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유아교사의 임파워먼트와 행복의 관계에서 셀프리더십의 매개 및 조절효과
김미진,김병만 한국유아교육학회 2016 한국유아교육학회 학술대회자료집 Vol.2016 No.1
본 연구는 유아교사의 임파워먼트와 행복 간의 관계에서 셀프리더십의 매개 및 조절효과를 알아보기 위해 유아교사 350명을 대상으로 설문조사를 실시하였다. 유아교사의 임파워먼트를 측정하기 위해 이철수(2007)가 개발하고 황해익, 김미진, 탁정화(2013)가 수정한 척도를, 셀프리더십을 측정하기 위해 Houghton과 Neck(2002)이 개발한 RSLQ를 신용국, 김명소, 한영석(2009)이 번안하여 타당화한 척도를, 행복을 측정하기 위해 Kern과 Butler(2014)가 개발하여 김미진(20115)이 번안한 다차원적 행복척도를 사용하였다. 본 연구의 결과는 다음과 같다. 첫째, 유아교사가 인식하는 임파워먼트, 셀프리더십, 행복의 정도는 보통 이상으로 나타났고, 모든 변인 간의 관계는 정적 상관이 있는 것으로 나타났다. 또한 임파워먼트와 셀프리더십은 행복에 영향을 미치는 변인으로 나타났다. 둘째, 유아교사의 임파워먼트와 행복의 관계에서 셀프리더십은 부분매개효과가 있는 것으로 나타났다. 셋째, 유아교사의 임파워먼트와 행복의 관계에서 셀프리더십은 조절변수로 작용하는 것으로 나타났다. 이는 유아교사의 행복 증진을 위한 연수. 교사교육 프로그램 개발 시 임파워먼트와 셀프리더십을 함양할 수 있는 내용과 방법적 측면을 포함해야 할 필요성이 있음을 시사한다.
폐동맥 분지협착에 스텐트 삽입 후 유발되는 폐동맥의 형태변화 - 폐동맥 폐쇄 부전의 역할 -
김미진,강두철,최재영,이종균,설준희,이승규,Kim, Me Jin,Kang, Du Cheol,Choi, Jae Young,Lee, Jong Kyun,Sul, Jun Hee,Lee, Sung Kyu 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.1
Purpose : Intravascular stent implantation for the treatment of postoperative branch pulmonary artery(PA) stenosis has been used successfully. However, the cross sectional area of contralateral branch PA does not regress in spite of the successful dilation of the stenotic branch PA after stent implantation. We analyzed the morphologic and hemodynamic factors on the size of branch PA after successful stent implantation. Methods : The subjects in our study were 23 children who had undergone stent implantaion from Jan. 1995 to Jul. 2002 in the Division of Yonsei Pediatric Cardiology. We evaluated the cross sectional area index(CSAI) of branch PA before and after stent implantation at follow-up catheterization. We also investigated factors such as residual pulmonary stenosis, pulmonary regurgitation(PR), systolic pressure of right ventricle, and lung perfusion scan. Results : The CSAI of the RPA without stenosis changed from mean $238{\pm}17mm^2/BSA$ to mean $249{\pm}20mm^2/BSA$(P=0.47), but didn't regress. The CSAI of the LPA with stenosis was increased effectively by stent implantation from the mean $102{\pm}12mm^2/BSA$ to mean $125{\pm}11mm^2/BSA$(P< 0.05). At follow up after stent implantation, the CSAI of PA is correlated with the residual PR fraction after stent implantation. Conclusion : In a group with increased residual PR, CSAI of RPA was found to be significantly increased between the pre- and post-stages of stent implantation. So, we suspect that the pulmonary regurgitation remaining after right ventricle outlet tract(RVOT) dilatation surgery is correlated with the increase in CSAI of RPA.
림프세포증식성 질환에서 효과를 보인 부분적 비동맥 색전술 1례
김미진,노영일,양은석,문경래,Kim, Mi Jin,Rho, Young Il,Yang, Eun Seok,Moon, Kyung Rye 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.1
Posttranplantations lymphoproliferative disease (PTLD) is a common and life-threatening complication for soid organ transplantation associated with the use of chronic immunosuppression and Epstein-Barr virus. There is no standardized treatment algorithm, but numerous management strategies are vaiable. Partial splenic embolization (PSE) had been demonstrated to be an effetive alternatie to splenectomy for patients hypersplenism and portal hypertension. PSE has the advantages of non-invasive intervention and resolution of the complications of hypersplenism. We report the effect of the PSE in a 6-year old male liver transplantation recepient with PTLD who has undergone persistent hypersplenism post-transplant. We reduced immunosuppression agent, started antiviral agent. We started with interferon and IV globulin one month after admission. Hepatosplenomegaly and cervical lymphadenopathy were improved. But fever was not subside. We selectively embolized the lower pole of the spleen to achieve a 50~60% reduction in flow as determined by angiography. After embolization, fever subside and peripheral blood findings were improved. Follow up abdominal CT revealed reduced volume of spleen due to ischemic change and there was no multiple enlarged mesenteric lymphnode compared to preembolization state. We thick that PSE is a safe an effetive treatment modality of PTLD with persistent hypersplenism in patients twho failed to medical treatment.
부모의 양육태도 군집의 유형 차이 분석: 부모의 정서표현성과 유아의 또래 유능성을 중심으로
김미진 한국보육지원학회 2016 한국보육지원학회지 Vol.12 No.2
This study investigates how naturally occurring parent groups form by using Schaefer’s two axes of affection–rejection and autonomy–control, it also aims to verify whether there is a significant difference in the parent groups' emotional expressiveness and children's peer competence. A total of 201 kindergarten children between the age of 3 to 5 and their parents were given a questionnaire in order to investigate parenting attitudes and emotional expression. And children's teachers measured their peer competence. SPSS 18.0 was used and clustering analysis was conducted according to different parenting attitudes. The first fathers’ group was named the lacking-affection group, the second was the democratic-reception group, the third was the ignorance group and the last was the rejection group. For mothers' groups, the first was named the rejection group, the second was the autonomous-control group and the third was the reception-respect group. Parents' emotional expressiveness of each group had a considerable difference while there was no significant difference between children's peer competence. This study was dedicated in deriving meaningful implications on the role of parents by investing the differences between each naturally occurring cluster.
Change in the treatment strategy for pediatric Crohn’s disease
김미진,최연호 대한소아청소년과학회 2010 Clinical and Experimental Pediatrics (CEP) Vol.53 No.9
Crohn’s disease is characterized by chronic inflammation involving any portion of the gastrointestinal tract. Treating Crohn’s disease is a major challenge for clinicians, as no curative therapy currently exists. Pediatric Crohn’s disease is characterized by frequent relapses, a wide extent of disease, a high prevalence of extraintestinal manifestations,and a severe clinical course. The classic therapeutic approach is known as the ‘step-up’ strategy, and follows a progressive course of treatment intensification as disease severity increases. Although this approach is usually effective for symptom control, many patients become either resistant to or dependent on corticosteroids. The efficacy of infliximab suggests that, rather than a progressive course of treatment, early intense induction may reduce complications associated with conventional treatment and improve quality of life. Intensive early therapy with infliximab is known as the ‘top-down’strategy. Such therapy offers the potential for altering the natural history of Crohn’s disease, and is changing treatment paradigms. However, the relatively new concept of an early aggressive or ‘top-down’ treatment approach is not yet widely accepted, especially in pediatric patients. The results of our current study demonstrate that early and intensive treatment of pediatric Crohn’s disease patients with infliximab, at initial diagnosis, was more effective for maintaining remission and reducing flares.