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김태우,김효은,조명제,강영화,이재동,Kim, Tae-woo,Kim, Hyo-eun,Cho, Myung-je,Kang, Young-hwa,Lee, Jae-dong 대한침구의학회 2003 대한침구의학회지 Vol.20 No.1
Objective : Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement of one side of face, In this study, the effect of Dong-Si acupuncture therapy for three patients with hemifacial spasm were evaluated. Methods : We have treated them with acupuncture treatment of Dong-Si acupuncture points(Cheuk-Samni and Cheuk-ha-Samni) and evaluated the effect by Scott's scale, For the first two weeks, it was dine once a day, and after two weeks, the other day. Results : Before therapy, the grades of spasm intensity classified by Scott's description in three cases were 3. And after Dong-Si acupuncture therapy, the grade of one case was 0, and two cases were 1. Conclusion : The Dong-Si acupuncture therapy for hemifacial spasm was effective and will be attempted to the patients with it.
한국어 평가담화의 특징 : 한국어교사들의 담화분석을 중심으로 Evidence from Korean Language Teachers' Talk
이동은 국제한국어교육학회 2002 한국어 교육 Vol.13 No.2
Dong-eun Lee. 2002. On Evaluative discourse: Evidence from Korean Language Teachers' Talk. Journal of Korean Language Education 13-2: 181∼204. This paper investigates evaluative discourse of Korean language teachers with particular focus on how verbal conflicts are expressed and managed through speakers framing and its representation. Examples from naturally occurring verbal interactions between old-timers and newcomers are presented to illustrate the importance of distinctive discourse natures. The analyses show that experienced teachers and less-experienced ones use their own discourse to prove their accuracy in evaluating learners. Those speakers' arguable four types of disagreement with differing degrees such as irrelevancy claims, challenge, contradiction, and counter claims are identified in the database. Comparison between the teachers reveals that old-timers draw on narratives, while newcomers use opinions. Old-timers more tend to focus on holistic approach for their students through zooming-in and out their experiences. Contrariwise, newcomers use opinions as a chance to represent challenge to their experienced colleague, aligning the meanings of their gradable utterances. The analysis (1) suggests that a nest of conflicts point to teacher-salient discourse activities; (2) revels both old-timers and new-comers to be proficient in handling conflicts between them; (3) especially proposes a clue for providing effective Korean language assessment. (Seoul National University)
嚴殷奭,李東寧,林垠美 대한한의학회 부인과학회 2001 大韓韓方婦人科學會誌 Vol.14 No.1
The purpose of this study is to investigate the various postpartum symptoms, and provide fundamental data about postpartum health care. The subjects of the present study were 148 women (74 women who completed vaginal delivery and 74 women who delivered by cesarean section) who completed labor between January 1 and June 30, 1999, at the department of OB & GYN in Dong-Inchon Gil Hospital. We investigated the various symptoms which occurred from the moment of hospital discharge to 5 months after parturition, and examined the frequency of symptoms. Then we systemically classified the symptoms. Next, we subdivided the major categories of symptoms. After that, we classified the symptoms by the age of patients, the obstetric history of patients, and the method of delivery. Finally we compared the symptoms of these results and the standard textbook (Textbook of Oriental Gynecology edited by Byoung-Key Song, 1994). The results of this investigation were summarized as follows: 1. Systemic classification of various postpartum symptoms: (1) Nervous and psychiatric symptoms accounted for 14.2% of the postpartum symptoms; (2) circulatory symptoms, for 23.7%; (3) respiratory symptoms, for 7%; (4) gastrointestinal symptoms, for 10%; (5) musculoskeletal symptoms, for 7.3% of which waist and hip joint accounted for 33% of the arthralgia; knee joint, for 25%; wrist joint, for 13.7%; (6) urinary symptoms, for 2.7%; (7) reproductive symptoms, for 23.3%; (8) the rest, for 11.8%. 2. Subdivision the major categories of various postpartum symptoms: (1) Discomfort at the incision site accounted for 92.6% of the 148 women; (2) increase of sweating, for 77%; (3) arthralgia, for 66.9%; (4) common cold, for 63.5%; (5) hair loss, for 62.2%; (6) dizziness, for 52.7%; (7) depression, for 47.3%; (8) toothache, for 43.2%; (9) coldness of the extremities and lower abdomen, for 37.8%; (10) edema, for 37.2%. 3. There were no remarkable differences in the frequency of symptoms according to the age of patients, the obstetric history of patients, and the method of delivery. 4. We observed some symptoms not mentioned in the textbook. On the other hand, we did not observe some of the textbook symptoms. Thus, if we continue investigation about various postpartum symptoms by other methods (incidence duration, symptoms' degree, etc) and compare with the textbook, we can update the textbook. There will be significant data which are helpful for diagnosis and oriental medical treatment of the patient after parturition.
중년기 우울증 여성의 생활사건, 대처방식, 사회적 지지 및 가족관계
김동인,이진욱,김임,이선미,은헌정 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4
국문초록본 연구는 중년기 우울증 여성의 생활사건 스트레스, 대처 방식, 사회적 지지, 가족 관계 등의 정신사회적 요인들을 알아보기 위한 것으로 각 변인들이 어떻게 우울과 관계가 있는지를 우울증 환자 집단과 정상인 집단으로 나누어서 비교 연구하였다. 이를 위해 35세 이상 64세 이하의 116명의 우울증 환자와 113명의 정상인을 대상으로 Beck 우울 질문지(BDI), 생활사건 질문지, 대처방식 척도, 대인관계 지지 평가척도(ISEL), 가정환경척도 등의 검사를 하였고 다음과 같은 결과를 얻었다. 1) 최고 스트레스는 환자 집단의 경우 결혼생활 스트레스(42명, 36.2%), 정상인 집단의 경우는 가정생활 스트레스(44명, 38.9%)였다. 2) 소극적 대처(t=0.93, p=.35)만을 제외하고 환자 집단과 정상인 집단에서 BDI 우울 점수(t=15.94, p<.0001), 생활사건 스트레스 점수(t=4.73, p<.0001), 적극적 대처점수(t=6.29, p<.0001), 사회적 지지점수(t=7.20, p<.0001), 가족 관계 점수(t=5.75, p<.0001)에서 유의한 차이를 보였다. 3) 우울증 환자 집단에서 BDI 우울 점수는 생활사건 스트레스(r=.24, p<.01) 변인과 유의한 정적 상관을 보였고, 적극적 대처(r= -.22, p<.01) 변인, 사회적 지지(r= -.35, p<.001) 변인, 가족관계(r= -.30, p<.001) 변인과는 유의한 역 상관을 보였다. 4) 우울증 환자 집단에서 BDI 우울에 대한 각 변인들의 중다회귀분석은 사회적 지지(12.3%, β= -.281, T= -3.162, P=.002, 생활사건 스트레스(5.1%, β=.279, T=3.195, P=.002), 적극적 대처(3.5%, β= -.204, T= -2.225, P=.028) 변인이 합하여 20.9%의 설명력을 나타냈다. 5) 중년기 여성에서 생활사건 스트레스는 가족 관계에서 겪는 스트레스가 가장 큰 스트레스였고, 대처방식은 우울과의 관계에서 일관성이 부족하였으며, 사회적 지지는 우울에 영향을 주는 가장 중요한 요인이었고, 가족관계는 양 집단에서 유의한 차이는 있었으나 우울에 대하여 의미있게 설명하지 못하고 있다. ABSTRACTLife Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women Jin-Wook Lee, M.D., Yim Kim, M.D., Sun-Mi Yi, M.S., Dong-In Kim, M.D., Heon-Jeong Eun, M.D. Department of Neuropsychiatry, Presbyterian Medical Center, Chonju The objective of this study was to explore the psychosocial factors such as life events, coping styles and family relationships in middle-aged depressed women. This study was designed to compare how different variables relate to depression in two different test groups : a depressed patient group and a normal group. The Beck Depression Inventory(BDI), The Ways of Coping Checklist, Interpersonal Support Evaluation List(ISEL), Family Environment Scale were administered to 116 depressed patients and 113 normal persons between the ages of 35 and 64. The results were as follows : 1) The highest stress was marital stress(n=42, 36.2%) in patient group and family stress(n=44, 38.9%) in normal group, respectively. 2) There were significant differences between patient group and normal group in BDI scores(t=15.94, p<.0001), life events(t=4.73, p<.0001), active copinig(t=6.29, p<.0001), social support(t=7.20, p<.0001), and family relationships(t=5.75, p<.0001) except for passive coping(t=0.93, p=.35). 3) In depressed patient group, BDI scores had a significantly positive correlation with the scores of the life events(r=.24, p<.01) and negative correlation with active coping(r= -.22, p<.01), social support(r= -.35, p<.001) and family relationships(r= -.30, p<.001). 4) In depressed patient group, multiple regression analysis showed that social support(12.3%, β= -.281, T= -3.162, P=.002), life events(5.1%, β=.279. T=3.195, P=.002), and active coping(3.5%, β= -.204, T= -2.225, P=.028) had predictability on the BDI scores and the total predictability was 20.9%. 5) Stress experienced in family relationships were highest in life events and there was a lack of consistency(in the BDI scores of the coping styles). Social support was the most important factor and there were no significant differences between the two groups in family relationships.
노동은의 '알고 싶다' 4 : 'Beginning', is it True or False? '최초'란 사실인가? 허구인가?
노동은 민족음악연구소 1994 음악과 민족 Vol.8 No.-
우리들이 신중하게 쓰는 말이 있다. ‘최초’란 말이 그것이다. ‘제일 먼저’또는 ‘맨 처음’이라는 뜻을 가진 이 수식어가 붙으면 문맥 성격이 달라진다. ‘맨 처음 만난 선생님’이라고 한다면 내 인생에 영향을 준 선생님 중에서 첫 선생님을 가리킨다. ‘최초로 만난 애인’이라고 말한다면 때로는 비밀스럽기조차 하다. 이 말 역시 좋은 의미이든 싫은 의미이든 사랑의 편력사에 영향을 준 사람을 가리킨다. “내가 제일 먼저 읽은 책은「죄와 벌」이다”라고 말한다면, 이 역시 나의 삶에 영향을 준 여러 책 중에서 도스토예프스키의 「죄와 벌」이야말로 맨 처음 삶 읽기에 눈을 뜨게 한 책이 아니던가!