아동의 자아탄력성과 사회적 지지가 시험불안 및 학교적응에 미치는 영향

박정희(Jung Hee Park),박정미(Jung Mee Park) 한국아동학회 2010 아동학회지 Vol.31 No.6

The aim of this paper is to examine the effects of children`s ego-resilience and social support on exam anxiety and school adjustment. The subjects of this study were 534, 5th and 6th grade students (275 boys and 259 girls) from the Pusan area. The results of this study revealed that the levels of Ego-resilience and social support correlated negatively with exam anxiety, and positively with school adjustment. Therefore the more ego-resilience and social support children felt that they had, the lower the levels of exam anxiety they experience, and the higher their levels of school adjustment. The influence of ego-resilience on exam anxiety was higher than that of social support and the influence of ego-resilience on school adjustment was similar to that of social support. The implications of the present study were also discussed.

Synthesis of Damascones and Related Flavoring Compound : ${\bdta}$-Damascone

이우영,박정미,남기홍,장세영,박외숙,Lee Woo Young,Jung Mee Park,Ki Hong Nam,Se Young Jang,Oee Sook Park Korean Chemical Society 1986 대한화학회지 Vol.30 No.5

방향을 지니는 천연물인 베타다마스콘(I)을 2,2,6-트리메틸시클로헥산온(II)으로부터 출발하여 합성하였다. 아세틸렌의 THF포화용액을 2차 부틸리튬으로 처리하여 얻은 모노아세틸화 음이온을 -78${\circ}C$에서 (II)와 반응시켜 에틴일하고, 이 때 생긴 에틴일카르비놀(III)을 옥살산 또는 포름산과 함께 끓여서 이성질화시켜 일종의 아세틸시클로헥산(IV)을 얻었다. (IV)를 2차 부틸리튬으로 처리하여 생성되는 엔올화 음이온을 잘 건조시킨 아세트알데히드와 반응시켜서 생성되는 베타히드록시케톤(V)을 파라톨루엔술폰산으로 탈수하여 트란스-2,2,6-트리메틸-1-크로톤일-1시글로 헥센, 즉 다마스콘(I)을 합성하였다. The synthesis of $\beta-damascone$ (I), an odoriferous natural product, was investigated from 2,2,6-trimethylcyclohexanone (II); (II) was ethynylated by the action of monoacetylide anion prepared from acetylene and sec-butyllithium at -78${\circ}C$, to give an ethynylcarbinol(III), which was isomerized to an acetylcyclohexene(IV) by refluxing in aqueous oxalic or formic acid. (IV) was treated with sec-butyllithium, the enolate was reacted with freshly dried acetaldehyde, and the resultant $\beta-hydroxyketone$ (V) was dehydrated by TsOH to ${\beta}$-damascone, trans-2,6,6-trimethyl-1-crotonyl-1-cyclohexene(I).

환측 신발 높이기가 편마비 환자의 보행 특성에 미치는 영향

윤정규(Yoon Jung-gyu),박정미(Park Jeong-mee),김종만(Kim Jong-man) 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2

The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10㎜ higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the paretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnomal muscle tone in subjects with hemiplegia caused by unilateral stroke.

우황청심원이 정상인의 동맥경직도에 미치는 영향

이준우,문상관,박성욱,정우상,박정미,고창남,조기호,배형섭,김영석,Rhee, Jun-woo,Moon, Sang-kwan,Park, Seong-uk,Jung, Woo-sang,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung-sup,Kim, Young-suk 대한중풍순환신경학회 2006 대한중풍.순환신경학회지 Vol.7 No.1

Objectives : Uwhangchungsimwon (UC) is one of the famous herbal medicine frequently used for stroke, hypertension, and atherosclerosis, etc. Therefore, we intended to examine if UC could have therapeutic effect on arterial stiffness by assessing Cardio-Ankle Vascular lndex (CAVI). Methods : We enrolled 38 healthy male subjects (28±4.41 years old) and divided them into two groups (UC and control group). The UC group (N=22) were treated with 1 pill of UC and monitored by CAVI every hour for 6 hours. The control group(N=16) did not receive any medicine and were also monitored by CAVI the same manner as the UC group. In both group, we also assessed each subject's Yin-Yang pattern score by the diagnostic scoring system. In analysis, we compared the difference of CAVIs between the UC and the control group considering subject's Yin-Yang pattern. Results : There was no significant difference in the change of CAVI between the UC and the control group. After excluding Yang-pattern subjects in both group, however, we could observe that CAVI decreased significantly 5 hours after UC administration compared with the corresponding CAVI in the control group (P=0.025). In the repeated measure analysis, the between-subjects effect had statistical significance (P=0.035). Conclusion : According to these results, we suggest that UC have therapeutic effect on arterial stiffness especially after taking oriental medical diagnosis into consideration.

적소두(赤小豆) 외피(外皮)(Phaseolus angularis shell)의 고지방식이로 유도된 비만 동물모델에서 항비만, 항고지혈증 효과

곽진영,박정환,고영미,박정미,안택원,Kwak, Jin-young,Park, Jung-Hwan,Koh, Young-mee,Park, Jung-mi,Ahn, Taek-Won 사상체질의학회 2017 사상체질의학회지 Vol.29 No.2

Objectives This experimental study was designed to investigate the effect of Phaseolus angularis shell on metabolic syndrome. Methods Each 5 C57BL/6J mice were randomly assigned to normal diet group, high-fat diet(HFD) control group, high-fat diet plus 15.6 mg/kg/day of Orlistat(HFD-Orlistat) group, high-fat diet plus 100mg/kg/day of Phaseolus angularis shell extract(HFD-PAS_E) group. Weight, the blood chemical and hematologic parameter was med. The mRNA expression was assayed through Reverse transcriptase polymerase chain reaction(RT-PCR). Results In HFD-PAS_E group, the body weight gain, weight of liver, and the level of LDL-Cholesterol were significantly decreased and the level of HDL-Cholesterol were significantly increased. The size of adipocyte in HFD-PAS_E group was smaller than HFD group's. In HFD-PAS_E group, the expression of leptin, PPAR-${\gamma}$, AP2/FABP4 mRNA in liver adipocyte tissue was decreased, the expression of Adiponectin, UCP-2 mRNA in liver adipocyte tissue was increased and the expression of Leptin, C/EBP-a, AP2/FABP4 mRNA in epididymal adipocyte tissue was decreased. Conclusion These results suggest that Phaseolus angularis shell has inhibitory effects on metabolic syndrome by reducing the body weight and the levels of lipid contents in high-fat-diet induced obese mice.

두개강내 혈관 협착에 대한 경두개도플러와 자기공명 혈관조영술의 일치도 평가

문상관,정우상,박성욱,박정미,고창남,조기호,배형섭,김영석,조성일,Moon, Sang-kwan,Jung, Woo-sang,Park, Sung-uk,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung-sup,Kim, Young-suk,Cho, Seong-il 대한중풍순환신경학회 2006 대한중풍.순환신경학회지 Vol.7 No.1

Objectives : Transcranial Doppler (TCD) has been reported to be established as useful in detecting spasm after subarachnoid hemorrhage and to be probably useful in diagnosing stenosis or occlusion in intracranial arteries. In the detection of intracranial stenosis using TCD there have been reported some kinds of diagnostic criteria. This study was aimed to evaluate the accordance between TCD and magnetic resonance angiography (MRA) in detection of intracranial stenosis and to find out more accurate criteria for intracranial stenosis using TCD. Methods : Seventy-six stroke patients were evaluated by TCD and MRA. TCD criteria for middle cerebral artery (MCA) stenosis were used by 3 methods; ≥ 80cm/sec of mean velocity(Vm), ≥ 140 cm/sec of systolic velocity(Vs), and both. For stenosis of vertebral(VA) and basilar arteries(BA), the TCD criteria followed by 2 methods; ≥ 70 cm/sec of Vm and ≥ 100 cm/sec of Vs. The stenosis of intracranial artery in MRA followed by the interpretation of specialist in the department of radiology. The sensitivity, specificity, positive predictive value, negative predictive value, diagnostic accuracy and kappa agreement were calculated in each criteria of TCD compared with the result of MRA. Results : The sensitivity, specificity, positive predictive value, negative predictive value, diagnostic accuracy and kappa agreement using ≥ 80cm/sec of Vm for MCA stenosis were 55.6%, 81%, 34.5%, 91.0%, 77.1%, and 0.293, respectively. Using 140 cm/sec of Vs, those were 44.4%, 92.0%, 50.5%, 90.2%, 84.7%, 0.380, and using both criteria those were 44.4%, 95.0%, 61.5%, 90.5%, 87.3%, 0.445, respectively. Those using ≥ 70 cm/sec of Vm for VA and BA stenosis were 71.4%, 93.7%, 26.3%, 99.0%, 93.0%, 0.186 and using ≥ 100 cm/sec of Vs those were 71.4%, 97.3%, 45.5%, 99.1%, 96.5%, 0.539, respectively. Conclusion : These results suggested that for the diagnosis of MCA stenosis using TCD we should use the criteria of both ≥ 80cm/sec of Vm and 140 cm/sec of Vs, and for the VA and BA stenosis we adapt the criteria of ≥ 70 cm/sec of Vm.

이개에 발생한 특발성 피부 석회증 1례

강윤진(Yun Jin Kang),박정미(Jung Mee Park),한정주(Jung Ju Han),박시내(Shi Nae Park) 대한두개저학회 2017 대한두개저학회지 Vol.12 No.2

Calcinosis cutis is a rare disease consisted of insoluble calcium salts in the skin and subcutaneous tissue. This can be categorized into 5 groups according to pathogenesis: dystrophic, metastatic, idiopathic, iatrogenic calcinosis cutis and calciphylaxis. Have been categorized into idiopathic one which occurs without any other external damage or underlying systemic disease. Here, we report one case of histologically confirmed congenital calcinosis cutis appeared as a growing mass on the right auricle with its interesting preoperative finding on magnetic resonance imaging scan which has never been reported before.

진주종으로 오인된 측두골에 발생한 섬유성 이형성증 1례

김인혜(In Hye Kim),박정미(Jung Mee Park),한정주(Jung Ju Han),박시내(Shi Nae Park) 대한두개저학회 2018 대한두개저학회지 Vol.13 No.2

Fibrous dysplasia is a bone disorder of unknown origin in which normal bone is replaced with fibrotic tissue and disorganized bone trabeculae. The temporal bone is known to be rarely affected. Because of the slowly progressive course of the disease, many cases are diagnosed incidentally through an imaging study without any symptom. Here, we report one rare case of histologically confirmed fibrous dysplasia of the temporal bone which was initially misdiagnosed as a cholesteatoma of middle ear. Surgical outcomes of hearing and symptomatic relief were satisfactory in this 25-year-old symptomatic female patient.

지방육종의 예후 인자: 52예 후향적 연구

정양국,강용구,박원종,이승구,이안희,박정미,김민우,Chung, Yang-Guk,Kang, Yong-Koo,Bahk, Won-Jong,Rhee, Seung-Koo,Lee, An-Hi,Park, Jung-Mee,Kim, Min-Woo 대한근골격종양학회 2010 대한골관절종양학회지 Vol.16 No.1

목적: 지방육종의 국소재발과 원격전이 및 무병생존율에 영향을 미치는 예후인자들에 대해 알아보고자 하였다. 대상 및 방법: 1993년 이후 치료받은 52명의 지방육종 환자들을 대상으로 진단시 연령, 종양의 크기, 발생 부위, 조직학적 유형, 조직학적 악성도, 절제 유형, 수술적 절제연, 항암화학요법 및 방사선 치료가 국소재발, 원격 전이 그리고 무병생존율에 미치는 영향을 분석하였다. 평균 추시기간은 39개월이었고 통계적 분석에는 단일변수 및 다중변수 회귀분석을 이용하였다. 결과: 국소 재발이 11예(21.2%)에서 발생하였으며 원격전이는 4예(8%)에서 발생하였다. 지속적 무병생존율은 술 후 4년에 67%였다. 단일변수 분석에서 조직학적 악성도, 절제연, 항암화학요법, 방사선 치료가 국소재발과 관련이 있었으나(p<0.05) 다중변수 분석에서는 절제연과 항암화학요법, 방사선 치료가 불량한 예후인자로 나타났다. 종양이 체간에서 발생한 경우 통계적으로 유의하게 원격 전이율이 높았다(p<0.05). 무병생존율에 대한 단일변수 분석에서는 조직학적 악성도 및 항암화학요법이 유의한 차이를 보였으나(p<0.05) 다중변수 분석에서는 유의한 인자가 없었다. 결론: 선택오차를 고려할 때 절제연 양성이 국소재발의 불량한 예후인자였으며 종양이 체간에서 발생한 경우 원격 전이율이 높았다. 무병생존율과 관련하여서는 유의한 인자가 없었다. Purpose: To investigate prognostic factors influencing on local recurrence, distant metastasis and event-free survival of liposarcomas. Materials and Methods: Fifty-two patients managed for liposarcomas since 1993 were analyzed respectively in the view of prognostic influence of patient age, tumor size, location, histologic type, histologic grade, resection type, surgical margin, chemotherapy and radiation therapy on local recurrence, distant metastasis and event-free survival. The mean follow up period was 39 months. The univariate and multivariate regression analysis were performed for statistical evaluation. Results: The local recurrences occurred in 11 patients (21.2%) and distant metastasis in 4 patients (8%), Event-free survival rate at 4 year follow up was 67%. In univariate analysis, histologic grade, surgical margin, chemotherapy and radiation therapy were significant prognostic factors on local recurrence (p<0.05). However, histologic grade lost its significance in muitivariate analysis. Trunk location revealed higher rate of distant metastasis than extremity location. In univariate analysis on event-free survival. histologic grade and chemotherapy were significant factors (p<0.05). No factor remained significant in multivariate analysis. Conclusion: Considering selection bias, positive surgical margin was negative prognostic factor on local recurrence. Liposarcomas arisen in trunk revealed higher rate of distant metastasis. There was no independent prognostic factor on event-free survival of patients with liposarcomas.

중풍 후 운동 장애에 대한 『의부집성(醫部集成)』의 침구치료 고찰

정동원,민인규,문상관,박성욱,정우상,박정미,고창남,조기호,배형섭,김영석,Jeong, Dong-won,Min, In-kyu,Moon, Sang-kwan,Park, Seong-uk,Jung, Woo-sang,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung-sup,Kim, Young-suk 대한중풍순환신경학회 2006 대한중풍.순환신경학회지 Vol.7 No.1

Objectives and methods : The Euibujipsung is the one of the huge-scale encyclopedias about Oriental Medicine. To investigate the most frequently used acupoints for hemiparesis after stroke, we used Euibujipsung CR-ROM database with several key words concerned with motor weakness (半身不遂 不遂不隨 癱瘓 中臟 中腑 風痱, etc.). Results : In the result, we found five popular acupoints (GV20, LI11, LI15, ST36 and GB39), and four meridians (Stomach, Gall bladder, Large intestine and Small intestine). We also found that the Yang meridians were cited more frequently than the Yin. Conclusion : Therefore we think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.