초등학생의 집행기능곤란 잠재프로파일에 따른 미디어기기 중독의 차이 분석: 교사관계와 그릿, 부모 Type A 행동유형의 영향력 검증

홍기은,변외진,허무녕,장효은 한국초등상담교육학회 2024 초등상담연구 Vol.23 No.1

This study attempted to classify latent profile of elementary school students’ executive function difficulty, to identify differences in media device addiction by the profiles, and to analyze the effect of relationship with teacher, GRIT and parents’ type A behavior as the predictors. The subject of this study are 1289 children and their parents who participated in 13th wave of Panel Study of Korea Children. The data were analyzed using latent profile analysis(LPA) and multinomial logistic regression analysis(MLR). Major findings are as follows. First, as the result of LPA, three latent profiles were found, called ‘low level of executive function difficulty group’, ‘mid level of executive function difficulty group’ and ‘high level of executive function difficulty group’. Second, there was significant differences in media device addiction by these latent profiles. ‘High level of executive function difficulty group’ showed the highest media device addiction and ‘low level of executive function difficulty group’ showed the lowest. Third, the effect of relationship with teacher, GRIT, parents’ type A behavior were significant as the predictors. Our findings provide the new approach to help children to get lower media device addiction and to reduce their executive function difficulty.

Is distal segment ostectomy essential for stabilization of the condylar position in patients with facial asymmetry?

홍기은,신은섭,박준,윤지언,김철훈,김정한,김복주 대한악안면성형재건외과학회 2021 Maxillofacial Plastic Reconstructive Surgery Vol.43 No.-

BackgroundThe purpose of this retrospective study was to evaluate the postoperative change in the position and stability of the mandibular condyle after bilateral sagittal split ramus osteotomy (BSSRO) and BSSRO with distal segmental ostectomy (DSO) in patients with facial asymmetry using 3D computed tomography. MethodsThe condyles of the patient diagnosed with facial asymmetry were divided into the deviated side (DS) and the non-deviated side (NDS). Group I, which was treated with BSSRO only, and Group II, which additionally received DSO along with BSSRO, were superimposed on the condyle using the pre-and postoperative 3D CT. The amount of condylar change in anteroposterior displacement, mediolateral displacement, and rotation was measured. The clinical symptoms of temporomandibular joint were also evaluated before and after surgery for each patient. ResultsBetween Groups I and II, there was no statistically significant difference in the anteroposterior condylar position on both DS and NDS. And also, there was no statistical difference between the two groups in the mediolateral change on DS but, statistically significant difference on NDS. The change in the rotation of the condyle was observed to rotate inward from both condylar heads of Groups I and II, and a statistically significant difference was observed between the two groups on both DS and NDS. Moreover, no difference in clinical temporomandibular joint symptoms was observed after surgery in each DS and NDS condyle of the two groups. ConclusionsAs a result of analyzing the condylar position change of the group treated with BSSRO alone and the group treated with BSSRO and DSO in patients with facial asymmetry, there were statistically significant differences in the mediolateral displacement of NDS and the condyle rotation of NDS and DS. However, the anteroposterior condylar position did not show any difference in the bilateral condyles. In addition, since worsening clinical symptoms of bilateral temporomandibular joint were not observed before and after surgery in both groups, it is concluded that it is not necessary to accompany DSO in patients with facial asymmetry (minimum 3 mm, maximum 7 mm).

해결중심 집단상담 프로그램이 학령초기 아동의 외현화 문제행동과 자아존중감 향상에 미치는 효과

홍기은,김춘경 한국아동심리재활학회 2010 놀이치료연구 Vol.14 No.2

This study aims to develop the Solution-focused Group Counseling Program for early school aged children who having high level externalizing problem and to examine the effect of program both on reducing high level externalizing problem and on improving low level self-esteem. Subjects were 12 second-grade children who showed high level externalizing problem in pre-test. They were divided in two groups, the treatment group and the control group by means of random sampling. And two groups were identified as equivalents for the study in the pre-test. The treatment group participated in the Solution-focused Group Counseling Program twice a week in five weeks. The Solution-focused Group Counseling Program was based on the solution-focused therapy. The program was consisted of ten sessions that include five phases which are building rapport, setting the goals, leading to the solutions, solution-focused intervening, keeping the goals. The instruments of measurement for the pre-post-follow up test were the Korean-Child Behavior Checklist and the Self-Esteem Inventory. The data were analyzed by Mann- Whitney U Test and Wilcoxon Matched-Pairs Signed Ranks Test. The major results of this study are as follows. The Solution-focused Group Counseling Program reduced early school aged children's high level externalizing problem. As a subordinate position, delinquent reduced. And The Solution-focused Group Counseling Program improved early school aged children's low level self-esteem. As a subordinate position, self-esteem under social peer improved. The conclusions of this study is The Solution-focused Group Counseling Program has significant effects on reducing the participants' externalizing problem and on increasing the participants' self-esteem. 본 연구의 목적은 학령초기 아동의 외현화 문제행동 감소와 자아존중감 향상을 위한 해결중심 집단상담 프로그램을 구성하여 그 효과를 검증하는데 있다. 연구대상은 대구광역시 소재 00초등학교 2학년 아동 12명이다. 연구대상의 선정을 위해 대구광역시 소재 00초등학교 2학년 아동 전체(177명)를 대상으로 K-CBCL(한국판 아동청소년 문제행동평가척도)을 실시하였고 이 가운데 외현화 문제행동의 경향이 높은 아동 12명을 선발하여 실험집단과 통제집단에 각각 6명씩 무작위 선정하였다. 프로그램을 실시하기 전에 두 집단의 동질성을 검증하기 위하여 각 집단의 사전검사 결과를 가지고 Mann-Whitney U 검증을 실시하였다. 그 결과 통계적으로 유의한 차이가 없는 것으로 나타나 두 집단은 동질적이라고 가정할 수 있었다. 선정된 6명의 실험집단 아동을 대상으로 매주 2회기씩 10회기로 해결중심 집단상담 프로그램을 실시하였고 통제집단에는 어떠한 처치도 하지 않았다. 해결중심 집단상담 프로그램은 해결중심상담 이론에 근거하여 관계형성 단계, 목표설정 단계, 해결책으로 이끌기 단계, 해결중심 개입하기 단계, 목표유지 단계의 5단계로 나누어 10회기로 구성하였다. 해결중심상담의 기본원리와 중심철학, 전략과 기법들을 활용하여 연구대상의 특성과 프로그램의 목표에 부합한 활동으로 구성하였다. 본 프로그램의 효과를 검증하기 위하여 두 집단에 외현화 문제행동과 자아존중감 검사를 사전-사후-추후로 나누어 검증하였으며 그 결과를 가지고 wilcoxon의 결합-조부호-순위 검증을 실시하였다. 그 결과 해결중심 집단상담 프로그램을 실시한 학령초기 아동의 외현화 문제행동을 유의미하게 감소되었고, 자아존중감은 유의미하게 향상되었으며 그 효과는 프로그램 종결 후 4주가 지난 시점에도 지속되었다. 이는 해결중심 집단상담 프로그램이 학령초기 아동의 외현화 문제행동 감소와 자아존중감 향상에 효과가 있음을 나타낸다.

두개저까지 확장된 측두하악관절의 윤활막 연골종증의 희귀 증례

홍기은(Ki-Eun Hong),박준(Jun Park),윤지언(Ji-Eon Yun),김정한(Jung-Han Kim),김철훈(Chul-Hoon Kim),한송희(Song-Hee Han),김복주(Bok-joo Kim) 대한치과의사협회 2021 대한치과의사협회지 Vol.59 No.12

Synovial chondromatosis is an uncommon benign lesion in which the synovial membrane within the joint forms cartilaginous nodules and loose bodies due to cartilaginous metaplasia. It is rare to develop in the temporomandibular joint, and may be accompanied by cranial base expansion or temporal bone morbidity. A 41-year-old male patient visited our hospital complaining of preauricular pain and crepitus. On CT and MRI, increased synovial fluid in the joint cavity, loose body, temporal bone erosion and cranial base expansion were observed. It was diagnosed as synovial chondromatosis through imaging and clinical symptoms. After arthrocentesis, the symptoms slightly decreased, and arthrotomy was performed for complete resolution of the pain. The patient"s pain and crepitus were resolved, and no recurrence of the lesion was observed.

유럽 탄소배출권 거래시장의 시계열모멘텀 분석을 통한 초과수익률 달성을 위한 연구

김정인,홍기은 한국환경경제학회·한국자원경제학회(구 한국환경경제학회) 2018 한국환경경제학회 학술발표논문집 Vol.2018 No.경제학 공동

하악의 치성각화낭에서 밴드 및 캐뉼라 장치를 이용한 감압술: 증례보고

윤지언,홍기은,박준,신은섭,김철훈,김복주,김정한 대한통합치과학회 2021 대한통합치과학회지 Vol.10 No.3

Depending on the size and location of the odontogenic cyst on oral and maxillofacial region, cyst enucleation can be used or cyst enucleation after decompression or marsupialization can be used. In young patients, complications such as growth disturbance, abnormal permanent tooth eruption, anatomical structure damage could occur when cyst enucleation is performed in large dentigerous cysts or odontogenic keratocysts. In this case, marsupialization or decompression can be performed. An 8-year old male patient who has radiolucent lesion on mandible left visited. On the radiograph, the lesion was 40 mm×23 mm size in size from below #75 to below #37 with cortical thinning and expansion. It was diagnosed as odontogenic kearatocyst. Decompression using customized band and cannula device was performed. 7 months after decompression, cyst enucleation was done. Bone healed without complications such as anatomical structure change.

류마티스 관절염이 있는 측두하악관절에서 유래된 두개내 및 악안면 농양 : 증례보고

박준(Jun Park),홍기은(Ki-Eun Hong),윤지언(Ji-Eon Yun),신은섭(Eun-Sup Shin),김철훈(Chul-Hoon Kim),김복주(Bok-Joo Kim),김정한(Jung-Han Kim) 대한치과의사협회 2021 대한치과의사협회지 Vol.59 No.12

The incidence of intracranial brain abscess originating from the oral and maxillofacial infection is rare. However, brain abscesses have been reported in immunocompromised patients, which may cause neurological sequelae with high mortality. Early diagnosis of brain abscess and intensive antibiotic treatment can reduce the mortality rate. However, as a clinician, early diagnosis is difficult, and there are limitations in the use of antibiotics. Odontogenic infection can be diagnosed and treated early using clinical examination and dental radiographs. Although the temporomandibular joint is an area that dentists are in charge of, it is difficult to diagnose an infection, and there is a possibility that it may develop into a brain abscess. The purpose of this report is to review the case of temporomandibular joint infection and secondary maxillofacial and brain abscesses in a 61-year-old female patient with systemic rheumatoid arthritis, and to report the importance of prevention and early diagnosis of brain abscess as a clinician.

항혈소판 및 항응고제 복용하는 환자의 치과시술 후의 출혈 경향에 대한 후향적 평가

김경진,윤지언,박준,홍기은,김철훈,김정한,김복주 대한통합치과학회 2020 대한통합치과학회지 Vol.9 No.3

Patients with cardiovascular disease who take antiplatelets and anticoagulants are known to have an increased risk of bleeding from open dental surgery. This study is aimed at aiding the analysis of the tendency toward bleeding among patients taking antiplatelets and those taking anticoagulants and to develop guidelines related to drug management during their actual clinical dental care. A total of 413 patients over 65 years of age who visited the Oral and Maxillofacial Surgery Clinic at our hospital from January through December 2018, and underwent extraction and implant surgery participated. This included patients diagnosed with cardio-cerebral vascular disease who were prescribed antiplatelet and anticoagulant drugs. The medical histories of these patients were analyzed to evaluate the tendency toward bleeding depending on the type of drug, whether or not the drug was discontinued, and type of surgery (tooth extraction, implant). In the case of antiplatelet drugs, a total of 113 patients were included, and none of them returned to the hospital due to bleeding, even though the drug was discontinued. A total of 42 patients on anticoagulants were included, of which 2 (4.8%) returned to the hospital with bleeding but the bleeding was controlled through the appropriate hemostatic procedures. Statistically, the type of drug, the presence or absence of drug discontinuation, type of surgery, and occurrence of bleeding after dental surgery were not significant. Therefore, the risk of bleeding during tooth extraction and implant surgery is not significant, based on the findings of this investigation. Therefore, the drug should not be necessarily discontinued if discontinuation of antithrombotic agents increases the patient’s systemic risk, such as for the recurrence of cardiovascular blood clots.