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      • KCI등재

        정안침요법(整顔鍼療法)을 응용하여 호전된 후천성 사경환자 치험 2례

        박서영,김재수,홍의재,이윤경,이봉효,임성철,정태영,이경민,Park, Seo-Young,Kim, Jae-Su,Hong, Eui-Jae,Lee, Yoon-Kyoung,Lee, Bong-Hyo,Lim, Seong-Chul,Jung, Tae-Young,Lee, Kyung-Min 대한침구의학회 2008 대한침구의학회지 Vol.25 No.4

        Objectives : This report intended to estimate effects of Jung-an acupuncture on the acquired torticollis caused by muscle contraction. Methods : The patients were treated by Jung-an acupuncture, herb medication and Physical treatment daily. The improvement of the patients was judged by Toronto Western Spasmodic Torticollis Rating Scale(TWSTRS), Tsui's score and Visual Analogue Scale(VAS). Results : After 7 days of treatment, the 2 patients' neck pain and cervical movement were improved. Also, TWSTRS score, Tsui's score and VAS were all reduced. Conclusions : As the Jung-an acupuncture's theological base is organized with meridian theory and myofacial release therapy, We considered the Jung-an acupuncture is effective not only for the skin disease but also for the muscle problem such as torticollis.

      • KCI등재
      • KCI등재

        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.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • 離散型計劃法에 의한 鐵筋 Concrete 斷面의 最適化에 관한 硏究

        鄭哲源,최규도 圓光大學校 1987 論文集 Vol.21 No.2

        本 硏究는 一連의 設計制約을 받는 構造物 系의 各 成分이 fixed set에서 選擇되어 질때 그 系를 最適化하는 數學的計劃法을 敍述하고 있다. N次 制約空間의 幾何學的 形象에 대한 解析이 만들어 지고, 그 解析節次는 制約空間에서 目的函數平面을 移動시킴으로써 考案된다. 目的函數를 移動시키는 것은 設計變數가 미리 規定한 範圍에서 選擇되어 질 때 그 問題에 대한 最適解를 決定하기 위해서다. 더욱 進步된 探索過程에서 幾何學的 묘사가 敍述되어 있으며, 그에 대한 數學的 公式이 表現되어 있다. This study presents a mathematical programming method by which a designer can optimize a system of components when the system is subjected to a set of design constraints and the individual components must be picked from a fixed set. An analysis of the geometric configuration of an N?? order constrained space is made and a procedure is devised by which an objective function plane can be translated through this space in a controlled manner. The controlled translation of an objective function is for the purpose of determining the optimum solution to a problem when the variables must be selected from some pre-defined set. A geometrical description of the developed search routine is given and is supported with a mathematical description.

      • Edward Albee의 극언어 연구

        정철웅 서강정보대학 2001 論文集 Vol.20 No.-

        Edward Albee emerged as a representative American absurd dramatist who would lead the country's theater in the 1960 s. His powerful language as well as naturalistic settings and the specific thematic meanings make it clear that he cannot be described only as an absurdist. We can say that he is realist using some absurdist stuff to give theatrical effect. Since his language has a power of decision, the characters lose their self and self-ruling power. This language breaks everything and has a power to create and reconstruct it. Who's Afraid of Virginia Woolf? is the typical drama in which language is used as an implement of taking over power, exercising violence and creating new situations. The characters' reality and relationship in Who's afraid of Virginia Woolf? are realized in language. The language is treated as games and the power among the characters follows immediately the one who has better verbal ability. Language is used to define the characters' interactional status gauge and to control each other. That is explained in language aggression, which is the main idea of this thesis, which considers the language itself functions as violence and regulates human world.

      • 적응관측기를 이용한 SPMSM의 속도 및 위치 센서리스 제어

        정택기,이정철,이홍균,정동화 국립7개대학공동논문집간행위원회 2003 공업기술연구 Vol.3 No.-

        This paper is proposed to position and speed control of a surface permanent magnet synchronous motor(SPMSM) drive without mechanical sensor. An adaptive state observer is used for the mechanical state estimation of the motor. The observer is developed based on a nonlinear model of the SPMSM, that employs a d-q rotating reference frame attached to the rotor. A adaptive observer is implemented to compute the speed and position feedback signal. The validity of the proposed sensorless scheme is confirmed by various response characteristics.

      • KCI등재
      • 剪斷壁 flat plate 構浩의 뒤틀림에 관한 硏究

        鄭哲源 圓光大學校 1983 論文集 Vol.17 No.2

        本 論文은 shear wall-flat plate構造의 warping에 관한 硏究이다. 一般的인 3次元解析은 構荷重을 받는 shear wall-flat plate構造를 解析하기 위해 提案되었다. 여기서 開斷面의 warping은 解析上 하나의 독립된 變位로 보았으며, flat plate의 휨剛性과 더불어 그들의 warping 相互作用에 대하여 硏究되었다. warping 을 무시하는 전통적인 解法인 과거의 解析結果와 開斷面의 warping을 포함한 本 硏究에서의 解析結果를 비교함으로써 開斷面의 warping을 고려해야 한다는 중요성을 提示하였다.

      • SCOPUSSCIEKCI등재

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