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        야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

        조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

        Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

      • SCIESCOPUSKCI등재

        과실이 크고 품질이 우수한 조생종 배 ‘금촌조생’ 육성

        조광식(Kwang-Sik Cho1),손동수(Dong-Soo Son),강삼석(Sam-Seok Kang),김명수(Myung-Su Kim),홍경희(Kyung-Hui Hong),윤석규(Seok-Kyu Yun),조강희(Gang-Hui Cho),조현모(Hyeon-Mo Cho) 한국원예학회 2004 원예과학기술지 Vol.22 No.1

        ‘금촌조생’ 품종은 농촌진흥청 원예연구소 나주배연구소에서 1971년 ‘금촌추’의 품질을 개선하기 위해 당도가 높고 육질이 유연한 ‘단배’를 교배하여 1982년 1차 선발되었고, 1997년부터 5년 간 지역적응시험을 거쳐 2001년 최종 선발 및 품종보호출원 되었다. 수세는 비교적 강하고, 수자는 반개장성이다. 꽃가루가 풍부하며, 주요 재배품종과 교배친화성을 보인다. 또한 흑반병에 대하여 강한 포장저항성을 나타내었다. 숙기는 재배중인 ‘원황’ 품종보다 약 5일 정도 늦은 9월 3일로 추석에 출하하기 알맞은 품종이다. 과형은 ‘금촌추’와 같은 도원추형이고, 과피색은 황갈색이다. 과중은 593g이고, 당도는 13.2Bx이다. 육질은 유연하며 과즙이 풍부하고, 석세포가 없어 식미가 매우 우수하다. 그러나 과육선숙형 품종으로 원예적 수확기에도 과피에 녹색이 남지만, 완숙과가 되면 황갈색으로 착색된다. 상온저장 기간은 20일 정도로 다른 조생종에 비해 저장력은 좋은 편이다. ‘Geumchonjosaeng’ pear cultivar (Pyrus pyrifolia var. culta Nakai) originated from the cross between ‘Imamuraaki’ and ‘Danbae’ to improve the fruit quality of ‘Imamuraaki’ cultivar in 1971 at Naju Pear Research Institute of National Horticultural Research Institute (NHRI), Rural Development Administration (RDA). It was preliminarily selected in 1982 and named in 2001. The tree habit shows vigorous growth and upright spreading. It carries abundant pollen grains and shows cross compatibility with leading cultivars. Also it shows high resistance to black leaf spot (Alternaria kikuchiana) in the field condition. Optimum harvest time is around Sep. 3, which is 5 days later than that of ‘Wonwhang’, and it could satisfy consumer’s demand for high quality pear fruit in “Chuseok”. The obovate fruit shape resembles maternal parent, ‘Imamuraaki’ and skin color is green yellowish brown at normal harvesting time and gradually turned to yellowish brown at full ripennig state. Fruit weighs about 593 g, and the soluble solid content is 13.5 ˚Bx. The flesh is very soft and juicy and, rendering good eating quality. Shelf life is about 20 days under the ambient temperature, and it is a relatively long period as compare with other early season cultivars.

      • 진행위암의 수술전 병기결정에서 문맥기 나선식 CT의 유용성 : Usefulness of Helical CT during the Portal Venous Phase

        조준식,신경숙 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

        The purpose of this study was to evaluate the effect of helical CT during the portal venous phase after oral ingestion of water in the preoperative staging of advanced gastric carcinomas. Of the patients underwent helical CT scanning for preoperative staging of gastric carcinoma, 70 patients with pathologically proved advanced gastric carcinomas were selected in this study. The patients ingested 600-800m1 of water as a oral contrast agent before CT scanning. A total 130150ml of nonionic contrast material was administered at the rate of 4ml/s. We obtained portal venous phase images at 60 s and equilibrium phase images at 3 min after the start of bolus administration of intravenous contrast material. Two-phase CT findings were prospectively evaluated and correlated with histopathologic findings according to TNM classification. The primary tumors were detected on CT scans in 69 (98.5%) of 70 cases. The accuracy of CT for T staging was 74.3% (52 of 70 cases). T staging was understaged in 13 cases (18.6%) and overstaged in five (7.1%). The accuracy for N staging was 67.1% (47 of 70 cases). N staging was understaged in 16 cases (22.9%) and overstaged in seven (10%). Our results suggest that helical CT during the portal venous phase can improve the accuracy of CT in the preoperative staging of advanced gastric carcinomas.

      • 발포 유기질 단열재의 경시특성에 관한 연구

        조항선,김우식,염경호,남궁식 연세대학교 산업기술연구소 1984 논문집 Vol.16 No.1

        The aging properties of cellular plastic insulations(EPS,PUF and UFF) were investigated by varying temperature, relative humidity and time. The time aging properties were changed with in 10 - 12% of initial properties at high temperature(above 318K) and relative humidity (above 90%). The amount of HCHO gas release from UFF was increased as temperature and relative humidity increased, and HCHO release rate was decreased exponentially with time.

      • 위에 생긴 이소성 췌장의 진단에 있어 경구 조영제로 물을 사용한 후 조영증강 역동적 CT의 가치

        조준식,신경숙 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

        To describe the usual and unusual CT findings of heterotopic pancreatic of the stomach and to evaluate the usefulness of dynamic contrast-enhanced CT with water as an oral contrast agent in diagnosing heterotopic pancreas We retrospectively reviewed CT findings in 10 patients with pathologically proved gastric heterotopic pancreas by operation (n=9) or endoscopic resection (n=1). In three patients, conventional CT with diluted Gastrografin solution as an oral contrast agent was performed. In seven patients, two-phase dynamic CT scans after ingestion of 600-800 ml of water were obtained in the early phase and equilibrium phase. Dynamic CT findings of heterotopic pancreas were correlated with histopathologic findings. All 10 heterotopic pancreatic rests were detected with conventional CT or dynamic CT. In seven cases who underwent dynamic CT after ingestion of water, highly enhanced mucosal layers overlying the lesions were identified and all lesions were well delineated in the submucosal layer In four of these seven cases, heterotopic pancreas showed high enhancement similar to that of adjacent normal pancreatic enhancement in the early phase of dynamic CT. The usual CT findings of gastric heterotopic pancreas were oval-shaped submucosal masses (<3cm) in the gastric antrum. The unusual CT findings were infiltrating heterotopic pancreas into the muscle layer in one, cystic dilatation of heterotopic pancreatic ducts in two, and malignant change with mucin secreting cystadencoarcinoma in one. Gastric heterotopic pancreas usually showed oval-shaped submucosal masses (<3cm) in the gastric antrum with high enhancement similar the that of pancreatic enhancment in the early phase of dynamic CT. Our results suggest that contrast-enhanced dynamic CT after ingestion of water may be helpful in diagnosing gastric heterotopic pancreas.

      • 경피적 담낭루 설치술의 안전성과 유용성 : 해부학적 접근경로 및 시술방법을 중심으로 Evaluation of Complication with Regard to the Access Route and Technique

        신경숙,조준식,신병석 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

        Our purpose was to evaluate the safety and feasibility of percutaneous cholecystostomy with regard to access route(transperitoneal vs transhepatic) and technique in patients of acute cholecystitis. In 139 consecutive patients(80 male, 59 female mean age; 67years) with acute cholecystits, medical records about percutaneous cholecystostomy (approach route, technique, used device and complication) were reviewed, retrospectively. In all patients, the procedure were performed under ultrasound guidance for GB puncture and fluoroscopy control for catheter manipulation. In 136 of 139 patients, percutaneous cholecystostomy was technically successful (98%). In three cases, successful second trial after initial failure was performed. The procedure was performed by meansof a transhepatic(n=63) or a transperitoneal(n=76) access route. During procedure, seldinger technique was performed(transhepatic approach, n=63, transperitoneal approach, n=62) in 125 patients, while in the remaining 14 patients the procedure were performed using troca technique with transperitoneal approach. Chiba needle(20G, MDtech, Denmark, n=22), JELCO needle(16G, Johnson & Johnson, USA, n= 67), Secalon catehter(16G, Ohmeda, UK, n=36) were used for initial puncture of GB. Only minor complications such as abdominal pain(n=16), hemorrhage(n=2), referred pain(n=4) occurred in 21cases(15%). Abdominal pain is more frequent in transhepatic approach(18%) than in transperitoneal approach(7%), but not statistically significant(p=0.061). Overall complication rate is lower in transperitoneal approach(8B) than in transhepatic approach(24%)(p=0.016). According to puncture needle, there is no significant difference in complication rate between Chiba needle(18%) and 16G needle(Jelco needle and Secalon catheter, 16%). In Conclusion, percutaneous cholecystostomy has proved to be safe and effective treatment for patients with acute cholecystitis.

      • 도시지역 초등학생에서 주의력결핍 과잉운동장애의 유병율

        표경식,박상학,김상훈,조용래,김학렬,문경래 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

        Background and Objectives : To study the prevalence of ADHD in urban elementary school children using the Korean version of the disruptive behavior disorders parent rating scale. Materials and methods : 6,372 students from seven urban elementary schools were targeted using the parent rating scale. Results : (1)The total ADHD prevalence was 6.1%. It can be broken down as follows: 4.1% was the Inattentive type, 1.0% was the Hyperactive-impulsive type and 1.1% was the Combined type. 8.3% occurred in male students and 3.9% occurred in female students. The prevalence in boys was significantly higher. (2) The prevalence of Conduct Disorder(CD) was 0.3%: 0.2% for male students and 0.3% for female students. There was no significant difference between girls and boys. (3) The prevalence of Oppositional Defiant Disorder(ODD) was 4.4%: 5.0% for boys and 3.9% for girls. The value for boys was significantly higher. (4) A statistically significant difference between grades was found with ADHD, but no significant difference between grades was found with CD and ODD. (5) In the results of the comorbidity research, ADHD accompanied by CD was 2.3%. ADHD accompanied by ODD was 25.5%. ADHD accompanied by both CD and ODD was 4.1%. (6) Mild forms of ADHD, CD and ODD were found four times more often than that observed in typical cases. Conclusion : Prevalence of ADHD in urban elementary schools is high and CD or ODD is accompanied more frequently. In the future, the school mental health project should be focused mainly on ADHD. From the beginning of urban elementary schools, ADHD should be screened for. Intervention is required depending on whether or not there are accompanying diseases.

      • ZVS를 이용한 풀 브릿지 단일 전력단 고주파 공진 AC-DC 컨버터의 특성해석

        남승식,황계호,오경섭,원재선,조규판,김동희 嶺南大學校 工業技術硏究所 2003 工業技術硏究所論文集 Vol.31 No.2

        This paper proposes a single-stage high frequency resonant AC-DC converter using zero voltage switching with high input power factor. The proposed high frequency resonant converter ingegrates a half bridge boost rectifier as power factor corrector(PFC) and half resonant converter into a single stage. The input stage of the half bridge boost converter is working in discontinuous conduction mode(DCM) with constant duty cycle and variable switching frequency. Therefore, high power factor is achieved naturally. The results of simulation using the Pspice have demonstrated the feasibility of the proposed AC-DC converter. The proposed converter will be able to be practically used as power supply.

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