ISD 모델에 기초한 농업인 안전교육 프로그램 개발

김진모,이택선,이경숙,김경란,길대환,김효철,이찬 한국농업교육학회 2007 농업교육과 인적자원개발 Vol.39 No.3

이 연구의 목적은 ISD 모델에 기초하여 농업인 안전교육 프로그램을 개발하는데 있으며,이를 위해 분석-설계-개발-실행-평가의 다섯 단계로 구성된 개발모형을 설정하였다. 구체적인 프로그램 내용을 개발하기 위해 환경분석,학습자분석,과제분석을 실시하였고,그 결과를 반영하여 ‘안전의식 함양’,‘근골격계질환’,‘농약중독예방’,‘농기계 안전 사용’의 4개 모듈과 10개의 레슨을 설계하였다. 요구분석 및 설계 결과를 바탕으로 농업인 안전교육 프로그램의 교재/보조 자료/매체를 개발하였다. 교재의 경우,학습자용과 강사용을 구분하여 개발하였다. 개발된 프로그램 및 운영체제에 대한 검토 및 보완을 위한 전문가 협의회를 개최하여 프로그램 시연회를 실시한 후 교육프로그램을 수정,보완하였다. 그 후,농작업안전시범마을의 농업인을 대상으로 농업인 안전교육 프로그램을 시험 운영하였고,그 결과를 반영하여 농업인 안전교육 프로그램을 완성하였다. 또한 이상의 프로그램 개발 과정을 통해 나타난 논점을 토대로 향후 교육 프로그램 개발을 위한 시사점을 제공하였다. The purpose of this study was to develop a agricultural safety and health training program based on ISD Model. We set up 5step(Analysis, Design, Development, Implementation, Evaluation) model for developing the program. After analyzing environment, learner and task, four modules(① Safety and Health Mindset, ② Musculoskeletal System Disorders, ③ Agrichemical Poisoning Prevention, and ③ Using Farm Machines Safely) and 10 lessons were designed. We developed teaching materials and supplement materials for the Agricultural Safety and Health Training Program based on need analysis and program design. Teaching materials consisted of the learner's and instructor's. The developed program was examined by expert groups and the weak points were revised through professional workshop. Finally, we tested the Agricultural Safety and Health Training Program at agricultural safety and health model village and fixed the program by reflecting the test results.

부모의 자녀 애착과 정서지능이 유아의 친사회적 행동에미치는 영향: 유아 기질에 따른 차이분석

장효은 ( Hyo Eun Jang ),김춘경 ( Choon Kyung Kim ) 미래유아교육학회 2016 미래유아교육학회지 Vol.23 No.1

The purpose of this study was to investigate the influence of parents’ child attachment and parents’ emotional intelligence on children’s prosocial behavior according to children’s temperament. The subjects of this study were 580 parents who have 4year-6year children in Dae-gu and Kyung-buk. The research questionnaire was composed of several scales such as Modified Prosocial Behavior Questionnaire adapted by hong(2008), Modified Parent Temperament Questionnaire for Children 3-7 years of age(PTQC) adapted by Kim(2001), Modified Parents’ Child Attachment Measure which was revised by Kim(2008), and The Adult Emotional Quatient Test(AEQT) which was revised by Moon(1999). Major results of this study were as follows. First, the parents’ child attachment and the parents’ emotional intelligence showed positive correlations into children’s prosocial behavior in easy temperament children group, difficult temperament children group. Second, there were differences from parent’ child attachment and children’s prosocial behavior on children’s temperament. Third, parents’ child attachment influenced upon children’s prosocial behavior in easy temperament children group and difficult temperament children group. The result of each sub factors was different. Fourth, parents’ emotional intelligence influenced upon children’s prosocial behavior in easy temperament children group and difficult temperament children group. Also, easy temperament children group got a higher grade than difficult temperament children group. The result of each sub factors was different.

그람양성구균에 대한 Teicoplanin과 Vancomycin의 시험관내 항균력

최태열,김경숙,전용관,서일혜,김정욱,이웅수,안정열,김홍석,정재용,최효선,김덕언,유진우 대한감염학회 1994 감염 Vol.26 No.1

An increasing frequency of methicillin resistant S. aureus(MRSA), methicillin resistant coagulase negative staphylococci(MRCNS) and Enterococcal infection have been observed in recent years. Teicoplanin is a new glycopeptide antibiotic obstained from the Actinoplanes teicomycetius. The molecular structure and spectrum of antimicrobial activity of teicoplanin is simillar to those of vancomycin, and has been reported to have an excellent in vitro and in vivo effect against various gram-positive infections. Therefore, we evaluated the in vitor susceptibility of gram positive cocci, such as, S. aureus, coagulase negative Staphylococci(CNS), and Enterococci to teicoplanin and vancomycin. The total 253 strains consisted of MSSA(40), MRSA(53), MSCNS(47), MRCNS(48), and Enterococci(65). They were assayed by disc diffusion and agar dilution. During the study, 57% of S. aureus and 49% of CNS showed resistance to methicillin. The inhibitory diameter of teicoplanin was 15-20mm in MSSA, 12-19mm in MRSA, 13-24mm in MSCNS, 11-23mm in MRCNS, and 15-22mm in Enterococci respectively, and showed sensitivity in all but 8 strains(3.2%). The range of the minimum inhibitory concentration (MIC) of teicoplanin to MSSA, MRSA, MSCNS, MRCNS and Enterococci were 9.12-2.0㎍/ml, 0.25-2.0㎍/ml, & 0.25-32㎍/ml, 0.12-1.0㎍/ml respectively. One case of S. haemolyticus was resistant to teicoplanin (32㎍/ml) by the agar dilution method. Eight minor (3.2%) and one major(0.4%) error was observed when the MIC and disk diffusion data were correlated with teicoplanin. As for vancomycin the inhibitory diameter was 17-21mm in MSSA, 15-21mm in MRSA, 18-26mm in MSCNS, 18-25mm in MRCNS, and 16-22mm in Enterococci respectively. The range of the MIC of vancomycin to MSSA, MRSA, MSCNS, MRCNS, and Enterococci were 0.25-1.0㎍/ml, 0.25-4.0㎍/ml, 0.5-2.0㎍/ml and 0.5-2.0㎍/ml respectively. One minor error (0.4%) was seen with the vancomycin disk. The MIC90 of MSSA and MRSA exhibited the same results in teicoplanin (1.0㎍/ml, 1.0㎍/ml), and vancomycin(2.0㎍/ml, 2.0㎍/ml). MSCNS and MRCNS exhibited greater MIC90 with teicoplanin(4.0㎍/ml, 8.0㎍/ml) than vancomycin(2.0㎍/ml, 2.0㎍/ml). Incontrase Enterococci were more susceptible to teicoplanin(0.5㎍/ml) than to vancomucin (2.0㎍/ml). Results from this analysis indicated that both teicoplanin and vancomycin were very excellent for gram positive infections, especially those resistant to methicillin.

한국인 제2형 당뇨병 환자의 골격근에서 인슐린 신호전달체계의 결함

최준혁,이관우,김효정,이동훈,이종우,김정은,엄현채,김경미,최성이,정윤석,김현만 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.5

연구배경: 제2형 당뇨병에서 나타나는 인슐린 저항성은 간, 지방, 근육 같은 말초조직에서 인슐린의 작용이 떨어지는 것을 말한다. 제2형 당뇨병의 발생기전에 인슐린 저항성과 인슐린 분비능 저하가 같이 관여함은 잘 알려진 사실이다. 인슐린의 세포내에서의 저항성을 규명하기 위한 인슐린의 세포내 신호전달체계에 대한 연구가 활발히 진행되고 있으며 몇몇 연구에서 인슐린 저항성을 가진 골격근육에서 IRS와 관련된 PI3-kinase의 활성감소와 Akt kinase의 활성감소를 보고하고 있으나 아직까지 명확하게 그 기작이 설명되어지지 않고 있다. 본 연구에서는 정상성인, 제2형 당뇨병 환자를 대상으로 경구당부하검사 및 인슐린 클램프검사를 시행하고 인슐린 클램프 검사시 대상인의 근육을 채취하여 인슐린 신호전달 체계(IR-β, IRS, Akt(PKB, Rac) kinase, GSK-3)를 연구하였다. 방법: 연구대상자는 한국인으로서 경구당부하검사상 정상인 및 당뇨병 환자 각각 11명, 9명을 대상으로 하였으며, 정상인은 건강인으로 과거력상 당대사에 영향을 줄 질환이 없고, 현재 당대사에 영향을 줄 약물 복용 및 다른 소견이 없는 경구당부하검사상 정성 내당능을 보이는 대상자로 하였다. 당뇨병환자는 모두 제2형 당뇨병 환자로 이환기간이 만 5년 이내인 경우로 하고, 인슐린으로 치료하는 대상자는 제외하도록 하였다. 대상자의 연령, 체질량지수, 체지방량, 공복시 총콜레스테롤, 중성지방, 고밀도지단백 콜레스테롤 및 HbA1c, 인슐린, C-peptide를 측정하였고, "HOMA model"을 이용하여 베타세포의 기능와 인슐린저항성 정도를 평가하였다. 정상혈당클램프 검사(euhlycemic hyperinsulinemic clamp test)를 시행하고 인슐린 투입 전과 인슐린 투입 30분후, 두차례에 걸쳐 대퇴부 근육생검을 실시한후 western 법으로 IR-β, IRS, Akt kinase, GSK-3의 인산화량을 측정하였다. 결과: 정상인 11명과 당뇨병 환자 9명을 대상으로 하였으며 대상자의 평균 연령, 평균 체질량지수, 체지방량, 허리/엉덩이 둘레의 비(waist hip ratio; WHR)는 두 군간에 차이가 없었다. 평균 공복혈당은 정상군 98.0±0.3㎎/dL, 당뇨병군 208.1±16.5㎎/dL(p<0.05), HbA1c는 정상군 5.4±0.5%, 당뇨병군 9.2±0.6%(p<0.05)였다. "HOMA model"을 이용한 베타세포의 기능과 인슐린저항성은 정상군 56.4±8.5%, 1.4±0.2, 당뇨병군 72.2±52.3%(p<0.01), 10.2±6.3(p<0.01)였으며 정상혈당클램프 검사상 포도당 이용률은 정상군 8.2±0.6㎎/㎏/min, 당뇨병군 3.7±1.1㎎/㎏/min(p<0.01)로 정상군과 당뇨병군간에 유의한 차이를 나타내었다. Western blot법으로 IR-β, IRS, Akt kinase, GSK-3의 인산화량을 인슐린 투입전과 인슐린 투입 30분후 측정하였을 때 IR-β에서는 정상군이 103.9±2.3에서 241.3±18.6, 당뇨군이 108.9±2.2에서 198.7±6.3으로 증가하였다(p=NS). 이는 인슐린 투입후 당뇨병군이 정상군과 비교하여 인산화량의 증가정도가 통계적인 차이가 없었다. IRS에서는 정상군이 111.6±7.3에서 295.6±17.2, 당뇨군이 114.5±6.1에서 222.0±23.2로 증가하였으며(p<0.05), 인슐린 투입후 당뇨병군이 정상군과 비교하여 인산화량의 증가정도가 약 24% 감소하였다. Akt kinase에서는 103.4±6.0에서 416.8±29.5로 증가하였으며(p<0.01), 인슐린 투입후 당뇨병군이 정상군과 비교하여 인산화량의 증가정도가 약 43% 감소하였다. GSK-3에서는 정상군이 107.7±6.7에서 595.7±28.1, 당뇨군이 104.3±4.8에서 443.3±12.9로 증가하였으며(p<0.01), 인슐린 투입후 당뇨병군이 정상군과 비교하여 인산화량의 증가정도가 약 25% 감소하였다. 결론: 제2형 당뇨병 환자에서 정상인과 비교하여 인슐린 자극후 IR-β는 인산화량의 증가정도가 큰 차이가 없었으나, IRS, Akt kinase, GSK-3에서는 인산화량의 증가 정도가 감소되는 것으로 보아 상위 인슐린 신호전단체계부터 결함이 있는 것으로 생각된다. Background: The glucose uptake rate is the limiting step in glucose utilization and storage. The failure of insulin to stimulate glucose uptake in muscle appears to be a primary defect of insulin resistance. This study was undertaken to examine the effect of physiological hyperinsulinemia on the phosphorylation of the insulin receptor (IR-β), insulin receptor substrate (IRS), Akt kinase and GSK-3 in isolated skeletal muscle, in people with type 2 diabetes(n=9) and control subjects(n=11). Methods: 75g OGTT and euglycemic hyperinsulinemic clamp test were done. And vastus lateralis muscle was obtained before and 30 min into the euglycemic clamp. Western blots were performed for tyrosine phosphroylation of insulin receptor substrate (IRS) and phosphorylation of the insulin receptor(IR-β), Akt and GSK-3. Result: There were no statistical differences in the mean age, BMI and body fat between the control subjects and diabetic patients. The fasting blood sugar and HbA_1c in controls and diabetic patients were 98.0±0.3 and 208.1±16.5ng/dl, and 5.4±0.5 and 9.2±0.6%, and 1.4±0.2 in the control subjects, and 72.2±52.3%(p<0.01) and 10.2±6.3(p<0.01) in the diabetic patients, respectively. The insulin resistance from the euglycemic hyperinsulinemic clamp test were 8.2±0.6㎎/㎏/min and 3.7±1.1ng/㎏/min in the control subjects and in the diabetic patients, respectively(p<0.01). Compared with the normal controls, insulin-stimulated IR phosphorylation was no different to that in the diabetic patients. However, insulin-stimulated IRS phosphorylation, insulin-stimulated Akt phosphorylation and insulin-stimulated GSK-3 phosphorylation were reduced in the diabetic patients compared with the normal controls by 24, 43 and 25%, respectively(p<0.05). Conclusion: In Korean type 2 diabetic patients, the insulin resistance may be due to the impairment of the upstream insulin signal molecular network. Further studies will focus on determining whether these signaling defects are the cause of the development of insulin resistance, or secondary to the altered metabolic state, associated with type 2 diabetes mellitus (J Kor Soc Endocrinol 17:685∼697, 2002).

Cell Separation: Ethanol‐Dispersed Polymer Nanofibers as a Highly Selective Cell Isolation and Release Platform for CD4⁺ T Lymphocytes (Adv. Funct. Mater. 21/2012)

Jun, Seung‐,Hyun,Kim, Kwanghee,An, Hyo Jin,Kim, Byoung Chan,Sonn, Chung Hee,Kim, Miju,Doh, Junsang,Yee, Cassian,Lee, Kyung‐,Mi,Kim, Jungbae WILEY‐VCH Verlag 2012 Advanced functional materials Vol.22 No.21

<P>Electrospun and alcohol‐dispersed polystyrene‐poly(styreneco‐maleic anhydride) (PS‐PSMA) nanofibers, which allow for facile conjugation of antibodies, are used as an innovative cell isolation/enrichment and support/release platform. As reported by Kyung‐Mi Lee, Jungbae Kim, and co‐workers on page 4448, this work opens up the potential for an innovative immune cell therapy in which specific immune cells are isolated by antibody‐conjugated nanofibers and are directly delivered to the target sites under the controlled and sustained release of immune cells via in vivo activation. </P>

단일 기관에서 경험한 소아청소년기 Kikuchi-Fujimoto병의 임상적 고찰

강희원,김한울,이소영,유경하,김혜순,유은선,최희정,김경효 이화여자대학교 의과학연구소 2018 EMJ (Ewha medical journal) Vol.41 No.4

Objectives: Kikuchi-Fujimoto disease (KFD) is characterized by lymphadenopathy and fever, and is usually self-limited. This study analyzed the clinical characteristics of pediatric patients with KFD. Methods: This retrospective, observational, single-center study was conducted in South Korea from March 2008 to October 2015. KFD was diagnosed based on clinical, radiological or histological findings and excluded when there were any other causes of lymphadenopathy. Medical records were reviewed for clinical and laboratory manifestations. Results: A total of 35 cases were included. The mean patient age was 12.1±2.9 years (range, 5 to 17 years); the male-to-female ratio was 1:0.8. The main clinical manifestations were cervical lymphadenopathy and fever in 34 cases (97%). The mean duration of fever was 12.2±8.3 days (range, 2 to 37 days). We noted enlargement of lymph nodes in the cervical, mesenteric (n=5, 14%), axillary (n=2, 6%), and inguinal (n=1, 3%) regions. Hepatosplenomegaly, loss of appetite, and rash were observed. On laboratory examinations, elevation of ferritin, leukopenia, and positivity for anti-nuclear antibodies were frequently observed. Twelve patients underwent biopsy and 23 cases were diagnosed by radiological findings. The mean duration of hospitalization for all cases was 7.9±2.9 days (range, 3 to 13 days) and steroids were administered in 10 cases. KFD recurrence was observed in 2 cases (5.7%) with the time to relapse of 7 months and 4 years. There were no cases with systemic lupus erythematous or other autoimmune disease. Conclusion: KFD should be considered in pediatric patients with lymphadenopathy and prolonged fever. Patients with KFD should be monitored for recurrence and the development of autoimmune disease.

하악전돌 환자에서 하악골 후퇴수술이 기도공간에 미치는 영향

김효영,최현규,김은경,김정기 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.5

하악전돌증 환자의 하악골 후퇴수술로 골격적인 변화뿐 아니라 연조직에서의 변화가 동시에 일어나는데, 외부적으로 나타나는 안모 연조직의 심미적 변화와 더불어 구강내의 가동성 및 비가동성 연조직에도 영향을 미친다. 전북대학교병원 치과교정과에 하악전돌증을 주소로 내원한 환자중 수술전 교정치료를 받고 하악골만 양측성 하악지시상골절 단술로 후퇴시킨 환자 38명의 수술전, 수술직후, 수술 약 1년후의 측모 두부계측방사선 사진의 투사도를 작성하고 FH plane과 pterygoid vetical plane(PTV)을 reference plane으로 사용하여 연속된 측모 두부계측방사선 사진을 중첩시켰다. 수술후 변화된 인두부 깊이와 혀, 연구개, 설골 등의 위치변화를 위한 길이측정과 구인두부 기도공간 면적을 측정하기 위해 각 경계선을 디지타이저(Kurta digitizer XGT, Kurta Co., USA)로 컴퓨터에 입력하고 AutoCAD프로그램으로 계측하였다. 하악골 후퇴수술이 구인두부 기도공간에 미치는 영향에 대해 연구하였으며 구강내 각 구조물들의 위치변화와 각 항목들의 상호관계성을 조사하였다. 1. 구인두부 기도공간은 하악전돌증 환자의 하악골 후퇴수술후 감소되며 연속적으로 감소를 유지하고 있다(p<0.05). 2. Xi점과 제2경추 수준에서 인두의 깊이는 수술전과 비교해 수술후 유의하게 감소되었으며 감소된 채로 유지된다(p<0.05). 이수준에서의 인두부 깊이 감소는 구인두부 기도공간과 밀접한 관련이 있다.(p<0.01). 3. 제3경추와 제4경추 수준의 인두부 깊이는 수술후와 연속되는 관찰기간에도 유의하게 감소하지 않았다. 4. 설골은 수술후 하방으로 이동하였으나(p<0.05), 연속되는 관찰기간 동안 원래의 위치로 회귀되는 경향을 보였다. 5. 혀의 길이와 높이 그리고 후두개 기저의 위치는 유의하게 변화하지 않았다. 6. 연구개는 수술후 후방으로 변위하며 혀의 후방변위로 연속적으로 후방위치된 채 남아 있다(p<0.05). 연구개의 변위는 구인두부 기도공간의 면적과 유의한 상관관계를 가지며 인두후벽과의 거리는 감소되었다(p<0.01). 7. 구인두 기도공간의 감소는 후두개첨 상방부에서 수술에 의한 혀의 후방변위에 기인하며 계속 감소가 유지되었다. As a result of surgical orthodontic treatment of mandibular prognathism, changes take place in the skeletal and soft orofacial components. Although some investigators had stated that permanent reduction of airway space was observed after mandibular setback surgery, it was not clear that this permanent reduction was sustained during long-term follow-up. The purpose of this study was to assess the changes in oropharyngeal airway space and soft tissue orofacial component following the mandibular setback surgery and during the follow-up period. The correlation between the changes of the oropharyngeal airway space and the changes of other soft tissue orofacial component was also assessed. The findings of this study were as follows; 1. The oropharyngeal airway space area decreased following mandibular setback surgery for mandibular prognathism and continued to decrease during the follow-up period(p<0.05). 2. The pharyngeal depth at Xi point level and the 2nd cervical vertebra point level decreased after the surgery and remained during the follow-up period(p<0.05). The decrease of these pharyngeal depth was not significant after the surgery and during the follow-up period. 3. The decrease of pharyngeal depth at the 3rd and 4th cervical vertebra point level was not significant after the surgery and during the follow-up period. 4. The hyoid bone moved downward after the surgery(p<0.05), but returned to its original position during the follow-up period. 5. The length & height of epiglottis base did not change significantly(p<0.05). 6. The soft palate was displaced posteriorly after the surgery and remained to its changed position during the follow-up period(p<0.05) due to posterior displacement of tongue. The changes of soft palate were significantly correlated with the decrease of oropharyngeal airway space area(p<0.01). 7. The narrowing of oropharyngeal airway space was due to the posterior displacement of tongue above the level of epiglottis tip. The posterior displacement of tongue following mandibular setback osteotomy remained during the follow-up period.

취업증진을 위한 기사자격증 취득 및 위업자료의 체계적 구축 및 운용 방안

김성일,구경완,장종국,사공성대,황재효,류승헌 永同大學校 1997 硏究論叢 Vol.3 No.1

국가기술자격증 취득을 위한 효과적인 강의 지도를 실시하고, 이와 병행하여 기업체의 구인정보와 취업 대상자의 진로 의사 정보를 정확하게 파악하여 데이터베이스화하고 기업체에 본 대학을 상세히 홍보함으로써 취업증진을 도모한다. We make effective lectures for obtaining a national technical qualification and construct the database of job information that contain the information about companies and students respectively. Also We propagate Youngdong University to the companies for promoting the employment of students.

금병산과 적오산의 산림군락 분류

김효정,이미정,지윤의,이규석,송호경 忠南大學校 環境問題硏究所 2002 環境硏究 Vol.20 No.-

대전에 위치한 금병산과 적오산의 식생을 분류하기 위하여 연구가 수행되었다. 총 41개의 조사구에서 식물사회학적 방법으로 조사를 하였다. 이 지역 산림식생은 크게 이차림식생과 조림식생으로 구분 되었다. 이차림 식생은 소나무군락, 상수리나무군락, 팽나무군락으로 구분되었다. 조림식생은 아까시나무군락, 리기다소나무군락, 일본잎갈나무군락, 곰솔군락으로 구분되었다. 본 조사지역에서 출현한 종수는 총 145종이었으며, 가중나무, 개망초, 미국자리공 아까시나무, 족제비싸리 등 총 5종의 귀화식물이 출현하였다. This study was carried out to classify forest vegetation community of Geumbyeongsan and Jeokosan in Daejeon. Employing the releve´ method of Dierssen, 41 plots were sampled. Forest community ws classified as second forest vegetation and afforestation vegetation. The second forest vegetation was classified into six communities such as Pinus densiflora community, Quercus acutissima community, Quercus serrata community, Quercus variabilis community, Quercus aliena community, and Celtis sinensis community. Afforestation vegetation was classified again as Robinia pseudoacacia community, Pinus rigida community, Larix leptolepis community, and Pinus thunbergii community. In the present study area, we found a total of 145 taxa. We found a total of five naturalized plants taxa of Ailanthus altissima, Erigeron annuus, Phytolacca americana, Robinia pseudoacacia, and Amorpha fruticosa.

대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예

김도연,김화정,김효정,남준식,박수영,박영미,신정은,주미순,황민규,정혜경,손혜영,이선영,이한주 大韓消化器內視鏡學會 1999 Clinical Endoscopy Vol.19 No.부록2