江原道 三陟郡 柯谷川 流域의 吸蟲類에 關한 硏究

金鐘煥,金南萬,朴塡淑,崔鶴鳳 忠南大學校 環境問題硏究所 1986 環境硏究 Vol.4 No.2

This study was undertaken to elucidate the status of trematodes infection at the several localities along the Gagok Stream-side area, Wondeog Eup, Samcheok Gun, Gangwon Do, Korea from February 1985 to July 1986. A total of 2,195 snails was examined for cercaria, and individuals 74(3.4%) were infected with cecaria of trematoda: Cercaria nipponensis, cercaria of Metagonimus yokogawai, M.takahashii and Pseudexorchis major. A total of 105fishes, 10species, 6families was examined for metacercaria, and 4fished (4%), 3 species, 3families were infected with metacercaria of Metagonimus yokogawai, M.takahashii and hasegawa A. A total of 1,014 crayfishes was examind, only one crayfish was positive with metacercaria of Paragonimus westermani. The parasite eggs and cysts from domestic animals (11cats and 13dogs) were found Paragonimus westermani, Dihpyllobothrium spp., Toxocara cati, Toxocara canis and Iso pora rivolta.

질병진단에 중요한 효소들에 관한 비교 연구

김종호,김현희,심은숙 원광보건전문대 1997 원광보건전문대학논문집 Vol.20 No.-

우심방과 우심실의 거대 심장 혈관종 1예

김제열,조상호,김건일,허경림,김현숙,조구영,최영진,이원용,임종윤 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Cardiac tumors, especially the primary tumors involving any part of the heart are extremely rare and its relative incidence has been reported to be approximately 0.02%. We report a patient with huge cardiac hemangioma who complained of shortness of breath, general weakness, and dizziness, Imaging study by echocardiography and computed tomography of thorax revealed a huge lobulating mass like a bunch of grapes in the right chamber of heart. The surgical exploration of thorax was performed and a histological diagnosis of spindle cell hemangioma was obtained by microscopy. The patient was treated by surgical resection of the tumor and doing well after surgery. Our experience indicated that prompt diagnosis and treatment of cardiac hemangioma is imperative for patients' prognosis.

특수교육 정보화 체제 구축 방안 연구

김종무,강경숙,강대식,Kim-Sung, Kellie K. 국립특수교육원 2001 연구보고서 Vol.- No.8

본 연구는 특수교육 정보화 관련 국내 · 외 문헌자료와 사례를 소개하고, 국내 특수교육정보화 실태 조사를 실시하여 첫째, 기초 통계자료를 확보하고 둘째, 효율적이면서도 실제적인 정보화체제 구축방안을 제시하는데 그 목적이 있다. 그동안 국내에서 광범위하게 추진되었던 교육정보화 사업에 있어서 전체 학교 학내망 설치와 같은 가시적인 정보화기반 구축 사업에 대해서는 전반적으로 성공적이라는 평가를하고 있지만 특정 수요 집단에게는 정보격차의 심화 및 접근성 문제의 심각성 등 부정적인 결과를 초래하기도 하였다. 이에 본 연구에서는 국내·외 특수교육 정보화 사례와 자료를 소개하고, 국내 특수교육정보화 실태를 파악하기 위한 설문조사를 실시하였다. 설문조사 대상은 특수학교 교사, 학생, 장애학생 부모, 장애인관련 단체 및 기관, 시 · 도교육청이었고, 조사 결과 특수학교 교사의 경우 컴퓨터 보유, 인터넷 사용 등에 있어서는 매우 양호하게 나타났으나 정보 활용기술에 해당하는 영역 즉, 장애학생을 교수하기 위한 자료의 제작과 교수-학습과정에서의 적용 수준에서는 저조하게 나타났다. 비장애학생과 비교할 수는 없지만 장애학생의 컴퓨터보유와 인터넷 사용 유 ·무에 관해서는 40~60%의 응답자가 긍정적으로 응답하였고 체계적인 지원이 수반된다면 좋은 결과가 있을 것으로 분석되었다. 본 연구에서는 정보화 지원 체제 구축 방안으로 크게 예산지원과 행정지원을 포함하여 특수학교, 교사, 학부모, 장애학생, 행정가, 장애인관련 기관 등의 요소로 구분하여 지원 방안을 제시하였다. 소개된 지원내용을 간략히 정리하면 다음과 같다. 첫째, 특수교육정보화 체제 구축을 위한 예산 지원은 외국의 사례에서도 나타났듯이 안정성과 지속성을 확보하기 위하여 '초·중등교육법', '특수교육진흥법'을 통해 지원에 관한 세부 사항을 법으로 규정해야한다. 둘째, 특수교육 정보화 사업과 관련된 부처간 행정 협조체제의 수립과 사업 중복성 등을 피하기 위하여 전담기구나 기관의 지정이 요구된다. 셋째, 특수학교의 경우, 학내망 설치와 더불어 장애인 접근성 문제의 해결을 위한 프로그램 개발과 하드웨어 장비의 지원, 교실간 네트워크 구축, 학교간 WAN 구축 등의 사업이 추진되어야 하며, 특수학급의 경우는 정보화 환경구축이 미흡하기 때문에 소속 교육청 과의 네트워크 구축을 통한 정보공유 및 행정업무의 연계가 필요하고, 다양한 교수-학습자료의 지원이 절실히 요구된다. 넷째, 특수교육 교사의 연수 기회를 확대하고 전문성을 키워줄 수 있는 연수내용과 방법의 개선이 필요하다. 장애학생 교육을 위한 학습자료 제작 기법, 장애인용 프로그램 사용법, 특수단말 장비 및 정보매체 활용 기법 등의 프로그램을 개발하여 집체+원격+화상 형태의 입체적인 연수가 요구된다. 다섯째, 장애학생 부모를 위한 정보화 지원은 학교-교육청간 협력하에 부모 교육 프로그램을 개발하여 우선, 학교와 인근 지역의 장애인관련 기관을 활용하여 정보소양 교육을 실시하고, 언제, 어디서나 교육이 가능한 원격이나 사이버시스템 등을 매개로 부모의 여건을 배려해줄 수 있는 편리한 교육방법이 준비되어야 한다. 여섯째, 교육청별 특수교육 담당장학사의 정보화 수준은 양호한 것으로 평가되지만 특수교육 정보화를 위한 특수학교(급) 교사의 연수지원을 위한 예산규모의 확보나 프로그램 개발 지원 등은 매우 부족한 것으로 나타났는데, 교육부(국립특수교육원)를 중심으로 전체 교육청의 특수교육 정보화 업무를 단일 체제로 묶는 인프라를 구축하여 예산, 프로그램, 네트워크 등을 공유토록 하여 효율성을 확보해야 한다. 일곱째, 장애인관련 단체는 정보화 업무 담당자를 배치하여 장애인과 일반인을 대상으로 활발한 정보화 교육이 이루어지고 있었지만 재정지원이 아직도 부족하고, 장애인용 프로그램과 기기의 보급이 부족하여 한계가 있는 것으로 드러났는데, 마찬가지로 장애인관련 기관을 하나로 묶는 인프라의 구축을 통해 사용되는 프로그램을 표준화시키고 예산지원의 중복성을 피해야하며 기관 이용자에 대한 관리의 편리성도 함께 도모해야 할 것이다. This study intends to collect baseline data and to present effective and practical methods of establishing special education IT system. An extensive review of both domestic and foreign literature and case studies of best practices were conducted for this research as well as the evaluation of the current state of technology usage and adoption in special education in Korea. Previous nationwide educational technology projects have accomplished notable and successful results such as building Intranet for schools. However, such efforts have, in away, created and aggravated the disproportionate gap, often called as the digital divide, against certain groups of people with unique needs. Also, the accessibility to such technology and information has emerged as a serious problem as the role of technology expanded. This study introduced both domestic and foreign examples of technology in special education and relevant resources, and conducted a large-scale survey to examine the current stage of technology adoption and usage in special education in Korea. The survey was administered to special education teachers, students, parents of students with disabilities, disability-related organizations and relevant agencies, and to municipal and provincial department of education. The results found satisfactory levels of computer ownership and usage of Internet among special education teachers. However, utilizing and incorporating such Information and technology into classroom activities and into teaching material development were still limited. Although the data were not comparable to those from students without disabilities, about 40 to 60 percent of the respondents showed positive attitudes toward computer ownership and Internet usage of students with disabilities, suggesting desirable outcomes with appropriate systematic support. Based on the findings, this study recommended detailed methods of building broad financial or budgetary assistance systems for special education schools, teachers, parents, students, administrators, and disability-related organizations. First, as shown in the experiences of foreign countries, financial support from the government to establish the system for the special education information technology has to be mandated under the 'Elementary and Secondary Education Act', the 'Special Education Promotion Act' to ensure and enhance stability and continuity. Second, designation of a single commanding and responsible agency is called for to efficiently coordinate inter-agency collaboration among governmental agencies and departments, and to avoid redundancy of work. Third, for special education schools, tasks such as building school-wide Intranet, development of software solving accessibility issues, subsidizing funds for computer hardware purchase, connecting classrooms through networking system and establishing inter-school WAN are of critical importance. Fourth, the contents and methods of professional development and training for special education teachers should be improved to professionalize teachers, and expansion of such opportunities are also called for. Fifth, IT support for parents of students with disabilities is also important. Parent education and training programs should be developed through active collaboration between local department of education and schools, and such training programs may be offered at schools or disability-related facilities. Distance learning or online courses, which the parents can access regardless of time or location, are other feasible alternatives. Sixth, the results found that administrative staffs of special education at each local department of education displayed satisfactory competence levels. However, the amount of budget assigned for special education teacher training or program development was seriously insufficient. Therefore, the Ministry of Education (or KISE) should build a universal infrastructure of IT, which encompasses and shares budget, program and network systems across all the IT offices of the local department of education. Seventh, although most disability organizations have IT specialist and offered IT education programs for both persons with and without disabilities, they have been experiencing continued problems of insufficient financial support and lack of adaptive technology devices and accessible programs. Therefore, building a universal infrastructure across disability organizations is called for to standardize programs, to prevent overlaps in funding, and thus, to enhance administrative efficiency.

전위된 상악 견치 및 하악 측절치의 치험례

권해숙,현홍근,김영재,김정욱,장기택,김종철,한세현,이상훈 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

Tooth transposition is an anomaly of eruption characterized by the interchanged positions of two adjacent teeth, which is divided into complete and incomplete transposition. There are three common approaches for treating transposition: aligning the involved teeth in their transposed positions, moving them to their correct anatomic position in the arch and extracting one of the transposed teeth. Considerations in treatment plans are esthetic, function, risk of jeopardizing the roots and damaging the supporting structures, position of the root apex, developmental stages of teeth and expected compliance. The presented case reports described one maxillary canine-the first premolar transposition and two mandibular lateral incisor-canine transpositions. The former transposed teeth were arranged in their transposed position, and the latter transposed teeth were rearranged into their normal position. 치아전위란 인접한 두 치아의 위치가 서로 바뀐 치아 위치 이상을 말하며, 치관과 치근의 위치에 따라 완전전위와 불완전전위로 나눌 수 있다. 하악보다는 상악에 편측성으로 호발하며, 특히 상악 견치에서 자주 발생한다. 전위는 발견 시기와 전위된 양상에 따라 치료방법이 달라질 수 있다. 본 증례는 상악 견치와 제1소구치 간의 전위가 일어난 10세 7개월의 환아와 하악 측절치와 견치 간의 전위가 일어난 8세 11개월 환아와 8세 9개월 환아의 교정치료에 대한 것으로 양호한 치료 결과를 얻었고, 증례 별로 치료방법의 차이점에 관한 고찰을 하였기에 이를 보고하는 바이다.

21세기의 국제 경쟁력 강화를 위한 교과 교육의 과제

이종희,김현자,전숙자,최연희,허명 이화여자대학교 교육대학원 1996 교과교육연구 Vol.5 No.-

The purpose of this study is to provide suggestions for the innovation of Korean secondary education. The suggestions were dervied from in - depth study regarding various subjects taught in secondary school, such as Korean language, Mathematics, English, Social Studies and Science. Five kinds of questionnaires were developed and answered by a total of 728 secondary teachers. The teachers were selected nation-wide by stratified cluster sampling method. Major results of this study are as follows : A student-centered teaching model of Korean language focusing on the improvement of creative and critical thinking was developed. Examples of effective teaching method for developing mathematical literacy were presented. Some suggestions for improving English education were proposed ; The curriculum should be established by both the top- down process from the educational administers and the curriculum developers, and the bottom-up process from the teachers : furthermore, the teachers should be allowed to adapt it for their own classes. Each school should be able to choose class- types; for example, small classes with less than 25 students, large classes with around 50 students, class placement by the students' proficiency, or team teaching. Multimedia English classrooms will be needed for more effective whole-class activities, group work, and individual work to overcome the problems with too many students in a class or with students with various proficiency in a class. The testing system should be changed completely, The entrance examinations for higher- level schools or nation-wide written tests should be abolished. Then, each city or district should have a center for testing and developing teaching aids to help teachers by providing listening test items and teaching aids, and administering direct testing for speaking or writing. Teacher qualifying examinations and reeducation programs for teachers should be changed to have better-qualified English teachers for the 21st C. A curricular and instructional model emphasizing the improvement of students' ability to dealing with various social problems was proposed. 5) Various problems and issues in current science education were identified, and detailed suggestions to solve the problems and issues were proposed, which include entrance examinations, teacher education, curriculum development, gifted-student education and educational environment.

유치 수복물에 따른 주변 법랑질의 탈회 저항성 : QLF를 이용한 연구

권해숙,현홍근,김영재,김정욱,장기택,김종철,한세현,이상훈 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

본 연구에서는 유치 수복물의 불소 방출 여부에 따른 주변 법랑질의 탈회 저항성과 재광화 효과를 살펴보고자 하였다. 건전 유전치 48개를 16개씩 임의로 세 군으로 나누어, FiltekTM Z250(1군), F2000(2군), KetacTM N100(3군)을 사용하여 제조사의 지시에 따라 충전하였다. 3일 동안 인공 우식 병소를 유발한 후, 14일 동안 인공 타액에 담가 재광화를 유발하였다. Quantitative light-induced fluorescence(QLF)를 이용하여 실험 단계와 시간에 따른 무기질 소실량(ΔQ)의 변화를 관찰한 결과는 다음과 같다. 1. 탈회가 일어난 인공 우식 병소의 ΔQ 값은 3군, 2군, 1군 순으로 작게 나타났고, 이 중 3군은 1군에 비해 유의한 탈회 저항성을 보였다. 2. 1군, 2군, 3군 모두 재광화 1일 후부터 초기 인공 우식 병소의 ΔQ 값과 비교 시 유의한 차를 보였으며, 관찰 기간 동안 지속적인 증가 양상을 나타내었다. 3. 재광화 속도를 의미하는 Δ(ΔQ)/일 값은 각 군에서 처음 1일 동안 유의성 있게 크게 나타났으며, 그 이후 급속히 감소하였다. 4. 수복 재료에 따른 재광화 정도는 각 군 간에 유의한 차이가 없었다. The objective of this in vitro study was to detect and monitor demineralization and remineralization of primary teeth according to restorative materials using quantitative light-induced fluorescence (QLF). A single bur hole was drilled on the each sound forty eight primary anterior teeth, and the specimens were divided into three groups. The cavity was restored with FiltekTM Z250(Group 1), F2000(Group 2), KetacTM N100(Group 3) following the manufacturer's instructions. The teeth were subjected to the demineralizing buffer for 3 days, and then subjected to a remineralizing buffer for 14 days. The change of mineral loss(ΔQ) according to the stages was evaluated by QLF and the following results were obtained: 1. When demineralization was done, ΔQ was increased as follows. : Group 1 (-110.79 ± 27.77) < Group 2 (-104.84 ± 28.95) < Group 3 (-90.16 ± 21.87) : Resistance to demineralization was statistically significant in Group 3. 2. There was a statistically significant increase in ΔQ of all groups since 1st day of remineralization 3. The rate of remineralization, Δ(ΔQ)/day, showed significant high value in each group on the 1st day then decreased rapidly. 4. There was no statistically significant difference in the degree of remineralization among restorative materials.

農村婦人의 母子保健서비스 利用에 미치는 社會文化的 要因에 관한 硏究 : An Anthropological Analysis on Socio-Cultural Factors of Medical Pluralism 陰城地域의 母性保健 事例를 中心으로

方 琡,金鐘淏,李鍾仁 순천향대학교 1988 논문집 Vol.11 No.1

This study is to investigate the maternal health care seeking behavior in relation to the characteristics of the local health care systems in rural Korea. This study found that there was a medical pluralism in the maternal health care seeking behavior such as healer shopping. This is due to the existence of the structural complexity of the local health care system in rural Korea. We can categorize the local health care systems into four sectors: mordern-public (i.g. health sub-center, MCH center, community health practionner), modern-private(i.g. local clinics, hospitals ect.). traditional-formal (i.g. herb doctor) and traditional-informal (i.g. acupunctucture practionner, informal drug marchant and spiritual therapeutists such as shamans, diviners.) sectors, Because of this structural complexity of the local health care system, not all maternity women are soley depended on modern medical doctors and their professional referrals, but used one or two other sectors without professional referrals before and after reaching modern medical sectors. In 40 families we studied, there were no cases whose maternal health care (prenatal, delivery & postpatrum) were soley depended on one obstetrical care resources. This anthropological observations correspond to the survey data collected in July 1987. We can conclude that the medical pluralism in maternal health care seeking behavior is mainly due to the structural complexity of the local health care system in which four sectors, cited above, are not systematically linked each other in the health care deliverly system. This study also found that there were the socio-cultural factors which influence on the maternal health care seeking process as follows: a. The delivery cost at the MCH center is about ￦30,000 While the same service costs ￦180,000 at a community Hospital. Thus. 44% of the pregnant women were delivered at the county MCH center while 15% used a Community Hospital, according to the survey in July 1987. b. The utilization of the MCH center was influenced by the family type (nuclear and extended). Though the stay period in the MCH center after delivery is 3 days, a higher percentage of women from extended families with mother-in law stayed for only 24 hours, in comparison with women from nuclear families. c. For postnatal care, rural women tend to depend on traditional medicine especially for back pain after delivery. For delivery care, however, most rural women depend on western medicine facilities. d. In terms of doctor patient relationship, a close relationship is a key factor in selecting a physician. Patients tend to go back to the same doctor again and again. This partnership is most evident in prenatal care. e. The patients prefer the individual private practioner over the hospital. Rural women have more confidence on older private doctors than in younger hospital doctors. A factor related to this is that older doctors tend to take more time to listen to the patient. Younger doctors at hospital offer more laboratory tests, but do not take the time to listen to the patient or provide an adequate explanation regarding the patient's problems. Therefore, there is a need to take into account socio-cultural aspects of maternal health seeking behavior in planning and implementing a maternity care programme in rural Korea.

Melorheostosis Le'ri 症例 : Report of a case

黃重淑,金周完,朴鍾遠 醫藥係社 1963 綜合 醫學 Vol.8 No.11

모기계대세포에서의 러시아 춘하뇌염의 증식

李淵台,金敬淑,李潤日,金明淑,李種訓 최신의학사 1973 最新醫學 Vol.16 No.9

Growth of Russian spring-summer encephalitis virus in established line of mosquito (Sigh's Aedes albopictus) cells was studied by infectivity ' titration of mouse lethal doses and observation of morphological changes on the infected cell monolayers. The cell line could support the multiplication of Russian spring summer encephalitis virus. The maximum virus titer of 10''0 mice LD50 was reached in 3 days after virus inoculation. Cytopathic effect was found on the whole monolayer from second post infective day and large round spherical cell aggregates were observed theereafter.