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수용전념치료(ACT)프로그램이 학교부적응 청소년의 분노, 문제행동 및 자아존중감에 미치는 효과
장서윤,손정락 한국임상심리학회 2012 Korean Journal of Clinical Psychology Vol.31 No.4
The purpose of this study is to explore the effects of Acceptance and Commitment Therapy (ACT) on anger, problematic behavior, and self-esteem of adolescents in school maladjustment. A total of 120 adolescent students in an alternative school who lived in Chonbuk province completed the State-Trait Anger Expression Inventory-Korean Version (STAXI-K), Self-Esteem Scale while The Korean-Child Behavior Checklist (K-CBCL) was completed by alternative school teachers. Twenty-two adolescents selected by those scales were randomly assigned to include 11 adolescents in the ACT group and 11 in the control group. The ACT program was administered for 10 sessions. All participants completed State-Trait Anger Expression Inventory-Korean Version (STAXI-K), Korean-Child Behavior Checklist (K-CBCL), and Self-Esteem Scale at pre-test, post-test, and at 10-week follow-up. The results of this study were as follows: anger, problematic behavior of the therapy group showed a greater decrease, compared with those of the control group; self-esteem showed an increase in the therapy group. Finally, the implications and limitations of this study, as well as suggestions for future study were also discussed.
미세유방재건술시 깊은 아래 배벽 동맥의 해부학적 변형에 대한 임상 보고
장서윤,김덕우,동은상,윤을식,류우상,손길수,Jang, Seo-Yoon,Kim, Deok-Woo,Dhong, Eun-Sang,Yoon, Eul-Sik,Ryu, Woo-Sang,Son, Gil-Soo 대한미세수술학회 2011 Archives of reconstructive microsurgery Vol.20 No.1
Autologous breast reconstruction after mastectomy in breast cancer patient is now increasing. The deep inferior epigastric artery (DIEA) free flap is well known as an ideal donor site for the microsurgical breast reconstruction. The branching pattern of the DIEA was well described in the literature. In that study, DIEA has three branching patterns near the arcuate line. We describe a case in which branching variation of the DIEA before entering the posterior surface of the rectus abdominis muscle. In three cases, DIEA originated from the external iliac artery ascended as a double trunk at 1cm, 2cm, and 4cm above the originating point, respectively. In one case, DIEA ascended as a single trunk along the linea alba toward to the umbilicus until it supply overlying subcutaneous tissue. Preoperative 3D computed tomographic angiography to identify the anomaly is recommended and meticulous dissection to the originating point of DIEA is needed.
정량적 지표가 쾌락적 소비를 정당화할 수 있는가?: 환경 가치를 나타내는 속성의 지표화 효과
장서윤,안희경,Hyun Sang Shin 한국소비문화학회 2022 소비문화연구 Vol.25 No.4
지표화 효과(Specification Effect)는 상품의 속성을 정량적으로 나타내는 지표(specification)가 소비자의 선택에 미치는 긍정적인 영향을 의미한다(Hsee et al., 2009). 소비자들은 대용치일 뿐인 지표에 의존하고, 본인들의 실제 경험보다 지표에 훨씬 큰 가중치를 두어 제품을 선택한다. 이는 소비자들이 제품을 선택할 때 자신의 선택을 정당화할 수 있는 근거를 찾으려고 하기 때문이다. 이때 정량적 지표는 자신의 선택을 정당화하기 좋은 근거가 될 수 있다. 본 연구는 선행연구에서 나타난 지표화 효과를 확장하였다. 첫째, 환경에 관한 가치가 정량적 지표로 표시되었을 때 지표화 효과가 나타나는지 알아보았다. 둘째, 환경가치를 나타내는 속성의 지표화 효과가 나타난다면, 그 효과가 소비 목표에 따라서 다르게 나타나는지 알아보았다. 실험 결과, 쾌락적 소비 목표 상황에서는 환경 가치 지표가 없을 때보다 있을 때, 친환경 제품에 대한 선호가 유의미하게 증가하였다. 하지만 실용적 소비 목표 상황에서는 환경 가치 지표의 유무에 따른 친환경 제품에 대한 선호 차이가 사라졌다. 본 연구는 지표화 효과가 환경 가치를 나타내는 속성에 대해서도 나타나고, 이 효과가 실용적 소비 목표가 아닌 쾌락적 소비 목표 상황에서만 나타났다는 것을 검증했다는 데에 의의가 있다. 또한 환경 가치 지표의 효과적인 적용을 위한 마케팅적 시사점을 제공한다.
수근관에 발생한 결절종으로 인한 수근관 증후군의 치험1례
장서윤,안덕선 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.1
Purpose: Carpal tunnel syndrome is the most common peripheral compressive neuropathy. Most cases are idiopathic, but rarely carpal tunnel syndrome can be associated with a ganglionic mass. We report our recently encountered experience of surgical treatment of carpal tunnel syndrome caused by a simple ganglionic mass. Methods: A 53 – year - old man presented with chief complaints of numbness and hypoesthesia of his left palm, thumb, index finger, long finger, and ring finger of one and half month duration. Physical examination revealed positive Tinnel’s sign without previous trauma, infection or any other events. Electromyography showed entrapment neuropathy of the median nerve. Magnetic resonance imaging (MRI) showed an approximately 2.0 cm - sized mass below the transverse carpal ligament. Upon surgical excision, a 1 × 1.5 ㎠ mass attached to the perineurium of the median nerve and synovial sheath of the flexor digitorum superficialis and redness and hypertrophy of the median nerve were discovered. With surgical intervention, we completely removed the ganglionic mass and performed surgical release of the transverse carpal ligament. Results: The pathology report confirmed the mass to be a ganglion. The patient exhibited post - operative improvement of his symptoms and did not show any complications. Conclusion: We present a review of our experience with this rare case of carpal tunnel syndrome caused by a ganglionic mass and give a detailed follow - up on the patient treated by surgical exploration with carpal tunnel release.
경증의 당뇨발에서 창상치유 예측인자로서의 경피산소분압치
장서윤,정태원,한승규,김우경 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.5
Purpose: Microcirculation of diabetic patients is commonly comporomised, regardless of the condition of the macrocirculation. Therefore, direct tissue oxygenation measurement is recommended in determining tissue viability and predicting wound healing potential. This study was designed to determine cut-off value of the tissue oxygenation in predicting wound healing in diabetic foot patients. Methods: This study included 41 feet of 41 diabetic foot patients who were treated in the Diabetic Wound Center of author’s institution between January and June, 2009. Main inclusion criteria were type 1 or 2 diabetes and a foot ulcer (duration > 3 weeks) and ulcer area(from 1cm^2 to 4cm^2). Measurements of the area of diabetic foot ulcer were carried out before treatment. Transcutaneous oxygen pressure(TcpO_2) was measured at adjacent site of ulcer. The healing wound was defined as complete wound closure within 12 weeks. Results: Average diabetic foot ulcer areas with healing and nonhealing wounds were 2.67±0.76 and 2.59±0.75 cm2, respectively. There was no significant difference in the wound area between the groups. Average foot TcpO_2 in healing and nonhealing wounds were 68.56±23.07 and 30.98±16.66mmHg, respectively(p<0.01). The rate of healing wound increased as TcpO_2 increased. In particular, TcpO_2 lower than 40mmHg and higher than 40mmHg showed the most significant difference(wound healing rates of 25% and 71%, respectively). Conclusion: Based on the results of the study, the minimal TcpO_2 value thought to be required for adequate wound healing in diabetic wounds(cut-off value) is 40 mmHg.
장서윤,김태연,안옥희 한국주거학회 1995 한국주거학회 논문집 Vol.6 No.1
The purpose of this study is designed for showing informations about demand of consumers in the market field. the uses and awareness of curtain of consumers and specialists and the way of better choice of curtain that is important in controlling the interior style. This study results that researched the uses and awareness of consumers and specialists about curtain were as follows. Curtain is important interior equipment point. and large gap is not between consumers and specialists about curtain. but consumers emphasized function and specialists emphasized designe of curtain.