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      • KCI등재

        증거 기반 도덕교육의 이해와 실천 방향

        정창우 서울대학교 교육종합연구원 2019 The SNU Journal of Education Research Vol.28 No.3

        도덕교육의 역사는 적어도 소크라테스와 공자로 거슬러 올라갈 만큼 오래된 것이다. 하지만 오랜 역사에도 불구하고 도덕교육적 실천 자체가 중시되어왔을 뿐, 과학적 연구를 기반으로 축적된 증거들을 활용하려는 노력은 거의 없었다. 이러한 문제의식을 바탕으로 본 연구에서는 ‘증거 기반 교육 실천’이란 무엇이고 왜 중요하며, 인과성 개념을 둘러싼 논쟁에도 불구하고 증거 기반 교육을 지지할 수 있는 실질적인 근거가 무엇인지 살펴볼 것이다. 또한 미국의 사회정서학습과 인성교육을 중심으로 증거 기반 도덕교육의 실태를 조사하여 소개한 후, 이러한 실천 사례가 우리의 도덕교육 현실을 개선하는데 어떤 시사점을 제공할 수 있는지, 그리고 향후 우리나라 도덕과에서 증거 기반 도덕교육을 어떻게 실천해 나가야 하는지에 대해 구체적으로 논의할 것이다. Moral education has been a long history, as we can see through Socrates and Confucius. However, in spite of a long history of moral education, far too little effort has been made to use the best available evidences that have been accumulated in the practical field of moral education. Based on the critical mind, this research will present the definition and importance of the evidence-based practice (EBP) in education, and then, discuss philosophical issues surrounding the EBP. In addition, focusing on Social and Emotional Learning (SEL) and character education in the United States, this research will introduce the actual conditions of evidence-based moral education and suggest implications for Korean moral education.

      • SCOPUSKCI등재

        진행위암 수술후 복강내 온열관류요법 시행시 저체온 마취에 대한 고찰

        정창우,임청현 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.11

        Intraperitoneal hyperthermic perfusion(IPHP) is gaining popularity in the world as a method of prevention and treatment of peritoneal metastasis following gatrointestinal cancer. The procedure presents significant problems to the anesthegiologist with regard to tempera- ture control, fluid and electrolyte balance, acid-base change and postoperative care. During IPHP, there is a potential for heat gain from the peritoneal cavity. Several workers have reported a significant increase in core temperature. Therefore, it is true that accurate monitoring of temperature is essential. We studied that acid-base balance, electrolyte balance, level of blood suger following core temperature change in Intraperitoneal Hyperthermo-chemotherapeutic Perfusion patients.

      • KCI등재

        An Integrative Model of Moral Reasoning and Moral Intuition: Implications for Moral Education

        정창우,한혜민 서울대학교 교육종합연구원 2012 The SNU Journal of Education Research Vol.21 No.-

        This article discusses integrative moral psychology, including moral intuition and moral deliberation, to explain the mechanisms of actual moral behaviors. To this end, we briefly review current models in the field of moral psychology dealing with moral intuition and moral reasoning, after which we present an integrative model based on these earlier ones. Our model focuses on a moral intuitive process, a process of reflection on initial emotional responses, moral reasoning, and moral introspection. We critically examine and discuss recent research from the rapidly growing fields of neuroscience and the natural sciences to strengthen and support this model. In closing, we explore the educational implications of our model and possible educational methods to promote moral development.

      • KCI등재

        Tapered Stent를 사용한 경동맥 스텐트 설치술에 대한 예비 보고

        정창우,김동현,안성환,김동욱,홍승정,김영숙,변주남,오재희 대한영상의학회 2011 대한영상의학회지 Vol.65 No.4

        목적: 본 연구는 내경동맥 팽대부의 협착을 가진 환자에서 tapered stent를 이용한 치료 결과를 분석하고 기존에 보고된 연구를 통해 non-tapered stent의 치료성적과 비교해 보고자 하였다. 대상과 방법: 2008년 10월부터 2010년 8월까지 tapered stent를 이용한 36명의 환자에서 39개 병변에 대해 분석하였다. 시술 후 환자의 임상증상, 자기공명영상을 통해 합병증을 평가하였다. 경동맥 도플러 초음파 및 혈관촬영술을 포함하는 전산화단층촬영을 통해 재협착에 대한 평가를 하였으며, 임상적인 무증상 기간을 평가하였다. 결과: 모든 39예에서 자가팽창성의 tapered stent를 총경동맥 분지부에 설치하였다. 총 3예에서 뇌졸중이 발생하였으며, 이 중 1예에서는 중증 뇌졸중이 발생하였다. 시술 후 확산강조 자기공명영상에서 15예에서 새로운 병변이 관찰되었으나 13예에서 임상증상은 없었다. 13예에서 시행한 추적검사에서 모두 재협착 소견을 보이지 않았다. 임상적인 추적관찰 기간 동안 총 31명 중 1명에서 신경학적 증상이 새롭게 발생하였다. 결론: Tapered stent를 이용한 경동맥 협착의 치료는 안전하고 효과적인 치료법이며, 향후 더 많은 환자를 대상으로 한 추적검사가 필요할 것으로 생각된다. Purpose: To analyze the results of carotid artery stenting using a tapered stent and to evaluate the effectiveness of the tapered stent compared to previously reported studies using non-tapered stents. Materials and Methods: From October 2008 to August 2010, elective carotid artery stenting using a tapered stent was attempted in 39 lesions from 36 consecutive patients. Post-procedural complications were evaluated by neurologic symptoms and magnetic resonance imaging. Restenosis or occlusion was evaluated by carotid Doppler ultrasound and computerized tomography with angiography. Newly developed neurologic symptoms were evaluated clinically. Results: The self-expandable tapered stent was placed across the carotid artery stenosis. A total stroke was noted in 3 patients, while a major stroke was noted in 1 patient. On diffusion weighted imaging, new lesions were observed in 15 patients, but 13 patients were clinically silent. Follow-up imaging studies were performed in the 13 clinically silent lesions, and no evidence of restenosis or occlusion was found any of the 13 lesions. During clinical follow-up in 34 lesions from 31 patients, there were newly developed neurological symptoms in only 1 patient. Conclusion: Carotid artery stenting using a tapered stent may be safe and useful for the treatment of carotid artery stenosis.

      • KCI등재

        반복적인 객혈을 보인 영아에서 진단된선천성 폐정맥 협착 1례

        정창우,이소연,유진호,김병주,윤태진,고재곤,홍수종 대한 소아알레르기 호흡기학회 2007 Allergy Asthma & Respiratory Disease Vol.17 No.4

        Congenital pulmonary vein stenosis is a rare cardiac malformation with a poor prognosis and is not easy to diagnose, because symptoms emerge in infants accompanying progressively worsening pulmonary hypertension. A nine-month-old infant visited our hospital due to recurrent respiratory infections and hemoptysis. He was diagnosed with congenital pulmonary vein stenosis by cardiac catheterization. Cardiac catheterization findings revealed that two pulmonary veins were stenotic and one pulmonary vein was occluded. Pulmonary artery catheterization showed the evidence of severe pulmonary hypertension with a mean pulmonary artery pressure of 55 mmHg and a pulmonary artery wedge pressure of 30 mmHg. Due to the aggravation of pulmonary hypertension symptoms, we performed sutureless pericardial marsupialization to reduce the obstruction and the restenosis, but he died a week. In cases of infants with recurrent hemoptysis, we should rule out congenital pulmonary vein stenosis. 선천성 폐정맥협착증은 조기 진행성 폐고혈압과 심부전을 영아에서 일으킬 수 있으며 사망에 이르게 할 수 있는 질환으로, 반복적인 호흡기 감염과 객혈을 보인 영아에서 심도자술을 통해 확진한 1례를 보고하는 바이다.

      • KCI등재

        Some potential contributions of sociobiology to moral psychology and moral education

        정창우,한혜민 서울대학교 교육종합연구원 2010 The SNU Journal of Education Research Vol.19 No.-

        Since Darwin’s theory of evolution, subsequent studies of the theory, especially sociobiology, have had a deep and far-reaching influence on other disciplines including moral philosophy and moral psychology. For contemporary Darwinian theorists of human behavior, one of the most significant issues under debate is a question about the origin of human moral functioning. This study reviews current studies in sociobiology and its related fields that deal with human morality. In addition, based on an extensive literature review on the accumulated research in sociobiology, this study attempts to demonstrate the potential usefulness and applications of sociobiology in the field of moral psychology and moral education.

      • 경유돌공 부위에서 전기신경자극기를 이용한 안면경련 환자의 치료

        정창우,민진혜,이규탁 관동대학교 의과학연구소 2000 關東醫大學術誌 Vol.4 No.1

        Facial spasm is the most common in middle aged women, which is a distressing condition characterized by involuntary, intermittent, unilateral twitching of the muscles innervated by the facial nerve. There are various treatments for facial spam, such as neurovascular decompression, local injection of botulinum, facial nerve compression at stylomastoid foramen and facial nerve block with O'Brien method. There are the same clinical problems associated with the reported procedure in pain clinic, such as severe pain and recurrence of spasm. In this paper, we report the modified facial nerve block using electric nerve stimulator at the stylomastoid foramen. This new technique will be able to reduce the pain and the discomfort during facial nerve block, and reduced the recurrence of facial spasm.

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