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      • 발레무용수의 실수원인과 대처방안 탐색

        정지혜,한윤희 숙명여자대학교 건강·생활과학연구소 2009 生活科學硏究誌 Vol.- No.25

        A purpose of the study is to find when ballerinas make mistakes in the state of practice and performance and to find how to overcome mistakes by researching qualitatively and making useful information for reducing mistakes by developing effective guide studies. This research took 13 professional ballerinas and specialists on ballet to find causes of mistakes and how to cope with them. They are all interviewed and contents of interview has been analysed as follows. The causes of mistakes in practice and performance are divided into four parts by physical working capacity, psychological working capacity, environmental working capacity and ability working capacity. The cause of mistakes by ballerinas in practice is branched in physical working capacity are fatigue, lake of physical strength and an injury. In mental working capacity are distractibility, uneasiness of insufficient movement, lake of tension, a fall of motive, self-admiration, lake of confidence, uneasiness about mistakes that are made in the past, uneasiness about their role, an inferiority complex, note to the shortage of the sight and too much desire. In environmental working capacity are poor environment, lake of teamwork, lake of partnership, too much anticipation from the and condition of toe shoes. Lastly, ability working capacity are lake of rhythmic sense, too much movement in the fast music, lake of the sense of balance and lake of high techniques. To overcome the mistakes that are made by physical working capacity, to control their condition, act alternatively and self-controlling. To overcome the mistakes that are made by mental working capacity, to concentrate on the theme, mental training, control themselves, regulation of practice, avoidance of circumstances, act positively, consultation with a coach, do the assignment first, control their condition and act alternatively. To overcome the mistakes that are made by environmental working capacity, regulation of practice, adoption, act alternatively, talk, prepare beforehand, be friendly and counsel. Finally to overcome the mistakes that are made by ability working capacity, act alternatively, control themselves, regulation of practise, talk to the couch, concentrate on theme. In the performance, physical working capacity are classified as a lack of physical stamina and injury, in psychological working capacity ate classified as lack of concentration, lack of excitement, immoderation of ambition, lack of tension, lack of self-confidence, note on the shortage of vision, an inferiority complex, being uneasy about mistakes that are made in the past, being uneasy about insufficiency of the movement, a responsibility of their role and self-admiration. Environmental working capacity are classified as a problem with clothes, lack of preparation of properties, the condition of tie-shoes, a quality of sounds, setting of stage, lights on stage, floor of stage, mistakes that are made by their partners and colleges, response from the audience and lack of partnership. Lastly in ability working capacity is classified as lack of learning skills and the sense of balance. In the performance, plans for coping with mistakes that are made by physical working capacity are to act alternatively, modulation of condition, to control themselves, slackness. Plans for coping with mistakes that are made by psychological working capacity are to control themselves, to act alternatively, practice beforehand, self-suggestion, self-talking, concentrate on a theme, concentrate on the performance, control their condition, meditation, preparation beforehand, acting alternatively, a sense of responsibility and enough recess. Plans for coping with mistakes that are made by environmental working capacity are preparation beforehand, act alternatively, encouragement, mental training, concentration on the theme, requesting beforehand and adaption. Finally plans for coping with mistakes that are made by ability working capacity are to concentrate on theme and preparation beforehand. Based on the results, to reduce mistakes, regulation oause of mistakes in four branches and learning all the plans for each mistakes.ause of mistakes in four branches and learning all the plans for each mistakes.

      • KCI등재

        경도인지장애(Mild Cognitive Impairment)에서 단축형 Samsung Dementia Questionnaire(S-SDQ)의 임상적 유용성

        윤지혜,김지혜,안인숙,정재원,송미선,김도관 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

        Objuctives : Clinical utility of the Short Form of the Samsung Dementia Questionnaire (S-SDQ) as a screening instrument for Mild Cognitive Impairment (MCI). Methods : Three groups (n=27, Subjective Memory Impairment (SMI); n=41 MCI; n=79, Early Alzheimer's Di-sease(AD)) recruited from memory clinic were administered a battery of neuropsychological tests including S-SDQ and Korean version-Mini Mental State Examination (K.-MMSE). Results : S-SDQ, unlike the K-MMSE, had no association with the age and education ofthe subjects. Scores of S-SDQ was found to correlate (r=-.496) with scores of K-MMSE. Result of Receiver Operating Characteristic (ROC) analysis revealed that S-SDQ discriminated between the SMI and the MCI groups. Conclusion : S-SDQ may be a solution to the problem of contamination by education and age which affect traditional Cognitive screening instruments like K-MMSE, and it may be a useful tool for screening MCI.

      • 복강경하 질식 자궁적출술 30예의 임상적 고찰 : A Review of 30 Cases

        윤병일,김소정,정두용,김수녕,손인숙,이지영 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

        Hysterectomy is the most common gynecologic operation. Traditionally, hysterectomy was performed either through an abdominal approach or through a vaginal approach. Recently, laparoscopic hysterectomy is quite often tried. To evaluate the effectiveness and value of LA VH(Laparoscopy Assisted Vaginal Hysterectomy), and to evaluate the possibility whether to rep;ace abdominal hysterectomy to LAVH, we analyzed our clinical cases. This clinical study is a retrospective review of 30 cases of LAVH from May 2002 to February 2003 at the department of Obstetrics and Gynecology, Chung- Ju hospital, Konkuk University. We evaluated age, parity, previous abdominal operations, indications of hysterectomy, combined operation, operating time, hemoglobin change, weight of uterus, hospital stay and postoperativeThe average operating time was 146 ± 42 minutes, the uterine weight was 239 ± 126 grams, and the mean postoperative hemoglobin loss was 1.7 ± 1.4 g/dl. The most common pathologic finding was myoma uteri(37%), and the second most pathologic finding was adenomyosis(20%) and myoma uteri with adenomyosis (20%). Serious complications were not appeared. LAVH provides a shorter hospital stay, quicker recovery, and the acceptable complication rate except incerased operating time than abdominal hysterectomy. This study suggests that LAVH appears more useful than TAH(Total Abdominal Hysterectomy) and could replace abdominal hysterectomy.

      • KCI등재

        現行 稅法上 更正請求制度에 관한 硏究

        정지선,박정우,육윤복 한국기업법학회 2004 企業法硏究 Vol.16 No.-

        Texes are imposed through formation and decision of tax payment. There are government imposition way and self-assessment way on the decision method of tax payment, and most taxes are confirmed by self-assessment way because exuviating in traditional decision method in modern taxes. Tax payment by self-assessment system is primary decision method of the tax payer because he knows his assessment well, and reserve decision right of taxation government office to secondary or complemental position. These tax payment system by self-assessment is accepted in the U.S.A. traditionally, and say that is own imposition system in meaning that tax payment establishes oneself standard of assessment and amount of a tax. It is most situation, indeed, taking tax payment by self-assessment way individual income tax, corporate income tax, education tax, traffic tax and etc, in Korean tax system. These self-assessment system can be thought that is suitable to tax payment usage which is democratic because it establishes own tax amount, but when tax return is reported overmuch by mistake of statute etc, it creates the problem to relieve very hardly. So, when taxpayer files overpaid taxes or littleness deficit amount of money, we introduced the claim system for reassessment since 1995 to correct this in case do. This claim system for reassessment has various kinds of problems because the enforcement time is short up to now and the research is not gone abuzz. Therefore, this research examines problems of current the claim system for reassessment and compares with foreign tax laws and groped the improvement way. The improvement ways of current claim system for reassessment are as following if they list important things. First, it is problems about extension of claim period for reassessment. Current claim period for reassessment is that is within 2 years from the date the return was filed in general claim for reassessment's case, and in the case of claim for reassessment by after flare reason arrive within 2 months from a day that reason happens. This can be thought that the period is insufficient in right relief because correspond to short term. Therefore, in general claim for reassessment's case, the period must be extended within 5 years from the date the return was filed, and must be extended within 6 months from a day that reason happens encountering in the claim for reassessment by reason that is after flare. Second, it is problem about unclearable nature of reason in the claim for reassessment by reason that is after flare. Currently, in the case of the claim for reassessment by reason after flare, a analytic part that become an issue is when it cancels contract by inevitable reason, whether correspond to the reassessment claim's subject, and when it correspond to the reassessment claim's subject, inevitable reason usually intends cancellation of sum, that is deciding each differently about the reassessment claim's target in reason after flare time at time of cancellation of sum in case of transfer income tax, gift tax and acquisition tax. Third, it is problem by pleading not guilty of reassessment claim system in local tax law. Current local tax is recognizing right redress through correction report, application and so on. But the claim system for reassessment is not recognized by local tax. As such result, when taxpayer overpays local taxes through mistake, the method of the right relief is blocked effectively in that case and is implying various kinds irrational standpoint being real condition. Therefore, local tax law have to introduce not only general claim system for reassessment but also reassessment claim system by reason after flare as soon as possible.

      • 방광에서 발생한 염증성 근섬유아세포종

        조시완,유지형,노충희,김정연,정재용,성락희 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

        Spindle cell lesions of the urinary bladder are uncommon tumors, and are most often spindle cell (sarcomatoid) carcinomas, non-neoplastic reactive mesenchymal proliferations, or soft tissue sarcomas. Inflammatory myofibroblastic tumors (IMTs) may also occur in this location, but IMTs occurring at bladder sites have rarely been described. We experienced a case of IMT of bladder.

      • 유지 투석중인 만성 신부전환자에서 허혈성 심질환의진단 지표로서의 심장트로닌-I의 유용성

        신병철,강대웅,정지용,류봉관,서영욱,김정인,김범윤,김현리,정종훈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

        Background : Coronary disease is highly prevalent in patient with end stage renal disease (ESRD) and account for much of their observed morbidity and mortality. Troponin-I consistently maintains a high sensitivity and specificity and is most sensitive marker for ischemic heart disease (IHD). Method : We examed 49 hernodialyzed patients (22 male, 27 female) without evidence of acute coronary syndrome (ACS) for 6 months. Biochemical markers were measured in serial predialysis blood samples. For analysis, we used two cardio-specific assays for troponin-T (cTnT) as well as for troponin-I (cTnI) and compared the results with CK-MB (reference value ≤ 4.0 ng/mL) concentration. Results : Myocardial ischemia was observed in 47% (23/49) of patients. cTnT level above 0.1 ng/mL. and cTnI level above 0.5 ng/mL, were observed in 22% (11/49) and 20% (10/49) of patients respectively. cTnI revealed significantly higher positive rate in patients with myocardial ischemia than the patients without myocardial ischemia (43 % vs 30%) (p<0.05). cTnT and CK-MB revealed no difference in positive rate between the patients with and without myocardial ischemia (cTnT : 30% vs 15% and CK-MB : 30% vs 19%). The sensitivity and specificity of cTnI to myocardial ischemia were higher than those of cTnT and CK-MB (sensitivity 43% vs 30% and 30%. specificity 100% vs 85% and 81%). Conclusion: Both cTnT and cTnI are useful in ruling out myocardial injury in chronic renal failure patients. But. cTnI is a more sensitivity and excellent specificity of ischemic heart disease than cTnT and CK-MB in hemodialyzed patients. In patients with ischemic heart disease, the presences of DM and advanced age were higher than those in patients without ischemic heart disease (p<0.05). Among the baseline characteristics old age, elevated LDH and diabeties were significant more frequent in the patients with elevation of cardiac troponin-I (p>0.5 ng/mL) than those with cardiac troponin-I (p<0.5 ng/mL), p=0.038, p=0.049, and p=0.045, respectively. Our results suggest that these cTnI is the potential diagnostic marker for the prediction of IHD in ESRD patients.

      • 갑상선결절의 임상 및 초음차소견의 진단적 가치

        박거운,박철진,박일구,신지혜,정중화,배학연,김상용 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

        Backgrounds: Thyroid nodule have been relatively common disease and it's prevalence estimated about 4-7%. Recently, high resolution ultrasonography has made the detection of small thyroid nodule possible, Increases in the detection of thyroid nodule have created a clinical dilemma on how to properly manage such thyroid nodules. We investigated the prevalence, clinical and ultrasonographic characterristics, and optimal diagnostic approach toward detected benign and malignant thyroid nodules. Methods: A retrosepctive review was undertaken on the 372 patients who was done Ultrasonograpy guided fine needle aspiration biopsy in Chosun University Hospital, Gwang-Ju, Korea between July 2003 and Spring 2005. Devided into four group such as benign and malignant thyroid nodule on the basis of size 1.5Cm. The review consisted of thyroid function test, antithyroid antibodies, thyroid autoantibodies, thyroid ultrasonography, fine needle aspiration biopsy in each group. Results: The prevalence of thyroid nodule malignancy rate was 18.0%. The prevalence of thyroid incidentaloma malignanct rate was 17.5%. There were no significant differences in age, sex, thyroid function test and size between the benign, malignant incidentalomas and nodule. Ultrasonographic characteristics, include ultrasonography index point showed meaningful diagnostic value for the detection of malignancy in thyroid nodule, Conclusion: Thyroid cancers are fairly common finding. There are no clinical difference between benign and malignant thyroid nodule; however, ultrasonographic findings can be used to decision of optimal management strategies 배경: 최근갑상선 초음파의 빈번한 시행으로 갑상선 결절의 발견이 증가하고 있다. 이러한 갑상선 결절중 특히 갑상션우연종을 임상적으로 어떻게 접근하고 치료를해야하는지는 적지 않는 문제가 되고 있다. 본 연구에서는 갑상선 우연종 및 직경 1.5 cm 이상의 갑상션결절의 유병률, 임상적 특징, 초음파특정 및 초음파의 진단적 유용성에 대해 알아 보았다. 방법: 2003년 7윌부터 2005년 3월까지 조선 대학교병원 내과 및 일반외과및 건강검진 센터를 통해 갑상선 초음파, 경동맥 초음파 및 경부 CT등을 통해 우연히 발견된 갑상션결절을 가진 372명을 대상으로 후향적 연구를 시행하였다. 크기 1.5 cm 미만의 양성및 악성 갑상선 결절군과 크기 1.5 cm 이상의 양성 및 악성결절로 그룹을 나누고 각 군에서 나이, 성별, 갑상선 기능검사, 항갑상선 항체, 갑상선 초음파 및 미세침흡인세포검사등을 검토하였고, 모든 갑상선 결절에 Koike (6)가 제한한 초음파지표 점수(Ultrasonographie index point)를 부여하여 각 군을 비교하였다. 결과: 분석한 갑상선 결절 372예 중 악성결절의 유병율은 18.0% (67예)였다. 갑상선 우연 종의 유병율은 81.5% (303예)였다. 갑상선 우연 종에서의 악성률은 17.5% (53예)로 나왔다. 크기 1.5 cm 이상의 양성 및 악성 갑상선 결절과 양성 및 악성 갑상선 우연종에서 나이, 성별, 갑상선 기능검사, 항갑상선항체에는 의미있는 차이가 없었다. 또한 양성 및 악성우연종에서 의 갑상선 결절크기에도 의미있는 차이는 보이지 않았다. 갑상선 결절의 초음파 지표점수만이 양성 및 악성우연종과 양성 및 악성갑상선 결절의 감별에 의미있는 차이를 보였다. 갑상 선우연종과 크기 1.5 cm 이상의 갑상선 결절에 서 양성을 나타내는 초음파지표점수는 각각 3 점과 4점으로 다르게 나타났다. 양성 및 악성 갑상선우연종의 감별에서 초음파 지표점수의 민감도는 93.6%, 특이도는 52.8%, 양성예측율은 92.4%로 나왔고, 진단적 효율은 86.4% 였으며 크기 1.5 cm 이상의 양성 및 악성 갑상선 결정의 감별에서 초음파지수 민감도는 92.7%, 특이도가 42.9%, 양성 예측도 86%, 효율 82.6%를 보였다. 결론: 갑상선결절에서의 양성 및 악성의 유무는 임상적으로 판단하기 힘들지만 갑상선 결절에서의 초음파 소견 및 초음파 지표 점수를 도입하면 이에 대한 감별에 도움을 줄 수 있다. 따라서 갑상선 초음파검사시 초음파지표점수의 사용은 향후 갑상선 결절의 진단 방향을 제시하는 중요한 길잡이가 될 수 있으리라 사료된다.

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