수상캠프 프로그램이 보호관찰 대상 청소년의 긍정적 자기개념 향상에 미치는 영향[Ⅱ]

양은석 한국스포츠심리학회 2003 한국스포츠심리학회지 Vol.14 No.4

이 연구의 목적은 자연 친화적 환경에서의 다양한 야외 스포츠 활동이 비행청소년을 위한 효과적인 보호관찰 프로그램이 될 수 있음을 반복적으로 증명하고자 하는데 있다. 본 연구자는 이를 위해 2000년 8월에 보호관찰 대상 비행청소년들을 대상으로 법무부 산하 보호관찰소의 협력 하에 '사랑의 여름캠프 2000'을 개최하였으며, 2001년 8월에는 '2001 Probation Work Camp'를 개최하였었다. 이 연구에서는 스포츠 활동은 긍정적인 자기 개념을 증진시키고 적응력을 향상시키며 목표에 대한 성취감을 경험하게 함으로써 비행청소년을 순화시킬 수 있다는 가설 하에, 보호관찰을 받고 있는 비행청소년들을 대상으로 수상캠프를 실시하여 그 효과를 연차적으로 검증하고자 하였다. 2차 연구에서는 보호관찰 청소년 59명을 대상으로 2박 3일 수상캠프를 실시하였다. 수상캠프 프로그램은 수상스키와 래프팅의 두 종목으로 구성되었으며, 그 외에도 미니 올림픽, 캠프파이어, 집단 토의 등 다른 집단 활동도 포함되었다. 참가자들은 수상캠프에 참가하기 전과 후에 자기개념, 충동성, 정서안정성, 적응능력, 소외감 등을 측정하는 질문지를 작성하였다. 수상캠프가 끝난 후에 참가자들은 긍정적 자기개념이 참가 전에 비해서 유의미하게 증가되었음을 보여주었고, 충동성과 소외감은 유의미하게 낮아졌음을 보여주었다. 또한 참가자들은 수상캠프를 통해서 가족과 친구들의 소중함과 타인들과의 협동하는 것의 가치를 깨닫게 되었다고 보고했다. 이러한 2차 연구의 결과는 1차 연구의 결과를 다시 한번 확인시켜 주는 것이었으며, 스포츠 야외활동 프로그램이 보호관찰 대상 청소년들의 정서적 순화 교육프로그램으로서의 가치가 있음을 입증하는 것으로 사료되었다. This study aimed at showing that sports activities in natural environment could become an effective probationary program for juvenile offenders by increasing positive self-concept and adaptivity and by having participants experience achievement toward goals. A three-day water sports camp was conducted for 59 juvenile offenders on probation. The camp program was consisted of water skiing, rafting, mini olympics, camp fire, group discussions and other group activities. Questionnaires were administered before and after the camp to assess changes in positive self-concept, impulsivitiy, emotional stability, coping ability, and the sense of alienation. After the water camp, participants showed significantly increased level of positive self-concept and lowered impulsivity and sense of alienation. Participants reported that through the water sports camp they realized the importance of family and friends and cooperating with others.

조기 양막 파수 신생아에 대한 임상적 연구

양은석,김강호,박상기,나창수 朝鮮大學校 附設 醫學硏究所 1989 The Medical Journal of Chosun University Vol.14 No.1

A clinical study was made on 157 newborns of mothers with premature rupture of membranes (study group) and 916 newborns of mothers without rupture of membranes (control group) at Chosun University Hospital from Jaunary 1987 to Decembcr 1988. The results were as follows: 1) The incidence of PROM was 14.6%. 2) 10.2% of all babies with PROM were born prematurely, significantly higher than the incidence of PROM in all newborn cases with 4.8% (P<0.005). 3) The incidence of neonatal sepsis in the PROM group (4.5%) was four times higher than in the normal group(1.1%) (P<0.005). The incidience was related to the gestational age at birth, and also increased with increasing time interval after PROM. 4) The incidence of neonatal asphyxia in PROM group (7.6%) was twice the normal group (3.6%) (P<0.025). The premature babies had greater incidence in both groups. Also, a positive correlation was found with increasing time interval PROM. 5) Neonatal respiratory distress syndrome(RDS) was found in 1.3% of babies with PROM, whereas 1.4% of babies in the normal group had the syndrome. Premature babies had higher incidence of RDS in both normal and PROM groups, but the latter had an incidence amounting the only 1/5 of the former. And it tended to diminish with creasing time interval after PROM.

사이토카인을 겨낭한 최근 천식 치료법

양은석 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

영아 천식의 임상적 고찰 : Asthma prospective score에 의한 Based on Asthma Prospective Score

양은석,노영일,문경래,박영봉,박상기,변주남 조선대학교 부설 의학연구소 1999 The Medical Journal of Chosun University Vol.24 No.1

A Clinical study was made on 40 patients for infantile asthma less than 2 years old who had been admitted to the Department of Pediatrics of Chosun University Hospital from January 1997 to December 1998. We evaluated family history of allergic diseases, clinical features, serum IgE level, eosinophilia, chest radiologic findings and response to bronchodilator. The results obtained were as follows ; 1) The male to female ratio of patients studied was 4 : 1. 2) Eighteen of the 40 patients (45.0%) had a family history of allergic diseases, of which 10 patients had maternal allergic diseases. 3) Atopic dermatitis was the most common disease (37.5%) among the associated allergic diseases. 4) Thirty two of the 40 patients (80.0%) showed high serum total 19E levels. 5) Only 5 of the 20 patients who were examined by MAST showed positive reaction. 6) The frequency of chest radiologic findings observed in these patients was as follows ; hyperinflation (52.5%), increased bronchovascular marking(30.0%), no pathologic findings(25.0%), and pneumonic infiltration(25.0%). 7) In response to bronchodilator 28 cases(70.0%) were effective. 8) When we divided the 40 patients into two groups by the diagnostic criteria of Asthma prospective score (AP score), 30 patients(75.0%) were included in a compatible group. On the basis of AP score, family history of major or minor allergic dieases and the responsiveness to bronchodilator were important factors for the diagnosis of asthma.

모유수유 실태 및 모유수유에 영향을 미치는 요인에 대한 조사

양은석,문경래,박종 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Human milk is recognized as the optimal diet for newborn and infants. The ?? of breast-feeding has increased in many countries, but in Korea is still very low. We ??veyed the present status of infant feeding methods and the reason for the failure of breast-feeding. The survey was performed by a special questionarie on 1345 cases of mothers who visited both the well baby clinic of Chosun University Hospital and local clinics in Kwangju from May to June. 1993. The results obtained are as follows: 1) The rates of breast-feeding, mixed-feeding, formula-feeding were 27.4%, 21.6%, 51.0% respectively. 2) The rate of breast-feeding was higher in babies of mothers of older age. lower eduacation level, and normal vaginal delivery. 3) Mothers recognized the significance of breast-feeding(95%) , but the rate of breast-feeding was very low. 4) Knowledge about breast-feeding was mainly from books(29.7%), parents(27%), TV and radio(20.3%), and only(9.7%) marginally from medical doctor. 5) The cause of failure of breast-feeding was the mother's concern of insufficient breast milk(48.6%), breast engorgement and pain of the nipples(16.3%), diarrhea(10.3%). We strongly recommend that pediatricans take a more forceful role in increasing the rate of breast-feeding. Since. as our study showed, the obsticales to breast-feeding are based in misinformation, the pediatrician through education and reinforcement is in a strong position to bring about change.

Long-term Stability after Reduction of Mandible Fracture by Keyhole Plate: Evaluation at the Time of Plate Removal

Cheon, Kyeong-Jun,Cho, Seoung-Won,Jang, Won-Seok,Kim, Ju-Won,Yang, Byoung-Eun Korean Association of Maxillofacial Plastic and Re 2020 Maxillofacial Plastic Reconstructive Surgery Vol.42 No.-

Background: Various types of miniplates have been developed and used for the reduction of facial bone fractures. We introduced Yang's Keyhole (YK) plate, and reported on its short-term stability. The purpose of this study was to evaluate the long-term stability of the YK plate, as a follow-up study, by examining the patients who had used the YK plate among the patients with the reduction of mandible fractures and who visited for plate removal. Methods: We reviewed the medical records of 16 patients who underwent mandibular fracture fixation using a YK plate (group I) and 17 patients who underwent mandibular fracture fixation using a conventional plate (group II). Assessment was then made on malunion, occlusal stability, discomfort during the application, and clinical symptoms. Results: From January 2015 to December 2017, a total of 36 patients underwent mandibular fracture surgery using a YK plate. A total of 16 patients received plate removal. Among them, 15 were male and 1 female. The average age was 26 years. The applied surgical sites were the 12 on mandibular angle, 4 on mandibular symphysis, and 2 on subcondyle. The application period of YK plate was an average of 335 days. During the same period, 45 people underwent surgery on the conventional plate. A total of 17 patients received plate removal. Among them, 15 were male and 2 females. The average age was 36 years. The applied surgical sites were the 8 on mandibular angle, 4 on mandibular symphysis, and 2 on subcondyle. The application period of the conventional plate was an average of 349 days. No malocclusion occurred at the time of removal, and occlusion was stable. No patient complained of joint disease or discomfort. Conclusion: The YK plate system, in which the screw was first inserted and the plate was applied, for clinical convenience did not cause any particular problem and no significant difference from the conventional plate.

구조화 전화추적 면담을 이용한 품행장애 입원 치료 환자의 예후

방양원,채정호,문석우,이은회,함웅 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.2

연구 목적 : 본 연구의 목적은 입원치료후 퇴원한 품행장애 환자들의 예후와 가족들의 정신과 입원치료의 효능에 대한 인식도를 알아보고 예후에 영향을 미칠 수 있는 요인을 알아보기 위한 것이다. 방법 : 품행장애의 진단 하에 7일 이상 입원치료를 받았으며 퇴원 후 6개월이 경과된 300명 중 전화 추적이 가능하였던 96명에서 퇴원 후 문제행동, 가족관계, 가족들의 인식도를 조사하였으며 이와 관련된 요인을 알아보았다. 결과 : 퇴원 후 문제행동의 양상은 입원전보다 호전된 경우가 90%이었으며 더 심해진 경우는 2%이었으며 8%는 변화가 없었다. 퇴원 후 가족관계는 보다 좋아진 경우가 70%, 나빠진 경우가 2%, 별 차이가 없는 경우가 28%이었다. 병원치료의 효율성에 대한 가족들의 인식도는 도움이 되었다는 경우가 57%, 해가 되었다는 경우가 6%, 그저 그렇다가 37%이었다. 퇴원 후 문제행동, 가족관계, 가족들의 입원치료에 대한 인식도 등 세 가지 항목이 모두 양호하다고 답변한 대상을 양호군으로 설정하고 그 외의 대상을 대조군으로 하여 양군의 특성의 차이를 비교하였을 때 양호군의 연령이 유의하게 낮았으며 가족 형태의 문제가 있었고 MMPI하위척도 중 남성성 -여성성 척도 점수가 유의하게 높았다. 결론 : 비록 본 연구는 여러 제한점이 내포되어 있음에도 불구하고, 정신과 입원치료를 받았던 청소년의 행동이 대부분은 호전된다는 것을 시사하여 품행장애에서의 정신과적 치료에 상당히 고무적인 결과를 나타내었으며 추후 대상자와 치료프로그램의 다양성을 통제한 연구를 지속하는 것이 필요할 것으로 생각되었다. 중심 단어 : 품행장애ㆍ청소년ㆍ예후ㆍ입원치료. Objectives : The major goal of this study was to investigate the treatment outcome of psychiatric treatment in inpatients with conduct disorder and to elucidate factors affecting its prognosis. Methods : We reviewed the medical records of 300 inpatients with conduct disorder who had been treated with a specialized adolescent treatment program. Follow-up structured telephone interview had been performed in 96 patients. Results : 1) At the point of follow-up, 90% of the patients were improved in behavioral patterns, 2% of the patients were worse, and 8% of the patients were unchanged. 2) Intrafamilial relationship was improved in 70% of the patients, worse in 2%, and unchanged in 28%, 3) Fiftyseven percent of families thought to be helped by psychiatric inpatient treatment, 6% replied to be harmed, and 37% thought not to be helpful. 4) Comparing the good prognosis group who were all better in behavioral patterns, intrafamilial relationship, and efficacy of treatment with the rest of subjects, the good prognosis group was significantly younger and had more history of problems in familial structure. Conclusion : Although the present study had some meterological limits, the promising positive results in the outcome of inpatients with conduct disorder encourages further more sophisticated investigations in this problematic psychiatric conditions. KEY WORDS : Conduct disorderㆍAdolescentㆍTreatment outcomeㆍInpatient treatment.

임신과 동반된 난소섬유난포막종 1례

류은석,김윤숙,전섭,김종수,최승도,선우재근,배동한,양승화 순천향의학연구소 2005 Journal of Soonchunhyang Medical Science Vol.11 No.1

Fibrothecoma are mesenchymal tumors deriving from the ovarian stroma and consisting of theca-like elements and fibrous tissues. The reported incidence is between 0.4 and 8.0% of all ovarian tumors and this side variability can be attributed to the difficulty in differentiation fibrothecoma from ovarian fibroma or hyperplastic stroma nodules. We experienced a rare case of ovarian fibrothecoma in woman at 38 weeks gestation with previous repeat cesarean section diagnosed after tertiary cesarean delivery and bilateral tubal ligation with a brief review of literature.

미나리과 산채의 아질산염 소거능

노광석,양미옥,조은자 한국조리과학회 2002 한국식품조리과학회지 Vol.18 No.1

The nitrite scavenging effect of three kinds of edible wild plants belong to Umbelliferaeceae family was investigated. The contents of crude protein, crude lipid and β-carotene of the plants were in the range of 22.99∼31.00%, 3.51∼5.08% and 5.40∼19.81 ㎎%, respectively. The content of ascorbic acid was very low and selenium was not detected in any samples. The contents of linoleic acid and linolenic acid were 66.46∼77.44%. The content of total phenol was 875.77 ㎎% in Ledebouriella seseloides WOLFF, which was the highest among the samples. The methanol fraction of the plant extract showed higher nitrite scavenging effect than the water fraction. The nitrite scavenging effects of the samples were the highest at pH 1.2 and lowest at pH 6.0, suggesting that it's pH dependent. Nitrite scavenging effect of methnol-soluble fractions obtained from Ledebouriella seseloides WOLFF was 95.3% at pH 1.2, which was the greatest among tested samples. There was a high correlation between the nitrite scavenging effect and the total phenol content.

만성기침을 하는 10세 이하의 소아에서 알레르기 요인과 MAST와의 연관성

이원희,양은석 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.3

목적: 최근 알레르기 질환의 증가와 더불어 만성 기침의 원인 중에서 알레르기 질환의 비율도 증가하고 있다. 만성 기침은 환아 부모님들의 걱정을 유발하여 불필요한 항생제 치료를 증가시키고 있다. 따라서 만성 기침을 하는 소아에서 알레르기 질환을 감별하는 것은 정확한 진단뿐 만 아니라 효과적인 예방 및 치료를 가능하게 한다. 본 연구의 목적은 MAST 양성률과 알레르기 요인과의 관계성을 알아보고 또한 연령과의 연관성이 있는지도 알아보고자 하였다. 방법: 2002년 3월 부터 2006년 6월 까지 만성 기침을 주소로 조선대학교 병원 소아과에 입원한 1세에서 10세 사이의 소아를 대상으로 설문 조사와 혈액 검사를 시행한 45명을 대상으로 하였다. 설문 조사를 통해 아토피 피부염의 병력, 세기관지염의 병력, 알레르기 질환의 가족력, 가족 구성원 중 흡연자의 유무, 가정 내 애완동물(개, 고양이)의 유무, 카페트 사용 여부에 대해 조사하였고 MAST와 총 IgE 값과 호산구수를 측정하였다. 결과: MAST 결과 북아메리카 집먼지 진드기에 양성을 보인 경우는 55.5%로 가장 높았고 집먼지가 45.6%, 유럽 집먼지 진드기는 애완동물은 28.8%, 음식물은 26.7%였으며 MAST 결과가 양성인 26명과 음성인 19명을 두군으로 나누어 비교하였을 때 MAST 양성군에서 나이가 7-10세로 많은 경우는 12명이었으며 MAST 음성군은 1명으로 유의한 차이를 보였고(P= 0.009), 아토피 피부염은 19명과 4명으로 유의한 차이를 보였으며(P= 0.022), 알레르기 질환의 가족력도 25명과 6명으로(P= 0.008) 유의한 차이를 보였다. MAST 양성군 29명의 총 IgE 평균값은 896.9 ± 922.4 IU/mL, MAST 음성군 16명의 총 IgE 평균값은 101.4 ± 129.4 IU/mL로 두 군 간에 유의한 차이를 보였으며(P< 0.001), 호산구수는 두 군에서 각각 405.4 ± 349.7 /μl와 240.6 ± 237.2 /μl 로 두 군 사이에 유의한 차이를 보이지 않았다(P= 0.1). 결론: 3주 이상의 만성 기침을 한 환아에서 MAST 양성률은 연령(7-10세), 아토피 피부염의 병력, 알레르기 질환의 가족력과 높은 연관성을 보여 알레르기 질환에 대한 적절한 검사와 치료가 필요할 것으로 생각된다. Purpose: The recent increase in the incidence of allergic diseases coincides with the increased proportion of allergic diseases as the cause of chronic cough. This has led to the anxiousness of parents about their children with the use of antibiotics in the majority of the cases. Therefore, the differentiation of the cause of the chronic cough will lead to the decrease of unnecessary treatment with effective prevention and treatment. The purpose of this study is to identify the correlation between allergic factors and Multiple Allergosorbent Test (MAST). Method: A total of 45 children between the ages of 1 through 10 years with at least 3 weeks of chronic cough were included in the study. MAST, eosinophil count and total IgE were tested. The patient's personal history of atopic dermatitis, bronchiolitis, family history of allergy, smoking by family, pets and floor covering of the home were reviewed extensively. Results: Twenty-six children of 46 children (68.9%) were tested positive for MAST and 19 children were tested negative. The factors that were strongly correlated to the results of the MAST were the age (7-10 years), history of atopic dermatitis, family history of allergy and total IgE. However, smoking by family, pets, floor coverings of the house and eosinophil count were not relevant to the results of the MAST. Conclusion: I could identify significant contributors through MAST in chronically coughing children and it will lead to improve them with good treatment result.