융합성 교차 신전위 1예

정해익,백승곤,이동근,심태섭 중앙대부설한국의과학연구소 1986 한국의과학 Vol.18 No.4

탄성저항운동 훈련과 감각운동신경발달훈련이 지적장애 유아의 체중지지각 압력, 압력분포 및 보행속도에 미치는 영향

정해익,SONGBRIAN BYUNG 한국유아특수교육학회 2015 유아특수교육연구 Vol.15 No.2

The purpose of this study was to find out the effects of ankle sensory motor training on foot pressure, pressure distribution over weight bearing angle and speed of ambulation in children with intellectual disability. The subjects were 22, age between 4 to 6 years old. The subjects were divided in to two groups randomly, 11 children in group one who performed elastic resistance exercises and 11 children in group two who performed elastic balance pad, and performed 4 times a week for 16 weeks. The measurements were taken before and after the exercise program. The results are as following; The first, group 1, who used elastic resistance band exercises, showed significant improvements in foot pressure(p=0.016). Group 2, who used elastic balance pad, showed also significant improvements in foot pressure(p=0.015). However, the differences of foot pressure change between two groups were not significant(p=0.698). The Second, group 1 showed significant improvements in distribution of foot pressure over weight bearing line(p=0.011). Group 2 showed significant improvements in distribution of foot pressure over weight bearing line(p=0.001). However, the differences of distribution of foot pressure over weight bearing line between two groups were not significant(0.624). The Third, group 1 showed significant improvements in speed of ambulation(p=0.001). Group 2 showed also significant improvements in speed of ambulation(p=0.001). However, the differences of speed of ambulation between two groups were not significant(p=380). Therefore, the elastic resistance band exercise, which can give continuous resistance through out the movement pattern, and the balance mat exercise, which gives stimulus and facilitate the reflexive motor response, can be used for clinical rehabilitation to improve the dynamic gait ability for the children with intellectual disability. 이 연구의 목적은 탄성저항 운동과 균형매트를 이용한 발목 감각운동발달훈련이 지적장애 유아들의 보행 시 입각기에서 발 표면위의 체중지지각위에서 발생되는 발의 압력, 압력분포 그리고 보행속도에 미치는 영향을 비교 연구하는 것이다. 연구대상은 만 4세에서 6세의 지적장애유아들 22명을 선정하여 탄성저항운동을 한 실험군 11명 그리고 탄성 균형매트를 이용한 대조군 11명으로 나누어 주 4회 16주간 진행하였다. 실험 전-후의 결과는 비교분석한 결과 다음과 같다. 첫째, 탄성저항운동을 이용한 실험군의 발목 감각발달운동은 지적장애유아의 보행 시 종말 입각기 발 압력의 변화 향상에 유의한 효과가 있었고(p=0.016), 감각균형매트를 이용한 대조군 역시 발표면 체중지지각 위에서의 발 압력이 유의하게 향상 되었다(p=0.015). 그러나 두 군 간에서는 유의한 차이를 보이지 않았다. 둘째, 탄성저항운동을 이용한 실험군에서는 체중지지각위에서 나타나는 발 압력의 분포의 변화에서 유의한 향상을 보였고(p=0.011), 감각매트를 이용한 대조군 역시 체중지지각위에서의 발 압력 분포 변화에 유의한 효과가 있었다(p=0.001). 두군 간의 발 압력 분포 변화의 차이 효과에서는 유의한 차이가 없었다. 셋째, 탄성저항운동을 이용한 실험군의 발목 감각발달운동은 지적장애유아의 보행 시 보행속도의 변화 향상에 유의한 효과가 있었고(p=0.001), 감각균형매트를 이용한 대조군 역시 보행속도가 유의하게 향상 되었다(p=0.001. 그러나 두 군 간에서는 유의한 차이를 보이지 않았다. 이는 발목 감각운동 시 지속적인 저항의 변화를 줄 수 있는 탄성저항 운동과 지속적이고 빠른 체중 이동 자극을 주는 균형매트의 운동들이 발과 발목의 고유수용성감각의 자극을 통하여 반사적 그리고 중추신경계의 작용을 촉진 시켜 발과 발목의 근 수축 정도와 보행속도에 효과를 줄 수 있어 임상에서 지적장애 유아들의 보행 발달에 영향을 줄 수 있다.

喉頭部에 異常感을 호소하는 患者의 精神科的 觀察

丁海翼 大韓神經精神醫學會 1982 신경정신의학 Vol.21 No.2

喉頭部에 異常感을 호소하는 환자들에 대해 精神科的 臨床特性을 알아보고 또 心因性과 器質性 疾患과의 차이점을 발견키 위하여 著者는 1980년 11월 15일부터 1981년 2월 15일까지 3개월간 慶北醫大附屬病院 耳鼻科에서 면접한 115명(면접군)에 대한 결과와 1981년 8월 1일부터 동년 8월 31일까지 1개월간 慶北醫大 및 啓明醫大附屬病院 耳鼻科에 喉頭部에 異常感을 주소로 내원한 184명(검사군)에 대한 Zung의 Self-Rating Anxiety Scale과 Self-Rating Depression Scale을 적용한 결과를 비교하여 다음과 같은 成績을 얻었다. 면접군 115명중 心因性이 84명으로 약 74%였으며 心因性群에서 男女比는 약 1:1.7이었고 器質性群에서도 1:2.1이었다. 器質性 患者가 연령이 많은 경향이 있었고 40대 여자에 있어서는 유의하게 器質性 患者가 많았다. 敎育稅度는 心因性 및 器質性 兩群 모두 국졸이하가 각각 40.5%와 48.5%로 가장 많았고 兩群군간의 유의한 차이는 없었다. 心因性 患者群에 있어서 精神科的 臨床診斷은 憂鬱神經症이 54.3%였으며, 不安神經症이 17.0%, 히스테리神經症이 7.5%였다. 器質性 患者群의 耳鼻科 診斷은 慢性萎縮性鼻炎(45.2%), 急性咽頭炎(25.8%) 등이었다. 心因性 患者群에서 發病에서 내원하기까지의 기간은 3個月 以內가 39.3%였으며, 2年後가 27.4%였다. 器質性群에서는 3個月 以內가 51.6%였다. 喉頭部 異常感 이외의 神經症的 症狀을 수반한 경우는 心因性에서 67.9%가 있었고 器質性에서는 58.4%이었다. 특히 心因性群의 남자환자에서 器質性群의 남자에서보다 유의하게 높았다. 心因性群의 發病의 誘發因子는 家庭不和(27.4%), 身體疾患(22.6%), 經濟的 損失(19.0%), 家族員과의 死別(9.5%) 등이었다. SAS의 성적을 보면 心因性群이 평균 48.5점으로서 器質性群의 평균 42.3점보다 유의하게 높았고, SDS의 성적은 心因性群이 평균 51.1점으로서 器質性群의 평균 46.8점보다 유의하게 높았다. The purpose of this study is delineate some clinical characteristics of patients complaining of abnormal sensations in their throats: both psychiatric and ENT clinical diagnoses, patterns of symptom complaints, precipitating factors, and other clinical characteristics were looked at. Major foci of the study was to find etiology (organic vs psychogenic) and anxiety and depression leorel in these patients according to Zung's Self Rating Anxiety and Depression Scale. The Subjects were 115 patients who visited ENT out patient abnormal sensations in the throat, clinic of Kyungpook University Hospital fcause of during three months from November, 1980 to February, 1981. The Study Subjects were interviewed using standard structured technic, lasting about 50 minutes. Clinical charts of ENT clinic were also reviewed. Zung's Anxiety and Depression Scale was also applied to 184 patients who visited with the same symptoms to the ENT clinic of Kyungpook University Hospital and Kyemyung University Hospital during the month of August, 1981. The results could be summarized as follows; among 115 patients 84 patients (73.4%) were diagnosed as psychogenic origin and the sex ratio being 1:1.7 (male 31, female 53). 31 patients were determined to be organic etiology and their sex ration was 9:2. In Age distribution, organic group was somewhat older than psydugenic group, Particularly number of female patients were over represents in organic group. Psychiatric diagnoses of non-organic patients were depressive neurosis, (54%) anxiety neurosis (17%) and hysteria 7.5%, ENT diagnoses of organic patients were chronic atropic rhinitis (42.5%), acute pharyngitis (25.8%), and others (31.7%). As to the duration of symptoms, 27% of psychogenic group had a history of symptoms lasting more than two years, 39% having less than three months, while the organic group 52% had a history of less than three months. A variety of symptom descriptions by the patients could be found, in both groups, but the symptoms of organic patients tended to be simpler pain-like variety. In the psychogenic group, some emotional precipitating factors were found; family dissension (27%), physical illness other than ENT problem (23%), financial loss (19%), death of immediate relative (10%), etc. Finally, the mean score of Zung's Self-Rating Anxiety Scale and Depression Scale of psychogenic group showed 48.5 and 41.1 respectively. These scores contrasted sharply with the scores of the organic group which were 42.3 and 46.8 respectively.

양극성 우울증 및 정신분열병환자의 혈청 Tryptophan 농도에 관한 연구

성기수,정태호,정해익 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.2

In order to define the relationship between the euthymic state or depressive state in bipolar disorder and the serum tryptophan concentration, the authors measured serum tryptophan concentrations in 33 patients with bipolar disorder(20 depressive and 13 euthymic), 19 patients with schizophreniform disorder and 23 patients with schizophrenia, defined by DSM-Ⅲ-R criteria for each disorder. The schizophrenic patients were further subdivided into the not-treated group(who had not received any psychiatric drugs for 4 weeks before) and the treated group and the difference depending on the treatments and/or the duration of illness were assessed. The mean serum trytophan concentrations in both groups of patient and the control group (n=28) were measured according to the Denckla & Dewey's method. The results were as follows : 1) In the patients with depressive bipolar disorder, the mean serum tryptophan concentration was significantly lower(11.3±2.4㎍/㎖) than in th control group (13.1±2.4㎍/㎖) and in the euthymic group(13.6±1.6㎍/㎖). 2) The not-treated patients with schizophreniform disorder and schizophrenia showed significantly lower serum tryptophan concentration than the treated patients and the not-treated patients with schizophrenia revealed significantly lower serum tryptophan level(10.5±2.5㎍/㎖) compared to the control group and the treated schizophrenia group(13.9±1.6㎍/㎖). The finding suggest the possible relationship between the depressive symptoms in bipolar disorder and the low serum tryptophan concentration. The authors also observed the low serum tryptophan concentration in the schizophrenic patients who had not been treated.

만성 정신분열증환자의 보체성분 C4A 그리고 C4B의 이인자형 빈도에 관한 연구

정주화,정태호,정해익 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.2

This study was carried out to see if there were any peculiar phenotypes of complement C4A and C4B distribution in patients with chronic schizophrenia. Allotypes were analyzed by electrophoretic separation on agarose gel and then identified by immunofixation technique. The diagnosis of schizophrenia was made according to DSM-Ⅲ-R. The schizophrenic patients consisted of 13 paranoid, 14 undifferentiated and 4 disorganized types. The C4 allotype frequencies of these subjects were compared with the 160 healthy controls. The results were as follows : 1) C4A6 antigen frequency was significantly increased in all schizophrenics compared to the control group. 2) C4A4 antigen frequency was significantly increased in paranoid type schizophrenics patients compared to the control group. 3) C4A6 antigen frequency was significantly increased in undifferentiated type schizophrenics patients compared to the control group. 4) C4A6 antigen frequency was significantly increased in schizophrenics patients with family history compared to the control group. This leads C4A6 and C4A4 to be indicative of the possibility of a biological or a genetic marker. A further study, however, is required on a large basis of subjects.

만성 정신분열증 환자의 Risperidone 치료효과

박순원,강병조,정해익 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.5

In order to evaluate the therapeutic effects of risperidone, a combined serotonin-S₂ and dopamine-D₂ receptor antagonist, 19 patients with chronic schizophrenia were studied for 16 weeks in a single-open study. After a wash-out period of 7 days, risperidone was administered and patients were evaluated by means of the Positive and Negative Syndrome Scale(PANSS) 8 times. The results were as follows : 1) On the PANSS positive subscale, there was significant improvement of positive symptoms after 2 weeks(p<.05) and 8 weeks(P<.001) administration. 2) On the PANSS negative subscale, there was significant improvement of negative symptoms after 2 weeks(P<.05) and 6 weeks(P<.001) administration, and negative subtype group has more significant(P<.05) improvement of negative symptoms than positive subtype group. 3) On the PANSS general psychopathology subscale, there was significant improvement of general psychopathologic symptoms after 4 weeks(P<.01) and 8 weeks(P<.0001) administration. 4) Ay the end of the study, mean daily dosage were risperidone, 11.18±4.59mg and the range was 2.5∼20mg. The above results suggest that risperidone has therapeutic effects in all PANSS subscales, and has significant results in improvement of negative symptoms, especially.

3차식 상태방정식을 이용한 고압기액평형의 계산 : Maximum Likelihood 의 원리에 의한 Parameter 의 결정과 일반화 Determination and Generalization of Parameters by Principle of Maximum Likelihood

배효광,정해익 嶺南大學校 工業技術硏究所 1990 연구보고 Vol.18 No.1

The vapor-liquid equilibria at high pressure are predicted by using Peng-Robinson's equation of state. The interaction and size parameters included in the equation of state are obtained by optimization based on the principle of maximum likelihood. The optimal size parameter ηij is nearly equal to unity for 100 binary systems composed of carbon dioxide-hydrocarbon, methane-hydrocarbon and hydrocarbon-hydrocarbon, which are extremely unsymmetric systems. This fact means that it is not necessary to introduce the size parameter(ηij) into the equation of state. The interaction parameter ηij depends irregularly on temperature for all the binary systems and it is more sensible to the error of experimental variables than the temperature of system. More accurate observed date are, therefore, needed to investigate the temperature dependence on the interaction parameter.

연구발표논문초록 ( 분리기술 (Ⅱ) ) : 상태 방정식에 의한 고압 기액 평형계산과 상호 작용 계수의 상관성

정해익 (학),배효광 (정) ( Hae Ik Jung,Hyo Kwang Bae ) 한국화학공학회 1986 추계학술발표회 Vol.- No.-

치매안심센터 자조모임에 참여하는 주부양자의 스트레스와 만족도 : 서울특별시 중심으로

권애령,정해익 한국콘텐츠학회 2020 한국콘텐츠학회논문지 Vol.20 No.8

본 연구의 목적은 서울특별시 25개 치매안심 센터에서 시행하고 있는 자조모임이 치매환자 주부양자들의 스트레스와 삶의 만족도간에 어떠한 상관관계를 나타내는지 알아보는 것이다. 25개 치매안심 센터에서 자조모임을 알아보고, 자조모임에 참여하고 있는 치매환자 주부양자를 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하였고, 스트레스 수준과 프로그램 후의 만족도에 대해 신뢰도를 분석하였다. 자조모임 종류와 참석빈도, 모임개수는 다변랑 분산분석과 일원분산분석을 실시하였다. 그 결과 첫째, 참여자가 느끼는 전체 스트레스는 5점 척도 중 4점에 가까웠고, 모임종류와 참석빈도에서는 유의한 차이가 나타나지 않았으며, 자조모임 개수에서만 유의한 차이가 나타났다(p<.05). 둘째, 자조모임후의 만족도는 5점 척도 중 4점에 가까웠고, 모임종류와 참석빈도는 유의한 차이가 나타나지 않았으며, 자조모임 개수만 유의한 차이가 나타났다(p<.05). 셋째, 스트레스와 프로그램의 만족도간의 관계에서 유의한 부적 상관이 나타났다. 결과에서 보듯 자조모임은 치매환자 주부양자들의 스트레스와, 모임후의 만족도에 영향을 미치고 있음을 알 수 있다. The purpose of this study was to investigate how self-help group conducted by 25 dementia safety centers in Seoul correlated the stress and life satisfaction of primary care-givers of dementia patients. At 25 dementia safety centers, self-help groups were identified, and a survey was conducted for the care-givers of dementia patients participating in the self-help groups. SPSS 21.0 program was used for the collected data, and reliability was analyzed for stress level and satisfaction after the program. Multivariance analysis and one-way analysis were performed for the types of self-help groups, the frequency of attendance, and the number of meetings. The result were : first, the total stress felt by participants was close to 4 out of 5, and there was no significant difference in meeting type and attendance frequency, and only in the relationship between stress and the number of self-help groups(p<.05). Second, the satisfaction after self-help meetings was close to 4 out of 5, the meeting type and attendance frequency no significant difference, and only the number of self-help meetings showed a significant difference(p<.05). Third, there was a significant negative correlation in the relationship between stress and program satisfaction. As can be seen from the results, it can be seen that self-help groups have an effect on the stress of primary care-givers and the satisfaction level after meeting.

양극성 우울증 및 정신분열병환자의 혈청 Tryptophan 능도에 관한 연구

성기수,정해익,정태호 대한신경정신의학회 1995 신경정신의학 Vol.34 No.2

In order to define the relationship between the euthymic state or depressive state in bipolar disorder and the serum tryptophan concentration, the authors m easured serum tryptophan concentrations in 33 patients with bipolar disorder(20 depressive and 13 euthymic), 19 patients with schizophreniform disorder and 23 patients with schizophrenia, defined by DSM-IH-R criteria for each disorder. The schizophrenic patients were further subdivided into the not-treated group (who had not received any psychiatric drugs for 4 weeks before) and the treated group and the differences depending on the treatments and/or the duration of illness were assessed. The m ean serum tryptophan concentrations in both groups of patients and the control group (n = 28 ) were measured according to the Denckla & Dewey’s method. The results were as follows : 1) In the patients with depressive bipolar disorder, the m ean serum tryptophan concentration was significantly lower(11.3± 2.4jig/ml) than in the control group(13.1± 2.4(ig/inl) and in the euthymic group(13.6± 1.6ug/ml). 2) The not-treated patients with schizophreniform disorder and schizophrenia showed significantly lower serum tryptophan concentration than the treated patients and the not-treated patients with schizophrenia revealed significantly lower serum tryptophan level(10.5± Z5jig/ml) com pared to the control group and the treated schizophrenia group(13.9±1.6ug/ml). The findings suggest the possible relationship between the depressive symptoms in bipolar disorder and the low serum tryptophan concentration. The authors also observed the low serum tryptophan concentration in the schizophrenic patients who had not been treated