어린이집에서 예절 교육이 일상생활 습관형성에 미치는 영향

이경노 ( Kyung No Lee ),홍자영 ( Ja Young Hong ) 안양대학교 복지행정연구소 2010 福祉行政硏究 Vol.26 No.-

본 연구는 어린이집에서 실시하고 있는 예절교육에 대하여 부모가 가지는 예절교육의 중요성이나 필요성에 대한 인식조사 및 교육적 만족도 조사, 그리고 가정과의 연계교육 및 어린이집에서의 예절교육이, 가정에서 유아들의 일상생활 습관 형성에 어떠한 영향을 미치는지를 알아보고, 이를 바탕으로 어린이집에서의 예절교육의 활성화를 위한 기초자료를 제공하는데 목적을 두고 있다. 본 연구의 대상은 경기도 수원시에 소재한 2곳의 어린이집의 만3~4세 유아 67명을 대상으로 구성되었으며 학부모들을 대상으로 한 설문지릍 분석자료로 사용하였다. 연구결과 부모들은 예절교육에 대한 필요성이나 중요성에 대해서는 꼭 필요하고 중요하다는 인식들을 가지고 있으며 어린이집에서 실시하고 있는 예절교육에 대해서도 만족하고 있다는 결과를 보인 반면 어린이집과 가정과의 연계교육에서는 제대로 이루어지지 않고 있다는 것으로 나타났으며 어린이집에서의 예절 교육이 유아들의 가정에서의 일상 생활 습관 형성에 영향이 있다는 것으로 나타났다.

원위부 신세뇨관 산증에 의한 저칼륨성 주기성 마비로 발현한 Sjogren 증후군

박영환 ( Young Hwan Park ),이경노 ( Kyung No Lee ),송헌호 ( Hun Ho Song ),임미경 ( Mi Kyoung Lim ),조유숙 ( You Sook Cho ),양원석 ( Won Seok Yang ),유빈 ( Bin Yoo ),문희범 ( Hee Bom Moon ) 대한류마티스학회 1999 대한류마티스학회지 Vol.6 No.2

Distal renal tubular acidosis(dRTA) can be associated with some autoimmune diseases such as systemic lupus erythematosus, Sjogren`s syndrome, and rheumatoid arthritis. Although hypokalemia in Sjogren`s syndrome is a frequent complication, severe symptomatic hypokalemia has been reported only in few cases. Recently we experienced a case of Sjogren`s syndrome diagnosed after the discovery of distal renal tubular acidosis with severe hypokalemia manifestating periodic weakness, myalgia in lower extremities, nausea, vomiting, and flaccid paralysis. She complained continuous sensation of dryness of her eyes and mouth. After the Schirmer`s test, salivary scan, serologic tests, and lip biopsy, Sjogren`s syndrome was confirmed. Intravenous and oral potassium replacement was started immediately, oral sodium bicarbonate later. Marked improvement in periodic paralysis was noted within a few hours and she was fully regained her muscle strength within 48 hours. She discharged with oral sodium bicarbonate and artificial tears. With this treatment blood pH and potassium were kept in the normal range during follow up visits.

고속철도역 환승시설 용량 및 서비스수준 산정 방안

김종해(Kim Jonghae),김시곤(Kim Sigon),이경노(Lee Kyung-no) 대한토목학회 2008 대한토목학회논문집 D Vol.28 No.5D

고속철도역 환승센터에서 용량 및 서비스 수준(LOS)을 산정하기 위해 현재 인용하고 있는 설계지침은 도시철도역과 고속철도역간 동일하게 사용되고 있다. 하지만, 고속철도역의 이용자의 특성은 도시철도역의 이용자들과 현저하게 다르다. 대표적인 사례로, 고속철도 이용자들은 부피가 큰 소지품이나 교통약자를 동반하는 비율이 도시철도에 비해 높다. 이에 따라 고속철도역 환승시설의 규모는 도시철도역 환승시설의 규모보다 크게 책정되어야 한다. 고속철도역내 환승시설은 크게 보행이동 시설과 환승편의시설로 대별할 수 있다. 고속철도역 이용자들의 특성을 반영하는 기법으로, 복합보행자, 복합대기자를 각각 캐리어 소지자, 백팩 소지자, 유아 동반자로 나누었다. 또한, 이들의 고유한 단순보행자 환산계수(PME : Pedestrian Moving Equivalent), 단순대기자 환산계수(PWE : Pedestrian Waiting Equivalent)를 개발 및 적용하여 고속철도역 환승시설의 새로운 용량 및 서비스 수준(LOS)을 제시하였다. The Design manual for adjusting the capacity and LOS of facilities has been shared in urban railways and high-speed railway stations. However, the pattern of urban railways users and those of high-speed railway users are different from each other. For an example, the high-speed railway users tend to carry voluminous luggages and the transportation disadvantaged such as children and the elderlies, Accordingly, we see that the scale of facilities and the station itself should be constructed differently. The transfer facilities in the high-speed railway stations are classified widely into walking assisting facilities and convenient facilities. We invented the concept of PME (Pedestrian Moving Equivalent) and PWE (Pedestrian Waiting Equivalent)for the spatial calculation of those who are with wheeled luggages, back packs, and children to reflect the uniqueness of users in high-speed railway stations. These equivalents have been applied to the design of the facilities to asses the new Capacity and LOS that aloe users' favored.

고속철도역 환승시설 용량 및 서비스수준 산정 방안

김종해(Kim Jonghae),김시곤(Kim Sigon),이경노(Lee Kyung-no) 한국철도학회 2008 한국철도학회 학술발표대회논문집 Vol.- No.-

The Design manual for adjusting the capacity and LOS of facilities has been shared in urban railways and high-speed railway stations. However, the pattern of urban railways users and those of high-speed railway users are different from each other. For an example, the high-speed railway users tend to carry voluminous luggages and the transportation disadvantaged such as children and the elderlies. Accordingly, we see that the scale of facilities and the station itself should be constructed differently. The transfer facilities in the high-speed railway stations are classified widely into walking assisting facilities and convenient facilities. We invented the concept of PME(Pedestrian Moving Equivalent) and PWE(Pedestrian Waiting Equivalent)for the spatial calculation of those who are with wheeled luggages, back packs, and children to reflect the uniqueness of users in high-speed railway stations. These equivalents have been applied to the design of the facilities to asses the new Capacity and LOS that are users" favored.

감압 효소 침투에 의한 표피의 광범위 분리

장충현,이두형,홍성표,박재경,이경노 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.1

Previously, a new method of negative-pressure-assisted DISPASE splitting into various thicknesses and sizes of surgically obtained human or animal skins into the epidermal and dermal layers was invented. Good penetration of the enzyme into the skin tissue was obtained by applying negative pressure in a liposuction apparatus and then rapidly aerating the skin tissue to the room air pressure when the pressure pushed the enzyme solution deep into dermal tissue. The procedure was repeated every 3 minutes under 750mmHg negative pressure assisted dispase(100IU/ml). The earist time for separation of the viable epidermal sheet was measured. Negative pressure(-750mmHg), numbers of repeat(7times), incubation time(37℃,25mins)were the factors for the earlist separation of the epidermal sheet. We suggested that this was a good method for the treatment of tattoos and nevus. Advantages were that the donor site morbidity was less and the time required for healing of the wound was markedly shortened.

하악골의 시상분열 절골술에 대한 술후 추적관찰

김석권,김주헌,정영하,이경노 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.6

The most important factor in the beauty of the chin is the harmony of the facial skeleton and soft tissue. The surgery of the chin has the special role in plastic surgery of its importance in facial aesthetics in consideration of asymmetry, unbalance and disharmony. The goal of surgical treatment of mandibular prognathism with asymmetry is to achieve maximum function, aesthetics and stability. From November 1991 to August 1995, we have performed 26 cases of sagittal split ramus osteotomies successfully. Then we studied in 21 patients with regarding change of sensibility, maximal mouth opening, and amount of relapse, from 1 year to 4 years postoperatively. Our operative technique was unique and effective for splitting of mandibular ramus as follows. At first, medial cortical osteotomy above the 1cm level of the mandibular foramen using guarded reciprocating saw was done. Next, vertical cut through the lateral cortex in the region of the second molar teeth followed by osteotomy on the upper border between the previous two osteotomy region were done. Then sagittal splitting of the ramus with curved osteotome was completed. After that, three lag screw fixation with good dental occusion supported by intermaxillary fixation was done. We achieved satisfactory results. Change of sensibility was 57.1% subjectively & 23.8% objectively at 2 years later. Recovery of maximal mouth opening was 86% at 3 months and nearly recovered as 97% at 6 months postoperatively. Amount of relapse was 1.8mm at 2 years postoperatively. And that, our patients were satisfied with good chin contouring and dental occlusion.

간세포암 환자에서 경간동맥 화학색전술후 발생한 허혈성 담도 합병증

이상수,김혜경,서동진,윤현기,이승규,정영화,이영상,양수현,성규보,이경노,황재철,유은실,송병철 대한간학회 1999 Clinical and Molecular Hepatology(대한간학회지) Vol.5 No.3

Background/Aims: Transarterial chemoembolization (TACE) has been reported to be one of the useful palliative treatments in patients with unresectable hepatocelluar carcinoma. However, Bile duct injuries following TACE have been reported occasionally. In this study, we intended to clarify the incidence, pathogenic mechanisms and clinical implications of bile duct injuries following TACE. Methods: A total of 950 consecutive patients with hepatocellular carcinoma (HCC) were subjected. 807 patients were treated with TACE. The remaining 143 were treated with transarterial chemoinfusion (TACI) of cisplatin. Results: None of 143 HCC patients treated with TACI revealed to have any ischemic biliary injury radiologically. In contrast, out of 807 with TACE, 17 (2%) appeared to have biliary complications. Twelve out of 17 (71%) had bilomas at subcapsular area, three out of 17 (18%) had focal strictures at common hepatic duct or common bile duct with marked dilatation of intrahepatic bile ducts and two out of 17 (11%) had diffuse mild dilatation of intrahepatic bile ducts. Interestingly, two (17%) out of 12 bilomas were found at the lobe which was not embolized with Gelfoam. The median sessions of TACE to the occurrences of focal strictures tended to be longer compared with those of bilomas (median: 6 vs. 2.5; p=0.08). All three patients with focal strictures and four (33%) out of 12 patients with bilomas were associated with serious bacterial infections at presentation. Conclusions: Biloma seems to be caused by lipiodol rather than Gelfoam; focal strictures of large bile ducts by Gelfoam. It is suggested that adjustments of the amounts of lipiodol or Gelfoam and the sites or embolization may be required to reduce the ischemic biliary injuries following TACE. (Korean J Hepatol 1999;5:217-226)

미용성형외과에 대한 인지도에 관한 연구(I)

이경노,장충현 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.5

Recently aesthetic surgery is widely performed and medical advances made us to understand the public knowledge. But we have few study of public knowledge about aesthetic surgery. So we made an investigation of the knowledge of aesthetic surgery in high school and college students. The survey was conducted to about 7,500 high school and college students in Seoul and small city around Seoul from Jan. to Apr. in 1992. The followings are the results; 1) As to the plastic surgery over 60% of the respondents knew it. 2) As to the aesthetic surgery under 40% of the respondents knew it. 3) As to the aesthetic surgery female knew more well and knewledges about Aesthetic surgery were different in regional and collage course. 4) 95.7% of all respondents wanted Aesthetic surgery was done by specialist. 5) As to the aesthetic surgery over 65% of the respondents approved it. 6) Aesthetic surgery operation was done only 3.1% of respondents

우췌양 표피이형성증을 동반한 Bowen병 치험례

이경노,장충현,이두형 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.6

We present a case of Bowen's disease associated with epidermolyisis verruciformis. The patient was 33 years old male and his skin lesion showed diffuse flat papules on face and neck, many brownish papules on trunk and papillomatous tumors on scalp and posterior auricular area. Skin biopsy findings from the flat papular lesion showed histopathologic features of verruca plana and from the papillomatous lesion showed the feature of Bowen's disease.

내측 안와골절의 임상적 중요성

김석권,이경노,김양순,안희창 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.1

Medial orbital wall fracture is one of the frequent findings in the orbital wall fractures, but enophthalmos and diplopia frequently ensue due to the delayed, inaccurate diagnosis and treatment. Conventional routine orbital radiology may show a medial wall fracture. The signs indicate orbital emphysema associated with clouding of the ethmoidal cells, but usually these are of limited value because of the compact overlapping anatomy in this region and the possible presence of other fractures and/or emphysema. Accordingly, orbital CT is essential for the accurate diagnosis and appropriate treatment in order to make a wide exposure for reduction and reconstruction of the bony defects, coronary approach is most commonly used. The ideal time to reconstruct the post-traumatic orbital injury is in the acute phase. The authors experienced 8 cases of medial orbital wall fractures among 24 of orbital wall fractures and performed medial orbital wall reconstrustion using either artificial bone or calvarial bone grafts through the coronary approach. We conclude that the wide exposure was necessary for the accurate reduction of orbital medial wall defect and we could prevent the late complications with the tailored bone graft.