used to confirm the change of disability awareness of 169 people without disabilities. In order to investigate the change of stress level and awareness improvement on disabilities, this research used SPSS 21.0. Wilcoxon Signed Rank Test, which is non-parametric statistics, was applied for stress level, and Spearman's Rank Correlation Coefficient, which is non-parametric correlation analysis, was used for the questionnaire regarding awareness change on disabilities. Each significance level was set to .05. The results of this study showed that there was a significant difference in the level of cultural experience at .01 and camping at .05, and there was no significant difference in sports stacking tournament, movie watching, and mountain climbing. In light of the improvement of disability awareness, it showed that there was a significant correlations between sports stacking tournament at the level of .001, movie watching at .01 level, and cultural experience at .05 level. On the other hand, camping and mountain climbing showed no significant correlation. Theses results prove that there was a positive change in stress level of people with intellectual disabilities and the improvement of disability awareness of the non-disabled people through socializing program. A necessity for development of stress relieving and improvement of disability awareness programs could be emphasized by identifying the effectiveness of socializing programsin stress relieving of people with intellectual disabilities and improvement of disability awareness. In the future, a variety of new programs for stress relieving of people with intellectual disabilities and improvement of disability awareness should be developed and conducted. 본 연구는 전남 M시에 위치한 M복지관을 이용하는 지적장애인 25명과 비장애인을 대상으로 캠핑, 스포츠스태킹대회, 영화관람, 등산, 문화체험, 총 5개의 어울림프로그램을 진행하였다. 본 어울림프로그램에 참여한 지적장애인은 단위프로그램별 사전·사후 스트레스체크기 헬스체커를 이용하여 스트레스의 변화를 확인하였으며, 비장애인 169명은 설문지를 활용하여 장애인식개선에 변화를 확인하였다. 본 연구의 스트레스와 장애인식개선의 변화를 알아보기 위해 SPSS 21.0을 사용하였고, 스트레스는 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon Signed Rank Test), 장애인식개선 설문은 비모수 상관분석방법인 스피어만 순위 상관계수(Spearman's Rank Correlation Coeffcient)값을 제시하였다. 각각 유의 수준은 .05로 하였다. 본 연구결과 스트레스의 변화를 살펴보면 문화체험이 .01, 캠핑은 .05수준에서 유의미한 차이가 있는 것으로 나타났으며, 스포츠스태킹대회, 영화관람, 등산은 유의미한 차이가 없는 것으로 나타났다. 장애인식개선은 스포츠스태킹대회가 .001, 영화관람이 .01, 문화체험이 .05수준에서 유의미한 상관관계가 있는 것으로 나타났으며 캠핑, 등산은 유의미한 상관관계가 없는 것으로 나타났다. 이러한 결과는 어울림프로그램을 통해 프로그램별 지적장애인의 스트레스와 비장애인의 장애인식개선에 긍정적인 변화가 있는 것을 규명하였다. 따라서, 어울림프로그램을 통해 지적장애인의 스트레스해소와 비장애인의 장애인식개선에 대한 프로그램의 효과성을 규명함으로서 스트레스해소와 장애인식개선의 영역별 프로그램 개발과 필요성을 부각 시킬 수 있었다. 향후 지적장애인의 스트레스해소 및 발생요인에 대한 연구와 장애인식개선을 위한 다양한 신규프로그램을 개발하고 더 많이 시행해야 할 것이다.

      • 다발성 신경초종으로 인해 발생한 일측성 성대마비 1예

        백삼현,김병호,강동기,박준호 대한이비인후과학회 부산,울산,경남 지부회 2010 임상이비인후과 Vol.21 No.1

        The presense of multiple neurilemmomas in one patient is usually indicative of neurofibromatosis II. However, several recent reports have suggested that schwannomatosis itself may also be a distinct clinical entity. We experienced recently a case of 58-year-old man who had unilateral vocal cord palarysis with chest mass verified as neurilemmoma. After 3 months later, tougue deviation was developed and MRI finding shows mass on jubular bulb. Surgical resection was done and mass was verified as neurilemmoma also. The case represents an extremely rare case of multiple neurilemmoma associated with intracranial and extracranial involvement.

      • 가상현실 댄스프로그램이 지적장애인의 스트레스 해소에 미치는 영향

        백삼현 한국장애인개발원 2016 장애인복지연구 Vol.7 No.2

        The purpose of this study was to investigate the effect of virtual reality dancing program on the stress changes in intellectual disabilities. These six participants are the intellectual disabilities who have used Jeon-nam welfare M and voluntarily wish to participate in the virtual reality dancing program. For 2 weeks(total tenth) 5 times a week, Virtual reality dancing program was conducted wherein HRmax`s 50-60% intensity and was confirmed using the program before&after stress checker health keoker. Stress level were determined using SPSS 12.0, method of analysation was applied Wilcoxon Signed Rank Test, which is nonparametric statistics for matching sample and significant level was set to .05. Results showed a significant change of stress in the .05, subjects of 5/6 Showed positive change in the stress and one is no change. These results show that there is positive change on virtual reality dancing program in the stress of people with intellectual disabilities. Thus, We ought to recognize the need for stress relief program for people with intellectual disabilities and develop and help people with intellectual disabilities to live a happy life free from stress. 본 연구의 목적은 가상현실 댄스프로그램이 지적장애인의 스트레스변화에 미치는 영향을 규명하는데 있었다. 연구의 참가자는 전남 M시 M복지관을 이용하는 지적장애인으로 가상현실 댄스프로그램에 자발적으로 참여를 희망한 6명을 사전 동의를 받아 본 연구의 대상으로 선정하였다. 총 10회, 주 5회(회당 40분) HRmax 50-60%의 운동강도로 가상현실 댄스프로그램을 실시하였고, 프로그램 전·후 스트레스체크기 헬스체커를 이용하여 스트레스의 변화를 확인하였다. 스트레스 지수는 SPSS 21.0을 사용하여 분석하였으며, 분석방법은 대응표본에 대한 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon Signed Rank Test)를 적용하여 유의 수준은 .05로 하였다. 본 연구결과 스트레스의 변화는 .05수준에서 유의한 변화가 나타났으며, 대상자 6명중 5명이 스트레스에 긍정적인 변화가 있는 것으로 나타났고, 1명은 사전·사후값이 동일하게 나타나 변화가 없는 것으로 나타났다. 이러한 결과는 가상현실 댄스프로그램이 지적장애인의 스트레스에 긍정적인 변화가 있는 것을 규명하였다. 따라서, 지적장애인을 위한 스트레스해소 프로그램의 필요성을 인지하고 스트레스해소를 위한 프로그램을 개발하여 신규 사업으로 그 효과성을 구명함으로써 스트레스 해소에 대한 필요성을 부각시킬 수 있었으며, 지적장애인들이 스트레스에서 벗어나 행복한 삶을 영위하도록 특수체육현장에서 신규프로그램을 개발하고 시행해야 할 것이다.

      • 체육활동이 지적장애인의 신체변화와 행동적응 및 만족도에 미치는 영향

        백삼현 ( Baek Sam-hyun ) 한국장애인개발원 2014 장애인복지연구 Vol.5 No.2

        본 연구는 12개월간 의료재활(건강기초검사, 건강관리부모상담), 스포츠활동(체력단련, 수영, 볼링, 당구), 여가활동(주말여가프로그램, 소풍, 스포츠관람, 겨울캠프)을 통해 지적장애인 50명(최종대상자 40명)에게 적용하여 신체조성, 기초체력, 혈중지질 및 행동적응과 프로그램 참여의 만족도를 알아봄으로써 지적장애인을 위한 스포츠여가 프로그램의 중요성을 강조하고 비만예방 및 기초체력향상에 효과적인 스포츠영역을 개발하고자 하였으며, 그 기초자료를 제공하는 데 목적을 가지고 실시함으로서 다음과 같은 결과를 얻었다. 1. 신체조성 중 체지방률, 골격근량, 신체발달지수는 .001수준에서 유의한 변화가 나타났으며, 체중은 .01수준에서 유의한 변화가 나타나 신체조성의 모든 영역에서 유의한 변화가 있는 것으로 나타났다. 또한, 총 40명 중 91.3%가 긍정적인 변화가 있는 것으로 나타났다. 2. 기초체력은 근력, 근지구력, 순발력, 유연성 모든 영역에서 .001수준에서 유의한 변화가 있는 것으로 나타났다. 또한, 총 40명중 96.4%가 긍정적인 변화가 있는 것으로 나타났다. 3. 혈중지질은 T-C, HDL-C, LDL-C 모든 영역에서 .001수준에서 유의한 변화가 있는 것으로 나타났다. 또한, 총 40명중 95.8%가 긍정적인 변화가 있는 것으로 나타났다. 4. 행동적응은 수영 13.6점, 볼링 14.1점, 당구 9.3점이 각각 증가되어, 지적장애인에게 행동적응이 가장 용이한 종목은 볼링이며, 수영, 당구 순으로 나타났다. 5. 만족도 조사에서는 의료재활 영역에서 건강기초검사 및 부모상담의 필요성에 대한 질문에서 1명이 그렇지않다 라는 의견이 있었으며, 스포츠활동 영역에서 체력단련, 생활체육의 빈도에서 5명이 그렇지않다 라는 의견으로 빈도를 높여 실시하기를 원하였다. 또한 여가활동 영역에서는 여가활동의 영역 및 스트레스 해소, 주말여가프로그램 영역에서 각각 1명이 그렇지않다 라는 의견이 있어 종목 확대를 요구하는 소수의 의견이 있었다. This program was applied to 50 mentally disabled persons (final objects of study are 40) for 12 months through medical rehabilitation (basic health examination, parental counseling on health management), sports activities (physical strength training, swimming, bowling, and billiards), and leisure activities (weekend leisure program, excursion, sports viewing, and winter camp) to investigate physical construct, basic body strength, body fat, behavioral adapt and participation in programs to lay an emphasis on the importance of sports leisure programs for mentally disabled persons and to develop sports areas effective to fatness prevention and basic body strength. The program, on the purpose of offering basic materials, leaded to the results as followings. 1. physical construct, body fat rate, body bone quantity, and physical development index had a meaningful difference at the level of .001, and weight showed a meaningful change at the level of .01, which showed a meaningful change in all of the body construct areas. In addition, 91.3% of the total 40 persons showed an affirmative change. 2. Basic body strength showed a meaningful change at the level of .001 in all of the areas of muscle power, muscle endurance, explosive muscular strength, and flexibility. 96.4% of 40 persons showed an affirmative change. 3. Blood lipid showed a meaningful change at the level of .001 in all of the areas such as T-C, HDL-C, LDL-C. In addition, 95.8% of 40 persons showed an affirmative change. 4. Adaptation activities increased, such as swimming 13.6 point, bowling 14.1 point, billiards 9.3 point respectively, which showed that bowling was the event easiest for disabled persons to adapt in behaviors, and swimming and billiards in order. 5. As for an investigation of satisfaction, in the areas of medical rehabilitation one person responded, “No”, on the question about basic health examination and parental counseling. In the area of sports five persons responded, “No”, on the question about the frequency of physical training and sports-for-all. They wanted physical training and sports-for-all to be more frequent. In the area of leisure activities, respective one person responded, “No”, in the area of leisure activities, stress erase, and week-end leisure programs. They asked for an expansion of kind in leisure activities.

      • KCI등재

        Telomerase Activity-Independent Function of TERT Allows Glioma Cells to Attain Cancer Stem Cell Characteristics by Inducing EGFR Expression

        백삼,Xun Jin,Young-Woo Sohn,Jun-Kyum Kim,김성학,Jinlong Yin,Xumin Pian,김성찬,남도,최윤재,김형기 한국분자세포생물학회 2011 Molecules and cells Vol.31 No.1

        Telomerase reverse transcriptase (TERT), the catalytic subunit of the enzyme telomerase, is robustly expressed in cancer cells. TERT enables cells to avoid chromosome shortening during repeated replication by maintaining telomere length. However, several lines of evidence indi-cate that many cancer cells exhibit shorter telomere length than normal tissues, implying an additional function of TERT in tumor formation and progression. Here, we report a telomerase activity-independent function of TERT that induces cancer stemness in glioma cells. Overexpression of TERT712, a telomerase activity-deficient form of TERT, in U87MG cells promoted cell self-renewal in vitro, and induced EGFR expression and formation of gliomas exhibiting cellular heterogeneity in vivo. In patients with gliobla-stoma multiforme, TERT expression showed a high corre-lation with EGFR expression, which is closely linked to the stemness gene signature. Induction of differentiation and TERT-knockdown in glioma stem cells led to a marked reduction in EGFR expression, cancer stemness, and anti-cancer drug resistance. Together, our findings indicate that TERT plays a crucial role in tumor progres-sion by promoting cancer stemness through expression of EGFR.

      • 후기 아동의 감성 발달과 신체활동의 관계에 관한 연구

        김을교,백삼현 명지대학교 예체능연구소 2000 藝體能論集 Vol.11 No.-

        The purpose of this study is to verify the effect on children's emotional status such as anxiety, depression, self-confidence after participation in physical activities after school. For the purpose of this study, a self administered questionaire study was conducted to elementary school students of fifth grade. The subjects were involved in 6 elementary schools in Kanglung City, Kangwon-do. The samples were 386 boys and 365 girls. Questionnair was developed for students on the based of three studies used in the last study. After examination and modification, the question were accomplished. For the analysis of data, Two-way ANOVA was used in this study as the way of statistical analysis. Through these methods and steps, the effect on children's emotion by the physical activity was analyzed. The followings is the result from analysis. First, in the effect on anxiety by joining in physical activity, the most frequency was four or five times a week in boys and three or four times a week in girls. The most efficient time that decrease anxiety was two or three hours in boys, and one or two hours in female children. Second, it was found that children who had higher frequency and join in physical activity for longer time felt less depression. And children who joined in personal sport in boys, in team sport in girls felt less depression. Third, like anxiety, girls felt more self-confidence than boys. And the participation group felt more self-confidence than the non participation group. Especially, the degree of self-confidence was variable depending on whether one joined in physical activity or not. The highest degree of self-confidence was found in children who participated in team sport almost every day.

      • KCI등재후보

        재발성 전두동염 환자에서 수술항해기구를 이용한 Modified Lothrop 수술 사례 1예

        윤상필,백삼현,이경규,김학수 대한이비인후과학회 부산,울산,경남 지부회 2011 임상이비인후과 Vol.22 No.2

        In recurrent chronic frontal sinusitis, the representative Modified Lothrop procedure is less invasive compared to classic extranasal approach, but CSF leakage and orbital injury occur often, and it has technical difficulties. On the other hand, a navigation device was recently adopted for endoscopic sinus surgery in otorhinolaryngology department. Endoscopic sinus surgery using the Navigation device can reduce intraoperative complications and recurrence. Researchers of this study report on the case of recent Modified Lothrop procedure in patient with recurrent frontal sinusitis by use of navigation, along with references.

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