자살시도자들에서 충동성과 자살시도의 의학적 치명도와의 관계

박지원,서경훈,손경훈,한재현,전영주,정유진,이원준,성수정,한창환,조규종,황재연,Park, Ji Won,Suh, Kyung Hoon,Son, Kyung Hoon,Han, Jae Hyun,Jeon, Yeong Ju,Jung, Yu Jin,Lee, Won Joon,Seong, Su Jeong,Han, Chang Hwan,Cho, Gyu Chong,Hwang, J 대한생물정신의학회 2018 생물정신의학 Vol.25 No.4

Objectives Although impulsivity has long been thought as an important factor influencing suicidal behaviors, it is unknown whether impulsivity increases the risk of dying from suicidal behaviors and what specific component among constructs of impulsivity contributes to the risk of dying among suicide attempters. Methods To elucidate the association between impulsivity and medical lethality of suicide attempt among suicide attempters, we consecutively recruited 46 suicide attempters who visited an emergency room of a general hospital located in a metropolitan area, Seoul, Republic of Korea, due to suicide attempts and consented to participate in this study. Then we assessed medical lethality with the Beck Lethality Scale (LS) and impulsivity with the Korean version of the Barratt Impulsiveness Scale-11-Revised (BIS). Demographic variables were obtained from medical records and structured social work reports for suicide attempters. Results Although total scores of the BIS did not correlate with LS scores, only the scores of self-control, that is one of the Barrett's six theoretical constructs of impulsivity in which the higher score indicates less self-control and more impulsivity, had a significant positive correlation with scores of LS (p = 0.003). The association remained significant after adjusting for variables known to affect suicide lethality such as job status, recent alcohol consumption, diagnosis of depressive disorders, and having a plan for suicide (${\beta}=0.429$, p = 0.009). Conclusions Not impulsivity in general, but poor self-control, in particular, predicts lethal suicidal behaviors among suicide attempters. The degree of self-control should be evaluated when assessing patients with elevated suicide risk, and proper measures should be installed to prevent possible future lethal suicide attempts.

해양플랜트용 500 MPa급 후판강의 모재 및 HAZ의 미세조직과 기계적 특성의 상관관계

박지원,조성규,조영욱,신건철,권용재,이정구,신상용,Park, Jiwon,Cho, Sung Kyu,Cho, Young Wook,Shin, Gunchul,Kwon, Yongjai,Lee, Jung Gu,Shin, Sang Yong 한국재료학회 2020 한국재료학회지 Vol.30 No.3

In this study, two types of thick steel plates are prepared by controlling carbon equivalent and nickel content, and their microstructures are analyzed. Tensile tests, Vickers hardness tests, and Charpy impact tests are conducted to investigate the correlation between microstructure and mechanical properties of the steels. The H steel, which has high carbon equivalent and nickel content, has lower volume fraction of granular bainite (GB) and smaller GB packet size than those of L steel, which has low carbon equivalent and nickel content. However, the volume fraction of secondary phases is higher in the H steel than in the L steel. As a result, the strength of the L steel is higher than that of the H steel, while the Charpy absorbed energy at -40 ℃ is higher than that of the L steel. The heat affected zone (HAZ) simulated H-H specimen has higher volume fraction of acicular ferrite (AF) and lower volume fraction of GB than the HAZ simulated L-H specimen. In addition, the grain size of AF and the packet sizes of GB and BF are smaller in the H-H specimen than in the L-H specimen. For this reason, the Charpy absorbed energy at -20 ℃ is higher for the H-H specimen than for the L-H specimen.

ARENA를 이용한 최적 기본 휴대량 산정에 관한 연구

박지원,이재영,박정갑,Park, Ji-Won,Lee, Jae-Yeong,Park, Jung-Kap 한국국방경영분석학회 2008 한국국방경영분석학회지 Vol.34 No.2

This study presents a new estimation of optimal amount of B/L for infantry rifles and artillery weapons which are currently using in Korean Army. To do that, we analyzed current concept of B/L and methodologies used to compute B/L before, and re-calculate optimal amount of B/L to solve some problems founded. We also applied ARENA simulation model to propose estimated values of optimal B/L. The proposed optimal B/L will certainly help to improve efficiency for wartime readiness in the future. 본 연구에서는 현재 우리나라 육군이 사용하고 있는 보병화기와 포병화기(155M)의 기본 휴대량(B/L : Basic Load) 개념 정립 및 산정방법을 고찰하여 문제점을 도출하고 시뮬레이션 기법(ARENA Model)을 통해 최적의 B/L을 재산정하여 제시하였다. 본 논문을 통한 기대효과는 군수지원의 물동량 감소로 실질적인 전투 준비 태세 강화와 국방예산 절감이 예상되며, 효율적인 B/L운영 보장으로 전투 효율성을 증대시킴은 물론 궁극적으로 전장 승리를 보장하는데 기여할 것이다.

의료기관의 교육이수점수제도 도입 및 인사고과 반영사례

박지원,Park, Ji-Won 대한병원협회 1997 대한병원협회지 Vol.26 No.5

발반사 마사지가 유방암 환자의 수술 후 통증과 수면만족도에 미치는 효과

박지원,유혜라,이홍숙,Park, Ji-Won,Yoo, Hye-Ra,Lee, Hong-Suk 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1

This study, a quasi-experimental study using a nonequivalent control group pretest-posttest design. conducted a survey on 30 patients test group and control group of IS patients sampling an adjacent population at random - who are operated on the breast cancer and are in the A University Hospital located in Suwon, to examine into the effects of foot reflex zone massage on their pain and sleep satisfaction through the nursing interventions. It gave them a foot reflex zone massage for the total 30 minutes-basic massage 10 minutes and reflex massage 20 minutes required to alleviate their pain day in day out covering a two-month period from the first of July to the first of September 2004. for the purpose of collecting data. It launched into a two-round foot reflex zone massage at 6 and 24 hours since mastectomy through a direct visit at the hospital room to measure pain intensity, physiological index(pulse and blood pressure) and sleep satisfaction of them. The results are as follows. First, it showed that there is all the difference between pain intensity of test group and that of control group. In result, the first hypothesis, pain of test group. which measure at 6(p=.000) and 24 hours(p=.001) since mastectomies, will be bigger than that of control group, was established. Second, it showed that there is all the difference between physiological index of test group and that of control group. In result. the second hypothesis, pulse(p= .025, p= .002), systolic blood pressure(p= .004, p=.012) and diastolic blood pressure(p=.004. p= .003) of test group, which investigate at 6 and 24 hours since mastectomies, will be bigger than that of control group, was established. Third, it showed that there is a significant difference between sleep satisfaction of test group and that of control group(p=.000). In result, the fourth hypothesis, sleep satisfaction of test group. which examine in the morning after mastectomies, will be bigger than that of control group, was established. In the result. a foot reflex zone massage is seen to be effective in the pain reduction and sleep promotion of patients who are operated on breast cancer, and in providing them with more qualitative care by improving confidence between them and nurses through a physical touch. Also, it can be applied to a clinical examination through an independent nursing intervention.

특집 - 고기능성 점.접착제 연구개발 동향

박지원,임동혁,김현중,Park, Ji-Won,Im, Dong-Hyeok,Kim, Hyeon-Jung (사)한국포장협회 2010 包裝界 Vol.204 No.-

계단 보행 시 불안정성 신발 착용에 따른 슬관절 부하에 대한 연구

박지원,김윤진,Park, Ji-Won,Kim, Yun-Jin 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.2

Purpose: The purpose of this study is to compare kinematics and kinetics on the knee joint between stair gait with unstable shoes and barefoot in healthy adult women. Methods: Seventeen healthy adult women were recruited for this study. The subjects performed stair ascent and descent with unstable shoes and barefoot. The experiment was repeated three times for each stair gait with unstable shoes and barefoot. Measurement and analysis of the movements of the knee joint were performed using a three-dimensional analysis system. Results: Statistically significant differences in the knee muscle force of semimembranosus, biceps femoris-long head, biceps femoris-short head and sartorius, patellar ligament, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair ascent. Statistically significant differences in the knee muscle force of sartorius, rectus femoris, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair descent. Statistically significant differences in the knee flexor moment of semitendinosus, biceps femoris-long head, biceps femoris-short head, sartorius, rectus femoris, vastus intermedialis, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair ascent. Conclusion: Therefore, wearing unstable shoes during stair gait in daily life is considered to influence knee joint kinematics and kinetics due to the unstable shoes, and thus suggest the possibility that reducing the risks of pain, and knee osteoarthritis, stabilizing the knee joint caused by changes in the loading of the knee joint.

가정간호교육생의 보완요법에 대한 태도와 인지정도 조사 연구

박지원,임난영,Park, Jee-Won,Lim, Nan-Young 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

특발성 폐섬유증의 통합의료 협진 모델 개발을 위한 의료진 및 환자 대상 설문조사 연구

박지원,이범준,신정원,진수현,양정민,김수덕,김관일,최혜숙,정희재,Jiwon Park,Beom-Joon Lee,Jeong-Won Shin,Su-Hyun Chin,Jung-Min Yang,Sooduk Kim,Kwan-Il Kim,Hye Sook Choi,Hee-Jae Jung 대한한방내과학회 2023 大韓韓方內科學會誌 Vol.44 No.3

Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

운동학습에 의한 왼쪽 하전두영역의 분할비등방성의 변화

박지원,남기석,Park, Ji-Won,Nam, Ki-Seok 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.5

Purpose: This study was to delineate the structural change of neural pathway after sequential motor learning using diffusion tensor imaging (DTI). Methods: The participants were 16 healthy subjects, which were divided by training (n=8) and control (n=8) group. The task for the training was the Serial Reaction Time Task (SRTT) which was designed by Superlab program. When the 'asterisk' shows up in the 4 partition spaces on the monitor, the subject presses the correct response button as soon as possible. The training group participated in the training program of motor learning with SRTT composed of 24 digits pattern in one hour per daily through 10 days during 2 weeks. Results: In the behavioral results the training group showed significant changes in the increase of response number and the reduction of response time than those of the control group. There was significant difference in the left inferior frontal area in the fractional anisotropy (FA) map of the training group in DTI analysis. Conclusion: Motor sequential learning as like SRTT may be needed to the learning of language and visuospatial processing and may be induced for the experience-dependent structural plasticity during short period.