비내시경 부비동 수술 후 발생한 안검하수 1예

정휘경,김건우,김재순,김규보 대한이비인후과학회 2021 대한이비인후과학회지 두경부외과학 Vol.64 No.6

Endoscopic sinus surgery (ESS) is a common procedure performed in patients with chronicsinusitis. Although most of them result in excellent outcomes, some complications due to injuryof nearby structures, such as the orbit or brain, may have serious consequences. Ophthalmiccomplications, occurring in less than 1% of all ESS cases, include orbital hematoma, diplopia,injury to the nasolacrimal duct, and in severe cases, even blindness. Here, we present arare case in which a 49-year old female developed unilateral blepharoptosis after undergoingrevision ESS.

사회서비스원 운영에 대한 사회복지사 인식 유형

정휘경(Jung, Hwi Gyeong),이제영(Lee, Jei Young),손선주(Sohn, Sunju) 한국지역사회복지학회 2021 한국지역사회복지학 Vol.- No.76

사회서비스원은 서비스의 투명성과 품질제고, 종사자의 일자리 환경 조성 등 국가가 직접 서비스를 제공하는 주체로 최근 등장한 서비스 전달체계이다. 실제 현장 중심에 있는 사회복지사 인식은 사회서비스원 운영에 있어 사업에 대한 시사점과 효율성 및 효과성을 나타낼 수 있다. 이에 본 연구는 사회서비스원에 근무하고 있는 사회복지사와 아직 설립 중이거나 미설치지역의 사회서비스 분야 사회복지사 30명을 대상으로 개인의 의견이나 태도 등을 주관적으로 탐색하여 인식을 확인해 볼 수 있는 Q 방법론을 활용하여 사회복지사가 인식하는 사회서비스원 운영에 대한 연구를 수행하였다. 연구 결과, 총 4가지 특성으로 유형화 되어 제1유형 “민·관 협력 상생형”, 제2유형 “서비스 투명성 및 안정성 강조형”, 제3유형 “공공서비스 가치 강화형”, 제4유형 “컨트롤타워 기능형”으로 나타났다. 본 연구의 사회서비스원 기능 및 역할, 목적, 운영 방식 등에 대하여 사회복지사 인식은 정책설계와 집행과정에서 적용되는 과정의 합의된 의견 도출로 효율적인 사업 운영을 위해 현장 인식 공유가 우선되어야 함을 함의하였다. The Public Agency for Social Service is a national service delivery system that has recently emerged with a key purpose to provide direct services at the national level, to enhance the transparency of the service delivery, and to create a good working environment for employees. Gaining social workers’ perceptions about the public agency for social services will likely to have important implications for the business model, as well as in the efficiency and effectiveness in operating the public agency in providing social services. Using Q methodology, this study interviewed a total of 30 social workers, some working at public agencies and some in direct practice in social service yet in areas where public agency for social service has not been established. Based on the analysis, four thematic perceptions emerged: Type 1 “Private-Public Cooperation Win-Win Type”, Type 2 “Service Transparency and Stability Emphasis Type”, Type 3 “Public Service Value Enhancement Type”, and Type 4 “Control Tower Function”. Implications include the need for understanding and reflecting the workers’ perceptions in planning and implementing the model of Public Agency for Social Service.

부모의 정서적 학대를 경험한 아동의 자아존중감이 주관적 행복감에 미치는 영향 위축의 매개효과

정휘경 ( Hwigyeong Jung ),손선주 ( Sunju Sohn ) 한국학교사회복지학회 2018 학교사회복지 Vol.0 No.41

본 연구는 부모로부터 정서적 학대를 경험한 아동의 자아존중감과 주관적 행복감 간의 관계를 살펴보고, 위축의 매개효과 검증을 관찰하였다. 이를 위해 한국복지패널 조사에서 실시한 2015년 10차 년도 횡단자료 중 초등학교 4~6학년 재학 중인 아동가구원 대해 부가조사가 된 아동 471명 중 부모로부터 정서적 학대를 한 번이라도 경험한 아동 156명을 대상으로 각 변인들의 상관관계와 위계적 회귀분석, 매개효과 검증을 실시하였다. 연구결과, 부모로부터 정서적 학대를 경험한 아동의 자아존중감은 학령 후기 아동의 주관적 행복감에 정적 영향을 미치는 것으로 나타났고, 위축은 주관적 행복감에 부적 영향을 미치는 것으로 나타났다. 위축은 부모로부터 정서적 학대를 경험한 아동의 자아존중감과 주관적 행복감 간의 관계를 완화시키는 부분매개로 나타났다. 이는 부모로부터 정서적 학대를 경험하는 것이 아동에게는 정신적으로 건강한 삶을 영위하도록 발달하는데 장애가 되는 근거를 제시하고, 아동의 자아존중감과 심리적 불안감 및 위축 등의 문제행동이 심각해지기 전에 아동의 삶의 질을 높일 수 있는 조기개입이 필요함을 시사한다. 본 연구에서는 개인적 요인에 초점을 둔 바, 후속 연구에서는 보다 환경적인 측면을 함께 고려한 연구를 제안한다. This study examined the relationship between self-esteem and perceived happiness of children who experienced parental emotional abuse, and also observed the effects of withdrawal on the relationship. Of the 471 students included in the data, a total of 156 children(between 4th and 6th graders at the time of survey) who experienced emotional abuse at least once were included in the analysis testing for correlation, hierarchical analysis, and mediating effect among the key variables. The results showed that self-esteem of children who experienced emotional abuse from their parents showed a positive effect on the perceived happiness of school-aged children, and withdrawal had a negative effect on the perceived happiness. Withdrawal also had a partial mediating effect on the relationship between self-esteem and perceived happiness of these children. These findings suggest that experiencing emotional abuse from parents is a barrier to the development of a proper mental health for the child and early intervention is needed to increase the quality of life of these children. In this study, we focused on individual factors only, hence follow-up studies consider environmental aspects as well.

Change in Radiating Leg Pain After Traffic Accidents in Patients With and Without Herniated Intervertebral Disc

윤덕원,정휘경,권오훈,최지훈 대한침구의학회 2017 대한침구의학회지 Vol.34 No.4

Background: The aim of this study was to assess the change in radiating leg pain after traffic accidents in patients with and without herniated intervertebral disc (HIVD) and improvement of radiating leg pain after traffic accidents. Methods: This was an retrospective study of 188 patients. Patients who had been admitted to the Hospital of Korean Medicine with the complaint of radiating leg pain after traffic accidents, and who had undergone lumbar spine magnetic resonance imaging to determine the presence or absence of HIVD were observed from April to June 2016. We analyzed sex, age, length of admission, direction (to a single leg or to both legs) and locations, (medial, anterior, lateral or posterior side of the lower limb) of radiating leg pain, presence or absence of HIVD, and number, grade and position of HIVD. The Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were used to evaluate the impact of radiating leg pain on patients. Results: Radiating leg pain NRS score decreased significantly in both the HIVD group (from 6.12 ± 2.39 to 4.31 ± 1.87, p < 0.001) and the no HIVD group (from 5.76 ± 1.64 to 3.85 ± 1.41, p < 0.001). ODI score also decreased significantly in both groups (HIVD, from 44.67 ± 17.38 to 26.83 ± 13.18; no HIVD , from 39.24 ± 15.58 to 19.69 ± 12.; both p < 0.001). Conclusion: There was no significant change in radiating leg pain after traffic accidents in patients with and without HIVD and improvement of radiating leg pain after traffic accidents.

난치성 양성돌발두위현훈의 양상을 보이는 화골성 내이염 1예

김동현,성재문,정휘경,김창우 대한평형의학회 2017 Research in Vestibular Science Vol.16 No.3

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. It is easily cured with canal repositioning maneuvers, but some patients are resistant to the repositioning maneuver and require surgical intervention. Labyrinthitis ossificans is the pathologic condition that fibrous tissue and new bone occupy the membranous labyrinthine space. It occurs as a sequela of inner ear inflammation resulting from diverse causes, mostly bacterial mening-itis and otitis media. We describe here a 42-year-old female patient with refractory posterior semicircular canal (PSCC) BPPV and adhesive otitis media in same ear. Otoscopic examination revealed adhesive tympanic membrane without middle ear space and temporal bone computed tomography showed complete ossification of the labyrinth at the same side. We performed a canal wall down mastoidectomy and PSCC occlusion. The patient had complete resolution of paroxysmal vertigo and positional nystagmus, postoperatively.

근위부 악하선 타석 제거수술 결과의 전향적 비교: 설하선 보존 경구강 타석 제거술, 설하선 절제 경구강 타석 제거술, 악하선 제거술

김건우,성재문,정휘경,김재순,박민우,권기환 대한이비인후과학회 2021 대한이비인후과학회지 두경부외과학 Vol.64 No.2

Background and Objectives Proximal submandibular stone is not a rare disease. The aimof this study is to evaluate the surgical outcomes of 3 different ways to treat proximal submandibularstone: intraoral removal of stone (IORS) with sublingual gland (SLG) resection, IORSwithout SLG resection and submandibular gland (SMG) resection. Subjects and Method We prospectively reviewed the surgical outcomes of IORS with SLGresection group (22 patients), IORS without SLG resection group (35 patients) and SMG resectiongroup (22 patients). To evaluate the surgical outcomes, we analyzed the location and size ofstones, mean operation time, mean hospital stay, mean postoperative degree of pain based ona visual analog scale (0–10), and incidence of complications. Results There were no significant differences between the mean diameter of stones and lengthfrom the hilum to stones. The mean operation time was shorter in the IORS without SLG resectiongroup than that in IORS without SLG resection group, and was significantly shorter thanthat of the SMG resection group. The mean hospital stay of the IORS without SLG resectiongroup was also shorter than that of IORS with SLG resection group, and was significantly shorterthan the SMG resection group. IORS without SLG resection group felt less pain than IORSwith SLG resection group and SMG resection group. Four patients who underwent IORS withoutSLG resection experienced transient and mild SMG swelling, and mild paresthesia wasnoted on the same side. All patients recovered within 3 months. Intraoral removal of proximalSMG stones exhibited several advantages over SMG resection in terms of hospital stay, meanoperation, time and postoperative pain. Conclusion Based on our results, we suggest that IORS without SLG resection be selected asthe primary procedure for the removal of proximal submandibular stones rather than SMG resection.

Postoperative Mastoid Aeration Following Canal Wall Up Mastoidectomy according to Preoperative Middle Ear Disease: Analysis of Temporal Bone Computed Tomography Scans

권오준,성재문,정휘경,김창우 대한청각학회 2017 Journal of Audiology & Otology Vol.21 No.3

Background and Objectives: The aim of our study was to evaluate postoperative mastoidaeration according to the preoperative middle ear disease and investigate the factors affectingit. Subjects and Methods: We retrospectively reviewed the high-resolution computed tomography(CT) scans of temporal bones that were taken 1 year after surgery. The postoperativemastoid aeration was evaluated according to the preoperative diagnosis, and classifiedinto three groups: grade 1 (complete mastoid aeration), an air-filled epitympanum and mastoidcavity; grade 2 (partial mastoid aeration), an air-filled epitympanum and partially aerated mastoidcavity; and grade 3 (absence of mastoid aeration), no air space in the mastoid cavity. Results:The overall mastoid aeration rate was 55.8%, with adhesive otitis media accounting for21.2%, attic cholesteatoma 53.8%, and chronic otitis media 75.4%. The rates of postoperativemastoid aeration were significantly higher in the chronic otitis media cases and attic cholesteatomacases than in the adhesive otitis media cases. There were 14 cases requiring revisionoperations due to the development of a retraction pocket in the tympanic membrane. Allof the revised cases had grade 3 postoperative mastoid aeration, and underwent canal walldown mastoidectomies. Conclusions: The degree of postoperative mastoid aeration is associatedwith the preoperative middle ear disease. When planning a canal wall up mastoidectomy,the surgeon should contemplate the middle ear disease, because a canal wall downmastoidectomy or mastoid obliteration is recommended if the patient has adhesive otitismedia.

Effects of Acupuncture Treatment and Taping Therapy After Lisfranc Joint Injuries: A Case Report

김신애,강서우,이은지,곽민경,정휘경,설재욱 대한침구의학회 2017 대한침구의학회지 Vol.34 No.4

The effects of acupuncture treatment and taping therapy on a 22-year-old man who suffered from left foot pain due to Lisfranc joint injury were examined. Fractures of the first, second, and third metatarsal bones and a cuneiform bone were treated with acupuncture and taping therapy from March 24, 2017 to May 4, 2017. The patient was evaluated using the American Orthopaedic Foot & Ankle Society’s Ankle–Hindfoot Scale. His Ankle–Hindfoot Score increased from 27 points pre-treatment to 65 points post-treatment. There were no side effects. While the improvement observed in this patient is encouraging, no definitive conclusion on the effects of acupuncture treatment and taping therapy on Lisfranc joint injuries can be reached without further large-scale study.

밀레니얼 세대 사회복지사의 일의 의미

장수미 ( Jang Soo Mi ),장은하 ( Jang Eunha ),정휘경 ( Jung Hwigyeong ),김가빈 ( Kim Ga Bin ),박혜경 ( Park Hye Kyoung ) 이화여자대학교 사회복지연구소 2020 사회복지 실천과 연구 Vol.17 No.3

밀레니얼 세대의 등장에 사회적 관심이 주목되고 있는 상황에서 사회복지실천 현장에서도 사회복지 인력의 세대 간 교체가 이루어지고 있다. 사회복지사가 일에 대해 부여하는 의미는 서비스 질의 제고와 직무 만족의 증진을 가져온다. 이에 본 연구는 밀레니얼 세대에 해당하는 사회복지사들이 인식하는 일의 의미를 탐색하는 것을 목적으로 하였다. 연구 참여자는 종합사회복지관에서 3년 이상 재직 중인 밀레니얼 세대 사회복지사 9명이다. 총 2회의 초점집단인터뷰를 통해 자료를 수집한 후 주제분석 방법을 적용하여 자료를 분석하였다. 연구 결과, 46개의 개념, 15개의 하위범주, 5개의 범주, 3개의 주제(일을 선택한 동기, 일의 의미부여 과정에서의 장애물, 일의 의미)가 발견되었다. 일의 의미는 “가치와 물질이 공존하는 일”, “기쁨, 도전, 인정의 원동력으로 일궈가는 일”, “자율성과 성장이 보장되는 신바람 나는 일터”로 나타났다. 주요 연구 결과를 바탕으로 종합사회복지관에 근무하는 밀레니얼 세대 사회복지사 일의 의미와 관련한 논의 및 추후 연구를 위한 제언을 하였다. With the emergence of the millennial generation, there has been a generational shift of social work manpower within the social work fields. Depending on how a social worker perceives the meaning of work, it may enhance the quality of service and job satisfaction. Therefore, the purpose of this study is to explore how different millennial social workers perceive the meaning of work. The participants of this study consisted of 9 millennial social workers who had been working at the social welfare centers for more than 3 years. The data were collected by conducting two focus group interviews and authors analyzed by data with the thematic analysis method. The results of this study showed a total of 46 concepts, 15 sub-categories, 5 categories and 3 themes(i.e., the reason for selecting work, obstacles faced when giving a meaning to work, and meaning of work). The study also showed the meaning of work as “coexistence of values and materials”, “work that is motivated by joy, challenge, and recognition”, and “a pleasant workplace where autonomy and growth are secured”. Based on the results, this study discussed and recommended further studies on how different millennial social workers from the social welfare centers perceive the meaning of work.