서울시 아동을 대상으로 한 주의력결핍과잉행동장애의 선별기준에 대한 연구

양영희,김재원,김예니,조수철,김붕년 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3

Objectives : The purpose of this study is to investigate a cut-off value for screening children with ADHD in community based sample using the Korean Child Behavior Checklist (K-CBCL) and the Korean ADHD Rating Scale (K-ARS). Methods : Children aged 6 to 8 (n=661) participated in this study. The K-CBCL and the K-ARS were used as the screening instruments. Diagnoses were confirmed through the Diagnostic Interview Schedule for Children Version Ⅳ (DISC-Ⅳ). Results : Of the 189 subjects who underwent the DISC-Ⅳ, 26 subjects were diagnosed as ADHD. In the K-CBCL, scores in the attention problems, externalizing problems and total behavioral problems were positively correlated with the total score of the K-ARS. The K-ARS-Parent version (K-ARS-P) and above three scales in the K-CBCL showed significant screening validity in the ROC curve analysis. The reasonable level of sensitivity, specificity, and negative predictive value were obtained in the total scores ≥90^(th) percentile in the K-ARS-Parent and ≥60T scores in the K-CBCL attention problems. The optimal level of specificity, positive predictive value and negative predictive value were obtained when combined the K-CBCL (≥60T scores in the attention problems and ≥63T scores in the total problems) and the total scores ≥90^(th) percentile in the K-ARS-P. Conclusion : The combined use of the K-CBCL and the K-ARS-P may serve as useful screening methods for ADHD children.

기업 윤리프로그램에서 반추가 조직구성원의 비윤리적 행동의 변화와 그 효과의 지속성에 미치는 영향

이지예(Lee, Ji-Ye),장영균(Chang, Young-Kyun),김상수(Kim, Sang-Soo) 한국경영교육학회 2020 경영교육연구 Vol.35 No.4

[연구목적] 많은 기업에서 다양한 기업 윤리프로그램을 실시하고 있지만 그 실효성에 관해서는 많은 의문점이 제기되어 왔다. 교육학 등에서 주로 조명을 받아온 반추(reflection)는 조직의 내 · 외부적 이슈들과 관련하여 올바른 의사결정을 위해 어떻게 행동해야 하는지에 대한 표준을 능동적으로 학습할 수 있는 중요한 과정으로 여겨지고 있다. [연구방법] 본 연구에서는 기업 윤리프로그램에 반추과정을 적용하여 그 효과성을 살펴보고자 하였다. 이를 위해 총 339명을 대상으로 3개의 집단으로 구분하여 실험연구를 수행하였다. 윤리교육을 실시한 후 그 내용에 대한 반추의 과정을 거치는 실험집단1, 윤리교육만을 실시하는 실험집단2, 그리고 윤리교육과 반추의 과정 모두 실시하지 않는 통제집단으로 구분하여 반추의 효과성을 분석하였다. 또한 앞서 참여한 응답자를 대상으로 3주 후 다시 한번 동일한 측정문항으로 조사를 실시하여 그 효과의 지속성을 분석하였다. [연구결과] 실험 결과 윤리교육을 받은 실험집단1과 2에서 통제집단에 비하여 비윤리적 행동경향이 낮게 나타났는데, 특히 반추의 과정을 거친 실험집단1은 그렇지 않은 실험집단2에 비하여 비윤리적 행동 경향이 추가로 더 감소한 것으로 나타났다. 그리고 시간이 지남에 따라 윤리교육으로 인한 효과가 차차 소멸되기는 하지만 반추의 과정을 거칠 경우 그 효과가 더 지속되는 것을 알 수 있었다. [연구의 시사점] 이러한 결과를 통해 윤리프로그램에서 반추의 역할을 조명함과 동시에 기업의 윤리프로그램 효과성 제고에 실무적으로도 기여할 수 있을 것으로 기대한다. [Purpose] Reflection, usually getting more research attention in education, is a necessary component of ethics training because it encourages employees to be more proactive in learning the norms that guide their decision-making regarding various issues. [Methodology] This study designed an experiment by embedding reflection in an ethics training program to examine the effectiveness of such training. A total of 339 participants were allocated to two experimental groups (Group 1 and Group 2) and one control group. [Findings] Findings from the experiment showed that Group 1 and Group 2 are less inclined toward unethical behavior than the control group. Between Group 1 and Group 2, Group 1 that went through the reflection phase shows much less inclination toward unethical behavior than Group 2. The results further indicated that the impact of ethics training gradually diminished over time, but having reflection was found to help sustain the training impact. [Implications] Along with its theoretical contribution that sheds light on the role of reflection in ethics training programs, this study may be worthwhile by providing companies with practical implications that reinforce the effectiveness of ethics training.

통원수술센터를 이용한 장애아동의 치과치료에 대한 증례보고

선예경,최영심,심연수 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.3

심신장애자, 심한 불안과 공포가 있는 경우, 너무 어려서 의사소통이 되지 않는 환자 등, 일반적인 행동조절방법이 가능하지 않는 경우에 전신마취를 고려하게 된다. 이런 환자들은 대부분 소아치과에서 치료하게 되므로 소아치과의사의 역할이 중요하다. 전신마취하에 시행되는 치과치료를 고려할 때, 환자의 전신적 건강상태, 환자의 현재 구강 상태, 필요한 치과치료의 종류, 책임감 있는 보호자의 유무에 따라서 입원없이 행해지는 외래환자수술을 고려할 수 있다. 전신마취하에 치과치료를 시행하고자 할 때, 치과의사나 보호자의 편의를 위해서 사용되어져서는 안되며, 적절한 환자 선택하에 시행된다면, 보통의 방법으로 치과치료를 받기 어려운 장애아동에게 유리한 치료가 될 수 있다. The dentists often encouter a child who can not be treated with traditional behavior management technique. Mentally or physically handicapped child could receive proper dental care under general anesthesia. General anesthesia for dental care can be done in an outpatient surgery or inpatient surgery depending on the patient. In outpatient surgery, the patient is admitted and discharged the same day. Postoperative care and discharge procedure are abbreviated. Advantages of outpatient surgery are much less emotional disturbance of patients, reduced risk of nosocomial infection and less cost of treatment. A case of a physically handicapped patient treated under general anesthesia at Day Surgery Center is oresented and the procedure and patient selection of outpatient surgery as well as its limitation is reviewed in this paper.

Cardiolipin-Lecithin 抗原과 Reagin間의 沈降反應 및 補體結合反應成績의 比較檢討

梁學道,芮薰海,李楨浩,尹秉文,全東雨,金晉郁,金永洙 醫藥係社 1955 綜合 醫學 Vol.12 No.2

사무직 근로자의 수면의 질 및 직무스트레스와 우울과의 관련성

강미나,강수영,권수정,김현주,배재원,이보연,이예진,임의롬,정다영,조한솔 이화여자대학교 간호과학대학 2013 이화간호학회지 Vol.- No.47

Purpose: The purpose of this study was to understand the degree of depression, sleep quality, job stress and their association among office workers. Method: A self-administered questionnaire was distributed to 147 workers employed in 5 big enterprises, and 5 small and medium enterprises from October 21 to November 21, 2012. The questionnaires included socio-demographic and health-related characteristics, job-related characteristics, sleep quality, job stress (KOSS) and depression (CES-D). Result: Among all subjects, 23.1% was in the depression group (21 points and over in the CES-D score). Depressive level was positively correlated with job stress and quality of sleep. The adjusted odd ratio for the effects of sleep quality and job stress on depression significantly increased in the depression group compared to that of the normal group. Multiple regression analysis revealed that the following factors of influence had combined explanatory powers on depression: BMI, life satisfaction, quality of sleep, and job stress. Conclusion: The study revealed that complicated influences were exerted on the level of depression by variable factors, as well as socio-demographic characteristics, health-related characteristics, quality of sleep, and job stress. Specifically, the level of depression was influenced by the quality of sleep and job stress.

Clinical and microbiological features of nontuberculous mycobacteria infection in young adult : experience at a tertiary hospital

( Eun Hye Lee ),( Ah Young Leem ),( Sang Hoon Lee ),( Joo Han Song ),( Song Yee Kim ),( Kyung Soo Chung ),( Ji Ye Jung ),( Moo Suk Park ),( Young Sam Kim ),( Joon Chang ),( Young Ae Kang ) 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

Background: The prevalence of nontuberculous mycobacteria lung disease (NTM-LD) is increasing worldwide. However, there is limited information about the NTM-LD of young age people. Methods: Patients diagnosed with NTM-LD at severance hospital between January 2006 and December 2016 were retrospectively reviewed. Clinical characteristics and microbiologic features of patients under 40 years were compared with patients over 40 years. Results: Total 906 patients were identified NTM-LD. Of these, 29 patients (3.2%) were under 40 years of age (young age group) and the remaining 877 were over 40 years of age (old age group). Mean age of the two groups were 32 (IQR 24-33) and 64 (IQR 56-72), respectively. Female was predominant in both groups and about half of the patients had a history of tuberculosis (51.7% vs.51.5%, p=0.984). 7 patients (24.1%) of the young age group had malignancy history and among them, 6 patients were hematologic cancer who subsequently received bone marrow transplantation. The proportion of the nodular bronchiectatic form of NTM-LD is significantly higher in old age group (67.5%) compared to young age group (31.0%) (p=<0.001). M.avium complex (MAC) was the most common etiologic organism in both groups, however, it was less common in the young age group (44.8% vs. 65.3%, p=0.023). Identification of M.abscessus complex (MABC) was higher in young age group although statistically insignificant (24.1% vs. 17.0%, p=0.318). Conclusion: This study could help to better understand the characteristics and microbial features of NTM-LD of young age people.

Small Target Detecting and Tracking Using Mean Shifter Guided Kalman Filter

Ye, Soo-Young,Joo, Jae-Heum,Nam, Ki-Gon The Korean Institute of Electrical and Electronic 2013 Transactions on Electrical and Electronic Material Vol.14 No.4

Because of the importance of small target detection in infrared images, many studies have been carried out in this area. Using a Kalman filter and mean shift algorithm, this study proposes an algorithm to track multiple small moving targets even in cases of target disappearance and appearance in serial infrared images in an environment with many noises. Difference images, which highlight the background images estimated with a background estimation filter from the original images, have a relatively very bright value, which becomes a candidate target area. Multiple target tracking consists of a Kalman filter section (target position prediction) and candidate target classification section (target selection). The system removes error detection from the detection results of candidate targets in still images and associates targets in serial images. The final target detection locations were revised with the mean shift algorithm to have comparatively low tracking location errors and allow for continuous tracking with standard model updating. In the experiment with actual marine infrared serial images, the proposed system was compared with the Kalman filter method and mean shift algorithm. As a result, the proposed system recorded the lowest tracking location errors and ensured stable tracking with no tracking location diffusion.

Poster Session : PS 1489 ; Allergy : A Case of Eosinophilic Gastroenteritis Which Led to Malabsorption and Iron Defl ciency Anemia Associated with Multiple Food Allergies

( Young Soo Lee ),( Ga Young Ban ),( Ji Hye Kim ),( Dae Hong Seo ),( Young Min Ye ),( Yoo Seob Shin ),( Dong Ho Nahm ),( Hae Sim Park ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Eosinophilic gastroenteritis (EG) is a rare disease characterized by massive eosinophilic infiltration of gastrointestinal tissue, increased peripheral eosinophilia and nonspecific gastrointestinal symptoms. EG have no known causes for eosinophilia such as drug, parasite, or malignancy. About 50% of EG patients have allergic diseases suggesting EG may be associated with allergic status since some EG patients exhibit elevated serum immunoglobulin E (IgE) levels. We report a case of EG which led to severe malabsorption and iron deficiency anemia associated with multiple food allergies. A 28-yearold Caucasian male patient visited emergency room complaining general weakness and leg swelling for 2 months. He had allergic rhinitis and vomiting whenever eating eggs, steaks, and salmons. He looked chronically-ill and conjunctivae were pale. In laboratory findings, hemoglobin level and WBC count were 6.4g/dL and 7,400/uL with 24.4% of eosinophil fraction as well as serum total protein and albumin levels were 3.9g/dL and 2.8g/dL, respectively. Serum iron level (12μg/dL), total iron binding capacity (247μg/ dL), and ferritin level (2.2μg/L) were all decreased. Serum eosinophil cationic protein level was increased (30.0μg/L) whereas serum total IgE level was within normal reference value (77KU/L). Serologic tests for parasite were all negative. Endoscopic studies were performed to exclude gastrointestinal bleeding and multiple nodular lesions were seen on gastric antrum with increased eosinophil in. ltration in lamina propria. High serum specific IgE levels to offending foods (beef: 0.82kU/L, pork: 0.83kU/L, egg white: 0.40kU/L, egg yolk: 0.54kU/L, and milk: 0.81kU/L) were noted. He was recommended avoiding offending foods with oral prednisolone therapy. Six months after food restriction, eosinophil count was 400/uL and hemoglobin level was restored to 11.5g/dL with 4.1g/dL of serum albumin level. We report a rare case of eosinophilic gastroenteritis associated with multiple food allergies.

The Display System of a Patient's History Using the RFID and Linux

Ye, Soo Young,Jo, Heung-kuk SAGE Publications 2013 International journal of distributed sensor networ Vol.2013 No.-

Case Report : A Case of Occupational Hypersensitivity Pneumonitis Associated with Trichloroethylene

( Young Jae Kim ),( Eu Dong Hwang ),( Ah Young Leem ),( Beo Deul Kang ),( Soo Yun Chang ),( Ho Keun Kim ),( In Kyu Park ),( Song Yee Kim ),( Eun Young Kim ),( Ji Ye Jung ),( Young Ae Kang ),( Moo Suk 대한결핵 및 호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.76 No.2

Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.