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      • KCI등재

        Annular Pancreas: A Rare Cause of Upper Gastrointestinal Bleeding in Adults

        권정아,강형목,김장언,박성재 대한소화기학회 2022 대한소화기학회지 Vol.79 No.4

        Annular pancreas is a rare congenital anomaly in which a thin band of pancreatic tissue partially or completely surrounds the duodenum. It is challenging to diagnose due to its variable clinical presentation. Approximately two-thirds of patients have no symptoms in their lifetime, and most symptomatic cases are seen in neonates and infants. Symptomatic adult patients present with upper gastrointestinal symptoms, such as epigastric pain, vomiting, and postprandial fullness associated with gastric outlet obstruction. Complications associated with annular pancreas include peptic ulcer disease, pancreatitis, pancreatic head carcinoma, and biliary obstruction. Annular pancreas is also a rare cause of upper gastrointestinal bleeding in adults, but it should be considered as one of the differential diagnoses in patients presenting with a peptic ulcer and duodenal stricture. Here, we report the case of a 60-year-old man who presented with melena and was subsequently diagnosed with an annular pancreas.

      • KCI등재

        어린이집 보육과정 운영지원을 위한 원장학습공동체 실행과정 및 변화

        권정아,이지영 한국육아지원학회 2023 육아지원연구 Vol.18 No.1

        This study examined the implementation process of childcare center directors' learning community and their changes after its implementation to enhance the directors' competency to support early childhood teachers who operate childcare curriculum. In this action research, 15 directors of childcare centers participated in a series of 15 learning community meetings. Data from the implementation of the directors' learning community meetings were analyzed with qualitative data analysis methods. The findings of the study are as follows. First, the purpose of the childcare center directors' learning community was to increase the directors' competency in supporting child-centered play-based curriculum. The process began with 'Starting Together,' being followed by the first phase, ' Rethinking Play,' the second phase, 'Together with Young Children and Parents,' the third phase, 'Together with Teachers,' and the evaluation process of 'Making New Resolution.' Second, there were positive changes in the directors' 'supporting behaviors' and 'leadership' after their participation in the learning community. Play through sharing and cooperation, learning community that led to re-conceptualization of supporting teachers as well as positive changes of the directors in this study suggests for the importance of strengthening directors' competency in supporting the practice of play-based curriculum and also provide fundamental data for teacher education. 본 연구는 영유아 교사의 보육과정 운영을 지원하는 원장의 역량을 증진시키기 위해 어린이집 원장학습공동체를 운영하여 그 실행과정과 원장학습공동체 실행에 따른 원장의 변화를 살펴보았다. 실행연구방법을 적용한 어린이집 원장 15명으로 구성된 학습공동체가 15회 운영되었다. 원장학습공동체 실행에서 수집된 자료는 단계적 질적 자료 분석방법으로 분석되었다. 연구결과를 살펴보면, 첫째 어린이집 원장학습공동체 실행과정은 영유아 중심․놀이 중심 보육과정 운영을 위한 원장의 지원 역량을 증진시키기 위한 공동 목표를 설정하고 ‘함께 출발하기’로 시작하여 1차 실행 ‘놀이 다시 보기’, 2차 실행‘영유아와 학부모와 함께 가기’, 3차 실행 ‘교사와 함께 가기’ 등의 실행과정과 ‘새롭게 다짐하기’의 평가과정으로 운영되었다. 둘째, 원장학습공동체 실행에 따라 원장의 ‘보육과정 지원 행동’, ‘리더십’에 긍정적인 변화가 있었다. 본 연구에서의 공유와 협력을 통한 놀이와 교사 지원의 재개념화를 이끈 원장학습공동체 실행과정과 그에 따른 원장의 긍정적 변화는 원장의 보육과정 지원 역량을 강화하게 하여놀이 중심 보육과정의 현장 안착과 실제적 교사교육에 기초적 자료를 시사한다.

      • KCI등재후보

        작업치료사의 직무 만족도 관련요인

        권정아,노재훈,장세진,원종욱,심상효 대한작업치료학회 2007 대한작업치료학회지 Vol.15 No.1

        목적 : 본 연구는 일부 병원의 작업치료사를 대상으로 직무특성, 스트레스, 만족도를 파악하고, 직무만족도에 영향을 미치는 요인들을 분석하기 위한 것이다. 연구방법 : 2005년 11월 5일까지 대한작업치료사 협회에 등록된 임상작업치료사로서 일반적 특성, 직무특성, 직무스트레스, 직무만족도를 포함한 총 63문항의 구조화된 설문지를 가지고 자료 수집을 하였으며, SPSS 프로그램을 통해 일반적 특성과 업무에 따른 직무만족도 및 하부요인 만족도의 차이를 알아보기 위해 t-검정, 직무요인은 ANOVA검정, 직무만족도에 영향을 미치는 독립변수들을 평가하기 위하여 위계적 다중회귀분석(hierarchical multiple regression)을 실시하였다. 결과 : 업무만족도는 1일 치료 환자수가 적을수록, 환자치료에 더 많은 시간을 사용할수록, 직무자율성 요인의 스트레스가 낮을수록 높으며, 소아․청소년을 담당하는 치료사의 업무만족도가 높았다. 직업만족도는 1일 치료하는 환자의 수가 적을수록, 동료수가 2~4명인 경우는 높았지만, 연령이 낮고, 조직체계 요인의 스트레스가 높을수록 낮았다. 보상 및 기회만족도는 남자작업치료사, 연령대가 30~34세 이상, 기혼자, 1일근무시간이 8시간이하, 근무기간이 5년 이상, 급여가 월 200만원 이상의 경우 높았다. 전체만족도는 연령이 30~34세 이상인 경우, 1일 치료 환자수가 적을수록 높았고, 연령이 낮을수록 낮았다. 직무스트레스 요인과 직무만족도의 상관관계를 보면, 모든 직무스트레스 요인은 직무만족도와 역상관관계를 보이며, 특히 직무자율성 결여, 관계갈등, 조직체계 및 보상부적절 항목은 모든 만족도와 통계적으로 의미 있는 역상관관계를 보여주었다. 결론 : 직무만족도를 높이기 위하여 관계갈등과 조직체계의 스트레스 요인을 줄이고, 직무 자율성을 높이는 것이 중요하며, 이를 위하여 작업치료사들의 업무권한 및 자율성을 개선시키고, 조직 내 구성원들 간의 관계개선 및 의사소통을 원활하게 하고 복지후생 및 인사체계의 합리성과 관련된 조직문화 개발, 그리고 성과급이나 교육의 기회제공과 같은 보상과 관련된 제도적 장치가 필요하다고 하겠다. Objective : This study was performed to identify the relationship between occupational stress and job satisfaction among occupational therapists. Methods : A questionnaire was distributed and collected in November 2005. The Questionnaire consisted of 63 items including demographics, job characteristics, occupational stress, and job satisfaction. Occupational stress was categorized into eight sub-scales: physical environment, job demand, insufficient job control, interpersonal conflict, job insecurity, organizational system, lack of reward, and occupational atmosphere. By using a factor analysis, job satisfaction was classified into three categories: ‘task,’ ‘occupation,’ and ‘reward and opportunity.’ Results : Task satisfaction was higher in occupational therapists who treat fewer patients a day, have more treating time per patient, and treat children and adolescents. Occupational satisfaction was higher in occupational therapists who treat fewer patients a day and work with 2 to 4 colleagues. However, it was negatively associated with younger age and a lot of stress was related to the organizational system. Reward and opportunity satisfaction was higher in occupational therapists who are male, 30 to 34 years old, married, work less than 8 hours a day, have worked more than 5 years, and who make more than 2 million Korean won per month. Occupational therapists who were 30 to 34 years old and treat fewer patients a day felt a higher level of total job satisfaction. However, this was negatively related to higher occupational stress due to a lack of reward and the organizational system. Conclusion : The results suggest that occupational stress might play a significant role in decreasing job satisfaction of occupational therapists. In addition, improvement in job authorities and communication channels within an organization, and setting up a reward system such as salary increases and career development, are needed.

      • KCI등재

        Analysis of the Relationship between Physical or Mental Problems and Health Maintenance Methods by Personal Differences

        권정아,오태연,권기성 한국운동생리학회 2023 운동과학 Vol.32 No.1

        PURPOSE: This study aimed to investigate the differences in the association between physical or mental problems and health mainte- nance methods. METHODS: This study used data from the 2019 Korea National Sports Participation Survey, conducted by the Ministry of Culture, Sports, and Tourism, as a nationally representative cross-sectional survey. This study included 7,863 participants (3,918 men, 3,945 women). A generalized linear model analysis was conducted and adjusted for sex, education, marital status, number of family members, children, monthly income, employment status, city type, residential type, and age. Additionally, we conducted a stratified analysis according to sex, monthly income, employment status, and city type. RESULTS: For the “regular sports activities” item, only women had a statistically positive result regardless of monthly income. For the “stop drinking and smoking” item, men had a statistically significant positive result regardless of monthly income and employment status. CONCLUSIONS: This study aimed to determine the differences in the relationship between physical or mental problems and health maintenance methods. The results confirm that the health maintenance method differs between men and women. Monthly income, employment status, and city type could also influence simultaneously. The health maintenance methods with differences between men and women were regular sports activities for monthly income and cessation of drinking and smoking for monthly income and employment status. Therefore, in future exercise physiology studies, the differences between men and women must be considered when selecting a method for maintaining health.

      • KCI등재

        동측 안구의 핵간안근마비와 말초성 안면신경마비를보인 증례: 일곱반증후군

        권정아,이종목 대한신경과학회 2019 대한신경과학회지 Vol.37 No.1

        A 49-year-old male presented with horizontal binocular diplopia without facial pain or skin lesion. Limitation of medial gaze in the left eye was revealed on neurological examination, which is accompanied by peripheral facial nerve palsy ipsilaterally. The diagnosis had been made based on the diffusion restriction lesion of left pontine tegmentum. We may denominate a “seven-and-a-half syndrome” and clinician should maintain a high level of awareness of the various syndromes associated with pontine lesions

      • 경식도 심초음파로 진단된 좌우 관상동맥 기시부를 모두 침범한 급성 대동맥 박리 1예

        권정아,윤호중,오용석,최승호,이진선,이무현,장재혁,박호성,박철수,이종민,정욱성,홍순조 한국심초음파학회 2001 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.9 No.2

        Aortic dissection is the most common fatal condition that involves the aorta. Occasionally, symptoms mimic acute myocardial infarction leading to thrombolytic treatment which may have lethal consequences in aortic dissection. Thus, accurate diagnosis in patients with chest pain is therefore essential. We present a case of acute myocardial infarction which resulted from the acute aortic dissection with obstruction of the left and right coronary ostia by intimal flap. Transesophageal echocardiography was used as the diagnostic tool. 저자들은 기시부 대동맥 박리가 좌우 관상동맥을 모두 폐쇄시켜 급성 심근경색증을 유발한 1예를 경식도 심초음파를 이용하여 진단하였다.

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