이야기 만들기(story generation)과제를 통한 초등 저학년 아동의 이야기구성 능력

권유진(Eu-Gene Kwon),배소영(So-Yeong Pae) 한국언어치료학회 2006 言語治療硏究 Vol.15 No.3

Little is known about narrative ability of school-aged children in Korea. This study addresses the ability of narrative ability of 30 Korean school-aged children, grade first to third. Childrens story-generations are analyzed by story composition. The measure of story composition has several variables: the number of C-units related to story episodes, complete episode composition score and the number of C-units unrelated to the story. The number of C-units related to story episodes, complete episode composition score developed as grade goes up from 1st to 3rd and the number of C-units unrelated the story is decreased. This result implies that story composition ability of school aged children could be a valid tool for assessing Korean-speaking children discourse ability.

아스퍼거증후군 아동의 이야기 구성 능력

권유진(Eu Gene Kwon),배소영(So Yeong Pae) 한국언어치료학회 2009 言語治療硏究 Vol.18 No.2

Asperger's syndrome (AS) is an early childhood disorder characterized by autistic social deficits and subtle communication impairment. There is no history of language delay or mental retardation. Despite these diagnostic criteria, some research shows AS patients lack adequate social-emotional and communicative competence. So, as a primary means of communication, narrative represents an important communication tool. This study addresses the narrative abilities of individuals with school-aged Asperger's syndrome in Korea. Sixteen subjects with AS and 32 subjects without were asked to narrate a story from a wordless picture book. The 32 AS-free subjects were divided into two groups: one group consisted of 16 receptive-language matched subjects (language matched) and the other consisted of 16 story-recall ability matched subjects (story matched). The subjects' story-retelling productions were analyzed by two measurements: story composition and use of cohesive devices. Each measurement contained several variables. For example, the story composition measurement included variables such as the percent of story grammar recalled, completeness of the episode, composition scales, and irrelevant story expressions used. The cohesive devices measurement included variables such as the number of adequate cohesive devices used and the total percentage of cohesive devices. In all variables except the measurement of total cohesive devices, the AS subjects showed lower abilities than the two AS-free groups. This result implies that despite receptive language ability being similar between the AS and AS-free groups, the narrative ability of AS subjects is lower. In light of this research, story composition and use of cohesive devices should be of considerable importance for language assessment and intervention in school-aged children with Asperger's syndrome.

다발성 색전 폐렴을 동반한 Candida tropicalis 폐동맥 혈전증 1예

권유진 ( Eu Gene Kwon ),장현하 ( Hyun Ha Chang ),김신우 ( Shin Woo Kim ),김혜인 ( Hye In Kim ),긴효훈 ( Hyo Hoon Kim ),정주영 ( Ju Young Jeong ),정희연 ( Hee Yeon Jung ) 대한내과학회 2013 대한내과학회지 Vol.84 No.5

패혈성 폐 혈전색전증은 드문 질환으로 약물 중독자들에 흔하였으나 점차 감소하는 추세이며 중심 정맥 카테터의 사용, 인공 혈관 장치, 면역억제자와 관련성이 나타나고 있다. 저자들은 기저질환이 없는 건강한 젊은 환자에서 그라목손 음독으로 인하여 스테로이드와 cyclophosphamide 치료 후, 장기간 중심정맥 카테터를 통한 완전 정맥 영양을 시행하는 상태에서 발생한 진균혈증이 심내막염과 내안구염을 동반한 심한 다발성 색전 폐렴과 칸디다 폐동맥 혈전증을 유발하여 항진균제 치료 후 호전된 1예를 경험하여 문헌고찰과 함께 보고하는 바이다. Septic pulmonary thromboembolism resulting from fungal infection is rare. A 32-year-old woman with acute paraquat intoxication was treated with high-dose intravenous steroid and cyclophosphamide pulse therapy. She presented with a prolonged fever, dyspnea, and multiple pneumonic infiltrations. Central venous catheterization was necessary for total parenteral nutrition. The response to antibiotic therapy was disappointing and Candida tropicalis was cultured in the blood repeatedly. Vegetations were found in the superior vena cava on echocardiography and both pulmonary arteries had massive thromboembolism on computed tomography (CT). Intravenous amphotericin B and anticoagulation therapy showed improvement. When patients with central venous catheters and recurrent fungemia present with dyspnea and fever, septic pulmonary thromboembolism and other disseminated infections, such as infective endocarditis or endophthalmitis, should be kept in mind. (Korean J Med 2013; 84:759-763)

도시열섬현상완화를 위한 그린인프라 전략

박채연,이동근,권유진,허민주,Park, Chae-Yeon,Lee, Dong-Kun,Kwon, Eu-gene,Her, Min-ju 한국환경복원기술학회 2017 한국환경복원기술학회지 Vol.20 No.5

Because of lack of accurate understanding of the mechanism of urban heat island (UHI) phenomenon and lack of scientific discussion, it is hard to come up with effective measures to mitigate UHI phenomenon. This study systematically described the UHI and suggested the solutions using green-infrastructure (green-infra). The factors that control UHI are very diverse: radiant heat flux, latent heat flux, storage heat flux, and artificial heat flux, and the air temperature is formed by the combination effect of radiation, conduction and convection. Green-infra strategies can improve thermal environment by reducing radiant heat flux (the albedo effect, the shade effect), increasing latent heat flux (the evapotranspiration effect), and creating a wind path (cooling air flow). As a result of measurement, green-infra could reduce radiant heat flux as $270W/m^2$ due to shadow effect and produce $170W/m^2$ latent heat flux due to evaporation. Finally, green-infra can be applied differently on the macro(urban) scale and micro scale, therefore, we should plan and design green-infra after the target objects of structures are set.

내인성 내안구염의 가장 흔한 원인 균주로서의 Klebsiella pneumoniae

박가영 ( Ga Young Park ),김신우 ( Shin Woo Kim ),김혜인 ( Hye In Kim ),권유진 ( Eu Gene Kwon ),김효훈 ( Hyo Hoon Kim ),정주영 ( Ju Young Jeong ),장현하 ( Hyun Ha Chang ),이종명 ( Jong Myung Lee ),김능수 ( Nung Soo Kim ),이신원 ( S 대한내과학회 2012 대한내과학회지 Vol.82 No.2

Background/Aims: Endogenous endophthalmitis (EE) is rare. However, the visual outcome of patients with EE is very poor. Many cases of EE caused by Gram-negative bacterial infections have recently been reported. This study was conducted to explore the most frequent pathogens, diagnosis, and treatment outcomes of EE. Methods: A retrospective analysis was carried out in 23 patients diagnosed with EE through clinical manifestations and ophthalmic examinations in three hospitals between January 2000 and April 2011. Samples from 23 patients with EE were analyzed microbiologically. Results: Pathogens were identified in 18 (78%) of the 23 blood, liver aspirate, and/or vitreous humor samples. Klebsiella pneumoniae was the most frequent organism (13/23, 57%). Abdomino-pelvic imaging (21/23, 91%) was performed to evaluate the primary site of infection. The most common primary infection was liver abscess (14/23, 61%). Despite administration of intravenous antibiotics and intravitreal injection, only six of 23 patients showed improvements in visual acuity. Thirteen (57%) experienced worse visual acuity. Four (17%) were eventually enucleated. Conclusions: In patients diagnosed with EE, abdomino-pelvic CT is required to exclude the presence of liver abscess. If a liver abscess is identified, percutaneous drainage should be considered. Considering the rapid progression and poor prognosis of EE, early diagnosis and immediate management are vital. We currently suggest that empiric antibiotics for treatment of EE should have activity against Gram-negative bacilli such as K. pneumoniae. (Korean J Med 2012;82:200-207)

다문화가정 아동의 이야기 산출

곽금주(Keum Joo Kwak),배소영(So Yeong Pae),권유진(Eu Gene Kwon),진연선(Yeon Sun Jin),전홍주(Hong Ju Jun) 한국언어치료학회 2010 言語治療硏究 Vol.19 No.2

This study compared multicultural Korean children's narratives with those of monocultural children. Thirty five children with mothers from Japan or the Philippines and thirty five peers participated in narrative generation tasks. For preschool children, two stories of five-cut pictures (Pae & Lee, 1996) were provided and a frog story (Mayer, 1969) was used for school-aged children. In the results, both preschool- and school-aged children from multicultural backgrounds (MUC) performed less efficiently than children with monocultural background (MOC) in narrative composition. As for preschool children, MOC children produced more story grammars than MUC children, especially in the category of result. For school-aged children, there was no difference between the total number of story grammars of MUC children and that of MOC children, although NMC children produced storygrammar of background more frequently than that of NMC children. MOC children performed higher than MUC children in the percent of appropriate cohesive device usages. Interestingly, MUC preschool children used appropriate cohesive devices less frequently than the MOC group, meanwhile MUC school-aged children usedinappropriate cohesive devices more frequently than MOC children.. In conclusion, MUC children develop story grammars commensurate to their peers although their story composition and cohesive devices need to be more finely tuned

증례 : 감염 ; 거대세포바이러스 망막염으로 발현된 Good증후군 2예

김혜인 ( Hye In Kim ),장현하 ( Hyun Ha Chang ),박가영 ( Ga Young Park ),권유진 ( Eu Gene Kwon ),김효훈 ( Hyo Hoon Kim ),김신우 ( Shin Woo Kim ),이종명 ( Jong Myung Lee ) 대한내과학회 2011 대한내과학회지 Vol.81 No.2

Good증후군은 흉선종과 면역결핍을 나타내는 질환이다. 주로 체액성 면역결핍에 의한 세균감염이 발생하며 또한 세포성 면역결핍에 의하여 바이러스나 진균, 결핵 감염을 나타내기도 한다. Good증후군의 치료는 면역글로불린 정맥 주사이다. 시력저하를 주소로 내원한 두 환자에서 공통적으로 세포성 면역결핍에 의한 거대세포바이러스 망막염으로 발현한 Good증후군을 진단하였으며 증례 1의 환자는 폐 및 연부 조직 결핵을 동반하였고, 증례 2의 경우 거대세포바이러스 폐렴을 동반하였다. 두 환자 모두 ganciclovir 정맥주사 및 면역글로불린 치료로 호전된 바 이에 저자들은 문헌고찰과 함께 보고하는 바이다. Good`s syndrome (GS) is a rare cause of acquired combined B- and T-cell immunodeficiency in adults. GS is also known as a rare form of paraneoplastic syndrome of thymoma that may persist after thymectomy. Some reported GS cases have been related to various diseases as a result of humoral immunodeficiency, but no report to date has related GS to cytomegalovirus (CMV) retinitis in Korea. We report two cases of CMV retinitis as a manifestation of GS with severe cellular immunodeficiency. In the first case, a 61-year-old woman was diagnosed with GS manifesting as CMV retinitis combined with coincident pulmonary tuberculosis and soft-tissue tuberculosis. In the second case, a 56-year-old man had CMV retinitis and CMV pneumonia. Both patients had a history of thymoma and had received total thymectomies, and were diagnosed with GS a few years thereafter. (Korean J Med2011;81:266-272)

감염 : 위험인자가 없는 성인에서 발생한 삼첨판 심내막염

박가영 ( Ga Young Park ),장현하 ( Hyun Ha Chang ),김신우 ( Shin Woo Kim ),김혜인 ( Hye In Kim ),권유진 ( Eu Gene Kwon ),김효훈 ( Hyo Hoon Kim ),정주영 ( Ju Young Jeong ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6

우측 심내막염은 대개 정맥주사 약물 남용이나 심장 질환과 관련되어 발생하는 것으로 알려져 있으며 기저질환 없이 발생하는 경우는 매우 드물다. 저자들은 이러한 기저 질환이 없는 평소 건강하였던 25세 남자에서 발생한 양측 폐의 패혈성 색전폐렴과 우측 주 폐동맥 색전을 합병한 methicillin-sensitive Staphylococus aureus (MSSA)에 의한 삼첨판 심내막염을 진단하여 항생제 치료와 함께 삼첨판 치환술과 폐동맥 색전 제거술을 시행하여 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Staphylococcus aureus is a well-known pathogen involved inright-sided endocarditis with predisposing factors, and the clinical course may be acute and rapidly progressive. Intravenous drug abuse, pacemakers or central vascular catheters, and congenital heart diseases are well-known predisposing factors. However, right-sided endocarditis as a result of S. aureus infection is very rare in patients without these predisposing factors. Here, we report the case of a previously healthy 25-year-old male with native tricuspid valve infective endocarditis by methicillin-sensitive Staphylococcus aureus, complicating multiple septic pneumonia and septic pulmonary artery thrombosis. The patient was treated with antibiotics and surgical thromboembolectomy with tricuspid valve repair.

증례 : 감염 ; 칸디다와 거대세포바이러스의 동시 감염에 의한 식도염 1예

황희영 ( Hee Young Hwang ),김신우 ( Shin Woo Kim ),장현하 ( Hyun Ha Chang ),김혜인 ( Hye In Kim ),박가영 ( Ga Young Park ),권유진 ( Eu Gene Kwon ),이종명 ( Jong Myung Lee ) 대한내과학회 2010 대한내과학회지 Vol.79 No.1

칸디다와 거대세포바이러스 감염은 세포 매개성 면역이 저하된 환자에 있어서 기회감염의 원인으로 알려져 있다. 저자 등은 제2형 당뇨병 및 말기 신부전, 스테로이드, 면역억제제를 복용하고 있는 환자에서 상부 내시경검사 및 조직검사로 진단된 칸디다와 거대세포바이러스의 동시 감염에 의한 식도염 1예를 진단, 치료하게 되어 보고하는 바이다. A 72-year-old man with end-stage renal disease who was taking oral steroids and immunosuppressive agents to control rheumatoid arthritis was admitted with complaints of anorexia and general weakness. Based on endoscopic findings and a histologic examination, the patient was diagnosed with infective esophagitis caused by Candida spp. and cytomegalovirus co-infection. Cytomegalovirus and Candida spp. are common causes of opportunistic infections; however, cytomegalovirus and Candida spp. co-infection is very rare. The patient was treated with ganciclovir and fluconazole. Endoscopic examination after 3 weeks showed improvement of the esophagitis. When endoscopy examination shows typical white spots that are indicative of Candida esophagitis, histologic and microbiologic studies should be encouraged for cytomegalovirus and Candida co-infection, especially in immunocompromised patients. (Korean J Med 79:82-86, 2010)