학교체육과 지역사회체육의 협력을 통한 아동 및 청소년체육의 발전방안 모색을 위한 연구 ( 1 )

김경숙(Kyung Sook Kim),김기웅(Kee Woong Kim),김명(Myoung Kim),정현채(Hyun Chae Chung),위성식(Sung Sik Wee),김차용(Cha Yong Kim) 한국사회체육학회 2001 한국사회체육학회지 Vol.15 No.-

Children develop and refine the fundamental movement patterns in early childhood and specialized the movement skills in later childhood and adolescence. Elementary school places the first formal demands for social responsibility and organized physical activity. A sound physical activity experience designed to enhance knowledge of the body and its potential for movement will develop healthy long-term physical activity attitudes. Childhood and adolescence are especially important periods in life-long physical education. During childhood and adolescence, rapid changes occur physically, mentally and emotionally and the experience of various developmently appropriate physical activities during these periods not only leads to intellectual and physical development, but also helps form the basis for a physically active lifestyle. Collaboration between school physical education program and community sports programs strengthen children`s and adolescent`s physical activities, and also be a good way to increase the general population for Sports for All. The purpose of the study, as reviewed in literature, is to define the importance of sport activities for children and adolescents, to reconsider school physical education and community sport programs in light of providing opportunities for sport activities, to suggest the needs and basic terms of collaboration between school physical education and community sport programs, and finally, to provide the basic material to establish the guidelines for the direction of development of collaboration model between school physical education and community sports. The collaboration between school physical education and community sports leads to a develop fitness, disease prevention, health relate fitness education, the acquirement of healthy leisure behavior, an increase in cooperation, the early identification of potential athletes, and the prevention of juvenile delinquency. The cooperation should be included; the activation of after-school programs, increased communication between school and community sports, the supports of school principals with the directors of community sports organizations, and the Ministry of Districts, the cooperation between school physical education, community sports organizations, and youths sports clubs, and the active participation of sports organizations and professional association, and families and parents.

학교체육과 지역사회체육의 연계프로그램 운영현황 분석(4)

김경숙(Kyung Sook Kim),김기웅(Kee Woong Kim),김명(Myoung Kim),정현채(Hyun Chae Chung),위성식(Sung Sik Wee),김차용(Cha Yong Kim) 한국사회체육학회 2002 한국사회체육학회지 Vol.18 No.1

Increasing opportunities for physical activities for children and adolescents can be achieved not only by regular physical education but also by various after school programs, extra curricular and club activities. Collaboration of school- community is important to open the extra windows to provide an opportunities to participate in physical activities for children. According to previous research, it was revealed that collaboration programs were partly existed by schools, community sports centers, and professional physical education associations. It is necessary to know how current collaboration programs operate and what the limitation of current collaboration is. To provide the basic information to develope collaboration model between schools and communities, We interviewed total 20 of professionals who were involved in collaboration program. The results of interview revealed that the biggest barriers to run a collaboration program for schools, communities, and district offices, are the lack of supports by government policy, the lack of public faculties, and inconsistency of the programs. For professional organizations, the barriers for collaboration were the lack of awareness of importance of physical activities by school principals and the lack of strategies of advertizement through the media about the program. Also, it was found that Ministry of Districts supports fund regularly to activate club and extra curricular activities to schools, evaluates the current programs of each school`s extra curricular activities periodically and suggests the guidelines for modifying the program. Ministry of Districts showed positive attitudes toward collaboration programs. The qualification of leaders, facilities, safety are considered as the barriers for operating collaboration programs and these problems should be solved for qualified collaboration programs for schools and communities.

학교체육과 지역사회체육 연계프로그램 활성화를 위한 인식조사(3)

김경숙(Kyung Sook Kim),김기웅(Kee Woong Kim),김명(Myoung Kim),정현채(Hyun Chae Chung),위성식(Sung Sik Wee),김차용(Cha Yong Kim) 한국사회체육학회 2002 한국사회체육학회지 Vol.18 No.1

Elementary school aged youth are less likely to participate in regular physical activities nowadays. Though young children are among the most active of all segment of the population, by the teen years, activity levels begin to decline. Childhood and adolescence are critical times for the adoption of physical activity behavior and should be provided with various physical activity experiences to help them to build life-long physical activity habits. High quality physical education programs can be offered through a variety of sources and should not be limited in school. Collaborating school physical education and community sports can be one the ways to expand the opportunities for physical activities for children while increasing the quality of physical education. We surveyed the opinions of the collaboration program to a total of 5099 elementary, middle and high school students, sports leaders, school principals, physical education teachers, government school inspectors, administrators of physical education. A questionnaire was use for data collection. Frequency analysis was performed with SPSS for data analysis. The purpose of the study is to provide basic information to develop collaboration model between school physical education and community sports by addressing the barriers and possibility of collaboration. All respondents showed positive attitude toward collaboration. The study revealed that the most serious barrier was a lack of government supports for collaboration program. Possible collaboration would be on sharing facilities, developing the various developmentaly appropriate programs, exchanging sports leaders. It was found out that the offering collaboration program could be an effective way to open extra opportunities to children and adolescents to improve the quality of physical education by providing a possible share of facilities, programs, and leaders between communities and schools.

학교체육과 지역사회체육의 협력모텔 개발을 위한 연계 현황 및 실태 (2)

김경숙(Kyung Sook Kim),김기웅(Kee Woong Kim),김명(Myoung Kim),정현채(Hyun Chae Chung),위성식(Sung Sik Wee),김차용(Cha Yong Kim) 한국사회체육학회 2001 한국사회체육학회지 Vol.16 No.-

The study seeks to develope a collaboration model for school physical education and community sports. It reviews the role of community sports and school physical education and provides possible directions for collaboration between community sports and school physical education. Also, it reevaluates the administration of the present state of collaboration between the communities and schools. The study revealed that collaboration programs between schools and communities can be offered after school, as club activities, as extra curricular activities, on vacations, and on weekends. Schools, private communities health centers and organizations, youth sport centers, community sports offices, government entities and others were surveyed to find if they operates any collaboration programs. The study shows that total 44 organizations provide collaboration programs as follows; 6 out of 20 elementary schools, 9 out of 20 middle schools, 7 out of 20 high schools, 15 out of 20 district offices, 6 out of 7 YMCAs, 1 out of 2 YWCA have collaboration programs. The results revealed that Schools, district offices, YMCAs, and the YWCA want to offer collaboration programs. All want to assign professional leaders and to expand and share Facilities. Concerning education, all want to renovate the present education system. The schools showed positive attitudes toward collaboration programs. As to safety and administration questions, all wanted to assign someone responsible for safety and to want them to be supported by professional organizations to allow for superior systematic collaboration. The following reasons are negative influences on collaboration programs. 1) lack of leader and insufficient time for the teacher 2) old or non-existing facilities 3) lack of proper programs 4) preference for private sports programs 5) lack of time to assign physical activities in elementary and middle schools 6) low awareness of the needs of physical activities by parents, principle, and school operating committees. 7) lack of systematic organization. Finally, schools want to assign a low expense, while district office, YMCA, and YWCA need to be supported to operate an collaboration program.

스테로이드 저항성 궤양성 대장염 환자에 대한 Cyclosporine A의 치료 효과

이대희(Dae Hee Lee),이준행(Jun Haeng Lee),박동영(Dong Young Park),김윤준(Yoon Jun Kim),황진혁(Jin Hyok Hwang),차성덕(Sung Duk Cha),정운태(Woon Tae Jeong),윤정환(Jung Hwan Yoon),이국래(Kook Lae Lee),이동호(Dong Ho Lee),정현채(Hyun Cha 대한소화기학회 1998 대한소화기학회지 Vol.30 No.1

N/A Background/Aims: In refractory severe ulcerative colitis patients who are resistant to intravenous corticosteroids and total parenteral nutrition, new medical therapeutic tools that induce rapid remission is required in order that the patients can avoid colectomy. Since 1990, several western groups reported in their well designed studies that cyclosporine A cou)d induce rapid remission at steroid resistant severe ulcerative colitis patients resulting avoidance of colectomy. We tested the effectiveness of intravenous cyclosporine A therapy at steroid resistant severe ulcerative colitis patients in Korea, which has little experiences in the management of steroid resistant severe ulcerative colitis. Methods: Seven patients were included who were refractory to intravenous corticosteroids and total parenteral nutrition of at least 4 weeks duration. Their liver function tests and creatinine clearance tests were all normal. Cyclosporine A were administered by continuous intravenous methods over 6 hours or 24 hours. The starting doses of cyclosporine A were 4 mg/kg. The blood level was monitored by radioimmunoassay with a monoclonal antibody. The doses were adjusted at blood level from 100 ng/ml to 400ng/ml. In one patient cyclosporine A was administered for only 4 days because of rapid aggravation and consequent emergency operation. In another 6 patients cyclosporine A were administered for 14 days. Results: Four patients revealed scores of less than 10 by clinical activity scores system. But, in spite of improvement by scores, 3 patients of above 4 responders exhibited persistent gross hematochezias at frequencies of more than 3 times a day. Therefore operations were recommended in 6 patients. But one patient refused operation and is under OPD follow up with oral cyclosporine A and corticosteroids medications but he exhibits persistent gross hematochezia at a frequency of 3 or 4 tirnes a day. Out of 5 patients who were operated, 4 patients were cured by operations but 1 patient died because of postoperational sepsis. Conclusions: We found that the intravenous cyclosporine A therapy produced some improvement by clinical activity scores in 4 patients out of 7 patients but induced clinical remission of gross hematochezia in only 1 patient. Therefore operation could be avoided in only 1 patient. This result suggests that the response of Korean patients to intravenous cyclosporine A therapy would be different from that of western people. However, many another studies, especially case control studies are required to clarify this possibility and to assign the proper role of intravenous cyclosporine A therapy in the manageent of patients with ulcerative colitis in Korea. (Korean J Gastroenterol 1997; 30:58-65)

대장 흑피증 1예 : 석유 주입과 연과된 증례 A Case with history of rectal instillation of petroleum

송인성,정현채,김재준,최규완,김정룡,윤용범,차수강 대한소화기내시경학회 1990 Clinical Endoscopy Vol.11 No.1

Melanosis coli is the brownish black discoloration of the colon due to accumulation of pigment containing macrophages in lamina propria. The nature and source of this pigment is controversial but many studies have suggested that the pigment is related to lipofuscin. Melanosis coli has been reported to be closely associated with prolonged administration of anthraquinone purgatives. But this condition is sometimes associated with colonic polyp colon cancer, rediation therapy or non-anthraquinone purgatives administration. Moreover the fact that melanosis coli could be found in subjects who never used purgatives suggested that, even though chronic consumption of anthraquinone purgatives seems to play a major role, other factors may be involved in the pathogenesis of melanosis coli. We presented a case of melanosis Coli in a 47-year-old female with history of rectal instillation of petroleum for control of hemorrhoids.

크론병으로 인한 대장협착의 내시경적 풍선확장술 1예

김지원,송인성,정현채,최규완,박민정,김정룡,김진,문선희,차성덕,황진혁,김찬규 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.5

Chronic idiopathic inflamatory bowel disease, espcaially Crohn's disease, is frequently complicated with low gastrointestinal stricture. Besides medical treatment of active inflammation, there is no specific, conservative approach to this complication, Repetitive surgery with extensive resections, leading to short bowel syndrome, is often necessary. Balloons have been used for a variety of gastrointestinal stenoses including esophageal, small intestinal, and colonic stricture. Balloon dilation offers many theoretical advantages (safety, and patient comfort) over dilation with bougies. Especially, the availability of large diameter balloon dilators, which pass through the biopsy channel of standard endoscopes (through-the scope balloon or TTS balloon), has promised efficient direct-vision dilatation of strictures without the need of guide wires or fluoroscope. We report a case of colonic Crohn's stricture dilated successfully using TTS balloon catheter.

다발성 림프종양 용종증(Multiple Lymphomatous Polyposis)1예

김지원,송인성,정현채,김철우,김정룡,방영주,차성덕,정준오,김찬규,이진혁,나상훈 대한소화기학회 1998 대한소화기학회지 Vol.31 No.6

Multiple lymphomatous polyposis (MLP) is a rare and unique clinical entity that manifest as multiple polyps occurring throughout the gastrointestinal tract. Unlike MALT-type lymphoma, MLP has a high tendency for extra-intestinsl spread and short mean survival time, The malignant cells of MLP share morphological, immunohistologic and cytogenetic similarity with cells of nodal-based mantle cell lympboma. We report a case of MLP that is presented with multiple polyposis affecting stomach, duodenum, small intestine and colon/rectum.

베체트 장염 환자에 있어 내과적 치료에 대한 반응도 , 경과 및 재발률에 대한 연구

김지원,송인성,정현채,최규완,김정룡,임영석,김주성,장동경,차성덕,김찬규 대한소화기학회 1998 대한소화기학회지 Vol.30 No.4

Background/Aims: In order to study the course of Behqets colitis, we evaluated the response to medical and surgical treatment of the patients with Behqets colitis. Methods: We analyzed 54 patients who were treated under the diagnosis of Behqets colitis for ten years between June, 1986 and December, 1996 at Seoul National University Hospital. Follow-up durations, symptoms, involved organs, involved sites, types of therapy, the response to therapy and response duration were evaluated. Results: With 29 male and 25 female patients, the male to female ratio was 1.16:1, and the mean age was 34 years. Post-therapy follow-up durations ranged from 3 months to 25 years with the mean being 59 months(±56 months). Most colonic lesions were found in the ileocecal area. 91% were found in the ileocecal rea, 28% in the ascending colon, 15% in the transverse colon, 13% in the descending colon, 13% in the sigmoid colon, and 2% in the rectum. Wben colonic lesions were classified according to location and multiplicity, localized solitaiy lesions accounted for 44%, diffuse multiple lesions were 31%, and localized multiple lesions were 24%. Among those who underwent meclical therapy initially, 74.4% had remission or improvement. In average it took 4 weeks to have a response and 31 months before recurrence occurred. After medical treatment 23% of the patients underwent surgical treatment due to intractablility. 44% of all patients underwent operation, total operation nwnber was 42. Causes of operation were as follows; int6stinal perforation 33%, uncertain diagnosis 26%, intractable abdominal pain 19%, intestinal fistula 12%, and intestinal obstruction 10%. Operation incidence rate was 15/100 person-year and the 5-year cumulative operation rate was 47%. Those who underwent multiple operations were 22% of all patients and 50% of operation cases. Operation rates of diffuse multiple lesions, localized multiple lesions, and localized solitary lesions were 29%, 31%, and 63%. Re-operation rates were 80%, 75%, and 33% each. Conclusions: Behqet's colitis is a chronic recurrent disease. When medical therapy was effective, the response occurred within 8 weeks. Five-year cumulative operation rate was 47%. Re-operations were more frequent in diffuse multiple lesions, and explorative operations for confirmative diagnosis were more frequent in localized solitary lesions. Operations due to intestinal perforation made up 33% of all operations, so when the patients with Behcet's colitis were aggravated, we should consider the possibility of intestinal perforation.

크론병에서 발생한 급성 골수성 백혈병 1예

김지원,김유선,송인성,정현채,최규완,우광훈,차성덕,황진혁,변정식,김점룡 대한소화기학회 1998 대한소화기학회지 Vol.31 No.2

Various hematological disorders, including iron deficency anemia and thrombocytosis, are known as extraintestinal rnanifestations of Crohns disease (CD). In addition, recent studies suggest that incidence of leukemia is higher in patients with CD than in the normal population. In the literature review, thirteen cases of leukemia associated with CD have been described since 1980. The etiology of leukemia in CD seems to be multifactorial and may involve immunologic abnormalities associated with CD, exposure to diagnostic radiation or side-effects of immuno- suppressants. A thirty-one year old female patient was diagnosed to have CD in 1991 and treated with sulfasalazine, corticosteroid, azathioprine and metronidazole, and then developed leukocytosis, severe anemia and marked thrombocytopenia. A diagnosis of acute myelomonocytic leukemia was established by bone marrow cytology and biopsy. Chromosomal analysis of bone marrow aspirate revealed t (8:21) with loss of sex chromosome. In conclusion when the patients with CD develop leukocytosis, marked anemia and thrombocytopenia, we should consider the, possibility of leukemia.