• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.698-709
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• 2016

본 연구는 2016년 중학교 자유학기제의 전면도입을 앞 둔 시점에서, 실질적 자유학기제의 주체라고 할 수 있는 중학생의 자유학기제 경험을 탐색하기 위하여 시도되었다. 질적 연구방법을 적용하여 의도적 표집을 통해 자유학기제 시범학교 중학생 8명을 대상으로 심층면담을 수행하였다. 수집된 자료를 분석한 결과, 10개의 주제가 도출되었다. 각 주제는 다음과 같다: '울며 겨자먹기로 수행평가에서 고군분투하기', '시험에 대한 부담감', '진로체험의 아쉬움', '깊이 있는 우정', '차별과 존중의 양면성', '초등과 중등 사이에서 휴식과 적응의 기회', '생각 없이 흘러간 찰나같은 아쉬움', '자유로움과 압박의 공존', '친구들이 있는 따뜻한 공간', '생색내기식 리허설에 끌려다님'. 연구결과, 자유학기제 학교생활에 대한 양가감정과 함께, 특히 친구관계에서의 특별한 우정에 대한 경험이 가장 우세하게 떠올랐다. 자유학기제 경험의 전반에서 협력위주의 우정이 지배적 범주로 떠오른 것은 경쟁위주의 현 학교 현실에 대한 긍정적 대안으로서 자유학기제의 성공가능성을 시사해준다. 중학생을 대상으로 자유학기제 경험의 의미를 확인한 본 연구결과를 토대로 향후 자유학기제의 성공적 시행을 위한 정책적 방향을 논의할 수 있을 것으로 기대한다.

• 초등상담연구
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• 제9권2호
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• pp.143-162
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• 2010

본 연구는 Fraley, Waller 및 Brennan(2000)이 개발한 개정판 친밀관계경험 질문지(Experiences in Close Relationships -Revised: ECR-R)의 문항 제작과정을 근거로 하여 아동의 애착유형을 신뢰롭고 타당하게 측정하기 위한 아동용 부모애착척도를 구성하고 기본적인 신뢰도와 문항반응이론에 근거한 몇가지 문항특성정보를 알아보는데 목적이 있다. 이를 위해 ECR-R의 원래 문항과 기존의 애착검사들에서 사용하고 있는 문항들을 수집하여 1차 예비문항을 도출하고, 이를 4~6학년 아동이 이해하기 쉽고 근거한 원문항의 의미와 최대한 같도록 수정하고 보완하여 2차 예비문항을 작성한 후, 초등학교 4~6학년 학생(N=576명)에게 실시하였다. 수거한 자료를 사용해서 2모수 등급반응모형을 적용하여 30문항으로 된 애착척도를 구성하였다. 그 결과 아동용 부모애착검사의 내적 합치도는 회피척도의 경우 .94~.95, 불안척도의 경우 .85~.86의 범위이었고, 검사-재검사 신뢰도는 회피척도의 경우 .71~.77, 불안척도의 경우 .53~.68의 범위이었다. 또한 문항반응이론(IRT)을 적용하여 문항변별도와 문항정보값을 살펴본 결과 문항변별도는 적절한 범위에 있었고 문항정보값 역시 높았다. 위계적 군집분석인 K-means방법을 적용한 결과 안정형, 거부형, 몰두형, 두려움형의 4범주로 분류할 수 있었다. 또한 애착유형에 따른 애착척도 점수의 평균과 표준편차를 알아보기 위해 일원분산분석(ANOVA)한 결과 회피와 불안척도는 안정형, 몰두형, 거부형, 두려움형 애착에서 모두 유의한 차이를 나타내었다. 마지막으로 본 연구의 의의와 타당도와 관련한 제한점을 논의하였다.

• Archives of Reconstructive Microsurgery
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• 제19권1호
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• pp.21-28
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• 2010

Purpose: To report the clinical results of the use of arterialized venous free flaps in reconstruction in soft tissue defects of the finger and to extend indications for the use of such flaps based on the clinical experiences of the authors. Materials and Methods: Eighteen patients who underwent arterialized venous free flaps for finger reconstruction, between May 2007 and July 2009 were reviewed retrospectively. The mean flap size was 4.7${\times}3.2$ cm. The donor site was the ipsilateral volar aspect of the distal forearm in all cases. There were 8 cases of venous skin flaps, 5 cases of neurocutaneous flaps, 4 cases of tendocutaneous flaps, 1 case of innervated tendocutaneous flap. The vascuality of recipient beds was good except in 4 cases (partial devascuality in 2, more than 50% avascuality (bone cement) in 2). Results: All flaps were survived. The mean number of included veins was 2.27 per flap. Mean static two-point discrimination was 10.5 mm in neurocutaneous flaps. In 3 of 5 cases where tendocutaneous flaps were used, active ROM at the PIP joint was 60 degrees, 30 degrees at the DIP joint and 40 degrees at the IP joint of thumb. There were no specific complications except partial necrosis in 3 cases. Conclusions: An arterialized venous free flap is a useful procedure for single-stage reconstruction in soft tissue or combined defect of the finger; we consider that this technique could be applied to fingers despite avascular recipient beds if the periphery of recipient bed vascularity is good.

• 동의생리병리학회지
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• 제25권2호
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• pp.318-321
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• 2011

In this study, when a physician make a diagnosis of the Pattern Identifications(PIs) of stroke patients, the development methods of the PIs classification function is considered by diagnostic questionnaire of the PIs for stroke patients. Clinical data collected from 1,502 stroke patients who was identically diagnosed for the PIs subtypes diagnosed by two clinical experts with more than 3 years experiences in 13 oriental medical hospitals. In order to develop the classification function into PIs using the 44 items-Fire&heat(19), Qi-deficiency(11), Yin-deficiency(7), Dampness phlegm(7)- of them was significant statistically by univariate analysis in 61 questionnaires totally, we make some comparisons of the results of discriminant analysis model and generalized logit model. The overall diagnostic accuracy rate of the PIs subtypes for discriminant model(74.37%) was higher than 3% of generalized logit model(70.09%).

• 동의생리병리학회지
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• 제23권5호
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• pp.964-968
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• 2009

The purpose of this study is to select the major pulse indicators and evaluate their significance in discriminating the subtypes of Pattern Identifications (PI) from stroke patients. Decision tree analysis was carried out using clinical data collected from 835 stroke patients with the same subtypes diagnosed identically by two experts with more than 3 year clinical experiences. Among the 10 pulse indicators, 6 major pulse indicators (slow, rapid, strong, weak, slippery, and fine pulse) were selected by decision tree analysis. The accumulated distributions of six pulse indicators in each PI showed that strong was major pulse indicator in Fire-Heat pattern, slippery in Dampness Phlegm pattern, weak in Qi Deficiency pattern. But there were two major combinations in Yin deficiency pattern, weak or fine with rapid pulse and weak or fine without rapid pulse. Therefore, it is suggested that 6 pulse indicators can be used for discrimination of PI in stroke patients, though the combination studies between these pulse indicators and the other PI indicators are left for further study.

• 한국가정과교육학회지
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• 제2권1호
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• pp.91-99
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• 1990

By the comparative analysis of middle school Home Economics curricula in the U.S, Sweden, japan, Taiwan, and Korea, this study attempts to understand the current Home Economics education and to access its trends for each country. Based on the findings of the analysis, this study also seeks to get the major implications of the analysis for the betterment of the Korean Home Economics Education. The main sources of information and data analyzed here are :1)curricula for 10 School Districts in Pennsylvania state as representives of the U.S ; 2)Home Economics curriculum for middle school in Sweden ; 3) Home Economics Teaching Guidelines in Japan ;4)Home Economics curriculum in Taiwan ; and 5) Home Economics curriculum in Korea. Content Analysis technique is applied in this study. The major elements of contents include :1)structure of the curriculum ;2)subject name ; 3)time allotment; 4)goals and objectives ; 5)subject areas and content composition ; 6) other related characteristics for the implemention of the curriculum Summarized results of the study outline as follows; 1)Home Economics is offered as independently required subject without sex discrimination in all five countries. 2)Time allotment for Home Economics in Sweden is double that in the other countries. 3)The common goals of Home Economics courses is practical learning experiences closely related to reality. 4) In terms of subjects areas, Food and Nutrition, Clothing & Textiles, Housing Human Development, and Child care are offered in three of four countries, which is also similar to those of Korea. In addition Consumer Education is also covered in the U.S., Sweden and Korea. 5)Curriculum can be utilized as instructional planning materials due to the clear specification of instructional method, materials, and evaluation method on the curriculum, especially in the U,S, and Taiwan.

• 지역사회간호학회지
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• 제24권2호
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• pp.185-194
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• 2013

Purpose: This study was to explore situations that might put the middle-aged Korean-Chinese female migrant workers at risk for work-related musculoskeletal diseases (WMSDs). At the development phase of a continuing health project, the study aimed to clarify health promotion program needs of the migrant population. Methods: A qualitative description research design was used with three focus groups of 23 Korean-Chinese female migrant workers. Each focus group interview was conducted for 70-minutes using semi-structured interview guidelines. The data were analyzed using directed qualitative content analysis techniques. Results: The majority of the participants were household workers and their work included heavy material handling, standing for a long time, and working in awkward postures. They experienced discrimination from employers, lack of control at work, limitations in open-communication, job insecurity, and acculturation. They had needs to have health promotion programs for preventing and managing chronic diseases, depression and menopause as well as WMSDs. Conclusion: The participants were situated in work environments with physical demanding tasks, acculturative and job-related stress and lack of opportunities to participate in health promotion programs. It is suggested to develop a comprehensive program to better meet the needs of middle-aged Korean-Chinese female migrant workers rather than targeting the reduction of WMSDs.

• Archives of Plastic Surgery
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• 제38권5호
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• pp.649-654
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• 2011

Purpose: Split-or full-thickness skin grafts are used to reconstruct palmar skin and soft tissue defects after trauma or to release burn scar contracture on the hand. Glabrous skin defects should be substituted with similar skin to preserve function and aesthetics. The authors report their experiences with a technique that uses a full-thickness graft taken from glabrous skin on the ulnar edge of the palm for the reconstruction of soft tissue defects of the hand. Methods: During a three-year period from 2007 to 2010, 22 patients with burn scar contracture and 12 patients with post-traumatic skin defects on their hands were treated with full-thickness skin graft operations. The palmar skin and soft tissue defects after release of burn scar contracture or debridement of post-traumatic wounds were reconstructed with full-thickness skin grafts harvested from the ulnar border of their palms. All donor-site wounds were primarily closed. Results: The followup periods ranged from 3 to 25 months. Contractures of the hand were corrected without recurrence, and the grafts showed relatively good contour and color match to the adjacent fields. There were no reported complications such as significant color change or hypertrophic scarring. The grafted skin showed an average 5.9 mm static two-point discrimination obtained in fingertip reconstruction cases, indicating satisfactory reinnervation. Conclusion: Glabrous full-thickness grafts harvested from the palmar ulnar border is a very useful way of reconstructing soft tissue defects on hands, including fingertips, for function restoration, favorable aesthetic results, and low donor-site morbidity.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.590-596
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• 2020

Background The introduction of the partial second toe pulp free flap has enabled superior aesthetic and functional results for fingertip reconstruction in adults. Children undergoing fingertip amputation for various reasons have limited options for reconstruction. Conventional treatment could shorten the finger, leading to poor cosmesis and function. We report 18 years of our experiences with fingertip reconstruction using partial second toe pulp free flaps in patients in early childhood. Methods Medical charts of children who had undergone fingertip reconstruction using partial second toe pulp free flaps from 2001 to 2018 were retrospectively reviewed. The surgical procedures were identical to those for adults, except for the usage of 11-0 nylon sutures. Patients' demographic data, vessel size, flap dimensions, length of the distal phalanx, and functional outcomes over the course of long-term follow-up were documented. The statistical analysis was performed with the Student t-test, the Mann-Whitney U test, and Pearson correlation analysis. Results Eighteen toe pulp flaps in 17 patients (mean age, 3.0 years) were identified. All the flaps survived without any major complications. In long-term follow-up, the flap-covered distal phalanges showed growth in line with regular development. There was no donor-site morbidity, and all children adapted to daily life without any problems. In two-point discrimination tests, the fingertip sensation recovered to almost the same level as that in the contralateral finger. Conclusions Partial second toe pulp free flaps are an excellent option for fingertip reconstruction in young children, as well as in adults.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.98-107
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• 2015

본 연구는 공동체 라디오인 관악FM의 다문화프로그램인 '굿모닝 세상의 아줌마들'을 중심으로 이야기를 분석하였다. 이와 함께 제작진과 출연진에 대한 심층 인터뷰를 진행하여 공동체라디오가 생산하는 콘텐츠 및 제작자들이 인식하는 다문화 이해 증진을 위한 콘텐츠, 그리고 다문화 이해 증진을 위한 미디어 스토리텔링의 설계 방식에 대해 고찰하였다. 그 결과 이주여성들은 자국의 문화, 기후, 풍습 등에 대해 대표성을 갖고 대체로 공적인 담론을 펼치고 있었으며, 한국 제작진들은 프로그램을 통해 이주여성의 문화에 대한 이해와 소통, 사적 경험의 공유를 원한 반면 이주여성들은 자국 문화에 대한 이해와 존중, 차별의 철폐 등을 바라는 것으로 나타났다. 따라서 다문화 인식 개선을 위한 스토리텔링은 공적 담론을 전제로 한 사적담론이어야 하며, 한국과 이주민 문화를 모두 경험하고 잘 아는 매개자의 활용이 필요함을 알 수 있다. 또한 매체에 적합한 이야기의 기획과 구성, 전달을 위해 이주여성들에 대한 교육과 제작 지원이 필요하다는 것을 제시하였다.