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      • KCI등재

        만 4세반 인성교육을 위한 버디 프로그램 실행 과정에서의 교사 경험과 변화에 대한 연구

        윤현아,염지숙 한국어린이문학교육학회 2018 어린이문학교육연구 Vol.19 No.1

        The purpose of this study was to explore the experiences and changes of teachers during action research on the implementation of the buddy program for the character education of four-year-olds’. To achieve this purpose, I, as a classroom teacher of the four-year-olds, a researcher and a participant, collaboratively implemented a buddy program with Ms. Lee, a classroom teacher of five-year-olds. During this, I observed my own experiences and changes as a teacher. Data collection was conducted through conversations with Ms. Lee, a participant observation, and through research journals. I explored how I had changed as a teacher while I was implementing the buddy program. The main themes of my experiences as a teacher who implemented the buddy program were ‘investigating the improvement required for a better buddy program from the analysis of the group activities’, ‘focusing on respecting each other’, and ‘pursuing living lives with others.’ During the buddy program, I became ‘a teacher who is more sensitive to the changes of infants’ and ‘a teacher who lives my life as an agent of change through reflective thinking.’ This research will contribute to the area of early childhood education academically and practically by introducing the buddy program for the character education of young children’ and early childhood teachers and enable its possible implementation in the field of early childhood education. 이 연구에서는 만 4세반 유아들의 인성교육을 위한 버디 프로그램 실행과정에서의 교사 경험과 변화를 탐구하였다. 만 4세반 담임으로 이 연구의 참여자이자 연구자가 만 5세반 교사와 버디 프로그램을 실행하면서 이루어진 6개월간의 대화, 참여관찰, 연구자 저널을 통해 자료를 수집하였다. 나는 버디 프로그램을 실행하면서, 유아들이 서로 협력할 수 있는 기회를 갖도록 해주고, 서로 존중하는 태도를 경험할 수 있게 하였으며, 관계의 범위를 넓혀 함께 사는 삶을 일상 속에서 실천할 수 있는 기회를 제공해 주었다. 실행연구 과정을 통한 교사의 변화는 ‘유아들의 변화에 민감한 교사되기’, ‘반성적 사고를 통해 변화의 주체가 되는 교사되기’, ‘협력을 통해 함께 성장하는 교사되기’였다. 이 연구는 인성교육을 위한 버디 프로그램의 활용 가능성을 보여주고, 유아교사들에게 버디 프로그램의 현장 실천에 도움이 되는 정보를 제공함으로써 유아교육분야의 학문적, 실천적 발전에 기여할 것이다.

      • KCI등재후보
      • 공통 데이터 모델을 이용한 성인 조현병 환자의 항정신병 약물 처방 패턴 분석

        윤현아,한솔아,최경선,서혜선 한국보건사회약료경영학회 2021 한국보건사회약료경영학회지 Vol.9 No.2

        BACKGROUND Many antipsychotic drugs have been used to treat schizophrenia, and many treatment patterns have been observed. Most schizophrenia treatment pattern studies were done by analyzing survey data or several hospitals’ electronic health records. This study aimed to analyze early treatment pathways of newly diagnosed schizophrenia patients. METHOD Using 2012-2017 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS) which was standardized to the Common Data Model (CDM), we selected newly diagnosed schizophrenia patients. The inclusion criteria were 18-64 aged patients who have continuous observation at least 30 days before and 180 days after index date, and patients who have at least one diagnosis of schizophrenia between pre-index date and 180 days after index date. The exclusion criterion was patients who have diagnosis of bipolar disorder or depressive disorder. We used Observational Health Data Sciences and Informatic (OHDSI)’s ATLAS platform to analyze baseline characteristics and treatment patterns of selected patients. RESULTS For the schizophrenia first line treatment, risperidone was the most commonly used treatment in all years (2012-2017), followed by aripiprazole and olanzapine. Among typical antipsychotics, haloperidol was the most commonly used treatment. The patients with younger age were more likely to use second or later line drugs. CONCLUSIONS We comprehensively evaluated the treatment pathway of antipsychotics in adult patients with schizophrenia by using representative claims data that was standardized to the CDM. This study found the most commonly used antipsychotics by different age groups and the proportion of patients who switched to later line treatments.

      • KCI등재

        십이지장 유두 주위 게실 환자에서의 내시경 유두 괄약근 절개술에 대한 고찰: 게실 위치에 따른 분석 포함

        윤현아,노명환,백양현,김영훈,유현승,이성욱,장진석,이종훈,한상영,최석렬 대한소화기내시경학회 2007 Clinical Endoscopy Vol.35 No.3

        Background/Aims: Endoscopic sphincterotomy (EST) involves more complications and medical problems when a periampullary diverticulum (PD) is present. The data about EST for treating a small population of PD patients is controversial and any recent data is rare. The aim of this study is to evaluate the results of performing EST for a large population of PD patients. Methods: We retrospectively enrolled 178 patients with PD and 178 patients without PD and these patients underwent EST for removal of common bile duct (CBD) stones during the years 2003∼2005 at Dong-A University Hospital. We classified PD patients, according to the location of the ampulla and diverticulum, into 3 groups and we considered removal of the CBD stones as success. Results: The success rates of EST in the two groups were similar: 91.0% in the PD group and 98.8% in the control group (p=0.0341). Failures were more frequently observed when the papilla was located inside of the diverticulum than for the other locations (p=0.0341). The complications cholangitis and pancreatitis after EST were similar for the two groups, but bleeding was more frequently observed in the PD group (p=0.0067). Conclusions: More skill for performing EST is needed to prevent bleeding in PD patients and it is more difficult to remove CBD stones when the papilla was located inside of the diverticulum. (Korean J Gastrointest Endosc 2007;35:152-158) 목적: 내시경 유두 괄약근 절개술은 십이지장 유두부 주위 게실이 있을 때에 합병증과 의학적 문제점들이 더 잘 발생한다고 알려져 있다. 그러나 유두부 주위 게실이 있는 환자에 대한 연구는 소수의 환자군으로 인해 논쟁의 여지가 있으며 최근 결과는 세계적으로 드문 실정이다. 이에 연구자들은 유두부 주위 게실이 있는 환자의 최근 내시경 유두 괄약근 절개술의 성적에 대해 알아 보고자 대단위 환자를 대상으로 본 연구를 실시하였다. 대상 및 방법: 2003~2005년 동안 동아대학교병원에서 총수 담관석 제거를 위해 내시경 유두 괄약근 절개술을 시행했던 환자 중 유두부 주위 게실이 있었던 178명(남자 81명, 여자 97명)과 대조군으로 게실이 없었던 166명(남자 90명, 여자 76명)을 대상으로 후향적 분석을 실시하였다. 유두부와 게실의 위치에 따라 3군으로 분류했으며 내시경 유두 괄약근 절개술로 총수 담관 결석 제거가 가능했던 경우를 성공으로 간주하였다. 결과: 내시경 유두 괄약근 절개술의 성공률은 유두부 주위 게실군 91.0%, 비교군 98.8%로(p=0.1064) 두 군 간 유사했다. 내시경 유두 괄약근 절개술의 실패율은 유두부 주위 게실군 중에서 게실 내부에 유두부가 있을 경우가 다른 군에 비해 높았다(p=0.0341). 내시경 유두 괄약근 절개술 이후 담관염이나 췌장염과 같은 합병증의 발생은 두 군 간 유사했으나, 출혈은 유두부 주위 게실 환자군에서 더 흔하게 발생하였다(p=0.0067). 결론: 유두부 주위 게실이 있는 환자에서 내시경 유두 괄약근 절개술을 시행할 때에는 출혈을 방지하기 위한 세심한 주의가 더 필요하며, 유두부가 게실의 중앙에 함몰되어 있을 때는 절개술의 실패율이 높아 총수 담관 결석 제거에 어려움이 있다고 생각한다.

      • KCI등재

        부산지역 65세 이상 노인의 구강건강과 자가건강평가수준(SRH)

        윤현서 ( Hyun Seo Yoon ),전진호 ( Jin Ho Chun ),이정화 ( Jung Hwa Lee ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.3

        The purpose of this study was to examine the impact of the oral health status and health care of elderly people on their self-rated health(SRH). The subjects on this study were 479 senior citizens who were at the age of 65 and up and resided in the city of Busan. They got a dental checkup, and a survey was conducted by having an one-on-one interview. After the collected data were analyzed, the following findings were given: The senior citizens were diagnosed with a mean of 1.43 systemic diseases, and hypertension(51.8%) was the most prevalent disease among them, followed by diabetes(25.1%), arthritis(41.8%), oral diseases(75.6%), stroke(9.0%) and heart diseases(15.9%). Their self-rated health was better when they were male, when they were aged between 65 and 69, when there was someone with whom they lived, when they were better educated and when they owned their own houses. But their self-rated health was poorer when they felt more oral symptoms, when they had more missing teeth and when they needed both of maxillary and mandibular dentures. Their self-rated health was more positively affected when they were better educated(β=0.894), when they owned their own houses(β=4.220), when they got a dental checkup on a regular basis(β=2.997) and when the rate of their functional tooth was larger(β=0.081). And that was more negatively influenced when they had a denture(β=-1.110), when they had more oral symptoms(β=-1.590) and when they had more systemic diseases(β=3.363). There is a close relationship between the oral health and self-rated health of elderly people. Therefore how to promote their oral health should carefully be considered.

      • KCI등재후보

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