3차원 뇌자기공명영상을 이용한 강박증의 뇌형태학적 연구

공석원,송인창,한문희,장기현,류인균,권준수 대한신경정신의학회 2000 신경정신의학 Vol.39 No.6

연구 목적 : 강박증의 생물학적 원인으로 전두엽-선조체 회로의 이상이 알려져 있다. 그러나 형태학적 뇌영상을 이용한 기존의 연구는 전두엽과 미상핵의 용적 변화에 대한 일관된 결과가 없었다. 따라서 본 연구에서는 선형변환을 통한 반자동화된 방법을 이용하여 뇌의 각부위에 대한 형태학적 연구를 위하여 시행되었다. 방 법 : DSM-IV의 기준에 의해 진단한 13명의 강박증 환자와 9명의 정상대조군을 대상으로 하였다. 3차원 뇌자기공명영상을 Spoiled gradient-recalled(SPGR)법으로 얻었다. 3차원으로 재구성된 뇌자기공명영상을 Talairach와 Tournoux의 표준화 좌표에 공간적 정위시킨 후 회질과 백직을 반자동화된 방법으로 분리하였다. 죄표에 의거한 뇌엽의 각 부위에 대한 용적 측정을 하고, 미상핵은 수기로 구획한 후 용적측정을 하였다. 전두엽은 Brodman 의 영역에 의거하여 좌표계에 따른 분할을 하여 배외측전두엽, 안와전두엽, 내측전두엽으로 분할 구획하여 용적을 측정하였다. 결 과 : 강박증군에서 전두엽 회질의 용적이 증가되는 경향을 나타내었다. 다른 부위의 회질과 백질 그리고 미상핵의 용적은 차이가 없었다. 편측성에 의한 차이도 없었으며, 임상적 심각도와 상관관계는 관찰되지 않았다. 결 론 : 본 연구에서는 강박증군에서 전두엽의 용적 증가를 관찰할 수 있었으며, 이것은 기존 연구 중 일부에서 전두엽과 미상핵의 용적 감소를 보고했던 것과 차이가 있다. 강박증이 만성화되고 일정기간 이상이지나 구조적 변화가 오기 전까지 오히려 대사와 혈류 증가에 따른 회질 용적 증가가 관찰되는 것이라 생각된다. Objectives: Neurobiological models for obsessive-compulsive disorder(OCD) have consistently Implicated prefrontal-striatal circuits in the pathophysiology of this disorder. But, prior studies have inconsistently found alteration in caudate and frontal lobe volumes in patients with OCD. This study was undertaken in the hope that semi-automated linear transformation methods would elucidate the morphometric differences of various parts of brain between OCD and normal control group. Methods : Thirteen parients meeting the DSM-IV criteria fro OCD, and 9 psychiatrically normal comparison subjects participated in the study. 3-D brain MRIs using Spoiled gradient-recalled(SPGR) sequence were acquired for each subjects. After spatially normalized according to Talairach and Tournoux's coordinates, the gray and white matters were segmented by semi-automated methods using fuzzy algorithm. Each lobal volumes was measured according to Talairach and Tournoux's coordinates, and the region of interests of caudate nuclei was manually traced. The frontal lobe was divided into 3 subregions ; dorsolateral prefrontal cortex, orbital frontal cortex, mesial frontal cortex accoring to the coordinates and Broadman's cytoarchitectonics. Results : Only the volume of left and right frontal gray matter showed a significant difference between OCD and normal subjects. In OCD, the frontal gray matter volume was increased in tendency. There's no difference in laterality and no coorelation with clinical severities. Conclusion : Findings of increased frontal gray matter volumes in patients implicate a structural abnormality of these brain regions in the pathophysiology of OCD. The increased frontl gray matter volumes reflect a epiphenomena due to increased cerebral blood flows and metabolic rates before the structural changes may occur.

한국수출기업의 고객지향전략이 해외바이어만족과 관계에 미치는 영향 : 영남지역의 주요 수출국가간 비교를 중심으로

정준식,공재형 한국관세학회 2009 관세학회지 Vol.10 No.1

The main aim of this paper is to investigate the effects of Korea exporting firms' customer orientation strategies on satisfaction and correlation, by comparing Chinese, American and Japanese buyers. For this purpose, this study classified the customer orientation strategies into three types of strategies (i.e. product, transaction, trust orientation) on the basis of previous studies. A email survey was conducted to collect to data for testing eleven hypotheses. Data were analyzed using multi-structural equation modeling by means of AMOS 7.0. The key findings of this study are as follows. Degree of customer orientation (i.e. product & service orientation) of the export firms was found to be related to degree of buyer's satisfaction. It was also identified that the degree of market orientation is a determinant of relationship quality (i.e. trust and commitment).

정신재활 치료가 정신분열병 환자의 재발율, 입원횟수, 입원일수 그리고 치료 경비에 미치는 효과 : 2년 추적조사 연구

조진석,공지현,김진원,심경순,하준선,김철권,강동호,장정희,변원탄 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

목 적 : 사회기술훈련, 환자교육, 가족교육, 집단치료, 예술치료, 작업치료와 같은 포괄적인 정신재활 치료를 약물치료와 병행할 경우 약물치료만 시행할 때에 비해 정신분열병 환자의 재발율, 입원횟수, 입원일수, 직접 치료경비 등에 어떤 효과가 있는 지를 알아보기 위함이다. 연구방법 : 1993년 9월부터 1995년 2월까지 양산 신경정신병원의 폐쇄병동에서 퇴원한 20∼35세 사이의 정신분열병 환자 173명을 대상으로 46명에게는 6개월동안 정신재활 치료를 시행하였고 127명에게는 통상적인 외래치료만 시행한 후 연구시작 시점을 포함하여 2년동안 양군에 속한 환자들을 대상으로 재발율, 입원횟수, 입원일수, 직접 치료경비 등을 1년 단위로 추적 조사하였으며, 연구시작 시점을 기준으로 전과 후의 매년 평균 입원횟수, 입원일수, 직접 치료경비도 서로 비교하였다. 결 과 : 정신재활 치료를 약물치료와 병행할 경우 약물치료만 시행할 때에 비해 재발율, 입원횟수, 입원일수, 직접 치료비용이 현저히 감소되었다. 그리고 정신재활 치료를 받은 군에서는 치료 전에 비해 치료 후에 재발율, 입원횟수, 입원일수, 직접 치료비용이 유의하게 감소하였지만 통상적인 외래치료만 받은 군에서는 치료 전과 후간에 유의한 변화를 보이지 않았다. 결 론 : 정신분열병 환자들에게 정신재활 치료를 약물치료와 병행할 경우 약물치료만 시행할 때에 비해 환자의 임상적 경과를 호전시킬 뿐 아니라 가족의 경제적 부담도 줄일 수 있다. Objective : We evaluated the clinical efficacy of a comprehensive psychiatric rehabilitation of schizophrenia, including family psychoeducation, patient education, social skills training, group psychotherapy, art therapy, and occupational therapy. Method : From September 1993 to February 1995, 173 chronic schizophrenics who met DSM-IV criteria and were discharged from a locked ward were assigned into the psychiatric rehabilitation service group(psychiatric rehabilitation group, n=46) or the customary out-patient service group(out-patient group, n=127) prospectively, but not randomly. Assignment was based on preferences of patients and their relatives, Each subject included in the psychiatric rehabilitation group received twice weekly patient education, social skills training, family psychoeducation, group psychotherapy, art therapy, occupational therapy and maintenance chemotherapy during a 6-month period. Those in the out-patient group received individual supportive psychotherapy and maintenance chemotherapy according to their clinical needs for 10-20 minutes once per week. After entry into the study, all subjects were assessed for the number of readmission, days of hospitalization, and the direct treatment costs through the first and second year of follow-ups. These outcome variables were also compared pre-and post-2 years at the time point of entry into the study. Aftercare chemotherapy on a weekly to monthly basis continued for the remainder of the two year follow-up period. Results : With regard to the mean number of hospital admissions per year, the mean days of hospitalization per year, and the direct treatment costs per year, the psychiatric rehabilitation group had significantly decreased all clinical outcomes 2 years after compared with before receiving psychiatric rehabilitation. But there were no significant differences in the all clinical outcomes between before and after study intake in the out-patient group. For the number of relapse regardless of drug compliance, 4 patients(9%) during first year and 14 patients(30%) during second year were relapsed in the 46 subjects of the psychiatric rehabilitation group. In contrast, 75 patients(59%) during first year and 90 patients (71%) during second year relapsed in the out-patient group. When considering the effect of drug noncompliance to relapse, 4(9%) and 14 patients(30%) were relapsed while on medication respectively during the first and second year in the 46 of the psychiatric rehabilitation group, vs. 27(34%) of 79 patients on medication during the first year and 31(46%) of 68 patients on medication during the second year were relapsed in the out-patient group. Conclusions : These results indicate that the comprehensive psychiatric rehabilitation can be useful therapeutic intervention both to improve the clinical outcomes of schizophrenic patients and to reduce the economical burden of their relatives.

산업장 근로자의 표준체중치

정종학,강복수,김석범,사공준,이정길,한구웅 大韓産業醫學會 1989 대한직업환경의학회지 Vol.1 No.1

산업장 근로자의 건강증진과 노동력보존에 기여할 목적으로 경상북도 구미시에 소재하는 구미공단내의 20-29세 산업장 근로자 10,407명(남자 6,201명. 여자 4,206명)을 대상으로 1985년의 정기 신체 검사 자료로 부터 성별. 연령별 평균신장, 평균체중 및 신장과 체중간의 상관관계와 회귀방정식을 구하고 이들을 이용하여 신장별 표준체중과 이상체중의 범위를 구했으며 신장과 체중으로 BMI를 산출하였다. 20대 근로자의 평균신장은 남자가 168.2±5.61cm였고 여자는 155.9±5.26cm였고 평균체중은 남자가 61.4±6.56kg, 여자는 52.4±6.00kg이었다. 신장과 체중간의 상관계수는 남자의 경우 +0.541이었고 회귀방정식은 Y(체중)=0.637Ⅹ(신장)-44.975였으며 여자는 상관계수가 +0.559였고 회귀방정식은 Y(체중)=0.637 Ⅹ(신장)-46.898 이었다. 신장별 표준체중은 신장이 155cm일때에 남녀 각각 53.0kg, 51.8kg 이었으며 165 cm 일때는 59.3kg, 58.2kg이었고 175cm일때에 65.6kg, 64.6kg이었고, 정상체중의 범위는 신장이 155cm일때에 남자는 47.5-58.5kg, 여자는 46.9-56.8kg, 165cm일때는 남자는 53.8-64.8kg, 여자는 53.2-63.2kg, 175cm일때에 남자는 60.1-72.1kg, 여자는 59.6-69.6kg으로 평가되었으며, 비만은 신장이 155cm 일때에 남자는 64.1kg이상, 여자는 61.8kg이상, 165cm일때는 남자는 70.3kg이상, 여자는 68.2kg이상, 175cm일때에 남자는 76.7kg이상, 여자는 74.5kg 이상으로 평가되었다. 성별. 연령별 BMI는 남자가 21.7±1.95였고 여자는 21.6±2.05였고 Garrow의 BMI 분류방식에 따른 desirable range에 속하는 근로자는 남자가 75.9%였고, 여자는 71.3%였다. To contribute to promotion of health and preservation of labor power of Korean laborers, the body height and body weight were measured for 10,407 workers(6,201 male, 4,206 female) in the age group of 20-29, engaged in manufactures in the Gumi industrial complex, Gumi city, Kyungpook province. The above data were extracted from the 1985 periodic examination chart for calculation of the mean body weight, mean body height, correlation coefficient and regression equation between weight and height, standard body weight, body mass index(BMI) and distribution of laborers within Garrow's classification of BMI by age and sex group. Mean body height of 20-29 age group was 168.2±5.61 cm for male and 155.9±5.26 cm for female. Mean body weight of 20-29 age group was 61.4±6.56 kg for male and 52.4±6.00 kg for female. Correlation coefficient and regression equation of 20-29 age group were +0.541 and Y(Wt)=0.632X(Ht)-44.975 for male and +0.559 and Y(Wt)=0.637X(Ht)-46.898 for female. Standard body weight of 20-29 age group was 53.0 kg at 155 cm, 59.3 kg at 165 cm, 65.6 kg at 175 cm for male and 51.8 kg at 155 cm, 58.2 kg at 165 cm at 64.6 kg at 175 cm for female. Range of normal body weight of 20-29 age group was 47.5-58.5 kg at 155 cm, 53.8-64.8 kg at 165 cm, 60.1-72.1 kg at 175 cm for male and 46.9-56.8 kg at 155cm, 53.2-63.2 kg at 165 cm, 59.6-69.6 kg at 175 cm for female. Range of obesity of 20-29 age group was 64.1 kg and over at 155 cm, 70.3 kg and over at 165 cm, 76.7 kg and over at 175 cm for male and 61.8 kg and over at 155 cm, 68.2 kg and over at 165 cm, 74.5 kg and over at 175 cm for female. Body mass index(kg/m²) of 20-29 age group was 21.7±1.95 for male and 21.6±2.05 for female, 75.9% of male laborers and 71.3% of famale counterparts fall in the desirable range of BMI by Garrow's classification.

인축적 미생물의 인방출과 세포내 저장물질 합성관계

신응배,김미경,홍준혁,공동수 한국물환경학회 2004 한국물환경학회지 Vol.20 No.6

Biological phosphorus removal is characterized by complex interactions between different intracellular components of energy as PHA. Therefore, fundamental understanding of the behavior of the intracellular components and their influence on the removal of phosphorus is essential before control strategies to stabilize the proper process. The purpose of this study is to investigate relationship between release of phosphorus and synthesis of intracellular storage polymer. Mass of stored intracellular storage polymer was 21.2 ㎎ PHA/L, 28.8 ㎎ PHA / g MLSS. And phosphorus release/ intracellular storage polymer synthesis rate was 1.8545 ㎎ stored polymer/㎎ Phosphate. In the aerobic phase, mass of PAOs synthesis is 49.37 ㎎ PAOs/L. And PAOs fraction was 6.7-6.9%. Thus intracellular storage polymer synthesis by PAOs is calculated as 493㎎ PHA / g PAOs.

축우 부루셀라병의 ELISA 진단법에 관한 연구

임윤규,이두식,박전홍,양기천,김승호,김공식,현관종,김우택,이영순 濟州大學校 農科大學 動物科學硏究所 1993 動物科學論叢 Vol.8 No.1

Enzyme-linked Immuno sorbent Assay (ELISA) for the serological diagnosis oi Bruceiia abortus was developed and compared with plate aggluhnation test Cell wall antigen was extracted from Brucella abortus 1119-3 by sonicabon and with a sodium deoxychlate solution Optimum protein concentra tion of coating antigen 0.4㎍/100㎕ protein on each microtiter plate well. Horse radish peroxidase(HRP) labled protein-G was used as a tracer of reacted antibodies ELISA confirmed the agreeable results of 40 rases out of 43 cases by plate aggulutination test ELISA diagnosed positive cases (10 out of 12) and negatiw cases (1 out of 12) with dubious sera by plate agglutination test From this results EL ISA could be used for the early diagnostic tools of Brucellosis in cattle.

沙上地域 産業體 勞動者의 職場體育 參與擴大 方案

安永弼,鄭琮勳,鄭三鉉,金海禮,趙在基,朴俊東,金垠利,張禎允,金福善,孔庚鎬 東亞大學校附設스포츠科學硏究所 1989 스포츠科學硏究論文集 Vol.7 No.-

토양환경지도 자료를 이용한 콩밭 토양의 화학성 비교

박지숙,이민진,정재원,김미혜,이서연,지윤미,한준호,김유학,공명석,한광현,노희명 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.2

It is important to interpret the soil chemical properties in order to effectively manage the farmland. This study was conducted to investigate the soil chemical properties of upland soybean field according to the soil series at 32 upland fields located in the parts of Gangwon-do. Soil sampling sites were selected by using the National Statistics DB and KSIS DB that is a soil environment information system provided by the Rural Development Administration. Soil samples were collected from 0~15 cm of top soil before seeding or transplanting, air-dried, passed through a 2 mm sieve, and analyzed for soil pH, EC, organic matter, available phosphorus (P2O5), exchangeable potassium, exchangeable calcium and exchangeable magnesium. The average chemical properties have exceeded the each nutrient optimum range level of RDA, except the organic matter in experimental soil 2015. And despite application of conventional fertilization, each soil series nutrient contents were change respectively. The results of this study suggest that conventional fertilization should be applied based on the analysis about the amount of accumulated nutrient contents in the soil.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Nickel-Calcium Phosphate/Hydroxyapatite Catalysts for Partial Oxidation of Methane to Syngas : Effect of Composition

Jun, Jin Hyuk,Jeong, Kyeong Sook,Lee, Tae-Jin,Kong, Sang Jun,Lim, Tae Hoon,Nam, Suk-Woo,Hong, Seong-Ahn,Yoon, Ki June 한국화학공학회 2004 Korean Journal of Chemical Engineering Vol.21 No.1

Nickel-calcium phosphate/hydroxyapatite catalysts have recently been reported to exhibit high activity and selectivity in partial oxidation of methane (POM). In this work the optimum composition was determined. The optimum mole ratio of Ca/PO₄ was around 10/6 and that of Ni/PO₄ was in a range from 1.0/6 to 3.0/6 with the optimum Ca/PO₄, and the activity could be related with the amount of metallic nickel. In a temperature range from ca.400 to 700K, an apparent autothermal reaction was observed to occur in some cases. This is due to the fact that the actual catalyst temperature is higher than the measured temperature, which comes from the exothermic nature of the reaction. The mixing sequence of the precursors during the catalyst preparation does little affect the catalyst activity and characteristics. Deactivation of the catalyst occurred slowly, but the catalyst could easily be regenerated. Moreover, the nickel-calcium phosphate/hydroxyapatite catalyst showed higher activity than the nickel-strontium phosphate catalyst.