http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Ae Ryoung Kim,이종목,Go Hun Seo,Sang In Lee,Hyunwoo Bae,Yun Jeong Lee 대한의학유전학회 2021 대한의학유전학회지 Vol.18 No.2
Autosomal recessive spinocerebellar ataxia 20 (SCAR20; OMIM #616354) is a recently described disorder that is characterized by ataxia, intellectual disability, cerebellar atrophy, macrocephaly, coarse face, and absent speech. It is caused by lossof- function mutations in SNX14. To date, all cases with homozygous pathogenic variants have been identified in consanguineous families. This report describes the first Korean cases of SCAR20 family caused by homozygous variants in SNX14. Two siblings were referred to our clinic because of severe global developmental delay. They presented similar facial features, including a high forehead, long philtrum, thick lips, telecanthus, depressed nasal bridge, and broad base of the nose. Because the older sibling was unable to walk and newly developed ataxia, repeated brain magnetic resonance imaging (MRI) was performed at the age of 4 years, revealing progressive cerebellar atrophy compared with MRI performed at the age of 2 years. The younger sibling’s MRI revealed a normal cerebellum at the age of 2 years. Whole-exome sequencing was performed, and homozygous variants, such as c.2746-2A>G, were identified in SNX14 from the older sibling. Sanger sequencing confirmed homozygous SNX14 variants in the two siblings as well as a heterozygous variant in both parents. This report extends our knowledge of the phenotypic and mutational spectrum of SCAR20. We also highlight the importance of deep phenotyping for the diagnosis of SCAR20 in individuals with developmental delay, ataxia, cerebellar atrophy, and distinct facial features.
( Ryoung-eun Ko ),( Kyung Hoon Min ),( Sang-bum Hong ),( Ae-rin Baek ),( Hyun-kyung Lee ),( Woo Hyun Cho ),( Changhwan Kim ),( Youjin Chang ),( Sung-soon Lee ),( Jee Youn Oh ),( Heung Bum Lee ),( Sooh 대한결핵 및 호흡기학회 2021 Tuberculosis and Respiratory Diseases Vol.84 No.4
Background: Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) are significant public health issues in the world, but the epidemiological data pertaining to HAP/VAP is limited in Korea. The objective of this study was to investigate the characteristics, management, and clinical outcomes of HAP/VAP in Korea. Methods: This study is a multicenter retrospective cohort study. In total, 206,372 adult patients, who were hospitalized at one of the 13 participating tertiary hospitals in Korea, were screened for eligibility during the six-month study period. Among them, we included patients who were diagnosed with HAP/VAP based on the Infectious Diseases Society of America (IDSA)/American Thoracic Society (ATS) definition for HAP/VAP. Results: Using the IDSA/ATS diagnostic criteria, 526 patients were identified as HAP/VAP patients. Among them, 27.9% were diagnosed at the intensive care unit (ICU). The cohort of patients had a median age of 71.0 (range from 62.0 to 79.0) years. Most of the patients had a high risk of aspiration (63.3%). The pathogen involved was identified in 211 patients (40.1%). Furthermore, multidrug resistant (MDR) pathogens were isolated in 138 patients; the most common MDR pathogen was Acinetobacter baumannii . During hospitalization, 107 patients with HAP (28.2%) had to be admitted to the ICU for additional care. The hospital mortality rate was 28.1% in the cohort of this study. Among the 378 patients who survived, 54.2% were discharged and sent back home, while 45.8% were transferred to other hospitals or facilities. Conclusion: This study found that the prevalence of HAP/VAP in adult hospitalized patients in Korea was 2.54/1,000 patients. In tertiary hospitals in Korea, patients with HAP/VAP were elderly and had a risk of aspiration, so they were often referred to step-down centers.
임상연구 : 유리체망막수술 환자에서 고농도 산소 투여가 수술 후 오심과 구토 발생에 미치는 영향
이애령 ( Ae Ryoung Lee ),최수주 ( Soo Joo Choi ),정해근 ( Hae Keun Jung ),강진구 ( Jin Gu Kang ),곽미숙 ( Mi Sook Gwak ),양미경 ( Mi Kyung Yang ),이상민 ( Sang Min Lee ),김명희 ( Myung Hee Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.1
Background: Most recently, the antiemetic effects of high inspired oxygen have been discussed and various results have been reported according to the types of surgeries and the groups of patients. In ophthalmic surgical patients, surgical procedures involving intraoperative manipulation of the eye and giving rise to residual eye discomfort were associated with the increased incidences of postoperative nausea and vomiting (PONV). The antiemetic effect of 80% inspired oxygen for the patients undergoing vitreoretinal surgery is unknown. Therefore, we examined the efficacy of 80% inspired oxygen in the decrease of the PONV incidences after vitreoretinal surgery under general anesthesia. Methods: 170 adults under 70 years of age have received standardized sevoflurane anesthesia. After tracheal intubation, they were randomly assigned to two groups: 30% inspired oxygen in air (Group 30), and 80% inspired oxygen in air (Group 80). Postoperative nausea and vomiting were evaluated at the 2, 6, and 24 h postoperatively by an investigator unaware of patients` allocation. Results: There was a significantly lower incidence of PONV during the first 2 h postoperatively in the Group 80 (22%) compared with the Group 30 (40%) (P = 0.024). The Group 80 (33.8%) showed the decreased incidence of PONV during the first 24 h postoperatively compared with the Group 30 (48.8%), but these differences were not statistically significant (P = 0.081). Conclusions: The use of 80% inspired oxygen during vitreoretinal surgery reduced the incidence of PONV during the first 2 h postoperatively. (Korean J Anesthesiol 2007; 53: 54~60)
증례보고 : 다발성 경화증 산모의 척추 경막외 병용 마취하 제왕절개
이애령 ( Ae Ryoung Lee ),현선지 ( Sun Ji Hyun ),최덕환 ( Duck Hwan Choi ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.3
The use of neuroaxial blocks in patients with multiple sclerosis has been controversial, because the effect of local anesthetic drugs on the course of the disease is unclear. We report an obstetric patient with multiple sclerosis whose caesarian section was performed successfully under combined spinal-epidural anesthesia and postoperative pain control was managed using patient-controlled epidural analgesia. There were no exacerbation of neurologic symptoms and no relapse of disease at two month follow-up. We suggest that the choice of anesthetic technique for patients with multiple sclerosis should be determined after evaluation of the course of the disease and informed consent. The obstetric patients with multiple sclerosis should not be denied the neuroaxial block for labor and caesarian section. (Korean J Anesthesiol 2009;57:367∼70)
이소연 ( Lee So-yean ),위영희 ( Wui Yeong-hee ),유재령 ( Yoo Jae-ryoung ),정윤주 ( Chyung Yun-joo ),이영애 ( Lee Young-ae ),김리진 ( Kim Lee-jin ) 한국놀이치료학회 2018 한국놀이치료학회지(놀이치료연구) Vol.21 No.4
본 연구는 영유아 부모를 위한 놀이참여태도 척도의 타당도를 검증하기 위해 수행되었다. 질문지는 영유아 자녀의 놀이에 대한 부모의 참여태도를 측정하기 위해, 본 연구자들이 델파이 조사를 통해 개발한 33개 자기보고식 질문지를 사용하였고, 예비조사를 거쳐 문항의 가독성과 의미전달 정도를 파악하였다. 본 조사는 서울 및 인천 지역에 위치한 9곳의 어린이집에 재원 중인 영유아 부모 447명을 대상으로 수행되었으며, 최종적으로 339명의 자료를 이용하여 탐색적 요인분석, 확인적 요인분석, 상관분석, 중다회귀분석과 신뢰도 분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 영유아 부모를 위한 놀이참여태도 척도의 구인타당도를 검증한 결과, ‘민감하게 놀기(7문항),’ ‘반응적으로 놀기(6문항),’ 그리고 ‘즐겁게 놀기(7문항)’의 3개 요인 총 20문항으로 정리되었고, 3요인 모형의 적합도는 우수한 것을 확인하였다. 둘째, 영유아 부모를 위한 놀이참여태도 척도의 내적일관성은 양호한 것으로 나타났다. 셋째, 영유아 부모를 위한 놀이참여태도 척도의 공인타당도를 검증한 결과, 본 척도와 부모의 놀이성과는 통계적으로 유의미한 정적상관을 나타내어 공인타당도가 확인되었다. 마지막으로, 영유아 부모를 위한 놀이참여태도 척도는 부모의 양육스트레스와 유아의 자기조절능력을 예측하는 준거타당도가 있음이 확인되었다. 본 연구를 통해 타당화된 영유아부모를 위한 놀이참여태도 척도는 자녀의 놀이에 참여하는데 있어 부모의 어떠한 태도가 적합한지를 제안하는 부모교육자료로 활용되거나 자녀와의 놀이 참여 태도 개선 및 향상을 위한 부모교육프로그램이나 놀이치료의 효과성을 평가하는 지표로 활용될 수 있을 것으로 기대된다. The purpose of this study is to validate the Play Participation Attitude Scale for parents of preschoolers, which was developed by the Delphi survey. 447 parents of 9 daycare centers in Seoul and Incheon were recruited for this study and, finally, data from 339 parents were used to perform exploratory factor analysis, confirmatory factor analysis, correlation analysis, multiple regression analysis, and reliability analysis. The results of the study are as follows. First, factor analyses revealed that the global fit of the sensitively play (7 items), responsively play (6 items), and delightfully play(7 items) three-factor model was good. Second, the internal consistency of the Play Participation Attitude Scale was good. Third, there was a statistically significant positive correlation between the current scale and the parents’ playfulness scale, indicating concurrent validity. Finally, higher scores of the Play Participation Attitude Scale and its three factors significantly predicted lower scores of parenting stress and higher scores of the preschoolers’ self-control ability. These findings revealed that this new measure to be both valid and reliable and specifically suggests what kind of attitude is appropriate for parents to adopt when participating in preschoolers’ play.
한국어 동사의 어휘의미망 구축을 위한 중립동사의 의미분할
이은령 ( Eun Ryoung Lee ),윤애선 ( Ae Sun Yoon ) 한국언어정보학회 2005 언어와 정보 Vol.9 No.2
This study aims to discuss the word sense distinction of Korean middle verbs for restructuring KorLexVerb 1.0. Despite the duality of its meaning and syntactic structure, the word senses of middle verb are not clearly distinguished in current dictionaries. The underspecification causes very often mismatches that a same Korean word sense is used for two different English verb senses. A close examination on the syntactic and semantic properties of middle verb shows us that the word sense distinction and the reconstruction of hierarchical structure are indispensable. Finally, by doing this fine grained word sense distinction, we propose an alternative way of classification and description of the verb polysemy for KorLexVerb 1.0 as well as for dictionary-like language resources. (Pusan National University)