주의력결핍 과잉행동장애 아동에 있어서 연속수행검사의 진단적 유용성

구본훈,박형배,이희정,송창진,김진성,이광헌 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

서 론: 본 연구는 주의력결핍 과잉행동장애(이하 ADHD) 아동과 정상대조군의 연속수행검사(이하CPT) 결과 양상을 비교하여 CPT의 진단적 유용성을 알아보고자 하였다. 그리고, ADHD 아동의 연령과 성별, 지능, 그리고, 장애의 유형 등과 같은 변수에 따른 CPT의 결과양상을 비교하여, CPT가 ADHD의 어떤 특성을 잘 반영해주는가를 알아보고자 하였다. 대상 및 방법: DSM-Ⅳ의 진단기준에 의하여 진단이 내려진 ADHD 실험군 68명과 정상대조군 30명을 선정하였으며, 두 군간의 연령과 성별을 통제하였다. 실험군과 정상대조군 모두 환아의 부모가 ADHD 평가척도(ADDES-HV)를 작성하였으며, 환아에게 직접 CPT를 실시하였고 지적 능력을 평가하기 위해 K-ABC를 시행하였다. 결 과: 실험군과 정상대조군에서의 CPT 결과 양상을 비교하였을 때, 실험군과 정상대조군 사이에 민감도가 유의한 차이를 나타내었고, 반응 기준도 유의한 차이를 나타내었다(p<0.05). ADHD 아동을 대상으로 연령과 지능의 변화에 따른 CPT의 결과 양상을 비교하였을 때, 연령과 지능이 증가함에 따라 CPT각각의 결과들도 대체로 수행력이 호전되는 경향을 나타내었다. 주의력결핍 과잉행동 장애의 유형을 과잉행동을 동반한 군과 과잉행동을 동반하지 않은 군으로 나누어 비교분석을 한 결과, CPT 각각의 결과에서 유의한 차이는 나타나지 않았다. CPT 결과 양상에 있어서 남녀간 차이점을 비교하였을 때, 오경보오류와 정반응시간의 표준편차, 표준편차의 다양성, 그리고, 민감도가 유의한 차이를 나타내었다(p<0.05). CPT 각각의 8가지 결과 변수들에 대해 판별분석을 실시한 결과, 각각의 결과 변수들에 있어서 진단에 대한 전체 판별력이 모두 50%이상을 나타내었다. 그 중, 정반응시간의 표준편차와 표준편차의 다양성, 그리고, 민감도는 진단에 대한 전체 판별력이 모두 60%이상을 나타내었다. 결론 및 고찰: 이러한 결과들은 CPT가 ADHD의 진단에 있어서 어느 정도의 유용성을 가지고 있다는 점을 보여준다 하겠다. 즉, ADHD에 있어서 CPT는 비교적 선별검사와 같은 목적으로는 유용할 것으로 생각되며, 이는 또한 CPT가 장애의 진단에 있어서 보조적인 검사도구임을 나타낸다 하겠다. Objectives: The purpose of this study was to examine to diagnostic availability of CPT in children with ADHD, and what factors are affected to CPT results in the diagnosis of ADHD. Method: CPT, ADHD scales(ADDES-HV), K-ABC were administered to 68 ADHD patients and 30 normal elementary school students as the control group. Also, ages and sex are controlled between two groups. Results: In the differences of the results of CPT between ADHD patients and normal subjects, attentiveness and risk taking are significantly different(p<0.05). In the differences of the results of CPT between ages in ADHD patients, usually as more aged children are better performances in CPT. Also, in the differences of the results of CPT between intelligence in ADHD patients, usually as higher intelligent children are better performances in CPT. There are no differences of the results of CPT between types of ADHD in ADHD patients. In the differences of the results of CPT between sex in ADHD patients, commission error, hit reaction time standard error, variability of standard error, and attentiveness are significantly different between male and female patients(p<0.05). The correlations between ADHD scales and the results of CPT show that inattention subscale is significantly related to hit, omission error, hit reaction time standard error, and variability of standard error. In the discriminant ability between ADHD patients and normal children by the results of CPT, accuracy rates are more than 50% in all results of CPT. Especially, the accuracy rate of hit reaction time standard error, and the accuracy rate of variability of standard error, and also, the accuracy rate attentiveness are more than 60%. Conclusion: In this point of view, this study suggest that CPT is relatively valuable method in the diagnosis of ADHD. For instances, CPT is more likely to screen the ADHD from normal children, or to use as assisted method of diagnosis of ADHD in clinical settings.

반복적 스트레스가 흰쥐의 Opioid성 신경전달에 미치는 영향

사공정규,이광헌,김진성,구본훈,이종범,하정희 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.3

연구목적: 반복적인 스트레스에 노출된 실험동물에서 opioid성 신경전달의 변화양상을 검색하고 내인성 opioid peptide의 변화양상을 알아보기 위하여 본 연구를 시행하였다. 방 법: 본 연구에서는 웅성 흰쥐에게 하루 2시간, 2주간의 반복적인 부동화 스트레스를 가한 후 뇌의 각 부위에서 opioid 수용체의 mu-, delta- 및 kappa- 아형의 최대결합력 및 친화력의 변화 양상을 관찰하였다. 결 과: 반복적 부동화 스트레스 노출군에서는 대조군에 비하여 delta-아형 수용체의 수가 시상하부(hypo-thalamus) 및 선조체(striatum)에서 증가하였다. 본 연구결과 관찰된 선조체에서의 delta-아형 수용체의 상향조절과 관련지어 delta-아형 수용체의 내인성 효현제인 enkephalin의 뇌조직 내에서의 활성도를 검색하였을 때, 반복적 스트레스 노출군에서는 대조군에 비하여 그 함량이 감소하였다. 이러한 뇌조직내 enkephalin 활성도 감소 현상은 수용체 변화와 상응하게 시상하부 및 선조체에서 관찰되었으며, 이러한 수용체의 조절 현상은 내인성 수용체 효현제인 enkephalin의 활성도의 감소에 따른 생체의 적응 현상으로 해석되었다. 결 론: 이상의 결과로부터 반복적인 스트레스는 opioid 수용체 delta-아형을 상향조절하였으며, opioid 수용체 delta-아형의 내인성 효현제의 활성도를 감소시킴을 관찰하였다. Objectives : Research into emotional or behavioral stress typically focuses upon the hypothalamic-pituitary-adrenal axis. It is well established that the hypothalamic-pituitary-adrenocortical axis is subject to inhibitory control by opioids in a variety of animal species including pigs. Exposure to acute stress induces the upregulation of opioid receptors and the release of endogenous peptides which mediate the stress-induced analgesia. There is some literature substantiating that repeated stress can lead to changes in opioidergic neurotransmission. However, the changes are highly variable. This study was designed to observe the modulatory effect of repeated immobilization stress on opioidergic neurotransmission. Methods : Male Sprague-Dawley rats weighing 150-200g were forced to suffer immobilization stress for 2 hours on each of 14 successive days. Then we examined the maximum binding capacity and affinity of each opioid subtypes(mu, delta, kappa). Results : Repeated immobilization stress increased the binding of [³H]DPDPE on the delta-subtype opioid receptor in the striatum and hypothalamus. Saturation experiments followed by scatchard analyses of the results showed an increase in the density of delta-subtype opioid receptors, but the affinity of the delta-subtype opioid receptor remained unchanged. Repeated immobilization stress reduced enkephalin activity of striatum and hypothalamus. Conclusions : From these results, it could be concluded that repeated immobilization stress up-regulated the delta-subtype opioid receptors and reduced the activity of enkephalin, an endogenous ligand for the delta-subtype opioid receptor.

마찰력과 열처리에 따른 아크용사 및 아크용접된 Fe-Cr-B 합금 피복층의 변화

이찬규,유인석,김강형,구본흔,박맹로 國立 昌原大學校 産業技術硏究所 1995 産技硏論文集 Vol.9 No.-

Variations of arc thermal sprayed and arc welded Fe-Cr-B alloy coating with frictional loading and heat treatment were investigated by means of X-ray diffraction, optical microscopy, scanning electron microscopy, electron probe microanalysis and hardness test. The as-coated layers were shown to be crystalline state but peaks with the frictional loading largely disappeared in X-ray diffraction profiles. The splat is relatively wavy with the boundary in arc thermal spray coating. After heat treatment, the amount of porosity was found to be decreased and the intersplat distance was increased. As annealing temperature increased, interface layer for arc welding coating increased by the diffusion of Cr atoms. The wear type observed in arc thermal spray coatings is splat delamination. The hardness of the arc thermal spray coation layer was superior to that of the arc welding layer. Hardness of coated layer is reduced and microstructures become to be uniformed by the heat treatment.

Effect of Lattice Mismatch on the Properties of Self-Assembled InAs/InAlAs/InP Quantum Dots

Bon Heun Koo,Chan Gyu Lee,Gum Bae Chon,Hungsu Im,Takahumi Yao,Takahumi Yao 한국물리학회 2006 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.49 No.3

We present the results of the formation of InAs quantum dots (QDs) on (100) In1.xAlxAs (In- AlAs)/InP substrates by using relaxed InAlAs buffer layers with different compositions. Variations of the growth-mode-transition thickness, the surface morphology, and the emission-peak positions of InAs QDs as functions of the lattice mismatch between InAs and the InAlAs buffer layer [dotbuffer (DB) mismatch] have been evaluated by using reflection high energy electron diffraction, atomic force microscopy, and photoluminescence (PL), respectively. The growth of InAs QDs on InAlAs/InP strongly depends on the DB mismatch. With increasing DB mismatch, the critical thickness of the InAs QD formation decreases, the average size of the QDs decreases, and the density of the QDs increases under the fixed growth condition. The PL peak positions for the QDs shift to high energy as the DB mismatch increases, corresponding to a decrease in QD size and an increase in the barrier band gap.V

Effects of Electrolytes on Oxide Coatings Prepared on 6061 Al Alloys By Plasma Electrolytic Oxidation (초)

왕개,( Bon Heun Koo ),( Chan Gyu Lee ),( Young Joo Kim ),( Sung Hunlee ),( Eung Sun Byon ) 대한금속재료학회 ( 구 대한금속학회 ) 2008 대한금속재료학회 학술대회 개요집 Vol.2008 No.1

Effects of Alkaline Electrolytes on Formation of Ceramic Coatings on 6061 Al Alloys by Plasma Electrolytic Oxidation

Kai Wang,Bon Heun Koo,Chang Gyu Lee,Young Joo Kim,Sung Hun Lee,Eung Sun Byon 한국표면공학회 2008 한국표면공학회 학술발표회 초록집 Vol.2008 No.-

토끼에 감염된 유행성 각결막염에 대한 재조합 사람 알파 인터페론-2a안약의 치료효과

강종구(Jong-Koo Kang),오세호(Se-Ho Oh),강세웅(Se-Woong Kang),구본흔(Bon-Heun Koo),강인철(In-Cheol Kang),정광회(Kwang-Hoe Chung) 한국실험동물학회 1996 Laboratory Animal Research Vol.12 No.1

Characteristics of Oxide Layers Formed on Al2021 Alloys by Plasma Electrolytic Oxidation in Aluminate Fluorosilicate Electrolyte

Kai Wang,Bon Heun Koo,Chan Gyu Lee,Young Joo Kim,Sunghun Lee,Eungsun Byon 한국표면공학회 2008 한국표면공학회지 Vol.41 No.6

Oxide layers were prepared on Al2021 alloys substrate under a hybrid voltage of AC 200 V (60 ㎐) combined with DC 260 V value at room temperature within 5~60 min by plasma electrolytic oxidation (PEO). An optimized aluminate-fluorosilicate solution was used as the electrolytes. The surface morphology, thickness and composition of layers on Al2021 alloys at different reaction times were studied. The results showed that it is possible to generate oxide layers of good properties on Al2021 alloys in aluminate-fluorosilicate electrolytes. Analysis show that the double-layer structure oxide layers consist of different states such as α-Al₂O₃ and γ-Al₂O₃. For short treatment times, the formation process of oxide layers follows a linear kinetics, while for longer times the formation process slows down and becomes a steady stage. During the PEO processes, the average size of the discharge channels increased gradually as the PEO treatment time increased.

Effect of Ultrasonic Process of Electroless Ni-P-Al₂O₃ Composite Coatings

Jin-Doo Yoon,Bon-Heun Koo,Hwan-Il Hwang,Sun-Kyo Seo,Jong-Kyu Park 한국표면공학회 2021 한국표면공학회지 Vol.54 No.6

In general, surface treatments of electroless Ni-P coating are extensively applied in the industry due to their excellent properties for considerable wear resistance, hardness, corrosion resistance. This study aims to determine the effect of ultrasonic conditions on the morphology, alumina content, roughness, hardness, and corrosion resistance of electroless Ni-P-Al₂O₃ composite coatings. The characteristics were analyzed by Energy-dispersive X-ray spectroscopy (EDX), x-ray diffractions (XRD), and atomic force microscopy (AFM), etc. In this study, the effect of ultrasonic condition uniformly distributed alumina within Ni-P solution resulting in a smoother surface, lower surface roughness. Furthermore, the corrosion resistance behavior of the coating was analyzed using tafel polarization curves in a 3.5 wt.% NaCl solution at 25 ℃. Under ultrasonic, Al₂O₃ content in Ni-P composite solution increased from 0.5 to 5.0 g/L, Al₂O₃ content at 3.0 g/L was showed a significantly enhanced corrosion resistance. These results suggested that ultrasonic condition was an effective method to improve the properties of the composite coating.

Preparation and Characterization of Electrodeposited Co-W Films for Perpendicular Magnetic Recording (초)

( Chan Woo Park ),( Bon Heun Koo ),( Chan Gyu Lee ) 대한금속재료학회 ( 구 대한금속학회 ) 2008 대한금속재료학회 학술대회 개요집 Vol.2008 No.1