현존 김려·김선 형제 저작의 문헌학적 재검토

김영진 ( Kim Young-jin ) 고려대학교 민족문화연구원 2023 民族文化硏究 Vol.98 No.-

This paper reviewed the existing manuscripts of the Kim-Ryeo and Kim-Seon brother who left a clear mark in the literary history of the late Joseon Dynasty and introduced new materials of them. Between 1818 and 1821, Kim-Ryeo compiled of 『Damjeongchongseo』 by collecting himself and his acquaintances and relatives’ poetry and literature. Kim Gyeom-soo, Kim-Ryeo’s grandson, selected only Kim Ryeo’s poetry in this book and published wooden movable type 『Damjeongyugo』 in 1882 with the cooperation of second cousin Kim Ki-su. The complete works of 『Damjeongchongseo』 is the only manuscript, but the transcripts of 『Woohaeiobo』 and Kim Ryeo’s biographies exist. A “valuable copy” of 『Woohaeiobo』 owned by Yonsei University include poems written by Kim-Seon, Kim Sun-shin, and Cho Myeon-ho. Considering Cho Myeon-ho was Kim-Seon’s student, I think Cho Myeon-ho or the people around him would have written this book. Kim-Ryeo’s works are also included in 『Sokjehaeji』and『Hyangbangwanjangseo』. Sungkyunkwan University’s 『Damjeongyugo』 contains 8 piece of works such as 「Wolamkwongonghaengrok」, 「Mosunjaesangrangmoon」, 「Mosunjaegi」 written in a place of exile Jinhae. Only 「Mosunjaesangrangmoon」 and 「Mosunjaegi」 are shown in the wooden movable type 『Damjeongyugo』. Also Kim-Seon’s inscription in Kim Sun-min’s 『Gwanyeonrok』 and 『Chogwanmanpil』 written in the exile site Chosan were excavated. In the future, it is necessary to consider the influence of the relationship between Kim -Ryeo and Kim-Seon brother and Chusa Kim Jeong-hee.

1910~1920년대 식민지 조선에서 미국으로 보내진 한글 편지: 김장연씨 일가의 편지를 중심으로

김양진 ( Kim Yang-jin ),이희영 ( Lee Hee-young ) 국제어문학회 2015 국제어문 Vol.0 No.65

이 논문에서는 초기 미주 지역 이주민인 김장연 씨에게 고국의 가족들이 1914년부터 1920년까지 보낸 일련의 한글 편지들을 판독하고 이를 통하여 20세기 초반 미주 지역 이민사의 편린과 고국에 남겨진 김장연 씨 일가의 사연을 알아보고자 하였다. 이 편지들은 한반도에서 미주 지역으로 보내진 초기 편지들로 이를 통해 김장연 씨 일가를 중심으로 한 미주 지역에서의 이주민의 생활의 편린을 확인할 수 있었고 문헌 자료를 확인하기 어려운 일제 초기 일반인의 삶과 언어 생활을 엿볼 수 있는 기초 자료를 구축할 수 있었다. 무엇보다 이 편지 자료들을 통해서 수원 지역 일대의 실제 지명과 다양한 언어 생활, 미주 지역 이민들과의 교류 내용 등을 알 수 있어서 20세기 초반의 이민사에서 중요한 한글 필사자료 및 언어 자료를 확보할 수 있었다. 이밖에 편지 속 등장인물들의 행적들을 <공립신보>, <신한민보> 등 관련 기록을 통해 확인할 수 있었고 감리교단 수원지역 순행 전도사의 활동 기록 등을 확인할 수 있었다. This paper aims to introduce Hangul letters which were written by Kim Chang Yeon`s family and emphasize their values as precious materials for Korean language research. Kim`s family in Korea sent letters to Kim Chang Yeon in America from 1914~1920, and these letters includes the life of the first Korean immigrants generations and fill the missing part of Korean language in this period of time of Korea. Based on these letters which were sent from Suwon area, place names of Suwon area and cultural and linguistic connections between Koreans and Korean immigrants can be studied. These letters will be provided to those who studies Korean language as important Hangul written materials that shows many aspects of Korean language. Besides, people`s past in letters such as Kim Byung Kwon, Kim Sun Kwon, Kim Sung Sik, Choi Sim Sun(Kim Chang Yeon`s wife), Kim Rose(Kim Chang Yeon`s elder daughter, Kim Eva(Kim Chang Yeon`s second daughter, Kim Young(Kim Chang Yeon`s elder son), Kim Edward(Kim Chang Yeon`s second son) was checked out in this paper. Finding out what Kim Byung Kwon`s had done as a methodist missionary of Suwon area is a collateral outcome of this study.

金鑢의 編書 활동과 交遊에 관한 몇 가지 신자료

김영진(Kim Young jin) 대동한문학회 2016 大東漢文學 Vol.47 No.-

본고는 담정총서 에 수록된 작가들의 인물정보와 그 자료 수집의 과정에 관한 자료들을 추가로 제시하고, 새로 발굴한 담정의 원고본과 필사본을 통해 담정유고 의 편집 과정을 논한 것이다. 담정총서 에 수록된 金愚淳 (1760~1835), 李友信(1762~1822), 金祖淳(1765~1832), 李濟魯(1789 ~1816), 金䥧(1772~1833), 惠藏(1772~1811), 李魯元(1756~1811),權常愼(1759~1824), 鄭彦學(1749~1818이후), 李鈺(1760~1815), 金善臣(1775~1846), 趙基復(1773~1839), 李安中(1752~1791), 李復鉉(1767~1853), 李濟殷(1784~1836)의 인적사항과 신발굴 자료를 보충하였다. 수록 문인들은 대체로 담정과 직접적으로나 혹은 간접적으로 교유관계가 있던 노론 시파(時派) 계열 인물들이 많고 김조순, 권상신, 김우순을 제외한 대부분은 관직에서 소외된 몰락하고 불우한 인물들이었다. 이들의 창작활동 공간은 주로 서울 주변이었음을 알 수 있다(예외적 인물은 아암 혜장). 전체 16명 중에서 9명이 부자나 형제 혹은 숙질의 관계로 연결되어있다. 즉 이옥, 김조순, 권상신, 김선신, 조기복, 정언학, 혜장 7명을 제외한 나머지 문인들은 인척관계를 형성하고 있어 담정총서 수록 작가와 그 작품이 同志的 결속보다는 혈연적 요소가 다소 강하게 작용하고 있음을 보여준다. 담정총서 는 ‘동시대(幷世)’ 의식의 일환으로 편찬되었다는 것, 그리고 이옥과 김조순, 그리고 김려 본인의 작품이 대변하고 있듯이 산문에서는 ‘패사소품’적 참신한 작품들이 대거 뽑혔다는 점과 한시에서는 옥대향렴체 등의 이 시기 또 이들 그룹의 경향을 대표하는 시풍이 선택된 점 등을 특징으로 들 수 있다. This paper shows writers in ｢A Series of DamJeung｣ and how these writers’ information is gathered. Also, it shows the editing process of ｢A Series of DamJeung｣ by referring newly discovered manuscript and original text. Here, I added these people’s personal data and other newly discovered materials: Kim Woo-soon(1760~1835), Lee Woo-sin(1762~1822), Kim Jo-soon(1765~1832), Lee Jae-noh(1789~1816), Kim-Rye(1772~1833), Hye-Jang(1772~1811), Lee Noh-won(1756~1811), Kwon Sang-sin(1759 ~1824), Jeong Uhn-hak(1749~after 1818), Lee Oak(1760~1815), Kim Seon-sin(1775~right after 1846), Jo Ki-bok(1773~ ), Lee An-joong(1752 ~1791), Lee Bok-hyun(1767~1853), Lee Jae-eun(1784~1836). These people are directly or indirectly related to the group of Noron Si-pa (時派) and almost all of them were unfortunate ones who did not get important positions except Kim Jo-soon, Kwon Sang-sin, and Kim Woo-soon. Of 16 people, 9 of them are family members. That is, the others excepting those people (Lee Oak, Kim Jo-soon, Kwon Sang-sin, Kim Seon-sin, Jo Ki-bok, Jeong Uhn-hak and Hye-Jang) have blood relationship, so it has much influence than mere friendship. The book ｢A Series of DamJeung｣ is written in the spirit of Byeongse(幷世) and there are some of points worth watching: As their works show, (Lee Oak, Kim Jo-soon, Kim-Rye) in prose, novel works are included, which shows a kind of ‘Pesasopum’ trait (a name of genre). As such, some of traits showing the trend of this era reveal in poems.

「김씨열행록」의 서사적 전통과 소설적 변용

김진영 ( Kim Jin-young ) 동국대학교 한국문학연구소 2020 한국문학연구 Vol.0 No.62

이 글은 ‘첫날밤 신랑 피살형’ 설화를 계승한 「김씨열행록」의 소설적 변용과 그 의미를 살핀 것이다. 먼저 ‘첫날밤 신랑 피살형’ 설화를 유형화 하고, 「김씨열행록」이 어떠한 유형에 초점을 두어 소설적으로 변용되었는지 살폈다. 이를 바탕으로 소설적 변용과 문학사적 의의를 검토하였다. ‘첫날밤 신랑 피살형’ 설화는 여성인물인 며느리를 중심으로, 순절형·수절형·열부형으로 유형화할 수 있다. 순절형은 며느리의 죽음이, 수절형은 며느리의 생존과 활약이, 열부형은 신랑과 신부의 생존과 활동이 중심을 이룬다. 순절형은 유일한 생존 인물인 시아버지를 중심으로 작화한 「사명당전」에서, 수절형은 생존한 며느리와 그 아들 중심의 작화로 「조생원전」·「성부인전」·「김씨열행록」·「주유옥전」에서, 열부형은 며느리와 남편을 살려 작화한 것으로 신소설 「구의산」에서 의미 있게 계승했다. 「김씨열행록」의 소설적 변용에서 주목되는 곳은 작품의 후반부이다. 이 부분을 통해 이야기에 큰 변화가 생기기 때문이다. 이 부분에서 평면성에서 입체성으로, 몰개성에서 개성으로 인물이 변화하고, 사건에서도 불행과 행복의 단순한 구조에다 같은 구조를 다시 한 번 덧씌움으로써 이야기가 복잡해진다. 주제의 경우 효열만을 강조했던 전반부와는 달리 선악의 대립을 통한 권선징악과 유교적인 부귀공명이 부각되도록 했다. 이것은 소설적인 기법이 그만큼 고도화되어 나타난 현상일 수도 있지만, 이질적인 소설의 하위유형을 짜깁기한 결과일 수도 있다. 「김씨열행록」이 간행된 때는 1928년으로, 이때는 같은 설화를 계승한 고전소설 「조생원전」·「성부인전」·「주유옥전」·「사명당전」이 이미 필사되었고, 신소설 「구의산」도 간행된 뒤이다. 그런데 이 작품은 가장 늦게 간행되었음에도 불구하고 고전소설의 작법을 충실히 따르고 있다. 그것도 인과적인 논리보다는 흥미소를 짜깁기한 방식으로 새롭게 창작하였다. 한편 이 작품은 전반부의 여성영웅소설적인 모습과 후반부의 가정소설·남성영웅소설적인 양상, 그리고 전후반부에 나타나는 송사소설적인 실태가 주목된다. 이는 당시에 인기 있던 고전소설의 유형을 교조적으로 수렴·재편한 것이라 하겠다. This article examines the novel development and meaning of Kim's Yeol Haeng-rok, which succeeds the story of ‘First Night Groom Killing’. First, I've typized folk tales, and looked at what type of story Kim's Yeol Haeng-rok was focused as a novel. Based on this, the changes of the novel and the significance of literary history were examined. The story of “The First Night Groom Killing Type” can be divided into martyred type, maintaining integrity type, virtuous woman type, with a focus on female brides. The martyred type is based on the death of the bride, the maintaining integrity type is based on the survival and activity of the bride, and the irtuous woman type is mainly based on the survival and activity of both the groom and bride. The martyred type was created mainly by the father-in-law who was the only surviving person, which is shown at Samyeongdang-jeon. The maintaining integrity type was based on the surviving bride and son. Josaengweon-jeon Seongbuin-jeon Kim's Yeol Haeng-rok, Juyuok-jeon is the representative piece. And the virtuous woman type was made using the bride and husband, and was significantly successful with new-style novel Gueusan. The latter part of the work is noted in the novel variation of Kim's Yeol haeng-lok. This is a big change in the story. The story is complicated by the characters changing from flatness to three-dimensionality, from deviance to individuality, and overwriting the same structure on the simple structure of misery and happiness in events. In the case of the theme, it added the didactic morality and confucian rich resonance through the opposition of good and evil in the first half, which emphasized only filial duty and virtuous thing. It may be the phenomenon of novel techniques, but it may be the result of mending the subtypes of heterogeneous novels. In 1928, Kim's Yeol Haeng-rok was produced, and the classic novels Josaengweon-jeon, Seongbuin-jeon, Juyuok-jeon and Samyeongdang-jeon were already produced. However, despite the latest production, the work faithfully follows the writing of classical novels. It is also a new way of making interests rather than causal logic. On the other hand, this work focuses on the female hero novels in the first half, the home novels and male hero novels in the second half, and the litigarion novels in the total situation. This is a convergence and reorganization of the types of classic novels that were popular at the time.

Factors associated with the risk of colorectal neoplasia in young adults under age 40

Ilsoo Kim,Han Hee Lee,Young Jae Ko,Ho Eun Chang,Dae Young Cheung,Bo-In Lee,Young-Seok Cho,Jin Il Kim,Myung-Gyu Choi 대한내과학회 2022 The Korean Journal of Internal Medicine Vol.37 No.5

Background/Aims: Recent epidemiologic studies have shown a continued increase in colorectal cancer incidence among younger adults. Little is known about the factors that contribute to the development of young-onset colorectal neoplasia (CRN). Methods: A cross-sectional analysis was performed for individuals younger than 40 years who underwent colonoscopy in Seoul St. Mary’s Hospital and its affiliated health screening center. High-risk CRN was defined as adenoma or sessile serrated lesion ≥ 10 mm, with three or more adenomas, villous histology, high grade dysplasia, or carcinoma. Results: Of these 13,621 included participants, 2,023 (14.9%) had one and more CRN. Young patients with CRN tended to be elderly, male, obese, smoker, having a habit of drinking, and having comorbidities such as hypertension, dyslipidemia, diabetes, and chronic kidney disease. In a multivariate analysis adjusted for age, sex, obesity, smoking status, and alcohol intake, old age (odds ratio [OR], 1.086; 95% confidence interval [CI], 1.054 to 1.119), male sex (OR, 1.748; 95% CI, 1.247 to 2.451), obesity (OR, 1.439; 95% CI, 1.133 to 1.828), and smoking (OR, 1.654; 95% CI, 1.287 to 2.127) were independent risk factors for overall CRN. Obesity and smoking as two modifiable factors increased the risk for high-risk CRN even more than for overall CRN (OR, 1.734; 95% CI, 1.168 to 2.575 and OR, 1.797; 95% CI, 1.172 to 2.753, respectively). Conclusions: Obesity and smoking were modifiable risk factors for CRN in young adults. They increased the risk for highrisk CRN even more than for overall CRN. A colonoscopy might be beneficial for young individuals with these factors.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim`s technique and comparison to laparotomy

( Jeong Sook Kim ),( In Ok Lee ),( Kyung Jin Eoh ),( Young Shin Chung ),( Inha Lee ),( Jung-yun Lee ),( Eun Ji Nam ),( Sunghoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2

Objective This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim`s technique and to compare the surgical outcomes with those of laparotomy. Methods Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim`s technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. Results In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). Conclusion SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim`s technique could be a feasible solution to removing huge ovarian tumors.

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.

단순요도임질환자에서 피검물 채취방법에 따른 임질후요도염의 발생빈도에 관한 연구

김영진,김영태,김재홍 한양대학교 의과대학 1994 한양의대 학술지 Vol.14 No.2

Endourethral swab is a common and generalized method for obtaining urethral exudate. But it is likely to be thought that endourethral swab injures the urethral epithelium and changes the condition of the infection. In this regard we compared the incidences of postgonococcal urethritis(PGU) according to urethral sampling mehods (endourethral and meatal swab). In endourethral swab and meatal swab, the incidences of PGU were respectively 36.8%(85/231) and 35.5%(54/152), and the positive culture rate for Neisseria gonorrhoeae on Thayer-Martin media were respectively 96.5%(223/231) and 96.1%(146/152). Comparing the incidences of PGU according to the sampling method, there was no statistically significant difference. Therefore the culture sensitivity was not affected by sampling methods and endourethral swab did not seem to have an effect on the incidence of PGU. So if discharge is detected, meatal swab is preferable to endourethral swab except for special case including the culture for Chlamydia trachomatis and the obtain of fresh specimen.

학령전기 아동의 글씨 쓰기에 영향을 미치는 요인에 관한 연구

김원진,왕군철,김두리,최인영,허진아,최유정,장문영 대한감각통합치료학회 2011 대한감각통합치료학회지 Vol.9 No.1

목적 : 학령전기 아동의 글씨 쓰기 명료도 및 속도와 지각-운동 기술의 상관관계를 확인하고, 글씨 쓰기에 가장 영 향을 주는 요인을 알아보고자 하였다. 연구방법 : 덴버 발달 선별 검사를 통하여 정상 발달로 선별된 23명의 학령 전기 아동(평균 연령=68.61개월, SD=2.04)을 대상으로 글씨 쓰기 명료도 및 속도 측정을 위하여 한글 자모 쓰기 검사지를 사용하여 자음과 모음을 쓰도록 하였다. 시지각과 시각-운동 통합 수행 능력 측정을 위하여 시지각 발달 검사를 사용하였고, 소운동 협응 수행 능력 측정을 위하여 Grooved pegboard test를 사용하였다. 결과 : 글씨 쓰기 명료도와 전반적인 시지각, 비운동성 시지각, 시각-운동 통합, 우세손 소동작 협응의 상관관계는 없었으며, 글씨 쓰기의 속도는 전반적 시지각과 우세손 소동작 협응 항목에서 유의한 상관관계를 보였다. 회귀 분 석 결과 글씨 쓰기 속도에 가장 큰 영향을 주는 요인은 전반적 시지각 항목이었다. 결론 : 만 5~6세 학령 전기 아동의 전반적 시지각 능력의 발달을 향상시키기 위한 중재를 제공하는 것이 글씨 쓰기 의 속도 능력을 향상 시킬 수 있다는 것을 알 수 있다. Objective : This study investigated the relationships of handwriting legibility and perceptual-motor skills, and handwriting speed and perceptual-motor skills. And identified the predictors that most affect the handwriting of preschool children. Methods : Twenty-three typically developing preschool aged children (mean age: 68.61 months, SD=2.04) were selected through the Korean-Denver Developmental Screening Test-2(K-DDST-2). The children were tested with regard to handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Results : First, a significant relationship was not found among handwriting legibility, visual perception, visualmotor integration and fine-motor coordination. Second, a significant relationship was found among handwriting speed, visual perception and fine-motor coordination. Third, stepwise multiple regression analyses showed that general visual perception were significant predictors for handwriting speed. Conclusion : Occupational therapists should evaluate children's visual perception levels utilizing a standardized test, and focus on general visual perception in order to improve handwriting skill(speed). Also, occupational therapists are expected to play an important role in the management and treatment of children's handwriting skills.