노래부르기 음악프로그램이 정신질환자의 자아존중감과 대인관계에 미치는 영향

홍상희,윤지원,이재금,김지연 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The objective of this study was to verify the effects of the Singing program for psychiatric patients on their self-esteem and interpersonal relationship, and to provide data for the nursing intervention that is necessary for making their life better. Method: The subjects were 10 in-patients with psychotic disorders at C university hospital in Seoul, from july 3 to September 18 im 2005, and the methodology was one group pre experimental- post experimantal design. The instrument for the measurement of self-esteem is Rosenberg Self-Esteem Scale(1973), which was translated by Chun Byung Jae(1974) and the measurement of interpersoral relationship is Schleim & Guerney Relationship Change Scale(1971) which was translated by Mun Seok Mo(1980) and revised by Chun Seok Gyun(1994). SPSS program was used for the analysis of the collected data, which were analyzed by the paired t-test and one-way ANOVA. Result: Singing therapy had an effect on improvement of the self-esteem, and seemed to be more effective as the frequency of the program increased. Singing therapy had an effect on improvement of the interpersonal relatinship, and seemed to ne more effecive as the frequency of the program increased. Comclusion: Singing therapy is found out to be effective program affecting the improvement of both the self-esteem and interpersonal relationship of the psychiatric patients. Therefore the nurses can use the Singing therapy as the nursing intervention for imtrovement of the self-esteem and interpersonal relationship of the psychiatric patients in clinical practice.

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.

회귀분석(regression analysis)을 이용한 개인별 혈중알콜농도의 감소율 계산

홍성욱,권미아,최혜진,박용훈,인상환,김동우,정주연,우상희,박혜성 內務部 國立科學搜査硏究所 2002 國立 科學 搜査 硏究所 年報 Vol.34 No.-

원적산 봉수대 주변정비 기본계획

이상진,김기수,강영조,조승래,홍순연 東亞大學校 建設技術硏究所 2006 硏究論文集 Vol.29 No.2

문화재란 문화가치가 있는 사물로서 국가 가 종교적·세속적 근거에 따라 특별히 지정 한 재산이다. 문화재는 그것이 구현하는 정신적 가치와 시각적 음향적으로 표현하는 수단으로서 그 나라의 독특하고, 다양한 주체성을 보존하는 중요한 매체이기도 하다. 그러므로 문화재는 한나라의 민족역사와 문화로서 과거의 모습을 통해 현재 그리고 나아가 미래를 연결시키는 하나의 매개체인 것이다. 또한 문화재는 그 지역민에게 향토사적 인 자긍심 및 연대의식을 고취시키는 동시에 나아가 한 나라, 세계적인 관심사로 여겨 야 할 것이다. 원적산 봉수대는 양산군청 소재지에서 북쪽으로 약 9.2㎞, 통도사입구 마을인 신평에서 남쪽으로 8㎞지점에 있다. 이 봉수대는 경상남도 기념물 제 118호로써 원적산봉수대 보존회에 의해 복원된 문화재이다. 즉 다른 지역의 문화재와 달리 잊혀 져가는 문화재의 재생을 통해 다시 태어난 문화재인 것이다. 원적산 봉수대 주변정비 기본계획의 목적 은 지역민의 자긍심으로 복원된 봉수대와 주 변과 접근로를 체계적으로 정비를 함으로써 접근성, 전통성, 보존성을 높이고자 한다. 특히, 문화재보호를 위한 제반 법규 및 현지여건에 부합하는 정비방향을 설정하고, 전문 인력과 관련문헌을 바탕으로 문화재 주변을 역사성과 주민친화성, 기능성, 관광성을 함께 갖춘 문화공간으로서의 미래지향적 문화재정비 계획을 추구하고자 한다.

전기자극이 건의 치유에 미치는 영향에 관한 실험연구

홍성철,김덕래,김태연,정전은,박길홍 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

The mechanism of tendon healing has been a controversial issue. Although there seems to be a dipolarizing opinion regarding the tendon healing, it is well known to us that the tendon has both intrinsic and extrinsic healing capacity which has proved in vivo and in vitro studies. Tendon adhesion is a common sequella after tendon repair, particularly after the ling period of immobilization. This can be explained by one wound concept or extrinsic tendon healing. If we can modify the natural healing process of the tendon by augmenting the intrinsic capacity, we can reduce the period of immobilization to allow early motion for better gliding. in this study, we used the electrical stimulation technique, which has been known to have good growth stimulatory effect on the living cells, to investigate its effect on tendon healing in organic culture for 6 weeks. Total 64 flexor tendons were harvested from 8 rabbit paws and they were cultured in separate petri-dishes.: 32 tendons were used for the control group and the rest 32 were used for the electric stimulation group. Tendons through which a continuous 7 μAmp current was passed at the repair site were compared with the non stimulated controls. In reference to the histologic study with Hematoxylin ?? Eosin stain and van Gieson stain, the following results were obtained. 1. There was found no necrosis in the specimens of the control as well as the elctrical stimulation group during 6 weeks' culture period. 2. Starting from 1 week, there was prominent increase of fibroblastic proliferation and collagen production in electrical stimulation group and these active repair processes persisted up to 6 weeks. Accordingly, I conclude that the intrinsic tendon healing capacity can be enhanced by the electrical stimulation in vitro.

미성숙영구치의 복합항생제 적용에 의한 변색의 처치: 증례보고

박소연,김영재,김정욱,장기택,이상훈,김종철,한세현,현홍근 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

The concept of revascularization of necrotic pulps regained interest and became an alternative conservative treatment option for young permanent teeth with immature roots. Revascularization of immature teeth with apical periodontitis depends mainly on disinfection of the canal. Since the infection of the root canal system is considered to be polymicrobial, a combination of drugs would be needed to treat the diverse flora. A triple antibiotic mixture of metronidazole, ciprofloxacin, and minocycline was used as an intracanal medicament. However, discoloration was developed after applying the triple antibiotic mixture. It is believed that the marked discoloration is related to the use of minocycline. The aim of this article was to present cases of coronal discoloration after triple antibiotic therapy in immature tooth and was treated with bleaching technique to control coronal discoloration. In conclusion, revascularization by using triple antibiotics promotes a paradigm shift in treating endodontically involved permanent teeth. However, we should understand that triple antibiotics containing minocycline induces tooth discoloration. Further research to prevent coronal discoloration should be investigated and suggested for the safe use of triple antibiotics. 괴사된 미성숙영구치의 치수치료에 있어서 치수의 재혈관화를 통해 치근단 발육 및 치근형성을 지속하려는 개념이 소개됨 으로써 현재 미성숙영구치의 치수치료의 대안으로 제시되고 있다. 이러한 치근단 염증을 가진 미성숙 영구치의 재혈관화를 위해서는 가장 중요한 것이 근관내 감염된 부분을 확실히 제거하는 살균(disinfection)이다. 근관 내 감염은 여러 세균의 복 합작용으로 일어나기 때문에 철저한 살균에 사용되는 약제의 조합은 다양한 범위의 균주를 모두 제거 가능해야한다. Metronidazole(MN), ciprofloxacin(CF), minocycline(MC)의 세 가지 복합항생제가 약제로 사용되고 있으나 이 복합항생 제 적용 후 치관변색을 일으키는 사례가 보고되고 있다. 이러한 치관변색은 항생제의 성분 중 MC에 의한 것으로 여겨지고 있으며, 본 증례에서는 복합항생제 적용에 의해 야기된 치관변색의 증례를 소개하고 이를 표백술로 처치하여 최종 수복한 증 례를 보고하였다. 복합항생제 적용을 통해 미성숙영구치의 치수치료에 새로운 패러다임을 제시한 것은 분명하지만 치관변색 등의 부작용이 있음을 인지하고 치관변색을 사전에 예방하고 최소화하기 위해 다양한 방법이 강구되어야 할 것이다.

벼 육묘기 개발 및 육묘 실용성

박성태,김상열,황동용,홍연규 한국국제농업개발학회 2004 韓國國際農業開發學會誌 Vol.16 No.3

벼 농사에서 기계화가 어려운 육묘를 못자리 없이 간편하고 저비용으로 할 수 있는 육묘기 개발 및 개발 육묘기의 실용성 평가시험 결과를 요약하면 다음과 같다. 1. 개발 조립식 육묘기는 파종상자 치상선반, 플라스틱판, 부직포와 비닐로 만든 보온덮개로 구성되어 있고 35상자 육묘용 육묘기는 규격이 가로 152㎝, 세로 63㎝, 높이 147㎝이며 무게 75㎏이며, 육묘일수에 따라 육묘선반 간격을 간단히 조절할 수 있다. 2. 개발 육묘기를 이용 육묘시 묘소질은 관행 못자리 모와 비슷하고 결주율는 3.2%로 못자리 육묘상자모 2.8%와 거의 같았다. 3. 개발 육묘기는 대당 20만원정도로 기존 자동화 육묘시설 (198평:7,360상자 육묘기준 및 장비에 비하여 시설비가 43% 절감 된다. 4. 육묘 노력시간은 개발 육묘기는 ㏊당 7.9시간으로 자동화 시설육묘 및 못자리 육묘에 비하여 각각 18%, 76%절감 되었다. 5. 물 사용량은 개발 육묘기 이용 육묘는 ㏊당 2.5kl로 자동화 시설육묘 및 못자리 육묘에 비하여 6~8배 절감되었다. Raising seedling in nursery bed needs not only a lots of time but also labor input which are hard especially to the old and lady farmers. On the other hand, construction of seedling raising facilities such as automated seedling raising house also requires a lots of money. To overcome those problems, a simple seedling raising shelf, which is not necessary for preparation of the seedling raising nursery bed, was developed and its feasibility of seedling raising was evaluated. The dimension of the seedling raising shelf has 152㎝ in length by 63㎝ in width with 147㎝ in height. The shelf is composed of 6 to 7 layers of shelf frame, plastic tray for seedling raising, water supply pipes and white polyester cover. The height of a seedling raising shelf can be adjusted to 6 or 7 layers simply by changing the height of plastic pipes. One unit shelf can accomodate 30 to 35 seedling trays which can transplant about 1000 ㎡ rice field. The seedling height and dry weight of rice seedling grown in the shelf-type seedling raising apparatus was not significantly different from those seedlings grown in the conventional nursery bed. Missing hill percent-age of the seedling grown in shelf-type seedling raising apparatus was 4.3% similar to that of nursery bed of 4.3%. The seeding raising shelf has following advantages. The seedling raising shelf reduces cost of the seedling raising facilities by 43%, labor input hour by 18%, irrigation water saving by 83% versus automated the automated seedling raising house and labor saving by 76% and irrigation water saving as much as 6~8 times versus the conventional seedling raising method of nursery bed.

통합심리치료의 인지분화훈련이 정신분열병 환자의 기초 인지기능에 미치는 영향

이희상,현명호,조현상,이연희,김태용,장순아,노규식,정기립,이만홍,유계준 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

연구목적 : 정신분열별 환자들을 대상으로 통합심리치료의 소프로그램인 인지분화훈련을 실시하여 실행기능, 개념형성능력, 언어능력 및 추론력에 대한 훈련이 보다 더 하위단계의 인지기능인 주의력, 기억력, 반응시간 등을 호전시킬 수 있는 지를 알아보고자 하였다. 연구방법 : DSM-IV상 정신분열병으로 진단된 24명의 입원환자를 무작위로 양분하여 한 군은 인지분화훈련군으로 다른 한 군은 대조군으로 나누었다. 훈련군은 4주동안 1주일에 3회(매회 60분간)로 총 12회의 통합심리치료의 인지분화훈련을 받았으며 대조군은 동일한 시간동안 정신건강교육을 받았다. 훈련전후에 훈련군과 대조군을 대상으로 개정판 Wechsler 기억검사로 주의집중력, 장·단기 기억력을 측정하였고 Vienna test system중 결정반응시간검사로 반응시간, 반응결정시간, 반응운동시간을 평가하였다. 연구결과 : 1) 주의집중력에서는 훈련군과 대조군사이에 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 2) 단기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=10.46. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 3) 장기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=15.09. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 4) 반응시간에서는 상호작용 효과(F(1,24)=5.18, p〈.05)가 있었다. 5) 반응운동시간에서는 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 6) 반응결정시간에서는 상호작용 효과(F(1.24)=6.00, p〈.05)가 있었다. 결 론 : 통합심리치료의 인지분화훈련은 정신분열병 환자에서 하위단계의 인지기능 중 반응시간(특히 반응결정시간)을 단축시키는 효과가 있었다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training of Integrated Psychological Therapy(a training program of executive function, concept formation, language, and abstraction) on micro-level cognitive function such as attention, memory and reaction time in patients time in patients with schizophrenia. Methods : Twenty-four inpatients diagnosed as schizophrenia using DSM-IV were randomly assigned to 2 groups. The training group went through a total of 12 sessions of cognitive differentiation training for 4 weeks. The control group received psychoeducation program during the same period. Wechsler Memory Scale-Revised and Decision-Reaction Timer of Vienna Test System were administered to all patients, both before and after the training program. Results : 1) In the attention and concentration scores of Wechsler Memory Scale-Revised, between group, within group and interaction effects of training were not significant. 2) In the short-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=10.46, p〈0.05), but the between group and interaction effects did not reach significance. 3) In the long-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=15.09, p〈0.05), but the between group and interaction effects did not reach significance. 4) In the reaction time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=5.18, p〈0.05). 5) In the motor time scores of Decision-Reaction Timer, between group, within group and interaction effects of training were not significant. 6) In the decision time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=6.00, p〈0.05). Conclusion : Our findings suggest that cognitive differentiation training of Integrated Psycho-logical Therapy is partly effective on improving micro-level cognitive functions such as reaction time(especially, decision time) in patents with schizophrenia.

ImmunoDot법에 의한 전신성 류마티스 질환의 자가항체 검사

박성환,김선준,김성일,민준기,이상헌,홍연식,조철수,김호연 최신의학사 1997 最新醫學 Vol.40 No.7

자궁근종의 임상 및 병리학적 연구

황성연,홍성진,김창홍,김흥곤 圓光大學校 醫科學硏究所 1997 圓光醫科學 Vol.13 No.1-2

Uterine myoma is the most common solid pelvic tumor in women. Nevertheless, etiology and symptomatology remain poorly understood, and management is inconsistent. In an effort to improve understanding of these aspects of uterine myoma, we have reviewed and analysed the data results obtained from myoma patients at department of obstetrics and gynecology, Wonkwang university hospital during the years 1995 to 1996. The following results have been obtained. 1. During the period the incidence of uterine myoma among 1,116 cases of major gynecologic surgery was 27.2 %. 2. Myoma was observed most frequently in the age group 40 to 49 years and the mean age was 43.6 years. 3. The intramural type was observed in 200 cases (65.8 %), mixed type in 53 cases (17.4 %), subserous type in 29 cases (9.5 %) and submucous type in 22 cases (7.3 %) respectively. 4. The symptoms commonly found in decreasing order were abnormal uterine bleeding (57.3 %), pain or pressure symptoms (53.3 %) and palpable mass (22.4 %). 5. Hypermenorrhea was observed in 96 cases (31.6 %) and there were significant correlations between the presence of hypermenorrhea and the type of myoma, associated adenomyosis. ( p< 0.05 ) 6. There were no significant correlations between the dysmenorrhea and the type of myoma, associated adenomyosis. ( p > 0.05 ) 7. Abnormal electrocardiographic findings were noticed in 18.8 %. 8. Mean hemoglobin level were 10.2 gm/㎗ and less than 10 gm/㎗ was found in 26.6 % and transfusion was performed in 20.8 %. 9. The most frequently associated disease in uterine myoma was adenomyosis seen in 43.4 %. 10. The secondary pathologic changes in uterine myoma were found in 5.0 % and the most common change was hyaline degeneration (3.0 %). 11. The infertility was observed in 10.2 % in which the primary infertility was 6.3 % and secondary 3.9 % respectively. 12. Total abdominal hysterectomy was performed in 84.2 % and vaginal hysterectomy in 11.8 %, myomectomy in 3.3 % respectively. 13. The postoperative complications were found in 26.6 % and the most common complication was the fever (13.8 %).