레이저 각막절삭 가공성형술을 이용한 노안 및 굴절교정수술 후 눈물막과 각막지각의 변화

허문정,권윤형,노세현.Mun Chong Hur. MD. Yoon Hyung Kwon. MD. Sae Heun Rho. MD. PhD 대한안과학회 2011 대한안과학회지 Vol.52 No.12

Purpose: To evaluate the changes in break-up time (BUT) and corneal sensitivity following LASIK surgery for refractive error correction with presbyopia in patients older than 45 years. Methods: The authors of the present study measured the BUT and corneal sensitivity of 92 eyes that received LASIK surgery for correcting refractive error with presbyopia. The eyes were divided into groups according to gender and preoperative refractive error before surgery and 1, 3, 6 and 12 months after LASIK. Results: The mean age of patients was 52.01 ± 5.51 years, and the male to female eye distribution was 31:61. The value of BUT before surgery and 1, 3, 6, and 12 months postoperative was 5.31 ± 2.03 sec, 4.47 ± 1.67 sec, 4.04 ± 1.58 sec, 4.53 ± 1.51 sec, and 4.87 ± 1.46 sec, respectively; corneal sensitivity was 56.35 ± 5.94 mm, 40.07 ± 14.21 mm, 46.42 ± 10.41 mm, 50.75 ± 8.04 mm, and 52.92 ± 7.51 mm, respectively. BUT was not significantly different relative to refractive error and was significantly shorter in the female group than the male group at 1 month postoperative. Corneal sensation of myopia at 12 months postoperative was statistically higher than at other time points; however, there was no difference between genders. BUT and corneal sensitivity at 12 months postoperative recovered to 91.6% and 93.9% of the preoperative value, respectively. Conclusions: BUT and corneal sensitivity after LASIK for presbyopia were decreased until 12 months postoperative and recovered slowly, but did not return to preoperative levels. J Korean Ophthalmol Soc 2011;52(12):1419-1426

국악 교수학습법 관련한 국내 연구의 융·복합적 연구 동향 분석 - 2000~2010년대를 중심으로 -

허문정(Hur, Moon Jung) 한국전시산업융합연구원 2020 한국과학예술융합학회 Vol.38 No.2

일반적으로 국악은 전통음악을 의미하며, 사람들은 흔히 양악과 구분하여 인식한다. 이러한 국악에 대한 교육은 양악과는 다른 한국 문화예술의 전통을 승계하고, 창조적 발전을 위한 활동을 의미하며, 최근에는 기존 전통적인 방식의 교육에서 탈피하고 있다. 이러한 변화는 단순히 국악을 전승하는 것이 아니라 융·복합적인 측면에서 국악 교수학습법이 현대적으로 변화함을 의미한다. 이러한 변화에도 불구하고 국악 교수학습법에 대한 연구는 제한적이다. 본 연구의 목적은 국악 교수학습법 주제 논문의 최근 연구 동향을 메타정보로부터 개략적으로 고찰하여 보기 위한 것이다. 이를 위하여 2000년대부터 2018년 말까지 간행된 국악교육 분야 박사학위논문 및 학술지 게재 논문의 연구동향을 살펴보려 한다. 분석을 위하여 동 기간동안 실제 지도 방안 및 적용 효과 등에 관해 연구를 수행한 선행연구는 워크숍 간행 논문, 학위논문의 게재 논문 및 기타 중복 논문을 제거하고, 온라인 데이터베이스 상에 공개되지 않은 채 서지정보만 공개된 논문을 배제한 결과 총 286편의 선행연구를 연구 대상으로 한다. 분석결과, 연구 대상은 초등학생에 집중되어 있으며, 지도방안, 교육과정 순으로 연구주제가 높은 것으로 나타난다. 연도별로는 2000년대 전반기에는 초등학생 대상의 지도방안 연구가 주류를 이루었으며, 2000년대 후반기에는 전반기에 비하여 교육과정에 대한 연구가 증가하였다. 다음으로 2010년대 전반기에는 음악교과서 관련 연구가 증가하였으며, 2010년 후반기에는 다시 교육과정에 대한 연구가 증가하였다. 이러한 연구결과를 바탕으로 본 연구에서는 국악교수학습법 관련 연구 흐름을 살펴봄으로써 보다 체계적인 국악 교수학습법의 연구기반을 마련하고자 한다. 또한, 후속 연구에서는 국악 교수학습법 분야의 선행연구에서 미진했던 연구 분야, 자주 채택되지 않았던 연구방법론 및 연구대상으로 잘 다뤄지지 않았던 교육 편제를 파악하고, 이로부터 새로운 연구의 방향을 찾는 작업이 수월해질 것을 기대한다. In general, korean traditional music refers to traditional music, and people often recognize it separately from wester music. This education on korean traditional music refers to the succession of the tradition of Korean culture and art, which is different from that of both musical instruments, and the activities for creative development, and has recently been breaking away from the traditional way of education. These changes mean that the method of learning Korean traditional music teaching is not merely a transfer of korean traditional music, but a modern change in the method of learning korean traditional music in terms of convergence and synthesis. Despite the changes, research on the method of teaching Korean classical music is limited. The purpose of this study is to look at the recent research trends in the thesis on the subject of the korean traditional music teaching method by overviewing them from meta-information. To this end, the research trends of doctoral dissertations in the field of Korean traditional music education and published papers in academic journals, published from the 2000s to the end of 2018, will be reviewed. A leading study that conducted research on actual guidance methods and application effects during the same period for analysis removes workshop publications, academic papers, and other duplicate papers, a total of 286 pre-research studies will be studied as a result of excluding papers that were not released on the online database but only bibliographic information. According to the analysis, the subjects of the study are concentrated on elementary school students and the subjects of the study are high in the order of teaching methods and curricula. By year, in the first half of the 2000s, the study on teaching methods for elementary school students was mainly conducted, and in the latter half of the 2000s, the study on the curriculum increased compared to the first half. Next, in the first half of the 2010s, the number of studies related to music textbooks increased, and in the latter half of 2010, the number of studies on the curriculum increased again. Based on these research results, this research aims to prepare a more systematic research foundation for the korean traditional music professors learning act by examining the flow of research related to the korean traditional music teaching method. Further, we hope that the follow-up research will make it easier to identify the areas of research that were not developed in prior research in the field of Korean traditional music teaching and learning methods, and educational subjects that were not well dealt with as subjects of research.

갑상샘눈병증에서 발병한 눈중증근무력증 환자의 임상양상

손은정,허문정,안희배,Eun Jung Sohn,Mun Chong Hur,Hee Bae Ahn,Ph 대한안과학회 2014 대한안과학회지 Vol.55 No.3

Purpose: There are some challenges to accurate diagnosis of ocular myasthenia gravis (MG) in thyroid-associated ophthalmopathy (TAO) patients because the clinical features of these diseases are similar. The aim of this study was to discuss the clinical features and treatment options that may help differentiate these 2 diseases.<br /> Methods: We performed a retrospective analysis using the medical records of patients who visited our clinic and were diagnosed with ocular MG and TAO, from January 2002 to December 2012. The diagnosis of Ocular MG was made on the basis of clinical symptoms and signs with laboratory evaluation, including assays for antithyroid and antiacetylcholine receptor (AchRAb) antibodies, and the Ice, neostigmine, and electromyography tests.<br /> Results: Of the 9 ocular MG patients with associated ophthalmopathy, 5 were male and 4 were female. The mean age was 36 ± 16.0 years and the follow-up period was 45.6 ± 36.6 months. Graves' disease (8 patients) was predominant and all patients showed abnormal thyroid function. Atypical symptoms and/or mild clinical features were predominant in ocular MG patients with TAO. Positive test results were obtained as follows: Neostigmine test 33.3%, electromyography 44.4%, ice test 77.8% and anti-AchR titer test 77.8%. Thyroid function test results were abnormal in all patients. In 3 patients who were first diagnosed with TAO, symptoms remained persistent despite steroid therapy then improved dramatically by administration of an anti-acetylcholinesterase agent. These patients were diagnosed with ocular MG in conjunction with TAO.<br /> Conclusions: Patients with thyroid disease who show atypical features, symptomatic changes with fatigue, odd appearing ptosis, and who, do not exhibit good response to treatment of TAO need to be examined for ocular MG with additional tests and treatment.<br /> J Korean Ophthalmol Soc 2014;55(3):325-332

누낭비강문합술에서 얻은 누낭조직의 조직병리학적 소견과 임상적 연관성

정우진,허문정,노미숙,안희배,Woo Jin Jeong,Mun Chong Hur,Mi Sook Roh,Hee Bae Ahn 대한안과학회 2011 대한안과학회지 Vol.52 No.4

Purpose: To determine the correlation of the clinical characteristics and histopathologic findings of lacrimal sac after external dacyrocystorhinostomy (DCR). Methods: From March 2008 to June 2009, 49 lacrimal sac tissues of 47 patients were obtained after external DCR and divided according to fibrosis and inflammatory findings. The correlation of preoperative duration of symptoms with NLD obstruction, symptoms of recurrence and outcomes of the operation to the histopathologic findings were retrospectively evaluated. Results: The mean age of the patients was 58.83 ± 11.49 years and the mean duration of preoperative symptoms was 65.2 ± 69.05 months. Forty-three cases (88%) maintained good openings and 30 cases (61%) had no recurring symptoms over 6 months after the operation. Among the significant symptoms, severe subepithelial inflammations were observed more frequently at shorter duration. However, the fibrosis showed a positive relation with the preoperative duration of symptoms (Spearman correlation test, p<0.05). Most failures were found in the severe inflammation and fibrosis groups and were recovered with anti-inflammatory treatment. Conclusions: Inflammation and fibrosis of the lacrimal sac could be an important prognostic and predictive factor of outcomes of DCR. J Korean Ophthalmol Soc 2011;52(4):385-391

구부러진 눈꺼풀판을 가진 노인성 아래눈꺼풀속말림의 임상적 특징

정우진,허문정,안희배,Woo Jin Jeong,Mun Chong Hur,Hee Bae Ahn 대한안과학회 2011 대한안과학회지 Vol.52 No.7

Purpose: To report the clinical features and surgical results for lower lid entropion with kinked tarsus compared with entropion with weakened capsulopalpebral fascia. Methods: From March 2008 to December 2009, 20 patients (24 eyes) with lower lid entropion were examined. The patients were divided into the aggravated entropion with kinked tarsus group or the weakened capsulopalpebral fascia group based on the height of tarsus, the shapes of the lower lid and tarsus, and conjunctiva changes. For treatment of entropion in the kinked tarsus group, full thickness tarsotomy with rotatory suture (tarsal fracture operation) was performed, and in the weakened CPF group, a CPF tight procedure was performed. The results of the operations were retrospectively evaluated. Results: The mean age of the patients with entropion in the kinked tarsus group (15 cases) was 66.7 ± 11.4 years, and the mean age of the patients with entropion in the weakened CPF group (9 cases) was 67.2 ± 6.2 years. The height of the lower lid tarsus of each group was 3.80 ± 0.39 mm and 5.20 ± 0.30 mm, respectively. Except for one case of recurrence after tarsal fracture operation in the kinked tarsus group and reoperation with CPF tightening, there were no significant complications or recurrence in either group. Conclusions: Entropion with kinked tarsus was more common than entropion with weakened CPF in the present study. In addition, surgical treatment based on the shape and cause of entropion showed good results. J Korean Ophthalmol Soc 2011;52(7):777-782