초등학교로의 전이지원에 대한 장애통합어린이집 교사들의 경험과 요구

곽은혜 ( Gwark Eunhye ),노진아 ( Noh Jina ) 한국특수아동학회 2020 특수아동교육연구 Vol.22 No.1

연구목적: 이 연구의 목적은 장애통합어린이집에서 발달지체 유아의 초등학교 전이를 담당한 경험이 있는 장애 영유아 보육교사들을 대상으로 초등학교 전이지원에 대한 경험과 요구에 대해 알아보는 데 있다. 연구방법: 이를 위하여 장애통합어린이집에서 근무하는 장애영유아 보육교사 7명을 대상으로 면담을 하였고, 개방 코딩을 통해 면담 전사 자료를 분석하였다. 연구결과: 연구문제와 관련된 2개의 주제와 12개의 하위주제 및 관련 내용이 도출되었는데, 주요 결과는 다음과 같다. 첫째, 장애영유아 보육교사들은 발달지체 유아를 위한 초등학교 전이지원이 필요하다고 하였지만, 관련 교육이 부족하다고 생각하였고, 특히 전문가와의 협력, 가족지원, 사회·정서적 지원, 추수지도에서 어려움을 경험하고 있었다. 둘째, 장애영유아 보육교사들은 발달지체 유아를 위한 초등학교 전이지원을 성공적으로 실행하기 위해서 교사 역량 강화를 위한 지원, 인적·물적 자원 지원, 다양한 프로그램 개발, 연수 및 컨설팅 등에 대한 의견을 제시하였다. 결론: 이 연구는 장애통합어린이집에서 초등학교로의 전이지원 실행과정 상의 경험과 요구를 분석함으로써 전이지원에 대한 효과적인 지원 방안을 제시하였다는 데 의의가 있다. Purpose: The purpose of this study was to investigate the experiences and support needs of inclusive daycare center teachers who have experienced transition support to elementary schools for children with developmental disabilities. Method: For this purpose, interviews were conducted for seven inclusive daycare center teachers, and interview transcription data were analyzed through open coding. Results: Two topics and 12 subtopics related to research questions were derived. The main results were as follows. First, the inclusive daycare center teachers said that elementary transition support was necessary, but they thought that there was a lack of related education. In particular, they experienced difficulties in cooperation with experts, family support, social and emotional support, and guidance in follow-up. Second, the inclusive daycare center teachers presented their opinions on the supports for teacher empowerment, human and material resource development, development of various programs, and training and consulting in order to successfully implement elementary transition supports. Conclusion: This study is meaningful in that it suggests an effective support plan for transition support by analyzing the experiences and needs of transition support from the daycare center to elementary schools.

Association Between High-Sensitivity C-Reactive Protein and Idiopathic Adhesive Capsulitis

Ji-yong Gwark,Hyung Bin Park 대한견주관절의학회 2021 대한견주관절학회 학술대회논문집 Vol.2021 No.3

Introduction and Background Chronic inflammation is implicated in the development of idiopathic adhesive capsulitis (IAC), whose association with high-sensitivity C-reactive protein (CRP), an inflammation marker, is undetermined. This study's purposes were to investigate the association between high-sensitivity CRP levels and IAC and to determine the metabolic factors associated with high-sensitivity CRP. Material and Method This case-control study examined a group of 202 patients with IAC and without intrinsic shoulder lesions or extrinsic causes and a control group of 606 age and sex-matched persons seeking general check-ups at our health promotion center during the same period as the case group. Control subjects had normal shoulder function and no previously diagnosed adhesive capsulitis; no medication for diabetes, dyslipidemia, and thyroid abnormalities; and no history of trauma or of shoulder surgery. The studied variables were body mass index; diabetes; thyroid abnormalities; dyslipidemias; triglyceride/high-density lipoprotein (TG/HDL) >3.5; serum levels of thyroid hormone, fasting glucose, and glycosylated hemoglobin A1c (HbA1c); and high-sensitivity CRP >1.0 mg/L. Multivariable conditional logistic regression analysis evaluated the matched sets of subjects. Odds ratios (ORs) and 95% confidence intervals (CIs) were determined for the studied variables possibly affecting IAC. Results Serum high-sensitivity CRP >1.0 mg/L was significantly associated with IAC (OR, 2.47 [95% CI, 1.65 to 3.70]) after adjusting for diabetes, fasting glucose level, HbA1c, dyslipidemia, TG/HDL >3.5, and thyroid-stimulating hormone (p ≤ 0.031). Diabetes (OR, 1.71 [95% CI, 1.09 to 3.33]), fasting glucose level (OR, 1.54 [95% CI, 1.12 to 2.12]), HbA1c (OR, 2.00 [95% CI, 1.25 to 3.22]), hypertriglyceridemia (OR, 1.70 [95% CI, 1.03 to 3.41]), hypo-high-density lipoproteinemia (OR, 1.98 [95% CI, 1.04 to 3.79]), and TG/HDL >3.5 (OR, 1.37 [95% CI, 1.06 to 1.88]) were significantly associated with high-sensitivity CRP >1.0 mg/L in patients with IAC (p ≤ 0.039). Conclusions Serum high-sensitivity CRP >1.0 mg/L is an independent associated marker for IAC. Dyslipidemia, insulin resistance, and hyperglycemia, which are recognized factors associated with IAC, are also associated with high-sensitivity CRP >1.0 mg/L in these patients, supporting the interaction of chronic systemic inflammation in IAC.

Is the Frozen Shoulder Classification a Reliable Assessment?

Ji-Yong Gwark,Nitesh Gahlot,Mincheol Kam,Hyung Bin Park 대한견주관절의학회 2018 대한견주관절의학회지 Vol.21 No.2

Background: Although a common shoulder disease, there are no accepted classification criteria for frozen shoulder (FS). This study therefore aimed to evaluate the accuracy of the conventionally used FS classification system. Methods: Primary FS patients (n=168) who visited our clinic from January 2010 to July 2015 were included in the study. After confirming restrictions of the glenohumeral joint motion and absence of history of systemic disease, trauma, shoulder surgery, shoulder muscle weakness, or specific x-ray abnormalities, the Zuckerman and Rokito’s classification was employed for diagnosing primary FS. Following clinical diagnosis, each patient underwent a shoulder magnetic resonance imaging (MRI) and blood tests (lipid profile, glucose, hemoglobin A1c, and thyroid function). Based on the results of the blood tests and MRIs, the patients were reclassified, using the criteria proposed by Zuckerman and Rokito. Results: New diagnoses were ascertained including blood test results (16 patients with diabetes, 43 with thyroid abnormalities, and 149 with dyslipidemia), and MRI revealed intra-articular lesions in 81 patients (48.2%). After re-categorization based on the above findings, only 5 patients (3.0%) were classified having primary FS. The remaining 163 patients (97.0%) had either undiagnosed systemic or intrinsic abnormalities (89 patients), whereas 74 patients had both. Conclusions: These findings demonstrate that most patients clinically diagnosed with primary FS had undiagnosed systemic abnormalities and/or intra-articular pathologies. Therefore, a modification of the Zuckerman and Rokito’s classification system for FS may be required to include the frequent combinations, rather than having a separate representation of systemic abnormalities and intrinsic causes.

Clinical Results of Supracondylar Dome Osteotomy for Cubitus Varus and Valgus Deformities in Adults

Ji-Yong Gwark,Jin-Hyung Im,Hyung Bin Park 대한견주관절의학회 2016 대한견주관절학회지 Vol.19 No.4

Background: Cubitus varus and cubitus valgus deformities are common complications of distal humeral fractures in children. We evaluated the usefulness of supracondylar dome osteotomy as a treatment option for adults with cubitus varus or valgus deformity developed during childhood. Methods: Ten patients who had received supracondylar dome osteotomy and stabilization with plates to treat cubitus varus or valgus deformity between July 2006 and August 2013 were included in this study. Their mean age at the time of surgery was 36.50 ± 10.22 years. The mean follow-up duration was 54.80 ± 32.50 months. We evaluated humerus-elbow-wrist angles (HEWA), improvements in the lateral prominence index (LPI) or medial prominence index (MPI), Mayo elbow performance scores (MEPS), and overall results in accordance with the Banerjee criteria. Results: For the six patients with cubitus varus, the mean postoperative HEWA, mean correction angle, and mean improvement in LPI were 9.72° ± 3.95°, 27.67° ± 10.75°, and 6.92% ± 3.40%, respectively. For the four patients with cubitus valgus, the mean postoperative HEWA, mean correction angle, and mean improvement in MPI were 14.73° ± 2.97°, 11.55° ± 3.26°, and 11.33% ± 6.39%, respectively. There was no significant difference between postoperative and preoperative mean MEPS. The subjective ulnar nerve symptoms were alleviated in all patients. The overall results were excellent in six and good in four patients. Conclusions: This study suggests that supracondylar dome osteotomy with secure fixation using double plates may be useful in correcting cubitus varus or cubitus valgus deformity, yielding good functional outcomes in adults.

Prevalence of chronic subscapularis tendon tears in the general population and its risk factor

Ji-Yong Gwark,Pil Yeob Choi,Jae-Boem Na,Hyung Bin Park 대한견주관절의학회 2016 대한견주관절학회 학술대회논문집 Vol.2016 No.7

Extent of resection for T2N0 gallbladder carcinoma regarding concurrent extrahepatic bile duct resection

Sung-Chan Gwark,Shin Hwang,Ki-Hun Kim,Yong-Joo Lee,Kwang-Min Park,Chul-Soo Ahn,Deok-Bog Moon,Tae-Yong Ha,Gi-Won Song,Dong-Hwan Jung,Gil-Chun Park,Sung-Gyu Lee 한국간담췌외과학회 2012 한국간담췌외과학회지 Vol.16 No.4

Backgrounds/Aims: Gallbladder carcinoma (GBCa) T2 lesions are considered to be advanced tumors showing diverse features in tumor extent. When this T2 lesion does not involve the cystic duct and there is no evidence of lymph node metastasis, we have to consider what is the most reasonable extent of resection - that is, whether to perform concurrent extra-hepatic bile duct resection (EHBD) resection or not. This study intends to evaluate the adequacy of EHBD resection in patients undergoing resection for T2N0 GBCa. Methods: From our institutional database of GBCa, 48 cases of T2N0 GBCa who underwent R0 resection during November 1995 and August 2008 were selected. Patients who underwent prior laparoscopic cholecystectomy were excluded. Their medical records were reviewed retrospectively. Results: Their mean age was 63.2±83.3 years and females were 25. The mean serum CA19-9 level was 37.3±89.3 ng/ml. The extents of liver resection were wedge resection (n=36) and segment 4a+5 resection (n=12). Concurrent EHBD resection was performed in 16 (33.3%) patients. No fatal surgical complication occurred. The majority of tumor pathology was adenocarcinoma (n=42), with additional unusual types as papillary (n=3), saromatoid (n=1), signet ring cell (n=1) and adenosquamous (n=1) cancers. The overall survival rate was 87.1% at 1 year, 69.5% at 3 years and 61.7% at 5 years. After exclusion of mortalities not related to cancer, the overall patient survival rate was 89.6% at 1 year, 72.9% at 3 years and 64.7% at 5 years, with 3-year survival rates of 72% in the EHBD resection group and 69.2% in the non-resection group (p=0.661). Conclusions: The results of this study indicate that concurrent EHBD resection did not improve patient survival when R0 resection was achieved in patients with T2N0 GBCa. Therefore, routine EHBD resection may not be indicated for T2N0 GBCa unless the tumor is close to the cystic duct. (Korean J Hepatobiliary Pancreat Surg 2012;16:142-146)

Pulmonary Embolism after Arthroscopic Rotator Cuff Repair

Ji Yong Gwark,Jin-Sin Koh,Hyung Bin Park 대한견주관절의학회 2014 대한견주관절학회지 Vol.17 No.1

Pulmonary embolism (PE) is a serious complication that can occur after orthopedic surgery. Most instances of PE in the orthopedic field have occurred after hip or knee arthroplasties or after fracture surgeries. The occurrence of PE related to arthroscopic shoulder surgery is very rare. We report a case of PE that developed after arthroscopic rotator cuff repair, in which the patient did not show preoperatively any remarkable risk factors for PE. We also review the current literature related to this topic.

집중검토회의를 통한 공공 서비스 디자인의 사회적 실험에 관한 연구

곽경희(Kyoung Hee Gwark) 한국HCI학회 2012 한국HCI학회 학술대회 Vol.2012 No.1

공공디자인은 국가나 사회 구성원들에게 두루 관계되는 디자인으로 사회문화적 가치를 추구하기 때문에 모두의 삶의 질을 향상시키는 사회적 역할이 주어진다. 이는 공공디자인의 중심에 사람이 있다는 것을 의미한다. 오롯이 전문가가 그들의 역량만으로 공공을 디자인해서는 안 되는 이유가 여기에 있으며, 이 점이 주민 혹은 사용자 참여디자인의 중요성이 강조되는 부분이기도 하다. 서비스 디자인은 사람들과의 공감을 통해 문제를 해결하는 방법을 찾는 것, 그리고 제기된 문제를 이해하기 위해 대화와 협력을 사용하는 것을 말한다. 이런 면에서 서비스디자인과 공공디자인은 서로 닮아 있다. 본 연구에서는 사람이라는 큰 접점을 가지고 있는 두 디자인의 프로세스들을 융합하여 공공서비스 디자인의 사회적 실험으로서 집중검토회의를 제시하였다. 집중검토회의는 해당 지역 각 분야의 시민, 전문가, 공무원, 관계자 등으로 구성된 참여인원이 하나의 지역적인 과업에 대해 현황 파악 및 문제점 도출, 추진방향 및 추진 전략 수립, 실행계획(action plan)발굴을 위해 일정 기간 집중적으로 토론 및 검토를 실시하는 회의이다. 집중검토회의의 장단점 및 활용방안을 분석하고 보완점을 개선하여 디자인의 사회적 실험으로서의 가능성을 검토한다. Public design is the design of relations a nation and members of a society, it come up with the social a part improve for quality of life because pursue a value of social cultural. This implies that it designs the place based on the human. Service design is characterized by that cast about for solving the problem from a person's heart with peoples and use a dialogue and cooperation for understand about question. For this reason, these two designs are similar in every point. This study is growing into one of two designs process with human points and suggests that Charrette should social work of public service design. Charrette is conference by discussion and an examination forcing on at regular intervals for situation and the point at the issue, direction and strategic plan, action plan as well. The numbers of people consist of resident of in the field, a specialist, public official, and the persons about one social work. This paper suggests that give the possibility of social work to advantages and disadvantages, make an analysis of program and refine on a method.

콤팩트 형광램프용 가변출력형 전자식 안정기의 조광특성에 관한 연구

郭宰榮(Jae-Young Gwark),呂寅善(In-Seon Yeo) 대한전기학회 1996 전기학회논문지 Vol.45 No.9

콤팩트 형광램프용 다출력형 전자식 안정기의 설계

곽재영(Jae-Young Gwark),송상빈(Sang-Bin Song),여인선(In-Seon Yeo) 대한전기학회 1995 대한전기학회 학술대회 논문집 Vol.1995 No.7