정신분열병 환자를 위한 인지재활훈련 프로그램의 개발 : Korean-Cognitive Differentiation Program 한국형 인지분화훈련 프로그램

현명호,안석균,이만홍,조현상,최충식,이연희,송선미,유계준,김장우,김태용,이희상 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

연구배경 : 정신분열병 환자들은 인지장애를 보이는바, 저자들은 이들을 대상으로 한국형 인지분화훈련 프로그램을 개발하여 정신분열병 환자들을 대상으로 인지재활훈련을 실시한 후 환자들의 인지기능, 정신병리 및 문제해결기술에 미치는 효과를 조사하였다. 방 법 : 28명의 정신분열병 환자를 훈련군(n=14)과 대조군(n=14)으로 나누어 훈련군에게 한국형 인지분화훈련 프로그램을 1회 60분씩, 주당 2회씩, 11주간 총 22회를 실시하였다. 환자들의 인지기능은 K-WAIS의 산수, 빠진곳찾기, 어휘, 공통점찾기 소검사로 측정하였고 정신병리는 양성 및 음성증상 척도로 측정하였으며 문제해결기술은 사회문제해결척도로 평가하였다. 인지재활훈련의 효과를 평가하기 위해 훈련 전후의 인지기능, 정신병리 및 문제해결기술의 변화를 종속변수로 하고 훈련 유무를 독립변수로 하여 반복측정에 의한 변량분석으로 자료를 분석하였다. 결 과 : 한국형 인지분화훈련이 시간에 따른 인지기능검사 중 산수 소검사, 문제해결기술 중 시회문제해결척도의 전체 점수와 문제해결기술 소척도의 점수의 변화에 유의한 영향을 미쳤으나, 시각적 주의력, 개념화 능력 및 정신병리의 점수의 변화에 유의한 영향을 미치지 않았다. 결 론 : 한국형 인지분화훈련 프로그램은 정신분열병 환자에서 청각적 주의력 및 문제해결기술의 호전을 꾀할 가능성이 있음을 시사한다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training program- Korean version(a training program of attention and conceptual abilities) on cognitive function, psychopathology and problem solving skills in patients with schizophrenia. Methods : A total of patients diagnosed as schizophrenia using DSM-Ⅳ were randomly assigned to 2 groups. The training group went through a total of 22 sessions of cognitive differentiation training(60 min/ session×2 sessions/wk×11 wks). The attention-placebo control group received psychoeducation program during the same period. Arithmetic, vocabulary, similarities, picture completion of Wechsler Adult Intelligence Scale-Korean version, Positive and Negative Syndrome Scale, and Social Problem Solving Scales were administered to all patients, both before and after the training program. Results : In the arithmetic scores(F=6.35, af=1, p=0.018) of Wechsler Adult Intelligence Scale-Korean version, and total scores(F=6.35, af=1, p=0.018) and problem solving skill scale scores(F=4.88, af=1, p=0.036) of social problem solving scale, interaction effects of training was significant. Conclusion : Our findings suggest that cognitive differentiation training program-Korean version is effective on improving auditory attention and problem solving skills in patients with schizophrenia.

Papaverine이 단일 심근세포의 막전류에 미치는 영향

유경현,심태섭,방효원 중앙대학교 의과대학 의과학연구소 1991 中央醫大誌 Vol.16 No.4

Ventricular myocytes of guinea-pig were isolated by means of collagenase digestion in order to investigate the effects of papaverine on the membrane currents in them. After formation of a gigaseal with patch microelectrodes, membrane currents were recorded from single ventricular myocytes in a whole cell mode of patch-clamp technique. For membrane currents recording, electrodes were filled with Cs-solution. Results were as follows: 1. Slow inward calcium was reduced by papaverine dose-dependently. 2. No significant changes were observed in the steady-state inactivation. 3. Recovery time of the calcium currents prolonged in high concencial papaverine. 4. Fast inward sodium currents showed no noticeable changes with papaverine treatment. From these results, it is strongly suggested that the effects of papaverine on the membrane currents in the single ventricular myocytes may be attributable to its antagonistic action on the calcium channel rather than its inhibitory effect on the phosphodiesterase activity.

치조골 복합골절의 정복고정시 탈구치아의 치근관을 통한 배농술의 효과

유재하,김현실,유태민,이지웅,김종배 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.5

Treatment of compound alveolar bone fracture consists of reduction and fixation with wound closure of soft tissue laceration. For the proper reduction and fixation, interosseous wiring or splinting of the involved teeth are applied during about 4 weeks. But wound infection around the fracture site may be occurred, because of the presence of devitalized tissues(pulp, bone and soft tissue), residual hematoma and anergy effect of trauma stress. The wound infection results in bone resorption, pulp degeneration and necrosis, wound dehiscence and soft tissue necrosis around the fracture site. Therefore, if the infection will be expected, early proper drainage should be established via the fracture site and root canal of the luxated teeth. The authors treated two cases of compound alveolar bone fracture by the rubber drainage in the fracture site and the endodontic drainage by open canal of the luxated teeth, with the usual reduction and fixation by use of arch bar and resin. The prognosis was more favorable without wound infection, bone resorption, teeth mobility and specific root resorption.

상사-부하간 성격의 일치가 상사에 대한 만족 및 신뢰에 미치는 영향

현희정,유태용 광운대학교 디지털경영연구소 2003 디지털 경영연구 Vol.9 No.-

본 연구는 다양한 개인-환경간 부합의 종류 중 개인간 부합(Person-Person fit)이 영향을 다루었다. 개인간 부합은 조직의 구성원들과 그들의 동료 또는 상사와의 부합을 의미하며, 본 연구에서는 5요인에 근거한 상사-부하간의 성격 일치가 구성원들의 상사에 대한 태도(만족 및 신뢰)에 미치는 영향을 알아보고자 하였다. 이를 위해 부합연구에서 전통적으로 사용되어 왔지 만 방법론적인 문제로 비판을 받아왔던 차이점수 대신Edwards(1993)가 제안한 다차항 회귀분석과 반응표면방법론을 사용하였다. 부가적으로 다차항 회귀분석 결과와 기존의 차이점수를 사용한 방법의 결과를 비교하였다. The purpose of this study was to investigate the influence of leader-member fit in Big five personality factors on member's satisfaction and trust toward the leader. Even though the difference, score has been frequently used in this research area, the difference score has many methodological problems. Therefore, as an alternative to, the difference score, this study used the polynomial regression and response surface methodology that Edwards(1993) had proposed. Questionnaires were administered to 294 Job incumbents to obtain their own personality rating, their leaders' personality rating, and their satisfaction and trust toward leaders. The result generally indicated the more correspondent the personality of leader and member in Big 5 personality factors were, the more satisfaction and trust the member showed toward the leader. Finally, the limitation of this study and the future research tasks were discussed.

1kW 소형 풍력발전기의 진동 성능 모니터링

김석현,남윤수,유능수,박무열,김태형,박해균 강원대학교 산업기술연구소 2006 産業技術硏究 Vol.26 No.B

A vibration monitoring is performed on a 1kW class stand alone wind turbine(W/T). When a W/T model is developed, general performance under various wind condition should be verified to introduce the product in the market. Especially, vibration characteristics within operating speed range are very important in the aspect of structural stability as well as generator's electrical efficiency. This paper examines the vibration performance of a home made 1kW W/T. Various data of the W/T model are acquired in real time using a remote vibration monitoring system installed in Daekwanryung test site. Vibration stability of the W/T structure is diagnosed based upon the data and the result is used to estimate the applicability of the W/T model.

6kW 독립형 풍력발전기의 진동 모니터링 및 분석

김석현,남윤수,유능수,이정완,박무열,박해균,김태형 江原大學校 産業技術硏究所 2005 産業技術硏究 Vol.25 No.A

A vibration monitoring system for a small class of wind turbine (W/T) is established and operated. The monitoring system consists of monolithic integrated chip accelerometer for vibration monitoring, anemometers for wind data acquisition and auxiliary sensors for atmospheric data. Using the monitoring system, vibration response of a 6kW W/T generator is investigated. Acceleration data of the W/T tower under various operation condition is acquired in real time using LabVIEW and is remotely transferred from the test site to the laboratory in school by internet. Vibration state of the tower structure is diagnosed within the operating speed range. Resonance frequency range of the test model is investigated with the wind speed data of the test site.

화농성 슬관절염이 동반된 수막구균성 수막염 1예

김태연,유진홍,박성환,김연식,임상현,신완식,강문원,정창훈,최문구,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2

저자들은 최근 화농성 슬관절염과 병발한 수막구균성 수막염 1예를 체험하였고, 이는 국내에서 아직 보고되지 않은 드문 예로 사료되어 문헌고찰과 함께 보고하는 바이다. We recently experienced a case of meningococcal meningitis associated with pyogenic arthritis in a 37-year old male patient. Pyogenic arthritis developed in right knee joint during treatment for meningococcal meningitis. He was treated successfully by appropriate antibiotics and arthroscopic irrigation. To our knowledge, such a rare case has not ever been reported in Korea, Hence we report this case with a review of related literatures.

재발성 류마티즘 환자에서 발작의 유발인자

주유철,이동민,양종태,신병철,임태영,서정균,정기영,최동헌,김원,조영신,고희관 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : Palindromic rheumatism (PR) is known to be triggered without any obviously inciting events in most patients, although, in a few cases, attacks have been noted to relate to another events such as weather change, childbirth, ingestion of certain foods, or over-exercise. The aim of this study was to characterize the triggering factors on palindromic attacks. Materials and Methods : We evaluated sixty-four patients with PR for the presence of triggering factors and the relationship between attacks and triggering factors by interview of patients. We considered that there was an probable association between episodes and PR, if episodes within 24 hours prior to PR had triggered at least 50% of all attacks and a definite association between episodes and PR, if episodes within 24 hours prior to PR had triggered 100% of all attacks. Results : In 15 patients (35.9%), there was a possible association between episodes of PR and initiating events. In 8 patients (12.5%), there was a definite association between episodes of PR and initiating events. The triggering factors were physical over-activity including exercise (19/64: 29.7%), foods, such as rawfish, crab, and chicken, including alcohol (19/96: 19.8%). However, there were no difference between the groups with and without the triggering factor in sex ratio, duration and onset of PR, the positive rate of rheumatoid factor and involved sites. Conclusion : Our observations showed that PR was triggered by physical over-activity more than in previous reports and hypersensitivity to foods was a causative factor in some patients with PR. However, patients with triggering factors had a similiar clinical profile to patients without triggering factors.

중학교 가정과 교수-학습 방법의 개선을 위한 집단탐구 수업모형의 적용연구

남현주,유태명 한국 가정과 교육 학회 1996 한국가정과교육학회지 Vol.8 No.2

This study was to develop and to suggest a lesson plan for the area of 'Human Development and Family Relationship' in home economics for junior high school, based on Thelen's'Group Investigation Model', Group investigation model by Thelen was developed from the theory that the education with special purpose such as societic knowledge is a method to lesson one's conflict. This study further developed from three main concepts : inquiry, knowledge and activities of learning group. This model can be used for any age and any subjects in order to solve the arised problems, rather than to accept pre-organized and pre-decided information. This study is organized around activities for seeking and practicing the rages of action to create dispersal home. First, one unit 'Understanding of Family' was chosen that concerns and suitable for group investigation model Second, From the chosen chapter and problem were analyzed organized. Third, the chosen problem were re-analyzed, then a model lesson for group investigation was proposed.

부직포활성슬러지법에 의한 하수와 침출수처리에 관한 기초연구

정유진,고현웅,김경순,윤태경,성낙창 한국환경과학회 2003 한국환경과학회지 Vol.12 No.10

In this study, it was performed using submerged nonwoven bioreactor(SNBR) for removal of organic matter, nitrogen and phosphate under different aeration intervals(intermittent aeration). We applied the SNBR at the cheap nonwoven fiber module instead of the expensive membrane. The SNBR was mainly made up of an activated sludge reactor and a transverse flow nonwoven module. with an innovative configuration being in application between them. In case of sewage, the aeration conditions experimented consist of continuous aeration and 60min/60min, 120min/60min, 120min/120min of aeration/nonaeration time intervals, respectively. In case of landfill leachate, the intermittent aeration condition was 120min/120min at aeration/nonaeration. Consequently. a high COD removal rate (about 94%) was achieved in sewage and leachate. Although nutrient removal rate was relatively high without any additional chemicals.