일 도시 고등학생의 음주동기와 음주문제

강혜영,신경은,장현지,나영화,조은희 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to investigate drinking motives and the drinking-related problems of Korean high school students at a city in Jeonbuk province. Methods : There were 657 students from two academic and two vocational high schools at J city in Jeonbuk province. The sample was collected using a stratified sampling method and the data was collected from June 30th to July 16th 2003. The study instrument used to examine drinking motive was a 20.item summated scale (Cronbach's α = .95) and for drinking-related problems was an 18 item summated scale (Cronbach's α = .91). The data was analyzed using SPSS/PC+ by percentage, χ2.test, t-test and correlations. Results : 1. Drinking experience: Among the high school students, 74.3% of them had drinking episodes. Female students started drinking later (χ2 = 12.857, p = .002) and had more drinking friends (χ2 = 7.785, p = .020) than males. Vocational school students drank more frequently (χ2 = 32.138, p = .001), had more heavy drinking episodes (χ2 = 40.370, p = .001). 2. Drinking motives & Drinking-related problems: The mean score of drinking motives was 31.2 ± 11.12 out of 80 and that of drinking-related problems was 21.8 ± 5.85 out of 72 points. Neither score were stronger was significantly different according to gender and grade. On the other hand, both drinking motives (t = .4.077, p = .001) and drinking-related problems (t = .3.423, p = .001) were stronger in vocational school students than in academic school students. The correlation between drinking-related characteristics and problems were weak (from r = .286 to r = .520) but the correlation within the subcategories of drinking motives was high such as between enhancement and coping (r = .822) and enhancement and social motives (r = .822). Conclusion : The majority of Korean high school students start to drink during their junior high school days. Drinking motives and drinking-related problems were not serious but the drinking motives and the drinking-related problems are stronger among vocational school students. As a result, school-based health education and counseling programs should focus on solving drinking motives than on drinking-related problems.

급성 췌장염을 동반한 임신성 급성 지방간 1 예

강미선;박상훈;박지영 서희영;허란;김상현 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-

Acute fatty liver of pregnancy (AFLP) was first described as a specific clinical entity in 1940 and thought to be universally fatal. Maternal mortality in the past approached 75 percent. However early diagnosis and prompt delivery have dramatically improved the prognosis, and maternal mortality rate is now less than 18 percent. A early diagnosis, a prompt delivery, and a intensive supportive care have improved maternal and perinatal outcome. We report a 30—year—old woman at 37 weeks gestation who have multiple complications including acute pancreatitis in AFLP. She was complicated with acute renal failure, disseminated intravascular coagulation, duodenal ulcer bleeding, spontaneous bacterial peritonitis, pulmonary edema and acute pancreatitis.

파랑과 흐름이 공존하는 해역에서의 굴절특성

康仁植,柳志泫,咸契運 慶尙大學校生産技術硏究所 1999 生産技術硏究所論文集 Vol.15 No.-

Refraction phenomenon of waves characteristics of shoaling deformation phenomenon supply date of important to wave height distribution of breaker zone and near-shore currents characteristics examination. In this study, when there is current small amplitude wave development was numerical analysis from refraction equation of J.W. Johnson (1947), gripped refraction characteristics to extend computational program. For example application to waves and currents area Sang-ju beach estuary illustrated current phenomenon of jetty and groin vicinity. Discussed and calculated results are as follows ; 1. In case of incident wave period different(significant wave period)effect estuary sea zone refraction diagram. 2. River current of Sang-ju beach estuary effect refraction deformation of incident waves. 3. Currently, rip current occurring on the right jetty, rip current known more getter by currents.

스포츠 팀 포지션과 심리적 경기능력의 관계

강효민,황지현 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

The purpose of this study is to investigate of the relationship between ability of psychological competition and position of sports team, The subject or this study was 218 who were selected using the systematic stratified cluster random sampling among the woman players that the enrolled as a player in Korean Amateur Football Association. The findings of this study are as follows First, according to position of sports team, competition intention as sub-detention of ability of psychological competition is partially differences. The competition intention is F players the higher than MF, DF players the higher than, and win intention is FW players the higher than MF. Second, according to position of sports team mental stability/attention as sub-detention of ability of psychological competition is partially differences. The self-control is FW players the higher than DF. Third, according to position of sports team confidence as sub-detention of ability of psychological competition is partially differences. The self-confidence is FW players the higher than DF, MF players the higher than DF, decision is FW players the higher than DF, and total confidence is FW players the higher than DF. Forth, according to position of sports team, competition strategy as sub-detention of ability of psychological competition is partially differences. The judgment is FW players the higher than DF, and total competition strategy is FW players the higher than DF, Fifth, according to position of sports team, competition strategy as sub-demention of ability of psychological competition is not differences.

전조가 없는 편두통과 동반되어 나타난 일과성 전기억상실증

강성진,김광수,이지현,김종국,김민정 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Transient global amnesia(TGA) is a transient neurological syndrome presenting total memory impairment. Although the pathophysiology of TGA is not yet clear, it may be associated with migraine or ischemia. A sixty seven year-old woman complained total memory impairment that occurred during migraine attack. The cognitive function test revealed impairment of orientation and memory. Her brain MRI, EEG and SPECT didn’t show any abnormal findings. Therefore TGA may be caused by migraine induced cerebral ischemia.

누두흉 환자에서 Nuss 금속막대 제거 전 · 후 폐 역학 변화

강규식,백남순,김천숙,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Nuss operation is one of the surgical procedure for pectus excavatum and it's method is the insertion of convex steel bar under the sternum through small bilateral thoracic incision. As the patients is growing, the thorax can be compressed gradually by steel bar. So Nuss bar needs to be removed two years after Nuss operation. This study was undertaken to assess the effect on the repiratory mechanics before and after the removal of the Nuss bar. Twenty patients with previous Nuss operation were allocated for the removal of Nuss bar. Lung mechanics (dynamic lung compliance, static lung compliance, and airway resistance), hemodynamic change (heart rate, systolic pressure, and diastolic pressure), and pulmonary gas exchange (arterial oxygen tension, arterial carbon dioxide tension, pulse oximeter saturation, and end tidal carbon dioxide tension) were measured before and after removal of Nuss bar. Respiratory mechanics (dynamic and static lung compliance, inspiratory airway resistance), pulmonary gas exchange and hemodynamic parameter were unchanged before and after the removal of Nuss bar. We concluded that lung mechanics were not changed before and after the removal of Nuss bar in the patients with pectus excavatum and the 95% patients were satisfied with operation.

급성 약물중독 환자의 응급의학적 고찰

강지훈,이현노,진영호,이재백 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.3

Background : Nowadays, acute drug intoxication is a important section of emergency medicine. The purpose of this study was to determine what is the best-way to manage acutely intoxicated patients with drug in emergency department setting. Methods : Clinical assessment were made on 135 cases of drug intoxication visited to emergency center of Hospital during one year from June 1997 to May 1998. Results : 1. The total number of cases of acute drug intoxication was 135 which is 0.5% of total patients presented to emergency center. 2. There was no sexual difference in incidence, but the highest incidence of age group was in 3rd decade(23.7%) and the next was 7th decade(20.0%). 3. High frequency of acute intoxication was observed in autumn. October had the largest portion in monthly distribution. The largest portion of presumed time of poisoning was noon - 4 p. m. and of the time on arrival to emergency center was 8 p. m. - midnight. 4. Suicidal attempt was the most common motive of intoxication (72.6%). 5. The most common drug of intoxication was insecticides (35.7%) and the others were centrally active agents, herbicides in orders. 6. Mental change was observed in 20.7% of patients and the abnormal vital signs were hypertension, tachycardia, and hypotension in order on arrival to emergency center. 7. Mean duration of treatment was 36.1 hours. Mortality rate of the cases was 7.4%. Conclusion : The mortality rate was high in patients who ingested relatively fatal drugs (i.e. herbicides, antimicrovials, insecticides), showed mental change on arrival or received mechanical ventilatory care(p < 0.05).

한국판 주의력결핍 장애 평가 척도-가정판: 신뢰도 및 타당도 연구

강지현,박성찬,박형배 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

저자들은 주의력결핍 과잉운동장애에 대한 부모 평가척도인 주의력결핍 장애 평가척도-가정판(ADDES-HV)의 한국판 개발을 위해 본 연구를 시행하였다. 대구시 지역에 소재한 3개 국민학교 2학년 아동 538명과 주의력결핍 과잉운동장애 환자 36명의 환자군을 대상으로 ADDES-HV의 신뢰도와 타당도에 관한 검증을 실시하여 다음과 같은 결론을 얻었다. 1) 세 학교사이의 ADDES-HV 점수는 차이가 없었다. 2) 세 학교 학생들의 남녀간 비교에서 남자가 ADDES-HV 소척도 및 전체 점수 모두에서 여자보다 유의하게 높았다(p<0.05). 3) 주의력결핍 과잉운동장애 환자군 및 정상 대조군에서 남녀간의 ADDES-HV의 점수에는 유의한 차이가 없었다. 4) 검사-재검사 신뢰도 검증에서 신뢰도 계수는 주의 산만이 0.80, 충동성이 0.69, 과잉 운동이 0.63, 전체 점수 0.82로 모두 만족할 만큼 높았다 (p<0.05). 5) 내적일관성에 의한 신뢰도 검증에서 Cronbach α값은 주의산만,충동성,과잉운동 소척도에서 각각 0.91, 0.88, 0.89(p<0.05)이었고, 반복신뢰도 계수는 주의산만, 충동성, 과잉운동 소척도에서 각각 0.86, 0.86, 0.80(p<0.05)이었다. 6) ADDES-HV와 DSM-Ⅲ-R 척도와의 공존 타당도는 주의력결핍 과잉운동장애 환자군에서 0.57(p<0.05), 정상 대조군에서 0.84(p<0.05)였다. 7) 주의력결핍 과잉운동장애 환자군과 정상 대조군간의 감별 타당도 검증에서 모두 유의하게 환자군이 높은 점수를 보였다(p<0.05). 8) ADDES-HV의 환자군에 대한 판별력을 평가하기 위한 판별 분석에서 전체 판별력은 94.44%였다. 9) 정상적인 점수의 상한선인 절단점은 표준편차 1.5로 볼 때, 국민학교 2학년 남학생은 80점, 여학생은 69점이었다. 따라서 ADDES-HV 척도를 한국인에 적용한 결과 신뢰롭고 타당함이 입증되었고 환자를 판별하는 능력이 우수하여 향후 주의력결핍 과잉운동장애에 대한 선별 검사 및 조사 연구에 유용한 도구임이 입증되었다. The purpose of this study was to examine the reliability and validity of a Korean version of Attention Deficit Disorder Evaluation Scale-Home Version(ADDES-HV). ADDES-HV was administered to 538 second grade students from 3 elementary schools and 36 Attention Deficit Hyperactivity Disorder patients. There were no differences in the mean scores of ADDES-HV among schools. Male students showed significantly higher scores than female students in both subscale and total scores(p<0.05). There were no significantly differences in ADDES-HV scale scores between male students and female students both in attention deficit hyperactivity disorder patients group and in normal control group. In the reliability test, the test-retest reliability coefficient 0.82, significantly high ; 0.80 for inattention, 0.69 for impulsivity, 0.63 for hyperactivity and total score was 0.82. In the reliability test by internal consistancy, the Cronbach αcoefficient was also high ; 0.91 for inattention, 0.88 for impulsivity, 0.88 for hyperactivity(p<0.05). The split-half reliability coefficients by first-second half method showed high correlation, and coefficient of inattention was 0.86, that of impulsivity 0.86, that of hyperactivity 0.80(p<0.05). The concurrent validity between ADDES-HV and DSM-Ⅲ-R scale was 0.57 in attention deficit hyperactivity disorder patient group and 0.84 in normal control group(p<0.05). The ADHD group was were more discriminated than control group by ADDES-HV(p<0.05). The total discriminant capacity of the patient group in ADDES-HV was 94.44%. Regarding the cutoff point as 1.5 standard deviations, the cutoff scores were 80 for male students and 69 for female students. In this point of view, ADDES-HV scale showed high reliability and validity in applying to Korean subjects and was proved to be the useful screening test tool for attention deficit hyperactivity disorder research.

나사형 임플란트 고정체의 길이, 직경, 플랫폼 형태에 따른 임플란트와 주위조직의 응력분포

강지은,정현주,양홍서 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.1

Seven finite element models were constructed in mandible having single screw-type implant fixture connected to the second premolar-shaped superstructure, in order to evaluate how the length, diameter and platform shape of a screw-type fixture influence the stress in the supporting tissue around fixtures. The superstructure were made using UCLA abutment, and connected to the fixture with abutment screw. Each finite element model was varied in terms of length, diameter, and platform shape of the fixture according to the commercial fixture(3i Implant Innovations Inc, Palm Beach Gardens, FL33410, USA) while the superstructure and the mandible with a single fixture placed in it shared no difference in terms of appearance. In each model, 250N of vertical load was placed on the central pit of an occlusal plane and 250N of oblique load placed on the buccal cusp. The stress distribution in the supporting tissue and the other components was analysed using 2-dimensional Finite element analysis and the maximum stress in each reference area was compared. 1. Under lateral loading, the stress was larger in the larger in the abutment/fixture interface, and in the crestal bone, compared to the stress pattern under vertical loading. 2. The amount of stress at the superstructure was similar regardless of the length, diameter and platform shape of a fixture. 3. Around the longer fixture, the stress was decreased at the bone crest and subjacent cancellous bone and increased in the cancellous bone area apical to the fixture. 4. Around the wider fixture, the stress was decreased at the abutment/fixture interface, and the bone crest and increased in the cancellous bone area apical to the fixture. 5. Around the fixture having wider platform, less stress was resulted at the abutnent/fixture interface and the upper part of the cortical bone, compared to the fixture having standard platform. In short, the stress distribution of the supporting tissue was affected by length, diameter, and platform shape of a fixture, and the fixture which was larger in diameter and length could reduce the stress in the supporting tissues at the bone-fixture interface and bone crest area.

濟大 學生生活指導의 改善方向 探索

玄惠慶,姜志勇,許鐵洙,梁奇千 濟州大學校 學生生活硏究所 1982 學生生活硏究 Vol.5 No.-

A. The necessity and purpose of the study Since 1960s the number of university and college students has increased due to the rapid industrial development which requires more technical and intellectual persons. Also the upward spreading effects of education with generalization of secondary education have increased the social demands of liberal education, which expedite university students' diversity and heterogeneity. Therefore, the problems of students are no longer those of school authorities, but expand into social and national problems. Recently most of university in Korea have put more emphasis on the rearrangement and reinforcement of Student Guidance System. Especially, in case of Jeju National University, taking into considerations the special geographical conditions far away from the Korean mainland, and transitional stage on which JNU was promoted to national full-university status, along with the unification of campuses, the more careful interests and efforts are required for student guidance. This study was conducted with a view to providing the opportunities of educational and social specialization of student guidance. The following are the purpose of this study: 1) To set up directions for student guidance which can carry out the role and function of the university. 2) To consider, in the aspect of education, the main factors which influence the problems of university students. 3) To find out the difference between the problems of students' demand and abilty and realities of guidance, by comparing and analyzing present guidance realities between universities. 4) To offer improvement directions for efficient student guidances. B. The scope and contents of the study 1) The problem of student guidance in view of the purpose and function of a university. 2) The fundamental viewpoint of guidance in university 3) A theoretical investigation for efficient student guidance 4) A root cause of student problems 5) The present condition and problems of student guidance 6) Improvement directions for guidance C. The method of the study 1) To analyze the domestic data as well as foreign data 2) To analyze the questionnaire 3) To analyze the results of guidance through the actual result reports of student guidance 4) To analyze various data of student guidance 5) To represent by percentage(%) the realities and problems of student guidance D. The problematic factors of student guidance in the light of purpose and function of a university 1) The original purpose and functions of university are the acquisition of knowledge the transmission of knowledge, and application of knowledge. They are based on the wholemen community of intellectuals in which research, education, and service are determined to be prime mission, but hasn't well been fulfilled because of the present special situations of Korea. 2) In the expectations of university's roles, it is becoming important to harmonize the real desire of administrative officials, intellectual desire of professors, and idealistic of students with each other. 3) A university's research function of creating academic atmosphere is very unsatisfactory. 4) The relationship between professors and students, and even among students hasn't well progressed because of excessive solicitude of omission by graduation quota system as well as full classes. And cultural education is not conducting effectively because it is very fragmentary and formal. 5) The chaos is being produced about the establishment of concept of community service given to university education, the ways and limitations of participation in society and actual world. E. The viewpoint of student guidance The contents and methods of student guidance are decided according to the view of students to be the subject of guidance. In the reformative viewpoint of student guidance by educative instruction methods, main method of guidance are authority, blind obediance, cramming, subjectivity, control, rectification. From the educative viewpoint of student guidance, self-direction can be possible by means of students' interest, desire and ability. Future student guidance must be conducted to develop their potentiality and natural ability of growth without external force or blind gramming. F. Following theoretical investigation were enforced in order to establish effective directions for student guidance. 1) The concept and purpose of the orientation for freshmen and its basic policy and contents 2) The necessity and contents of department arrangement guidance 3) The practice of alloted academic adviser system 4) The educational functions, necessity, and meaning of campus extracurricular activity 5) The role and function of student government(SNDC) 6) The welfare and scholarship system for students G. As a result of a selection of root causes of student problems from the introspection, the following were important order of immediate and expected problems 1405 freshmen; 1. Studies Problem(40.3%) 2. Course problem(36.4%) 3. Economic life problem(36.9%) 4. Social fitness Problem(26.7%) 5. Health Problem(16.0%) The investigation consequence for sophomore and junior are following; 1. A course Problem(35.2%) 2. Economic life problem(35.4%) 3. Human relation problem between professor and student(35.2%), and a good use problem of spare time(35.2%) 4. Studies problem(26.4%) H. The problems were revealed by a statistics which were investigated and analyzed realities of student guidance as follows, respectively: 1. In the orientation for fresh, it is emphatic to give only a information, the program of a important purpose in an orientation that are helpful to initiation of university life with a safety emotionally by withdrawing from strain from strange environment is making light of. 2. In the guidance of a department choice, department allocation by a record is making without giving a chance searching for self-characteristic like aptitude or hobbies, the guidance plan and materials of objectivity are not prepared, and the chance choosing carefully comes very short of. 3. In the management of partial charge professors system, the relation position between professor and student is very formal because, as a matter of fact, it is meaningfulness to guide students from a professor is responsible for guidance of so many students, director of professors are in want of the whole recognition about guidance contents. 4. Though the circle activities are very important as an educational function, a director professors of a circle has charge of guidance for so many students, the activities without purpose consciousness are unfolding, the activities with interest and recreation mainly are rich in, and the activities for enlightenment sound activity model which gets a value experience are situation insufficiency itself. 5. In the activities and management of Student Body, he is not accomplishing plan and function by nature, the activities and management individual and new are very lack owing to emphasis of events centre and actual results centre. And the appearance of making heteronomy now that he is not also chose relation to the circles in SNDC is more and more deepening. 6. The lower organization taking charge of students guidance specially in managent of the students guidance institute are in need, the number of specialists are for want of, it is just so formal to run the students guidance institute because the institute's finance is in very poverty, its originally functions are not accomplishing due to the consultation mood in consultation room is stiff. 7. Our university lacks in research facilities and mental incentive with regard to student welfare function. I. I am directing the way of student guidance for withdrawing from and getting rid of the problems revealing, concerning the students guidance to the best of his ability by the realities of students problems as follows; First, the investigation and research activities and assistance understanding and helping students have to provide in the side of prevention of problems by understanding university students' nature consciousness and characteristic regularly. Second, students' spontaneous participation, the development of interesting and useful programmes, and faculty members' active supports & guidance should be given to obtain effective result of fresh's orientation. Third, school authorities should provide freshmen with opportunity to judge their aptitudes from the time of entrance by holding orientation several times, and by offering detailed informations on the department selection. Fourth, The academic & human relations between professors and students should be maintained through proper enforcement of alloted academic professor system. Fifth, every circle and club should established proper and patent objectivities of activity, and try, to create and introduce useful and interesting programmes in order to promote an educational function of each circle and club. Sixth, in order to eleminate the gap between students and Students Government, students should take deep interests in Student Body's activity, while Student Body should develop academic and literary activity to promote students research activities. Seventh, in order to promote the function of Student Guidance Institute, there should be secured expert staff for smooth counselling, investigation and employment guide as well as financial and administrative support of school authorities. Finally, university authorities should organize several institute such as student welfare committee(institute) so that they might grasp what student opinions & desire are and make students lead comfortable campus lives.