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      • KCI등재

        노인정신장애 평가척도(Psychogeriatric Assessment Scale)의 한국판 표준화 연구

        조맹제,박임순,신영민,김무진,정희연,정은기,최용성,조성진,서국희,함봉진 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1

        연구목적 : 본 연구는 치매와 우울증을 다차원적으로 평가할 수 있는 도구인 Psychogeriatric Assessment Scale(PAS)의 한국판(PAS-K)을 개발하기 위한 것이다. 방 법 : 번역, 역번역, 그리고 세차례의 예비조사를 통하여 PAS-K를 제작하였다. 60세 이상의 노인 291명(임상환자군 : 58명, 지역사회노인군 : 168명, 수용시설 거주자 : 67명)과 그들의 정보제공자들을 대상으로 PAS-K, Geriatric Depression Scale(GDS), Korean version of Mini-Mental State Examination(MMSE-K), Hamilton Rating Scale for Depression(HRSD), 그리고 Hachinski Ischemic Score 를 적용하고, Diagnostic Interview chedule(DIS-Ⅲ-R)을 사용하여 치매와 우울증을 진단하였다. PAS-K의 신뢰도와 타당도를 평가하고, 예민도와 특이도, Kappa값, 그리고 ROC커브 분석법을 이용하여 PAS-K의 6개의 소척도들(피검자면접 : 인지기능 장애척도, 우울척도, 뇌졸중척도, 정보제공자면접 : 인지기능 저하척도, 행동변화척도, 뇌졸중척도)의 최적 절단점을 구하였다. 결 과 : PAS-K는 높은 내적 일관성을 보였고, 검사자간 신뢰도도 만족할 만한 수준이었다. PAS-K의 소척도들을 다른 표준화된 검사도구들과 비교하였을 때 인지기능 장애척도와 인지기능 저하척도는 MMSE-K와, 우울척도는 GDS 및 HRSD와 유의한 상관관계를 보였으며, 뇌졸중척도는 Hachinski Ischemic Score와 통계적으로 의미있는 상관관계를 보였다. 최적절단점은 인지기능 장애척도 10점, 인지기능 저하척도 3점, 우울척도 5점, 피검자면접과 정보제공자 뇌졸중척도 모두 1점, 그리고 행동변화척도 2점으로 추정하였다. 결 론 : 본 연구를 통해 PAS-K의 신뢰도와 타당도가 검증되었고, 노인정신의학 역학연구나 보건분야에서 치매와 우울증의 임상경과관찰 및 일차 선별도구로서 유용하게 사용될 수 있게 되었다. Objectives : This study was designed to develop the Korean version of the Psychogeriatric Assessment Scale(PAS-K), a multidimensional screening tool for the dementia and depression. Methods : Through three times preliminary trials, the authors translated PAS into Korean. The PAS-K, Geriatric Depression Scale, Hamilton Depression Rating Scale, Hachinski Ischemic Scale and Mini-Mental State Examination-Korean version were administered to 291 subjects over the age of 60 and the same number of their informants(67 subjects were institutionalized, 168 subjects were in community, 58 subjects were psychiatric hospital patients). And the Diagnostic Interview Schedule(DSM-Ⅲ-R) was independently administered to exactly diagnose dementia and depression. The reliability and validity test, optimal cut-off point estimation for six each scale and ROC curve analyses were done to investigate the diagnostic validity of PAS-K. Results : Internal consistency and interrater reliability of the PAS-K were high. Concurrent validity of each scales of PAS-K was good in being measured with other standardized scales. The optimal cut-off points of each scale of the PAS-K were estimated as follows : 1) Stroke Scale of subject interview : 1, 2) Cognitive Impairment Scale of subject interview: 10, 3) Depression Scale of subject interview : 5, 4) Stroke Scale of informant interview : 1, 5) Cognitive Decline Scale of informant interview : 3, and 6) Behavioral Change Scale of informant : 2. conclusions : The PAS-K was valid and reliable screening tools for detecting dementia and depression. Therefore the PAS-K could be widely and extensively used in psychogeriatric epidemiological research or clinical setting of primary screening for dementia and depression.

      • 복수일의 활동일지에 근거한 교통행동분석

        金在國,李鎭友 東新大學校 工業技術硏究所 1997 工業技術硏究 Vol.3 No.-

        Most models and analysis of urban travel behavior focus on trying to explain variations in travel behavior of different behavior in terms of the characteristics of those individuals and their environment. Also, the analysis is typically based on a single day record of each individual' travel. But, developments in travel behavior analysis are leading to a greater awareness of the need to examine day-to-day variability in travel behavior. This paper analyzed dynamic characteristics, intrapersonal variability, and inter personal variability in urban travel behavior using activity diaries collected by 7 consecutives days in Gwangju. The analysis shows that, interpersonal variability as well as intrapersonal variability cannot be neglected in day-to-day variability of travel behavior.

      • KCI등재

        경쟁법·정책의 다자간규범화에 따른 문제점과 한국경제의 대응방안 연구

        김진국,송하성 한국통상정보학회 2000 통상정보연구 Vol.2 No.1

        경쟁법 · 정책에 대한 국제적 논의가 여러 기관에서 진행되어 왔는데 본 논문에서는 WTO에서 지금까지 진행되어 온 경쟁법 · 정책의 다자간국제규범화의 논의 동향과 주요 논의 사항을 살펴보고, 실제로 경쟁정책의 다자간국제규범은 어떠한 형태를 갖게 될 것인가에 대한 분석과 아울러 경쟁정책의 다자간국제규범화가 국내경제에 미칠 영향을 분석하고 동시에 이에 대한 우리나라 정부와 업계의 대응방안을 분석하였다.

      • 광주역의 이전방안에 관한 연구

        김재국,이진우 東新大學校 工業技術硏究所 2001 工業技術硏究 Vol.7 No.-

        Railroad station has changed the urban structure spatially, kept its role as a local point and been used as a means of urban development as the urban central axis. However, as the urban central axis has been shifted due to the external expansion of city and the spatial structure of city has been changed, it has caused a lot of urban problems such as housing difficulty and traffic jam at existing downtown. Therefore the transfer of Gwangju station is urgently required to settle many evils such as traffic jam, frequent traffic accidents, separation of life circle, noise and vibration due to the disconnection of traffic axis through the downtown. Accordingly, it will be desirable that Gwangju station will be transferred in consideration of conforming to balanced urban development of Gwangju city, urban spatial structure and residents convenience.

      • 아동의 신체조성을 추정하는 피하지방후법의 타당성 검토

        정진국 金烏工科大學校 1995 論文集 Vol.16 No.-

        This study was designed to investigate the validity of body density measured by skinfold thickness(ST) method against underwater weighing(UW) as a criterion, and to propose apppropriate prediction equations that are applicable to children. The subjects were 76 boys aged 9 to 11 years. The ST was measured at four sites(triceps, subscapular, abdominal, suprailiac) using an Eiken-type caliper. I developed prediction equations that may be applicable to a wide range of children. As a result of all analyses and considering the practicability of the measurement, I recommend the equation db=1.0745-0.000X (where Db=body density, X=triceps+abdominal skinfold thickness), with R of 0.818 and SEE of 0.0091g/ml, which can predict Db with high precision in children. This prediction equation contains a few variables that are relatively easy to measure and therefore is most practical for use in the field or large scale chinical setting.

      • KCI등재

        윤치호의 근대사상과 개혁운동

        선국진 조선대학교 인문학연구소 2003 인문학연구 Vol.29 No.-

        Jya Ong Yun Tchi Ho (1865-1945) takes an important part in the modern history of Korea. He was a pioneer for Korean enlightenment, politician, educator, civil leader and religious practitioner with a firm faith of Christianity. He produced achievements for civilization of Korea. In this study, his meritorious deeds are examined, based on existing studies on his thought and merits. Especially a focus is given on his faith, activities at the Independence Association, Christian education. Yun Tchi Ho was born at Chungchungdo in Chosun Period(1865). He was a noble birth, but his families was reduced to a position of local servants because no national position was offered to them for three generation. His father, Yun Eung Ryol was a military officer who was treated inhospitably at that time. As the class of his family was not very high, he was allowed to accept new ideology easily. He was given modern education during studies at Japan as a member of The Gentleman Excursion when he was seventeen by his father's support.

      • 社會體育振興을 위한 發展方案

        鄭鎭國 金烏工科大學校 1990 論文集 Vol.11 No.-

        Development of both scientific technique and industrial society never visits us without causing alienation of human and weakening one's health, and requiring good use of one's leisure. And we live in society annoyed by thus problems and to solve ones, we should promote social physical education. So this thesis aimed at studying on the previous references to the promotiom of social physical education and the results re as followss: (1) to promote social physical education, we must secure lots of financial resources and by means of the finances, increase the expenditure items, and the items should mainly support facilities expansion, leader's education and new program development . (2) we should educate the leaders in quality and their practice and status must be secured. (3) we should care new program development on basis of finance deliberate, constant and safe and for the sake of it, need to organize the exclusive social structure and could refer to setting a task to a research institute of all the universitites as a kind of method for them. I believe that the promotion of social physical education will heip us to live healthfully with material abundance.

      • 選好意識데이타와 轉換價格데이타의 비교

        金在國,李鎭友 東新大學校 工業技術硏究所 1996 工業技術硏究 Vol.2 No.-

        In the mode choice analysis, since SP experiments present respondent with various hypothetical alternatives, which are produced by a combination of a number of different attribute levels, and ask them to indicate a preference, it is possible to analyze travel behavior under a situation of potential environment change such as proposed alternative mode of transportation. This study is to compare stated preference (SP) data with transfer price (TP) data by comparison of commulative transfer ratio from passenger car into medium rail transit. For this analysis, we assumed subway operations in the Gwang-Ju, and set up a choice-set of hypothetical options based on Experimental Design Method. As the result, the preference of same set of individuals by SP and TP questions might not be consistent with each other. This means that stated preferences are changable by difference of survey merhods. The updating of SP responses by the ultimatic condition of TP data also contributed the higher internal validity of SP model.

      • 치성각화성낭종에서의 발암성에 관한 살험적 연구

        백진기,조한국 慶熙大學校 齒科大學 1995 慶熙齒大論文集 Vol.17 No.1

        The purpose of this study was to observation the pathogenesis and carcinogenesis of lining epithelium of odontogenic keratocyst which injected with DMBA ( 9,10-dimethyl-1,2 -benzanthracene, Sigma Chemical Co.) after ;;nplantation of upper gingival epithelium of rats. Bony cavity was formed in the left mandibular body area of Sixty Sprague-Dawley rats with #3 round bur and then gingival epithelium was implanted to be inner surface. Six experimental animals of group 1 were sacrified at 12,3,4,6 weeks after implantation respectively. Thirty experimental animals of group 2 were injected with DMBA around the bony cavity at 6 weeks after implantation and then six experimental animals of group 2 were sacrified at 2,4,6,8,10 weeks after injection with DMBA respectively. And the formalin-fixed paraffin embedded sections were stained as H-E staining routinely, PAS staining for glycogen, and Ayoub-Shklar staining for keratinization, and then observed with light microscope. The obtained results were as follows 1. In group 1, gingival implantation-induced cyst-like lesion was composed of thin lining epithelium and connective tissue wall at 4 weeks, and formed odontogenic keratocyst at 6 weeks. 2. In group 2, odontogenic keratocyst revealed inflammatory response by DMBA injection at-2 weeks, basilar hyperplasia of lining epithelium at 4-6 weeks, and carcinoma in situ at 8 weeks. After all odontogenic keratocyst proceeded to odontogenic carcinoma showing highly or well differentiated squamous cell carcinoma at 10 weeks. 3. The lining epithelium of odontogenic keratocyst was infiltrative growth and the cystic wall accompanied with fibrosarcoma and rhabdomyosarcoma at 8 weeks in group 2. 4. The epithelial island inferred as ameloblastomatous changes were found around the tooth germ of incisor teeth, and did adenoma-like changes in minor salivary gland and hypercementosis in molar teeth. 5. In PAS reaction, prickle cell layer and cystic wall revealed strong reactivity, and weak or negative reactivity toward poorly differentiated cells. In Ayoub-Shklar reaction, strong reactivity was revealed in prickle cell layer of lining epithelium and area of dysplastic proliferation.

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