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      • 청심연자탕을 복용한 후 호전된 Wallenberg's syndrome 환자 1례

        심소라,최우정,Shim, So-ra,Choi, Woo-jung 대한중풍순환신경학회 2009 대한중풍.순환신경학회지 Vol.10 No.1

        Wallenberg's syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior cerebellar artery of the brain stem. Wallenberg's syndrome is also called Lateral Medullary Syndrome. In this case report, we are going to describe the clinical menifestation and progress of one case of Wallenberg's syndrome and review previously published case reports about it and compare them to our case. In conclusion, significant improvements were observed in some symptoms but there were some symptoms not improved such as paresthesia. So further researches are needed for more effective treatment.

      • KCI등재

        설통에 대한 관찰연구

        심소라,김민경,이지현,여서원,조승연,박성욱,박정미,배형섭,고창남,Shim, So-Ra,Kim, Min-Kyung,Lee, Ji-Hyun,Lu, Hsu-Yuan,Cho, Seung-Yeon,Park, Seong-Uk,Park, Jung-Mi,Bae, Hyung-Sup,Ko, Chang-Nam 대한한방내과학회 2012 大韓韓方內科學會誌 Vol.33 No.4

        Objectives : The purpose of this study was to report the clinical characteristics of glossodynia patients and effects of traditional Korean treatment on glossodynia and to gather data in order to carry out future study. Methods : We surveyed 40 glossodynia patients visiting the Department of Korean Internal Medicine of Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong and analyzed their glossodynia questionnaires, examination results, and progression of symptoms. Results : In Glossodynia patients the average age was 62.4 years old. Glossodynia was more prevalent in females than males (5.67:1). Red tongue color, white fur, and fissured tongue were observed most often. The average glossodynia duration was 36.1 months and the average glossodynia degree was VAS 5.6. The most commonly appearing symptom was burning sense, and dryness of tongue. In Korean medicine diagnosis, Yin, deficiency, Tae-eum was most commonly diagnosed. In herbal medicine, Gamichungsim-tang was the most frequently prescribed. In laboratory tests, zinc deficiency was the most common result. In heart rate variability (HRV), average SDNN was 34.03 and average LF/HF ratio was 2.11. Of 40 patients, 23 completed treatment and their pain was relieved from average VAS 5.52 to VAS 3.63. Pre-and post-treatment results showed a significant difference. The average duration of treatment was 34.91 days. Conclusions : The results of this study suggest that Korean medical approach and treatment for glossodynia could be effective. Further study should be conducted for more valuable information.

      • KCI등재

        어머니의 성격특성이 창의적 가정환경을 매개로 유아 창의성에 미치는 영향

        심소라,안동근 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.16

        This study examined the mediating effects of the creative home environment in the relationship between mothers’ personality traits and children’s creativity. Participants were 269 children at the age of 4-6 years and their mothers. We measured mothers’ Big 5 personality traits (neuroticism, extraversion, openness, agreeableness, and conscientiousness), creative home environment, and children’s creativity. The collected data was analyzed by using the Baron and Kenny’s (1986) method and Sobel Test (Sobel, 1982). Results showed that mothers’ openness and conscientiousness influenced children’s creativity significantly through three sub-constructs of the creative home environment (respect for the child, enriched learning environment, and stimulation of independence). Specifically, three sub-constructs of the creative home environment had a partial mediating effect between mothers’ openness and children’s creativity. However, the association between mothers’ conscientiousness and children’s creativity was fully mediated by the three sub-constructs. Mothers’ neuroticism and extraversion significantly influenced the enriched learning environment of the creative home environment. Theoretical and practical implications and future directions were discussed. 본 연구에서는 어머니의 성격특성과 유아 창의성 간의 관계에서 나타나는 창의적 가정환경의 매개효과를 검증하고자 하였다. 이러한 연구목적을 위해 수도권 소재 유아교육기관에 재원중인 만4세, 5세, 6세 유아 269명과 그들의 어머니를 대상으로 어머니의 성격5요인(신경증, 외향성, 개방성, 친화성, 성실성), 창의적 가정환경(아동존중, 풍부한 학습환경, 독립심 자극), 유아 창의성을 측정하였다. 수집된 자료는 Baron과 Kenny(1986)의 매개효과 검증방법과 Sobel Test(Sobel, 1982)를 사용하여 분석하였다. 연구결과, 어머니의 개방성과 성실성은 창의적 가정환경의 하위요인(아동존중, 풍부한 학습환경, 독립심 자극) 모두를 매개하여 유아 창의성에 긍정적으로 영향을 미치는 것으로 나타났다. 구체적으로, 창의적 가정환경의 세 하위요인 모두 어머니의 개방성과 유아 창의성 간의 관계는 부분매개하고 성실성과 유아 창의성 간의 관계는 완전매개하는 것으로 나타났다. 어머니의 신경증과 외향성은 창의적인 가정환경 하위요인 중 풍부한 학습환경에 유의미한 영향력을 미치는 것으로 나타났다. 본 연구의 학술적, 실제적 함의와 향후 연구에 대한 방향성을 논의하였다.

      • KCI등재

        피압수자 등의 권리 보장을 위한 수사기관의 디지털 증거 수집 관련등 행정규칙 개선 방안

        심소라,이상진,권헌영 한국디지털포렌식학회 2023 디지털 포렌식 연구 Vol.17 No.4

        Since administrative rules on the collection of digital evidence by investigative agencies are stipulated only from the perspective of investigative agencies, human rights of confiscated persons are being violated. Therefore, this paper proposes the revision of administrative rules as follows to guarantee the rights of the confiscated, etc. First, it is proposed to notify the confiscated that the scope of voluntary submission can be limited, second, to notify the confiscated that the password can be refused, third, to establish a new regulation to notify the information subject that information has been provided, fourth, to delete "formal conditions" and revise "same or similar crimes (if there is a specific or individual relationship) within the scope of "crime relevance," and fifth, to separately notify the confiscated of matters to be notified in the electronic information confirmation. Since the seized people lack legal and technical knowledge, it will be of great help to protect human rights if investigative agencies preemptively implement a system that proposes to supplement it. 수사기관의 디지털 증거 수집에 관한 행정규칙이 수사기관의 입장에서만 규정되어 있어서 피압수자 등의 인권이 침해되고 있다. 그렇기에, 본 논문은 피압수자 등의 권리 보장을 위해 다음과 같이 행정규칙 개정을 제안한다. 첫째, 피압수자에게 임의제출 시 범위를 한정할 수 있음을 고지, 둘째, 피압수자에게 비밀번호 제출을 거부할 수 있음을 고지, 셋째, 정보주체에게 정보를 제공을 받은 사실을 통지하는 규정 신설, 넷째, '범죄 관련성'의 범위에서 '양형 조건' 삭제 및 '동종·유사 범죄(단, 구체적·개별적 연관 관계 있는 경우)'로 수정, 다섯째, 복제본·원본반출 확인서에 복제본·원본반출의 사유를 기재, 여섯째, 전자정보 확인서 등에서 피압수자에게 알릴 사항들을 개별적으로 고지할 것을 제안한다. 피압수자 등은 법률적 기술적 지식이 부족한 면이 있기 때문에 이를 보완해 줄 수 있게 제안하는 제도를 수사기관이 선제적으로 시행한다면 인권 보호에 많이 도움이 될 것이다.

      • KCI등재
      • SCOPUSKCI등재

        가와사끼병에서의 고용량 정주용 면역글로불린 재치료

        심소,허미영,김혜순,손세정,Shim, So Yun,Heo, Mi Young,Kim, Hae Soon,Sonh, Sejung 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.10

        목 적 : 가와사끼병에서 고용량 정주용 면역글로불린 1회 투여에 반응을 보인 군과 재투여 한 군간에 임상양상, 혈액 검사 및 관상동맥 병변의 차이를 비교하고, 고용량 면역글로불린 재투여의 효과를 규명하고자 했다. 방 법 : 1999년 3월부터 2001년 7월까지 이화의대 목동병월에 가와사끼병으로 입원한 174명의 입원 및 외래기록을 후향적으로 조사하였다. 1회 면역글로불린에 반응을 보인 군을 I군(154명)으로, 재투여를 받은 환아군을 II군(20명)으로 하여 임상양상, 혈액검사 및 관상동맥 병변에 대한 차이를 비교하였다. 결 과 : 1) 고용량 면역글로불린 치료를 받은 174명의 환아 중 20명(11.5%)이 면역글로불린을 재투여 받았고 이 중 2명(1.1%)은 면역글로불린에 저항을 보였다. 2) 두 군간에 성별, 나이 및 임상양상에서는 유의한 차이가 없었다. 3) 면역글로불린 재투여군에서 1회 투여군에 비하여 혈중 albumin은 유의하게 낮았고 (3.7 vs 3.4 g/dl, P<0.05) ALT는 유의하게 높았다(118.2 vs 229.3 U/L, P<0.05). CRP도 재투여군에서 유의하게 높았다(8.9 vs 13.3 mg/dL, P<0.05). 4) 관상동맥병변은 면역글로불린 1회 투여군이 13.6% 재투여군이 45%로 면역글로불린 재투여군에서 유의하게 높았다. 결론 : 고용량 정주용 면역글로불린 투여 후에도 발열이 지속되거나 재발열 되는 가와사끼병의 치료에 면역글로불린 재투여는 안전하고 효과적이었으나, 관상동맥 합병증을 감소시키지는 못하였다. Purpose : To determine clinical features, laboratory findings and cardiac abnormalities of highdose immune globulin(IVIG) retreatment in patients with Kawasaki disease, and to report effectiveness of retreatment. Methods : Retrospective study of 174 children diagnosed with Kawasaki disease at Ewha Mokdong hospital from March, 1999 to July, 2001. Results : Twenty(11.5%) of 174 patients were retreated with high-dose IVIG. After this, only two patients(1.1%) did not respond to IVIG retreatment. Patients with failure to respond to initial IVIG did not differ from the patients who responded to a single course of IVIG in sex, age, days of fever at initial IVIG and clinical characteristics. Compared with responders with single IVIG treatment, the patients who were retreated had significantly lower albumin(3.7 vs 3.4 g/dL, P < 0.05), higher ALT(118.2 vs 229.3 U/L, P < 0.05) and CRP(8.9 vs 13.3 mg/dL, P < 0.05). On echocardiography, patients who recieved IVIG retreatment were significantly more likely to have caronary abnormalities(45.0% vs 13.6%, P < 0.05). Conclusion : Retratment with IVIG for persistent or recurrent fever was safe and effective.

      • KCI등재

        조선시기 최석정과 황윤석의 성음인식 비교 -『황극경세(皇極經世),성음창화도(聲音唱和圖)』에 대한 훈민정음 표음체계의 분석을 중심으로

        심소,구현아 한국중국언어학회 2013 중국언어연구 Vol.0 No.45

        本文對崔錫鼎和黃胤錫對『皇極經世·聲音唱和圖』的對音進行了比較硏究。邵雍在朝鮮時代被尊重爲‘十哲’,他的著作『皇極經世·聲音唱和圖』收到重視後許敬德、崔錫鼎和黃胤錫等學者按照當時中國的正音再給『皇極經世·聲音唱和圖』 用訓民正音注音。本文對崔錫鼎的<邵氏皇極經世天地四象體用之數圖>和黃胤錫的『經世四象體用之數圖』對音體系進行了硏究,與其他中國韻書、韻圖和朝鮮韻書、漢語會話敎科書的比較後得出了壹下結論。第壹、崔錫鼎的對音裏全濁聲母已淸化,然而黃胤錫的對音裏還保留著全濁聲母。第二、崔錫鼎的對音裏桓歡韻和寒山韻的主元音變相同了,但黃胤錫的對音裏兩韻仍然保持對立。第三、崔錫鼎的對音裏閉口韻全部消失兒從前-n尾的字合流,但黃胤錫的對音裏-m和-n尾還保留著。最後,崔錫鼎的對入聲字終聲使用了ㅱ, ㅸ,在黃胤錫的對音裏타們都變爲ㅗ, ㅜ。總之,黃胤錫對音的音系性質比崔錫鼎保守,崔錫鼎的對音更接近當時的口語音。崔錫鼎的著作雖是小中華的潮流下編寫的,但反應了當時的口語音;黃胤錫的時代朝鮮對淸朝文化更爲開放了,但黃胤錫的對音更反應了『三韻聲彙』裏的正音。從而可知,個人的正音意識是決定他們所編寫音韻學著音系的重要因素,我們分析資料時必須提前了解的部分。

      • KCI등재

        『홍무정운역훈』의 문백이독 연구

        심소 한국중국언어문화연구회 2013 한중언어문화연구 Vol.- No.33

        In China, discussions about literary and colloquial readings in Chinese dialects have been made since the 20th century, but in Korea, they had already started being investigated five centuries ago during the Chosun dynasty. When King Sejong and the scholars who were in the Jiphyeonjeon created Hunminjeongeum and intended to immediately publish 『Hongmujeongun Yokhun』, they realized that there were two different kinds of pronunciations for the Chinese characters: One was a set of colloquial pronunciations while the other was a set of literary ones. Therefore, King Sejong and the scholars recorded literary pronunciations (correct sounds) as the method for communication with literary persons. At the same time, through active communication with commoners in Yanjing (now Beijing), they also collected baihuayin (popular pronunciations, 白話音). Since the Hongwu Emperor (明太祖) suggested the standard pronunciations for literary reading by publishing 『Hongmujeongun Yokhun』in 1373, the literati of those days were required to master the literary pronunciations. Therefore, whenever Shin Suk-ju, who was inexperienced at using the literary pronunciations, visited Huang Chan of the Hanlim Academy, Shin was always accompanied by a translator. Also, when he greeted a Chinese envoy, he attended the meeting accompanied by a translator and asked about the literary pronunciations of 『Hongmujeongun』. 『Hongmujeongun Yokhun』is valued highly in that it was the first work that recorded the literary and colloquial readings in the Yanjing area (now Beijing) in the 15th century. Even more important, 『Hongmujeongun Yokhun』was a great work which realistically showed the cultural phenomenon that colloquial and literary sounds co-existed. In fact, Shin Suk-ju spared no effort to collect accurate pronunciations to the point of visiting Huang Chan in Yodong thirteen times. He also inquired into the literary pronunciations when he met scholars who had studied abroad in China. Moreover, he visited Yanjing seven or eight times and collected or recorded colloquial pronunciations which were commonly used among the various people. Finally, he played a pivotal role in compiling 『Hongmujeongun Yokhun』. Therefore, the value of 『Hongmujeongun Yokhun』should be reconsidered, since it faithfully reflects the phenomenon of two different readings which existed in the 15th century.

      • KCI등재

        조선후기 문인들의 서신을 통한 성운 인식 고찰 -최석정과 정제두의 서신을 중심으로-

        심소 한국중국언어학회 2012 중국언어연구 Vol.0 No.38

        本稿通過分析朝鮮後期的崔錫鼎和鄭齊斗兩位學者之間的書信往來, 考察硏究這兩位學者的音韻水平。 他們之間往來的這五封書信的主要內容, 大致爲:鄭齊斗對崔錫鼎編寫的≪經世正韻≫提出諸多詳細疑問, 崔錫鼎對這些疑問作出解釋說明, 鄭齊斗再對此解釋進行講評。崔錫鼎將邵雍的易數和聲韻相結合, 對字書的音韻進行修訂, 編寫了≪經世正韻≫。 鄭齊斗認爲, 崔錫鼎在≪經世正韻≫一書中充分理解了無人能解的邵雍的音韻圖, 高度讚揚此書實爲一部正音巨著, 幷將其中包括初聲, 中聲, 終聲在內的各組目中意見不一緻的部分一一標示出來。 通過鄭齊斗提出的疑問水準, 我們可以看到, 他在理解邵雍的≪皇極經世書≫和歷代韻書的基礎上, 和崔錫鼎展開熱烈討論, 幷爲提高≪經世正韻≫的專業水準提出了흔多中肯的意見和建議。崔錫鼎是朝鮮肅宗時期連任8次領議政的著名大臣, 也是"少論"的倡導者, 鄭齊斗是陽明學的大家, 當時最有名的碩儒。 他們通過書信展現出來的高水平的聲韻知識, 是非常令人吃驚的。他們幷不拘泥於朱子學的名分和理念, 而是從陽明學的角度出發, 對儒敎經典著作重新進行解說, 正確理解聲文, 幷對訓民正音的價値進行了重新認識。朝鮮時期儒學가們有關聲韻的硏究資料, 無論是在國語學還是在中國語學, 都被長期忽視。今後通過不斷發掘出來的資料, 有關漢字音韻的硏究, 應該在漢字文化圈內重新得到應有的關注。

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