한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

한·일 고령남성의 일상활동체력 비교

현승권,손원호 한국학교체육학회 2004 한국학교 체육학회지 Vol.14 No.2

본 연구는 한·일 남성노인의 연령대별 활동체력을 비교하는데 있다. 연구의 대상은 남성노인 총 535명으로 연령은 60세~80세 이상으로 한국남성노인 170명, 일본남성노인 365명이었다. 한국과 일본에서 똑같은 측정도구를 이용하여 7항목의 일상활동체력을 측정하였다. 자료의 분석 결과 본래의 7항목 중 5항목이 한일남성노인에게 있어서 나이가 증가함에 따라 활동체력이 감소하는 것으로 나타났다. 비록 항목에 의존하는 활동체력의 크기의 양에 차이가 한국남성노인의 경우 일본남성노인 보다 일상활동체력이 낮게 나타났다. 차이가 나타나지 않는 요인인 근력과 순발력이었(P>0.05). 덧붙여서, 측정결과를 요약하면 일본남성노인이 한국남성노인과 비교하여 더욱 지속적이고, 더욱 빈번하게 신체활동을 활기차게 하고 있다는 것을 알 수 있었다. 한일 양국을 비교한 결과 일본남성노인보다 한국남성노인이 평형성, 유연성, 민첩성, 지구력에서 일상활동체력이 연령별로 명백하게 낮게 나타났다(P<.05, p<.01, p<.001). 이상의 결과로부터 다음과 같은 결론을 도출하였다. 첫째, 나이가 증가함에 따라 양국의 노인들에게 있어서 모든 측정항목의 대부분이 운동수행에 중요한 영향을 미치는 것으로 나타났다. 둘째, 일본남성노인의 경우 더욱 지속적이고 빈번하게 신체활동과 운동예 참여하는 생활양식의 반영으로 더욱 높은 일상활동체력의 수준이 높게 나타난 것으로 사료되며, 일본남성노인의 경우 활기찬 신체활동이 생활양식의 한 부분으로 인식되어 신체활동체력 수준이 높게 나타난 것으로 사료된다. The purpose of this study was to compare functional fitness(FT) status of elderly Men between Korean and Japanese. The subjects were 535 (170 Koreans and 365 Japanese) elderly Men, aged 60 to 80 over years. seven performance test items related to functional fitness were measured in Japan and Korea by using same instruments. Analysis of data indicated that, from the original 9 items, 7 items used with Korean older Men, and 8 items used with Japanese older Men decreased significantly with advancing age. Koreans had significantly lower functional fitness than Japanese, although the magnitude of this difference depended on the items. No differences were found in strength and Power factors (P>0.05). In addition, our questionnaire results confirmed that Japanese older Men were engaging in more vigorous physical activity for a longer duration and at a higher frequency compared to Korean people. The results of the comparison clearly indicated that Korean old people had a lower general FT level than Japanese in both the balance, flexibility, agility and endurance age groups (p<.05, P<.01, P<.001). From the above results, it can be concluded (1) that advancing age significantly affects performance for almost all items in the elderly of both countries, (2) that the higher functional fitness levels reflects a lifestyle of more engagement in exercise or physical activity with a longer duration and a higher frequency in Japanese and that the higher FT level reflects lifestyles with more vigorous physical activity in Japanese.

조기위암에서 침윤, 유형 및 분화도에 따른 p53, bcl-2의 발현

권오선,조현득,오미혜,김의한,양승하 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

Purpose: For evaluation of the role of tumohgenesis of p53 over expression and bcl-2 inhibition in early gastric cancer, the immunohistochemical tissue status of 31 primary early gastric cancer patients was investigated, and also the association between p53 , bcl-2 expression status and clinicopathologic parameters was analyzed for evaluation of prognostic relevance. Materials and Methods: DO7, a monoclonal antiserum to p53 protein and clone 124, monoclonal antibody to bcl-2 protein were used for the immunohistochemical analysis in 31 primary early gastric cancer tissue. The expressions were scored and divided into negative, positive, low expression, and over expression. Results: The clinocopathologic parameters; tumor depth of invasion, histologic type and differentiation were not related with the expression status of p53 and bcl-2. In 31 cases, the p53 over expression was 14 cases(45.2%), and the bcl-2 positive expression was 15 cases(48.4%), and 9 cases(29.0%) were the status of p53 over expression and bc1-2 positive expression. Conclusions: These results suggest that altered cell cycle and apoptosis control by p53 and bcl-2 may be an event in carcinogenesis of early gastric cancer but there are many other mediators that may fascilitate tumorigenesis.

상심실성 빈맥환자에서 관상정맥동의 형태비교

현대우,김윤년,박소영,한성욱,허승호,김기식,김권배 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.4

벼 담수산파 재배시 파종량·질소분시·물관리 방법의 차이가 생육 및 수량성에 미치는 영향

권영립,권석주,조승현,최동철 원광대학교 2005 論文集 Vol.35 No.-

This study was carried out to investigate in connection with seeding rate according to the fertilizer application method and water management in direct seeding on flooded paddy surface. The total nitrogen and chlorophyll contents was decreased as increasing amount of seeding. The total nitrogen and chlorophyll contents were high in the strong drainage methods than the custom water management. LAI and dry mater recording where the seeding amount will increase to the fertilizer application method it increases consequently were low tendency from the site which omits the omitted the top dressing at tillering stage. The number of panicles per square metre was increased according to amount of seeding, but the number of spikelets per panicle was decreased. When omitted the top dressing at tillering stage and increasing the amount of seeding, the rice yield was high and amount of seeding was 89 kg per hectare. The results indicate that increasing of seeding rate and omission of fertilizer application with strong drainage at tillering stage was to reduce field lodging degree, to economy of water culture and to save labor for fertilization.

벼 상온 저장 시기별 쌀 품질 변화

권석주,송영은,권영립,이덕렬,조승현,최동철 원광대학교 2005 論文集 Vol.35 No.-

Increasing concern about a rice quality, it is considered postharvest technology as well as cultivation management as an important factor. Therefore it is necessary to find optimal drying, storage method that did not affected a rice quality. In order to find the optimum storage period of rice, the rice quality was investigated during storage period. The temperature and humidity of storage bin were greatly changed but those of rice were a little do. The germination rate was slowly decreased as the storage period is long. The content of moisture was affected by a room temperature, it was increased at stored rice in rainy season(10-Jul~20-Jul). As storage period is long, the content of amylose, fatty acidity were a just Little changed but did not showed a constant tendency to it. The content of protein was increased and mechanic palatability value was decreased during storage period. The chromaticity of milled rice showed a range of lightness(L); 75.15~71.75, redness(a); 0.21~0.91, yellowness(b); 16.78~19.28 during storage period.

고등학생의 여가활동 참여와 사회성 발달에 관한 연구

현승권,고천호 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The purpose of this study was to investigate the relationships between participation in leisure activities and social development, that is, participation in leisure activities related to personal characters and the relationships between participation in leisure activities and social development. TO accomplish the purpose of this study, research models and hypotheses were established based on previous studies and theories. Gender and grade as personal characters, participation in leisure activities as a independent variable and social development as a dependent variable were selected. Total of 570 student who go to High school in kyeon GI-do, moon-san 2004 were selected as subjects with random sampling. The questionnaire used in this study was based on the material which was made by Chung bung-Mo(1971) and was standardized by Han Tae-Ryoung(1998) Frequency analysis, cross analysis, ANOVA and t-test were used in this study and each hypothesis was tested at the significance level of .05. On the basis of the results analyzed, the Conclusion were drawn as follows ; First, there was a difference of participation in leisure activities depending on gender of High school students, but no difference was found depending on grades Second, there was a significant difference of social development in emotional stability, dominance and self-regulation according to types of participation in leisure activities of High school students. Third, No significant difference of social development was found in both frequency and period according to an extent of participation in leisure activities of High school students. Fourth, there was a difference in only activities depending on existence of a leader and there was significant difference in activity and sociability depending on existence of a colleague.

신규간호사를 위한 맞춤형 멘토 프로그램(새싹프로그램)의 개발 및 적용 : 일개 대학병원 중환자실을 중심으로

권은옥,조정숙,송경자,최스미,장선주,김주희,박승현,신효연,유미,김정아 대한간호학회 간호행정학회 2009 간호행정학회지 Vol.15 No.4

Purpose: The purpose of this study was to develop specialized mentor program to improve adaptation for new nurses of intensive care unit and to identify the effect of the program on early resignation rate. Methods: The study adopted nonequivalent control group, non synchronized design. Based on the identification of problems and the needs of new nurses, a 6 month specialized mentor program was developed. The program was consisted of three parts; developing knowledge, improving interpersonal relationship and increasing coping competency for emergency situation. Data were collected between July 2006 and 2008 from 37 nurses and the early resignation rate was compared before and after the implementation of the mentoring program. Results: Early resignation rate of the nurses who received the mentor program was significantly lower than that of the nurses who didn't. The resignation rate within 1 year dropped from 44.5% to 8.3%(p=.034). Conclusions: The specialized six month mentoring program was effective in reducing early resignation rate.

일개 소방서 소방관들의 외상후 스트레스 증상 및 관련요인

권순찬,송재철,이수진,김인아,고재우,류현철,김석현,김대호,정승아 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.3

목적: 본 연구에서는 일부지역 남자 소방관의 외상후 스트레스 증상과 관련요인을 분석하고 PTSD 고위험군의 빈도를 추정하고자 하였다. 방법: 서울 지역 한 소방서의 남자 소방대원 260명에게 설문지를 배포하였다. 그 중 한 가지 이상의 외상성 사건의 경험이 있고 IES-R-K 설문에 응답한 153명 중 우울증으로 의심되는 7명을 제외한 146명을 분석대상으로 하였다. 설문지는 일반적 특성과 작업관련 특성, IES-R-K 22문항,‘소방관과 응급구조사의 사건 스트레스인자’25개 문항을 포함하였다. 결과: 연구대상의 평균연령은 38.8(±6.8)세였으며 평균 근속기간은 12.0(±6.4)년이었다. 기혼이 118명 (80.8%)이었다. 근무형태별로는 상시주간이 20명(13.7%),격일근무가 126명(86.3%)이었다. 직능별로는 화재진압 46명(31.5%),구조 15명(10.3%),구급 26명(17.8%),운전 40명(27.4%),내근 19명(13.0%)이었다. IES-R-K 점수의 평균은 11. 3(±13.1)점이었으며 기혼자가 미혼자보다(p=0.005),24시간 격일근무자가 상시 주간근무자보다(p=0.032) 높았다. IES-R-K 점수 24/25점을 절단점으로 PTSD 고위험군의 빈도는 13.7% (20명)이었다. 외상성 사건 25개 중 경험한 종류수는 직능별로 구급과 구조에서 많았다.(p=0.000). PTSD 고위험군을 종속변수로 하고 나이와 교육수준을 보정한 다중로지스틱회귀분석에서 각각의 보정 비차비(95% CI)는 기혼 1.98(0.42∼9.30),근속년수 20년 이상 3.53(1.01∼12.38),24시간 격일근무 3. 31 (O.42∼26. 23),소방장 1.67(0.46∼6.09),외상성 사건을 경험한 종류수 2.18(0.79∼6.04)였다. 결론: 이 연구에서 서울지역의 일개 소방서에 근무하는 남자 소방관의 PTSD 고위험군의 빈도는 13.7%로 추정되어 일반인구집단의 PTSD 유병률에 비해 높은 것으로 나타났다. 외상성 사건에 무방비로 노출되어 있는 소방관들의 PTSD 위험군을 조기에 선별할 수 있는 간편한 자기기입식 설문지인 IES-R-K는 소방관의 PTSD를 조기에 개입하여 관리하는 효율적인 도구로 활용될 수 있을 것이다. 소방관들의 정신건강을 관리하고 개입이 필요한 정신질환을 조기에 발견하며 관리할 수 있는 체계적인 예방 및 관리 프로그램의 도입이 필수적이다. Objectives: To investigate the factors related with posttraumatic symptoms and to estimate the prevalence of posttraumatic disorder of urban male firefighters. Methods: From a study sample comprising 260 male firefighters from one fire station, the responses. from 146 who had experienced one or more traumatic events, responded to the 'Impact of Event Scale-Revised Korean version' (IES-R-K) and didn't show any evidence of depression were analyzed. We surveyed the firefighters using a self-administered questionnaire including general characteristics, job-related characteristics, IES-R-K, and a 'Firefighters and paramedics' incident stressor'. Results: The mean value of IES-R-K in this study was 11.3 and it was higher in the married firefighters than in the unmarried firefighters (p=0.005) and in the 24-hr shift workers than in the ordinary day shift workers (p=0.032). The frequency of posttraumatic stress disorder (PTSD) of the firefighters in this study using IES-R-K was 13.7%, with a cutoff point of 24/25. The overall number of experiences of 25 traumatic events was larger in emergency medical personnel and rescue workers than in other work functions (p=O.OOO). Conclusions: The prevalence of PTSD symptoms in firefighters was estimated to 13.7% using IES-R-K and was higher than the prevalence of PTSD in the general population. A program to manage the mental health and provide early detection for mental illness for firefighters is needed.

Thiamine결핍 유도후 쥐 전뇌의 성상교세포 Glial Fibrillary Acidic Protein(GFAP) 면역화학 활성도에 대한 변화

김승현,김희태,김주한,김명호,황세진,김명권,백태경 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1