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      • KCI등재후보

        압박손상으로 발생한 비골신경마비 환자 치험 1례

        김정아,지민정,원제훈,안뜰에봄,김동철,Kim, Jung-Ah,Ji, Min-Jung,Won, Je-Hoon,An, Tteul E Bom,Kim, Dong-Chul 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.1

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

        Objectives: The Purpose of this study is to report the effects of Korean medical treatment on patient of peroneal neuropathy caused by sitting cross-legged. Methods: The patient diagnosed as peroneal neuropathy was treated by Acupuncture, Bee Venom therapy, Herbal medicine. To evaluate the effects of Korean treatment, we used Range of Motion(ROM) of Ankle, Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Ankle-Hind-foot Scale(AHS), Digital Infrared Thermal Imaging(DITI). Results: After treatment, ROM of Ankle, VAS, NRS, AHS were improved. Temperature Difference(${\Delta}T$) was decreased on DITI. Conclusions: This study suggests that Korean medical treatment might be effective on sitting cross-legged patient diagnosed as Peroneal Neuropathy.

      • KCI등재

        호스피스병동 입원 환자의 간호요구도와 간호만족도

        김정아,김경희,강희선,김지수,Kim, Jung Ah,Kim, Kyunghee,Kang, Hee Sun,Kim, Ji-Su 한국호스피스완화의료학회 2014 한국호스피스.완화의료학회지 Vol.17 No.4

        목적: 본 연구는 호스피스병동 입원 환자의 간호요구도와 간호만족도를 확인하여 궁극적으로는 호스피스 서비스의 질을 향상시키기 위한 기초자료를 제시하기 위해 실시되었다. 방법: 연구대상자는 S시에 소재한 2개 호스피스병동에 입원한 말기암환자 80명이다. 수집된 자료는 IBM SPSS 20.0을 이용하여서 기술통계, t-검정, ANOVA 및 Pearson correlation coefficient 등을 실시하였다. 결과: 호스피스병동 입원 환자의 간호요구도는 $3.58{\pm}0.31$점, 간호만족도는 $3.25{\pm}0.20$으로 간호요구도에 비해 간호만족도는 낮은 수준이었다. 대상자의 일반적 특성중 교육상태, 직업, 종교 및 기능 상태에 따라 호스피스 간호요구도에 유의한 차이가 있었으며, 성별과 치료비 부담자와 기능 상태에 따라 호스피스 간호만족도에 유의한 차이가 있었다. 대상자의 간호요구도와 간호만족도는 양의 상관관계가 나타났다. 결론: 호스피스병동 입원 환자의 간호만족도는 간호요구도에 비해 낮은 수준으로 호스피스 서비스를 받는 환자의 서비스의 질을 높이기 위해서는 신체적, 심리/사회적, 영적 및 교육/의뢰 영역별로 구체적인 간호중재 방안이 마련되어야 한다. Purpose: This study was conducted to explore the nursing needs and satisfaction of patients who are hospitalized at hospice palliative care institutions. Methods: This study included 80 hospice patients who were in-patients of the hospice department of two general hospitals in S city. The collected data were analyzed by descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficients using the IBM SPSS 20.0 program. Results: The mean score of nursing needs and satisfaction were 3.58 (${\pm}0.31$) and 3.25 (${\pm}0.20$) respectively. Significant differences in hospice nursing needs and satisfaction were observed in terms of general characteristics including gender, education level, occupation, religion, support for medical expense and functional status. Significant positive correlation was found between the overall nursing needs and nursing satisfaction. Conclusion: Based on the results of this study, in order to improve the quality of hospice service, further study is necessary in a comprehensive manner to develop nursing intervention to meet physical, psychological/social, spiritual, and educational/referral nursing needs of hospice in-patients.

      • KCI등재

        LPS로 활성화된 대식세포에서 현부리경탕(玄附理經湯)의 시험관내 항염효과 및 Piroxicam과 병용효과

        김정아 ( Jung Ah Kim ),김동철 ( Dong Chul Kim ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.1

        Objectives: To observe the in vitro anti-inflammatory effects of Hyunbulikyung-tang aqueous extracts (HBLKT) and the possible synergic combination effects with a nonsteroidal anti-inflammatory drug, piroxicam. Methods: Anti-inflammatory effects of HBLKT (yield=16.17%) were observed on LPS activated raw 264.7 cells based on ED50 to cell viability, NO, PGE2, TNF-α, IL-1β and IL-6 productions as compared with piroxicam, in the present study. In addition, the combination effects of HBLKT with piroxicam were observed after treatment of HBLKT 1/4 ED50 + piroxicam 1/4 ED50, 1/8 ED50, 1/16 ED50, 1/32 ED50 and 1/64 ED50 concentrations, respectively. Results: Significant (p<0.01 or p<0.05) increases of cell viabilities and decreases of NO, PGE2, TNF-α, IL-1β and IL-6 cytokine releases were detected in HBLKT 1/4 ED50 + piroxicam 1/4 ED50, 1/8 ED50, 1/16 ED50 and 1/32 ED50 concentration co-treatment as compared with each of single 1/4 ED50 concentration of piroxicam and HBLKT treatments, respectively. Although significant (p<0.01 or p<0.05) increases of cell viabilities and decreases of NO, PGE2, TNF-α, IL-1β and IL-6 cytokine releases were also demonstrated in piroxicam 1/64 ED50 + HBLKT 1/4 ED50 co-treatment as compared with LPS control, no significant changes were detected as compared with each of single 1/4 ED50 concentration of piroxicam and HBLKT treatments, in this experiment. Conclusions: Hyunbulikyung-tang showed cell protective and anti-inflammatory effects against LPS activated raw 264.7 cells. It, therefore, expected that HBLKT will be showed favorable effects to relieve dysmenorrhea related to over expressed inflammatory cytokines, and it also expected that the clinical dosages of piroxicam can be reduced as 1/8 levels as combination with HBLKT.

      • KCI등재
      • KCI등재후보

        정부정책과 산림벌채의 관계: 동태적 최적화 접근법을 중심으로

        김정아 ( Jung-ah Kim ),박성훈 ( Sung-hoon Park ) 한국산림경제학회 2016 산림경제연구 Vol.23 No.1

        본 연구의 목적은 다음의 질문들에 대한 해답을 찾는 것이다: (i) 세금정책이 없는 경우에, 산림벌채율은 증가하는가?; (ii) 해외 산림자산에 대한 기회비용은 산림벌채율에 영향을 주는가?; (iii) 세금정책은 산림벌채율에 영향을 주는가? 본 연구는 동태적 최적화를 이용하여, 다음과 같은 결과를 보여준다. 첫째, 세금정책이 없는 경우에도, 산림벌채율은 시간이 지날수록 증가할 수 있다. 둘째, 이자율의 증가(해외 산림자산에 대한 기회비용)는 산림벌채율을 증가시킨다. 셋째, 세율의 증가 역시 산림벌채율을 증가시킨다. This paper is to answer the following three questions: (i) does the rate of deforesation increase without a tax?; (ii) do opportunity costs of holding on to forest assets from abroad affect the rate of deforesation at home?; and (iii) does the tax affect the rate of deforestation? By using a dynamic optimization approach, our answers are as follows. First, without the tax, households may increase deforestation over time. Second, the increase in the interest rate incurs the depletion path of forestlands from the future to present. Third, the tax also increases the current deforestation rate. In conclusion, we suggest that the effect of increasing tax rate is similar to that of increasing interest rate.

      • KCI등재

        Nerval에게 있어 착란의 표현에 관한 연구

        김정아 ( Jung Ah Kim ) 한국불어불문학회 2015 佛語佛文學硏究 Vol.0 No.104

        La plupart des oeuvres importantes de Nerval sont ecrites quand il etait fou. Ainsi la folie determine son univers. Autrement dit, la folie lui fait montrer son vrai visage. Dans notre etude, nous voulons chercher l``homogeneite du mecanisme de la folie et du mecanisme de la creation litteraire chez Nerval. Nous voulons aussi saisir sa maniere d``exprimer la folie et ses messages sur la folie. Dans l``histoire de Spifame, Nerval cherche a homogeneiser le mecanisme de la folie avec le mecanisme de la creation litteraire. Bien que cette histoire soit ecrite avant l``experience de la folie, Nerval nous montre son identification avec un autre personnage fictif ou reel, laquelle devient a la fois la cause de sa folie et la vitalite de sa creation litteraire. En general, Nerval ecrit toujours sa vie meme dans ses oeuvres en s``identifiant avec les personnages de ses oeuvres. Mais cette identification aboutit a demolir la frontiere du reel et de l``imaginaire. En effet, comme l``imagination, le reve envahit la domaine du reel sous forme de ``l``epanchement du songe dans la vie reelle`` et lui faisant perdre son identite, fait apparaitre son double. Pendant treize ans depuis sa premiere experience de la folie, Nerval cherche un moyen pour raconter sa folie. Et pour lui, raconter la folie commence par la nier. Pour cela, il insiste sur la similitude de l``etat d``hallucination avec le reve. De ce fait, le reve prend une place importante dans sa creation litteraire et lui donne un moyen de voir l``univers sous un autre angle, comme dans Sylvie ou une vision subjective transforme sa memoire reelle en couleurs du reve. Plus loin, le reve met en lumiere les elements mystiques, lies a l``univers des esprits(Le Temple d``Isis), et ce point de vue, comme dans le cas de Hakem ou d``Adoniram, fait considerer la folie comme une experience de l``illumination. Sous l``aspect mystique, la folie peut etre consideree comme ``une descente aux enfers`` et elle devient ainsi une force de la creation litteraire. Nous le voyons surtout dans Aurelia. Nerval y explique la folie non comme une histoire hors de la raison mais comme une histoire raisonnee. Il croit que le reve ou la folie a une logique et qu``il est un moyen de nous faire communiquer avec l``univers spirituel. En plus, en ce qui concerne la creation de la poesie, Nerval decouvre une autre vitalite de la poesie liee a la folie. En effet, il a trouve une homogeneite entre la poesie, le reve et la folie. Pour lui, l``harmonisation de ces trois elements lui permettait de communiquer avec l``univers invisible. Ainsi, cette communication le guide dans l``espace du surreel et de la vitalite ou se correspondent le reve et la vie, le parfum et la couleur. Pour justifier son experience de la folie et ses visions, il introduit les idees visionnaires de Swedenborg, Apulee, Dante et celles de la Bible. En se croyant lui-meme comme un voyant, un inspire, un prophete et un messie, il montre les relations de la folie avec la sagesse par la logique de la Bible. Ainsi, il cherche a faire la preuve dans ses oeuvres en tant que testament que la folie est une initiation vers la <Vita nuova>.

      • KCI등재

        불문학 : Nerval의 절대시간의 탐색과 상상세계의 이원구조 연구

        김정아 ( Jung Ah Kim ) 한국불어불문학회 2013 佛語佛文學硏究 Vol.0 No.93

        Pour Nerval, le rappel des souvenirs en vue de la restauration du temps suit les caracteres de l`imagination en depassant l`evocation simple. Concretement, il cherche a saisir les rapports entre les diverses unites par l`identification basee sur les principes de l`analogie. Ainsi, il veut surmonter la limite du temps en unifiant le passe et le present, autrement dit en dessinant le cercle temporel, symbole de l`eternite. Ceci devient une maniere d`exprimer le genie de Nerval et en meme temps la cause de son delire. D`autre part, le courant repetitif et regressif du temps suivi de cette identification empeche le poete d`avancer et lui fait perdre l`occasion du salut. Cet aspect est confirme par notre comparaison entre Sylvie, Aurelia et Les Chimeres. Cette identification est representee par un cercle repetitif et regressif du temps non seulement dans Sylvie qui vise a prouver le mouvement circulaire du temps en essayant de restaurer le passe, mais aussi dans Aurelia et Les Chimeres qui cherchent a resoudre les problemes de l`interieur par le courant progressif du temps. En effet, l`imagination ne depend pas de la volonte du poete mais des caracteres de l`imagination meme. L`imagination a essentiellement un caractere narcissique, de sorte que l`illusion du moi se deploiera. Autrement dit, l`imagination speculaire, qui est une projection du moi sur l`objet, c`est l`essence de l`imaginaire. Ainsi, pour Nerval, l`acte de creation litteraire se fait sur l`identification appartenant a l`imagination. Alors, il a projete son image dans ses souvenirs, dans ses livres, dans l`histoire ou la legende. Et par la, il a voulu retrouver sa propre image. Concretement, de cette maniere, il veut surmonter le hasard du moi quotidien et il veut recreer un monde nouveau ou tout retourne au "meme" qui est une affirmation du moi triomphant. Mais, cet essai est un risque de perdre les choses plus precieuses. Car, du fait qu`il recherche “le meme”, il arrive a perdre la conscience du moi et la confiance en son identite. La force centrifuge de la ronde faite par la quete du "meme" depasse le controle du moi. Elle enferme le moi dans le destin clos par l`exigence de la repetition. Autrement dit, le mecanisme de l`imagination qui dessine le meme cercle, absorbe l`autonomie du poete, si bien que le poete ne peut pas resister au caractere de l`imagination. Il ne peut pas surmonter la limite de l`imagination fermee, et devient prisonnier du reve. En conclusion, Nerval a voulu acceder a l`univers subjectif hors des principes du monde reel, en surmontant le mur du temps et en cherchant le paradis perdu. Ainsi, en s`opposant au dualisme et a l`esprit de la negation qui forme les caracteres du positivisme, il developpe l`univers de l`analogie par l`identification speculaire. Mais, l`univers du syncretisme qui est l`essence des oeuvres de Nerval, (ou son imagination qui cherche “le meme”), pousse Nerval dans un cercle ferme et le met dans l`incapacite d`ecrire.

      • KCI등재

        장애이해교육 내용을 삽입한 교과 수업이 장애아동에 대한 일반아동의 태도에 미치는 영향

        김정아 ( Jung Ah Kim ),김수연 ( Soo Youn Kim ) 한국초등교육학회 2006 초등교육연구 Vol.19 No.2

        본 연구는 장애이해교육 내용을 삽입한 교과 수업이 일반아동의 장애아동에 대한 긍정적인 태도변화를 가져오는지 알아보고자 하였다. 연구대상은 인천광역시에 소재하며 특수학급이 설치되어 있지 않은 한 초등학교의 4학년 일반아동 60명이다. 장애이해교육 내용을 삽입한 수업은 도덕, 사회, 국어교과에서 장애이해와 관련된 내용을 추출한 후 장애인에 대한 긍정적인 태도변화를 위해 효과적이라고 제안된 여러 전략들을 적용하여 수정, 보완한 교수-학습 지도안에 의해 이루어졌다. 실험집단에는 장애이해교육 내용을 강화한 수업을, 통제집단에는 장애 관련 내용이 포함된 원래의 수업을 정규교과시간에 10회 실시하였다. 연구결과 실험집단의 장애아동에 대한 태도가 통제집단에 비해 통계적으로 유의한 수준으로 긍정적으로 변화하였다. 본 연구결과는 정규 교과시간에 효과적으로 장애이해교육을 실시할 수 있는 방법을 제시하였다는 것에 의의가 있겠다. The purpose of this study was to investigate the effects on attitude change of general students toward students with disabilities through curricula infusion with disability awareness program. For this purpose, 60 4th grade general students from a public elementary school in Incheon were selected. 30 children from the group were assigned to the experimental group, and the other 30 to the controlled group respectively. This particular school does not operate any special classes. Curricula infusion incorporates information about disabilities and contents related to human rights into ongoing general education curricular. Curricula infusion process employed moral subject, language art, and social studies classes in elementary school. While the control group was given regular moral subject, social studies, language art without curricular infusion for disability awareness, the experimental group were given regular moral subject, social studies, language art through curricular infusion for disability awareness. Both group received 10 sessions with given curriculum. The result showed significant differences in attitudes of general students toward students with disabilities between groups. The students who received curricula infusion instruction developed more positive attitudes toward students with disabilities within statistical limits. Additional suggestions for implementing curricular infusion across different grade levels and curricular areas were offered.

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