차별적 민감성 모델에 기초한 어머니의 정서표현수용태도와 유아의 공감능력 간의 관계에서 부정적 정서성의 중재효과

신유림,신유림,김윤수 한국보육지원학회 2018 한국보육지원학회지 Vol.14 No.6

Objective: The purpose of this research was to examine the moderating effect of children’s negative emotionality on the association between empathy and maternal attitude toward children’s emotional expression based on differential susceptibility model. Methods: Participants were 216 preschool children including 116 boys and 100 girls from day care centers and preschools located in Chunchung province and Seoul. EAS was used to measure the children’s negative emotionality. The children’s empathy quotient was used to measure empathy. Mothers reported their attitude toward children’s emotional expression. Results: The results revealed that the association between empathy and maternal suppression of children’s emotional expression was significant only for the children with high levels of negative emotionality. Moreover, the magnitude of association between empathy and maternal acceptance of children’s emotional expression was greater for high levels of negative emotionality. Conclusion/Implications: It was concluded that these finding supported differential susceptibility model.

Early and Midterm Outcome of Redo Coronary Artery Bypass Grafting: On-Pump versus Off-Pump Bypass

신유림,이삭,주현철,윤영남,김종근,유경종 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.3

Background: Redo coronary artery bypass grafting (CABG) is still associated with increased morbidity and mortality as compared to the first-time operation. Further, the application of the off-pump technique to redo CABG is limited due to technical difficulties. The aim of this retrospective study was to analyze early and midterm results after redo CABG and compare the outcome of redo on-pump and off-pump CABG. Methods: From June 1996 to October 2011, elective redo CABG was performed in 32 patients. Mean age was 64.8 years (on pump 64.3 years vs. off pump 65.5 years; p=0.658), and 21 patients were male. Among these patients, 14 (43.8%) underwent on-pump CABG, and 18 (56.2%) underwent off-pump CABG. Results: Internal thoracic artery was used in 22 patients (68.8%), and total arterial revascularization was achieved in 17 patients (53.1%). The average number of distal anastomoses was 2.13, and the rate of incomplete revascularization was 43.8%. The rate of total arterial revascularization was higher in the off-pump group (14.3% vs. 83.3%, p<0.001), and the use of saphenous vein graft was more in the on-pump group (78.6% vs. 16.7%, p<0.001). Overall hospital mortality was 3.1% (n=1) and was comparable in both groups (on pump 7.1% vs. off pump 0%; p=0.249). Postoperative complications occurred in 9 patients (64.2%), and the rate of complications was high in the on-pump group without statistical significance (64.2% vs. 33.3%, p=0.082). The mean follow-up duration was 5.4 years, and overall survival at 10 years was 86.0%±10.5%. There was no significant difference in the 10-year survival rate between the two groups (79.6% vs. 100%, p=0.225). Conclusion: Redo CABG can be safely performed with acceptable mortality. Redo off-pump coronary artery bypass is feasible with low mortality and morbidity, comparable target vessel bypass grafting, and long-term survival. The off-pump technique might be considered a safe option for redo CABG in high-risk patients.

녹차 티백 상온 침출 우림물의 물리화학적 및 관능적 특성

신유림,이기창,은종방 한국차학회 2015 한국차학회지 Vol.21 No.1

This study examined physicochemical characteristics and sensory evaluation of green tea infusion (GTI)extracted with different amounts at room temperature (25℃) for different times. The pH of GTI increased until 2 h and then decreased during extraction for 12 h. Infusion extracted with 2 bagged green tea had a lower pH than that done with 1 bagged green tea; however, the results were opposite in the soluble solid, vitamin C, amino acid, and total phenol contents. There is no difference in the infusion with 1 bagged green tea during extraction for 12 h, and infusion extracted with 2 bagged tea for 10 h was the highest among different extraction times. In term of color, L* value of GTI decreased with increasing extraction time, but the a* value increased. The b* values had no difference among GTI extracted for different times. The total polyphenol content of GTI increased during extraction until 10 h and decreased with increasing extraction time. The amino acid and vitamin C contents of GTI increased with increasing extraction time. In the sensory evaluation, the overall acceptability had the highest score in GTI extracted with one bagged green tea at room temperature (25℃) for 6 h. In conclusion, the extraction time and amount of green tea affected the physicochemical characteristics of GTI during extraction at room temperature. The results suggested that when bagged green tea is extracted at room temperature, one bagged green tea would be extracted for 6 h.

Chylothorax after Surgery for Congenital Cardiac Disease: A Prevention and Management Protocol

신유림,이해,박영환,박한기 대한흉부외과학회 2020 Journal of Chest Surgery (J Chest Surg) Vol.53 No.2

Background: Chylothorax after congenital heart surgery is not an uncommon complication, and it is associated with significant morbidity. However, consensus treatment guidelines are lacking. To improve the treatment outcomes of patients with postoperative chylothorax, we implemented a standardized management protocol at Severance Hospital in September 2014. Methods: A retrospective review of patients treated at a single center was done. All corrective and palliative operations for congenital heart disease performed at our institution between January 2008 and April 2018 were reviewed. The incidence and treatment outcomes of postoperative chylothorax were analyzed. Results: The incidence of chylothorax was 1.9%. Sixty-one percent of the patients could be managed with a low-fat diet, while 28% of the patients required complete restriction of enteral feeding. Thoracic duct embolization was performed in 2 patients and chest tube drainage decreased immediately after the procedure. No patient required thoracic duct ligation or pleurodesis. After implementation of the institutional management protocol, the number of chest tube drainage days decreased (median, 24 vs. 14 days; p=0.45). Conclusion: Implementing a strategy to reduce postoperative chylothorax resulted in an acceptable incidence of postoperative chylothorax. Instituting a clinical practice protocol helped to curtail the treatment duration and to decrease the requirement for surgical treatment. Image-guided embolization of the thoracic duct is an effective treatment for postoperative chylothorax.

Emergency Pulmonary Artery–to-Systemic Artery Shunt to Break the Positive Feedback Loop of a Pulmonary Hypertensive Crisis after Neonatal Coarctation Repair

신유림,양영호,박영환,박한기 대한흉부외과학회 2019 Journal of Chest Surgery (J Chest Surg) Vol.52 No.4

A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the positive feedback loop caused by pulmonary hypertension and functional mitral stenosis. This shunt provided immediate relief of suprasystemic pulmonary hypertension and the resultant low cardiac output.

가작화 놀이의 사회적 조화도와 갈등 및 정의적 주제분석 연구

신유림 한국유아교육학회 1998 유아교육연구 Vol.18 No.2

본 연구는 가작화 놀이와 비가작화 놀이를 사회적 조화도와 갈등의 빈도, 지속기간, 갈등해결전략 측면에서 비교해 보고 가작화 놀이 에피소드의 정의적 주제 분석을 통 가작화 놀이의 사회정서적 기능을 검토하였다. 본 연구의 대상은 4, 5세 유아 30명으로 유아들이 선택한 놀이상대와 놀잇감을 가지고 노는 장면이 관찰되었다. 연구결과에 의하면 비가작화 놀이에 비해 가작화 놀이는 사회적 조화도가 높았으며 갈등이 조기에 종결되며 이유와 대안을 제시하는 전략이 더 빈번히 사용되었다. 또한 신체적 안정, 권력 및 대인관계에 관련된 정의적 주제가 표현되었다. The socio-emotional function of make-believe play was examined by comparing the social coordination and conflict resolution of pretend versus non-pretend social play. Also, the affective themes of make-believe play were analyzed. Thirty 4 and 5 year old preschoolers, each paired with a self-chosen peer, were observed and videotaped during a 20-minute play session. The observation yielded the following conclusions : that make-believe play interactions were more socially coordinated than non-make-believe sequences, and that the duration of conflict in make-believe play was shorter than in non-make-believe play. The affective themes expressed in play episodes were connectedness, physical well-being, empowerment, and respect for property.

유아의 기질과 사회적 유능감 관계에서 놀이유형의 매개효과

신유림,김윤희 한국유아교육학회 2011 유아교육연구 Vol.31 No.4

본 연구는 유아의 기질과 사회적 유능감의 관계에서 놀이유형의 매개효과를 검증하고자 하였다. 연구대상은 만 4세 유아 194명으로 유아의 기질은 부모 설문지로 측정하였으며 교사 보고법으로 놀이유형과 친사회성과 위축/불안 특성을 측정하였다. 또한 유아 개별면접을 통해 또래 인기도를 측정하였다. 연구결과를 보면 슬픔은 혼자놀이를 매개로 위축불안에 영향을 미쳤으며 미소/웃음은 사회적 놀이를 매개로 또래 인기도와 친사회성에 영향을 주는 것으로 나타났다. 억제조절은 또래 인기도에 직접적으로 영향을 주었으며 놀이유형은 매개효과는 나타나지 않았다. The purpose of this study is to investigate the mediating effects of solitary and social play on the relations between temperament and social competence in preschool children. Participants were 197 four year olds recruited from 6 preschools whose mothers completed temperament scales on them. The children's social competence was measured by teacher ratings and peer nomination. Analysis of the data shows that solitary play fully mediated between sadness and withdrawal and social play fully mediated between prosocial behavior and peer popularity. However, inhibitory control was directly linked with peer popularity.

유아의 가작화 놀이에서 정신세계의 표현에 대한 연구

신유림 대한가정학회 2002 Human Ecology Research(HER) Vol.40 No.6

This study investigated talk about mental states in pretend play, to whom mental states were attributed, and function of mental-state terms. Also, frequency of mental-state terms of pretend versus non-pretend turns was examined. Thirty 4 year old preschoolers, each paired with a self-chosen peer, were observed and videotaped during a 20-minute play session. The observations presented the following conclusions: Knowing and pretending were the most frequently expressed. Children attributed a large proportion of mental state to themselves. The mental-state terms were used to refer his or another's thoughts and beliefs, to direct interaction, and to attract the other child's attention. Mental-state talk occurred within pretend more often than within non-pretend turns.

유아의 가작화 놀이에서 상위놀이전략에 대한 분석 연구

신유림 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.12

This study examined young children s metaplay. 84 preschool subjects were videotaped as they engaged in pretend play with the same-aged peers. Dyads were identified as engaging in frequent or infrequent pretend play. Results showed that frequent pretend play dyads more engaged in request for clarification, and persuading than infrequent pretend dyads. Frequent pretend dyads were more likely to use. disagreeing with reason and extending. It was concluded that developmentally useful interactions transpire outside of the pretend frame.

유아의 친구관계 특성에 대한 연구

신유림 한국유아교육학회 2004 유아교육연구 Vol.24 No.6

본 연구는 유아의 친구관계 특성을 측정하는 도구의 신뢰도와 타당도를 살펴보고, 유아의 성 및 사회적 행동과 친구관계 특성 사이의 관련성을 규명하고자 하였다. 연구대상은 4, 5세 유아 188명으로 친구관계는 또래 지명법을 통해 측정되었으며, 교사로부터 유아의 친구관계 특성과 사회적 행동이 측정되었다. 연구결과에 의하면 유아의 친구관계 특성은 5가지 요인으로 분류되었으며, 이러한 요인은 유아의 친사회성, 공격성 및 위축성과 관련성이 있었고, 남아에 비해 여아의 친구관계는 배타성이 높은 것으로 나타났다. This study investigates the reliability and validity of the Friendship Features scale and the relationship between the friendship features and social behaviors of preschool children. Subjects were one hundred eighty-eight 4 and 5 year olds. Peer nomination was used to assess children's friendships. Teachers rated the children's friendship features and social behaviors. Factor analysis confirmed 5 subscales and the subscales showed high internal consistency and related to children's social behavior. The findings of this study are consistent with the research on school age children.