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      • S-465 IgM deposit, Prognosis factor in the Biopsy-proven Mesangioproliferative Glomerulonephritis

        하명아,서유림,민지원,송호철,최의진 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1

        Bakground: Mesangioproliferative glomerulonephritis (MsPGN) is less well described in the literature. In this study, 122 biopsy-proven MsPGN cases were reviewed about the natural course and prognosis factors of the MsPGN. Methods: 122 Biopsy-proven MsPGN patients from 2004 to 2014 with minimum 3-year follow-up period were studied.Through the analysis of the laboratory findings and biopsy results of the included cases, the natural courses of the disease and prognosis factors were reviewed retrospectively. Changes in Creatinine and eGFR at time of kidney biopsy and at the last visit of the institute were compared according to the following factors: 1) Sex, 2) Age at the initial diagnosis, 3) Urine Protein Creatinine ratio, 4) Presence of IgM deposit found on biopsy. Result: Of the 122 cases, 31 were male and 91 were female patients.The mean patient age was 42.5 and ranged between 18 and 67. Average follow-up period was 93.5 months and ranged between 36 and 145 months. 11 patients had proteinuria at the time of diagnosis and 5 patients had CKD stage2 eGFR.During the follow-up period, 8 patients were treated with steroids or cytotoxic agents. Two patients proceeded to ESRD and started dialysis.The biopsy result showed that 28 patients had sclerosis, 51 patients had tubular atrophy and 50 patients had interstitial fibrosis. IgM deposit was observed in 70 cases. There were no significant differences in eGFR changes between male and female (M :-13.51±3.45, F :-14.02±1.95, p=0.896). Patients were divided into two groups: Ages 40 years and younger, and Older than 40 years. There were no significant differences in these groups.(yr≤40 :-15.27±3.25, yr>40 :-13.22±1.97, p=0.570). Biopsy results were reviewed in order to analyze the relationship between IgM deposit and eGFR changes. Patients with absent IgM deposit on biopsies showed lowered decreasing rate of eGFR(absence :-9.27±2.48, presence :-17.49±2.24, p=0.016). Conclusions: MsPGN is a distinct type of glomerulopathy with a benign renal prognosis. However, the presence of IgM deposit found on Biopsy at diagnosis could be related to poor prognosis of the disease and a close observation on such patient is preferred.

      • KCI등재후보

        대학 교양영어 교육에 대한 학습자 만족도 분석 연구

        하명 한국영어교과교육학회 2010 영어교과교육 Vol.9 No.2

        The purposes of this study are to examine learner satisfaction on general English education programs at the college level and to suggest more effective college English programs based on the results of the survey. This paper reports the results of a survey at a university located in a large city in the middle of Korea. A total of 368 university students participated in the survey. The results show that through college English education programs, the learners want to develop English skills and to get help in preparing for standardized tests like TOEIC. The survey also shows that the learners recognized the importance of a proficiency-based English curriculum for effective English learning. Learners also showed relatively high satisfaction for both native English-speaking professors and Korean non-native English-speaking professors. Korean non-native English professors received better evaluations than foreign native-English professors in class preparation, class management and professionalism. However, in the aspect of interaction with students, the evaluation differences between the two professor groups were not statistically meaningful. Learners were negative about the relative evaluation system in college English courses. On the other hand, learners were generally positive on the effect of college English on learners' English achievement. The results also clearly show that college English education has more influence on the English achievement for upper group English proficiency than on the achievement of the lower group. This result implies that college English education curriculums have to consider learner needs and proficiency levels.

      • KCI등재

        정신보건법상 보호의무자에 의한 입원

        하명호 ( Myeong Ho Ha ) 안암법학회 2011 안암 법학 Vol.0 No.36

        Legal Guardian laws established by the Mental Health Act derive from the Japanese Care & Custody of the Mentally Ill Act of 1900 that gave the welfare responsibility of the mentally-ill to the next-of-kin. This policy delegated the duty of care of the mentally-ill by an extension of the duty of care under civil laws since social and economic foundations to take care of such mentally-ill persons were non-existent. There are various opinions on what we should do about this duty of care going forward. From a social welfare standpoint, it is better to have a public system serve the medical issues of mental illness, and thus, some boldly suggest to abolish the duty of care in its entirety. On the other hand, others point to the fact that since it is difficult to find an alternative support system that can substitute the duty of care of the next-of-kin, we should try to improve the current system rather than replace it. Yet, before any kind of serious discussion has been made by social welfare or legal experts on the issue of Hospitalization by Legal Guardians, the Korean Civil Law has been revised on March 7, 2011 and shall be in effect by July 1, 2013. This revised Civil Law abolishes the previous incompetency and partial incompetency laws and introduces the concepts of adult guardianship, limited guardianship and specific guardianship. Also, adult guardianship is appointed directly by Family Courts in lieu of the previous sequential appointments of guardianship. In addition, adult guardians need to obtain permission from the Family Court to hospitalize an underage person in his custody. But according to current Mental Health laws, persons with Duty of Care have first priority as Legal Guardians, and then court-appointed Guardians thereafter. This means that until Mental Health laws are revised to reflect the changes in the Civil Law, even if a Family Court appoints an suitable guardian to protect a mentally-ill person, persons with Duty of care, i.e. the next-of-kin, will still remain in priority. In my opinion, we should revise Mental Health laws to distinguish between persons with parental rights and guardians for underage persons in custody and leave only the concept of guardians for adults in custody. In addition, we should revise Mental Health laws to require Family Court permission when a Legal Guardian hospitalizes a mentally-ill person in his custody.

      • KCI등재
      • KCI등재

        교양영어 수업에서 원어민교수의 한국어 구사에 대한 교수와 학습자의 인식연구

        하명애(Ha, Myeong-Ae) 새한영어영문학회 2015 새한영어영문학 Vol.57 No.3

        The purpose of this study is to explore the effect of native English-speaking professors’proficiency of Korean language and its perception between native English-speaking professors and students in college English courses. To achieve the goal of this research, both quantitative and qualitative research has been performed. For the quantitative research, the researcher conducted a survey of 21 native English-speaking professors and 143 college students. The qualitative research was conducted through two native English-speaking professors and four students by means of classroom observations and in-depth interviews. The results show that native English-speaking professors, as well as Korean students, consider that native English-speaking professors’ proficiency of Korean language can be helpful and effective for classroom interaction with students, and they wished they could command Korean in their classes. The study has also found that active students are less influenced than the passive ones by native English-speaking professors’ Korean proficiency. The result implies the need for Korean language education for the professional development of native English-speaking professors and differentiated classes by students’level of English proficiency in the native English-speaking professors’ courses.

      • KCI등재

        항만인센티브제도의 효과에 대한 정량적 분석

        하명신(Myungsin Ha),김철민(Chulmin Kim),장병기(Byoungky Chang) 한국항만경제학회 2011 韓國港灣經濟學會誌 Vol.27 No.2

        동북아 물류중심지가 되겠다는 목표 하에 환적화물유치 증대를 위한 다양한 인센티브 제도를 실시하고 있다. 그러나 인센티브제도의 실질적인 효과에 대한 검증 없이 경쟁적으로 인센티브만 증가시키고 있다는 우려가 제기되고 있다. 터미널간 요율경쟁에 추가하여 지나친 인센티브경쟁으로 인해 가뜩이나 낮은 생산성을 가진 국내항만이 오히려 경쟁력 저하를 가져오지 않을까 우려되기도 한다. 따라서 본 연구는 부산항이 환적화물 유치증대를 위해 2004년부터 실시해온 볼륨인센티브제도가 과연 부산항의 환적화물 증대에 기여해 왔는지 분석하였다. 이를 위하여 기존의 연구들과 달리 각종 계량분석기법들을 적용하여 정량화된 분석을 시도하였다. ARIMA 타입의 모형과 공적분분석에 의한 장기균형모형을 구축한 후 모형의 예측치와 실제치를 비교함으로서 인센티브제도가 환적물량의 증대를 가져왔는지 검정하였다. 또한 인센티브제도의 도입이 모형의 구조변화를 가져왔는지 검정함으로서 인센티브효과에 대한 유의성을 확인하였다. ARIMA 타입의 모형들을 이용한 분석결과에 의하면 제도시행 7년간 총 100만 TEU 내외의 물량증가가 발생한 것으로 추정되었다. 한편 장기균형식을 이용한 분석결과에 의하면 7년간의 환적물량 증가효과가 총 50만 TEU미만인 것으로 나타났다. 한편 인센티브제도 도입으로 인한 구조변화를 검정한 결과 ARIMA모형과 장기균형식 모두에서 인센티브 더미변수가 유의하지 않은 것으로 나타났다. 즉, 인센티브제도의 도입이 부산항의 환적물량모형의 변화를 가져오지 못한 것으로 나타났다. 분석결과들을 종합해보면 다소 환적물량의 증가효과는 있었던 것으로 추정되나 모형의 변화를 유발할 만큼의 유의한 변화는 가져오지 못한 것으로 판단된다. 특히 부산항만공사의 막대한 투입비용을 고려할 때 그 성과는 불충분한것으로 판단된다. Various incentive policies for transshipment cargo have been enforced without any evaluation of the effectiveness. Therefore, the purpose of this study is to evaluate the effect of volume incentive on container transshipment cargo. To be different from previous studies, this study tries to quantitatively assess the incentive effects by using econometric techniques. The result derived from the ARIMA type models indicates that the total amount of the increased transshipment cargo during the last 7 years is about one million TEU. In the meanwhile, the multivariate long run equilibrium model implies that the increased transshipment cargo is less than 0.5 million TEU for the 7 years. Furthermore, the structural break tests indicate that the volume incentive does not change the model structures. It means that the effect of volume incentive is not statistically significant. Consequently, the test results conclude the effect of volume incentive on transshipment cargo is not significant although the volume of transshipment cargo is increased to some extent by volume incentive. Considering the magnitude of BPA’s expenditure, we doubt the effectiveness of volume incentive. This study, therefore, encourages the port authority to research a more efficient way to induce transshipment cargo rather than focusing on only volume incentives.

      • KCI등재

        영어 유의어 perfect와 absolute의 코퍼스 기반 분석

        하명 한국중앙영어영문학회 2015 영어영문학연구 Vol.57 No.2

        For many non-native speakers of English it can be challenging to distinguish the subtle differences between near-synonyms and know which word to use in a specific context. This study deals with the two synonymously used adjectives, perfect and absolute, and aims at exploring comprehensively 1) the stylistic and diachronic variation of them; 2) the semantic differences between them. For the first goal, the stylistic variation was investigated across the five different genres provided by the COCA and BNC, and the diachronic variation of them via COHA. The results showed that perfect was used more frequently than absolute in all the rest registers, except for Spoken and that the use of perfect became more prevalent compared with absolute after hitting the bottom in 1940s. To achieve the second goal, this study compared and analyzed the dictionary meanings of these adjectives via two online available dictionaries and the noun collocations measured by MI-score(>3) through BNC. The results of the study revealed that there was a clear difference between these two near-synonyms, a need to pay close attention to use them, and furthermore, a requirement to add a specific meaning to the dictionary definitions.

      • 해안지역 고지대에 위치한 공동주거단지 바람길 해석

        하명호(Ha Myeong-Ho),이정재(Yee Jung-Jae) 한국건축친환경설비학회 2011 한국건축친환경설비학회 학술발표대회 논문집 Vol.2011 No.3

        This study aimed to evaluate the wind road in the hillside apartment complex in the coastal area by CFD analysis. The results of this study are as follows; The vortex has occurred and fast air streams are locally made in the apartment complex which are analysed by CFD simulation. Also the stagnant now region is widely distributed in the apartment complex. Therefore, the wind road isn't formed properly. In order to make the wind road properly, apartment should have piloties and space out between buildings enough to prevent ventury effect. Also buildings should be arranged that is considered direction of the wind. And the shape of building should be avoided rectangle form.

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