미술치료 석사과정생의 정신과 임상실습 체험연구

김시내,장연집 서울여자대학교 2010 심리치료: 다학제적 접근 Vol.10 No.2

미술치료 전공의 석사과정생이 정신과에서 임상실습을 통해 어떠한 체험을 하는지를 탐색해 보기위한 목적을 가지고 수행된 본 연구는 인간의 체험에 관심을 갖고 그들이 경험하는 것에 대해 심층적으로 이해 할 수 있도록 도와주는 Max van Manen의 해석학적 현상학적 질적 연구 방법론을 적용하고 있다. 정신과 병동에서 1년 이상 임상실습 경험이 있는 총 11명의 연구 참여자를 대상으로 2010년 4월부터 6월까지 심층면접을 실시한 결과, 연구문제에 따른 10개의 본질적 주제와 30개의 하위 주제들을 산출하였다. 연구결과와 글쓰기 등을 토대로 본 연구에서는 정신과 임상실습을 체험한 미술치료 석사과정생인 연구 참여자들이 다음과 같은 4가지의 체험을 하였다는 결론을 내리고 있다. 첫째, 병원의 치료진을 포함하여 정신과 환자까지도 미술치료에 대한 인식부족으로, 미슬 치료 전공 실습생들은 정체감에 큰 혼란을 겪는 기회를 직면한다. 둘째, 병원의 치료진들이 전해준 미술치료로 정신과 환자의 상태 개선이란 소식을 접하면서, 미술치료만이 해낼 수 있는 특수성을 재인식하게 되며, 고된 실습의 보상과 함께 고양된 경험을 갖게 되고, 임상미술치료의 실습이 중요함을 재인식하게 된다. 셋째, 미술작업과 미술언어를 매개로 하여 미술치료전공 실습생은 정신과에서의 미술치료실습이 매우 중요한 기회임을 실감하며, 치료진과 정신과 환자들 사이의 관계를 연결 짓는 중간자 역할을 하는 자신을 발견한다. 넷째, 임상미술치료를 자신 있게 다루고 싶어져 전공 지식의 심화를 스스로 요구하게 되며, 내적인 자기성장의 욕구를 경험한다. In this research, Max van Manen's hermeneutical phenomenology providing assistance to understanding in depth how human beings are interested in the experiment and what it is they experience, is used for the progress. As for the research participants, total of 11 subjects the students enrolled in art therapy master's program and having more than a year experience in clinical practice were selected from the psychiatry department of a combined hospital and the psychiatry department of a single hospital containing the hospitalization ward. As a result of performing in-depth screening on these subjects, 10 essential and 30 subordinate topics were categorized. This research is making following 4 conclusion through research participants that is the students of the art therapy master's program experience at the psychiatry clinical training. First, the students of the art therapy master's program experience frustration and identity confusion during the course of clinical practice due to lack of awareness of art therapy from clinical staff and patients. Second, the students of the art therapy master's program from clinical staff of hospital receive the news about psychiatry patient's state improvement, so they recognizing peculiarity that work process of only art therapy can have. In addition, they have compensation of hard practice with enhanced experience, and they recognized practice of clinical art therapy is being important. Third, the students of the art therapy master's program perform the role of middleman in between the clinical staff and the patients and thus learn about exclusive particularities held by the art therapy. Fourth, the students of the art therapy master's program require deepening of major knowledge to oneself because they want self-assured handle at clinical art therapy. In addition, they experience desire of inner own growth.

High Performance Liquid Chromatography를 이용한 멜라토닌 측정

최돈찬,임시내 龍仁大學校 2001 용인대학교 논문집 Vol.19 No.-

Melatonin is a pineal hormone that transduces the photoperiodic information into neuroendocrine system. It acts as a regulator of seasonal reproduction, a biological clock to time circadian rhythmicity, an inhibitor on the growth of tumor and cancer cells, and a controller of cardiovascular function. It also shows anti-aging and life-prolonging effects and a supportive role in the immune system. Melatonin was measured using a conventional HPLC apparatus. Although the sensitivity is low compared to the radioimmunoassay or HPLC with fluorescence or electrochemical detector, these results could be applied to the blood samples withdrawn from the living organisms to which a large amount of melatonin was administered. The method used in this study is simple, convenient, and rapid without need of any further equipments.

시정 측정의 장비, 방법 및 대전지역 시정의 분석

소선섭,김시내,박수현 公州大學校 基礎科學硏究所 2003 自然科學硏究 Vol.10 No.-

본 논문은 대기 오염물질의 배출량이 많아지면서 대기의 혼탁도가 높아지고 이로 인해 시정이 악화됨을 규명하고자 하였다. 시정의 악화를 언급하기에 앞서 시정에 대해서 보다 명확하게 정의하였고, 대전지역의 시정 자료 값을 분석하여 대기의 오염이 얼마나 증가하였는가를 밝힘으로써 시정측정 장비 연구의 필요성을 강조하였다. In this Essay, we wished to examine closely that turbidity of air rised, visibility is worsened because the discharge amount of air contaminant increased. Before refer visibility for the worse, we defined more definitely about visibility, analyzed visibility value of DaeJon area, said how pollution of air increased, so emphasized necessity that we should have researched visibility monitoring method.

요관석의 요관경하배석술 후 요관부목의 선별적 유치

이상훈,윤하나,심봉석,이시내 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

Purpose : Ureteral stent is commonly used after ureterscopic stone removal(URS). However, there is no definitive clinical criteria in inserting the ureteral stent after URS. Patients often complain of bladder irritative symptoms, hematuria. flank pain and additive endoscopic prodedure is neces-sary to remove the ureteral stent. Therefore, we studied the clinical epicacy of selective ureteral stenting only when it is required. Materials and Methods : Of the patients who was taken URS, the following patients were exclu-ded from stent insertion ; 1) Patients who have mild hydronephrosis or symptoms less than 1week. 2) Patients who were able to insert the ureteroscope through the ureteral orifice without difficulty. 3) Patients who hardly have ureteral mucosal damage seen through the ureteroscopic field after the removal of ureteral stone. 4) Patients who did not need the additional lithoclast during the remo-val of ureteral stone. Other than the above patients and those with stones above the mid-ureter, a 6Fr. ureteral stent was inserted and kept for 3weeks. There were 29 unstented patients and 38 stented patients. Results : The average age of the non-stenting and stenting group were 37.5years old and 39.7years old and the average stone size were 0.68cm and 0.80cm. The average operation time was 3 minutes in the non-stenting and 8minutes(including ureteral stent insertion time) in the stenting group. Hos-pital stay was 3days in both groups. Intermittent gross hematuria and irritative symptoms of the bladder was shown for 3weeks after operation in most of the patients(32cases, 84.2%) of the sten-ting group while those in the unstenting group, the symptoms were relieved after2days after operation. Although mild flank pain was shown in few patients(4cases, 13.8%) of the non-stenting group, severe pain requiring intravenous analgesics was not seen in both groups. There were no specific findings in the intravenous urography which was done at 6weeks after operation, and no hematuria and pyuria was found in both groups. Conclusion : The selective placement of ureteral stent following the ureteroscopic removal of stone did not bring specfic complications. We believe that ureteral stent insertion will minimize the inconvenience especially in patients who need to return to their everyday living immediately after operation. Thus ureteral stent insertion should be used in limited situations. 요관경하배석술 후 많은 경우에 있어서 요관부목을 유치하고 잇지만 선별적으로 판단하여 설치할 경우 특별한 문제점이 없었으며, 수술 수 바로 일상생활에 복귀하여야 하는 환자들의 불편함을 최소화할 수 잇을 것으로 생각되며, 요관부목 설치는 제한적인 상황하에서 시행되어야 할 것으로 사료된다.

Peri-estrus activity and mounting behavior and its application to estrus detection in Hanwoo (Korea Native Cattle)

Si Nae Cheon,Geun Woo Park,Kyu Hyun Park,전중환 한국축산학회 2023 한국축산학회지 Vol.65 No.4

This study was conducted to investigate the change in activity and mounting behavior in Hanwoo (Korean Native Cattle) during the peri-estrus period and its application to estrus detection. A total of 20 Hanwoo cows were fitted with a neck-collar accelerometer device, which measured the location and acceleration of cow movements and recorded the number of instances of mounting behavior by the altitude data. The data were analyzed in three periods (24-, 6-, and 2-h periods). Blood samples were collected for 5 days after the prostaglandin F2α (PGF2α) injection, and the concentrations of estradiol, progesterone, follicle-stimulating hormone, and luteinizing hormone were determined by enzyme-linked immunosorbent assays. Activity and mounting behavior recorded over 2-h periods significantly increased as estrus approached and were more efficient at detecting estrus than over 24- and 6-h periods (p < 0.05). Endocrine patterns did not differ with the variation of individual cows during the peri-estrus period (p > 0.05). Activity was selected as the best predictor through stepwise discriminant analysis. However, activity alone is not enough to detect estrus. We suggest that a combination of activity and mounting behavior may improve estrus detection efficiency in Hanwoo. Further research is necessary to validate the findings on a larger sample size.

Human Leukocyte Antigen B27 and Juvenile Idiopathic Arthritis and Classification of Juvenile Spondyloarthropathies by the Assessment of SpondyloArthritis International Society Criteria

( Si Nae Eom ),( An Deok Seo ),( Kwang Nam Kim ) 대한류마티스학회 2016 대한류마티스학회지 Vol.23 No.4

Objective. We examined the clinical relationship between human leukocyte antigen B27 (HLA-B27) and juvenile idiopathic arthritis (JIA). Additionally, we assessed the usefulness of the Assessment of SpondyloArthritis International Society (ASAS) criteria for diagnosing juvenile spondyloarthropathies (SpA). Methods. We retrospectively reviewed medical records of 239 patients with JIA classified according to the International League of Associations for Rheumatology (ILAR) classification to analyze the features of the joint involvement site. Results were correlated with the presence of HLA-B27. After that, we classified the 239 JIA patients according to the ASAS criteria to diagnose juvenile SpA. The relationship between the ASAS criteria and a diagnosis of juvenile SpA was analyzed by a chi-squared test. Results. Back pain was associated with HLA-B27 in boys (p=0.002) but not in girls (p=0.616). In both sexes, involvement of the small joints in the lower extremities was highly associated with HLA-B27 (p=0.001 for boys, p=0.021 for girls). In addition, HLA-B27 was associated with enthesitis (p=0.004 for boys, p=0.021 for girls). Eighty-seven (36.4%) patients with JIA fulfilled the ASAS criteria; 2 (0.8%) had axial SpA and 85 (35.6%) had peripheral SpA. HLA-B27 was the most significant factor for diagnosing juvenile SpA (sensitivity 80%, specificity 99.31%, positive likelihood ratio, 116). Conclusion. The ILAR criteria have some weaknesses for diagnosing HLA-B27-positive JIA patients in early stages. The use of the ASAS criteria for juvenile patients will enable pediatric rheumatologists to diagnose juvenile SpA patients earlier. (J Rheum Dis 2016;23:234-240)

Poster Session:PS 0543 ; Nephrology ; A Miserable Case of Eggshell Calcifi cation of Renal Cell Carcinoma in Continuous Ambulatory Peritoneal Dialysis Patient with Sclerosing Encapsulating Peritonitis

( Si Nae Lee ),( Ji Yeon Kwon ),( Chae Won Kim ),( Jee Young Han ),( Seoung Woo Lee ),( Joon Ho Song ),( Moon Jae Kim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Acquired cystic kidney disease (ACKD), a common complication in patients with endstage renal disease, is characterized by more than three kidney cysts and normal or decreased sizes of both kidneys without any familial history of cystic kidney disease. In autosomal dominant polycystic kidney disease (ADPKD), however, both kidneys are usually enlarged. Extrarenal manifestations are common in ADPKD, including hepatic cysts, seminal vesicle cysts, mitral valve prolapse. A 40-year-old man presented to our emergency clinic with severe abdominal pain, nausea, and vomiting for 3 days. He had been undergoing continuous ambulatory peritoneal dialysis (CAPD) for 15 years, but it was recently changed to hemodialysis owing to sclerosing encapsulating peritonitis (SEP). Radiologic imaging studies revealed bilateral enlarged kidneys with multiple eggshell calcifi ed cysts and some hepatic cysts, which suggested ADPKD. He underwent right nephrectomy, and pathological tests revealed ACKD-associated renal cell carcinoma (RCC) confi ned to the resected kidney. He was treated with steroids for SEP, and the symptoms resolved. We herein report a rare case of ACKD―resembling ADPKD―that progressed to RCC in a patient with concurrent SEP who had been undergoing CAPD for 15 years.

Marfan syndrome and symptomatic dural ectasia: A case report and literature review

Si Nae Eom,Dong Chan Kim,Kwang Nam Kim,Sung Hye Kim 대한의학유전학회 2014 대한의학유전학회지 Vol.11 No.2

Dural ectasia refers to the widening or ballooning of the dural sac surrounding the spinal cord. It can affect any plane of the spinal canal, but occurs primarily in the lumbosacral region. Dural ectasia is present in 63-92% patients who have Marfan syndrome, and is related to Ehlers-Danlos syndrome, neurofibromatosis type I, and ankylosing spondylitis. The most common symptoms are low back pain, headache, weakness, numbness above and below the affected limb, and occasional rectal and genital pain. However, in most patients, dural ectasia is usually asymptomatic. We report the case of a 5-year-old boy who presented with a severe headache who had been diagnosed with Marfan syndrome. During the evaluation, magnetic resonance imaging of the lumbar and sacral spine revealed dural ectasia. To our knowledge, this is the first report on Marfan syndrome with symptomatic dural ectasia in Korea. We concluded that dural ectasia should be suspected in patients diagnosed with Marfan syndrome who have a severe headache.

The Relationship between Young Korean Adults’ Depressive Symptoms and Patterns of Interest

Si-Nae Ahn 한국인터넷방송통신학회 2020 Journal of Advanced Smart Convergence Vol.9 No.1

Mental health issues related to depression and individual’s patterns of interest impact development. This study is to identify patterns of interest and their effects on depressive symptoms in young adults. This cross-sectional study involved 40 participants. The participants were assessed for depressive symptoms, patterns of interest in daily life, and social participation. The depressive symptoms and patterns of interest were assessed by a well-trained interviewer using a face-to-face method. Descriptive statistics, correlation analysis, and logistic regression analysis were implemented using SPSS 22.0. In terms of depressive symptoms, 32.5% of participants reported no depression, while 67.5% were depressed. When comparing interest patterns from the past, present, and future, the degree of depression was significantly correlated with interests in the past (p<.05). The effect of patterns of interest on depressive symptoms was not statistically significant (p>.05). Participation in a variety of activities can help prevent depressive symptoms. Participation in activities of interest can, therefore, be of great help during middle- and late-adult development.

Effect of Solution Concentration on the Functional Properties of ZnO Nanostructures: Role of Hexamethylenetetramine

Si Nae Heo,Keun Young Park,Yong Jun Seo,Faheem Ahmed,M. S. Anwar,구본흔 대한금속·재료학회 2013 ELECTRONIC MATERIALS LETTERS Vol.9 No.3

In this research, ZnO nanorods have been successfully synthesized via wet chemical method. XRD results revealed the single phase nature with the wurtzite structure of the as prepared ZnO nanorods. By only varying the concentration of Hexamethylenetetramine (HMT) in the solution, morphology of ZnO changed from hexagonal facet nanorods to pencil like nanorods and size of nanorods also changed. The band gap of as-synthesized ZnO nanorods was found to increase with increasing the concentration of HMT in the solution. The narrow full-width at half-maximum (FWHM) of the UV emission of PL spectra indicated that the grown ZnO nanorods have high crystal quality and is well matched with the obtained XRD results. These results revealed that the concentration of Hexamethylenetetramine plays a vital role to control the properties of ZnO nanorods.