상담지속에 영향을 미치는 상담자 특징들

조도현,윤호균 가톨릭대학교 사회과학연구소 1998 社會科學硏究 Vol.14 No.-

본 연구에서는 상담자의 특성들이 상담자속에 미치는 영향이 다른지를 살펴보았다. 상담자속이란 상담자가 상담을 할 때 오래 지속되는 사례수가 많고, 사례별 평균상담화기수가 긴 것이라고 정의했다. 상담자의 특성은 전문적, 개인적, 생활사적 특성들로 분류하였고, 이 변인들과 상담자속 간의 관계를 알아본 것이다. 전문적 특성 변인들에는 상담자의 학위, 상담관련 자격, 상담경험 기간(개월수), 슈퍼비전 참가회수, 개인치료(교육분석) 받은 회수로 구분하였다. 생활사적 특성 변인들은 각 성장기(0~6세, 초등학교 시절, 중 고등학교 시절, 대학교 시절 대졸 이후에는 근래)동안 상담자 자신이 느끼는 가정분위기, 아버지와 자신과의 관계, 어머니와 자신과의 관계로 구분했다. 개인적 특성 변인들에는 상담자의 대화적 태도와 인지적 안녕감(생활 만족도), 정서적 안녕감(삶에 대한 일반적 느낌)을 포함시켰다. 82명의 상담자들이 연구에 참여하였다. 연구결과 상담자의 학위가 높을수록, 상담에 관련된 자격이 고급일수록, 슈퍼비전을 많이 받을수록, 생활에 만족할수록 상담은 오래 지속되는 경향을 미치는 것은 슈퍼비전회수와 교육분석회수, 생활만족도였다. 또한 자격이 고급인 상담자들은 전문적 특성을 잘 갖추고 있었으며, 개인적 특성으로 대회적 태도가 높은 것으로 드러났다.

무증상의 현미경적 혈뇨의 비뇨기과적 고찰

구자현,서병욱,김영호,송윤섭,전윤수,김민의,이남규,박영호 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

We intended to know whether all of the patients with asymptomatic microscopic hematuria should be urologically investigated routinely. We reviewed the medical records with asmptomatic microscopic hematuria from January 1995 to December 1997. Urological studies included intravenous urography or ultrasonography, urine cytology, cystoscopy and biopsy, urine AFB smear and culture and urine PCR for AFB. The age with patients ranged from 9 to 74 years(mean age: 39.7 years). Benign diseases were found in elderly patients and patients with high degree of hematuria, but there was no patients who had urological malignant disease. According to the results, we suggest that follow-up with urine cytology is sufficient to younger patients or low degree of hematuria with asymptomatic microscopic hematuria.

조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

발기부전 검사에서 천연색 복합초음파촬영술과 야간음경발기검사의 일치도

송윤섭,구자현,김민의,이혜경,김두상,박영호,이남규 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.1

We intended to know that the result of color duplex ultrasonography corresponded to that nocturnal penile tumescence rigidity in the diagnosis of erctile dysfunction. We performed both color duplex ultrasonography and nocturnal penile tumescence rigidity in 15 erectile dysfunction men. Colr duplex ultrasonography was done with a 7 MHz. color Doppler unit after intracorporeal pharmacological injection and measured maximal arterail diameter, peak systolic velocity, end-diastolic velocity and the results were compared with rigidity and tumescence in nocturnal penile tumescence rigidity using RigiScan. The positive predictive value, negative predictive value, sensitivity, specificity, overall accuracy of color duplex ultrasonography was reasonable when the result of color duplex ultrasonography was compared with the that of nocturnal penile tumescence rigidity. According to this results, color duplex ultrasonography could not only predict but also correspond to nocturnal penile tumescence. Therefore, we suggest that color duplex ultrasonography can relpace nocturnal penile tumescence rigidity if psychogenic and neurogenic erectile dysfunction are distinguished by history and neurologic examination.

여성 하부요관석환자에서 무마취하 요관경하 배석술

박영호,송윤섭,임용순,김영호,이남규,구자현,서병욱,김민의,전윤수 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Although ureteroscopy(URS) has been used widely to remove ureteral calculi, there is an argument against the belief that anesthesia or admission is needed for URS. We evaluated the experience of URS without anesthesia in female patients. From September 1997 to July 1998, URS was performed in 31 female patients without anesthesia. EHL(Electrohydraulic Lithotripsy) was used in 21 patients with impacted or large stone over 5mm. All patients were given oral antibiotics for 3 days and follow-up KUB was taken to confirm successful removal of the stone one week after the procedure. Successful treatment was defined as complete removal of the stone or residual fragments less than 2mm. Overall success rate was 96.7%(30 cases among 31 cases). All but one patient tolerated with analgesia through the entire procedures. There were only minimal complications such as mild flank pain and hematuria. So, we recommend that non-anesthetic ureteroscopic removal of stone as the first choice for treatment of lower ureteral stones in female based on the minimal morbidity, high success rate and low cost.

Genestone 190 체외충격파쇄석기를 이용한 요로결석 치료의 초기 경험

김민의,송윤섭,박영호,구자현 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

Shock wave lithotripsy monotherapy was performed in 180 patients with urinary calculi using Genestone 190 lithotriptor between January 1996 and April 1998. Age range of the patients was 17 to 71 years (mean of 44.7 years)and male to female ratio was 2.3:1. There were 54 cases(30%) with renal calculi and 126 cases (70%) with ureteral calculi. NO regional or general anesthesia was required, but parenteral analgesics were required in some patients. The spark voltage was from 16 to 22Kv and average numbers were 2.04 sessions and the mean number of shock per session was 2230±350. The success rates of urinary calculi below 5㎜, 6-10㎜, 11-15㎜, 16-20㎜ and over 21㎜ were 95%, 94%, 91%,75% and 50%, respectively. The success rates of renal, midureter and lower ureter calculi were 85%, 98% and 73%, respectively. There were no significant complications. We think that SWL monotherapy using Genestone 190 lithotriptor is effective and safe procedure for calculi of kidney and upper ureter and calculi below 15㎜.

온실의 구조적 장애물이 무선통신 성능에 끼치는 특성 규명

권구범, 이재현, 연윤호 忠北大學校 農業科學硏究所 2017 農業科學硏究 Vol.33 No.1

The use of environmental measurement sensors and wireless communication for automatic control in agriculture was increased. The poor reliability of wireless communication were a disadvantage when the system controled in a couple of greenhouses or installed complex structures in a greenhouse. In this study, the effect of structural obstacle in the greenhouse was analyzed on wireless communication. The measurement of wireless communication was calculated by the types of material on obstacle. Because environmental factors such as crops and soil may affect wireless communication in the greenhouse, measurements were conducted in a thermo- hygrostat with constant temperature and humidity. The materials of the obstacle such as vinyl, plywood, acrylic plate, paper box, and heat insulation were performed with different layers (from 1 to 7 layers). The data communication rates between transmission and receiver unit were 100% for ZigBee system in case of 3 vinyls, 2 acrylics and 2 paper boxes. When the number of materials (i.e. vinyl, arcylic, and paper box) was increased, the data communication rates were reduced. However, the data communication rates were partly reduced at more than one of materials in case of plywood and insulation. As the number of layers were increased, the number of loss data were increased and the transmission rate were decreased.

성인 음낭수종의 치료로서 Window Operation의 효용성

서병욱,박영호,이남규,전윤수,김민의,김영호,송윤섭,구자현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.1

We intended to determine the usefulness of window operation for adult hydrocele repair. We reviewed medical records of 132 patients from January 1995 to June 1998 with primary hydrocele and evaluated complications and recurrence rates of eversion and/or excision, plication, and internal drainage technique. Recurrence rate was highest in internal drainage technique as 85.2%, and those of eversion and/or excision and plication technique were 1.3% and 4%, respectively. Complication rate was highest in eversion and/or excision technique, and lowest in internal drainage technique. Although complication rate was lowest in window operation, this operation could not be successful due to high recurrence, and we suggest that this operation should be abandoned for hydrocele repair.

봉독약침이 류마티스 관절염 환자의 관절 통증, 종창 및 급성 염증 반응에 미치는 영향

이상훈,이현종,백용현,김수영,박재경,홍승재,양형인,김건식,이재동,최도영,이두익,이윤호 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Objective In order to study the effects of bee venom(BV) on the pain, edema, and acute inflammatory reactant of rheumatoid arthritis(RA) patients. Methods Patients with RA who met the ACR(American College of Rheumatology) 1987 revised criteria for the diagnosis of RA were treated with the BV therapy twice a week for 3 months. Tender Joint counts, swollen joint counts, Visual analog scale(VAS), morning stiffness, ESR. C-reactive protein(CRP) were analyzed before and after BV therapy. Results The results as follows. 1. Tender joint counts in patients after BV therapy were significantly lower than those before BV therapy(9.0±7.9 vs 15± 11.4, p=0.002). 2. Swollen joint counts of the patients after BV therapy were significantly lower than those before BV therapy(50±61 vs 15±23, p=0.001). 3. VAS in patients after BV therapy was significantly lower than those before BV therapy(608± 17.6 vs 380± 159, p=0.000). 4. Duration of morning stiffness in patients after BV therapy was significantly reduced compared with that before BV therapy(119.1± 112.6 min vs 59.0±89.7 min, p=0.009). 5. ESR and CRP were not significantly changed before and after BV therapy, suggesting BV itself could make inflammatory reaction as well as therapeutic effect. Conclusions BV therapy improved tender joint counts, swollen joint counts and duration of morning stiffness in this study, and further study is needed on long-term effect of BV therapy.

재래종 참외 종자 및 생육초기 주요형질의 유전력과 상관관계 분석

이상우,박상현,강호종,안상열,채윤석,김주현 진주산업대학교 농업기술연구소 2000 農業技術硏究所報 Vol.13 No.-

This experiment was conducted to obtain some basic imformation for korean native oriental melon breeding. Genetic variability, heritability, and correlation on 13 characters were analyzed. The results are summarized as follows; 1. Among 13 characters, plant height and length of lateral shoot showed high level of GCV(110-362%) and ECV(89-101%). The rest characters showed low level of GCV(7-21%) and ECV(0.16-9%). 2. Heritabilities of 13 characters investigated were high as over 50%. Especially those of hypocotyl length, 100-seed weigth and seed width were very high (> 95%). 3. High level correlation values were observed among seed characters and seedling characters. 4. Plant characters of early growth stage, except leaf stalk length, were not related with characters of seed or seedling 5. In early plant growth stage, plant height and length of lateral shoot were correlated positively with number of node, number of lateral shoot, leaf length and leaf width.