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장은영,이미정,김명준,신재호,장해경,한석주,오정탁,Chang, Eun-Young,Lee, Mi-Jung,Kim, Myung-Joon,Shin, Jae-Ho,Chang, Hye-Kyung,Han, Seok-Joo,Oh, Jung-Tak 대한소아외과학회 2011 소아외과 Vol.17 No.1
Meconium obstruction (MO) in neonates arises from highly viscid meconium and the poor motility of the premature gut. Recently the incidence of the MO in neonates has been Increasing, but, the diagnosis and treatment of this disease have not yet been clarified. Between March 2004 and April 2010, 24 neonates were treated for MO at Severance Children's Hospital. Their clinical characteristics and treatment were reviewed retrospectively. Twenty neonates were diagnosed with MO and 4 neonates were diagnosed with Hirschsprung's disease (HD). The mean birth weight and gestational age of the 20 neonates with MO were $1.45{\pm}0.90kg$ and $31.1{\pm}4.6$ weeks, respectively. Thirteen neonates (65 %) diagnosed with MO weighed less than 1.5 kg and 10 neonates (50 %) weighed less than 1 kg. Half of the neonates with MO were treated by non-operative methods and the other half were treated by operative methods. Compared with the group that weighed over 1.5 kg, the group that weighed less than 1.5 kg were more frequently operated upon (61.5% vs. 28.5%), and contrast enemas were performed later and more frequently. Also the group that weighed less than 1.5 kg had a higher mortality rate (15.4% vs. 0%). Three of the four neonates with HD were diagnosed with long-segment aganglionosis. In conclusion, MO occurred in very low birth weight neonates more often and must be differentiated from HD. Also, MO in very low birth weight neonates should be treated with special attention due to more a complicated clinical course.
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장은영,장혜경,류선애,오정탁,한석주,Chang, Eun-Young,Chang, Hye-Kyung,Ryu, Seon-Ae,Oh, Jung-Tak,Han, Seok-Joo 대한소아외과학회 2011 소아외과 Vol.17 No.1
Although laparoscopic surgery for hepatobiliary disease in children is possible, it is technically challenging. In an attempt to overcome these difficulties, the da Vinci Robotic Surgical System$^{(R)}$ was used to facilitate the minimally invasive treatment of choledochal Cyst in six children. In early consecutive three cases, we experienced three complications; a case of laparotomy conversion, a case of late stenosis of the hepaticojejunostomy, and a case of leakage from a hepaticojejunostomy. However, in the last three cases the complete resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy were performed using the robotic surgical system without complication. We think robot-assisted choledochal cyst resection in children appears safe and feasible, and may increase the variety of complex procedures in pediatric surgical fields.
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경기 혁신교육지구 사업의 발전방향과 특성화(전문계)고 프로그램적용 방안연구
장은영 ( Eun Young Chang ),유형진 ( Hyung Jin You ) 한국실천공학교육학회 2011 실천공학교육논문지 Vol.3 No.1
본 논문 새로운 경기도 교육청에서 선도하여 시행하고 있는 경기 혁신 교육지구 사업에 관하여 문제점과 발전방향을 고찰하였다. 특히 현재 직면한 특성화고등학교의 여러 가지 문제점을 인식하고 특성화고등학교의 경쟁력을 높이는 방안으로 프로그램의 내용과 수준을 살펴보았으며 교육혁신지구 사업의 장단점을 분석하여 향후 발전방안을 모색하기도 하였다. 선행 연구 분석결과 지원대상과 특성화고의 취업지원이 미치지 못하는 부분이 발생 하였으며 일반계 초·중등학교에 전반에 걸쳐 지원 되므로 특성화고(전문계)에서 필요로 하는 하드웨어 기반보다는 보편적 교육복지로 초등학교, 중학교, 일반고에서 원하는 감성적 소프웨어적인 지원이 보다 많은 것을 알 수 있었다. 이에 특성화고 학부모와 교사 학생에 대한 설문지 조사 분석결과 대체로 만족한 평가를 받았지만 균형적인 지원을 요구하는 교사가 증가하고 교육효과를 의심하는 학생도 있고 일부 학부모는 주민입장에서 교육보다는 지역 발전을 요구하는 경우도 설문조사에 포함되어 아직까지 학부모 교사 학생들이 혼선을 가지고 있었다. 이러한 문제점을 해소하기 위해서는 지역교육공동체 구축을 내실화하고 행·재정지원 에서 교육청과 지자체가 적극적으로 공교육혁신을 이루기 위한 신뢰와 믿음으로 대규모 시설사업에서 탈피하여 특성화고 학교실정에 맞는 프로그램이 지원이 될 수 있도록 지역혁신교육협의체에 지역특성화고 교사를 포함한 전문가 교사운영위원회를 설치 참석시켜 현장의 요구를 반영시킬 수 있어야 하겠다. 지역의 인적 물적 인프라 활용한 계획으로 초빙강사인력풀 구축 하여 혁신프로그램을 수행하는 교사에게 제공하여 교육의 질을 높이고. 학생의 선택권을 넓혀 우수 타 학교 프로그램에 참여 기회를 주도록 개선방안을 모색하여야 할 것이다. In this paper, as a new educational cooperation model, seeking the problems and the directions of progress on GPOE(Gyeonggi Provincial Office of Education)`s innovational education district project, recognizing the various points of issue of SVHS(specialized vocational high schools) faced now, suggesting the contents and standards of the program as measures of enhancing competitiveness of SVHS, analyzing the strengths and weaknesses of project of innovational education district and finding the plans for progress. According to the result of the advanced study and analysis, it shows that the aid as well as the supporting object of helping the SVHS`s students find a job don`t reach a certain level. As the aid supports across the general elementary and secondary schools, it tends to show much more emotional software-based support required by elementary school, middle school and general high school as universal education welfare rather than hardware-based support required by SVHS. Despite the competent evaluation on the survey about the supporting method from SVHS`s parents teachers and students, the survey includes that teachers who ask the balancing support are increasing, some students suspect its effect of education and some parents as a residential position ask the regional growth rather than education So there are a lot of confusions among the teachers, students and parents yet. To overcome these problems, we ensure the internal stability of local education community and GPOE and local government get out large scale constructions with trust and belief to make a revolution of public education in supporting the administrative task and finance and to accomplish the program that best suits our SVHS`s state to be supported without dividing educational software and hardware, should reflect the demand of field by for expert group being built and attended when build the local revolution community. Also plan to make full use of local human and property infrastructure should be added. To this end, as programs to build a pool of guest lecturers are provided to teachers who carry out innovative education programs, we seek the reformations to give students opportunities to widen participation in other school programs.
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4차 산업혁명 시대 공학 분야의 진입 능력 함양을 위한 집중 이수제 공학 교육 운영에 관한 연구
장은영 ( Eun-young Chang ),윤석범 ( Seok-beom Yoon ) 한국실천공학교육학회 2021 실천공학교육논문지 Vol.13 No.2
대학 자체로 선정한 대학 고유의 핵심 6개 역량들 중에서 측정된 부족한 사항들을 강화시켜 교육 목표에 도달하기 위해, 학생융합적 사고 역량과 자기 계발 역량을 최대화하는 집중 이수형 과목 형태로 공학 관련 전공 콜라주 과목을 신설하였다. 학부/학과간 공유형 교육과정으로 진행하였고, 2020학년 1,2학기 각각에서 2개 이수 집단(전기전자제어공학부 전자공학전공; 26명, 광공학과; 28명) 54명을 대상으로 공통된20개 문항들의 설문 결과를 종합, 분석하였다. 그 결과 응답자75% 이상이 장소와 시간에 자유로운 온라인 학습에 긍정적이었고, 녹화된 동영상 학습 시간내 추가적인 상호작용 활동들과 팀티칭(team teaching) 방식을 보강한 집중 이수 형태는 학습 효과를 극대화할 수 있다고 판단한다. It has been determined the 6 core competencies of our university students. Among them, it was judged that the student’s convergence thinking ability and self-development ability were insufficient. To enforce the two insufficient abilities, an engineering-related major collage course was newly established in the form of an intensive coursework. The course was conducted as a shared curriculum between division/departments. For each of the first and second semesters in the 2020, 54 students from two completion groups (Department of Electrical and Electronic Control Engineering; 26, Optical Engineering; 28) were the subjects of the survey, the survey results of 20 common questions were comprehensively analyzed. As the result, more than 75% of the respondents were positive about free online learning at any time and place. And if additional interactive activities and team teaching method are reinforced during recorded audio and video contents learning material, It is confirmed that the attempted intensive course can maximize the learning effect.
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장은영 ( Eun Young Chang ),정승원 ( Seung Won Chung ),이자형 ( Ja Hyung Lee ) 부모자녀건강학회 2006 부모자녀건강학회지 Vol.9 No.1
The purpose of this study was to understand mother`s experience of caring child with a severe atopic dermatitis. Twelve participants were selected and collected on their caring difficulties using in-depth interview. Data were analyzed according to the method of Colaizzi. Significant statements were extracted from the data. From the significant statement, 18 clusters of themes and 7 categories were emerged. Eighteen cluster of themes formed 7 categories: Thinking of atopic dermatitis during 24 hour, Mom would cure you, You are atopic, I`m depressive, I need 12 or more bodies to take care of him/her, Great conversion of daily life, From a bitterness to a frailness, In peace with an atopic dermatitis. In this study, it was implicated that mothers were suffered from caring children with an atopic dermatitis and nurses need to have more interests in the maternal stress and their quality of life as well as provision of information.
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소형 무인기 또는 스마트폰(smartphone)을 활용한 종합 설계교과와 졸업 작품 제작 활동의 운영 방안 연구
장은영 ( Eun-young Chang ),윤석범 ( Seok-beom Yoon ) 한국실천공학교육학회 2016 실천공학교육논문지 Vol.8 No.1
본 연구에서는 종합 설계 교과와 학부 졸업기준이 되는 졸업 작품 구성에 관련된 주제 설정 및 작품 완성 단계까지 지도교수역할과 학생들의 진행 절차를 요약하고, 결과에 대한 학생들의 만족도를 조사 분석하였다. 1-2인을 1개조로 하여 담당교수를 지정하고 면담 및 기술 지도를 실시하였으며, 팀별로 자체 주제를 선정하도록 유도하였고, 2011년부터 2015년 12월까지 진행된 내용 중에서 소형 무인기 또는 스마트폰을 이용한 주제들에 대해 그 구성 결과를 제시하고, 2011년과 2015년 각각에서 1개 전공의 참여 학생들에 대한 작품 제작 활동 결과에 대해 설문 조사된 내용을 비교, 분석하였다. 이를 바탕으로 다음 학년도 개선사항에 대해 검토하고, 지속적인 교육 개선을 이루어 열정과 도전 정신을 갖춘 융합형 창의 인재가 양성되고 취업 및 창업과 연결되는 선순환 구조를 형성하는 방안을 공유한다. In this paper, the proceedings and core procedures that involved the role of advisor to the theme, the set up rule of students, and complete the work steps involved in configuring graduate work that the overall design curriculum and graduation standards are summarized. The one or two students are designated as one team, and by the designated professor was conducted a discussion and technical guidance. Among various topics from 2011 to 2015, some specific results configured using a small drone and smartphones are presented. The survey are compared the activity results for the participating students in one major each in 2011 and 2015 and analyzed. Based on this review for improvement next year notes, it forms a continuous improvement, and has converged talents with passion and challenging spirit, sharing a plan to form a virtuous cycle that is associated with positive employment and entrepreneurship.
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조중범 ( Joong Bum Cho ),이정현 ( Jung Hyun Lee ),서정민 ( Jung Min Suh ),유정석 ( Jung Seok Yu ),이호석 ( Ho Seok Lee ),박은아 ( Eun Ah Park ),김현미 ( Hyun Mi Kim ),장은영 ( Eun Young Chang ),김지현 ( Ji Hyun Kim ),한영신 ( Youn 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.1
Purpose: The aim of this study was to longitudinally examine the correlation between the change of atopic dermatitis (AD) severity and the change of quality of life (QOL). Methods: We assessed AD severity and QOL of patients and their families, by a prospective followed up for at least 12 months. AD severity was assessed, using the scoring of atopic dermatitis (SCORAD) index. A questionnaire based on dermatitis family impact (DFI), infants` dermatologic quality of life (IDQoL) and children`s dermatology life quality index (CDLQI) were used to determine QOL Results: Seventy-nine AD patients were assessed for total and objective SCORAD and DFI. Among them, 45 patients that were less than 36 months old completed IDQoL and 13 patients that were equal to or more than 36 months old completed CDLQI. Objective SCORAD (oSCORAD) were correlated with DFI (r=0.235), IDQoL (r=0.602) and CDLQI (r=0.589) (P<0.05). At the 2nd interview, median oSCORAD (from 17.4 to 7.8), DFI (from 23.0 to 18.0) and IDQoL (from 9.0 to 6.0) were significantly decreased (P<0.01). The changes of oSCORAD were linearly related with the change of IDQoL (P<0.01), but neither with DFI (P=0.356) nor with CDLQI (P=0.267). Of the 64 patients with decreased oSCORAD, food allergy was accompanied more frequently in those with an increased DFI than those with a decreased DFI (60.7% vs. 27.8%, P<0.01). Conclusion: In this longitudinal study, the improvement of AD severity is correlated with the improvement of the patient`s QOL, under the age of 3. To improve the family`s QOL, we need to find out accompanying factors, such as food allergy, and to support the family accordingly.
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