미술치료 석사과정생의 정신과 임상실습 체험연구

김시내,장연집 서울여자대학교 2010 심리치료: 다학제적 접근 Vol.10 No.2

미술치료 전공의 석사과정생이 정신과에서 임상실습을 통해 어떠한 체험을 하는지를 탐색해 보기위한 목적을 가지고 수행된 본 연구는 인간의 체험에 관심을 갖고 그들이 경험하는 것에 대해 심층적으로 이해 할 수 있도록 도와주는 Max van Manen의 해석학적 현상학적 질적 연구 방법론을 적용하고 있다. 정신과 병동에서 1년 이상 임상실습 경험이 있는 총 11명의 연구 참여자를 대상으로 2010년 4월부터 6월까지 심층면접을 실시한 결과, 연구문제에 따른 10개의 본질적 주제와 30개의 하위 주제들을 산출하였다. 연구결과와 글쓰기 등을 토대로 본 연구에서는 정신과 임상실습을 체험한 미술치료 석사과정생인 연구 참여자들이 다음과 같은 4가지의 체험을 하였다는 결론을 내리고 있다. 첫째, 병원의 치료진을 포함하여 정신과 환자까지도 미술치료에 대한 인식부족으로, 미슬 치료 전공 실습생들은 정체감에 큰 혼란을 겪는 기회를 직면한다. 둘째, 병원의 치료진들이 전해준 미술치료로 정신과 환자의 상태 개선이란 소식을 접하면서, 미술치료만이 해낼 수 있는 특수성을 재인식하게 되며, 고된 실습의 보상과 함께 고양된 경험을 갖게 되고, 임상미술치료의 실습이 중요함을 재인식하게 된다. 셋째, 미술작업과 미술언어를 매개로 하여 미술치료전공 실습생은 정신과에서의 미술치료실습이 매우 중요한 기회임을 실감하며, 치료진과 정신과 환자들 사이의 관계를 연결 짓는 중간자 역할을 하는 자신을 발견한다. 넷째, 임상미술치료를 자신 있게 다루고 싶어져 전공 지식의 심화를 스스로 요구하게 되며, 내적인 자기성장의 욕구를 경험한다. In this research, Max van Manen's hermeneutical phenomenology providing assistance to understanding in depth how human beings are interested in the experiment and what it is they experience, is used for the progress. As for the research participants, total of 11 subjects the students enrolled in art therapy master's program and having more than a year experience in clinical practice were selected from the psychiatry department of a combined hospital and the psychiatry department of a single hospital containing the hospitalization ward. As a result of performing in-depth screening on these subjects, 10 essential and 30 subordinate topics were categorized. This research is making following 4 conclusion through research participants that is the students of the art therapy master's program experience at the psychiatry clinical training. First, the students of the art therapy master's program experience frustration and identity confusion during the course of clinical practice due to lack of awareness of art therapy from clinical staff and patients. Second, the students of the art therapy master's program from clinical staff of hospital receive the news about psychiatry patient's state improvement, so they recognizing peculiarity that work process of only art therapy can have. In addition, they have compensation of hard practice with enhanced experience, and they recognized practice of clinical art therapy is being important. Third, the students of the art therapy master's program perform the role of middleman in between the clinical staff and the patients and thus learn about exclusive particularities held by the art therapy. Fourth, the students of the art therapy master's program require deepening of major knowledge to oneself because they want self-assured handle at clinical art therapy. In addition, they experience desire of inner own growth.

시정 측정의 장비, 방법 및 대전지역 시정의 분석

소선섭,김시내,박수현 公州大學校 基礎科學硏究所 2003 自然科學硏究 Vol.10 No.-

본 논문은 대기 오염물질의 배출량이 많아지면서 대기의 혼탁도가 높아지고 이로 인해 시정이 악화됨을 규명하고자 하였다. 시정의 악화를 언급하기에 앞서 시정에 대해서 보다 명확하게 정의하였고, 대전지역의 시정 자료 값을 분석하여 대기의 오염이 얼마나 증가하였는가를 밝힘으로써 시정측정 장비 연구의 필요성을 강조하였다. In this Essay, we wished to examine closely that turbidity of air rised, visibility is worsened because the discharge amount of air contaminant increased. Before refer visibility for the worse, we defined more definitely about visibility, analyzed visibility value of DaeJon area, said how pollution of air increased, so emphasized necessity that we should have researched visibility monitoring method.

High Performance Liquid Chromatography를 이용한 멜라토닌 측정

최돈찬,임시내 龍仁大學校 2001 용인대학교 논문집 Vol.19 No.-

Melatonin is a pineal hormone that transduces the photoperiodic information into neuroendocrine system. It acts as a regulator of seasonal reproduction, a biological clock to time circadian rhythmicity, an inhibitor on the growth of tumor and cancer cells, and a controller of cardiovascular function. It also shows anti-aging and life-prolonging effects and a supportive role in the immune system. Melatonin was measured using a conventional HPLC apparatus. Although the sensitivity is low compared to the radioimmunoassay or HPLC with fluorescence or electrochemical detector, these results could be applied to the blood samples withdrawn from the living organisms to which a large amount of melatonin was administered. The method used in this study is simple, convenient, and rapid without need of any further equipments.

요관석의 요관경하배석술 후 요관부목의 선별적 유치

이상훈,윤하나,심봉석,이시내 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

Purpose : Ureteral stent is commonly used after ureterscopic stone removal(URS). However, there is no definitive clinical criteria in inserting the ureteral stent after URS. Patients often complain of bladder irritative symptoms, hematuria. flank pain and additive endoscopic prodedure is neces-sary to remove the ureteral stent. Therefore, we studied the clinical epicacy of selective ureteral stenting only when it is required. Materials and Methods : Of the patients who was taken URS, the following patients were exclu-ded from stent insertion ; 1) Patients who have mild hydronephrosis or symptoms less than 1week. 2) Patients who were able to insert the ureteroscope through the ureteral orifice without difficulty. 3) Patients who hardly have ureteral mucosal damage seen through the ureteroscopic field after the removal of ureteral stone. 4) Patients who did not need the additional lithoclast during the remo-val of ureteral stone. Other than the above patients and those with stones above the mid-ureter, a 6Fr. ureteral stent was inserted and kept for 3weeks. There were 29 unstented patients and 38 stented patients. Results : The average age of the non-stenting and stenting group were 37.5years old and 39.7years old and the average stone size were 0.68cm and 0.80cm. The average operation time was 3 minutes in the non-stenting and 8minutes(including ureteral stent insertion time) in the stenting group. Hos-pital stay was 3days in both groups. Intermittent gross hematuria and irritative symptoms of the bladder was shown for 3weeks after operation in most of the patients(32cases, 84.2%) of the sten-ting group while those in the unstenting group, the symptoms were relieved after2days after operation. Although mild flank pain was shown in few patients(4cases, 13.8%) of the non-stenting group, severe pain requiring intravenous analgesics was not seen in both groups. There were no specific findings in the intravenous urography which was done at 6weeks after operation, and no hematuria and pyuria was found in both groups. Conclusion : The selective placement of ureteral stent following the ureteroscopic removal of stone did not bring specfic complications. We believe that ureteral stent insertion will minimize the inconvenience especially in patients who need to return to their everyday living immediately after operation. Thus ureteral stent insertion should be used in limited situations. 요관경하배석술 후 많은 경우에 있어서 요관부목을 유치하고 잇지만 선별적으로 판단하여 설치할 경우 특별한 문제점이 없었으며, 수술 수 바로 일상생활에 복귀하여야 하는 환자들의 불편함을 최소화할 수 잇을 것으로 생각되며, 요관부목 설치는 제한적인 상황하에서 시행되어야 할 것으로 사료된다.

A Case of Egg-Shell Calcification of Renal Cell Carcinoma in Continuous Ambulatory Peritoneal Dialysis Patient with Sclerosing Encasulating Peritonitis

Si Nae Lee,Shin Il Kim,Jee Young Han,Joon Ho Song,Seoung Woo Lee,Moon Jae Kim 순천향대학교 순천향의학연구소 2014 Journal of Soonchunhyang Medical Science Vol.20 No.2

Acquired cystic kidney disease (ACKD), a common complication in patients with end-stage renal disease, is characterized by more than three kidney cysts and normal or decreased sizes of both kidneys without any familial history of cystic kidney disease. In autosomal dominant polycystic kidney disease (ADPKD), however, both kidneys are usually enlarged. Extrarenal manifestations are common in ADPKD, including hepatic cysts, seminal vesicle cysts, mitral valve prolapse. A 40-year-old man presented to the emergency clinic at Inha University Hospital with severe abdominal pain, nausea, and vomiting for 3 days. He had been undergoing continuous ambulatory peritoneal dialysis (CAPD) for 15 years, but it was recently changed to hemodialysis owing to sclerosing encapsulating peritonitis (SEP). Radiologic imaging studies revealed bilateral enlarged kidneys with multiple eggshell calcified cysts and some hepatic cysts, which suggested ADPKD. He underwent left nephrectomy, and pathological tests revealed ACKD-associated renal cell carcinoma (RCC) confined to the resected kidney. He was treated with steroids for SEP, and the symptoms resolved. We herein report a case of ACKD—resembling ADPKD—that progressed to RCC in a patient with concurrent SEP who had been undergoing CAPD for 15 years.

Human Leukocyte Antigen B27 and Juvenile Idiopathic Arthritis and Classification of Juvenile Spondyloarthropathies by the Assessment of SpondyloArthritis International Society Criteria

( Si Nae Eom ),( An Deok Seo ),( Kwang Nam Kim ) 대한류마티스학회 2016 대한류마티스학회지 Vol.23 No.4

Objective. We examined the clinical relationship between human leukocyte antigen B27 (HLA-B27) and juvenile idiopathic arthritis (JIA). Additionally, we assessed the usefulness of the Assessment of SpondyloArthritis International Society (ASAS) criteria for diagnosing juvenile spondyloarthropathies (SpA). Methods. We retrospectively reviewed medical records of 239 patients with JIA classified according to the International League of Associations for Rheumatology (ILAR) classification to analyze the features of the joint involvement site. Results were correlated with the presence of HLA-B27. After that, we classified the 239 JIA patients according to the ASAS criteria to diagnose juvenile SpA. The relationship between the ASAS criteria and a diagnosis of juvenile SpA was analyzed by a chi-squared test. Results. Back pain was associated with HLA-B27 in boys (p=0.002) but not in girls (p=0.616). In both sexes, involvement of the small joints in the lower extremities was highly associated with HLA-B27 (p=0.001 for boys, p=0.021 for girls). In addition, HLA-B27 was associated with enthesitis (p=0.004 for boys, p=0.021 for girls). Eighty-seven (36.4%) patients with JIA fulfilled the ASAS criteria; 2 (0.8%) had axial SpA and 85 (35.6%) had peripheral SpA. HLA-B27 was the most significant factor for diagnosing juvenile SpA (sensitivity 80%, specificity 99.31%, positive likelihood ratio, 116). Conclusion. The ILAR criteria have some weaknesses for diagnosing HLA-B27-positive JIA patients in early stages. The use of the ASAS criteria for juvenile patients will enable pediatric rheumatologists to diagnose juvenile SpA patients earlier. (J Rheum Dis 2016;23:234-240)

Risk factors, depression, quality of life and relevance of Korean adults

Si-Nae Ahn 한국인터넷방송통신학회 2019 Journal of Advanced Smart Convergence Vol.8 No.3

This study aimed that certain risk factors are linked to the risk of developing depression and decreasing quality of life. This study was implemented using data from the 6th and 7th Korea National Health and Nutritional Examination Survey. The National Health and Nutrition Survey consist of health surveys, screenings, and nutrition surveys. Among the risk factors, data on adult diseases such as depression, hypertension, arthritis, diabetes, cataract, glaucoma, and macular degeneration were used. In total, 12,768 adults over 20 years of age were selected, of whom 520 were diagnosed with depression. The most common risk factors in adults over 20 years of age were hypertension, arthritis, cataract, diabetes, depression, glaucoma, and macular degeneration. Their risk factors were analyzed if these were associated with depression and quality of life. The results revealed that hypertension, arthritis, diabetes, cataract, glaucoma, and macular degeneration were predictors for the occurrence of depression in adults. The factors associated with the highest risk for depression were arthritis and glaucoma. Furthermore, the study investigated the effect of certain factors on the quality of life; the factor associated with the greatest impact on quality of life was arthritis. This study verified that the aforementioned factors were related to the risk of developing depression and decreasing quality of life.

Pancreaticothoracic Fistula Presenting with Hemoptysis and Pneumothorax in a Chronic Alcoholic Patient

Si Nae Lee,Kyung Hee Lee,Seok Chung,Hae Sung Nam,Jae Hwa Cho,Jeong Seon Ryu,Seung Min Kwak 대한결핵 및 호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.76 No.5

Pancreaticothoracic fistula is a rare complication of acute or chronic alcoholic pancreatitis. It may present with various symptoms, like dyspnea, abdominal pain, cough, chest pain, fever, back pain, hemoptysis, fatigue, or orthopnea. Pancreaticothoracic fistula can be detected by magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), or computed tomography. MRCP has high sensitivity and fewer side effects, and thus it has recently been recommended as the first choice for the detection of pancreaticothoracic fistula. On the other hand, ERCP enables the detection and treatment of pancreaticothoracic fistula and allows for stent insertion; for this reason it is a commonly used modality in pancreaticothoracic fistula cases. Herein, the authors describe a case of pancreaticothoracic fistula detected by ERCP and MRCP that manifested only respiratory symptoms, namely hemoptysis and pneumothorax without abdominal pain, which commonly accompanies pancreatitis.

An investigation of factors influencing the participation of stroke survivors in social and leisure activities

( Si-nae Ahn ),( Sujin Hwang ) 물리치료재활과학회 2018 Physical therapy rehabilitation science Vol.7 No.2

Objective: Participation restrictions are serious problems that stroke survivors experience while reintegrating into family, work, community, and social situations after participating in rehabilitation programs. The purpose of this study was to explore the factors affecting participation in activities of daily living (ADL), as well as social and leisure activities of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: The study involved 96 participants who were diagnosed with a first stroke 6 months before the study (58 men, 38 women; 60.3±14.3 years). The Berg Balance Scale, Modified Barthel Index, Manual Function test, and Activity Card Sort were used to assess static and dynamic balance function, upper limb function, level of independence, and their level of participation within the community. A regression analysis was used to identify the influence of factors affecting participation in ADL, social and recreational activities. Results: The Activity Card Sort scores were significantly affected by the Manual Function test and Modified Barthel Index scores (p<0.05). Participation in leisure activities was affected by the level of independence. Participation in social activities was affected by the balance function and level of independence of the participants. Conclusions: The results of this study have shown that participation restrictions are affected by upper limb function, balance function, and the level of independence in individuals with hemiparetic stroke.

Efficiency of GUS gene expression in mature embryos of wheat by Agrobacterium-mediated transformation

Si Nae Han,Poo Reum Oh,Kyung Hee Kim,Sang Kyu Lee,Jung Hoon Moon,Won Cheol Yim,Sung Don Lim,Byung Moo Lee 한국육종학회 2007 한국육종학회 학술발표회 발표요지 Vol.38 No.1