경연 대회를 통한 초ㆍ중고생의 창의력 신장 효과에 관한 연구

이희복,육근철,류해일,김현섭,김희수,박달원,유병환,김선효,김여상,서광수,변두원,서명석,배성효,박종석,심규철,이성희 공주대학교 과학교육연구소 2001 과학교육연구 Vol.32 No.1

미래 사회를 대비하기 위한 개인의 개성을 존중과 창의적인 능력을 지닌 인간을 양성을 목적으로 충청남도 지역의 초 ㆍ 중고등학생들을 대상으로 한 창의력 경연대회가 공주대학교 과학교육연구소에서 개최되었다. 충청남도 초 ㆍ중 ㆍ 고등학생들을 대상으로 실시한 창의력 경연대회는 창조적 아이디어를 내어 스스로 문제를 해결해 나갈 수 있는 교육 프로그램을 제공하는 좋은 기회였음이 확인되었으나, 일부의 팀에서만 참신하고 재미있는 아이디어들이 제안되었다. 여학생의 참가자 수가 상당히 증가하였으며, 대체적으로 입상권의 학생들의 상당 부분이 여학생이라는 것이 특이할만하다. 학년이 올라감에 따라서 창의적인 아이디어를 내는 양이나 질에 있어서 뒤떨어지는 것으로 분석되었으며, 토론 학습의 적응력이 미흡하고 발표력 및 청취력에 있어서도 떨어지는 것으로 나타났다. 따라서 중 ㆍ고등학교의 학교교육에서도 학생들에게 프로젝트형 탐구학습 프로그램의 적용은 물론 토론식 수습을 통한 학생들의 사고의 전환의 기회를 제공해야 할 것으로 사료된다. The creativity competition was held to foster the creativity of elementary and secondary school students in the Institute of Science Education, Kongju national University. It was found that the creativity competition effected on the improvement of inventing creative ideas and problem solving activities. But, only some competitors participated in semifinal and final contests, presented original and interesting ideas. More female students participated in competition than last year. More female participants were awarded a prize than males. Totally, participants were defective in discussion and communication, and presentation and listening ideas. Increasing grades correlated inversely with creativity and originality. There is need of inquiry project teaming programs and presenting opportunities of conversion of thinking by discussing instructions in school

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

폐쇄성 수면무호흡증 진단을 위한 두부규격 방사선사진 계측 분석에 의한 한국 성인 정상교합자의 정상치에 관한 연구

박광호,김경호,최희수,허종기,배진성 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.1

Purpose : The lateral cephalometric Korean norms of the skeletal and pharyngeal dimension were analyzed for the diagnosis of obstructive sleep apnea syndrome(OSAS). Materials and Methods : The lateral cephalometric radiographies were taken in male(n=53) and female(n=50), who had a normal profile, class I occlusion, normal ANB (0∼4˚) and normal Wits Appraisal(-4∼0mm). The X-rays were traced by two oral and maxillofacial surgeons twice. The significant differences between male-female and examiners were tested. Results : The angle of mandibular line to Nasion-Sella line was 31.12˚/33.79˚(in male/in female, p=0.0018). The lower Gonion angle was 73.74˚/73.74˚(p=0.9978). The length of the soft palate was 36.93mm/34.35mm(p=0.0002). The pharyngeal airway space was 13.42mm/11.55mm at mandibular plane level(PAS(ML))(p=0.0025). The hyoid was placed inferiorly to mandibular plane 10.18mm/7.72mm(p=0.0051). The results from this study are to be used for the diagnosis of OSAS.

Comparative Genomic Hybridization 기법을 이용한 한국인 원발성 간세포암에서의 염색체 변화에 대한 연구

박훤겸,정풍만,이광수,조율희 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

Comparative genomic hybridization(CGH) technique is one of the screening tests for DNA sequence copy number changes(losses, deletions, gains, amplifications) in tumor genomes. DNA changes in 23 hepatocellular carcinomas(HCC) associated with hepatitis B virus(HBV) were analyzed by CGH technique. Eighteen of the 23 cases showed genetic alterations. The remaining 5 cases showed no detectagble aberration. The losses of chromosome regions 17p(74%), 4q (57%), 16p (52%), 16q (48%), 8p (43%) and 13q (43%) were detected in the order of decreasing frequency. In cases of multiple losses of chromosomes, a combination of 17p,16p,16q,4q, and 8p losses was found in 5 cases (30%). On the other hand, chromosomal gains occurred on 1q (65%), 8q (52%), 20p (48%) and 20q (43%) in the order of decreasing frequency. And the simultaneous genomic gains of these 4 chromosomes were found in 9 cases (40%). Moreover, the combination of 5 genomic losses (17p, 16p, 16q, 4q, & 8p) and 4 genomic gains (1q, 8q, 20p, & 20q) was observed in 4 case s(23%). The pattern of chromosomal gains and losses in HCC with hepatitis B in Korean patients is very complex and involves virtually every site in the genome. This indicated a high genomic instability. This could possibly be explained either as the result of random chromosomal changes during early development of tumor, or as the highly variable and random pattern of integration of HBV in the HCC. The hepatocarcinogenesis may be the result of cumulative effocts rather than those orders of occurrence of those genomic changes. The sites of cellular DNA at which HBV integrates frequently undergo rearrangements, resulting in translocations, inverted duplications, deletions, and possibly recombinational events. But, CGH only detects changes of chromosomal copy number but could not identify translocations, inversions, and other aberrations of chromosome. The chromosomal analysis of HCC with HBV in Korean patients by CGH technique confirms the presence of complex and sporadic, but nonrandom genetic changes in the chromosome. In the future, more detailed oncogenic study could be carried out on the chromosomes which showed abnormal aberrations through this study.

Rett syndrome 환자의 제증상에 관한 증례보고 : A CASE REPORT

박성진,이광희,김대업 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

레트 증후군(Rett syndrome)은 1983년 Andreas Rett에 의해 처음으로 보고되었다. 여성에서 주로 호발하여 다양한 민족에서 발견되는 신경장애 중의 하나이다. 레트 증후군의 가장 특징적인 장애의 양상으로 실행증을 들 수 있으며 성장에 따라 집중해서 보는 듯한 눈을 보이기도 한다. 대부분의 레트 증후군은 자폐, 뇌성마비, 규정되지 않은 발달지체로 오진된다. 레트 증후군의 원인은 유전적 요소가 있는 것으로 보이나 아직가지 확실히 밝혀지지 않았다. 본 증례에서 레트 증후군 환아는 과개교합으로 인한 상악 구개부의 손상을 주소로 내원하였다. 상악 구개부의 손상을 감소시키기 위해 교합판을 제작하여 만족할 만한 결과를 얻었기에 보고하는 바이다. Rett syndrome is a neurological disorder seen almost exclusively in females, and found in a variety of racial and ethnic groups worldwide. First described by Dr. Andreas Rett in 1983. The specific features of the Rett syndrome is apraxia. Most of the Rett syndrome has been diagnosed erroneously to autism, cerebral palsy, and unknown developmental disorders. The etiology of the Rett syndrome is not figured out exactly but it seem to have relation with genetic factors. In this case the patient with Rett syndrome had a chief complaint of the injury of palate due to deep bite. We report this case for the satisfactory result using the bite plane to decrease the injury of the palate due to deep bite.

간호사 임상 경력 관리 프로그램 개발

박성희,박광옥,박성애 대한간호행정학회 2006 간호행정학회지 Vol.12 No.4

Purpose: This study is performed to develop the contents of career ladder program for nurses in a hospital. And this study present the appropriate strategies of career ladder program using the clinical ladder in clinical nursing field in Korea. Methods: The method of the study were modified Delphi technique with professional group for identifying nursing domains, steps of career ladder system and managerial strategy. Result: We identified tool of the nursing domains; nursing patient, quality approvement and research, development of human resources, leadership and qualifications of promotion and contents of ladder of each level. We created expected role consisted of clinical ladder and classified 4 steps; novice, competent, proficient, expert. And finally managerial principles and application process are presented in this study. Conclusions: Development of career ladder program at a hospital was not need many time consumption but very important tool of nursing profession. And it is needed to validate and refine the tool developed continuously.

경골 간부 골절의 내고정 치료 결과 : 나사 맞물림 골수강내 금속정 사용

박찬희,고광표 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Fractures of the tibia are the most common among the long bone fractures, and have many difficulties in treatment due to their enumerous complications. The results of 56 fractures of tibia treated with interlocking intramedullary nailing (under the image intensifier control at the department of orthopedic surgery, Chungnam National University Hostiptal) and early weight bearing from January 1986 to June 1993 are reported. The result was summarized as follows ; 1. Of 56 fractures, 54 fractures united and then the union rate was 96%. 2. Interlocking intramedullary nailing had rigid rotational stability and was appropriate for the treatment of severe unstable fractures. 3. Full weight could be horn on 5th postoperative day in transverse or short oblique fracture cases, 2 weeks in nonunion cases and 4 weeks in comminuted or segmental fracture cases. 4. The mean fracture healing period was 12 weeks. 5. The major complication was a deep infection. When the fixation was rigid with intramedullary nail, bone union was progressed in spite of infection. 6. Interlocking intramedullary nailing could provide rigid fixation of fracture and then it made possible early exercise and ambulation.

優良室素固定菌의 探索分離 및 生理的 特性

朴愚喆,李光熙,金進鎬,李麟九,曺晋基 慶北大學校出版部 1987 慶北大農學誌 Vol.5 No.-

This experiment was conducted to search for Rhizobia with good nitrogen fixation abilities and to investigate their physiological characteristics isolated from 12 soybean cultivars and the affinities of root nodule bacteria with soybeans. The results obtained were as follows ; Based on colors, Rhizobia grown on YMA medium were divided into 3 groups, i. e., white, translucent and transparent, amounting to 60, 30 and 10%, respectively. In litmus milk reation, the strains which produced alkali, acid serum, alkaline serum and acid reached to 51, 29, 9 and 11%, respectively. Strains, S022, and S096 were slow-growers and produced alkaili, while strains, S080, S090, and S118 were fastgrowers and produced acid. The growth of root nodule bacteria on YMA medium was favorable between the initial pHs of 6.0~7.0. Glutamine, asparagine and allantoin as nitrogen sources enhanced the growth of root nodule bacteria. All the strains tested formed nodules on the soybean roots, and the strains with good symbiotic nitrogen fixation abilities that had white color, small colony, nitrate reduction abilities and no nitrite reduction abilities showed comparatively high nitrogen fixing activities. Some strains varied in nitrogen fixing activities according to soybean cultivars, and a few strains formed ineffective nodules which showed no nitrogen fixing activity.

무기 이소시안화 및 티오시안화 전이금속 화합물의 구조에 관한 연구

박윤창,지광용,이미녕,이영희 성균관대학교 기초과학연구소 1989 論文集 Vol.40 No.1

IR, UV 그리고 EPR 분석을 통해 〔R_4N〕_2 〔M(NCX)_4〕 (이 때, R=CH_3^+, C_2H_5^+; M=Cd Cu, Zn, X=O, S) 화합물의 착이온에서 중심 금속이 N과 결합하고 있는지 아니면 O, S와 결합하고 있는지를 연구했다. 위의 모든 화합물은 금속이 N과 결합된 것으로 규명되었다. Cd(Ⅱ)과 Cu(Ⅱ) 화합물은 일그러진 정사면체 구조에 의해 C-N, C-S 신축진동수의 분리를 보였다. IR 스펙트럼에서 〔(C_2H_5)_4N〕_2 〔Cu(NCS)_4〕는 단일선의 C-N 신축진동수를 보인 반면, 〔(CH_3)_4N〕_2 〔Cu(NCS)_4〕는 일그러진 정사면체 구조에 기인한 이중선을 보였다. 〔(C_2H_5)_4N〕_2 〔(Cu(NCS)_4〕는 d-d 전이로 판단되는 넓은 전자흡수띠가 438nm 근처에서 관찰된 반면, 〔(CH_3)_4N〕_2 〔Cu(NCS)_4〕는 d-d전이에 의한 흡수띠가 관찰되지 않았다. 5% Cu(Ⅱ)이 혼입된 〔(C_2H_5)_4N〕_2 〔Cd(NCS)_4〕의 EPR 스펙트럼은 비등방성 구조를 지녔으나, 〔(CH_3)_4N〕_2 〔Cd(NCS)_4〕는 비등방성 뿐만 아니라 정규적인 정사면체 구조의 증거인 등방성을 상온에까지 지녔다. IR, UV and EPR spectra of the compounds whose formulas are 〔R_4N〕_2 〔M(NCX)_4〕, where R=CH_3^+, C_2H_5^+ and M=Cd, Cu, Zn;X=O, S have been studied in order to investigate whether the isocyanato, thiocyanato group is bonded to the central metal through the nitrogen atop or through the sulfur, oxygen atom in those complex ions. All above complexes showed that the metal is linked through the nitrogen atom. It was turned out to be that. the splitting in C-N and C-S stretching frequencies of Cd(Ⅱ) and Cu(Ⅱ) compounds is due to the distorted tetrahedral structure of those compounds. While IR spectrum of 〔(C_2H_5)_4N〕_2 〔Cu(NCS)_4〕 showed singlet C-N stretching frequency, 〔(CH_3)_4N〕_2 〔Cu(NCS)_4〕 showed doublet which indicates that the compound has a distorted tetrahedral structure. 〔(C_2H_5)_4N〕_2 〔Cu(NCS)_4〕 was observed to have a broad electronic absorption band near 438 nm which originates from d-d transition. On the other hand, 〔(CH_3)_4N〕_2 〔Cu(NCS)_4〕 did not show an absorption band due to d-d transition. EPR. spectrum of Cu(Ⅱ) doped 〔(C_2H_5)_4N〕_2 〔Cd(NCS)_4〕 showed anisotropic structure and 〔(CH_3)_4N〕_2 〔Cd(NCS)_4〕 showed both anisotropic and isotropic structure even at room temperature which is an evidence of regular tetrahedral structure.

포도 뿌리혹병 방제를 위한 길항균 선발

박광훈,김정희,차재순 충북대학교 한국과학재단 지정 첨단원예기술개발 연구센터 2002 연구보고서 Vol.6 No.-

Previous study showed that crown gall disease is very severe on the tetraploid cultivars of grape. One of the promising control measures of the disease is biological control using a antagonist against pathogen, Agrobacterium vitis. Total 215 bacteria and 21 putative agrobacteria were isolated from galls of grapevine and a Korean wild grape, Vitis amurensis respectively. Antagonistic ability of the isolates was checked by growth inhibition test of pathogens, A. tumefaciens and A. vitis on agar and on tamato seedling by co-inoculation of the isolates and pathogen. Two selected antagonists, isolate 197 and Va 21 strongly suppressed gall formation of A. vitis K306 on grapevine when they were co-inoculated with pathogen K306. Both gall size and rate of gall formation were significantly lower on grapevines inoculated of 197-K306(9:1) or Va 21-K306(9:1) mixture than on them inoculated of just K306. Antagonistic ability of the two isolates was similar to F2/5, which is known as a strongest antagonist against A. vitis so far. Further field study for biological control of crown gall disease on grapevine by the two isolates is needed.