한국판 영유아 기질 및 비전형 행동 척도(K-TABS) 타당화 연구

김정미,조윤경 한국유아특수교육학회 2013 유아특수교육연구 Vol.13 No.3

TABS was norm-referenced developmental test ranged from 12 month to 72 month (6 year old), and consisted of 55 items in 4 areas, which screened the children with temperament and atypical behavior problems. The purpose of this study was to evaluate the reliability and validity of the Korean version of Temperament and Atypical Behavior Scales(K-TABS) for standardizing the scale. According to the purpose of study, the study was implemented with a sample of 2,107 children(1,875 typical developing children and 232 children with special needs), in range of 1 to 8 years old. The study was proceeded as followed. First, items were translated and decided by preliminary content validity study, second, appropriate factor structure was investigated, third, appropriate Korean norm index was made by standardization study, fourth, reliability and validity was verified. Results showed K-TABS was turned out 50 items, 5 factor(detached, hyper-sensitive, hyper-active, underreactive, dysregulated) structure, and appropriate and discriminative screening scale with high reliability and validity. Based on total and 5 factor score, the atypical level of children was classified by normal, at-risk, atypical. The discriminative difference by age was found in Korea, so age norm suggested. Applications of K-TABS to early screening procedure in finding out the temperament and atypical behavior problems were discussed. 미국판 TABS(Temperament and Atypical Behavior Scale) 기질 및 비전형 행동 척도는 12개월에서 72개월(만 6세) 사이의 영유아 또는 이와 같은 연령 범위에서 발달적 기능을 한다고 판단되는 만 6세 이상의 아동을 대상으로 실시하는 규준-참조형 발달평가 척도로서, 문제가 되는 역기능적 행동은 4개 영역의 55개 문항으로 구성되었다. 본 연구는 미국판 TABS 검사도구의 한국 표준화를 위하여 우리나라 영유아를 대상으로 규준을 마련하고 도구의 신뢰도와 타당도를 검증하기 위하여 수행되었다. 이와 같은 목적에 따라 서울과 경기지역을 중심으로 만 1~8세 사이의 정상발달아동 1,875명과 장애아동 232명 총 2,107명을 연구 대상으로 하여, 다음과 같은 절차로 연구를 진행하였다. 첫째 예비연구를 통하여 문항을 번역하고 확정하였고, 두 번째 적합한 요인구조를 탐색하였으며, 세 번째 우리나라에 적합한 규준을 작성하고, 네 번째 도구의 신뢰도와 타당도를 검증하였다. 연구 결과, K-TABS는 50문항의 5개(즉, 고립행동, 과민감성, 과할동성, 저반응성, 조절행동) 요인구조가 적합한 것으로 확인되었고, 신뢰도와 타당도 분석을 통해 영유아 기질 및 비전형성 행동 판별에 적합한 도구임을 검증하였다. 검사에 따른 규준 확인결과, 전체점수와 5개 요인별 점수를 근거로 아동의 비전형성 수준은 ‘정상’, ‘위험’, ‘비전형’으로 판별된다. 한편 한국 표준화연구에서는 연령에 따른 차이가 확인되어 연령별 규준을 설정하였다. 논의에서는 영유아의 기질 및 비전형 행동 문제 선별을 위한 도구의 활용 방안 등을 제언하였다.

단안의 시력감소과 비전형적인 시야장애를 보인 뇌하수체 종양 1예

조양경(Yang Kyeung Cho) 대한검안학회 2011 Annals of optometry and contact lens Vol.10 No.1

목적: 뇌하수체 종양의 임상양상이 단안의 시력과 시야장애를 보이는 경우는 드물며 본 증례와 같은 비전형적인 시야장애를 보이는 경우는 국내에 보고된 바가 없어서 저자들은 1예를 보고하고자 한다. 대상과 방법: 65세 남자가 약 2개월 전부터 진행되는 우안의 시력장애를 주소로 내원하였다. 시력은 우안의 교정시력이 0.32였고 좌안의 교정시력이 0.6이었다. 양안의 경도의 백내장이 관찰되었으나 안저검사 및 시신경에서는 특이한 이상이 없었고, 좌안은 전혀 시력이나 시야장애를 호소하지 않았다. 반복된 시력검사와 시야검사, 시유발전위검사에서 점점 악화되는 양상을 보여 우측 구후 시신경염이나 시신경의 종양을 의심하고 안와 전산화 단층촬영을 실시하였다. 우측 안구 및 시신경에는 이상소견이 없었으나 몇 개의 단층에서 뇌하수체의 비정상적인 음영을 관찰하여 뇌자기공명영상을 다시 하여 뇌하수체 종양으로 확진되었다. 환자는 신경외과의 절제 수술 후 경과관찰 중이다. 결과: 뇌하수체 종양은 다양한 임상양상과 시야변화를 보일 수 있으나 단안에 국한된 주증상을 보이는 경우는 매우 드물며 본 증례와 같은 시야결손을 보이는 경우는 안과 의사의 진단이 매우 중요할 것으로 사료된다. Purpose: We report a rare case of pituitary tumor showing decreased visual acuity and atypical visual field defect in one eye. Methods: A 65-year-old patient presented with decreasing visual acuity in right eye. There were mild cataratous change of lens in both eyes and no abnormal findings of retina and optic nerve in fundus examination except mild epiretinal membrane in left eye. And there showed an atypical constricted visual field and abnormal wave in visual evoked potential in right eye. Orbit CT was done to observe optic nerve lesion but there was no abnormality in optic nerve. But we found an abnormal enhancement in pituitary gland. Pituitary tumor was confirmed in brain MRI and the patient was undergone neurosurgical excision of tumor. Results: Pituitary tumor shows variable clinical signs and visual field defect. But signs confined to unilateral eye is rare and visual field defect such as our case is atypical. So ophthalmologists need more attention in diagnosis of patients with atypical visual field defect.

A Study on the Application of the Behavior Setting Concept in User Behavior Simulation for Atypical Architectural Design

김수진,김홍중,이윤길 사단법인 미래융합기술연구학회 2021 아시아태평양융합연구교류논문지 Vol.7 No.10

Architects generally predict user behavior in a designed space based on laws or on their own experiences with the architectural design process. However, it is not easy to predict user behavior in atypical-type buildings because there are many cases therein that architects have not experienced. For this reason, human behavior simulation technology is essential in atypical architectural designs. In order to carry out a successful user behavior simulation, it is necessary to reproduce the social interactions occurring in an atypical space. This is because a more natural representation of social phenomena can show architects the potential performance of a more casual architectural space. This study aimed to develop a technology for reproducing behavioral settings for advanced human behavior simulations. In a previous study, social interactions in atypical spaces were classified into several categories based on psychological theories, one of which is behavioral setting. The purpose of the present study was to develop a technology that can be used to further enhance user interaction in an atypical space. In detail, the behavioral setting phenomenon, one of the user interactions, is introduced into the simulation technology. To this end, research was conducted to be able to add a behavioral setting function to ActoViz, which was developed for user interaction simulation in an unstructured space. Through the development of some prototypes, it was confirmed that the reproduction of the behavior setting concept can be expressed in a more advanced user simulation.

Recurrent nodular hidradenoma with atypical features

( Ji Sook Yoo ),( Joon Won Huh ),( Young In Jeong ),( Min Soo Kim ),( Kwang Hyun Choi ),( Mihn Sook Jue ),( Hyang Joon Park ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1

Nodular hidradenoma (NH), referred to as solid cystic hidradenoma, or eccrine acrospiroma, is a benign adnexal tumor which arises from eccrine sweat glands with no site preference. It usually occurs as a deep-seated solitary nodule, or rarely as multiple lesions. The size of the tumor ranges from 1-2 cm in diameter. Atypical features of NH include childhood onset, large lesions, painful tumors, or rapidly growing lesions. Histopathologically, lesions with frequent mitoses or nuclear atypia but without evidence of asymmetric invasion growth are termed atypical. The treatment of choice is resection with clear margins and the recurrence rate is about 12% if not fully excised. A 70-year old male patient complained of a painful skin-colored nodule on left knee, which recurred for four times. The patient first noticed a nodule in 1993 and had it excised at a different institute. The lesion recurred at the same spot again in year 2000, 2002, 2005, and 2014. The biopsy in 2005 showed nodular hidradenoma with frequent mitoses. Last time the lesion was removed completely, and the biopsy confirmed atypical hidradenoma with clear resection margin. Herein, we report a rare case of recurrent nodular hidradenoma with atypical presentation.

양성, 비전형적, 그리고 악성 뇌수막종에서 암유전자 및 p53 단백 발현의 면역조직화학적 분석

여인욱,김정훈,서재희,권병덕 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.4

Trends in Scientific Literature on Atypical Antipsychotics in South Korea: A Bibliometric Study

Francisco López-Muñoz,Winston W. Shen,Raquel Moreno,Gabriel Rubio,Juan D. Molina,Concha Noriega,Miguel A. Pérez-Nieto,Lorena Huelves,Cecilio Álamo,배치운 대한신경정신의학회 2013 PSYCHIATRY INVESTIGATION Vol.10 No.1

Objective We have carried out a bibliometric study on the scientific publications in relation to atypical or second-generation antipsychotic drugs (SGAs) in South Korea. Methods With the EMBASE and MEDLINE databases, we selected those publications made in South Korea whose title included the descriptors atypic* (atypical*) antipsychotic*, second-generation antipsychotic*, clozapine, risperidone, olanzapine, ziprasidone, quetiapine, sertindole, aripiprazole, paliperidone, amisulpride, zotepine, asenapine, iloperidone, lurasidone, perospirone and blonanserin. We applied some bibliometric indicators of paper production and dispersion with Price's law and Bradford's law, respectively. We also calculated the participation index (PI) of the different countries, and correlated the bibliometric data with some social and health data from Korea (such as total per capita expenditure on health and gross domestic expenditure on research and development). Results We collected 326 original papers published between 1993 and 2011. Our results state fulfilment of fulfilled Price's law, with scientific production on SGAs showing exponential growth (correlation coefficient r=0.8978, as against an r=0.8149 after linear adjustment). The most widely studied drugs were risperidone (91 papers), aripiprazole (77), olanzapine (53), and clozapine (43). Division into Bradford zones yielded a nucleus occupied by the Progress in Neuro-Psychopharmacology and Biological Psychiatry (36 articles). A total of 86 different journals were published, with 4 of the first 10 used journals having an impact factor being greater than 4. Conclusion The publications on SGAs in South Korea have undergone exponential growth over the studied period, without evidence of reaching a saturation point.

중국 드라마 <金婚> 把자문 분석

朴鎮秀 ( Park Jin Soo ) 중국어문학회 2022 中國語文學誌 Vol.- No.79

Modern Chinses ‘ba’ construction is special phrase that is frequently used but difficult to acquire. This paper investigated ‘ba’ construction of in TV series < Jin Hun > of chinese and classified and statistical work on the various structures of ‘ba’ construction and the four meaning of ‘disposal’, ‘causative’, ‘affected’, ‘atypical-causative’. As a result of the survey, ‘V+complement of result’ ‘V+complement of result’ structures were used at a high rate in use the complement of ‘ba’ construction. and ‘V+le’,‘V+object’ structures were usde at a high rate in no use the complement of ‘ba’ construction. In terms of meaning, ‘disposal’ figure was 91.2% of all ‘ba’ construction, causative figure was 5.6%, affected figure was 0.7%, atypical-causative figure was 2.3%.

Atypical Clinical Presentation of Geriatric Syndrome in Elderly Patients With Pneumonia or Coronary Artery Disease

정유진,윤종률,김학선,이애영,김미영,조정진 대한노인병학회 2017 Annals of geriatric medicine and research Vol.21 No.4

Background: Atypical symptoms often occur in elderly patients due to impaired homeostasis associated with age-related physiological changes and multiple pathologies. These atypical symptoms make diagnosis difficult and may partially increase morbidity and mortality. This study aimed to determine the incidence of atypical clinical presentation and to identify the effects of age and comorbidities on illness presentation in the elderly. Methods: Medical charts of 6,057 elderly patients (≥60 years) with pneumonia or coronary artery disease (CAD) admitted to 4 university hospitals were retrospectively reviewed. Determinants of atypical symptom presentation was evaluated using logistic regression analysis. The definition of atypical presentation was adapted from a previous study on atypical symptoms of pneumonia and CAD. Results: Among the 6,057 participants, 4,773 (78.8%) and 1,284 (21.2%) presented with typical and atypical symptoms, respectively. Among the participants, 24.8% CAD and 18.8% pneumonia patients had atypical presentations. Logistic regression analysis showed that factors associated with atypical presentation in CAD patients were age (≥85 years; odds ratio [OR], 2.7; 95% confidence interval [CI], 1.81-4.03), higher pulse rate (OR, 1.01; 95% CI, 1.00-1.01), and number of comorbidities ≥4 (OR, 1.62; 95% CI, 1.13-2.32). In pneumonia patients, age (≥85 years; OR, 2.22; 95% CI, 1.49-3.31), body mass index (OR, 0.97; 95% CI, 0.94-0.99), and 1 comorbidity (OR, 1.53; 95% CI, 1.01-2.36) were statistically significant factors that increased atypical presentation. Conclusion: This study suggested that older patients frequently present atypical geriatric syndrome with acute illness, and age and comorbidity are statistically significant factors associated with atypical symptoms in CAD or pneumonia patients.

비정형 건축디자인의 형태분류에 관한 연구

박상준(Park, Sangjun),이경훈(Lee, Kyunghoon),홍관선(Hong, Kwanseon) 인제대학교 디자인연구소 2012 Journal of Integrated Design Research (JIDR) Vol.11 No.4

비정형의 개념은 디자인에 새로운 조형언어를 생성시키고 과거와는 다른 다양하고 역동적인 공간, 비기하학적인 형태 및 공간, 다양하고 독창적인 형태로 무한한 가능성을 열어주고 있다. 디자인에서의 비정형은 창조적인 조형 언어로 표현되며, 기존의 유클리드 기하학적 공간 해법과는 다르게 시도되는 새로운 디자인 표현 방법이라고 볼 수 있다. 비정형의 복잡한 곡면과, 유동적 또는 유선형으로 대변되는 비정형 형태를 완성하기까지는 다양한 방법이 요구된다. 따라서 이를 실현하기 위해서는 비정형 형태 생성 방법이 반드시 필요한 요소가 될 것이다. 이러한 필요성으로 본 연구에서는 비정형의 형태를 분류하고 비정형의 형태요소와 인자의 분석을 통하여 비정형 형태분류 체계를 구축하였다. 1990년 이후의 작품사례를 중심으로 분석된 본 연구는 비정형의 형태를 파악하고, 유형의 용도별 분포와 특성을 분석하였다. 그리고 비정형 형태를 분석하기 위하여 비정형 형태요소와 형태인자를 분류하였다. 이러한 분류는 실제 비정형 형태를 적용시키기 위한 하나의 데이터베이스로서 활용될 수 있을 것이다. 형태 분류 결과, 비정형 형태를 생성하기 위해서는 형태생성 요소 및 인자가 복합적으로 사용되고 있음을 알 수 있었다. 따라서 복합적으로 사용되는 형태생성요소에 적절한 대응을 위하여 각각의 특성에 맞는 프로세스 및 형태 생성방법을 필요로 하는 것은 당연한 결과일 것이다. 본 연구는 디지털디자인도구의 기능 적용을 통해 비정형 형태를 도출하는 디자인 방법의 선행 연구와 디지털디자 인도구의 적용방법을 연구하는 선행 연구로서의 가치가 있다. 디지털디자인도구의 속성의 이해와 함께 비정형형태 분류에 의한 추론알고리즘에 관한 부분은 향후 지속적인 연구가 필요할 것이라고 판단된다. An atypical concept offers an infinite possibility in various, creative forms by forming new figurative language in design and creating various, dynamic spaces, non-geometric forms and spaces, and natural shapes in area. In design, the atypical concept is expressed in a creative figurative language, which is new way to express design. Expecially in completing an atypical complex curved surface and an atypical form representative of a flexible or streamline form, various methods are required, so to achieve this, a way to generate an atypical form will be an essential factor. In this study, the atypical form was classified and the system of atypical form classification was established through the analysis of atypical form element and factor. This study that was analyzed focusing on the works after 1990 figured out the atypical form and analyzed the distribution and characteristics of the form for each usage. And it classified them into atypical form element and form factor to analyze the atypical form. Such classification can be used as a database to apply the actual atypical form. As the result of classifying the form, it could be recognized that the element and factor of generating the form are used in complex way to produce the atypical form. So, it would be the reasonable result that the process and method of producing the form that is appropriate for each characteristic are required to correspond to form-producing-element that is used in complex way. This study is significant as a previous study on design methods to produce atypical forms through the application of digital design tools and that on methods to apply those design tools. As for heuristic algorithm by the properties of classification of atypical form factors along with an understanding of properties of digital design tools, continuous studies are required in the future.

The Effect of Virtual Users’ Autonomous Social Behavior on Atypical Architectural Design in the Design Studio

이윤길 사단법인 미래융합기술연구학회 2021 아시아태평양융합연구교류논문지 Vol.7 No.12

Recently, user behavior simulation for atypical buildings is becoming increasingly important due to social demand. This provides an environment in which users can observe user’s behavior that is easily overlooked in the atypical architectural design process. It is necessary to reproduce social phenomena as well as reaction behaviors in an atypical physical space in order to construct a successful human behavior simulation for an atypical architectural space because the behavior of users in the architectural space entails a social response. Through previous research, ActoViz—which was developed to simulate user behavior in the atypical architecture-improved and human-shaped agents were developed to perform social interactions. ActoViz was evaluated positively in discovering creative problem findings of architects through the interaction between the designed atypical space and the agent in the previous study. However, it has not been revealed how social interaction in the designed atypical space affects creative problem findings. Therefore, this study is intended to examine how the automatic social interaction of agents in the atypical architectural design process affects creative problem findings. For this purpose, experiments and questionnaires were conducted to students in the Department of Architecture studio, and the analysis was performed. 35 undergraduate students participated in this experiment, it was conducted in a simulated human behavior atypical design process and a questionnaire. A paired-sample t-test was used to analyze the survey results. The experimental and questionnaire results found that social behavior simulation was statistically effective in designing a new atypical form, designing various functions, and designing an appropriate atypical form. The results of the experiments and questionnaires found that social behavior simulation was statistically effective in designing a new atypical form, designing various functions, and designing an appropriate atypical form.