젊은 남자에게 발생한 통상성 간질성 폐렴과 동반된 폐암 1예

박종숙,이준혁,박성우,장안수,박춘식,박재성,백상현,고은석,신화균 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Usual interstitial pneumonia(UIP) is relatively rare disease of lung parenchyme under the age of 50. Lung cancer is reported to occur as a complication of UIP, but has not been reported in young age patient with UIP in Korea. A 35-year-old man was admitted to the hospital because of dyspnea, cough and mild fever. He had been suffered from dyspnea during 3 years. The dyspnea worsened recent 1 month ago. He had been treated with pneumonia at another hospital during 4 months before this admission. Chest radiographs and High resolution CT showed subpleural and basal dominant reticular opacities in both lung with no change until now. He was smoker and his occupation was car engine-man dealing with benzene. UIP is suspected by history and radiologic findings. Operation for open lung biopsy was performed to obtain lung specimen via video-assisted thoracoscopic surgery. Patient's pathologic examination showed UIP combined with adenocarcinoma in RLL superior segment and posterobasal segment and RLL lobectomy was done. After operation, the patient has been in cancer free condition so far. We report a case of UIP combined with lung cancer in young man with brief review of the literature.

청소년 도덕적 품성화 검사 도구 개정 연구(2차년도)

류숙희 ( Sook Hee Ryue ),이인재 ( In Jae Lee ),김영한 ( Young Han Kim ),박균열 ( Gyun Yeol Park ),홍성훈 ( Seong Hoon Hong ),전종희 ( Jong Hee Jeon ),윤영돈 ( Young Don Yoon ) 한국윤리교육학회 2013 윤리교육연구 Vol.0 No.29

본 연구는 한국 청소년들의 도덕적 품성화 능력을 측정하기 위한 검사 도구를 개발하기 위한 것으로 2011년도에 개발된 검사 도구를 수정 및 보완한 것이다. 즉, J. Rest가 주장한 도덕성의 제4요소인 도덕적 품성화에 관한 선행연구들을 체계적으로 분석하여 도덕적 품성화의 개념을 보다 명확히 하였고, 1차년도에 설정한 도덕적 품성화의 구성 요소를 개인품성과 관계품성의 두 항목으로 재설정하였다. 또한 검사의 신뢰도와 타당도를 높이기 위해 기존의 스토리와 문항을 수정하였다. 응답의 편포성을 완화하기 위해 2차년도에는 7점 척도를 사용하였다. 예비조사는 전국 중학교 2학년생 409명을 대상으로 실시되었고, 본조사는 전국 6,216명의 중학교 2학년생을 대상으로 실시되었다. 개발된 검사도구의 신뢰도계수(문항 내적 일치도인 크론바흐 알파)는 .90이상으로 신뢰할만했다. 타당도를 확보하기 위해 요인분석을 실시했는데, 도덕적 품성화 능력 검사는 1개 문항을 제외하고 모든 문항이 예정된 요인으로 묶였다. 그리하여 2차년도 연구를 통한 최종 스토리는 총 세 개(과제, 놀이공원, 작품)로 확정되었고, 각 스토리별 문항수는 과제 10개 문항, 놀이공원 9개 문항, 작품 10개 문항으로 총 29개 문항으로 확정되었다. 2차년도 연구결과 개정된 검사 도구는 2011년 검사 도구에 비해 더 안정된 검사도구로서 향후 청소년의 도덕적 품성화 측정을 위한 연구와 실무에 활용될 수 있을 것이다. The study aims to revise Moral Character Test I which was set for adolescents based on Rest`s four components model in 2011 and make standardized final morality test. In theory, this study is based on the four components theory of James Rest who invented DIT (Defining Issues Test) to measure the moral judgment. The four components are composed of moral sensitivity, moral judgment, moral motivation, and moral character (or moral implementation, moral action). This study focused on moral character. This 2nd year study could get some significant outcomes. To make test form, 3 components relating teams have closely exchanged informations. Because teams have to share same real life stories as follows: “homework inspect”, “on going to park”, “broken art work”. The questionnaire used seven likert type to lessen the far epistemological tendency. To represent moral character, research team used personal character and interpersonal character. To get final form of morality test, this study was made two sequential steps. First one was pre-test which was for 409 respondents. Second main one was for 6,216 respondents. For moral character, the reliability was highly coefficient with Cronbach`s alpha(>.90). The validity was also much improved and stable. But just in the story “on going to park”, the factor analysis shows a little bit limitation result. Even though, 1st and 2nd researches have common weak point which is highly dependent upon not factor but story. Through these processes, to test moral motivation, this study shows 3 stories and 29 questions. And this recommends that just one simple story might be developed for one component(moral character).

청소년 도덕적 동기화 검사 도구 개정 연구(2차년도)

전종희 ( Jong Hee Jeon ),이인재 ( In Jae Lee ),김영한 ( Young Han Kim ),박균열 ( Gyun Yeol Park ),윤영돈 ( Young Don Yoon ),류숙희 ( Sook Hee Ryue ),홍성훈 ( Seong Hoon Hong ) 한국윤리교육학회 2013 윤리교육연구 Vol.0 No.29

본 연구는 J. Rest의 4구성요소 모형을 바탕으로 1차년도(2011년)에 개발된 도덕적 동기화 검사를 보다 신뢰롭고 타당한 도구로 개정하는 것이다. 따라서 선행연구를 보완하여 도덕 동기화의 구성 요소를 도덕지향성과 도덕적 정서귀인 등 두 항목으로 재설정하고, 스토리와 문항을 수정하였다. 개발된 세 개의 스토리(과제, 놀이공원, 작품) 별로 신뢰도를 분석한 결과, 전반적으로 .90 내외의 높고 수치를 보였다. 응답의 편포성을 완화하기 위해 2차년도에는 7점 척도를 사용하였다. 예비조사를 위해서는 전국 중학교 2학년생 409명을 대상으로 했고, 본조사를 위해서는 전국 6,216명의 중학교 2학년생을 대상으로 실시하였다. 개발된 검사도구의 신뢰도계수(문항 내적 일치도인 크론바흐 알파)는 .90이상으로 신뢰할만했다. 타당도를 검증하기 위하여 요인분석을 실시한 결과, 과제 스토리와 놀이공원 스토리의 일부 문항이 가정한 요인으로 잘 묶이지 않았는데 이 문항들을 제거하고 요인분석을 다시 실시해본 결과 기대하는 바를 충족했다. 그리하여 2차년도 연구를 통해 최종 스토리는 총 세 개(과제, 놀이공원, 작품)로 확정되었고, 각 스토리별 문항수는 과제 9개 문항, 놀이공원 9개 문항, 작품 10개 문항으로 총 28개 문항으로 확정되었다. 본 연구를 통해 수정 확정된 도덕적 동기화 검사도구는 상당히 안정적인 신뢰도와 타당도를 확보하였기에, 향후 우리나라 청소년의 도덕적 동기화 능력을 측정하기 위한 검사도구로 활용되기에 적절할 것으로 판단된다. The study aims to revise Moral Motivation Test I which was set for adolescents based on Rest`s four component model in 2011 and make standardized final morality test. In theory, this study is based on 4 components theory of James Rest who invented DIT (Defining Issues Test) to measure the moral judgment. The 4 components are composed of moral sensitivity, moral judgment, moral motivation, and moral character (or moral implementation, moral action). This study focused on moral motivation. This 2nd year study could get some significant outcomes. To make test form, 3 components relating teams have closely exchanged informations. Because teams have to share same real life stories as follows: “homework inspect”, “on going to park”, “broken art work”. The questionnaire used seven likert type to lessen the far epistemological tendency. To represent moral motivation, research team used moral orientation, moral emotion attributions. To get final form of morality test, this study was made two sequential steps. First one was pre-test which was for 409 respondents. Second main one was for 6,216 respondents. For moral motivation, the reliability was highly coefficient with Cronbach`s alpha(>.90). The validity was also much improved and stable. But just in the story “homework inspect”and “on going to park”, the factor analysis shows a little bit limitation result. Eliminated those questions, the result of factor analysis was more stable and reliable. Through these processes, to test moral motivation, this study shows 3 stories and 28 questions. And this recommends that just one simple story might be developed for one component(moral motivation).

김치유래 젖산균의 균체지방산 분석을 이용한 분류학적 연구

이정숙,정민철,김우식,이근철,김홍중,박찬선,이헌주,주윤정,이근종,안종석,박완,박용하,민태익 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.2

표준균주를 포함한 230여개의 김치유래 젖산균에 대한 균체지방산(FAMEs)을 분석하였다. FAMEs profiles는 Euclidian Distance 17.5에 의해 7개의 Major Cluster와 1개의 Single Cluster로 나뉘어졌다. 이중 A, B, C 및 Cluster는 Leuconostoc속으로 분석되어졌고, F는 Lactobacillus속으로 분석되어졌다. 그리고 E와 G cluster는 두개의 Genus가 혼재되어 나타났으며 보충적인 연구가 필요하다. 앞으로 김치유래 젖산균의 균체지방산 분석결과를 기반으로 한 데이타베이스에 95가지 탄소원을 이용하는 수치분류학적 접근방법 및 Pyrolysis Mass Spectrometry 등의 화학적 분석 방법과 분자친화적 연구를 통한 종합적 분류정보 체계가 갖추어지면 젖산균의 신속, 정확한 동정 및 연구에 활발히 이용되어질 것이다. Two hundreds and thirty lactic acid bacteria, mostly isolated from Kimchi, including type strains were sued for analysis of cellular fatty acids. The 230 test strains were recoverd in 7 major and 1 single clusters defined a Euclidian distance of 17.5. These aggregate taxa were equivalent to the genus Leuconostoc (aggregate group A, B, C and D), and the genera Leuconostoc and Lactobacillus (aggregate group G). It is concluded as evident that FAMEs (Fatty Acid Methyl Esters) profile of cell can be used as a criterion in classification of lactic acid bacterial from kimchi. Additional comparative taxonomic studies need to be carried out on well chosen representative strains to determine the most appropriate methods of value.

원광의대 부속 제 2병원 신경정신과 환자에 대한 통계적 고찰

박민철,김종주,박남진,오상우,권혁일,권영숙,박종호 圓光大學校 醫科學硏究所 1986 圓光醫科學 Vol.2 No.2

We examined 1,856 patients who visited Won Kwang Neuropsychiatric hospital since July 11 of 1984(since the hospital opened) until June 11 of 1986. We researched diagnostic and other distributions of inpatients and outpatients. The study revealed as follows : 1. Of total patients males visited this hospital more than females as 52.7%. Most of them(67.1 %) resided in Iri, Iksan and Kimje. In the point of insurance, insured patients and uninsured patients except medicaids were 73 %. Males(60%) were more insured medically than females (55.4%). While insured patients relatively resided in urban area, but uninsured patients except medicaids did in rural area. 2. Of outpatients neurotic disorder was the most as 35.1%, secondly schizophrenic disorder and thirdly affective disorder, but of inpatients schizophrenic disorder was the most as 41.4%, secondly neurotic disorder thirdly affective disorder. 3. Alcohol abuse (98.2 %), paranoid disorder, convulsive disorder and child mental disorder were mostly found in males, but neurotic disorder (59 .6 %), affective disorder and other psychotic disorder were mostly found in females. 4. In unmarried ones schizophrenic disorder ( 43 .6 %), neurotic disorder, other psychotic disorder were common, but in married ones neurotic disorder (55.1 %), schizophrenic disorder, affective disorder were common. 5. On the distribution of age schizophrenic disorder was found the most in the twenties (28.4 %), next in the thirties and in the forties, but neurotic disorder was found the most in the thirties, next in the twenties and in the forties. 6. On the distribution of age at onset schizophrenic disorder develops mostly during the twenties (45.5 %), secondly during the teens and thirdly during the thirties, but neurotic disorder develops mostly during the thirties and the twenties (53.1 %). 7. On the duration of hospitalization 34.4% of the patients was hospitalized during less than 15 days, 22.0% during 60-90 days and 80.4% during less than 3 months. 8. In the result of treatment 41.2% of the patients was improved and 31.7% a little improved. In total 72.9% of the patients got helped therapeutically.

악성림프종 환자에서 복합화학요법으로 유발된 백혈구 감소증에 대한 인형 재조합 과립구 집락형성-촉진인자(rhG-CSF: Neutrogin)의 효과

박성규,전진우,기신영,유병우,김홍수,백승호,원종호,홍대식,박희숙 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

Clinical effects of rhG-CSF were investigated in 17 patients receiving chemotherapy for non-Hodgkin's lymphoma. Patients were given G-CSF 2㎍/㎏/day after 2nd cycle chemotherapy for least 14 consecutive days, and clinical and laboratory results were compared to results of the first cycle. Treatment with G-CSF resulted in increase of mean WBC count(952.9±152.2㎜³vs 1882.4±350.4/㎜³) and neutrophil count(212.9±53.0/㎜³vs 841.5±238.0/㎜³), reduced the duration of leukocytopenic days(12.4±1.3 days vs 5.5±1.0 days, WBC count less than 4000/㎜³) and neutropenic days(4.5±0.9 days vs 2.3±0.7 days, neutrophil count less than 500/㎜³), and reduced the duration of neutropenic fever(5.8±1.1 days vs 0.9±0.5 days). The side effects of G-CSF were not so significant. These results demonstrated that G-CSF is safe and useful for the treatment of neutropenia induced by anticancer chemotherapy of non-Hodgkin's lymphoma and reducing the incidence of febrile periods and duration of antibiotic administration.

매우 빠른 운동에서의 시간 가변성과 힘가변성에 관한 연구

박종태,표내숙,문규진 釜山大學校 附設 體育科學硏究所 1996 體育科學硏究所 論文集 Vol.12 No.-

The present study achieved the following conclusion by analyzing of theoretical timing variability and fore variability which are controled in very rapid movement. 1. As common as the speed-accuracy trade-off phenomenon seems to be for movement behavior where spatial accuracy is major goal. 2. The primary determinant of timing accuracy is movement time, with longer movement time generating more timing error. 3. It is produced a kind of inverted-U effect that very rapid and very slow movement having the most spatial accuracy and the moderate - speed movement having the least spatial accuracy. 4. The future research require experimental study on the more complicated action because these are very simple skill.

직장 구조조정과 파업에 의한 근로자의 사회심리적 스트레스의 변화

박봉진,이종태,손혜숙,김성준 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : This study was conducted to evaluate the insecurity of employment and anxiety by downsizing and strikes affected job characteristics and psychosocial distress of workers. Methods and Material : This is a longitudinal study of the container terminal workers in Pusan. The company operated downsizing from October to December in 1999 by economic depression. In the result of that, the number of workers decreased into 627 from 662. During that period, a new union was built and it made conflict between employers and employees, so the conflict caused the strikes from February to April in 2000. The first cross-sectional study was performed in February, 2000 and the oneyear follow-up cross-sectional study was performed in February, 2001. Socio-demo graphic characteristics, stress-related behavior, job characteristics and psychosocial distress were assessed with job content questionnaire(JCQ) and Psychosocial well-being Index(PWI) in 200 workers(white-collar: 100 men, blue collar: 100 men) from 662 men in total. Results : In the first study, job strain was high in the whole, but there was no difference between white and blue-collar workers. The level of PWI was very high at 86.67 points and the level of blue-collar workers was higher than that of white-collar workers(p=0.013). In the results of follow-up study, the rate of drinking and smoking decreased as the change of stress-related behaviors. In the job characteristics change, decision authority and physical exertion of the white-collar workers got lower(p<0.05), but social support and job strain didn't have no difference. In the PWI level change, stress level got rather higher(p<0.01), especially, increase of the white-collar workers' stress was big difference from that of the blue-collar workers'. Conclusion : Job stress management programs should be made to reduce stress. And in approaches to management and prevention, excessive physical exertion, shift work and irregular meals and breaks should be considered. Especially, this stress control program should be begun with recognition on conflicts between employers and employees and between employees and employees by downsizing and strikes. And also efforts to reinforce social support should be needed.

대학의 교수학습 개발에 대한 요구분석 연구 : 동국대학교 교수집단을 중심으로 focusing on Faculties of the Dongguk University

박명희,김성훈,박명숙,이중권,박종호,이성림 동국대학교 교육연구원 2005 교육문제연구 Vol.16 No.-

본 연구의 목적은 동국대학교의 교수들이 수행하고 있는 교수학습 방식을 파악하고 각 방법들의 효과성을 교수들이 어떻게 인식하고 있는지를 알아 보고자 하였으며 창의적 교수학습방법개발에 대한 교수들의 요구를 파악하여 교수학습개발센터의 프로그램개발을 위한 기초자료로 삼고자 하였다. 수업방식에 있어서 전공, 교양을 막론하고 대부분이 강의식 수업방식이 높았으며(80.9%, 86%), 발표식, 토론식이 (14%, 18.6%) 실험실습 등이 그 다음으로 나타났다. 교수들은 전공과목보다는 교양수업에서 학생들의 요구에 맞는 수업 수업방식을 고려하고 있는 반면 수업방식의 효과에 대해 53%만이 효과적이라고 보고하고 있다. 교수들도 효과적인 강의방법 등 교수법에 대해 체계적으로 학습할 필요성을 느끼고 있었다. 강의 기술(교수방법)과 토론 중심 수업 방법에 대한 워크샵에 대한 요구가 가장 높게 나타났고 발표수업과 프로젝트수업 방법 등 강의식 수업 이외의 다른 수업방식에 대한 워크샵 요구도가 높았다. 그 외에 학교의 지원에 대해서는 첨단 수업 기자재 활용을 위한 보조자(조교)에 대한 요구도가 가장 높고 강의 운영을 위한 보조금, 개인별 상담 지원 순으로 요구도가 높게 나타났다. The purpose of this study was to comprehend the methods of teaching and learning carried out by the teachers of Dongguk University, and to find out how the professors found those methods effective. This research was also used to serve as a basis for the development of a more creative teaching-learning system to enhance better programs for the Professor Teaching-Learning Development Center. In teaching methods, regardless of classes for majors or for cultural enrichment, most of the courses were in the form of lectures (80.9%, 86%) followed by research and discussion (14%, 18.6%), with experiment and practical training coming in third. Although professors tend to choose a more student-oriented class method in distribution courses more than in major courses, it was reported that only 53% of the faculty claimed this class method to be effective. The faculty felt the need for professors to have more constructive learning in incorporating more effective teaching methods. The demand for professor workshops on teaching skills (teaching methods) and discussion oriented classes proved to be high, as well as the need for workshops on teaching methods other than lectures, such as research courses and project oriented class methods. Regarding other demands for university support, the demand for an assistant (assistant teacher) to help with the new technology equipment was the highest, followed by subsidies for course management and support in individual counseling.

前腕部 經穴 取穴에서 骨度分寸法과 一夫法의 比較 硏究

박히준,채윤병,차웅석,박종배,이혜정,이향숙,인창식,고형균,김수영,최일환,김강식,문정배,배기태,유경환,육근영,정병주,손인철,임사비나 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

Background : The cun measurement System, an essential and convenient method in locating acupoints, has been widely used in the practice of acupuncture. However, traditional cun measurement has been criticized for its lack of reliability. Objectives : The purposes of this study are to determine if one cun measured by the directional methods have a consistency with that of proportional methods and to investigate which factors are related with these differences, especially in forearm. Methods : The distance between the elbow crease and the wrist crease of forearm was compared to a reference value of one cun obtained by the directional method. In this method, one cun is one third of the distance between index finger and Small finger of a subject, measured at proximal interphalangeal joint. In addition, to investigate the factors influencing the differences between these two methods, we measured the height and body weight and calculated body mass index (BMI). Finally we analyzed the factors correlated with these lengths by linear regression test. Results : The results showed that one cun obtained by the directional methods were significantly different from one cun by the proportional methods in forearm. It was demonstrated that the length acquired with the directional method was more correlated with body weight and body mass index, while the length obtained by the proportional method was more correlated with the height.