미분류형 관절염을 동반한 피부비후뼈막증 1예

이정훈 ( Jung Hoon Lee ),홍승표 ( Seung Pyo Hong ),고준권 ( Jun Kwon Ko ),이은영 ( Eun Young Lee ),이강록 ( Kang Lok Lee ),정승준 ( Sung Jun Chung ),구건우 ( Gun Woo Koo ),방소영 ( So Young Bang ),이혜순 ( Hye Soon Lee ) 대한류마티스학회 2015 대한류마티스학회지 Vol.22 No.4

피부비후뼈막증은 곤봉형 수지, 피부비후, 뼈막증을 특징으로 하는 일차성 비대성 뼈관절병증으로서 드문 유전질환이다. 미분류형 관절염으로 치료받고 있던 환자에서 발생한 양측 곤봉형 수지, 이마와 두피의 피부비후, 손과 발의 다한증 및 X선 검사에서 관찰되는 뼈막증 등의 소견으로 PDP로 진단받은 본 증례를 통하여 미분류형 관절염의 다양한 원인질환 중 하나로서 드물지만 PDP를 고려해야 할 것으로 생각된다. Pachydermoperiostosis (PDP) is a primary hypertrophic osteoarthropathy characterized by digital clubbing, pachydermia, and periostosis, which is inherited as an autosomal dominant or recessive trait. We report on a patient suffering from bilateral knee arthritis for 6 years who was newly diagnosed as PDP. PDP was confirmed by bilateral digital clubbing, hyperhidrosis, and cutis verticis gyrata, findings of pachydermatosis on the forehead and scalp, X-ray findings of proliferative periostitis. This case indicates that PDP is one of several possible rare diseases that should be considered in patients with undifferentiated arthritis. (J Rheum Dis 2015;22:256-259)

청소년의 충동성, 자아존중감, 우울수준이 학교생활 적응에 미치는 영향

이혜순(Hea-Shoon Lee),옥지원(Ji-Won Oak) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.1

본 연구는 청소년을 대상으로 청소년의 충동성, 자아존중감, 우울 정도가 학교생활 적응에 미치는 영향을 확인하기 위해 시도되었다. 연구 대상은 2010년 10월 1일부터 11월 30일까지 K시 소재 2개의 중학교에 재학 중인 중학생 415명이었으며, 수집된 자료는 빈도, 백분율, 평균과 표준편차, 상관관계분석 및 위계적 회귀분석을 실시하여 분석하였다. 연구결과는 다음과 같다. 첫째, 학교생활 적응은 충동성(r= -.53), 자아존중감(r= .51), 우울 정도(r= -.56)와 상관관계가 있는 것으로 나타났다. 둘째, 중학생의 학교생활 적응을 설명해주는 변인으로 학업성적, 충동성, 자아존중감, 우울 정도가 나타났으며, 51.8%의 설명력을 나타냈다. 따라서 본 연구의 결과는 중학생의 학교생활 적응과 충동성, 자아존중감, 우울 정도에 대한 이해를 돕고, 중학생의 학교생활 적응을 증진하기 위한 간호중재의 근거자료로 활용될 수 있을 것이다. The purpose of this study was to analyze the predictors of impulsive behavior, self esteem, and depression on school adjustment of adolescents. The original data were collected using questionnaire from the sample of 415 middle school students selected by convenient sampling. The data were collected from October 1 to November 30, 2010. The data was conducted by using a correlations coefficient and the hierarchical regression. The major findings of this study were as follows. Firstly, the school adjustment correlates with the impulsiveness(r= -.53), the self esteem(r= .51), and the depression(r= -.56). Secondly, the school adjustment was significantly associated with academic performance, impulsiveness, self esteem, and depression, which explained 51.8% of variance in school adjustment. These results may contribute to a better understanding of impulsiveness, self esteem, depression, and school adjustment of adolescents. Therefore, programs for prompting adolescentss school adjustment should be a planned based on results of the study.

청소년의 우울 및 충동성이 흡연에 미치는 영향

이혜순(Hea Shoon Lee) 대한스트레스학회 2014 스트레스硏究 Vol.22 No.2

본 연구는 흡연군과 비흡연군 청소년의 우울 및 충동성을 파악하고, 흡연에 영향을 미치는 위험요인을 파악하기 위해 시도되었다. 연구 대상은 2012년 7월 2일부터 13일까지 일 지역에 재학 중인 중학생 249명(55.1%), 고등학생 203명(44.9%)이었으며, 수집된 자료는 χ²2-test, t-test, Logistic regression analysis를 실시하여 분석하였다. 연구결과는 다음과 같다. 청소년(중ㆍ고등학생) 흡연율은 19.2%로 나타났다. 첫째, 흡연군과 비흡연군의 일반적 특성에서 차이가 나타난 변수는 성별, 학업성취 수준, 학교생활 만족도, 가족 구성형태, 부모관계 만족도이다. 둘째, 우울과 충동성은 흡연군이 비흡연군 보다 높은 것으로 나타났다. 우울군에 흡연군(88.5%)이 비흡연군(32.6%)보다 많은 것으로 나타났다. 셋째, 흡연에 영향을 미치는 위험요인은 우울, 운동충동성, 학업성취 수준으로 나타났다. 본 연구결과를 바탕으로 청소년의 흡연 예방을 위한 중재프로그램의 기초 자료를 제공하고자 한다. This study was to investigate the relationship between depression and impulsive behavior among adolescents. The data were collected using questionnaire from the sample of 452 middle and high school students. The data were collected from July 2 to 13, 2012. Data were analyzed using frequencies, means, χ²-test, t-test and logistic regression analysis (SPSS 20.0). The major findings of this study were as follows. Adolescents smoking rate were 19.2%. Firstly, Significant differences were found for Sex, school achievement levels, school of life satisfaction, family living together, parental relationship satisfaction between smoking group and non-smoking group. Secondly, Depression and impulsive behavior of smoking group were higher than non-smoking group. Thirdly, The logistic regression analysis revealed that depression, motor impulsiveness, and school achievement levels were significantly associated with smoking. The results of this study offer basic data for the development of intervention programs to prevent adolescents smoking.

여성 노인입원 환자의 연령에 따른 수면장애 요인과 수면 양상

이혜순(Lee, Hea Shoon) 기본간호학회 2011 기본간호학회지 Vol.18 No.2

Purpose: The purpose of this study was to investigate factors of sleep disturbance and sleep patterns of elderly hospitalized women patients between young-old (65-74 years), old (76-84 years) and old-old (85 years and above). Methods: The questionnaire included the environmental disturbance factors (Paik, 2000), degree of pain (Wang & Kim,1995), disease symptoms (Paik, 2000), depression (Kee, 1996) and sleep patterns (Oh, Song, & Kim, 1998). Data were analyzed using frequencies, means, χ<SUP>2</SUP>-test, t-test, ANOVA, Scheffe, Pearson correlation coefficients and multiple regression (SPSS 14.0). Results: The middle, and oldest group’s environmental disturbance factors of degree of pain, disease symptoms, depression and sleep patterns were higher than those of the younger group. The younger, middle, and oldest group’s sleep pattern had a significant negative correlation with environmental disturbance factors, degree of pain, disease symptoms and depression. The model including variables related to environmental, physical and psychological disturbance factors, explained the following variances in sleep pattern: 26.8% for the youngest group, 27.6% for the middle group and 40.7% for the oldest group. Conclusion: The result of this study offer basic data for the development of nursing intervention programs to improve sleep patterns for hospitalized women patients according to age differences.

류마티스 관절염 환자에서 외안근 마비증상을 동반한 안부대상포진

이혜순 ( Hye Soon Lee ),전재범 ( Jae Bum Jun ),엄완식 ( Wan Sik Uhm ),서정철 ( Jeong Cheol Seo ),김주한 ( Ju Han Kim ),고명규 ( Myung Kyoo Ko ),변정원 ( Jung Won Byeon ),유대현 ( Dae Hyun Yoo ),김성윤 ( Seong Yoon Kim ) 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.2

There have been many reports about infections in patients with rheumatoid arthritis (RA) being more frequent than general population. Increased susceptability to infections in RA could be related to disease itself, comorbid conditions, and use of immunosuppressive drugs and steroid. Herpes zoster viral infections also have been reported to be more frequent in RA. We describe a case of 60-year-old woman with RA presented with ophthalmoplegia associated with herpes zoster ophthalmicus. Initially she complained of right orbital and periorbital pain. Six days later, she noted a cutaneous herpes zoster eruption involving the right 1st division of trigeminal nerve. Three days after developing skin eruption, she developed a right ptosis with external ophthalmoplegia and pupil dilatation resulting from the 3rd and 6th cranial nerve involvement. She was placed on intravenous acyclovir for 7days. Eight weeks after the onset of ophthalmoplegla, she recovered nearly completely.

고용량의 면역 글로불린 주사 치료로 호전된 Salmonella 그룹 D 균혈증과 골수섬유증을 동반한 전신성 홍반성 루푸스

이혜순 ( Hye Soon Lee ),배상철 ( Sang Cheol Bae ),윤형란 ( Hyung Ran Yun ),이지현 ( Ji Hyun Lee ),정유성 ( Yu Seong Jeong ),배윤상 ( Yun Sang Bae ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),정성수 ( Sung Soo Jung ),이인홍 ( I 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.1

A 22-year-old woman presented with fever and pancytopenia. One year ago, she was diagnosed as Salmonella group D bacteremia and myelofibrosis associated with SLE at another hospital. She was placed on high dose steroid, however, there was no improvement. Two months ago, she was diagnosed as recurrent Salmonella group D bacteremia. After admission to our hospital, she was placed on intravenous antibiotics and high dose intravenous immunoglobulin. A significant improvement in laboratory and clinical condition occurred and bone marrow biopsy showed complete resolution of fibrosis. We report a case of SLE with myelofibrosis and recurrent Salmonella group D bacteremia.

수호전 판본고 ( 水滸傳 版本考 )

이혜순 ( Hye Soon Lee ) 한국중국학회 1973 중국학보 Vol.14 No.1

청소년의 가족기능, 충동성, 스트레스 수준이 집단따돌림 유형에 미치는 영향

이혜순(Hea-Shoon Lee) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.2

본 연구는 청소년의 가족기능, 충동성, 스트레스가 집단따돌림 유형에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상은 중?고등학생 627명으로, 수집된 자료는 SPSS 18.0 program을 사용하여 평균과 표준편차, t-test, Pearsons Correlation Coefficient 및 stepwise multiple regression analysis으로 분석하였다. 연구결과는 다음과 같다. 집단따돌림 유형(가해 및 피해)은 가족기능, 충동성, 스트레스와 상관관계가 있는 것으로 나타났다. 집단따돌림 가해에 영향을 미치는 요인은 가족기능의 하부요인에서 정서적 반응성, 충동성의 하부영역에서 무계획 충동성, 스트레스의 하부요인에서 친구관련 스트레스, 일반적 특성에서 음주경험(있음), 부모 우울문제 경험(있음)로 확인되었으며, 34.1%의 설명력을 나타내었다. 집단따돌림 피해에 영향을 미치는 요인은 가족기능의 하부요인에서 의사소통, 충동성의 하부영역에서 운동 충동성, 스트레스의 하부요인에서 친구관련 스트레스, 일반적 특성에서 성별(남학생), 학년(중학생)으로 확인되었으며, 30.9%의 설명력을 나타내었다. 결론적으로 본 연구는 청소년의 집단따돌림 유형(가해 및 피해)에 가족기능, 충동성, 스트레스의 역할을 실증적으로 확인하였다는 점과 청소년의 집단따돌림 유형에 따른 중재 방안의 기초 자료를 제공하였다는 점에서 의의를 찾을 수 있다. Purpose: The purpose of this study was to investigate the effect of adolescents family function, impulsive behavior, stress on the bullying types. Method: Data were collected from 627 adolescents and analyzed using descriptive statistics, t-test, Pearson correlation coefficients and stepwise multiple regression with the SPSS 18.0. Results: The bullying types (injurer and victim) correlates with family function, impulsive behavior and stress. Stepwise multiple regression analysis showed emotional reactivity, non-planning impulsiveness, friends related stress, experience of drinking (yes), experience of parent depression problem (yes), explained 34.1% of the total variance in bully injurer. Stepwise multiple regression analysis showed communication, motor impulsiveness, friends related stress, gender (male), grade (junior high school), explained 30.9% of the total variance in bully victim. Conclusion: The results of this study are expected to be used as basic data in providing a better understanding of adolescents’ bullying, in preventing bullying and in developing an intervention program.

청소년의 체질량지수, 가족기능 및 자기효능감이 우울에 미치는 영향

이혜순(Hea Shoon Lee) 대한스트레스학회 2014 스트레스硏究 Vol.22 No.4

본 연구는 청소년의 우울군과 비우울군의 체질량지수, 가족기능 및 자기효능감을 파악하고, 우울에 영향을 미치는 위험요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 중?고등학생 644명으로, 수집된 자료는 SPSS 20.0 program을 사용하여 평균과 표준편차, χ2-test, t-test, Logistic regression analysis으로 분석하였다. 연구결과는 다음과 같다. 첫째, 우울군은 57.5%로 나타났다. 우울군과 비우울군의 일반적 특성에서 차이를 보인 변수는 중ㆍ고등학년, 성별, 본인 건강상태, 부모관계 만족도, 어머니 학력이다. 둘째, 우울군과 비우울군에서 체질량지수는 차이가 있는 것으로 나타났다. 우울군이 비우울군보다 가족기능 및 자기효능감이 낮은 것으로 나타났다. 셋째, 우울에 영향을 미치는 요인은 체질량지수, 가족기능(정서적 반응성), 자기효능감(성취효능감), 중ㆍ고등학년, 성별, 부모관계 만족도로 나타났다. 본 연구는 청소년의 우울에 체질량지수, 가족기능 및 자기효능감의 역할을 실증적으로 확인하였다는 점과 청소년의 우울예방을 위한 중재프로그램 개발에 기초 자료를 제공하였다는 점에서 의의를 찾을 수 있다. This study was to investigate the relationship between body mass index (BMI), family function and self efficacy among adolescents who were depression group and non-depression group. The data were collected using questionnaire from the sample of 644 middle and high school students. The data were collected from March 11 to 22, 2013. Data were analyzed using frequencies, means, χ2-test, t-test and logistic regression analysis (SPSS 20.0). Firstly, Depression group was 57.5%. Significant differences were found for middle?high grade, sex, health status, parental relationship satisfaction, mother education between depression group and non-depression group. Secondly, Significant differences were found for BMI between depression group and non-depression group. family function and self efficacy level of depression group were lower than non-depression group. Thirdly, the logistic regression analysis revealed that BMI, family function (affective responsiveness), self efficacy (achievement self efficacy), middle, high grade, sex, parental relationship satisfaction significantly associated with depression. The result of this study offer basic data for the development of intervention programs to prevent adolescents depression.

동아시아 문화교류(文化交流)와 한국한문학(韓國漢文學) ; 동아시아 문화교류와 한국한문학-15세기 말 문사들의 교류인식을 중심으로-

이혜순 ( Hai Soon Lee ) 한국한문학회 2011 韓國漢文學硏究 Vol.0 No.47

This article aims at reconsidering the problems existing in the cultural exchange in Eastern Asia. especially between Korea, Japan and China which might have exerted influences upon the formation and development of Korean classical literature in Hanmun from the perspectives of the literary men of late 15th century in Chosun. The major problem is about Sino-Barbarian doctrine shown politically or culturally from the three countries. Some literary men of the time did not regard ``sino`` and ``barbarian`` native, fixed or immutable, believing that they can always be reversed. The spirit considering literary superiority and morality as the true standpoint of the doctrine was deeply steeped in most Korean classical literature, Another one is about direction of reception between the countries: it was general view that literature and learning were transferred from China to Chosun and then from Chosun to Japan. The men of letters, however, looked upon the reception as mutual, not one-sided, and expected Chosun envoys leaving for Ming China to transmit their own culture in order to be of service to China, and learn Chinese resources in the interests of Chosun when returning. In that there were active and frequent mutual exchanges between Eastern countries from the 17th century on, the literary histories of the three countries appear to be thoroughly reviewed.