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        만성정신병환자의 재활치료를 위한 주간보호 모델

        이규항,김한오,이후경,윤성철,성상경,함웅,윤배중 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

        목 적 : 본 연구는 전문병원 위탁형 정신보건센터에서 실시한 주간보호의 전체적인 체계, 운영, 프로그램에 관한 모델을 소개하고, 이 모델을 주간보호에서 시행한 후 그 결과와 시행과정에서 나타난 특징을 분석하여, 우리 실정에 맞는 주간보호 모델을 발전시켜 만성정신병환자의 생활유지와 재활을 촉진시키기 위한 목적으로 실시되었다. 방 법 : 본 주간보호 모델(이하 본 모델이라 함)을 1997년 3월부터 1998년 2월까지 의왕시 정신보건센터에서 총 23명의 환자를 대상으로 실시하였다. PANSS, Quality of Life, 삶의 만족 척도를 주간보호 전과 주간보호 실시 3개월 이후에 조사하였다. 프로그램 유익성 척도, 13가지 치료요인 척도를 주간보호 1개월째와 주간보호 실시 3개월 이후에 조사하였다. 결 과 : 1) 본 모델은 만성정신병환자의 증상을 감소시키고 삶의 질을 향상시켜, 환자의 생활유지 및 재활에 도움을 주었다. 2) 본 모델은 다양한 형태의 집단치료들을 사용하여 만성정신병환자에게 유익을 주었으며, 특히 예술치료와 활동치료가 환자의 신체적, 심리적, 사회적 기능회복을 위해 중요한 역할을 하였다. 3) 본 모델에 작용하는 치료요인의 특징을 보면 주간보호 초기와 후기에 모두 중시된 치료요인은 치료자와의 동일시, 치료자의 조언, 일차가족집단의 교정적 감정경험이었다. 주간보호 초기에 중시된 치료요인은 집단응집력, 이타심이었으며, 주간보호 후기에는 희망의 고취가 중시되었다. 4) 본 모델은 여러 분야의 치료자들과 다양한 치료방법들을 전체적으로 통합하여 사용하는데 유용하였다. 결 론 : 본 모델은 만성정신병환자의 생활유지와 재활을 위해 우리 나라에서 효과적이면서 효율적으로 적용될 수 있을 것으로 생각된다. Objectives : The purpose of this study was to present general system, operation, and program of a day care model managed by a psychiatrist, to evaluate the results of performing this model, and thus to develop a day care model applied to Korean situation appropriately for promoting maintenance and rehabilitation of chronic psychotic patients. Methods : We performed this day care model(hereinafter called as this model) from March 1997 to February 1998. The subjects were composed of 23 psychotic patients. PANSS, Quality of Life Scale, Life Satisfaction Self-Rating Scale were used before beginning this model and after three months of performing this model. Program Helpfulness Scale, 13 Therapeutic Factors Scale were used at one months of day care and after three months of day care. Results : 1) This model helped maintenance and rehabilitation of chronic psychotic patients through reducing their symptoms and increasing quality of life. 2) This model used the various group therapy, especially creative art therapy and activity therapy, played an important role for recovering physical, psychological, and social functions. 3) Important therapeutic factors at early and late period of this model were identification with therapists, guidance of therapists, and the corrective recapitulation of the primary family group. Important therapeutic factors at early period were group cohesiveness and altruism, and at late period instillation of hope. 4) This model was useful for integrating the multidisciplinary therapeutic team and the various therapeutic methods. Conclusion : This model would be applied to day care in this country effectively and efficiently for maintenance and rehabilitation of chronic psychotic patients.

      • 하시모토 병과 동반된 악성 빈혈 1 예

        한 호,안명주,최정혜,이창범,이영열,최일영,김인순,이웅수 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2

        Pernicious anemia is the most common cause of vitamin B12 deficiency and is caused by autoimmune destruction of parietal cell containing gastric mucosa region. This disease is significantly associated with autoimmune endocrinopathies and anti-receptor autoimmune disease. We report here a case of 26-year old man who was diagnosed pernicious anemia with high level of autoantibody titer (antithyroglobulin antibody 1:25,600 and antimicromosomal antibody 1:6,400) indicating subclinical Hashimoto's thyroiditis. Since other autoimmune diseases are frequently associated with pernicious anemia even without evidence of clinical symptoms, screening test for the presence of autoimmune disease should be evaluated in these patients.

      • 전력계통 송배전선로 2회선 1선지락사고 고장거리 검출 알고리즘

        이한웅,최면송,이승재,강상희 明知大學校 産業技術硏究所 2003 産業技術硏究所論文集 Vol.22 No.-

        Abstract - This paper presents a fault location algorithm when there are parallel circuits in power system networks. In transmission networks, a fault location method using the distribution factor of fault currents is introduced and in distribution networks a method using direct 3-phase circuit analysis is developed, because the distribution networks are unbalanced. The effect of parallel circuits in fault location is studied in this paper. The effect is important for the range of protecting zones of distance relay in transmission networks and fault location in distribution networks. The result of developed fault location algorithm shows high accuracy in the simulation that using the EMTP.

      • 아동의 안전에 관한 인식과 교육 실태 조사 연구

        이한용,우종웅,김일영 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

        It is necessary to examine from primary school children's viewpoint to perception of safety as to how they cope with a condition threatening safety at the realistic world with risky environment and whether knowledge obtained through education is transmitted to action in a correct way. For this, this study explored and analyzed children's perspective to safety felt in life, their achievement of education to safety as trainees, and their perception extent to safety. As a result of it, following conclusion could be obtained. First, as for safety on their way to school and home, the lower grade they were, the more they felt safe, but the higher they were, the more they felt uneasy, which was examined that they generally had uncomfortable mind. Second, as for whether safety education was performed or not, it was indicated that safety education was generally executed, but lower graders responded that safety education was executed, but high graders responded that it was not executed. Third, as for observance of traffic rules, it was examined lower graders kept them well, but higher graders did not do so. Fourth, as for safety of play, it was indicated lower graders wore protective equipment by parents' concern, but higher graders did not wear them since they were full of confidence counting on their capability. Fifth, as for life safety, it was indicated the area most preferentially educated from parents' viewpoint was traffic safety, and the next ones were gas and fire safety. Sixth, as for fire safety, it was indicuted they did not play with fire, but higher graders compared to lower ones, played with fire as the means of curiosity and play. Thus, curricula for children's safety education executed from adults' viewpoint should be established, and assessment of children's safety education should get out of the limitation of execution of safety education to habituated action by the transmission of children's knowledge. Also it is urgent to develop programs with which to perform children's education at the level of children, establish and operate safety education facilities for practice education that teachers and children can receive safety education through experience by building up children's safety education related entities. And it is thought that safety should not left to only children, but their safety would be kept by developing and training safety education programs to all organizations and individuals related to safety.

      • 뫄한뭐루 운동이 척추 및 대퇴골의 골밀도에 미치는 효과

        이한경,문대응 龍仁大學校 武道硏究所 2003 武道硏究所誌 Vol.14 No.1

        This Research has been performed in order to examine the Effect of which vertebra and thighbone influence to bone- density by doing Mwahanmworu Exercise, conducted by facing with total 20 persons which consist of 10 men at age-ranged 35-45-year who had ever been trained by Mwahanmworu Exercise for 3-5 years, and the other 10 healthy men who aged between 3545-year that as Non-Excercised Group, thence came up to the following conclusion : 1. The Vertebra Bone Density of the Exercised Group showed more higher figure than that of the Non-Exercised Group, and such figure also appeared a considerable difference in statistical test between the two groups. 2. The Bone-Density in Thighbone of the Exercised Group showed more higher numerical value than that of the Non-Exercised Group, and such contents also turned up a remarkable difference in statistical test between the two groups. Consequently, Mwahanmworu Exercise of those impetuous motion while its specific motion-training by mere-hands which does not giving any of unnaturalness to body, and the same training against iron, stone, tree, also the training using of spear, sword, stick, rope is considered as effectively functioned to strengthen of vertebra bone and thighbone, and also deemed that the effectiveness is same for not only Men but also Women.

      • DC 배열을 이용한 JPEG 와 MPEG 압축 동화상 영상의 일시적인 세분화 연구

        이웅기,최봉한 조선대학교 기초과학연구소 1996 自然科學硏究 Vol.19 No.1

        연상 압축은 원 영상에서 허용되는 데이타의 질과 명료도와 간결성을 보존하면서 데이타를 최대한 압축하려는 것이다. 그러므로 영상 압축은 영상이 전송될 때 통신 채녈의 대역폭을 줄이거나 최소한의 영상 데이타에 포함된 중복성을 제거함으로서 영상 데이타를 다양한 비율로 압축할 수 있으며, 최소한의 저장 공간을 이용하여 방대한 영상 데이타를 전송및 저장하는 데 이용된다. 최근 영상 정보의 압축을 위한 여러가지 알고리즘이 제안되고 있으나, 이러한 연구들은 대부분 압축율 개선에 중점을 두기 때문에 원 영상으로 복원할 때 많은 문제점을 야기 시킨다. 따라서 본 논문에서는 JPEG의 표준인 이산 여현변환을 이용하는 영상 압축에서 영상 복원시 나타나는 문제점중 JPEG, MPEG 동화상 영상에서의 압축을 푸는 과정 없이 영상 데이타를 DC 배열(Sequence)상에서 작동한다. JPEG와 MPEG 압축 동화상 화면에서 갑작스럽고 점진적으로 변화하는 화면을 찾아내는 알고리즘을 개발한다. DC 이미지들은 중요하고, 전체적인 정보를 다 포함하고 있다. 이런 이미지들로 작업하는 것은 계산상 절약할 수 있다. 시뮬레이션 실험 결과 제안된 알고리즘이 기존에 사용한 알고리즘 보다 갑작스럽고 점진적으로 변화하는 화면을 찾아내는데 빠르고 효율적이라는 것을 보여주었다.

      • 國産 火藥類의 種類에 따른 發破 振動値의 比較

        林漢旭,金雄秀,李慶雲 江原大學校 産業技術硏究所 1985 産業技術硏究 Vol.5 No.-

        The blast-induced ground vibrations is one of the most important factors which is considered to design blasting patterns in urban excavation. To compare with vibration level of different explosives, peak particle velocity of each explosive was measured. The results are summerized as follows. 1. Among the three kinds of explosives, the largest vibration was obtained from the gelatine dynamite, while the smallest was blasting of ammonium nitrate. 2. The vibration levels of ammonim nitrate and slurry explosive were smaller about 35%, 20% respectively than that of gelatine dynamite.

      • 籠球競技의 勝敗要因에 關한 硏究

        鄭漢鍾,李永雄 진주산업대학교 1984 論文集 Vol.22 No.-

        Twelve general woman basketball teans took part in Jumbo Series '83. This study aims at analyzing statistically game records made by those teams. The result is as follows: 1. Victorious teams gained 9 point in field goal and 2 points in free throw more than defeated teams. 2. In catching the rebounding ball, victorious teams in offense made no difference from defeated ones but in defense they caught 5 more. 3. In cases of steal and interception, no difference was found between both sides. 4. Victorious teams made 4 more assists. 5. In cases of other recoveries and violations, no difference was found between both sides. 6. Defeated teams made 2 more fouls in case of ‘with two free throws’, but there was no difference between both sides in case of ‘without any free throws’.

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