소아청소년암으로 자녀와 사별한 부모들의 사별지원 서비스 욕구와 선호

김민아 ( Kim¸ Min Ah ),김찬권 ( Kim¸ Chan Kwon ),정대희 ( Jung¸ Dae Hee ) 한국보건사회연구원 2020 保健社會硏究 Vol.40 No.4

소아청소년암으로 자녀를 잃은 부모들의 사별슬픔을 완화하고 새로운 삶의 의미를 되찾기 위해서는 사별지원 서비스가 중요하다. 본 연구는 소아청소년암으로 자녀와 사별한 부모의 사별지원 서비스에 대한 욕구와 선호에 대해 파악하였다. 총 58명의 사별부모들이 구조화된 설문조사에 참여하여 사별지원 서비스 도움 정도에 대한 인식, 이용경험 및 이용 의사, 서비스 관련한 선호 주제에 대해 응답하였다. 분석방법으로는 빈도분석 및 기술분석, 독립표본 t-검정을 실시하였다. 연구 참여자들은 자녀의 임종 직후 머물 수 있는 조용한 공간이나 둘만의 시간을 갖도록 지원하는 서비스가 가장 도움이 된다고 인식하였고, 서비스 유용성 인식은 성별, 연령, 자녀의 진단명에 따라 차이가 있었다. 가장 많이 이용하는 서비스로는 임종 전후에 드리는 종교예식 및 지지모임으로 나타났다. 사별지원 서비스로 선호하는 주제는 연령, 최종 학력, 소득, 종교, 남은 자녀유무, 진단명, 사망 시 자녀 연령에 따라 차이가 있는 것으로 나타났다. 본 연구결과를 통해 사별가족의 서비스 욕구를 소통할 수 있는 기회를 마련하고, 사별부모들의 욕구에 기반한 지지적인 서비스를 제공함으로써 이들의 사별슬픔과 애도를 지원하며 삶의 회복에 실질적인 도움을 줄 수 있기를 기대한다. Bereavement support services are important to help bereaved parents who lost their child to cancer cope with grief and find new meaning in living after the death of child. This study examined the bereavement service needs and preferences of bereaved parents who lost a child and adolescents with cancer. A total of 58 bereaved parents who lost a child to cancer participated in a questionnaire that assessed helpfulness ratings, actual and projected service utilization of bereavement support services, and preferences for topics they would like to discuss about regarding bereavement services. Frequency and descriptive analyses and independent t-test were conducted. Participants reported time alone with deceased child and quiet room after death would be the most helpful. The degree to which the service is perceived to be helpful was different by gender, age, and diagnosis. The most commonly used services were chaplain before or at the time of death and support groups. Preferred topics for bereavement services were different by age, education, income, religion, other surviving children, diagnosis, child’s age at the time of death. This study informs provision of opportunities that share bereaved parents’ needs about the support services as well as provision of bereavement support services based on their needs, and thus, helping them grieve and recover their life.

고종 즉위 초 종친부 강화와 경복궁 내 제례 공간의 확장

이민아 ( Lee¸ Min-ah ) 한국사상사학회 2021 韓國思想史學 Vol.- No.68

고종 즉위와 함께 흥선대원군 주도로 경복궁이 중건되었다. 중건 경복궁은 조선 초 경복궁의 재현이 아니라 조선후기에 축적된 의례 전통이 발현된 결과물이었다. 의례 공간 중에서도 제례 공간이 확대되었다는 점은 중건 경복궁의 주목할 만한 특징이다. 제례 공간은 흉례(凶禮)를 위한 빈전(殯殿) ㆍ혼전(魂殿) 권역과 선왕의 어진을 봉안한 길례(吉禮) 공간인 선원전(璿源殿) 권역으로 나누어 살펴볼 수 있다. 이때 빈전, 혼전 및 선원전은 모두 종친부와 긴밀히 연결되어 있었다. 흥선대원군은 경복궁을 중건하면서 종친부의 정치적 권한을 확대함과 동시에 종친부 건물을 확장하였다. 종친부는 광화문 앞 의정부ㆍ삼군부와 경복궁을 사이에 두고 긴밀하게 연결되어 하나의 권역을 형성했다. 종친부 내 핵심 건물은 흥선대원군의 집무실인 아재당(我在堂)과 함께 철종의 어진을 봉안한 천한전(天漢殿)이었다. 흥선대원군은 경복궁 선원전에서 철종을 배제하는 대신 종친부 내에 새로운 철종 어진봉안처, 천한 전을 건립하였다. 이로써 선원전 권역이 궐 밖으로 확장된 것이다. 이와 함께 궁궐 내 빈전 및 혼전 등 흉례 공간이 궁궐 북서쪽 권역에 들어섰다. 그런데 이 공간은 전체 궁궐면적의 1/5 가량을 차지하지만 건물 사이의 밀도는 매우 낮았다. 이는 중건 경복궁 내에서 흉례 공간이 특별한 위상을 지니고 있었음을 보여준다. 위와 같은 선원전 및 빈전ㆍ혼전 공간은 종친부가 의례를 주도하는 대표적인 공간이었다. 소렴과 대렴 의식 등 흉례 의식이 진행될 때 종친이 백관과 함께 거애 의식에 참여하는 것은 국초부터 정해진 의례 절차였다. 진향 절차에서 종친은 항상 문무백관 앞에서 의식을 진행하기 때문에 빈전ㆍ혼전 공간은 자연스럽게 위계를 형성할 수 있는 공간이었다. 그리고 종친과 문무백관 다수가 의식에 참여해야 했기 때문에 더 넓은 공간이 확보되어야 했으며, 종친이 의례를 주도하는 공간이기 때문에 더욱 강조된 것이다. 이와 같이 중건 경복궁은 종친부 강화라는 맥락에서 종친부 공간과 연동해서 해석해야만 그 특징을 명확히 이해할 수 있다. The ceremonial space is an important component of the palace. In particular, the ritual space was a symbolic space expressing the ideology of ‘filial piety(孝)’. When Gyeongbokgung was reconstructed, the ceremonial space was expanded. The ceremonial spaces of Gyeongbokgung Palace, Binjeon(殯殿), Honjeon(魂殿), and Seonwonjeon(璿源殿) are all closely connected with Jongchinbu(宗親府). When Heungseon Daewongun(興宣大院君) reconstructed Gyeongbokgung Palace, he expanded the Jongchinbu building. Jongchinbu is close to Uijeongbu(議政府), Samgunbu(三軍府) and Gyeongbokgung Palace(景福宮). All these spaces are connected. Ahjaedang is the office of Heungseon Daewongun, and Cheonhanjeon is the building where the portrait of King Cheoljong(哲宗) is enshrined. The portrait of King Cheoljong did not exist in the newly built Seonwonjeon Hall of Gyeongbokgung Palace. Instead, the Cheonhanjeon(天漢殿) was built to enshrin the portrait of King Cheoljong in Jongchinbu. In the end, the Seonwonjeon area was extended outside the palace through Cheonhanjeon. The Binjeon and Honjeon buildings are located in the northwest area of the palace. It occupies 20% of the total area of the palace. However, the density of each building was very low. As such, the ceremonial space occupied a high position in Gyeongbokgung Palace. When performing the ritual, When performing the ritual, Jongchin stood in front of the king’s servant. A hierarchy was formed in the sacrificial space. And because there were so many people in attendance, they needed more space. When Heungseon Daewongun strengthened the Jongchinbu, the ancestral hall of Gyeongbokgung was expanded. The sacrificial space was emphasized because it was the space of Jongchin.

[PC-0021] Construction of Deep Learning-Based Disease Detection Model in Plants

Minah Jung(Minah Jung),Jong Seob Song(Jong Seob Song),Ah-Young Shin(Ah-Young Shin),Beomjo Choi(Beomjo Choi),Sangjin Go(Sangjin Go),Suk-Yoon Kwon(Suk-Yoon Kwon),Juhan Park(Juhan Park),Sung Goo Park(Sun 한국육종학회 2022 한국육종학회 공동학술발표집 Vol.2022 No.-

The Characteristics of the Sewage Sludge Biochar via Hydrothermal Carbonization

( Minah Oh ),( Woori Cho ),( Wonduck Cheong ),( Seungjin Oh ),( Seong-kyu Park ),( Jai-young Lee ) 한국폐기물자원순환학회 2016 젊은 연구자 학술연구발표회 Vol.14 No.0

Kinetic Study on Aminolysis of 4-Nitrophenyl Isonicotinate in Acetonitrile: Effect of Amine Basicity on Reactivity and Reaction Mechanism

Minah Shin,Min-Young Kim,엄익환 대한화학회 2014 Bulletin of the Korean Chemical Society Vol.35 No.7

A kinetic study is reported on nucleophilic substitution reactions of 4-nitrophenyl isonicotinate (7) with a series of cyclic secondary amines in MeCN. The plots of kobsd vs. [amine] curve upward for the reactions with weakly basic amines (e.g., morpholine, 1-(2-hydroxyethyl)piperazine, and piperazine) but are linear for those with strongly basic amines (e.g., piperidine and 3-methylpiperidine). The curved plots for the reactions with the weakly basic amines are typical for reactions reported previously to proceed through uncatalyzed and catalyzed routes with two intermediates (e.g., a zwitterionic tetrahedral intermediate T± and its deprotonated form T–). In contrast, the linear plots for the reactions with the strongly basic amines indicate that the catalytic route (i.e., the deprotonation process to yield T– from T± by a second amine molecule) is absent. The Brønsted-type plots for Kk2 and Kk3 (i.e., the rate constants for the uncatalyzed and catalyzed routes, respectively) exhibit excellent linear correlations with βnuc = 0.99 and 0.69, respectively. The effect of amine basicity on the reaction mechanism is discussed in detail.

The Current Surveillance Strategy Does Not Improve the Detection Rate of Small Hepatocellular Carcinoma: A Single-Center Experience in South Korea

( Minah Jon ),( Jae-jun Shim ),( Shin Ju Oh ),( In Zoo Choi ),( Chi Hyuck Oh ),( Byung-ho Kim ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1

Aims: Abdominal ultrasonography (US) and alpha-fetoprotein (AFP) testing are components of the nationwide liver cancer surveillance program in South Korea. However, whether this surveillance strategy improves the detection rate of single and small (< 2 cm) hepatocellular carcinoma (HCC) in high-risk groups is unclear. Methods: We investigated the detection process and the clinical features of small HCC in a single healthcare center in South Korea from 2006 to 2015. Surveillance comprised US and AFP screening every 6 to 12 months; computed tomography (CT) was performed in place of US at the discretion of the clinician. Results: During the study period, 916 patients were newly diagnosed with HCC, of whom 91 (9.9%) had a small HCC. The proportion of small HCC was 9.5% from 2006 to 2010 and 10.4% from 2011 to 2015 (P=0.677). The proportion of small HCC did not increase significantly during the 10-year period (Figure, P for trend = 0.297). The majority of patients with small HCC were detected by surveillance (N=57, 62.6%), followed by screening (N=14, 15.4%), and incidentally (N=20, 22.0%). Between 2006 to 2010 and 2011 to 2015, 65.2% and 60.0%, respectively, of small HCCs were detected by surveillance (P for trend=0.609). CT scan detected the largest proportion of small HCCs (45.1%), followed by US (40.7%), AFP elevation (12.1%), and magnetic resonance imaging (MRI) (2.2%). The overall 1-, 3-, and 5-year survival rates of treated patients were 96.0%, 84.6%, and 79.8%, respectively. Transarterial chemoembolization (TACE) was the most commonly performed initial treatment (N=46, 50.5%), due to an unfavorable tumor location or decreased liver function. Surgical resection and ablation were performed in 11 (12.1%) and 26 (28.6%) patients, respectively. However, there was no significant difference in the overall survival rate between patients who underwent surgical resection and those subjected to surgical ablation (P=0.295 by log-rank test). Conclusions: Surveillance plays a major role in early detection of HCC. However, the current surveillance strategy is inadequate for the detection of small HCC in cirrhotic patients; more effective and practical surveillance strategies are needed.

Traumatic Neuromas of the Penis: A Case Report

( Minah Cho ),( Yu Ri Woo ),( Sang Hyun Cho ),( Jeong Deuk Lee ),( Hei Sung Kim ) 대한피부과학회 2023 Annals of Dermatology Vol.35 No.7

Origin of the α-Effect in Detoxification of Paraoxon and Parathion by Hydrogen Peroxide Anion

Minah Shin,Song-Eon Yeo,Min-Young Kim,엄익환 대한화학회 2013 Bulletin of the Korean Chemical Society Vol.34 No.12

Crusted Scabies in a Patient With Intellectual Disability

Minah Cho,Hei Sung Kim 대한의학회 2022 Journal of Korean medical science Vol.37 No.19

The Feasibility Study on SRF with Inclusion of Bulky Waste and Disposable Plastic Bags

( Minah Oh ),( Hee-sung Moon ),( Woori Cho ),( Won-duck Chung ),( Jai-young Lee ) 한국폐기물자원순환학회(구 한국폐기물학회) 2015 한국폐기물자원순환학회 3RINCs초록집 Vol.2015 No.-

In this study, we applied a modified SRF product quality based on a mix of disposable plastic bags and inclusion of bulky waste to estimate the mixing ratio which can be the energy efficiency of coal for fuel. Physical properties of inclusion of bulky waste, element analysis when mixing for disposable plastic bag, SRF were analyzed. As a result, as the physical properties, Woods is 83.6%. Inclusion of bulky waste : disposable plastic bag mix ratio [3:7], [5:5], [7:3] were both satisfied with the quality criteria. The low calorific value was proportionally increased when disposable plastic bag mixing ratio increase. Therefore, disposable plastic bag mixing ratio of [6: 4] is similar of coal for fuel value of 5,950 kcal / kg.