남녀 노인의 부부관계 만족도가 삶의 만족도에 미치는 영향- 우울의 매개효과를 중심으로 -

하상희 한국생활과학회 2018 한국생활과학회지 Vol.27 No.1

The purpose of this study was to examine the mediating effect of the depressive symptoms in the relationships among marital satisfaction on life satisfaction at later life. For this study , the 11-year longitudinal data(2016; 2,861 elder, males 1,516 and females 1,345) of the Korea Welfare Panel Study was used. The multi group analysis was executed across gender. The result of this study were summarized as followes: First, elderly men were marital satisfaction and life satisfaction higher than elderly women, but depressive symptoms were opposite. And, marital satisfaction was correlated with life satisfaction and life satisfaction was negative correlated with depressive symptoms. Second, marital satisfaction had direct effect on life satisfaction. And marital satisfaction had indirect effect on the mediating effect of the depressive symptoms on life satisfaction. Finally, results of multi-group analysis that mediating effect of the depressive symptoms in the relationships among marital satisfaction on life satisfaction at later life were gender differences.

원가족 건강성과 자기분화의 세대간 전이

하상희,정혜정 한국상담학회 2008 상담학연구 Vol.9 No.2

Based on Bowen's family system theory, this study was to investigate the intergenerational transmission of family-of-origin functioning and self-differentiation. The data were collected from 547 college students and their parents by using a self-administered questionnaire method. The causal model concerning the intergenerational transmission was established on the basis of the gender of college students and their parents, and tested through structural equation model by using AMOS 5.0 program. The results indicated that (1) fathers' and mothers' perception of their family-of-origin functioning(FOF) positively influenced their own self-differentiation(SD) levels respectively, (2) sons' and daughters' perception of their FOF had direct effects on their own SD levels as well, (3) son's perception of his FOF was influenced by both father's and mother's perceptions of their own FOF and SD, and (4) daughter's perception of her FOF was influenced by her father's FOF and mother's SD, but not by father's SD and mother's FOF. The results were discussed in terms of gender differences in intergenerational transmission of FOF and SD and its implication for family education and counseling with premarital and marital couples. 본 연구는 Bowen의 가족체계이론을 근거로 원가족 건강성과 자기분화가 부모세대로부터 자녀세대로 전수되는가를 검증하는데 목적을 두었다. 이를 위하여 부․모와 대학생 자녀로 구성된 3명을 한 쌍으로 하여 모두 547쌍 1,641명을 대상으로 자료를 수집하고, 구조방정식 모델(Structural Equation Modeling)을 통해 부모와 자녀의 성별을 분리하여 세대간 전이에 관한 인과모형을 검증하였다. 그 결과 첫째, 부모-아들의 공통모형에서 아버지-아들과 어머니-아들 모형 모두에서 부모세대의 원가족 건강성으로부터 부모의 자기분화, 자녀가 지각한 원가족 건강성, 그리고 자녀의 자기분화로 이어지는 세대간 전수가 일어나는 것으로 확인되었고, 또 부모세대의 원가족 건강성은 아들이 지각한 원가족 건강성에, 부모의 자기분화는 아들의 자기분화에 직접적인 영향을 미치는 것으로 나타났다. 둘째로 부모-딸 공통모형 검증 결과, 아버지와 어머니 각자가 지각한 원가족 건강성이 자신의 자기분화에 영향을 미쳤고, 딸이 지각한 원가족 건강성이 딸 자신의 원가족 건강성에 영향을 미쳤다. 그러나 딸의 원가족 건강성은 아버지의 자기분화로부터 직접적인 영향을 받지 않았으나, 어머니의 자기분화로부터 직접적인 영향을 받는 것으로 나타나 세대간 전이에 있어서 자녀의 성별에 따라 차이를 보였다.

Remote cerebellar hemorrhage after unruptured cerebral aneurysm surgery -two cases report-

하상희,김은미,주향미,이우경,민경태 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.67 No.3

Remote cerebellar hemorrhage (RCH) occurring distant to the site of original surgery, such as supratentorial or spinal surgery, is rare but potentially fatal. Because the pathophysiology of RCH is thought to be excessive cerebrospinal fluid drainage during the perioperative periods, its diagnosis usually depends on the occurrence of unexpected neurologic disturbances and/or postoperative brain computerized tomography imaging. Because of its rarity, RCH-associated neurologic disturbances such as delayed awakening or nausea and vomiting may often be misdiagnosed as the effects of residual anesthetics or the effect of postoperative analgesic agents unless radiologic images are taken. Treatment for RCH ranges from conservative treatment to decompressive craniectomy, with prognoses ranging from complete resolution to fatality. Here, we report two cases of RCH after surgical clipping of an unruptured cerebral aneurysm of the anterior communicating artery and review anesthetic considerations.

증강현실 책 일러스트레이션 이미지의 사용자 경험요소

하상희 한국일러스트레이션학회 2013 일러스트레이션 포럼 Vol.14 No.37

증강현실은 모든 산업분야에 적용 가능한 확장성을 지닌 기술이다. 그 중, 증강현실 책은 그 교육적 효과가 뛰어나다는 점을 검증하는 많은 연구들이 발표되고 있다. 책의 형태로 제시된 증강현실 일러스트레이션 이미지는 기존의 독서 경험을 한층 고조된 차원으로 확장시킨다. 증강현실 책의 독서경험은 읽는 것에 그치지 않고, 참여하고 체험하면서 주변 환경과의 연동과 영상적인 시각효과를 시도한다. 이같은 확장된 경험을 제공하는 3차원 증강현실 일러스트레이션 이미지의 디자인을 위해서는, 독자(사용자)가 체험 가능한 경험의 요소를 염두에 두는 디자이너의 새로운 능력이 요구된다. 그것은 일러스트레이션 이미지가 놀이기구가 되기도 하고, 극장이 되기도 하면서 향상된 몰입감을 제공하게 되는 것을 의미하기 때문이다. 본 연구는 이 같은 증강현실 책 일러스트레이션 이미지 디자인에 고려되는 독자의 경험요소들을 조사하여 체계화하였다. 본 연구의 결과, 증강현실 책 일러스트레이션 이미지 디자인의 지난 5년간의 변화는 책의 공간과 사용자의 시각/촉각을 모두 다루는 것으로 나타났다. 이를 통해 높은 사용성을 위한 증강현실 이미지의 고품질이라는 개념은 시각적 높은 해상도만이 아니라 인간의 인식 감각을 모두 활용하는 멀티모달한 독서 경험을 제시하는 것으로 재정의될 수 있다. Augmented reality have the potential technology that can be applied to all industries. Above all, augmented Reality education books has been proven through many studies that is truly effective educational point. Presented in the form of books with augmented reality illustration images to extend further heightened dimension from traditional reading experience. AR book's reading experience does not stop there. It's try to attentive touching experience, interaction with environment and represent video effects. For these extension experiences from three-dimensional augmented reality illustration images design that is required designer's specially new ability to the understanding possible experience for reader(user). Because it means illustration images on the books to be interactive toy or theaters and go to provide improved immersion. This study is research organized the elements of users experience to considered for the design to augmented reality books illustration images. According to the results of this study, illustration image of augmented reality books design cope with visual and tactile of user and utilize space of books how going changed in the last five years. Thereby, the concept of high quality images as high usability of augmented reality that can be redefine present by utilizing multi-modal reading experience with all sense of human perception, not only high-resolution of visual images.

Comparison of the antiemetic effect of ramosetron with ondansetron in patients undergoing microvascular decompression with retromastoid craniotomy: a preliminary report

하상희,김현주,주향미,남다정,민경태 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.4

Background: Microvascular decompression with retromastoid craniotomy carries an especially high risk of postoperative nausea and vomiting. In this study, we compare the antiemetic efficacy of ramosetron and ondansetron in patients undergoing microvascular decompression with retromastoid craniotomy. Methods: Using balanced anesthesia with sevoflurane and remifentanil infusion, ondansetron 8 mg (group O, n = 31) or ramosetron 0.3 mg (group R, n = 31) was administered at the dural closure. The incidence and severity of postoperative nausea and vomiting, required rescue medications and the incidence of side effects were measured at post-anesthetic care unit, 6, 24 and 48 hours postoperatively. Independent t-tests and the chi-square test or Fisher’s exact test were used for statistical analyses. Results: There were no differences in the demographic data between groups, except for a slightly longer anesthetic duration of group R (P = 0.01). The overall postoperative 48 hour incidences of nausea and vomiting were 93.6 and 61.3% (group O), and 87.1 and 51.6% (group R), respectively. Patients in group R showed a less severe degree of nausea (P = 0.02) and a lower incidence of dizziness (P = 0.04) between 6 and 24 hours. Conclusions: The preventive efficacy of ramosetron when used for postoperative nausea and vomiting was similar to that of ondansetron up to 48 hours after surgery in patients undergoing microvascular decompression with retromastoid craniotomy. A larger randomized controlled trial is needed to confirm our findings.

부모와 자녀세대의 원가족 건강성이대학생자녀의 우울에 미치는 영향

하상희 한국가족치료학회 2008 가족과 가족치료 Vol.16 No.2

The purpose of this study was to investigate the effect of intergenerational transmission of family-of-origin health on college students’ depression. The data were collected from 254 male and 293 female college students and their parents through a self-administered questionnaire. The results showed that both mothers’ and fathers’ family-of-origin health had a direct effect on sons’ family-of-origin health, which indirectly influenced depression. However, daughters’ family-of-origin health was directly influenced only by their fathers’ family-of-origin health. Both male and female college students’ depression was directly influenced by their family-of-origin health. 본 연구는 부모가 지각한 원가족 건강성이 자녀가 지각한 원가족 건강성에 영향을 미치는지를 검증하고, 이와같은 세대간의 영향력이 대학생 자녀의 우울에 직․간접 영향력을 미치는지 경로분석을 통해 확인해 보고자 하였으며 그 결과는 다음과 같다. 우선, 부모-아들 경로모형에서 아들이 지각한 원가족 건강성은 아버지와 어머니가 지각한 원가족 건강성으로부터 모두 정적인 직접영향을 받는 것으로 나타났다. 아들의 우울은 자신이 지각한 원가족 건강성으로부터 부적인 직접영향을 받는 것으로 나타났다. 그러나 아버지와 어머니가 지각한 원가족 건강성으로부터는 직접적인 영향은 받지 않고 아들이 지각한 원가족 건강성을 통해 간접적인 영향만 받는 것으로 나타났다. 다음으로, 부모-딸 모형에서 딸이 지각한 원가족 건강성은 아버지로부터만 정적인 직접영향을 받는 것으로 나타났고 어머니로부터는 영향을 받지 않는 것으로 나타났다. 딸의 우울은 자신이 지각한 원가족 건강성으로부터 부적인 직접영향을 받는 것으로 나타났으며, 아버지와 어머니의 원가족 건강성으로부터는 직접적인 영향은 받지 않고 딸의 원가족 건강성을 통한 간접적인 영향만 받는 것으로 나타났다.

부모의 가정교육 태도 및 수행도와 청소년기 자녀의 가정교육 수용도

하상희,지금수 한국가족자원경영학회 1999 가족자원경영과 정책 Vol.3 No.1

The purpose of this study is to investigate the relationship between parents’attitude and their actual performance in home education and adolescent children’s acceptance, and to inquire the difference in relation to social-demographic variables with the subject of family with teenagers. The main results were as follows: 1) There were significant difference between father’s attitude and mothers in home education. And there were significant difference between father’s attitude and mothers according to variables in each area. 2) There were significant differences between father’s performance and mother’s in home education. 3) Adolescent children’s acceptance level was 3.26 (standard 5) and was average. there were significant differences in adolescent children’s acceptance level in accordance with parents’school careers, father’s job, child’s sex and school record. 4) There were relationships between parents’attitude and performance in home education when father’s attitude was confident attitude and situational attitude in education method, and when mother’s attitude was confident attitude. 5) There were relationships only when father’s attitude was confident attitude, and there were no relationships in other case. 6) There were relationships between parents’performance and adolescent children’s acceptance.

Miller-Fisher증후군과 동반된 양쪽 거짓-신경핵사이 눈근육마비

하상희,윤태환,신유용,이은재,김범준 대한신경과학회 2018 대한신경과학회지 Vol.36 No.2

Bilateral internuclear ophthalmoplegia (INO) refers to a specific gaze abnormality of bilateral adduction deficits, often accompanied by dissociated abducting nystagmus, caused by medial longitudinal fasciculus lesions usually due to multiple sclerosis or stroke. We report a 63-year-old man with clinical features of Miller-Fisher syndrome (MFS), consisting of ataxia, areflexia, and external ophthalmoplegia which mimicked bilateral-INO without an identifiable central lesion. Although bilateral adduction deficits are usually caused by central lesions, peripheral nervous damage by MFS is needed to be considered.

미래사회의 변화와 가정과 교육과정 연계 방안의 탐색 - 삶 중심 교과 와 행복추구역량 을 기르는 가정과교육의 성격을 중심으로 -

하상희 한국가정과교육학회 2015 한국가정과교육학회 학술대회 Vol.2015 No.-

남녀 대학생의 자기분화와 정신건강 및 진로미결정과의 관계

하상희 한국가족관계학회 2012 한국가족관계학회지 Vol.17 No.2

The main purpose of this research was to examine a causal model concerning the direct and the indirect effect of self-differentiation on career indecision through mental health. The data were collected through 200 male and 164 female students by using the self-administered questionaire method. The causal model was rested through structural equation model by using AMOS/WIN 19.0 program. Results showed that three were clear gender differences in the level of self-differentiation, mental health, career indecision. The result also indicated that male students' self-differentiation directly influenced their career indecision as well as indirectly through mental health, whlie female students' self-differentiation had only a direct effect on their mental health. The results were discussed in terms of some implication for furure study.