직업전문성에 대한 음악치료사의 인식

최주애 한국음악치료교육학회 2016 인간행동과 음악연구 Vol.13 No.2

This study investigated how music therapists perceive the professionalism of the profession. A total of 98 certified music therapists completed the online survey for a 46.7% response rate, and 78 questionnaires were included in the analysis after excluding incomplete responses. The results of this study demonstrated that music therapists show a high level of standards for music therapy professionalism in general. Meanwhile, the respondents gave their lowest rating on the perception of their occupation as a social service addressing the needs of society. The majority of respondents rated the level of their professionalism as high and they tended to identify individual competency as the most important factor. Also, there were significant differences in perceived professionalism depending on the length of clinical practice and level of education. These results indicate that the quality of training may contribute to a high level of perception on professionalism. Also, lower levels of perception on social aspects of the professionalism support the need for continuing education to broaden the understanding of professionalism. Given the importance of professionalism in enhancing the quality of care for clients and expanding the profession, further studies were suggested to increase understanding of the music therapy professionalism and propose strategies for maintaining the professionalism of music therapists. 본 연구는 음악치료사의 직업전문성에 대한 인식수준을 알아보기 위해 시행되었다. 이를 위해 설문 참여에 동의한 음악치료사를 대상으로 전체 210부의 온라인 설문지를 배포한 후 98부를 회수하였고, 이 중 미완성된 응답을 제외한 78부의 설문지를 분석하였다. 설문 문항은 음악치료사의 기본 정보 10문항, 전문성 인식 27문항으로 전체 37문항으로 구성되었다. 설문 결과, 음악치료사들은 직업전문성에 대해 높은 인식 수준을 가지고 있는 반면, 직업전문성 하위영역 중 사회적 측면에서 상대적으로 점수가 낮은 결과가 나타났다. 직업전문성 인식 점수를 교육정도에 따른 집단 간 비교 시 유의한 차이가 없었으나, 직업전문성 인식 점수와 경력의 상관관계는 통계적으로 유의한 결과가 나타났다. 또한 음악치료사 전문성에 대한 자기평가는 대체적으로 높은 수준을 보였다. 마지막으로 음악치료사가 전문성과 관련하여 가장 중요하게 생각하는 것은 개인적 측면과 관련한 답변이 가장 많았다. 본 결과를 통해 음악치료사의 직업전문성 인식이 개인적 측면 외에도 조직적, 사회적 측면으로 확대될 필요가 있음을 보여주며, 이를 위한 지속적인 교육이 필요할 것으로 사료된다. 또한 교육과정 내에서 높은 수준의 음악치료 교육이 전문성에 대한 인식 수준에 영향을 미침을 보여준다. 결론적으로 본 연구에서 도출된 음악치료사들의 전문성 인식 결과를 통해 음악치료사의 지속적인 전문성 강화 방향과 전문성 관리를 위한 재교육의 필요성의 중요함을 알 수 있다.

What Is New in the 2017 World Health Organization Classification and 8th American Joint Committee on Cancer Staging System for Pancreatic Neuroendocrine Neoplasms?

최주애,김경원,김형중,김동욱,김규표,Seung-Mo Hong,Jin-Sook Ryu,Sree Harsha Tirumani,Katherine Krajewski,Nikhil Ramaiya 대한영상의학회 2019 Korean Journal of Radiology Vol.20 No.1

The diagnosis and management of pancreatic neuroendocrine neoplasms (NENs) have evolved significantly in recent years. There are several diagnostic and therapeutic challenges and controversies regarding the management of these lesions. In this review, we focus on the recent significant changes and controversial issues regarding the diagnosis and management of NENs and discuss the role of imaging in the multidisciplinary team approach.

음악놀이를 통한 시각장애 유아 촉각탐색 활동 지원 프로그램

최주애 한국시각장애교육재활학회 2019 한국시각장애교육재활학회 학술대회지 Vol.2019 No.-

Extralobar Pulmonary Sequestration with Hemorrhagic Infarction in a Child: Preoperative Imaging Diagnosis and Pathological Correlation

최주애,Hyun Woo Goo 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.3

We describe a rare case of extralobar pulmonary sequestration with hemorrhagic infarction in a 10-year-old boy who presented with acute abdominal pain and fever. In our case, internal branching linear architecture, lack of enhancement in the peripheral portion of the lesion with internal hemorrhage, and vascular pedicle were well visualized on preoperative magnetic resonance imaging that led to successful preoperative diagnosis of extralobar pulmonary sequestration with hemorrhagic infarction probably due to torsion.

Safety and Efficacy of Transarterial Nephrectomy as an Alternative to Surgical Nephrectomy

최주애,신지훈,윤현기,고기영,권동일,고흥규,김진형,성규보 대한영상의학회 2014 Korean Journal of Radiology Vol.15 No.4

Objective: To evaluate the safety and efficacy of transarterial nephrectomy, i.e., complete renal artery embolization, as an alternative to surgical nephrectomy. Materials and Methods: This retrospective study included 11 patients who underwent transarterial nephrectomy due to a high risk of surgical nephrectomy or their refusal to undergo surgery during the period from April 2002 to February 2013. Medical records and radiographic images were reviewed retrospectively to collect information regarding underlying etiologies, clinical presentations and embolization outcomes. Results: The underlying etiologies for transarterial nephrectomy included recurrent hematuria (chronic transplant rejection [n = 3], arteriovenous malformation or fistula [n = 3], angiomyolipoma [n = 1], or end-stage renal disease [n = 1]), inoperable renal or ureteral injury (n = 2), and ectopic kidney with urinary incontinence (n = 1). The technical success rate was 100%, while clinical success was achieved in eight patients (72.7%). Subsequent surgical nephrectomy was required for three patients due to an incomplete nephrectomy effect (n = 2) or necrotic pyelonephritis (n = 1). Procedure-related complications were post-infarction syndrome in one patient and necrotic pyelonephritis in another patient. Of four patients with follow-up CT, four showed renal atrophy and two showed partial renal enhancement. No patient developed a procedurerelated hypertension. Conclusion: Transarterial nephrectomy may be a safe and effective alternative to surgical nephrectomy in patients with high operative risks.

Acute exacerbation of chronic hypersensitivity pneumonitis : incidence, risk factors and outcome

김연주,최주애,채은진,송준선,김동순,송진우 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

This study aimed to estimate the incidence, risk factors and impact of acute exacerbations of cHP. Clinical data of 101 patients with cHP (all biopsy proven cases) were retrospectively analyzed. Definition of rapid deterioration (RD) of cHP was defined as an acute (within 30 days), significant respiratory deterioration requiring hospitalization characterized by newly developed radiologic abnormality. Definition of acute exacerbation (AE) was defined as a RD in the absence of an apparent clinical cause. Median follow-up period was 43.7 months. Rapid deterioration requiring hospitalization occurred in 33 (32.7%) patients, with multiple episodes in 10 patients. Acute exacerbation was the most frequent cause (54.5%), followed by infection (36.4%). The 1- and 3-year incidences of acute exacerbation were 12.9 and 21.8%, respectively. Median survival from the initial AE episode was 2.3 months and was shorter than that from bilateral infection (not reached, P<0.001). Patients who developed AE had lower diffusing capacity for carbon monoxide (DLCO), 6-minute walk test distance (6MWD), the lowest saturation than patients who did not experience RD. Multivariate analysis showed old age (HR=1.097, P=0.012), low body-mass index (BMI) (HR=0.797, P=0.018), DLCO, (HR=0.959, P=0.001) and 6MWD (HR=0.993, P=0.037) were associated with occurrence of AE. AE occurred in 17.8% of Korean patients with cHP. Old age, low BMI, DLCO, and 6MWD were independently associated with occurrence of AE.

Prognostic factors in Korean patients with chronic hypersensitivity pneumonitis

김연주,최주애,채은진,송준선,김동순,송진우 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

The aim of this study was to investigate clinical outcome and prognostic factors in patients with cHP. The medical records of 101 patients with cHP (all bioipsy proven cases) were retrospectively reviewed. Diagnosis of cHP was based on the criteria suggested by Vasakova et al. The median follow-up period was 43.7 months. Mean age was 60.4 years, 60.4% were female and 37.6% were ever-smokers. Thirty-four patients (33.7%) died during follow-up. The 1, 3, and 5-year survival rates were 95%, 81.2% and 69.3%, respectively. Non-survivors had older age and lower body mass index, and showed higher forced expiratory volume in 1 second / forced vital capacity ratio, lower diffusing capacity for carbon monoxide (DLCO) and the lowest oxygen saturation during 6-minute walk test, shorter 6-minute walk test distance, and larger decline in forced vital capacity during 6 months compared to survivors. In a multivariate cox proportional analysis, old age (HR=1.103, P<0.001), low levels of lymphocytes in bronchoalveolar lavage fluid (BALF) (HR=0.971, P=0.010) and DLco (HR=0.959, P=0.013) were independently associated with poor prognosis. Unlikely HP group were also independently associated with increased risk of mortality (HR=16.956, P=0.018). Korean patients with cHP showed similar prognosis to previous reports. Classification of cHP patients according to the diagnostic algorithm proposed by Vasakova may reflect prognosis of cHP patients. Old age, low levels of BALF lymphocyte, and low DLCO mean poor prognosis in patients with cHP.

Quantitative CT Imaging in Chronic Obstructive Pulmonary Disease: Review of Current Status and Future Challenges

조영훈,서준범,이상민,이상민,최주애,이다비,김남국 대한영상의학회 2018 대한영상의학회지 Vol.78 No.1

Chronic Obstructive Pulmonary Disease (COPD) is a complex heterogeneous condition with various clinical and pathologic features. In recent years, technical advances in quantitative CT imaging have generated considerable interest because they can provide a more precise and objective assessment of COPD. Emphysema and small-airway disease, the two major components of COPD, and other comorbidities, including pulmonary vessel alterations, atherosclerosis, cachexia, and osteoporosis, can all be assessed by means of quantitative imaging parameters. Increasing numbers of studies provide promising reports indicating that such parameters are associated with clinical measures of disease severity, respiratory symptoms, COPD exacerbations, and mortality. Despite such optimistic results, there are still many obstacles to using this quantitative technology in everyday practice to manage COPD patients. In this article, we review the current technical status of quantitative CT assessment, emphasizing its clinical implications and limitations. We also discuss present challenges and the potential future role of quantitative CT imaging in assessing COPD.

Prediction of Treatment Response in Patients with Chronic Obstructive Pulmonary Disease by Determination of Airway Dimensions with Baseline Computed Tomography

Hyo Jung Park,Sang Min Lee,최주애,Sang Min Lee,Namkug Kim,Jae Seung Lee,Yeon-Mok Oh,Joon Beom Seo 대한영상의학회 2019 Korean Journal of Radiology Vol.20 No.2

Objective: To determine the predictive factors for treatment responsiveness in patients with chronic obstructive pulmonary disease (COPD) at 1-year follow-up by performing quantitative analyses of baseline CT scans. Materials and Methods: COPD patients (n = 226; 212 men, 14 women) were recruited from the Korean Obstructive Lung Disease cohort. Patients received a combination of inhaled long-acting beta-agonists and corticosteroids twice daily for 3 months and subsequently received medications according to the practicing clinician’s decision. The emphysema index, airtrapping indices, and airway parameter (Pi10), calculated using both full-width-half-maximum and integral-based half-band (IBHB) methods, were obtained with baseline CT scans. Clinically meaningful treatment response was defined as an absolute increase of ≥ 0.225 L in the forced expiratory volume in 1 second (FEV1) at the one-year follow-up. Multivariate logistic regression analysis was performed to investigate the predictors of an increase in FEV1, and receiver operating characteristic (ROC) analysis was performed to evaluate the performance of the suggested models. Results: Treatment response was noted in 47 patients (20.8%). The mean FEV1 increase in responders was 0.36 ± 0.10 L. On univariate analysis, the air-trapping index (ATI) obtained by the subtraction method, ATI of the emphysematous area, and IBHB-measured Pi10 parameter differed significantly between treatment responders and non-responders (p = 0.048, 0.042, and 0.002, respectively). Multivariate analysis revealed that the IBHB-measured Pi10 was the only independent variable predictive of an FEV1 increase (p = 0.003). The adjusted odds ratio was 1.787 (95% confidence interval: 1.220–2.619). The area under the ROC curve was 0.641. Conclusion: Measurement of standardized airway dimensions on baseline CT by using a recently validated quantification method can predict treatment responsiveness in COPD patients.

전북 지역 내에서 구조된 야생동물 현황 및 부상 실태조사

양희종,김한용,여주한,변다희,유원국,최주애,김옥진 한국동물매개심리치료학회 2013 한국동물매개심리치료학회지 Vol.2 No.1