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      • KCI등재

        통합심리치료의 인지분화훈련이 정신분열병 환자의 기초 인지기능에 미치는 영향

        이희상,현명호,조현상,이연희,김태용,장순아,노규식,정기립,이만홍,유계준 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

        연구목적 : 정신분열별 환자들을 대상으로 통합심리치료의 소프로그램인 인지분화훈련을 실시하여 실행기능, 개념형성능력, 언어능력 및 추론력에 대한 훈련이 보다 더 하위단계의 인지기능인 주의력, 기억력, 반응시간 등을 호전시킬 수 있는 지를 알아보고자 하였다. 연구방법 : DSM-IV상 정신분열병으로 진단된 24명의 입원환자를 무작위로 양분하여 한 군은 인지분화훈련군으로 다른 한 군은 대조군으로 나누었다. 훈련군은 4주동안 1주일에 3회(매회 60분간)로 총 12회의 통합심리치료의 인지분화훈련을 받았으며 대조군은 동일한 시간동안 정신건강교육을 받았다. 훈련전후에 훈련군과 대조군을 대상으로 개정판 Wechsler 기억검사로 주의집중력, 장·단기 기억력을 측정하였고 Vienna test system중 결정반응시간검사로 반응시간, 반응결정시간, 반응운동시간을 평가하였다. 연구결과 : 1) 주의집중력에서는 훈련군과 대조군사이에 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 2) 단기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=10.46. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 3) 장기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=15.09. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 4) 반응시간에서는 상호작용 효과(F(1,24)=5.18, p〈.05)가 있었다. 5) 반응운동시간에서는 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 6) 반응결정시간에서는 상호작용 효과(F(1.24)=6.00, p〈.05)가 있었다. 결 론 : 통합심리치료의 인지분화훈련은 정신분열병 환자에서 하위단계의 인지기능 중 반응시간(특히 반응결정시간)을 단축시키는 효과가 있었다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training of Integrated Psychological Therapy(a training program of executive function, concept formation, language, and abstraction) on micro-level cognitive function such as attention, memory and reaction time in patients time in patients with schizophrenia. Methods : Twenty-four inpatients diagnosed as schizophrenia using DSM-IV were randomly assigned to 2 groups. The training group went through a total of 12 sessions of cognitive differentiation training for 4 weeks. The control group received psychoeducation program during the same period. Wechsler Memory Scale-Revised and Decision-Reaction Timer of Vienna Test System were administered to all patients, both before and after the training program. Results : 1) In the attention and concentration scores of Wechsler Memory Scale-Revised, between group, within group and interaction effects of training were not significant. 2) In the short-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=10.46, p〈0.05), but the between group and interaction effects did not reach significance. 3) In the long-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=15.09, p〈0.05), but the between group and interaction effects did not reach significance. 4) In the reaction time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=5.18, p〈0.05). 5) In the motor time scores of Decision-Reaction Timer, between group, within group and interaction effects of training were not significant. 6) In the decision time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=6.00, p〈0.05). Conclusion : Our findings suggest that cognitive differentiation training of Integrated Psycho-logical Therapy is partly effective on improving micro-level cognitive functions such as reaction time(especially, decision time) in patents with schizophrenia.

      • 자궁내 태아사망의 임상적 고찰

        이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

        Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.

      • KCI등재

        한성준의 한국 전통춤 사장 : 승무를 중심으로

        백현순;이예순;강미선;김현남;이현진 한국무용연구회 2007 한국무용연구 Vol.25 No.1

        This paper aims to investigate the origin and movement of Buddhist dance, recognized as the most artistic one of Han sung Jun’s dances and from this draw the idea on Korean traditional dance. First, to summarize the idea on Buddhist dance, on the basis of his biography and historical background of his times, it is believed that the East would look upon the sky as the president of the universe and the origin of life as God; carry out the religious rituals as to natural phenomenon along with human beings. The spiritual thought during the ceremonies is certain to immanent in current Buddhist dance. Buddhist dance is also called “Bǔm-pae”, which means it has a close relationship with Buddhism. And his dance seems to be associated with Buddhism in a degree. The fact, however, that his dance ultimately has not any meaning in it, demonstrates Buddhist dance has the idea of emptiness, that is, “to stay at the quiet state without any mental affliction.” Second, the analysis of his dance shows that the principal motion of Buddhist dance is being represented as Pil-che, Hak-che and Goong-che. In other words, the stirring movement reveals that his dance certainly has a set pattern of points(Pil-che), lines(Hak-che) and circles(Goong-che); It is equivalent to the shape and spirit of the Endless(Mu-kǔk) and the Great Absolute(Tae-kǔk) in the eastern philosophy. Both of them are to result in ǔm-Yang and in this way, the idea of Takǔkǔmyang is obviously indwelling in Buddhist dance. 본 논문은 한국 전통춤의 맥을 이어 온 한성준의 승무를 대상으로 그 춤의 연원(淵源)과 춤사위의 구조(構造)룰 밝혀 춤의 실체인 한국 전통춤을 철학해 보고자 한 것으로 연구 결과는 다음과 같다. 첫째. 한성준 춤의 일대기를 바탕으로 그 시대적 배경에 따른 승우 춤 사상을 정리해 보면 동앙에서는 천(天)·신(神)에게 제사지내는 제천의식을 행해 왔는데 이때 행해지는 천신사상이 오늘날 승무 춤 속에 내재되어 있으며 또한 승무는 불교의식인 범패에서 기원 되어 성행된 것으로 볼 때 승무가 불교사상인 공사상(空思想) 깊은 연관이 있음을 알 수 있다. 둘째, 한성준 승무의 춤사위를 분석해 보면 승무 춤의 대표적인 춤사위가 필체(筆體), 학체(鶴體), 궁체(弓體)로 나타남을 알 수 있으며 이는 동양철학에 있어서 무극(無極)과 태극(太極)구조의 형상과 맥을 같이함을 알 수 있다. 무극과 태국은 곧 음양으로 귀결되며 따라서 승무 춤사위에는 태극음양사상(太極陰陽思想)이 내재되어 있음을 알 수 있다. 한국 전통춤은 익히 알다시피 악(惡), 가(歌), 무(舞)가 함께 어울려 시대의 흐름에 따라 한국인의 정서와 사고를 복합적으로 배태(胚胎)한 것이므로 한국 전통춤을 단순히 하나의 사상만으로 채울 수 없으므로 이상과 같은 결론은 한성준의 승무 춤에 내재되어 있는 한국춤 정신의 극히 일부분일 수 밖에 없다. 그럼에도 불구하고 승무 춤 속에 녹아있는 본질적 사상을 유추해 보고자 한 것은, 한국 전통춤의 대표적언 춤인 승무를 통해, 한국인의 정신인 춤 사상에 함축되어 있는 민족성을 도출해 낼 수 있는 바탕의 자료를 제시코자 한 것이다.

      • KCI등재

        대학 공시정보를 활용한 교육국제화역량 인증 여부 예측: 이산선택모형에 의한 대학알리미 공시정보 분석

        이동현(Lee, Dong-hyun),조순정(Cho, Soon-jeong) 한국경영교육학회 2020 경영교육연구 Vol.35 No.3

        [연구목적] 본 연구는 대학 공시정보를 활용하여 교육국제화역량 인증(IEQAS) 여부를 예측하며, 대학의 인증 유지를 위한 자가 점검에 적합한지 연구 모형을 검증하는데 목적이 있다. [연구방법] 동 연구는 IEQAS 인증․미인증 예측을 위해 2019년 대학알리미 웹사이트에 공개된 138개 사립 대학의 공시정보를 수집했다. 이어, 인증 대학 77개교 및 미인증 대학 61개교 두 집단 간 지표 차이를 검정 후, 5개의 대학경쟁력지표 및 9개의 재정회계지표를 독립 변수로, 2019년 3월에 발표된 IEQAS 인증 결과를 이산형 종속 변수로 설정하여 이산선택모형에 따라 로짓분석과 판별분석을 하였다. [연구결과] 본 연구자들은 t-검정으로 선별한 재학생충원율/신입생충원율/전임교원확보율(이상 대학경쟁력), 학생1인당교육비/교육비환원율/부채비율/법인전임급비율(이상 재정회계)을 연구 모형에 유의한 요인으로 투입했다. 그 결과, 대학경쟁력 지표를 통한 예측력은 로짓분석 71.7%, 판별분석 71.0%로, 재정회계 지표의 경우 로짓분석 70.3%, 판별분석 66.7%의 예측력을 보였다. 동 이산선택모형 내에 공통으로 관여한 유의미한 변수는 재학생충원율, 신입생충원율과 학생1인당교육비로 나타났다. [연구의 시사점] 동 연구는 조직의 부실 여부 예측에 유용한 로짓분석과 판별분석을, 정부의 대학별 공개 자료를 활용하여 IEQAS 인증․미인증 예측에 적용해 본 가치를 지닌다. 본 연구의 이산선택모형은 타당성과 신뢰성이 확인됨으로써, 대학이 손수 IEQAS 인증 유지 점검 시 활용할 수 있으며 대학 평가에 관한 경영교육 실무에 기여할 것이다. [Purpose] Based on a discrete choice model(DCM), this study aims to predict the ‘pass/fail’ of the International Education Quality Assurance (IEQAS) by analyzing publicly opened dataset. Thus, it will enable Korean universities to self-test their IEQAS-related capabilities in a productive manner. [Methodology] This work utilized disclosed data on academyinfo.go.kr in 2019, including a total of 138 private universities from My university competitiveness(MUC), Financial accounting index(FAI); relying on related literature, it proposed two hypotheses and 14 independent variables, followed by conducting logit analysis(LA) and discriminant analysis(DA). [Findings] First, t-tests identified three MUC variables(Levy with enrolled students; Levy with new students; Faculty in full service) and four FAI variables(Educational expenditure; Educational restitution rate; Liability ratio; Corporate transferred money) between 77 IEQAS ‘pass’ group and 61 IEQAS ‘fail’ group in 2019. This DCM presented the following predictive powers: 71.7%-LA vs 71.0%-DA in MUC and 70.3% -LA vs 66.7%-DA in FAI, while Levy with enrolled students, Levy with new students and Educational expenditure worked as keys to predicting the ‘pass/fail’. [Implications] The DCM combining LA/DA can be used for both scholars on the business education area and the IEQAS-related practitioners.

      • 자궁선근증의 고찰

        조환성,이해혁,정성윤,김성욱,이순곤,남계현,이임순,이권해 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

        Objective: This study was designed to estimate the frequency and risk factor for edenomyosis Methods: The clinical records of 623 women undergoing hysterectomy were retrieved in the Department of Obstetrics and Gynecology, Soonchunhyang University Hospital, during 5 years, from Jan. 1995 to Dec. 1999. Results: The following result were obtained. 1. Adenomyosis was found in 247 of 623 patients(39.6%) 2. The highest incidence was 40-49 years of age group, an incidence of 46.6% and mean age was 44.7 years. 3. Adenomyosis was more frequently observed in parous women than non-parous women, such as 93.1% and 6.9%, respectively. 4. Dysmenorrhea, metrorrhagia, pelvic pain and vaginal bleeding were common symptom of adenomyosis, an incidence of 28.7%, 19.0%, 18.2% and 16.2%, respectively. 5. Myoma was the most combined disease in adenomyosis, showing the incidence of 54.7%. 6. Grossly, the size of uterus was enlarged more than 10 weeks gestational size in adenomyosis, an incidence of 61.9%. 7. Preoperative diagnostic accuracy of adenomyosis was 6.9%. Conclusion: The results show that deeply understanding of the common symptoms and epidemiology of adenomyosis improve the preoperative diagnostic accuracy.

      • 조산의 예측 지표로서의 fetal fibronectin의 유용성

        정집광,이해혁,이정재,이석민,이순곤,남계현,이임순,이권해 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

        Objective: The purpose of this study was to evaluate clinical efficacy of fetal fibronectin as a marker to predictor of preterm labor. Materials & Methods: The study group consisted of sixty-eight healthy pregnant women, at gestational age between 24 and 36 weeks, who visited our department with vaginal discharge from April, 1995 to December, 1997. For comparison, we divided all of the pregnant women into two groups by the result of ROM-Check^®, positive groups(N=21) and negative groups(N=47). When preterm labor appeared, 50mg of ritodrine hydrochloride(Yutopar^®) mixed I liter of 5% dextrose solution was administered slowly intravenously. Results: 1) The gestational age at delivery and the interval time from admission to delivery in the positive groups were significantly shorter than those of the negative groups(p<0.05). 2) The positive groups had significantly lower birth weight and Apgar scores than the negative groups(p<0.05). 3) Among the negative groups, in case of tocolytics administration, the interval time from admission to delivery significantly delayed more than that time in case of no tocolytics administration(p<0.05). Conclusions: The detection of the fetal fibronectin in vaginal discharge had a useful method as a predictor of preterm labor. Tocolytics was more effective in the negative groups than in the positive groups.

      • The Safety and Efficacy of Daclatasvir and Asunaprevir with Chronic HCV Genotype 1 Infection and Hemodialysis

        ( Myeong Jun Song ),( Jung Hyun Kwon ),( Soon Woo Nam ),( Tae Hee Lee ),( Young Woo Kang ),( Ji Woong Jang ),( Seok Hyun Kim ),( Byung Seok Lee5 ),( Sea Hwan Lee ),( Hong Soo Kim ),( Ji Hoon Kim ),( S 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1

        Aims: We aimed to evaluate the efficacy and safety of Daclatasvir (DAV) and Asunaprevir (ASV) in patients with chronic hepatitis C virus (HCV) and chronic renal failure (CRF). Methods: 22 chronic hemodialysis patients with HCV infection at 12 medical centers have prospectively enrolled from Feb, 2016 to Feb, 2017 (NCT02580474). Of those, 9 patients who were followed 12 weeks after treatment ended were included. We evaluated the virological responses at each week 4, 12, 24 and the 12-week sustained virologic response (SVR12). The tolerability and safety of patients were also evaluated. Results: Of these 20 patients, there had no resistance-associated variant of NS5A (NS5A RAVs) and 2 patients showed indeterminate NS5A RAVs. 12 patients (54.5%) completed the 24 weeks treatment of DAV and ASV. 6 patients (27.2%) have continued, but 4 patients discontinued study prior to 12 weeks. Overall, all patients (n=9) achieved SVR12. Virologic response at week 4, 12 and 24 showed 94.4% (17/18), 93.3% (14/15), and 100% (12/12) respectively. DCV and ASV were well tolerated among the majority of patients and discontinuation of the treatment due to adverse events (hypertension, bradycardia, leukemia) was occurred in 3 patients. In two patients with indeterminate NS5A RAVs, one achieved SVR12 but the other showed viral breakthrough and discontinued treatment. Conclusions: In this study, DAV and ASV combination therapy for chronic hemodialysis patients with HCV infection achieved high sustained virological response with few adverse events. Close monitoring of safety and tolerability may be necessary when treating chronic hepatitis C patients with CRF receiving DCV and ASV.

      • Nd-Fe-B-Al계 합금의 자기적 특성에 관한 연구

        이경섭,박현순,서수정 成均館大學校 科學技術硏究所 1994 論文集 Vol.45 No.2

        The effects of Al additions and heat treatment on the magnetic properties of Nd-Fe-B sintered magnets were studied. As the Al content was increased, remanence was reduced and coercivity was increased. Also, as these sintered mangets were heat treated at 600℃, remanence(B_r) and intrinsic coercivity(_iH_c) were increased. In spite of coercivity was increased by the Al addition, maximum energy product(BH)_max was reduced. the highest energy product of 27.9MGOe was obtained in the Nd_15Fe_77B_8 magnet which was heat treated at 600℃.

      • KCI등재후보

        금자양중(가네코 카즈시게) 기증 박형 호의 복원 : -경질토기를 중심으로-

        황현성,이해순,이용희 국립중앙박물관 2001 박물관보존과학 Vol.3 No.-

        이번 가네코 카즈시게 선생이 기증한 여러 유물 중 金子124 수호는 약 60여개 정도의 파편을 접합하고, 자체 하중을 견딜 수 있는 접착제를 적절하게 사용하여 결손부분을 복원하였다. 또한 보존처리를 하는 동안에도 항상 가역성을 염두에 두면서 처리하였고, 색맞춤도 미관상 어색함이 없는 범위 내에서 처리하였다. 그 결과, 기형이 둥근 점토질의 박형(珀形) 항아리로 새롭게 탄생하였다. This article examines the conservation process of a donated Gourd-style jar (Object No. Geumja No. 124), which was broken into several fragments (more than 60) in the past. After assessing the condition of the object, each of the fragments were re-attached, and missing areas were gap-filled and re-touched. The authors discuss considerations, which were taken into account during the decision making process. These include the integrity of the object and the section of treatment materials, such as the reversibility of adhesives and filling materials. After its conservation, the authors believe that the object is in a better condition and ready for display in the future.

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