싱글맘가정 자녀의 정서적 지원체계로서의 개인상담

황은실(Hwang Eun-sil) 한국한부모가정학회 2009 한국한부모가정학 Vol.2 No.1

본 상담사례 연구는 싱글맘가정 자녀의 정서적 심리적 지원체계의 중요성과 그에 준하는 상담사례를 통해 한부모가정 아동의 어려움을 돕고자 한 것이다. 이를 위해 약 6개월 동안, 매주 1회 1시간씩 상담소를 내방한 아동을 상담하였다. 내담자는 싱글맘의 자녀로 부모의 이혼과정과 이혼으로 인해 정서적, 심리적, 어려움을 겪고 있고, 이를 적절히 해결하지 못해 정서적, 신체적 장애를 동반하고 있다. 내담자의 주 호소내용은 분리불안과 정동반응, 분노장애, 신체화 장애 등이었다. 이에 상담의 진행방법은 미술치료 접근으로 하는 지지적 역동상담으로 아동의 내제된 부정적 감정과 무의식에 잠재된 감정을 이끌어 낼 수 있도록 충분한 공감과 지지를 통해 반응하는 것이었다. 또한 아동 스스로 자신의 문제를 바라 볼 수 있도록 적절한 직면과정을 통해 치료동맹의 상호작용 안에서 지지하는 역동상담으로 진행하였다. 이를 통해 아동은 이혼가정의 현 상황을 점진적으로 이해하고 수용하게 되었으며, 부정적인 가족관계로 인한 정서장애와 낮아진 자존감이 회복되는 등 원만한 대인관계를 형성할 수 있었다. The aim of this study is to help children in a single-parent family by examining the significance of an emotional and psychological support system for the children of a single-mom and the corresponding case studies of counselling. To achieve such goal, a counselling survey was conducted to the children who visited a counsellor's office once a week for an hour per session over the course of six months. The subjected children were living with their mothers only and undergoing emotional and psychological difficulties by a divorce process of their parents and the divorce itself. They could not properly deal with the stress, hence experiencing emotional and physical disorder. The major symptoms of the children were separation anxiety, affect response, anger disorder, and somatization disorder. A process of the counselling embraced a supportive dynamic counselling based on art therapy approach which promotes adequate empathy and support, so as to encourage children to express their internalized negative emotions and subconscious emotional baggage. Moreover an appropriate 'confrontation' procedure was implemented for the children to face and observe their own problems, so that the counselling became dynamic by the synergic interaction of a therapeutic collaboration. Subsequently the children were able to gradually understand and accept the current situation of the divorced parents. Consequently they recovered from the emotional disorder and low self-esteem caused by negative familial relationships, hence capable of an appropriate interpersonal relationship in general.

다양한 조직학적 소견을 보이는 간의 혈관근지방종: 간세포암종 혹은 염증성 거짓종양과 유사한 8예

황일선 ( Ii Seon Hwang ),유은실 ( Eun Sil Yu ),조경자 ( Kyung Ja Cho ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.4

Background/Aims: Hepatic angiomyolipoma (AML) is a rare mesenchymal tumor of the liver and demonstrates a marked histologic diversity. HMB-45 is a promising immunomarker for this tumor and especially helpful to diagnosis of some AMLs with unusual morphology. The purpose of this study was to better define the variable histologic feature of hepatic AML. Methods: Eight hepatic AMLs were examined, and all of that were resection specimens. The diagnosis was confirmed by the presence of HMB-45 positive cells. Median age was 41.5 years old, and mean size of tumor was 8.94 cm. Results: Conventional mixed type was 5 cases which showed myomatous, angiomatous and lipomatous component, and 3 cases were myomatous predominant. Variable patterns including spider web cell morphology, solid sheet-like and trabecular pattern were identified on myomatous component and variable amount and patterns of inflammatory cell infiltration was identified. Conclusions: With only histologic features, it is difficult to distinguish hepatic AML from other hepatic tumor including hepatocellular carcinoma or inflammatory pseudotumor. A correct diagnosis of hepatic AML is possible by a close histologic examination with immunohistochemical stainings such as HMB-45 which is important to patient`s prognosis.

가르시니아 캄보지아 추출물의 지방세포 분화 및 지방 독성에 미치는 영향

강은실,함선아,황정석,이창권,서한극,Kang, Eun Sil,Ham, Sun Ah,Hwang, Jung Seok,Lee, Chang-Kwon,Seo, Han Geuk 한국축산식품학회 2013 한국축산식품학회지 Vol.33 No.3

본 연구는 가르시니아 캄보지아의 항비만 효과의 분자기전을 알아보기 위하여 지방전구세포인 3T3-L1세포의 지방세포로의 분화 시, 가르시니아 캄보지아 추출물을 처리하여 세포 내 지질 적의 형성 및 중성지방의 축적, 지방 분화 특이 지표 단백질의 발현에 미치는 영향에 대하여 살펴보았다. 3T3-L1세포의 지방 세포로의 분화는 MDI로 유도 후, 2일째부터 지방 적 및 중성 지방이 유의하게 축적되기 시작하였는데, 1% 가르시니아 캄보지아 추출물을 동시에 처리한 세포에서 이러한 지방 적 및 중성 지방의 축적이 유의하게 억제되는 것을 실험을 통해 확인할 수 있었다. 또한 지방세포 분화 특이 지표 단백질로 알려진 $PPAR{\gamma}2$, $C/EBP{\alpha}$, aP2와 같은 단백질의 발현 또한 가르시니아 캄보지아 추출물이 효과적으로 억제하고 있음도 확인할 수 있었다. 한편, 가르시니아 캄보지아 추출물은 palmitate를 처리한 HepG2 세포에서 중성지방의 축적 및 세포사멸을 유의하게 억제함으로써 유리 지방산의 축적에 의한 지속적인 염증 반응으로 유발되는 지방독성(lipotoxicity)을 억제하는 효과가 있음을 확인할 수 있었다. 이러한 결과들은 가르시니아 캄보지아 추출물이 세포 수준에서 비교적 낮은 농도로도 효과적으로 비만을 억제할 수 있으며, 기존에 알려지지 않았던 유리지방산에 의한 지방독성을 억제하는 효과가 있음을 본 연구에서 확인할 수 있었다. This study aimed to examine the mechanisms underlying the effects of Garcinia cambogia extract on the adipogenic differentiation of 3T3-L1 cells and long-chain saturated fatty acid-induced lipotoxicity of HepG2 cells. 3T3-L1 preadipocytes, mouse embryonic fibroblast-adipose like cell line, were treated with MDI solution (0.5 mM IBMX, 1 ${\mu}M$ dexamethasone, 10 ${\mu}g/mL$ insulin) to generate a cellular model of adipocyte differentiation. Using this cellular model, the anti-obesity effect of Garcinia cambogia extract was evaluated. MDI-induced lipid accumulation and expression of adipogenesis-related genes were detected by Oil red O staining, Nile Red staining, and Western blot analysis. Effects Garcinia cambogia extract on palmitate-induced lipotoxicity was also analyzed by MTT assay, LDH release, and DAPI staining in HepG2 cells. Garcinia cambogia extract significantly suppressed the adipogenic differentiation of preadipocytes and intracellular lipid accumulation in the differentiating adipocytes. Garcinia cambogia extract also markedly inhibited the expression of peroxisome proliferator- activated receptor ${\gamma}2$ ($PPAR{\gamma}2$), CCAT/enhancer-binding protein ${\alpha}$ ($C/EBP{\alpha}$), and adipocyte protein aP2 (aP2). In addition, Garcinia cambogia extract significantly attenuated palmitate-induced lipotoxicity in HepG2 cells. Palmitateinduced cellular damage and reactive aldehydes were also significantly reduced in the presence of Garcinia cambogia extract. These findings suggest that the Garcinia cambogia extract inhibits the adipogenic differentiation of 3T3-L1 preadipocytes, probably by regulating the expression of multiple genes associated with adipogenesis such as $PPAR{\gamma}2$, $C/EBP{\alpha}$, aP2, and thereby modulating fatty acid-induced lipotoxicity to reduce cellular injury in hepatocytes.

다문화아동의 문해환경과 어휘력과의 상관

황상심(Sang Shim Hwang),박은실(Eun Sil Park) 한국언어치료학회 2022 한국언어치료학회 학술발표대회 논문집 Vol.2022 No.11

임상실습에서 언어치료 전공 학부생들의 슈퍼바이저에 대한 기대

황상심(Sang Shim Hwang),박은실(Eun Sil Park) 한국언어치료학회 2020 言語治療硏究 Vol.29 No.4

가르시니아 캄보지아 추출물함유 육류용 딥소스가 고지방식이 섭취 흰쥐의 지방축적 및 체중감량에 미치는 영향

강은실,황정석,김민화,김혜정,이창권,서한극,Kang, Eun Sil,Hwang, Jung Seok,Kim, Min-Hwa,Kim, Hye Jung,Lee, Chang-Kwon,Seo, Han Geuk 한국축산식품학회 2013 한국축산식품학회지 Vol.33 No.2

본 연구의 목적은 가르시니아 캄보지아 추출물이 함유된 육류용 딥소스의 항비만 효과를 동물실험을 통하여 검증하기 위하여 고지방 식이로 유도한 비만 쥐의 체중 및 지방조직의 변화, 혈중 지질성분의 변화를 5주령 흰쥐 18마리를 정상식이에 식염수 투여군(NCD), 고지방 식이에 가르시니아 캄보지아 추출물-비함유 육류용 딥소스 투여군(HFD), 고지방 식이에 2% 가르시니아 캄보지아 추출물-함유 육류용 딥소스 투여군(HFD+GC)으로 나누어 90일 간 실시하였다. HFD군의 흰쥐에서의 체중 중가가 가장 두드러지게 나타났고, 이러한 체증증가는 HFD+GC군의 흰쥐에서 유의 있게 감소되는 것을 확인할 수 있었다. 또한 개복 후 부고환 및 신장주변 지방 조직을 적출하여 무게를 확인한 결과에서도 HFD+GC군의 흰쥐에서 지방의 무게가 유의하게 감소된 것을 확인할 수 있었다. 또한, 혈청 중의 지질성분인 total cholesterol, triglycerol, total lipid의 함량이 다른 식이 군에 비해 유의하게 감소한 결과도 HFD+GC군에서 확인할 수 있었다. 이상의 결과들은 가르시니아 캄보지아 추출물이 비만 유도 실험 모델 쥐에서 비만과 관련된 각종 지표들을 억제함으로써 항비만 효과를 나타내고 있음을 확인할 수 있었고, 이러한 효과는 가르시니아 캄보지아 추출물이 함유된 육류용 딥소스를 비만을 유발할 수 있는 음식과 동시에 섭취하여도 효과가 있음이 시사되었다. Obesity, the leading metabolic disease, is a prevalent health problem in industrialized countries and is closely associated with coronary heart disease, hypertension, diabetes, and even cancer. In this study, we investigated the effects of dip-sauce for meat containing Garcinia cambogia extract (GC) on the lipid accumulation and body weight reduction in rats fed high-fat diet for three months. Eighteen Sprague Dawley male rats of five-week-old were randomly assigned to one of three groups; normal chew diet (NCD) group, high-fat diet plus GC-noncontaining dip-sauce (HFD) group, and HFD plus GC-containing dip-sauce (HFD+GC) group. Co-administration of GC-containing dip-sauce (5 g/kg body weight/day) with HFD significantly attenuated cumulative body weight gain, compared with NCD or HFD groups. Both epididymal and perirenal fat pad weights in the HFD plus GC group were significantly lower than those of HFD or NCD groups. Administration of GC-containing dip-sauce also resulted in significant reduction in the serum levels of total cholesterol, total lipid, and triglyceride, compared with NCD or HFD groups. Thus, GC-containing dip-sauce confers beneficial effects to pathological states associated with metabolic disorder via its anti-obesity and lipid lowering properties.

자살과 알코올 사용장애를 동반한 기분장애와의 연관성 : 공통 데이터 모델을 활용한 연구

조용혁(Yong Hyuk Cho),이은영(Eunyoung Lee),허은실(Eun Sil Her),황규범(Gyubeom Hwang),임기영(Ki-Young Lim),노재성(Jai Sung Noh),신윤미(Yunmi Shin),홍창형(Chang Hyung Hong),노현웅(Hyun Woong Roh),이동윤(Dongyun Lee),이혜림(Heirim Lee) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.3

Objectives This study determines the effects of comorbidity of mood disorder and alcohol use disorder on suicide behavior. Methods We converted data from the electronic medical records of one university hospital into a common data model and utilized it in our analysis. We selected 9551 patients with diagnosis codes of mood disorders or alcohol use disorders and divided them into three groups: mood disorder (MD) only, alcohol use disorder (AUD) only, and comorbidity of mood disorder and alcohol use disorder (MD+AUD). The mood disorder group was also subgrouped with depressive (DD) or bipolar affective disorder (BD) groups, and the comorbidity group was classified in the same way. Then, we applied logistic regression analysis to assess the risk of suicide attempts between the diagnostic groups. Subgroup analysis according to age also was conducted. Results The MD+AUD group had 2.7 (odd ratio [OR]=2.70, 95% confidence intervals [CI]=1.91- 3.81, p<0.0001) and the DD+AUD group had 2.78 (OR=2.78, 95% CI=1.95-3.98, p<0.0001) times higher risk of suicide attempts than the MD only and DD only group, respectively. Furthermore, according to the age subgroup, the risk of suicide attempts was the highest (OR=5.17, 95% CI=2.35-11.40, p<0.0001) in the DD+AUD group for those aged 40-59. There were no significant results in BD. Conclusion The results showed that the comorbidity of mood disorder and alcohol use disorder could increase suicide risk. This study suggested that alcohol use behavior needs to be assessed as well as mood symptoms for suicide prevention.

유치원과 초ㆍ중등학교 교과서 내 산림 교육 현황 및 개선 방안

이재영(Lee Jae Young),전정일(Jeon Jeong Il),주형선(Chu Hyung Seon),곽정난(Gwak Jung Nan),조경준(Cho Kyoung Jun),박효인(Park Hyo In),조찬희(Cho Chan Hee),박정순(Park Jung Soon),황은실(Hwang Eun Sil),류미(Ryu Mi) 한국환경교육학회 2010 環境 敎育 Vol.23 No.1

As an effort to realize the results of last two years of study, this study had three distinguished purposes: 1) confirming whether some requests for corrections had been accepted or not 2) making a list of possible errors found in newly written textbooks and asking to fix them, and 3) classifying forest related contents identified in the textbooks according to the 150 topics included in information material, so called Forest IQ 200. Among 94 errors associated trees, forest or forest education, only thirteen of them were found to be fixed according to the request made in previous study of 2008. Especially, most of the fixed errors were identified to be in natural and social science subject textbooks and nothing was found in art and language areas. Total of 1,320 forest related items were found in the textbooks at the level of kindergarten to 10th grade(freshman in highschool). Korean student was expect to have a chance to learn forest related items 1.64 times a week for 10 years(First to 10th grade). Analyzing 1,109 contents in terms of four topic areas of forest education, the forest culture area was found to have most content of 348 including painting and recreation. Some suggestions were made to make school forest education better, and publishing the forest textbook for elementary schools was one of them.

세라밴드를 이용한 PNF 기법 적용이 65세 이상 여성노인의 균형과 보행에 미치는 영향

강달원,강미경,강은실,고유리,김다운,김대용,김정은,김원황,김자연,김환,정대인,김명훈,김상엽,이동진,김찬규,김현진,Kang, Dal-Won,Kang, Mi-Kyoung,Kang, Eun-Sil,Go, Yu-Ri,Kim, Da-Woon,Kim, Dae-Yong,Kim, Jung-Eun,Kim, Won-Hwang,Kim, Ja-Yeon,Kim, Hwan,Jung 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.1

Purpose: Study on the effect of the use of Proprioceptive Neuromuscular Facilitation(PNF) method by use of the direction and charge regulation which is the advantage of the Thera-band therapy on the walks and balances in old people and comparison with the result after applying the general PNF technique. Method: The study has been performed on 30 females over 65 years old. The study has been done by dividing the object group in 3 patterns, which are number 1, the comparison group of 10, two ones that are applied the PNF technique using Thera-band and third, the ones that are applied only the PNF technique. For the PNF and the Thera-band using PNF, we have divided the group into Combination of Isotonic technique and the Rhythmical stabilization technique according to the patient's acquaintance pattern and applied them to the patient's body. Evaluation was the balancing ability which was calculated by using the BIODEX Balance system / FRT and for the evaluation of walking ability, we have used the speed of walking for 10M / TUG. Result: In the comparison group of 10, the balancing ability and the walking ability did not change much before and after the experiment, which made it possible to compare the group with the other two easily(p>0.05). For the other two groups, we have recognized the enhancement both in the balancing ability and the walking ability, but they did not know much difference between themselves(p<0.05). Conclusion: Though there were not a big difference in the sense of improvement between the Thera-band using PNF and the PNF technique only, we could infer that these two therapy has enhanced much in the walking and balancing ability for people over 65 and through these result we can foresee that not only using the method shown in this study but also by using many advantages of Thera-band, we could diminish the tiredness of healer, enhance the efficiency of exercise in them and also by forming self training program for older people we could help them build the prevention program from falls.

Rococo 女子 服飾에 대한 小考

황은실,정운자 慶尙大學校 기초과학연구소 1991 基礎科學硏究所報 Vol.7 No.-

The culture of costume consists in a consequence of complexity of social, political situation, the organization of society, and art style as well as natural environments other than costume. Also, the culture of costume reflect the state of life which reflect the human being's emotion and will. In the eighteenth century, France showed much developments and changes in culture, industry, and politics. At this period Rococo art style rised, and had a great influence on life style, especially culture and art. In these days, the costume assumed pleasant feeling and eroticism which was the main current of the Rococo art style and determined the costume of the Rouis dynasty. During the regency, Rococo art style occured and sloughed off versailles style, which was the symbol of absolute monarchy. At this period costume came into use of Rocaille, which well represented Baroque's overflowing animation and grave feeling of oppression. During period of Louis 15th, Rococo art style was in blooming. The style of costume had become mainfold and elaborated and the tone of color and pattern of costumes showen gentle feminine mode, on which added inclination of curve such as ruffle, lace, ribbon, design of flowers. During the period of Louis 16th, Rococo was in full blooming, costumes assumed the tendency of unnatural ornament which showed irrationality and exaggeration but, at the last period of Louis 16th costume assumed neoclassicism.