교회교육 지도자들을 위한 전문지 / 자료 1 : 대강절에서 성탄절까지 ; 장식 - 상징과 도안 , 강단장식

홍순화 장로회신학대학교 기독교교육연구원 1984 교육교회 Vol.- No.107

교회교육 지도자들을 위한 전문지 / 교육교역 : 제자훈련의 방법

홍순화 장로회신학대학교 기독교교육연구원 1992 교육교회 Vol.- No.188

제2형 당뇨병환자에서 인슐린 치료 시작에 대한 저항성 조사

홍순화,김미진,노성갑,서대원,윤석중,이관우,이호채,정양수,정홍량,권혁상,차봉연,손호영,윤건호 Korean Diabetes Association 2008 Korean diabetes journal Vol.32 No.3

연구 배경: 경구 혈당 강하제로 혈당 조절이 안 되는 제2형 당뇨병환자에서 조기에 인슐린 치료가 시작되어야 한다. 그러나 인슐린 치료 시작에 대한 거부감 및 부정적 태도 등 심리적 인슐린저항성으로 인슐린 치료가 지연되고 있다. 따라서 본 연구에서는 우리나라 제2형 당뇨병환자를 대상으로 인슐린 치료 시작 시 저항성에 대해 조사하였다. 방법: 2006년 4월부터 7월까지 서울에 위치한 일차 의료기관을 방문하여 경구 혈당 강하제로 치료 받고 있는 당뇨병환자 중 혈당조절이 되지 않아 인슐린 치료가 필요한 환자를 대상으로 하였고 설문지와 전화 설문을 통해 조사하였다. 인슐린 치료에 대한 심리적 거부감, 인슐린 주사법에 대한 두려움과 불편함, 인슐린 치료의 부작용에 대한 우려, 다른 치료에 대한 모색, 인슐린 치료에 대한 잘못된 상식 등 총 24 문항에 대해 5점 척도로 (5점: 매우 그렇다 -1점: 전혀 그렇지 않다) 조사하였다 결과: 인슐린 치료에 대한 심리적 거부감, 인슐린 주사법에 대한 두려움과 불편함, 인슐린 치료의 부작용에 대한 우려 평균, 다른 치료 대안에 대한 모색, 인슐린 치료에 대한 잘못된 상식은 평균이 각각 3.65 ± 0.92, 3.17 ± 0.98, 2.8 ± 1.02, 2.79 ± 0.5, 2.16 ± 0.92이었다. ‘인슐린 치료 시작은 당뇨병이 심해졌다는 것을 의미한다', ‘다른 사람들 앞에서 인슐린 주사를 맞기 싫다', ‘인슐린 치료를 시작하는 것은 기존치료의 실패를 의미한다' 순으로 저항성이 높았다. 인슐린 치료를 거부한 환자는 12%, 가능한 치료를 늦추기를 원하는 환자는 55%, 인슐린 치료를 수용한 환자는 29%으로 인슐린 치료에 대해 부정적인 태도를 가진 환자는 67%이었다. 인슐린 치료에 대해 부정적 태도를 가진 환자에서 인슐린 치료를 거부하는 주된 이유는 ‘인슐린 치료를 시작하는 것은 당뇨병이 심해졌다는 것을 의미한다', ‘인슐린 치료를 시작하면 평생 맞아야 한다', ‘인슐린 치료를 시작하는 것은 기존 치료가 실패했다는 것을 의미한다'로 조사되었다. 결론: 인슐린 치료 시작에 대한 저항성은 인슐린 주사로 인한 통증 및 두려움보다 당뇨병의 병태 생리에 대한 잘못된 이해 및 인슐린에 대한 부정적 개념에서 비롯된 심리적인 거부감이 주된 이유였다. 당뇨병의 병태 생리 및 인슐린의 필요성에 대한 교육, 상담 등을 통해 심리적 인슐린저항성을 극복하고 적절한 시기에 인슐린 치료를 시작함으로써 적극적인 혈당 관리를 이루어야겠다.

포스타 전시 발표 : 신장 ; Cimetidine에 의한 급성신부전을 동반한 급성 간질성 신염 1례

홍순화,김영옥,윤선애,이봉수,김석영,방병기 대한내과학회 1999 대한내과학회 추계학술대회 Vol.57 No.-

종교 개혁자 마틴 루터의 발자취를 따라

홍순화 교육목회실천협의회 2017 교육목회 Vol.50 No.-

제2형 당뇨병환자에서 인슐린 치료 시작에 대한 저항성 조사

홍순화,차봉연,윤건호,권혁상,손호영,김미진,노성갑,서대원,윤석중,이관우,이호채,정양수,정홍량 대한당뇨병학회 2008 Diabetes and Metabolism Journal Vol.32 No.3

To achieve tight glycemic control in the poorly controlled type 2 diabetic patients with oral hypoglycemic agent, it maybe beneficial to initiate insulin treatment at the early stage. Many patients with type 2 diabetes are often reluctant to begin insulin therapy despite poor glycemic control with oral hypoglycemic agents, this little known phenomenon, often termed 'psychological insulin resistance(PIR)'. This study investigates psychological insulin resistance in Korean patients with type 2 diabetes. Method: This study examined a total of 76 type 2 diabetic patients with poor glycemic control during period of April to July 2006. Through questionnaire and telephone survey, total 24 questions were asked about various attitudes on insulin therapy including psychological barriers and patients' acceptance of this treatment. Subjects were asked to allocate points in 5-point scale(from 5 points for 'very true' to 1 point for 'very untrue'). Results: The means of psychological rejection, injection-related anxiety and fear of insulin side effects such as hypoglycemia and weight gain were 3.65 ± 0.92, 3.17 ± 0.98 and 2.8 ± 1.02, respectively. Unwillingness was common in insulin therapy, 67% of patient rejected or was unwilling to take insulin. Main reasons of patients most frequently endorsed beginning insulin indicate that disease is worsening, permanence(once you start insulin you can never quit) and sense of personal failure. Furthermore, study indicates that patients' reasons for avoiding insulin therapy were mainly psychological rejection, which extended far beyond a simple injection related anxiety. Conclusion: PIR was psychological reluctance rather than injection related anxiety. To overcome these psychological barriers to insulin treatment, it is necessary to address appropriate diabetes education including training and counseling with excellent interactive communications between patients and clinicians.(KOREAN DIABETES J 32:269-279, 2008) To achieve tight glycemic control in the poorly controlled type 2 diabetic patients with oral hypoglycemic agent, it maybe beneficial to initiate insulin treatment at the early stage. Many patients with type 2 diabetes are often reluctant to begin insulin therapy despite poor glycemic control with oral hypoglycemic agents, this little known phenomenon, often termed 'psychological insulin resistance(PIR)'. This study investigates psychological insulin resistance in Korean patients with type 2 diabetes. Method: This study examined a total of 76 type 2 diabetic patients with poor glycemic control during period of April to July 2006. Through questionnaire and telephone survey, total 24 questions were asked about various attitudes on insulin therapy including psychological barriers and patients' acceptance of this treatment. Subjects were asked to allocate points in 5-point scale(from 5 points for 'very true' to 1 point for 'very untrue'). Results: The means of psychological rejection, injection-related anxiety and fear of insulin side effects such as hypoglycemia and weight gain were 3.65 ± 0.92, 3.17 ± 0.98 and 2.8 ± 1.02, respectively. Unwillingness was common in insulin therapy, 67% of patient rejected or was unwilling to take insulin. Main reasons of patients most frequently endorsed beginning insulin indicate that disease is worsening, permanence(once you start insulin you can never quit) and sense of personal failure. Furthermore, study indicates that patients' reasons for avoiding insulin therapy were mainly psychological rejection, which extended far beyond a simple injection related anxiety. Conclusion: PIR was psychological reluctance rather than injection related anxiety. To overcome these psychological barriers to insulin treatment, it is necessary to address appropriate diabetes education including training and counseling with excellent interactive communications between patients and clinicians.(KOREAN DIABETES J 32:269-279, 2008)

자원봉사자의 봉사활동 만족도에 미치는 영향요인에 관한 연구

홍순화,최건식 21세기사회복지학회 2014 21세기사회복지연구 Vol.11 No.1

본 연구는 지역사회의 복지시설에서 자원봉사활동 참여자의 일반적 특성 및 봉 사활동 특성을 조사ㆍ분석함으로써 자원봉사자가 인지하게 되는 봉사활동 만족에 어떤 변수가 영향을 미치는지를 규명하고자 하였다. 연구결과는 개인특성 중에서 성별, 연령, 학력, 종교에 따라서 자원봉사활동 만 족도는 연령이 많을수록, 학력이 높을수록, 지역사회의 복지시설 및 공공기관에서 자원봉사활동에 참여하는 봉사 만족도는 상승하는 것을 확인할 수 있었다. 또한 기본교육 이수 여부, 자원봉사 주요 참여 시설유형, 1일 봉사시간에 따라 봉사활 동 전체 만족도와 봉사업무 만족도, 시설측면 만족도, 담당직원에 대한 만족도, 봉 사 동료에 대한 만족도, 봉사 대상자에 대한 만족도, 개인적 만족도의 경우 유의 확률 .05 수준에서 차이가 있는 것으로 나타났다. 이러한 결과는 기본교육을 받은 이후에 자원봉사활동을 하는 경우 및 복지시설에 서 자원봉사활동을 하는 경우, 1일 봉사시간이 3-4시간인 경우일수록 자원봉사활 동에 참여하는 봉사 만족도는 상승하는 것을 확인할 수 있었다.

Shape-from-Shading 기술을 이용한 대칭물체의 3차원 형상 예측

홍순화,홍대희,Hong, Soon-Hwa,Hong, Dae-Hie 대한기계학회 2002 大韓機械學會論文集A Vol.26 No.12

Since the first shape-form-shading technique was developed by Horn in the early 1970s, many different approaches have been continuously emerging in the past three decades. Some of them improve existing techniques, while others are completely new approaches. Using the image reflectance equation, they estimate the 3-D shape of an object utilizing adequate constraints. Each algorithm applies different constraints such as brightness, smoothness, and integrability to solve the shape-from-shading problem. Especially for symmetric objects, a symmetry constraint is proposed to improve the performance of existing shape-from-shading algorithm in this paper. The symmetry constraint is imposed to a conventional algorithm and then the improvement in the performance of 3-D shape reconstruction is proved by quantitatively comparing the depth and gradient errors.

Detection of Helicobacter felis in a cat with gastric disease in laboratory animal facility

홍순화,정영호,강원국,김옥진 한국실험동물학회 2016 Laboratory Animal Research Vol.32 No.2

A 3-month-old male cat in the animal facility was presented for investigation of anorexia and occasional vomiting. We collected the specimens from gastroscopic biopsy and stool collection. The gastroscopic biopsy specimens were tested using a rapid urease test, CLO Helicobacter-detection kits. Stool specimens were gathered and evaluated using the commercially available SD Bioline H. pylori Ag kit according to the manufacturer’s instructions. Genomic DNAs from gastroscopic biopsy and stool specimens of the cat were extracted and submitted to the consensus PCR to amplify Helicobacter rpoB gene. Then the DNAs from gastroscopic biopsy and stool specimens were conducted a multiplex species-specific PCR to amplify urease B gene for H. heilmannii, H. pylori and H. felis. As the results, the rapid urease test with gastroscopic biopsy was revealed positive reaction. The result of H. pylori Stool Ag assay was one red line, negative for H. pylori. The gastroscopic biopsy and stool specimen were positive reactions by the consensus PCR reaction using the RNA polymerase beta-subunit-coding gene (rpoB) to detect Helicobacter species. By multiplex species-specific PCR with gastroscopic biopsy and stool specimens, no amplification products corresponding to either H. heilmannii or H. pylori were detected, but the specimens tested were positive for H. felis. This case was confirmed as gastroenteric disease induced by H. felis infection. On our knowledge, this is a very rare report about H. felis-induced gastroenteric disease in cat and may provide a valuable data on the study of feline Helicobacter infection.

Jean의 변천에 관한 연구

이순홍,홍순화 성신여자대학교 생활문화연구소 2000 生活文化硏究 Vol.14 No.-

Among the various types of fashion that reflects a certain era, the vogue of jean might be considered as the most noticeable phenomena. Jean is studied in various aspects for centuries, but there are not any definite theory about its origin. The purpose of this study is reviewing and researching its origin, concept, history and also researching how the meaning of jean fashion is socially changed. Furthermore, this study is tried to be of help for other studies by reviewing the influences about 20th century fashion and current domestic jean market situation. The result of this study is summarized as follows. 1. Jean is originated from Nims, France in 16th century. 'Denim' is originated from 'La serge de Nims'. 'Serge de cotton' is considered as the fabric that is directly related to the origin of jean. The fabric that is produced at Jenith province is called 'jean'. In 1860's. jean and denim is considered as separated clothes for different, uses, after meaning of denim is transferred to the special cloth that is able to make pants by Levi's. During the mid 20th century(1925-1950), what jeans is meant is changed from clothes to pants. 2. The meaning of blue jeans fashion is changed from its original meaning for practical use as times go by. Blue jeans represented anti-vogue in 1920's, and freedom in 1930's. After 1963, it turned to represent romantic eroticism. In late 1960's, it became the symbol of unisex mode, and it contributed to disappear the sexual distinction on dressing. 3. Jeans is flew in Korea through American soldiers after the Korea war. In 1956. Teachang built up domestic manufacturing abilities, producing the blue jean cloth. Jeans was recognized as a fashion since 1960's. 4. Jeans had influence on female liberation, sexual equality. Consequently, it contributed to realize international universalism and fashion democratization for unisex mode, Also, it contributed to break down unreasonable custom that was restricted by etiquette, manner, established form and sexual distinction.