자전공연의 모델로써 잔혹연극 연구

이선형(LEE, Sun?Hyung) 프랑스문화예술학회 2013 프랑스문화예술연구 Vol.45 No.-

온열요법과 기치유요법이 어깨근통증 압통역치에 미치는 영향

이석복 ( Lee Seok Bok ),이민선 ( Lee Min Sun ),이형환 ( Hyung H Lee1 ) 한국자연치유학회 2014 Journal of Naturopathy Vol.3 No.1

In this study, we wanted to understand the influence of thermotherapy, Qi-therapy, and their combination therapy on the oppressive muscular pains in shoulders. For the clinical study, 102 subjects were divided into 3 groups of thermotherapy, Qi-therapy, and the combination therapy to see the differences in the therapeutic effects. The treatments were taken 5 times for 2 weeks in 3-day intervals and pre- and post-treatment assessments were undertaken for the visual pain assessment (VAS, visual analogue scale) and experimental pressure threshold in 8 points in the relevant muscles (PPT). VAS score was decreased by 39% after thermotherapy, 66.5% after Qi-therapy, and 72.3% after combination therapy, all with significance (p<.05). The experimental pressure thresholds of shoulder muscles, the upper trapezius muscles, the lower trapezius muscles, the anterior trapezius muscles. the supraspinous muscles, the greater pectoral muscles, and the sternocleidomastoid muscles were increased by 4.3~11.3% after thermotherapy, 5.9~19.9% after Qi-therapy, and 9.3~25.4% after combination therapy. The experimental pressure thresholds in the 8 points in the relevant muscles did not show a significant difference between the Qi-therapy and combination therapy in the upper and lower trapezius muscles, however, did show a significant difference to the thermotherapy. In the shoulder muscles, anterior and posterior trapezius muscles, supraspinous muscles, supraspinous muscles, greater pectoral muscles, and sternocleidomastoid muscles, there were significant superiorities in Qi-therapy over thermo therapy, and in the combination therapy over Qi-therapy. In conclusion, it could be understood that both thermotherapy and Qi-therapy have been effective in the improvement of pains, and especially combination therapy showed better effectiveness. It is expected to apply these natural therapies to the pain treatment of human body to contribute to the improvement of health and welfare.

관상동맥 질환에서 SDF-1α의 농도

김보영,박용규,박형서,노상필,정승현,이유선,이정우,이재환,최시완,정진옥,성인환 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

Atherosclerosis is now viewed as an inflammatory disease of the vascular system. Expression of several chemokines, including monocyte chemoattractant protein(MCP)-1, MCP-4, RANTES(regulated on activation normal T-cell expressed and secreted), and interleukin-8(IL-8) are increased in human atherosclerotic plaques compared with normal vessels. They are involved in the pathogenesis of atherosclerosis and plaque rupture by activating and directing leukocytes into the atherosclerotic lesions. However, some are involved in homeostatic functions such as normal leukocyte traffic and growth regulation. SDF-la is a multi-functional cytokine that is involved in myelogenesis, hematopoiesis, angiogenesis and injured gastric mucosal regeneration in the gastric ulcer patient. SDF-la is recently shown to be highly expressed in atherosclerotic plaques and a potent platelet agonist. At least in high concentrations, SDF-la may mediate antiinflammatory and matrix stabilizing effects in unstable angina. Many studies are going on to know the function of SDF-la in coronary artery diseases. I investigated the difference of the plasma level of SDF-la between control group and coronary artery disease group. Total 75 subjects were enrolled. The diagnosis of coronary artery disease was confirmed in all patients by coronary angiography. Control subjects in this study were confirmed normal by coronary angiography. Clinical profile and risk factors were also reviewed. Control subjects in this study were 27 (M=10, F=17). Plasma for the study was collected before the angiography and centrifuged. SDF-la analysis was performed by ELISA. Plasma level of SDF-la is significantly increased in patients with stable angina(n=20) and unstable angina group(n=28) compared with healthy control group(n=27). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases. In this study, plasma level of SDF-la is increased in patients with stable angina and unstable angina groups compared with healthy control group(P<0.05). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases.

지역사회 정신의학 전공의 교육과정 실태조사

홍진표,황순찬,이영문,이선형,신나리,이종일,박종익,장동원,정인원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

Objectives : There is a increasing need to recruit and retain more psychiatrists who can plan and implement organized programs to work with chronic mentally ill patients in community settings. The aim of study is to discover what training is currently in place to prepare psychiatrist for work in "community" or "public" settings. Methods : Survey questionnaires were mailed to 85 residency training directors and 10 leaders of community mental health in 2005. Response rate was 75%. Results : Academic seminar about community mental health were not administered to residents in 63% of training hospitals. Forty one out of 64 training hospitals had community mental health rotation programs, Community mental health center (50%) and day hospital (36%) were the most common type of programs. Few general hospital had affiliation with community mental health programs. The amount of time for clinical rotation varied from less than three months part time to 6 months fulltime, with most frequent form of one day per week for three month in second or third year of psychiatry residents. Conclusion : Further steps are needed to improve residency training curricula and to encourage well qualified psychiatrist to choose careers in community psychiatry.

일과성전기억상실증의 국소 뇌혈류 변화 : Statistical Parametric Mapping을 이용한 Tc-99m ECD SPECT분석 Statistical Parametric Mapping analysis of Tc-99m ECD SPECT

이승재,양동원,손영민,김범생,정용안,손형선,주라형 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.1

Background & Objectives:Transient global amnesia (TGA) is a clinical syndrome characterized by sudden memory loss of recent events, transient inability to retain new information, and retrograde amnesia in the absence of other neurological signs and symptoms, resolving within 24 hours. This study investigated alterations in regional cerebral blood flow (rCBF) in patients with TGA by using statistical parametric mapping 99 (SPM99). Methods:5 patients with TGA and 9 age-matched normal control subjects were evaluated. Tc-99m-ethyl cysteinate dimer (ECD) SPECT were performed within 1 to 4 days of the event to measure the regional CBF, and SPM99 were applied to the objective analysis of SPECT data between two groups. Follow-up ECD SPECT was done at 49 to 107 days (mean 76.8) after the previous SPECT to evaluate the long term changes of the regional CBF. Results:The SPM analysis of SPECT images revealed significantly decreased rCBF in the left superior temporal gyrus, the left parietal supramarginal gyrus and the left thalamus (corrected p=0.01) and increased CBF in the contralateral mirror regions in patients with TGA. Follow-up SPECT showed persistent rCBF changes in the same regions. Conclusions:We demonstrate decreased perfusion in the left cerebral hemisphere and increased perfusion in the right cerebral hemisphere in patients with TGA. This reciprocal change of rCBF might suggest that imbalanced neuronal activity between two hemispheres may be important in the pathogenesis of the TGA. Also, the abnormal rCBF changes appeared to last long after the complete recovery of clinical manifestation of TGA.

유아교육기관의 조형활동을 위한 박물관 활용 실태조사

이형선,정영희 이화여자대학교 사범대학 교육과학연구소 2004 교육과학연구 Vol.35 No.2

본 연구는 유아교육기관의 조형활동을 위한 박물관 활용실태를 알아보고자 하는데 그 목적이 있다. 연구를 위해 서울, 경기, 부산, 대전, 광주, 제주지역의 유아교육기관에 근무하고 있는 교사 583명을 대상으로 질문지를 사용하였으며, 수집된 자료는 교원들의 배경변인인 근무기관, 교사연령, 학력, 근무경력, 담당학급 유아의 연력을 독립변인으로 조형활동을 위한 박물관 활용에 대한 실태를 종속변인으로 설정하고 Window용 SPSS 10.0 프로그램을 이용하여 각 문항별로 빈도와 백분율을 산출하였다. 본 연구의 결과는 다음과 가다. 첫째, 박물관 견학은 1년에 2회 실시가 가장 높았으며 교육과정으로 연계되기까지는 어려움이 따르는 것으로 나타났다. 둘째, 박물관 견학의 중점내용은 전통문화의 경험이 가장 높게 나타났으며 박물관견학의 계획은 단원이나 주제와의 연계를 가장 많이 고려하는 것으로 나타났다. 셋째, 박물관 견학 후 연계활동으로 조형활동을 실시했을 때 지도효과가 높으며 특히 감상활동과 '느낌으로 표현하기'에 중점을 두는 것으로 나타났다. This study was a survey about the realities of the art activities for museum tours conducted by infant education institutions. It was targeted on the teachers at state and public kindergartens and nurseries as well as private kindergartens and nurseries. 583 questionaries were determined as final research materials. A questionnaire was composed of total of 13 items: 5 of background variables as basic matters, 8 of museum tours. The analysis of collected questionnaires was conducted by establishing the working place, age, academic career, working career and being in charge which are background variables of the teachers working for an infant educational institution as independent variables and the realities of art activities and museum tours as dependent variables in order to grasp the contents of art activities for museum tours by the infant education institutions. Thus, the frequency and percentage were produced by each item using a SPSS 10.0 program for Windows. The finding are as follows: First, it was revealed that a museum tour was made about twice a year and its linkage with curricula entailed difficulties. Second, it was revealed that a study tour was made to experience traditional culture, its plan was made by considering the linkage with certain lessons and themes. Third, When art activity was carried out as a linkage class after the study tour, the effects of instruction were high. The above findings will be able to provide a foundation for instructing more effectively art education through infants' museum tour.

이행성 협심증 환자에서 운동부하 심전도 검사

이정우,박형서,박용규,노상필,이유선,정승현,김보영,이재환,최시완,정진옥,성인환 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

목적 : 관상동맥의 경련에 의한 이형성 협심증환자에 있어서 운동부하 심전도 검사의 결과는 매우 다양하다. 이에 저자들은 충남대학교병원 순환기내과에서 관상동맥조영술상 이형성 협심증으로 확진된 환자를 대상으로 운동부하 심전도 검사를 시행하여 이에 대한 결과를 연구하였다. 방법 : 1995년 1월부터 2002년 3월까지 흉통을 주소로 충남대학교병원 순환기 내과에 입원하여 관상동맥조영술을 시행하여 관상동맥의 내경이 50% 미만의 협착이 있고, 에르고노빈(ergonovine) 유발검사도 이형성 협심증으로 진단을 받은 233명중 운동부하 심전도 검사를 시행 받은 183명의 환자를 연구 대상으로 하였다. 운동부하 심전도 검사 결과의 판독시 발생할 수 있는 오류를 줄이기 위해서 운동부하 심전도 검사를 시행하기전 심전도상 ST분절의 상승(5예)이나 하강(8예)이 있는 경우 EH한 T파의 역위(19예)가 있는 32명의 환자를 제외한 총 151명의 환자를 대상으로 하였다. 운동부하는 Marquette사의 case 15 답차를 이용하였고, Bruce protocol에 따라 증상이 나타날 때까지 최대로 실시하였으며 각 stage 및 운동후의 혈압을 측정하고 12 유도 심전도를 기록하였다. 결과 : 1) 임상적 특성 - 내원시 임상 상은 안정형 협심증이 39예(25.8%), 불안정형 협심증이 103예(68.2%), 심근경색증이 9예(6.0%)이었다. 운동부하 심전도 검사 결과 양성 군과 음성군간에 있어서 당뇨병, 고혈압, 비만도, 총 혈청콜레스테롤치, 현재의 흡연 여부, 병력상 운동시 흉통의 유무, 내원시 임상적 진단, 협착의 정도, 연축의 수 등을 조사하였는 바 어떠한 인자들도 유의한 차이를 발견할 수 없었다. 2) 운동부하 심전도 검사 - 운동부하 심전도 검사를 시행 받은 151명의 환자중 음성인 경우는 134예(88.8%)이었고, 양성인 경우는 17예(11.2%)이었다. 양성 소견을 보인 환자들중 ST 분절의 상승이 4예(2.6%), ST 분절의 하강이 13예(8.6%)이었다. 3) 관상동맥조영술 - 관상동맥조영술상에서 혈관 경력 위치는 우관상동맥이 70예(46.1%), 좌전하동맥이 44예(28.9%), 좌회선동맥이 17예(11.2%)의 순으로 나타났다. 운동부하 심전도 검사상 ST 분절의 상승이 있었던 예중 Ⅱ, Ⅲ, aVF에서 ST 분절의 상승이 있었던 1예는 관상 동맥조영술상 우관상동맥에서 경련이 발생하였고, V2-V4에서 ST 분절의 상승이 있었던 2예중 관상동맥조영술상에도 좌전하행동맥에서 경련이 나타난 예는 1예이었으며 다른 1예는 좌회선동맥에서 경련이 나타났고, V5-V6에서 ST 분절의 상승이 있었던 1예는 관상동맥조영술상에도 좌회선동맥에서 경련이 나타났다. 운동부하 심전도 검사상 V5 또는 V6에서 ST 분절의 하강이 있엇던 13예중 6예(46.1%)는 관상동맥조영술상 우관상동맥에서 경련이 발생하였고, 3예(23.1%)는 좌전하행동맥에서, 1예(7.7%)는 좌회선동맥에서, 나머지 3예(23.1%)는 2개의 혈관이나 기타 분지에서 경련이 발생하였다. 결론 : 1) 이형성 협심증 환자는 운동부하 심전도 검사에서 11.2%의 양성소견을 보였다. 이중 ST 분절의 상승은 2.6%이었고, ST 분절의 하강은 8.6%이었다. 2) 이형성 환자중 운동부하 심전도 검사를 실시하여 음성을 보이는 경우 다혈관 관상동맥질환이기 보다는 이형성 협심증일 가능성이 더 높다고 예측할 수 있을 것으로 생각된다. 3) 이형성 협심증 환자중 운동부하 심전도 검사를 실시하여 ST 분절의 상승을 보이는 경우 다혈관 관상동맥질환이기 보다는 이형성 협심증일 가능성이 더 높다고 예측할 수 있을 것으로 생각된다. 4) 운동부하 심전도 검사 결과에 대한 당뇨병, 고혈압, 비만도, 총 혈청콜레스테롤치, 현재의 흡연여부, 병력상 운동시 흉통의 유무, 내원시 임상적 진단, 협착의 정도 등 어떠한 인자들도 3그룹(ST 분절의 상승, ST 분절의 하강, 음성)간에 유의한 차이를 발견할 수 없었다. 5) ST 분절의 상승 부위와 관상동맥조영술상 관상동맥의 연축이 일어나는 혈관과의 상관관계는 매우 높았다. No reports in the literature describe the results of exercise testings in a large number of patients with pure variant angina(coronary stenosis <50%) in Korea. In this report, We present the results of treadmil exercise testing in 151 patients with variant angina. 151 patients with angiographically proven coronary artery spasm underwent a treadmil exercise test. The clinical characteristics of variant angina patients classified according to ST-segment response to exercise were analyzed. Of 151 patients underwent a treadmil exercise test, negative result was seen in 134 patients(88.8%) and positive result was in 17 patients(11.2%). Of 17 patients saw positive result, exercise-induced ST segment elevation was present in 4 patients(2.6%) and ST segment depression was seen in 13 patients(8.6%). There was not a significant relationship between the ST segment response to exercise and the clinical variables(diabetes, hypertension, obesity, total cholesterol, current smoking, effort angina, clinical diagnosis, and degree of stenosis) assessed. Of 4 patients with ST segment elevation in treadmil exercise test, 1 patient with ST segment elevation in Ⅰ,Ⅲ,aVF had spasm in right coronary artery(100%) on coronary angiography, of 2 patients in V2-V4 had spasm in left anterior descending coronary artery in 1 patient(50%) and 1 patient in V5-V6 had spasm in left circumflex artery(100%). Positive treadmil exercise test was present in 11.2% of variant angina patient. If we have negative treadmil exercise result in patients with clinical manifestation of unstable angina at admission, we may have a suspicion of variant angina rather than multi-vessel disease. If we have exercise-induced ST segment elevation in patients with clinical manifestation of unstable angina at admission, we have a suspicion of variant angina rather than multi-vessel disease. Our result suggests that the correlation between the site of the ST segment elevation and the artery involved is quite good.

노인 가계지출구조 분석을 통한 집단 내 이질성에 대한 연구

이선형,김근홍 한국사회복지정책학회 2003 사회복지정책 Vol.16 No.-

본 연구는 노인의 가계지출구조를 통해 노인가계의 집단의 특성을 분석하고 이를 통해 집단내의 이질성을 탐색하는 데에 목적이 있다. 우리 나라의 노인문제나 그에 대한 문제 의식은 근대화의 속도만큼이나 빠르게 진행되고 있다. 이에 따라 노인에 대한 많은 연구들이 이루어지고 있으며, 노인집단의 특성별 차이를 부분적으로 다루어 분석한 연구들은 더러 있으나 노인집단 내에서의 이질성에 초점을 맞추어 분석한 연구는 전무한 실정이다. 이에 본 연구는 통계청의 1999년도 도시가계조사 원자료를 통해 노인을 여러 집단으로 나누어 이들의 가계지출패턴이라는 분석 틀을 이용해 각 집단의 특징을 유형별로 분석하였다. 그 결과 전반적으로 집단별로 분석해도 일관적으로 나타난 것은 식료품비와 주거비의 비중이 높다는 것이다. 즉 소비지출에서 식료품비가 차지하는 비율로 측정되는 엥겔계수가 높아 생활수준은 전반적으로 낮다고 볼 수 있다. 다음으로 노인의 특징에 따른 집단을 구분하여 살펴보면, 비록 소비지출액수의 다소에 따른 가계지출 패턴에서는 큰 차이를 나타내지 않았지만, 건강상태와 취업상태에 따라서는 차이를 나타냈다. 이러한 결과는 노인가계의 유형을 다양화하는 작업이 필요함을 시사하는 것이라 하겠다. 그럼으로써 노인이 동질적인 집단이라는 인식변화에 도움이 될 것이라 사료된다. 더욱이 노인에게 서비스를 제공하는 이들에게도 이들의 생활양식에 맞는 다양하고 구체적인 정책적 활용방안을 보여줄 수 있을 것이다. The purpose of this study is investigation about the heterogeneous characteristics of the elderly group through analysis of the household expenditure between the elderly. Korean elderly problem and a critical mind about it is progressing as rapid as modernization speed. Till now many study were accomplished, but there is not the study about heterogeneity between the elderly group. Therefore this study is analyzed out heterogeneous characteristics the elderly only using. Income and Expenditure Survey, national data by NSO(National Statistical Office). Final result is as follow. It is large proportion of food expenditure and house expenditure. Because Engel Coefficient(proportion of food expenditure) means level of living, that means the living of the elderly only is not so good. Next, according to not the consumption level but the condition of health and employment, household expenditure pattern is different result. This result means that there is different living pattern. And it is necessary of different and proper service through the patternization of the elderly. This will be of use to change a fixed idea about the elderly and to offer policy suggestions to service provider ton the elderly.

서비스제공자와 고객간 신뢰의 영향요인 연구

李仙熙,全柱炯 문화관광연구학회 2002 문화관광연구 Vol.4 No.4

The studies of trust between service providers and customers just have recently discussed an issues for academics and managers. Trust is regarded one of the core variables as formulating, developing, maintaining the relationship between service providers and customers. This paper is reviewed the concept and typology of trust, and factors induced to trust by the past research. Based on the theoretical study, I research the empirical analysis, sampled 10 travel agencies randomly in Seoul and surveyed the tourists using the order-made tour by the questionnaire. The result of this paper I present the findings significantly the factors including competence, benevolence and similarity, integrity, interaction and openness and cooperation extracted from 23 variables. And also trust has been influenced on the 5 factors between service providers and customers. The service providers of travel agencies should improve his competence, integrity and openness, interaction with the tourists by cooperatively.

백당으로 가교된 폴리아크릴산 하이드로겔의 In vitro 점막부착력 평가

이재휘,김선영,이은석,이민석,김형수,최영욱 한국약제학회 2006 Journal of Pharmaceutical Investigation Vol.36 No.2