정서인식 프로그램이 유아의 정서지능, 정서조망수용 및 사회적 능력에 미치는 영향

황금선(Kum-sun Whang),조한익(Han-ik Cho) 한국교육심리학회 2016 敎育心理硏究 Vol.30 No.2

본 연구는 정서인식 프로그램이 유아의 정서지능, 정서조망수용 및 사회적 능력에 미치는 영향은 어떠한가, 집단과 성별간에는 상호작용효과가 있는가를 살펴보는데 목적이 있다. 연구대상은 만 4, 5세 유아들로 실험집단 41명, 통제집단 40명 총 81명으로 구성되었다. 측정도구는 정서지능검사, 정서조망수용능력검사, 친사회적 행동 검사의 유아평가와 정서지능검사, 사회적 유능감 검사의 교사평가로 이루어졌다. 정서인식 프로그램은 ADDIE 모형에 기초하여 개발되었으며 Izard의 10가지 기본 정서인 기쁨, 슬픔, 분노, 공포, 놀람, 흥미, 수치심, 죄책감, 혐오, 모욕을 바탕으로 주제를 선정하고 활동내용을 구성하였다. 연구결과 유아평가에서 정서인식 프로그램은 유아의 정서인식능력을 높이는 것으로 나타났고, 자신과 타인의 정서조망수용능력을 높이는 것으로 나타났으며, 친사회적 행동을 높이는 것으로 나타났다. 교사평가에서 정서인식 프로그램은 유아의 정서지능 중에서 자기 정서인식 및 표현, 타인 정서인식 및 배려, 자기정서이용, 교사 및 또래와의 대인관계 등을 높이는 것으로 나타났고, 사회적 유능감에서는 정서성을 높이는 것으로 나타났다. 정서인식 프로그램이 유아의 정서지능, 정서조망수용 및 사회적 능력에 미치는 영향에서 집단과 성별의 상호작용 효과는 없는 것으로 나타났다. 이러한 결과를 바탕으로 선행연구와의 관련성, 본 연구의 교육적 시사점, 제한점 등을 논의하였다. The purpose of the study is to analyze the effect of emotion recognition program on emotional intelligence, emotion perspective taking and social ability of young children. The subjects were 81 four- and five-year old children in which experimental group were placed 40 and control group were assigned 41 children. The instruments used in the study were emotional intelligence, emotion perspective taking, and pro-social behaviors measured by young children, and emotional intelligence and social competence measured by the teachers who were in charge of the children. The emotion recognition program was developed by the researchers based on ADDIE model and included basic emotions suggested by IZARD which were joy, distress, anger, fear, surprise, interest, shame, guilt, disgust and contempt. A close look at statistics revealed that emotion recognition program increased emotion recognition ability, emotion perspective of self and others, and pro-social behaviors. In the results of teacher evaluation, emotion recognition program revealed to increase emotion recognition and expression, utilization of emotion, regulation of emotion of self and others, and emotionality. There were no interaction effects between groups and genders in the implementation of emotion recognition program. Finally, researchers provided a discussion on the research findings, educational implications and future research directions.

전두개와 경막에 발생한 동정맥 기형 - 증례보고 -

박태일,황금,변진수,허철,홍순기,한용표,Park, Tae Il,Whang, Kum,Pyen, Jhin Soo,Hu, Chul,Hong, Soon Ki,Han, Yong Pyo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.2

Dural arteriovenous malformations(AVM) are not uncommon. Reports of intracranial dural AVM have been increasing but most of them deal with dural AVM in the region of the cavernous sinus, posterior fossa and tentorium, but those of the anterior cranial fossa are very rare. Recently, we experienced two cases of right frontal dural arteriovenous malformation fed mainly by both ethmoidal arteries. The angiographic appearance in these two cases is quite uniform. The nidus was located in the frontal dura, although their main feeders were dural arteries. They were drained through an intracerebral cortical vein associated with aneurysmal dilatation of proximal portion into superior sagittal sinus. Spontaneous intracerebral hematoma was the cause of the clinical symptoms. We report two cases of intracerebral hematoma, caused by dural AVM, which was successfully managed by surgical treatment.

경증 두부외상 환자에서 MR FLAIR 영상의 임상적 유용성

김세윤,황금,김헌주,이명섭,Kim, Sei-Yoon,Whang, Kum,Kim, Hun-Joo,Lee, Myoung-Sup 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10

Objectives : MR fluid-attenuated inversion recovery(FLAIR) image uses paired long inversion time and relaxation time that nulls the signal from CSF. With nulling of the CSF long echo time readout could be used to increase T2-weighting, hence improving the conspicuousness of most tissue lesions without the deleterious effects of CSF artifact seen on T2 weighted sequence. We examed the usefulness of FALIR image in the diagnosis of mild head injury. Methods : A total of 38 patients with mild head injury were examined by FLAIR image. We compared those images with CT scan and T1, T2-weighted images. Careful observation of MR images were done by two well-trained neuroradiologists. Each image was compared for conspicuousness and detectability of traumatic lesions might have shown abnormal signal intensities. The Wilcoxon signed ranks test was used for statistical evaluation. Results : The FLAIR image was significantly more sensitive than those of other images(p<0.001). T2 FFE(Fast Field Echo) image was more useful for detection of small petechial hemorrhages. Conclusion : FLAIR image is considered to be more sensitive than those of conventional MR images in the evaluation of mild head injuries.

두부외상 후 발생한 지연성 소뇌 혈종 1례

김상현,황금,변진수,허철,홍순기,한용표,Kim, Sahng Hyun,Whang, Kum,Pyen, Jin Soo,Hu, Chul,Hong, Soon Ki,Han, Young Pyo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3

The traumatically induced mass lesions of the posterior cranial fossa are unusual. Various types of traumatic posterior fossa hematoma have been described ; the most common forms is epidural hematomas, and frequently traumatic intracerebellar hemorrhage is encountered. A sixty-six-old male patient was initially presented with the occipital skull fracture and contusional hemorrhage on the both frontal lobe, a developed delayed cerebellar hemorrhage. The patient was operated for hematoma removal with good postoperative recovery. We advise a consideration for delayed intracerebellar hematoma in patients with cerebellar contusion following trauma.

전두골 골절손상 환자의 임상 고찰

김상현,황금,변진수,허철,홍순기,김헌주,Kim, Sahng Hyun,Whang, Kum,Pyen, Jin Soo,Hu, Chul,Hong, Soon Ki Hong,Kim, Hun Joo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3

Objective : The fracture on the frontal bone in head-injured patients may be commonly encountered in the clinical situations. Biomechanical studies demonstrate that the anterior wall of the frontal sinus is intermediate in its ability to resist fracture on direct impact. If the frontal sinus is large and the anterior table is able to disperse the force of the impact over a greater area, the posterior table and intracranial contents usually can be spared. We analyzed the clinical features of the patients who presented with frontal skull fracture due to frontal blows. Patients and Methods : From January, 1992 to December, 1997, 172 patients with frontal skull fracture were selected among 1911 patients with head injury who were admitted to department of neurosurgery. Clinical records and radiological studies of all patients were reviewed and evaluated retrospectively. Results : The neurobehavioral changes was seen in 34 cases(19.8%) and showed statistical significances in case of facial bone fractures, acute subdural hematoma(SDH), and positive frontal lobe releasing sign(p<0.05). The good glasgow outcome score group(GOS, good recovery & moderate disability) at discharge was revealed in 77.3% of total patient population. The poor GOS group(severe disability & vegetative state & death) at discharge was revealed in 22.7%. The poor GOS group at discharge have statistical significances with acute epidural hematoma(EDH), traumatic intraventricular hemorrhage(t-IVH), traumatic intracranial lesion, poor initial glasgow coma scale(GCS) scores & Revised Trauma Score(RTS)(p<0.05). Conclusion : Because of their anatomical relationships and neurobehavioral patterns due to vulnerability of the frontal lobe, the frontal injury should be considered as complicated facial injuries. Therefore, these patients are more likely to have a cosmetic or neuropsychiatric problems.

성상교세포종에서 Apoptosis와 Bcl-2 발현

장연규,황금,홍순원,Jang, Yeon Gyoe,Whang, Kum,Hong, Soon-Won 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.4

Objective : To study the expression of apoptosis and bcl-2 in the astrocytic tumors. Patients and Methods : A total of thirty-eight astrocytomas(9 cases in low grade astrocytoma, 12 cases in anaplastic astrocytoma and 17 cases in glioblastoma) are included in this study. Immunohistochemical stain for bcl-2 using monoclonal antibody, in situ end labelling technique for apoptosis were used. Results : The malignant group(anaplastic astrocytoma and glioblastoma) showed significantly higher apoptosis positive index(PI) compared to the benign group(low grade astrocytoma)(1.35 vs 0.14). However apoptosis PI and bcl-2 PI were not significantly different among three groups. Correlation between apoptosis PI and bcl-2 PI was not statistically significant(p=0.58). Conclusion : This result suggest that apoptosis PI and bcl-2 PI are not related the degree of malignancy in astrocytic neoplasm, but apoptosis PI in malignant group was higher possibly due to greater DNA damage.

제 I 형 신경섬유종증에 병발하였던 종격동내 횡문근육종에 의한 척수압박 1례 - 증례보고 -

김세윤,황금,홍순기,변진수,허철,김헌주,한용표,이명섭,이종국,조미연,Kim, Sei-Yoon,Whang, Kum,Hong, Soon-Ki,Pyen, Jhin-Soo,Hu, Chul,Kim, Hun-Joo,Han, Young-Pyo,Lee, Myoung-Sup,Lee, Chong-Kook,Cho, Mee-Yon 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.5

A 12-years-old female admitted to the hospital with the complaint of pain on the right upper chest area which persisted about 1 month prior to admission. $Caf{\acute{e}}$-au-lait spots of various size laying on a whole body and freckling on the axilla were found on physical examination. A huge mass was found on the plain chest X-ray and on chest MRI. The mass encroached thoracic spine, posterior rib, back muscles, and then into the neural canal and compressed thoracic spinal cord. On the 5th day of hospitalization, the patient complained tingling on the both legs and 2 days later, monoparesis on the right leg. Open thoracotomy and decompressive laminectomy was done to remove mass. Pathologic reports confirmed rhabdomyosarcoma, embryonal type.

소량의 자발성 뇌내출혈에서 재출혈에 의한 혈종 성장에 미치는 인자

정현호,김세윤,황금,조성민,변진수,허철,홍순기,Jung, Hyun Ho,Kim, Sei Yoon,Whang, Kum,Cho, Sung Min,Pyen, Jhin Soo,Hu, Chul,Hong, Soon Ki 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.2

Objectives : Spontaneous intracerebral hemorrhage(S-ICH) is generally considered to be a mon-ophasic event. But some patients with ICH continued to bleed even after hospitalization. In order to evaluate the rebleeding and growth factor of hematoma in small volume S-ICH, 125 cases of S-ICH were reviewed retrospectively. Methods : We assesed age, sex, initial mental state, location of hemorrhage, systolic and diastolic blood pressure, blood pressure patterns, hematologic profile, trauma and stroke history, alcohol consumption and smoking history. Two subgroups-rebleeding groups versus no rebleeding groups-were compared, in terms of data analysis, with student T-test and chi-square test. Results : Substantial growth in the volume of S-ICH occurred in 21 cases(16.8%)-putamen(7 cases), thalamus(6 cases), subcortex(5 cases), cerebellum(2 cases), pons(1 case)-of the 125 patients. There was no significant difference in any of the parameters except initial systolic blood pressure(p=0.037) when patients with and without rebleeding were compared. Conclusion : The rebleeding and growth of the small volume S-ICH was related to the markedly elevated initial systolic blood pressure(${\geq}180mmHg$) and labile pattern of blood pressure.

내경동맥에 발생한 외상성 가성동맥류에 대한 혈관내 스텐트 치료

정현호,김헌주,이명섭,황금,조성민,허철,변진수,홍순기,Jung, Hyun Ho,Kim, Hun Joo,Lee, Myeung Sub,Whang, Kum,Cho, Sung Min,Hu, Chul,Pyen, Jhin Soo,Hong, Soon Ki 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.2

This 18-year-old male patient had a massive epistaxis after motorcycle traffic accident on 1st day of admission. There were no other significant brain parenchymal lesion on initial brain CT exam, except multiple pneumocephalus and basal skull fracture lines. We treated epistaxis conservatively till vital signs were corrected, and then conventional cerebral angiogram was followed. On angiogram, there was traumatic pseudoaneurysm on C5 portion(by Fischer) of ICA, so we treated it only by endovascular stenting. For the purpose of sparing parent arterial patency, endovascular stenting on pseudoaneurysm may play a role with safety and good results.

급성 경막하 혈종이 발생한 특발성 혈소판 감소성 자반병 환자에게 시행한 두개 천공 배액술: 증례보고

강지인 ( Jiin Kang ),배금석 ( Keum Seok Bae ),변진수 ( Jinsu Pyen ),김종연 ( Jong Yun Kim ),조성민 ( Sung Min Cho ),황금 ( Kum Whang ),김소현 ( Sohyun Kim ),오지웅 ( Ji Woong Oh ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.3

Idiopathic thrombocytopenic purpura (ITP) is the condition of having an abnormally low platelet count with an unknown cause. Acute subdural hematomas (ASDHs) usually develop in trauma patients and often involve a high bleeding tendency. However, ITP patients rarely have a large ASDH, and when a traditional decompressive craniectomy is performed on patients with coagulopathy, the mortality rate is higher because of the greater bleeding risk. We report the case of an ITP patient with a large ASDH who treated with a burr-hole trephination and irrigation and who was discharged without any neurological deficit.