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정희정(Hee Jung Chung),김정아(Jeong A Kim),엄소용(So yong Eom),김성우(Seong Woo Kim),송정은(Jung Eun Song) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.4
목적: 발달지연은 학동기를 포함한 전체 소아의 5-10%에서 나타나는 비교적 흔한 질환으로 소아의 중요한 건강문제 중의 하나이다. 이들을 조기에 발견하여 적절한 조기 개입을 함으로써 장래에 초래될 수 있는 장애를 줄일 수 있을 뿐만 아니라 사회적 부담과 비용도 줄일 수 있어 조기 발견은 매우 중요하다. 이에 국민건강보험 일산병원 발달지연 클리닉에 내원한 환자 중 2번이상 추적 관찰된 환자를 대상으로 이들의 종적인 진단의 변화를 살펴보고, 최종진단이 ASD, ID, DLD의 경우, 이 세 질환을 초진 시 미리 판별할 수 있는 예측 인자를 찾아봄으로써 적절한 조기개입을 하는데 도움을 받고자 본 연구를 시행하였다. 방법: 2007년 8월-2013년 7월까지 국민건강보험 일산병원 발달지연 클리닉에 내원한 환자(총 733명) 중 2번 이상 방문한 환자 168명을 대상으로 하였다. 모든 환자는 진료 시 다학제적 접근방식에 따라 소아신경과, 소아재활의학과, 소아정신과의 세 과를 동시에 방문 하였다. 초진시의 기본 검사로 언어평가, 발달평가 혹은 인지평가, 사회성 및 행동평가, 청력검사를 실시하였고, 환자에 따라 아동기자폐증평정척도(CARS), MRI, 뇌파검사, 염색체 검사, 대사이상 검사 등을 선택적으로 시행하였다. 검사 결과 및 병력청취, 진찰소견을 바탕으로 초진 시 내린 잠정진단과 재진 시의 최종진단의 변화를 의무기록 검토를 통해 후향적으로 살펴 보았다. 결과: 1) 1차 방문 아동들의 평균 연령은 2.78세(4-97개월)이며, 추적 방문 아동들의 평균 연령은 4.81세(24-136개월) 이었고, 평균 추적기간은 24.8개월(8-68개월) 이었다. 2) 환자들의 가장 흔한 주 호소는 언어지연이었다(71.5%). 3) 잠정 진단과 최종 진단의 차이는 GDD와 DLD환자군에서 주로 관찰되었는데, 결국 최종진단 ID는 잠정진단 DLD에서보다 GDD에서 더 많이 이행되었으나(65.3% vs 42.3%), ASD는 두 군에서 모두 비슷한 비율로 이행되었다(16.3 vs 19.2%). 4) 초진 시 DLD 환자군 증, 비언어성 인지발달지수(C-DQ)가 정상인 환자일수록 장기적인 예후가 훨씬 양호하였다. 5) 이 변수들 중 세 군을 가장 영향력 있게 판별할 수 있는 예측 변수를 판별분석을 통해 확인해 본 결과, C-DQ (0.7436)가 가장 강력했고, 이후 SMS (0.6239), M_Q (0.6070), eye contact (0.4743), CARS (-0.3148), Rec_Q (0.2984), P_Q (0.2629)의 순서로 나타났다. 결론: 발달지연이 있을 때 경험 있는 의사의 정기적인 추적 관찰은 매우 중요하며, 특히 1차 잠정진단이 GDD나 DLD 환자인 경우, 언어지연이 다른 영역에 비해 저명하면서(예; 자발어 없음) ASD의 예측 변수가 동반된 경우, ASD의 진단 기준에 합당하지 않더라도 최대한 일찍 집중적 조기 중재를 시작하는 것이 바람직하며, 장기적이고 주기적인 추적관찰이 필요하다. Pupose: Early detection of developmental delay is important because early intervention can reduce the disabilities that may arise in the future, as well as reduce social burdens and costs. In this study, we reviewed the changes of the diagnosis of patients who were followed up more than 2 times in the patients who visited the NHIS Ilsan Hospital Developmental Delay Clinic. In the cases whose final diagnosis were autism spectrum disorder (ASD), intellectual disability (ID), developmental language disorder (DLD), we performed this study to investigate the predictive factors of these diseases that can be discriminated in advance in order to provide appropriate early intervention. Methods: From August 2007 to July 2013, 168 patients who visited the NHIS Ilsan Hospital (total 733 patients) more than 2 times were included. All patients visited three departments (Pediatric Neurology, Rehabilitation & Psychiatry) at the same time according to a multidisciplinary approach. Speech evaluation, development & IQ test, social and emotional evaluation and hearing test were performed routinely. K-CARS, MRI, EEG, chromosome, and metabolic study were selected according to the patients. Review of medical records of children was performed retrospectively. Results: 1) The mean age of children at 1st and follow-up visit was 2.78 years (4-97 months) and 4.81 years (24-136 months) each. The mean follow-up period was 4.81 years (24-136 months). 2) The most common chief complaints of patients was language delay (71.5%). 3) The difference between the tentative diagnosis and the final diagnosis was mainly observed in the GDD and DLD patients. Eventually, the final diagnosis ID was diagnosed more in the GDD than in the DLD (65.3% vs 42.3%), but the diagnosis ASD was diagnosed similarly (16.3 vs 19.2%). 4) Long-term prognosis was better for patients with DLD who has higher nonverbal cognitive developmental quotient (C-DQ >70) at initial visit. 5) Result of the canonical coefficients by discrimination analysis showed that C-DQ (0.7436) was the strongest discriminating factor that predict the three groups, followed by SMS (0.6239), M_Q (0.6070), and eye Contact (0.4743), CARS (-0.3148), Rec_Q (0.2984), and P_Q (0.2629). Conclusion: Regular follow-up of experienced doctor is very important when a patient is delayed. If language delay is prominent compared to other areas & if discriminating factors of ASD are detected, it is advisable to initiate intensive early intervention with long-term periodic follow-up even if it does not meet the diagnostic criteria of ASD with long-term periodic follow-up.
군 지휘관의 군 리더십코칭 경험에 관한 주관성연구: Q방법론 적용
정용석 ( Jeong Yongseok ),정희정 ( Chung Hee-jung ) 미래군사학회 2022 한국군사학논총 Vol.11 No.4
The purpose of this study is to find out the characteristics and effectiveness of military leadership coaching based on the recognition of coaching experiences of military commanders who have experienced leadership coaching conducted at the Army Leadership Center. To this end, the Q methodology was used. 34 statements about the military commander's coaching experience were extracted, and Q-sorting was conducted on 28 field-grade commanders of the Army who experienced leadership coaching, and this was analyzed using the QUANL program. As a result of this study, four types of perceptions about the coaching experience of military commanders were derived. Type I is recognized as an 'opportunity for organizational development', Type II is recognized as an 'opportunity for change and growth', Type III is recognized as an 'opportunity for strengthening leadership capabilities', and Type IV is recognized as an 'opportunity for emotional healing'. Through the types and characteristics of military commanders' coaching experiences, it was confirmed that leadership coaching has the effect of strengthening the organization's development and leadership capabilities in terms of military organization, helping personal change and growth, and healing emotions in private life. Based on the results of this study, it is hoped that basic data will be provided to improve the direction and effectiveness of military leadership coaching so that all defense areas can be further developed.
한국어 학습 목적에 따른 단기 한국어 교육 과정 비교 연구 - 연세대학교 한국어학당 교육 과정 사례를 중심으로 -
정여훈 ( Jeong Yeohoon ),정희정 ( Chung Hee Jung ) 연세대학교 언어연구교육원 한국어학당 2020 외국어로서의 한국어교육 Vol.59 No.-
This study is to examine a number of cases of short-term Korean programs for Korean learners focussing on their learning purposes in the Korean Language Institute at Yonsei University, and to suggest a model of how the curriculum of short-term Korean programs could be designed according to the learners’ learning purposes. Chapter 2 examines the definition of a short-term Korean program for Korean learners and the previous research on the short-term Korean programs. In chapter 3, it is examined how the curriculum for the short-term Korean programs could be differentiated by the Korean learners’ learning purposes in terms of education goals, syllabus and teaching methods, teaching materials, assesment, and cultural activities. As a result, it is suggested that the syllabus and teaching methods should be geared to content- based language teaching and communicative approach for the short- term Korean program for the Korean learners with specific purposes. Also, the teaching materials and assessment should be designed according to the learning purposes. (Yonsei University)
이정진(Jeong Jin Lee),문은수(Eunsoo Moon),박제민(Je Min Park),이병대(Byung Dae Lee),이영민(Young Min Lee),정희정(Hee Jeong Jeong),최윤미(Yoonmi Choi),정영인(Young In Chung) 대한생물치료정신의학회 2014 생물치료정신의학 Vol.20 No.1
Objectives:It is important to examine factors affecting problem drinking to prevent social drinking from proceeding alcohol addiction. As the factors associated with problematic drinking are various according to age and gender, we aimed to investigate whether several clinical factors are associated with drinking behavior according to age and gender in general population. Methods:291 participants without experience of psychiatric diagnosis and treatment were recruited. Problematic drinking behavior was evaluated by Alcohol Use Disorder Identification Test(AUDIT). Depression, bipolarity, anxiety and impulsivity were measured using Beck Depression Inventory(BDI), Bipolar Spectrum Diagnostic Scale(BSDS), State-Trait Anxiety Inventory(STAI) and Barratt impulsiveness scale(BIS), respectively. The authors analyzed the effects of clinical factors on drinking behavior according to age and gender using univariate linear regression. Results:In younger group, there was no correlation between clinical variables and problematic drinking behavior. In middle aged group, however, BSDS total scores were significantly correlated with AUDIT scores(p=.006). Problematic drinking behaviors in middle-aged men were significantly associated with STAI-state(p=.027), total score and mania subscore of BSDS(p=.006 ; p=.001) and BIS(p=.011), but those in middle-aged women were associated with BDI (p=.022), STAI-state and trait(p=.027 ; p=.010), total score and mania subscore of BSDS(p=.031 ; p=.037), as well as depression subscore of BSDS(p=.012). Conclusion:These results suggest that factors associated with problematic drinking are different according to age and gender. Therefore, consideration on difference of gender and age effect on problematic drinking behavior is important to establish strategies for decreasing problematic drinking.



문진수,김재영,정수희,최광해,양혜란,서정기,고재성,최경단,서정완,정희정,은백린,황승식,서순려,김한숙,Moon, Jin-Soo,Kim, Jae-Young,Chang, Soo-Hee,Choi, Kwang-Hae,Yang, Hye-Ran,Seo, Jeong-Kee,Ko, Jae-Sung,Choi, Kyung-Dan,Seo, Jeong-Wan,Chung, Hee- 대한소아소화기영양학회 2008 Pediatric gastroenterology, hepatology & nutrition Vol.11 No.1
Purpose: A new health policy, referred to as the National Health Screening Program for Infants and Children, was launched in November 2007 by the Ministry of Health and Welfare and National Health Insurance Corporation in Korea. We have developed a nutrition-counseling program that was incorporated into this project. Methods: We reviewed the nutritional guidelines published by The Korean Pediatric Society and internationally well-known screening programs such as Bright Future in the United States. We also reviewed the recent Korean national surveys on nutritional issues, including the Korea National Health and Nutrition Examination Survey (KNHANES) and the 2005 National Survey of Physical Body and Blood Pressure in Children and Adolescents. The development of questions, pamphlets, computer programs, and manuals for doctors was carried out after several meetings of researchers and governmental officers. Results: We summarized the key nutritional issues according to age, including breastfeeding in infants, healthier complementary feeding, and prevention of iron deficiency anemia, establishment of healthier diets, as well as dietary prevention of overweight children with an emphasis on physical exercise. We have constructed a new Korean nutrition questionnaire and an anticipatory guidance program based on the primary care schedule of visits at 4, 9, 18, 30, and 60 months of age. Five to eight questions were asked at each visit and age-matched pamphlets for parents and guidelines for doctors were provided. Conclusion: We developed a nutrition-counseling program based on recent scientific evidence for Korean infants and children. Further research on this national program for screening the nutritional problems in detail and setting the therapeutic approaches may help identify areas of success as well as those that need further attention.