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최혜란,박숙희 한국상담학회 2009 상담학연구 Vol.10 No.3
In this study, soldiers, undertaking military service and who are considered to be in the younger generation due to their psychological and social status, are tested for their adaptation to the life of a soldier, as well as what risks and protective factors influence this. Specifically, the study aims to determine what protective factors help them adapt with flexibly to high risk situations. Whether private factors or the soldier’s environmental factors are more influential to this matter of adaptation was also investigated. For this study, data was collected from 449 Korean military units, ranging from Privates to Sergeants. The study results, showed compulsive spending was the most serious risk, and the support for the soldier from his fellow servicemen as the most influential protective factor for adaptation into a soldier’s life. Risks, such as like compulsive spending, occur as a result of mental stress to soldiers and show signs of maladjustment to the life in the military. The study also shows that even if soldiers face the same environmental risks, protective factors provide a shock-absorbing effect to soldiers and aid in adapting for life in the military. As a result, protective factors are more influential than risks in the adaptation of a soldier’s life. Moreover, we realized that protective factors within the military environment are very important. Also, it should be stated that soldiers who operate in a military environment with protective factors in place are better adapted to deal with high risk situations. As can be seen through this discussion, to help soldiers adapt well to a life in the military, we must to develop consultation programs and manage the consultation office, employing professional consultants who can help young soldiers solve their problems. 본 연구는 현재 군에 복무중인 신세대라고 불리우는 젊은 병사들이 군 생활에 잘 적응하는지와 이에 영향을 미치는 위험요인과 보호요인이 무엇인지를 밝히고, 특히 고위험상황에서도 이를 유연하게 적응할 수 있게 해주는 보호요인이 무엇인지를 밝혀내고자 하였다. 또한 군 생활 적응에 있어서 개인적 요인과 군대 환경적 요인 간에 더 크게 영향을 미치는 요인이 무엇인지를 탐색하고자 하였다. 이를 위해 대한민국 육군 모 부대의 이등병에서 병장까지 449명을 대상으로 자료를 수집하였다. 연구결과, 군 생활 적응에 있어서 위험요인으로는 강박증이, 보호요인으로는 군 구성원의 지지가 가장 크게 나타났다. 강박증과 같은 위험요인은 병사들에게 정신적 갈등을 일으켜 군 생활 부적응을 나타낼 수 있다. 그러나 동일한 위험요인을 가지고 있더라도 군대환경 보호요인이 많은 병사는 보호요인이 완충작용을 하여 군 생활 적응을 잘하는 것으로 나타났다. 결론적으로 군 생활 적응에 있어서 위험요인 보다는 보호요인이 더 중요한 영향을 미쳤고, 특히 군대 환경 보호요인이 매우 중요함을 알 수 있었다. 또한 동일한 고위험 상황에서도 군대환경 보호요인을 많이 가지고 있는 병사가 적응을 잘 하였다. 따라서 병사들이 군 생활 적응을 잘 할 수 있도록 상담프로그램계발과 고민을 해결해 줄 수 있는 전문상담관으로 구성된 상담실 운영이 보다 확대 시행이 요구된다.
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에탄올로 발기부전을 유도한 흰쥐의 성기능 개선에 마카추출물이 미치는 영향
최혜란,이민정,이수정,박희전,송지영,김일수,신대근,Choi, Hye Ran,Lee, Min Jung,Lee, Su Jung,Park, Hee Jeon,Song, Ji-Young,Kim, Il Su,Shin, Daekeun 한국식품영양학회 2018 韓國食品營養學會誌 Vol.31 No.3
The purpose of this study was to examine the effects of Maca water and/or ethanol extract on the nitric oxide (NO) production in human umbilical vein endothelial cells HUVAC and on erectile dysfunction in rats. Maca was extracted due to both solutions, which are water and ethanol. Each Maca extract was applied to HUVAC, and NO production was checked. Additionally, three different dosages (250, 500 and 1,000 mg/kg) of Maca ethanol extract was administered to Sprague-Dawley rats for 4 weeks. All rats were sacrificed and each sample was collected for analysis. The control rats received only the saline vehicle. The NO production of HUVAC was significantly increased by domestic and homemade Maca water extracted at $60^{\circ}C$ group. Both NO generation and testosterone release were not influenced due to the oral administration of Maca. In the EtOH group rats, the number of sperm was reduced compared to that of the control group. All Maca groups had a high number of sperm and each sperm count had increased as a result of the Maca extract dose. The results of this research suggest that Maca has a positive effect on male erectile dysfunction, which need to be examined further in future studies.
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최혜란,박선영,김용범,인준용,양홍석,이정석,김상현,박수연 대한마취통증의학회 2019 Korean Journal of Anesthesiology Vol.72 No.4
Background: The facilitator effects of steroids on neuromuscular transmission may cause resistance to neuromuscular blocking agents. Additionally, steroids may hinder sugammadex reversal of neuromuscular blockade, but these findings remain controversial. Therefore, we explored the effect of dexamethasone and hydrocortisone on rocuronium-induced neuromuscular blockade and their inhibitory effect on sugammadex. Methods: We explored the effects of steroids, dexamethasone and hydrocortisone, in vitro using a phrenic nerve-hemidiaphragm rat model. In the first phase, an effective dose of rocuronium was calculated, and in the second phase, following sugammadex administration, the recovery of the train-of-four (TOF) ratio and T1 was evaluated for 30 minutes, and the recovery index was calculated in dexamethasone 0, 0.5, 5, and 50 μg/ml, or hydrocortisone 0, 1, 10, or 100 μg/ml. Results: No significant effect of steroids on the effective dose of rocuronium was observed. The TOF ratios at 30 minutes after sugammadex administration were decreased significantly only at high experimental concentrations of steroids: dexamethasone 50 μg/ml and hydrocortisone 100 μg/ml (P < 0.001 and P = 0.042, respectively). There were no statistical significances in other concentrations. No differences were observed in T1. Recovery index was significantly different only in 100 μg/ml of hydrocortisone (P = 0.03). Conclusions: Acute exposure to steroids did not resist the neuromuscular blockade caused by rocuronium. And inhibition of sugammadex reversal on rocuronium-induced neuromuscular blockade is unlikely at typical clinical doses of dexamethasone and also hydrocortisone. Conclusively, we can expect proper effects of rocuronium and sugammadex when dexamethasone or hydrocortisone is used during general anesthesia.
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뼈스캔 상에서 위음성을 보이는 전이성 종양에 의한 척추 압박 골절 -증례 보고-
최혜란,김태훈,김현숙,남상건,이평복 대한마취통증의학회 2010 Anesthesia and pain medicine Vol.5 No.4
Bone scan using 99mTc-MDP is the most accurate and reliable method for the early detection of fracture, and that is the screening procedure of choice for the demonstration of bone metastases. It is well known that it has superior sensitivity to radiography for this purpose. We report the case of 41 years old man with known primary tumor and metastatic vertebral fracture presenting false negative bone scan finding.
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최혜란 대한영상의학회 1990 대한영상의학회지 Vol.26 No.4
double contrast arthrography of the knee is a highly accurate diagnostic modality in wide rage of the clinical disorders of the knee. It allows radiological assessment of the menisci, the articular cartilages, the synovium and the ligaments. The double contrast knee arthrography was performed in 365 cases at Inha hospital for about 3 years from June 1986 to June 1989. Among them, 115 cases were abnormal, and were analyzed. clinically and radiologically with the back ground of the operative finding. The results were as follows ; 1. Of the 115 cases, male were 77 and female 38. Male exceeds female in the ratio of 2 : 1. 2. The age group of 20-39 years was commonly involved(60%). 3. The right knee was more commonly involved than the left and th medial meniscus tear was more common(61%^). The posterior horn of the meniscus was more frequently torn than the other parts of the meniscus9472%). 4. The incidence of the bucket-handle tear was the most frequent(33%). 5. The cases of the opliteal cyst were 16(13.9%), and the combined meniscus tears were in 4 cases(25%). 6. The number of the discoid menisci were 9(7.8%), and all were present in the lateral meniscus, and combined tears were in 4 cases(44.4%). 7. The diagnostic accuracy of the double contrast knee arthrogram was 82.7% compared with operative finding. The false positive examination were 17.3%.
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집단상담 프로그램이 부적응 병사의 인간관계 증진에 미치는 영향
최혜란 교육종합연구원 2011 교육종합연구 Vol.9 No.1
The goal of this research when about the vice-adaption soldiers from personal counseling converts in group consultation, is to try to observe the effect which appears. In case of the structured group consultation, It has an great influence on activities, interaction between group members included in each period. Through the effect and achievements of the program in each period, we can know all of the consulting phases and how relevant to be more effective plan and management to the empirical materials. In group consultation, the problem of the vice-adaptation soldiers can be enhanced more than the personal consultation. But though problems, they can't adapt to the military, in case of not changing the recognition of the co-workers in service. Despite, we can expect to get the benefits of group consultation by understanding their problems of common soldiers as well as caring soldiers. Caring soldiers not knowing the personal consultation experienced their problems through group consultation objectively. As a result, this thesis is limited because of the minority of the soldiers. But we think that this paper can be directed to the vice-adaptation solders.
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