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      • 21세기 새로운 시대를 준비하는 원광대학교 의과대학의 교육목표 개정과정

        이학승,김요식,송윤강,오재민,양연식,정선관 원광대학교 의과학연구소 2009 圓光醫科學 Vol.24 No.1

        교육목적은 대학의 교육이 지향하는 대전제이다. 그러므로 대학교육 목적과 목표가 어떤가에 따라 교육과정과 교육방법이 달라진다. 원광대학교 의과대학의 교육목표는, '지덕겸수'로 요약되는 '과학과 도학을 겸비한 전인교육'의 건학정신과 '학술탐구'와 '덕성함양'의 원광대학교 교육목표와 일치하게 현재까지 유지되었다. 그러나 현행 교육목표의 여러 문제점이 발견되었고, 시대상의 변화에 따라 원광대학교 의과대학에서도 사회적 변화 빛 의료인에 대한 시대적 요구에 걸맞은 의학교육의 목적 및 목표의 재설정 과정을 시작하게 되었다. 그 결과 개정 작업을 통해 새로운 교육목표를 설정하게 되었으며 그 내용은 다음과 같다. 1. 기본진료능력을 지닌 의사를 양성한다. 2. 원불교 교리 이념을 반영한 윤리적, 도덕적인 의사를 양성한다. 3. 평생 학습하는 연구하는 의사 혹은 의과학자를 양성한다. 4. 사회적 책무를 수행하는 리더십을 갖춘 의사를 양성한다. 5. 지역 사회에 공헌하는 봉사정신을 갖춘 의사를 양성한다. Purpose : With the changes to the medical environments and to the medical educational systems, we aimed to evaluate the current mission statement of the School of Medicine, Wonkwang University, and to revise it. Methods : To establish the new goal and mission statement, a Special Committee for the Revision of Medical School Mission and advisory group were organized in 2008. This special committee conducted through five steps of action, which are composed of investigation, education, development, surveillance of various opinions, and announcement. Results : For the development of new goal and mission, the revised, final goal and mission statements decided through the five steps of action. The new mission of Wonkwang University School of Medicine was as follows; 1. Doctor who can diagnose and treat easily 2. Ethical and moral doctor who practice Won Buddhism 3. Doctor or Medical Scholar who studies lifelong study 4. Doctor who has leadership to social responsibility 5. Doctor who goes into service to a local community. Conclusion : The authors expect that the new goal and mission of Wonkwang University School of Medicine would be helpful in giving the guideline on the educational process of medical school and will give the information to reform the medical school system according to the rapidly changing educational environment.

      • 일 종합병원 소아 건강검진 센터를 이용한 소아, 청소년의 행동과 적성 및 지능에 관한 조사연구

        연규월,김경희 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.2

        목적 : 소아 건강검진 센터를 이용한 소아, 청소년을 대상으로 성격, 적성 및 지능 검사를 실시하여 소아 정신고의 자문 및 치료가 필요하다고 생각되는 대상의 빈도와 소아 건강검진 센터에서 시행한 검사의 임상적 유용성을 조사하여 소아, 청소년 정신장애 클리닉 발전의 기초자료로 삼고자 본 연구를 실시하였다. 방법 : 1994년 12월 15일부터 1995년 1월 28일까지, 1995년 8월 5일부터 1995년 8월 26일까지 이화여대 부속 동대문병원 소아 건강검진센터를 이용한 만 6세에서 17세 미만의 소아, 청소년 478명을 대상으로 한국 적성 연구소에서 제작한 KAS(Korean Attitude System)검사를 실시하였다. 결과 : 1) 본 대상자들의 행동발달에 영향을 주는 하위항목은 지도, 협동, 감정, 준법, 정서, 근면, 책임, 자주의 순이었고, 이중 지도, 협동, 감정의 세 항목은 남녀 모두 정서 행동발달 상황이 가장 좋지 않은 하위 항목이었다. 2) 남녀 모두에서 진로 적성은 어문학, 법정, 공학, 과학, 사회학에 대한 선호도가 높았다. 3) 평균 지능은 남녀 모두 보통 이상(high average)의 지능지수를 나타냈다. 총 3명(0.6%)이 보통 이하(below average)의 지능지수를 나타냈는데 2명은 경계선 지능지체이었고 1명(0.3%)만이 경도의 지능지체를 나타냈다. 4) 정신과로 의뢰된 아동의 수는 총 8명(1.7%)이었고 이들 모두 행동, 정서, 사고면에서 비정상적인 양상을 나타냈으며 5명이 주의력 결핍장애, 2명은 전반적 발달장애, 1명은 우울증이었다. 결론 : 이상의 결과로 볼 때 이화여대 부속 동대문 병원 소아 건강검진센터에서 실시하고 있는 성격, 적성 및 지능검사는 1차적으로 소아 정신병리를 검열하는데 있어서 도움이 될 수 있으나 보다 더 자세한 진단적 도구와 소아 정신과에 대한 홍보가 필요하다고 생각된다. Objective : This study was performed to investigate the prevalence of abnormal behavior, ada-ptability and intelligence of child and adolescents and the usefulness of KAS(Korean Attitude System) as a screening method to detect the psychopathology of child and adolescents. Method : 478 child and adolescents were completed the instruments of KAS that focused on development of behavior, adaptability and intelligence at the children's medical examination center. Results : The most influenced subcategories to the disturbance of behavior of the subjects were leadership, cooperation, and emotion (in order). The preference of adaptability was high in the fields of literature, law, technology, medicine and sociology. The mean I.Q. of the subjects was high average and not different in both sex. The subjects with below average of I.Q. were three cases(0.6%) and the two of them were boderline and only one case was mild mental retardation. The total number of patients referred to the department of psychiatry was eight cases(1.7%) and revealed the disturbance of behavior, affect, and thought. Conclusion : Finally the authors concluded that KAS test performed at the children's medical examination center was useful primary screening method to detect the psychopathology of child and adolescents.

      • 정상아 어머니와 미숙아 어머니의 영아 신호에 대한 민감성 비교 연구

        권미경 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        This research was to examine the mother's responsiveness to infant cue in order to improve interaction between mother and infant. The subjects were premature infant's mother' 41 and full-term infant's mother 86 who visit to general hospital or a public health center in Kangnung. The gestational age of premature infants was less that 38weeks and birth weight 2500g. The gestational age of full-term infants was more that 38weeks and birth weight was more that 2500g. A questionnaire was developed by applying the content about infant cue in Barnard's MCAST program, This questionnaire was revised through the examination of expertise in this field. The question were classified into 3 categories : 10 questions about engagement cue, questions about disengagement cue, and 9 questions about general cue and reflex behavior. Each item measured the mother's I meaningless, I got in case which mother can's recognize the meaning of reaction. The result presented that two group mothers showed relatively positive reaction to engagement cue. However, most mothers still didn't recognize that their infants can lead a mother-infant interaction and show active response in interaction, Mothers tended treat them as just passive objects. And premature infants mothers showed the more negative reaction or meaningless than full-term infant mothers. In disengagement cue, mothers tented not to give proper responsiveness to their infants when the infants desired feeding or not and they did not desire mother-infant interaction. In general cue and reflex behavior, the mother's reaction was positive and they took it granted as a infants behavior.

      • 심한 무지 외반증의 제1 중족지간 관절고정술

        최경진 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        We reviewed the result of the arthodesis of the first metatarsophalangeal joint severe hallux valgus patients. From Feb. 1994 to March 1997, 34 patients were operated on. There were 29 women and 5 men. Their age ranged from 45 to 72 years. The follow-up averaged 21 months. The arthrodesis of the first metatarsophalangeal joint resulted in a significant long-term improvement with respect to pain, the ability to stand and walking shoe wear. Before surgery, the average hallux valgus angle was 43.5˚. The postoperatively hallux calgus fusion angle was an average 8.7˚. Before surgery, the average intermetatarsal angle was 21.5˚. The postoperatively intermetatarsal angle was an average 6.7˚. After surgery, an average dorsiflexion angle was 12.2˚. The arthtodesis of the first metatarsophalangeal joint was a very effective treatment on severe hallux valgus.

      • 십이지장에서 발생한 간양 선암종 : 1예보고 a case report

        구자홍,임현철,김진영 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        The hepatoid adenocarcinoma is a rare extrahepatic primary neoplasm showing similar histopathologic features of primary hepatocellular carcinnoma and usually produce a large amount of alpha-fetoprotein hepatic type. There ate several pathologic and radiologic reports of adenocarinoma of stomach, lung, pancreas, gallbladder, bile duct, ampulla of Vater, renal pelvis arid urinary bladder. Authors report a case of biopsy-proven hepatoid adrnocarcinoma of the duodenum.

      • 메치실린 내성 포도상구균에 대한 SK-302의 시험관내 및 생체내 효과

        박윤선,김수기,신운섭,최선주,정종순,이종수 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        SK-302 is the active compound purified from culture filtrate of a streptomyces species (streptomyces sp. 302). The in vitro and in vivo antibacterial activities of SK-302 were evaluated against 6 clinically isolated MRSA strains and compared with the activities of vancomycin. SK-302 had node in virto antistaphylocoal activity stronger than that of vancomycin exhibiting MIC's, while vancomycin showed very weak 4 to 8fold lower than that of vancomycin. In SK-302 showed killing activity at the MIC, so SK-302 was superior to vancomycin. Furthermore, in acute systemic infections in mice, the ED_50s of SK-302 against infections by high-resistance MRSA were 30 to 40-feold less than that of vancomycin, therefore SK-302 showed potent in vive therapeutic efficacy against MRSA infection, These results suggest that SK-302 has excellent in virto in and in vivo activities against high-resistance MRSA.

      • 황견에서 돈폐를 이용한 이종 폐이식

        문동석,김해균,이두연 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        Lung transplantation is an established treatment for selected patients with end-stage lung disease. The ability to use animal organs, such as those from a pig and baboon, for the purpose of transplantation in humans would clearly overcome the major shortage human organs that greatly restricts transplantation programs worldwide. Mongrel dogs and pigs of similar size and weight(20 to 25kg) were used as donors(pigs) and recipients(dogs). General anesthesia was induced with Entobar(30mg/kg). Donor pig was intubated via tracheostomy site and median sternotomy and pericardiectomy were performed. Heparin(300IU/kg) was given intravenously and donor lungs were perfused with cold(4℃) modified Euro-Collin's solution(60ml/kg) through a catheter plated in the main pulmonary artery and topically cooled with saline. At the end of perfusion, the trachea was clamped at end-inspiration. The heart-lung block was excised and store in cold(4℃) modified Euro-Collin's solution. Recipient dog was anesthetized in the same fashion. The prepared donor pig lung was transplanted in the order of pulmonary vein, bronchus, and pulmonary artery. Arterial pressure, pulmonary arterial pressure, and heart rate were monitored in 15-minutes intervals. Results are expressed as means ± SEM. Value were considered to be statistically different when P < .05. In comparison of system pressure, pulmonary artery pressure, and heart rate at preoperative state, postpneumonectomy state, after the transplantation at 30 minutes, and at 60 minutes, the pulse rate showed 125±10.86, 132±16.06, 103.00±19.6, and 152.25±13.75 respectively(P < .05). The ratio of pulmonary artery to aorta pressure(pulmonary artery mean pressure H 100/systemic artery mean pressure) was 12.79 ± 1.95%, 31.58±12.75, 132.70±50.5, and 131.88±59.97 respectively (P < .05). Also, systemic artery oxygen saturation showed 106±15.65%, 88.89±9.78%, 54.90± 17.95, and 49.93±15.43% respectively(P < .05).

      • Socio-cultural understandings of traditional management of childbirth in korea

        Kim,,Hae,Won 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

        모성간호는 간호대상자가 속한 사회 문화적 배경의 특성을 고려하여 제공된다는 입장을 기본 철학으로 삼는다. 생식과 관련된 제반 현상은 모성간호의 오랜 역사를 거쳐 현재까지도 중요한 지식 탐구와 연구 주제의 대상이 되어왔다. 최근에는 특히 분만과 관련된 간호관리가 대상자의 독특한 특성에 따라 어떻게 나타나고, 어떤 사회 문화적 배경이 이에 영향을 미치는 지에 대하여 관심이 증대되고 있다. 따라서 이 글은 한국의 분만과 관련된 간호대상자를 보다 민감하게 이해하고 나아가 개별화된 전문 간호를 제공하기 위하여 전통적인 한국의 분만관리의 특성과 그 사회 문화적 배경을 확인하였다.

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