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한지현,백민현,이신화,박정열,김대연,김종혁,김용만,김영탁,남주현 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.99 No.-
Classification of mucinous borderline ovarian tumor(MBOT) is very complicated, the clinical course about recurrence and metastasis of which is not completely concluded. The authors give a new opinion about necessity of closed follow-up for recurrence detection of pure MBOT among a lot of controversy Medical records and pathologic slides were reviewed retrospectively about the clinical course of 373 cases of MBOT in Asan Medical Center in Korea from 1991 to 2012. Total 11 cases recurred and were reviewed again by pathologist. 3 cases had initially intraepithelial carcinoma(IEC) component on review. 6 of the others 8 cases recurred as pure MBOT. Pathologic review could not be performed in 2 cases, which eventually recurred as invasive carcinoma( IC). Inferring from their poor prognosis, they might be originally IEC or IC. The recurrence rate of pathologically reviewed pure MBOT was 1.1%(4/373). A thing worthy of note is that 3 cases recurred at the contralateral ovary, 2 cases were endocervical type and 1 case was initially mixed epithelial type arising from endometriosis. That might mean not recurrence but newly developed tumor associated with endometriosis. Moreover it could be progression of residual tumor because most patients were young women and surgeon would debulk less radically. The recurrence rate of pure MBOT might be much lower than rate reported so far. The authors suggest carefully that if surgeon debulk completely in non-mixed, non- endocervical type of pure MBOT with stage Ia and Ib, the physician might reduce or omit unnecessary repetitive checking-up of tumor marker and imaging study for the long term.
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운할로페리돌과 아리피프라졸을 복용하는 조현병 환자에서의 운전능력 관련 정신운동수행
한지현,박세진,이종일,장안기,강시현,소민아,이경진,고은상,노성원 대한조현병학회 2012 대한조현병학회지 Vol.15 No.2
Objectives : This study aimed to compare psychomotor performance related with automobile driving in patients with schizophrenia under the treatment of a typical antipsychotic agent, haloperidol, or an atypical antipsychotic agent, aripiprazole. Methods : We evaluated driving ability of schizophrenia patients by using the cognitive perceptual assessment for driving (CPAD). Twelve patients receiving haloperidol monotherapy and 18 taking aripiprazole monotherapy participated in this study and the results of CPAD were compared with each other. Results : Of 30 participants, 15 (50%) of the patients passed the CPAD to be regarded as competent to drive, 3 (10%) of the patients failed the CPAD considered to be severely impaired. Controlling for sex, age, education, duration of illness, there were no significant differences in the CPAD results between two treatment groups. We observed a trend that patients who received aripiprazole showed a higher total score of the CPAD than haloperidol-treated patients (55.2±4.9 vs. 45.7±8.4, p=0.080). Conclusion : There were no significant differences in the psychomotor performance relevant to driving ability between haloperidol and aripiprazole groups. But our results suggest that aripiprazole might have the neurocognitive advantage over haloperidol. Future study with a large sample size and diverse antipsychotics is warranted. Objectives : This study aimed to compare psychomotor performance related with automobile driving in patients with schizophrenia under the treatment of a typical antipsychotic agent, haloperidol, or an atypical antipsychotic agent, aripiprazole. Methods : We evaluated driving ability of schizophrenia patients by using the cognitive perceptual assessment for driving (CPAD). Twelve patients receiving haloperidol monotherapy and 18 taking aripiprazole monotherapy participated in this study and the results of CPAD were compared with each other. Results : Of 30 participants, 15 (50%) of the patients passed the CPAD to be regarded as competent to drive, 3 (10%) of the patients failed the CPAD considered to be severely impaired. Controlling for sex, age, education, duration of illness, there were no significant differences in the CPAD results between two treatment groups. We observed a trend that patients who received aripiprazole showed a higher total score of the CPAD than haloperidol-treated patients (55.2±4.9 vs. 45.7±8.4, p=0.080). Conclusion : There were no significant differences in the psychomotor performance relevant to driving ability between haloperidol and aripiprazole groups. But our results suggest that aripiprazole might have the neurocognitive advantage over haloperidol. Future study with a large sample size and diverse antipsychotics is warranted.
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사시랭이놀이의 전승양상과 변화 연구 -경북 봉화군 석포면 사시랭이 연행집단을 중심으로-
한지현,정명철 남도민속학회 2013 남도민속연구 Vol.27 No.-
Sasirangee is a descended paly around Seokpo village in Bongwha Geongbuk province. In the early or late 1940, the play have settled down in this village and adult men have played Sasirangee. Among many traditional plays, being chosen Sasirangee by Seokpo village men is related with their jobs. Before 1970s the jobs of Soekpo village men are logging. Seokpo residents were people that they worked and played together in a similar level. Logging that they made a living was not done for itself(or alone) and was worked by a group of people. They had to log together as a team. For relaxing the labor suffering and for improving work-efficacy, they played Sasirangee in th mountain. At this time, Sasirangee took a role in relaxing th hard work. In addition the betting elements in rapid progress and keen competition are sufficient to attract their interest. Like this, Sasirangee can be a play which people who shared with simsilar time who had same lifestyle that they lived had done. The way, Sasirangee languished gradually in 1970s. Because logging, in itself, was very dangerous hard working. So the villagers looked for other jobs. Also 1970, Youngpoong melting factory was built in the village. Most of the villagers became workers that produced Zinc. At this time, a bread and butter job of the villagers changed. Forestry into mining industry. So in completely different lifestyle, they used their time. The play languished gradually. In this study, we examined the play that is performed in a village and an aspect of performance through field survey. Along with it, we analysed that alteration of job gave an influence in culture of play. Ever after, through comparative study of other areas of Sasirangee play, we will research. The interrelationship between play and job. 사시랭이놀이는 경상북도 봉화군 석포면 석포마을 일대에서 전승되는 놀이이다. 1940년대를 전후로 이 마을에 정착한 사시랭이놀이는 주로 마을의 성인 남성들에 의해 전승되었다. 석포마을 남성들 사이에서 사시랭이놀이가 선택적으로 수용될 수 있었던 것은 마을의 ‘생업’과 관련이 있다. 1970년대 이전 석포마을 사람들의 생업은 벌목이었다. 벌목작업은 혼자서는 할 수 없고 팀을 이뤄 함께 해야 하는 일이었다. 노동의 고단함을 달래고 일의 능률을 향상시키기 위해서 그들은 이 놀이를 연행했던 것이다. 이때 사시랭이놀이는 일의 팽팽한 긴장감을 풀어주는 역할을 담당했다. 게다가 빠르게 전개되는 놀이판의 속도와 경합에 걸린 내기 요소는 그들의 흥미를 이끌기에 충분했다. 이렇게 볼 때, 사시랭이는 시간운용과 삶의 패턴이 비슷한 사람들끼리 했던 놀이라고 할 수 있다. 그런데 사시랭이놀이도 1970년대를 기점으로 전승이 약화되기 시작했다. 벌목작업이 워낙 위험하고 힘든 일이어서, 마을 주민들이 다른 직업군을 찾아 나서게 된 것이 계기가 되었다. 새로운 직업군을 찾아 마을을 떠난 주민들도 있지만, 마을에 제련소가 들어서게 되면서 대부분의 남성들은 제련소에서 아연을 생산하는 일을 하게 되었다. 이때 마을 주민들의 생업이 대부분 임업에서 광업으로 변화했다. 그러다 보니 이전과 완전히 다른 생활체계 속에서 시간의 운용이 이루어지게 되었고, 놀이의 전승도 점차 약화되기 시작했다. 이 연구에서는 한 마을에서 연행되는 놀이의 전승과 연행의 양상을 현지면담조사와 현장 참여관찰조사를 통해 살펴본 후, 생업활동의 변화가 놀이문화에 어떤 영향을 미쳤는지 분석해보았다. 사시랭이놀이가 전승되는 지역과의 비교 연구를 통해 놀이와 노래, 놀이와 생업의 상관성을 밝히는 것은 뒤로 미룬다.
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한지현,박선희 한국주거학회 1999 한국주거학회 논문집 Vol.10 No.4
The objective of this study is to consider the disputed point of housing problem appeared in Chosun Dynasty Chronicles and to consider the change of housing problem appeared in Chronicles according to the times. The results are: Housing affairs problem appeared steadily until king Se-chong and increased sporadically under the reign of king Sung-chong, Chung-chong. General housing hardly appeared in the early of Chosun. And it appeared sometimes in the late of Chosun. Palace problem increased gradually from the early of Chosun. And in the times of king Yonsangun it appeared most highly. Later it decreased gradually, but in the times of king Kwanghaegun it increased suddenly. And it hardly appeared in the late of Chosun. National disaster problem appeared a little in the early of Chosun but increased gradually in the middle and late of Chosun.
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어머니의 긍정적․부정적 정서표현과 유아의 정서조절능력 및 문제행동에 대한 구조모형분석
한지현,나은영,이진숙 한국인간발달학회 2018 人間發達硏究 Vol.25 No.4
본 연구에서는 어머니의 정서표현이 유아의 정서조절능력을 통해 문제 행동에 이르는 구조모형을 설정하고 이들 경로의 적합성을 살펴보고자 하였다. 연구대상은 J, I시에 거주하는 만 3~5세의 유아 342명과 그들의 어머니, 담임교사이다. 어머니의 정서표현을 측정하였으며, 유아의 정서조절능력은 교사가 측정하였고, 유아의 문제행동은 어머니와 교사가 각각 평정하였다. 연구의 목적은 유아의 내재화․외현화 문제행동에 어머니의 긍정적․부정적 정서표현과 유아의 정서조절능력이 어떠한 영향을 미치는지, 또한 유아의 정서조절능력이 매개역할을 하는지를 알아보는데 있다. 연구결과, 첫째, 어머니의 긍정적 정서표현과 유아의 기능적 정서조절, 어머니의 부정적 정서표현과 유아의 역기능적 정서조절 간에 정적 상관이 있는 것으로 나타났다. 어머니가 보고한 유아의 문제행동과 교사가 보고한 유아의 문제행동 간의 정적상관관계가 나타났다. 둘째, 유아의 정서조절능력이 내재화․외현화 문제행동에 영향을 미칠 뿐만 아니라 어머니의 부정적 정서표현은 유아의 정서조절능력을 매개로하여 유아의 내재화․외현화 문제행동에 영향을 미치는 것으로 확인되었다. 특히 유아의 정서조절능력이 완전 매개하는 것으로 나타났다. 본 연구 결과는 유아의 문제행동 감소 및 정서조절능력 향상을 위한 부모교육 및 상담적 개입을 위한 이론적 근거로 활용될 수 있을 것이다.
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