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        예술프로그램을 이용한 집단치료가 청소년의 인터넷/스마트폰 중독행위에 미치는 효과 : 예비연구

        장혁준(Hyeok Jun Jang),김준원(Jun Won Kim),최태영(Tae Young Choi) 대한생물치료정신의학회 2017 생물치료정신의학 Vol.23 No.3

        Objectives:Internet/smartphone addiction among adolescents is an increasingly problematic social issue, but with no current systematic treatment guidelines. In this study, we have evaluated the effect of a group therapy, using art program, on adolescents’ addiction to internet/smartphone. Methods:Screening tests(Young’s Internet Addiction test, YIAT ; Korean Smartphone Addiction Proneness Scale, SAPS) were performed on students from elementary and middle schools in Daegu, the Republic of Korea. Six sessions of group art therapy were conducted among 60 students, 20 showing internet/smartphone addiction(addiction group), and 40 with no addiction to the internet/smartphone(control group). Questionnaires including the sociodemographic information, Children’s Social Support Scale(SSS) scores, and Parent-Adolescent Communication Scale(PACS) scores were completed before the intervention. Clinical scales evaluating internet/smartphone addiction(YIAT, SAPS) among the participants and their psychological dispositions were also assessed before and after the intervention. Results:There were no significant differences in the sociodemographic factors between the addiction and control groups. The averages of the SSS and PACS scores were significantly higher in the control group when compared to those in the addiction group. The addiction group revealed a statistically significant decrease in the SAPS scores and a trend towards decreased YIAT scores. Both groups showed statistically significant decreases in the state anxiety and depression scores. Conclusion:Adolescents with Internet/smartphone addiction showed improvements in addictive behavior, state anxiety, and depression after group art therapy; hence, group art therapy may be considered an alternative treat-ment method for internet/smartphone addiction among adolescents.

      • 성인병에 대한 한방치료법(증치의학과 사상의학)에 관한 연구 : 고혈압에 대한 한방치료법(중치의학과 사상의학)에 관한 연구

        박동일,김영균,안창범,이인선,김종원,권정남,장경전,이인선,이성근,장용우,신영민 동의대학교 한의학연구소 1999 동의한의연구 Vol.3 No.-

        We had a result of the treatment as below when is devided Korean medicine Tx.. Western medical Tx., Cooperative Tx.. 1) At the improvement of BP control, an average in Korean medicine Tx. (from 170㎜Hg/100㎜Hg to 150㎜Hg/90㎜Hg), an average in Western medical Tr. (from 170㎜Hg/100㎜Hg to 130㎜Hg/80㎜Hg), an average in Cooperative Tx.(from 180㎜Hg/110㎜Hg to 130㎜Hg/90㎜Hg), generally all pars had improvements of BP control. But it is not significant of each case. 2) At the improvement of symptoms by the apologetics, Cooperative Tx. is profitable in cases of 'GanHwa',' DamEum', 'EumYangYangHer', 'EumHer'. Korean medicine Tx. is superior in case of 'GiChe'. 3) At the improvement of symptoms by a questionnaire, Korean medical Tx., Western medical Tx., Cooperative Tx. groups had improvements, but each practice group didn't have specific significance. Only it was somewhat profitable to Korean medical Tx. in the 210㎜Hg/110㎜Hg, Western medical Tx. in the 180㎜Hg/110㎜Hg, Cooperative Tx, in the 170㎜Hg/90㎜ Hg. 4) There are the apparent improvements in patients whose BP are over 200㎜Hg of Korean medical Tx. group, whose BP are over 190㎜Hg of Western medical Tx. group and whose BP are over 170㎜Mg of Cooperative Tx. group. There are the improvement of diastolic BP in 110㎜Mg(Korean medical Tx., Western medical Tx.) and 90㎜Hg(Cooperative Tx.). 5) At the improvement of Pulse pressure, generally Pulse pressure are decreased. There are similar improvements in all of Korean medical Tx., Western medical Tx., and Cooperative Tx.. 6) At the Symptomatic approvement according to ages, Korean medical Tx., Cooperative Tx. are somewhat good for his twentieth, and Western medical Tx. is somewhat good for his forties. 7) the correlation of Obesity-grade and BP, as Obesity-grade is higher as BP is higher, but there are no similarity in the improvement. 8) At the EAV improvements, as examination into correlation with the point of 1~3th, we could get results as below. There are high improvements of DRHTM, DRALM, DLLYM, DLLIM in Cooperative Tx. There are high improvements of DRPASI, DLLARI in the Korean medical Tx. group. There are high improvements of DRFADM in Western medical Tx. group.

      • Trichophyton verrucosum infection in Korea: Analysis on 224 patients from 1976 to 2015

        ( Dong Hyuk Eun ),( Jun Hong Park ),( Sun Young Moon ),( Yong Hyun Jang ),( Seok-jong Lee ),( Do Won Kim ),( Yong Jun Bang ),( Jae Bok Jun ),( Weon Ju Lee ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.2

        Background: Trichophyton (T.) verrucosum is a dermatophyte causing ringworm in cattle, distributed worldwide. It can be responsible for various inflammatory lesions of skin and scalp. In Korea, kerion celsi caused by T. verrucosum was first reported at 1986 in the southeast province of Korea. Since then, many patients infected with T. verrucosum have been reported in Young-nam province. There are few long-term studies about epidemiological characteristics of T. verrucosum. Objectives: To investigate the clinical and epidemiological characteristics of T. verrucosum infections in Korea. Methods: A total of 224 patients were diagnosed as T. verrucosum infection by fungal culture from 1976 to 2015. The data were based on a retrospective survey of medical records. Results: The annual incidence of patients with T. verrucosum infection had been increasing since the report in 1986. The number of patients showed a peak in 1988. After 2000, the number of patients had been decreasing. Female to male ratio showed a 1.2-fold predominance of female infection. And more than 15-year-old group was 59.4% of total patients. T. verrucosum infection was most commonly seen in spring and was found predominantly in patients living in rural areas. Face was most frequently involved, followed by arms. Conclusion: These findings provide useful information for understanding of T. verrucosum infection and future dermatophytosis prospects.

      • 음모이에 의한 안검염 1예

        장영준,서억수,정보영,김호창 동국대학교 의학연구소 2009 東國醫學 Vol.16 No.1

        이(lice)는 인체에 기생하면서 그들의 생활을 영위하고 여러 가지 질병을 전파하는 매개체로서 널리 알려져 온절족동물의 일종이다. 과거에는 인체에 발생하는 많은 질병의 매개체가 되었으나 그동안 의식주의 개선,공중 및 개인위생의 향상으로 최근에는 인체기생의 빈도가 많이 줄었으며 따라서 이에 의한 질병의 발생도 많이 감소하였다. 더욱이 안검을 침범한 음모이의 국내에 보고된 증례는 1976년 백 등이 보고한 2례, 1977년 신 등이 보고한 1례, 1996년 이 등이 보고한 1례, 1997년 김 등의 1례로 총 5례 뿐이다. 저자들은 세극등과 광학현미경 검사로 음모이에 의한 안검염으로 확진한후,세극등을 이용한 물리적 제거와 항생제 안약 및 연고의 도포를 하며 총 4주간 추적관찰을 하였으며 이 기간동안추가적인 음모이의 성충이나 충란의 발견이 없는 좋은 치료 결과를 경헝하였기에 이를 보고하는 바이다. We have experienced with a rare case of blepharitis caused by pubic lice, which was confirmed by slit-lamp and light microscopic examinations and resulted with a good outcome with appropriate treatment as follows. A two year old male child complained of foreign body sensations bilaterally, and an itching sensation at both upper and lower eyelids for 2 months. He was diagnosed with blepharitis caused by pubic lice after observation of adult louse and nits on slit-lamp examination. The treatment was accomplished by mechanical removal of the lices and nits by forceps and antibiotic eyedrops and ointment were applied to both eyes. The morphologic evaluation was performed with slit-lamp and light microscopy. The follow-up interval was a week for next one month and no louse or nit was found under slit-lamp examination. So we decided that the pubic lice was completely removed.

      • 개에 발생한 만성 승모판폐쇄부전증에 대한 Pimobendan 치료 1례

        장재임,전형규,최호정,이영원,송근호 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2006 動物醫科學硏究誌 Vol.14 No.-

        A 11-year-old intact male maltese dog with respiratory distress, cyanosis and coughing was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. Loud holosystolic murmur with a palpable precordial thrill was heard at the left apex region by auscultation. Left sided cardiac enlargement and mitral regurgitated flow were detected by thoracic radiography and echocardiography, respectively. Clinical signs were improved by treatment of diuretics, ACE inhibitor and pimobendan.

      • 10㎞ 단축마라톤이 성인의 골대사 마커에 미치는 영향

        장성동,김영준 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

        The purpose of this study was to investigate the effects of 10km short-distance marathon on bone metabolism makers in adult male. The subjects consisted of 7 healthy adults male in amateur 10㎞ marathoner. The subjects understand purpose of this study according to the relation between a long distance race and bone metabolism and healthy people with no experience of marathon course. The experiments are divided into two part, ppe and post of 10㎞ short-distance marathon. Analytical items were calcium, phosphorus, paratyroid hormone, osteocalcin, calcitonin, alkaline phosphatase Urine : calcium, phosphorus, and deoxypyridinolin. The conclusions obtained from this study were as follows: In the matter of change of bone metabolism makers, there is significant change post training in paratyroid hormone and alkaline phosphatase, but there is no significant difference while he significant difference is shown in the osteocalcin, calcitorine and deoxypyridinoline.

      • KCI등재후보

        일부 소규모 시계조립 사업장의 상지 누적외상성장애의 유병률

        장은철,김현주,권영준,박시복,이수진,송재철 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.4

        목적 : 단순 반복작업을 하는 시계조립 사업장 근로자를 대상으로 상지 누적외상성장애의 자각증상 유병률과 상지 누적외상성장애 유병률을 파악하고자 하였다. 방 법 : 인구학적 특성, 상지의 자각증상, 사회심리적 요인은 자가 설문지법으로, 인간공학적 특성은 점검표를 이용한 면담법으로 조사하였다. 상지의 자각증상 조사와 사회심리적 요인은 각각, N10SH (1993) 설문지와 Karasek(1979)의 Job strain model을 번역하여 조사하였다. 상지 누적외상성장애 판정은 의사가 작업 현장에서 직접 환자 면담과 이학적 검사를 수행한 후, 연구에서 규정한 증례정의에 의해 수행하였다. 수집된 자료는 x2 teat와 exact test로 단별량 분석을 하였고, 이중 의미있는 변수와 위험 인자로 알려진 변수들로 다중 로지스틱 회귀분석을 시행하였다. 결 과 : 대상자들의 자각증상 유병률은 54.2 %였고, 부위별로는 목 34.9 %, 손/손목 31.3 %, 어깨 30.1 %, 팔/팔꿈치 18.0 %순이었다. 상지 누적외상성장애의 유병률은 45.8 %였고, 근막동통증후군이 26명으로 가장 많았고, De Quervain씨 병 8명, 수부/전완부의 건염 및 건활막영 8명, 수근관 증후군 5명, 이두건염 5명, 척골 신경병증 5명, 내상과 염 4명, 외상과염 2명, 경추 디스크 질환 2명, 흥곽 출구 증후군 1명순으로 나타났다. 단변량 분석시 자각증상 유병률은 작업부서 중 완성 부에서, 상지 누적외상성장애 유병률은 여자와 완성 부에서 통계학적으로 유의하게 높았다. 다중 로지스틱 회귀분석 결과 완성부와 근무긴장도가 높은 군이 상지 누적외상 성장애와 통계학적으로 유의한 결과를 보였다. 결 론 : 이 연구에서 상지 누적외상성장애 유병률은 45.8 %으로서 저강도의 단순 반복작업을 하는 시계조립 사업장 근로자에서도 누적외상성장애의 위험이 있는 것으로 생각된다. 또한, 사회심리적 요인과 작업 부서별 공정 및 환경이 유병률에 영향을 미치는 주요 요인으로 생각되며, 향후 이들에 관한 다양한 연구가 진행되어야 할 것이다. 산업보건 현장에서는 시계조립 사업장과 같이 저 강도의 단순 반복작업을 위주로 하는 사업장에 대한 지속적인 관심과 각 사업장별 위험요인을 파악하여 적절한 예방 및 관리 대책을 세워야 할 것이다. Objectives : The prevalence of cumulative trauma disorders of upper extremities mons watch assembly workers in small-scaled industry was studied. Methods. In 83 workers at five watch assembly factories, symptoms and psychosocial questionnaire, ergonomic Interview, physical examination were conducted. Results : Prevalence of self-reported symptoms was 54.2% and neck 34.9%, wrist/hand 31.3%, shoulder 30.1%, elbow/arm 18.0% by anatomical site. Prevalence of cumulative trauma disorders was 45.8%. Most common disease was myofascial pain syndrome (31.3%). The other diseases were De Quervain disease (9.6%), tenosynovitis/tendinitis at wrist/hand (9.6%), bicipital tendinitis(6.0%), fat. epicondylitis(4.8%), meIn. epicondylitis(2.4%), and cervical disc disease(2.4%). As result of ergonomic interview, repetitiveness was 79(98.8%). There were no differences in the prevalence of self-reported symptoms and cumulative trauma disorders for age, sex, marital status, duration of work In the study, The significant factors of cumulative trauma disorders were occupational task and psychosocial stress in the study. The prevalence of cumulative trauma disorders in high strain group was hlgher (68.4%) than other three groups. The prevalence of self-reported symptoms and cumulative trauma disorders in assembly task was higher (70.0%, 64.0%) than other two tasks. Conclusions : Prevalence of self-reported symptoms was 54.2%, prevalence of cumulative trauma disorders was 45.8% in watch assembly workers. In this study, factor related to self-reported symptoms was occupational task and factors relaxed to cumulative trauma disorders were occupational task and psychosocial stress. This results suggest that differences of ergonomics and environment in occupational task cause differences of prevalence of self-reported symptoms and cumulatlve trauma disorders.

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