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      • 미술치료 석사과정생의 정신과 임상실습 체험연구

        김시내,장연집 서울여자대학교 2010 심리치료: 다학제적 접근 Vol.10 No.2

        미술치료 전공의 석사과정생이 정신과에서 임상실습을 통해 어떠한 체험을 하는지를 탐색해 보기위한 목적을 가지고 수행된 본 연구는 인간의 체험에 관심을 갖고 그들이 경험하는 것에 대해 심층적으로 이해 할 수 있도록 도와주는 Max van Manen의 해석학적 현상학적 질적 연구 방법론을 적용하고 있다. 정신과 병동에서 1년 이상 임상실습 경험이 있는 총 11명의 연구 참여자를 대상으로 2010년 4월부터 6월까지 심층면접을 실시한 결과, 연구문제에 따른 10개의 본질적 주제와 30개의 하위 주제들을 산출하였다. 연구결과와 글쓰기 등을 토대로 본 연구에서는 정신과 임상실습을 체험한 미술치료 석사과정생인 연구 참여자들이 다음과 같은 4가지의 체험을 하였다는 결론을 내리고 있다. 첫째, 병원의 치료진을 포함하여 정신과 환자까지도 미술치료에 대한 인식부족으로, 미슬 치료 전공 실습생들은 정체감에 큰 혼란을 겪는 기회를 직면한다. 둘째, 병원의 치료진들이 전해준 미술치료로 정신과 환자의 상태 개선이란 소식을 접하면서, 미술치료만이 해낼 수 있는 특수성을 재인식하게 되며, 고된 실습의 보상과 함께 고양된 경험을 갖게 되고, 임상미술치료의 실습이 중요함을 재인식하게 된다. 셋째, 미술작업과 미술언어를 매개로 하여 미술치료전공 실습생은 정신과에서의 미술치료실습이 매우 중요한 기회임을 실감하며, 치료진과 정신과 환자들 사이의 관계를 연결 짓는 중간자 역할을 하는 자신을 발견한다. 넷째, 임상미술치료를 자신 있게 다루고 싶어져 전공 지식의 심화를 스스로 요구하게 되며, 내적인 자기성장의 욕구를 경험한다. In this research, Max van Manen's hermeneutical phenomenology providing assistance to understanding in depth how human beings are interested in the experiment and what it is they experience, is used for the progress. As for the research participants, total of 11 subjects the students enrolled in art therapy master's program and having more than a year experience in clinical practice were selected from the psychiatry department of a combined hospital and the psychiatry department of a single hospital containing the hospitalization ward. As a result of performing in-depth screening on these subjects, 10 essential and 30 subordinate topics were categorized. This research is making following 4 conclusion through research participants that is the students of the art therapy master's program experience at the psychiatry clinical training. First, the students of the art therapy master's program experience frustration and identity confusion during the course of clinical practice due to lack of awareness of art therapy from clinical staff and patients. Second, the students of the art therapy master's program from clinical staff of hospital receive the news about psychiatry patient's state improvement, so they recognizing peculiarity that work process of only art therapy can have. In addition, they have compensation of hard practice with enhanced experience, and they recognized practice of clinical art therapy is being important. Third, the students of the art therapy master's program perform the role of middleman in between the clinical staff and the patients and thus learn about exclusive particularities held by the art therapy. Fourth, the students of the art therapy master's program require deepening of major knowledge to oneself because they want self-assured handle at clinical art therapy. In addition, they experience desire of inner own growth.

      • 시정 측정의 장비, 방법 및 대전지역 시정의 분석

        소선섭,김시내,박수현 公州大學校 基礎科學硏究所 2003 自然科學硏究 Vol.10 No.-

        본 논문은 대기 오염물질의 배출량이 많아지면서 대기의 혼탁도가 높아지고 이로 인해 시정이 악화됨을 규명하고자 하였다. 시정의 악화를 언급하기에 앞서 시정에 대해서 보다 명확하게 정의하였고, 대전지역의 시정 자료 값을 분석하여 대기의 오염이 얼마나 증가하였는가를 밝힘으로써 시정측정 장비 연구의 필요성을 강조하였다. In this Essay, we wished to examine closely that turbidity of air rised, visibility is worsened because the discharge amount of air contaminant increased. Before refer visibility for the worse, we defined more definitely about visibility, analyzed visibility value of DaeJon area, said how pollution of air increased, so emphasized necessity that we should have researched visibility monitoring method.

      • KCI등재

        Marfan syndrome and symptomatic dural ectasia: A case report and literature review

        Si Nae Eom,Dong Chan Kim,Kwang Nam Kim,Sung Hye Kim 대한의학유전학회 2014 대한의학유전학회지 Vol.11 No.2

        Dural ectasia refers to the widening or ballooning of the dural sac surrounding the spinal cord. It can affect any plane of the spinal canal, but occurs primarily in the lumbosacral region. Dural ectasia is present in 63-92% patients who have Marfan syndrome, and is related to Ehlers-Danlos syndrome, neurofibromatosis type I, and ankylosing spondylitis. The most common symptoms are low back pain, headache, weakness, numbness above and below the affected limb, and occasional rectal and genital pain. However, in most patients, dural ectasia is usually asymptomatic. We report the case of a 5-year-old boy who presented with a severe headache who had been diagnosed with Marfan syndrome. During the evaluation, magnetic resonance imaging of the lumbar and sacral spine revealed dural ectasia. To our knowledge, this is the first report on Marfan syndrome with symptomatic dural ectasia in Korea. We concluded that dural ectasia should be suspected in patients diagnosed with Marfan syndrome who have a severe headache.

      • Poster Session:PS 0543 ; Nephrology ; A Miserable Case of Eggshell Calcifi cation of Renal Cell Carcinoma in Continuous Ambulatory Peritoneal Dialysis Patient with Sclerosing Encapsulating Peritonitis

        ( Si Nae Lee ),( Ji Yeon Kwon ),( Chae Won Kim ),( Jee Young Han ),( Seoung Woo Lee ),( Joon Ho Song ),( Moon Jae Kim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

        Acquired cystic kidney disease (ACKD), a common complication in patients with endstage renal disease, is characterized by more than three kidney cysts and normal or decreased sizes of both kidneys without any familial history of cystic kidney disease. In autosomal dominant polycystic kidney disease (ADPKD), however, both kidneys are usually enlarged. Extrarenal manifestations are common in ADPKD, including hepatic cysts, seminal vesicle cysts, mitral valve prolapse. A 40-year-old man presented to our emergency clinic with severe abdominal pain, nausea, and vomiting for 3 days. He had been undergoing continuous ambulatory peritoneal dialysis (CAPD) for 15 years, but it was recently changed to hemodialysis owing to sclerosing encapsulating peritonitis (SEP). Radiologic imaging studies revealed bilateral enlarged kidneys with multiple eggshell calcifi ed cysts and some hepatic cysts, which suggested ADPKD. He underwent right nephrectomy, and pathological tests revealed ACKD-associated renal cell carcinoma (RCC) confi ned to the resected kidney. He was treated with steroids for SEP, and the symptoms resolved. We herein report a rare case of ACKD―resembling ADPKD―that progressed to RCC in a patient with concurrent SEP who had been undergoing CAPD for 15 years.

      • KCI등재후보

        Effect of Osteotropic Agents on the Expression of RANKL and OPG in Saos-2 Cells

        Kim, Si Nae,Kim, Yong Hee,Kim, Gwan-Shik,Baek, Jeong-Hwa Korean Academy of Oral Biology and the UCLA Dental 2002 International Journal of Oral Biology Vol.27 No.1

        Various osteotropic agents that influence bone resorption are known to act primarily via osteoblasts/stromal cells. Recently, receptor activator of nuclear factor-kB ligand (RANKL) and osteoprotegerin (OPG) have been suggested to be key molecules that regulate osteoclast differentiation and activation. RANKL induces osteoclastogenesis and activates mature osteoclasts while OPG acts as a physiologic inhibtor of RANKL. It is conceivable, therefore, that change in RANKL and OPG expression in osteoblasts/stromal cells affect their ability to support osteoclast formation, activity and survival. In this study, we examined the effects of several osteotropic agents on RANKL and OPG mRAN expression in Saos-2 human osteoblastic cells. Cells were exposed to parathyroid hormone (PYH, 10^-8M), 1,25-dihydroxyvitamin D_3 (1,25(OH)_2D_3, 10^-8M), dexamethasone (10^-8M), interleukin-1β (IL-1β, 5ng/ml), tumor necrosis factor-α (TNF-α, 5ng/ml), transforming growth factor-β (TNF-β, 5ng/ml), or insulin-like growth factor-I (IGF-I, 10ng/ml) for 2, 4, 8, and 24h, and mRNA levels were analyzed by semi-quantitative reverse transcription-polymerase chain reaction. All the tested osteotropic agents more or less regulated both RANKL and OPG mRNA level during the examined period. RaNKL/OPG ratio was up-regulated by PTH, 1,25(OH)_2D_3, dexamethasone, TGF-β, IGF-I, and increased RANKL/OPG ratio was maintained up to 24h. IL-1β and TNF-α transiently they greatlhy decreased RANKL/OPG ratio. These results showed that RANKL and OPG could be potential targets for bone resorption regulation by osteotropic hormenes, cytokines, and growth factors. However, regulatory patterns were not alvays coincident with in vivo or in vitro effects on osteoclastogenesis, implying that RANKL and OPG are not the sole mediators of their action.

      • A Case of Egg-Shell Calcification of Renal Cell Carcinoma in Continuous Ambulatory Peritoneal Dialysis Patient with Sclerosing Encasulating Peritonitis

        Si Nae Lee,Shin Il Kim,Jee Young Han,Joon Ho Song,Seoung Woo Lee,Moon Jae Kim 순천향대학교 순천향의학연구소 2014 Journal of Soonchunhyang Medical Science Vol.20 No.2

        Acquired cystic kidney disease (ACKD), a common complication in patients with end-stage renal disease, is characterized by more than three kidney cysts and normal or decreased sizes of both kidneys without any familial history of cystic kidney disease. In autosomal dominant polycystic kidney disease (ADPKD), however, both kidneys are usually enlarged. Extrarenal manifestations are common in ADPKD, including hepatic cysts, seminal vesicle cysts, mitral valve prolapse. A 40-year-old man presented to the emergency clinic at Inha University Hospital with severe abdominal pain, nausea, and vomiting for 3 days. He had been undergoing continuous ambulatory peritoneal dialysis (CAPD) for 15 years, but it was recently changed to hemodialysis owing to sclerosing encapsulating peritonitis (SEP). Radiologic imaging studies revealed bilateral enlarged kidneys with multiple eggshell calcified cysts and some hepatic cysts, which suggested ADPKD. He underwent left nephrectomy, and pathological tests revealed ACKD-associated renal cell carcinoma (RCC) confined to the resected kidney. He was treated with steroids for SEP, and the symptoms resolved. We herein report a case of ACKD—resembling ADPKD—that progressed to RCC in a patient with concurrent SEP who had been undergoing CAPD for 15 years.

      • KCI등재

        대중매체를 통해 표현된 헤어스타일 연구 - 웰라 프로폐셔널즈 트랜드 비전 2010-2011 년을 중심으로 -

        김시내 ( Si -nae Kim ),정유심 ( Yoo-sim Jung ),양은진 ( Eun-jin Yang ) 한국미용예술경영학회 2011 미용예술경영연구 Vol.5 No.1

        The show of sensibility consumers whom mass media developed by caused common people to feel like having gorgeous fashion to respect contemporary trends, as well as much more interesting how to set up total image formation and beauty design of caring themselves which are having confidence in their minds than before. Recently in 21st century, we have faced with a variety of communication age which is caused by the development of mass media. Among them, hair magazine is a important thing leading hair trends, providing amused beauty information, and show contemporary beauty trends, and taking a great role or forming some cultures. Now, beauty trends are globalized by the rapid development of information and technology concerned, like mass media, internet and soon. The period of changing the trends have a tendency to getting shorter then ever. After all of these trends periodically repeated times in the past with a sense of the hair that it is reinvented to suit the flow is a factor. Therefore, this study of how the years 2010-2011 Wella Professionals Trend Vision appeared to work by limiting the study to investigate the flow of each period is to c1ean up.

      • 기후변화에 따른 한강유역 미래 물순환 건강성 평가

        김시내 ( Si Nae Kim ),이현지 ( Hyunji Lee ),김계웅 ( Kyeung Kim ),김학관 ( Hakkwan Kim ),강문성 ( Moon Seong Kang ) 한국농공학회 2020 한국농공학회 학술대회초록집 Vol.2020 No.-

        기후변화와 토지이용의 변화는 물순환 체계를 변화시키며, 물순환 체계 변화 분석을 위해 다수의 연구에서는 유역단위 물순환 평가를 수행하고 있다. 하지만, 현재까지 선행 연구는 현 상태의 물순환 체계를 평가하였으며, 기후변화에 따른 장래의 물순환 변화 평가 연구는 부족한 실정이다. 따라서 본 연구에서는 HSPF(Hydrologic Simulation Program-FORTRAN) 모형으로 유역 물수지 분석을 수행하고, 기후변화 시나리오를 적용하여 장래 변화를 분석하였으며, 물순환 변화 평가를 위해 Budyko 곡선을 활용한 물순환 건강성 지표를 산정·비교하였다. 대상유역으로 한강유역을 선정하였으며, 과거 대비 현재 및 미래의 물순환 건강성 평가를 위해 1975년도를 기준년도로 설정하였다. 1975년도 기준토지이용도를 HSPF 모형의 입력자료로 사용하였으며, 2013년도 토지이용도를 이용한 보정 매개변수의 계수를 적용하여 HSPF 모형을 구축하였다. HSPF 모형의 기상자료 구축을 위해 기상청에서 제공하는 과거 1970∼2015년 기상자료를 활용하였으며, 기후변화 자료는 CMIP6 (Coupled Model Intercomparison Project Phase 6) SSP5-8.5 시나리오의 UKESM1-0-LL모형을 선정하여 2054∼2099년 미래 기상자료를 활용하였다. HSPF 모형을 통한 현재 및 미래기간의 물수지 분석 결과 유출량, 강수량, 잠재증발산량을 산정하였으며, 이를 통해 현재 및 미래의 물순환 왜곡도를 산정하고 Budyko 곡선을 구축하였다. 본 연구의 결과는 장래 물순환 변화를 예측하고, 물순환 관리계획 설정을 위한 기초자료로 활용할 수 있을 것으로 사료된다.

      • KCI등재

        데이터 예술(Data Art)을 통한 확장된 데이터 시각화 교육 방안 모색

        김시내(Kim Si-nae) 한국조형교육학회 2018 造形敎育 Vol.0 No.68

        최근 예술 제작을 위한 자료로 데이터를 사용하는 것이 현대 미술에서 뚜렷한 추세로 보이고 있다. 이번 연구에서는 국외의 데이터 예술의 현황과 데이터 리터러시의 개념을 소개하고, 데이터 예술을 행동주의적, 추상주의적, 표현주의적 접근으로 분석함으로써 데이터를 미술교육의 영역에서 좀 더 풍부하게 활용할 수 있도록 데이터 시각화의 다양한 관점을 제공하고자 한다. 이러한 분석에 기초하여 미술영재교사연수기관과 초등교사양성기관, 초등학교에서 실제 미술 수업을 실행하고 수업과정과 작품을 통해 데이터 아트 수업의 의의를 다음과 같이 도출하였다. 첫째, 데이터는 세계와 자신, 타인에 대한 풍부한 해석의 재료들로 사용될 수 있으며, 둘째, 학생들은 데이터를 비판적, 경험적, 해석적 관점으로 접근하여 우리 자신과 세계에 대한 인식과 의미를 만드는 탐구의 형태로 예술 제작에 참여할 수 있다. 셋째, 데이터 아트는 표상 형식의 번역 가능성을 보여주며, 마지막으로 과학과 예술의 연속체 안에서 실행됨으로써 분석적, 개념적, 상징적, 직관적, 은유적 사고로 학생들은 예술과 탐구활동을 행할 수 있다. Recently, many contemporary artists are using data as materials for art production. The study aims to introduce the current state of data art and the concept of data literacy, and to provide a variety of perspectives on data visualization by analyzing data art into activism art, Generative art, and expressive art approaches. Based on this analysis, I conducted art based action research in Art teacher training institute for the gifted for art, Seoul national university of education, and elementary school. The results of this action research are four-fold. First, data can be used as a material for a rich interpretation of the world, Second, students can engage in art practice in the form of inquiries that create awareness and meaning for ourselves and the world by approaching the data from a critical, empirical, and interpretive perspective. Third, data art shows the possibility of translating between forms of re-presentation. Finally, it is executed in the continuum of science and art, so that students can perform art and inquiry activities in analytical, conceptual, symbolic, intuitive, metaphorical thinking.

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