탁아시설에 있어서 아동보호와 교육

신혜령 이화여자대학교 사회복지관 1986 社會福祉館論集 Vol.4 No.-

항암화학요법 유발 말초신경병증에 대한 한방치험 1례

신혜령,서욱철,안성후,원진희,송봉근,Shin, Hyeryung,Seo, Wookcheol,An, Sung-Hu,Won, Jin-hee,Song, Bong-keun 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.2

Introduction: The aim of this study is to report on the effectiveness of Korean medicine to improve symptoms of chemotherapy-induced peripheral neuropathy (CIPN). Some patients are treated with medication, but medications may have no effect in some patients. Korean medicine treatments have been used in such patients, but few reports exist. Case Presentation: A 58-year-old female patient with CIPN reported symptoms of bilateral limb pain and tingling sensations as well as cold sensations in bilateral lower legs and hands, fatigue, and bilateral limb weakness. To reduce the patient's symptoms, we provided Korean medical treatment, including herbal medicine (Uchashinki-hwan), acupuncture, and moxibation. To evaluate the results of this treatment, we used a numeric rating scale (NRS), the manual muscle test (MMT), the National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), and the European Organization for Research and Treatment of Cancer quality-of-life questionnaire about CIPN (EORTC-QLQ-CIPN20). After 49 days of treatment, the NRS scores decreased for bilateral limb pain and tingling, for bilateral lower leg and hand cold sensation, and for fatigue. The MMT results for the upper and lower extremities were improved. CTCAE Grade and EORTC QLQ-CIPN20 score were also decreased. Conclusion: According to these results, Korean medicine treatment may be considered an effective treatment for CIPN. Prospective studies are needed in the future to confirm and expand these findings.

승모판 협착증 환자에 대한 한방치험 1례

신혜령,김철현,추홍민,이영웅,김광호,원진희,송봉근 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.3

Introduction: This study aimed to report on the effectiveness of using Korean medicine to improve symptoms of mitral stenosis. While some patients that do not require surgery due to mild mitral stenosis are treated with medication, the medication does not always alleviate the symptoms. Thus, we administered Korean medicine treatments to those patients because there are not many case reports on using this approach to treat symptoms of mitral stenosis. Case Presentation: A 48-year-old male patient with mitral stenosis complained of symptoms, such as palpitation, dyspnea, chest pain, fatigue, and swelling in both legs. To reduce the patient's symptoms, we administered Korean medical treatments, including herbal medicine (Samulanshin-tang-gamibang) and acupuncture. To evaluate the results, we used the numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification. After 17 days of treatment, the NRS score decreased for palpitation (8→2), dyspnea (8→1), chest pain (5→0), fatigue (96→2), and swelling in both legs (6→2). The NYHA class also changed from Class Ⅱ to Class I. No adverse reaction was noted. Conclusion: According to the results, Korean medicine treatments can be considered to be effective for mitral stenosis patients. To confirm this finding, a prospective study is needed in the future.

COVID-19 팬데믹 상황에서 제천시 로컬푸드에 대한 지역사회 소비자 인식과 이용 현황: 기술 연구

신혜령,박수진 대한지역사회영양학회 2023 대한지역사회영양학회지 Vol.28 No.4

Objectives: This study aims to explore consumer awareness and usage patterns of local food in Jecheon city during the COVID-19 pandemic, contributing to the establishment of the Jecheon City Food Plan. Methods: Surveys were conducted from July 24 to August 24, 2021, using a combination of web-link and self-administered methods for adults living in Jecheon city (n = 250). Descriptive analysis, t-test, importance and satisfaction analysis (ISA) of local food choice attributes were performed using SPSS Statistics. Results: Participants prioritized freshness when purchasing agricultural products. The freshness of Jecheon local food was the selection attribute with the highest consumer satisfaction and could provide purchase motivation. Approximately 73.6% of respondents understood the concept of local food, and 70% were familiar with Jecheon's local food. Notably, 94.8% expressed an intention to purchase but held negative views on selling local food in other areas. The need to increase the supply of local food to vulnerable populations and public school catering was highly recognized. The ISA identified ‘affordable price’, ‘delivery service’, and ‘product information’ as areas requiring improvement. On the other hand, ‘freshness of products’, ‘quality for the price’, and ‘support for local farmers and economy’ were identified as attributes to be maintained and strengthened. Conclusions: Consumers in Jecheon city recognized local foods as more than just 'consumer goods’. Our findings suggest the need for further research on local food revitalization and more comprehensive local food planning to enhance consumer satisfaction.

시설청소년의 자립지원프로그램 효과성에 관한 연구

신혜령,김보욱 미래를 여는 청소년학회 2011 미래청소년학회지 Vol.8 No.1

The purpose of this study is to identify the effect of independent living programs for adolescents in residential care, and discuss how to vitalize the programs based on results from the analysis. The survey data were collected from a sample of 268 adolescents in 12 residential care facilities from February, 2008 to February, 2009 using ACLSA(Ansell-Casey Life Skills Assessment). The collected data operated paired samples t-test. The results of analysis are as follows. After participating the programs, all independent living skills of adolescents in care system were improved. However, some programs were ineffective. Implications for independent living programs for adolescents in care system are discussed from this study. Firstly, the continuous and systematic programs of independent skills are needed. Secondly, we should consider the needs of adolescents. Thirdly, we need to reduce the size of program group less than 5 people. Lastly, researchers who study independent living skills of adolescent need to use various research methods in order to develop independent living programs. 본 연구는 시설청소년들을 대상으로 실시되고 있는 자립지원프로그램의 효과성을 검증하고 성별, 연령별, 집단규모별 효과성을 분석함으로써 자립지원프로그램을 질적으로 발전시키고 제도화하는데 기초를 제공하고자 한다. 연구방법으로는 문헌연구와 설문조사를 병행하였으며, 설문조사는 전국 10개소의 아동양육시설과 2개소의 공동생활가정에서 생활하고 있는 14세~19세까지의 청소년 중 2008년 2월부터 10개월간 자립지원프로그램에 참여한 268명을 대상으로 구조화된 설문지를 통해 시행되었다. 측정도구로는 자립기술평가척도를 사용하였으며, 자료 분석을 위해 대응표본 T검정을 실시하였다. 분석결과, 프로그램의 영역별 효과성 분석을 통해 나타난 자립지원프로그램은 전반적으로 일상생활, 자기보호, 지역사회자원활용, 돈관리, 사회적 기술, 진로탐색 및 취업기술, 직장생활 등 모든 영역에서 청소년의 자립기술능력 향상에 효과가 있는 것으로 나타났으나, 성별, 연령별, 집단규모에 따라 유의미한 효과성이 나타나지 않는 영역도 있었다. 구체적으로, 사회적 기술은 5명이하의 소집단에서는 유의미하게 나타났으나 15명 내외의 일반집단에서 효과가 나타나지 않았으며, 진로탐색 및 취업기술은 남자 중학생집단과 15명 내외의 일반집단에서 유의미하지 않았다. 또한 직장생활기술은 여학생집단에게서 효과성이 유의미하게 나타나지 않았다. 본 연구결과를 통해 제시하는 실천적 함의는 다음과 같다. 시설보호기간 동안 자립지원프로그램의 활성화를 위하여 전담인력과 표준화된 프로그램의 제공 및 예산지원이 필요하며 시설의 체계적이고 지속적인 실행체계가 요구된다. 또한, 사회적 기술, 진로탐색 및 취업기술, 직장생활기술 프로그램에서는 소규모 맞춤형 프로그램 설계가 필요할 것으로 보이며, 영역에 따라서는 성별, 연령별 차이에 따른 구체적인 프로그램세분화로 청소년의 욕구를 충족시켜야 할 것이다. 즉 청소년의 수준과 특성을 고려한 프로그램 개발․운영을 통해 수요자중심의 개별화된 프로그램을 실시하여 자립지원프로그램의 효과성을 극대화시킬 필요가 있다.

Mobile CORBA 환경에서 게이트웨이간의 경로최적화 핸드오프

신혜령,이형우,김주호 한국정보과학회 2002 정보과학회논문지 : 정보통신 Vol.33 No.6

본 논문에서는 ALICE(Architecture for Location Independent CORBA Environment) 구조에 기반한 Mobile CORBA 환경에서 이동 게이트웨이(MG)간의 핸드오프에 따른 문제점을 해결하기 위한 경로 최적화 핸드오프를 제안한다. 이동 호스트가 빠르게 움직이고, 처리시간이 긴 작업의 경우에 핸드오프로 인한 MG간의 긴 터널링 체인이 발생할 수 있고, 이로 인해 메시지들이 불필요한 몇 단계의 라우팅과 재전송 과정을 거치게 된다. 이렇게 비효율적인 경로를 통해서 메시지 전송이 이루어지는 것은 여러 가지 제약조건을 가지는 무선망의 환경에서는 커다란 장애요소가 될 수 있다. 본 논문에서 제안한 새로운 핸드오프 알고리즘은 핸드오프시 관련된 MG들이 이동성에 관한 정보를 메시지(binding update message) 형태로 받아서 캐쉬로 관리하도록 한다. 그 결과 핸드오프 이후의 관련 MG는 캐쉬를 이용하여 이동 호스트와 최적의 경로로 통신이 가능하다. The routing protocols designed for wired networks can hardly be used for mobile ad-hoc networks due to limited bandwidth of wireless transmission and unpredictable topological change. Recently, several routing protocols for mobile ad-hoc networks have been proposed. However, when these protocols are applied to support real time services like multimedia transmission, they still have problems in ad-hoc networks, where the topology changes drastically. In this paper, we propose a new route selection algorithm which selects the most reliable route that is impervious to route failures by topological changes by mobile hosts. For reliable route selection, the concept of virtual zone (stable zone and caution zone) is proposed. The zone is located in a mobile node's transmission range and determined by mobile node's mobility information received by Global Positioning System (GPS). The proposed algorithm is applied to the route discovery procedure of the existing on-demand routing protocol, AODV, and evaluated by simulation in various traffic conditions and mobility patterns.

워터 앤 더 시티 - 대한민국 한강, 부활을 꿈꾸다 - 한강은 이제 비상(飛上) 해야 한다 -

신혜령,Sin, Hye-Ryeong 한국상하수도협회 2008 한국상하수도협회지 Vol.23 No.-

Usefulness of p16INK4a Immunocytochemical staining for the Differentiation between Atrophy and ASCUS in Diagnosis of Uterine Cervical Cancer

신혜령,엄태길,최완수 대한의생명과학회 2023 Biomedical Science Letters Vol.29 No.3

A Pap smear is the most important screening test for the diagnosis of cervical cancer. However, subjective judgment by the operator cannot be excluded, and replicability may greatly be reduced if uncertain specimens are examined. Examiners often experience difficulties in differentiating atrophy with inflammatory changes and ASCUS when diagnosing squamous epithelial lesions from a pap smear. Reports often vary between cytologists and pathologists, and misdiagnosis may result in delayed follow-ups and advanced diseases. Hence, auxiliary examinations are necessary when confusing results between atrophy and ASCUS are obtained. The importance of p16INK4a activation due to HPV infection, which is an important factor in the outbreak of cervical cancer, has been highlighted. Recent studies have reported that p16INK4a immunocytochemical staining and HPV high-risk type tests using liquid-based cervical specimens are effective to detect the presence of lesions of grade HSIL or higher in patients with ASC-H. However, no research exists on the utility of HPV and p16INK4a tests on the differential diagnosis of atrophy and ASCUS. This study focused on whether p16INK4a immunocytochemical staining and HPV tests can help diagnose borderline lesions between atrophy and ASCUS. The results reported that p16INK4a activation can significantly (P<0.001) differentiate atrophy from ASCUS in atrophic lesions infected with High risk-HPV. Therefore, it may be concluded that p16INK4a immunocytochemical staining is an effective auxiliary test in lesions infected with HR-HPV when atrophic lesions are difficult to differentiate by morphology. Such results are expected to help decide on adequate follow-up and treatment.

아동복지시설의 자립준비 프로그램 담당자들을 위한 교과과정

신혜령 국립보건연구원 2000 국립보건원보 Vol.37 No.-

시설청소년의 자립준비에 관한 연구

신혜령(Hea Reong Shin) 한국아동복지학회 2001 한국아동복지학 Vol.- No.11

본 연구는 시설청소년의 개인적 특성, 배치상황, 그리고 사회적 지원이 자립준비에 어떻게 관련되며 영향을 미치고 있는가를 분석하고자 하였다. 이를 위해 아동양육시설 50개소의 고등학교 2학년, 3학년 학생 208명과 이들을 담당하고 있는 보육사 133명을 대상으로 설문조사를 실시하였으며, 측정도구로는 행동문제척도, 학교적응척도, 대처능력척도, 부모와의 유대척도, 자립준비척도가 사용되었다. 자료분석을 위해서 빈도분석, 상관분석, t-test, 다중회귀분석을 하였다. 연구결과 첫째, 시설청소년의 자립준비정도는 청소년과 보육사에게서 모두 `보통` 이상이었으며, 그 중 자기관리기술은 전체 평균보다 낮게 나타났다 청소년들은 개인적 특성 중 학교적응, 행동문제, 대처능력과 배치상황 중 배치횟수와 시설의 입소배경, 그리고 사회적 지원으로서 보육사와의 유대를 자립준비에 영향을 주는 요소로 보았으며, 보육사들은 청소년의 행동문제, 성, 학교적응, 시설의 자립교육 등이 청소년의 자립준비에 영향을 미친다고 인식하였다. 따라서 시설청소년의 자립준비를 위해서는 개인의 심리사회적 대처능력의 향상이 필요하며 학업 및 진로지도, 행동문제에 대한 상담 및 개입프로그램, 그리고 개별 자립사정 및 자립준비 프로그램이 체계적으로 제공되어야 한다. 또한 양육과정에서 부모와 보육사와의 유대를 강화시키기 위한 정부와 시설의 방안들이 추진되어야 할 것이다. The readiness for independent living of adolescents in residential care is the process to improve the gradual independence and responsibility about their lives: However, for adolescents in residential care, the natural developmental process may be often mitigated by their individual and group experiences both prior to and while in care. The present study examined the readiness for independent living of adolescents who have been in the residential care system. Data for this study were taken from the survey of 208 high-school students and 133 care providers in 50 residential care facilities. The major findings are as follows. The readiness level for independent living of adolescents was higher than average scores from adolescents and care providers. But basic skills from both sides was found lower level than average scores of the readiness for independent living. Of the individual characteristics, school adaptation, coping behavior and behavior problem and gender contributed to readiness for independent living of adolescents. Among them, adolescents pointed that school adaptation was the most influential factor, but care providers recognized that behavior problem was the most influential factor. Of the placement situations, a number of placement experience and of parent divorce and economic difficulties were negatively influential, and of the social supports, attachment to care providers and involvement in independent living program positively contributed to the readiness for independent living of adolescents. Findings from this study suggest that social work practice should deal with psychological and social problems of the adolescents in residential care through applying counseling techniques, group work methods to assessment and intervention of their problems and public policy should establish placement system to contact the child and their parents in care continuously, and enact programs of adolescents preparing for the independent living prior to discharge of residential care.