[논문]보육실습에서 프로젝트접근법에 대한 예비보육교사의 관심수준 변화 연구

유병민,박수홍,강문숙,박철수,정경훈 교육혁신학술위원회 2011 교육혁신연구 Vol.21 No.1

본 연구는 예비보육교사가 보육실습이라는 과정에서 프로젝트 접근법에 대한 관심은 어떠하며, 관심변화 여부를 사례중심으로 살펴보는 것을 목적으로 하였다. 이를 위하여 예비보육교사를 대상으로 보육실습 사전과 사후검사를 실시하였으며, 자세하고 구체적인 사실과 연구의 질적인 부분을 찾아보고자 인터뷰하였다. 그 결과, 첫째, 프로젝트에 대한 예비보육교사들의 관심은 전반적으로 무관심으로 나타났다. 둘째, 사전․사후검사 결과, 프로젝트 접근법에 대한 관심수준의 변화가 있었던 사례에서는 관심변화의 패턴도 다양하게 나타났으며, 관심변화가 크게 없었던 사례에서는 개인, 정보관심이 높게 나타났다. 이러한 결과는 프로젝트에 대한 예비보육교사의 관심수준은 보육환경, 보육과정, 실습지도 교사, 예비보육교사의 지각력, 프로젝트에 대한 사전지식이나 교육정도에 따라 다양하게 변할 수 있음을 알게 되었다. The purpose of this study is to analyze the case in which we can identify how the SoC of prospective child care teachers about the project approach changes and why these change appears during the child care practice when we assumpt that for prospective child care teachers to implement the project approach is that they participate in change during child care practice. In Case K, the SoC of the prospective child care teacher moves from Stage 0 awareness to Stage 2, Stage 3, Stage 4, and In Case M, the SoC moves from Stage 0 to Stage 1. In Case P, the SoC moves from Stage 1 to Stage 2, Stage 3, and in Case S, the SoC isn't changed. Above this, we identify the SoC of prospective child care teachers. Case K, M, and P changes SoC after child care practice, but Case S doesn't change. the reason why there is a difference is the mindset of prospective child care teachers. Anyone who wants to accomplish specific purposes can deal with diverse changes with flexibility, but others can easily have an effect on the changes. We suggest that instructor in organization for prospective child care teachers’ education need to have a class for prospective child care teachers to put theory into practice, give direct facilitation and intervention in the field to prospective child care teachers, make a learning environment for prospective child care teachers to make good use of teaching materials and instrument, develop guidebook for project approach and give support to prospective child care teachers.

응급실에서 시행된 기관내 삽관의 현황

김병철,강보승,송형곤,이정훈,송근정,정연권 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Background : The purpose of this study was to analyze the endotracheal intubation cases performed in the emergency department. Methods : We investigated retrospectively 326 cases of endotracheal intubation performed in the emergency department of a tertiary care center form April 1, 1998 to March 31, 1999. We focused on operators, medications used, its success rate and immediate complications, and the relationship between its success rate and medications. Results : Of 326 consecutive intubations, 193 patients(59.2%) were done by emergency medicine residents or attending physician. While 320 patients(98.2%) were successfully intubated, 6 patients could not be intubated and 2 patients underwent tracheostomy. Of 50 cases of intubations(15.3%) attempted with paralyzing agents, 48 cases were done with succinylcholine and 46 cases underwent by emergency physicians. Intubations with neuromuscular paralysis resulted in high success rates at the first attempt. Of 55 immediate adverse events were encountered in 47 patients(desaturation=17, bronchial intubation=15, hypotension=8, bradycardia=4, cardiac arrest=2, others=5). Conclusion : At this institution, paralyzing agents were used infrequently, but almost all of them were used by emergency physicians.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

Arrow-Trerotola Device를 이용한 경피적 기계적 혈전용해술과 혈관성형술로 성공적으로 치료한 혈액투석 동정맥루 폐쇄

강병승 ( Kang Byeong Seung ),이태희 ( Lee Tae Hui ),장진혁 ( Jang Jin Hyeog ),윤희정 ( Yun Hui Jeong ),황학진 ( Hwang Hag Jin ),이재훈 ( Lee Jae Hun ),이광훈 ( Lee Gwang Hun ),박형천 ( Park Hyeong Cheon ),강신욱 ( Kang Sin Ug ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.5

Adequate care of patients with end-stage renal failure on hemodialysis requires permanent vascular access. Arteriovenous fistula obstruction due to venous thrombosis is commonly observed complication, contributing significantly to morbidity and hospitalization of dialysis patients. Percutaneous intervention using angioplasty and thrombolysis has become an accepted treatment of thrombosed vascular access and demonstrated comparable technical results and patency rates with those of surgery. Recently developed percutaneous mechanical thrombectomy (PMT) uses mechanical energy to clear thrombus percutaneously in combination with mechanical dissolution, fragmentation, and aspiration. PMT offers fast thrombus removal without complications related to thrombolytic therapy. We report a case of thrombosed hemodialysis native fistula which was successfully treated with percutaneous angioplasty and mechanical thrombolysis using newly introduced Arrow-Trerotola percutaneous thrombolytic device.

자궁근종과 기타 양성 부인과 질환에 있어서 Levonorgestrel 함유 자궁내 장치(미레나(R))의 임상적 효능성에 대한 연구

강병문 ( Kang Byeong Mun ),정의 ( Jeong Ui ),주원덕 ( Ju Won Deog ),권혜은 ( Kwon Hye Eun ),김성훈 ( Kim Seong Hun ),채희동 ( Chae Hui Dong ),김정훈 ( Kim Jeong Hun ) 대한폐경학회 2003 대한폐경학회지 Vol.9 No.2

목적 : 본 연구는 Mirena^(??)의 자궁근종 크기 및 기타 양성 부인과 질환에 미치는 치료 효과를 보기 위하여 시행되었다. 연구 방법 : 1999년 5월부터 2001년 2월까지 Mirena^(??)를 삽입한 자궁근종 환자 31명과 단순 관찰 환자 62명의 자궁근종 크기를 전향적으로 비교하였다. 또한, Mirena^(??)가 기타 양성 부인과 질환의 임상 양상에 미치는 영향을 알아보기 위하여 1999년 9월부터 2001년 12월까지 Mirena^(??)를 삽입한 99명의 환자를 대상으로 의무기록을 검토하였다. 연구 결과 : Mirena^(??)를 삽입한 군과 삽입하지 않은 군 사이에 12개월후, 자궁 전체 및 제 1, 2 자궁근종의 용적 변화는 유의한 차기아 없었다. 기타 양성 부인과 질환에서는 총 99명의 환자에서 첫 3개월부터 53.5% 여성이 월경출혈량 감소를 보였고, 무월경은 3명을 제외하고는 모두 6개월 이후에 나타났다. 삽입 12개월 후에는 월경출혈량 감소(57.1%), 또는 무월경(28.6%)을 보였다. 간헐적인 질 출혈은 첫 3개월간 약 67%의 여성에서 보고되었지만 그 빈도는 감소하여 12개월 후에는 28.6%에서 지속되었다. 결론 : Mirena^(??) 사용이 자궁이나 자궁근종의 크기에 영향을 주지 않았지만 이미 알려지 대로 월경출혈량과 월경곤란증을 감소시키는 효과가 컸다. 주 제거 이유인 질 출혈은 대부분 삽입 후 첫 6개월 내에 발생하므로 충분한 상담을 거친다면 양성 부인과 질환의 비수술적 치료로서 효과적이리라 생각된다. Objectives : This study was performed to investigate the effect of Mirena^(??) on the size of uterine myoma and clinical effect on benign gynecologic disease. Design : First, we prospectively examined 31 women with myoma who was inserted Mirena^(??) due to menorrhagia and dysfunctional uterine bleeding(DUB) from May 1999 to February 2001. The control group was 62 women with myoma without treatment. Twelve months later, we analyzed the change of volume of uterus and myoma in both groups. Second, we performed chart review of 99 women with Mirena^(??) insertion from September 1999 to December 2001. They were examined about bleeding patterns and complications and other clinical effects at 3,6,12 months after Mirena^(??) insertion. Results : There was no significant difference in the change of the volume of uterus and myoma between the study and control group. More than half of women(53.5%) experienced decrease of menstrual bleeding during first 3 months, and 12 months later, 57.1% of women experienced decrease of menstrual bleeding and 28.6% of women became amenorrhea. Intermittent vaginal bleeding or spotting was reported by most women(67%) during the first 3 months but this usually stopped within 6-12 months(28.6%). Women requiring removal of the device due to vaginal bleeding or spotting were concentrated in the first 6 months. Conclusion : There is no reducing effect of Mirena^(??) on the size of uterus and myoma but Mirena^(??) could be an effective treatment of menorrhagia, DUB, dysmenorrheal.

LES 와 Hybrid RANS/LES 모델을 이용한 엇갈린 배열의 관군 열전달 전산해석

김병천(Byeong-Cheon Kim),장경식(Kyoungsik Chang),곽용준(Yongjun Kwak) 대한기계학회 2022 대한기계학회 춘추학술대회 Vol.2022 No.4

포스터 발표 : Arrow-Trerotola Device를 이용한 경피적 기계적 혈전용해술과 혈관성형술로 성공적으로 치료한 혈액투석 동정맥루 폐쇄 1예

강병승 ( Kang Byeong Seung ),이태희 ( Lee Tae Hui ),이재훈 ( Lee Jae Hun ),이광훈 ( Lee Gwang Hun ),박형천 ( Park Hyeong Cheon ),강신욱 ( Kang Sin Ug ),최규헌 ( Choe Gyu Heon ),하성규 ( Ha Seong Gyu ),이호영 ( Lee Ho Yeong ),한대 대한신장학회 2003 춘계학술대회 초록집 Vol.22 No.1

Study on the Vitrification of Mixed Radioactive Waste by Plasma Arc Melting

Byeong Yeon Min,Yong Kang,Pyung Seob Song,Wang Kyu Choi,Chong Hun Jung,Won Zin Oh 한국공업화학회 2007 Journal of Industrial and Engineering Chemistry Vol.13 No.1

Bacteriological Characteristic of Atrina pectinata and Ruditapes philippinarum under Non-refrigerated and Refrigerated Storage Conditions

Kang, Kyoung-Ho,Kim, Byeong-Hak,Kim, Young-Hun The Malacological Society of Korea 2008 The Korean Journal of Malacology Vol.24 No.1

In order to estimate the necessity of refrigerated storage of fresh seafood for short-term storage, and evaluate the effect of refrigerated storage on pen shell Atrina pectinata and clam Ruditapes philippinarum collected from Jang-su of Deukryang Bay and I-mok of Sunchen Bay in South Korea, the counts of coliform, Escherichia coli and total aerobic bacteria in A. pectinata and R. philippinarum under non-refrigerated $(28{\pm}1^{\circ}C)$ and refrigerated storage conditions $(4{\pm}1^{\circ}C)$ were determined. The results indicated that the storage at temperature of $4^{\circ}C$ possessed significant effects on inhibiting bacterial growth in live seafood. And refrigerated storage had different effect on A. pectinata and R. philippinarum. Different species and culture environments significantly influenced the initial and ultima bacteria counts. This study confirmed that refrigerated storage for short-term storage of live seafood was necessary, and indicated that the effect of refrigerated storage was influenced by comprehensive effectors.

Living Donor Hepatectomy Using Minimal Incision: An Experience of Consecutive 63 Cases by a Single Surgeon

( Byeong-gon Na ),( Dong-hwan Jung ),( Yong-kyu Chung ),( Sang-Hyun Kang ),( I-ji Jeong ),( Jin-uk Choi ),( Min-jae Kim ),( Sang-hoon Kim ),( Hwui-dong Cho ),( Young-in Yoon ),( Shin Hwang ),( Ki-hun 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1

Aims: Living donor hepatectomy (LDH) is performed widely as a part of living donor liver transplantation. The type and length of incision have been considered important because of the quality of life, such as the cosmetic effect. We describe herein the minimal incision for LDH to evaluate the safety and feasibility. Methods: We enrolled 63 consecutive cases of donor hepatectomy using a subcostal or upper midline minimal (9-12cm) incision depending on graft type and size between Jul and Dec in 2019 at a single center. Donor demographics, preoperative data, and postoperative outcomes were analyzed. Results: The mean age of the donors was 32.8 ± 10.3 yrs, and 32 (50.8%) donors were male. The mean operation time was 400.5 ± 69.5 minutes and the mean hospital stay was 9.4 ± 3.7 days. The graft types comprised 52 (82.5%) of the modified right lobe, 6 (9.5%) of the modified extended right lobe, and 5 (7.9%) of the extended left lobe. The portal vein types were I, II, and III in 59 (93.7%), 1 (1.6%), and 3 (4.8%), respectively. The bile duct types were A, B, C1, and C2 in 46 (73.0%), 8 (12.7%), 3 (4.8%), and 6 (9.5%). There were one (0.02%) case of bile leakage, and one (0.02%) case of abdominal wall bleeding postoperatively. Conclusions: LDH using minimal incision was a safe and feasible option showing an acceptable incidence of complications despite anatomical variations.