일부 산업재해 환자들에서 외상후 스트레스장애

최경숙,임채기,최재욱,강성규,염용태 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.3

연구목적 : 우리나라에서 산업 재해로 신체적 손상을 입고 입원해 있는 일부 근로자들을 대상으로 PTSD 발병여부를 조사하고, 산업 재해와 관련된 위험 인자를 파악하여 산업재해 이후 근로자들이 겪게 될 신체적 건강문제 뿐만 아니라 정신적 건장 문제 회복에 도움을 주고자 하였다. 방 법 : 2000년 7월에서 2000년 9월 사이에 산업 재해로 인해 신체적인 부상을 입고 입원 중인 인천 소재 산재병원의 남성 입원환자 47명을 대상으로 PTSD 발병여부와 관련 인자를 연구하기 위하여 구조화된 설문 조사와 CAPS를 이용한 진단적 면담을 시행하였다. 결 과 : CAPS를 이용한 면접조사 결과 최종 연구 대상자 47명중 12명(25.5%)이 PTSD로 나타났으며, 모두 증상의 지속 기간이 3개월 이상인 만성 외상후 스트레스장애로 분류되었다. PTSD군 12명과 non-PTSD군 45명을 비교한 결과 BDI, STAI-I, STAI-II, IES 점수는 PTSD 군에서 유의하게 높게 나타났다. 또한 SCR-90-R의 세부항목 중 편집 사고를 나타내는 PAR 점수가 유일하게 두 군 사이에 유의한 차이를 보이지 않았고 그 외의 항목들은 PTSD 군에서 유의하게 높았다. 산재 관련 위험 인자의 비교에서 환자가 주관적으로 보고한 의식의 상실 경험만이 PTSD군에서 유의하게 높게 나타나 이전의 다른 연구자와 일치된 소견을 보였다. 결 론 : 이상의 결과는 산재 사고 이후에 PTSD가 발생하고, 증상이 장기간 지속되어 만성화를 겪을 가능성이 있다는 것을 보여준다. 위험 인자 중에서 사고 관련 위험 인자로 의식의 상실에 대한 주관적인 보고만이 관련성이 있는 것으로 나타났으나, 그 외의 다른 인자들은 관련서이 없는 것으로 나타났다. 그러나 여러 가지 연구의 제한점이 많으므로 연구 시점을 달리하고 많은 대상자를 포함한 후속 연구를 시행해야 산업재해와 PTSD에 대한 이해를 높일 수 있을 것으로 사료된다. Objectives : This study was conducted to assess the development of posttraumatic stress disorder(PTSD) after occupational physical injuries and the risk factors in occupational accident patients for PTSD. Methods : Forty-seven occupational accident patients with physical injuries were administered BDI. STAI I and II, SCL-90-R, IES and questionnaires for risk factors and Clinician-Administered PTSD Scale(CAPS). Results : 1) 12 patients(25%) were diagnosed as PTSD. 2) The BDI, STAI I and II and IES scores are significantly high(<0.05) in PTSD group than non-PTSD group. 3) The subscales of SCL-90-R, with an exception of PAR subscale, showed higher scores(<0.05) in PTSD group. 4) The loss of consciousness(LOC) was only significant risk factor in the occupational accident related factors(<0.05). Conclusion : The results of this study show the development of PTSD among occupational accident patients. The loss of consciousness(LOC) was the only significant risk factor for PTSD in occupational accident patients.

가족성 정신분열병 환자에서 임상 특성의 가족내 연관성

최경숙,이유상,장용이,조은영,전현옥,김창현,김상욱,홍경수 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : This study aims at examining familial associations of symptoms and clinical characteristics in affected sibling or relative pairs of schizophrenia as an effort to identify genetically homogeneous phenotypes. Methods : Forty-seven relative pairs with DSM-IV diagnosis of schizophrenia from thirty-five Korean families multiply affected with schizophrenia were ascertained. Direct interviews were done using the Korean version of Diagnostic Interview for Genetic Studies (DIGS). The Krawieka Rating Scale and the Schedule for the Deficit Syndrome were also applied for further evaluation of psychopathologies. Intra-familial concordances and correlations of clinical characteristics and symptoms were tested using χ² -test and Spearman's correlation. Results : Significantly high concordance rate within relative pairs was found for the diagnosis of paranoid vs. non-paranoidsubtype (χ²=7.623, P=0.006, df=1). Deficit vs. non-deficit syndrome also showed significant concordance (χ² =3.850, p=0.0497, df=1). Among single symptom items in DIGS, only 'auditory hallucination' showed significant concordance rate ( χ² =5.503, P=0.019, df=1). Factor analysis for symptoms items in the Rrawiecka Rating Scale indicated three symptom dimensions ; negative, psychotic and affective, Psychotic (P =0.442, P=0.003) and affective dimension scores (p =0.427, P=0.004) showed significant intra-familial correlations. Age at onset of recognized psychotic symptoms showed significant correlation only within the male sibling pairs. Conclusion : Familial factors, Possibly genetic factor contribute to the phenotypic characteristics of paranoid vs. non-para-noid subtype, deficit vs. non-deficit syndrome, auditory hallucination, and affective syndrome, It supports their use in the delineation of homogeneous subgroups for future genetic studies.

3관능성 BPA-3MA를 기질로한 광중합형 치면열구전색재의 물성 연구

박경준,김경남,안광덕,김광만,한동근,전호욱 대한치과기재학회 1998 대한치과재료학회지 Vol.25 No.2

The BPA-3MA(bisphenol-A trimethacrylate) in which one of two hydroxy group was substituted by methacrylate was synthesized by reaction of Bis-GMA with methacryloyl chloride. To investigate the possibility to apply BPA-3MA as matrix of composite resin or pit and fissure sealant, BPA-3MA(3MA) or Bis-GMA(GMA) as matrix, TEGDMA as diluent, CQ as photosensitizer, EDMAB as photoinitiator and 5㎛ pyrogenic silica as filler were used for making experimental sealants. In addition, these experimental sealants were compared to a commercial Concise L/C White sealant(CLW, 3M Co, U.S.A.) for flexural strength, diametral tensile strength, amount of abrasion, surface hardness, water sorption and solubility, and degree of conversion. The flexural strength of CLW was the highest value but there was not significant difference with 3MA. Diametral tensile strength of all 3 groups were similar(p>0.05) and the amounts of abrasion of 3MA and GMA were less than that of CLW(p<0.05). The surface hardness of 3MA was higher than that of GMA(p<0.05) but similar to that of CLW. The water sorption of 3MA was less than that of GMA and CLW(p<0.05) and the solubilities of 3MA and CLW were than that of GMA(p<0.05). GMA and CLW were relatively polymerized well as compared to 3MA. From these results, pit and fissure sealant using trifunctional BPA-3MA as matrix had superior physical and mechanical properties to existing Bis-GMA sealant. Furthermore, it will be possible to develop composite resin having superior properties to existing composite resin.

가상교육을 위한 질의 응답 시스템

허경욱,한판암 慶南大學校 附設 工業技術硏究所 2002 硏究論文集 Vol.20 No.-

가상교육 시스템을 운용하는 데 여러 가지 주요 기능이 필요하다. 그 중에 하나가 교육에 관련한 Q/A 게시판 관리이다. 이 게시판은 학습자들이 교육내용에 관련한 다양한 질문을 올리고, 교수자는 질문에 대하여 답변을 올리는 의사소통의 통로이다. 본 연구에서는 가상교육에서 필수적으로 요구되는 Q/A 게시판의 개선된 관리 방안을 설계 구현하였다. 다시 말하면 가상교육 시스템에서 기본적으로 필요한 Q/A 게시판에 올라오는 학습자들의 질문에 대하여 답변을 자동화하는 시스템을 설계 구현했다. There should be a few important functions for operating cyber education systems. Among them, one of the most important functions is to manage question and answer bulletin boards. A question and answer bulletin board is a communication path between learners and teachers. Learners ask questions and teachers response answers to askers on the board. This research designs and implements an improved method for managing question and answer bulletin boards which are mendatory in cyber education. In other words, we design and implement a system which automatically provides answers to the questions.

수유 요인에 따른 유치열의 치면별 우식패턴

임경욱,이광희,라지영,안소연,김윤희 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.2

연구목적은 모유 또는 분유 섭취 시 나타나는 유치열의 치면별 우식패턴에 차이가 없으며 수유기간에 따른 차이도 없다는 가설을 검증하는 것이었다. 익산시, 청주시, 울산광역시의 36-71 개 월 어린이 815명을 대상으로 구강검사로 치면별 우식경험도를 조사하고, 보호자들을 대상으로 설문지 조사법으로 모유와 분유 중에서 생후 1년간 주로 수유한 것과 수유 기간을 조사하였다. 모유군과 분유군 간 우식경험유치면수(dmf)의 차이는 유의하지 않았다. 모유군에서 분유군보다 우식경험도가 더 높았던 유치군은 상악 유전치이었고, 유치면군은 상악 유전치 협설면과 인접면이었으며, 유치는 상악 유절치와 상하악 제2유구치이었고, 유치면은 상악 유중절치의 협면과 원섬면, 상악 유측절치의 협설면, 인접면, 상악 제2유구치의 설면, 인접면, 교합면, 하악 제2유구치의 협면, 원심면이었다. 모유군에서 수유기간이 증가함에 따라 우식경험유치면수가 증가한 유치군은 상악 유전치와 상악 유구치이었고, 유치면군은 상악 유전치의 인접면, 상악 유구치의 협설면, 인접면, 교합면, 하악 유구치의 인접면이었으며, 유치는 상악 유전치, 상악 유구치, 하악 제 2유구치이었고, 유치면에서는 상악 유전치의 인접면, 상악 제 1유구치의 협설면, 인접면, 교합면, 상악 제 2유구치의 협면, 하악 제 2유구치의 근심면이었다. 분유군에서는 수유기간 3년 이상에서 우식경험유치면수가 증가하였으나 차이가 유의하지 않았다. 수유와 관련되어 발생하는 상악 유절치의 중증 유아기 우식증은 분유를 수유하는 경우보다 모유를 수유하는 경우에 더 많이 발생하였다. 모유 수유를 2년 이상 하는 경우에는 상악 유절치의 우식 예방을 위한 조치가 필요하다. The purpose of this study was to investigate the tooth surface caries patterns in the primary dentition according to breast or bottle feeding. The subjects of study were 815 children, 36 to 71 months old, in Iksan, Cheongju and Ulsan cities. The caregivers of the children were asked which they fed between the breast milk and the infant formula during the 1st year after birth and the duration of feeding. There was no significant difference in dmfs between the breast milk group and the infant formula group(significance level 0.05, same below). Tooth groups, tooth surface groups, teeth, and tooth surfaces which had significantly higher dmfs in the breast milk group than in the infant formula group were upper anterior teethttooth groups), upper incisors' buccal and proximal surfacesttooth surface groups), upper incisors and upper second molars (teeth), upper central incisors' buccal and distal surfaces, upper lateral incisors' buccolingual and proximal surfaces, upper 2nd molars' lingual. proximal. and occlusal surfaces, and lower 2nd molars' buccal and distal surfaces. In the breast milk group, tooth groups, tooth surface groups, teeth, and tooth surfaces which dmfs significantly increased as the duration of the feeding increased were upper anterior teeth and upper molars (tooth groups), upper anterior teeth's proximal surfaces, upper molars' buccolingual, proximal, and occlusal surfaces, lower molars' proximal surfacesttooth surface groups), upper anterior teeth, upper molars, lower 2nd molars (teeth), upper anterior teeth's proximal surfaces, upper 1st molars' buccolingual, proximal. and occlusal surfaces, upper 2nd molars' buccal surfaces, and lower 2nd molars' mesial surfaces (tooth surfaces). In the infant formula group, dmfs increased after 3 years of feeding, but the difference was not significant. Caries prevention is necessary in case of breastfeeding more than two years.

Bioaccumulation and haematological effects of waterborne cadmium on juvenile black seabream (Acanthopagrus schlegelii)

Kyeong-Wook Kim,Hee-Ju Park,Jae-Min Han,Ju-Chan Kang 한국수산과학회 양식분과 2016 한국수산과학회 양식분과 학술대회 Vol.2016 No.10

Field test on growth rate in two kinds of grouper (Epinephelus bruneus and E. septemfasciatus) using the recirculating aquaculture system (RAS)

Kyeong-Wook Kim,Hyung-Bum Koh,Seong-Rip Oh,Seong-Wan Hong,Hyeong-Cheol Kang,Su-Hyeon Bak 한국수산해양기술학회(구 한국어업기술학회) 2017 한국수산해양기술학회 학술발표대회 Vol.2017 No.11

In-Stent Stenosis of Stent Assisted Endovascular Treatment on Intracranial Complex Aneurysms

Kyeong-Wook Yoon,김영준 대한신경외과학회 2010 Journal of Korean neurosurgical society Vol.48 No.12

Objective : To introduce the frequency and segment analysis of in-stent stenosis for intracranial stent assisted endovascular treatment on complex aneurysms. Methods : A retrospective study was performed in 158 patients who had intracranial complex aneurysms and were treated by endovascular stent application with or without coil embolization. Of these, 102 patients were evaluated with catheter based angiography after 6, 12, and 18months. Aneurysm location, using stent, time to stenosis, stenosis rate and narrowing segment were analyzed. Results : Among follow-up cerebral angiography done in 102 patients, 8 patients (7.8%) were shown an in-stent stenosis. Two patients have unruptured aneurysm and six patients have ruptured one. Number of Neuroform stents were 7 cases (7.5%) and Enterprise stent in 1 case (11.1%). Six patients demonstrated in-stent stenosis at 6 months after stent application and remaining two patients were shown at 12 months,18 months, respectively. Conclusion : In-stent stenosis can be confronted after intracranial stent deployment. In our study, no patient showed symptomatic stenosis and there were no patients who required to further treatment except continuing antiplatets medication. In-stent stenosis has been known to be very few when they are placed into the non-pathologic parent artery during the complex aneurysm treatment, but the authors found that it was apt to happen on follow up angiography. Although the related symptom was not seen in our cases, the luminal narrowing at the stented area may result the untoward hemodynamic event in the specific condition.

Bioaccumulation and haematological effects of waterborne cadmium on juvenile black seabream (Acanthopagrus schlegelii)

Kyeong-Wook Kim,Hee-Ju Park,Jae-Min Han,Ju-Chan Kang 한국수산해양기술학회(구 한국어업기술학회) 2016 한국수산해양기술학회 학술발표대회 Vol.2016 No.10

Distributed memory access architecture and control for fully disaggregated datacenter network

Kyeong-Eun Han(Kyeong-Eun Han),Ji Wook Youn(Ji Wook Youn),Jongtae Song(Jongtae Song),Dae-Ub Kim(Dae-Ub Kim),Joon Ki Lee(Joon Ki Lee) 한국전자통신연구원 2022 ETRI Journal Vol.44 No.6

In this paper, we propose novel disaggregated memory module (dMM) architecture and memory access control schemes to solve the collision and contention problems of memory disaggregation, reducing the average memory access time to less than 1 μs. In the schemes, the distributed scheduler in each dMM determines the order of memory read/write access based on delay-sensitive priority requests in the disaggregated memory access frame (dMAF). We used the memory-intensive first (MIF) algorithm and priority-based MIF (p-MIF) algorithm that prioritize delay-sensitive and/or memory-intensive (MI) traffic over CPU-intensive (CI) traffic. We evaluated the performance of the proposed schemes through simulation using OPNET and hardware implementation. Our results showed that when the offered load was below 0.7 and the payload of dMAF was 256 bytes, the average round trip time (RTT) was the lowest, ~0.676 μs. The dMM scheduling algorithms, MIF and p-MIF, achieved delay less than 1 μs for all MI traffic with less than 10% of transmission overhead.