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      • 산후에 발병한 특발성 부갑상선 기능저하증 I 예

        김정인,김상용,신병철,김경남,서영욱,이범주,김진화,배학연 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

        Hypoparathyroidism is usually the result of an inadvertent surgical removal of all the parathyroid glands, In some instances, not all the tissues are removed, but the remainder undergoes vascular supply compromise secondary to the fibrotic changes in the neck after surgery, Previously, the surgery for hyperthyroidism was the most frequent cause of acquired hypoparathyroidism. Idiopathic hypoparathyroidism is a relatively rare disease that is characterized by hypocalcemia and hyperphosphatemia due to a parathyroid hormone deficiency of an unknown cause, It usually develops at a young age, and shows various clinical symptoms and signs accompanied with hypocalcemia. In addition, it is rarely associated with polyglandular autoimmune syndrome during the follow-up. Hypocalcemia and idiopathic hypoparathyroidism associated with labor and lactation are rarely reported condition previously. We here describe a case of a woman in whom the symptomatic severe hypocalcemia appeared after her delivery. We reviewed all the previously reported cases and suggest a possible physiological explanation for the association between pregnancy, lactation, and the appearance of symptomatic hypocalcemia.

      • KCI등재후보

        경련성 환아 부모들의 인식에 대한 연구

        이경화(Kyoung Hwa Lee),서은숙(Eun Sook Suh),김영창(Yong Chang Kim),김창휘(Chang Hwi Kim),이동환(Dong Whan Lee) 대한소아신경학회 1996 대한소아신경학회지 Vol.3 No.2

        Convulsive disorder is the most part of the pediatric neurologic disease. As far as the treatment of convulsive disorder concerned, we must consider familys' understanding, and the close cooperation between the epileptic child, parents, and doctors. We compared to Kim's report in 1985, to study the change of parents of epileptic children thinking. A prospective study was undertaken the analysis of 100 epileptic children parents visited to the pediatric dept, of Soonchunhyang university hospital from May to July, 1995. Psychological assessment, questionnaires which contains 17 items were given them, and these items were compared to Kims report in 1985 The results were as follows: 1) Parents of epileptic children answered convulsive disorder has influenced to children growth and development( 60.8% in 1985, 65.0% in 1995 ). 2) For asking the causes of children disease, 40.5% of them in 1985 and 50.0% of them in 1995 answered to uncertain, but only 7.8% of them in 1985 and 7.0% of them in 1995 answered to relation with familial inheritance. 3) The feelings at time of the diagnosis were gloomy or uncomfortable: 52.3% in 1985, 38.0% in 1995 and shameful 28.1% in 1985, 9.0% 1995. parents had belived in the epilepsy was treatable disease: 41.0% in 1995. 4) According to the this survey, patients explained reasons why their children take the medication increased from 23.5% in 1985 to 65.0% in 1995. 5) Only family, knew that their children had the convulsive disorder about 50.3% in 1995 and 22.0% in 1995. Family, patients and other people except family knew that their children had the convulsive disorder about 6.5% in 1985 and 43.0% in 1995. 6) The parents opinion and expectation toward the medical doctors were that they wanted to get full explanation for the disease 81.0% in 1985 and 35.1% in 1995, and others were explantation about toxicity and side effects of the medication and advises for the childrens life and activities.

      • KCI등재

        영아용 가정방문 몬테소리 수행평가 도구 개발에 관한 연구

        김명희,신화식,황혜경 한국영유아보육학회 2004 한국영유아보육학 Vol.0 No.39

        본 연구는 영아를 대상으로 가정방문 프로그램에서 실시하고 있는 몬테소리 교육 프로 그램에 대한 수행평가도구를 개발하였다. 이를 위해 먼저 가정방문 교사의 수행평가에 대한 전반적인 인식과 요구조사를 거쳐 수행평가도구 개발의 필요성과 중요성을 살펴보았으며, 예비조사와 전문가 협의를 거쳐 도구의 항목과 점수체계를 구성하여 평가 도구를 개발하였다. 수행평가도구는 가정방문 프로그램의 교육내용 중 4개 영역(신체발달, 창의성발달, 일상생활연습, 감각교육)에서 각각 1개씩 총 4개의 수행평가도구를 개발하였다. 개발된 도구는 만 24개월 미만 영아 50명을 대상으로 신뢰도와 타당도를 살펴보았다. 그 결과 매우 높은 문항 내적 합치도를 보여주었으며 구인타당도와 공인타당도를 살펴볼 때 개발된 평가도구는 적절한 측정도구로써 사용될 수 있는 가능성을 나타내었다. The purpose of this study was to develop a Early Childhood Home School Montessori performance Assessment Scale, a scale for assessing the performance of 6-23 month old children in Montessori programs. Subject of the study consisted of 50 6-23 month old children in Seoul and 133 teacher teachers in Seoul. Statistical methods employed were Cronbach's Alpha, construct validity and concurrent validity(with Korean Child Social Maturity Scales). These results indicate that Early Childhood Montessori Home School performance Assessment Scale developed by the authors is a valid scale with high reliability.

      • 환경시료로부터 미량 페놀류의 분석을 위한 isoButoxycarbonyl 유도체화 분석방법 적용 및 최적화

        김협,홍종기,김용화,김경래 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.1

        Eleven phenols including two chlorophenols, eight alkylphenols and bisphenol A were derivatized with isobutylchlomformate to form their isobutoxycarbonyl derivatives. Standard phenol mixture was concentrated for the isebutoxycarbonyl (isoBOC) derivatization and analysed by gas chromatography/mass spectrometry (GC/MS). The recoveries of the derivatization method of alkylphenols, chlorophenols, and bisphenol A were calculated by gas chromatography/mass spectrometry -selected ion monitoring mode using two work-up methods for comparison; shaking and heating method. The linear detector responses were obtained in the concentration range of 5 -400 ng, with correlation coefficients varying from 0.9755-0,9981. Recoveries of the alkylphenols, chlorophenols, and bisphenol A were determined by gas chromatography /mass spectrometry -selected ion monitoring mode using two work-up methods for comparison; the US-EPA method and the isoBOC derivatization method. Eleven phenols in water samples were extracted with dichloromethane and then concentrated. Also, solid-phase extraction (SPE) with XAD-4 and subsequent conversion to isobutoxymbony derivatives for sensitive analysis with the selected ion-monitoring (SIM) mode. The recoveries were 85.1~109.9% and 90.3~126.6% for the US-EPA method and the isoBOC derivatization method, respectively. The method detection limits of bisphenol A for SIM were 0.732 ㎍/ℓ and 0.002 ㎍/ℓ for the two methods above, respectively.

      • KCI등재

        상아질 표면상태에 따른 광중합형 글래스아이오노머 시멘트의 전단결합강도에 관한 연구

        김경화,박상진 大韓齒科保存學會 1997 Restorative Dentistry & Endodontics Vol.22 No.2

        The purpose of this study was to evaluate the shear bond strength of three light-cured glass ionomer cements to blood contaminated bovine dentin. The materials used in this study were Fuji Ⅱ LC, Dyract and Variglass VLC. The dentin conditioners were 10% polyacrylic acid, 10% maleic acid and 10% phosphoric acid. 180 lower anterior bovine teeth were selected in this study. The teeth were embedded in acrylic resin and were grounded with 320 to 600 grit silicon carbide paper to create a flat dentin surface. The teeth were divided into six groups. The experimental procedures in six groups were as follows; Group 1(GF):Samples bonded to dentin surface with Fuji Ⅱ LC after 10% polyacrylic acid treatment. Group 2(BGF):Samples bonded to dentin surface with Fuji Ⅱ LC after 10% polyacrylic acid treatment and blood contamination. Group 3(MD):Samples bonded to dentin surface with Dyract after 10% maleic acid treatment. Group 4(BMD):Samples bonded to dentin surface with Dyract after 10% maleic acid treatment and blood contamination. Group 5(PV):Samples bonded to dentin surface with Variglass VLC after 10% phosphoric acid treatment. Group 6(BPV):Samples bonded to dentin surface with Variglass VLC after 10% phosphoric acid treatment and blood contamination. Group 1,3 and 5 were classified into the control groups, while group 2,4 and 6 were classified into the experimental groups. Each group contained 30 samples. After 24 hours water storage at 37℃, all smples were subjected to a shear load to fracture at a cross head speed of 1.0mm/min with Instron universal testing machine(No. 4467). Debonded surfaces were observed under Scanning Electron Microscope(Hitachi S-2300) at 20kvp. The data were evaluated statistically at the 95% confidence level with Student's t-test. The following results obtained; 1. Shcar bond strengths were higher in the control groups(1,3,5 group) than in the experinental groups(2,4,6 group). 2. The shear bond strength of group 5(PV) was the highest in the control groups, and the group 5 was significantly higher than the group 1(GF) on the shear bond strength. 3. The group 4(BMD) was the highest on the shear bond stength, and the group 2(BGF) was the lowest in the experimental groups. The group 4(BMD) and 6(BPV) showed a significant difference with the group 2 on the shear bond strength. 4. All the groups showed an adhesive-cohesive failure, except the group 2(BGF) showing adhesive failure.

      • 부모의 양육태도가 고등학생의 자아존중감 및 자아탄력성에 미치는 영향

        김경수,김화경 韓南大學校 敎育硏究所 2011 교육연구 Vol.19 No.2

        본 연구는 고등학생이 지각한 부모 양육태도와 자아존중감 및 자아탄력성과의 관계를 알아보기 위한 연구이다. 이를 위해 충청남도에 소재한 인문계, 전문계 고등학교(4개교)의 1, 2학년 남학생과 여학생을 대상으로 490부의 설문 조사를 실시하였다. 설문 조사의 문항은 응답자 기초조사, 부모의 양육태도, 자아존중감, 자아탄력성 순으로 배치하였고 양육태도 척도, 자아탄력성 척도, 자아존중감 척도를 사용하였다. 수집된 자료 처리 및 분석은 SPSS/PC WIN 15.0 통계 프로그램을 사용하여 고등학생이 지각한 부모의 양육태도, 자아존중감 및 자아탄력성과의관계를 살펴보기 위해 상관분석과 회귀분석을 실시하였다. 연구결과를 요약하면 다음과 같다. 자녀들이 지각하는 부모의 양육태도는 자아존중감과 자아탄력성에 영향을 미치는 중요한 요인이 되며, 자아존중감과 자아탄력성의 관계는 자아존중감의 모든 하위 요인에 걸쳐 유익한 정적 상관을 보이는 것으로 나타났다. 이를 통해 청소년들의 건강한 성장발달을 돕는 부모의 바람직한 양육태도에 대한 중요성을 제시하고자 한다. This study aims to know of relation between perceived parental rearing attitude and self-esteem and ego-resilience. For this study, with male students and female students in the first and second grade, who go to general high school and vocational high school in Chungnam province, questionnaire was carried out. Questionnaire to know of parental rearing attitude, self-esteem scale and ego-resilience scale was carried out. And then, in order to analyze data collected, using SPSS/PC WIN 15.0 program, correlation analysis and regression analysis were carried out. The results of the study are as follows; In relation between parental rearing attitude and self-esteem and ego-resilience, when parental rearing attitude was affective, selfish and well-achieved, self-esteem and ego-resilience had both high correlation. And, self-esteem and ego-resilience showed meaningful correlation across all the subordinate variables of self-esteem. This study shows a foundation to perceive an importance of parental roles to help physical development of their children.

      • 무릎운동훈련들이 안쪽빗넓은근과 가쪽넓은근의 수축 개시시간에 미치는 효과

        김명진,김지원,이재온,박경희,신화경 한국전문물리치료학회 2001 한국전문물리치료학회지 Vol.8 No.2

        The purpose of this study was to investigate the effect of knee exercises on the onset times of vastus medialis oblique muscle (VMO) and vastus lateralis muscle (VL) and in healthy subjects. Fifteen subjects (7 men, 8 women) in a mean age of 25.4 years participated in the study. Electromyographic (EMG) signals were recorded from the VMO and VL under four exercises. Knee exercises consisted of open kinematic terminal knee extension, straight leg raising, isometric hip adduction exercise, and closed kinematic terminal knee extension. No significant differences were found in the onset times of EMG activities of VMO and VL in the four exercises. There were also no significant differences among the exercises. These results coincided with previous studies that found no difference between onset of VMO and VL. However, it is difficult to say that there is no difference between onset of VMO and VL in healthy subjects. To confirm this results, further researches that follow same onset determination metod and exercises are needed. Not only is the study of onset time of muscle needed, but also the studies of the amount of activation and the rate of increase of muscle activation are needed.

      • 서양 여성의 헤드드레스 변천에 관한 연구 : 고대부터 중세까지 from ancient times to the middle gaes

        김경화,김태년,김경애,이승옥 우석대학교 자원개발연구소 1997 자원개발연구소논문집 Vol.2 No.-

        Costume has expressed the life style and influence on natural and social environment, The purpose of this study is to understand changes of hair style and millinery life in the west. The data used in this study included in the literature on this subject. The research results can be summarized as follows. 1. A hair style of ancient times was frizz or chignon or dyed hair style. Sometimes, they wore wigs of false hair, or put on a head kerchief. Millinery has been not worn until then. 2. In the middle ages, the hat serve to symbolize the social rank or authority or religion. Turbans were worn which concealed the hair. The hair style were large stuffed rolls over which the wimple was sometimes draped. These stuffed rolls were also used to form some shapes of the hennin, principally the heart-shaped and circular cone style. The hennin was brought to France by Isabella of Bavaria in the latter part of the fourteenth century and its vogue lasted a hundred years. There were many styles of the hennin, invariably draped with a veil, floating or with wired edge. They became so extravagant in size that I found it necessary to regulate the height according to the socal position of the wearer.

      • KCI등재
      • 유아의 기저귀 및 기저귀 커버에 관한 연구

        김경화,김희영 우석대학교 자원개발연구소 1997 자원개발연구소논문집 Vol.2 No.-

        The purpose of this study was to provide information on a comfortable diaper & diaper cover for infants through investigation into satisfaction with diaper and diaper cover by using questionnaire. The subjects are 191 infants aged from 0 to 2. Data were analyzed by frequency average and χ^2-Test. The results of this study were as follows. 1. There was significant difference in the usage degree of disposable diaper according to size of city(p<.01), the existence of occupation of mother(p<.001)and income of home(p<.001). 2. Mothers were not content about price and size of diaper cover. A large percentage of infants put on diaper all the time. Above 50 percentage of infants wore disagreeable size, therefore required measurement of their body. 3. During the day at home, and mothers prefer cloth diaper and at night prefer disposable diaper. In addition to, many infants wore disposable diaper out of a house. 4. Because of waste convenience and infant's deep sleeping mothers prefer disposable diaper to cloth diaper. For the disposible diaper, mothers prefer panty type to pad type. 5. 89.5% of mothers concerned environmental pollution caused by disposable diaper, but because of convenience they used it.

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