일반논문(一般論文) : 『황제내경(黃帝內經)』에 나타난 부인과(婦人科)에 관(關)한 문헌고찰(文獻考察)

김혜원 ( Hye Won Kim ),조정훈 ( Jung Hoon Cho ),장준복 ( Jun Bock Jang ),이경섭 ( Kyung Sub Lee ) 대한한의학원전학회 ( 구 대한원전의사학회 ) 2005 대한한의학원전학회지 Vol.18 No.1

저체중 또는 과체중 청소년에서 캠프 프로그램을 이용한 영양 교육효과에 관한 연구

성미경,승정자,류화춘,박재년,박동연,최미경,조경옥,최선혜,이윤신,김유경,이은주 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.4

This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exercise habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

치매환자 조호자를 위한 교육지지프로그램의 효과성에 관한 비교연구

송 흡(Heup Song),강재명(Jae Myeong Kang),김병규(Steven B. Kim),조성진(Seong Jin Cho),윤선경(Seon kyung Yun),윤혜진(Hye jin Yoon),연병길(Byeong Kil Yeon) 대한노인정신의학회 2017 노인정신의학 Vol.21 No.1

Objective:We studied the effect of Hyu-Sig-Gong-Gan and Hye-Ah-Rim on several evaluations and compared the two programs. We then investigated factors associated with the difference between pre- and post-ratings. Methods:Thirty-six patients were randomized to Hyu-Sig-Gong-Gan (n=23) or Hye-Ah-Rim (n=13). We tested for the effect of each program on several evaluations and compared the two programs through Zarit Burden Interview (ZBI), Center for Epidemiologic Studies-Depression Scale, Dementia Attitude Scale (DAS)-intelligence, DAS-comfort and DAS-total. We then investigated whether the difference between pre- and post-rating depends on other factors. Results:We observed significant positive effect of Hyu-Sig-Gong-Gan on DAS-comfort (t=1.843, p=0.039) and significant positive effect of Hye-Ah-Rim on ZBI (t=-2.327, p=0.019), DAS-comfort (t=2.241, p=0.022), and EuroQol-5 Dimensions-Visual Analogue Scale (t=2.537, p=0.013). For comparing the two programs, we found a lack of evidence for the difference in any of the five commonly observed evaluations. In the secondary analysis, we observed a strong trend that the two programs were particularly effective for caregivers with negative pre-ratings. Conclusion:The two programs showed positive effects on the various evaluations, but some evaluations could not reach statistical significance. The programs appear to be particularly helpful for those who are in need before the program participation.

구강에 발생한 편평상피암종의 MMP-2, MMP-9, TIMP-1, TIMP-2 발현과 EGFR 및 E-cadherin 발현의 상호연관성

조성재,권창석,김용환,윤혜경,김우형,이희철 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Objective : Matrix metalloproteinases(MMPs) are involved in the degradation of extracellular matrix, which is related to infiltrative growth and metastasis of tumor. Positive correlation between MMPs expression and clinico-pathologic parameters were reported, and MMPs expressions were regulated by tissue inhibitor of metalloproteinases(TIMPs) or cell adhesion molecules such as E-cadherin and epidermal growth factor receptor EGFR). The aim of this study is to evaluate the relationship between MMP-2, MMP-9 expressions and clinico-pathologic factors such as clinical stage. recurrence. histologic grade and invasion pattern, and between MMP-2 and MMP-9 Expressions and TIMP-1, TIMP-2, and E-cadherin expressions. Methods and Material : The materials were 55 cases of squamous cell carcinoma of the oral cavity, and immunohisdtochemical studies for MMP-2, MMP-9, TIMP-1, TIMP-2, E-cadherin and EGFR were performed. Clinico-pathologic factors such as clinical stage, recurrence, histologic grade and invasion pattern were recorded through microscopic examination and clinical record review. Statistical analyses between MMP-2, MMP-9 expressions and clinico-pathologic factors, TIMP-1, TIMP-2 expressions and EGFR and E-cadherin expressions were done. Results : 1. MMP-2 and MMP-9 expressions were noted in 30(54.5%) and 22(40.0%) of 55 cases, respectively. TIMP-1 and TIMP-2 expressions were observed in 21(38.2%) and 33(60.0%), and E-cadherin and EGFR expressions were found in 35(63.6%) and 26(47.3%) of 55 cases, respectively. 2. MMP-2 expression rate was slightly higher in cases without recurrence, and TIMP-2 expression rate was slightly higher in cases showing more infiltrative growth pattern. However, there were no significant differences of MMP-2, MMP-9, TIMP-1, and TIMP-2 expression rates according to other clinico-pathologic parameters were noted. 3. The expression rate of EGFR was higher in cases with well differentiation (p=0.0047), but no positive relationship between the expression rate of E-cadherin and histologic grade was found. There were no significant differences of the expression rates of E-cadherin and EGFR according to other clinico-pathologic parameters. 4. Cases with positive reaction for MMP-9 showed an increasing tendency of negative reaction for TIMP-1. However, signigicant relationships between MMP-2, MMP-9 expressions and TIMP-1, TIMP-2 expressions were not noted. 5. The expression rate of MMP-2 was higher in cases with positive reaction for Ecadherin and EGFR with no statistical significance. The expression rate of MMP-9 was significantly higher in cases with positive reaction for E-cadherin(p=0.0221), but there was no significant relationship between MMP-9 and EGFR expression. Conclusion : These results suggest that MMP-2, MMP-9, TIMP-1 and TIMP-2 expressions are involved in the development of oral squamos cell carcinomas, but MMP-2, MMP-9, TIMP-1, and TIMP-2 expressions might not seem to be a sueful prognostic factors because there were no significant relationship between clinicopathologic parameters, EGFR expression showed positive correlation with low histologic grace, so EGFR expression could be regarded as a good prognostic factor. In the progression of squamous cell carcinoma of oral cavity, MMP-9 and E-cadherin might be involved with positive correlation, but there were no significant correlations between MMP-2, MMP-9 and TIMP-1, TIMP-2 and EGFR expressions rate. Further study for other factors such as cytokines or growth factors except TIMP-1, TIMP-2 and EGFR will be needed.

내부 응력이 .06 taper Profile의 피로 파절에 미치는 영향

정혜림,김진우,조경모,박세희 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2

Objectives: The purpose of this study was to evaluatie the reation between intentionally induced internal stress and cyclic fatigue failure of .06 taper ProFile. Materials and Methods: Length 25 mm, .06 taper ProFile (Dentsply Maillefer), and size 20, 25, 30, 35, and 40 were used in this study. to give the internal stress, the rotary NiTi files were put into the .02 taper, Endo-Training Bloc (Dentsply Maillefer) until auto-stop by torque controlled motor. Rotary NiTi files were grouped by the number of induced internal stress and randomly distributed among one control group and three experimental groups (n = 10, Stress 0 [control], Stress 1, Stress 2 and Stress 3). For cyclic fatigue measurement, time for separation of the rotary NiTi files was recorded. the fractured surfaces were observed by field emission scanning electron microscope (FE-SEM, SU-70, Hitachi). The tiem for separation was statistically analyzed using two-way ANOVA and post-hoc Scheffe test at 95% level. Results: In .06 taper ProFile size 20, 25, 30, 35, and 40, there were statistically significant difference on time for separation between control group and the other groups (p < 0.05). Conclustion: In the limitation of this study, cyclic fatigue failure of .06 taper ProFile is influenced by internal stress accumulated in the files. (Restor Dent Endod 2012;37(2):79-83)

학교행정가의 리더십과 핵심역량에 대한 인식 연구

조경원,한유경,서경혜,조정아,이지은 이화여자대학교 교육과학연구소 2006 교육과학연구 Vol.37 No.1

21세기 지식정보화 사회는 전통적인 학교교육의 변혁을 요구한다. 이에 학교교육 개혁을 성공적으로 이끌어 나아갈 수 있는 교원의 리더십 특히 학교행정가의 리더십이 절실히 요구되고 있다. 그렇다면 지식정보화 사회에서 요구되는 학교행정가의 리더십이란 무엇이며 어떤 역량을 포함하는가? 본 연구는 학교행정가의 리더십과 핵심역량에 대한 선행연구가 학교 현장과는 유리된 채 이론적, 당위적 수준에 그치고 있다는 문제의식에서 출발하여 학교행정가의 리더십을 구성하는 핵심역량이 무엇인가에 대한 교사, 교감, 교장, 행정실장 및 서무부장의 인식을 파악하고 이들 집단의 인식을 비교 분석하는 데 목적을 두었다. 이를 위해 우선 문헌연구를 통해 리더십에 대한 관점과 개념의 변화를 고찰하였고 변혁적 리더십 관점에 기초하여 학교행정가가 갖추어야 할 핵심역량으로 교육적 리더십, 학교 계획 및 조직, 학교교육과정 편성 및 운영, 학교운영, 인적자원 개발, 학교재정 관리, 교육법 이해 및 집행, 학교교육정책 이해, 학교·학부모 및 지역사회 협력, 정보통신기술 활용과 같은 열 가지 역량을 도출하였다. 문헌연구를 통해 도출된 핵심역량에 대한 학교 현장의 관점을 알아보기 위해 초·중·고등학교 교직원을 대상으로 10대 핵심역량의 중요도와 현재 실행정도에 대해 설문조사를 수행하였다. 설문조사에는 144개 학교의 교직원 1,136명이 참여하였다. The purpose of this study is to investigate the perspectives of teachers, vice-principals, and school staff on school administrators' leadership and core abilities. For this purpose, first, we examined the perspectives and concepts of school administrator's leadership and identified 10 core abilities that constitute the school administrator's leadership. Second, we developed a questionnaire to investigate the perspectives of teachers, vice-principals, and school staff on to what extent the 10 core abilities are important and whether their school administrators actually exert these 10 core abilities. Finally, we conducted a survey research, including teachers, vice-principals, and school staff with various years of experiences in elementary and secondary schools in Korea. The findings show that teachers, vice-principals, principals, and school staff consider the 10 core abilities very important for school administrators. However, they perceive that school administrators, in reality, do not exert the 10 core abilities as much as they think these abilities are important. In particular, teachers rated school administrators' leadership relatively low compared to principals, vice-principals, and school staff. The difference between their perception on the importance and exertion of 10 core abilities indicates the need for programs that promote the development of 10 core abilities for school administrators and consequently support the development of school administrator's leadership.

정상 노인과 치매 환자간 임상화학적 검사 수치의 비교

조경혜,손혜연 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1997 Journal of biomedical laboratory sciences Vol.3 No.2

나이가 들어가면서 나타나는 여러 가지 변화를 임상적으로 검사하고 측정하므로써 건강상태를 예측하는 것은 노화를 지연시키고 건강한 삶을 유지하는데 상당히 유용하고 기초적인 지표가 될 것이다. 점차 증가일로에 있는 노인성 질환의 여러 문제점을 해결하기 위해 노령인구 집단을 정상군과 치매군으로 구분하여 13종의 임상 화학 검사를 시행한 결과, 두 집단 사이에서, 임상 생화학적 검사의 양상의 다를 것이라는 예측대로의 결과를 얻을 수 있었다. 즉, serum albumin, APase, glucose, GOT, LDH 등의 수치는 정상군과 치매군 사이에서 현저한 차이를 보이는 반면, bilirubin, BUN, cholesterol, creatinine, total protein 등의 검사 수치에서는 별다른 차이를 볼 수 없었으며, 그 밖에 calcium, GPT, Pi 검사 등의 결과에서도 두 집단 사이에서 차이를 보였다. 이것은 치매가 체내에서 많은 생화학적 변화를 일으킴을 시사하고, 치매 발병에 여러 가지 환경 요인이 영향을 미치게될 것이라는 결론을 유도할 수 있게 한다. The measurement of many biochemical changes that could be appeared as aging will be resulted in the very useful and basal marker to maintain healthy life and to predict the health condition and the retardation of the aging. We classified the geriatrics into the normal and same aged dementia on the based of clinical diagnostic as well as MMSE evaluation. And then we were collected blood samples from both groups and examined 13 biochemical assays to screen any valuable biochemical index for dementia. Among 13 assays, several assay data showed the statistically significant differences between two groups. The values of serum albumin, APase, and GOT were significantly decreased in demented group compared to control. On the other hand, the values of glucose and LDH were increased in dementia compared to control. Additionally, the value of Pi was increased but the values of calcium and GPT were decreased, without significant difference (p>0.05). The values of other assays such as bilirubin, BUN, cholesterol, creatinine and total protein did not show any statistically significant differences. Conclusively it may be suggested that dementia might be resulted in the variable biochemical changes which could be affected by many environmental factors as well as dementia itself.

컴포머 충전과정에 따른 상아질 투과도의 변화

조혜진,이경하,이세준,이광원 大韓齒科保存學會 2002 Restorative Dentistry & Endodontics Vol.27 No.4

Compomer is composed of matrix and filler; matrix is made of the combination of resins and polycarboxylic molecules that are light-cured. and a filler is a glass component which is capable of ion-release. The resin content of compomers produces polymerization shrinkage which can adversely affect marginal adaptation. Pretreatment is a fundamental step which is treated with conditioner or primer in the use of these materials. Microleakage of restorative materials has been investigated mostly by dye penetration method. Dye penetration method was not quantitative and not measured repeatedly. Fluid filtration method. introduced and developed by Pashley's group, has been extensively used for 20 years for research purpose to understand the physiology of dentin, as well as the effects of various restorative treatments on dentin permeability. It permits quantitative, nondestructive measurment of microleakage in a longitudinal manner. The purpose of this study was to evaluate the change the change of dentin permeability according to the process of compomer restoration. In this study, CI Ⅴ cavities were prepared on buccal surface of thirty extracted human molars. The prepared cavities were etched by 37% phosphoric acid. The experimental teeth were randomly divided into three groups. Each group was treated with following materials; Group 1 : Prime & Bond NT/Dyract AP, Group 2: Single Bond/F2000 compomer, Group 3 : Syntac Single Component/Compoglass. The bonding agent and compomer were applied for each group following manufactures information. Dentin permeability of each group was measured at each process by fluid filtration method; Step 1 : preparation(smear layer), Step 2 : etching(smear layer removal), Step 3 : applying the bonding agent, Step 4 : filling the compomer. Dentin permeability was expressed by hydraulic conductance(㎕ min^-1cmH_2O^-1). The data were analysed statistically using One-way ANOVA and Sheffe's method. The results were as follows : 1. Dentin permeability differences between each process were significant except between step 1 and step 2(p<0.01). 2. Dentin permeability after removal of smear layer was highly increased(p<0.01). 3. In most case, decrease of dentin permeability was obtained by applying bonding agent(p<0.01). 4. Dentin permeability differences among the experimental groups were not significant(p>0.05). 5. None of compomers used in this study showed perfect seal at the interface.

Clostridium difficile 장염에 의한 속발성 유전분증에서 발현된 독성 장염

조형원,정혜경,강현주,이윤표,강혜원,심기남,정성애 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1

Amyloidosis is characterized by extracellular deposition of protein fibrils in one or multiple organs. AA amyloidosis is secondarily occurred to be related with chronic infections or inflammatory diseases. We report a 67-year-old man suffered from secondary AA amyloidosis related with chronic Clostridium difficile colitis after repeated total hip replacement surgery. Infection control is the most important treatment of AA amyloidosis secondary to chronic infection. However, the patient’s C. difficile colitis was not controlled well, eventually toxic megacolon with sepsis was developed. Consequently, he had to take total colectomy, but he expired with multi-organ failures. We suggested that early surgical procedure might be one option for intractable C. difficile colitis complicated with secondary amyloidosis.

식습관이 비만 여학생의 체격과 신체구성성분에 미치는 영향

조경자,김미혜 慶星大學校 1998 論文集 Vol.19 No.2

The purpose of this study was to analyze the effects of food habits on physique and body composition between obese and normal groups for suburban and urban girls, ages 9 and 15 years, living in Pusan and surrounding areas All data were collected on 159 suburban girls(80 for 9 years and 79 for 15 years) and 157 urban girls(80 for 9 years and 77 for 15 tears). Analyses are made between obese and normal groups for measures of physique(height and weight), body composition(skinfold thickness, Body Mass Index, % body fat, total body fat, lean body mass) and questionnaires(food habits and food preference). Statistical nanlysis of the collected data were analyzed in t0test, χ²-test and F-test using SPSS/PC package program with an alpha level of p<.05. The conclusions of the study are as follows ; 1. The differences in physique and body composition (1) Height, Weight,% body fat, total body fat and BMI were significantly higher in obese group than normal group(p<.001). 2. The differences in food habits (1) Irregular food habits in the obese group showed significantly higher than normal group(p<.001). (2) The period of absent meals for breakfast in obese group showed significantly higher than normal group(p<.001). (3) In the period of between meals, in case of 'between breakfast and lunch time' in obese group showed significantly higher than normal group(p<.05). 3. The effects influencing physique and body composition of food habits (1) Irregular food habits showed height, weight, body fat(p<.001), BMI, lean body mass(p<.01),% body fat(p<.05) significantly high in obese group, and physique and body composition showed significantly high in obese group, and physique and body composition showed significantly high(p<.001) in normal group. (2) The shorter the meal eating period were higher the height, weight, BMI(p<.01),% body fat, lean body mass(p<.05) significantly in obese group. (3) When they had between meals more than 3 times a day showed height, weight, lean body mass(p<.001) and body fat, BMI(p<.05) significantly high in normal group. and when they had between meals after supper showed lean body mass significantly high(p<.05) in obese group. In these results, the physique of girls were very rapidly increased and the percentage of body fat were also very increased recently. But it must be effected on the undesirable food habits. Therefore, the active efforts for girls in peak growth velocity are to be requested that they have to eat balanced diet regularly and have regular exercise habits.