정신분열병 환자를 위한 인지재활훈련 프로그램의 개발 : Korean-Cognitive Differentiation Program 한국형 인지분화훈련 프로그램

현명호,안석균,이만홍,조현상,최충식,이연희,송선미,유계준,김장우,김태용,이희상 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

연구배경 : 정신분열병 환자들은 인지장애를 보이는바, 저자들은 이들을 대상으로 한국형 인지분화훈련 프로그램을 개발하여 정신분열병 환자들을 대상으로 인지재활훈련을 실시한 후 환자들의 인지기능, 정신병리 및 문제해결기술에 미치는 효과를 조사하였다. 방 법 : 28명의 정신분열병 환자를 훈련군(n=14)과 대조군(n=14)으로 나누어 훈련군에게 한국형 인지분화훈련 프로그램을 1회 60분씩, 주당 2회씩, 11주간 총 22회를 실시하였다. 환자들의 인지기능은 K-WAIS의 산수, 빠진곳찾기, 어휘, 공통점찾기 소검사로 측정하였고 정신병리는 양성 및 음성증상 척도로 측정하였으며 문제해결기술은 사회문제해결척도로 평가하였다. 인지재활훈련의 효과를 평가하기 위해 훈련 전후의 인지기능, 정신병리 및 문제해결기술의 변화를 종속변수로 하고 훈련 유무를 독립변수로 하여 반복측정에 의한 변량분석으로 자료를 분석하였다. 결 과 : 한국형 인지분화훈련이 시간에 따른 인지기능검사 중 산수 소검사, 문제해결기술 중 시회문제해결척도의 전체 점수와 문제해결기술 소척도의 점수의 변화에 유의한 영향을 미쳤으나, 시각적 주의력, 개념화 능력 및 정신병리의 점수의 변화에 유의한 영향을 미치지 않았다. 결 론 : 한국형 인지분화훈련 프로그램은 정신분열병 환자에서 청각적 주의력 및 문제해결기술의 호전을 꾀할 가능성이 있음을 시사한다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training program- Korean version(a training program of attention and conceptual abilities) on cognitive function, psychopathology and problem solving skills in patients with schizophrenia. Methods : A total of patients diagnosed as schizophrenia using DSM-Ⅳ were randomly assigned to 2 groups. The training group went through a total of 22 sessions of cognitive differentiation training(60 min/ session×2 sessions/wk×11 wks). The attention-placebo control group received psychoeducation program during the same period. Arithmetic, vocabulary, similarities, picture completion of Wechsler Adult Intelligence Scale-Korean version, Positive and Negative Syndrome Scale, and Social Problem Solving Scales were administered to all patients, both before and after the training program. Results : In the arithmetic scores(F=6.35, af=1, p=0.018) of Wechsler Adult Intelligence Scale-Korean version, and total scores(F=6.35, af=1, p=0.018) and problem solving skill scale scores(F=4.88, af=1, p=0.036) of social problem solving scale, interaction effects of training was significant. Conclusion : Our findings suggest that cognitive differentiation training program-Korean version is effective on improving auditory attention and problem solving skills in patients with schizophrenia.

반정초주의 지식관과 교육 : Gadamer의 해석학의 관점에서

최명선 한국교육학회 2002 敎育學硏究 Vol.40 No.6

이 글은 지식의 성격 및 지식교육의 의미와 가치를 반정초주의적 지식관의 입장에서 재해석해 보고자 하는 것을 주 내용으로 삼고 있다. 이를 위해, 실증주의 교육이론의 한계에 대한 비판과 도전으로 등장한 반실증주의 교육이론의 가능성과 문제점을 그들이 상정하고 있는 인식론적 전제를 중심으로 검토하였다. 즉, 이들이 어떤 점에서 지식의 성격에 대한 이해의 지평을 확장하고 지식교육의 성격에 대한 논의를 개방했는지, 그러나 동시에 어떤 점에서 이들이 여전히 모종의 인식론적 정초를 극복하지 못하고 있다는 비판과 한계에 직면해 있는지를 면밀히 검토하였다. 이러한 문제와 한계를 해소하고자 본 연구에서는 반정초주의 사상가들 가운데서도 특히 Gadamer에 주목하고 그의 해석학에 내재된 인식론적 전제와 지식의 개념을 밝혀봄으로써 지식교육에서 추구되어야 할 인식태도의 연마와 마음의 도야에 보다 쇄신된 안목과 방향을 찾고자 하였다. In anti-foundationalism, the absolute foundations of knowledge is denied the idea of basic dichotomy between the subjective and the objective, the ideal universal method by which we can secure firm foundations of knowledge as being a correct representation of what is objective…. All the se concepts are subjected to sustained criticism. The mager focus of this paper is to criticize epistemological objectivism of positive and Anti-positive approach in education. What is emerged here is a recovery of hermeneutical dimension. In the case of Gadamer's hermeneutics in Anti-foundationalism, knowledge must be conceived as part of the process of coming into being of meaning. Beyond epistemological dichotomy, it is characteristic of true 'I-Thou' relationship that each opens himself to other person in education. I communicative interaction of education, the most important thing is to experience the 'thou' truly as a 'thou'. This openness exists ultimately not only for the person to whom one listens, but rather anyone who listens is fundamentally opened. To conclude, self-reflection, authentic mutual recognition among individuals, openness, deliberation, the genuine seeking to listen to, and understanding what the other is saying. All these concepts are very important characteristics of knowledge. Education is identified as self formation through 'I-Thou' relationship.

진경시대 풍속화의 이해와 감상

손명선 韓國美術敎科敎育學會 2003 師鄕美術敎育論叢 Vol.10 No.-

The purpose of this study is to suggest a direction to understand and appreciate about the genre paintings of Jinkyoung period 'Jinkyoung period' is the latter period of Joseon Dynasty and the Gold age of our culture. This terms implicate the period that showed us realistic and characteristic expressions, too. When we understand and appreciate a work of art, are generally interested in the aesthetic value of only that than the background of that. But we can understand the specific period through the work of art because art is a vessel that put in the specific period. On this view, this study focus on understanding and appreciating about the genre paintings of Jinkyoung period, the latter period of Joseon Dynasty and intend to research as follows. At first, this article intends to investigate historical, social, economic and cultural background of Jinkyoung period, which find out origin, development process, and important artists and their works of the genre paintings as the representative paintings of our cultural peak age, Jinkyoung period. Therefore, the purpose of this study is to make the mood that can easily approach to our the genre paintings of Jinkyoung period than past. Of course it is based on that we need to see and read our own cultural heritage based on our own value scale.

생활습관요인과 자가인식 건강상태의 관련도 포지셔닝

김명선,손미란,전진호,유병철 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background : This study purposed to propose the fundamental data to develop the proper health promotion program through observation about the current status, lifestyle behaviors and results of health examinations of public personnel in Busan Metropolitan City. Methods : Subjects were 988 public services (683 male, 305 female) who were employed in City Hall of Busan Metropolitan City. We investigated the relation between lifestyle behaviors and self recognized health status using health examination in 2006. Data analysis on multiple logistic regression and multi-dimensional scaling were done using SPSS win(ver 12.0k) program. Results : The proportion of above 50 years old age are 47.1% in male and 59.7% in female. There are 10.2% in male and 15.8% in female with family history of hypertension, and 8.5% in male and 14.5% in female with family history of diabetes mellitus. There are 37.7% in male and 12.1% in female with obesity, and 10.6% in male and 7.7% in female with abnormal liver function. The disease suspicion rate for male was 1.8%, and 4.6% for female. Risk of hypertension in male was 3.7 times greater than in female and risk of diabetes mellitus in males was 5.0 times greater than in female. By questionnaire 71.8% in male and 78.3% in female had been thought themselves to have disease. Both male and female participants were more likely to think themselves with disease according to disease history of diabetes mellitus, liver dysfunction and hypercholesterolemia. Also aging is interfered that self-recognized health status. Conclusion : Self recognized health status was associated with diabetes mellitus, liver dysfunction, hypercholesterolemia, family history of chronic disease and aging in public employee of Busan Metropolitan City. This association point that there is need for continuous education and effort to modify their life style.

급성 백혈병 환자에서 발생한 감염 양상의 분석(1986~1992)

박선양,오명돈,김양수,백경란,김병국,최강원,김성민 대한감염학회 1993 감염 Vol.25 No.3

Infection is a major complication and potentially life-threatening in patients with acute leukemia. The patients require prompt broad-spectrum antibiotics therapy when fever develops. One of the keys to successful patient management is the recognition of institutional trends of the spectrum of infections and infecting microorganisms. So we evaluated 138 patients with acute leukemia and blastic crisis of chronic myelogenous leukemia admitted to Seoul National University Hospital from July 1986 to June 1992. The results are following: 1) Total number of febrile episodes was 224 and 60% of them occurred after chemotherapy. 2) Microbiologically-defined infection, clinically-defined infection, and unexplained fever accounted for 28%, 45%, 27% of the febrile episodes respectively. 3) Fifty-eight percent of microbiologically-defined infections were caused by gram-negative bactria, and 36% were gram-positive bacteria. There was a tendency to a greater proportion of gram (+) organisms than that of the last study (p>0.1). Escherichia coli was the most common organism, and coagulase-negative staphylococci, Pseudomonas aeruginosa, Klebsiella pneumoniae were common in decreasing order. 4) Pneumonia was the most common type of infection, followed by skin and soft tissue infection, perianal infection, gingivitis and primary septicemia. 5) Seventy-two percent of total infections improved with therapy and this success rate was higher than that of the last study(p<0.001).

아동병동 간호사의 경력에 따른 아동 통증지식에 대한 연구

최선일,최명애 대한기초간호자연과학회 2005 Journal of korean biological nursing science Vol.7 No.1

Purpose : The purpose of this study was to identify pediatric nurses’s knowledge related to children's pain and pediatric nurses’ career including educational experience and to examine whether there is a difference of their knowledge according to their career. Method : Subjects of this study was 115 pediatric nurses of one university hospital who understood purpose of this study and accepted to participate in this study. Subjects responded questionnaire by self report. The data were gathered for 7 days during the period from October 20 to October 27, 2003. The pediatric nurses' knowledge and attitude survey regarding pain developed by Manworren(2001) was used to identify the knowledge related to children’s pain of pediatric nurses. Nurses’ career consisted of level of education, presently working ward, duration of experience at clinic, pediatric clinic and presently working ward and educational experience related to children's pain during undergraduate courses, ward orientation and continuing education. Educational experience regarding children’s pain was measured by whether they had education related to children’s pain during undergraduate courses, ward orientation and continuing education or not and their perception on the contents of education was measured by 5 point Likert type scale. SPSS Windows was used to analyze the data. Scores of the knowledge regarding children’s pain and career including educational experience of pediatric nurses were presented as mean and standard deviation. Mean percentage of correct answers responded by the subjects was presented under the category of introduction, assessment, pharmacological and nonpharmacological intervention for children’s pain. The difference of scores of the knowledge regarding children’s pain according to nurses’ career was analyzed using t-test, ANOVA and Tukey as a post hoc. Statistical significance was accepted at the level of p<.05. Result : Pediatric nurses had deficient knowledge related to children’s pain on the whole and did not trust pain complaint and underestimated the pain. They were short of concrete practical knowledge about pain assessment and pharmacological and nonpharmacological intervention for children’s pain. They were excessively concerned with side effect and addiction of analgesic drugs and had a negative view point on nonpharmacological pain intervention. About 50% of the subjects received education regarding children’s pain while their undergraduate courses. The number of nurses who received education regarding children’s pain while their undergraduate courses was found to be greater among the recently graduated nurses. In ward orientation and continuing education, only less than 10% of the nurses received education regarding children’s pain. Nurses perceived their experienced educational content deficient; experienced educational content consisted of pain introduction, assessment and pharmacological and nonpharmacological intervention for children’s pain while their undergraduate course, ward orientation and continuing education. There were no significant differences of the knowledge regarding children’s pain of pediatric nurses according to level of education, duration of experience at clinic, pediatric clinic and presently working ward. Scores of the knowledge regarding children’s pain of nurses at neonatal ward were significantly greater than those of nurses at pediatric intensive care unit. Scores of the knowledge regarding children’s pain of pediatric nurses who received education during their undergraduate course were significantly greater than those who did not receive it during their undergraduate courses. Also scores of the knowledge regarding children’s pain of pediatric nurses who received one kind of educational experience were significantly greater than those who had no educational experience. Conclusion : Pediatric nurses had deficient knowledge of children's pain and underestimated the pain of children. Also they were short of concrete practical knowledge on pain assessment and intervention for children’s pain.

고분자 전해질 감습막의 합성과 전기적 성질

공명선,조준상,이학민,김경호 경북대학교 센서기술연구소 1991 센서技術學術大會論文集 Vol.2 No.1

고분자 습도센서의 감습재료로 이용하고자 4-vinylpyridine (4-VP) 과 methylmethacrylate(MMA) 의 공중함체를 전극에 도포한 후 α, ω-dihaloalkane으로 4 차 암모늄화시킨 후 습도변화에 따른 전기저항을 측정한 결과 소수성 모노머인 MMA의 양이증가할 수록 전기저항이 증가하였으며, 또한 α, ω-dihaloalkane에 의한 4차 암모늄화 반응시간에 따라서도 전기저항의 크기 및 감습막의 안정성에 차이가 있음을 알 수 있었다. In order to for a humidity sensitive material of polymeric humidity sensor, a copolymer of 4-vinylpyridine (4-VP) and methylmethacrylate (IBA) is coated on the electrode and then 4 quartermization by α, ω-dihaloalkane, and thereafter measured the electrical resistance due to humidity variation. As a result, the more content of MMA which is a hydrophobic monomer is increased, the more property of electrical resistance is increased. Also, according to the reaction time in 4 quarternization by α, ω-dihaloalkane we can see the diferences of the magnitude of electrical resistance and the stability of humidity -sensitive membrane.

현상처리된 치과용 방사선필름의 크롬 증강효과에 대하여

박명선,박태원 大韓口腔顎顔面 放射線學會 1990 Imaging Science in Dentistry Vol.20 No.2

This study was undertaken to determine (1) the usefulness of chromium intensifier to improve the dignostic quality of light radiograph; (2) the effect of chromium intensifier on density, contrast;and (3) the effect of various chemical concentrations on density. the following results obtained : 1. CHROMIUM INTENSIFIER is useful for intensifying and improving the diagnostic quality of a light dental radiograph. 2. The degree of intensification can be controlled by varying bleaching time, repeating the processing, varying the proportions of the potassium bicarbonate and hydrochloric acid solutions. 3. The image produced is black and permanent. 4. The intensifier increases density and contrast.

탄소성 수치해석상의 과다응력평가에 관한 연구

민옥기,임욱선,박명식 연세대학교 산업기술연구소 1986 논문집 Vol.18 No.1

One of the inherent errors in the numerical analysis of an elasto-plastic problem is the error occurred in the plastic stress computation. If an increment in the load state yield the stress point beyond the yield surface. then a correction of this excess stress must be made in order to meet the yield condition. Tangent Predictor Radial Return Method (TPRRM). Secant Stiffness Method (SSM), and Elastic Predictor Radial Corrector Method (EPRCM) have been studied for a common elasto-plastic condition of von Mises. Errors in stress prediction are expressed with two parameters in the π-plane: (I) the angle between the analytical and the computed final stress points and (II) the difference between the analytical and the computed yield surface radii. Single Step Correction(SSC) and Multi-Step Correction(MSC)are adopted in order to compare the errors of these methods. For single step correction, the results of EPRCM is generally more accurate than the results of SSM or TPRRM. The results of MSC further yield smaller errors in angle and radius and show more stable numerical solutions.

보건소를 이용하는 지역주민의 건강 행위와 건강관련 체력간의 관계

전미양,최명애,이인숙,김태수,김의숙,박선홍 대한보건협회 2002 대한보건연구 Vol.28 No.3

The purpose of this study is to identify relationship health behavior and health related physical fitness in order to provide the basic data for health promotion program for community people. The study was conducted 299 people, during the period from June 1, 2000 to October 30, 2000. The result are as follows. 1. Female comprised was 63.2%(189), while male comprised 36.8%(110). The age range of the subject were from 21 to 59 years old. The subject were aged 30s group 52.5%, 40s group 29.1%, 50s group 12.7%, 20s group 5.7%. Twenty subjects (6.7%) had experience smoking and one subject (0.3%) in female and nineteen subjects (6.4%) in male. Seventy-five subjects (25.1%) had experience drinking and twenty-nine subjects (9.7%) in female, and forty-six (15.4%) in male subjects. ninety-nine subjects had exercise and sixty subjects (20.1%) in female subjects and thirty-mine subject (13%) in male. 2. Body fat and flexibility were higher in female than male subjects, but cardioresperatory endurance, muscular strength and muscular endurance were higher in male than female subjects. 3. There were significant differences in body fat and muscular endurance between age group in both gender subjects, and in cardioresperatory endurance and muscular strength between the age group in male subjects. 4. No significant differences health related fitness between non-smoking and smoking group in both gender subjects. 5. No significant differences health related fitness between non-alcohol and alcohol group in both gender subjects. 6. For female subjects, muscular strength, muscular endurance and flexibility of the exercise group were significantly higher than those of the non exercise group. for male subjects, cardiorespiratory endurance of the exercise group were significantly higher than those of the non exercise group.