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        한국인 만성 긴장형두통 환자에서 바이오피드백을 활용한 자율적 이완훈련의 효과

        강은호,안주연,구문선,박주언,유범희 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3

        Objectives : We aimed to evaluate the efficacy of biofeedback-assisted autogenic training for chronic tension-type headache, and to determine the relationship among the changes in electromyography (EMG) activity, headache activity, and mood states according to the psychophysiological treatment. Methods : Chronic tension-type headache patients aged from 20 to 40 years (n=35) were randomized to the treatment group receiving biofeedback-assisted autogenic training (8 sessions) or the monitoring-only control group. EMG activities, headache index, and various psychological variables were examined. Results : We found greater treatment response rate (≥50% reduction in headache index) in patients with biofeedback-assisted autogenic training than in the monitoring group (61% vs. 18% ; χ²=6.882, df=1, p=0.01). There were no significant changes in the mean values of the pretreatment EMG activities across the sessions m either group (all p’s>0.1). Mood states including anxiety and depression improved over time in the both groups, with the improvements being more prominent in the treatment group. Moreover, the reduction in depression level predicted treatment outcome in terms of headache index (95% confidence interval : 0.272-0.966, p=0.039). Conclusion : These results show that biofeedback-assisted autogenic training is effective for the treatment of chronic tension-type headache in a Korean population. Changes in mood states may be closely associated with the clinical outcome in the treatment of chronic tension-type headache using biofeedback-assisted autogenic training.

      • 전라남도 거주 노인의 생활만족도에 관한 연구

        장은동,송기범 호남대학교 대학원 2010 호남대학교 대학원 논문집 Vol.7 No.-

        생애주기 측면에서 볼 때 노년기는 다양한 부정적 사건들로 인해 생활상의 스트레스가 많은 시기이다. 신체적·정신적 건강의 악화, 경제적인 문제를 비롯한 사회적 자본의 상실 등은 노인들의 삶의 질에 영향을 주게 되는데, 노인복지의 궁극적 목표가 노인의 삶의 질 향상이라고 본다면 노인들의 삶의 질에 영향을 미치는 생활만족도에 관한 연구는 노인 문제 해결과 개입 방안을 위해 매우 중요하다고 본다. 본 연구는 전라남도 노인들의 인구·사회학적 요인, 건강 수준요인, 경제적 요인, 주 수발자와(Caver giver)의 관계에 따라 노인의 생활 만족도에 차이가 있는지를 규명하여 전라남도 노인들의 생활만족도에 대한 이해를 도모하고 사회복지 실천 개입의 방향을 제시할 수 있다는데 목적을 갖는다. 본 연구 자료는 전라남도 노인복지중장기계획 수립을 위한 실태 및 욕구조사를 위해 2005년 4월 전라남도에 거주 하고 있는 65세 이상의 남녀노인 800여명을 대상으로 설문조사를 위탁받은 (사)한국 사회조사 연구소의 2차 자료이며, 본 연구의 가설검증에 필요한 문항만을 선택하여 자료분석의 대상으로 하였다. 분석한 결과는 다음과 같다. 첫째, 남자일수록, 연령이 낮을수록, 아들, 딸 모두 있는 집단이, 배우자가 있는 경우에, 가족․친척과의 연락빈도가 많을수록 노인의 생활 만족도에 유의한 차이가 있는 것으로 나타났다. 둘째, ADL의 능력과 IADL의 능력에 전혀 문제 없는 집단이 유의미하게 생활만족도가 높은 것으로 나타났다. 셋째, 직업이 있는 집단과 수입에 따른 경제 상태가 높을수록, 넷째, 주 수발자와의 관계가 좋을수록 생활 만족도가 높은 것으로 나타났다. The aim of this study is to examine which factors are associated with the life satisfaction among the study sample, which consist of 800 elders same to or over 65 years-old living in Jeollanam-do in April, 2004 when the raw data was collected by face-to-face interviewers. Using this primary data, this study was conducted as a second hand data analysis. Statistical methods, such as T-test and ANOVA were utilized along with SPSS 15.0 Korean Version to test the hypotheses for this study. Specifically, those variables related to sex, the composition of family members, the existence of spouse, health status, and job status were put into the data analysis for t-tests to explore whether or not these variables were associated with the life satisfaction among the participants. Meanwhile, age, the frequency of contact with family members and relatives, economic status and the relationship between the participant and care giver were analyzed variables to test their associations with the life satisfaction using ANOVA technique. The results of the hypotheses testing revealed that sex, age, the composition of family members, the existence of spouse and the contact frequency with family members and relatives were found to be significantly associated with the participants' life satisfaction. More specifically, 1) man, 2) younger participants, 3) those who belong to the group having both son(s) and daughter(s), 4) those who have a spouse, and 5) those who have more contacts with their family members and relatives were more likely to be satisfied with their lives than woman and those not. In terms of health status measured by ADLs and IADLs, those who had no problem with those functioning were more likely to be satisfied with their lives than those who had at least one problem with ADLs and IADLs. Regarding the hypotheses related to the job status and the economic status, those participants who had a job were reported statistically higher degree of life satisfaction than those who did not work. As the same manner, those who had more monthly income were found to be more satisfied with their lives than those with less monthly income. Finally the better relationship between the participant and care giver was turned out to be a statistically significant factor for the better life satisfaction. Based upon the above findings, implications for social work practice for the improvement of the elder's life satisfaction in a farming area are discussed at the micro and mezzo level. The limitations of this study and recommendations for future research are also provided.

      • PIV계측에 의한 충돌제트에서 사각 난류촉진체 주변의 유동특성 연구

        李相範,孫承佑,宋旼根,朱恩選 경상대학교 생산기술연구소 2001 工學硏究院論文集 Vol.1 No.-

        The objective of this study is to investigate characteristics of flow by the square turbulence promoter and the selection of a proper impinging distance. The promoter was set up vertically to the way of a nozzle exit flow, each pitch fixed to be 30㎜ and the measurement region divided by 4 section(A, B, C, D). The characteristics of flow field were investigated in each case of the distance rate from the nozzle exit to impinging plate(H/B=4, 6, 8, 10) changing nozzle exit diameter(Ψ10, 17, 23) and Re=4,000. As the experimental result by using PIV measurement at Ψ17 and H/B=6 in the free jet, the turbulence intensity showed a big strength at A section, a decreasing of 20.1% at B section, an increasing of 10% at C section and an increasing of 10.9% at D section. On the other side, when the square turbulent promoter set up, The flow showed a tendency with the free jet at A section, a decreasing of 16.2% at B section, a decreasing of 1.5% at C section and an increasing of 8.3% at D section, It has been shown that for enhancing the turbulence intensity are the case of Ψ17 and H/B=8 in the B section is the propel condition.

      • 치매환자관리와 치매수가에 대한 한·일 비교 연구

        남은우,박경화,허종,서종범,임부경,西野憲史,芭修一 고신대학교보건과학연구소 2001 보건과학연구소보 Vol.11 No.-

        Since increasing number of the elderly, Korean society has discussed needs of long-term care insurance for them. Those Japanese experiences should give lots of implications to manage institutions for caring dementia patients in Korea. In the case of Japan, if hospitals hospitalized dementia elderly patients with strange behaviors (like wandering) over one third of all patients, the hospitals can take higher nursing care fee due to needs of special protective cares. Japanese long-term insurances allow dementia patients to the reconstructive fee of elder dementia wards in short-term intensive cares. This policy encompassed day care fee, hospitalization fee of a serious dementia patient and hospitalization fee for the elderly dementia patients. Long term care coverage of Japan (Kanbyoungin-ryo) reimburses long-term care assistance (a Japanese care manager, or Kaigo hoken staffs) but health insurance coverage of Korea do not have that coverage. As a result, all patients have paid that cost since Korean medical care law did not permit long term care hospitals and did not allow special reimbursement of staffs who work for long-term care. Thus, Korean medical care law should be revised and allow nursing fee (kanbyoungin-ryo) to health care organizations.

      • 마이크로에멀젼으로 제제 설계된 피록시캄 외용제의 약물동력학적 특성 및 약효 평가

        윤범진,박은석,지상철 성균관대학교 약학연구소 1999 成均藥硏論文集 Vol.11 No.-

        Abstract-The pharmacological activities and pharmacokinetic aspects of a topical microemulsion (KDPM) containing 0.5% piroxicam were evaluated after its topical application compared with a commercially available 0.5% piroxicam gel (R gel). When the pharmacological activities were evaluated with the carrageenan-induced paw edema model, KDPM showed 55.6% edema inhibition, while R gel resulted in 37.1%. With the adjuvant-induced arthritis model, KDPM also resulted in the better pharmacological activities than R gel. The relative bioavailability of KDPM based on R gel was 176% in rabbits.

      • DiffServ 망에서의 혼잡제어 알고리즘

        김은범,안기중 제주대학교 공과대학 첨단기술연구소 2004 尖端技術硏究所論文集 Vol.15 No.1

        In this paper, I extend RED to improve the overall performance under DiffServ architecture, especially with AF services. Various RED parameters are dynamically changed according to the prediction of network load and its variations, enabling the easy adaptation to environment variation. The status or the degree of network congestion is evaluated with some prediction and the parameters, are adjusted dynamically with this feedback to resolve and improve the drawbacks of the existing RED. The simulation results show this extension of RED is improving the various performance measures such as link utilization, packet loss rate and throughput for each class to some extent.

      • Mg(OH)₂를 이용한 습식탈황에서 폐슬러리 처리특성연구

        김근범,이은덕,박영성,임봉수 大田大學校 環境問題硏究所 1998 환경문제연구소 논문집 Vol.3 No.-

        Properties analyses and treatment characteristics of waste slurry discharged in the wetted flue gas desulfurization process using Mg(OH)₂as a absorbent were investigated. Aeration and coagulation test were carried out to evaluate variation of some factors such as COD, SS, T-N, etc. related to waste slurry treatment. The hydraulic retention time(HRT) and coagulant dosage rate were applied as operating variables in experiment. As experimental results, the reduction effects of COD, SS in aeration test were distinct, due to oxidation of SO₃ and floc, formation of suspended solids. It was also found that the reduction efficiencies of SS and T-P in coagulation test are higher than 90%.

      • 백설기 제조를 위한 습식 쌀가루와 건식 쌀가루의 물리화학적 특성비교

        김은영,김용찬,양차범 漢陽大學校 韓國生活科學硏究所 1998 韓國 生活 科學 硏究 Vol.- No.16

        The efects of milling methods(wet milling vs. dry milling) on physicochemical properties of rice flour and Backsulgii preparation were invesgated. The contents of crude fat protein and ash in two rice flours were similar, while higher amylose contents was found in wet milled rice flour. Mean particle size of the dry milled rice flour was larger than that of wet milled rice flour, whose particle size distribution was closer to normal distribution. Wet milled rice flour had higher 'L' vlaue and lower 'b' value than dry milled rice flour, while water absorption index(WAI) and water solubility index(WSI) was significantly larger in dry milled rice flour. Wet milled rice flour was higher in peak viscosity, hot paste viscosity and breakdown ratio, and lower in setback than dry milled rice flour in amylogram. Gelatinization characteristics by Differential Scanning Calorimeter showed lower temperature and higher enthalpy for gelatinization was noted in wet milled rice flour than dry milled rice flour. Higher enthalpy for retrogradation was found in rice flour gel made of dry milled rice flour than wet milled rice flour after 14 days of storage at 4℃.

      • 회전수에 따른 발레 삐루엣 앙드올 동작의 분석

        김은희,이건범,이기청 한국운동역학회 2001 한국운동역학회지 Vol.11 No.3

        The purpose of this study was to investigate the difference between the performance and the increase of the number of turn in Ballet Pirouette en de hors. Single turn, double turn, triple turn, and maximum turn of four Ballerinas, who have more than ten-year experience in Korea Ballet Company, was filmed by two 16mm high speed cameras, and used AMTI force platform. DLT method was employed to obtain 3-D coordinates. The results were as follows: 1. The COP displacement was more larger as increases of the number of turn. 2. It is importance to maintain the COG highly as possible, at initial step for the effective multiple turn. 3. In order to perform multiple turn effectively, it would be desirable to maintain consistent position regardless of the number of turn and to which the angle of elbow at the touchdown phase. 4. If the time required of turn were reduced at the starting point and the speed were kept to final interval, the movement of multiple turn could be performed smoothly.

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