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      • KCI등재

        녹내장 및 고안압증 환자에서 근시 정도에 따른 망막신경섬유층 두께 차이

        김정완,김용연,Jung Wan Kim,M,D,Yong Yeon Kim,M,D,Ph,D 대한안과학회 2008 대한안과학회지 Vol.49 No.10

        Purpose: To evaluate the changes in retinal nerve fiber layer (RNFL) thickness according to the degree of myopia in patients with glaucoma and ocular hypertension. Methods: Ninety-eight patients (165 eyes) diagnosed with glaucoma or ocular hypertension underwent optical coherence tomography (OCT) and scanning laser polarimetry using variable corneal compensation (GDx-VCC) to analyze the correlation between the degree of myopia and the thickness of the RNFL. A partial correlation coefficient analysis was performed to adjust for various factors such as age, laterality, intraocular pressure, and the mean deviation from visual field test, which can influence the RNFL thickness. Results: The average, nasal, superior, and inferior sectorial RNFL thicknesses measured by OCT significantly decreased with increasing myopia (p<0.05). However, RNFL thickness measured by GDx-VCC was not significantly correlated with the degree of myopia. Conclusions: The RNFL thickness measured by OCT decreased with increasing myopia in eyes with glaucoma and ocular hypertension. J Korean Ophthalmol Soc 2008;49(10):1634-1640

      • KCI등재

        비침습적인 유전자 검사법으로 진단된 아벨리노 각막이상증의 임상 양상

        김정완,김효명,송종석,Jung Wan Kim,Hyo Myoung Kim,Jong Suk Song 대한안과학회 2008 대한안과학회지 Vol.49 No.9

        Purpose: To introduce a new genetic method for the diagnosis of Avellino corneal dystrophy (ACD), which is non-invasive and can be easily performed on an outpatient basis, and to evaluate the relationship between the degree of corneal opacity and age or sex. Methods: A genetic study was performed on 11 patients who had a specific corneal opacity by slit-lamp examination and on four normal patients by using a specific adhesive tape to obtain epidermal keratinocytes. Corneal dystrophy was diagnosed according to the genetic study. Results: All 11 patients were confirmed as having heterozygous ACD. Heterozygous ACD patients were classified into five stages: trace, mild, moderate, severe, or very severe, based on slit-lamp photography status. Corneal stages had no relationship with sex (p=0.982), but the severity of ACD increased with age (p=0.005). Conclusions: A non-invasive sticker-type genetic study kit, the “U-gene test” is a good method to diagnose corneal dystrophy genetically. Avellino corneal dystrophy becomes more severe over time but has no relationship with sex. J Korean Ophthalmol Soc 2008;49(9):1431-1436

      • KCI등재

        알츠하이머성 치매 환자의 한국어 형태소 산출 특성

        김정완(Jung Wan Kim),김향희(Hyang Hee Kim) 한국언어치료학회 2009 言語治療硏究 Vol.18 No.4

        It has been well known that persons with Alzheimer's Disease (AD) display semantic-conceptual impairment from an early stage of dementia. However, the linguistic domain, more specifically morphological features of language production of AD patients have not be explored in great detail, especially in Korean language. Two experiments (Study 1: picture description task, Study 2: constrained production task) compare the speech output of individuals with AD (CDR 0.5, 1, 2, respectively) to that of healthy age- and education-matched controls. The principal finding was that as the disease progresses, the patients displayed an earlier loss of morphemes acquired later in terms of stages of language development as opposed to a long-term maintenance of the morphemes acquired earlier. This finding leads to a conclusion that information stored later in the brain may be more susceptible to brain damage.

      • KCI등재
      • KCI등재
      • KCI등재

        정상 성인의 노화과정에 따른 동사 이름대기 능력

        김정완(Jung Wan Kim) 한국언어치료학회 2017 言語治療硏究 Vol.26 No.4

        Purpose: Since verbs have a different structure compared to nouns in terms of semantic organization and undergo relatively more complex processing, they are depicted as a highly sensitive naming task in the clinical assessment of patients with neurological communication disorder. However, as a discussion on the selection of test targets is inadequate and the stimulation method is in the form of one-dimensional pictures, despite the fact that they are action words, a discussion of factors that affect verb retrieval is still under way. Methods: To identify the variables to be considered in the verb naming test and the rehabilitation of normal healthy people and patients with neurological communication disorder, this study carried out a verb naming test on normal healthy adults in their 50s through 70s. The effects of age, years of education, lexical frequency, name agreement, and age of acquisition on verb naming were investigated. Results:According to the results of this study, the ability to perform verb naming tasks decreased with increasing age in the aging process (50s, 60s>70s), lower frequency of words, and lower name agreement. On the other hand, years of education and age of word acquisition showed no significant effect on verb naming ability of subjects. Conclusions: Normal healthy adults performing verb naming show a difference in brain activity and retrieval ability according to basic properties and stimulus presentation type of the respective target word. Variables like age, frequency of word and name agreement must be taken into account. The results obtained from Korean adults can be useful for differential diagnosis and intervention of patients with neurological communication disorder.

      • KCI등재

        노년기 의사소통기능 척도(CommunicativeFunction Scale-Geriatric version: CFS-G)

        김정완(Jung Wan Kim),김향희(Hyang Hee Kim) 한국언어치료학회 2009 言語治療硏究 Vol.18 No.2

        A pilot study was conducted to investigate and understand the difficulties of communicative functions during the normal aging process and the relationship between quality of life and the Communicative Function Scale - Geriatric version (CFS-G). After the development of 45 items, reliability and validity verification was conducted. Statistical analyses revealed high reliability and validity values. The correlation between the total scores of the CFS-G and sub-domain scores of the CFS-G was investigated to measure construct validity. All correlation indices were statistically significant (all above r>.60, p<.001). The concurrent validity of the CFS-G has been selected to be .565 and showed a positive relationship with overall quality of life. The test-retest reliabilities for each sub-domain were very high, ranging from .82 to .96 (p=.000). After going through a question selection process, those communication functions which display difficulties during the aging process will be examined and if they can be identified at an early stage, language intervention can begin and an impact on the senescence quality increase can be expected.

      • KCI등재

        자폐 장애 아동 보호자의 언어치료 교육 서비스 만족도에 대한 실태조사

        김정완(Jung-Wan Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.3

        본 연구는 자폐 장애로 진단받은 아동의 주양육자 총 52명을 대상으로 현재 받고 있는 언어치료 교육 서비스에 대한 만족도와 욕구를 조사하기 위해 실시되었다. 연구방법은 설문조사 방식을 사용하였고, 설문 내용은 치료 교육 기관의 환경(7문항)과 치료사가 제공하는 프로그램(7문항), 그리고 치료 교육 만족도 및 서비스 욕구(7문항)를 포함한 세 가지 측면으로 구분하여 작성하였다. 연구 결과, 치료 교육 기관의 환경면에서, 치료비 등을 이유로 복지관 이용자의 만족도가 가장 높았으며, 사설 치료실, 종합병원 순으로 낮게 나타났다. 치료사가 제공하는 교육 프로그램 면에서, 실시하는 프로그램의 적절성 및 상담 내용 등을 이유로 종합병원 이용자의 만족도가 가장 높았으며, 사설치료실, 복지관 순으로 낮게 나타났다. 치료 교육 만족도 및 서비스 욕구 면에서, 언어치료 및 전체 치료 교육 서비스에 대한 만족도는 다소 만족하는 수준인 것으로 나타났다. 자녀가 언어치료를 받게 되고 난 후, 좋아진 점으로 일상적인 생활 기술의 향상과 심리적 안정이 높게 나타났으며, 추후 받고 싶은 치료 교육과 관련하여 개별, 집단 언어치료 교육 서비스에 대한 욕구가 매우 높게 나타났다. 이상의 결과를 통해, 치료 교육 기관에서 제공하는 서비스의 문제점을 파악하고, 자폐 아동의 치료 교육 만족도를 높이기 위해 언어치료사 및 관련 영역 전문가들이 노력해야 할 여러 가지 함의를 얻을 수 있었다. This study was conducted to determine the degree of satisfaction and the demand for the current education service of language therapy. We surveyed a total of fifty two nurturers of children who had been diagnosed as autistic. A three-part questionnaire that covered the environment of the therapy institution (7 questions), the programs provided by the Speech-Language Pathologist (7 questions) and the degree of satisfaction and the demand for therapy education (7 questions) was used. The study results showed, in the area of the institution environment for therapy education, that the degree of satisfaction was highest for Social Welfare Center users due to the therapy costs. The level of satisfaction then decreased in the order of private clinic users and general hospital users. However, in the area of education programs provided by Speech-Language Pathologists, it was highest for the users of general hospitals due to the proper contents of the programs and consulting service. The satisfaction level then decreased in the order of private clinic users and Social Welfare Center users. Regarding the level of satisfaction with therapy education and related demand, the degree of satisfaction with language therapy and all therapy education services was generally satisfactory. After the language therapy, the children showed considerable improvement in their living skills (60% of survey respondents) and psychological stability (stress reduction, 30% of the total survey respondents). Regarding the future demand for therapy education, the degree of demand was high for the individual and group language therapy education service. In summary, the results of this study uncovered a number of problems related to services provided by language therapy education institutions and suggested various implications that Speech-Language Pathologists and relevant professionals should endeavor to use so as to enhance the satisfaction level of therapy education for autistic children.

      • KCI등재

        『클라우드 나인』에 나타나는 해체적인 성담론 연구

        김정완 ( Jung Wan Kim ),조숙희 ( Sook Hee Cho ) 한국영미문화학회 2010 영미문화 Vol.10 No.3

        Caryl Churchill is one of the representative playwrights whose major concern is to bring the feminist issues to the fore. She has worked with some experimental theatre groups to enlighten the under-privileged women of lower class. Consequently, her stage is an arena where women can become aware of the truth that the various suppressions on them are political and social issues derived from the patriarchal ideology. In addition, Churchill excels other feminist playwrights in that she extends the focus from feminist issue to other related ones. For example, she deals with many other minority groups such as the colored people, and homosexuals on her stage so that the audience has to face different kinds of social injustice practiced on the weak and vulnerable groups of people. Cloud Nine is a good example that shows Churchill`s characteristic attempts on stage. One major issue in Cloud Nine is an innovative idea of sexuality. Many characters of the play are liberated from the traditional, binary distinction of sexuality: man/woman, or heterosexual/homosexual, marriage/single. Instead, the characters transform their sexuality according to the change of social or political situations and/or their emotional feelings. As a result, the audience can experience the speedily changing and amorphous aspects of sexuality, which is defined as "plastic sexuality" by Anthony Giddens, a well-known social scientist. By analyzing the play with the new concept of the “plastic sexality,” Churchill effectively attacks the falsehood and injustice exerted on the minority groups by the patriarchal ideologies.

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