• Neonatal Medicine
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• 제18권2호
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• pp.359-364
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• 2011

목적: 선천성 피부 무형성증은 피부결손을 특징으로 드물게 발생하는 선천성 질환으로, 전신에서 나타날 수 있으며 선천성 기형을 동반하기도 한다. 국내에서의 연구는 증례보고에 국한되어 있어 출생 후 선천성 피부 무형성증으로 진단된 환아들의 임상 경과를 알아 보고자 하였다. 방법: 2004년 1월부터 2010년 12월까지 관동대학교 의과대학 제일병원에서 출생한 신생아 중 선천성 피부 무형성증이 확인된 8명을 대상으로 하여 의무 기록 정보를 후향적으로 분석하여 환아의 임상적 특징, 치료 및 예후에 관한 임상 경과를 분석하였다. 결과: 8명의 환아 중 3명이 남아였고 5명이 여아였으며, 이중 질식분만이 4명, 제왕절개분만이 4명이었다. 재태기간은 36주 3일에서 39주 4일이었으며, 이 중 37주 미만의 미숙아는 2명이었고, 출생 체중의 중간값은 2,685 g (2,180-3,625 g) 이었다. 신생아 황달을 보인 환아는 4명, 태변을 흡인한 환아는 1명이었다. 산모는 임신성 당뇨를 보인 경우가 4명이었으며, 임신성 고혈압은 2명, 양수과소증을 보인 경우는 3명이었다. Frieden의 분류에 의해 두부에 발생한 5명은 group 1에, 사지 및 체간에 발생한 3명은 group 7에 속했으며, 크기는 0.3 cm 에서 1.5 cm 로 모두 2 cm 이하였고, 표피나 진피에 국한된 결손이었다. 동반된 기형은 없었으며, 가족력은 1명에서 관찰되었다. 모두 보존적 치료만을 시행하였으며, 심각한 반흔을 남기지 않고 2개월에서 4개월 이내에 상처가 치유되었다. 결론: 선천성 피부 무형성증은 드물게 발생하는 질환으로 출생 후 세밀한 관찰을 통해 쉽게 진단할 수 있으며, 결손 부위가 크지 않을 경우 병변의 위치에 관계없이 보존적 치료로 치유될 수 있었다. 하지만, 동반 질환 및 다른 질환과의 감별을 위해서는 임상경과와 합병증 발생에 대한 장기적인 추적관찰이 필요하며, 결손 부위가 크거나 동반 질환의 경중에 따라 예후가 달라질 수 있기에 이에 대한 보다 많은 연구가 필요하겠다.

• 과학교육연구지
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• 제35권1호
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• pp.13-22
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• 2011

장애인과 비장애인을 통합하는 환경에서의 과학교육은 최근 들어 점차 강조되고 있지만 과학교사양성 과정을 비롯하여 과학교육에서 이에 대한 구체적인 연구와 실천은 아직 미흡하다. 또, 교과 학습지도에 대한 교사의 자기효능감은 교수 수행과 학생의 성취에 중요한 영향을 미치는 요인으로 알려져 왔으나 장애학생의 과학학습지도에 대한 자기효능감을 조사한 연구는 거의 없었다. 따라서 이 연구에서는 장애학생과학학습지도에 대한 예비과학교사의 자기효능감을 조사 분석하였다. 이를 위해 학습효능감, 교수효능감, 성과기대감의 하위 차원으로 구성된 장애학생 과학학습지도에 대한 자기효능감 설문을 97명의 예비과학교사를 대상으로 실시하였다. 설문 결과 예비과학교사들은 장애학생에게 과학을 지도하는 수행 능력에 대한 효능감은 상대적으로 낮았지만 자신의 과학학습능력과 장애학생 대상의 과학교수성과에 대해서는 긍정적인 기대감을 보이고 있었다. 이와 같은 자기효능감의 분포는 응답자의 성별과는 유의미한 차이가 없었으나 응답자의 장애학생 과학학습지도 관련 경험에 따라서는 교수성과의 기대감에서 차이를 보였다. 이러한 연구 결과로부터 통합교육 환경의 과학교육을 대비하기 위한 과학교사양성과정에 있어서 시사점을 도출하였다.

• 한국간호교육학회지
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• 제18권1호
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• pp.95-101
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• 2012

Purpose: This study aimed to analyze the impact of advanced maternal and paternal age on perinatal outcome in Korea. Methods: We conducted a retrospective study involving 1,622 Korean women who delivered at M Woman Hospital from January to December 2010 and their spouses were included. We obtained obstetrics database which included demographic characteristics, medical and obstetrics history, course of the current pregnancy and advised perinatal outcome. Multivariable logistic regression was used to adjust for potential confounding variables. Results: Women giving birth age 35 or older were statistically significant in paternal age, gravidity, spontaneous abortion experience, method of conception, method of delivery, and multiple gestation compared to women aged <34 years. After adjusting for the confounding effects of maternal characteristics, women aged 35 or older were at increased risk for cesarean section delivery (adjusted OR 1.6, 95% CI 1.22-2.13) and preterm birth (adjusted OR 2.2, 95% CI 1.03-4.63). Conclusion: In this population of Korean women, advance maternal and paternal age is independently associated with specific adverse perinatal outcome, especially preterm birth and cesarean section delivery.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제11권1호
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• pp.1-11
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• 2008

Comprehensive understanding of the natural course of chronic hepatitis B virus (HBV) infection is mandatory for the management and treatment of chronic hepatitis B, of which the natural course consists of immune tolerance, immune clearance, inactive carrier state, and reactivation phase. Evidence based medical approach is essential for the management of HBV carriers and treatment of active hepatitis to decrease risks of liver cirrhosis and hepatocellular carcinoma as well as to increase survival. In addition, education of patients or their parents are required to achieve a better therapeutic outcome and to prevent unconfirmed alternative medicine and anecdotal approaches.

• 한국임상수의학회지
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• 제35권5호
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• pp.243-246
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• 2018

A 2-day-old Thoroughbred foal weighing 58 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) Jeju Stud Farm with clinical signs including loss of suckling behavior and barking. Neonatal encephalopathy (NE) was diagnosed based on history and typical clinical signs of NE. The foal seemed to recover in 5 days of intensive care and treatment but then was complicated with the septic arthritis of left hock joint on the $6^{th}$ day of admission. A course of aggressive systemic antimicrobial therapy with joint lavage for 8 days was conducted and the foal was fully recovered and discharged. The follow up on the patient after 2 years revealed that the patient achieved a great success as a racehorse without any unexpected sequel. This report describes a course of NE complicated with septic arthritis in a foal and the clinical outcome of the intensive care and treatment in detail. To our knowledge, this is the first report which describes NE complicated with septic arthritis in a foal in Republic of Korea.

• 공학교육연구
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• 제16권4호
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• pp.21-29
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• 2013

Accreditation of engineering education as initiated by Accreditation Board for Engineering Education of Korea (ABEEK) centers around three key issues: program outcomes, assessment/evaluation thereof, and continuous quality improvement (CQI). Most engineering departments, however, are neither adequately familiar with nor well prepared for the issues, especially CQI. The CQI in almost all departments seems to be overly confined in individual courses and the final capstone design courses for seniors; there is no evidence that CQI is not limited to the course level but flows through all courses in the curriculum. This paper presents a sound and viable framework for CQI implementation in which course-level CQI is integrated into the department/program-level CQI.

• 공학교육연구
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• 제25권5호
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• pp.55-67
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• 2022

Distance learning has become an efficient tool and is being widely used at work and in school. This research presents the results of a project-oriented entrepreneurship course taught both in classroom and online for a period of 3 years before and after the pandemic caused by COVID-19. Despite the various challenges, the outcome demonstrated that the students were able to attain required knowledge and capabilities in the online learning environment. As such, this paper discusses effective ways to blend in distance learning components so that both instructors and students can benefit from Internet-based education technologies. In the future, both face-to-face and virtual project work and study are likely to get integrated into a 'hyflex' class, which is flexible, on-offline education.

• 대한화학회지
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• 제60권6호
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• pp.428-435
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• 2016

Effective mastering and learning of basic organic chemical concepts is pivotal to ensure students continue to excel to the higher levels of organic chemistry learning. Concept learning is crucial for first-year organic chemistry students so that they can comprehend and understand a concept better and able to make connection to problems. In the present paper, the authors have implemented the Interactive Anonymous Quiz (IAQ) with "must-have" features in the organic chemistry course as a teaching tool to instill students' interest and enhance conceptual understanding in organic chemistry. The effectiveness of this activity was examined and evaluated through students' reflective writing. Students showed positive learning outcome on the implemented activity as reflected by the reflective writings. In addition, this activity could be employed as an activity to check on students' concept understanding, to instill students' interest in organic chemistry course and to improve on students' weakest topic in organic chemistry in the future classes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제17권1호
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• pp.57-60
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• 2014

Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder in the absence of demonstrated stones. AAC is frequently associated with severe systemic inflammation. However, the exact etiology and pathogenesis of AAC still remain unclear. Acute infection with Epstein Barr virus (EBV) in childhood is usually aymptomatic, whereas it often presents as typical infectious mononucleosis symptoms such as fever, cervical lymphadenopathy, and hepatosplenomegaly. AAC may occur during the course of acute EBV infection, which is rarely encountered in the pediatric population. AAC complicating the course of a primary EBV infection is usually associated with a favorable outcome. Most of the patients recover without any surgical treatment. Therefore, the detection of EBV in AAC would be important for prediction of better prognosis. We describe the case of a 10-year-old child who presented with AAC during the course of primary EBV infection, the first in Korea, and review the relevant literature.

• 대한핵의학회지
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• 제12권2호
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• pp.41-46
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• 1978

8 cases of subacute thyroiditis was diagnosed among 108 needle biopsy of the thyroid during the period from April 1976 to August 1978. Correlation of the histologic findings with the clinical staging proposed by Czernick was relatively well matched; cases with long clinical course or low thyroid hormone levels showed greater fibrosis and reduction of follicular elements in thyroid. Thyroid $^{131}I$ uptake or the uptake as seen on the thyroid scanning correlated inversely with the thyroid hormone levels. The clinical course of the patients seen in their initial stage of disease followed the classical pattern; hyperthyroid-like, hypothyroid-like and recovery. 3 among the 4, who were seen in their later clinical course showed hypothyroidism, which seemed the final outcome of their diseases.