일차의료에서 우울증 진단과 치료

권혁중,조동영 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.13 No.-

Depressive disorder is prevalent illness. When depressive symptoms become qualitatively different, pervasive, or interfere with normal function, they are considered to be pathological. Major depressive disorder is defined as depressed mood or anhedonia lasting at least two weeks plus a set number of psychologic or physical symptoms. Dysthymia has fewer symptoms than major depression and is a chronic illness lasting at least two years. A condition known as depressive disorder not otherwise specified includes conditions that do not have enough symptoms (fewer than five) or are of insufficient duration to be considered major depressive disorder. Depression is second only to hypertension as the most common chronic condition encountered in general medical practice. A diagnosis of depressive disorder can be complicated by concomitant illnesses or medications that mimic the symptoms of depression. The keys to successful management of depression include thorough screening, patient engagement and education, early follow-up of adherence to the treatment plan and careful monitoring of response. By putting these strategies into practice, family physicians can provide excellent care for their depressed patients and, in many cases, help them achieve lasting remissions.

"텍스트의 개방성과 실천성" 측면에서 본 해체주의건축 : 피터 아이젠만, 베르나르 츄미와 렘 쿨하스의 비교 중심으로 In particular reference to the comparative study of Peter Eisenman, Bernard Tschumi, and Rem Koolhaas

권태일,이동언 대한건축학회 2003 대한건축학회논문집 Vol.19 No.2

The theoretical framework of Deconstructivist Architecture has been generally regarded as a presentation of the French philosopher Jacques Derrida's critical thinking since it first appeared in 1980's. However, actual works of this architectural trend are quite different from his thinking because these were primarily affected by literary critics of American Deconstructuion, rather than his philosophical direction. Therefore, this paper attempts to point out that controversial issue, and suggest a new meaning of Deconstructivist Architecture, which is truly based on Derrida's idea of 'Openness and Practicality of Text' and can overcome the fallacy of American Deconstruction.

甲骨文第一身指稱詞試探

權東五 조선대학교 외국문화연구소 1996 外國文化硏究 Vol.19 No.1

'근원적 다양성(多樣性)'으로 본 '접힘(Fold)의 건축' : 피터 아이젠만, 그렉 린, 다니엘 리베스킨드의 이론과 작품 비교 중심으로 In particular reference to the comparative study of Peter Eisenman, Greg Lynn, and Daniel Lebeskind

권태일,이동언 대한건축학회 2004 대한건축학회논문집 Vol.20 No.10

The theoretical framework of "Folding in Architecture" has been generally regarded as the expression of the French philosopher, Gilles Deleuze's idea of the "fold" or pli, originally from the characteristics of Leibniz's philosophy. However, actual works toward this architectural tendency are fundamentally different from Deleuze's ontological thinking. Because these were primarily fabricated as formal theme by architects always searching for the meaning of "fold" as only tangible attribute. Thus, this paper attempts to point out that controversial issue, and suggest a new meaning of "Folding in Architecture", which is truely based on Deleuze's broad meaning of the "fold" registered both as a material phenomenon and as a metaphysical Idea, that can overcome the fallacy of those contemporary architects.

인터넷을 통한 동기화 된 캡션 및 동영상 데이터베이스에 관한 설계 및 구현

홍동권,박기현,신승봉 계명대학교 산업기술연구소 1998 産業技術硏究所 論文報告集 Vol.21 No.1

Current information society requires effective ways to process multimedia data like image, audio, video and so on, Many public of private information providers gather, store multimedia information and supply a different kind of multimedia data to users in everywhere. Most of users nowadays access multimedia data via internet. Audio and video data are usually transmitted to users by using streaming technology for instant replay. In this paper, we investigate database design techniques for effective retrieval of video segment and replay method of retrieved videos, Especially we shows the design and implementation technique for closed captioning of streaming file.

脂體不自由兒의 特殊學校의 再活訓練 基本模型

鄭載權,金東淵,裵晟洙,姜渭榮,元英祚,安秉輯 大邱大學校 特殊敎育總合硏究所 1983 特殊敎育硏究 Vol.10 No.-

The increasing stress on the need for standardized rehabilitation programs for the crippled has faced the workers in the field with the problems of finding out an ideal model of rehabilitation programs which can most facilitate maximum development of the children in various educational aspects. As part of the basic research, the study has been conducted to analyze the data on the present status of the six schools for the crippled in the country, together with other related survey on the available literature. Most of the data on the present situation of the schools and the status of the workers were obtained through questionnaires. The findings derived from the analysis of those data are as follows: 1. The Present Status of the Rehabilitation Training The survey revealed only forty-nine percent(381) of the entire subjects of 784students had been put to the training, that classroom lesson comprised 50% and 43% of the curricula in primary and secondary courses respectively, and that in the rehabilitation programs, physical therapy accounted for 50%, occupational therapy 31% and speech therapy 19%. As for the qualification of rehabilitation workers, twenty of the twenty-five who are presently serving at the six schools are license holders, averaging three physical therapists, 0ne occupational therapist and 0.2 speech therapist at each school. Ninety-six percent are junior college graduates and fifty-six percent are aged 20∼25,forty percent 26∼30. Eighty percent fall into the monthly pay range of 140,000 to 210,000 won, leaving the others below or above the scale. The study also showed that the cause or motivation of their becoming the workers was out of a sense of duty; seventy-six percent replied that they volunteered to help the crippled. Principals, the workers and special teachers showed in that order their enthusiasm about their enthusiasm about the rehabilitation prgrams. It was also found in the study that the authorities concerned have held a special guidance session once a year, achieving their annual goal only 50% and that most of the schools (82%) organized their own rehabilitation programs. The tools and other materials used in the programs were mostly(67%) domestic products. Four schools (67%) prepared thir own evaluation devices for the achievements of the trainees. 2. Facilities and Equipment for Rehabitition Training In all, thirty-four kinds of equipment and tools are currently provided at the six schools to help the chidren maintain or develop their residual function in the deficient limb. Of them only eighteen kinds were owned by each school, aberaging more than one; they were mats, walkers, parallel bars, mirrors, puzzle patches, stairs, shoulder wheels, tilt tables, walking aids, safety aids safety walking belts restorators, over head pulleys, knee exercise units, rotary wrist macihnes, holdings and gloves. The rest of the tools or apparatus averaged less than one among the schools. Nine kinds of electro therapeutic apparatus were owned by them, but only electrostimulation test machined lamps aberaged more than one. As for the hydro therapeutic apparatus, eight kinds were provided among the schools. Each school had more than one set of these three devices: hydor collator, whirl pool and hydro collator pack, with hydro collator pack averaging 17.33. They maintained thirteen kinds of occupational therapy appraratus, of which only three were owned by every school. Most of the apparatus were meant to deal with metallic works. Eleven sorts of speech therapy devices were found; only breathing exercise apparatus averaged more than one. The rehabilitation facilities and equipment at the schools are far below sufficient both in number and kind to meet the need. 3. Teacher' Attitude and Morale Toward the Rehabilitation Programs The schools for the crippled generally try to put equal emphasis on every field needed to rehabiletate the children but it was found that they were, intentionally or unintentionally, putting varying degrees of stresses on indivdual parts. The findings allowed making a list arranged in order of their priority: physical therapy, occupational therapy, speech therapy, motor development training and play therapy. The teachers responded that facilities, equipments, materials, parental cooperation, administravtive support and the ability of the rehabilitation workers were not sufficient enough to meet expectations. When asked to list the priority of the urgent fields, approximately percent put physical therapy at the top, twenty-one percent human relationships. The study showed teachers thought that the sense of duty (35%), ability and qualifications(21%), training skill(15%), academic career(13%) should be considered as the objective determinants in selecting a teacher, and 34% opined that a worker should have “ardent desire and sense of service”. Others expressed their opinion that understanding children's psychology(20%), having good knowledge of basic theory of the rehabilitation(19%) should be prerequisite to the service. Seventy-five percent of the teachers responded that rehabilitation training should be greatly improved and that they positively cooperated with the workers in the programs. It was inferred that the school administrators were generally affirmative towards the programs. The work-load of the rehabilitation workers was regarded as almost the same as that of special teachers(37%). The public and the education authorities assessed the ability of the workers "fair"(52%). Seventy-six percent of those who replied opined the financial support”, was "not sufficient", and seventy-one percent insisted the Ministry of Education should ear-mark special fund for the rehabilitation programs. As part of promotion measures, the majority of the replied(52%) reommended that authorization of more courses and expansion of the existing courses for the workers should be made, and the great majority(71%) advocated raising the special allowances, which was found to be the first in the order of priority, followed by the government's administrative and legislative support(26%) and development and development and supply of materials and equipment for the rehabilitation(22%). The analysis of the above data helped deduct a reasonable rehabilitation practice pattern in which the rehabilitation programs are adopted with the same weight as other parts of the curriculum such as classroom lessons or extra curricula activities, and the programs should cover, with an equal emphasis on every field physical therapy(functional training), occupational therapy (vocational training), speech therapy, sensory training(perception-motor training) and psychological training. Shown in IV-B are the tentatively listed basic sets of facilities and apparat believed indespensable in the rehabilitation programs. 4. Suggestions The following are the suggestion based on the results of the comprehensive study on the present rehabilitation practice in the country. (1) The rehabilitation programs which is to facilitate maximum motor-skill development should compulsorily be included in the curriculum of the school for the crippled. (2) The present training course of the rehabilitation workers should be reorganized to produce highly skilled rehabilition experts who will satisfactorily meet the need on the part of the children. Also desirable is the change of the present title of the workers "rehabilitation attendant" to "rehabilitation training teacher". In parallel with the intensification on training and requirement of the teachers, an increase in emolument to or level of the other special teachers should be made. (3) It is recommended that the programs be extended to other fields of special education, in view of the fact that the rehabilitation programs are basically meant to maintain, improve or eliminate any human defects.

後光效果에 의한 敎育評價의 誤謬問題

김동연,정재권 한사대학 학생지도연구소 1980 학생지도연구 Vol.4 No.-

다관절 로보트를 위한 충돌 회피 경로 계획

박상권,최진섭,김동원 한국경영과학회 1995 한국경영과학회 학술대회논문집 Vol.- No.1(2)

The purpose of this paper is to develop a method of Collision-Free Path Planning (CFPP) for an articulated robot. First, the configuration of the root is formed by a set of robot joint angles derived from robot inverse kinematics. The joint space, that is made of the joint angle set, forms a Configuration space (Cspace). Obstacles in the robot workcell are also transformed and mapped into the Cspace, which makes Cobstacles in the Cspace. (The Cobstacles represented in the Cspace is actually the configurations of the robot causing collision.) Secondly, a connected graph, a kind of roadmap, is constructed from the free configurations in the 3 dimensional Cspace, where the configurations are randomly sampled from the free Cspace. Thirdly, robot paths are optimally in order to minimize of the sum of joint angle movements. A path searching algorithm based on A is employed in determining the paths. Finally, the whole procedures for the CFPP method are illustrated with a 3 axis articulated robot. The main characteristics of the method are; 1) it deals with CFPP for an articulated robot in a 3-dimensional workcell, 2) it guarantees finding a collision free path, if such a path exists, 3) it provides distance optimization in terms of joint angle movements. The whole procedures are implemented by C on an IBM compatible 486 PC. GL (Graphic Library) on an IRIS CAD workstation is utilized to produce fine graphic outputs.

지방간과 혈중 중성 지방 측정치와의 관련성

유준,권혁중,조동영 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

There were many studies about correlation between fatty liver and serum triglyceride level. However, we have experienced many fatty liver patients that actually did not show high serum triglyceride level. So, we conducted this study to reconfirm the con-elation between fatty liver and serum triglyceride level. We randomly selected 118 patients in Health Examination Center. We divided the selected materials into the patient and control group by the level of fasting serum triglyceride level, 200mg/d.L. We analyzed frequency and distribution of factors(age, body mass index, alcohol, diabetes mellitus) related to fatty liver between patient and control group. Then we analyzed odd ratio of fatty liver among two groups. There were 22 peoples in patient group and 96 people in control group. There were no statistical differences in the mean body mass index, the frequency of overweight, the frequency of alcohol users, the mean fasting serum glucose, and the frequency of diabetes mellitus patients between patient and control group. The odd ratio of fatty liver among two groups did not mean statistical difference. However, there was statistical significant difference in the frequency of body mass index on the base of multiple logistic regression analysis of serum triglyceride level, body mass index, and frequency of diabetes mellitus, and alcohol users between patient and control group. There was no correlation between fatty liver and serum triglyceride. But there was correlation between fatty liver and body mass index.

대도시와 중소도시 여성의 골다공증에 대한 인식도

신욱태,권혁중,조동영 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

As average lifespan in human increased, women's concerns about health promotion after postmenopause are increased. Osteoporosis causes the serious health problem in postmenopausal women. We investigated comparison between Seoul and Chungju for women's recognition about osteoporosis to utilize patient's education data. Information, concerning whether the osteoporosis was well understood, were gather 405 patients, who visited an university hospital from January 1 to April 30, 2001. The mean age of 201 women in Seoul is 46.39 years old, and mean age of 204 in Chungju is 46.35 years old. Among 201 women in Seoul, 43(21.4%) women answered "well known" osteoporosis, and 32(15.9%) women answered "unknown" osteoporosis. Among 204 women in Chungju, 24(11.8%) women answered "well known" osteoporosis, and 32(15.9%) women answered "unknown" osteoporosis. There were significant association between recognition of osteoporosis and their education level, but not significant related with their economic level. Subjective and objective recognition for osteoporosis in Seoul was relatively higher than women in Chungju, but compliance about doctor in Chungju was relatively higher than women in Seoul. But we found that recognition level of postmenopausal osteoporosis is low in Seoul and Chungju. We concluded that knowledge for osteoporosis was relatively low, seoul was relatively higher than in Chungju. Therefore, correct patient education for prevention and treatment of osteoporosis would be needed.