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컴퓨터활용교육 : 교육정보공유체제 이용 활성화를 위한 교사의 요구 분석
조진숙 ( Jin Suk Cho ),오미자 ( Mi Ja Oh ),김미량 ( Mi Ryang Kim ) 한국컴퓨터교육학회 2013 컴퓨터교육학회 논문지 Vol.16 No.1
본 연구는 교육정보공유체제의 이용 활성화를 위한 방안을 제안하고자 주 사용자인 교사들의 요구사항을 분석하였다. 교사들이 생각하는 현행 시스템의 문제점과 개선점 및 희망 컨텐츠가 무엇인지에 대한세 가지 연구과제를 설정하고, 구체적인 의견 수렴을 위해 개방형 설문을 실시하였으며 NVivo 10 프로 그램으로 분석하였다. 현 시스템은 기능적 문제, 자료의 신뢰성 부족 문제, 공유 및 활용을 위한 체제 문제를 갖고 있으며, 교사들은 개인의 상황에 맞는 매우 다양한 자료들을 요구하였다. 이에 본 연구에서는 맞춤형 검색이 가능한 새로운 검색엔진 도입, 컨텐츠 저작 도구 탑재 등의 웹사이트 기능 개선을 제안하였다. 또한 다양한 교사의 요구를 만족하기 위하여 교사가 주도적으로 컨텐츠를 생산·공유·유통할 수 있는 오픈마켓 서비스 체제를 제안하였고, 교사들의 교육정보공유체제 이용을 활성화하기 위해 저작권의 문제가 선결되어야 함을 강조하였다. The purpose of this study is to analyze the needs of teachers as main users to make suggestions for active use of educational information sharing system. The study sets three research tasks about the problems of the current system, improvements, and desired content from the perspective of teachers. To collect specific opinions, we conducted an open questionnaire survey and made a qualitative analysis using the NVivo 10 program. The present system has such problems as functional issues, lack of data reliability, systemic problems for sharing and use. We suggest that in order to enhance Web site services, authoring tools for editing contents and new search engines with customized search function need to be provided. In addition, the open market service system has to be established, so that teachers can actively create, share, and distribute to meet the various needs of teachers. Finally, to promote free access to the system, copyright issues need to be resolved to prevent the potential digital piracy.
김석환 ( Suk Hwan Kim ),최경호 ( Kyung Ho Choi ),최세민 ( Se Min Choi ),오영민 ( Young Min Oh ),서진숙 ( Jin Sook Seo ),이미진 ( Mi Jin Lee ),박규남 ( Kyu Nam Park ),이원재 ( Won Jae Lee ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.1
Purpose: Recently, the American Heart Association recommended that routine cervical spine protection in submerged patients was not necessary, except in high-energy injury situations. However, until now, this recommendation has few supportive studies and literatures. This retrospective study was performed to demonstrate the risk of cervical spine injury in patients who had been submerged in a river. Methods: Seventy-nine submerged patients who visited St. Mary`s Hospital between January 2000 and December 2005 were included in this retrospective study. We investigated and analyzed the victim`s age, sex, activity on submersion, mental status and level of severity at admission, prognosis at discharge, associated injuries, and risk group by using the medical records and cervical spine lateral images. According to the activity on submersion, victims were classified into three groups: high risk, low risk, and unknown risk. The reports of radiologic studies were classified into unstable fracture, stable fracture, sprain, degenerative change, and normal. Results: The patients` mean age was 36.8 yrs, and 54% were males. Of the 79 patients, adult and adolescent populations (80%) were dominant. Jumping from a high bridge (48%) was the most common activity on submersion and accounted for 52% of the high-risk group. The Glasgow coma scale at admission and the cerebral performance scale at discharge showed bimodal patterns. The results of the radiologic studies showed one stable fracture, one suspicious stable fracture, and 18 sprains. The incidence of cervical spine fracture in submerged patients was 2.5% in our study. The incidence of cervical spine injury was higher in the high-risk group than it was in the low-risk group, especially in the jumping-from-high-bridge subgroup; however this observation was not statistically significant. No other factors had any significant effect on the incidence of cervical spine injury. Conclusion: Our study showed that even submerged patients in the high risk group had a low incidence of cervical spine fracture and that the prognosis of a patient did not seem to be influenced by the cervical spine fracture itself. (K Korean Soc Traumatol 2006;19:47-53)
면역억제제를 복용 중인 환자에서 안구표면 편평상피세포암의 안구 내 침범 1예
박은우(Eu Noo Bak),류진숙(Jin Suk Ryu),곽상인(Sang In Khwarg),오주연(Joo Youn Oh) 대한안과학회 2016 대한안과학회지 Vol.57 No.3
목적: 면역억제제를 복용 중인 환자에서 발생한 안구표면 편평상피세포암의 안구 내 침범에 대한 임상적, 조직학적 소견과 치료 경과에 대해 보고하고자 한다. 증례요약: 신장이식 후 17년간 면역억제제를 복용 중인 59세 남자 환자가 재발하는 우안 결막의 하얀 병변을 주소로 내원하였다. 병변의 절제적 생검 후 절제부위에 mitomycin C 점적 및 양막이식술을 시행하였다. 조직학적 검사상 편평상피세포암으로 확인되었다. 당시 시행한 안와 전산화 단층촬영검사상 특이소견은 관찰되지 않았다. 술 후 6개월간 Interferon alpha 2b 안약을 점안하였다. 술후 1년째 우안 결막 병변이 재발하여 절제적 생검과 mitomycin C 점적, 반복적 냉응고요법, 양막이식술을 시행하였다. 같이 시행한 안와 전산화 단층촬영검사에서 우안 내측에 1.9 cm의 고밀도 종괴가 관찰되어 편평상피세포암의 안구 내 침범으로 진단하고 우안안와내용물제거술을 시행하였고, 조직학적 검사상 편평상피세포암으로 확인되었다. 결론: 면역억제제 복용 환자에서 발생한 안구표면 편평상피세포암은 빠르게 다른 부위로 침범할 수 있음을 고려할 때 수술적 완전절제 후에도 적극적인 경과 관찰이 필요하다. Purpose: To report a case of ocular surface squamous cell carcinoma with intraorbital extension in a patient with renal transplantation and long-term immunosuppressive therapy. Case summary: A 59-year-old Korean male presented with a whitish mass in the medial limbus and conjunctiva of the right eye. The patient had undergone renal transplantation 17 years prior due to lupus nephritis and was on systemic immunosuppression with daily prednisolone (10 mg), tacrolimus (5 mg), and mycophenolate sodium (720 mg). The complete excision of the mass was performed and mitomycin C application and amniotic membrane transplantation on the excised area were combined. Histopathological examination revealed the mass was squamous cell carcinoma. There were no abnormal findings on the orbit computed tomography (CT). The patient was additionally treated with topical interferon alpha 2b 6 months postoperatively. One year later, a mass recurred at the same site in the right eye. The complete excision of the mass, mitomycin C application, cryotherapy, and amniotic membrane transplantation were performed. Orbit CT showed a 1.9 cm-sized intraorbital mass involving the medial rectus of the right eye. The orbital exenteration was performed and the intraorbital mass was histologically proven to be squamous cell carcinoma. Conclusions: Ocular surface squamous neoplasia in patients with renal transplantation and long-term immunosuppressive therapy should be monitored closely for the possibility of orbital invasion.