내이도 기저부 신경관들의 고해상 측두골 CT 소견

윤은경,Yun, Eun-Gyeong 대한영상의학회 2001 대한영상의학회지 Vol.45 No.6

Purpose: To identify and evaluate the normal anatomy of nerve canals in the fundus of the internal auditory canal which can be visualized on high-resolution temporal bone CT. Materials and Methods: We retrospectively reviewed high-resolution (1 mm thickness and interval contiguous scan) temporal bone CT images of 253 ears in 150 patients who had not suffered trauma or undergone surgery. Those with a history of uncomplicated inflammatory disease were included, but those with symptoms of vertigo, sensorineural hearing loss, or facial nerve palsy were excluded. Three radiologists determined the detectability and location of canals for the labyrinthine segment of the facial, superior vestibular and cochlear nerve, and the saccular branch and posterior ampullary nerve of the inferior vestibular nerve. Results: Five bony canals in the fundus of the internal auditory canal were identified as nerve canals. Four canals were identified on axial CT images in 100% of cases; the so-called singular canal was identified in only 68%. On coronal CT images, canals for the labyrinthine segment of the facial and superior vestibular nerve were seen in 100% of cases, but those for the cochlear nerve, the saccular branch of the inferior vestibular nerve, and the singular canal were seen in 90.1%, 87.4% and 78% of cases, respectively. In all detectable cases, the canal for the labyrinthine segment of the facial nerve was revealed as one which traversed anterolaterally, from the anterosuperior portion of the fundus of the internal auditory canal. The canal for the cochlear nerve was located just below that for the labyrinthine segment of the facial nerve, while that canal for the superior vestibular nerve was seen at the posterior aspect of these two canals. The canal for the saccular branch of the inferior vestibular nerve was located just below the canal for the superior vestibular nerve, and that for the posterior ampullary nerve, the so-called singular canal, ran laterally or posteolaterally from the posteroinferior aspect of the canal for the saccular branch. Conclusion: Five bony nerve canals in the fundus of the internal auditory canal were detected by high-frequency on high-resolution temporal bone CT. Familiarity with these structures can prevent confusion with, or misinterpretation as, a fracture line, and further study such as MR imaging may be required when any enlargement or erosion of these nerve canals is present. 목적:고해상도 측두골 CT에서 관찰될 수 있는 내이도 기저부 신경관들의 정상 소견을 알아보기 위해 본 연구를 실시하였다. 대상과 방법:과거력상 수술이나 외상이 없이 측두골 CT를 실시하였던 150명의 환자를 대상으로, 합병증이 없는 중이염 환자는 포함시키고,현기증,감각신경성 난청,안면신경 마비가 있는 환자는 대상에서 제외시켜 총 253개의 고해상도(1mm 두께와 간격으로 연속 촬영한)측두골 CT를 후향적으로 관찰하였다. 3명의 방사선과 의사가 내이도 기저부에서 안면신경의 미로부분절, 와우신경, 상전정신경, 하전정신경의 구형낭 분지 및 후팽대부 신경이 지나가는 신경관들이 관찰되는 빈도와 위치를 확인하였다. 결과:내이도 기저부에서 모두 5개의 신경관들을 확인할 수 있었다.특이관을 제외한 4개의 신경관들은 축상면 영상에서 100%관찰이 가능하였고, 특이관은 68%에서만 관찰이 가능하였다. 관상면 영상에서는 안면신경관의 미로부 분절 신경관과 상전정신경관은 100%확인이 가능하였지만, 와우신경관과 하전정신경의 구형낭 분지관 및 후팽대부 신경관은 각각 90.1%, 87.4%, 78%에서만 관찰이 가능하였다. 신경관이 관찰되었던 경우의 전례에서 안면신경의 미로부 분절 신경관은 기저부의 전상방에서 전외방으로 향하는 관으로 관찰되었고, 와우신경관은 그 직하방에서 와우와 연결되는 관으로 보였으며, 상전정신경관은 이 두 신경관들의 바로 뒤쪽에서 전정의 윗부분으로 향하는 관으로서 관찰되었다. 하전정신경의 구형낭 분지관은 상전정신경관의 바로 하방에 위치하고 있었고, 후팽대부 신경이 지나가는 특이관은 구형낭 분지관의 후하방에서 수평으로 또는 후하방으로 주행하는 것이 관찰되었다. 결론:고해상도 CT상 내이도 기저부에 있는 5개의 신경관들은 특이관을 제외하고는 아주 높은 빈도로 관찰이 가능하므로, 이들의 위치를 정확히 파악하여 골절로 오인하지 말아야 하며, 양쪽을 비교하여 확장 등의 이상소견을 보일 경우 이를 인지하여 MR 등 추가 검사를 해야 한다.

노인복지시설의 호스피스 운영모형 개발

윤은경,Yun, Eun-Gyeong 한국호스피스협회 2002 호스피스 학술지 Vol.2 No.1

The purpose of this study is to develop a management model to effectively provide hospice service of nursing home. In a method of study to achieve this purpose, a positive research and literature study have been performed at the same time. Concerning contents to be examined as a definition of notions and patterns about hospice for the aged, foreign hospice and structural elements of hospice management, a literature study to support a theoretical background has presented leading studies as an analysis form of this study through analyzing domestic and foreign literature, thesis, journal and so on. In order to attain the purpose of this study, the positive research is to carry out a survey of demand and desire of people who have already got hospice service in the first place as a fact-finding survey related to the subject of hospice service, investigate organizations to operate nursing home and hospice and relevant experts in the second place as a survey of supply system to provide hospice service, and develop an appropriate management model to connect the demand and supply of nursing home through it. Therefore, this study has developed a delivery system and a chart of the practical trend to be done minutely, presenting a model to manage a hospice of nursing home based on the above results. The management model externally has connected medical team of hospital with hospice team of home based on a community, and internally is composed centering on five elements such as administrative organization, manpower, program and contents of service, finances. In practical model of hospice management of nursing home, in order to plan a program, provide service and give a high-quality service to the aged, this study has presented a trend chart of service management on the basis of five structural elements, an analysis form of this study. In conclusion, this study could present data to develop a hospice in the field of nursing home for the aged by showing a model concerning a hospice management of nursing home, but in my opinion, a following study to be detailed and developed even more than this study should be continued.

위해성관리의 역할과 전략

윤은경,Yun, Eun-Gyeong 한국식품연구원 2004 食品技術 Vol.17 No.2

특발정상압수두증 환자의 보행 패턴과 대뇌피질의 구조적인 특징의 상관관계 분석

윤은경,강경훈,윤의철,Yun, EunKyeong,Kang, Kyunghun,Yoon, Uicheul 대한의용생체공학회 2021 의공학회지 Vol.42 No.6

Idiopathic normal-pressure hydrocephalus (INPH) is considered a potentially treatable neurological disorder by shunt surgery and characterized by a triad of symptoms including gait disturbance, cognitive impairment and urinary dysfunction. Although disorders of white matter are generally viewed as the principal pathological features of INPH, analysis of cortical features are important since the destruction of neural tracts could be associated with cortical structural changing. The aim of the study was to determine whether there was any relationship between gait parameter and structural features of cerebral cortex in INPH patients. Gait parameters were measured as follows: step width, toe in/out angle, coefficient of variation (CV) value of stride length, CV value of stride time. After obtaining individual brain MRI of patients with INPH and hemispheric cortical surfaces were automatically extracted from each MR volume, which reconstructed the inner and outer cortical surface. Then, cortical thickness, surface area, and volume were calculated from the cortical surface. As a result, step width was positively correlated with bilateral postcentral gyrus and left precentral gyrus, and toe in/out was positively correlated with left posterior parietal cortex and left insula. Also, the CV value of stride length showed positive correlation in the right superior frontal sulcus, left insula, and the CV value of stride time showed positive correlation in the right superior frontal sulcus. Unique parameter of cerebral cortical changes, as measured using MRI, might underline impairments in distinct gait parameters in patients with INPH.

유아용 그림책에 나타난 유아과학교육 내용분석

윤은경(Eun-Gyung Yun),이미나(Mi-Na Lee) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.8

본 연구는 유아용 그림책에 나타난 5세 누리과정 유아과학교육 내용의 범주별 분포를 알아보고, 유아과학교육 내용의 범주별 분포는 국내·외 그림책과 장르에 따라서 어떤 차이를 보이는지 파악하는데 그 목적이 있다. 연구 대상은 2012, 2013년 어린이도서연구회에서 발간한 <어린이 권장도서 목록>에 수록되어 있는 만 4세∼7세 유아용 그림책 219권이었다. 연구도구는 유아용 그림책의 유아과학교육 내용분석을 위하여 5세 누리과정 자연탐구 영역의 내용체계로 제시되어 있는 항목을 사용하였다. 내용분석 범주는 2개의 상위범주와 7개의 하위범주로 설정하였다. 연구 자료는 내용분석 방법으로 분석준거에 의한 각 분석 항목에 해당하는 범주의 빈도와 백분율을 산출하였다. 연구결과는 첫째, 219권의 그림책에 나타난 유아과학교육 내용 상위범주 분석결과 ‘호기심을 유지하고 확장하기’, ‘생명체와 자연환경 알아보기’, ‘탐구기술 활용하기’, ‘탐구과정 즐기기’, ‘간단한 도구와 기계 활용하기’, ‘물체와 물질 알아보기’, ‘자연현상 알아보기’ 순으로 나타났다. 둘째, 국내·외 그림책과 그림책의 장르에 따라서 살펴본 결과, ‘탐구하는 태도 기르기’보다 ‘과학적 탐구하기’ 내용이 더 높게 분포 되어 있는 것으로 나타났다. This study is to distribute 5-year-old nuri curriculum science education contents in child picture books, and to investigate the categorical difference of science education contents between domestic and foreign picture books and among genres. The subjects were 219 picture books for children from 4 to 7, listed in <kids recommended book lists> which is published by Childrens Book Study Group in 2012 and 2013. The research tool was from the article of 5-year-old nuri curriculum nature study, to analyze the contents of young children science education in the child picture books. Content analysis categories was set to two upper-categories and seven sub-categories. Research data were calculated in the analysis of the frequency and percentage of each item’s category by the method of analysis conformity. In conclusion, first, in the analyzed result of the upper categories of young children science education contents in 219 picture books, the frequency appeared in order of ‘Curious to maintain and expand’, ‘Learn living things and the natural environment’, ‘To explore the investigation technique’, ‘To enjoy the investigation technique’, ‘Utilize simple tools and machines’, ‘To search objects and materials’, ‘Learn natural phenomena’. Second, in the compared result between the domestic and foreign picture books and among genres, “scientific inquiry” is appeared more than “fostering an attitude of exploration”.

노인요양시설 요양보호사의 심리사회적 건강에 영향을 미치는 직무스트레스원

윤은경(Eun Gyeong Yun),조윤득(Yeun Duk Jo) 한국케어매니지먼트학회 2011 한국케어매니지먼트연구 Vol.6 No.-

본 연구의 목적은 노인요양시설 요양보호사의 직무스트레스원이 심리사회적 건강에 어떤 영향을 미치고 있는지를 살펴보고, 요양보호사의 직무스트레스를 예방 또는 경감할 수 있는 방안을 제시하는 것이다. 연구의 결과는 다음과 같다. 첫째, 연령, 배우자유무, 학력, 근무형태, 자격유형, 급여만족도, 총 근무기간 등에서 개인특성에 따라 직무스트레스 정도가 심한 것으로 나타났다. 둘째, 요양보호사의 심리사회적 건강은 연령, 배우자유무, 종교유무, 학력, 자격유형 등에서 집단 간 유의미한 차이가 있는 것으로 나타났다. 셋째, 요양보호사의 직무스트레스원이 심리사회적 건강에 미치는 영향을 심리사회적 건강 전체로 분석한 결과, 연령이 38세 이상인 경우, 요양보호사 자격만을 가진 경우, 전문직욕구가 충족된 경우에 그리고 클라이언트의 문제행동이 없을 때 심리사회적 건강이 양호한 것으로 밝혀졌다. 또한 심리사회적 건강을 하위요인별로 살펴보았을 때 우선 일반적 건강에 영향을 미치는 요인으로는 연령과 전문직욕구 미충족요인이, 항우울에 영향을 미치는 요인으로는 전문직욕구 미충족, 클라이언트의 문제, 직무융통성 부족이 유의미하게 나타났다. 끝으로 자기효능감에 영향을 미치는 요인으로는 자격유형과 전문직욕구 미충족이 유의미하게 나타났다. The purpose of this study was to examine the impact of the job stressors of care workers in nursing homes on their sociopsychological health and to seek ways of preventing or relieving their job stress. The findings of the study were as follows: First, the care workers were under heavy job stress, and that was affected by their personal characteristics involving age, presence or absence of spouses, academic credential, the type of certification, satisfaction with pay and the term of service. Second, there were significant intergroup gaps among the care workers in sociopsychological health according to age, presence or absence of spouses, being religious or not, academic credential and the type of certification. Third, how the job stressors of the care workers impacted on their overall sociopsychological health was analyzed, and it's found that those who were aged 38 and over, who were certified as care workers only, whose needs as professionals were satisfied and whose clients showed no problem behaviors were in good sociopsychological health. As for the impact of the job stressors on each subfactor of sociopsychological health, general health was affected by age and unsatisfied needs as professionals, and antidepression was under the significant influence of unsatisfied needs as professionals, client problems and poor job flexibility. Finally, the factors that had a significant impact on self-competence were the type of certification and unsatisfied needs as professionals.

어학 : 팔레스타인 아랍어의 언어적 특징에 대한 연구

윤은경 ( Eun Kyeong Yun ) 한국아랍어아랍문학회 2004 아랍어와 아랍문학 Vol.8 No.1

행정심판의 청구인적격 -제3자의 학교환경위생정화구역내금지행위 등에 대한 해제신청을 중심으로-

윤은경 ( Eunkyoung Yun ) 경상대학교 법학연구소 2015 法學硏究 Vol.23 No.4

학교보건법은 학생의 건전한 환경하에서의 학습권 등의 보장을 위해 학교환경위생정화구역내에서의 금지행위 및 시설을 정해두고, 해당 업종을 영위하고자 하는 자로부터 해제신청이 있을 경우, 해제여부를 재량으로 판단한다. 만약 해제신청에 대한 거부처분이 있으면, 그에 불복하여 신청인이 행정심판 및 행정소송을 제기한다. 이 글에서 살펴본 판결에서는 관할 교육청에 학교환경위생정화구역내금지행위 등에 대한 해제신청을 해당 업종을 영위하려는 자가 직접 해제신청을 한 것이 아니라 그와 계약을 맺은 설계회사의 임원(제3자)이 자기의 명의로 해제신청을 하고, 그 신청에 대한 거부처분이 내려지자 해당 처분에 대한 행정심판과 행정소송을 제기하였으며, 법원은 행정심판 청구인의 신청권을 해석상 넓게 인정하고, 처분의 처분성이 있음을 전제하고 청구인의 청구인적격을 인정했다. 그러나, 실무상 이와 같은 사례가 자주 발생하고 있음에도 불구하고 이와 같은 제3자의 행정심판에서의 청구인적격 및 행정소송에서의 원고적격을 인정하는 것이 타당한지 여부에 대한 진지한 논의가 없었다. 이에 이 글에서는 행정심판의 청구인적격의 범위를 어디까지 확장할 것인가에 대한 고민에서, 제3자가 학교환경위생정화구역내금지행위 등에 대한 해제신청한 대전지방법원의 어느 하급심 판결을 논의의 출발점으로 하여 제3자의 행정심판의 청구인적격에 관해 살펴보았다. 그 결과 행정심판 청구인적격의 범위를 확장해 나가는 것이 행정심판의 당해 처분에 대한 개인의 개별적 권리구제 및 행정심판의 자기통제적 기능의 활성화측면에서 타당하다고 보지만, 본인이 직접 해제신청을 할 수 있는 경우에도 제3자에게 해제신청권을 인정함으로써 동일한 사안에 대한 처분의 중복을 초래할 수 있다는 점이 행정심판 청구인적격확대의 한계로 고려되어야 한다고 본다. 이에 해결방안으로서 (i) 학교보건법에 제3자의 신청권을 명시하여 신청권의 법규상 근거에 대한 이론의 여지를 배제하되, (ii) 그와 함께 제3자의 해제신청시에 만약 당사자 본인의 신청이 가능하거나 당사자 본인의 신청시에 그의 의사에 반하지 않는 제3자의 신청이 이미 있었고, 그에 대한 행정청의 처분이 있었을 경우에는 그 이후의 본인 또는 제3자가 동일한 내용으로 한 해제신청은 허용되지 않는다는 취지의 조항을 규정할 것을 제안한다. School Health Law designates and prohibits sanitary purification areas and prohibited actions and facilities within such areas in order to ensure the rights of learning of students under the sound environment. The person who want to run such facilities have the right to reply for cancellation of such designation and prohibition. Although School Health Law does not explicitly provide for above right to reply for cancellation for third party, courts have broadly acknowledged the right to reply of third party for cancellation by interpretation of such law, and accordingly, the Locus Standi to the Trial by Adminstration as well. From this point, this paper examines the Locus Standi to the Trial by Adminstration of the third party. 39)40) The repetitive request for cancellation should be limited in some degrees in order to prohibit hasteful action of administrative authorities, provided, however, that the broad interpretation of the meaning of the Locus Standi to the Trial by Administration is necessary in the perspective of both protection of legal rights for people and self-control of trial by administration. Therefore, this paper suggests two legislative methods as a solution to adjust such problem based on Interest-balance theory; (i) the add of article of the right to reply of cancellation by the third party, and (ii) the restriction of right to reply by the third part in case where the party was in the situation to act his own right to reply at the time of act of right to reply by the third party or the party already acted his/her such right to reply for cancellation and thus, the administrative authorities replied to those request in the School Health Law.

노인의 감정조절이 삶의 질에 미치는 영향

윤은경(EunGyeong Yun),조윤득(YeunDuk Jo) 한국노년학회 2010 한국노년학 Vol.30 No.4

본 연구의 목적은 노인의 감정조절 어려움이 삶의 질에 어떤 영향을 미치고 있는지를 살펴보고 감정조절 어려움을 예방 또는 해결할 수 있는 방안을 제시하는 것이다. 조사는 65세 이상의 노인대학과 경로당을 이용하고 있는 노인 345명을 대상으로 방문 조사하였다. 감정조절 어려움에 대한 측정도구는 Gratz와 Roemer(2004)가 개발한 것을 본 연구에 적합하게 재구성하여 요인분석을 한 결과, 감정조절 어려움은 5가지 요인으로 재분류하여 내적 감정반응 처리곤란, 표출된 감정의 통제곤란, 명확한 감정인식의 곤란, 감정대처의 어려움, 감정수용의 어려움으로 명명하였다. 연구의 결과는 다음과 같다. 첫째, 성별과 수입유무, 경제적 상태, 과거 3개월 이내 입원력과 질환유무 등에서 개인특성에 따라 감정조절의 어려움에 차이가 나타났다. 둘째, 노인의 삶의 질은 성별, 연령, 배우자유무, 거주형태, 교육정도, 수입유무, 경제적 상태, 과거 입원력, 질환유무 등에서 집단 간 유의미한 차이가 있는 것으로 나타났다. 셋째, 노인의 감정조절의 어려움이 삶의 질에 미치는 영향을 삶의 질 전체로 분석한 결과, 개인특성에서는 남성노인이, 수입이 있으면서, 질환이 적은 경우에 삶의 질은 높게 나타났다. 그리고 감정반응에 대해 처리가 곤란하거나 감정통제가 잘 안되고, 감정처리능력이 부족할 때 노인의 삶의 질이 낮은 것으로 파악되었다. 따라서 감정조절의 어려움과 노인의 삶의 질과의 관련성은 높다고 할 수 있으며, 이러한 연구 결과를 기초로 개인특성에 따른 감정조절 어려움을 극복할 수 있는 접근방법과 노인의 감정조절 어려움을 다차원적으로 분류하여 경감 및 보완하기 위한 구체적인 방안을 제안하였다. The purpose of this study was to examine the impact of elderly people's difficulties in emotional regulation on their quality of life and to suggest possible ways of improving their emotional regulation. The subjects in this study were 345 senior citizens who participated in community education programs and used senior centers. A survey was conducted in person, and the instrument used to check their difficulties in emotional regulation was Gratz & Roemer(2004)'s inventory that was rearranged to serve the purpose of this study. When a factor analysis was carried out, their emotional regulation difficulties were categorized into five factors, which were respectively named troubles in emotional response handling, difficulties in accurate emotional awareness, difficulties in emotional coping, and difficulties in emotional reception. The findings of the study were as follows: First, the senior citizens were different from one another in emotional regulation difficulties according to their personal characteristics involving gender, income, financial state, hospitalization experience over the past three months, and presence or absence of disease. Second, their quality of life significantly varied with gender, age, presence or absence of spouse, form of residence, education, income, financial state, hospitalization experience and presence or absence of disease. Third, as a result of investigating the influence of their emotional regulation difficulties on the overall quality of life, a better quality of life was found among those who were male and who had an income and suffered from fewer diseases. And a lower quality of life was found among the senior citizens who faced difficulties in emotional response handling, who had difficulties in emotional control and who lagged behind in terms of emotional coping. Accordingly, the emotional regulation difficulties of the senior citizens could be said to be closely linked to their quality of life. Given the findings of the study, in which way elderly people could be helped to improve their emotional regulation in consideration of their own personal characteristics was discussed, and how to classify their emotional regulation difficulties from various angles to relieve them of the troubles was suggested.

아동발달수준과 초등교육과정 프로그램과의 연계성 분석을 통한 교육환경 개선에 관한 연구

윤은경(Yun, Yean-Kyung),조경훈(Cho, Kyung-Hun) 한국실내디자인학회 2015 한국실내디자인학회 학술대회논문집 Vol.2015 No.5

In modern society, parental concern for their child education is ever increasing along with the progress in educational level, and private education is also on the increasing trend. Education is one of the life courses to all humans, and educational environment also comes to do important work. Particularly, the educational environment in child life responds to children very sensitively, and good quality environment becomes a foothold that can induce a child to desirable development. Is the hitherto elementary curriculum in Korea "composed of the curriculum and educational environment for child development"? The curriculum in Korea has been revised over a period of 5 years starting from the 1st Curriculum until the 7th one, and afterwards, it has changed to the "timely revision system" without a certain period. Due to the frequently varying curriculum, realities are that the curricula from 2007 until now are disorderly mixed. Moreover, according to the curriculum revision, educational programs could vary, but the education space or educational environment still have the old appearance. The curriculum for an elementary school comes to play a very pivotal role in child life experience. This study hopes that this research could be helpful in providing the environment suited for child development through the analysis of domestic excellent elementary school curriculum and also in improving educational environment on the basis of deep understanding of child development and elementary curriculum; in addition, such an analysis could be helpful not only to an elementary school but also to private educational facilities.