The Proposal of a Verbal Interaction Framework for Elementary Science Teachers

Kim,Jong-young(Jong-young Kim),Shin,Myeong-kyeong(Myeong-kyeong Shin),Kim,Eun-jeong(Eun-jeong Kim) 경인교육대학교 교육연구원 2022 교육논총 Vol.42 No.-

This study is purposed to specifically present and suggest two of the five aspects of the existing framework using data recorded by science class teachers. Mortimer and Scott (2003) viewed teaching purposes, content, communicative approach, patterns of discourse, and teacher intervention as five aspects of classroom discourse analysis, analyzed for secondary science classes. In this study, four episodes were extracted from elementary science classes, the entire analysis was conducted, and the analysis frame developed in this study was applied. The results of the study showed that elementary science classes were analyzed differently according to class flow and the score of the Reformed Teaching Observation Protocol (RTOP). In addition, the analysis framework presented in this study and the score of the RTOP were slightly consistent.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

군 간호 리더십 개념 개발

김은경 ( Eun Kyong Kim ),유명란 ( Myoung Ran Yoo ),박계화 ( Kye Hwa Park ),금경림 ( Kyeong Lim Keum ),정은영 ( Eun Young Jung ) 국군간호사관학교 군진간호연구소 2015 군진간호연구 Vol.33 No.2

Purpose: This study identifies the concept of `military nursing leadership’ based on a qualitative investigation. Methods: The study is based on Hybrid Model, proposed by Schwartz-Barcott and Kim. The study compromises of 3 steps : theory investigation, field study and final analysis. For theory investigation, we searched various literatures about ‘leadership’. Secondly, field study was conducted through interview and participatant observation of 14 participants (6 patients, 4 peer workers, and 4 nursing officers). Based on the above, we identified conceptual attributes of military nursing leadership. Results: Identified 9 attributes of military nursing leadership are achievement of group goal, respect, leading attitude, communication, educating how to be soldierly, specialty, persuasive power, judgment, and encouragement. Those attributes indicate that military nursing leadership is a process of achieving group goal through communication, educating soldierly manners based on encouragement and respect by nursing officers with specialty, persuasive power and judgement. Conclusion: In this study, we provide a way of understanding definition and 9 attributes of military nursing leadership to make military nursing officers have better apprehensibility. In addition, it can be helpful data in developing concept of military nursing leadership and related educational course.

결혼이주여성과 한국여성의 양육 스트레스 비교

김혜경 ( Hae Kyeong Kim ),이은희 ( Eun Hee Lee ) 서울대학교 간호과학연구소 2014 간호학의 지평 Vol.11 No.2

Purpose: The purpose of this study was to compare parenting stress between married migrant women and Korean women. Methods: Subjects were 68 married migrant women and 70 Korean women raising children aged seven years or younger, living in three different cities in Gangwon Do. To measure parenting stress, we used Kim`s (1997) questionnaire that had been modified from Richard & Abidin`s (1990) Parenting Stress Index (PSI). Results: There were significant differences between the two groups in age, academic credentials, job, monthly income, and achievement of maternal role. No statistically significant differences were found for parenting stress scores (p<.355), but there was a significant difference in the child characteristics of parenting stress (p<.007) between the two groups. There were no differences in the demographic variables influencing parenting stress between the two groups. Conclusion: The development of multi-cultural parenting and family support programs should consider the nationality and marital satisfaction of the family.

휴전선 인접 마을의 새마을운동 사례를 통해 본 1970년대 한국 농촌사회 정치·경제적 변화 : 강원도 철원군 사곡2리와 군탄1리를 중심으로

김수경,최은봉 이화여자대학교 2005 사회과학연구논총 Vol.14 No.-

이 논문은 1970년대 권위주의 유신체제 하에서 농촌근대화를 목적으로 추진되었던 새마을운동이 한국 농촌사회에 어떠한 정치적·경제적 변화를 초래하였는지 살펴보는 것을 목적으로 한다. 실증적인연구제시를 위해 강원도 철원군 근남면 사곡2리와 갈말면 군탄1리 두 마을의 새마을운동을 사례로 분석하였다. 이 사례연구는 한수이남에 집중되어 있던 기존 새마을운동 연구의 공간적 범위를 휴전선인접지역까지 확장시켰다. 1970년대 당시 두 마을 새마을지도자들과의 인터뷰 자료와 현재 마을회관에 남아 있는 새마을운동사업 기록을 토대로 마을간 사업추진 방식과 두 마을 주민들의 참여태도, 사업성과 둥을 분석하였다. 철원군 근남면 사곡2리와 갈말면 군탄1리의 새마을운동 전개양상은 마을의 입지조건 및 마을 구성원의 차이에 따라 상이한 결과로 나타났다. 사례연구의 케이스가 협소하긴 하지만, 이 연구를 통해서 새마을운동이 직 ·간접적으로 농촌사회에 가져온 변화를 찾을 수 있었다. 새마을운동은 마을 단위로 진행되었기 때문에 동일 지역에서도 마을구성의 상이한 조건적 차이로 인해 새마을운동의 결과도 다르게 나타났다. The objective of this thesis is to see political and economic changes in Korean rural society in 1970s when Saemaul Undong(Movement) was launched by authoritarian government for the modernization in an agricultural district. This paper focuses on Saemaul Undong in two villages of Cheorwon, Kangwon Province or Sagok2-ri and Cuntanl-ri in order to provide actual evidence. Based on the interviews of two towns' then Saemaul Leaders and the information on Saemaul Undong of those areas during the 1970s, this research analyzes people's attitudes, the way of the Movement and the achievement of the Movement. In addition, this paper emphasizes on some changes in political and economic areas of the two villages for about 8 years, comparing to before and after the movement being implemented. They have similarities as well as differences in the stages of Saemaul Undong. firstly, it led the dwellers to actvely participate in the process. Secondly, the residents could express their opinion to the government through the town meefngs. Thirdly, newly-elected leaders, called Saemaul Undong leaders were main actors who are at the center of the course. Although they took the helm just within the Saemaul Undong project, their capacities resulted in various consequences of the Movement under the autonomy of the town unit. Apart from other changes, it altered the appearances of the rural communities. It came to build new roads, convert old houses to modernized ones. It is difficult to say that Saemaul Undong has drawn the actual increase in the economic incomes. However, development in the repairing facilities in it played a key role in going up in the crop productivity, Therefore, it is fair to say that Saemaul Undong had a positive effect on the agricultural economy to some extent.

지적장애 아동의 균형과 호흡 기능 향상을 위한 감각통합치료: 개별 실험 연구

김경미,홍은경 대한감각통합치료학회 2011 대한감각통합치료학회지 Vol.9 No.1

Objective : Sensory integration is the organization for sensation for use. The purpose of this study is to carry out the sensory integrative intervention for the mental retardation with child and to examine change of child's balance and breath abilities. Methods : The study performed from 25 May to 13 Autumn, 2009. The design is AB design(baseline 3sessions, intervention 21sessions) of single -subject research design. We carried out the sensory integrative intervention(3 sessions per week) for baseline period and the sensory integrative intervention(3 sessions per week) with sensory diet every day for intervention period. Results : The results of the sensory integrative intervention with sensory diet had positive effects for child's breathe and balance. Conclusion : The occupational therapists recognize the effects of the sensory integrative intervention with sensory diet and need to recommend for the family of child with disability. 목적 : 감각통합치료는 개별아동에 맞는 감각의 기회를 제공하고, 적절한 도전의 과제를 제공하여 적응반응을 이끌 어 내는 아동 중심의 접근법이다. 본 연구는 지적장애 아동에게 적합한 감각통합치료를 적용하여 아동의 균형과 호흡능력의 변화를 살펴보고자 하였다. 연구방법 : 연구 대상은 만 5세 3개월의 남아로 지적장애 진단을 받았다. 실험기간은 2009년 5월 25일부터 2009 년 8월 13일까지이었다. 실험설계는 개별실험연구(single-subject research design) 중 AB 설계를 사용하였고, 기초선 A(감각통합치료) 3회기와 중재 B(감각통합치료, 감각식이) 21회기이었다. 실험기간 동안 아동의 문제점 인 균형과 호흡의 변화를 측정하였다. 결과 : 첫째, 감각통합치료는 아동의 호흡능력에 긍정적인 영향을 미쳤다. 둘째, 감각통합치료는 아동의 균형에 긍 정적인 영향을 주었다. 결론 : 작업치료사는 지적장애아동의 균형과 호흡능력을 향상시키기 위해 감각통합치료를 지속적으로 적용, 확대 하는 것이 필요하다.

학동기 비만아동의 피부두께의 통계적 관찰

김경석,나기찬,정은경,문경래,박상기,박영봉 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

The measurements of triceps skinfold thickness, body weight and height were done in children aged 7 to 12 years(3,142 boys and 2588 girls) in Kwangju in 1992. The author also observed degree of obesity, prevalence of obesity and average value of triceps skinfold thickness. The results were summarized as follows: 1) The mean value of triceps skinfold thickness acceding to age in male was 7 years 10.5mm, 8 years 10.5mm, 9 years 10.2mm, 10 years 12.3mm, 11 years 13.8mm, 12 years 12.3mm. In the female it was 7 years 11.9mm, 8 years 11.9mm, 9 years 11.6mm, 10 years 12.6mm, 11 years 14.1mm, 12 years 13.6mm. 2) The mean value of triceps skinfold thickness acceding to age in obese male was 7 years 16.3mm, 8 years 17.3mm, 9 years 16.0mm, 10 years 19.5mm, 11 years 23.7mm, 12 years 20.1mm. In the obese female it was 7 years 17.3mm, 8 years 17.9mm, 9 years 18.4mm, 10 years 19.5mm, 11 years 21.2mm, 12 years 20.3mm.

결핵군 55 kDa 항원의 면역학적 분석

김화중,김홍성,임재현,조은경,송창화,박정규 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.1

Identification and characterization of mycobacterial antigens are critical for evaluation of their role in diagnosis, vaccination, and pathogenesis of mycobacterial diseases. An attempt has been made to immunologic characterize the 55 kDa protein antigen of Mycobacterium tuberculosis H37Rv which attracted our interest because it is present in high concentration in 50-80% ammonium sulfate fraction of the culture filtrate. Two monoclonal antibodies (MAbs) directed to 55 kDa antigen were produced. MAbs MT55-1 and MT55-2 reacted with a single 55 kDa protein band. On examination of degree for cross-reactivity with other mycobacterial species by enzymelinked immunosorbent assay (ELISA) and immunoblotting, these antibodies reacted strongly with M. tuberculosis and M. bovis BCG, and reacted weakly with M. marinum and M. smegmatis. To investigated the subcellular distribution of MAbs defined epitopes in the 55 kDa antigen within the mycobacterium, we isolated three major subcellular factions of M. tuberculosis, namely, cell wall, cytoplasmic membrane, and cytosol, by a simple fractionation procedure. MAb MT55-1 reactive cpitope was found in the cytosol when tested by immunoblotting. A sandwich ELISA was initially developed for detecting 55 kDa antigen using MT55-1 MAb in mycobacterial culture filtrate before detecting it in clincal specimens. The minimal detectable concentration was 1.0 ㎍/m1 for M. tuberculosis culture filtrate and 100 ㎍/ml for sonic extracts of M. bovis BCG and M. marinum, respectively. But the 55 kDa antigen was not detected in sonic extracts of other mycobacterial species examined. Although further evaluations are required, this study suggests that the 55 kDa antigen may be of interest as potential diagnostic reagent.

장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

Ⅱ급 과개교합 환자의 측두근 박리 전 후의 근육활성도에 관한 연구

김은경,김정기,김오환 全北大學校 齒醫學硏究所 1992 전북치대논문집 Vol.10 No.1

The purpose of the present study was to investigate the differences of EMG activity of the masticatory muscles between before and after the temporal muscle detachment from coronoid process in the Class Ⅱ deep bite patients. 12 persons of Class Ⅱ deep bite malocclusion whose mean age 18.4 years served for this study. The EMG data from the anterior temporal and superficial masseter muscles in both sides as mandibular elevators were recorded with the Physiograph MK-Ⅲ electromyographic machine. The EMG recordings were analysed during mandibular rest position, maximal biting and swallowing of saliva. The following results were obtained. 1. There was no significant difference during mandibular rest position and swallowing between before and after temporal muscle detachment at anterior temporal and masseter muscle. 2. The activity of the anterior temporal and masseter muscle during maximal biting showed slightly increase at 8 weeks and 12-24 weeks after temporal muscle detachment, whereas showed significant decrease at 4 weeks after temporal muscle detachment. 3. In comparison of EMG activity during maximal biting between before and 12-24 weeks after temporal muscle detachment showed statistically nonsignificant difference in the anterior temporal muscle, however masseter muscle showed statistically difference(P<0.05).