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      • KCI등재

        침도침 시술이 견관절 질환에 미치는 영향에 관한 임상적 고찰

        김연미,홍권의,Kim, Yeon-Mi,Hong, Kwon-Eui 대한침구의학회 2008 대한침구의학회지 Vol.25 No.4

        Objectives : The purpose of this study is to report the effect of acupotomy for patients with shoulder disease. Methods : We treated Five patients who have shoulder disease with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of shoulder range of motion(ROM). Results : After treatment pain were improved, VAS score decreased significantly to 2.5. The Likert scale point were checked 4.4, the patients were satisfied with the effect of acupotomy. Conclusions : This study shows acupotomy has useful effect on shoulder disease. An acupotomy is an alternative effective treatment modality for shoulder disease.

      • KCI등재

        영구 연성 의치상 이장재의 물리적 성질에 관한 연구

        김연미,배정식,Kim, Yeon-Mi,Bae, Jeong-Sik 대한치과보철학회 1999 대한치과보철학회지 Vol.37 No.6

        This study was performed to evaluate the tensile bond strength and modulus of elasticity of three permanent soft denture liners (Molloplast $B^{(R)}$, Ufi Gel $C^{(R)},\;Tokuyama^{(R)}$) before and after thermocycling. And their water sorption were also evaluated. Each soft denture liner was bonded to PMMA denture base resin blocks and the tensile bond strength and modulus of elasticity were measured by using universal testing machine. For the water sorption, weight measured after immersion of sea denture liners in $37{\pm}1^{\circ}C$ water bath for 4 weeks. The results were as follows : 1. Molloplast $B^{(R)}$ had the highest tensile bond strength, while Tokuyama had the lowest tensile bond strength. There was no significant difference between $Tokuyama^{(R)}$ and Molloplast $B^{(R)}$ in the both nonthermocycling and thermocycling. There was significant difference in tensile strength of $Tokuyama^{(R)}$ before and after thermocycling(p<0.05). 2. For the modulus of elasticity, there was no significant difference between Ufi Gel $C^{(R)}\;and\;Tokuyama^{(R)}$ in the both nonthermocycling and thermocycling. There was significant difference in modulus of elasticity of $Tokuyama^{(R)}$ before and after thermocycling(p<0.05). 3 The failure modes of Molloplast $B^{(R)}$ and Ufi Gel $C^{(R)}$ were mainley adhesive type and that of $Tokuyama^{(R)}$ was mainly mixed type in case of nonthermocycling and cohesive type after thermocycling. 4. The water sorption of each soft liners was within ${\pm}2%$ in times (p<0.05) but. there was no significant difference among the soft liners in times.

      • 뇌척수액내 종양세포의 원발부위 분석 및 세포학적 특징 - 총 1,438예 분석 -

        김연미,전미영,지제근,Kim, Yeon-Mee,Jeon, Mi-Yeong,Chi, Je-Geun 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.2

        Cytologlc evaluation of cerebrospinal fluid(CSF) is an effective mean for diagnosing many disorders involving the central nervous systems(CNS). One of the most important reasons for cytologic examination of CSF is to detect metastatic or primary neoplasms of the CNS. We did a retrospective study of 1,438 CSF specimens obtained between 1992 and 1996. A total of 1,205 adult and 233 pediatric CSF specimens from 947 patients were accessed at the Department of Pathology of Seoul National University Hospital and Children's Hospital, respectively. Among 1,438 CSF cytology specimens, 169 cases(11.8%, 77 patients) including 135 adult cases(59 patients) and 34 pediatric cases(18 patients) were positive for malignant cells. Diagnoses included 50 metastatic carcinomas(adult, 60; pediatric, 0); 46 malignant lymphomas(adult, 44; pediatric, 2); 21 leukemias(adult, 20; pediatric, 1); 4 retinoblastomas(adult, 0; pediatric 4); 2 rhabdomyosarcomas(adult, 0; pediatric, 2); 1 multiple myeloma(adult, 1; pediatric, 0), and 35 primary CNS neoplasms(adult, 10; pediatric, 25). The most commonly identified metastatic carcinomas in adults were adenocarcinoma. Their primary sites were the lung, gastrointestinal tract, and breast in order of frequency. The most common primary CNS neoplasm in children was medulloblastoma.

      • KCI등재

        타이타늄 표면 코팅이 도재 결합에 미치는 영향

        김연미,김현승,이광민,이도재,오계정,임현필,서윤정,박상원,Kim, Yeon-Mi,Kim, Hyun-Seung,Lee, Kwang-Min,Lee, Doh-Jae,Oh, Gye-Jeong,Lim, Hyun-Pil,Seo, Yoon-Jung,Park, Sang-Won 대한치과보철학회 2007 대한치과보철학회지 Vol.45 No.5

        Statement of problem: The adhesion between titanium and ceramic is less optimal than conventional metal-ceramic bonding, due to reaction layer form on cast titanium surface during porcelain firing. Purpose: This study characterized the effect of titanium-ceramic adhesion after gold and TiN coating on cast and wrought titanium substrates. Material and method: Six groups of ASTM grade II commercially pure titanium and cast titanium specimens$(13mm{\times}13mm{\times}1mm)$ were prepared(n=8). The conventional Au-Pd-In alloy served as the control. All specimens were sandblasted with $110{\mu}m\;Al_2O_3$ particles and ultrasonically cleaned for 5min in deionized water and dried in air before porcelain firing. An ultra-low-fusing dental porcelain (Vita Titankeramik) was fused on titanium surfaces. Porcelain was debonded by a biaxial flexure test at a cross head speed of 0.25mm/min. The excellent titanium-ceramic adherence was exhibited by the presence of a dentin porcelain layer on the specimen surface after the biaxial flexure test. Area fraction of adherent porcelain (AFAP) was determined by SEM/EDS. Numerical results were statistically analyzed by one-way ANOVA and Student-Newman-Keuls test at ${\alpha}=0.05$. Results: The AFAP value of cast titanium was greatest in the group 2 with TiN coating, followed by group 1 with Au coating and the group 3 with $Al_2O_3$ sandblasting. Significant statistical difference was found between the group 1, 2 and the group 3 (p<.05). The AFAP value of wrought titanium was greatest in the group 5 with TiN coating, followed by the group 4 with Au coating and the group 6 with $Al_2O_3$ sandblasting. Conclusion: No significant difference was observed among the three groups (p>.05). The AFAP values of the cast titanium and the wrought titanium were similar. However the group treated with $Al_2O_3$ sandblasting showed significantly lower value (p<.05).

      • KCI등재후보

        권리의 본질에 대한 세 가지 시험적 고찰

        김연미 ( Yeon Mi Kim ) 한양대학교 법학연구소 2009 법학논총 Vol.26 No.4

        This paper was written in order to study some disputable point of views in theories about the nature of rights. The experimental study on the nature of rights was consisted of three theses derived from the universality of human rights, from reasons for the justification of rights in interest theory, and from Hofeldian Correlative terminologies. I called three theses universality thesis, reasons thesis, and relation thesis in this paper. In particular this paper was written for relational will theory. The life of human being is an important value. But the life is not a right, of itself. From the life are many rights justified and reasoned. But the justificatory process is not yet a right, either. Until making the conclusion as one form of right, that is, a Hohfeldian terminology through the process of justification, right-holder(s) and his(their) parties reflect on their relations retrospectively and then contend with their own positions with Hohfeldian cluster rights. In particular, most interest theories including Raz`s, considered only the stage of justification. This paper regards Raz`s interest theory not as an intermediate process between interest and duty like Raz`s own contention but as any one between universality thesis and relation thesis. On last stage, this paper is thought over relation thesis as a conclusional judgement, in which normative ought and permission(positive and negative ones) play in the role of act-guiding as directives. Even at this time, Hohfeldian terminology identifies who is rights-holder and who is duties-imposer. Through Hohfeld`s right theory, this paper is considering a relational will theory. Rights are neither satisfied with their own role as one universal value nor as one reason. When we talk rights, we say a correct or wrong relations. In case legal dispute is started, we require a clear conclusion. To make a judgement about a case which is mixed norm and fact, we need Hofeldian terminologies that presuppose two equal party based on political and institutional morality. Relation thesis comes at the end of legal deliberation, after reason thesis. In conclusion, both right-based morality and legality need universality thesis(from human right), reason thesis and relation thesis(from Hohfeldian normative deontology).

      • KCI등재

        노인의 우울감소와 자아통합감 증진을 위한 회상요법 집단사진치료 연구

        김연미 ( Kim Yeon Mi ),유기상 ( Ryu Ki Sang ) 현대사진영상학회 2021 현대사진영상학회논문집 Vol.24 No.1

        This study is to clarify whether the group photo therapy based on the flashback is effect on improve depression and ego integrity of the elderly. Nine elderly women having sub-threshold depression who intend to join this study and are using the B general welfare center in D city participated in this study. The program of group photo therapy based on flashback was in progress for 10 times, 90 minutes once a week from October 16 to December 18, 2019. The tool of this study used the GDSSF-K in Korean version and the measure of ego integrity and it was conducted before/after. The frequency analysis was conducted on general characteristics, family relationships, Standard of living/education and age for participants on this study and a response sample t-test was conducted to examine the statistical significance for before/after average change of depression and ego integrity. The results of this study are as belows. First, group photo therapy shows positive/ efficient for entire depression of the elderly. Second, group photo therapy shows efficient on the elderly’s overall ego integrity and past/present which are sub area. Therefore, the elderly considered the passed times in life are valuable according to the group photo therapy based on the flashback and it shows that it is effective to improve their satisfaction and positive understanding by harmonizing and making a balance on the past and future. This study is meaningful that it was used as a basic data for developing a program of group photo therapy based on the flashback in order to improve the depression and ego integrity of elderly.

      • KCI등재
      • KCI등재

        교수기술 증진 시뮬레이션 프로그램을 통한 유아교사의 실천적 지식 형성 과정

        김연미(Kim Yeon mi) 한국유아교육·보육복지학회 2015 유아교육·보육복지연구 Vol.19 No.2

        본 연구의 목적은 교수기술 증진을 위한 시뮬레이션 프로그램을 통한 유아교사의 실천적 지식의 형성과정을 살펴보는데 있다. 이를 위해 인천시에 위치한 OO대학 부속 유치원 교사 3명을 대상으로 2014년 5월 29일부터 8월 3일까지 교수기술 증진 시뮬레이션 프로그램을 실시하였다. 유아교사의 실천적 지식 형성 과정을 알아보기 위해 교사 집단면담, 교사의 반성적 저널, 연구자의 연구노트, 시뮬레이션 상호작용 결과물, 교사 e-mail 등을 수집하였다. 본 연구를 통해 드러난 주요 결과는 '인식하지 못했던 것에 대한 깨달음을 통해 형성되는 실천적 지식', '다른 관점을 통해 형성되는 실천적 지식', '시물레이션과 실제 수업간의 비교를 통해 형성되는 실천적 지식'의 과정에 따라 실천적 지식이 형성되는 것으로 나타났다. The purpose of this research was to find out how the practical knowledge of early childhood teachers through simulation programs for the improvement of the teaching skills formation. For this purpose, three kindergarten teachers were participated. Collected data were note of the research, transcripts of meeting between the teachers, simulation interaction text, reflective journals of teachers and teachers' e-mail. The major results were as follows: First, formation of practical knowledge through the realization of teachers did not recognize. Second, practical knowledge is formed through other perspectives. Third, practical knowledge is formed through the comparison between simulations and real instructions.

      • KCI등재

        법이념으로서 복지국가

        김연미(Kim, Yeon Mi) 전남대학교 법학연구소 2015 법학논총 Vol.35 No.3

        타마나하(Brian Z. Tamanaha)는 On the Rule of Law에서 좀 더 두텁고(thicker) 실질적인(substantive) 법의 지배라는 마지막 지표에 사회복지(social welfare)를 두었다. 법의 지배는 선(the good)의 이념이고, 그 선의 마지막 목표는 실질적 평등과 복지, 공동체의 보존이다. 오늘날 복지는 국가에 의해 강제된 자선(charity)이다. 자선의 그림자로서 복지는 경제적 불평등을 시정하는 분배적 정의의 이념 하에서 설명되어 오고 있다. 우선 이 글에서는 복지에 대한 법이념적 접근을 함에 있어서 분배적 정의의 이념을배제하기 위해 사회생물학적 이타심이라는 인간의 본성과 인류학적인 접근, 그리고 현대 권리의사설이 제시하는 논거를 적용해 보았다. 이타심이라는 인간의 생물학적 본성은 공감(empathy)와 연민(compassion)에 기초한다. 인류학적 접근으로는 마르셀 모스의 <증여론>에서 연구된 포틀래치(potlach)를 기초로 인류의 교환체계의 의미를 되짚어 본다. 포틀래치는 전체적인 급부체계에서 삼중의 권리의무관계를 의미한다. 복지는전체적인 급부체계라는 관점에서 보면 마치 “주기, 받기, 답례하기”라는 삼중의 교환체계와 같다. 즉 복지는 ‘답례하기’, 즉 선물(gift)과 같은 역할을 한다. 오늘날 사회복지의의미는 노동의 투여와 그에 대한 보상이라는 교환관계를 넘어서 노동시장에 투입하지못한 사람들(아동, 노인, 장애인 등)에 대한 선물의 성격을 가진다. 또 연금이나 보험처럼 인간의 삶의 의미를 ‘주고 받고’에 머무는 것이 아니라, 그의 인생 전체에 대한 노고에 대한 선물로서의 성격도 가진다. 복지는 사회적 연대라는 측면에서, 또 타인의 어려운 삶이 심각하고, 혹은 부당하고, 나아가 그의 삶이 나의 행복에 중요한 영향을 미친다는 것을 깨달을 때 가능하다. 따라서 이 글에서는 기존의 분배적 정의 관념에서 설명되는 사회권으로서 복지권의설명방식을 배제하고, 권리의 통합적인 관점에서 회복적(restorative) 정의의 관점을 새롭게 제시한다. 회복적 정의가 형사법적 정의에서 설명되는 논의를 확장하여 인간다운삶의 회복이라는 관점에서 복지권에 접근해 보았다. 또 회복해야 할 인간다운 삶의 기준으로서 누스바움(M. Nussbaum)이 제시하는 능력이론(capability theory)을 제시하였다. 그것은 보편적 복지의 이념적 기준의 한 예시라고도 할 수 있다. 전통적인 권리분류방식은 인간 개인의 삶을 분절적이고 파편화된 측면에서만 고찰한다. 자유권과 사회권 그리고 정치적 권리 등. 그러나 개인의 삶의 전체적인 측면에서사회권과 자유권과 정치적 권리는 분리되거나 파편화되지 않는다. 다만 그 권리의 핵심적 내용이 사회권에서는 사회적 급부에 대한 청구권적 성격이 핵심적 권리일 뿐이지자유권과 정치적 권리도 또한 사회권과 더불어 통합적으로 함께 작동할 수 밖에 없다는 점을 강조해야 한다. 호펠드의 권리론에 토대를 둔 통합적인 권리모델(solar system model)을 주장하는 웰만(Carl Wellmann)의 권리론은 복지권을 설명하기 위한 하나의좋은 예라고 할 수 있다. 웰만에 따르면 권리는 자유-통제(freedom-control)의 성격을 가진다. 복지권의 보장목적은 한 개인이 자신의 삶을 자유롭게 통제할 수 있도록 하는데있다. Brian Z. Tamanaha, puts ‘social welfare’ into the last reference to the thicker and substantive rule of law, in his book On the Rule of Law. Welfare as the shadow of charity has been explained by distributive justice to correct economic inequality. In order to reason welfare rights, if we depend upon distributive justice, we have no gain except economical inequality. To get rid of the shadow of distributive justice into welfare rights, I depend on Waldron’s reasoning on charity and negative choice as giving up rights and contemporary research on empathy and compassion. Welfare is a metaphor of morality. Firstly, I approached to the legal idea about welfare in respect of social biological human nature(altruism) and anthropological one(Marcel Mauss’ The Essay on the Gift ). Secondly, welfare rights does not be explained by social rights. I explain welfare rights in Carl Wellmann’s solar system rights theory as the integral model of rights. I think that the excellent point his rights theory has, is explained by the Hohfeldian rights system. Welfare rights is made of claim- right as core-right and the rest Hohfeldian rights bundle(liberty, power, immunity etc.) as associated right. Thirdly, from the viewpoint of the integral rights model, welfare rights has an idea of restorative justice. I propose M. Nussbaum’s Capability theory as an example of the standard of human life. Her standard can be an example of the universal welfare. The Classical method to classify rights inspect and consider the rights fragmentarily. According to Wellmann, “legal rights are our conceptual aradigms for every species of rights”. Every one has the right to freedom and control to recover human life.

      • KCI등재

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