중학교 가정과 의생활 영역의 협동학습 지도안 개발

심은희,손원교 한국가정과교육학회 2001 한국가정과교육학회지 Vol.13 No.1

This study is to develop teaching aids in the area of Clothing and Textiles based on cooperative learning as an alternative to increase the quality of Home Economics class. It is very difficult to control students because of noise coming from activities. when teachers teach students with cooperative learning strategy a classroom with restricted space. Sometimes the activities will disturb other classes in the school. which will harm the real purpose of cooperative learning. However. we have more positive results from cooperative learning method. because students have more chance to improve their personal skills. easily solve a problem together and openly express their opinions. Moreover. we found that they understand the subjects and increase their attention much better because they are tested right after learning. We anticipate that the developed teaching aids will be a great help to improve middle school Home Economics class.

그레이브스병에서 발생한 원위 신세뇨관 산증 1예

심은희,신영신,박민규,여창우,강진두,윤성운,이광재 대한노인병학회 2013 Annals of geriatric medicine and research Vol.17 No.3

Renal tubular acidosis (RTA) is a metabolic acidosis caused by impaired excretion of hydrogen ions or reabsorption of bicarbonate. Disorders caused by impairment of bicarbonate reabsorption in the proximal tubule are classified as proximal RTA, whereas those resulting from impairment of hydrogen ion secretion at the distal tubule are called distal RTA. The most common causes of distal renal tubular acidosis in adults are autoimmune disorders including Sjögren syndrome, systemic lupus erythematosis, rheumatoid arthritis, and autoimmune thyroiditis. Of the thyroiditis states, Graves’ disease-associated RTA is a rare disease. We experienced and managed one case of hypokalemic muscle weakness asso- ciated with Graves’ disease and distal renal tubular acidosis.

The Association of Lung Function, Bronchial Hyperresponsiveness, and Exhaled Nitric Oxide Differs Between Atopic and Non-atopic Asthma in Children

심은희,이은,양송이,정영호,박근미,김형영,서주희,유진호 대한천식알레르기학회 2015 Allergy, Asthma & Immunology Research Vol.7 No.4

Purpose: Although many previous studies have attempted to identify differences between atopic asthma (AA) and non-atopic asthma (NAA), they have mainly focused on the difference of each variable of lung function and airway inflammation. The aim of this study was to evaluate relationships between lung function, bronchial hyperresponsiveness (BHR), and the exhaled nitric oxide (eNO) levels in children with AA and NAA. Methods: One hundred and thirty six asthmatic children aged 5-15 years and 40 normal controls were recruited. Asthma cases were classified as AA (n=100) or NAA (n=36) from skin prick test results. Lung function, BHR to methacholine and adenosine-5’-monophosphate (AMP), eNO, blood eosinophils, and serum total IgE were measured. Results: The AA and NAA cases shared common features including a reduced small airway function and increased BHR to methacholine. However, children with AA showed higher BHR to AMP and eNO levels than those with NAA. When the relationships among these variables in the AA and NAA cases were evaluated, the AA group showed significant relationships between lung function, BHR to AMP or methacholine and eNO levels. However, the children in the NAA group showed an association between small airway function and BHR to methacholine only. Conclusions: These findings suggest that the pathogenesis of NAA may differ from that of AA during childhood in terms of the relationship between lung function, airway inflammation and BHR.

보육교사 직무에 대한 실습지도교사의 인식

심은희 한국아동보육실천학회 2011 아동보육연구 Vol.7 No.2

본 연구의 목적은 예비교사들이 대학에서 배워야 할 직무와 실제 보육실습과정에 서 가르쳐야할 보육교사 직무에 대한 실습교사의 인식을 알아보고자 하는데 있다. 연구대상은 2010년 7월과 8월 보육실습을 지도한 충청 지역 어린이집 105개 곳 238명의 교사이다. 연구결과 대학에서 배워야 할 직무는 교수학습 실제와 준비가 높게 나타났고, 대인관계가 낮게 나타났다. 실습과정에서 배워야 할 직무는 교수 학습 실제가 가장 높게 나타났고, 대인관계가 마찬가지로 낮게 나타났으나 교수학 습 실제와 보호를 제외한 모든 항목에서 실습경험보다 대학에서 배울 필요성이 있음을 인식하고 있다. 보육실습 시 중요도가 대학 필요도나 보육실습 시 필요도 보다 더 높게 나타났으며, 보육교사 직무 필요도와 중요도는 상관관계가 있는 것 으로 나타났다.

위축성위염 및 장상피화생에 대한 의료진의 견해

심은희,김병욱,김지희,염석천,박성민,김준성 대한상부위장관ㆍ헬리코박터학회 2014 Korean Journal of Helicobacter Upper Gastrointesti Vol.14 No.4

Background/Aims: Atrophic gastritis (AG) and intestinal metaplasia (IM) are commonly encountered pathologic conditions during gastroscopy in Korea. These conditions were considered as pre-neoplastic lesions in many previous studies. Management and follow- up of these lesions have been performed arbitrarily since there are no standard guidelines. The aim of this study was to investigate the endoscopists' opinions on these conditions using web-based survey. Materials and Methods: An e-mail based survey composed of 22 questionnaires related to the clinical and endoscopic management of AG and IM was performed. Results: These questionnaires were e-mailed to 495 endoscopists and replies were obtained from 168 endoscopists. IM was more commonly diagnosed by histologic evaluation regardless of position, patient care, and experience. Most endoscopists recommended follow up endoscopy annually in IM compared to a 2 year interval in AG. Less experienced endoscopists and endoscopists caring hospitalized patients tended to not eradicate Helicobacter pylori in patients with AG and IM. Conclusions: Endoscopists approach to the patients with AG and IM differred according to their position, patient care, and experience. We need new guidelines for the surveillance and management of AG and IM in Korea.

조형활동을 통한 유아 기독교 교육

심은희,최수경 한국성서대학교 사회과학연구소 영유아교육연구분과 2002 기독교영유아교육 Vol.1 No.-

Acute Disseminated Encephalomyelitis with Psychotic and Parkinsonian Features : A Case Report

심은희,염미선,김은희,최해원,고태성 대한소아신경학회 2013 대한소아신경학회지 Vol.21 No.3

급성 파종성 뇌척수염은 단상성의 면역 매개성 탈수초성 질환으로 감염이나 예방 접종 후 발생할 수 있다. 뇌자기공명영상에서 다발성의 탈수초성 병변을 확인할 수 있다. 임상 증상은 침범 부위에 따라 다양한 신경학적 증후를 나타낼 수 있으며 경미한 두통부터 기면, 혼수까지 관찰되나 급성 정신병으로 발현하는 경우는 드물다. 급성 열성 질환을 앓은 3일 후부터 가면양 얼굴, 운동완서, 안정 시 사지 진전을 주소로 내원한 14세 남자 환자의 뇌자기공명영 상에서 꼬리핵, 기저핵 및 해마에 부종 및 탈수초성 질환을 시사하는 병변과 함께 뇌척수액 enterovirus PCR 양성을 확인하였다. 급성파종성뇌척수염으로 진단하고 고용량 methylprednisolone 및 항정신병 약물을 병용 투여하였다. 환자는 치료 20일만에 신경학적 후유증 없이 회복되었으며, 치료 시작 40일 후 다시 시행한 MRI 상에서 처음 병변이 소실된 것을 확인할 수 있었다. Acute disseminated encephalomyelitis (ADEM) is a monophasic immune-mediated demyelination disorder that can arise following infection or immunization. Typical MRI findings show multifocal demyelinating lesions in the CNS. The presenting features include acute encephalopathy with multifocal neurologic signs, and patients often progress to develop delirium and/or coma, but acute psychosis is rare. In our current report, we describe a case of a 14-year-old boy presenting with parkinsonian features (masked face, bradykinesia, resting tremor, slow strides) as well as aggressive behavior and irritability with persecutory delusions that developed 3 days after an upper respiratory tract infection. T2-weighted/FLAIR brain MRI showed increased signal intensity in the hippocampus and basal ganglia including in the caudate nuclei. Cerebrospinal fluid (CSF) enterovirus PCR was positive. After treatment with high-dose methylprednisolone and antipsychotics, he recovered without permanent disabilities, and the initial lesions found on MRI disappeared on follow-up.

Ofloxacin에 대한 약물사용검토

심은희,김주휘,유영인,공경희,윤덕심 한국병원약사회 1996 병원약사회지 Vol.13 No.1

Drug use evaluation(DUE) is a system for assuring the quality of drug use in patient care. It was performed on ofloxacin for the purpose of presenting the more reasonable drug therapy. Fifty eight cased of patients, who had been treated with ofloxacin in Korea University Kuro Hospital form September 1. 1994 to April 30. 1995, were reviewed retrospectively. The applicated criteria for ofloxacin was "Criteria for Drug Use Evaluation" established by ASHP report 1993. The results of the analysis show that 34 cases (59%) were met with the criteria for the justification of use, while 24 cases (41%) were not. In critical indicators, several criteria including culture & sensitivity test, vital sing, WBC monitoring and urinalysis were relatively well performed showing the accepted level above 70%, while serum creatinine monitoring and administration time were infrequently performed with low accepted level. Accepted level of ofloxacin was relatively high, while notice about drug interaction and complications were low, which indicate that medication were being performed under the insufficient information about each drug in clinic. The cased met with all criteria were 13 cases (22%), all included of which were in internal medicine. From the results, it could be concluded that medical staff should get the more information on general area of antimicrobial agents include complication, duration of therapy and characteristics of each drugs.

Relationship between duration of disease and bronchial responsiveness in 6–8 years old children with asthma

심은희,유진호 대한 소아알레르기 호흡기학회 2014 Allergy Asthma & Respiratory Disease Vol.2 No.1

Purpose: Bronchial hyperresponsiveness is considered as a hallmark of asthma. The duration of asthma was demonstrated to be associated with bronchial responsiveness, expressed as methacholine PC20. We investigated the relationship between duration of asthma and percentage fall in forced vital capacity (FVC) at PC20 (ΔFVC), another index of bronchial responsiveness, which reflects excessive bronchoconstriction. Methods: Six- to 8-year-old children with asthma underwent methacholine inhalation test. The PC20 and ΔFVC were calculated for each individual. The subjects were classified into those with wheezing onset in the first three years of life (early-onset asthma [EA], n=63) and those with wheezing onset from three years onwards (late-onset asthma [LA], n=99). Results: From the time of wheezing onset, duration of asthma ranged from 0.2 to 8.3 years. The mean duration of asthma in patients with EA was 5.6 years (standard deviation [SD], 1.2 years), compared with 2.2 years (SD, 1.3 years) in the patients with LA. Patients with EA had a significantly lower forced expiratory volume in 1 second/FVC than did those with LA (84.6%±5.9% vs. 86.8%±5.1%, P<0.05). The ΔFVC was significantly higher in patients with EA than in those with LA (19.4%±5.1% vs. 17.0%±4.5%, P<0.01), but PC20 was not different between the two groups. In total subjects, asthma duration correlated significantly with ΔFVC (r=0.222, P<0.01), but not with PC20. Conclusion: These data suggest that prolonged asthma is associated with worsened bronchial responsiveness during childhood, and such an association may be reflected primarily by ΔFVC rather than PC20

Enhanced Native Acceptor-related Blue Emission of ZnO Thin Films Annealed in an Oxygen Ambient

심은희,Choeun Lee,Eiwhan Jung,Jinyong Lee,김두수,이영민,김득영,이세준 한국물리학회 2012 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.60 No.11

The thermodynamic behaviors of charged point defects in the unintentionally-doped ZnO thin films were investigated. The as-grown sample displayed two different types of blue-emission bands: one is at ~2.95 eV from native-donor zinc-interstitial Zn<SUB>i</SUB> and the other is at ~3.17 eV from native-acceptor zinc-vacancy V<SUB>Zn</SUB>. In the samples annealed at oxygen ambience, V<SUB>Zn</SUB>-related emission was dramatically enhanced and Zn<SUB>i</SUB>-related emission was drastically reduced. The behavior was observed to become more apparent when the annealing temperature was increased. The results can be explained by both the increased generation probability and the lowered formation enthalpy of V<SUB>Zn</SUB> in oxygen-rich environment, particularly at higher temperature.