야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

아동 정신건강서비스에 대한 요구도 및 실제 이용에 관한 예비적 연구

김신영,조선미,임기영,정영기,신윤미 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

Objectives : We aimed to identily the degree of perceived need and use of child mental health services, and to examine the factors associated with the perceived need and use of the child mental health services. Methods : The sample consisted of 3,477 children aged 8 to 13 years. The parents completed the sociodemographic data, the Korean version of the Child Behavior Checklist (K-CBCL), and the Korean version of DuPaul's Attention Deficit Hyperacti-vity Disorder Rating Scale (K-ARS). Results : Overall, 10% of children demonstrated the need for mental health services, and 2.36% utilized the child mental health services. All subcategoiy scores of K-CBCL and K-ARS were significantly low in the no help needed group. Factor sassociated with the actual use ofchild mental health services included social problems and thought problems. Conclusion : The demand for child mental health services is high, but only a small number of children are using mental health services. To increase actual use, it is necessary to educate and campaign for various child mental health.

NR과 SBR 가황물의 경도와 강성도에 대한 온도의 영향

진현호 ( Hyun Ho Jin ),홍창국 ( Chang Kook Hong ),조동련 ( Dong Lyun Cho ),강신영 ( Shin Young Kaang ) 한국고무학회 2007 엘라스토머 및 콤포지트 Vol.42 No.3

본 연구에서는 고무제품의 수치 안정성과 성능유지에 직접적으로 영향을 미치는 중요한 특성 중 하나인 온도변화에 따른 고무재료의 경도변화를 고찰하였다. 새롭게 제작된 International Rubber Hardness Degree(IRHD, Normal type) 경도측정 시험기를 사용하여 미충전된 NR과 SBR시편의 여러 온도에서 경도변화를 측정하였으며 Young`s modulus 값과 비교하였다. NR과 SBR 모두 유리전이온도 근처에서 경도와 Young`s modulus의 급격한 변화를 보였다. 온도가 증가함에 따라 경도와 Young`s modulus 값이 증가하는 경향을 보였으며 이는 분자의 운동성과 엔트로피 영향으로 해석할 수 있다. 카본블랙과 실리카가 충전된 NR과 SBR의 경우 충전제의 함량이 증가함에 따라 경도에 미치는 온도의 영향이 감소함을 관찰하였다. Hardness of rubbery materials, which is important for dimensional stability and product performance, was investigated upon temperature change in this study. A newly developed IRHD (International Rubber Hardness Degree) tester was used to measure the hardness changes of NR and SBR specimens at various temperatures and the hardness values were compared with the Young`s modulus. The hardness and Young`s modulus of NR and SBR showed an abrupt change near the glass transition temperatures. The hardness and Young`s modulus were increased by increasing temperature due to the increased random chain conformation of molecules. The effect of temperature on hardness and Young`s modulus of NR and SBR specimens filled with carbon black and silica was decreased by increasing filler content.

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.

쓰레기 매립장 주변 농촌 주민들의 삶의 질 연구

이명경,최준열,김인경,조영아,김영신,정혜진,김리나,이영규,조영태,Lee, Myung-Kyung,Choi, Jun-Yeol,Kim, In-Kyoung,Cho, Yeong-Ah,Kim, Young-Shin,Jung, Hye-Jin,Kim, Li-Na,Lee, Young-Kyu,Cho, Young-Tae 대한예방의학회 2006 예방의학회지 Vol.39 No.4

Objectives: This study aims to examine if a garbage dumping site has real and negative influence on the quality of life (QOL) for the nearby residents. The net effects of the residential distance from the garbage dumping site and from the garbage truck route were investigated for five domains of the QOL. Methods: Two hundred fifty seven Shin-dong Myeon residents, Chun-cheon Si, participated in a self-administrated survey. The Shin-dong Myeon garbage dumping site began operating in 1996. ANCOV A with generalized linear models and multiple regression analysis were performed. Results: Descriptive analyses show that a residence nearby a garbage dumping site is negatively associated with the physical and environmental domains of the QOL. The residential distance from the garbage truck route does not exert any significant effect on various domains of QOL, except for the environmental domain. On the multivariate analysis, the residents living near the garbage dumping site tended to have a significantly negative QOL in the physical and environmental domains. However, the distance from the garbage truck route did not show a significant nor substantial effect on the QOL. The demographic and socioeconomic control variables are associated with a number of the QOL domains, and their patterns are consistent with the general expectations. Conclusions: The results indicated that a garbage dumping site is considered to be an environmental hazard among the nearby residents according to the lower scores on the physical and environmental domains of the QOL. The findings from this study provide comprehensive understanding on the residents' QOL, and they may help politicians and policy makers make decisions for appropriate interventions.

일 도시지역 남자고교생들의 요통경험과 발생요인에 관한 연구

조영신,정승희 韓國學校保建學會 1999 韓國學校保健學會誌 Vol.12 No.2

The purpose of this study was to obtain basic data for the prevention and control of adolescent back pain through analyzing connections between study environments and physical posture. The subjects were 960 male general high school students in the Chonju area and the data were collected by a self-reported questionaire from Mar.17 to Mar.22, 1999. The collected data were analyzed by a frequency, chi-square and t-test using an SPSS program. The results are as follows;1) The experience rate of back pain perceived by subjects was 67.5% and by each grade: 1st-27.5%, 2nd-35.4%,3rd-37.1%. The relationship between grades and the experience of back pain didn't show any significant difference. 2) The causes of back pain perceived by subjects such as postures are not good was 56.7%,sitting too much time in a chair was 39.1%, and too severe exercise was 32.4%.27.8% had back pain first during the 3rd grade of middle school, and 23.9% had it first during the 1st grade of high school. 3) Intensity of subjects' back pain spread from moderate at 49.6%, to severe at 16.4%. Cocerning the frequency of back pain, 58.6% said it was irregalar. 4) Among interventions to deal with back pain: move by exercising my back or ask friends to beat my back was 41.0%,just bear it' was 23.1%m and at home 'don't have 'any treatment' was ranked first, at 54.9%. 5) The relationship between subjects' general characteristics and back pain experiences :height(t=-1.99,P=.046), sitting/height(t=-2.61,P=.009), self-perceived condition of health(x2=23.530,P=.000),family history(x2=43.903,P=.000) showed significant difference, but the kinds of transportation, sleeping postures, sleeping method and smoking didn't show significant differences. 6) The relationship between subjects' learning environment and back pain experiences, the height of students' desk and chair showed significant difference(x2=23.054,P=.000),but the sitting time didn't show significant difference. 7) The relationship between the characteristics of subjects' physical postures and back pain experiences: standing postures(x2=15.105,P=.001), and sitting postures (x2=20.264,P=.001) showed significant difference, but lifting postures didn't show significant difference.

특발성 경련질환으로 오인된 원발성 부갑상선기능저하증 1례

신성하,최정영,김준기,고영춘,조상욱,김순호,임중규 全南大醫大 2001 전남의대학술지 Vol.37 No.1

암환자가 지각한 좋은 간호사의 특성

조남옥,홍여신,한성숙,엄영란 병원간호사회 2006 임상간호연구 Vol.11 No.2

This study was based on a phenomenological approach. All patients were hospitalized cancer patient who had insight about cancer. Data were collected through in-depth interviews during the months of July and August, 2004. Interviews lasted one and half hours on an average and data were analyzed by Van Kaam method. Result: Four essential attributes of good nurse were identified: compassion, need fullfillment, virtuous and professional expertism. And four essential attributes of bad nurse were identified: insincere, neglect, disregard and lack of expertism. Conclusion: The results of this study showsd that cancer patients perceived the good nurse as possessing the qualities of compassion for patients, having virtuous attitude and professional expertism and fullfilling patient's need. And cancer patients perceived the nuse showing familial intimacy as a good nurse. This perception of cancer patients was influenced by tradition and cultural background. So there is a need for further research about our own culture and its influences on nursing practice.

좌새골하정맥을 통하여 중심정맥도관 삽입 3 일 후에 발생한 상대정맥천공과 우흉수 : 증례 보고 A case report

조형찬,손주태,최준영,신일우,이헌근,정영균 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

A 67-year-old male patient had coronary artery bypass graft. Before the induction of general anesthesia, 16 gauge central venous catheter was inserted via left subclavian vein. Initial chest anteroposterior (AP) radiograph showed adequate position, and the central venous pressure measurement through it was satisfactory. This patient's progress was satisfactory, and he was extubated on the second postoperative day. Daily chest AP radiograph had been unremarkable until the third postoperative day, when a right-sided pleural effusion was seen. A day later, the patient complained severe chest pain and dyspnea. We suspected perforation of superior vena cava wall by tip of central venous catheter on the chest computerized tomograph (CT). The injection of radiopaque dye through the central venous catheter confirmed spillage into the mediastinum on the chest CT. Right chest tube was inserted. The patient's condition dramatically improved after chest tube insertion. (Korean J Anesthesiol 2002; 43: 525~530)

활성화 항원 CD30의 발현과 그 기능

조경신,허영문,남상윤 전주대학교 1999 論文集 Vol.24 No.2

CD30 is a member of the tumour necrosis factor receptor(TNFR) superfamily, and was originally recognized on Reed-Sternberg cells of Hodgkin's disease and, subsequently, on neoplastic cells of non-Hodgkin's disease and normal activated T, B, NK cells and macrophages. Several studies on CD30 expression of malignant cells suggest that CD30 may define relevant subgroups within the main tumor or lymphoma categories. Despite many controversial reports, it is noteworthy that CD30 is expressed solely on Th2 cells but not on Th1 cells after complete differentiation, because, so far, any specific markers of Thl or Th2 cells have not been demonstrated. Expression and its maintenance of CD30 is also dependent upon IL 4 which is a pivotal cytokine for Th2 differentiation and downregulated by FNv, a Thl type cytokine. These observations implicate that CD30 may regulate Th2 cell differentiation or proliferation. At the clonal level, CD30 was revealed to promote Th2 differentiation. Various functions of CD30 from in vitro studies have been described: induction of cell proliferation, apoptosis and cytokine production, inhibition of cell cytotoxicity, enhancement of B cell growth and Ig secretion, induction of NF-KB activation and induction of HIV expression in chronically infected T cells. Although the function of CD30 in vivo is largely unknown, several exciting findings are emerging from recent studies. Mice deficient in CD30 showed a mild impairment in thymic negative selection. Recently, it has been suggested that CD30 protects the body from autoimmunity by limiting the proliferative potential of autoreactive cytotoxic T cells. Taken together, CD30 studies may provide important knowledge for elucidation of the immunopathogenesis of and development of therapeutic regimen of AIDS, autoimmunity and other Th2-related diseases.