물리치료학에서의 PBL 학습교재 개발 및 적용

황현숙,정진우,임종수,Hwang, Hyun-Sook,Chung, Jin-Woo,Lim, Jong-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

Within physical therapy education, there has been increased attention to curricula and course that emphasize problem solving, clinical reasoning, and synthesis of information across traditional discipline-specific boundaries. This article describes the development implementation, and outcomes of a problem-based learning course in Physical therapy. The course was designed to help students to integrate the various elements of a physical therapy curriculum and to enhance their abilities to respond to an ever-changing health care environment. An evaluation of the course by the first 50 students who completed it revealed both strengths and weaknesses. Students responded that the course enhanced their professional behavior, including interpersonal communication skills, team work, and follow-through with professional responsibilities. The learning package was developed by the authors and implemented to a college students during three weeks of the first semester of 2001. Most studies which conducted PBL module development were short period or temporary PBL package application and evaluation rather than a whole semester's. While, this study carried on partial integrated PBL curriculum development and application with recomposing content of the two subjects to one subject Physical therapy which includes four PBL packages. This package was developed from a simple concept to complex and partial integrated PBL curriculum application systematically variable learning methods such as discussion, practice, lecture, video. There are 2 classes, each class has 25 students, in the college. Each class has 5 small groups consisting 5 students. Two tutors proceeded discussion charging each class also, they used multiple methods and materials like tutorials, self-directed learning, lecture, and video. The package is 5 grades and 5 hours per week and the rate of discussion, lecture is 4, 1 respectively. One of the most change is the increase of interaction between students and tutors. Whenever students need information and suggestion, they can visit tutors who provide reading materials and guide for the direction of self learning. Therefore, this study describes the PBL package development process and application during one semester recomposing contents of two subjects to Physical therapy concepts. Besides, it will contribute to active application of existing each subject to tutors who intend to convert as PBL methods. The study has significant meaning to show potentiality of partially integrated PBL application, using systematic PBL package development from two subjects contents. However, when students' need of yearning is over the extent of Introduction of Physical therapy and Rehabilitation medicine, tutors should set learning extent. So, there is limitation to attain completely integrated PBL education within one subject, therefore, it is high lighted to proceed development of integrated curriculum to maximize learning effects of PBL. It is exected that partial integrated PBL package development and application will distribute to prosper excellent physiotherapist in practice.

연부조직손상의 S-PBL 모듈 개발 및 적용

황현숙,Hwang, Hyun-Sook 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.2

This study was conducted to develop the PBL module using simulation(S-PBL), to apply it to the physical therapy curricula, and its effect on students; learning contents, learning process, and its overall impacts. The S-PBL module was apply on 47 students of first year physical therapy in Jeju Halla College for 8 weeks from 2005 Feb to April. The data was analyzed via SPSS 10.0; the evaluation of learning contents and process was divided into 5 areas; the learning impacts in 4 areas. The research sought average and standard deviations. The students; satisfaction regarding S-PBL learning contents and process averaged >3.5 (on the Likert Scale of 1 thru 5) which indicated high learning achievement. For the learning impact, using an S-PBL module, it averaged >2.8 (on the Likert Scale of 1 thru 4) which indicated high learning impact. Significantly, the students showed high satisfaction in the areas of clinical practicum, the learning process, the opportunity to participate in clinical affiliation, and motivation for acquiring professional knowledge. This study proved that the application of S-PBL is effective for the physical therapy students; ability to carry out physical therapy, and it is also worth to apply in the physical therapy curricula to improve the students; participation in clinical skills.

큰발윗수염박쥐(Myotis macrodactylus)의 혀 유두의 형태학적 연구

황현숙,이정훈,Hwang, Hyun-Suk,Lee, Jung-Hun 한국현미경학회 2007 Applied microscopy Vol.37 No.3

본 연구는 큰발윗수염박쥐(M. macrodactylus)의 혀유두의 형태적 특징을 알아보기 위하여 주사전자현미경으로 관찰하였다. 큰발윗수염박쥐의 혀 유두는 3가지 유형으로 관찰되었다. 사상유두는 혀의 전역에 걸쳐 분포하고 있었으며, 유두의 크기와 모양 및 돌기 수에 따라 5가지 유형으로 구분되어졌다. 유형 1은 혀의 전단부의 앞쪽에 위치하며 $10{\sim}15$개 정도의 침상돌기를 갖는 왕관형의 모양을 취하고 있었다. 유형 2는 혀 전단부의 뒤쪽에 위치하며, 유형 1보다 폭이 좁고 길이가 짧은 $8{\sim}10$개 정도의 가시모양의 침상돌기를 가지고 있었다. 유형 3은 혀의 중앙부에 위치하며, 5개 정도의 비늘모양의 침상돌기를 가지고 있었다. 유형 4는 혀 후단부의 중앙부위의 양 측면에 위치하며, 침상돌기가 없는 작은 원뿔형이었다. 유형 5는 혀 후단부의 양 측면에 위치하며 침상돌기가 없는 큰 원뿔형이었다. 융상유두는 대부분 혀의 양 측면과 혀 후단부의 중앙부위에 위치하며, 약 $40{\sim}45$개 정도로서 원형 또는 타원형의 유두였다. 혀 전단부의 끝에는 소형(직경 $65{\mu}m$), 혀의 양 측면에는 중형(직경 $75{\mu}m$) 그리고 혀 후단부의 중앙에는 대형(직경 $120{\mu}m$)의 융상유두가 존재하고 있었다. 유곽유두는 타원형의 형태로서, 혀 후단부의 중앙부위에 2개가 존재하고 있었다. 이상의 결과로 미루어 보아 혀 유두의 형태는 Myotis 종 사이에서 종의 관계를 결정하는데 유용하여, 이러한 다양한 유형의 혀 유두와 수적인 차이는 식이습성에 따른 차이라고 여겨진다.에서 얻은 시험 결과가 굴착 중 지중연속벽의 변형을 예측하는데 사용될 수 있음을 보였다.AFM)과 Scanning Electron Microscopy(SEM)을 통해 관찰한 GST 다층박막시료의 고온 열처리 전후 표면미시거칠기 변화도 PRAM 기록기를 사용할 때에는 in-situ 타원계를 사용할 때보다 1/10 정도의 크기를 보여주어 PRAM 기록기와 분광타원계를 사용하여 결정한 GST의 고온광학물성의 신뢰성을 확인하여 주었다.>, 여자 $179.1{\pm}37.2%$이었다. 평균필요량에 비해 가장 낮은 양을 섭취한 영양소는 엽산으로서 남자 $60.1{\pm}10.8%$, 여자 $54.6{\pm}9.9%$로 조사되었다. 칼슘의 섭취량은 평균필요량에 비해 전체 $74.9{\pm}31.9%$로 나타났다. 에너지 섭취량에 있어서 남자 노인들은 모두가 필요추정량의 75% 미만을 섭취하고 있었고 여자 노인의 경우에도 97%가 필요추정량의 75% 미만을 섭취하여 에너지 섭취량이 매우 낮았다 반면에 단백질 섭취량에 있어서는 남자 노인의 경우 100%가 평균필요량의 125%를 초과하였고, 여자 노인의 경우에는 91%가 평균필요량의 125%를 초과하여 대조적이었다. 비타민 A와 E는 각각 평균필요량과 충분섭취량의 125%를 초과하는 비율이 높게 나타난 반면에 비타민 $B_2$는 특히 남자 노인에서 평균필요량의 75%미만을 섭취한 비율이 높게 나타났다. 엽산 섭취량에 있어서는 평균필요량의 75% 미만을 섭취한 비율이 전체 96%로 나타나 심각한 부족상태로 조사되었다 반면에 철의 섭취량은 남녀 모두 100%가 평균필요량의 125%를 초과하여 섭취한 The dorsal lingual papillae of Myotis macrodactylus were investigated morphologically using scanning electron microscopy. Three types of lingual papillae from Myotis macrodactylus were recognized. The filiform(Fi) papillae were distributed over the entire dorsal surface of the tongue, and they could be classified into 5 types of papillae by the shape, size and number of the protrusion. Type I was distributed on dorsal surface of the apex in the anterior region of the tongue, has a crow-like shape with ten to fifteen formed projections. Type II was located in the medial portion of the anterior region of the tongue, has an eight to ten spin-like protrusion. Type III was distributed on the medial portion of the tongue, has a scale-like papille with five to seven protrusion. Type IV was distributed on the both lateral portion of the posterior region of the tongue, has a small conical papillae, does not have needle projection. Type V have not needle projection, a large of conical papillae, on the both lateral portion of the posterior region of the tongue. Most Fu(Fungiform) papillae were distributed the both lateral region or medial portion of the posterior region of the tongue, has a round or oval shape with $40{\sim}45$ papillae. The small $(65{\mu}m)$, meddle $(75{\mu}m)$ and large $(120{\mu}m)$ fungiform papillae were distributed on dorsal surface of the apex in the anterior, the both lateral portions and medial portion of the posterior region of the tongue, respectively. Two large oval vallate (V) papillae are located in the medial portion of the posterior region of the tongue. In conclusion, the morphology of lingual papillae is useful to determine species relationship among Myotis species. It suggests that the difference of types and number of lingual papillae caused by the difference of food habit.

노인 의료보장제도의 개선 방안

황현숙,Hwang, Hyun-Sook 대한물리치료과학회 2001 대한물리치료과학회지 Vol.8 No.1

After providing the purpose, scope and methods of present study in the first chapter. the second chapter discusses a theoretical overview on the social implication of medical expenditure and the medical insurance program for the aged population. In conclusion, to realize the reduction of aged population's medical expenditures, some possible plans are conceivable. Firstly, the payment level of medical insurance should be upgraded and the insurance coverage in oriental medicine treatment and the drug-store protection program need to be implemented. Secondly, the medical facilities and man-power have be expanded for the sake of reducing the social and geographical distances the aged population has to overcome to receive the medical benefits. Thirdly, the expansions of medical services for the home-stay aged are all the more required. Finally, a wide range of programs needs to be augmented to promote health for the aged population.

책갈피산책 - "이브의 일곱 딸들"

황현숙,Hwang, Hyeon-Suk 대한출판문화협회 2002 출판저널 Vol.320 No.-

한국 노인의 건강실태와 대책방안

황현숙,Hwang, Hyun-Sook 대한물리치료과학회 1999 대한물리치료과학회지 Vol.6 No.2

The purpose of this document is to provide the direction of the policy for welfare of the elderly, by identifying the problems and status of the welfare service for the elderly. The primary source of degrading the living standard of the elderly is the increase of the elderly population and life longevity. The Welfare service for the elderly to enhance the poor living level of the elderly population should be established, to compensate their former economic and social contribution in the society and also to promote the basic human right. The agenda to achieve this goal sums up like these : First, the basic living of the unhealthy elderly belonging to the low-income group, such as government-provided income and medical service should be provided. Second, for those with working ability, more opportunity for working and social activities should be given, focusing on expanding the employment rather than adding income. Third, for those with middle and high income, silver industry and pastime activities should be nurtured. Lastly, rather than institutional protection for the elderly, the welfare service for those staying home should be enforced, thus naturally leading to the family support for the elderly. There cannot be a sound policy for welfare and improvement of living standard ignoring the Well-being of the elderly population. The effort to better the welfare for the minority groups who compose the base of the social base will, eventually, result in the progress of the entire society.

의료용 레이저의 현 주소는?

황현숙,Hwang, Hyeon-Suk 대한간호협회 1998 대한간호 Vol.37 No.3

물리치료학 교육의 변화에 부응하는 문제중심학습방법(Problem Based Learning)

황현숙,이우숙,임종수,Hwang, Hyun-Sook,Lee, Woo-Sook,Lim, Jong-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.3

This study addresses the need to adopt teaching-learning approaches in physical therapy education that develop links between theory and clinical practice in a meaningful way. Problem-based learning (PBL) is presented as a useful way to educate physical therapy for the future. The essential characteristics of problem-based learning include: curricular organization around problems rather than disciplines; an integrated curriculum rather than one separated into clinical and theoretical components; and an inherent emphasis on cognitive skills as well as on knowledge. PBL as implemented in the health sciences, is an educational method in which the focus of learning is a small-group tutorial in which students work through health care scenarios. The goals of the health care scenarios are to provide a context for learning, to activate prior knowledge, to motivate students, and to stimulate discussion. Learning is student-centered rather than faculty-centered, and self-directed learning is emphasized. Whereas the former focuses on critical thinking and clinical judgement, the latter's emphasis is on clinical competency. The physical therapist (PT) program at Cheju Halla college is a partial integrated problem-based curriculum. The history and process of PBL in general and in the PT program are reviewed. Long-term advocates of PBL stress that it is the only known method for preparing future professionals to be able to adapt to change, learning how to reason critically, enabling a holistic approach to health.

일부 대학생의 척추 측만에 영향을 미치는 요인 분석

황현숙,Hwang, Hyun-Sook 대한고유수용성신경근촉진법학회 2009 PNF and Movement Vol.7 No.2

This research measures the conditions of spinal scoliosis of college students and analyses the factors that affect spinal scoliosis. From September 15, 2008 to October 30, 2008, the study was conducted with 142 C College students and measured the degrees of spinal scoliosis. The analysis was evaluated according to the Pneumex Analysis program. The collected data was compiled into statistics using the SPSS PC+ 12.0 program. The results were as follows: 1. It appeared that in the cases of C curve, reverse C curve, S curve, and the normal, there was a statistical significance(p=.010) between the conditions of spinal scoliosis of the two genders. 2. It appeared that the comparison among the three groups according to the characteristics of the subjects showed a statistical significance in spinal length(p=.000) in the C curve group, age(p=.019) and spinal length(p=.004) in the reverse C curve group, and spinal length (p=.035), difference in apparent leg length(p=.019), and difference in true leg length(p=.012) in the S curve group. 3. It appeared that in the normal group without spinal scoliosis, the results of comparing the differences in apparent true leg length and spinal length according to the characteristics of the subjects showed a statistical significance in spinal length and gender(p=.000), age (p=.008), height(p=.000), and whether or not there was a regular exercise over once per week(p=.001). 4. On the correlations between C curve, reverse C curve, and S curve and differences in apparent true leg length and spinal length, it appeared that: (a) As the difference in apparent leg length gets bigger the difference in true leg length gets big in C curve(r=.551, p=.000). (b) As the difference in apparent leg length gets bigger the difference in true leg length gets big in reverse C curve(r=.511, p=.006). (c) There is no correlation in S curve.

요한계시록에 나타난 하나님 나라와 복음에 대한 이해

황현숙(Hwang Hyon-Suk),신동욱(Shin Dong-Ook) 한신대학교 신학사상연구소 2013 신학사상 Vol.0 No.163

하나님 나라와 복음은 신구약 성경을 관통하고 있는 중요한 신학적인 개념으로써 다양한 의미를 갖고서 사용되었다. 이것이 1세 기말 Pax-Romana의 통치 슬로건 아래 있었던 소아시아 일곱 교회에게 보낸 요한계시록에서는 성경의 다른 책들에서와 달리 다음과 같은 특정을 나타난다. 하나님 나라는 기독론적으로 확장되어 사용되었으며 특별히 예수의 죽음이 대속의 죽음이 아니라 Pa x- Romana 의 살인적인 현실에 대해 저항하다. 살해당한 어린양으로 묘사되었고, 예수의 죽음이 Pax-Romana 의 폭력의 역사를 중단시킬 수 있는 저항을 의미 하며 하나님 나라를 기다리는 성도들의 신앙적이고 윤리적인 삶을 규정한다. 또한 하나님 나라는 사탄적으로 규정된 Pax-Romana 의 폭력적인 통치체제와 경제적인 착취시스템의 붕괴와 하나님의 공의가 온전히 실현 되는 것을 그 중심 내용으로 하고 있다. 그리고 복음은 Pax-Romana의 지배체제가 하나님의 심판에 의해서 머지 않아 끝날 것이라는 희망과 PaxRomana의 지배체제에 저항하며 하나님의 공의가 지배하는 대항현실을 중언하는 것을 그 핵심 내용으로 하고 있다. 이런 맥락 속에서 요한계시록은 하나님 나라와 복음이 선포되는 예배의 기능을 불의한 현실에 대한 저항으로 이해한다. Der Begriff vom Reich Gottes und vom Evangelium haben die wichtige Rolle in der ganzen Bibel und werden von ihren Verfassern mit den verschiedenen Bedeutungen in den heiligen Schriften verwendet. Diese Begriffe, die im letzten Bibelbuch benutzt werden, haben die folgende Besonderheit im Unterschied zu dem Alten Testament und den Evangelien und den Briefen im Neuen Testament: Der Reich-Gattes-Begriff wird in der Johannesapokalypse christologisch erweitert und sie interpretiert den Tod Jesu neu. Mit dem Wort "geschlachtet" stellt sie den Tod Jesu mit dem Tod seiner Zeugen und mit allen Opfern Roms zusammen. Deswegen stellt der Tod Jesu einen Protest gegen eine mörderische Wirklichkeit dar. Dieser Protest, den sein Tod darstellt, ist nicht mehr nur ohnmächtiger Protest, sondern zum Ziel gekommener Protest, der die in Roms Herrschaft kulminierende Gewaltgeschichte schon abgebrochen hat und bald endgültig abbrechen wird. Dieser ist Zeugnis für eine Gegenwirklichkeit. Und der wesentliche Bestandteil des Gottesreiches und des Evangeliums hat die Hoffnung auf den baldigen Untergang des satanischen Herrschaftsystems Roms. Und indem die Apokalypse des Johannes die im Gottesdienst hymnisch besungene Macht Gottes und Christi in direkten Gegensatz zum Herrschaftsystem Roms stellt, bestimmt sie den Gottesdienst als Lernort bzw. Einübung in den Widerstand gegen alle ungerechte Weltmacht von Pax-Romana.