저소득층 영유아를 위한 다학제적 심리발달 지원 프로그램 연구

김동철(Kim, Dong Chul),주미경(Joo, Mi Kyoung) 한국전시산업융합연구원 2015 한국과학예술융합학회 Vol.21 No.-

본 논문의 연구목적 및 방법, 내용, 그 결과는 다음과 같다. 본 논문은 사회공동모금회 지원과 두산, 좋은아이연구원, 한국표현 문화예술협회, (주)김동철 심리케어에서 공동으로 진행한 저소득층 영유아를 위한 심리발달 지원 프로그램 운영프로젝트를 진행 하였다. 프로젝트는 ‘움직이는 심리센터 [굿 스마일 심리버스]’를 운영하여 영유아 발달검사, 영재검사, 심리검사에 대한 임상연구 자료로 발달, 심리, 영재성 검사를 통해 영유아들의 성향, 지능, 발달과정을 수집, 분석하여 종합적 DB를 만들고, 개인별 대상에 맞는 예술표현 치료를 접목하여 더욱 우수한 영재발굴에 그 의미를 둔다. 한국의 영유아 발달검사 및 심리검사는 다학제적 의미를 두기보다는 보편화되고 다양성이 없는 것이 사실이다. 이로 인해 움직이는 심리버스시스템을 도입하여 찾아오는 복지 시스템이 아닌 직접 찾아가는 심리복지 시스템을 도입하여 융합적 교감을 이끌어냈다. 한국의 영유아는 40%가 문화 예술적 영재로 나타남에 따라 예술적 자질이 뛰어난 결과를 얻게 되었으며, 기질적 특성 또한 예술적 재능이 뛰어나고 창의적 능력이 높아 영유아 관련 정책운영에 기초자료가 될 것이다. 본 임상연구는 체계적인 강점지능1) 분류와 영유아의 지적 발달 현황을 분석을 위해 서울 경기지역 영유아를 대상으로 대형버스 43인승을 개조한 움직이는 심리센터인 ‘굿스마일 심리버스’를 통한 검사와 출장 상담을 (주)김동철 심리케어 사회복지 팀이 운영하였다. The purpose of research, method, contents and result of the paper are as follows: This study did psychological development support program project with support of Community Chest of Korea and with cooperation of Good Children Research Institute, the Association of Expression Culture Art of Korea, and Kim Dong-cheol Psychology Care Company. The project managed Moving psychology center (Good Smile Psychology Bus) to make use of clinical research material of young children development test, talented young children test and psychological test and to collect and analyze young children"s inclination, intelligence and development process and to produce comprehensive database and to connect artistic expression therapy of each individual and to discover good talented children. As many as 40 percent of young children in Korea were found to be artistic young children having excellent artistic talent and to have good spirit, artistic talent and creative ability: The findings were likely to be basic material of policy-making. The study classified strong intelligence systematically to investigate intelligence development of young children. The subject was young children in Seoul and Gyeonggi-do who were on board ‘Good Smile Bus for 43 passengers’ and Kim Dong-cheol Psychology Social Welfare Team consulted on business trip. The study did psychological development support program project for young children of low income group with support of Social Joint Fund, and with cooperation of Doosan, Good Children Research Institute, the Association of Expression, Culture and Art of Korea, and Kim Dong-cheol Psychology Care Company.

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.

임상 가검물에서 분리된 균(대장균과 황색 포도균)의 약제 내성

김중명,김재식,김경선,김재룡,전동석,최성만,서상철,김인자,김재숭,이건일,김경숙 慶北大學校 醫科大學 1982 慶北醫大誌 Vol.23 No.2

1981년 1월에서 12월말까지 임상 제료에서 분리한 Escherichia coli (E. coli)와 Staphylococcus aureus (S. aureus) 중에서 무작위로 각 50주 씩 선택하여 원판 확산법과 평판 희섭법으로 그 내성주를 조사하여 다음과 같은 성적을 얻었다. 전체적으로 볼 때에 Teteracyclin (TET), Chloramphenicol (CM) 및 Ampicillin (AMP)에 대한 내성주가 가장 많았고, Amikacin (AMK)에 대한 내성주는 가장 적어다. 이것을 균종별로 보면 E. coli에 있어서는 TET, AMP 및 CM는 원판 확산법으로서 74∼76%, 평판 희석법으로서는 78∼94%가 내성주임을 나타내었고, 또 Cephalothin(CEP)은 원판 확산법에서는 8%가 내성주로 나타났으나, 평판 의석법에서는 52%가 내성주로 나타났다. S. aureus에 있어서는 TET는 원판 확산법으로 82%, 평판 희석법으로서는 78%가 내성주로 나왔고 Penicillin (P)은 원판 확산법에서는 56% 평판 희석법으로는 22%의 내성주가 나왔으며, GM과 CM은 원판확산법에서는 18∼44%, 평판 희석법에서는 56∼58%가 내성주로 나왔다. Each 50 strains of Escherichia coli and Staphylococcus aureus were selected at random out of the stock cultures which were isolated from the clinical materials in the bacteriological laboratory of the department of clinical pathology. Kyungpook National University Hospital from the first of January to the end of December in 1982, and their resistance against eight antibiotics were as follows; Escherichia coli and Staphylococcus aureus had the most resistant pattern against tetracyclin, chloramphenicol, and ampicillin, while they had the most sensitive pattern against amikacin in general. Escherichia coli revealed resistant pattern to tetracyclin, ampicillin, and chloramphenicol 74-76% by the disk diffusion method and 78-94% by the plate dilution method, and revealed resistant pattern to cephalothin 8% by the disk diffusion and 52% by the plate dilution. Staphylococcs aureus disclosed resistant pattern to tetracyclin 82% by the disk diffusion and 78% by the plate dilution, and disclosed resistant pattern to penicillin 56% by the disk diffusion and 22% by the plate dilution, and to gentamicin and-chloramphenicol 18-44% by the disk diffusion and 56-58% by the plate dilution.

나라꽃 무궁화 품종중 가로수용, 분화용 및지피용으로 조경적 활용도가 높은 품종 선정

강호철 ( Ho Chul Kang ),김동엽 ( Dong Yeob Kim ),하유미 ( Yoo Mi Ha ) 한국전통조경학회(구 한국정원학회) 2016 한국전통조경학회지 Vol.34 No.2

본 연구는 조경수용 무궁화 우수품종 보급을 위한 유전자원 수집과 특성을 평가하기 위해 최근 국내외에서 육성된 127품종의 1년생접목묘를 이용하여 2014년부터 2015년까지 2년 동안 생육 및 형태적 특성조사를 실시하였다. 수집된 품종 중 키가 큰 가로수 및 독립수용품종, 왜성형 분화 및 지피용 품종 등을 선정하여 무궁화를 조경수로 활용도를 높이는데 기여하고자 하였으며 얻어진 결과는 다음과 같다. 최근 국내외에서 육성된 나라꽃 무궁화 품종들의 생육특성을 조사하기 위해 먼저 접목 1년생 수고를 조사한 결과 20~120cm까지다양하게 나타났다. 무궁화 ``주몽``과 ``홍가로수``, 종간교잡종 Hibiscus hybrid ``Daewangchun``, ``Daeil``, ``Lohengrin``, ``Jina``, ``Yeonam`` 등이 키가 100cm 이상으로 가장 큰 품종으로 조사되었다. 최근 국내외에서 육성된 무궁화 127품종 중 조경적 활용가치가 높은 교목성 가로수로이용할 수 있는 품종은 무궁화 ``주몽``과 ``홍가로수``, 종간교잡종 Hibiscus hybrid ``Daewangchun``, Hibiscus hybrid ``Daeil``, Hibiscus hybrid ``Lohengrin``, Hibiscus hybrid ``Jina``, Hibiscus hybrid ``Yeonam`` 등이 있었다. 분화 및 분재용으로 이용할 수 있는 왜성형 품종으로는 ``Red Heart``, ``백령도``, 종간교잡종 ``진선``, ``꼬마``, ``여천``, ``야음`` 등이 있었으며, 키가 30cm 미만의 아주 작은 품종으로는 ``안동``, ``청조``, ``Lil Kim`` 등이 포함되었다. 수고가 작은 왜성형으로 가지의 생장이 아래로 향하는 ``탐라``, ``Melrose``, ``비단``, ``하이리``, ``별이``, ``병화``, ``미백``, ``한양``, ``청암``, ``Lil Kim Violet``, ``종무``, ``은하수``, 종간교잡종 Hibiscus hybrid ``Saehanseo``와 Hibiscus hybrid ``Yousoon``은 화단 및 지피용소재로 이용가치가 높았다. This study was carried out to characterize 127 recently developed cultivars of Rose of Sharon (Hibiscus spp.) in Korea and foreign Countries for landscape uses. The examined factors were growth characteristics such as tree height of a 1-year grafted plant(cm), plant type, growth habit, leaf characteristics such as shape and size, flower characteristics such as color, shape, size, and red eye during 2014 and 2015 for landscape uses. The results are obtained as follows; Hibiscus hybrid ``Daewangchun``, ``Daeil``, ``Lohengrin``, ``Yeonam``, ``Joomong``, ``Jina``, and H. syriacus ``Honggarosu`` had vigorous shoot growth and tall tree size of 100cm. New Hibiscus cultivars, Hibiscus hybrid ``Daewangchun`` and ``Daeil``, having vigorous growth, uniform plant habit, upright, and compact branches were developed through interspecific crosses between H. syriacus ``Samchully`` (♀) and H. sinosyriacus ``Seobong`` (♂). This newly developed cultivar ``Daewangchun``, ``Daeil``, ``Lohengrin``, ``Yeonam``, ``Joomong``, ``Jina``, and H. syriacus ``Honggarosu`` having tall vigorous growth d unique flower with long red eye can be used as street tree or specimen plant in landscape. Otherwise, H. syriacus ``Tamla``, ``Melrose``, ``Bidan``, ``Hi Lea``, ``Byeollee``, ``Byunghwa``, ``Mibak``, ``Hanyang``, ``Chungam``, ``Lil Kim Violet``, ``Jongmoo``, ``Eunhasu``, Hibiscus hybrid ``Saehanseo``, and Hibiscus hybrid ``Yousoon`` were selected as small tree of 30~39cm. They had dwarf form in tree seemed to be suitable for pot or flower bed planting on both indoor and outdoor conditions. H. syriacus ``Antong``, ``Chungjo``, and ``Lil Kim`` were less than 30 cm of tree size. H. syriacus ``Antong``, ``Chungjo``, and ``Lil Kim``, characterized by its compact, upright and outwardly spreading plant habit; freely branching habit; dark green-colored leaves; good garden performance. Therefore, the new cultivars with tall and small tree size were a promising cultivar as a ground covers or pot planting as woody landscape plant.

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.

비만 여성을 대상으로 한 해조류 추출물의 국부처치와 운동 병행을 통한 지방분해 효과의 임상적 검정

서태수,이인숙,변재철,김규호,박승한,김유영,김상국,김현정,김상기,신동철,성미영,박종석,김종기,박언휘 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.3

This study was carried out to test the body fat breakdown during topical seaweed extract treatment and in combination with the aerobic exercise. Of 20 female obesity subjects, ten treated a cream types of seaweed extract(control group) and ten treated a placebo cream(placebo group). Topical treatment of each sample was designed for 4 weeks, and treated with 2 times a day about 10ml on the abdomen and the thigh, respectively. All subjects were participated aerobic dance half hour a day and four times a week. After 4 weeks of topical treatment and exercise, they were measured body fat, skinfold thickness, body circumference. Then venous blood samples were taken and analyzed blood cells, serum enzymes, and serum lipids. There were reduction of body weight, % of body fat, antebrachium, brachium, chest, waist, thigh circumference and abdomen thickness between pre and post treatment in both group. Especially, body weight and % of body fat significantly reduced in the subjects treating the seaweed extract than those treating the placebo. There were significant decrement in total cholesterol and LDL whereas increment in HDL and TBIL in the control group, but no significant difference in the placebo group. In conclusion, there were 7.6% of body fat reduction during 4 weeks of aerobic exercise and 21% of body fat reducement in combination of topical seaweed treatment and exercise, respectively. These results suggest that the topical treatment of seaweed extract should be very effective for fat breakdown. Especially, the body fat breakdown maximized in the combination with the topical seaweed extracts treatment and the aerobic exercise.

Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction

Hye-Sung Lee,Hyun-Su Baek,Dong-Suk Song,Hee-Chul Kim,Hyo-Geun Kim,Bok-Joo Kim,Myung-Soo Kim,Sang-Hoon Shin,Sung-Hee Jung,Chul-Hoon Kim 대한구강악안면외과학회 2013 대한구강악안면외과학회지 Vol.39 No.1

Objectives: This study sought to evaluate the effect of simultaneous application of arthrocentesis and occlusal splint. Materials and Methods: A retrospective study of 43 patients (3 males, 40 females) whose symptoms had improved was conducted at the Department of Oral and Maxillofacial Surgery, Dong-A University Hospital between 2008 and 2010. Subjects were divided into three groups: Group A (17 patients with arthrocentesis and occlusal splints simultaneously applied), Group B (13 patients whose symptoms did not improve with occlusal splints, undergoing arthrocentesis after occlusal splint use for 8 weeks), and Group C (13 patients that only used occlusal splints). We compared these groups in maximum comfortable opening (MCO) and the visual analogue scale of pain and noise. Follow-up was performed at 1 week, 1 month, 3 months, and 6 months. Results: The improvement of symptoms was noted in all three groups, but Group A had a quicker improvement than the other groups, in terms of pain reduction and MCO increases. Conclusion: The simultaneous application of arthrocentesis and occlusal splints can reduce patient discomfort more quickly.

소양호의 DOC와 POC의 분포

김범철,최광순,김철구,이유희,김동섭,박제철 江原大學校 附設 環境硏究所 1998 環境硏究 Vol.15 No.-

Seasonal and vertical distributions of dissolved and particulate organic carbon were investigated from May 1995 to March 1997 in n deep mesotrophic reservoir, Lake Soyang, POC contentrations at the dam site ranged from 0.1 to 1.8 mgC/L and DOC concentrations ranged from 1.4 to 4.9 mgC/L. POC concentrations in the surface layer were higher in the season of cyanobacterial bloom, July to September. High POC was observed at the depth of 30 to 60m after storm runoff in summer monsoon season. Turbid storm runoff formed intermediate current laden with much particulate materials from terrestrial sources. The vertical and seasonal variation of DOC was smaller than POC. Higher DOC was observed near the lake bottom which implies sedimentation and degradation of much organic detritus at the bottom. The ratio of DOC : POC varied from 2 to 60, and the ratio was lowest in September 1995 when algal density was highest. DOC : POC ratio of the main inflowing river, the Soyang River, varied from 1 to 10, and the ratio was low in storm runoff when the POC concentration was high.

복 공진형 고주파 인버터의 특성해석 및 설계

김종해,이동헌,이철우,김중기,김동희,조규판 嶺南大學校 工業技術硏究所 1998 工業技術硏究所論文集 Vol.26 No.2

This paper proposes a double resonant high frequency inverter which reduces the distribution of the switching current. The analysis of the proposed circuit is generally described by using the normalized parameters. Also, the principle of the basic operation and the characteristics of driving were estimated by the switching frequency and the load parameters. And the data for the design were got by the characteristic values obtained from the characteristic estimation. At the same time the example of the design method was proposed. In addition, Comparing the theoretical waveforms to the experimental waveforms certified the operating characteristics of the proposed Inverter. It is certain that the proposed circuit will be used and expanded in the high frequency power supplies like induction heating systems.

유기용제 폭로가 여성 근로자들의 월경에 미치는 영향

김대환,이채관,김휘동,강동묵,문덕환,김정호,손병철,이창희,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.1

유기용제는 산업장에서 널리 사용되고 있다. 특히 여성근로자들의 폭로기회가 증가하고 있으며 이로 인한 자연유산, 수태능력 감소, 월경이상 등이 보고되고 있다. 따라서 유기용제 폭로가 여성근로자들의 월경에 미치는 영향을 보기 위해 설문조사와 월경주기별 여성생식 호르몬(progesterone, estrogen) 분석을 하였다. 그 결과 폭로군에서 progeterone의 억제효과가 유기용제에 폭로되는 여성근로자들의 다양한 월경이상을 초래할 가능성이 있는 것으로 생각된다. ■ Objectives This study was conducted to evaluate the effects of menstrual function in female workers exposed to organic solvents. ■ Methods Rates of menstrual disorders were studied in 87 female workers with exposure to organic solvents(Cn/Hn-value 0.713) in a factory manufacturing shoes and compared with 83 general female workers who had no exposure to organic solvents, Detailed menstrual and reproductive histories were obtained by personal interview using structured questionnaire, and plasma concentrations of progesterone and estrogen were assayed by radioimmunoassay(RIA). ■ Results The rates for menstrual irregularity, menstrual duration, blood clot in menstrual flow and dysmenorrhea were not significantly different in both groups. Number of using menstrual pad was significantly higher and the plasma level of progesterone during 6-11th day of menstrual cycle was significantly lower in the exposed group compared with non-exposed group(P<0.05). ■ Conclusions It seemed to be suppression effect of organic solvents on the reproductive hormones(progesterone and estrogen) in female workers. But there was no evidence that menstrual disorder was likely to result from exposure to organic solvents, because other behavioral, psychological and work related factors may also affect menstrual function.