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      • KCI등재

        웨이브프런트 에피라식의 6개월 임상성적

        신소정,김민정,박신혜,주천기.So Jung Shin. M.D.. Min Jung Kim. M.D.. Shin Hae Park. M.D.. Choun Ki Joo. M.D.. P.hD. 대한안과학회 2007 대한안과학회지 Vol.48 No.5

        Purpose: We evaluate the clinical outcomes after wavefront-guided (WFG) Epi-LASIK in mild and moderate myopia . Methods: The uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), manifest refraction, total high order aberrations, contrast sensitivity for day and night vision, and pain score in 114 eyes of 61 patients who had undergone WFG Epi-LASIK were measured preoperatively and at 1 day, 1 week, 1 month, 2 months, and 6 months postoperatively. Results: At 1 day, 1 week, 1 month, 2 months and 6 months postoperatively, UCVA & BCVA had improved significantly. At 1 month postoperatively, the spherical equivalent was -0.93±0.74 and showed a stable pattern at 6 months postoperatively. There was no statistically significant difference in total high-order aberration between preoperatively measurements and measurements taken at 6 months postoperative (p=0.745). At a frequency of 19 cpd, night contrast sensitivity showed significant statistical difference (p=0.010) but no difference at low and medium frequencies between preoperative measurements and postoperative six months measurements. Pain subsided at 2 weeks postoperative. All patients maintained clear cornea and suffered no complications. Conclusions: At 6 months postoperatively, patients who underwent Wavefront-guided Epi-LASIK showed successful results for the correction of moderate myopia and excellent contrast sensitivity at night time. Wavefront-guided Epi-LASIK may solve the visual quality problem after refractive surgery and, therefore, may be clinically useful.

      • 노인복지서비스의 문제점과 활성화 방안에 관한 연구

        신소정(Shin so-jung) 한국사회혁신학회 2010 한국사회혁신학회보 Vol.1 No.1

        우리나라는 세계 최저수준의 출산율과 가장 빠른 고령화의 진행으로 2000년 65세 이상노인이 전체인구의 7%를 넘어서 고령화사회(aging society)가 되었고, 2018년에는 65세 이상 노인이 전체 인구의 14%가 넘어 고령사회(aged society)가 될 것으로 예상하고 있다. 영국, 일본, 미국, 독일 등 사회복지 선진국의 경우 이미 오래전에 고령화 사회가 시작되면서 많은 비용과 시간, 시행착오를 거치며 고령화 사회에 대비한 준비를 해 왔고, 이제는 괄목할 만한 수준에 이르게 되었으나 우리나라의 경우는 2000년 고령화 사회로 진입한 이래 26년 만에 초고령 사회로의 진입이 예상되므로 이에 대한 대책이 시급한 실정이다. 따라서 선진국의 재가노인복지서비스의 현황 및 문제점을 분석 한 후, 우리나라의 재가노인복 지서비스와 비교하여 우리의 실정에 맞는 재가노인복지서비스를 제공할 수 있는 방안을 모색이 필요할 것이다. Korea already came to reach an 'Aging society' due to the low birth rates and an increase of average of life expectancy. The number of people over age 65 reached 11 percent of Korean total population in 2010. Within 8 years, the number of people over age 65 is expected to reach 14 percent of Korean total population. Advanced countries such as England, Japan and the USA already prepared the measures for an aging society through the process of trial and error by spending a great deal of money and time. They have reached a remarkable level. The preparation for an 'Aged society' should be necessary in Korea as well since Korea had entered into an 'Aging society' in 2000 and is expected to reach 'Aged society' around 2018. This study analyzes the current welfare service of the elderly people and suggests the suitable services for Korea. The problems of welfare service for the elderly people are lack of the selection criteria, professional human resources and financial supports, limited service due to regional inequality and so on. There are five ways to improve the welfare service of the elderly people in the study.

      • KCI등재
      • KCI등재후보

        ADHD성향을 가진 유아를 위한 음악치료가 행동에 미치는 영향연구

        신소정(Shin so-jung),이재모(Lee jae-mo) 한국교정복지학회 2011 교정복지연구 Vol.- No.21

        충동적 행동과 과잉 행동 등의 증상을 나타내는 ADHD(주의력 결핍과잉장애)는 유아기에 가장 흔한 장애로 초기에 치료해야 할 필요성이 있다. 이러한 ADHD 아동을 위한 기존의 치료방법에는 다양한 방법이 있었지만 약물치료요법이 가장 널리 사용되었다. 그러나 이러한 약물치료요법을 사회적 적응의 개선에는 효과적이지 못해 이와 병행할 수 있는 치료 프로그램의 사용이 요구되고 있다. 그런데 최근 음악 치료의 적용범위가 증대되면서 ADHD 유아 문제에 대해 이러한 음악치료요법이 시도되고 있다. 따라서 본 논문에서는 ADHD 유아를 위한 음악치료가 유아의 주의집중력과 친사회적 행동에 미치는 영향을 알아보기 위하여 실험 연구를 하였다. 연구결과를 요약하면 다음과 같다. 첫째, 주의집중력의 경우 대조집단은 사전, 사후점수 간에 유의한 차이가 나타나지 않았지만, 실험집단은 평균점수가 유의하게 감소되었다. 즉, 프로그램 실시에 따라 주의집중력 항목의 점수가 감소하여 주의집중력이 향상되었다는 것을 알 수 있다. 이는 ADHD 유아의 주의집중력에 음악치료가 긍정적인 효과를 보인 것으로 생각된다. 둘째, 음악치료 프로그램은 친사회적행동 증진에 긍정적인 효과를 보였다. 친사회적행동에 있어서 두 집단 간의 변화를 살펴본 결과, 대조집단은 유의한 변화가 나타나지 않았지만 실험집단은 평균점수가 유의하게 향상되었다. 즉, 프로그램 실시에 따라 친사회적행동이 증가하였다는 것을 알 수 있다. 본 연구는 음악매체를 사용함으로써 ADHD 유아들이 주의집중력을 향상시키고 친사회적 행동을 증가함으로써 자신의 삶을 긍정적으로 보고 사회생활을 즐겁고 보람 있게 보내기 위한 접근으로서 의의가 있다고 할 수 있다. 따라서 ADHD 유아를 위한 체계적인 음악 치료 연구가 있어야 한다. ADHD (Attention Deficit Hyperactivity Disorder) showing symptoms like impulsive or hyperactive behavior most frequently occurs in the infancy and needs to be treated in the incipient stage. Although there have been various ways to treat ADHD children previously, medicinal therapy is the most widely used treatment. However, such medication is not effective in improving their social adaptation, so it is required to develop some treatment program which can be used along with it. In the meantime, as the range of music therapy application has been extended lately, it comes to be used to treat problems of ADHD infants. Therefore, this study was performed to find out the effect of music therapy for ADHD infants on the concentrating ability and prosocial behavior of ADHD infants. The followings are the summary of the study results. First, for the concentrating ability, the control group did not show significant difference between the pre- and post-test results whereas the average score of the experimental group significantly decreased. In other words, the score of the concentrating ability item decreased due to the program execution, which meant their concentrating ability was improved. Thus, it can be inferred that music therapy influences ADHD infants’ concentrating ability positively. Second, it was shown that the music therapy program had a positive effect in improving their prosocial behavior. According to the results of examining the change of prosocial behavior in the two groups, the control group did not show significant change while the average score of the experimental group significantly increased; that is, it is thought that the program execution improved their prosocial behavior. This study concludes that the musical medium is meaningful as an approach to improve ADHD infants’ concentrating ability and prosocial behavior that they can view their lives more positively and lead their social lives more lively and desirably. In conclusion, systematic studies on music therapy for ADHD infants should be performed more afterwards.

      • KCI등재후보

        한국인 하안검의 현미경적 해부구조

        김소열,신소정,양석우,한승호.So Youl Kim. M.D.. So Jung Shin. M.D.. Suk Woo Yang. M.D.. Seung Ho Han. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.2

        Purpose: To study the microscopic anatomic relation of capsulopalpebral fascia, orbital septum, and tarsus of the lower eyelid in Korean. Methods: Foureteen normal Korean lower eyelids from 14 formalin-fixed cadavers (mean age of 66.5 years) were harvested and studied with light microscopy after staining with hematoxylin and eosin. Dimensions of the structures and distances between them was measured by analyzing the digital photographs. Results: There was no fusion of the orbital septum and the capsulopalpebral fascia at the lower border of the tarsal plate in 10 specimens and limited fusion of these tissue in 4 specimens. The average distance from the inferior tarsal border to the first identifiable smooth muscle nuclei of the inferior tarsal muscle was 1.38 mm. The average tarsal plate thickness was 0.98 mm and the average tarsal plate height was 3.96 mm. Conclusions: The Korean lower lid anatomy differs from that of their non-Asian counter parts. Furthermore, there was a difference in tarsal plate thickness in comparison to Chinese lower lids. There was no consistent fusion between the capsulopalpebral fascia and the orbital septum. No extension of the capsulopalpebral fascia to the skin was observed.

      • KCI등재

        안구적출술 후 발생한 찰스 보넷 증후군 1예

        변용수,신소정,양석우,Yong Soo Byun,So Jung Shin,Suk-Woo Yang 대한안과학회 2008 대한안과학회지 Vol.49 No.4

        Purpose: To report a case of Charles Bonnet syndrome in a patient who developed phantom vision of an enucleated eye. The patient had lost her vision because of a chemical burn 10 years previously. Case Summary: A 37-year-old woman received enucleation of one eye because ocular pain and phthisis had developed due to a chemical burn that occurred 10 years previously. On the first postoperative day, she complained of phantom vision in the enucleated eye. The image she described was like sparkling bubbles. She had recognized the image was not real, and no psychological problems were found during pre- and postoperative periods. Her wound state was good, so she is currently wearing an artificial eye, though her phantom vision intermittently returns. She has adapted to her phantom vision such that she now rarely feels discomfort. Results: Charles Bonnet syndrome is a visual hallucination that occurs among the blind or those who are visually impaired. Besides ophthalmologic care, sociological and psychological care should be considered.

      • KCI등재

        반복적인 눈꺼풀올림근 절제술 후 발생한 역 벨현상

        나경선,신소정,양석우,Kyung Sun Na,M,D,So Jung Shin,M,D,Suk-Woo Yang,M,D 대한안과학회 2008 대한안과학회지 Vol.49 No.2

        `Purpose: We report a complication involving a transient inversion of Bell's phenomenon observed following extensive levator resection performed to treat aponeurotic ptosis. Case summary: A 22 year old female patient complained of ptosis of both eyelid. The levator function of both lid was good, and a normal corneal protection mechanism was observed. The patient underwent levator resection and several reoperation because of asymmetrical lid height and entropion. Inversion of Bell's phenomenon was observed in the postoperative period. Eye with Bell's phenomenon reverted to normal within 1 month after final operation, and there were no corneal erosion. Lubricating eyedrop was used frequently during the postoperative period. Conclusions: It is important to consider that abnormal cases of Bell's phenomenon sometimes manifest after repetitive and extensive levator resection and to keep a close watch on the cornea while providing it with ample lubrication.`

      • KCI등재

        부산구치소의 발전방안

        천정환(Chun Jung Hwan),신소정(Shin So Jung) 한국교정복지학회 2020 교정복지연구 Vol.0 No.69

        1973년 군부정권시대의 보안지상적 교정이념에 의해 개청한 부산구치소의 문제점은 부산구치소 자체의 문제점과 한국교정독점관료레짐의 특성에 의해 문제점이 공존하고 있다. 부산구치소의 문제점에는 전국의 교정시설에서 협소하고 노후화로 인한 시설적 문제점과 높은 교정사고의 방지에 한계가 있는 인성 프로그램의 문제점과 구치소 이전 논란 갈등이 심화되어 온 환경적 문제점이 있다. 또한 한국교정은 획일화된 보안지상적 관료제로 인한 본질적 문제점이 내재되어 있다. 따라서 이러한 다양한 문제점들이 중복적으로 깊이 작용해 온 부산구치소는 높은 과밀수용비율과 상위권의 수용자 사망률과 교정사고율과 이전 논란으로 인한 지역갈등이 심화되고 있다. 특히 부산구치소 이전 운동은 처음에는 순수한 형사정책적 요인에 의해 시작되었으나 지방자치제의 실시로 인해 이전 운동이 정치적 자본화, 사회경제적인 상품화의 복잡한 성격으로 변질되면서 다양한 지대(rent)를 노린 사회행위자들이 개입되면서 여전히 해결되지 못해 복합적 지역갈등이 심화되고 있는 바 이 점이 타 지역의 교정시설 입지갈등과 차이점이다. 교정시설의 이전 갈등에 대한 선행연구로 몇몇 선행연구가 있으나 주로 지역갈등의 해소와 갈등조정방안이라는 미시적 관점에 치중해 입지이전 갈등의 자본적 상품화에 내재된 정치적, 사회적, 문화적, 행정적인 복합적 거시적 측면을 간과하고 있다. 이에 본 논문에서는 부산구치소의 문제점을 살펴보고 입지갈등에 대해서는 선행연구와 달리 미시적, 거시적 측면에서 정치사회경제학적인 학제적 접근으로 제시하였다. 그 외의 부산구치소의 문제점으로 낙후된 시설, 높은 교정사고율, 비효율적인 인성프로그램을 지적하고 해결방안으로 구치소 이전 논란에 대한 합리적 대안들을 제시하고 인성프로그램제도의 혁신방안을 제시하였다. Busan detention center by security ideology of the military regime in 1978 has many problems by problems of the Busan center itself and the characteristics of korean correctional monopoly bureaucratic regime. The problems of Busan detention center include the problems of the aging, narrowest facilities in korean prison, the problems of the bureaucratic personality programs which have been the high correctional accident, and the problems of region conflict due to the relocation controversy of Busan detention center which is been going on since 2000. And there has been an inherent problems with bureaucratic securityism in korean correction. The Busan detention center where all those problems have existed has highest overcrowding, highest correctional accident rate and deepening regional conflicts. Especially, its relocation started out as a pure correctional factor, but turned out into a complex characters including political capitalization, socio-economic commercialization. As a result, region conflict due to Busan detention center relocation debate which intervened the diverge social actors who aimed the divers rent. But, existing studies of relocation conflict of correctional agency have passed over political-social aspects because they have only dealt with regional conflict. Therefore, I asserted the diverse problems of Busan detention center and showed in micro, macro aspect in correction the desirable development device throughout interdisciplinary including political-social and so on including correctional aspect unlike the existing studies. I asserted the aging facilities, the highest correctional accident rate and inefficient personality programs as a Busan detention center and showed the desirable alternatives about its relocation conflict and new devices of program.

      • 우사 작업자들의 세포면역력 분석

        김창열 ( Chang-yul Kim ),송은섭 ( Eun-seob Song ),신소정 ( So-jung Shin ),조지훈 ( Ji-hun Jo ),( Ravi Gautam ),이재희 ( Jae-hee Lee ),양수정 ( Su-jeong Yang ),김형아 ( Hyoung-ah Kim ),허용 ( Yong Heo ) 대구가톨릭대학교 자연과학연구소 2019 자연과학연구논문집 Vol.17 No.1

        Endotoxin in dust generated at agricultural environments is known to contribute to occurrence of farmer’s lung. Iimmunological markers related with respiratory allergy was evaluated for bovine husbandry workers, and compared with the age-sex matched non - agricultural subjects. Peripheral bloods were collected from 6 workers at 3 bovine farms, and 14 control subjects. Peripheral mononuclear cells were stimulated with phorbol 12-myristate 13-acetate and ionomycin for 72 hours. Level of various cytokines produced at culture supernatants was determined using commercially available ELISA kit. Plasma levels of IgE and IgG subclass were determined. Concentration of inhalable and respirable particulate matter in indoor of the bovine farms was evaluated, and endotoxin level in the dust was measured by Limulus Amebocyte Lysate Kinetic QCL method. Level of endotoxin in the inhalable dust was approximately 154 EU/m<sup>3</sup>, and 9 EU/m<sup>3</sup> in the respirable dust. Plasma IgG4 level, a humoral indicator for allergic propensity, was higher in the milk cow farmers tan the control. Ratio (interferon - γ vs interleukin-4 or intrleukin-13), indicating immunologic skewedness against allergic reactivities, was lower at the milk cow workers compared with those of control subjects. Even though sufficient number of bovine husbandry workers and farms were not investigated, this study suggests in general that immunological function of milk cow farm workers exposed to high level of endotoxin could be modulated toward allergic reactivities.

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