소아에서의 췌장 고형유두상피 종양 1례

김남희,김정은,문진수,최경단,고재성,서정기,김우선,박귀원,강경훈,지제근,Kim, Nam-Hee,Kim, Jeong-Eun,Moon, Jin-Soo,Choi, Kyung-Dan,Ko, Jae-Sung,Seo, Jeong-Kee,Kim, Woo-Sun,Park, Kwi-Won,Kang, Gyeong-Hoon,Chi, Je-Geun 대한소아소화기영양학회 2002 Pediatric gastroenterology, hepatology & nutrition Vol.5 No.1

저자들은 복부 외상 후 크기가 증가하는 종괴와 동통을 주소로 내원한 13세 여아에서 췌장 원위부 절제술을 시행하여 조직학적으로 췌장 고형유두상피 종양을 진단하였기에 문헌고찰과 함께 보고하는 바이다. Solid and papillary epithelial neoplasm (SPEN) of the pancreas is an uncommon tumor and is found predominantly in young females. The most common clinical presentation is an abdominal mass. The tumor has a low grade malignant potential and complete removal is the treatment of choice. We report a case of SPEN in a 13-year-old girl who presented with abdominal pain and increasing size of an abdominal mass after abdominal trauma. CT and sonographic findings showed a well-demarcated mass in the pancreas tail with solid and cystic portion. She got a distal pancreatectomy and pathologic finding was SPEN of pancreas.

라인 세그먼트를 이용한 향상된 Star Topology Aggregation

김남희,Kim, Nam-Hee 한국정보처리학회 2004 정보처리학회논문지 C : 정보통신,정보보안 Vol.11 No.5

In this paper, we aggregate multi-links information between boundary nodes using the line segment scheme that aggregates topology in-formation within PG referring bandwidth and delay parameter. The proposed scheme can search multi-links efficiently using the depth priority method based on hop count instead of searching all links. To do this, we propose a modified line segment algorithm using two line segment method that represents two points which consist of delay-bandwidth pair to reduce topology information and provide a flexibility to the multi pie-links aggregation. And we apply it to current star topology aggregation. To evaluate performance of the proposed scheme, we compare/analyze the current method with the proposed scheme with respect to call success rate, access time and crankback rate. Through the simulation result analysis, the proposed star topology aggregation scheme presents the better performance than existing scheme. 본 논문에서는 대역폭과 지연 파라미터를 참조하여 PG내의 토폴로지 정보를 하는 기법으로 라인 세그먼트를 이용하여 경계노드 사이의 다중 경로 정보를 하였다. 제안된 star 토폴로지 기법에서는 모든 경로를 찾는 대신 홉 카운트 기반의 깊이 우선 방식을 사용하여 효율적으로 다중 경로를 탐색할 수 있도록 하였다. 이를 위해 토폴로지 정보를 줄이고 다중링크 에 유연성을 부여하기 위하여 대역폭과 지연의 한 쌍으로 구성된 두 개의 라인 세그먼트를 이용하는 수정된 라인 세그먼트 기법을 제안하였다. 그리고, 이를 기존의 star 토폴로지에 적용한 효율적인 토폴로지 기법을 제안하였다. 제안된 기법의 성능을 평가하기 위해 기존의 star 기법과 호 성공율, 접근시간 및 크랭크 백율에 대하여 컴퓨터 시뮬레이션을 통해 비교 분석하였다. 시뮬레이션 분석결과 제안된 star TA 기법이 기존의 기법보다 성능이 향상됨을 알 수 있었다.

복합적 외상후 스트레스 장애의 안구운동 민감소실 및 재처리 요법을 이용한 치료 - 증례보고 -

김남희,Kim, Nam-Hee 대한불안의학회 2006 대한불안의학회지 Vol.2 No.2

People who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complx PTSD). The author reports a case of the successful sequential integrative treatment mainly composed of eye movement desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment with psychotropic medications and supportive psychotherapy. Twelve sessions of EMDR and three sessions of supportive psychotherapy were done for the patient. Psychological assessments were performed before starting the treatment and a week after completing the treatment. After the treatment, the patient improved on all the psychological scales and behavioral measures. This case suggests that the sequential integrative treatment mainly composed of EMDR may be effective for complex PTSD patients.

기하학적 접근법에 의한 교량구조의 형태생성

김남희,고현무,홍성걸,Kim, Nam-Hee,Koh, Hyun-Moo,Hong, Sung-Gul 한국전산구조공학회 2010 한국전산구조공학회논문집 Vol.23 No.4

개념적 설계단계에서 교량형태를 자유롭게 생성하는 것이 매우 중요하다. 그러나 공학적 설계자의 입장에서는 다양한 형태를 상상하기 보다는 힘의 전달방식에 따른 구조시스템의 종류를 우선적으로 생각하게 된다. 이 연구에서는 교량형태를 기하학적 측면에서 새롭게 살펴봄으로써 기존의 공학적 접근법에서 막혔던 상상력의 한계를 확장시키고자 한다. 우선적으로 기존교량의 형태를 기하학적으로 분석하고, 기하학적 특징이 뚜렷한 교량형태에 대해서는 이 연구에서 제시하는 기하학적 접근법을 이용해서 생성해본다. 이 연구의 초점은 새로운 구조물 형태생성의 기하학적 원리를 개발하는 것이 아니라, 기존의 정립된 기하학적 원리를 이용하여 다양한 설계대안을 생성하는 접근법을 제시하고자 한다. In conceptual design stage it is important to develop structural forms freely. However, structural engineers are prompt to consider types of structural systems following load paths rather than to imagine various forms. This study attempts to expand the limit of imagination that was blocked within engineering approach newly from geometric perspective view. First of all, existing bridge structures are reviewed in terms of geometric vocabulary. Some bridge forms showing apparent geometric features are regenerated through the geometric approach proposed in this study. This study is not to develop geometric principle to build new structural forms, but to propose the geometric approach to generate design alternatives using the well established geometry concepts.

유아용 당류섭취저감도검사 도구 개발

김남희,연지영,김미현,Kim, Nam-Hee,Yeon, Jee-Young,Kim, Mi-Hyun 한국식품영양학회 2016 韓國食品營養學會誌 Vol.29 No.5

This study was conducted to develop and validate the Sugar Intake Reduction Test (SIRT) for young children, and included eating behaviors, attitude, and nutritional knowledge about sugars. A draft version of the SIRT was developed after literature review. The final draft of the SIRT was established after two pilot tests of 5 year old children and an expert group's review, and is comprised of a one on one test between an investigator and a child using picture tools. It contained of 20 questions which included 3 components: eating behaviors (5 items), preference for sugar sweetened food (10 items), and nutritional knowledge about sugars (5 items). The final SIRT was conducted on 181 children 5 (n=100) to 6 (n=81) years old, to examine its item and test adequacies. The passing rate of most items significantly increased with increasing age, and most of the item discrimination also differed significantly between the below and upper score groups. The content validity was given a high score by professionals (mean score 3.9 out of 4). Reliability of all the items in the SIRT was high (Cronbach's ${\alpha}=0.82$). Moreover, the total component and the sub-component scores of the SIRT correlated significantly. Our results indicate that the SIRT is a valid tool to measure sugar intake reduction in young children aged 5~6 years.

영양교육에 대한 유아교사와 학부모의 인식 및 요구 비교

김남희,김미현,Kim, Nam-Hee,Kim, Mi-Hyun 한국식품영양학회 2014 韓國食品營養學會誌 Vol.27 No.1

The purpose of this study is to compare the perceptions and needs for nutrition education between early childhood teachers and parents. This data will address the effective plans and suggest further nutrition education programs for early childhood education centers. This study was conducted with 200 early childhood teachers and 174 parents in Busan. We collected data through questionnaires from teachers and parents and then computed the frequency and ${\chi}^2$ test to analyze the data. The questionnaire was revised and complemented on the basis of related literatures and previous researches. According to our results in this study, there was a significant difference between the teachers' and parents' perceptions on the need of nutrition education and the reason for needing nutrition education. And there were differences among aims, contents, methods, and effective ways of nutrition education for children. In addition, there was a significant difference among the needs from teachers and parents on nutrition education. Finally, the results of this study suggest various implications for developing nutrition education programs in early childhood education centers. These results can be used to develop nutrition education program by considering the teachers' and parents' perceptions and needs. These may be useful data when planning for the nutrition curriculum in early childhood education centers.

컴퓨터 그래픽스를 이용한 케이블 구조의 초기형태 설계

김남희,고현무,홍성걸,Kim, Nam-Hee,Koh, Hyun-Moo,Hong, Sung-Gul 한국전산구조공학회 2011 한국전산구조공학회논문집 Vol.24 No.4

최근 컴퓨터 그래픽 S/W는 변수화 모델링과 생성알고리즘을 제공함으로써 기하학적 표현의 다양성뿐만 아니라 설계자의 의도를 체계적으로 모듈화할 수 있는 여러 가지 가능성을 열어주고 있다. 이 연구에서는 이러한 가능성을 지닌 컴퓨터 그래픽 S/W기반으로 초기 구조형태를 생성하는 방법을 제시하고자 한다. 특히 변수화 모델링과 생성 알고리즘을 이용하여 다양한 설계대안을 생성한다. 더욱이 동적 그래픽스개념을 이용하여 설계자가 한편에서는 구조형태를 생성하는 동안에, 또 다른 한편에서는 상응하는 힘의 흐름도가 마련되도록 한다. 이는 궁극적으로 힘의 흐름에 근거한 합리적 초기 구조형태 설계를 지원하게 될 것이다. Nowadays computer graphic softwares have opened a lot of potential by providing parametric modeling and generative algorithms which are useful not only to describe various geometrical shapes but also to implement a designer's intent in terms of modules systematically. This study has proposed a way of developing a module for generating preliminary structural configuration using such potential computer graphics. Especially parametric modeling and generative algorithm are utilized to define various design alternatives, and moreover use of dynamic graphics enables designers to generate a structural form on one side and a force flow diagram correspondingly provided on the other. This ultimately leads to rational preliminary design of a structural form considering its force flow.

유아의 기질 및 성격과 식행동 간의 관련성

김남희,김미현,Kim, Nam-Hee,Kim, Mi-Hyun 한국식품영양학회 2014 韓國食品營養學會誌 Vol.27 No.6

The purpose of this study was to investigate the association between dietary behavior and temperament & character in preschool children, and to offer basic data that can be applied for nutrition education and counseling. A total of 211 parents of preschool children aged 3~5 years performed the Korean version of Preschool Temperament and Character Inventory (K-psTCI), a questionnaire based on Cloninger's seven-factor model of personality, along with a questionnaire about the dietary behaviors of their children. K-psTCI represented seven factors such as harm avoidance (HA), novelty seeking (NS), reward dependence (RD), persistence (P), self-directedness (SD), cooperativeness (CO), and self-transcendence (ST). The subjects were divided into either the high rank group or low rank group based on the mean score of each factor. The high rank group of HA showed significantly less physical activity and less appetite than the low rank group of HA. The children in the high rank of NS were more likely to have picky eating and a late night snack. The children in the low rank of SD or CO were more likely to have undesirable dietary behaviors, such as picky eating, too much snacking, and lower appetite than those in the high rank of SD or CO. In conclusion, individual temperament & character in preschool children may be associated with their dietary behavior, and understanding temperament & character in children may be important facts to screen and to develop an effective nutrition education program for children.

정상 MRI 소견을 보이는 외상성 뇌손상 환자에서 국소뇌혈류량의 이상

김남희,정영기,Kim, Nam-Hee,Chung, Young-Ki 대한생물정신의학회 2002 생물정신의학 Vol.9 No.2

Background & Purpose:Neuropsychological disorders after traumatic brain injury(TBI) are poorly correlated with structural lesions detected by structural neuroimaging techniques such as computed tomography(CT) scan or magnetic resonance imaging(MRI). It is well known that patients with TBI have cognitive and behavioral disorders even in the absence of structural lesions of the brain. This study investigated whether there are abnormalities of regional cerebral blood flow(rCBF) in TBI patients without structural abnormality on MRI, using technetium 99m ethyl cysteinate dimer(Tc-99m-ECD) single photon emission computed tomography(SPECT) scans. Materials and Methods:Twenty-eight TBI patients without structural abnormality on MRI(mild, n=13/moderate, n=9/severe, n=6) and fifteen normal controls were scanned by SPECT. A voxel-based analysis using statistical parametric mapping(SPM) was performed to compare the patients with the normal controls. Results:rCBF was reduced in the right uncus and the right lateral orbitofrontal gyrus in the TBI patients. However, no increase of rCBF was noted in the patients in comparison to the normal controls. Conclusions:These results suggest that the TBI patients, even in the absence of structural lesion of the brain, may have dysfunction of the brain, particularly of the orbitofrontal and anterior pole of the temporal cortex. They also suggest that SPECT can be a useful method to identify brain dysfunctions in combination with structural brain imaging and neuropsychological tests.

역사문화환경의 도시적 재생을 위한 제도개선방안 연구 - 경주 황남·인왕 한옥지구 사례를 중심으로 -

김남희,이희정,Kim, Nam-Hee,Lee, Hee-Chung 한국건축역사학회 2021 건축역사연구 Vol.30 No.4

This study is a case study of system improvement measures for urban regeneration of the historical and cultural environment. The example areas are Hwangnam and Inwang Hanok districts in Gyeongju City, which operate various systems to solve the urban decline problem caused by the historical and cultural environment regulations. The subjects of this study are resident support programs and district unit planning systems under the advanced promotion system established in the case area. As research methods, literature studies, field surveys, and in-depth interviews were conducted. Through this, the background and purpose of introduction of each system, major plan contents, and problems of the system application process were analyzed. This study drew the following implications through case studies. First, in order to more effectively promote the urban regeneration of the historical and cultural environment, it is necessary to improve the related systems in an integrated and systematic manner. Second, in order to resolve the policy distrust of local residents in the historical, cultural and environmental management system, a wider variety of planned alternatives to narrow the difference in interests between the public and private sectors should be presented.