음악 표현활동이 정신지체학생의 부적응행동 변화에 미치는 효과

진영기,권주석 한국발달장애학회 2006 발달장애연구 Vol.10 No.2

The purpose in this study were to analyse the effects of musical expressive activities program on maladaptive behavior for young people with mental retardation who attended aspecial class at high school. This program was presented to their 30 times per 50 minute. The subjects were 9 young people with mental retardation, and the instrument used to measure their maladaptive behaviors were construct to aggressive behaviors, rebellious behaviors and withdrawal behaviors. The results of this study were as follows. First, the musical expressive activities program was effective to lessen maladaptive behaviors for young people with mental retardation. Specially, it was more effective to lessen of rebellious behaviors and withdrawal behaviors for them. And it was more effective program for students with various factors of maladaptive behavior. Also, to play musical instrument was effective to lessen maladaptive behaviors for young people with mental retardation. To unfold musical activities in a more systematic manner, there should be a separate space for music therapy in special school, and special school teachers should get training in musical treatment or participate in workshop. 본 연구의 목적은 음악 표현활동 프로그램이 정신지체학생의 부적응행동 변화에 어떤 영향을 미치는가를 분석하려는 것이다. 음악 표현활동 프로그램은 주 2회(월, 목) 매 회기 50분씩 총 30회에 걸쳐 실시하였다. 연구 대상은 고등학교 특수학급의 정신지체학생 9명이었으며, 검사도구는 한국형 적응행동검사와 코너스의 교사용 평정척도의 공격, 반항, 위축 행동 등 3개 영역의 내용을 재구성하였다. 본 연구결과 밝혀진 사실은 다음과 같다. 첫째, 음악 표현활동은 정신지체학생의 부적응 행동 감소에 효과적이다. 둘째, 음악 표현활동은 부적응행동의 하위 영역 중 위축 행동과 반항 행동 감소에 더 효과적이다. 셋째, 음악 표현활동은 부적응 행동의 요소가 다양하고 부적응의 정도가 심한 정신지체학생에게 더 효과적이다. 넷째, 노래 부르기와 율동보다는 악기놀이 활동이 부적응 행동의 감소에 더 효과적이다.

다발성골수종의 임상적 고찰

진영기,이기주,문규,김현리,김태원,이만재,박유환,정춘해 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.1

Objective: Multiple myeloma is characterized by the neoplastic proliferation of a single clone of plasma cells engaged in the production of a monoclonal immunoglobulin. This clone of plasma cells proliferates in the bone marrow and frequently invades the adjacent bone. producing extensive skeletal destruction that results in bone pain and fractures. Anemia. hypercalcemia, and renal insufficiency are important features. We analyses clinical manifestation of multiple myeloma. Method: A clinical observation on 20 cases of myeloma which were diagnosed by criteria of the SW0G(Southwest Oncology Group) between March 1993 and December 1996 at Chosun University Hospital was done. Result: 1. The peak incidence was in 6th decade and male to female ratio was 0.8:1 2. The presenting symptoms at first diagnosis were bone pain(45%). and anemia(20%), but non specific symptoms were also noted. 3. Initial clinical stages were classified as stage in 20%, stage Ⅰ in 25%. and stage 11 in 55%. 40% of stage Ⅱ and 64% of stage Ⅲ patients showed renal impairment. 4. The distribution of immunoglobulin classes were IgG 61%, IgA 22% and light chain 5% 5. Complications of multiple myeloma, such as renal impairment, infections, compression fractures of spine and spinal cord compression were observed, Pneumonia was predominant in infections.

제2차 국공내전기 미 해병대 중국 파병과 북한-중공 군사 동맹의 형성에 대한 연구

진영기 ( Jin Yeonggi ) 고려대학교 역사연구소(구 역사학연구회) 2017 사총 Vol.92 No.-

1945년 8월 15일을 기해 일본이 항복을 선언하자, 중공은 소련군을 돕고 일본군을 무장 해제한다는 명목으로 화북과 만주로 병력을 급파하여 군사적 입지를 확보하기 시작했다. 이런 중공군의 군사 활동은 얄타 협정과 일반명령 제1호에서 보장한 국민당 정부의 역할 규정에 역행하는 것이므로 장제스는 중공군을 제지하고자 하였다. 중공과의 전면전을 준비하는 한편, 장제스는 1945년 8월 29일에 마오쩌둥과 함께 전후 국정 운영을 논의하고자 충칭에서 회담을 가졌다. 이 회담에서 국공 양 측은 건국 방침 및 당파의 합법적 평등 인정에 대해 공감을 표했으나, 군대 조직 문제에서 상당한 이견을 가지고 있었다. 이로 인해 국공 양 측은 일본군 무장 해제 및 군사적 입지를 확보하기 위해 무력충돌을 벌임으로써 심각한 분열양상을 일으켰다. 전후 중국에 연합정부를 구성하여 소련의 태평양 진출을 방지하려 했던 미국은 국공 양 측의 분열과 내전을 막고, 전후 안정을 지원하기 위해 해병 제3상륙군단을 중국 북부 지역에 파병하였다. 이를 통해 미국은 화북에서 완충 역할을 하고, 전후 안정화 활동을 지원함으로써 내전을 방지하고자 하였다. 그러나 국민당과의 대립에서 군사적 입지를 확보하려는 중공에게 미 해병대의 중국 파병은 전략적 차원에서 장벽으로 작용하였으며, 적대적 인식을 심게 하였다. 미 제3상륙군단이 상륙한 1945년부터 주요 전력이 귀국하는 1947년까지 중공군은 미 해병대를 압박하기 위해 지속적으로 교란 공세를 펼쳤으나, 미 해병대는 거점 방어 원칙을 고수함으로써 중공군의 공세를 성공적으로 막아냈다. 이런 상황에서 장제스는 미국 측의 만류에도 불구하고 만주 공세를 개시하였으며, 중공군은 만주에 고립되는 전략적 열세에 처하게 되었다. 동 시기에 북한은 만주에 고립된 중공군에 대해 군사적 원조를 지원하였는데, 이를 통해 중공군은 재정비의 시기를 거쳐, 총반격의 기반을 마련할 수 있었다. 국공 내전이 끝나가는 1949년 중반에, 중공은 조선족 부대 2개 사단을 북한군에 편입시켜 북한군 전력 증강에 협조함으로써 상호 군사 원조 관계를 강화시켜 나갔다. 이를 토대로 북한은 남한에 대한 ‘무력해방’의 전략기조를 수립할 수가 있었다. 이런 군사적 관점에서 국공내전기의 미 해병대와 중공군의 대립, 그리고 북한의 군사 원조는 국공내전이 6·25 전쟁의 ‘전초전’적인 양상을 지니고 있었음을 보여주고 있다. When the Emperor of Japan announced Japan’s surrender on August 15, 1945, the Chinese Communist party dispatched troops to North China and Manchuria for Disarmament of Japanese army and Assistance to Soviet army. These military actions of Chinese Communist Forces(CCF) countered with the Yalta Pact and General Order No.1 which guaranteed representative position of Chiang Kai shek’s Nationalist government. Chiang Kai Shek ordered to cease the CCF's Military actions, but CCF ignored his order. While he prepared full-scale war with CCF, Chiang Kai shek had conference of postwar national administration establishment with Mao Tse-tung in Chongqing. In the conference, Chiang and Mao agreed policies of National establishment and legal equality for each parties, but they disagreed with the issues of Military reorganization. For this reason, They began to compete for the preoccupancy of military authorities, such as disarmament of Japanese army and securement of military position. As a result, they entered into armed clash, and this serious situation pushed the China into Civil war. The United States, which planned to establish Chinese Coalition Government for prevention of Soviet's entrance in Pacific area, dispatched Ⅲ Amphibious Corps(ⅢAC) to North China for postwar stabilization. Through the China mission of U.S. Marine Expeditionary Force, U.S tried to prevent civil war and assist postwar stabilization in China. However, the CCF, which competed with Nationalist, recognized U.S. marine's China campaign as strategic barrier. From 1945 to 1947, CCF continued harassing attack to ⅢAC after U.S. marines landed in China. They tried to drive U.S forces out of North China, but Offensive action of CCF was frustrated by the strongpoint defense of U.S marines. In this situation, Although U.S. delegation tried to dissuade him, Chiang launched an offensive against CCF in Manchuria. When the Nationalist Forces began offensive to Manchuria, the CCF withdrew from the North China and isolated in Manchuria. When Chinese Communists were endangered in Manchuria, North Korea provided Military assistance to CCF. With Military assistance of North Korea, CCF had opportunities for military reorganization and prepared to counterattack against the Nationalist Army. In return for assistance of North Korea, CCF repatriated two korean divisions of the CCF to North Korea. These two divisions transferred from CCF to North Korean Army. In this way, CCF and North Korea provided military assistance each other and improved their relationship. Based in Sino-North Korea relations, North Korea selected "Unification under Communism" as the military option for Korean War. In military historical consideration, Clashes between U.S. marines and CCF in the Chinese Civil War and the North Korean assistances for CCF prove that the Second Chinese Civil war has historical relation to Korean war.

당뇨병에 합병한 폐형 모균증 1예

김태종,박치영,진영기,박관응,허경무,김영학,정승문,윤채중,배학연,이승일 대한내과학회 1997 대한내과학회지 Vol.53 No.3S

저자들은 잘 조화되지 않는 당뇨병을 가진 49세 남자 환자에서 조기진단, 내과적치료만으로 호전된 폐형모균증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Mucormycosis is a rare, rapidly progressive and often fatal opportunisitic fungal infection, which occurs most commonly in patients with uncontrolled diabetes mellitus. We experienced pulmonary mucormycosis in a 49-year-old man with uncontrolled diabetes mellitus. He complained of dyspnea, nonproductive coughing, fever and cold sweating for lmonth. On the twenty-eighth hospital day, bronchoscopic examination with lung biopsy revealed broad, non-septate hyphae with right-angle branching, diagnostic of mucormycosis. Intravenous amphotericin B therapy was stated. The lesion decreased in sized after 4weeks of theatment and almost disappeared on follow-up chest X-ray l0weeks later.

두경부에서 발생한 비호지킨 림프종에서 Epstein-Barr Virus Nuclear Antigen의 검출에 관한 연구

정춘해,박유환,김현리,박관응,진영기,이미숙,전호종 大韓血液學會 1997 大韓血液學會誌 Vol.32 No.2

제4형 가족성 고중성지방혈증 임산부에서 발생한 급성 췌장염 1례

박관응,윤채중,김영학,진영기,윤성호,권용은,김태원,박찬국,김만우 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

Plasma levels of cholesterol (TC) and triglyceride(TG) physiologically increase during pregnancy. The lipid increment is 23-53% above the pregravidic level for TC and 2- to 3-fold of the prepregnancy level for TG. If the TC and TG are higher than normal values in pregnancy, the patient must be carefully monitored. Acute pancreatitis is the main consequence of hyperlipidemia and occurs either during pregnancy, in the third trimester, or in the puerperium. Mortality is high both for the mother (21%) and the fetus (20%). We report a case of 28 year-old pregnant woman at 29 weeks gestation with hypercholesterolemia (TC = 357 ㎎/dl) and severe hypertriglyceridemia (TG = 1300 ㎎/dl). The patient was admitted to the hospital because of severe epigastric pain, nausea and vomiting. Total serum cholesterol was increased and trigyleride was markedly increased. The electroporesis pattern of serum lipoprotein showed increase in pre-beta lipoprotein fraction, suggesting IV hypertriglyceridemia pattern. According to a review of the literature, the incidence of pancreatitis during pregnancy is 1 in 1000 to 3000 pregnancies. Severe hypertriglyceridemia in pregnancy should be treated with a careful restriction of calories and fat: for preventing acute pancreatitis, hospitalization for intravenous fluid therapy and plasma exchange must be required.

탐측자 심첨부 회전법에 의한 좌심방이 관찰에 대한 연구

정재용(Jae Yong Chung),장경식(Kyoung Sig Chang),류보열(Bo Yeol Ryu),모성환(Sung Whan Mo),김태종(Tae Jong Kim),문철호(Chel Ho Moon),진영기(Young Kei Chin),박유환(Yoo Whan Park),이승일(Seung Il Lee),홍순표(Soon Pyo Hong) 대한내과학회 1997 대한내과학회지 Vol.52 No.6

N/A Objectives: Visualization of the left atrial appendage(LAA) by the transesophageal echocardiography(TEE) is excellent, but it is difficult to visualize the LAA by the modified parasternal short-axis view(MPSA) in transthoracic echocardiography(TTE). We studied to determine the usefulness of the apical horizontal view(AHV) abtained by the apical rotation method of the transducer for the detection of the LAA. Methods: We studied the MPSA and AHV in 602 patients, The LAA was observed during diastole of the LAA. We obtained an apical horizontal view by 45 degree clockwise rotation of the transducer from the apical 2 chamber view and compared with the visualization of the LAA in AHV and MPSA. Results: Among 602 patients, LAA could not be visualized in 88(14.6%) because of a poor echo-window. LAA was more clearly visualized in 222 patients by the AHV than the MPSA and 56 patients by the MPSA than the AHV. LAA was same degree visualization in patients by the AHV and MPSA. In male and female, more than 55 ages and less than 55 ages, visualization of inner margin of the LAA by the AHV was more clear than by the MPSA. Conclusion: The AHV was a useful, noninvasive and reproducible method for the visualization of the LAA.