어머니의 신경증적 성향과 완벽주의 및 심리적 통제가 유아의 내면화 문제행동에 미치는 영향

왕해경, 한세영 충북대학교 생활과학연구소 2013 생활과학연구논총 Vol.17 No.1

The purpose of this study was to examine the effects of mother's neuroticism, perfectionism and psychological control on children's internalized problem behaviors such as depression, anxiety, and withdrawal. The subjects of this study were 373 mothers of 3, 4, and 5-years-old children who were attending to 7 public kindergartens and 1 private kindergartens located in Cheongju city. The results of this study were as follows: First, it indicated that mother's neuroticism, self-oriented perfectionism, criticism, and unstable emotion had statistically significant effects on young children's depression. That is, the more neuroticism, the less self-oriented perfectionism, and the more psychological control like criticism and unstable emotion mothers showed, the higher young children's depression was. Second, it revealed that mother's neuroticism and criticism and love withdrawal had statistically significant effects on young children's anxiety. That is, children of mothers with more neuroticism and psychological control like criticism and love withdrawal showed higher anxiety. Third, it was found that only mother's neuroticism had a statistically significant effect on young children's withdrawal. That is, the more neuroticism mothers showed, the higher young children's withdrawal was.

國內 熔銑爐의 調査 硏究

吳世旭,鄭海澤 東亞大學校 1967 東亞論叢 Vol.4 No.-

This report describes the investigation and study on the cupolas in pusan and Kyung-nam District, for which the antracitic-lump-coal has been used in Korea. Coke is used as the fuel for the cupola in every country of the world. In Korea, however, the coke has become very difficult to be produced since the end of the world was II, s) that the domestic anthractic-limp-coal only has been available, as this fuel has the low heating value and a great amount of the ash content and impurities, so the quality of casting has become more inferior. Thus it has cast a shadow over the future of the Korean machine industry. But nowadays it can be said that the quality of casting has been much developed and improved by the method of the trial and error proces for a long time, and yet the results being developed from an independent standhonint at each foundry have the various types of irrationality, so this report ead described for the purpose to investigate the special qualities of the cupola for the anthracitiv-limp-coal as a whole, to make some data for the cupola design from them and to find out some improvements of the cupola. The following are the summary about the special qualities of the cupola for th enthracitic-limp-coal comparing with te cupola for the coke. (1) The melting speed to the cupora inside diameter on tuyere plane is low as shown in Figure 2 and Figure 3. (2) The upper effectual height to the cupola inside diameter on tuyere plane is low and the lower effectual height is almost coinsident. (3) Tuyere ratio is very great, about 10 to 40. (4) Secondary tuyere or multiple step tuyere is more profitable. (5) The inclination of tuyere around 10 to 15 degrees is more profitable. (6) The calculation coefficient of the effectual inside diameter is very great as shown in Figure 11, Figure 12 and Table 5. (7) The tendency of the inferiority of casting quality being caused by the impurities of the anthracitic lump-coal should be developed by establishing front furnace. (8) Hot-blast should be established to increase the thermal efficiency and to get the high temperature melting carried out. Under the consideration of the above special qualities, the rational cupolas for the anthracitic lump-coal which are appiropriate the Korean situation should be designed.

수술중 수혈 환자에 대한 임상적 고찰

김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

Blood transfusions have the potential for many harmful side effects, especially whole blood transfusion have more complication than blood component transfusion Therefore, modern hemotherapy practice blood comporent transfusion, have been increasingly recognized as blood component transfusion. The patients who recieved blood transfusion during operation in Chungnam National University Hospital from Jan. 1967 to 1994 were analyzed statistically by age, sex, annual status, blood volume, blood type, and each clinical department and operating procedure. The results are summerized as follow; 1. The numbers of transfused patients among the 8489 operative case were 3404 case(40. 1%) between 1967 and 1976 2. The number of transfused patients among the 34906 operative case were 5793 case(16. 6%) between 1985 and 1992 3. The numbers of transfused patients among the 13216 operative case were 740 case(5. 6%) between 1993 and 1994 4. The amount of blood transfusion was decreased but the volume of one person in transfusion was increased 5. The percentage of blood component therapy was acutely in creased from 1990 decade

대장수술 후에 발생한 급성신부전의 위험인자

이혜미,황창재,김재황,김흥대,박대팔,서일숙,송선옥,김세연,이덕희,지대림 영남대학교 의과대학 2007 Yeungnam University Journal of Medicine Vol.24 No.2

연구 배경 : 급성 신부전은 술 후 발생할 수 있는 합병증 중에서 사망률은 큰 영향을 줄 수 있으므로 이 연구를 통해 위험인자를 알아보려고 한다. 재료 및 방법 : 2004년 1월부터 2006년 12월까지 3년간 영남대학교 의과대학 부속병원에서 대장 수술을 받은 570명의 환자들을 대상으로 하였다. 환자들의 성별과 연령, 미국 마취과학회 신체등급, 동반질환, 수술의 종류, 응급수술의 여부, 수술 시간, 재수술의 여부, 술 중의 투약 상황, 술 후에 자가 통증 조절기에 사용한 약제, 술 중에 저혈압의 유무, 수혈 여부, 술 후 기계적 환기를 시행한 경우를 비교하였다. 결과 : 비교 결과에서 성별과 수술의 종류, 응급 수술의 여부, 개복여부 등에는 유의한 차이를 보이지 않았다. 반면 환자의 나이와 수술 시간, 재수술의 여부, 술중에 이뇨제 등을 사용한 경우, 술 중에 저혈압의 유무, 술 후에 기계적 환기를 시행한 경우 등에는 유의한 차이를 보였다. 결론 : 이상의 결과로 급성신부전의 원인은 어느 한 가지라고 하기 보다는 위험인자에 얼마나 노출되어 있는가가 결정하는 것 같고, 그 원인들이 모여서 상승효과를 내는 것 같다. 그러므로 수술 전부터 많은 위험에 노출된 환자는 술 중 더 적극적인 감시를 시행하여 수술 후의 합병증 발생을 줄이는 노력을 기울여야 하겠다. Background : Acute renal failure is one of the leading causes of postoperative morbidity and mortality. The purpose of this study was to determine the risk factors that are associated with acute renal failure after colorectal surgery. Materials and Methods : Five hundred seventy patients who operated colorectal surgery at the Yeungnam University Medical Center over three years from 2004 to 2006 were enrolled in this study. The effects of gender, age, ASA classification, concomitant disease, surgery type and duration, reoperation, urogenital manipulation, medication, hypotension, hypovolemia, transfusion, and postoperative ventilatory care on the occurrence of acute renal failure after colorectal surgery were studied. Results : The major risk factors of acute renal failure after colorectal surgery were age of patients (P=0.003), ASA classification (P<0.001), concomitant disease (P<0.001), duration of the time surgery (P=0.034), reoperation (P=0.001), use of intraoperative diuretics (P=0.005), use of postoperative diuretics (P<0.001), intraoperative hypotension (P=0.018), intraoperative transfusion (P<0.001), postoperative transfusion (P<0.001), and postoperative ventilatory care (P=0.001). Conclusion : Multiple factors cause synergistic effects on the development of acute renal failure after colorectal surgery. Therefore, efforts to reduce the risk factors associated with acute renal failure are needed. In addition, intensive postoperative care should be provided to all patients.

충남대학교병원 마취발전의 경향에 관한 분석 : 1967년부터 - 1996년까지 from 1967 to 1996

최세진,김상수,정규돈,윤석화,신용섭,손수창,이원형,김혜자,이정은 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

To evaluate the specificity and historical trends of the anesthesia in Chungnam National University Hospital, anesthetic experiences of 83,572 in total performed at Chungnam National University Hospital from January 1967 to December 1996 were analyzed statistically and clinically according to age, sex, surgical department, physical status, elective and emergency surgery, premedicants, IV anesthetics, anesthetic methods, inhalational anesthetics, muscle relaxants. The results were as follows : 1. The number of cases has been steadily increased year by year. 2. The ratio of male to female was 52.8% : 47.2%. 3. According to the age, There were 44,905 cases (54%) in the group of 13-45 years. 4. According to the ASA classification of physical status, most of the cases were belonged to the class 1 & 2 (72.5%). 5. The ratio of elective to emergency was 79.4% to 20.6%. 6. Recently, glycopyrrolate has been used increasingly. 7. Thiopental sodium has been mainly used for intravenous induction agent. 8. General anesthesia has been used mainly. 9. Enflurane is the most common inhalational anesthetic agent. but Isoflurane has been used increasingly. 10. Most of muscle relaxants are Pancuronium & Vecuronium(84.5%).

0.5% Bupivacaine을 이용한 척수마취시 마취제의 비중이 마취효과에 미치는 영향

김창열,윤석화,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.1

Effects of solutions of 0.5% bupivacaine, containing different concentrations of dextrose (0%, 0.5%, 0.8%, 1%, 3%, 5%, 8%) were studied after intrathecal injection in seven (Group A-Group G) groups of 15 patients. The results are summarized as follows: 1. The mean specific gravity of solutions was 1.0065, 1.0087, 1.0092, 1.0094, 1.0152, 1.0198 and 1.0314 (Group A-Group G). These values are isobaric (Group A, B), hyperbaric (Group E, F, G), and slightly hyperbaric (Group C, D) compared to cerebrospinal fluid at 25℃. 2. The mean maximum level of sensory block was increased according to the increment of specific gravity of the solutions. But no significant differences between Group A and B, Group C and D, Group E, F, and G. 3. The mean time of sensory block to T11 was decreased according to the increment of specific gravity of the solutions. 4. The mean time to the expected level (T4) of sensory block at given dosage of each solution was 25.7, 18.4, 9.7 minutes(Group E, F, G, respectively). 5. Complete motor block of the legs was rapid according to the increment of specific gravity of the solutions.

Alprazolam함유 poly(D,L-lactic acid) microsphere의 제조 및 평가

용철순,오두만,권미라,박새해 영남대학교 약품개발연구소 1996 영남대학교 약품개발연구소 연구업적집 Vol.6 No.-

Poly(D.L-lactic acid)(PLA) microspheres containing alprazolam(APZ) were prepared by a solvent-emulsion evaporation method and their release patterns were invostigated in vitro. Various batches of microspherss with different size and drug content were obtained by changing the ration of APZ to PLA, PLA concentration in the dispersed phase and stirring rate. Rod-like APZ crystals on microsphere surface, which were released rapidly and could act as a loading dose, were observed with increasing drug content. The release rate was increased with increase in drug contents and decresase in the molecular weight of PLA. The release rate of APZ for long-acting injectable delivery system in vitro, which would aid in predicting in vivo release profile, could be controlled by properly optimizing various factors affecting characteristics of microspheres.

점증적 최대운동이 항산화 효소의 혈중 농도에 미치는 영향

강신범,이상우,김상권,서해근,김준모 東亞大學校附設스포츠科學硏究所 1999 스포츠科學硏究論文集 Vol.17 No.-

The purpose of this study is to examine how exercise stimulus effects on the boold concentration of antioxidant enzymes. And then, the results of analysing the boold concentration of antioxidant enzymes before and after graded maximal exercise based on high school's 7 males, are as follows: 1. The blood concentration of SOD is found to have a significant increase before and after graded maximal exercise. 2. The blood concentration of CAT is found to have a significant increase before and after graded maximal exercise. 3. The blood concentration of CAT is found to have a significant change. As the above results, the severe exercise of short time is found to increase the blood concentration of SOD as well as CAT. And then, the blood concentration of GPX is found not to have a significant exchange. To examine the mechanism of the above results manifestly, it is considered that the deep study based on exercise style, duration time and exercise intensity, should be continued.

Midazolam의 백서 기관평활근 이완효과와 Flumazenil의 길항작용

윤석화,신용섭,손수창,이원형,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

Midazolam have been used widely as adjuvants in both regional and general anesthesia and in high risk patients in the intensive care unit. In the present study we evaluated the effect of midazolam and antagonistic effect of flumazenil on isolated rat tracheal preparations mounted for recording isometric contractile force. Trachea smooth muscle were contracted with acetylcholine (10^-5M, Ach) and potassium chloride (40mM KC1). Midazolam 5x10 exp (-6)M and 5x10 exp (-5)M produced dose-dependent relaxation and flumazenil (3.2 x 10 exp (-7)M), central antagonist of benzodiazepine, pretreatment had no significant change midazolaminduced relaxation. Midazolam probably did not relax airway smooth muscle by activatong central benzodiazepine receptors, as flumazenil did not block the concentration-related relaxation of midazolam. Our study suggests that flumazenil may be used satety for asthmatic patients who have been with midazolam, as flumazenil did not antagonize airway relaxation elicited by midazolam.

Urapidil, Labetalol의 투여가 기관내 삽관시 심혈관계에 미치는 영향

신용섭,윤석화,손수창,이원형,이정은,황원재,김만수,김영주,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

We have examined the comparative efficacy of small doses of intravenous urapidil and labetalol in blunting hemodynamic response to endotracheal intubation and surgical incision in 30 patients without cardiovascular diseases. After intravenous urapidil 0.2 mg/kg or labetalol 0.2 mg/kg anesthesia was induced with thiopental 5mg/kg. Endotracheal intubation was facilitated by vecuronium 0.15 mg/kg with priming principle and anesthesia was maintained with enflurane and nitrous oxide in oxygen. Systolic, diastolic and mean arterial pressure and heart rate were measured before administration of the drugs, 5 minute after administration, just prior to endotracheal intubation and 1, 3, 5, 10 minute after intubatin. Also the peak blood pressures and heart rate within 10 minutes after surgical incision were measured. Endotracheal intubation and surgical stimulation were associated with significant increases in blood pressures and heart rate in both urapidil and labetalol group. Comparison of the changes in systolic, diastolic, and mean artrial pressures and heart rate between urapidil and labetalol group showed no significant difference except peak systolic pressure after surgical incision. It is concluded that the pressor response to endotracheal intubation and surgical stimulation are not influenced significantly by urapidil 0.2 mg/kg or labetalol 0.2 mg/kg. However, urapidil and labetalol preloading may be similarly effective in the blunting of the increases in blood pressures with larger doses of the durgs during anesthetic induction.