모유수유부의 모유수유실천에 따른 관련요인 분석

최영희,김혜숙,박현경,이영희,Choi, Young-Hee,Kim, Hae-Sook,Park, Hyoun-Kyoung,Lee, Young-Hee 대한간호협회 1997 대한간호 Vol.35 No.5

The purpose of this study is to identifY the problems and factors which are closely related to the breastfeeding practice in Korea. The subjects are breastfeeding mothers who have participated in the First Healthy Breastfeeding Child Contest. The 50.8% of subjects are resided in Seoul. The 68.3% of subjects are in their twenties and the 50% of them are high school graduates. Also, 81.4% of the subjects have no job. The 50% of subjects consider that the breastfeeding practice is good for the physical development and health of the child. The 73.9% of the subjects believe that the promotion of breastfeeding practice can be achieved through breastfeeding education through mass media. The 50.4% of subjects consider that the appropriate length of breastfeeding and duration is 9 months. Subjects did proper care of their breast and nipples and did proper measures for the breastfeeding practice. The 95.8% of subjects practiced breastfeeding voluntarily and their breastfeeding practice was not inhibited through factors which were given in the questionnaire lists. In conclusion, the practice of breastfeeding is mostly dependent on the efforts and the positive attitude of breastfeeding mothers. Also the friendly breastfeeding environments in terms of social norms and social practice are the most pertinent factors in promotion of breastfeeding practice.

황화수소 중독 증례

최영희,남병극,김효경,박지강,홍은석,김양호,Choi, Young-Hee,Nam, Byung-Kuk,Kim, Hyo-Kyung,Park, Ji-Kang,Hong, Eun-Seog,Kim, Yang-Ho 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1

Three workers, field operators in lubricating oil processing of petroleum refinery industry were found unconscious by other worker. One of them who were exposed to an high concentration of H2S was presented with Glasgow Coma Score of 5, severe hypoxemia on arterial blood gas analysis, normal chest radiography, and normal blood pressure. On hospital day 7, his mental state became clear, and neurologic examination showed quadriparesis, profound spasticity, increased tendon reflexes, abnormal Babinski response, and bradykinesia. He was also found to have decreased memory, attention deficits and blunted affect which suggest general cognitive dysfunction, which improved soon. MRI scan showed abnormal signals in both basal ganglia and motor cortex, compatible with clinical findings of motor dysfunction. Neuropsychologic testing showed deficits of cognitive functions. SPECT showed markedly decreased cortical perfusion in frontotemporoparietal area with deep white matter. Another case was recovered completely, but the other expired the next day.

한국인 공황장애 환자의 트립토판 가수분해 효소와 세로토닌 전달체 유전자 다형성

최영희,우종민,박헌구,윤경식,조대연,이민수,Choi, Young Hee,Woo, Jong Min,Park, Hun Ku,Yoon, Kyung Sik,Cho, Dae Yeon,Lee, Min Soo 대한생물정신의학회 2004 생물정신의학 Vol.11 No.2

Objectives:Genetic variations of the tryptophan hydroxylase(TPH) gene and the serotonin transporter linked polymorphic region(5-HTTLPR) polymorphism have been associated with its functional capacity. The authors investigated whether the allelic constitution of the TPH gene and 5-HTTLPR are associated in Korean panic patients. Methods:244 Korean patients with panic disorder and 227 normal healthy controls were tested for a genetic polymorphism of TPH A218C and 5-HTTLPR polymorphism. To assess the severity of panic disorder during the last one month, anticipatory anxiety, panic difficulty, panic distress, agoraphobic difficulty and agoraphobic distress were measured with visual analogue scale(VAS) score, STAI-S & T, BDI, SCL-90-R, ASI-R, CGI, PDSS, and HAMD. Results:There was no significant difference in genotype and allele frequencies of TPH A218C and 5-HTTLPR polymorphism between panic patients and controls. Although we observed some differences in genotype and allele frequencies of TPH A218C polymorphism among male subjects, these differences disappeared after Bonferroni correction. And there were no significant differences in clinical variables. Conclusion:Our results suggested that there are no association between the genetic polymorphism of TPH gene and 5-HTTLPR with panic disorder.

공황장애 환자의 다면적 인성검사 (MMPI) 특성이 인지행동치료 결과에 미치는 영향

최영희,이정흠,Choi, Young-Hee,Lee, Jung-Heum 한국정신신체의학회 1998 정신신체의학 Vol.6 No.2

본 연구에서는 공황장애 환자에 대한 인지행동치료의 효과에 영향을 미치는 환자 특성을 확인하기 위하여 다면적 인성검사를 사용하여 환자의 특성을 측정하고 이들 환자 특성 중 어떤 변인이 치료결과를 예측하는데 도움이 되는지를 알아보았다. 31명의 공황장애 환자를 대상으로 11주의 공황장애 인지행동치료 프로그램을 실시하였고, 치료전에 다면적 인성검사를 실시하였으며, 치료 전 후에 Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory의 상태 불안 질문지(STAI-State), Agoraphobic Cognition Questionniaire(ACQ), Body Sensation Questionnaire(BSQ)의 질문지와 환자의 자기보고 등 5가지를 실시하여 치료 성과의 지표로 사용하였다. 최종상태 기능 (End-State Functioning) 에 따라 치료 결과가 좋은 집단(상위 최종상태 집단)과 치료 결과가 나쁜 집단(하위 최종상태 집단)을 구분하여 두 집단의 특성용 비교 분석하여 다음과 같은 결과를 얻었다. 1) 다면적 인성검사의 건강염려증 척도(Hs), 우울증 척도(D), 히스테리 척도(Hy), 강박증 척도(Pt), 정신분열증 척도(Sc), 그리고 타당도 척도인 F 척도에서 하위 최종상태 집단이 상위 최종상태 집단에 비해 유의미하게 높은 점수를 보였다. 하지만 이러한 차이는 치료 효과에 영향을 미치는 환자 변인이라고 하기보다는 단순히 환자가 가진 증상의 심한 정도를 반영하는 것으로 보인다. 2) 치료 전에 실시한 다섯 가지 평가 지표에서 기본적으로 하위 최종상태 집단이 상위 최종상태 집단보다 증상의 정도가 심했지만, 두 집단 모두 치료를 통하여 비슷한 수준의 치료적 변화를 보인 결과는 1)의 해석을 지지해준다. 이상의 결과를 종합할 때, 다면적 인성검사는 인지행동 치료 결과에 영향을 미치는 환자의 특성을 파악하는데는 효과적이지 못한 방법으로 생각되며, 추후 연구에서는 보다 직접적으로 성격 특성을 측정할 수 있는 방법을 사용하여 환자 변인을 찾아 볼 필요가 있을 것으로 생각된다. Objective : This study was designed to find the characteristics of MMPI that could influence the outcome of cognitive behavioral therapy(CBT) for panic disorder. Methods : 34 patients who met DSM-IV criteria for panic disorder with or without agoraphobia had completed 11 weekly sessions of cognitive behavioral therapy. All the patients were assessed with MMPI before the initiation of treatment. Five self-report measures including Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI), Agoraphobic Cognition Questionnarie(ACQ), Body Sensation Questionnaire(BSQ), and Daily Anxiety Selfrating (0 - 8 scales) were also assessed as a pre- and post-treatment assessment. After the completion of treatment, patients were classified by the High End-State(HES) functioning group and the Low End-State(LES) functioning group for the data analysis. Results : 1) The LES group showed significantly higher scores in Hypochondriasis Scale(HS), Depression Scale(D), Hysterical Scale(Hy), Obsessive Scale(Pt), Schizophrenia Scale(Sc) and Validity Scale(F) of MMPI than the HES group. However, these differences gave impressions that the LES group had more severe symptoms rather than that they could be the factors influencing the outcome of CBT. 2) Though, the severity of symptoms of the LES group in the 5 measures of pre-assessment was basically higher than that of the HES group. The fact that both group showed the similar improvement between pre- and post-assessment supported the above interpretation. Conclusion : In regarding the above results, MMPI was not a proper tool that could provide the factors influencing the outcome of CBT. In the future study, the authors need to use a different tool that can find the personality characteristics more directly.

논문편 - 의생활 분야 : 유아복 치수 설정의 기초적 연구 (Ⅰ) - 서울시내 4살 ∼ 6살 아동을 중심으로 -

최영희,이순원 ( Young Hee Choi,Soon Won Lee ) 대한가정학회 1980 Family and Environment Research Vol.18 No.4

뉴런 모스 기반의 4치 논리게이트를 이용한 동기식 4치 카운터 설계

최영희,윤병희,김흥수,Choi Young-Hee,Yoon Byoung-Hee,Kim Heung-Soo 대한전자공학회 2005 電子工學會論文誌-SD (Semiconductor and devices) Vol.42 No.3

In this paper, quaternary logic gates using Down literal circuit(DLC) has been designed, and then synchronous Quaternary un/down counter using those gates has been proposed The proposed counter consists of T-type quaternary flip flop and 1-of-2 threshold-t MUX, and T-type quaternary flip flop consists of D-type quaternary flip flop and quaternary logic gates(modulo-4 addition gates, Quaternary inverter, identity cell, 1-of-4 MUX). The simulation result of this counter show delay time of 10[ns] and power consumption of 8.48[mW]. Also, assigning the designed counter to MVL(Multiple-valued Logic) circuit, it has advantages of the reduced interconnection and chip area as well as easy expansion of digit. 본 논문에서는 다운 디지털 회로(DLC)를 이용하여 4치 논리 게이트를 설계하였고, 이들 게이트를 이용하여 동기식 4치 up/down 카운터를 제안하였다. 제안된 카운터는 T-type 4치 플립플롭과 $2\times1$ 임계-t 멀티플렉서로 이루어져 있고, T-type 4치 플립플롭은 D-type 4치 플립플롭과 4치 논리 게이트들(모듈러-4 가산 게이트, 4치 인버터, 항등 셀, $4\times1$ 멀티플렉서)로 구성되어 있다. 이 카운터의 모의실험 결과는 10[ns]의 지연시간과 8.48[mW]의 전력소모를 보여준다. 또한 다치논리 회로로 설계된 카운터는 상호결선과 칩 면적의 감소뿐만 아니라 디지트 확장의 용이함의 이점을 가진다.

인지행동치료 후 약물 중단 예측 요인에 관한 연구

최영희,박기환,김한석,하오령,Choi, Young Hee,Park, Kee Hwan,Kim, Han Seok,Ha, Oh Ryeong 대한생물정신의학회 2000 생물정신의학 Vol.7 No.2

Objective : The authors experienced that cognitive behavioral therapy(CBT) could replace medication for controlling panic attacks and anticipatory anxiety symptoms. The objective of this study was finding out predicting factors of discontinuation of medication after CBT for patients with panic disorder. Method : A hundred forty-eight patients who met DSM-IV criteria for panic disorder with or without agoraphobia for at least 3 months had completed 12 weekly sessions of Panic Control Therapy(PCT ; Barlow et al). Eighty-one patients who could discontinue medication and sixty-seven patients who could not discontinue medication were measured with several scales as the pre- and post-treatment aassessment. The scales were Beck Depression Inventory(BDI), Clinical Global Impression(CGI), Spielberger State Anxiety Inventory(STAI-state), Anxiety Sensitivity Index(ASI), Body Sensation Questionnaire (BSQ), Panic Belief Questionnaire(PBQ), Agoraphobic Cognition Questionnaire(ACQ), Fear Questionnaire(FQ), Toronto Alexithymia Scale(TAS). Results : At the pre-treatment assessment, the scores of BDI, CGI, STAI-state, ACQ, BSQ were higher in the patients who could discontinue medication than in the patients who could not discontinue medication(t=-2.68, t=-4.88, t=-3.07, t=-3.68, t=-3.35, p<0.01). Conclusion : Patients with panic disorder who were less depressed, less anxious, less agoraphobic and who had less negative cognitions for the bodily sensation and who had higher scores in the therapist's assessment could discontinue their medications.

웹을 이용한 효과적인 과학학습체제의 구축 및 태도 변화 -중학교 지구과학 내용을 중심으로 -

최영희,윤일희,Choi, Young-Hee,Yoon, Ill-Hee 한국지구과학회 2000 韓國地球科學會誌 Vol.21 No.3

오늘날 인터넷의 일상적인 사용은 웹의 발달을 가져온 것으로 인식되고 있다. 학습도구로서 웹을 사용한 것을 WBI라 한다. WBI의 구축은 교육 현장에 현재 많은 영향을 미치고 있다. 그러나 사이버 공간에서 수많은 WBI 프로그램을 사용할 때 학습자들에 많은 문제점들이 도출되고 있다. 거의 모든 프로그램 사용 시 교사와 학생간의 상호 작용이 충분하지 못하며 필요한 학습자료들을 찾을 때 그들 자료들이 충분하게 마련되어 있지 않다. 학습 현장에서 교사들이 WBI 프로그램을 고안하고 구축하는 것은 매우 어려운 일이다. 그러나 상호 작용하는 WBI 프로그램의 고안과 구축은 그보다는 쉬운 일이다. 그러므로 만약 학생들과 친근한 교사들이 웹 페이지를, 만들어 사이버 공간에 제공한다면, 학생들은 쉽게 사이버 공간에서 접속할 수 있을 것이다. 그들은 e-메일, 여론 광장 또는 채팅을 사용할 수 있을 것이다. 사이버 공간은 학교 생활에서 불충분한 상호관계를 마련하게 될 것이다. 그러나, 이 프로그램은 모든 학생들이 필요한 적절한 장치들을 가지고 있어야 때문에, 이를 마련하지 못하는 학습자에게는 또 다른 형태의 포기를 가져오게 될 것이다. 이렇기 때문에 이 문제는 정부가 이러한 모든 필요한 장치들을 값싸게 보급하고 적절한 프로그램들을 공급할 때 풀릴 수 있다고 사료된다. The popularization and the common use of internet are realizing these days thanks to the development of web. Using the web as a teaching instrument is the Web Based Instruction(WBI). WBI, along with constructivism, has a great influence on the present educational society. However, many problems were found in learners' using the numerous WBI programs in cyber space. Above all, the interaction between teachers and learners is not enough, and searching for the materials on web is not easy. It's very difficult for a teacher to design and construct a WBI program in school teaching. But It is not so difficult to design and construct a WBI program based on interaction. Therefore, if a teacher familiar to students in school makes a web page and provides a cyberspace, the students will interact very easily them in the cyberspace. They can use the e-mail, bulletin board or discuss and chat. The cyberspace will make up for the insufficient interaction in school life. But because this program needs all students have proper material condition, there will be another kind of estranged learners. Thus, this problem can be solved by the cheap-popular PC offering movement backed by the government, and other types of projects systematically.

치과 임플랜트 보철 수복시 각 상부구조의 형태에 따라 발생되는 응력의 광탄성학적 분석

최영희,조인호,Choi Young-Hee,Cho In-Ho 대한치과보철학회 1993 대한치과보철학회지 Vol.31 No.4

The osseointegrated implant conducts the stress directly to the bone due to lack of cushoning effect of periodontal ligament. So, the design and material quality of superstructure plays an important role in resolution and diffusion of stress. Recently, the various superstructures have been developed to improve esthetics and resolve various complicated conditions. The purpose of this study was to evaluate the stress induced by various system on the osseointegrated implant using UCLA abutment, EsthetiCone abutment, Anatomic abutment as well as Branemark conventional abutment. The stress distribution was evaluated by the photoelastic method which can simultaneously observe all around stress distribution. The superstructures embedded in epoxy resin specimen were loaded at various angle with a force of 15Kg to analyse the stress distribution of the fixture. The results of this study were obtained as follows : 1. Under vertical loading, the large and broad stress was distributed below the fixture in all systems. 2. The fringe order of the stress was increased in proportion to tillting the specimen. The largest stress was shown in 25 angled degree tilting case. 3. The Branemark conventional abutment showed the lowest value, and EsthetiCone abutment, Anatomic abutment and UCLA abutment showed the stress value in accending order.

감자의 게놈에서 서로 가까이 연관되어 있는 2 개의 단백질 분해효소 억제제 II 유전자의 일차구조

최영희,문영호,이종섭 ( Yeon Hee Choi,Young Ho Moon,Jong Seob Lee ) 생화학분자생물학회 1990 BMB Reports Vol.23 No.2

We determined the nucleotide sequence of two proteinase inhibitor II genes present on a 8.0 kb Eco RI fragment which was isolated from a EcoRl-partial genomic library of potato. It revealed that the two genes were present at the same transcriptional orientation with an intergenic region of about 1.5 kb long. The first gene (PI-II-8.0A) coded for an open reading frame of 158 amino acids which was interrupted at the position of codon 17 by an intervening sequence of 101 bp in size flanked with GT and AG. The 5` flanking region revealed the presence of two putative regulatory sequences, TATAAA and CAAT, while the 3` untranslated region contained the polyadenylation signal, AATAAG. These suggest that the PI-II-8.0A gene may be functional. The second gene (PI-II-8.0B), however, revealed the presence of several deletions at the coding regions, two of which disrupted the reading frame, suggesting that the PI-II-8.0B gene may be a pseudogene.