결혼 전 관계향상 프로그램 구성 및 효과검증

정미향(Jung Mi Hyang),김득성(Kim Deuk Sung) 가정과삶의질학회 2001 가정과삶의질연구 Vol.19 No.4

상담치료전공대학원생의 자기성찰 경험에 관한 연구

정미향(Mi-Hyang Jung) 한국사회복지상담학회 2023 사회복지상담연구 Vol.7 No.1

본 연구의 목적은 상담치료전공 대학원생의 자기성찰 경험을 살펴봄으로써 상담치료 대학원생의 교육경험을 이해할 수 있는 구체적 자료를 제공하는데 있다. 이를 위하여 Giorgi 현상학적 연구방법을 동원하였고 상담전공 5학기차 이상 이수한 대학원생과 졸업생 8명에게 심층면접을 실시하고 자료를 획득하였다. 자료분석 결과 12개의 하위구성요소와 4개의 구성요소가 도출되었다. 연구결과 ‘긍정적 정서 경험’, ‘성숙한 관계형성’, ‘자기인식의 확장’, ‘전문상담가로의 도약’으로 의미가 도출되었다. 본 연구를 통해서 볼 때 상담전공 대학원생은 대학원 과정을 통해 자기성찰을 경험함으로써 부정적인 경험이 긍정적으로 변화하고 관계에서 긍정적 변화를 경함하며 인간적으로 성장하고, 추후 전문상담자가 되고자 하는 목표를 설정하는 것으로 나타났다. 마지막으로 본 연구와 관련한 제한점 및 후속연구를 위한 제언을 하였다. The purpose of this study is to examine the self-reflective experience of graduate students majoring in counseling therapy to provide specific data to understand the educational experience of counseling therapy graduate students. To this end, Giorgi phenomenological research methods were mobilized, and in-depth interviews were conducted and data were obtained from 8 graduate students and graduates who had completed more than 5 semesters of counseling majors. As a result of the data analysis, 12 subcomponents and 4 components were derived. As a result of the study, meaning was derived from 'positive emotional experience', 'mature relationship building', 'expansion of self-awareness', and 'leap to professional counselor'. Through this study, it has been shown that graduate students in counseling experience self-reflection through graduate study, so that negative experiences change positively, that they recognize positive changes in relationships, that they grow humanely, and that they set goals to become professional counselors in the future. Finally, limitations related to this study and suggestions for follow-up studies were made.

만성 난치성 통증의 치료를 위한 상위척수차단

정미향(Mi Hyang Jung),홍진경(Jin Kyung Hong),이 철 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2

Total spinal block is use4 as. final choice for chronic intractable pain which doesn't respond to other treatments. A 35 years old male patient was admitted, to pain clinic due to severe cramping and throbbing pain of whole body; especially left lateral side since 1980. The result of cervical and lumbar epidnral block was not good enough, so we decided to try total spinal block. At first, C7-Tl interspace was punctured and 2% mepivacaine 20ml was injected, but the result was not satisfied. Next day, L3-4 interspace was punc- tured and 1.5 % mepivacaine 40 ml was injected. The sensory block level was C6 and pain score on Visual Analog Scale, was changed from 9 to 4. In both trials, actually even though they were not complete total spinal block, the effect was good enough. If complete total spinal block had been accomplished, better result might be obtained in this chronic intractable pain.

청소년의 인터넷 중독 : 수면, 우울과의 관련성

송호광,정미향,성다정,정정경,최진숙,장용이,이진성,Song, Ho-Kwang,Jeong, Mi-Hyang,Sung, Da-Jung,Jung, Jung-Kyung,Choi, Jin-Sook,Jang, Yong-Lee,Lee, Jin-Seong 대한수면의학회 2010 수면·정신생리 Vol.17 No.2

목 적: 컴퓨터의 보급으로 인터넷 사용이 보편화되면서 인터넷 중독에 대한 관심이 증가하고 있다. 그러나 인터넷 중독의 정확한 병태생리에 대한 이해와 진단 기준은 아직 확립되어 있지 않다. 청소년은 발달 과정 중에 있기 때문에 인터넷 중독에 더 취약할 가능성이 있으며, 우울감과 수면 문제에 대한 이해가 중요하다. 본 연구에서는 청소년의 인터넷 중독, 수면 양상, 그리고 우울감의 특징과 그 연관성을 살펴보고자 하였다. 방 법:서울 시내 일 중, 고등학교의 중학교 2학년(155명), 고등학교 1, 2학년 학생(644명)을 대상으로 하였고 그 중 696명의 설문지를 분석 대상으로 하였다. 설문지에는 Young 인터넷 중독 척도(Young's Internet Addiction Scale, YI-AS), 피츠버그 수면의 질 척도(Pittsburgh Sleep Quality In-dex, PSQI), 우울감 척도(The Center for Epidemiologic Studies Depression Scale, CES-D), 그리고 인터넷 사용 패턴과 기본적인 인구학적 정보에 대한 질문들이 포함되었다. 연구 대상자들을 학년별, YIAS 점수에 따라 나누어 비교하였고, YIAS와 다른 변인과의 상관관계를 분석하였다(two-tailed, p<0.05). 결 과: 인터넷 중독군(internet-addicted, IA)은 14명(2.0%), 과사용군(over-using, ou)은 193명(27.7%), 비중독군(not-addicted, NA)군은 489명(70.3%) 이었으며, 전체 대상군의 평균 IAS 점수는 35.24점, PSQI 점수는 5.53점, CES-D 점수는 16.72점이었다. 평일 평균적인 수면 시간은 학년이 올라가면서 점점 감소하였다(F=51.909, p< 0.001). IA군, OU군, NA군으로 나누어 비교하였을 때 컴퓨터를 공부 이외의 목적으로 사용하는 시간(96.36${\pm}$63.31분 vs. 134.92${\pm}$86.79분 vs. 213.57${\pm}$136.87분, F=34.287, p<0.001), 휴대용 전자기기를 공부 이외의 목적으로 사용하는 시간(84.22${\pm}$79.11분 vs. 96.97${\pm}$91.89분 vs. 152.31${\pm}$93.64분, F=5.400, p=0.005)에 유의한 차이가 있었다. PSQI 총점(5.26${\pm}$2.97 vs. 6.08${\pm}$2.97 vs. 7.50${\pm}$4.41, F= 8.218, p<0.001)과 CES-D 점수(15.40${\pm}$8.08 vs. 19.05${\pm}$8.42 vs. 30.43${\pm}$13.69, F=32.692, p<0.001)에서도 유의한 차이가 있었다. YIAS 점수는 컴퓨터를 공부 이외의 목적으로 사용하는 시간(r=0.356, p${\pm}$0.001), 휴대용 전자기기를 공부 이외의 목적으로 사용하는 시간(r=0.136, p<0.001)과 유의한 상관관계가 있었다. YIAS 점수와 PSQI 점수(r= 0.131, p=0.001), YIAS 점수와 CES-D 점수(r=0.265, p< 0.001), PSQI 점수와 CES-D 점수(r=0.357, p<0.001)는 서로 유의한 상관관계가 있었다. 결 론: 인터넷 중독은 행위 중독의 한 가지로 여러 정신병리와 관련이 있을 뿐만 아니라, 수면의 질을 결정하는 여러 가지 요인들, 우울감과도 밀접한 관련이 있다는 것을 알 수 있었다. 따라서 청소년의 인터넷 중독을 평가할 때 동반될 우울감과 수면 양상에 대한 고려가 함께 이루어지는 통합적인 접근이 필요할 것이다. Objectives: "Internet-addiction" came into common use not only in clinical setting but also in everyday life. But, pathophysiology and diagnostic criteria of the internet addiction remain unknown. Because adolescents are in developing period, they might be vulnerable to the internet addiction, depression and sleep-related problem. The objectives of this study were to investigate the characteristics of internet addiction and its association with sleep pattern and depression in Korean adolescence. Methods: Subjects were 799 middle and high school students in Seoul, Korea. We administered a self-reported questionnaire including socio-demographic data, Korean versions of Young's Internet Addiction Scale (YIAS), Pittsburgh Sleep Quality Index (PS-QI), the Center for Epidemiologic Studies for Depression Scale (CES-D) and questions about internet using patterns. Data of 696 subjects were included in analysis. Chi-square tests were used to analyze proportional differences, and ANOVA with post-hoc tests were used to analyze differences among groups. Partial correlation analyses were performed to analyze the correlation of internet addiction with other variables (two-tailed, p<0.05). Results: Of the 696 participants (grade 2 of middle school; M2 135 vs. grade 1 of high school; H1 238 vs. grade 2 of high school; H2 323), 2.0% (n=14) were internet-addicted (IA), 27.7% (n=193) were over-using (OU) and 70.3% (n=489) were not-addicted (NA). The mean scores of YIAS, PSQI and CES-D scores were 35.24${\pm}$12.78, 5.53${\pm}$3.04 and 16.72${\pm}$8.69, respectively. In higher grade students, average total sleep time was shorter (M2 426.20${\pm}$67.68 min. vs. H1 380.47${\pm}$62.57 min. vs. H2 354.67${\pm}$73.37 min., F=51.909, p<0.001), and PSQI (4.69${\pm}$3.14 vs. 5.42${\pm}$3.15 vs. 5.97${\pm}$2.83, F=8.871, p<0.001) CES-D (13.53${\pm}$8.37 vs. 16.96${\pm}$8.24 vs. 17.87${\pm}$8.84, F=12.373, p<0.001) scores were higher than those of lower grade students. Comparing variables among IA, OU and NA groups, computer using time not for study (96.36${\pm}$63.31 min. vs. 134.92${\pm}$86.79 min. vs. 213.57${\pm}$136.87 min., F=34.287, p<0.001) and portable device using time not for study (84.22${\pm}$79.11 min. vs. 96.97${\pm}$91.89 min. vs. 152.31${\pm}$93.64 min., F= 5.400, p=0.005) were different among groups. PSQI (5.26${\pm}$2.97 vs. 6.08${\pm}$2.97 vs. 7.50${\pm}$4.41, F=8.218, p<0.001) and CES-D scores (15.40${\pm}$8.08 vs. 19.05${\pm}$8.42 vs. 30.43${\pm}$13.69, F=32.692, p<0.001) were also different among groups. YIAS score were correlated with computer using time not for study (r=0.356, p<0.001) and portable device using time not for study (r= 0.136, p<0.001). PSQI score (r=0.237, p<0.001) and CES-D score (r=0.332, p<0.001). YIAS score and PSQI score (r=0.131, p= 0.001), YIAS and CES-D score (r=0.265, p<0.001), PSQI score and CES-D score (r=0.357, p<0.001) were correlated each other. Conclusion: These results suggested that adolescents' internet-addiction was correlated with not only computer and portable device using time not for study but also depression and sleep-related problems. We should pay attention to depression and sleep-related problems, when evaluating internet-addiction in adolescents.

복강경하 근치적 신절제술 후에 발생한 급성 신부전을 동반한 횡문근 융해증

옥주현 ( Ju Hyun Oak ),정미향 ( Mi Hyang Jung ),황병희 ( Byung Hee Hwang ),유선홍 ( Sun Hong Yoo ),박기훈 ( Ki Hoon Park ),김지훈 ( Ji Hun Kim ),안서희 ( Seo Hee Ann ),김용균 ( Yong Kyun Kim ),송호철 ( Ho Cheol Song ),최의진 ( Eui 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.1

Postoperative rhabdomyolysis with acute renal failure (ARF) is a rare complication of laparoscopic urologic surgery. It is associated with lateral decubitus surgical position, long operative time, and increased body mass. We report a case of a 49-year-old-man with right renal cell carcinoma who underwent a laparoscopic right radical nephrectomy for 7 hours in left decubitus position and was complicated by ARF due to postoperative rhabdomyolysis. Laparoscopic renal surgery is performed in many surgical renal diseases and heightened suspicion may help early recognition of postoperative rhabdomyolysis. Vigorous hydration and hemodialysis are also helpful in treating ARF secondary to rhabdomyolysis.

대상포진후 신경통 치료중 발생한 급성간염

박희정(Hee Jeung Park),정미향(Mi Hyang Jung),이철 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1

A 67year old male with postherpetic neuralgia complained of right anterior chest throbbing pain and also allodynia. We performed thoracic epidural block with 0.25% bupivacaine and 1% lidocaine. Oral carbamazepine and imipramine were also administred concomitantly. One month later, patient complained of fatigue, anorexia, pruritis, jaundice, and dark urine. Liver function test values were significantly elevated then. Therefore we removed the epidu- ral catheter and ceased all medication. Liver function test values decreased rapidly after discontinuation of medication. Hepatitis might have developed as result of drugs administered and could have been prevented if the patient had been monitored with regular clinical labora- tory follow up. The purpose of this case report is to emphasize the importance of early regular laboratory test to detect any possible side effect that may occur by administration of drugs during treat- ment of chronic pain.

급성 신우신염에 합병된 신정맥 혈전증

이화정 ( Hwa Jeong Lee ),정미향 ( Mi Hyang Jung ),정희경 ( Hee Kyoung Jeong ),김진진 ( Jin Jin Kim ),모은영 ( Eun Yeong Mo ),김용균 ( Yong Kyun Kim ),송호철 ( Ho Cheol Song ),최의진 ( Euy Jin Choi ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.1

Acute pyelonephritis is a common disease in clinical practice. Renal vein thrombosis in acute pyelonephritis has become a rare complication at present because of the advances of antibiotics. The trend in management has shifted to non-surgical therapies, particularly systemic anticoagulation, except in highly selected group of patients. Here we report the case of a 67-year-old woman who got hospitalized for fever and chilling. Acute pyelonephritis was diagnosed by clinical manifestation and positive urine and blood cultures. Computed tomography demonstrated left pyelonephritis and ipsilateral renal vein thrombosis. She was fully recovered after treatment with antibiotics, low molecular weight heparin and warfarin for 8 weeks.

아이가 배우는 방식에 기초한 학습 원리 기술

이선희 ( Sun Hee Lee ),이희정 ( Hee Jung Lee ),정미향 ( Mi Hyang Jeong ),정선미 ( Sun Mi Jeong ),최홍준 ( Hong Jun Choi ),하선희 ( Sun Hee Ha ),정광순 ( Kwang Soon Jeong ) 한국교원대학교 초등교육연구소 2015 초등교과교육연구 Vol.21 No.-

본 연구는 J. Holt의 저서 ‘아이들은 어떻게 배우는가?’를 대상으로, 아이들의 배움 장면을 추출하고, 그 장면에서 아이들이 배우는 것을 배움 방식으로 정의하고, 이를 범주화하여 학교 학습의 원리들을 탐색하는데 목적을 두었다. 본 연구에서는 총 84개 배움 장면에서 배움 방식을 진술하고, 이를 다시 대상, 학생, 교사 측면으로 범주화하고, 각 범주에 해당하는 배움 방식의 공통점을 중심으로 12개의 학습 원리와 이 원리를 도출한 과정을 기술하였다. This study is intended to deduct the principles of learning in schools, targeted the book ``How children learn`` written by John Holt. Therefore, 1)scenes of children`s learning were extracted, 2)learning ways were defined and 3)those ways were categorized. That is to say, this study is meant to elicit learning principles, based on real learning. Explaining concretely, the procedure that the ways of learning in eighty four learning scenes was described, the ways were categorized, and twelve learning principles were extract focused on commons of learning ways was depicted in this study.

혈액종양 ; 신경섬유종증 환자에서 종격동과 복강 내 양측을 침범한 총상 신경섬유종 1예

안건희 ( Gun Hee An ),전병연 ( Byung Yeon Jun ),정미향 ( Mi Hyang Jung ),정희경 ( Hee Kyoung Jeong ),진종률 ( Jong Yul Jin ),이기현 ( Kee Hyun Lee ) 대한내과학회 2010 대한내과학회지 Vol.79 No.4

총상 신경섬유종(Plexiform neurofibromatosis)은 슈반세포(Schwann`s cell)에서 발생하며 조직학적으로 양성이고 비피 막성이며 경계가 불명확한 신경초 종양이다. 국내에서 종격동과 복강 내에서 동시에 발견된 신경섬유종증 환자에 대해 보고된 바 없어, 이에 저자들은 문헌고찰과 함께 본 증례를 보고하는 바이다. 환자는 신경섬유종증을 확진시키는 피부병변과 함께 흉부와 복부 CT에서 거대하고 균질한 융합성 종괴가 관찰되었고, 조직검사를 통해 종격동과 복강 내에 동시에 퍼져 있는 총상 신경섬유종임을 진단할 수 있었다. 본 증례에서는 특이증상이 없어 외래에서 추적관찰하기로 하였으나 향후 악성 종양의 가능성이 있으므로 주의깊은 추적관찰이 필요할 것이다. Plexiform neurofibroma is a benign proliferation that arises from the peripheral nerves and represents one of the diagnostic features of neurofibromatosis type I (NF-1). They are commonly found in the gastrointestinal tract, and intrathoracic neurofibroma is relatively uncommon. Ultimately, this tumor grows along the length of any single nerve and may involve multiple fascicles or branches of major nerves. Here, we report a case of multiple-site plexiform neurofibromas in a 40-year-old man previously diagnosed with NF-1. Although he had no perceptible symptoms, contrast-enhanced CT revealed massive diffuse neurofibromas that involved the mediastinum, periportal region, retroperitoneal space, and the mesentery. Histopathological studies of the neck, skin, and intra-abdominal soft tissue showed loose spindle cells and collagen bundles. The microscopic appearance was typical of a plexiform-type neurofibroma. It was decided that we would observe the patient without surgical management, because the neurofibromas were asymptomatic. (Korean J Med 79:443-447, 2010)

고주파 유전가열형 온열암치료기의 개발과 가온특성

박민용(Park Mignon),이상배(Lee Sang Bae),박덕규(Park Duk Kyu),추성실(Chu Sung Sil),정미향(Jung Mi Hyang) 대한전기학회 1987 대한전기학회 학술대회 논문집 Vol.1987 No.7