신장 이식 200예의 술후 합병증에 관한 임상적 분석

심우신,곽진영 대한외과학회 1992 대한외과학회 학술대회 초록집 Vol.1992 No.11

소아에서 급성 복증으로 오진될 수 있는 복성 간질

심우신,정풍만,Shim, Ooh-Shin,Jung, Poong-Man 대한소아외과학회 1995 소아외과 Vol.1 No.2

Abdominal epilepsy is accepted as unusual cause of abdominal pain in children and young adolescents. Although its abdominal symptoms may be similar to those of the irritable bowel syndrome, it may be distinguished from the latter condition by the presence of the altered consciousness during some of attacks, EEG abnormalities, and a good response to anticonvulsant medication. The diagnosis of abdominal epilepsy came into vogue in the 1950s and 1960s as an explanation for childhood abdominal complaints. More recently, it has been recognized that isolated vomiting without loss of consciousness or other more common paroxysmal symtoms is rarely attributable to abdominal epilepsy. We report 4 cases of abdominal epilepsy, whose ages ranged from 8 to 11 years, with paroxysmal abdominal pain or vomiting consistent with a diagnosis of abdominal epilepsy. 저자들은 발작적인 복통 혹은 주기적인 구토를 주소로 내원한 8~11세의 소아 4명에서 임상 및 뇌파 소견을 종합하여 '복성간질'로 진단하고 항경련제로 치료하여 증상이 호전되어 문헌고찰과 함께 보고한다. 소아에서 원인을 알 수 없는 발작적인 복통 혹은 구토가 계속될 때 복성 간질을 고려하여 뇌파 검사를 시행하고 항경련제의 투여를 고려해야 할 것으로 사료된다.

할로겐 안개등 대체용 렌즈 부착형 LED 안개등 개발에 관한 연구

심우신(Woo Shin Sim),이영림(Young Lim Lee) 대한기계학회 2016 대한기계학회 춘추학술대회 Vol.2016 No.12

신장이식 200예의 술후 합병증에 관한 임상적 분석

심우신(Ohh Shin Shim),곽진영(Jin Young Kwak) 대한외과학회 1993 Annals of Surgical Treatment and Research Vol.45 No.6

정서·행동문제 유아 체계적 선별(ESP) 타당화를 위한 기초연구: 다관문 절차 1·2관문 적용

진흥신,심우정 한국특수교육학회 2014 특수교육학연구 Vol.49 No.1

The purpose of this study was to find out the reliability and validity of the Early Screening Project, which was developed by Walker, Severson & Feil(1995), by applying the ESP to Korean preschoolers who are to go through the emotional and behavioral disorder screening. The detailed research questions are as follows. Firstly, this study was to find out the interrater reliability and the test-retest reliability about 1st gate of multiple-gates screening procedure. Secondly, this study was to find out the reliability and the validity of the 5-scales of ESP applied to the 2nd gate of multiple-gating screening procedures. The reliability of the 1st gate was analyzed by investigating the kappa coefficient of the interrater reliability and the test-retest reliability. The interrater reliability and the test-retest reliability of the 5- scales of ESP applied to the 2nd gate was investigated by using the Pearson Coefficient, and the reliability of internal consistency was investigated through the Cronbach's α. As for the 5-scales of ESP applied to the 2nd gate, the correlations among sub-items were investigated through the Pearson coefficient. In order to investigated the concurrent validity, the 5-scales of ESP and C-TRF were investigated by using the Pearson Coefficient. Results of this study found significant reliability and validity coefficients. On the basis of such study results, the plans for efficient application of ESP in Korea has been discussed.. 본 연구의 목적은 정서․행동문제 유아 선별을 위해 Walker와 그 동료들(1995)이 개발한 체계적 선별(ESP: 다관문 절차) 타당화를 위한 기초연구로서 우리나라 유아들에게 적용하여 그 신뢰도와 타당도를 알아보는데 있다. 구체적인 연구문제는 첫째, 다관문 절차 1관문에 대한 평정자간 신뢰도 및 검사-재검사 신뢰도를 알아보고, 둘째, 다관문 절차 2관문에 적용된 ESP 5개 척도(위기사건 척도, 공격적 행동 척도, 사회적 상호작용 척도, 문제행동총빈도 척도인 적응행동 척도와 부적응행동 척도)의 신뢰도와 타당도를 알아보는 것이다. 1관문 신뢰도 조사를 위한 자료분석은 평정자간 신뢰도 및 검사-재검사 신뢰도는 Kappa 계수로 조사하였고, 2관문에 적용된 ESP 5개 척도의 평정자간 신뢰도, 검사-재검사 신뢰도는 Pearson 상관계수로 조사하였으며, 내적일관성 신뢰도는 Cronbach's α를 통해 조사하였다. 2관문에 적용된 ESP 5개 척도의 타당도는 Pearson 상관계수를 통해 하위 문항간 상관을 조사하였고, 공인타당도 조사를 위해 2관문에 적용되는 척도들과 유아 행동평가 척도(교사용)(C-TRF)와의 상관은 Pearson 상관계수로 조사하였다 그리고 ESP 5개 척도에 대해 ANOVA를 통해 3집단(외현화 집단, 내재화 집단, 일반 진단)의 차이 검증 및 판별분석을 통해 변별타당도를 조사하였다. 또한 3집단의 T점수 비교를 통해 ESP 5개 척도들의 일관성을 조사하였다. 본 연구결과 1관문 교사추천과 2관문 5개 척도들의 평정자간 신뢰도 및 검사-재검사 신뢰도는 신뢰롭게 나왔다. 그리고 2관문에 적용된 ESP 5개 척도의 하위 문항간 상관 및 공인타당도도 유의한 상관이 있었다. 2관문에 적용된 ESP 5개 척도를 ANOVA 분석한 결과, 3집단(외현화 집단, 내재화 집단, 일반 집단)은 유의미한 차이가 있었으며, 판별분석 결과 3집단의 정확도는 76%로 나타냈고, 3집단에 대한 T점수 결과도 유의미한 차이가 있었다. 따라서 1관문의 교사추천과 ·2관문의 5개 척도는 신뢰성과 타당성이 있었다. 이와 같은 연구결과에 근거하여 ESP의 신뢰도와 타당도를 좀 더 높이기 위한 방안에 대해 논의하였다.

요추부 교감신경절 블록 시 자입점에 대한 고찰

서명신,이평복,심우석,박수영,김용철,이상철 대한마취과학회 2004 Korean Journal of Anesthesiology Vol.47 No.5

다관문 절차에 의한 한국판 정서,행동문제 유아 선별검사(K-ESP) 표준화 예비연구

진흥신 ( Heung Shin Jin ),심우정 ( Woojung Shim ) 대구대학교 한국특수교육문제연구소 2015 특수교육저널 : 이론과 실천 Vol.16 No.2

The purpose of this study is to examine reliability and validity of the Early Screening Project(ESP), which was developed by Walker, Severson & Feil(1995), by applying the ESP to Korean preschoolers who are to go through the emotional and behavioral disorder screening. Specific research problems were: First, reliability of Gate 1 of ESP was examined; second, reliability and validity of Scales of Gate 2〔(Critical Events Index, Aggressive Behavior Scale, Social Interaction Scale, Combined Frequency Index(Adaptive Behavior, Maladaptive Behavior)〕was examined; third, reliability and validity of Direct observation/Parent Questionnaire of Gate 3 was examined; fourth, intercorrelations among the scales of Gate 2 and Direct observation/Parent Questionnaire of Gate 3 were examined; and fifth, Consistency across the scales of Gate 2 and Direct observation/Parent Questionnaire of Gate 3 were examined. The result showed that teacher recommendation in Gate 1 was highly reliable, and Scales in Gate 2 showed high reliability and validity. Direct observation in Gate 3 had a difference among three groups (normal group, externalization group, internalization group). Parent Questionnaire(item of playing with other children and getting along with caregivers) of Gate 3 showed high reliability and validity. Correlation between the scales in Gate 2 and Direct observation/Parent Questionnaire(item of playing with other children and getting along with caregivers) of Gate 3 varied in Correlation coefficient. Scales in Gate 2 and Direct observation/Parent Questionnaire(item of playing with other children and getting along with caregivers) of Gate 3 showed in Consistency. This study discussed a ways to enhance the validity of ESP based on the analyzed results.

하지 정맥류 100예의 임상적 분석

이광수,곽진영,심우신 대한혈관외과학회 1993 Vascular Specialist International Vol.9 No.1

Clinical analyses were made of 100 cases of varicose veins of the lower extremity at the Dept. of Surgery, Hanyang University Hospital from 1983 to 1992 for a period of 10 years. The results were as follows: 1) The ages ranged from the twenties to the seventies with the most common age, the thirties(32%), the forties(22%), followed by the twenties(17%). The sex ratio of male to female was 1.3: 1. 2) The order of age in which varicose veins first appeared was the twenties(38%), the thirties followed by the forties. The duration of illness was greatest with 1-5 years(27%), followed by 6-10 years(27%) and less than l year(15%). 3) Predisposing factors included weight and height in which both surpased the average Korean measurements in 1989 by 3-4 kg and 4-Scm respectively. Other factors included trauma in 26 cases, pregnancy in 23 cases and a history of deep vein thrombosis in l3 cases. Of particular interest was the fact that pregnancy was a factor in 52% of the female patients. 4) Cosmetic problem due to venous dilation was the most common symptom(82%), followed by pain(66%), edema in lower extremities(45%), heaviness of the lower extremities(23 %), and tiredness(19%). Other symptoms also included itching sensations and ulcerations. 5) Bilateral cases were the most common(44%) with the right side(31%) being common than the left(25%). 6) Seventy-two cases were operated in the method of stripping and high ligation of the greater or lesser saphenous vein. In 28 cases, conservative treatment was done using compression bandage and compression stocking. 7) Postoperative complications included skin pigmentation(18%), paresthesia(13%), pain(10 %), eczema(4%) and wound infection(3%). Recurrent varicose veins were in 4 cases(6%).