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A Preliminary Study on Standardizing the K-Bayley-III Expressive Communication Scale
이지연(Ji Yun Lee),김영태(Young Tae Kim),방희정(Hee Jeong Bang),이순행(Soon Hang Lee) 한국언어청각임상학회 2014 Communication Sciences and Disorders Vol.19 No.3
배경 및 목적: 본 연구는 Bayley-III 표현언어척도를 한국형으로 표준화하기 위한 예비연구로서, 한국어 발달 및 한국 문화 특성을 반영하는 한국형 베일리 영유아 발달검사 제3판(K-Bayley-III) 표현언어척도 예비연구본을 제작하고, 문항분석 및 타당도와 신뢰도를 검증하여 국내 적용가능성을 살펴보고자 하였다. 방법: Bayley-III 표현언어척도 원문항 48개 외에 보충문항 8개를 추가 제작하여 K-Bayley-III 표현언어척도 예비연구본을 제작하고 수도권에 거주하는 생후 16일~42개월 15일의 영유아 373명을 대상으로 예비연구를 실시하였다. 결과: 첫째, 문항난이도 및 월령별 문항통과율을 통해 문항분석을 살펴본 결과, 전체적으로 쉬운 문항부터 어려운 문항까지 적절히 구성되었으며, 난이도가 적절하지 않은 문항은 재배치, 수정, 또는 삭제되고 대체되었다. 월령단계별 기저선 문항도 90%의 통과율을 보여 전반적으로 적절하였다. 둘째, 문항내적일관성 및 재검사, 검사자간 신뢰도를 검증한 결과, 문항내적일관성은 양호한 수준이었고 재검사 및 검사자 간 신뢰도 모두 매우 높은 수준이었다. 셋째, 구인타당도 및 공인타당도를 살펴본 결과, 표현언어척도는 언어척도 및 운동척도와 각각 수렴타당도와 변별타당도를 보여 구인타당도를 입증하였고, 기존의 언어검사도구와도 높은 상관성을 보여 공인타당성을 확인하였다. 논의 및 결론: K-Bayley-III 표현언어척도는 국내 영유아의 표현언어발달을 측정하기에 양호한 검사로 확인되었다. 다만, 한국의 언어발달 특성을 반영하지 못하는 몇몇 문항들은 문항 재배치 및 내용 수정이 요구되어 K-Bayley-III 표현언어척도 표준화본 마련을 위한 제안을 하였다. Objectives: The purpose of this is a preliminary study on developing the Korean version of the Expressive Communication Scale of Bayley-III (K-Bayley-III) by analyzing the components and difficulty of each item and examining whether the items are socio-culturally and linguistically appropriate for assessing the expressive language skills of Korean young children. Methods: A total of 48 original items and 8 additional items were translated, reviewed, modified, removed, or added to the latest version of the K-Bayley-III expressive communication (EC) scale and were used to assess the expressive language skills of 373 Korean infants and toddlers between ages 16 days and 42 months, 15 days residing in Seoul and Gyeonggi province. Results: Overall, items were appropriately placed in the order of difficulty, and those with inadequate difficulty levels were replaced, modified, or removed. Most baseline items showed a 90% pass rate. Inter-item consistency showed acceptable levels and items were highly reliable in terms of test-retest reliability and inter-rater reliability. Items from the EC scale showed significant correlations with the Language scale, RC scale, and motor scales, and also demonstrated high levels of content validity and concurrent validity. Conclusion: These results indicate that the K-Bayley-III Expressive Communication scale could be used to assess the general expressive language development of Korean infants and toddlers. Items that did not reflect the characteristics of Korean language development were suggested to be replaced or modified in order to develop a final version of the standardized K-Bayley-III expressive scale.
경추 유합술 이후 발생한 인접분절 추간판 탈출증 환자에 대한 감압요법을 포함한 한의학적 치료 증례보고
이지연(Ji-Yun Lee),신원빈(Won-Bin Shin),임수연(Su-Yeon Lim),문영주(Young-Joo Moon),전현아(Hyun-A Jeon),남항우(Hang-woo, Nam) 척추신경추나의학회 2019 척추신경추나의학회지 Vol.14 No.2
Objectives : The purpose of this clinical study was to evaluate the effect of spinal decompression with Korean medicine treatment on the herniation of an intervertebral disc (HIVD) in a patient after fusion surgery of a cervical segment. Methods : A single patient was treated with spinal decompression, acupuncture, pharmacoacupuncture, and herbal medication. We measured the Numerical Rating Scale (NRS), Neck Disability Index (NDI), European Quality of Life-5 Dimension (EQ-5D), Cervical Range of Motion (cervical ROM) and the Beck Depression Inventory (BDI) score to evaluate the treatment effects. Results : The patient s post neck pain & pain in both arms improved significantly as suggested by the scores on the NRS, NDI, EQ- 5D, cervical ROM and BDI. Conclusions : Thus, spinal decompression, including Korean medicine treatment, could be taken into consideration for HIVD patients after fusion surgery.
이지연 ( Ji Yeon Lee ),이향아 ( Hyang Ah Lee ),나성훈 ( Sung Hoon Na ),황종윤 ( Jong Yun Hwang ),이동헌 ( Dong Heon Lee ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.2
Vesicovaginal fistulas are a most common complication accompanied by gynecologic surgeries, but other types of fistulas rarely occur. Especially rectovesical fistulas arising post-operative complication occur in extremely lower possibility and very few cases have been reported in the world. Interestingly, our case showed a symptom of urinary drainage from the anus unlike other cases with pneumaturia or fecaluria. This symptom could hardly happen because urine is prevented from being released due to the internal pressure of the fistula. We experienced and treated a first case of rectovesical fistula with a symptom of passing urine from the anus.
이지연 ( Ji Yeon Lee ),이향아 ( Hyang Ah Lee ),권혁민 ( Hyuk Min Kwon ),나성훈 ( Sung Hoon Na ),황종윤 ( Jong Yun Hwang ),이동헌 ( Dong Heon Lee ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5
Endometrial osseous metaplasia is a very rare disease related to secondary infertility. A 42-year-old woman, a North Korean defector, visited for gynecological exam. She presented with a history of secondary infertility. She had two previous pregnancies and both were voluntarily terminated at 14 and 16 years ago. Vaginal delivery at about 20 weeks in the fi rst gestation 16 years ago; and dilatation and curettage at about 14 weeks 14 years ago were done in a medical facility of North Korea. Vaginal ultrasonography showed an intrauterine structure described as a hyperechogenic image suggesting calcifi cation. Hysteroscopy revealed multiple coral-like white spicules about 1 cm in length in the uterine cavity. The lesion was treated by hysteroscopic removal without complications. Histology established the diagnosis of endometrial osseous. In our case, hysteroscopy was effective in the diagnosis and treatment of endometrial osseous metaplasia.
이지연 ( Ji Yeon Lee ),신승호 ( Seung Ho Shin ),나성훈 ( Sung Hoon Na ),이향아 ( Hyang Ah Lee ),이동헌 ( Dong Heon Lee ),황종윤 ( Jong Yun Hwang ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.2
Placenta surface cyst classified subamniotic hematoma, subchorionic hematoma and subchorionic cyst by histological finding. These cysts did not affect the obstetrical outcome according to the previous report. However, we experienced that the subamniotic cyst compressed the umbilical cord to result in fetal deceleration. We report this case with brief review of literature.
이지연 ( Ji Yeon Lee ),신승호 ( Seung Ho Shin ),하중규 ( Joong Gyu Ha ),최성권 ( Song Kwon Choi ),이승구 ( Seung Koo Lee ),나성훈 ( Sung Hoon Na ),이향아 ( Hyang Ah Lee ),이동헌 ( Dong Heon Lee ),황종윤 ( Jong Yun Hwang ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.11
Isolated tubal torsion is a rare disease that causes acute lower abdominal pain. In most of cases, the ovary and the fallopian tube are together twisted due to an ovarian tumor, but the fallopian tube alone is rarely twisted. Tubal torsion mainly occurs in fertile women, and it rarely occurs prior to menarche and during menopause. We experienced a case where isolated tubal torsion occurred in a perimenopausal female with total abdominal hysterectomy, while the findings showed a normal ovary. We report this case with a brief review of related literature.