해양문예 / 제 7 회 현대상선 백일장 수상작 퍼레이드 - 박선미

박선미 한국해사문제연구소 1993 (月刊)海洋韓國 Vol.240 No.-

Exploring the Meaning of Professional Development Through Early Childhood Teachers' Learning Experiences Based on Transformative Learning Theory

박선미 한국유아교육학회 2010 INTERNATIONAL JOURNAL OF EARLY CHILDHOOD EDUCATION Vol.16 No.2

The purpose of this study was to understand the meaning of early childhood teachers’ professional development through exploring their learning experiences by the lens of Mezirow’s transformative learning theory. Semi-structured and in-depth interviews were conducted with three teachers with five of more years of teaching experience. The collected data were analyzed and interpreted in qualitative approach. The results of this study showed that the learning experience of teachers could be categorized into two aspects (additive and transformative learning) and that transformative learning has been shown in a series of phases: critical reflection, discourse, and action. Such a transformative learning pattern made it necessary to look at the professional development of teachers as a personal, dynamic process of meaning construction, not a one-way or linear process, which is more than acquisition of new teaching skills and knowledge or improvement of existing ones. Also, the professional development as a transformative learning process led to the teachers taking a critical look at their frame of reference and opened up their own assumptions and beliefs.

일본 중학교에서의 지역학습 : the Case of Japan

박선미,정치영 한국지리환경교육학회 2003 한국지리환경교육학회지 Vol.11 No.1

본 연구에서는 우리나라 중학생들이 배우고 있는 지역학습의 목적과 내용간에 정합성이 결여되었다는 문제점을 인식하고 이러한 문제 해결의 실마리를 마련하기 위하여 1998년에 개정된 일본의‘학습지도요령’과 帝國書院과 東京書籍의 중학교 지리교과서를 대상으로 학습지역을 선정하는 기준과 지역학습 내용 및 활동을 분석한다. 일본 지역학습은 우리나라와 같이 개별 지역 낱낱을 모두 학습하도록 되어 있던 종전의 틀을 과감하게 탈피하여 다양한 규모의 지역적 특색을 파악하는 관점과 방법을 체득하도록 내용을 구성하고 있다. 우리나라 교육과정과 달리, 일본의 학습지도요령은 학습해야 할 지역을 선정하는 기준과 해당 규모에서 성취해야 할 목표를 제시하고, 교과서 집필진과 출판사가 교과서에서 다루는 지역과 구체적인 내용을 선택한다. 일본의 지역학습은 학습의 넓이 대신에 깊이를 선택했다. 이러한 전환은 한 영역의 깊이 있는 학습이 학생들의 사고를 외연적으로 확대시키기 때문에 학습의 넓이를 결코 희생시키지 않으리라는 믿음을 전제로 한 것이다. This study examines criteria of selecting regions, contents, and activities for regional studies based on the revised version of Japanese national curriculum in social studies (1998) and middle school textbooks of Imperial Books and Tokyo Books. By referring to the Japanese case, the authors hope to find possible solutions to the gap between aims and contents of regional studies in the middle school level social studies in Korea. Regional studies in Japan differs from those in Korea in the sense that the contents include methods and viewpoints by which students can understand regional characteristics in different scales, which extends its scope far beyond simple poking and soaking of each specific region. Furthermore, unlike National Curriculum in Korea, instructions for learning and teaching in Japan suggest relevant criteria for selecting regions and main purposes that students should achieve in each scale. Also in Japan, selection of regions and contents for textbooks is decided by the editorial board and the publishers. Regional studies in Japan is focusing on the depth details rather than the comprehensiveness. This focus is based on the belief that in depth study on a particular are should not sacrifice the comprehensiveness because it helps students to extend their scope of reasoning.

Warfarin과 Propafenone 병용 시 용량 조절 기준 설정

박선미,민경아,인용원,이영미 한국병원약사회 2013 病院藥師會誌 Vol.30 No.1

Oral anticoagulation therapy with warfarin is effective in the prevention of stroke during atrial fibrillation, but it needs careful monitoring because of its narrow therapeutic range and complexity of interaction with other medications. Propafenone is an antiarrhythmic agent classified in the class I c category. A previous study provided clinical evidence for a possible interaction between warfarin and propafenone. The addition of propafenone can potentiate the anticoagulant effect of warfarin so the previous study recommended a close monitoring and reduction of warfarin dosage when co-administered with propafenone. However, no reports have established an appropriate warfarin dosage guideline. Therefore, this study was conducted to determine the appropriate dosage of warfarin when co-administered with propafenone in regards to developing a practical guideline. A retrospective analysis was done for all patients who received propafenone, seen by the anticoagulation service (ACS) at Samsung Medical Center from January 1, 2008 to January 31, 2011. Patients who had consistent therapeutic INR values (1.8-3.2) with the same dose of warfarin for at least 1 month and who had not received any drugs known to alter INR values or interact with warfarin were included in the study. A total of twenty four patients met the inclusion criteria. The 1st ACS follow-ups were performed on day 7.63±3.85 and increases in INR were observed. The reduction rate in the warfarin dose for maintaining therapeutic INR was 10.08±6.79%. There was a significant difference in the reduction of the warfarin dose between the baseline and the 1st ACS follow-up. No significant differences were observed in the reduction of warfarin dose between the 1st ACS follow-up and 2nd ACS follow-up. Although no major bleeding was observed in the study group, 2 cases of minor bleeding (bruise and gingival bleeding) occurred during the study period. Based on these findings, we recommend a 10-15% reduction in the dose of warfarin at the time propafenone treatment is started and INR values should be determined on day 7-10 to ensure that therapeutic INR levels are maintained. This study provides a clinically available warfarin dosage guideline in the concomitant use of propafenone and warfarin. In addition, based on the results of this study, additional prospective study should be needed.

Clinical Characteristics, Management, and Outcome of 22 Cases of Primary Hypophysitis

박선미,배지철,정지영,조윤영,김태훈,진상만,서성환,허규연,Kwang-Won Kim 대한내분비학회 2014 Endocrinology and metabolism Vol.29 No.4

Background: Primary hypophysitis causes varying degrees of endocrine dysfunction and mass effect. The natural course and best treatment have not been well established. Methods: Medical records of 22 patients who had been diagnosed with primary hypophysitis between January 2001 and March 2013 were retrospectively reviewed. Based on the anatomical location, we classified the cases as adenohypophysitis (AH), infundibuloneurohypophysitis (INH), and panhypophysitis (PH). Clinical presentation, endocrine function, pathologic findings, magnetic resonance imaging findings, and treatment courses were reviewed. Results: Among 22 patients with primary hypophysitis, 81.8% (18/22) had involvement of the posterior pituitary lobe. Two patients of the AH (2/3, 66.6%) and three patients of the PH (3/10, 30%) groups initially underwent surgical mass reduction. Five patients, including three of the PH (3/10, 33.3%) group and one from each of the AH (1/3, 33.3%) and INH (1/9, 11.1%) groups, initially received high-dose glucocorticoid treatment. Nearly all of the patients treated with surgery or high-dose steroid treatment (9/11, 82%) required continuous hormone replacement during the follow-up period. Twelve patients received no treatment for mass reduction due to the absence of acute symptoms and signs related to a compressive mass effect. Most of them (11/12, 92%) did not show disease progression, and three patients recovered partially from hormone deficiency. Conclusion: Deficits of the posterior pituitary were the most common features in our cases of primary hypophysitis. Pituitary endocrine defects responded less favorably to glucocorticoid treatment and surgery. In the absence of symptoms related to mass effect and with the mild defect of endocrine function, it may not require treatment to reduce mass except hormone replacement.

PCA-SVM 기법을 이용한 차량의 색상 인식

박선미,김구진 한국정보처리학회 2008 정보처리학회논문지. 소프트웨어 및 데이터 공학 Vol.15 No.4

Color histograms have been used as feature vectors to characterize the color features of given images, but they have a limitation in efficiency by generating high-dimensional feature vectors. In this paper, we present a method to reduce the dimension of the feature vectors by applying PCA (principal components analysis) to the color histogram of a given vehicle image. With SVM (support vector machine) method, the dimension-reduced feature vectors are used to recognize the colors of vehicles. After reducing the dimension of the feature vector by a factor of 32, the successful recognition rate is reduced only 1.42% compared to the case when we use original feature vectors. Moreover, the computation time for the color recognition is reduced by a factor of 31, so we could recognize the colors efficiently. 색상 히스토그램은 영상의 색상 특징을 표현하기 위한 특징 벡터로 빈번히 사용되지만, 고차원의 특징 벡터를 생성하므로 효율성의 면에서 한계점을 갖고 있다. 본 논문에서는 주어진 차량 영상의 색상 히스토그램에 PCA (principal components analysis) 기법을 적용하여 특징 벡터의 차원을 축소시키는 방법을 제안한다. 차원이 축소된 특징 벡터들에 대해서는 SVM (support vector machine) 기법을 적용하여 차량 색상을 인식하기 위해 사용한다. 특징 벡터의 차원을 1/32로 축소한 결과, 차원이 축소되기 이전의 특징 벡터와 비교하여 약 1.42%의 미소한 차이로 색상 인식 성공률이 감소하였다. 또한, 색상 인식의 수행 시간은 1/31로 단축됨으로써 효율적으로 색상 인식을 수행할 수 있었다.

온라인 토론에서의 의견 수렴과 사회적 실존감 수준에 관한 연구 - 새만금 간척사업에 대한 온라인 토론 내용을 중심으로 -

박선미 한국지리환경교육학회 2006 한국지리환경교육학회지 Vol.14 No.4

This paper examines the possibility of formulating on-line learning community in environmental education class where different values of different interest groups conflict each other, by identifying the levels of convergence and social presence as a method for content analysis of text message in order to measure the formation of learning community both qualitatively and quantitatively. The level of social presence is measured by the percentage of messages that contain interactive, affective, and cohesive responses, while the level of convergence is measured by categorizing messages such as stand-alone, add-on, multiple reference, and convergent, focusing on the relationship between the messages. As a result, in the case of the level of convergence, most of the messages are add-on, while messages that contain efforts of convergence are rare. Second, messages that contain social presence are also small in number, taking only 26 percent of the whole messages. Moreover, these messages don’t contain reference to others or class solidarity. 본 연구는 “집단 간 가치가 충돌하는 환경 쟁점을 다루는 수업은 학습공동체의 형성이 요구되는데, 이것이 온라인 환경에서 가능한가?”라는 문제를 제기하고, 학습공동체 형성의 질과 양을 측정하기 위하여 의견 수렴과 사회적 실존감 수준을 분석한다. 사회적 실존감 수준은 텍스트 메시지 중 상호작용적 반응·감정적 반응·결속적 반응을 나타내는 메시지의 비율로, 의견 수렴 수준에 대해서는 텍스트 메시지간의 연결에 초점을 두고 독립적 내용·부가적 내용·복합적 참고 내용·수렴적 내용의 비율로 분석한다. 그 결과는 다음과 같다. 첫째, 의견수렴 수준은 전체 메시지의 대부분이 부가적 내용이고, 찬성과 반대 의견을 조정하여 수렴하고자 하는 의도가 담긴 내용이 거의 없는 것을 볼 때 매우 낮다. 둘째, 사회적 실존감을 나타내는 내용은 전체 메시지 중에서 28.6%로 대부분 자신의 감정적 반응을 나타낸 내용이고 타인에 대한 언급이나 학습공동체의 결속력을 나타내는 내용은 거의 없다.

The Crucial Role of Cholangiocytes in Cholangiopathies

박선미 거트앤리버 소화기연관학회협의회 2012 Gut and Liver Vol.6 No.3

Cholangiopathies are diseases involving the intrahepatic biliary tree. They appear to involve, chronic inflammation of the bile ducts, which can lead to the development of bile duct cholestasis, proliferation/ductopenia, biliary fibrosis, and malignant transformation. Sustained stimulatory insults to biliary epithelial cells can induce a ductular reaction, which has a key role in the initiation and progression of cholangiopathies. The epithelial-mesenchymal interaction between reactive cholangiocytes and mesenchymal cells with the inflammatory infiltrates plays a major role in this pathogenesis. Cytokines, chemokines, growth factors and morphogens mediate these interactions in an autocrine or paracrine manner. The main hepatic myofibroblasts (MFs) in cholangiopathies originate from portal fibroblasts. Hepatic stellate cells and fibrocytes also transform into MFs. Whether cholangiocytes or hepatocytes are a source of MFs via the epithelial-mesenchymal transition (EMT) remains a matter of controversy. Although there have been numerous indirect findings supporting the theory of a cholangiocyte EMT in human tissues, recent studies using lineage tracing methods have demonstrated strong evidence against the EMT. Understanding the pathogenic mechanisms involved in cholangiopathies can allow for better-targeted anti-fibrotic therapies in animal models. Before anti-fibrotic therapies can translate into clinical trials, improved monitoring of the fibrotic progression of cholangiopathies and an accurate assessment regarding the effectiveness of the proposed treatments must be achieved.

흡연 및 음주와 우울증상 경험과의 관련성: 제5기 국민건강영양조사(2010-2012)

박선미,한미아,박종,류소연,최성우,신환호,주미현 대한임상건강증진학회 2016 Korean Journal of Health Promotion Vol.16 No.2

Background: The prevalence of depression has been steadily increasing. This study aim to identify associations between smoking, drinking and depression in Korean adults. Methods: The study subjects were 17,871 adults aged 19 or over who participated in the 5th Korea National Health and Nutrition Examination Survey (2010-2012). We performed multiple logistic regression to identify whether smoking and drinking were independently significant variables to depression after adjusting for the confounding variables. Results: The proportion of having any depressive episodes was a total of 13.4% with 9.1% of male and 16.6% of female, respectively. Among all of smoking behaviors, higher cigarette consumption was only associated with depression in men. However, for women ever-smoking (adjusted odds ratio [aOR]=1.63, 95% confidence interval [CI]=1.38-1.92), ex-smoking (aOR=1.38, 95% CI=1.10-1.54), current smoking (aOR=1.89, 95% CI=1.53-2.94) and younger initiation of smoking (aOR=2.34, 95% CI=1.73-3.16) had significantly higher odds for depression. Moreover, and higher cigarette consumption (20 or more per day) showed significantly higher odds ratios for depression both in men (aOR=1.21, 95% CI=1.01-1.54) and women (aOR=2.41, 95% CI=1.32-4.41). For alcoholic drinking behaviors, frequent binge drinking (1 per week: aOR=1.46, 95% CI=1.16-1.85, most everyday: aOR=1.79, 95% CI=1.14-2.80) was an independent risk factor for depressive symptoms in female. Conclusions: Smoking and drinking behaviors were independently associated with depression especially in female. Smoking and drinking management may benefit depression control as well as health promotion. 연구배경: 우울증은 흔한 정신과적 질환으로, 유병률이점차 증가하고 있다. 본 연구는 만 19세 이상 성인을 대상으로 흡연 및 음주와 우울증상의 관련성을 파악하고자 실시하였다. 방법: 제5기 국민건강영양조사 원시자료를 이용하여 만19세 이상 성인 17,871명을 대상으로 조사하였으며, 우울증상 경험과 유의한 관련성을 보인 변수들을 보정한 상태에서 흡연 및 음주를 독립변수로, 우울증상 경험을 종속변수로 다중로지스틱회귀분석을 실시하였다. 결과: 우울경험률은 전체 13.4%, 남자 9.1%, 여자 16.6% 였다. 흡연행태와 우울경험과의 관련성에서 여자의 경우평생 흡연을 한 경우(aOR=1.63, 95% CI=1.38-1.92), 현재흡연 상태(과거흡연군: aOR=1.38, 95% CI=1.10-1.54, 현재흡연군: aOR=1.89, 95% CI=1.53-2.94) 및 흡연 시작연령(aOR=2.34, 95% CI=1.73-3.16)에서 우울증상과의 관련성이 유의하게 증가하였다. 흡연량에서는 하루 20개비 이상흡연하는 경우 남자(aOR=1.21, 95% CI=1.01-1.54)와 여자(aOR=2.41, 95% CI=1.32-4.41)에서 우울증상과의 관련성이 유의하게 증가하였다. 음주행위 요인에서 고위험 음주군은 여자는 주 1회 정도(aOR=1.46, 95% CI=1.16-1.85), 거의 매일(aOR=1.79, 95% CI=1.14-2.80)에서 우울증상 경험과의 관련성이 유의하게 높았다. 결론: 흡연 및 음주 행위와 우울증과의 관련성을 파악할수 있었다. 흡연 및 음주 관리를 통한 건강증진뿐 아니라우울증 관리에도 도움이 되리라 판단된다.

조선시대 의녀의 사회적 기능

박선미 한국교육사학회 1996 한국교육사학 Vol.18 No.-