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.

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

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.

『오만과 편견』: 감성적 승화 차원에서의 "오만"과 "편견"의 긍정성 : 엘리자베스(Elizabeth) 와 다아시 (Darcy)를 중심으로

김현아 전남대학교 인문학연구소 2010 용봉인문논총 Vol.36 No.-

The setting of Jane Austen's Pride and Prejudice is turn of the 19th century and it still retains a fascination for modern readers, continuing near the top of lists of most loved books and still considerable attention from literary critics. This modem interest has resulted in a number of dramatic adaptations and an abundance of novels and stories imitating Austen's memorable characters or themes. This story follows the main character Elizabeth Bennet as she deals with issues of manners, upbringing, moral rightness, education and marriage in her aristocratic society of early 19th century England. Elizabeth’s pride makes her misjudge Darcy on the basis of a poor first impression, while Darcy’s prejudice against Elizabeth’s poor social standing blinds him, for a time, to her many virtues. The reader sees the unfolding plot and the other characters mostly from her viewpoint. The second of the Bennet daughters at twenty years old, she is intelligent, lively, attractive, and witty, but with a tendency to judge on first impressions and perhaps to be a little selective of the evidence upon which she bases her judgments. Darcy and Elizabeth’s realization of a mutual and tender love seems to imply that Austen views love as something independent of these social forces, as something that can be captured if only an individual is able to escape the warping effects of hierarchical society. 결혼을 여성이 남성의 속박으로 들어간다는 부정적인 의미에 서 파악하지 않고 여성의 입장에서 경제적인 안정을 추구하는 것에 대해서도 나름대로 의미를 부여하는 긍정적인 견해로 결혼을 바라보고 있음을 밝힌다. 이러한 긍정적인 결혼의 의미를 바탕으로 다아시(Darcy) 와 엘리자베스<Elizabeth) 가 보여주는 오만과 편견 역시 갈등의 양상을 나타내지만 결국 화합의 세계로 나아가는 동기 역할을 하고 있음을 강조하고자 한다.

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.

MMPI에 나타난 북한이탈주민의 개인차 특성

김현아,전명남 연세대학교 통일연구원 2003 통일연구 Vol.7 No.2

The purpose of this study is to find out psychological traits of North Korean refugees through MMPI. The variables related to the psychological traits of North Korean refugees included sex, age, experience of compulsive repatriation, unit of family or individual, refugee's motivation. The hypothesis of study are as follows; First, psychological traits through MMPI is significant differences in the North Korean refugee's sex. Second, psychological traits through MMPI is significant differences in the North Korean refugee's age. Third, psychological traits through MMPI is significant differences in the North Korean refugee's experience of compulsive repatriation. Fourth, psychological traits through MMPI is significant differences in the North Korean refugee's family or individual unit. The Fifth psychological traits through MMPI is significant differences in the North Korean refugee's motivation. In this study, MMPI test was taken among 821 North Korean refugees in Hanawon from 2001 to 2003 for the personal counseling or group test. They examined the difference among those groups using one-way analysis of variance and post-hoc analysis of Scheffe verification. For statistics, SPSS 10.0 for the window was used. The results of examining psychological trait is as follows; First, the group of woman scored higher than the group of man on the L, Hs, Mf subscales and the group of man scored higher than the group of woman on the D, Pd, Pt, Si subscales (p<.05) on MMPI. Second, the group of forty scored higher than the group of twenty on the L scales and the group of teenager scored higher than the group of sixty on the K subscales on the MMPI scale. The group of fifty scored higher than the group of teenager, twenty on the Hs subscales and scored higher than the group of twenty on the D subscales, and scored higher than the group of teenager on the Hy subscales. the group of twenty scored higher than the group of teenager on the Ma subscales (p<.05). Third, the unit of individual scored higher than the group of unit of family on the F, Pd, Sc, Ma subscales. On the other hand, scored lower than unit of family on the Si subscale (p<.05). Fourth, the experience of compulsive repatriation scored higher than the not experience of compulsive repatriation on the Ma subscales (p<.05) on MMPI scale. The Fifth, Refugees' motivation is not significant difference on the MMPI.

프로스카 정(피나스테리드 5mg)에 대한 푸로케어 정의 생물학적 동등성

강현아,조혜영,이용복 한국약제학회 2006 Journal of Pharmaceutical Investigation Vol.36 No.2

Dictogloss를 이용한 표현 연습이 중학교 영어 학습자의 관사 습득에 미치는 영향

강현아 이화여자대학교 교육대학원 2004 이화교육논총 Vol.14 No.-

'Focus on form' instruction, which draws learners' attention to a specific language form in a communicative context, is an effcet way to teach foreign language in classroom. It corresponds with the goals of the Korean National 7th Curriculum that aims at both fluency and accuracy. In language learning processing, output as well as input shjould be considered, because the lack of opportunities to produce the learned prammatical items blocks acquisition. Among 'focus on form' task and techniques, dictogloss, is an output-focused task requiring collaborative tasks and encouragnin students to reflect on their own output. English article that it is difficult to acqurire is related with communicative competence rather than linguistic competence. In addition, accurate article use does not really become important English articles effectively. This study aims at investigating the effects of dictogloss on the Korean middle school students' comprehension of English article and ability to use article in writing. A experimental group and a control group participated in this experiment for ten weeks. These groups were divided into upper and lower levels respectively. The control group was given only consciousness-raising activities with input enhancement materials whereas the experimental proup also took part in dictogloss task and produced their own output. The results of the experimen6al conducted in this study are as follows: First, the result showed that both groups showed meaningful increase, but output proup didn't achieve significantly better improvement in their grammatical judgement test, that is, comprehension posttest than the control group. Therefore, it can be conbducted that the balance between input and output in teaching and learning of English article is needed. Second, the output group using dictogloss showed the better improvement than the control group. Especially, the upper level students in out group outperformed the ones in the control group. It can be seen that output focused practice is important on the use of English article. We can conclude that it is necessary to give students a lot of opportunities to use English. Third, the qualitative analysis of the reconstruction stage of dictogloss showed that students in output group noticed the target form, English article and formulated thier own hypothesis and tried hypothesis testing through dictogloss. This means that the learning of English article using dictogloss had posistive effect as a output focused task. Thus, some implications can be drawn for English article teaching and learning. We can find that for the positive effect of dictogloss on students' acqusition of English article. the students' level and features of the target form should be considered. Teachers should make students understand the task itself and give them adequate feedback after the activity. And with the balance between input and output, various activities are needed according to learners' variables. Additional research should include deeper interview with each student. The research on the effective use of dictogloss on other grammatical items is aoso left for the further investigation.