Teaching an old pain medicine society new tweets: integrating social media into continuing medical education

Kellie M. Jaremko,Eric S. Schwenk,Amy C.S. Pearson,Jonathan Hagedorn,Ankeet D. Udani,Gary Schwartz,Nabil M. Elkassabany,Anne Snively,Edward R. Mariano 대한마취통증의학회 2019 Korean Journal of Anesthesiology Vol.72 No.5

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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.

The Effect of Randomizing the Order of Practice Trials in the Dyad Practice of a Golf Putting

( Young-gyu Ko ),( Kellie Green Hall ) 한국체육학회 2017 International journal of human movement science Vol.11 No.1

Shea, Wulf, & Whitcare (1999) demonstrated that practicing in dyad resulted in more increase in learning efficiency and effectiveness than practicing individually when the observational and physical practice were alternated on each trial and dialog was inserted between practice trials. Alternating observational and physical practice and inserting dialog engaged the learner more in the active problem-solving process of learning than practicing individually. The present study investigated the effect of dyad practice when the order of observational and physical practice trials was randomized and no dialog was included. Thirty-six participants were asked to putt the ball as close to the target (5 m away) as possible. Actual distance (in cm) from the target was measured as a performance score. Participants performed 30 acquisition trials and 10 retention trials 24 hour later. Participants were randomly assigned to one of three experimental conditions. In the individual condition participants practiced the task individually. In the dyad-alternate condition one person practiced the task while the other observed on each trial. In the dyad-random order condition the order of observational and physical practice trials was randomized. The results indicated that the dyad-alternate condition did not result in better learning than the individual condition. However, the dyad-random order condition revealed significantly better retention performance than the individual condition. These findings suggest that randomizing the order of observational and physical practice trials in dyad practice causes the learners to invest more cognitive effort and to more actively engage in the problem solving processes than alternating on each trial, as a result, produces stronger learning effectiveness and efficiency.

The impact of continuous positive airway pressure on radiation dose to heart and lung during left-sided postmastectomy radiotherapy when deep inspiration breath hold technique is not applicable: a case report

Kil, Whoon Jong,Pham, Tabitha,Hossain, Sabbir,Casaigne, Juan,Jones, Kellie,Khalil, Mohammad The Korean Society for Radiation Oncology 2018 Radiation Oncology Journal Vol.36 No.1

Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.

The impact of continuous positive airway pressure on radiation dose to heart and lung during left-sided postmastectomy radiotherapy when deep inspiration breath hold technique is not applicable: a case report

Whoon Jong Kil,Tabitha Pham,Sabbir Hossain,Juan Casaigne,Kellie Jones.,Mohammad Khalil 대한방사선종양학회 2018 Radiation Oncology Journal Vol.36 No.1

Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.

Metastatic Colorectal Cancer Treatment and Survival: the Experience of Major Public Hospitals in South Australia Over Three Decades

Roder, David,Karapetis, Christos S,Wattchow, David,Moore, James,Singhal, Nimit,Joshi, Rohit,Keefe, Dorothy,Fusco, Kellie,Buranyi-Trevarton, Dianne,Sharplin, Greg,Price, Timothy J Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.14

Background: Registry data from four major public hospitals indicate trends over three decades from 1980 to 2010 in treatment and survival from colorectal cancer with distant metastases at diagnosis (TNM stage IV). Materials and Methods: Kaplan-Meier product-limit estimates and Cox proportional hazards models for investigating disease-specific survival and multiple logistic regression analyses for indicating first-round treatment trends. Results: Two-year survivals increased from 10% for 1980-84 to 35% for 2005-10 diagnoses. Corresponding increases in five-year survivals were from 3% to 16%. Time-to-event risk of colorectal cancer death approximately halved (hazards ratio: 0.48 (0.40, 0.59) after adjusting for demographic factors, tumour differentiation, and primary sub-site. Survivals were not found to differ by place of residence, suggesting reasonable equity in service provision. About 74% of cases were treated surgically and this proportion increased over time. Proportions having systemic therapy and/or radiotherapy increased from 12% in 1980-84 to 61% for 2005-10. Radiotherapy was more common for rectal than colonic cases (39% vs 7% in 2005-10). Of the cases diagnosed in 2005-10 when less than 70 years of age, the percentage having radiotherapy and/or systemic therapy was 79% for colorectal, 74% for colon and 86% for rectum (&RS)) cancers. Corresponding proportions having: systemic therapies were 75%, 71% and 81% respectively; radiotherapy were 24%, 10% and 46% respectively; and surgery were 75%, 78% and 71% respectively. Based on survey data on uptake of offered therapies, it is likely that of these younger cases, 85% would have been offered systemic treatment and among rectum (&RS) cases, about 63% would have been offered radiotherapy. Conclusions: Pronounced increases in survivals from metastatic colorectal cancer have occurred, in keeping with improved systemic therapies and surgical interventions. Use of radiotherapy and/or systemic therapy has increased markedly and patterns of change accord with clinical guideline recommendations.

Colorectal Cancer Treatment and Survival: the Experience of Major Public Hospitals in South Australia over three Decades

Roder, David,Karapetis, Christos S,Wattchow, David,Moore, James,Singhal, Nimit,Joshi, Rohit,Keefe, Dorothy,Fusco, Kellie,Powell, Kate,Eckert, Marion,Price, Timothy J Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.6

Background: Registry data from four major public hospitals indicate trends in clinical care and survival from colorectal cancer over three decades, from 1980 to 2010. Materials and Methods: Kaplan-Meier productlimit estimates and Cox proportional hazards models were used to investigate disease-specific survival and multiple logistic regression analyses to explore first-round treatment trends. Results: Five-year survivals increased from 48% for 1980-1986 to 63% for 2005-2010 diagnoses. Survival increases applied to each ACPS stage (Australian Clinico-Pathological Stage), and particularly stage C (an increase from 38% to 68%). Risk of death from colorectal cancer halved (hazards ratio: 0.50 (0.45, 0.56)) over the study period after adjusting for age, sex, stage, differentiation, primary sub-site, health administrative region, and measures of socioeconomic status and geographic remoteness. Decreases in stage were not observed. Survivals did not vary by sex or place of residence, suggesting reasonable equity in service access and outcomes. Of staged cases, 91% were treated surgically with lower surgical rates for older ages and more advanced stage. Proportions of surgical cases having adjuvant therapy during primary courses of treatment increased for all stages and were highest for stage C (an increase from 5% in 1980-1986 to 63% for 2005-2010). Radiotherapy was more common for rectal than colonic cases. Proportions of rectal cases receiving radiotherapy increased, particularly for stage C where the increase was from 8% in 1980-1986 to 60% in 2005-2010. The percentage of stage C colorectal cases less than 70 years of age having systemic therapy as part of their first treatment round increased from 3% in 1980-1986 to 81% by 1995-2010. Based on survey data on uptake of adjuvant therapy among those offered this care, it is likely that all these younger patients were offered systemic treatment. Conclusions: We conclude that pronounced increases in survivals from colorectal cancer have occurred at major public hospitals in South Australia due to increases in stage-specific survivals. Use of adjuvant therapies has increased and the patterns of change accord with clinical guideline recommendations. Reasons for sub-optimal use of radiotherapy for rectal cases warrant further investigation, including the potential for limited rural access to impede uptake of treatments at metropolitan-based radiotherapy centres.

Nano-LC FTICR Tandem MassSpectrometry for Top-DownProteomics: Routine Baseline Unit Mass Resolution of Whole Cell LysateProteins up to 72 kDa

Tipton, JeremiahD.,Tran, John C.,Catherman, Adam D.,Ahlf, Dorothy R.,Durbin, Kenneth R.,Lee, Ji Eun,Kellie, John F.,Kelleher, Neil L.,Hendrickson, ChristopherL.,Marshall, Alan G. American ChemicalSociety 2012 ANALYTICAL CHEMISTRY - Vol.84 No.5

<P>Current high-throughput top-down proteomic platformsprovide routineidentification of proteins less than 25 kDa with 4-D separations.This short communication reports the application of technologicaldevelopments over the past few years that improve protein identificationand characterization for masses greater than 25 kDa. Advances in separationscience have allowed increased numbers of proteins to be identified,especially by nanoliquid chromatography (nLC) prior to mass spectrometry(MS) analysis. Further, a goal of high-throughput top-down proteomicsis to extend the mass range for routine nLC MS analysis up to 80 kDabecause gene sequence analysis predicts that ∼70% of the humanproteome is transcribed to be less than 80 kDa. Normally, large proteinsgreater than 50 kDa are identified and characterized by top-down proteomicsthrough fraction collection and direct infusion at relatively lowthroughput. Further, other MS-based techniques provide top-down proteincharacterization, however at low resolution for intact mass measurement.Here, we present analysis of standard (up to 78 kDa) and whole celllysate proteins by Fourier transform ion cyclotron resonance massspectrometry (nLC electrospray ionization (ESI) FTICR MS). The separationplatform reduced the complexity of the protein matrix so that, at14.5 T, proteins from whole cell lysate up to 72 kDa are baselinemass resolved on a nano-LC chromatographic time scale. Further, theresults document routine identification of proteins at improved throughputbased on accurate mass measurement (less than 10 ppm mass error) ofprecursor and fragment ions for proteins up to 50 kDa.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/ancham/2012/ancham.2012.84.issue-5/ac202651v/production/images/medium/ac-2011-02651v_0004.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/ac202651v'>ACS Electronic Supporting Info</A></P>

Finitude, Death, and Play in Faulkner`s As I Lay Dying

( Kelly S Walsh ) 미국소설학회(구 한국호손학회) 2012 미국소설 Vol.19 No.2

In his self-proclaimed tour de force, As I Lay Dying, William Faulkner reveals death to be a transformative force, one that, in its very opacity, constitutes a source of inconclusive and potentially endless mental play. Self-consciously aware that the human mind will never succeed in bridging the caesura between life and death, his novel nevertheless seeks to exhaust itself in attempting the venture. These confrontations between the human imagination and finitude rearticulate (the thinking of) living and dying as near-infinite play, while rendering death just as strange and remote as ever and closure just as elusive. And forced to think using a language in which "words dont ever fit even what they are trying to say at," the irrepressible human desire for wholeness and self-knowledge, along with the attempt to recuperate loss, is perpetually frustrated. Ultimately, Faulkner`s play is reflective of, or analogous to, Derrida`s notion of it, but without the "joyous affirmation" the philosopher draws from it. This play promises, as long as there are words, to defer transcendence or an overcoming that would reveal the limits of our finite condition. In As I Lay Dying, then, Faulkner conveys the suspicion that what remains of our capacity to reinvent the world might very well be play; nevertheless, as his example testifies, the ever-failing search for truth, origin, and plenitude will continue, interminably.

“What a Difference a Tail Makes”: Woolf, Modernism, Feminist Posthumanism

( Kelly S Walsh ) 한국영미문학페미니즘학회 2019 영미문학페미니즘 Vol.27 No.1

In A Room of One’s Own, Virginia Woolf’s narrator, luncheoning with university fellows, spies a Manx cat and registers a lack in the conversation around her, a difference in the sound of voices, and speculates on the different kinds of poetry men and women might have hummed at parties prior to World War I. Finding the thought “ludicrous,” she explains her laughter by pointing to the tailless cat, thinking: “It is a queer animal, quaint rather than beautiful. It is strange what a difference a tail makes.” The “strangeness” of this “difference,” I argue, reflects the deep, intricate entanglement of human and nonhuman in Woolf’s feminist thinking, which decenters patriarchal, humanist epistemologies and de-essentializes gender and other identity categories. Woolf’s complex notion of androgyny, then, may be productively revisited from a posthumanist perspective, for her modernist anthropomorphisms subvert the will to dominate, universalize and hierarchize, inherent in anthropocentric thinking. Ultimately, her staging of new, less anthropocentric relations between human and nonhuman, “thinking of things in themselves,” generates a form of critique that denaturalizes hierarchy, affirms difference, and invites collaboration to create a world where the woman writer “shall find it possible to live and write her poetry.”