S-580 : Vitamin D and carotid subclinical atherosclerosis in SLE

( Chang Bum Bae ),( Ju Yang Jung ),( Bo Ram Go ),( Hyun Ah Kim ),( Chang Hee Suh ) 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

Vitamin D and carotid subclinical atherosclerosis in SLE Chang-Bum Bae, Ju-Yang Jung, Bo-ram Go, Hyun-Ah Kim, Chang-Hee Suh Department of Rheumatology, Ajou University School of Medicine, Suwon, Korea Introduction Atherosclerosis develops earlier in systemic lupus erythematosus (SLE) and is the important cause of mortality. It has been suggested that vitamin D deficiency contributed cardiovascular disease and immune dysregulation in SLE. Methods One-hundred two female patients with SLE and 52 normal controls (NC) were recruited. The carotid artery intima-media thickness (cIMT) and plague were assessed by B-mode ultrasound at the carotid artery level. Vitamin 25(OH)D3 levels were checked by immunoradiometric assay using the Bio-Line 25(OH)D3-Ria CT kit (Bio-Line S.A., Belgium). Disease activity markers were checked at the time of enrollment. Results The cIMT of SLE is 0.41±0.08mm, which is higher than NC (0.37±0.11 mm, p=0.012). Also, carotid artery plague index (PI) of SLE is higher than NC (0.68±1.39 vs 0.26±0.87, p=0.026). The cIMT was correlated with age (r=0.442, p<0.001), body mass index (r=0.246, p=0.013), waist-hip ratio (r=0.245, p=0.013), SLE disease activity index (r=0.239, p=0.016), taking aspirin (r=0.244, p=0.013), and the carotid artery PI was correlated with renal involvement (r=0.224, p=0.023) in patients with SLE. Vitamin 25(OH)D3 was not showed correlation with cIMT and carotid artery PI. Also, it was not correlated with disease activity markers. Conclusion In patients with SLE, the risk of cardiovascular disease measured by cIMT and carotid artery plaque was higher than NC, which may be derived from systemic inflammation. However, vitamin D levels were not showed significant correlations with carotid subclinical atherosclerosis. It may be not suitable to assess vitamin D as marker of disease activity or subclinical atherosclerosis.

고양이의 만성 췌장염 치료 증례

김현아,윤기영,박정호,이왕희,송근호,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

A 5-year-old Russian blue cat was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with the history of anorexia, lethargy, weight loss(6.5 to 4.8 kg) 2 weeks ago. Abdominal ultrasonography showed the following : increase of echogenicity of liver, irregular shape of gall bladder, hyperechoic region around duodenum. Pancreatitis, cholangitis, hepatic lipidosis was diagnosed by the ultrasonography. Anti- inflammatory therapy, antibiotic therapy was administered. Abdominal ultrasonography is a efficient available diagnostic tool but serum fPL test reveals the highest sensitivity and specifity result for feline pancreatitis. SNAP fPL test is newly released that can check pancreatitis within 10 minutes by same princple of Spec fPL test used in Gastrointestinal Laboratory of Texas A & M Univerrsity.

개 비장 질환의 미세세침흡입술을 통한 세포병리학 검사 4례

김현아,윤기영,최호정,정성목,이영원,조성환,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

To evaluate the accuracy and diagnostic significance of cytopathological diagnosis of canine splenic disorders, cytopathological examination throgh fine-needle aspiration(FNA) referred to Veterinary Medical Teaching Hospital of Chungnam National University were retrospectived. Splenic neoplasm, hemolymphatic neoplasm, hyperplasia, extramedullary hematopoiesis and splenitis were diagnosed canine splenic disorders through cytopathological examination. The patient should be identified what coagulation profile are normal before aspiration, because complication such as hemorrhage could happen. The 4 cases were identified symmetric, asymmetric splenomegaly on abdominal ultrasonography and then were performed ultrasound-guided FNA. The 4 cases were diagnosed hemangiosarcoma(2), hyperplasia(1) and extramedullary hematopoiesis(1) by clinical signs, hematological examination, and cytopathological examination. Cytopathological examination through FNA was cost-effective, no gneral anesthesia, no complication, and non-invasive method of diagnosis for canine splenic disorders.

치료교육의 실태 및 개선방안 연구 : Issues and Future Delivery System

안수경,김영태,전헌선,정동일,한현민 국립특수교육원 2005 연구보고서 Vol.- No.5

본 연구는 2005년 3월 특수교육진흥법 개정에 의하여 특수학교 치료교육교사의 확대배치 및 일반학교 특수학급에의 치료교육 담당교원 배치 등 치료교육 분야의 발전이 예상되는 가운데, 개정법률이 실제 교육현장에 보다 실효성있게 적용되기 위하여 우리나라 특수교육 공교육 상에서 이루어지고 있는 치료교육활동의 실태와 요구를 파악하고 보다 적합한 치료교육을 위한 개선방안을 찾고자 한 정책연구이다. 이를 위하여 본 연구에서는 치료교육의 개념, 역사, 외국 사례 등에 관한 문헌을 탐색하였으며, 설문조사를 통하여 치료교육의 실태와 요구를 분석하였고, 이를 바탕으로 한 치료교육의 개선방안을 도출하였다. 본 연구의 설문조사를 위하여 전국의 142개 특수학교와 182개 지역교육청을 대표하는 1,078명의 교사들로 조사단을 구성하여 설문지를 배부하였다. 그 결과 전국의 16개 시·도교육청에 소속된 142개 특수학교 중 140개 특수학교에서 설문응답에 참여하였으며, 182개 모든 지역교육청에 소속된 교사들이 설문응답에 참여하여, 총 1,046부의 설문지가 수합되었음을 밝힌다. 이 조사를 통하여 치료교육 담당인력의 양적 부족, 치료교육의 내용과 형식에 대한 합의 부족으로 인한 교육실제 상의 혼란이 현 특수학교 치료교육의 대표적인 문제로 제기되었으며, 특수아동 요구의 다양성과 치료교육의 효과성을 동시에 충족하기 위한 치료교육 담당교원의 자격제도 및 배치방법의 해결과 치료교육을 실시하기 위한 공간 확보의 문제가 일반학교 특수학급에서의 치료교육을 위한 주된 요구로 제기되었다. 이와 같은 설문조사의 결과를 바탕으로, 다섯 명의 연구진 중 대학에 재직 중인 세 명의 공동연구자들이 서로 다른 각도에서 치료교육의 문제점과 개선방안을 조명하였다. 따라서 세 가지의 큰 학문적 흐름을 가지고 방안이 주창되었으나, 그 방안 속에서 논해진 구체적인 하나하나의 제안들은 각자의 학문적 입장에서만이 아니라 다양한 현실적 상황을 고려하여 심사숙고된 결과임을 밝힌다. 마지막으로 본 연구의 맺는 말에서는, 일단은 특수교육진흥법과 특수학교 교육과정에 근거하여 교육서비스로서 행해지고 있는 치료교육 시스템의 견고한 틀 안에서의 개선을 논하는 것이 최선일 것으로 보고, 세 가지 큰 흐름의 방안들에서 최소한의 공통되는 제안들을 다음과 같이 종합하였다. 우선 첫째, 치료교육 교사 양성에 있어서의 전공 분야 세분화가 필요하다. 둘째, 기존의 치료교육 교사들이 세부 전공 영역의 전문성을 가질 수 있도록 하는 보완적 교육이 행해져야 한다. 셋째, 특수교사로서의 치료교육교사에 의한 치료교육 제공을 교실교육과 순회교육을 기본 원칙으로 하되, 순회가 불가능한 지역이나 일반학교 일반학급, 일반 유치원 내의 특수아동들을 위하여 필요한 경우에는 교육기관 외의 기관에 소속되어 있는 치료사 인력들을 활용할 수 있는 권역별 인력풀 제도를 마련한다. 넷째, 특수교육과 치료교육의 관계 및 내용적 정체성 확립을 위한 근본적인 재조명이 필요하다. The purpose of the present study is to investigate the current practice of the therapeutic education in Korea. The survey data were collected and analyzed from 332 therapeutic educators, 367 special school teachers, and 347 special classroom teachers. Results of the present study were summarized and discussed by three of the researchers based on their academic standpoints. The problems of current therapeutic education analyzed by this study are the lack of therapeutic educators, confused understanding of the contents and methods of therapeutic education, low professionalism of the therapeutic educators, and the lack of space to carry out therapeutic education in general schools, etc. The common suggestions from the three researchers were summarized as follows: first, the courses of universities for training therapeutic teachers have to be more specialized. Second, some kind of training programs for the existing therapeutic teachers are needed to get them more specialized certificates. Third, the community human resource pool including not only therapeutic teachers but also professional therapists should be available. Fourth, the identity of the therapeutic education in special education delivery system needs to be reestablished academically and practically.

農山村 零細私有林所有者의 山林施策 事項에 對한 知識水準

安鉉哲 진주산업대학교 1984 論文集 Vol.22 No.-

本硏究는 106名 零細山主에 對한 聽取調査 資料에 依하여 우리나라 農山村에 零細私有林所有者들의 山林施策事項에 關한 知識水準을 究明코자 實施하였다. 이를 爲하여 各山主의 知識評點(0∼5點)을 求하고 山林所有規模, 山主職業, 農地所有規模를 獨立變數로 하여 知識水準을 分析하였다. 本硏究 結果를 要約하면 다음과 같다. 1. 山林施策事項에 對한 私有林所有者의 知識水準은 大體로 낮아서 59.4%가 山主가 低知識水準(0∼2點)을 갖고 있었다. 2. 山林所有規模別 高知識水準의 分布는 5.0㏊ 以下의 山主가 32.5%, 5.1∼11.0㏊의 山主가 40.0%, 11.0∼15.0㏊의 山主가 45.5%, 15.1㏊ 以上의 山主가 62.5%이었다. 3. 山林施策事項에 對한 知識水準을 職業別로 볼 때, 高知識水準이 複合農家山主는 36.5%, 非農家山主는 47.4%이었다. 4. 農地所有規模에 따른 高知識水準 分布는 3,000坪以下가 30.6%, 3,001∼6,000坪이 34.9%, 6,001坪以上이 57.1%이었다. The study was attempted to measure the forest owners' Knowledges Concerning recommended forest policy practices in Agricultural and Mountain villages. For the study, the data were Collected by interviewing 106 private forest owners' in July, 1983. The three independent variables such as forest land scale, Owners' occupation and size of owned Agricultural land, and the one dependent variable, i.e. Knowledge score, were adapted. The results of the study are summarized as follows; 1. As a whole, about 59 percent of forest owners' had the low Knowledge­level(score 0­2) 2. The percentage of forest owners who had high Knowledge­level(score 3­5) by the independent variables are shown below. By the scale of forest land ownership hess than 5.0 hectares 32.5 percent 5.1∼10.0 hectares 40.0 percent 11.0∼15.0 hectares 45.5 percent More than 15.1 hectares 62.5 percent By Owners' occupation Mixed farming forest­owner 36.5 percent Nonfarming forest­owner 47.4 percent By the size of agricultural land Less than 1 hectares 30.6 percent 1.1­2.0 hectares 34.9 percent More than 2.1hectares 57.1 percent

패션 컨벤션 구성요인이 고객만족에 미치는 영향

김현아,김문숙 服飾文化學會 2003 服飾文化硏究 Vol.11 No.3

This study first denfines the fashion convention industry as an idea that includes international conventions, exhibitions and collections mainly dealing with fashion (fabric·material, clothing·fashion, and machinery·equipment). It then infers constituents of the industry based on preceding studies on service quality and satisfaction, and analyzes their importance and the structural relation between constituent performance, satisfaction and ex post behaviour. Also it analyzes perception difference of the organizer and participators on constituent importance, performance, and satisfaction. n the survey, a total of 500 questionnaires were distributed to the organizers and participants of 2001 Seoul Fashion Week, and among them, 259 questionnaires from the participants and 18 from the organizers were used as data for the demonstrative analysis. LISREL 8 program and SPSS WIN V. 8.0 were used for a statistical process of collected of collected data.

消化器癌의 症候와 治療에 관한 文獻的 考察

김현아,임성우,윤상협,이원철 동국대학교 한의학연구소 1998 東國韓醫學硏究所論文集 Vol.6 No.2

근래 들어 악성종양의 발병률은 점점 상승하고 있으며 소화기암은 전체 악성종양중 높은 발생빈도를 보이는 질병으로 한의학계에서도 치료를 위해 많은 연구를 하고 있다. 소화기암의 증후와 치료에 관하여 ??膈, 反胃, 積聚, 臟毒을 위주로 明ㆍ淸代까지의 歷代 文獻을 통해 考票한 결과 이는 복강내 악성종양과 증후에 있어서 유사성을 나타내며 치료는 초기에는 祛邪法을, 중기에는 攻補兼施를, 후기에는 扶正法을 위주로 하는 것으로 나타났다. 역대 문헌에서는 이에 대한 처방구성을 다양하게 언급하여 향후 소화기암 치료에 응용할 수 있을 것으로 思料된다. In these days, the outbreak rate of a malignant tumor is gradually increasing, and the frequency of digestive organ's cancer is so high that the remedy is being studied in the Oriental Medicine Worid. I made a consideration the Erlgyuk(?膈), the Panwue(反胃), the Juckchui(績聚), the Jangdok(臟毒), on the symptom and treatment of gastrointestinal cancer, with the successsive literatures of the Myung and Chung Dynasty. In consequence, these are similar to the symtom of malignant tumor in abdominal cabity, and the the treatment is divided into three stages by each period. The Geosa-method(祛邪決) is used in the early stage, and in the middle the Gongbokyumsi-me��攻補兼施), and in the latter stage the Pujung-method(扶正法) is used. The successiv literatures shows the prescription of gastrointestinal cancer in variety. Therefore, I thinf the various prescription will be applied to gastrointestinal cancer on forward.

서울시내 대학 내 보건의료시설의 현황

박현아 韓國學校保健學會 2000 韓國學校保健學會誌 Vol.13 No.2

Background : One-quarter of Koreans are either students or school employees. Therefore, school health programs for them have high levels of cost-benefit. School health programs, though, are focused on services such as vaccination and physical examination according to administrational regulations without systemic planning. Futhermore, college health programs run autonomously, not under the supervision of the Ministry of Education. It is my intention to analyse the current status of college school health service centers and use the basic data so generated to model how they might operate at an optimal level of efficiency. Methods : I intended to investigate all 29 colleges in Seoul except some specialized colleges such as theological schools in the two-month period of August and September, 1999. I used the telephone interview method to ask questions relating to personal composition, medical equipment in use, annual expenditure and the provision of school health services. School health services were composed of three items; health services, health education and a healthy school environment. Results : 27 college health service centers were surveyed. The median number of medical personal in each center was 2, the range was 1-31. 7 centers(25.9%) have only nurses with no doctors. Annual expenditures of 11 centers(50.1%) was less than 10 million won, 19 centers(70.4%) were maintained by support from their college. Thirteen centers(48.1%) provided doctor's examinations, 6 centers(22.2%) provided dental care services, laboratory services were provided by seven centers(25.9%). Some 81.5% of the centers had vaccination programs and 44.5% had health education programs. There was no school environment program except insecticide provisions. College health service centers with school doctors differed from centers without school doctors in terms of medical equipment range, annual expenditures and annual case loads. Conclusion : The structure and function of college health service centers in Seoul are diverse. However, no center has a well-organized school health plan.

한국비서자격시험의 개선점과 비교연구

남자현,이미정,이미영,이아영,정해금,최유정,이미숙,전인선,정혜림 이화여자대학교 법정대학 비서학과 1997 비서학연구 Vol.- No.17

Meckel 게실의 합병증으로 수술 받은 환아의 임상양상

김현아,최금자,한후재 이화여자대학교 2003 EMJ (Ewha medical journal) Vol.26 No.2

Objectives : The purpose of study is to assess the clinical characteristics of complicated Meckel's diverticulum in children. Methods : A retrospective review of pediatric cases of complicated Meckel's diverticulae that were surgically treated at Ewha Womans University Hospital from 1985 was performed. The charts were reviewed for the age and sex of the patients, operation finding, treatment, and outcome. Results : A total 13 patients with a complicated Meckel's diverticulum were identified. There were 8 boys(61.5%) and 5 girls (38.5%) with a mean age of 5.3 years (range, 1month to 14years). Presenting signs and symptoms included digestive hemorrhage (6), intestinal obstruction(4), perfora-tion (1), intussusception due to inverted Meckel's diverticulum (1) and diverticulitis (1). A ^(99m) technetium pertechnetate scintiscan was positive in 3 of 4 patients. Barium contrast studies and colonoscopys were not diagnostic. The mean distance from the ileocecal valve to the diverticulum was 47.0±15.7cm. Average length of the diverticulum was approximately 4.7±3.0cm. Segmen-tal small bowel resection including Meckel's diverticulum (84.6%) or wedge excision(15.4%) was done for treatment. In the bleeding group, ectopic gastric mucosa was present in 5 of 6 patients. Postoperative morbidity and mortality was each 0%. Conclusion : The results of this study draw attention to the fact that the complicated Meckel's diverticulum must be suspected in children with acute abdomen or gastrointestinal bleeding. 목적: Meckel 게실의 합병증의 원인이 되어 수술적 치료를 받은 소아 환자들의 임상적 증상과 수술소견, 병리학적 소견을 분석하여 이들의 특징을 알아보고자 하였다. 방법 : 1985년 이후 이화대학교의료원에서 Meckel 게실의 합병증으로 수술을 받은 15세 이하의 소아들 대상으로 하여 의무기록과 조직병리 검사 결과를 조사하였다. 결과: 총 13명의 환아가 Meckel 게실의 합병증으로 수술을 받았으며 남녀의 비는 1.6:1로 남아에서 호발하는 경향을 보였으며, 수술 시 평균 연령은 5.3세였다. 수술의 원인이 된 Meckel 게실의 진단은 장출혈 6예, 장폐색 4예,Meckel 게실의 천공 1예, 장중첩 1예, 게실염 1예였다. 회맹판에서 게실까지의 평균길이는 47.0±15.7cm이었으며, 소장부분절제술과 쐐기절제술이 각각 84.6%와 15.4%에서 시행되었다. 장출혈을 나타내었던 환아 6명 중 5예에서 병리조직에서 이소성 위 점막이 관찰되었다. 술 후 합병증과 사망예는 없었다. 결론 : 소아에서 외과적 급성 복증이나 장출혈의 증상이 나타날 경우, Meckel 게실의 합병증의 가능성에 대한 외과의의 인식이 필요하다.