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      • SCOPUSKCI등재

        Stereopsis before and after Inferior Oblique Weakening Surgery

        Bo Ram Seol,Ho-Kyung Choung,Seong-Joon Kim 대한안과학회 2018 Korean Journal of Ophthalmology Vol.32 No.2

        Purpose: To analyze stereopsis change before and after inferior oblique weakening surgery. Methods: We retrospectively reviewed the medical records of 31 patients who had undergone inferior oblique weakening surgery. The factors analyzed included sex, age at surgery, preoperative and postoperative visual acuity (VA), time from first detection to surgery, degree of inferior oblique overaction (IOOA), primary/secondary IOOA, exotropia/hypertropia, bilaterality, and type of surgery. Results: Eighteen patients with a mean age 7.3 ± 3.1 years exhibited stereopsis of 60 arc seconds or better before surgery and 17 had stereopsis better than 60 arc seconds after surgery. Postoperatively, stereopsis improved in 13 patients and deteriorated in 9. Better preoperative VA and the absence of superior oblique underaction were associated with better preoperative stereopsis. Better preoperative VA, postoperative VA, and the presence of head tilt were associated with better postoperative stereopsis. Unilateral inferior oblique weakening surgery and accompanying hypertropia were associated with improved stereopsis, while the absence of hypertropia was associated with deteriorated stereopsis. Conclusions: In this retrospective study, 58.1% of patients tended to have bifoveal fixation. When a vertical deviation is present in the primary position due to unilateral IOOA, IO weakening surgery can be expected to improve binocular function.

      • SCOPUSKCI등재

        Effects of Cataract on Retinal Nerve Fiber Layer and Ganglion Cell-Inner Plexiform Layer Thickness on Swept Source Optical Coherence Tomography

        Young-je Choi(Young-je Choi),Bo Ram Seol(Bo Ram Seol) 대한안과학회 2023 Korean Journal of Ophthalmology Vol.37 No.1

        Purpose: To evaluate the changes in peripapillary retinal nerve fiber layer (pRNFL) thickness and macular ganglion cell-inner plexiform layer (mGC-IPL) thickness measured by swept source optical coherence tomography (SS-OCT) following cataract surgery in patients with glaucoma. Methods: We included 42 glaucoma eyes and 42 case-matched normal eyes that underwent cataract surgery without complications. One matching set included one glaucoma eye and one case-matched normal eye. The age, sex, and cataract subtype scores were similar for each group. Before and within 3 months of surgery, we measured the pRNFL thickness and mGCIPL thickness by SS-OCT. Results: Following cataract surgery, the image quality (IQ) of SS-OCT improved in both groups. The thickness of the pRNFL and mGC-IPL increased in the mean values and all areas, except for pRNFL from 1 to 4 o’clock in the glaucoma group and at 1 o’clock in the normal group. Posterior subcapsular cataract was related to the change in IQ following surgery. The glaucoma and normal group showed greater pRNFL thickness change due to lesser preoperative pRNFL thickness. Furthermore, the mGC-IPL thickness change was greater in the glaucoma group because of lesser preoperative mGC-IPL thickness. By contrast, the normal group demonstrated greater mGC-IPL thickness change due to higher cortical cataract scores. Conclusions: Cataracts caused the deterioration of the IQ in SS-OCT, thereby resulting in an undermeasurement of the pRNFL and mGC-IPL thickness. Preoperative pRNFL and mGC-IPL were negatively associated with postoperative pRNFL and mGCIPL thickness change in the glaucoma and normal groups. Therefore, ophthalmologists should particularly consider the effect of cataract while diagnosing glaucoma using SS-OCT.

      • KCI등재후보

        자폐성장애 학생을 위한 언어중재 관련 국내 연구 동향 및 질적지표 분석 : 2008년에서 2019년을 중심으로

        김설아(Kim, Seol A),노승림(Noh, Seung Lim),박보람(Park, Bo Ram) 단국대학교 특수교육연구소 2019 특수교육논총 Vol.35 No.2

        연구목적: 이 연구에서는 자폐성장애 학생을 위한 언어중재 관련 국내 학술 연구의 동향을 살펴보고 증거기반 실제의 질적지표에 따라 분석 대상 논문의 질적 수준을 알아보았다. 연구방법: 문헌 선정기준은 2009년부터 2019년 6월까지 학술지에 게재된 논문을 중심으로 선정하였다. 포함 및 제외기준으로 선정된 총 39편의 연구를 대상으로 연구대상, 중재 환경, 언어의 하위유형에 따른 종속변인, 독립변인의 중재 전략을 분석하였고, 증기기반의 실제의 질적 지표에 근거하여 질적 수준을 분석하였다. 연구 결과: 연구 결과, 취학 전 유아를 대상으로 하고, 치료실에서 중재를 실시한 연구가 가장 많은 비중을 차지하였다. 또한 중재 11~15회기 시행, 연구자가 실시한 연구가 많았으며, 화용론적인 측면에 대한 언어중재 연구가 가장 많이 이루어졌다. 단일대상연구에 대한 질적 지표에 따른 분석 결과, 70%이상이 충족을 보인 질적 지표는 측정 빈도, 측정 신뢰도, 실험 효과와 효과의 반복과 관련된 지표로 나타났다. 결론: 이러한 연구결과에 근거하여 자폐성장애 학생을 위한 언어 중재의 시사점과 연구 방향이 논의 되었다. The purpose of this study was to examine the trends of Korean research on language interventions for students with autism and to evaluate the quality of the articles analyzed based on evidence based quality indicators. Based on the inclusion and exclusion criteria, a total of 39 studies were analyzed. The intervention strategies of the study subjects, intervention environment, dependent variables, and independent variables and analyzed the quality level of the research based on quality indicators. The major findings of this study were as follows: The mostly targeted research subjects were pre-school children and the most frequently selected subjects placed in the place treatment room. In addition, 11 to 15 sessions of intervention were carried out, and many studies were conducted by the researchers. On the evaluation of the quality of studies using single-subject research design, quality indicators showing more than 70 percent of them were indicators related to frequency of measurement, reliability of measurement, experimental effects and repetition of effects. Based on these results, the implications and research directions of language intervention for students with autism spectrum disorders were discussed.

      • KCI등재

        여성 돌봄서비스 노동자의 노동환경이 주관적 건강에 미치는 영향에 관한 연구

        황보람(Hwang Bo Ram),조향숙(Cho Hyang Sook),김정자(Kim Joung Ja),오설미(Oh Seol Mi) 경성대학교 사회과학연구소 2018 社會科學硏究 Vol.34 No.3

        본 연구는 돌봄서비스 확대에도 불구하고 건강을 보장 받고 있지 못하는 돌봄서비스 노동자의 건강을 증진할 수 있는 방안모색을 위해 돌봄서비스 노동자의 주관적 건강에 영항을 미치는 노동환경 요인이 무엇인지 규명하는 것을 목적으로 한다. 이를 위해 부산광역시의 돌봄서비스 노동자에게 구조화된 자기기입식 설문지를 1,051부 배부, 863부 회수하여 불성실한 응답 등 연구에 적합하지 않은 43부를 제외하고 총 820부를 최종 분석하였다. 독립변수인 노동환경은 직무특성, 고용조건적 특성, 조직심리적 특성으로 나누어 살펴보았다. 연구의 분석을 위해 SPSS 21.0를 사용하여 빈도분석, 기술통계, 상관관계분석, 위계적 회귀분석을 실시하였고 주요 연구결과는 다음과 같다. 첫째, 돌봄서비스 노동자의 노동환경 중 직무특성인 ‘화가 난 고객응대’와 ‘이용자폭력’경험이 많을수록 돌봄서비스 노동자의 주관적 건강에 부정적인 영향을 미치는 것으로 나타났다. 둘째, 돌봄서비스 노동자의 노동환경 중 고용조건적 특성은 ‘고용형태’와 ‘교대근무형태’가 주관적 건강에 영향을 미치는 것으로 나타났다. 셋째, 돌봄서비스 노동자의 노동환경 중 조직심리적 특성인 ‘일터영성’은 돌봄서비스 노동자의 주관적 건강에 긍정적인 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 돌봄서비스 노동자의 건강을 증진하기 위한 노동환경을 조성할 수 있도록 실천적·정책적 방안을 제시하였다. This paper attempts to explain the effect of care worker’s working environments on Subjective health. Working environments consists of three environment characteristics : characteristics employment conditions , job characteristics, organizational psychological characteristics. This research surveyed a total of 820 female care workers in Busan. The descriptive statistic, reliability analysis, and regression analysis were performed on the collected data using SPSS 21.0. The results are the followings. First, Among the job characteristics, responding to angry customers and violence by users have a negative effect on the Subjective health of care workers. Second, among the characteristics of employment conditions, employment type and shift work were found to affect Subjective health of care workers. Finally, workplace spirituality, which is an organizational psychological characteristic, has a positive effect on the Subjective health of care workers. In conclusion, this study suggested to improve the quality of care service working environment to promote the health of female care workers.

      • KCI등재

        고질적인 외사시 환자에서 안구 뒤눈물능선골막 고정술

        설보람,곽상인,김성준,Bo Ram Seol,Sang In Khwarg,Seong-Joon Kim 대한안과학회 2014 대한안과학회지 Vol.55 No.3

        Purpose: To report the results obtained after fixation of the eyeball to the periosteum over the posterior lacrimal crest in 5 cases of inveterate exotropia. Methods: From September 2011 to January 2013, 5 patients with inveterate exotropia and a history of surgery for exotropia underwent fixation of the eyeball to the periosteum over the posterior lacrimal crest. Results: The mean preoperative exotropia of 35 ± 10.61 PD changed to esotropia of 5.8 ± 17.28 PD at the one week postoperative visit and exotropia of 13.2 ± 11.34 PD at the final postoperative visit (mean, 6.05 months after surgery). At the final postoperative visit, 2 patients who had ocular adhesion due to trauma showed 25 PD exotropia. None of the patients showed injuries to the lacrimal system, but 2 patients showed conjunctival granuloma. Conclusions: Fixation of the eyeball to the periosteum over the posterior lacrimal crest is an effective approach for the management of inveterate exotropia, except in cases of exotropia combined with ocular adhesion. J Korean Ophthalmol Soc 2014;55(3):408-415

      • KCI등재

        미용적 눈꺼풀테 문신술 후 발생한 마이봄샘 분비 장애 1예

        설보람,권지원,위원량,한영근,Bo Ram Seol,MD,Ji Won Kwon,MD,PhD,Won Ryang Wee,MD,PhD,Young Keun Han,MD,PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.8

        Purpose: To report a case of meibomian gland dysfunction as a chronic complication of eyelid tattooing and the corneal epithelial defect as an acute complication of eyelid tattooing well healed with proper treatment. Case summary: A 31-year-old woman presented with severe eye pain, irritation and epiphora in both eyes. The patient underwent an eyelid tattooing procedure 2 hours before and dark pigments were placed on the inner eyelid margin. Slit lamp examination showed conjunctival injection and inferior corneal epithelial defect in both eyes. After 2 months, dry eye symptom still remained although the cornea was completely epithelialized. After 1 year, the patient improved completely, but still showed decreased tear film breakup time (TBUT). Conclusions: Due to the increased number of people who undergo cosmetic eyelid tattooing procedures, the number of reports associated with complications has increased and acute complications such as corneal epithelial defect can occur. Moreover, chronic discomfort associated with dry eye syndrome can occur when pigmentation is placed on the eyelid inner margin and lead to the destruction of meibomian glands. Thus, eyelid tattooing should be performed after careful consideration of possible complications.

      • SCIESCOPUSKCI등재

        Simultaneous Detection of 10 Foodborne Pathogens using Capillary Electrophoresis-Based Single Strand Conformation Polymorphism

        Oh, Mi-Hwa,Hwang, Hee-Sung,Chung, Bo-Ram,Paik, Hyun-Dong,Han, Sang-Ha,Kang, Sun-Moon,Ham, Jun-Sang,Kim, Hyoun-Wook,Seol, Kuk-Hwan,Jang, Ae-Ra,Jung, Gyoo-Yeol Korean Society for Food Science of Animal Resource 2012 한국축산식품학회지 Vol.32 No.2

        This report outlines the development of a rapid, simple, and sensitive detection system for pathogenic bacteria using a capillary electrophoresis-based, single strand conformation polymorphism (CE-SSCP) combined with PCR. We demonstrate that this method, used with primers targeting the V4 region of the16S rRNA gene, is capable of the simultaneous detection of 10 microbes that could be associated with foodborne illness, caused by animal-derived foods: Salmonella enterica, Listeria monocytogenes, Escherichia coli O157:H7, Campylobacter jejuni, Staphylococcus aureus, Bacillus cereus, Clostridium perfringens, Yersinia enterocolitica, Vibrio parahaemolyticus, and Enterobacter sakazakii. The traditional detection techniques are time-consuming and labor-intensive, due to the necessary task of separate cultivation of each target species. As such, the CE-SSCP-PCR method, that we have developed, has the potential to diagnose pathogens rapidly, unlike the traditional technique, in order to prevent foodborne illness in a much more efficient manner.

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