지적장애 학생의 창의ㆍ인성교육에 대한특수교사의 관심 및 운영 실태

배지은ㆍ정은희(Bae Ji EunㆍJeong Eun Hee) 한국특수교육학회 2016 특수교육학연구 Vol.50 No.4

갑상선 유두암이 병발된 가족성 대장 용종증 1예

백종현,소창배,이은영,이지숙,신은경,박은호,서정아,양재홍,송준영,박선자,박요한,최영식 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome, typically characterized by multiple colorectal adenomas and increased incidence of colorectal carcinomas if it is not treated. Moreover, a variety of extracolonic manifestation are seen. The prevalence of thyroid tumors developing in patients with FAP is about 1∼2%. Generally, papillary thyroid cancer indicates low mortality but ,however, as people get older, the cancer becomes more aggressive. So, the operation is required. Recently we experienced a case of FAP, presenting with papillary thyroid carcinoma, and reported with a brief review of literatures.

억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소활동

곽경선,김성은,배은경,이은숙,이은혜,최윤정,이윤경 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 억제대 적용에 대한구체적 적용지침 없이 의례적으로 억제대를사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정상태 이거나 근력이 약하여 발관능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를볼수 없 는경우, 간호사본인의 판단이 없이 타인의 요구에 따르는등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용및 제거 지침을 마련하고자 한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 개선효과: 억제대 적용에 대한중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p= 0.005 (p <0.0히로통계적으로유의한것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든항목이 개선 활동전 에 비해 2,3차 개선 활동후에 향상한 것으로 나타났다. 개선활동전에 8.1%였던 간호 기록, 0.7%였던 간호중재, 0%였던 의사처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 갑소 및 부적절한 억제대 적용율은 유의하게 감소하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은좀더 나은 간호제공을 위하여 개발 되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은계속적으로 Feedback 되어야 할 것이다.

Human Rotavirus 위장관염에 대한 임상적 고찰

배현,이홍준,서우철,양은석,문경래,박영봉 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

We observed clinical features of 161 patients of acute gastroenteritis who were adimitted to the Department of Pediatrics in the Chosun University Hospital from January 1. 1989 to December 31. 1993. The stool specimen on admission was tested for rotavirus Ag by ELISA(Rotazyme Ⅱ^R)method. The results are as follows : 1) HRV antigen was detected in 97 patients (58.4%) among 161 patients with gastroenteritis. 2) In monthly distribution. 77.7% of cases developed between October and December 3) The majority if patients were under 24month of age with the peak incidnce being between 6-12 month of age. 4) Mean frequency of diarrhea per day were 5.3±2.6 days in HRV antigen rhinorrhea(48.5%), cough(44.7%). Dehydration was noted 87.2% of cases and 93.9% Was isotonic dehydration. 6) The mean duration of hospitalization was 5.3±2.6 days. 7) AST and AIT elevation in HRV group were 91.5%, 42.6% respectively. AST and ALT elevation in Non-HRV group were 73.1%, 26.9% respectively. AST elevation between two group was not correlated statistically. but ALT concentration was significantly increased in HRV group above normal than Non-HRV group (p<0.05%).

牧丹皮 玄胡索이 姙娠에 미치는 影響

裵恩敬,李京燮,宋炳基 慶熙大學校韓醫科大學韓醫學硏究所 1995 慶熙韓醫大論文集 Vol.18 No.2

It is acknowledged that Moutan cortex radicis and Corydalis tuber are contraindicated drugs of pregnancy. The present work was done to investigate the influences of Moutan cortex radicis and Corydalis tuber on pregnancy. The extracted and condenced liquid of Moutan cortex radicis and Corydalis tuber were administered to experimental animals and the influences were evaluated on pregnant maintenance, corpus lutein functions and toxic action of kidney and liver during pregnancy. The results of this work were summerized as follows: 1. For white pregnant rats, Moutan cortex radicis showed insignificant decrease of the fertilized eggs while Corydalis tuber showed insignificant increase of the fertilized eggs as the pregnant days pass by. 2. For false pregnant rabbits, Moutan cortex radicis and Corydalis tuber showed significant decrease of HCG. 3. For white pregnant rats, Moutan cortex radicis and Corydalis tuber showed insignificant decrease of GOT, GPT and ALP levels. 4. In serum of white pregnant rats, Moutan cortex radicis showed significant decrease of BUN level while Corydalis tuber showed insignificant increase. 5. In serum of white pregnant rats, Corydalis tuber showed increase of creatinine level while Moutan cortex radicis did not show changement. 6. Moutan cortex radicis and Corydalis tuber showed insignificant increase of serum uric acid and uric protein levels of white pregnant rats.

급성 골수성 백혈병 환자에서 발생한 침습성 아스페르길루스중에 대한 수술적치료 1 예

배영환;어원식;어상민;김승만 김태영;박수영;서영경;정은주;안효정 인제대학교 2011 仁濟醫學 Vol.32 No.-

Invasive pulmonary aspergillosis is known to have a poor prognosis and major cause of morbidity and motality in patients with hematologic disease. Without adequate therapy, invasive pulmonary aspergillosis will almost always progress to fatal pneumonia. Early administration of antifungal agents in patient with invasive pulmonary aspergillosis is most important. And surgical resection of aspergillous-infected tissue may be useful in patients with lesions that are contiguous with great vessel and lesions causing hemoptysis. We reported a rare case of surgical resection as curative treatment for invasive pulmonary aspergillosis patient in 58-year-old man who had the history of acute myeloid leukemia.

Pb-62% Sn 공정합금의 초소성에 관한 연구

배은현,고광진,장현구 成均館大學校 科學技術硏究所 1989 論文集 Vol.40 No.2

The effects of reduction ratio and purity on the superplasticity of Pb-62%Sn eutectic alloys were studied. The alloys of two values of reduction ratio(r=10 : 1, 25 : 1) and impurity content(alloy A : 0.075%, alloy B : 0.216%) were prepared to compare the flow stress and elongation at constant strain rate. Also, the effect of temperature on the tensile behavior and the structural changes of the surfaces were investigated. Larger elongations were achieved for more worked(r=25 : 1) alloys because of their finer equiaxed grains, and for more purified alloy A in which less impurities inhibit the grain boundary sliding. Maximum elongation of 2300% was obtained for alloy A at room temperature, r = 25 : 1 and strain rate, ε˙= 1.4 x 10 exp(-4)/s. Increase in temperature, caused increase in strain rate sensitivity and decrease in flow stress, which explains that atomic accommodation process and grain boundary migration arc more enhanced at elevated temperature.

치수유래 구심성 신경섬유의 삼차신경 감각핵군에서의 연접특성

배용철,이은희,최민기,홍수형,김현정,남순현,김영진 대한소아치과학회 2001 大韓小兒齒科學會誌 Vol.28 No.2

일차연접부위에서 악안면 영역에서 유래하는 유해자극의 전달 및 처리기전을 이해하고자 horseradish pe개xidase를 치수지배 구심성 신경섬유를 표식한 후 연수후각에서 미세구조 및 연절 양상을 분석하여 다음과 같은 결과를 얻었다. 표식종말은 소수의 큰 치밀소포가 관찰되는 종말 (S형) 및 다수의 치밀소포를 함유하는 종말 (LDCV형)등 2종류로 분류할 수 있었다. S형 및 LDCV형 표식종말의 연접양식은 유사하였으며, 다수의 표식종말이 1개 혹은 2개의 neurofile과 연접을 이루어 대단히 단순한 연접양상을 보였다. 표식종말은 가지돌기체 보다는 다수의 가지돌기가시와 연접을 이루는 빈도가 높았다. 표식종말이 세포체 및 이에 인접한 근심부 가지돌기와 연접하는 경우는 드물었으며, 소수의 표식종말에서 p-ending과 연접하는 경우를 보였다. 표식종말의 체적, 표면적, 사립체의 체적, neurofile과 접하는 면적, 활성부위의 면적, 단위표식종말당 연접소포의 수 및 연접소포의 밀도등은 넓은 범위의 계측치를 나타내었으며, 이는 5명 및 LDCV형 표식종말 사이에 유의한 차이가 없었다. 이상의 결과로 미루어보아 연수후각에서 치수유래 구심성 신경섬유 종말의 연접양식은 고유의 특징을 보이며 이는 신경회로의 기능과 밀접한 상관관계를 가지는 것으로 판단되었다. Little is known about processing mechanism of pain sensation of the oral cavity at the 1st synapse of trigeminal sensory nuclei. Serial ultrathin sections of tooth pulp afferent terminals, identified by the transganglionic transport of 1% wheatgerm agglutinin conjugated horseradish peroxidase, were investigated wih electron microscope. Quantitative ultrastructural analysis was performed on digitizing tablet connected to Macintoshi personal computer (software: NIH Image 1.60, NIH, Bethesda, MD). Labeled boutons could be classified into two types by the shapes of containing vesicles : S bouton which contained mainly spherical vesicles (Dia. 45-55 nm) and few large dense cored vesicles (Dia. 80-120nm), and LDCV bouton, which contained spherical vesicles as well as large number of large dense coredd vesicles. Most of the parameters on the ultrastruotural characteristic and synaptic organization of labeled boutons were similar between S and LDCV boutons, except shapes of containing vesicles. Majority of the labeled boutons showed simple synaptic arrangement. The labeled bouton were frequency presynaptic to dendritic spine, and to a lesser extent, dendritic shaft. They rarely synapsed with soma and adjacent proximal dendrite. A small proportion of labeled boutons made synaptic contacts with presynaptic pleomorphic vesicless containing endings and synaptic triad. Morphometric parameters of labeled boutons including volume and surface area, total apposed area, mitochondrial volume, active zone area, vesicle number and density showed wide variation and theme were not significantly different between S and LDCV boutons. The present study revealed characteristic features on ultrastructure and synaptic connection of pulpal afferents which may involved in transmission of oral pain sensation.

뇌동맥류를 진단하는데 침습적 뇌혈관 조영술이 자기공명 혈관 조영술보다 언제나 더 유리한가?

사은희,김대성,정대수,박규현,배지호,김학진 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

직업적응훈련이 장애인의 인지능력에 미치는 효과에 관한 연구

배은지,이문정 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2

The purpose of this study was to evaluate the effects of work adjustment training for improving cognitive abilities of individuals with disabilities. The degree of changing on cognitive abilities was tested on the effects of changes between before and after that the work adjustment training program for individuals with disabilities. The results were utilized as measurement tools for the improvement of work adjustment training for individuals with disabilities. The followings was the findings obtained through date analysis in this paper. First, as the result of t-test, this verified that work adjustment program has positive effects on increasing the attention, discrimination, reasoning, perception and cooperation of students with disabilities. Second, it was found to significantly affect a sub-factor of attention (middle score of the reaction time), a sub-factor of reasoning (the number of correct answer), a sub-factor of discrimination and perception (the accuracy). Also, a sub-factor of coordination (total average time, error time, percentage error time, and ideal range time) were found to significantly like that. On the other hand, it was not found significantly to influence on a sub-factor of attention (the correct), a sub-factor of reasoning (performance speed), a sub-factor of perception and discrimination (perception speed). 본 연구의 목적은 직업적응훈련이 장애인의 인지능력에 미치는 효과를 알아보고자 대구대학교 재활과학대학 직업재활 임상실습실 훈련생들을 대상으로 직업적응훈련프로그램 실시전과 실시후 인지능력의 변화정도를 파악하였으며, 그 결과는 다음과 같다. 첫째, 인지능력 요인 변화에 있어서 직업에서 요구되는 중요한 인지요인인 주의집중력, 변별력, 추리력, 지각력, 협응능력은 긍정적인 변화가 있는 것으로 나타나 직업훈련프로그램이 인지능력 향상에 긍정적인 영향을 미치고 있다. 둘째, 주의집중력의 하위요인인 반응시간의 중앙값과 변별력, 지각력의 하위요인인 정확도, 추리력의 하위요인인 정답수, 협응능력의 하위요인인 총 평균시간 및 평균오류시간, 퍼센트 오류시간, 이상적 범위시간은 유의미한 차이가 나타났으나 그 외의 주의집중력의 하위요인인 정답과 변별력, 지각력의 하위요인인 인지속도, 추리력의 하위요인인 수행시간에서는 통계적으로 유의미한 차이가 나타나지 않아 일부 하위요인은 직업적응훈련프로그램의 효과가 없는 것으로 나타났다.