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임인아 한국청소년상담복지개발원 2020 청소년상담연구 Vol.28 No.1
This study aimed to provide substantial theory regarding school violence victims by delving into the structure of the victims’ experiences, their coping process, the cause and consequences of school dropout during the process. A total of 12 adolescents participated in this study. Participants through Theoretical Sampling were for data analysis. The data resulted in 153 concepts that were grouped into 49 sub-categories by abstracting those concepts and then 20 categories as the bottom line. The school dropout process had five distinctive steps in following order: ‘shock and confusion’, ‘attempts at resolution result in failure’, ‘situation endurance’, ‘re-experiencing the violence’, and ‘executing dropout’. The victims’ coping strategies in the school dropout process were: ‘immanent fear’, ‘angry resistance’, ‘seeking alternatives’and ‘evasion’. Based on these results, the core category developed was the survival process striving to escape from the fear of violence. This study presents a solid perspective which could help understand the true meaning of the school violence victims’ experiences according to the flow of time and the conditions related to the dropout process. In conclusion, finding of this study could be used as an important and meaningful resource in counseling as to the school violence victims’ school dropout process. 이 연구는 학교폭력 피해 청소년들의 학업중단 과정에 나타난 경험의 구조와 과정, 그리고 대처유형을 밝히는 것을 목적으로 하였다. 연구는 근거이론 방법(Strauss & Corbin, 1998)으로 수행되었으며, 연구참여자는 학교폭력 피해를 경험하고 정규 고등학교에서 학업을 중단한 지 3년 이내에 해당하는 경기도 남부 지역의 청소년 12명을 이론적 표본추출방법(theoretical sampling)으로 표집하여 조사하였다. 분석 결과, 153개의 개념, 49개의 하위범주, 20개의 범주가 도출되었다. 이 연구 참여자들의 학업중단 과정은 총 5단계로「충격 및 혼란 단계」,「해결시도 좌절 단계」,「버티기 단계」,「폭력 재경험 단계」,「자퇴 실행 단계」에 이르는 것으로 나타났다. 또한, 학교폭력 피해 청소년의 학업중단 과정에서의 대처유형은「공포내재형」,「분노저항형」,「대안추구형」,「회피도주형」으로 도출되었다. 최종적으로 참여자들의 경험 세계를 통합하는 중심 주제를 의미하는 핵심범주는‘폭력의 공포에서 벗어나기 위한 생존 과정’으로 상정하였다. 이 연구는 학교폭력 피해 청소년의 학업중단 과정 경험의 본질을 파악하고, 시간의 흐름과 조건에 따라 입체적인 조망을 제공할 수 있었다는데 의의가 있으며, 이는 학교폭력과 학업중단을 경험한 청소년 상담 자료로도 활용이 가능할 것으로 보인다.
임인서(In Seo Lim),이건웅(Gun Young Lee),전상현(Sang Hyun Chun),김근호(Gheun Ho Kim),구자룡(Ja Ryong Goo),전노원(Rho Won Chun),채동완(Dong Wan Chae),김형직(Hyung Jik Kim),노정우(Jung Woo Noe) 대한내과학회 1995 대한내과학회지 Vol.49 No.5
N/A Objectives: Several factors have been raised as contributing to morbidity and mortality among patients with end-stage renal disease treated with hemodialysis. We performed this study to evaluate morbidity and the factors contributing to them in chronic hemodialysis patients. Methods. We analyzed retrospectively the demo- graphic chracteristics, regularly tested laboratory findings (CBC, blood chemistry, chest X-ray, ECG), hospitalization rate, and gross mortality among 84patients in the Hallym University Medical Center from February I, 1992 to January 31, 1994. Results: 1) Age distribution of the patients was 54±13(mean±SD) years (range, 23-79 years); 41 patients were men, 43patients were women: 30patients(35.7%) had diabetes. The duration of hemodialysis was 33±30 months (range, 3-125 months). 2) Forty four patieints(52.4%) required hospitalization during the 2-year follow-up period, and the most common causes of hospitalization were infection and cardiovascular disease. 3) A total of 1H(21.4%) of the patients died the 2-year follow-up period, and cardiovascular disease was commonest cause of death. 4) The factors such as advancing age, the duration of hemodialysis, and diabetes were neither associated with the risk hospitalization nor with that of death. The serum albumin concentration in dead patients(3.4±0.4g/d1) was lower(p<0.001) than that in survived patients(3.8±0.4g/dL). As compared with patients who had serum albumin concentration ≥3.5g/dL, patients with serum albumin concentration <3.5g/dL had increased odds ratio(8.14) for death. The serum creatinine concentration in dead patients (9.5+3.0g/dL) was lower(p<0.%! than that in survived patients(11.8±3.1g/dL). Conclusion: We concluded that regularly tested serum albumin concentration was the most important predictive factor for death in chronic hemodialysis patients.
원발성 부갑상선 기능항진증 2예에서 수술 전후 내당능 및 인슐린 분비능의 변화
최용석,박성우,유형준,임성희,최문기,전상현,이건용,임인서 대한내분비학회 1994 Endocrinology and metabolism Vol.9 No.1
It is reported that patients with primary hyperparathyroidism(PHPT) have disturbances in carbohydrate metabolism: in particular, hyperinsulinemia and insulin resistance are characteristic early metabolic aberrations of this disease. However, it is not clear whether changes of insulin secretion or insulin sensitivity are observed in all patients with PHPT, including those with normal glucose tolerance. Also, it is not clear whether these changes are reversible after surgical correction of PHPT. In the present study, glucose tolerance and insulin secretion were evaluated in 2 symptomatic patients with PHPT during 100g oral glucose tolerance test before and after parathyroid adenoma removal. Comparing these patients before and after surgery, glucose tolerance was not significantly different. However, C-peptide and insulin secretion was low after surgical correction of PHPT compared to the preoperative situation. This observation suggests that insulin hypersecretion in patients with PHPT precedes glucose intolerance and this early disturbance is reversible after surgery(J Kor Soc Endocrinol 9:54-58, 1994).
김동규,박성우,김학양,배수동,임성희,임인서,정용영 대한내과학회 1996 대한내과학회지 Vol.50 No.5
Pure virilizing adrenocortical tumor in adult female is a rare disorder. We report a case of pure androgen-producing adrenocortical tumor in a 29-year-old woman who was evaluated for hirsutism and secondary amenorrhea for 18months. Her serum testosterone (4.47 ng/mL) and DHEA-S($gt;1,000㎍/ dL) levels and 24-hour-urine 17-KS excretion (84.1mg/day) were remarkblyhigh and were not suppressed by low-dose dexamethasone. Her serum cortisol level and 24-hour-urine free cortisol excretion were normal and decreased after low-dose dexamethasone administration. Abdomen CT revealed an 11 cm-sized mass with central necrosis in the right adrenal gland, On MRI, the lesion had high signal intensity on T₂-weighted image. A right adrenalectomy was performed. The tumor weighed 410gm and was 13×12×4 cm in size. The histologic examination revealed nuclear pleomorphism and high mitotic index in tumor cells without capsular invasion. Her serum testosterone and DHEA-S levels and 24-hour-urine 17-KS excretion assessed 1week after the operation were normal. The hirsutism had disappeared gradually and menstruation was observed 2 months after operation. She has been followed-up for 38 months since the operation and is at present healthy without evidence of tumor recurrence or distant metastasis.