비엔나 검사총집의 임상적용을 위한 한국표준화 연구(II):서울 성인군에 대한 Standard Progressive Matrices 검사

한오수,유희정,김창윤,박인호,이철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.1

본 연구에서는 서울 거주 중산층에 속하는 20대 남녀 대학생 96명, 20대 일반성인 111명 및 30대 일반성인 88명을 대상으로 하여 SPM 검사의 표준화 연구를 실시하였다. 재검사 신뢰도는 0.72였고 내적일치도 계수인 Cronbach alpha 신뢰도계수는 .79였다. SPM검사와 Wechsler지능검사와의 상관은 .30이었다. 이에 따라 본 연구결과 SPM 검사의 신뢰도 및 타당도가 통계적으로 유의하였다. 본 연구에서 남녀간의 성별차이가 없었음은 물론 기존의 외국에서 이루어진 전산화된 검사결과와 비교할 때 두드러진 문화적 차이도 나타나지 않았다. 20대와 30대간의 유의한 차이는 연령증가에 따른 지능저하의 결과로 해석된다. 문항반응이론에 기초하여 SPM 검사를 구성하는 문항을 분석한 결과, 쉬운 문항수가 많은 편이었으나 전반적으로 문항의 난이도, 변별력 및 추측도가 비교적 적절하였다. 본 연구결과, SPM 검사가 비언어적인 지능을 측정할 수 있는 문화적, 교육적 및 성차에 별로 영향을 받지 않는 유용한 검사임이 입증되었다. 앞으로 진행될 연구에서는 지필검사를 통해 전 연령층으로 확장된 규준을 작성하여 정상인의 지능평가와 동시에 정신지체, 뇌기능장애를 비롯한 다양한 환자집단은 물론 학교, 산업장면에서도 활용토록하며 신경심리학적 평가도구로도 임상에서 유용하게 활용해야 할 것이다. This study was aimed to standardize the standard progressive matrices(SPM) test in the PC/S Vienna test system. The SPM test was administered to 295 adults in Seoul, comprised of 96 university students, 111 adults of twenties and 88 adults of thirties. The test-retest reliability of the SPM with an interval of 2 weeks was found to be .72. The internal consistency reliability of SPM as computed by Cronbach alpha was .79. product moment correlation between the full KWIS score and SPM was .30. The reliability and validity coefficients of the test were statistically significant. No significant sex differences were observed in this study. And no significant cross-cultural differences were noted when comparing the computerized SPM results studied by Luxemburg and the results of this study. But significant age differences were found between twenties and thirties. The results suggested that increasing in age might be a key factor in lowering of intellectual functions to adults. According to the item analysis based on the item response theory, the results showed that the SPM consists of many easy items, but the average 'item difficulty', average 'item discriminaion' and average 'guessing' were in the moderate level. Conclusionally, the SPM test may provide a culture-free, verbal-free promising tool for the measurement of nonverbal intelligence in a Korean context. Future study will be extending to range of sampling to include all aged normal group, mental retardation, other patient groups and industrial setting. In the future, SPM will be used to neuropsychological test in clinical settings.

全國 淡水魚의 被囊幼蟲 感染現況

한인수,홍광선,윤영식,윤청하,김금주 대한임상병리사협회 1986 임상병리사회지 Vol.18 No.1

臨床生化學의 精度管理에 對한 考察 : 血中尿素窒素, 總蛋白 및 티몰 混濁度를 中心으로 BUN, total protein and thymol turbidity

尹錫漢,李昌珪,金仁仙,白承龍 최신의학사 1980 最新醫學 Vol.23 No.9

Wechsler 記憶檢査(改訂版)의 妥當度 硏究

韓五洙,柳希姃,金晟倫,金昌潤,李楨敎,李哲,朴仁鎬 서울醫大 1997 精神醫學 Vol.22 No.1

측두엽간질 환자에서 보이는 정신병리의 특성

김창윤,이철,안준호,박인호,한오수 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.2

The diagnostic tools and treatment modalities for epilepsies are growing in recent years. Therefore many investigators are studying the relationship of ipilepsy and psychopathology. These efforts are not only for the understanding of and therapeutic approach to psychiatric disorder in epileptic patients but also seeking the etiological basis of psychopathologies. Method 45 patients who were diagnosed as temporal lobe epilepsy by brain MRI and EEG etc were investigated, and offered psychiatric diagnosis. Also we took detailed psychiatric histories and investigated the characteristic features of psychiatric disorders in temporal lobe epilepsy. We evaluated several variables, i.e., age, sex, duration of epilepsy, age at first seizure, age at onset of epilepsy, time between first seizure and onset of epilepsy, seizure frequency, history of febrile convulsions, history of clustering seizures, and laterality of focus of these 45 subjects. Futher investigations divided 45 subjects into a group without psychiatric disorder, a group with mood disorder and a group with psychotic disorder. And we compared those variables among these 3 groups. Among 45 subjects, nine were diagnosed as psychotic disorders, five were mood disorders, and two were anxiety disorders. Among 9 subjects with psychotic disorders, six were diagnosed as psychotic disorder NOS, and the other three were schizophrenia. And they manifested unique clinical features in relations to epileptic seizures. Among 5 subjects with mood disorders, 4 subjects were diagnosed as dysthymia with chronic depression and 1 subject were major depression. We compared all variables between the group without psychiatric disorder and the group with psychotic disorder however we can't find any statistically significant differences except one variable. In the group with psychotic disorder, all subjects had the history of clustering of seizures in the rate of 100% of cases, but 54.6% of cases of the group without psychiatric disorder. The statistical difference was significant(p=0.016). It is a preliminary study in this field in Korea. However this study will help to understand the various psychiatric symptoms of the patients with temporal lobe epilepsy and will help to promote further investigations in this field.

소아 천식 환자에서 전신 염증 유형에 따른 천식의 특성

설인숙 ( In Suk Sol ),김윤희 ( Yoon Hee Kim ),이희선 ( Hee Seon Lee ),김민정 ( Min Jung Kim ),한윤기 ( Yoon Ki Han ),박영아 ( Young A Park ),김경원 ( Kyung Won Kim ),손명현 ( Myung Hyun Sohn ),김규언 ( Kyu Earn Kim ) 대한소아알레르기호흡기학회 1992 소아알레르기 및 호흡기학회지 Vol.2 No.3

Purpose: Asthma is a chronic airway inflammation. We evaluated whether systemic inflammatory patterns could reflect the nature of airway inflammation. We assessed characteristics of asthma according to systemic inflammatory patterns. Methods: A total of 413 children with asthma were enrolled in the study. Four systemic inflammatory patterns were classified according to eosinophil and neutrophil counts in peripheral blood. Children with neutrophil count≥5,000/μL were defined as the NEUhi group, those with neutrophil count <2,720/μL as the NEUlo group. The intermediate group with neutrophil count between 2,720/μL and 5,000/uL was excluded from the study. Children with eosinophil≥650/μL were defined as the EOShi group, those with eosinophil count<240/μL as the EOSlo group. The remaining patients were excluded from the study. The characteristics of asthma include pulmonary function test results, bronchodilator response, airway hyperresponsiveness, and atopy. Results: The EOShi group had a lower PC20 (provocative concentration of methacholine causing a 20% fall in forced expiratory volume in 1 second [FEV1]), a lower FEV1, and a higher immunoglobulin E level rather than the EOSlo groups, although there were no significant differences between the NEUhi and NEUlo groups. The eosinophil percentages of the induced sputum samples were higher in the EOShi group than the EOSlo group and correlated with blood eosinophil counts. Conclusion: Eosinophilic inflammation was related to characteristics of asthma and sputum eosinophils. However, neutrophilic in- flammation reflected neither asthma features, sputum neutrophils, nor eosinophilic inflammation. Further studies on blood neutrophils involving asthma phenotypes in terms of more specific characteristics of asthma should be needed in children. (Allergy Asthma Respir Dis 2014;2:165-170)

한국인 악안면골 골절에 관한 임상적 연구

한인주(In Joo Han),윤중호(Jung Ho Yoon) 대한구강악안면외과학회 1985 대한구강악안면외과학회지 Vol.11 No.2

This is a retrospective study on maxillofacial fractures of Korean. The study was based on a series of 510 patients who had been treated for maxillofacial bone fractrues as in-patient at Yon Sei University Medical Center for the period of January, 1982 to June, 1985. The results were obtained as follows ; 1. The ratio of Male/Female was 3.9:1, and 2nd decade (34.9%) was the highest age group in incidence, and age range was 15/12 years to 76 years. 2. Traffic accident (45.1%), fighting (21.0%) were the most common causes of maxillofacial bone fractures. 3. The frequent locations of maxillo facial fractures were mandible (50.8%), zygoma and zygomatic arch (26.2%), nasal bone (8.1%) and others, in order. 4. In mandibular fractures, isolated fracture of mandible showed 86.8%, symphysis (46.7%), condyle (23.4%) and angle (19.6%), in order. 5. In fracture of maxilla, isolated maxilla, fracture was relatively low (25.7%), and zygomatic complex fracture was divided into zygomatic complex (63.8%) and zygomatic arch (31.6%). Bilateral fracture showed 4.6% and it demonstrated whether isolated or combined with other facial bones, but fracture pattern of midface was extremely variable. 6. Treatment of maxillofacial fractures was rendered open reduction in most of cases. 7. Associated injuries of maxillofacial fractures demonstrated head(49.3%), lower extremities (16%) and upper extremities (11.8%).

腦腫瘍의 神經精神科的인 側面

兪漢益,尹大炫,柳仁鈞 서울醫大 1997 精神醫學 Vol.22 No.1

췌담관 합류이상이 있는 환자에서 담도계 손상 기전에 대한 연구

정인호,정용식,김지훈,최수윤,김정운,김욱환,홍정,왕희정,유병무,김진홍,한재호,김영배,김재근,김명욱 한국간담췌외과학회 2003 한국간담췌외과학회지 Vol.7 No.2

形質細胞增殖症에 關한 檢索

윤동헌,조한익,김상인 대한병리학회 1975 Journal of Pathology and Translational Medicine Vol.9 No.2