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      • KCI등재

        Subxiphoid Incisional Hernia Development after Coronary Artery Bypass Grafting

        김혜선,김기봉,황호영,장형우,박규주 대한흉부외과학회 2012 Journal of Chest Surgery Vol.45 No.3

        Background: Median sternotomy can weaken the upper abdominal wall and result in subxiphoid incisional hernia. We evaluated risk factors associated with the development of subxiphoid incisional hernias after coronary artery bypass grafting (CABG). Materials and Methods: Of 1,656 isolated CABGs performed between January 2001 and July 2010, 1,599 patients who were completely followed up were analyzed. The mean follow-up duration was 49.5±34.3 months. Subxiphoid incisional hernia requiring surgical repair developed in 13 patients (0.8%). The hernia was diagnosed 16.3±10.3 months postoperatively, and hernia repair was performed 25.0±26.1 months after the initial operation. Risk factors associated with the development of subxiphoid incisional hernia were analyzed with the Cox proportional hazard model. Results: Five-year freedom from the hernia was 99.0%. Univariate analysis revealed that female sex (p=0.019), height (p=0.019), body surface area (p=0.046), redo operation (p=0.012), off-pump CABG (p=0.049), a postoperative wound problem (p=0.041), postoperative bleeding (p=0.046), and low cardiac output syndrome (p<0.001) were risk factors for the development of the hernia. Multivariable analysis showed that female sex (p=0.01) and low cardiac output syndrome (p<0.001) were associated with subxiphoid hernia formation. Conclusion: Female sex and postoperative low cardiac output syndrome were risk factors of subxiphoid hernia. Therefore, special attention is needed for patients with high-risk factors.

      • KCI등재

        철제유물의 부식억제를 위한 부식억제제에 관한 연구

        김혜선,허윤현,김수기 한국문화재보존과학회 2014 보존과학회지 Vol.30 No.1

        철제유물의 안정화처리는 부식인자 용출 처리하는 방법에 중점을 두고 있으나 탈염 처리 등 부식인자의 제거 여건이 안 갖춰진 경우 부식억제제를 투입하여야 한다. 하지만 철제유물에 적용하는 대표적인 부식억제제가 없으며 이에 대한 연구도 부족한 실정이다. 따라서 본 연구에서는 철제유물의 부식억제제의 실효성을 검증하고 이에 접합한 부식억제제를 제시하는데 그 목적이 있다. 본 연구에서 부식억제제는 BTA, DAN과 MEA, TEA를 선정하였고 분극 시험, 접촉각, XPS 등의 분석기기를 이용하여 비교 실험을 하였다. 그 결과 분극시험과 접촉각 실험에서 모든 시편이 소수성의 피막을 형성하며 부식저항성이 높아지는 현상을 통해 부식억제제의 실효성을 검증하였다. 또한 부식억제제 의 농도가 높을수록 부식억제 효과가 좋아지는 것을 확인할 수 있었다. BTA는 XPS실험에서 부식성물질을 차단하는 성분인 C-H 결합 peak의 함량이 높게 검출되었으며 분극시험에서 부식전위가 매우 높게 측정되어 철제에도 부식억제 효과를 보이는 것으로 판단된다. 에탄올아민에서 TEA보다는 MEA가 더욱 우수하였으며 MEA는 소수성 피막을 형성 하여 야외 철제유물의 부식억제제로 제시할 수 있다.

      • Fabricating Gold Nanoelectrode Array from Nanoporous Block Copolymer Films for Electrochemical Sensing

        김혜선,정지현,김승현 한국고분자학회 2021 한국고분자학회 학술대회 연구논문 초록집 Vol.46 No.2

        Nanoelectrode and its array in electrochemical applications can provide greater advantages such as fast response times, enhanced mass transport and sensitivities compared with its corresponding planar or micro-electrodes. Therefore, the fabrication of nanoelectrode arrays has attracted increasing attention, and has been developed by applying various techniques. In this work, the gold nanoelectrodes coated with vertically-oriented cylindrical nanopores are fabricated for the sake of electrochemical dopamine sensing. The structure of periodic nanoporous membranes was generated by the self-assembly of block copolymers (BCPs). The effects of thickness of films, scan rate, concentration of diffusion species, and pH of electrolytes were indicated by the array of gold nanoelectrodes. The morphologies of membranes were characterized by AFM and SEM, and the electrochemical analysis of nanoelectrodes from nanoporous membranes was optimized by CV measurements.

      • 主婦의 過剩管理와 子女의 滿足度 : 人的管理를 中心으로

        金惠善,桂仙子,金英嬉 충남대학교 자연과학연구소 1981 忠南科學硏究誌 Vol.8 No.2

        The purpose of the study was to find out any co-relations existed between housewives' overmanagement and Children's satisfaction by using 272 students and their mothers living in Daejeon area and the results were as follows: 1. Older housewives showed higher tendency in overmanagement for Children's character and housewives with adolescent children showed significantly higher tendency in overmanagement for children's character and health. 2. Less educated housewives showed the lowest tendency in overmanagement for knowledge. 3. Families with 5-6 members generally showed the lowest tendency in overmanagement for affection. 4. Children's satisfaction was significantly decreased with increasing of housewives overmanagement for affection and knowledge. 5. While the satisfaction was increased with increasing of housewives' overmanagement for health. In general, housewive's overmanagement seemed to decrease children's satisfaction.

      • KCI등재

        4세 영재아들의 유아교육기관 생활 - 문화 기술적 사례연구

        김혜선,이민경 한국영재학회 1999 영재교육연구 Vol.9 No.1

        본 연구에서는 4세 영재아들이 유아교육 기관에서 일반 유아들과 생활하는 과정을 문화기술적(ethnographic) 연구방법을 통하여 분석해 보고자 하였다. 본 연구는 서울시에 위치한 유치원의 만 4세 남자 유아와 전주시에 위치한 어린이집에 다니는 만 4세 여자 유아를 대상으로 선정하였다. 1999년 4월 2일 - 1999년 6월 18일까지 14주 동안 진행되었다. 관찰은 1주일에 2-3회 1시간 정도씩 참여하였다. 교사와의 면담은 6차례에 걸쳐 총 2시간 10분 동안의 면담을 녹음하여 분석하였다. 부모와의 면담은 4차례에 걸쳐 실시되었으며, 영재아를 지도해 본 교사 6명에게 설문지를 실시하였다. 수집된 사례는 부호화하고 범주화 한 뒤 분석하였다. 본 연구는 결과를 요약하면 다음과 같다. 첫째, 유아교육기관에서 4세 영재아들은 풍부한 지식과 우수한 기억력, 부한한 상상력, 문제해결 능력과 논리적 추리 능력, 흥미와 집착, 다른 장난과 배회, 포기와 합리화의 특징을 가지고 있었다. 둘째, 4세 영재아들의 또래 친구들과 자기 중심적 사고와 자기 주장, 갈등과 화합, 놀이 주도자와 창안자의 관계를 갖고 있었다. 셋째, 부모들은 자녀에 대해 강력한 지지자, 정원사와 같은 신념과 양육태도를 가지고 있었다. 넷째, 교사들을 영재아 지도에 대해 놀라운 아이, 방해하는 아이로 인식하였으며, 논리적 설득과 중재, 제재와 격리의 방법으로 지도 하고 있었으며, 수용 혹은 지나친 인정, 그리고 방치하는 것에 대해 갈등을 갖고 있었다.

      • 자궁경부 세포진에서 ASCUS 진단의 세분화 - "ASCUS, R/O HSIL" : 세포학적 소견 및 조직학적 상관성

        김혜선,김복만,김의정,김희숙,Kim, Hye-Sun,Kim, Bock-Man,Kim, Yee-Jung,Kim, Hy-Sook 대한세포병리학회 2002 대한세포병리학회지 Vol.13 No.1

        Cytologic and histopathologic features and human papillomavirus (HPV) DNA detection associated with 101 cervicovaginal smears which are ciassified as 'atypical squamous cells of undetermined significance, rule out high grade squamous intraepithelial lesion(ASCUS, R/O HSIL)' were reviewed and compared to 89 smears of 'ASCUS, not otherwise specified(NOS)'. Cytologic fieatures of ASCUS, R/O HSIL included atypical single small cells(36.6%), hyperchromatic tissue flagments(35.6%), atypical metaplastic cells(18.8%), endometrial cell-like clusters(5.9%), and atypical parakeratotic cells(3.0%). A final diagnosis of HSIL on biopsy was assigned to 47(54.0%) of 87 women with ASCUS, R/O HSIL and to 13(14.6%) of 89 women with ASCUS, NOS (p=0.000). There was no difference in HPV DNA detection late between ASCUS, R/O HSIL and ASCUS, NOS smears. These data suggest that subclassification of ASCUS is helpful to manage patients because ASCUS, R/O HSIL is more often associated with an underlying HSIL on biopsy. Therefore, women with ASCUS, rule out HSIL should be actively managed with colposcopic examination.

      • 가임성과 衣·食·住 생활과의 關係 : 서울 地域 主婦를 中心으로한 實態調査

        金惠善 충남대학교 자연과학연구소 1977 學術硏究誌 Vol.4 No.2

        The purpose of the present study is to ascertain the relationship between Fecundability and the Family life-Clothing, Meal management, and Housing. For the study, the questionnaire were distributed to 1101 housewives from 20 to 50 in Seoul area, and collected data analysis was done by the computing facilities (CDC 6,600) at Korean Institute of Science and Technology (KIST). The statistical method for the difference verification was Cross-Tabulation (x^(2)). The result of this study is that the fecundability- variables are significantly related to the family life. The results of the investigation are as follows: 1. Fecundability inflences significantly family life-each clothing, meal management, and housing. Fecundable and fecund-intended group has almost of opposed life style, but life styles between fecundable and not-intended group, and birth control group by operation is almost similar. 2. But the effects influencing by fecundability to family life style are not only the fecundability of housewives, but also their age. 3. Similar life style pattern between fecundable, not intended and birth control group by operation suggests that the life style of the former group will not interference changing possibility into birth control operation.

      • KCI등재후보

        급성심근경색증에서의 심장자기공명영상술의 진단 정확도와 심근 생존력 평가: TI-201 심근관류 SPECT와의 비교

        김혜선,박동우,김용수,김영선,최요원,전석철,서흥석,함창곡,김순길,안유헌,최윤영,박충기,Kim Hye-seon,Park Dong Woo,Kim Yongsoo,Kim Young-sun,Choi Yo Won,Jeon Seok Chul,Seo Heung Suk,Hahm Chang Kok,Kim Soon Kil,Ahn You hern,Choi Yoon Young,P 대한자기공명의과학회 2003 Investigative Magnetic Resonance Imaging Vol.7 No.2

        Purpose : To assess the usefulness of cardiac MR imaging (MRI) in the diagnosis of acute myocardial infarction and in the assessment of myocardial viability in comparision with T1-201 SPECT. Materials and Methods : We retrospectively studied 17 patients who complained of chest pain and dyspnea with cardiac MRI . The patients were evaluated for the presence or absence of high signal intensity on T2-weighted image (T2wI), abnormal wall motion on 2D-FIESTA, perfusion defect on Gd-DTPA enhanced T1WI, and delayed myocardial enhancement on 15-minutes delay Gd-DTPA enhanced T1WI. The results were correlated with the images on T1-201 SPECT, taken at rest and stress, through which reversibility of perfusion defect was assessed. Results : Both cardiac MRI and T1-201 SPECT proved to be useful methods for diagnosing acute myocardial infarction. In order of decreasing correspondence, T2WI, T1-201 SPECT, delayed enhancement study, and wall motion images all showed significant statistical correlation with the clinical diagnosis of myocardial infarction. Perfusion MRI, on the other hand, showed no significant statistical difference was found between T1-201 SPECT and cardiac MRI. The results on T2WI showed high accordance with those on Tl-201 SPECT, while delayed myocardial enhancement and wall motion studies showed no agreement with Tl-201 SPECT. Conclusion : Cardiac MRI is useful method for diagnosis of acute myocardiac infarction. With respect to the assessment of myocardial viability, the results obtained on cardiac MRI showed high agreement with those on Tl-201 SPECT. However, further study is necessary at this point for standardization and establishment of the methods for assessing myocardial viability on cardiac MRI.

      • KCI등재

        교육 재정 배분 모형에 관한 고찰

        김혜선 성신여자대학교 교육문제연구소 1991 교육연구 Vol.25 No.-

        본 논문은 교육재정의 배분을 합리적으로 수행하기 위한 일차적인 과제로써 교육재정 배분의 의미와 그에 관련된 요인에 대해 기술하고, 교육재정을 배분하기 위해 고려되어야할 기준을 분석하고, 이제까지 연구되어온 교육재정 배분모형의 유형을 파악하여 그러한 모형이 지니고 있는 장점과 단점을 분석하여 기술하고 있다.

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