응급실로 내원한 급성 호중구 감소성 소장 결장염(Typhlitis) 1례

김향숙,정윤석,조준필 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Typhlitis or neutropenic enterocolitis is a life-threatening, necrotizing process of the cecum whose incidence is increasing. Typhlitis presents as fever, abdominal pain, and diarrhea in neutropenic patients. As the incidence of typhlitis increases, emergency physicians must be aware of this rapidly progressive and potentially fatal disease. The definitive management of typhlitis is controversial. The most prudent course for the emergency physician is to initiate aggressive medical management early in the ED. We describe a 25-year-old man with severe neutropenia presented to the emergency department with fever, abdominal pain, diarrhea that began 2days earlier. Abdominal computerized tomography(CT) demonstrated diffuse concentric thickening of the cecal wall, intramural edema, inflammatory bowel changes but no free air and abscess formation. He was recovered by early diagnosis and aggressive medical therapy. We report a case of typhlitis with literature reviews.

유연한 곁가지를 가지는 열방성 액정 고분자와 PBT의 In Situ 복합재료

이향숙,장진해 金烏工科大學校 1994 論文集 Vol.15 No.-

열방성 액정 고분자와 PBT를 여러 가지 비율로 블렌딩하였다. 블렌드들을 방사하여 LCP 성분량에 따라 각각의 기계적 성질을 구하였다. 방사 온도인 245℃에서는 우려할 화학반응이 일어나지 않았다. 모든 블렌드들에서 LCP성분은 PBT에 매우 잘 분산되었으며, 구형의 입자를 SEM으로 확인할 수 있다. 최종 인장 강도는 5% LCP 일 때 가장 큰 값을 보였다. 블렌드들의 열적, 기계적 성질과 섬유의 형태를 조사하기 위해 시차 주사 열분석기, 편광 현미경, 전자 현미경 그리고 모세관 레오메타등을 사용하였다.

최근 10년간 원광의대병원에서 시행한 소아 심장혈관 수술의 임상적 고찰

윤향석,정수미,최두영,오광수,오연균,김종덕,양현웅,이삼윤,김형곤,최종범,최순호,노병석 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

We reviewed 10 years experiences of the clinical aspects and early postoperative results in 544 pediatric patients(age less than 16 years old). Among them. 529 cases had the congenital heart diseases, and 15 had the acquired diseases. Open heart surgery was performed in 413 patients. 115 cases were treated with non-open heart surgery. 16 with interventional catheterization. Annual increase of the cardiac patients was not significant in recent 10 years, except slight increase in 1994. The mean age of the study patients had been evidently changed to younger year by year. Total mortality rate of the open heart surgery was 6.4%. The cyanotic congenital heart diseases were high in early postoperative mortality by 25.7%, whereas 4% in acyanotic group. The age group less than one month was most highest in surgical mortality(66.7%). There were no deaths in patients with patent ductus arteriosus(103 cases), atrial septal defect(83 cases) or pulmonary stenosis(17 cases). Among 220 patients with ventricular septal defects(VSD). 10(4.5%) were died early postoperatively. In cyanotic group, the patients with pulmonary atresia with ventricular septal defects(PAVSD), transposition of the great arteries(TGA), interrupted aortic arch(IAA), complex cardiac anomalies with isomerism seemed to be most susceptible to an early death.

유연격자를 가지는 새로운 방향족 폴리에스테르의 합성

이향숙,장진해 金烏工科大學校 1993 論文集 Vol.14 No.-

New thermotropic, main chain polyesters were synthesized and their structure-property relationships were studied. Synthesized polyesters in this research have only one ester-bond and one flexible spacer. Therefore, the polyesters are not expected to randomize by trans-esterification. Polymers containing varying lengths of polymethylene spacer, X, were obtained by polymerizing the monomers which were synthesized through multiple synthetic steps and their structures are as follow : ?? Thermal behavior and liquid crystallinity and crystallinity of the polymers were studied by differential scanning calorimetry(DSC) and cross-polarized microscope.

비구의 原因,症狀,治法,治方에 對한 文獻的 考察

盧石善,金炳卓,辛美香 大田大學校 1991 論文集 Vol.10 No.1

장애학생의 중학교에서 고등학교로의 전환 지원 및 지원 요구 고찰

이숙향,김수현,임지현 이화여자대학교 특수교육연구소 2015 특수교육 Vol.14 No.3

연구목적: 장애학생과 그 부모, 중고등학교 특수학급 교사들의 경험을 바탕으로 중학교에서 고등학교로의 전환 지원 및 지원 요구를 파악하고 이를 토대로 향후 중학교에서 고등학교로의 성공적인 전환을 위한 실질적인 지원 방안을 모색한다. 연구방법: 본 연구의 목적을 고려하여 서울시 중고등학교 특수학급의 경력교사 2명, 특수교육지원센터 교사 2명, 중학교 특수학급 교사 6명, 고등학교 특수학급 교사 6명을 포함한 총 16명의 특수교사를 대상으로 그룹별로 포커스 그룹 면담을 실시하고, 장애학생 12명과 그 부모 11명을 대상으로 개별 면담을 실시하였으며 모든 면담은 전사한 후 지속적 비교법을 사용하여 분석하였다. 연구결과: 분석결과 다음과 같은 5개의 대주제가 도출되었다: 1) 고입 행정절차 및 관련 민원, 2) 고등학교 선택 및 고입 준비를 위한 지원, 3) 고등학교 적응을 위한 기술 및 능력, 4) 고등학교 생활 및 적응을 위한 지원, 5) 고등학교 이후 진로. 결론: 연구결과를 토대로 고등학교로의 성공적인 전환 지원을 위해 다음과 같은 제언이 제시되었다: 1) 실질적인 진학지도를 위한 구체적인 정보 제공, 2) 장기적인 진로 계획을 위한 지침 제공 및 역량 강화, 3) 중학교와 고등학교 연계를 통한 적응기술 증진, 4) 고입준비 및 전환 지원을 위한 제도적 지원 확대. Purpose: The purpose of this study is to ascertain practical ways to support the transition from middle to high school of students with disabilities, by investigating current transition practices from middle to high school and support needs regarding the school transitions, based on experiences of students with disabilities, their parents and special education teachers. Method: For this study, focus group interviews were conducted with a total of 16 special education teachers; furthermore, individual interviews were conducted with 12 students with disabilities and 11 parents. The collected data were analyzed using a constant comparative method. Results: Five main themes identified from the analysis as follows: (1) administrative procedures and civil complaints regarding high school entrance, (2) support for high school choice and preparation to enter a high school, (3) skills and competencies to adjust to a high school, (4) supports for high school lives and adjustments, and (5) careers after graduation from high school. Conclusion: Based on the results, several implications were provided to support successful school transitions for students with disabilities.

이소말토 올리고당의 첨가가 약과의 품질특성에 미치는 영향

김향숙,서월석,김은겸,이화영 충북대학교 교육 ·생활연구소 생활과학연구센터 2002 생활과학연구논총 Vol.6 No.2

This study was to develope low-calorie Yak-kwa by using oligosaccharides instead of honey. Sensory and instrumental textur properties of Yak-kwa were examined. The calorie of oligosaccharide Yak-kwa was 31% lower than honey Yak-kwa. Color of oligosaccharide Yak-kwa was lighter than that of honey Yak-kwa. Results of nstrumental test of texural proporties showed that hardness increased and cutting decreased as soaking time increased without significant differences between oligosaccharide Yak-kwa and honey Yak-kwa. Accepance test by sensoty panel showed no significant differences between oligosaccharid Yak-kwa and honey Yak-kwa.

발달장애인의 건강 관련 국내 연구동향 및 향후 연구과제 고찰

이숙향,안혜신,정정은,김건화 이화여자대학교 특수교육연구소 2021 특수교육 Vol.20 No.2

연구목적: 장애인의 건강은 삶의 질의 주요 지표이자 기본적인 권리로서 더욱 강조되고 있다. 본 연구에서는 발달장애인의 건강 관련 국내 연구의 동향을 살펴보고 이를 바탕으로 향후 연구과제를 모색하고자 한다. 연구방법: 이를 위해 2000년 이후 국내에서 발표된 발달장애인의 건강 관련 논문 총 52편을 선정하여 연구주제 및 관련 세부 변인에 대해 심층 분석을 실시하였다. 연구결과: 연구주제에 따른 분석 결과 관련 연구는 크게 건강 관련 실태 및 관련 요인 간 관계, 건강 관련 쟁점 및 지원 방안, 건강 관련 프로그램 및 중재 효과로 나누어졌다. 각 연구 주제에 따른 세부 변인별 분석 결과 국내 발달장애 연구는 2014년에 가장 많은 연구가 이루어졌고, 실험연구가 가장 큰 비중을 차지하였으며 장애인당사자를 대상으로 한 연구가 가장 많은 것으로 나타났다. 한편 건강 관련 중재 프로그램의 특성 및 효과를 분석한 결과 대부분의 중재가 신체운동 프로그램에 편중되어 있어 전반적인 건강교육에 대한 연구가 부족한 것으로 나타났다. 결론: 이와 같은 결과를 토대로 1) 연구주제의 다양화와 건강교육 및 중재 연구의 활성화, 2) 지속적인 건강관리 및 지원을 위한 연구대상의 확대, 3) 연구결과의 심층적 이해를 위한 연구방법의 다양화, 4) 다각적 중재 효과 검증을 위한 종속변인의 다양화 측면에서 발달장애인 건강 관련 향후 연구과제에 대한 논의 및 제언이 제시되었다. Purpose: The health of people with disabilities has been emphasized as a major indicator of the quality of life and a basic human right. The purpose of this study is to review research trends regarding the health of people with disabilities and explore future research directions based on the trends. Method: A total of 52 articles regarding the health of people with developmental disabilities, which were published since 2000, were analyzed by the research topic and other sub-variables. Results: As a result of the analysis, the research topics were divided into (a) current situations regarding health and relationship between health and other variables, (b) issues and supports regarding health, and (c) health intervention program and effects. In terms of analysis of other variables across the research topics, most of the researches were conducted in 2014 and most of the studies were experimental researches targeting individuals with disabilities. Also, most of the health intervention programs focused on promoting physical health and there were relatively a few researches regarding overall health education. Conclusion: Based on the results, the following implications and directions for future research were suggested: (a) diversifying research topics and activating research regarding health education or intervention, (b) extending research participants for ongoing health care and supports, (c) diversifying research methods for an in-depth understanding of research results, and (d) using various dependent variables for verifying the intervention effects in multiple aspects.

신생아 이송에서의 저체온증

김향숙,정윤석,조준필,박문성,배기수 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Back Ground : Hypothermia is a condition that can lead to serious complications and even to death in newborn. Although the temperature control is essential in neonatal care, it is often neglected during urgent transfer from local private hospitals. The purpose of this study is to evaluate the incidence and clinical outcomes of transfer induced neonatal hypothermia. Subjects and Method : In this retrospective study, subject is limited to transferred outborn babies with age less than 27 hours from June 1996 to May 1999. A total of 3,086 patients were admitted in NICU during the study period and inborn and outborn babies were 1,743(56%) and 1,343(44%) respectively. Among the 1,343 outborn babies, 212 babies were transferred from the private hospital within 24 hours of birth and were eligible for the study. Rectal temperature on arrival, transfer time, birth weight, gestational age, initial arterial gas study, and clinical outcome were compared. Statistical analysis has been done with chi-sqaure test and multiple logistic regression analysis. Results : There were 84 cases(39.6%) hypothermia(<36℃) among the 212 babies and the rate of hypothermia in transfered babies have not decreased over the study period. There were significantly more hypothermia in lower gestational age (less than 28 weeks) and lower birth weight (less than 2,000gm) caused hypothermia significantly more than normal gestational age or normal range of birth weight. And time interval (less than 12 hour) from birth to arrival at emergency department was also significant factor in hypothermia. The mortality rate was three fold higher in hypothermia than normothermic or hyperthermic babies. Conclusion: This study shows that hypothermia during neonate transportation is a major cause of neonatal mortality and morbidity in prehopital care. Body temperature control during transport of neonates under 24 hours of age should be emphasized for the better outcome of treatment.

조선시대 감로탱화 풍속장면의 복식 연구

양숙향,이태호,이경화 한국의류산업학회 2003 한국의류산업학회지 Vol.5 No.5

The Gamrotenghwa of the Choson Dynasty is a unique genre of buddhist painting in that the destiny of the dead souls and the guidance to nirvana are expressed in reality. More than 50 of the Gamrotenghwa are known to he present, and the lower part of the paintings includes a wide assortment of folk customary scenes reflecting the social life style of the time when the painting was drawn, such as difficulties in life, public life, punishment and war. Changes in the costume of the people shown on the customary scenes of the Gamrotenghwa according to the time based changes in painting style were investigated in this study. The results are summarized in three points. First, the costumes of bureaucrats showed a tendency of preservation without any major changes in the painting. On the other hand, costumes of public and entertainer in the scenes were very close to those worn by the people at that time. The realistic description of public life in the painting may establish the value of the Gamrotenghwa as the historical documents. Second, the costume of the people in the painting showed a dual structure as the social positions; bureaucrats wore various official hats, large coats and belts to expose their social prestige, while the general public wore simple and convenient clothing which is divided into shirt and pants. The dual structure of the costume in the painting is in well accordance with that of the later period of Choson dynasty, suggesting that the customary scenes in the painting represent the social life style of the period. Finally, the customary scenes in the Gamrotenghwa are very variegated, which shows a variety of beauty of wearing even though they look coarse in a sense. The diversity of wearing beauty in the picture may contribute to the recreation of the beauty of shape in the new design of Hanbok.