Special Experience Research Articles

Expert opinion on the clinical use of a combination of antihistamines with leukotriene receptor antagonists in the management of allergic rhinitis in Indian settings

Background: Various clinical studies have reported that the combination of montelukast and levocetirizine was effective in alleviating residual symptoms and the improvement of quality of life associated with allergic rhinitis. However, there was a dearth of data regarding the prescription practice among clinical practitioners. So, this study aims to gather clinicians' opinion regarding the use of antihistamines, with a special focus on the combined use of antihistamines with leukotriene receptor antagonists for the management of AR in Indian settings. Methods: The multiple-response questionnaire-based survey involving 19 questions gathered information on current recommendations, clinical observations, clinical experience of specialists in AR management, and the use of montelukast with levocetirizine in routine settings. Results: Out of 388 participants, approximately 84% of respondents preferred a combination of antihistamines and leukotriene receptor antagonists for managing AR. Additionally, 36% stated that 26 to 50% of patients presenting to routine practice may require montelukast and antihistamine combination as treatment. Around 61% endorsed the combination of antihistamines with leukotriene receptor antagonists as the preferred AR treatment strategy. In long-term AR management, 65% of clinicians rated montelukast with levocetirizine as excellent, and 78% of respondents reported montelukast confers additive benefits when combined with antihistamines. Conclusions: The significant preference for the combined use of antihistamines and leukotriene receptor antagonists underscores their perceived efficacy in AR treatment. The combination of antihistamines with leukotriene receptor antagonists emerges as the favored strategy for managing AR.

Expert Opinion on the Clinical use of Antibiotics for the Management of Infections and Enteric Fever in Indian Settings

Objective: The present survey-based study aims to gather clinicians’ perspectives regarding the antibiotic prescription pattern for the management of infections and enteric fever in Indian settings. Methodology: The current multiple-response questionnaire-based survey consisted of 17 questions pertaining to clinical observations, clinical experience, and antibiotic prescription practice of specialists involved in the management of infections and enteric fever. Result: Out of 246 participants, 89% recommended cefixime as the preferred monotherapy drug for enteric fever. The recommended combination therapies for enteric fever were cefixime and ofloxacin, cefixime and azithromycin, and cefpodoxime and ofloxacin, as indicated by 38%, 32%, and 25% of clinicians, respectively. Approximately 61% of the clinicians reported frequently prescribing cefixime for urinary tract infections (UTI). According to 68% of the clinicians, the recommended cefixime dose for treating typhoid fever is 15-20 mg/kg. More than half (55%) of the clinicians recommended amoxicillin/clavulanic acid for the treatment of respiratory infections. Majority (78%) of the clinicians chose cefixime as an effective option for managing recurring infections. A considerable proportion (76%) of clinicians reported no side effects following antibiotic therapy. Conclusion: The study provides valuable insights into the use of antibiotics in infection and enteric fever in Indian settings. Cefixime therapy is recommended by clinicians in the treatment of enteric fever, UTI, and recurring infections. The preferred treatment option for enteric fever includes a combination of cefixime with either ofloxacin or azithromycin. The recommended cefixime dose for typhoid fever is in the range of 15-20 mg/kg. Respiratory infections are typically treated with amoxicillin/clavulanic acid.

Основные особенности медицинской эвакуации железнодорожным транспортом раненных в современном вооруженном конфликте

Summary. The purpose of the study is based on the analysis of medical documentation and the work experience of medical specialists of the Center for Air Ambulance and Emergency Medical Care (CAS and EMS) of the Federal State Budgetary Institution “State Research Center – Federal Medical Biophysical Center named after A.I.Burnazyan” FMBA of Russia for medical evacuation by rail (MEZHT) of the wounded to determine the main features of medical evacuation measures (MEM) and the structure of the contingent evacuated during armed conflicts. Materials and methods of research. Research materials – primary medical documentation of 8 flights of a temporary military medical train (VVSP) of the Russian Ministry of Defense. Study period: July–August 2023. The study used methods of mathematical analysis and direct observation. Research results and their analysis. Currently, temporary military ambulance trains evacuate mainly walking and low-mobility lightly wounded patients, which is due both to the lack of operational need for long-distance MET for this category of patients due to the stable operation of air ambulances, and to the not entirely satisfactory conditions for placing seriously wounded bedridden patients in the air ambulance. Currently, the Air Forces operate in accordance with the scheme of routing the wounded from the zone of armed conflict to medical treatment organizations (HMO) in the rear of the country. At the same time, the existing difficulties in MEVT of bedridden, seriously wounded patients, including those in intensive care, require improvement of railway ambulance transport. In the author’s opinion, the most rational option for such an improvement in modern conditions is the further development of schemes for modifying passenger cars to meet the needs of the MEZhT of the seriously wounded and sick.

The Gap Between What Parents Need and How Pediatric Primary Care Providers Can Help Families of Children With Special Education Needs.

We describe the gap between parents' special education needs and pediatric primary care providers' (PCPs) ability to address those needs from a mixed-methods study at a safety-net hospital. We conducted qualitative interviews with English- and Spanish-speaking parents (n = 25) and PCPs (n = 11) about special education knowledge and experience and interactions with a primary care-embedded special education clinic. PCPs also answered survey questions on these topics. Parents reported four challenges: (1) knowing where to start and how to advocate for their youth, (2) being heard or having a say, (3) using the "right" language, and (4) gathering information on special education resources. Primary care providers disclosed three barriers: (1) training, (2) knowledge to assess the appropriateness of supports, and (3) time to address concerns. The gap between PCPs and parents was bridged by the special education clinic. Systematic interventions can ensure that PCPs help parents address the special education needs of their patients.

“Who Created These Rules?”: Narrative Accounts of Two First Generation Black African Immigrant Students with Dis/Ability Labels

The scholars in Disability Studies in Education (DSE) have explored critical connections between race, disability, and other markers of identity. This article specifically explores narrative accounts of two first generation Black African immigrant students’ educational navigation and their English as Second Language (ESL) and special education experiences. A pluralistic theoretical approach including Disability Critical Race Studies (DisCrit) and Ethnic Racial Identity (ERI) Formation framework is employed. The author proposes a disability-integrated ERI (D-ERI) framework. Some important findings from participant narratives suggest their awareness of the ESL as a formalized system leading to special education placement, and their acts of resistance against the deficit perceptions about their intersectional ethnic-racial identities in U.S. schools.

Expert opinion on the clinical use of calcium and vitamin D supplements in osteoporosis in Indian settings

Background: Several clinical studies demonstrated that calcium intake decreases the risk of osteoporosis and osteoporotic fractures. However, understanding the prescription practice of calcium supplements employed in Indian contexts may help in improving patient management and developing evidence-based recommendations for optimizing the treatment. So, this study aimed to gather clinicians’ perspective regarding the use of calcium and vitamin D supplements for the management of osteoporosis in Indian settings. Methods: The current survey involved 17 questions pertaining to current feedback, clinical observations, and clinical experience of specialists on osteoporosis management and the use of calcium and vitamin D supplements. Results: According to 30%, 26%, 25%, and 19% of the experts, higher dietary sodium (salt) intake was generally associated with negative calcium balance and bone mineral loss, increased risk of fracture, decreased calcium excretion in the urine and decreased dietary calcium absorption. Calcium and vitamin D were recommended by 78% of the respondents for the management of osteoporosis. Approximately 72% of the respondents stated calcium aspartate anhydrous as the preferred calcium supplement to manage osteoporosis. Around 49% of the respondents reported a reduced risk of bone fractures among those who consume more calcium than the average amount. Further 48%, 30%, and 25% of the respondents indicated that calcium aspartate anhydrous have better absorption, better bioavailability, and better gastrointestinal tolerability. Conclusions: According to the expert’s opinion, both calcium and vitamin D administration in conjunction with maintaining a balanced sodium intake were recommended for managing osteoporosis.

THE STAGES OF IMPLEMENTATION OF THE TEACHER'S DIGITAL COMPETENCESELF-ASSESSMENT TOOL IN THE CONTEXT OF PROFESSIONAL DEVELOPMENT

The article highlights the development and steps of implementing a tool for self-assessment of digital competence of a teacher based on the experience of domestic specialists in the period of 2020- 2023. An analysis of approaches to the development of a self-assessment tool in the international educational community is carried out. Approaches to compiling a survey questionnaire based on the Digital Competence Framework for Educators (DigComp 2.1) are substantiated. The stages of development of a self-assessment tool for the teacher's digital competence are presented: development, improvement, implementation. The procedure for conducting the survey over four years is described. A block diagram of the creation and implementation of a teacher's digital competence self-assessment tool is presented. The principles that contributed to obtaining reliable data during the self-assessment of a teacher's digital competence are substantiated and presented. It is proved that the self-assessment tool of the teacher's digital competence should contain elements of identifying the degree of readiness to use ICT by teachers and educational institutions, which contributes to the development of recommendations and finding solutions to overcome existing problems. The concept of the readiness of teachers to use the tools of the information and educational environment for the implementation of educational activities in quarantine conditions is defined. The main indicators obtained during the all-Ukrainian survey of teachers in the system of general secondary education were analyzed, and the dynamics of the development of digital competence of teachers were revealed. The main content of methodological recommendations for postgraduate education, developed on the basis of the approbation of the self-assessment tool, is presented. The scientific novelty of the presented research lies in the discovery of new approaches, the development of principles and forms of self-assessment of the teacher's digital competence in the conditions of restrictions caused by the long quarantine and wartime in the country. The conclusions regarding the further use of the teacher's digital competence self-assessment tool in the system of postgraduate pedagogical education are substantiated. Prospects for further research are outlined.

TB or not TB? Diagnostic Sensitivity, Specifity and Interobserver Agreement in the Radiological Diagnosis of Pulmonary Tuberculosis in Children.

The differentiation between latent tuberculosis infection (LTBI) and tuberculosis (TB) relies on radiological changes. Confirming the diagnosis remains a challenge because typical findings are often missing in children. This study evaluates diagnostic sensitivity, specifity and interobserver agreement on the radiological diagnosis of TB by chest-x-rays in accordance to professional specialization and work experience. Chest x-rays of 120 children with proven tuberculosis infection were independently evaluated by general radiologists, paediatric radiologists and paediatric pulmonologists. Results were compared to a reference diagnosis created by group of experienced paediatric radiologists and paediatric pulmonologists. Primary endpoints were diagnostic sensitivity and specificity and interobserver variability defined as Krippendorfs alpha of thesel groups compared to the reference diagnosis. Of the 120 chest x-rays 33 (27,5%) were diagnosed as TB by the reference standard . Paediatric pulmonologist had the highest diagnostic sensitivity (90%) but were less specific (71%) whereas general radiologist were less sensitive (68%) but more secific (95%). The best diagnostic accuracy was achieved by pediatric radiologists with a diagnostic sensitivity of 77% and specificity 95% respectively. We demonstrated significant interobserver variability and relevant differences in sensitivity and specificity in the radiological diagnosis of TB between the groups. Paediatric radiologists showed the best diagnostic performance. As the diagnosis of pulmonary TB has significant therapeutic consequences for children they should be routinely involved in the diagnostic process.

Interaction mode enables user perception recognition and perception optimization: An AI human-computer interaction study

Artificial intelligent (AI) has various ways of human-computer interaction, but most of them overlook the recognition of human perception. If the interaction mode is combined with psychology, the user's mood change can be identified by the user's subtle expression, movement change and voice tone change, so as to provide corresponding services and improve the user experience. Statistical analysis of human responses to different situations in cognitive psychology, incorporating them into human-computer interaction methods. The current human-computer interaction modes in products tend to be standardized, and focusing user experience on user perception will bring special experiences to users. Emotional recognition is a cross disciplinary discipline with broad application prospects, but it has not yet reached a mature stage and requires corpus enrichment, theoretical strengthening, and method innovation. The era of artificial intelligence is leading a new wave of technological progress, and emotion recognition, as an important topic in the field of artificial intelligence, can help computer intelligence recognize human emotions and make human-computer interaction more friendly. In the near future, research on emotion recognition technology will make greater progress and be better applied to practical products.

Organization of correctional work for children with dyslexia at primary school

Relevance. The analysis of disorders connected with reading skills is important because it creates serious obstacles in mastering of the curriculum subjects by children of primary school. Purpose. The use of speech therapy techniques described in the article, along with traditional corrective and pedagogical support, will help to overcome dyslexia of primary school children. Children with a specific reading disorder, which has influence on academic performance, must be analysed through psychological and pedagogical approach to overcome it. Methodology. The method given in this article can be used as a propaedeutic component in the preschool period of literacy training. Proposed exercises can be included into the system of traditional speech therapy classes to overcome reading disorders. Results. In this study, we are focused on experience of specialists, who deal with specific reading disorders providing corrective speech therapy for students. Teachers, psychologists, neurophysiologists and neuropsychologists have carried out the study of reading and writing disorders all over the world, but even now, this problem remains one of the most complex and insufficiently studied one. Conclusions. It is recognized that foundational school education hinges on a child's proficiency in rapid and precise reading, coupled with the capacity to accurately comprehend the core content of the text. Speech therapists, primary school teachers and parents of special individual and subgroup classes can use exercises presented in article.

Competence Coefficients Calculation Method of Participants in Group Decision-Making for Selecting the Best Alternative with the Multivariate of the Result

The problem of obtaining the best alternative using decision-making methods based on the experience of specialists and mathematical calculations is considered in the article. Group decision-making is appropriate for solving this problem. However, it can lead to the selection of several best alternatives (multivariate of the result). Accounting for competence will prioritize the decision of more competent participants and eliminate the emergence of several best alternatives in the process of group decision-making. The problem of determining the competence coefficients for participants in group decision-making has been formulated. The selection of the best alternative with the multivariate of the result is provided in the problem. A method for solving the problem has been developed. It involves discretizing the range of input variables and refining the competence coefficients values of group decision-making participants in it to select the best alternative, either by the majority principle or with the decision-maker’s involvement. Further calculation of the competence coefficients for participants in group decision-making is carried out using local linear interpolation of the refined competence coefficient at surrounding points from the discretized range. The use of the proposed method for solving the problem is considered using the example of group decision-making according to the main types of the majoritarian principle for selecting an electrodeposition variant. The results show that the proposed method for calculating the competence coefficients of participants in group decision-making through local linear interpolation is the most effective for selecting the best alternative with a multivariate result based on the relative majority.

Influence Artificial Intelligence To Customer Experiences (Study On DRAIV Users in Tual, Maluku)

Artificial intelligence (AI) technology gives marketers the ability to identify differences between consumers, understand various personas, and understand the factors that drive consumers to make purchasing decisions. Therefore, marketers use Artificial Intelligence to recognize and predict consumer habits. Information obtained from AI, marketers can provide a special experience for each consumer. The objective of this study is to determine and measure the impact of AI on customer experience using simple regression analysis. There are four AI indicators analyzed, namely mechanical intelligence, analytical intelligence, intuitive intelligence, and empathetic intelligence. In addition, there are four dimensions of customer experience that are evaluated, namely immersion, flow, cognitive fit, and emotional fit. From the results of observations of 116 people, it was concluded that Artificial Intelligence and Draiv's customer experience received a positive assessment, and Artificial Intelligence had a significant effect on customer experience.

Стратегическое управление городской территорией

For the past 20 years, a significant experience in the strategic management of municipalities has been accumulated in Russia, which requires studying, identifying and replicating best practices, as well as eliminating the negative aspects found in this area. The article examines the experience of several municipalities, draws conclusions about the current state of affairs in creating strategic development plans in them, makes recommendations on a wide range of issues. Great interest is shown in the problem of creating development strategies and improving existing practices in this area at all levels of state and municipal government. The problems associated with the practice of strategic planning at the municipal level are highlighted, which does not include the use of a number of modern methods of strategic management (in particular, strategic sessions) and the involvement of third-party organizations for their development, which leads to the lack of use of rich local information resources and the experience of specialists; and also the unclear formulation of development priorities, which leads to a lack of focus of performers’ efforts. Of particular interest may be the analysis of the missions of municipalities and the modeling of the mission of municipal government, which was done by the authors in this article. Recommendations are made both on the development of the strategy and on its implementation. In particular, it is proposed to replicate the practice of using a marketing approach, which makes it possible to determine strategic development priorities taking into account the competitive advantages of municipalities. Much attention is paid to the issue of updating development strategies in the context of modern realities, as well as the priority of the problem of demography, which has become a bottleneck in ensuring sustainable development of territories. A number of proposals are made to improve the mechanism for implementing municipal strategies. Recommendations concern issues of improving the organization of work, assigning responsibility, and improving the qualifications of personnel. These recommendations pertain to Tomsk, but can be utilized by professionals specializing in the same field in other cities and levels of government.

Trauma-informed training as a means of stabilizing the negative impact of stressful and destructive factors of war on the inner world of future specialists.

Aim: To determine the conditions for the implementation of trauma-informed training as a means of stabilizing the negative impact of stressful and destructive factors of war on the inner world of future specialists. Materials and Methods: 1,100 students studying in the conditions of martial law took part in the experimental work. Results: As a result of the negative impact of the stressful and destructive factors of the war on the inner world, the future specialists the following manifestations of the deterioration of the health were established: depression (99%), sudden change of mood (92%), worsening of well-being during sudden changes in the weather (66%), irritability (52%), aggressiveness (11%), anger (7%). It was found that future specialists wanted to postpone completing the educational task until later, as they perceived it as very difficult (79%). Conclusions: The conditions for the implementation of trauma-informed studying were formulated as a means of stabilizing the negative impact of stressful and destructive factors of war on the inner world of future specialists. 1. During the organization of learning, teachers take into account the fact that psycho-traumas, which are caused by stressful and destructive factors of war, disturb students until they experience them. 2. Teachers take into account the traumatic experience of future specialists. 3. The teachers' actions aim to restore future professionals' sense of security, reestablish contact with other study participants, and regain control over their own lives and studies.

A Multi-Task Transformer With Local-Global Feature Interaction and Multiple Tumoral Region Guidance for Breast Cancer Diagnosis.

Breast cancer, as a malignant tumor disease, has maintained high incidence and mortality rates over the years. Ultrasonography is one of the primary methods for diagnosing early-stage breast cancer. However, correctly interpreting breast ultrasound images requires massive time from physicians with specialized knowledge and extensive experience. Recently, deep learning-based method have made significant advancements in breast tumor segmentation and classification due to their powerful fitting capabilities. However, most existing methods focus on performing one of these tasks separately, and often failing to effectively leverage information from specific tumor-related areas that hold considerable diagnostic value. In this study, we propose a multi-task network with local-global feature interaction and multiple tumoral region guidance for breast ultrasound-based tumor segmentation and classification. Specifically, we construct a dual-stream encoder, paralleling CNN and Transformer, to facilitate hierarchical interaction and fusion of local and global features. This architecture enables each stream to capitalize on the strengths of the other while preserving its unique characteristics. Moreover, we design a multi-tumoral region guidance module to explicitly learn long-range non-local dependencies within intra-tumoral and peri-tumoral regions from spatial domain, thus providing interpretable cues beneficial for classification. Experimental results on two breast ultrasound datasets show that our network outperforms state-of-the-art methods in tumor segmentation and classification tasks. Compared with the second-best competitive method, our network improves the diagnosis accuracy from 73.64% to 80.21% on a large external validation dataset, which demonstrates its superior generalization capability.

Methods of active drainage of the maxillary sinus

This study is devoted to the analysis of the practical experience of specialists in the field of otorhinolaryngology on the issue of puncture drainage of the maxillary sinus for bacterial sinusitis. The article provides an overview of historically significant and modern methods of active drainage of the maxillary sinus. It has been established that puncture treatment remains an effective method of treating bacterial forms of maxillary sinusitis.

Scientific fundamentals of building an innovative intelligent system of managing the production of entomophages

The article is devoted to the issue of improving information and technical support for the production of entomophages, in particular, the scientific foundations of building an innovative intelligent system for managing the production of entomophages. The purpose of the research is to develop the scientific basis for building an innovative intelligent system for controlling the production of entomophages. The object of research is the process of managing the production of entomophages. Research methods – structural synthesis, ontological-synergistic and neural network approaches, analysis of T. Saati hierarchies, Bayes network, cognitive and correlational analysis, computer modeling. An innovative intelligent control system for the production of the entomophagеs Habrobracon hebetor was developed based on the results of own research, the technological experience of specialists and modern methods of intellectual data analysis. The structure of the control system is presented. Management processes, software tools and management system innovations are displayed in the form of an associative map. An ontology of processes for innovative intelligent production management of the entomophage Habrobracon hebetor has been developed. The knowledge base of the innovative intelligent control system is presented in the form of facts and production rules. The results of the research increase the level of intellectualization of the processes of managing the production of entomophages, reduce the uncertainties in the management processes, increase the level of informatization and competence of the operator-technologist and are the basis for the development of a theory of decision-making in the production of biological means of plant protection.

The birth of pediatric urology in the United States: From pioneers to subcertification

Pediatric urology is a subspecialty of urology that emerged from a culture in which children with urological disorders were cared for by general urologists and general pediatric surgeons. The development of pediatric urology as a subspecialty was years in the making, highlighted by individuals who recognized that children with urological conditions were not just "small adults," but required special experience and training. Subspecialization was initiated by persistent visionaries who recognized the need for a trained cadre of experts to provide better care for children. It took the coordinated effort of all subgroups and leaderships in pediatric urology to push these efforts over the goal line. The focus of this review is to highlight certain individuals who played major roles in this vision and to document the efforts of many to coordinate the pathways to sub-specialization. The careers of Meredith F. Campbell and Frank B. Bicknell were researched to identify their rationale and roles in developing pediatric urology as a distinct medical specialty in the United States. In addition, the minutes of the meetings of the Pediatric Urology Advisory Council (PUAC) with the American Board of Urology (ABU) were reviewed. The origins of the Society for Pediatric Urology (SPU) and the American Academy of Pediatrics Section of Urology (AAP-SOU) were researched. The contributions of each to the certification of pediatric urology as a distinct subspecialty was delineated. Campbell was Chair of Urology at the New York University (NYU) School of Medicine and wrote prolifically about pediatric urology. He published one of the first practical textbooks in pediatric urology, almost completely self-written, in 1937. Bicknell, a general urologist in Michigan on the faculty at Wayne State University School of Medicine, led the initiative to create the Society for Pediatric Urology (SPU) that first met at the 1951 annual American Urological Association (AUA) meeting in Chicago and included nine attendees. Subsequently, John Lattimer (College of Physicians and Surgeons at Columbia University) organized a well-attended meeting of urologists interested in pediatrics at the 1964 annual AAP meeting in New York City. This led to the formation of the AAP Section on Urology. Integral to the justification for the development of a subspecialty was evidence of a published corpus of content. In addition to published textbooks devoted exclusively to pediatric urology, this was further fulfilled by the AAP Section on Urology Pediatric Supplement to the Journal of Urology, first published in 1986, and later with the Journal of Pediatric Urology in 2005. The SPU and the AAP Section on Urology came together to form the Pediatric Urology Advisory Council (PUAC) in 2000, which worked with the ABU to create subspecialty certification in pediatric urology with an independent exam, first administered in 2008 to 176 applicants. The metaphor "We have stood on the shoulders of giants" is apt for pediatric urology: Meredith Campbell, Frank Bicknell, David Innes Williams (Hospital for Sick Children, London), and J. Herbert Johnston (Alder Hay Hospital, Liverpool) come to mind among the first generation of pediatric urology pioneers, and others among their colleagues also had significant impact. Clearly this is a story of persistence and attention to detail on the part of those giants and those who followed. Pediatric urology became a distinct discipline after the SPU and AAP-SOU came together to create a robust cohort of pediatric urologists who through education and negotiation were able to help the ABU and the American Board of Medical Specialties (ABMS) recognize that subspecialization would lead to better care for children with urologic disorders. This benchmark set a high bar for future subspecialization in urology and other fields.

Trends of consumer preferences in the segment of private medical services in Moscow

This scientific article analyzes the factors that influence to consumer preferences and its changes under impact of economic and financial events in the area of modern medical services at the city of Moscow. When there is made a choice of applying of paid medical services and medic institutions, the first of all Moscow residents take into account the educational level and specialization experience of senior medical personnel. According to opinions of medical services consumers the success of treatment depends on the qualifications of doctors that work at the private medic sector at Moscow. These clients are ready to spend relatively large amounts of material resources for consultations and cure by the best specialists. The Covid-19 pandemic and the political situation at the country have made changes to the consumer preferences of Muscovites. On the one hand they began to save more, and health issues became secondary ones at the most cases. On the other hand, they are still willing to invest financial resources in their health and also appearance. This explains the ranking of costs for the services of surgeons, cosmetologists and dentists. The previous financial year was marked by instability not only at the political arena, but also by high volatility of the financial market: the exchange rate of the national currency changed dramatically several times during the year. These data led to increased prices at medic centers. To maintain high level customer loyalty at private centers at Moscow they need train doctors, regularly improve their qualifications, create conditions for their additional education aimed to expanding skills and updating existing knowledge level.

현대시 교육에서 감각적 체험의 활성화 전략 연구

This article was written to provide an opportunity to renew the meaning of images in literary education. To this end first, we developed the contents of appreciation activities in which learners learn the principles of sensory experience by using conversation. Second, I created an appreciation activity to learn how to deal with images in poetry. Modern poetry appreciation education as an activity dealing with images means the principle of independent appreciation of works. This study examined the relationship between the senses and the image and designated the image as a place where the sensory experience of modern poetry takes place. By learning the conditions under which images are created and how they are handled, learners can more actively immerse themselves in the special sensory experiences that the poem embodies. It will also be meaningful as a study to develop an interdisciplinary convergence program and examine its effectiveness.