중·고등학생 장애이해 교육

우이고,이유훈,권택환,김희규,유장순,최세민 국립특수교육원 2004 연구보고서 Vol.- No.3

본 연구는 중등통합교육현장의 장애이해교육 현황과 문제점을 알아보고 바람직한 장애 이해교육 자료를 개발하기 위해 수행되었다. 연구 대상은 중등 통합교육 현장에 근무하는 208명의 교사로 하였으며 이들에게 설문과 심층 면담을 실시하여 통합교육 현장의 장애이해교육 현황과 문제점을 알아보았다. 본 연구를 통해 나타난 결과를 요약 정리하면 다음과 같다. 첫째, 장애이해교육의 필요성에 대한 학교관리자의 인식이 긍정적이지 못한 경우가 많다는 점이다. 이로 인해 교육현장에서 장애이해교육을 실시하기 위한 시간확보와 이해교육을 실시하는데 많은 어려움이 있는 것으로 나타났다. 이러한 문제를 해결하기 위해서는 우선적으로 학교관리자가 장애인식 개선을 위한 장애이해 교육의 필요성을 인식하고 이를 적극적으로 지원할 수 있는 방안을 마련해야 할 것이다. 둘째, 장애이해교육을 실시하는데 필요한 시간을 확보하기 어려워 장애이해교육을 형식적으로 실시하거나 실시하지 못하는 경우도 있는 것으로 나타났다. 이러한 문제를 해결하기 위해서는 특수교육담당 장학사나 국립특수교육원과 같은 연구기관에서 장애이해교육의 필요성과 그에 따른 시간확보 방안 등에 대한 지침을 제공해 줄 필요가 있다. 셋째, 장애이해교육 실시 대상이 대부분 일반학생 중심으로 되어 있어 일반 교사나 학부모 그리고 학교 관리자에 대한 장애이해교육이 부족하다는 점이다. 이러한 문제를 해결하기 위해서는 일반학생의 장애이해교육과 더불어 교사와 학부모 그리고 학교 관리자를 대상으로 장애이해교육을 실시할 수 있는 자료의 개발과 더불어 교수 방법에 대한 지속적인 관심이 필요할 것이다. 넷째, 장애이해교육 자료가 다양하지 못하다는 점이다. 즉 학생에게 실시하는 장애 이해교육 자료와 교사나 학부모 그리고 학교관리자에게 실시하는 장애이해교육 자료는 그 내용뿐 아니라 전달 방법도 달라야 할 것이다. 그러나 대부분 학교에서는 동일한 자료를 사용하는 경우가 많아 그 효과를 기대하기 어렵다. 이러한 문제를 해결하기 위해서는 교육대상의 특성을 고려한 다양한 장애이해교육 자료를 조속히 개발 보급할 필요가 있을 것이다. 다섯째, 장애이해교육을 실시하기 위한 자료의 수량이 부족할 뿐 아니라 기존의 자료의 질에 대한 만족도가 낮기 때문에 효율적인 장애이해교육을 실시하기 어렵다는 점이다. 이러한 문제를 해결하기위해서는 교육현장에서 활용할 수 있는 질 높은 장애이해교육 자료를 지속적으로 개발 보급할 필요가 있다. 여섯째, 장애이해교육활동 시기가 대부분 학기 초나 장애인의 날과 같은 특성 기간에 집중되어 있으며 실시하는 시간 또한 대부분 재량활동시간에 집중되어 있다는 점이다. 이와 같이 장애이해교육을 특정 기간에 집중적으로 실시할 경우 교육의 효과가 지속적으로 나타나기 어렵고 일회성 행사에 그칠 수 있기 때문에 가급적 연중 계획을 세워 실시할 수 있는 방안을 마련해야 할 것이다. 일곱째, 장애이해교육을 할 때 사용하는 모델이 시각장애, 청각장애 및 지체부자유 같은 특정 장애영역 중심으로 되어 있다는 점이다. 그런데 대부분 교육현장에는 이러한 장애보다는 발달장애학생이 많기 때문에 이들에 대한 이해교육이 보다 중요하게 다루어져야 할 것이다. 끝으로 본 연구를 통해 얻어진 결과를 토대로 장차 보다 깊이 있게 다루어져야 할 내용과 정책 결정시 고려해야 될 내용을 중심으로 제언하면 다음과 같다. 첫째, 통합교육이 효과적으로 이루어지기 위해서는 무엇보다도 장애학생과 통합교육에 대한 긍정적인 인식이 필요하다. 장애학생의 통합을 위해 물리적인 편의시설과 설비, 교재 교구의 확보도 중요하지만 함께 교육활동에 참여하는 학생과 교직원 그리고 지역사회가 장애학생과 통합교육에 대해 보다 긍정적인 인식을 갖도록 다양한 노력을 기울여야 할 것이다. 둘째, 현장 중심의 다양한 통합교육관련 프로그램을 개발 보급할 필요가 있다. 일반교육 현장에서의 보다 효과적인 통합교육을 실시하는데 도움이 되는 연구 프로젝트를 다양하게 제안하고, 통합학급교사와 특수교육교사의 협력방안과 장애학생 가족지원 방안 등에 대한 연구가 필요하다. 셋째, 현장교사와 심층면담 결과 장애이해교육에 필요한 자료를 어디에서 구입해야 되는지 알 수 없다고 하는 교사가 많았다. 따라서 기존의 장애이해교육 자료를 활용할 수 있는 도서 목록이나 자료집을 발간하여 현장에서 보다 쉽게 활용할 수 있도록 해야 할 것이다. 넷째, 설문조사와 면담 결과 아직까지도 장애이핵육의 필요성을 느끼지 못하거나 시간이 없어 장애이해교육을 실시하지 못한다는 교사도 있었다. 따라서 장애이해교육의 필요성에 대한 안내와 교육현장에서 장애이해교육이 지속적으로 이루어질 수 있는 방안이 마련되어야 할 것이다. The purpose of this study is to investigate the status of disability awareness education and develop materials to teach secondary school students to understand disabilities. In order to achieve the purpose a survey and interviews were conducted to 208 teachers of secondary inclusive schools. The results of the research areas follows. First, school administrators' perception tends to be not positive about disability awareness education. Therefore, there are difficulties in time allocation and implementation of disability awareness education at schools. Measures are needed to improve school administrators' perception to encourage them to support disability awareness education. Second, difficulty in allocating time for disability awareness education is a problem which hinders the implementation of disability awareness education. Special education inspectors or KISE(Korea Institute for Special Education) need to provide directions to time allotment for disability awareness education. Third, most of current disability awareness education is for students without disabilities. Disability awareness education for parents, teachers and administrators lacks in quantity and quality. Therefore, development of various materials and teaching methods for disability awareness education that are appropriate for teachers, parents and school administrators should be developed and continuous concern should be followed. Fourth, there are not various types of materials for disability awareness education for different groups of people. Though different contents or methods work for different groups, most schools actually use the same materials for students, parents and teachers. Various types of materials should be developed to provide efficient disability awareness education for different groups of people. Fifth, materials for disability awareness education lack in quantity and also the quality of current materials is not considered satisfactory. More materials of good quality should be developed and disseminated to the field successively. Sixth, the time for disability awareness education is concentrated on specific times such as the beginning of a school year or the Day for the disabled. Disability awareness education is implemented mostly during discretionary activities classes at schools. It is difficult to expect sustained effects of the education when it happens only at specific times of a year and in specific classes. It is encouraged that schools should set up plans for disability awareness education throughout the year. Seventh, the current disability awareness education tends to concentrate on specific disability category such as visual impairment, hearing impairment or physical disabilities. However, students with developmental disabilities are found more often at schools than the students with disabilities mentioned earlier. Therefore, disability awareness education about developmental disabilities should be regarded as more important. Based on these results here are some suggestions which need to be considered for further research and policy making. First, a positive attitude on disability and inclusive education is most important for successful implementation of inclusion. Besides convenient facilities and materials for the disables students various efforts should be exerted to promote disability awareness of students, school staff and community. Second, various programs related to inclusive education need to be developed and disseminated. Research projects and programs to support inclusive education such as programs to promote collaborative among regular educators and special educators and family support for students with special needs should be carried out in the field. Third, teachers said that they had no information about where they could get materials for disability awareness education in the interviews. Handbooks with lists of materials need to be developed and provided. Fourth, the result shows that there are teachers who do not understand reasons for disability awareness education or can not find time for disability awareness education. Therefore, guidance of the reasons for disability awareness education and measures for disability awareness education at schools should be continuously provided in efficient ways.

유아용 조제 분유가 치태 pH에 미치는 영향에 관한 연구

정우진,이상훈,한세현 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.1

Infant formula in nursing bottle, with inappropriate feeding habits, is major factor associated with the development of nursing caries. Although each infant formula has different carbohydrate and protein composition, studies comparing cariogenic potential of many Korean-branded infant formulas are deficient. In addition, it is on the point of being difficult to evaluate the cariogenecity of milk due to development of many infant formulas. In this study, to evaluate the cariogenic potential of many infant formulas, after oral rinse with six Korean-branded infant formulas(three milk based formulas, one soy based formula and two specific formulas for infants with allergy to milk protein and with lactose intolerance) for ten adult volunteers(eight males and two females), plaque pH change was measured with In vivo/In vitro combination technique and results were as follows. 1. All six different kinds of Korean-branded commercial infant formulas dropped the plaque pH significantly(p<0.05) and at an hour after rinse, plaque pH was not recovered in most of subjects. 2. Soy based infant formula and casein-hydrolyzated infant formula containing no casein dropped the plaque pH significantly more than milk based infant formula containing casein(p<0.05). 3. In the milk protein of infant formulas, casein had more effect on buffering the pH change of the infant formula than whey protein and casein-hydrolyzated infant formula had a refuced effect of casein. 4. In infant formulas with similar protien composition, infant formula containing sucrose dropped plaque pH more than infant formula containing lactose, but there was no significant difference(p>0.05).

레이저 포화흡수체 Nd:LSB에 관한 연구

지명훈,오세용,이영우 목원대학교 멀티미디어신기술연구소 2001 멀티미디어신기술연구소논문집 Vol.1 No.1

본 논문에서는 다른 Q-스위칭용 포화흡수체보다 넓은 천이 영역을 가지고 있는 포화흡수체 Nd:LSB가 Q-스위칭 소자로서 가능한지 보였으며, 최적화된 출력 거울의 반사율, 최대 출력, 출력 에너지, 펄스폭, 출력 효율을 수치적으로 분석하였다. 그 결과 Nd:LSB를 이용한 1319nm 파장의 수동형 Q-스위칭 Nd:YAG 레이저의 특성을 예측할 수 있었고, 공진기 거울의 반사율 98%, 공진기 길이 30㎝로 하였을 경우 출력 31.3MW, 펄스폭 6.22ps를 얻을 수 있다. In this study, it's shown that the saturable absorber Nd:LSB which has broad absorption bandwidth than other saturable absorber as Q-switching system has a capability as a saturable absorber in Q-switching system. In this system, we theoretically analyzed the optimized output mirror, peak power, output power, pulse width and output efficiency. As the result, the passively Q-switched 1319nm Nd:YAG laser using Nd:LSB as a saturable absorber gives the optimized output mirror reflectivity 98% and peak power of 31.3MW and pulse width of 6.22ps at 30㎝ resonator length theoretically.

톨루엔 노출 근로자에서 유전자적 요인, 생활습관 및 식이가 요중 마뇨산 배설에 미치는 영향

임현우,박정일,노영만,이강숙,이정민,이원철,이세훈,정치경 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 본 연구는 생물학적 지표 특성 연구를 위한 단면조사 연구로서 톨루엔 노출과 톨루엔의 생물학적 모니터링으로 이용되는 요중 마뇨산 농도간의 양-반응 관계에서 효과 변경인자로서 작용하는 유전자 ALDH2, CYPIAI, CYP2El의 다양성 분포를 조사하고, 이들 유전자가 요중 마뇨산 배설 농도에 미치는 영향을 알아보고자 하였다. 방 법 : 연구대상자는 경인지역에 위치한 22개의 사업체에서 페인트 제조 72명, 제조업에서 도장작업 50명, 인쇄업 12명, 접착작업 12명, 벽지의 코팅작업 14명등 160명의 근로자이었다. 성, 연령, 유기용제 작업장 근무경력, 흡연습관, 음주습관, 검사일 이전 밤에 음주 여부, 시료 채취전 6시간 이내에 섭취한 식품조사, 측정일 개인보호구의 착용 여부에 대하여 설문조사를 시행하였다. 톨루엔에 대한 개인노출량은 passive air sampler로 측정하였고, 요중 마뇨산은 요중 크레아틴으로 보정하여 측정하였다. 또한 aldehyde dehydrogenase 2 (ALDH2) , cytochrome P45O IAI(CYPIAI), 그리고 cytochrome P45O 2El(CYPfEl)의 유전적 다양성은 혈액으로부터 백혈구의 DNA를 추출하여 제한 효소 절단 길이 다양성 (restiction fragment length polymorphism, RFLP)법으로 검사하여 다음의 결과를 얻었다. 결 과 : 연구대상자의 요중 마뇨산 농도의 기하평균은 0.44g/g creatinine, 기하표준편차 2.80이었다. 톨루엔 노출 농도, 개인 보호구 착용여부, 안식향산이 함유된 식품의 섭취여부중 요중 마뇨산 배설농도에 영향을 미치는 인자는 톨루엔 노출 농도뿐이었다. ALDH2, CYPIAI, CYPfEl, 연령, 흡연, 근무기간에서 회귀계수간에 차이를 보이는 경향이 있었다. 요중 마뇨산 농도에 대한 다중회귀분석에서 톨루엔, ALDH2, CYPIAI, CYP2El유전자형의 회귀계수가 통계적으로 유의하였다. 결 론 : 톨루엔 노출로 인한 요중 마뇨산 배설 농도는 ALDH2, CYPIAI, CYP2El유전자 다양성에 의해 영향을 받기 때문에, 유전자형의 대사능의 차이를 고려하여 마뇨산 기준 농도를 찾는 연구가 이루어져야 하겠다. Objectives The purpose was to investigate the distributions and the effects of genetic polymorphism of aldehyde dehydrogenase 2(ALDH2), cytochrome P45O IAI (CYPIAI), and cytochrome P45O 2El (CYPfEl) on the toluene metabolism. Methods : The subacts consisted of 160 workers who were exposed to toluene in different industries such as paint manufacturing, painting on steel and wood products, printing, bonding, and coating. The exposed toluene level was monitored by passive air sam paler, and the questionnaire variables were age, sex, smoking, drinking, previous night's drinking, use of personal protectlve equipment, work duration, and taking benzoic acid containing food. The urinary hippurric acid collected in the end of shift was corrected by urinary creatinine concentration. The genotypes of ALDH2, CYPIAI, and CYP2El were investigated using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) methods with DNA extracted from venous blood. Results'The geometric mean and the geometric standard deviation of urinary hippuric acid concentration were 0.44 g/g creatinine and 2.80. The urinary hippuric acid concentration was significantly related to personal exposed toluene level among personal exposed toluene level, use of personal protective equipment, and benzoic acid containing food diet. The slope differences of the regression for ALDH2, CYPIAI, and CYP2E1 genetic polymorphism, age, smoking, and work duration tended to be significant. In multiple regression analysis, the regression coefficient of toluene, ALDH2, 7YPIAl, CYP2E1 genetic polymorphism were significant. Conclusions : From the above results, urinary hippuric acid level after toluene exposure was significantly affected by the genetic polymorphism of ALDH2, CYPIAI, CYPfEl. It is needed further investigation of the urinary hippuric acid level considering the effect of genetic polymorphism.

EduCODE : SCORM 지원 교육용 컨텐츠 개발 방법 Educational Contents Development method for SCORM supporting

서대우,이세훈,왕창종 한국컴퓨터교육학회 2002 컴퓨터교육학회 논문지 Vol.5 No.4

이 논문에서는 교육용 컨텐츠 개발 방법인 EduCODE를 제안하고 이를 지원하는 시스템을 설계 및 구현하였다. EduCODE는 영역 모델, 항해 모델, 추상 인터페이스 모델, 애셋 모델 등 4개의 모델로 구성하였으며, 컨텐츠의 구성을 다이어그램으로 표현할 수 있는 표기법을 제안하였다. EduCODE를 지원하기 위한 자동화 시스템은 저작 모듈과 실행 모듈로 구성되어 있으며, 저작 모듈에서 생성된 각 명세서는 국제적인 교육용 컨텐츠 표준인 ADL SCORM XML 코드를 자동으로 생성하고 실행 모듈과 웹 서버를 통해 서비스된다. In this paper we proposed EduCODE for educational contents development method and designed the system to support EduCODE. There are four models in EduCODE such as domain model, navigation model, abstract interface model, and asset model. The method includs graphic notations for contents structure. The system to support EduCODE consisted of authoring module and run-time module. The authoring module automatically generates ADL SCORM XML code using specifications produced by EduCODE and the code is serviced to a client by run-time module and web server.

역행적 골수정 삽입술을 이용한 대퇴골 과상부 골절의 치료

권진우,신승호,조원호,성기호,김기환,손경태,이상훈,박세원,배종문,권태우 대한골절학회 2003 대한골절학회지 Vol.16 No.4

國立大學 敎育施設의 維持管理 및 改善方案

홍세현,이용우,이훈 충북대학교 산업과학기술연구소 2002 산업과학기술연구 논문집 Vol.16 No.1

Since 1980s, the educational facilities of university are getting explosive, because of enlargement of entering high-level education. Consequently, the new educational buildings of university are constructed, but the management of existing facilities is superannuated. And this problem makes difficult to serve amenity spaces for education. In this thesis, I will find out the efficiently management for the educational facilities of university. I will make the problems clear and suggest the improvement by investigating and analyzing the existing state of the facilities, and the appropriation of the budget, in the there national universities in Chungbuk province.

Intentional Replantation에 의한 상악 제 1 소구치 치료의 증례보고

김종범,한세현,정우진,이상훈 大韓小兒齒科學會 1997 大韓小兒齒科學會誌 Vol.24 No.3

Intentional replantation of the posterior teeth has been performed as a last resort except extraction when it is impossible to perform the conventional endodontic or surgical endodontic treatment. Many studies have done with the prognosis, and root resorption, of which the responsibility might have been injury of periodontal ligament and remaining periodontal lesion, proved to be major cause of failure. Intentional replantation, however, can exclude anatomic difficulty, risk of nerve injury, and maxillary sinus trauma that surgical access can raise, especially in posterior teeth, and it is reported that success rate is not less than surgical endodontics, independent of replantation of traumatically avulsed teeth. The success of intentional replantation can be evaluated with, clinically, ruduction of pocket depth, pain and mobility(physical mobility), and, radiographically, hard tissue formation, reduction of periapical radiolucency. In this case report, for the maxillary left first bicuspid with dens evaginatus that had periapical lesion, painfulness, mobility and showed no reduction of mobility after even extirpation and a number of irrigation, extraction followed by extraoral root filling with calcium hydroxide and replantation was performed. Based on many studies, it is concluded that hard tissue formation capacity of calcium hydroxide, preceded exterpation before extraction, and careful extraction without injuring periodontal ligament affected successful results of this case.

Air abrasive technique 을 이용한 복합레진 수복 증례

장기택,이상훈,한세현,이창우 大韓小兒齒科學會 1997 大韓小兒齒科學會誌 Vol.24 No.4

The air abrasive technique is a non-mechanical method by which teeth are treated before restoration and stains and calculi are removed from tooth surfaces using the kinetic energy of small particles. The air abrasive technique in dentistry was first introduced in the 1950's with as instrument called 'Airdent'. But, as the main restorative materials of the period were amalgam and gold, and the instrument's inability to control the flow of particles caused the particles to be spread throughout the clinics, widespread use was not possible. In the 1990's, as these techincal problems were solved and more interest in new restorative materials rose in an effort to preserve sound tooth structure, new developments took place in instruments related to the air abrasive technique. The air abrasive technique produces less pressure, vibration and heat that might cause patient discomfort and facilitates the preservation of sound tooth structure. It also reduces the need for anesthesia and is less harmful to the pulp. Other advantages include increase in dentin bonding strength of composite resin, lower possibility of saliva contamination and maintenance of a dry field. But there is not direct contact between the nozzle and the tooth, the operator cannot use his or her tactile sense and must rely solely upon visual input. Other disadvantages are : the tooth preparation depends on the operator's ability ; alpha-alumina particles, after bouncing off the tooth surface, cause damage to dental mirrors ; the equipment is expensive and takes up a certain amount of space in the clinic. The author conducted case report using the air abrasive technique on patient visiting the Department of Pediatric Dentistry at Seoul National University Dental Hospital and arrived at the following conclusions. 1. The tooth preparation capability of different air abrasive devices varied widely among manufacturers. 2. It was more effective in treating early caries lesions and stains compared to lesions where caries had already progressed to produce soft dentin. 3. The cold stream and noise caused by the evacuation system was a major cause of discomfort to pediatric patients. 4. As there is no direct contact with tooth surface when using the air abrasive technique for tooth preparation, considerable experience and skill is required for proper tooth preparation.

한국인 주요우울장애 환자에서 혈중 ACTH, Cortisol 농도와 해밀턴 우울 평가 척도의 신체증상 항목과의 상관관계

여혜빈,김린,함병주,심세훈,권영준,정희연,정한용,한상우,이민수,이화영 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

Objectives:Hypothalamic-Pituitary-Adrenocortical(HPA) system dysregulation plays an important role in the pathophysiology of major depressive disorder. Medically unexplained somatic symptoms comprised the predominant complaints of korean patients with major depressive disorder. It might be related to dysregulation of HPA system and somatic symptoms. The aim of this study was to investigate the association between Hamilton Depression Rating Scale severity and the Plasma Adrenocorticotropic Hormone(ACTH) & Serum Cortisol level in Korean patients with major depressive disorder. Methods:Our study design was prospective. A total 111 hospitalized patients with major depressive disorder (DSM-IV) at Anam Hospital, Korea University Medical Center between Jan 2009 and May 2011 were selected. Hamilton Depression Rating Scale was measured by psychiatrist. Plasma ACTH, Serum Cortisol levels were analyzed at the time of admission. Results:There are significant correlations(p<0.05) between Hamilton Depression Rating Scale of somatic component(HAM-D 11-15 item) and Plasma ACTH and Serum Cortisol level. However, other HAM-D sub items were not significantly correlated with Plasma ACTH and Serum Cortisol level except somatic component. Conclusion:Our Study results suggest that hyperactivity of HPA axis might be correlation with somatic symptoms in korean patients with major depressive disorder.