• 제목/요약/키워드: 과학교실

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반복적인 유사 일과성 허혈발작을 보인 국소거미막하출혈 (Focal Subarachnoid Hemorrhage Mimicking Recurrent Transient Ischemic Attack)

  • 정병민;류한욱;강미경;강진주;서만욱;오선영;신병수
    • 대한신경과학회지
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    • 제36권4호
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    • pp.314-317
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    • 2018
  • Focal subarachnoid hemorrhage occasionally presents as transient focal neurologic episodes mimicking transient ischemic attack (TIA). Unless properly diagnosed, it may aggravate cerebral hemorrhage by administering antithrombotic agents. Therefore, clinicians need to be aware that such focal subarachnoid hemorrhage sometimes cannot be detected on noncontrast computed tomography and blood-sensitive magnetic resonance imaging can detect even a small amount of hemorrhage. We describe an 85-year-old woman with focal subarachnoid hemorrhage and possible cerebral amyloid angiopathy who presented transient left arm weakness recurrently, which mimicked TIA.

Erratum to : 전신 재발성 화폐상 습진 시기별 한의 유형(습열형, 혈조형)에 따른 한방 복합 치료 치험 1례 (Erratum to : A Case of Complex Treatment according to the Type of Korean Medicine Diagnostic System by Period of Recurrent Nummular Eczema on Whole-body)

제목을입력해주세요대상포진 발생 부위에 발생한 분절형 백반증 1예: Isotopic 반응 (A Case of Segmental Vitiligo Occurring Where Herpes Zoster Occurred Previously as an Isotopic Response)

  • 김정엽;이윤호;임재윤;최주연;민준홍;최영준;남재희;김원석;이가영
    • 대한피부과학회지
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    • 제56권9호
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    • pp.543-547
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    • 2018
  • Wolf's isotopic response is defined as the occurrence of a new skin disorder at the site of another unrelated skin disease that has already healed. In most cases of isotopic response, the initial dermatosis is herpes infection, and the most frequent second dermatoses are granulomatous reactions. Various interpretations of this phenomenon have been attempted. However, the exact mechanism has not been identified yet. Herein, we report a case in which the secondary disease was segmental vitiligo that appeared over the same dermatomes of herpes zoster. A 71-year-old woman presented with well-defined, depigmented patches on the left chest and back. She had been diagnosed with herpes zoster on the same dermatomes and treated with an antiviral agent 3 years ago. Histological examination showed decreased basal melanin pigments and melanocytes. Consequently, the patient was diagnosed with segmental vitiligo based on the clinical and histological findings.

뇌졸중후우울증의 유병율 및 예측인자 (Prevalence and Risk Factors of Post-Stroke Depression)

  • 강희주;배경열;김성완;김재민;신일선;김준태;박만석;조기현;윤진상
    • 우울조울병
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    • 제9권2호
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    • pp.57-63
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    • 2011
  • Objectives : This study aimed to investigate the prevalence and risk factors of depression within two weeks after stroke. Methods : A total of 362 stroke patients were recruited. Depression (major and minor depressive disorders) was diagnosed by applying DSM-IV criteria. Data on socio-demographic characteristics (age, gender, education, marital state, living state, religion, occupation, income, life event, and social support), stroke severity (NIHSS), disability (BI), stroke hemisphere and location, vascular risk and disease, and previous history of stroke and depression were obtained. Results : Depression was present in 90 (24.9%) patients: major depression 29 (8%) and minor depression 61 (16.9%) patients. In the univariate analyses, depression was associated with older age, higher number of stressful life event, poorer social support, severe disability, anterior stroke location, previous history of stroke and depression. In the multivariate analyses, depression was independently associated with higher number of stressful life events and poorer social support. Conclusion : Depression was common and was determined by premorbid levels of stress and social support in stroke patients at acute stage. More intensive psychiatric care and intervention is needed for the high risk group.

선천혈관종 2예 (Two Cases of Congenital Hemangioma)

  • 윤희성;이시협;염승돈;한지영;신정현;최광성;변지원
    • 대한피부과학회지
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    • 제56권9호
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    • pp.556-560
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    • 2018
  • Congenital hemangioma (CH) is a fully formed benign vascular tumor at the time of birth and do not proliferate in postnatal life. CH must be differentiated from infantile hemangioma. CH has three subtypes that are recognized based on their natural history: Rapidly involuting congenital hemangioma (RICH), non-involuting congenital hemangioma (NICH), and partially involuting congenital hemangioma (PICH). It is important to distinguish RICH from NICH because RICH spontaneously regresses but NICH does not. Herein, we report two patients diagnosed with RICH and NICH, respectively. We presented the clinical features as well as ultrasonographic and histologic findings to distinguish congenital from infantile hemangioma.

우울증 환자에서 불안장애의 동반이환 : 우울증 임상연구센터 코호트연구 (The Comorbidity of Anxiety Disorder in Depressed Patients : A CRESCEND(Clinical Research Center for Depression in Korea) Cohort Study)

  • 사공정규;이도윤;서호석;성형모;김정범;정영은;이민수;김재민;조선진
    • 우울조울병
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    • 제9권1호
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    • pp.30-36
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    • 2011
  • Purpose : Anxiety disorder and depressive disorder are often comorbid with each other, and the comorbidity is associated with poorer psychiatric outcome, resistance to treatment, increased risk for suicide, greater chance for recurrence. We aimed to investigate the comorbidity of anxiety disorder in Korea. Method : Subjects were total of 867 depressed patients recruited CRESCEND-K multicenter trial. We used SCID (Structured Clinical Interview for DSM - IV) to find comorbidity of anxiety disorders in depressed patient. Results : Of 867 patients, total 8.2% had anxiety disorder. Proportion of anxiety disorder Not Otherwise Specified was 3.5%, panic disorder was 1.7%, generalized anxiety disorder was 1.1%, post traumatic stress disorder was 0.9%, obsessive compulsive disorder was 0.6%, social phobia was 0.4%. Conclusion : In this study, anxiety disorder in depression were measured at a low comorbidity rate in compare to previous studies. Selection bias, use of antidepressants at registration, severity of depression symptoms, and point of SICD administration seems to have affected these results. It is probable that comorbidity evaluation would be more precise if shorter, structured interviews such as M. I.N.I.-Plus were used during first clinical interview for depression diagnosis.

비대면 생활과학교실 참여가 초등학생들의 과학기술에 대한 인식 및 과학적 역량에 미치는 영향 (Effects of Participation in Non-face-to-face Daily Science Class on Elementary School Students' Perception of Science and Scientific Competency)

  • 최규리;오윤정;이선미;장미화;이미형;조경숙
    • 과학교육연구지
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    • 제46권1호
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    • pp.40-52
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    • 2022
  • 참여형 과학문화 확산의 일환으로 지속되어 온 생활과학교실은 효과적인 학교 밖 체험·탐구 활동으로서 과학의 대중화에 앞장서왔다. 그러나 최근의 코로나19 상황으로 생활과학교실 역시 비대면으로 전환하거나 대면-비대면 교육을 조합할 수밖에 없는 환경이 되었으며, 이러한 교육의 변화가 여전히 학생들의 과학에 대한 관심과 흥미를 제고하는데 효과적인지 검토가 필요한 시점이다. 이에 본 연구에서는 비대면 생활과학교실 프로그램에 참여한 초등학생들의 평소 관심 분야, 과학기술에 대한 인식, 과학에 대한 관심과 흥미, 과학적 역량이 어떻게 변화되는지 확인하고 학생과 학부모들의 인식 차이를 비교함으로써 비대면 생활과학교실의 교육 효과성을 제고하고 향후 운영 방안에 대해 모색하였다. 연구 결과 비대면 생활과학교실 프로그램 참여 이후 학생들은 과학기술 발전이나 미래기술, 환경오염, SNS에 대한 관심 등이 높아지고 게임에 대한 관심이 줄어드는 경향을 보였다. 또한 과학기술 활동에 대한 관심, 과학에 대한 흥미, 과학적 역량도 증가하여 비대면 생활과학교실의 교육 효과를 확인할 수 있었다. 이를 바탕으로 생활과학교실의 학습 주제와 내용 수준을 다양화하고 소외된 학습자들에게 비대면 과학 학습의 기회를 확대하며, 최신 미디어를 활용한 과학콘텐츠 개발과 공유가 필요함을 제언하였다.

BSCL2유전자의 N88S돌연변이가 확인된 제5형 원위유전운동신경병증(dHMN-V) (Distal Hereditary Motor Neuropathy Type V (dHMN-V) With N88S Mutation in BSCL2 Gene)

  • 정화경;정기화;박진모;구혜수;최경규;박기덕;최병옥
    • 대한신경과학회지
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    • 제30권4호
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    • pp.333-336
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    • 2012
  • Berardinelli-Seip congenital lipodystrophy 2 (BSCL2) gene is known to be associated with different clinical phenotypes; Silver syndrome, Charcot-Marie-Tooth type 2 with a dominant hand involvement and distal hereditary motor neuropathy type V (dHMN-V). Up to now, only two heterozygous mutations (N88S and S90L) in BSCL2 have been reported. We identified a N88S BSCL2 mutation in a dHMN-V family with a spastic gait by whole-exome sequencing. To our knowledge, this is the first report of a N88S BSCL2 mutation in Korean patient.