홧병 경험군과 홧병 비경험군간의 홧병의 질병개념에 대한 비교연구

홍진표,김창윤,이창화,김성윤,박인호,이철,한오수 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.2

Objective The concept of Hwa-byung in terms of illness entity remains vague. In order to clarify such illness entity, this study was conducted to find out differences and similarities in subjects who experienced Hwa-byung and those who did not experienced Hwa-byung from a wide distribution within the general population. Method (1) Test Material The questionnaires were made up with reference to previously published articles on Hwa-byung, to SCL-90-R and to diagnostic criteria of DSM-Ⅲ-R. The questionnaires included the subject's demographic variables, their awareness of Hwa-byung, their experience of Hwa-byung, and also their opinions about its possible causes, precipitating factors, symptomatology, effective treatment modalities, course and prognosis of Hwa-byung. Such questionnaires were given to 50 subjects, all of whom are psychiatric out-patients at Asan Medical Center, for determining its validity and reliability before selecting 27 questionnaires. (2) Subject Subjects were recruited from among patients and their family members who visited the out-patient clinics of seven different departments at Asan Medical Center in Seoul a large metropolis (N=334), the out-patient clinics of seven different departments of Hae Sung General Hospital in the industrial city of Ulsan, Korea (N=299) and the seven branches of the public health center of Yeonchun county, Korea (N=262), a rural area. From these 895 subjects, 67 subjects who don't know about Hwa-byung and 34 subjects who didn't answered to the question on experience were eliminated from study subjects. The final number of study subjects was 794. (3) Methods of analysis The subjects were divided into the Hwa-byung experienced group and the Hwa-byung inexperienced group. The demographic data and the concepts of Hwa-byung were statistically analyzed by the student t-test or the chi-sq test. Results and Discussion The mean age of the Hwa-byung experienced group is significantly higher than that of the Hwa-byung inexperienced group. MOre women experienced Hwa-byung than men and lesser educated subjects experienced significantly more Hwa-byung. The place of residence, the place of upbringing and socioeconomic status have no significant difference statistically between the two groups. Both groups considered the primary cause of Hwa-byung as being psychological origin. However in the Hwa-byung experienced group, more subjects considered that the supernatural factor was the primary cause of Hwa-byung. One of the primary precipitating events causing Hwa-byung in both groups is conflict in interpersonal relationships ; however, the Hwa-byung inexperienced group exhibited more experiences in the realm of economical losses such as "failure of business" or "loss of capital" as precipitating factors causing Hwa-byung. Both groups consider that the symptoms of Hwa-byung are a combination of multiple physical and mental symptoms. With particular respect to in mental symptoms, such as depressive symptoms, anxiety symptoms and hostility are thought to be prominent features. As effective treatment modalities, subjects in both groups consider that both himself and his family members should make effort to resolve intrafamilial conflicts. But in contrast with the Hwa-byung inexperienced group, the Hwa-byung experienced group requires more concrete and more attention-giving modalities as important treatment strategies. The Hwa-byung experienced group considers its prognosis more grave than the Hwa-byung inexperienced group.

전래동요놀이가 만 2세 영아의 의사소통 및 사회정서발달과 놀이성에 미치는 영향

이영자(Lee Yeong-Ja),곽경화(Kwak Kyeong-Hwa),최진숙(Choi Jin-Suk) 한국어린이미디어학회 2022 어린이미디어연구 Vol.21 No.2

본 연구는 전래동요놀이가 만 2세 영아의 의사소통 및 사회정서발달과 놀이성에 어떤 영향을 미치는지 알아보고자 한 것이다. 연구대상은 전라남도 N시에 소재한 A어린이집과 B어린이집에 재원 중인 만 2세 영아 28명을 대상으로 하였다. 본 연구의 프로그램은 1주에 2회씩, 8주간 전래동요놀이 활동을 실시한 실험집단과 표준보육과정에 기초한 음률신체활동을 실시한 비교집단으로 나누어 실시하였다. 연구도구는 영아의 의사소통능력 및 사회정서발달과 놀이성을 측정하기 위해 이영자, 이종수, 신은수, 곽향림, 이정욱(2002)의 ‘1, 2세 영아발달 평가도구’ 중에서 의사소통에 해당하는 부분을 발췌하여 사용하였고, 김호인(2010)의 사회정서발달 척도와, 이화용(2012)의 놀이성 척도를 사용하였다. 수집한 자료는 SPSS 23.0 Windows program을 통해 독립표본 t-검증을 실시하였다. 연구결과 전래동요놀이는 만 2세 영아의 의사소통 및 사회정서발달과 놀이성에 긍정적인 영향을 미치는 것으로 나타났다. 이러한 연구의 결과는 만 2세 영아의 의사소통, 사회정서발달, 놀이성을 증진시키기 위한 전래동요놀이의 효과를 검증한 연구로서 현장에서 전래동요놀이가 지속적으로 활용되길 기대한다. The purpose of this study is to investigate the effect of traditional nursery rhymes on communication, social-emotional development and playfulness of 2-year-old children. The subjects of this study were 28 2-year-old children who were enrolled in daycare center A and day care center B located in N city, Jeollanam-do. The study was conducted by dividing the groups into a comparison group where rhythmic physical activities were completed based on the national childcare curriculum and an experimental group where traditional nursery rhyme play were implemented twice a week for 8 weeks. As for research instruments, the part corresponding to communication among the ‘1st and 2nd-year-old children development evaluation tools’ of Lee Young-ja, Lee Jong-su, Shin Eun-su, Kwak Hyang-rim, and Lee Jeong-wook(2002) was extracted and used as a research tool to measure the communication ability of toddlers, and Kim Ho-in(2010) and the playability scale of Lee Hwa-yong(2012) were used. The collected data was subjected to independent sample t-test through SPSS 23.0 Windows program. As a result of the study, it was found that traditional nursery rhymes have a positive effect on communication, social-emotional development and playability of 2-year-old children. This study verified the effects of traditional nursery rhyme play to enhance communication, social emotional development, and playfulness of 2-year-old children, and it is expected that traditional nursery rhyme play can be used continuously in the day care center.

고요산혈증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이종은,이준숙,이찬구,이한정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : Serum uric acid has now been identified as a marker for a number of metabolic and hemodynamic abnormalities. The aim of this study is to evaluate risk factors which influence hyperuricemia in the citizens of Asan. Method : The study design was cross-sectional and research subjects were 1086 citizens of Asan. General characteristics, cigarette smoking, alcohol consumption, and past history were obtained by interview using a structural questionnaire. Also, we measured height, weight and blood pressure, and serum uric acid of the subjects. Results : The mean serum uric acid level was 5.27 ㎎/㎗ in men and 4.01 ㎎/㎗, in women, In the multiple logistic regression analysis, statically significant risk factors of hyperuhcemia were gender, body mass index, blood lead concentration, and serum creatinine. Conclusion : Our results suggest that gender, body mass index, blood lead concentration, and serum creatinine might be the most important risk factors of hyperurcemia. Education program as well as routine check-up for serum uric acid was highly recommended for the effective prevention of hyperuricemia.

골다공증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

업종에 따른 연 취급 사업장의 기중 연 농도 및 연 노출 수준 평가

이병국,김용배,리갑수,안현철,김화성,이용진,황규윤,장봉기,이성수,안규동 순천향대학교 산업의학연구소 1999 순천향산업의학 Vol.5 No.1

In order to obtain an useful information for health management and biological monitoring of lead exposed workers, Authors tried to investigate air lead level and the lead exposed level of workers in lead industry according to occupational category. The subjects in our study were 2074 workers in 7 lead-using industries, and study subjects were divided into 4 occupational categories such as storage battery industry (type 1), primary smelting industry (type 2), secondary smelting industry (type 3) and litharge making industry (type 4). Blood zincprotoporphyrin concentration (ZPP), blood lead concentration (PbB) and urinary δ -aminolevulinic acid (ALAU), hemoglobin (Hb), hematocrit (Hct) were selected as the indices of lead exposure. Personal variables such as age, work duration were also collected. The results were as follows. 1. The geometric mean air lead in 9 lead-using industry was 0.1133±4.3120 ㎎/㎥, and that in type 1, 2, 3 and 4 was 0.1038±3.4952 ㎎/㎥, 0.0429±3.4329 ㎎/㎥, 0.1877±2.5123 ㎎/㎥ and 0.9961±5.2910 ㎎/㎥, respectively. 2. The mean ZPP in 9 lead-using industry was 53.1±28.0 ㎍/㎗, and that in type 1, 2, 3 and 4 was 52.0±24.8 ㎍/㎗, 48.0±16.4 ㎍/㎗, 109.8±85.6 ㎍/㎗ and 74.3±37.8 ㎍/㎗, respectively. There was significant difference in ZPP according to occupational category (P<0.01). The percents of lead workers whose ZPP were above 100 ㎍/㎗ in type 1, 2, 3 and 4 were 4.0%, 1.7%, 34.3% and 21.6%, respectively. 3. The mean PbB in lead-using industry was 26.0±11.2 ㎍/㎗, and that in type 1, 2, 3 and 4 was 25.3±11.1 ㎍/㎗, 26.7±8.8 ㎍/㎗, 50.3±15.2 ㎍/㎗ and 36.4±11.0 ㎍/㎗, respectively. There was significant difference in PbB according to occupational category (P<0.01). The percents of lead workers whose PbB were above 40 ㎍/㎗ in type 1, 2, 3 and 4 were 10.4%, 7.7% 71.9% and 43.2%, respectively. 4. While the correlation of Hb corrected PbB with ZPP was higher than non corrected PbB, the correlation of log-transformed ZPP with PbB was higher than non corrected ZPP. 5. Simple linear regressions of PbB and corrected PbB as independent variable with ZPP, log-transformed ZPP and ALAU as dependent variable were statistically significant (P0.01). Coefficient of determination of corrected PbB with other variables was higher than non corrected PbB. As the result of this study, it was suggested that reconsideration of environmental and biological monitoring program was highly recommended for secondary smelting and litharge making industry.

Working Memory and a Subject-object Asymmetry in L2 Processing of English Long-distance Wh-questions

Jin?Hwa Lee 한국응용언어학회 2014 응용 언어학 Vol.30 No.4

While subject?object asymmetry has been repeatedly reported in L2 processing of English long?distance wh?questions, the precise direction of the asymmetry has been controversial in the literature. This study was performed to provide further evidence on the direction of the asymmetry surrounding English long?distance wh?questions by investigating its relationship with L2 learners’ working memory. A total of 48 Korean college EFL learners participated in this study. Their general English proficiency, working memory, and processing of English wh?questions were measured by a cloze test, a reading span task and a picture?elicited comprehension task, respectively. The reading span task was scored in three different ways to investigate the effect of scoring method. The analyses of the data indicated the relative difficulty of object wh?questions over subject wh?questions. In the comprehension task, the participants performed better on subject wh?questions than object wh?questions. Furthermore, only object wh?questions showed a significant correlation with working memory capacity. This study also confirmed the influence of scoring method. Of the three types of partial credit scoring (i.e., storage only, processing only, storage and processing combined), only the processing component was significantly related with comprehension of object wh?questions.

형상기억복합재료에 대한 온라인 모니터링 시스템 개발

이동화,박영철,이민래,이동화,이규창 한국비파괴검사학회 2003 한국비파괴검사학회지 Vol.23 No.1

형상기억복합재료를 제조하기 위하여 핫프레스 방법을 이용하여 최적의 제조조건을 도출하였으며 냉간압연에 의해 기지재와 강화재의 계면접합을 강화하여 강도를 증가시켰다. 이러한 방법에 의해 제조된 형상기억복합재료에 대하여 외부 하중에 의한 손상정도와 균열의 발생을 감지하여 균열 발생 및 진전을 억제하는 온라인 모니터링 시스템을 개발하고자 한다. 이를 위하여 음향방출 신호의 파라미터를 이용하여 손상에 따른 최적의 AE 파라미터를 도출하였으며 가열시스템을 이용하여 형상기억합금을 가열함으로써 형상기억합금의 수축에 의한 복합재료 내부에 균열진전을 억제시키는 시스템을 개발하였다. A hot press method was use for the optimal manufacturing condition for a shape memory alloy(SMA) composite. The bonding between the matrix and the reinforcement within the SMA composite by the hot press mothod was strengthened by cold rolling. In this study, the objective was to develop an on-line monitoring system for the prevention of the crack initiation and propagation by shape memory effect of SMA composite. Shape memory effect was used to prevent the SMA composite from cracking. For the system to be developed, an optimal AE parameter should be determined based on the degree of damage and crack initiation. When the SMA composite was heated by the plate heater attached at the composite, the propagating cracks appeared to be controlled by the compressive force of SMA.

이청준 소설의 글쓰기 양상에 대한 검토 : 탈 권력의 지향과 계몽의 기획에 대한 비판 Practice of Exclusion from Power and Will for Enlightenment

이화진 반교어문학회 2003 泮橋語文硏究 Vol.15 No.-

이 논문은 이청준 소설의 글쓰기 양상에 대한 연구이다. 예술가 의식과 현실과의 관계에서 탈 권력을 실천하고자 하는 이청준은 ‘음모’와 ‘조작’을 통한 글쓰기를 시도함으로써 ‘권력’과 ‘억압’의 지배담론을 전복시키고자 한다. 하지만 ‘진실과 거짓놀음을 통한 서술’, ‘말의 사물화’, ‘현실의 알레고리화와 개방적 결말구조’, ‘내포작가의 개입과 서술 주체의 은닉’ 등 구체적인 글쓰기 양상을 살펴보면 예술성에 목적을 둔 미적 자율성의 탐구라기보다는 ‘기만적 서술’이라는 ‘함의’가 내포되어 있음이 발견된다. 곧 이청준의 소설에 나타난 권력과 억압의 메커니즘에 대한 비판은 역설적이게도 새로운 권력 체계를 형성한다. ‘예술성’ 획득을 위해 구가한 ‘자유’를 향한 몸짓은 보편적 질서에 대한 신뢰마저 부정하고 있으며, 도리어 보편성과 대립하는 ‘자유’ 권력을 재창조해 나간다. 이는 1960, 70년대 문학에서 현실 참여적인 문학에 대한 경계세력을 형성하기도 한다. 이러한 이청준의 ‘자유로운 글쓰기’는 예술가 의식의 순수성을 넘어서서 새로운 ‘동상’을 구축하고자 하는 권력에의 욕망의지의 일환으로 보인다. ‘계몽성’을 내포하고 있는 탈 권력을 향한 실천의 의지는 ‘자유에의 의지’를 피력하는 한 지고한 예술가의 허위의식을 반증해 준다. This article refers to writing style of Lee Chung-jun's Novel. Lee who tried to practice exclusion from power amongst relationship between artist's spirit and reality tried writing with 'conspiracy' and 'manipulation' to overturn ruling discourse on 'power' and 'suppression'. However, looking at his concrete writing style in 'description through truth and false', ' reification of speech', 'allegory of reality and opened conclusive structure', 'intervention of implied-narrator and concealment of descriptive main body' it has 'significant meaning' of 'deceptive description' rather than being a autonomy research focusing art. Namely, criticism on mechanism of power and suppression shown on Lee's novel paradoxically forms another power structure. 'Gesture' toward 'freedom for art' denies trust on ubiquitous regularity and recreates 'freedom' power which opposes to regularity instead. This also formed warning power that stands against reality participation literature in 60's and 70's literature. 'Free writing' of Lee reflects will of power to construct new 'statue' which was much more than simple purity of artist's spirit. His volition to include 'enlightenment' and exclude power in his literature counter evidence fraud formality of a supreme artist who expressed his 'desire for freedom'.

췌장 선방세포암 1예

이화정,지준호,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Acinar cell carcinoma is a rare tumor that represents 1~2% of al1 pancreatic cancers. Clinical and radiologic findings are inconclusive in this disease Acinar cell carcinoma is characterized by rapid progression and early metastasis, which lead to its poor prognosis. A 41-year-o1d man was admitted to our hospital for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) showed a splenic mass, which was being invaded by a pancreatic tail mass and which had increased ^(18)F-fluorodeoxyglucose (FDG) uptake Primary radical distal pancreatectomy and splenectomy were performed. Pathologic findings revealed an acinar cell carcinoma of the Pancreas The patient underwent a total gastrectomy three months later because of gastric recurrence Four months later, multiple hepatic metastases were discovered, and the patient underwent a left hepatectomy During treatment with capecitabine, there was no evidence of tumor progression for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma, which did not progress for an extended period while the patient was being treated with capecitabme.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.