맞벌이 가정의 가족스트레스에 관한 연구

李賢鈺,金良喜,李慶姬,洪秉淑 中央大學校 家庭文化硏究所 1989 가정문화논총 Vol.3 No.-

The purpose of this study was to understand the contents of family stresses among dual earners in urban area. Selected research objectives included the coping behaviors, adoptation methods, and the effects of family resources with family stresses. For this purpose, 142 samples were selected and interviewed. It was found that there were close relationships among the family resources, coping behavior, adoptation methods and family stresses of dual earners. Different style of coping behavior and adoptation methods seemed to change the degree of family stress, and the family resources were the most important factor that influenced the family stresses of dual easners.

思考技能 訓練프로그램의 開發 및 適用에 關한 硏究 : 衝動性 減少를 中心으로

朴鎭玹,朴敬玉,申東魯,羅東晉,李永植 全北大學校 學生生活硏究所 1994 學生生活硏究 Vol.21 No.-

Many of college students have the cognitive deficits, one of which is the impulsiveness, in the process through which they solve their problems in the daily life. This study attemted to develop the program for the purpose of improving college students' thinking skills. Also, the program was intended to encourage the college students to reduce their impulsiveness, and to help them maintain the rational reasoning solving the complex of problems. For this purpose, researchers examined the difficulties which college students had in the process of their thinking, focussed on their impulsiveness in particular, based on the findings of preceding works related to the thinking skills, including some of programs for improving the thinking skills and intelligence. As a result, a program was developed to improve the thinking skills of college students in order to reduce their impulsiveness. This program was composed of two parts, each of which included five units. Part One, titled "Human Life and the Limited Rationality", was focused on training college students with metacognition or cognitive style. In this part, the trainees explored those phases passed on the human problem solving and the sources of impulsiveness. This part included five units: (1) Introduction; (2) Journey in the universe of learning; (3) Uncertainty and impulsiveness; (4) Human problem solving; and (5) Human information processing and limited rationality. Part Two, titled "Resolution of the Limited Rationality and Intellectual Limitations of Human Being", was focused on training college students with cognitive strategies. In this part, the trainees searched for the general cognitive strategies with which they would learn each unit, and used it to resolve the limited rationality of human being and thus to solve the problems more efficiently. This part included five units: (1) Search for strategies to resolve the intellectual limitations of human being; (2) Utility of the external representations; (3) Application of strategic knowledge of inferences; (4) Resolution of the inferential baises; and (5) Evaluation and termination. A pilot study attempted to verify the effectiveness of the training program. Subjects were 118 sophomores of a national university in Chon-buk. They were assigned to an experimental group(N=56) and a control group(N=62) to test the effectiveness of the training program. The experimantal group received 12 sessions of training instruction for 50 to 60 minutes each week. The control group was given no intervention. After training sessions, they were given a cognitive style (impulsiveness) scale as well as a reasoning test, and also checked a questionnaire which asked the participants to express their opinions of the training program. The findings of the study might be summarized as follows: 1. The program seemed to contribute posively to change participants' cognitive style, particularly to reduce their dysfunctional impulsiveness. 2. The program seemed to contribute substantially to improve participants' performance of reasoning tasks. 3. Many of participants (about tow-third) of the participants reported to have a novel feel- ing on the program, to perceive the program different from the existing curriculum, and also to take some benefits from the program. However, this study suggested several recommandations as follow: 1. It is necessary to verify the effectiveness of the program on the basis of a valid design of experiment. 2. It is necessary to take a effort to extend the breadth and depth of the program, including a discussion of the functional impulsiveness. 3. It is necessary to establish the reinforcement schedule in order to encourage the participant to engage in the program actively.

소규모사업장 보건관리기술지원사업 지원여부에 따른 사업장내 의사소통 비교

정최경희,박혜숙,김정연,이경용,현성민,오지영,김수근,김현주,하은희 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

목적: 소규모사업장 보건관리기술지원사업 지원여부에 따라 사업장내 위험의사소통채널이 마련되었는지와 이 채널이 기능을 하는지, 그리고 의사소통채널마련과 사업장내 위험의사소통 활성화의 기본적이고 중요한 배경이 되는 사업주의 산업보건에 대한 관심이 차이가 있는지에 대해 살펴보고자 하였다. 방법: 서울, 안산, 대전, 광주, 포항 지역에서 보건관리기술지원사업을 받은 사업장과 받지 않은 사업장을 대상으로 비례층화무작위표본추출법을 사용하여 추출한 후 1991년 12월 6일부터 10일간 우편설문조사를 실시하였다. 설문대상은 각 사업장의 남녀 각 1명, 보건업무담당자, 사업주였으며, 설문내용은 사업장 및 응답자의 일반적 특성 및 사업장내 위험의사소통이었다. 설문에 응답이 온 463개 사업장의 자료를 자료처리하여 총 228개 사업장(단해년도지원 사업장 189개, 연속2년지원 사업장 13개, 비지원사업장 26개)을 대상으로 분석하였다. 결과: 사업장내 의사소통에 대한 단변량분석에서는 보건업무 담당자의 선정여부만이 통계적으로 유의한 차이가 있었다. 소규모사업장 보건관리기술지원사업을 지원받지 않은 사업장과 지원받은 사업장의 사업장내 위험의사소통을 비교하기 위한 로지스틱회귀분석 결과, 모든 항목에서 통계적으로는 유의한 차이를 보여주지 않았다. 그러나 사업주의 관심(OR ; 1.63, 95% CI ; 0.38~7.01)과 보건업무담당자의 선정(OR ; 3.67, 95% CI ; 1.00~13.44) 및 결정권한(OR ; 1.48, 95% CI ; 0.25~8.91), 사업주의 산업보건문제 소통(OR ; 3.07, 95% CI ; 0.81~11.71), 보건업무담당자의 정보요청경험(OR; 4.48, 95% CI ; 0.97~20.57)에서는 지원받지 않은 사업장에 비해 지원받은 사업장에서 교차비가 증가하는 양상을 보여주었다. 반면 노동자의 산업보건문제 소통가능성여부는 오히려 교차비가 0.53(95% CI ; 0.11~2.44)로 감소하는 경향을 보여주었다. 결론: 소규모사업장 보건관리기술지원사업을 의사소통의 측면에서 평가해보면, 사업주나 보건업무담당자에게는 다소 효과가 있었지만 노동자가 지속적으로 참여할 수 있도록 의사소통문화를 바꾸어내는 데에는 한계가 있었다. 개선을 위해서는 노동자 중심의 접근 프로그램의 개발 및 시행이 시급하다 할 수 있다. Objectives :This study was to evaluate the effectiveness of the government-funded subsidized occupational health program for small-scale enterprises(GSOHP_SSE) by occupational health com-munication in workplace. Methods : We sampled the 1,835 enterprises of study by proportional stratified random sampling among industries of supported and not supported by GSOHP_SSE in Seoul, Ansan, Daejeon, Kwang-joo and Pohang. Information on the general characteristics of enterprises and respondants and occupational health communication in the workplace was collected on self-reported questionnaires by post-survey between December 6 and 15 in 2001. We received answers from 463 enterprises and analyzed 228 enterprises through data-cleaning by logistic regression to evaluate effectiveness of GSOHP-SSE about occupational health communication in the workplace. Results : By multiple logistic regression analysis, GSOHP_SSE turned out not to be statistically significant factor in all dependent variables about occupational health communication in the work-place. The concern of owner(odds ratio (below OR) ; 1.63, 95% confidence interval(below 95% CI) ; 0.38-7.01), formation(OR ; 3.67, 95% CI ; 1.00-13.44) and empowerment(OR ; 1.48, 95% CI ; 0.25-8.91) of health manager, request about occupational health problem of health manager(OR ;4.48, 95% CI ; 0.97-20.57) and occupational health communication of owner (OR ; 3.07, 95% CI ; 0.81-11.71) had the trend increasing OR in the industries supported GS-OHP_SSE relative to the industries not supported. But in recognition of possibility on occupational health communication of laborers, OR of GSOHP_SSE was decreased in 0.53(95% CI ; 0.11-2.44). Conclusions: This study found that the GSOHP_SSE was some effective to the side of employer and health manager, but had a limitation about change of communication culture useful to the laborers. We suggested the laborer-centered health training programs or the empowerment-based health training programs for effective occupational health management in the workplace.

자의퇴원환자 특성 및 요인에 관한 연구

김광환,서순원,이현실,조영채,박미경,정현경 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

This research aims to attract patients of AMA(Against Medical Advice). The patients are neglected because they are a few, but the patients are very important for hospital income. So, this study analysis patients of AMA. The analysis items are 1) a course of hospital, 2) health delivery system, 3) whether or not consultant, operation and transfer, 4) principle diagnosis, 5) specialty fields, 6) length of stay, so on. The results show that AMA of male, old, and emergency case is high. In principle diagnosis, AMA of cerebral infaction and fracture and liver disease is high. Therefore it's meaningful research for hospital management.

정신분열병 환자에서 사회인구학적 특징과 종교에 따른 정신병 치료방법에 대한 선호도

이창민,이종일,신경희,이민규,김태현 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.5

연구목적 : 종교가 정신분열병 치료에 도움을 주기도 하지만 정신병 치료방법에 대한 잘못된 개념을 심어주어 환자의 치료순응도에 나쁜 영향을 미치기도 한다. 그러므로 종교에 따른 정신병 치료방법에 대한 선호도를 조사하여 종교가 정신분열병 치료에 미치는 영향을 알아보고자 이 연구를 시행하였다. 방 법 : DSM-Ⅳ에 의해 진단 받았으며 GAF score가 41이상은 정신분열병 환자 102명을 대상으로 하였다. Allport와 Ross의 내재적-외향적 종교성향척도를 이용하여 종교성향을 설문 조사하였으며 정신병 치료방법(초자연적 치료, 원시적 약물치료, 심리적 치료, 종교적 치료, 생물학적 치료)에 대한 선호도를 설문 조사하였다. 수집된 자료에서 사회인구학적 특성과 종교성향 그리고 정신병 치료방법의 관계를 비교 분석하였다. 결 과 : 1) 정신분열병 환자는 생물학적 치료와 심리적 치료에 가장 높은 선호도를 보였으며 다음으로 종교적 치료와 원시적 약물치료에 높은 선호도를 보였다. 2) 기독교를 믿는 환자군은 종교적 치료에 유의한 선호도를 보인다. 3) 내재적 성향의 환자군이 반종교적 성향의 환자군에 비해 심리적 치료에 유의하게 높은 선호도를 보였다. 그리고 친종교적 성향의 환자는 초자연적 치료, 심리적 치료 그리고 종교적 치료에서 유의하게 높은 선호도를 보였다. 결 론 : 전반적으로 종교성향과 정신병 치료방법은 유의한 상관관계를 보이지 않았다. 그러나 종교성향은 특정한 교리나 사상을 반영하기보다는 개인의 성격을 반영하는 경향이 있으므로 종교과 정신병 치료방법이 전혀 무관하다고 할 수 없다. 환자들은 종교적 치료와 원시적 약물치료에 상당한 선호도를 보이고 있으며 특히, 기독교를 믿는 환자군은 종교적 치료에 유의한 선호도를 보인다. 그러므로 환자와 가족에게 정신분열병에 대한 정신교육을 지속적으로 시행해야 한다고 여겨진다. Objectives : Religion may be beneficial to the treatment of schizophrenia, but religion frequently have bad influence on drug compliance because religion give false concept of the treatment of psychosis. We investigated the influence of religion on the treatment of schizophrenia by assessing the preference for the treatment of psychosis to religion. Methods : 102 patients of schizophrenia who were diagnosed by DSM-Ⅳ and above 41 scores of GAF score were selected. We assessed religious orientation with the Intrinsic and Extrinsic Religious Orientation Scale and assessed the preference for the treatment method of psychosis(supernatural treatment, primitive medicinal treatment, psychological treatment, religious treatment, biological treatment). The relationship among the variables of demographic data, religious orientation, the treatment method of psychosis were analyzed. Results : 1) Schizophrenic patient showed first preference for biological treatment and psychological treatment and they showed second preference for religious treatment and primitive medicinal treatment. 2) Protestant showed preference for religious treatment. 3) Patient group who have intrinsic religious orientation showed more preference for psychological treatment than patient group who have antireligious orientation. Conclusions : Generally the relation between religious orientation and the treatment method of psychosis was not significant. But it couldn't be said that religion and the treatment method of psychosis was not related because religious orientation was not related with religious ideology but was related with personality. Schizophrenic patient showed more preference for religious treatment and primitive medicinal treatment and specifically, protestant showed preference for religious treatment. Therefore, we suggest that it is necessary to give persistent education about schizophrenia to patients and their family.

Helicobacter pylori와 대장균의 Shuttle Vector 개발

조명제,이우곤,이상룡,김경희,안영숙,김성희,김현주,류복덕,최여정,윤영혜,백승철,전영석,이광호 경상대학교 유전공학연구소 1997 遺傳工學硏究所報 Vol.16 No.-

In this study, a vehicle vector using cryptic plasmids was constructed for gene transfer in Helicobacter pylori. pHP51(3.9 kb) and pHP489(1.2 kb) were selected for constructing vectors from cryptic plasmid of H. pylori isolates in Korea. The HindⅢ-digestedDNA fragment(1.2kb) of pHP489 and 1.6kb DNA fragment of pHP51 were ligated with a kanamycin resistance gene(aph3'-Ⅲ) from C. jejuni to produce the recombinant plasmids pHP489K and pHP51K, respectively. Transformation frequency of pHP51K by electroporation was low. But pHP489K could be effectively transformed into various H. pylori strains. In order to design an intermdiate vehicle vector for gene transfer into H. pylori, pBlueHP489K was prepared by recloning pHP489K DNA into pBluescript and pTZ19R vector. This vector permitted the DNA fragment containing pHP489 sequence, aph3'-Ⅲ, and cloned DNA to be cut and self-ligated in the SacⅠ site after cloning. ureA and ureB gene were inserted into pBlueHP489K, resulting in pBlueHP489K/AB. The DNA fragment containing pHP489, kanamycin resistance gene(aph3'-Ⅲ), and urease structural gene was cut away from pBlueHP489K/AB and self-ligated to generate pBlueHP489K/AB. pBlueHP489K/AB made urease-negative H. pylori strains restore their urease activity. By this experiment, pBlueHP489K was confirmed to be the vehicle system for transferring H. pylori genes.

圓光醫大 附屬 第2病院 神經精神科 患者에 對한 統計的 考察(Ⅱ)

박민철,장광철,김상원,김한주,유미경,김훈,유용진,김현정,박남진,오상우,이귀행,노승호,백영석 圓光大學校 醫科大學 神經精神科學敎室 1992 圓光精神醫學 Vol.8 No.1

본 연구는 1986년 7월 11일부터 1991년 7월 10일까지 원광의대 부속 제2병원 신경정신과에서 의래 및 입원치료를 받았던 6,072명의 환자를 대상으로 병원 역학조사를 실시하고 그 결과를 1차조사 (박민철 등1986)와 비교했다. 1.전체 환자 중 남자가 54.4%로 여자보다 많았고, 이리와 이리 인접지역이 84.0%로 대부분의 지역을 나타났다. 의료보장상태는 보험환자가 57.1%, 의료보호환자21.8%, 일반환자 21.1%였으며 연령별로는 20대 24.6%, 30대 22.8%로 20대 30대가 절반정도를 차지했다. 2.외래환자에서는 신경중성장애가 46.0%로 가장 많고 정동장애, 경련성장애 순이며, 입원환자에서는 정신분열증이 30.5%로 가장 많고 기질성정신장애, 정동장애의 순이었다. 3.남자는 신경증성쟝애(23.4%), 정신분열증, 기질성정신장애 순이고 여자는 신경증성장애(39.9%), 정동장애, 정신분열증의 순이었다. 남자가 여자보다 많은 진단은 알코올정신장애(94.6%), 기질성정신장애, 소아정신장애 순이고, 여자가 남자보다 많은 진단은 정동장애(64.5%), 신경증성장애였다. 4.진단별 연령분포에서 신경증성장에는 30대(25.3%), 20대, 40대 순이고, 정신분열증은 20대(40.5%), 30대, 40대 순이며, 정동장애는 20대, 30대, 50대 순이나 비교적 비슷한 융이었다. 5.진단별 발병연령에서 신경증성장에는 20대, 30대가 절반이고,정신분열증은 20대(51.3%), 10대, 30대 순이며 정동장애는 20대(30.7%), 30대, 50대 순이었다. 진단별 평균 발병연령은 신경증성장애 32.7세, 정동장애 36.1세, 정신분열증 23.6세였다. 6.진단별 이병기간은 2년이상이 신경증성장에 28.3%, 정신분열증 68.5% 정동장애 43.9%인데 전체적으로 41.0%였다. 진단별 평균 이병기간은 정신분열증 73.2개월, 정동장애 45.5개월, 신경증성장애 29.5개월이었다. We examined epidemiologic study of 6,072 patients who visited Wonkwang Neuropsychiatric hospital since July 11 of 1986 until July 10 of 1991 and compared this results with previous study(Park et al 1986). The study revealed as follows:1. Of total patients males visited this hosptial more than females as 57.1%, Most of them(84.0%) resided Iri and neighbouring Iri. In the point of insurance, insured patients, medicaid patients and uninsured patients were 57.1%, 21.8% and 21.1% respectively. On the distribution of age, the twenties, the thirties were 24.6%, 22.8% respectively and twenties and thirties were about half of total patients. 2. Of outpatients neurotic disorder was the most as 46.0%, secondly mood disorder and thirdly convulsive disorder, but of inpatients schizophrenia was the most as 30.5%, secondly organic mental disorder and thirdly mood disorder. 3. Of males neurotic disorder was the most as 23.4%, secondly schizophrenia, and thirdly organic mental disorder, but of females neurotic disorder was the most as 39.9%, secondly mood disorder and thirdly schizophrenia. alcoholic mental disorder(94.6%), organic mental disorder, child mental disorder were mostly found in males,but mood disorder(64.5%) and neurotic disorder were mostly found in females. 4. On the distribution of age neurotic disorder was found the most in the thirties(25.3%), next in the twenties and in the forties, and schizophrenia was found the most in the twenties(40.5%), next in the thirties and in the forties, but mood disorder was found the most in the twenties, next in the thirties and in the forties but revealed similar rates relatively. 5. On the distribution of age of onset neurotic disorder developed nearly half during the twrnties and the thirties, schizophrenia developed mostly during the twenties (51.3%), secondly the teens and thirdly the thirties, but mood disorder developed firstly the twenties(30.7%), secondly the thirties and thirdly the fifties. on the average age of onset of illness neurotic disorder, mood disorder and schizophrenia were 32.7 years, 36.1 years and 23.6 years respectively. 6. On the duration of illness more than two years was 28.3% in neurotic disorder, 68.5% in schizophrenia and 3.9% in mood disorder and on the average duration of illness schizophrenia, mood disorder and neurotic disorder were 73.2 months, 45.5 months and 29.5 months respectively.

뇌졸중 환자에 대한 연례보고(2005년)

이시형,정기용,여현수,하유군,백종우,최유경,전찬용,김동우,박종형,Rhee, See-hyung,Jung, Ki-yong,Yeo, Hyun-soo,Hsia, Yu-chun,Baek, Jong-woo,Choi, You-kyung,Jun, Chan-yong,Kim, Dong-woo,Park, Chong-hyeong 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1

Objectives : This study was prepared for investigating the clinical features of stroke patients. Methods : We retrospectively reviewed the medical records of 75 patients who were admitted to Department of Internal Medicine, College of Oriental Medicine, Kyung-Won University with a diagnosis of stroke from Jan. 1, 2005 to Dec. 31, 2005. Results : Ischemic stroke(include TIA, 93.3%) was more common than hemorrhagic stroke(6.7%). The incidence in male was 36.0%, in female was 64.0% and the most prevalent age group is over-sixties. Cerebral infarction was most frequently noticed in MCA-infarction and hemorrhage in putamen & thalamus. Hypertention, the most preceding diseases, followed by diabetes mellitus and CVA. The rate of recurrence was 21.3%. Cerebral infarction and cerebral hemorrhage was much occurred after rising. The most patients visited the hospital within 24 Hours. The most common symptoms in admission time were motor weakness and speech disorder. The complication was mostly urinary tract inflamation. Conclusions : Our study on CVA patients was similar to previous studies from 1994 to 2004. In most cases, western and oriental treatment and medicine were given synthetically.

ON SOME BASIC PROPERTIES OF THE INHOMPOGENEOUS QUASI-BIRTH-AND-DEATH PROCESS

Rhee, Kyung Hyune,C.E.M.Pearce 대한수학회 1997 대한수학회논문집 Vol.12 No.1

The basic theory of the quasi-birth-and-death process is extended to a process which is inhomogeneous in levels. Several key results in the standard homogeneous theory hold in a more general context than that usually stated, in particular not requiring positive recurrence. These results are subsumed under our development. The treatment is entirely probabilistic

Message from the Organizing and Program Chairs

Kyung-Hyune Rhee,Im-Yeong Lee,Suresh Kumar Dhameja 한국멀티미디어학회 2007 한국멀티미디어학회 국제학술대회 Vol.2007 No.-