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재발성 모소동의 치료에 비대칭 마름모꼴 절제와 Limberg 피판술의 유용성
남영수(Young Soo Nam) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.2
Purpose: Recurrence of a pilonidal sinus after surgery is well known. Many surgical techniques have been developed but there is no efficient method available. This study evaluated the results of a Modified Rhomboid excision and Limberg flap of a pilonidal sinus, and examined the value of this method. Methods: Five patients, who had been treated with a modified rhomboid excision and Limberg flap procedure for recurrent pilonidal sinus, were evaluated. The patient’s age, gender, duration of symptoms, length of hospital stay, complications, time required for the return to normal activity, and prior history of surgery were evaluated. Results: The mean age of the 5 patients (4 males and 1 female) was 22.7 years, and all had a history of previous surgery. The mean duration of symptoms was 4.2 years. Only one patient developed seroma. The mean hospital stay was 7.2 days, and the mean time to normal activity was 14.4 days. There was no recurrence. Conclusion: Modified Rhomboid excision and Limberg flap procedure is the optimal method for treating recurrent pilonidal sinus with low complication and recurrence rates.
파랑새를 찾아서 : 시각문화에서 한센인에 대한 지식구축 탐구하기
남영림(Young-Lim Nam) 한국국제미술교육학회 2015 미술과 교육 Vol.16 No.4
본 연구는 한센병력을 지닌 장애인들에 대해 그들이 누구인가에 대한 지식이 어떻게 구축되고 있는지를 탐색하는 데 목적이 있다. 본 연구를 위하여 국립의과학지식센터에서 진행되고 있는 한센병 역사 전, 「나의 친구 파랑새」전을 비판적 담화 분석법을 통해 분석하였다. 본 전시는 의학메커니즘을 바탕으로 구조화되어 있음이 밝혀졌다. 한편으로, 의학메커니즘은 한센병의 완치를 이끄는 데 결정적인 역할을 했음을 드러냄으로써, 한센병력자들의 의미를 재활, 자활한 사람들로 구축하였다. 관람자들이 한센병력자들에 대한 차별과 편견에 대해 자각하고 이를 불식하게 될 가능성이 있음을 발견하였다. 다른 한편으로, 의학 메커니즘은 현 의학의 한계에 대해 구체적으로 드러내지 않음으로써, 한센병력자의 의미를 비극적이고 비천한 장애인으로 구축하였다. 관람자들이 한센병력자에 대해 타자화 할 가능성을 남기고 있음을 발견하였다. 본 연구의 말미에는 시각문화 미술교육현장에서 본 전시를 통해 수업을 할 때 활용할 수 있는 가능한 탐구문제를 간단히 제언하였다. 본 연구는 첫째, 어떻게 일상의 시각문화가 특정 그룹이나 사람들에 대해 그들이 누구인지에 대해 알려주는지를 보이고, 둘째, 미술교육의 영역을 확대하고, 셋째, 한센인은 물론 주변화 된 장애인에 대한 사회·심리적 지지를 보내는 데 의의가 있다. This research explores how the knowledge about the physical scars of people with Hansen's disease is constructed. To this end, I examined the exhibition on the history of Hansen's disease, 「My Friend, a Dollarbird」 held in the National Center for Medical Information and Knowledge in South Korea. The methodology of this study was critical discourse analysis. The exhibition turned out to be structured by the medical mechanism of the national institution. On the one hand, the medical mechanism enables the people with Hansen disease to be rehabilitated and self-supporting through revealing the ability of the power of medical knowledge. Upon viewing this exhibition, it is expected that viewers could be freed from the discrimination and the prejudice towards the people with Hansen disease, based on recognizing the results that show the ignorance about the disease. On the other hand, the medical mechanism constructs people with Hansen disease as being tragic and abject by not revealing the limitation of the current medical development. It still leaves the possibility of discriminating against those with Hansen disease. This research ends with suggesting a learning plan in a brief way which enables students to think and act upon the discrimination against those with the disability of Hansen disease through this exhibition in the visual culture art education classroom. The significance of this research is that; first, it demonstrates the way in which the visual culture in everyday life constructs people/groups in a certain way; secondly, it broadens the realm of visual culture art education; thirdly, it enhances the support for those others who are with disabilities at the margins of society as well as those with Hansen disease.
남영옥(Nam Young-Ok) 한국청소년정책연구원 2010 한국청소년연구 Vol.21 No.3
본 연구는 이혼가정 자녀들과 양부모가정 자녀들의 심리사회적 특성과 학교적응은 어떠한 차이가 있는지를 살펴보고, 이들의 심리사회적 특성이 학교적응에 어떠한 영향을 미치는지를 파악하고자 하였다. 이를 위해 대구ㆍ경북지역의 초ㆍ중ㆍ고등학생을 대상으로 이혼가정 자녀 206명과 양부모가정자녀 347명의 자료를 분석한 결과, 학교적응은 이혼가정 자녀와 양부모가정 자녀들 간에 차이가 없는 것으로 나타났다. 이혼가정 자녀들은 또래집단의 친사회적 특성과 교사지지, 자아존중감, 부모의 긍정적 양육태도를 높게 인식할수록, 그리고 양부모가정 자녀들은 또래집단의 친사회적 특성과 교사지지, 부모의 긍정적 양육태도를 높게 인식할수록 학교적응 수준이 높아지는 것으로 나타났다. The purpose of this study was to examine any possible gaps in the psychosocial characteristics and school adjustment levels between adolescents from diverse families and other adolescents from intact families and the impact of their psychosocial characteristics on their levels of school adjustment. Our results were as follows: First, there was no difference on the whole in school adjustment levels between adolescents from divorced families and those from intact families. Second, adolescents from divorced families adjusted themselves better to school when they took a more positive view of the pro-social characteristics of their peer group, teacher support, their own self-esteem, and positive parenting behaviors, and those from intact families were better at school adjustment when they looked at teacher support, the pro-social characteristics of their peer group and positive parenting behaviors in more positive manner.