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      • KCI등재후보

        신농양을 동반한 급성 신우신염에 병발된 신정맥 혈전증 1 예

        명주(Myeong Ju Choi),김태훈(Tae Hun Kim),이정돈(Jung Don Lee),조용범(Yong Bum Cho),이현석(Hyun Suk Lee),전재석(Jae Suk Jeon),민현조(Hyun Jo Min),이중건(Jung Geon Lee),송창섭(Chang Sub Song) 대한내과학회 2000 대한내과학회지 Vol.59 No.3

        A 57-year-old woman who had a history of diabetes was admitted due to fever and left flank pain. Acute pyelonephritis was diagnosed by clinical findings including left costovertebral area tenderness, positive urine and blood cultures. Subsequent abdominal computed tomography demonstrated multiple abscess pockets in the left renal parenchyme and ipsilateral renal vein thrombosis. She was fully recovered after treatment with antibiotics, low-molecular weight heparin and low-dose aspirin for six weeks. Our case emphasizes that renal vein thrombosis could be complicated in acute pyelonephritis, especially in patients with diabetes. It is reasonable to speculate that factors such as hemoconcentration caused by fever and osmotic diuresis and compression of renal vascular pedicle by renal abscess might have had a role in inciting the renal vein thrombosis.(Korean J Med 59:339-342, 2000)

      • KCI등재후보

        진행성 대장암에 대한 5-Fluorouracil 및 Low Dose Leucovorin 복합화학 요법

        명주 ( An Myeong Ju ),서철원 ( Seo Cheol Won ),이규형 ( Lee Gyu Hyeong ),이정신 ( Lee Jeong Sin ),김상희 ( Kim Sang Hui ),김진천 ( Kim Jin Cheon ),박건춘 ( Park Geon Chun ) 대한내과학회 1992 대한내과학회지 Vol.42 No.6

        Background A total of 29 patients with metastatic or recurrent colorectal carcinoma were studied to evaluate the effectiveness and toxicity of low dose leucovorin modulated 5-fluorouracil (5-FU). Methods: All patients were treated with low dose leucovorin, 20 ㎎/㎡ Ⅳ bolus on Days 1-5 and 5-fluorouracil, 400 ㎎/㎡ Ⅳ bolus on Days 1-5, every 4 weeks. Results: Of the 27 patients evaluable for response, 2(7%) had complete response and 6(22%) had partial response with the objective response rate of 29%. The median duration of response was 17 weeks and the median survival of all patients was 30 weeks. In the analysis of the response according to various characteristics of the patients, there was no significant difference (p> 0.05). Toxicity was mainly gastrointestinal, especially diarrhea and mucositis, but the grade was low. Hematologic toxicity was also mild. Conclusion: This study indicates that this regimen of low dose leucovorin plus 5-FU has mild toxicity, moderate response rate and good compliance for patients with recurrent and metastatic colorectal cancer.

      • KCI등재후보

        생활재활교사의 직무스트레스와 자의식 및 스트레스 대처방식 간의 관계

        명주 ( Myeong Ju Jo ),황경열 ( Kyoung Ryoul Hwang ) 한국동서정신과학회 2008 동서정신과학 Vol.11 No.1

        The design of this study is ensuring a basic data of an actual proof to make the plan for relaxation of job-stress taken job environmental and characteristic of specific area called disabled life facilities into account by evaluation their job-stress and related factors to rehabilitation teacher working for disabled life facilities. For this study, I reviewed regarding a job-stress in theoretically and used a structured questionnaire as data collection ways, and the questionnaire used question items to acquire information regarding demography factors of a respondent, self-consciousness measurement tool, the ways of stress coping measurement tool, and job-stress measurement tool. The first task of this study was inquiry into a difference of self-conscious and a the ways of stress coping and a job-stress along a demography characteristic. The second one was inquiry into relation between self-consciousness and the ways of stress coping and job-stress. I will present the results of analysis in the context of the above two tasks of this study. First, the result of inquiry into the difference the ways of stress coping and the self-consciousness and the job-stress along a demography characteristic, was outcome that women use the ways of search for assistance, the ways of wishful thinking more than men for the ways of stress coping, and an unmarried person uses the ways of search for assistance more than married person. As continuous service, workers who service over three years or one year were higher than workers who service under a year in job-stress by job demands. In job-stress by job insecurity, workers who service over five years were higher than workers who service under a year. In the job-stress by occupational system, workers who service over three years were highest And workers who service over five years were higher than workers who service under a year in job-stress by organization system. In the job-stress by lack of rewards, workers who service over three years were highest, and workers who service over a year were higher than workers who service under a year. There was the difference of a wage level. The group of high wage level was under the higher job-stress by Interpersonal conflict, organized system, lack of reward and organizational climates than the group of low wage level. Finally, rehabilitation teachers who providing service to the person with mental retardation felt social anxiety less than rehabilitation teachers who providing service to the person with duplication trouble. There was no meaningful difference at other factors. Second, It correlated with physical environment, interpersonal conflict and organizational climates in low-ranking factors of job-stress, and emotional relaxation, search for assistance in low-ranking factors of the ways of stress coping. According to the results of this study, one was inquiry into relation between self-consciousness and the ways of stress coping and job-stress. and concrete research regarding a job-stress of rehabilitation teachers who work for disabled life facilities is insufficient. It should research qualitatively about concrete improvement plan for job-stress of rehabilitation teachers by study additionally regarding changing factors of a special working environment of disabled life facilities, and find the relation between self-consciousness, the ways of stress coping and job-stress of rehabilitation teachers depending on kind of disorders of rehabilitation trainees in following study.

      • KCI등재
      • SCOPUSKCI등재

        위암의 항암화학요법

        명주 ( An Myeong Ju ) 대한소화기학회 2004 대한소화기학회지 Vol.43 No.2

        Despite the reduced incidence and mortality, gastric cancer remains the second leading cause of cancer death in Korea. Metastatic gastric cancer is regarded as an incurable condition, and chemotherapy is usually accepted as standard palliation. A number of randomized studies were performed comparing supportive care strategies with intravenous chemotherapy. The results demonstrated that systemic treatment can actually improve overall survival and quality of life to a certain extent. However, there is no agreement for standard of treatment in this setting. Recently, a number of newer compounds such as taxanes, topoisomerase I inhibitors and oral fluoropyrimidines have been intensively studied. The surgical resection still remains as the cornerstone of gastric cancer treatment. However, the high rate of recurrence and poor survival after surgery provides a rationale for the early use of adjuvant treatment. A large intergroup study (INT-0116) showed that combined chemoradiation following to gastric resection improves median time to relapse and overall survival. Future advances in the therapy of advanced and resectable gastric cancers may come from the application of new cytotoxic and molecularly targeted agents such as growth factor receptor antagonists and anti-angiogenesis agents. (Korean J Gastroenterol 2004;43: 75-81)

      • KCI등재

        병원의 조직문화와 직무환경이 간호사의 잔류의도에 미치는 영향

        명주(Yun, Myeong Ju),최미영(Choi, Mi Young) 병원간호사회 2018 임상간호연구 Vol.24 No.3

        Purpose: This descriptive study was conducted to identify the effects of hospital organizational culture and work environment on nurses’ intent to stay at work. Methods: Participants of this study were 234 nurses who have worked at a local general hospital in the Chungcheong province for at least 6 months. The data were collected from July 17 to 28, 2017, using self-reported questionnaires and analyzed with multiple regression using SPSS version 22.0. Results: Clinical experience (β=.38, p<.001), institutional support (β=.33, p<.001), and relation-oriented culture (β=.24, p<.001) affected intent to stay at work among nurses. These variables accounted for 34.8% of the variance in intent to stay at work among nurses. Conclusion: This study confirms the effects of the work environment and organizational culture on nurses’ intent to stay at work. Efforts for improving the work environment and organizational culture need for retaining nurses in a hospital. We suggest further research to identify the other factors associated with intent to stay at work among nurses.

      • KCI등재

        경계의 관점으로 본 청소년의 기후결석시위: 정체성, 학교 교육, 시위문화를 중심으로

        명주(Myeong-ju Hyeon),김남수(Namsoo Kim) 한국환경교육학회 2021 環境 敎育 Vol.34 No.2

        2019년 청소년들의 기후결석시위가 시작되었다. 이 연구는 경계의 관점에 주목하여 기후결석시위에 참여한 청소년들이 경험한 경계는 무엇인지 살펴보고, 이러한 경계와의 마주침에서 시작한 경계짓기를 통해 형성된 정체성과 새로운 관계는 어떠한지를 청소년 정체성, 학교 교육, 시위문화의 경계를 통해 살펴보았다. 방법으로서의 경계는 인식의 틀로서 기후결석시위를 이해하는 새로운 관점을 제공하였을 뿐만 아니라, 오랜 기간동안 재생산되어 온 교육과 교육이 만들어낸 사회의 경계들을 드러나게 했다. 기후결석시위는 청소년의 역할과 참여를 가로막는 기존의 경계를 인식하고, 이를 해체하고 새로운 경계를 재구성하는 경계 짓기 경험이다. 기후결석시위의 경계 짓기는 기존의 교육과 교육이 만들어 온 세계가 배제해 온 것을 드러냈다. 청소년들은 기후결석시위의 참여를 통해 관습적으로 재생산해온 것의 경계를 인식하고, 새로운 주체성, 참여와 학습에 대한 관점의 전환, 고유한 소통과 표현의 방법을 시도하였으며, 이는 환경교육에 다양한 시사점을 제공한다. School strike for climate, which climate action of youth, was started in 2019. This research focused on boundaries, explored the boundaries experienced by participation of school strike, and examined the boundaries of identities, school education, and demonstration culture. The boundaries as a methodology not only provided a new perspective for understanding climate absent demonstrations as a framework, but also highlighted the boundaries that have educational imagination. School strike for climate is bordering it demonstrations recognize existing boundaries that hinder youth’s participation and restrict role and create new boundaries. Participation to school strike for climate has revealed the world that education has been created and eliminated. Youth rejected the conventional reproduction of society and education. They tried new identity and changed perspectives on participation and learning also tried unique ways of communication and expression. This movement provided diverse suggestions for environmental education.

      • KCI등재

        초등학생의 에너지 일기 내용분석

        명주(Myeong-ju Hyeon),윤순진(Sun-jin Yun) 한국환경교육학회 2017 環境 敎育 Vol.30 No.1

        이 연구는 에너지 소양에 주목하여 초등학교 5학년 학생들이 2015년 6월에 20일 동안 작성한 에너지 일기 내용을 분석하였다. 이를 통해 초등학생들이 어떤 대상과 내용에 관심을 가지고, 에너지의 특성과 역할에 대해 어떻게 생각하고 얼마나 알고 있는지, 에너지 소양과 연관지어 알아보고자 하였다. 에너지 일기는 에너지와 관련된 모든 일상생활에서의 경험, 사고, 행동의 변화, 학습에 대한 기록으로 학생들은 에너지 일기에서 에너지 절약, 에너지원의 특징과 구분, 일상생활 속에서의 에너지 사용을 주요 주제로 다루고 있었다. 또한 학생들은 에너지를 의인화하거나 재생가능에너지를 창조하고, 그 속성을 상상하여 서술하는 등의 특징을 보였다. 이러한 연구결과는 초등학생들이 가지고 있는 에너지 소양의 실태를 보여주며 교수학습 방법으로서 에너지 일기쓰기가 의의를 가짐을 시사한다. This study pays attention to energy literacy with an approach that emphasizes internal value of education. For this, we analyzed energy journals written by 65 fifth-grade elementary school students for twenty days in July, 2015. The results of this study indicate that the major subjects related to energy literacy in the energy journals are as follows: (1) energy conservation (2) classification of energy sources and exploration of their characteristics and (3) awareness of energy uses through life experiences. Furthermore, some of students attempted to create new sources of renewable energy in violating the law of physics, and often personified it. The results of this study show the actual state of energy literacy that elementary school students have experienced in everyday life. This study also enables us to explore the meaning of energy journal writing as a teaching and learning method. Furthermore, it provides various discussions and suggestions about the method and approach on elementary energy education.

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