출산후 여성의 우울성향과 영아 기질, 양육 스트레스 및 대처방식과의 연관성

최영민,이승휘,김영미,이정호,전성일,이기철 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

목 적 : 산후우울증의 발생은 출산 직후부터 1년까지 지속될 수 있고 출산 이후에도 오랜 기간동안 발생 가능성이 있으며, 산후우울증을 단순히 선행하는 감정적 문제, 통제 소재, 사회적지지, 출산과 동반된 생리적 변인만으로 설명할 수 없다. 그러므로 산후우울증은 출산후 산모-영아 상호관계에서 겪게되는 어려운 영아의 기질, 산모가 영아를 양육하면서 겪게되는 양육 스트레스, 그리고 산모의 대처 방식과 연관이 있을 것이다. 본 연구는 산후우울증과 영아 기질, 양육 스트레스, 대처방식을 변인으로 하여 산후우울증과의 연관성을 평가하기위해 산후의 우울성향과 각 변인의 관계를 연구하였다. 방 법 : 연구의 대상은 1996년 7월 16일부터 8월 27일까지 인제 대학교 의과대학 부속 상계백병원 소아과 외래에 예방 접종을 위해 내원한 4개월에서 12개월 사이의 영아를 둔 산모 105명을 대상으로 하였다. Beck우울척도(BDI), 영아기질척도(EAS), 부모 양육스트레스 목록표(PSI), 대처방식척도(WCC)를 사용하여 산후의 우울성향과 이들 변인과의 연관성을 평가하여 다음과 같은 결과를 얻었다. 결 과 : 1) 어머니의 우울성향 점수는 영아의 기질중 부정적 정서성(r=.26 p<0.05), 과도한 활동성(r=.22 p<0.05)과 유의미한 상관 관계를 보였다. 영아의 사회성 척도와는 부적 상관이 있었으나 통계적으로 유의미하지는 않았다. 2) 어머니의 우울성향 점수는 양육 스트레스와는 정적 상관관계가 있었다(r=.44 p<0.001). 3) 어머니의 우울성향 점수와 대처방식과 유의미한 상관관계를 보이지 않았다. 4) 영아의 부정적 정서성과 양육 스트레스는 정적 상관관계가 있었으나(r=.49 p<0.001) 사회성, 활동성과의 상관관계는 유의미하지 않았다. 양육 스트레스와 대처방식과도 통계적으로 유의미한 상관관계를 보이지 않았다. 결 론 : 본 연구 결과, 산모의 산후 우울성향과 첫째, 영아 기질 중 정서성과 활동성이 연관관계가 있고 둘째, 양육스트레스와 연관이 있으나 세째, 대처방식과는 연관이 없었다. 이런 결과는 산후의 우울성향과 각 요인과의 연관성을 살펴볼 때 산후우울증에 더 중요한 영향을 미치는 것은 산모의 대처 방식이라는 어머니 측의 변인보다는 출산과 동반된 양육 스트레스 혹은 영아의 어려운 기질일 것이라고 추론할 수 있다. Objectives : This Study examined the relationship of depressive tendency in postpartum women with psychosocial factors such as infant temperament, parental stress and coping style. Methods : The subjects consisted of 05 postpartum women, each of whom had an infant aged 4 to 12 months. They were assessed on demographic variables and on measures of the depressive symptomatology, infant temperament, parental stress and the coping style using Beck Depression Inventory(BDI), the EAS temperamental survey, Parenting Stress Index(PSI), the Way of Coping Checklist(WCC). And then we assessed the relationship of depressive tendency in postpartum women with psychosocial factors. Results : The results were as follows : 1) Depressive tendency in postpartum women had significant relationship with emotionality(r=.26 p<0.05) and activity(r=.22 p<0.05) of infant temperament. 2) Depressive tendency in postpartum women had significant relationship with parenting stress(r=.44 p<0.001). 3) Depressive tendency in postpartum women had no significant relationship with coping style. 4) Parental stress had significant relationship with emotionality(r=.49 p<0.001) but did not have any relationship with sociability and activity of infant temperament. Parenting stress had no significant relationship with coping style. Conclusion : These results suggest that depressive tendency in postpartum women correlated with emotionality and activity of infant temperament correlated with parenting stress but not correlated with coping style. Infant temperament and parenting stress to child rearing are more significantly correlated with depressive tendency in postpartum women than coping style of postpartum women.

산채류의보존과 일본식 절임

오영애,하귀현,박인경,김미향,김미정,김미경,정자림,이명숙,김순동 대구효성가톨릭대학교 식품과학연구소 1992 식품과학지 Vol.4 No.-

This paper showed the summarization of the preservative method of wild vegetables in the house and the precessing method of Japanese pickles. The preservative methods of wild vegetables were explained devided into long, short term, fresh state, heat treatment and drying. Salt, soybean fermented sauce, soybean fermented paste, lees of refined rice wine and residue in the preparation of bean curd were used as the materials of Japanese pickles.

자기 효능의 개념 분석

서순림,이은남,박송자,양영희,이동숙,최은옥,구미옥,김인자,이인숙,김성재,박영임,이은옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1

Today human needs for health promotion and maintenance are increasing. The nursing progression has a great responsibility for helping clients to practice good health behavior. self efficacy was found to be potent predictor in initiating and maintaining the health-related behavior. Therefore, the concept is important in nursig intervention for change of health behavior. The purpose of this paper was to analyze and clarify the meaning of the concept, self efficacy. This study used Walder & Avant's process of concept analysis. Critical attributes of self efficacy were : 1) positive perception of his won capability; 2) intrapersonal strength; 3) possibility of being learned; 4) individuality; 5) specificity; 6) generalizability. Antecedents of self efficacy consist of those facts that 1) new situation occurs; 2) individuals have needs to change the new situation; 3) there are some required actions in new situation. Consequences occurring as a result of self efficacy consist of those facts that 1) individual initiates the of failure; 5) cope with the situation; 6) controls the situation; 7) the level of self efficacy is enhanced; 8) the level of self-esteem is enhanced.

혈액투석중인 만성신부전 환자에서 골대사 지표로써의 Osteocalcin치

송치운,이진홍,안미애,윤환중,윤상임,성기양,이강현,송민호,이강욱,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Background : Serum osteocalcin is synthesized by osteoblast and has been shown to be sensitive indicator of bone turnover inpatients with various metabolic bone disease. In renal osteodystrophy, serum osteocalcin is elevated due to decreased renal clearance and elevated level of PTH. This study was done to evaluate the usefulness of serum osteocalcin as a marker of bone metabolism and the correlation with other biochemical markers of bone metabolism. Methods : We measured serum osteocalcin, calcium, phosphorus, ALP(alkaline phosphatase) and PTH(parathyroid hormone) in 37 patients with end stage renal disease on hemodialysis. Osteocalcin was determined by radioimmunoassay and PTH was determined by radioimmunometric assay. Results : 1) The mean level of serum osteocalcin in ESRD patients was 233.8± 218.2ng/ml which was significantly higher than that of controls(p<0.0001). 2) The mean level of serum PTH in ESRD patients was 40.5± 43.8pg/ml was significantly higher than that of controls(p<0.005). 3) There was a significant positive correlation between the level of serum PTH, ALP and the level of serum osteocalcin in ESRD patients. 4) By using multiple regression, PTH is most reliable factor that affect to elevated level of serum osteocalcin ( beta coefficient = 0.687, Sig T<0.05). Conclusion : Serum osteocalcin as a marker of bone metabolism in ESRD patients is more useful than other biochemical marker such as serum calcium, phosphorus, ALP and PTH is a most reliable factor that affect to elevated level of serum osteocalin.

정신분열병 환자들의 自己灣入에 관한 예비 연구

박성봉,김영미,전성일,이기철,김영훈,정영조,이영렬,이정호,최영민 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.6

목 적 : 정 신분열병 환자의 자기만입 정도에 영향을 미치는 인구학적 변인들 및 질병연관 변인들을 규명해 보고자 하였다. 또한. 환자들의 자기만입과 병식 사이의 연관성. 자기만입과 자존심 사이의 연관성을 알아보고자 하였다. 방 법 : 정신과 의사가 병록지와 면담을 통하여 대상 정신분열병 환자들의 인구학적 변인들 및 질병연관 변인들에 관한 자료를 얻고 환자들의 병식 정도를 평가한 후, 환자들로 하여금 자기보고형의 자기만입 척도와 자존심 척도를 시행하게 하였다. 총 111명의 환자가 연구대상으로 선택되었다. 결과: . 1) 여자가 남자보다 유의하게 높은 자기만입 척도 점수를 나타내었다 2) 질병연관 변인들 중 하위집단 사이에 자기만입 척도 점수의 유의한 차이를 보이는 변은 없었다. 3) 자기만입 척도 점수와 병식 점수 사이에 유의한 상관관계가 없었다. 4) 자기만입 척도 점수와 자존심 척도 점수 사이에 유의한 역상관 관계를 보였다. 결 론 : 본 예비 연구의 결과로 보아 정신분열 병 환자의 병식이 부족한 상태에서도 자기만입이 진행될 수 있으며. 자기만입이 심할수록 환자의 자존심이 저하되는 것으로 생각된다. 또한 여자 환자들이 남자 환자들보다 자기만입에 더 취약한 것으로 생각된다. 따라서 정신분열 병 환자의 이해와 치료를 위하여 자기만입에 관한 지속적인 연구가 필요할 것으로 생각된다. objective : This study was conducted to identify demographic variables and illness related variables which may affect the severity of self-engulfment in the patients with schizophrenia. We also studied the relationship between self-engulfment and insight, and the relationship between self-engulfment and self-esteem. Methods : Data on demographic variables and illness related variables for the subjects were gathered from hospital records and clinical interviews by the psychiatrists. Degree of insight for the subjects was assessed through clinical interviews by the psychiatrists. Degree of self-engulfment and self-esteem for the subjects was assessed from the self-engulfment scale and the self-esteem scale respectively. A total of 111 patients with schizophrenia were selected for statistical analysis. Results 1) The females exhibited significantly higher scores than the males on the self-engulfment scale. 2) There was no illness related variable, which exhibited a significant difference among subgroups on the self-engulfment scale. 3) There was no significant correlation between the self-engulfment scores and the insight 4) There was a significantly inverse correlation between the self-engulfment scores and the self-esteem scores. Conclusion : The results of this preliminary study suggest that self-engulfment may develop despite lack of insight and that there was inverse relationship between self-engulfment and self-esteem in the patients with schizophrenia. It also suggests that females are more subject to self-engulfment than males. So, authors suggest that it is valuable to do further studies of self-engulfment in the patients with schizophrenia.

가평 전주이씨묘 출토복식 고찰

최연우,박윤미,김윤경,김지희,박양희,이선우,차서연,편나영,황혜남,Choi, Yeon Woo,Park, Yoon Mee,Kim, Yoon Gyung,Kim, Ji Hee,Park, Yang Hee,Lee, Seon U,Cha, Seo Yeon,Pyeon, Na Young,Hwang, Hye Nam 한국의류학회 2017 한국의류학회지 Vol.41 No.5

In 1995, the costumes were restored in an unknown woman's tomb at the Jeonju Lee's family cemetery in Gapyeong, Gyeonggi-Do, and there are currently nine items remaining. In this study, we first introduced these 9 relics to academia and analyzed the morphological characteristics of the costumes. We also estimated the time and person of burial compared with costumes unearthed from other burials. Jeogories (short jacket) are all four items. One of these items was unusual in shape, and the upper part of the seop (gusset) was wrinkled and shaped. This type of Jeogori appears only till the 1520s in other tombs. There are also two skirts, one of which is characterized by a superimposed pattern. The top and bottom / middle part of the skirt were rolled up, and the skirt, which was double-rolled up in this way, was first discovered. An analysis of the shape of Jeogori and skirt indicated that the person buried in the Jeonju Lee's family tomb was believed to have survived until the early 16th century. Based on these estimated periods, as a result of looking at the genealogy of Jeonju Lee's family, it was concluded that the tomb was probably a woman named Lee Geum Myeong (李金命) born in the mid-15C and died between the late 15C and the early 16C.

열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

한국정치학회보에 게재된 경험적 방법을 사용한 연구논문에 대한 분석평가 : 국제정치분야 연구논문을 중심으로

이상환,주미영 昌原大學校社會科學硏究所 2000 사회과학연구 Vol.6 No.-

1950년대 대중적 극예술에서의 신파성의 재생산성과 해체

이영미 동국대학교 한국문학연구소 2008 한국문학연구 Vol.0 No.34

이 글은 1950년대 대중적 극예술인, 악극, 방송극, 영화에서 각기 신파성이 어떻게 재생산되고 해체되는가를 분석함으로써, 그 시기 근대적 시민의식의 질을 가늠해보고자 하는 글이다. 신파성은 이미 신성성을 상실한 냉혹한 근대세계와, 이를 극복할 만한 근대적 주체성이 결여된 인물이 만남으로써 발생하는 것으로, 윤리와 욕망과 현실속의 세계의 갈등을 조율하면서 자신과 세계를 변화시켜 나갈 능력을 갖춘 근대적 주체성이 성장하면 약화되고 해체될 성질의 것이다. 이 시대의 악극은, 식민지시대에 만들어진 신파성을 고스란히 유지하면서 더욱 대중화된 모습으로 재생산되고 문화자본이 적은 층에게까지 확산되었다. 반면에 전기가 공급되는 도시에서 라디오라는 고가의 수신기를 소유한 사람만이 향유할 수 있었던 방송극은, 세 종류의 극예술 중 신파성이 가장 약화된 양상을 보여주는데, 이것이 사회와 국가의 공익적 사업에의 헌신이라는 국민화 이데올로기와 결합되어 나타난다. 영화는 이보다 훨씬 더 복잡하고 다양한 양상을 보여준다. 대중소설의 영화화가 선두에 서서 보여준 아프레걸(전후파 여성)의 형상화는, 물질과 육체에 대한 욕망을 인정함으로써 신파성을 극복한 인물이지만 얄은 성찰 능력으로 근대적 주체의 질감은 패션 같은 외양에 머문다. 영화가 급격히 대중화되는 1958. 9년에 이르러 이 새로운 인물형의 발전이 중지되고, 악극의 수용층의 영화계 유입과 함께 신파성이 강화되며, 방송극의 보수성이 유입되어 아프레걸의 불안하지만 역동적인 가능성은 보수적으로 순치된다. 하지만 평균적으로는 신파성이 약화되는 큰 흐름이 유지되면서 1960년대 대중적 극예술의 새로운 시대를 예비하고 있었다. This paper is to evaluate the quality of modem citizenship in the 1950s, by analyzing how the nature of Shin-pa was reproduced and disintegrated in popular drama genres such as musical drama, broadcasted drama and film of that period. The nature of Shin-pa can be assumed as a retrograde act of rebellion by an individual with no modem identity to move ahead when he was confronted by a cruel modem world which already lost divinity. Therefore, the nature of Shin-pa is destined to be weakened and disintegrated with the growth of modem identity which can harmonize one's ethics/desires with conflict in real world and can change both the self and the world. The musical drama of the period were reproduced as more popularized form, maintaining the nature of Shin-pa which was formed during the colonized time. Unlike tragic love story at the red-light district which had been popular during the Japanese Occupation, Shin-pa of Motherhood and of orphaned brother and sister enjoyed a great popularity in the 1950s, so it can be said fans of the Shin-pa spread to those with less cultural capital. Meanwhile, broadcasted drama which could be enjoyed by city dwellers with expensive radio receiver were the least vulnerable to the Shin-pa nature. However, the weakened Shin-pa nature suggested the strengthened civil discipline introduced by public media as it appeared combined with nationalizing ideology of dedication to public entities such as the society and the state. The film showed much more complex and diverse aspects. The characterization of aprés-girl(the women after the Korean War) of which the film was the most successful showed new women who acknowledged desires over the material and the body and acted on them, and they overcame the nature of Shin-pa from the beginning. However, due to lack of self-reflection, the quality of modem subject seemed superficial like a fashion. Such insecurity resulted in delay in the development of the new character in 1958 and 59 when the film rapidly became popular. The audience of musical drama went to the film, in turn, the nature of Shin-pa in musical drama spread to the film, meanwhile, the conservative broadcasted drama which led the sophistication of less privileged into modem citizens tamed insecure but dynamic possibilities of aprés-girls retroactively. The aprés-girl who dared to do gorgeous appearances and provocative actions turned into prostitutes in American bases stationed in Korea and became a subject of criticism. However, in average, the weakening of the nature of Shin-pa became a trend and brought up the new era of popular dramatic arts of the 1960s.

Cyclobutylsilane의 구조적 안정도

李武相,鄭英美 경북대학교 과학교육연구소 1990 科學敎育硏究誌 Vol.14 No.-

The molecular structure of cyclobutylsilane, c-C_4H_7SiH_3, has been investigated by molecular mechanics Ⅱ(MM2). Two single conformers(equatorial and axial) were considered. The resulting structural parameters of the equatorial conformer are as follow:Si-C2=1.8649 Å, Si-H7=1.4848 Å, <C2SiH6-110.375˚, <SiC2C3=115.713˚, dihedral angles W_1(SiC2C3C4)=138.122˚ and W_2(SiC2C3H10)=25.019˚. The final steric energies of equatorial and axial conformer was 28.35kcal/mol and 28.84kcal/mol respectively. These results were in excellent agreement with Raman spectra in the gas phase, and gas phase electron diffraction data.