뇌출혈이 합병된 감염성 심내막염 1례

박동건,이재욱,권삼,이동철,강승완 동국대학교 경주대학 1997 東國論集 Vol.16 No.2

감염성심내막염에 의한 신경계 합병증은 색전성 뇌경색, 색전성 뇌출혈, 두개내 패혈성 동맥류, 뇌농양, 뇌막염등 다양한데 항생제 요법의 발달과 판막치환술에도 불구하고 그 빈도는 감소되지 않고 있다. 이 중 두개내 패혈성 동맥류의 파열에 의한 뇌출혈은 사망률이 80%로 치명적일 수 있어 조기 발견 및 적절한 치료가 필요하다. 저자들은 두통, 열감, 근육통 등의 증상으로 내원하여 감염성 심내막염으로 진단받고, 항생제 치료로 임상증세의 호전중에 심한 두통과 전신적 발작이 있은 후 갑자기 발생한 두개내 뇌출혈을 심장초음파 및 뇌 컴퓨터 단층촬영을 통하여 진단, 경험하였기에 문헌고찰과 함께 보고하는 바이다. The complications of infective endocarditis may involve any organ system ie, cardia, neurologic, vascular, dermatologic, and kidney. Extracardiac complications are usually caused by either embolization of vegetations or deposition of immune complexes. Neurologic complications remain a significant problem in bacterial endocarditis and have been reported to occur in up to 20% to 40% of cases of infective endocarditis. The various types of central nervous system disease seen in patients with infective endocarditis are cerebral embolism (with infarction or with intracerebral hemorrhage), intracranial mycotic aneurysm, seizures, brain abscess, meningitis, mental change, psychiatric disorder. Mycotic aneurysms are uncommon but not rare and are an important cause of local or systemic sepsis and acute hemorrhage following aneurysmal rupture. Cerebral mycotic aneurysms have been noted in 2∼10% of cases of bacterial endocarditis and account for 2.5∼6.2% of all intracerebral aneurysms. We have experienced a case of neurologic complication due to infective endocarditis in a 23 year-old female patient, who admitted to our hospital because of fever, chill, headache, myalgia. This case was diagnosed by echocardiography, brain computed tomography. The patient died of sudden intracerebral hemorrhage in the 53th hospital day despite intensive medical treatment. We report one case of intracerebral hemorrhage complicated with infective endocarditis.

심리검사 제작의 이론과 실제 : 심리측정의 개관 : 신뢰도와 타당도를 중심으로

박동건 한국심리학회 1992 심리검사 제작의 이론과 실제 Vol.- No.-

Dimerization of tert-Butylmercaptan over the Surface of Aerosil? Impregnated with Copper and Manganese

박동건,박선희,이수진,Park, Dong Geon,Park, Seon Hui,Lee, Su Jin Korean Chemical Society 2000 Bulletin of the Korean Chemical Society Vol.21 No.7

A ceramic powder of destructive adsorbent was synthesized by impregnating copper and manganese on the surface of silica aerosil@. In-site FTIR measurements on pulses of malodorant tert-butylmercaptan injected over the powder showed that rert-butylmercaptan dimerized into di-tert-hutyldisulfide on the surface of the adsorbent in an ambient condition. GC/MS measurement on the gas over the adsorbent showed no tert-butylmercaptan remaining, and showed only the dimerization product of di-tert-butyldisulfide. Most of the dimerization product, di-tert-butyldisulfide,remained on the surface of the adsorbent as physisorbed condense, and apparently Iowered the destruction efficiency by blocking the surface from the access by tert-butylmercaptan. Upon being heated above $100^{\circ}C$ it was observed that the physisorbed di-tert-butyldisulfide dissociated back into tert-butylmercaptan. tert-butylmercaptan physisorbed on the activated carbon, thereby no dimerization was occurring on the surface of the activated carbon. In an argn environment, the dimerization reaction was practically not occurring even on the surface of the adsorbent, indicating the free oxygen in air was also participating in the dimerization reaction. Water was identified as a by-product of the dimerization reaction. Possible reactions on the surface of the adsorbent were proposed.

Penfluridol 투여후 추체외로증상의 출현빈도에 대한 연구

박동건,이정남 朝鮮大學校 附設 醫學硏究所 1986 The Medical Journal of Chosun University Vol.11 No.1

In order to evaluate the frequency of extrapyramidal symptoms induced by long-acting oral antipsychotics, Penfluridal, 48 chronic schizophrenics were subjected in this study. Schizophrenic patients were divided into group A(N=26, 1 week neuroleptics washout periord) and group B (N-22, neuroleptics nonwashout period). Penfluridol of 20 to 100㎎ was administered, racing of exfrapyramidal symptoms was measured by the Rating Scale for Extrapyramidal Symptoms designed by Chien and Dimascio at the interval of 1,2,3,4,5, and 6 week. The results are as follows. 1. Dropout rate due to severe extrapyramidal symptoms was noticed in 6 out of the 48 cases(12.5%). 2. Most common period of occurence of extrapyramidal symptoms in group A is revealed at the 6th week(33.3%) and that in group B is noted at the 3rd week(40.9%) 3. To control extrapyramidal symptoms, when benztropine mesylate was administered orally, the mean days of administration in group A were 21.22±8.45 and those in group B were 11.63±2.50. This difference of mean days between group A and B was highly significant(P < 0.005). In. conclusion, to minimize extrapyramidal symptoms, it is recommended to start the regimen with drug washout period in converting previous antipsychotics medication into penfluridol.

직장에서의 특정 부적 정서 경험에 따른 정서조절이 수행 및 정신건강에 미치는 효과

박동건,최대정,조현주 한국건강심리학회 2004 한국심리학회지 건강 Vol.9 No.4

The purpose of this study was to examine whether there were individual differences in emotion regulation strategies and to find out the effective strategies for job performance and psychological well-being in workplace. We also examined the moderating effects of the emotion regulation strategies upon the relationship between specified negative emotion, job effectiveness, and psychological well-being. The sample of the study was 390 workers in 59 workplace. Results showed that men tended to use problem solving on emotion regulation while women preferred neglect, and that personality, such as extroversion, achievement orientation, and neuroticism, was significant factor in selecting the strategies. While the problem solving strategy was found to be most effective in task performance, and positive thinking as well as support seeking in psychological well-being, the neglect strategy turned out to be most ineffective in psychological well-being. The results revealed the significant mediating effect of the emotion regulation strategies on the relationship between specific negative emotion, job effectiveness, and psychological well-being. It was found, however, that the frequently used regulation strategies were not necessarily effective in a highly negative emotional experience (anger, frustration), which gave rise to a strong stress. Finally, we discussed potential its limitations and potential implications in a workplace. 본 연구는 직장에서 정서조절방식의 개인차가 나타나는지 또 어떠한 정서조절방식이 과업 수행 및 정신건강에 효과적인지를 조사하였다. 더불어 정서조절방식이 특정 부적 정서경험과 과업수행 및 정신건강 사이의 관계에 조절 효과가 있는지, 또 조절 효과가 정서경험 정도에 따라서 차이가 있는지를 조사하였다. 이를 위해 서울 소재 58 곳의 직장인 390명에게 2004년 4-5월에 걸쳐 설문조사를 실시하였다. 조사 결과, 정서조절양식에서 남성은 문제해결을 많이 하고 여성은 무시를 많이 사용하는 것으로 나타나 성차를 보였으며, 외향성이 높은 사람은 긍정 해석과 지지 추구를, 성취 지향성이 높은 사람은 문제해결을, 신경증적 경향성이 높은 사람은 무시를 많이 사용하는 것으로 나타났다. 정서조절방식 중 문제해결방식은 과업수행에, 그리고 긍정 해석과 지지 추구는 정신건강에 가장 효과적이었으며, 무시는 정신건강에 가장 비효과적인 것으로 나타났다. 정서조절양식은 특정 부적 정서(화, 좌절)와 과업 수행 및 정신건강과의 관계에서 유의한 조절 효과가 나타냈다. 그러나 정서조절방식의 조절효과는 부적 정서경험 정도가 낮을 때만 유의하고 높을 때에는 유의하지 않는 것으로 나타나, 높은 부적 정서와 같은 스트레스 상태에서는 정서조절양식의 조절 효과가 크지 않음을 시사하였다. 마지막으로 직장에서 구성원들의 건강을 증진시키고 직무 성과를 높이기 위해 효율적인 정서조절양식과 스트레스에 대한 관리가 필요함을 제안하였다.

국민 학교 학동의 성장에 관한 연구 : Urban, Suburban and Rural Area

박동건,유기환,홍영숙,손창성,독고영창 고려대학교 의과대학 1992 고려대 의대 잡지 Vol.29 No.2

It is well known that physical growth and development of children are influenced by many factors genetic, nutritional, socioeconomic, emotional and cultural factors. The present study was carried out for 3103 primary school children from 6 to 12 years of age exploring the difference of growth and development in urban, suburban and rural area. All the children were measured physique skinfold thickness, Kaup index, and Rohler index for evaluation of physical growth. The results obtained were as follows. 1. In this study. all the physical measurements, Kaup index, fat area, and muscle area among calculated values from physical measurements were increased by age, but Rohler index was decreased by age. 2. Male was predominant on physique and calculated values, except for fat area and skinfold thickness. 3. Children who are living urban area was predominant on physique than another area.

직업심리검사의 활용

박동건 서울대학교 심리과학연구소 1998 서울대학교 심리과학연구소 Workshop Vol.- No.-

효과적인 인간-로봇 상호작용을 위한 딥러닝 기반 로봇 비전 자연어 설명문 생성 및 발화 기술

박동건,강경민,배진우,한지형 한국로봇학회 2019 로봇학회 논문지 Vol.14 No.1

For effective human-robot interaction, robots need to understand the current situation context well, but also the robots need to transfer its understanding to the human participant in efficient way. The most convenient way to deliver robot’s understanding to the human participant is that the robot expresses its understanding using voice and natural language. Recently, the artificial intelligence for video understanding and natural language process has been developed very rapidly especially based on deep learning. Thus, this paper proposes robot vision to audio description method using deep learning. The applied deep learning model is a pipeline of two deep learning models for generating natural language sentence from robot vision and generating voice from the generated natural language sentence. Also, we conduct the real robot experiment to show the effectiveness of our method in human-robot interaction.

직장인의 정서경험과 과업수행 및 맥락수행의 관계에서 성별과 억제규범의 차별적 영향력

박동건,이은정,최대정 한국산업및조직심리학회 2005 한국심리학회지 산업 및 조직 Vol.18 No.3

The present study examined (a) the effects of emotional experiences in organizations on the task performance, organizational citizenship behavior directed to Individual(OCBI) and organizational citizenship behavior directed to organization(OCBO), and (b) the moderating role of gender in the effects of the emotional suppression norm in explaining the relationship between emotional experiences and organizational effectiveness. The results of data from 390 employees showed that positive affects influence task performance and OCBI significantly, and either positive affects and negative affects influence OCBO significantly. Gender moderated the PA/NA-OCBI relationship, such that women`s OCBI was more influenced by PA and NA than men`s OCBI was. The joint effect of NA and emotion suppression norm was significant only to OCBO. Furthermore, the interactional effect of emotion suppression norm PA/NA on task performance and OCBI in women sample played a more important role than in men sample. We found the effects of emotional experiences on organizational effectiveness, strongly suggested the emotional effects should be moderated by the emotion suppression norm, and the moderating role would not be the same between men and women. Also we discussed the limitations of this study and the directions of future studies. 본 연구는 조직에서 정서가 과업수행, 그리고 맥락수행의 두 측면인 협력행동과 조직헌신에 미치는 영향을 살펴보고, 그러한 효과가 성별과 정서억제규범에 따라 어떻게 다르게 나타나는 지를 알아보는 것을 목적으로 하였다. 직장인 390명의 응답을 분석한 결과, 과업수행 및 협력행동에 있어서는 긍정정서가, 조직헌신에 대해서는 긍정/부정 정서가 모두 유의한 영향을 미쳤으며, 긍정/부정 정서와 성별의 상호작용 효과는 협력행동에 대해서만 유의하게 나타났고(남성은 여성에 비해 부정정서 및 긍정정서가 낮을 때와 높을 때의 행동에서의 차이가 적은 반면, 여성은 정서 상태에 따른 차이가 보다 큼), 부정정서와 억제규범의 상호작용 효과는 조직헌신에 대해서만 유의하게 나타났다. 또한 정서경험과 정서억제규범에 의한 상호작용 효과(정서억제규범을 강하게 인식할수록 긍정(부정) 정서가 증가함에 따라 과업수행 및 협력행동이 더 많이 증가(감소)하는 현상)는 남자에서 보다 여자에서 더 확연하게 나타났다. 정서경험이 조직 구성원들의 행동 및 태도에 미치는 영향과, 이 과정에서 성별과 정서억제 규범의 효과에 대해 논의하였고 연구의 제한점 및 향후 연구방향에 대해 논의하였다.

소아 급성 호흡기 감염증성에서의 Cefminox(Meicelin^(�))의 치료 효과

박동건,유기환,김순겸 최신의학사 1993 最新醫學 Vol.36 No.6