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- 저자 : 崔瑩姬 (검색결과 929 건)
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최영희,김경미,박기환,윤혜영 대한정신약물학회 2003 대한정신약물학회지 Vol.14 No.4
Objective : The purpose of this study is to determine whether CBT is effective in tapering or discontinuing medication regardless of the type of medication and its maintenance effects after long-term follow up. Method : 224 patients meet DSM-IV criteria for panic disorder with or without agoraphobia completed 12 weekly sessions of Panic Control Therapy (PCT; Barlow et al.). 80 patients who were using benzodiazepines alone and 144 patients who were using benzodiazepines and Antidepressants were measured with several screening scales at the pre- and post-treatment. The scales were Beck Depression Inventory (BDI), Spielberg State Anxiety Inventory (STAI-State), Spielberg Trait Anxiety Inventory (STAI-Trait), Body Sensation Questionnaire (BSQ), Agoraphobic Cognition Questionnaire (ACQ), Anxiety Sensitivity Index (ASI), Panic Belief Questionnaire (PBQ). These patients were assessed at 3 months, 6 months, 12 months of follow up and they were also assessed for their medications, panic frequency, and End-State Functioning. Results : After the completion of PCP, both benzodiazepines alone group and benzodiazepines and antidepressants combination group showed significant improvement (P<0.001) in all the results of 7-self reported questionnaires. 54% of patients discontinued their medication and 90.9% of patients were in HES at post-treatment. 70 % of patients were in HES at 3 month, 6 month, and 12 month follow up. The patients who could not discontinue medication also tapered their medication afterwards. The rate of discontinuing medication was significantly higher for the patients using benzodiazepines alone (86.3%) than patients using combination of benzodiazepines and antidepressants (56.3%). Conclusion : These findings support cognitive behavioral therapy can replace medication and these effects seem to last long. 목 적:공황장애 환자들에 대한 인지행동치료가 치료 약물의 종류와 무관하게 약물을 중단하는데 도움을 주며, 장기간에 걸쳐 호전 상태를 유지할 수 있는지 여부를 검증하기 위해 이 연구를 시행하였다. 방 법:DSM-Ⅳ 진단에 따라 공황장애로 진단 받고 약물치료중인 24명의 환자를 대상으로 12회기 집단 인지행동치료를 실시하였다. 인지행동치료 전 복용 약물을 벤조다이아제핀계 약물 복용 군 80명과 벤조다이아최영희 등 375 제핀과 항우울제 병합요법군 144명의 환자군으로 나누어, 치료 전과 후에 시행한 Beck Depression Inven -tory(BDI), Spielberg State Anxiety Inventory(STAI -State), Spielberg Trait Anxiety Inventory(STAI-Trait), Body Sensation Questionnaire(BSQ), Agora-phobic Cognition Questionnaire(ACQ), Anxiety Sen -sitivity Index(ASI), Panic Belief Questionaire(PBQ)의 결과를 분석하였다. 또한, 3개월, 6개월 12개월 추적조사를 통해 각 약물군별 약물복용 여부와 최종상태기능(End-State Fungtioning)을 평가하여 분석하였고, 12개월 추적조사기간동안 약물 복용양 변화와 약물군별 차이, 최종상태기능 사이의 관계를 분석하였다. 결 과:인지행동치료 전 사용 약물의 종류와 상관없이, 인지행동치료 이후 모든 임상 변인이 통계적으로 유의미하게 향상되었다. 인지행동치료 직후, 대상군의 54%의 환자들이 약물을 끊었고 이들 중 90.9%가 상위 최종 상태를 유지되고 있었으며, 3개월, 6개월, 12개월 추적조사에서 이들의 약 70%는 여전히 상위최종상태를 유지하고 있었다. 또한 약물 복용을 중단하지 못한 환자들도 지속적으로 약물 복용을 감량하여 3개월 뒤에는 약 6%, 6개월 및 12개월 추적조사 시에는 약 68%의 환자가 약물 복용을 중단하였고 이들 역시 약 70%에서 상위최종상태를 유지하고 있었다. 벤조다이아제핀 단독 투여군의 경우 86.3%의 환자가 인지행동치료 이후 약물복용을 중단하여 이후 추가적인 약물복용이 필요하지 않았으며 이들의 약 70%는 약물 복용 없이 상위최종상태를 유지하고 있었고, 2.7%만이 약물 감량 이후 재복용 하였다. 반면 벤조다이아제핀계 약물과 항우울제 병합요법군은 57.0%의 환자가 인지행동치료 이후 약물복용을 중단하여 지속적으로 약물복용을 하지 않았다.
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레이저 가공된 내부 및 표면패턴을 가지는 도광판 성능 분석
최영희,신용진,최은서 한국레이저가공학회 2008 한국레이저가공학회지 Vol.11 No.1
We proposed new light guide panel (LGP) fabrication method exploiting laser-processed inner scatterers and surface pattern. The proposed method has achieved LGP performance improvement in both brightness and uniformity. The inner scatterers and surface pattern of grid type were fabricated with a 2nd harmonic Nd:YAG pulse laser engraving system and a CO_(2) laser scanning system, respectively. In the implementation of LGP, inner scatterers was arranged in accordance with linear or curved pattern with changing density and surface pattern was engraved on the surface of an inner-scatterers embedded LGP. The increase of scatterers' density and the use of surface patterns in both linear and curved pattern provided high luminance and uniformity enhancement. While thecurved pattern incorporated with increased scatterers' density and surface patterns yielded brightness improvement with preserving good uniformity, the linear pattern showed highly localized brightness near the light entrance of the LGP. We can also observe that the uniformity was mainly determined by pattern of inner scatterers, and the brightness was improved by the higher density and the utilization of surface patterns. From the results, the use of laser-processed inner and surface patterns can be a potential alternative for efficient and simple LGP fabrication method.
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조리방법에 따른 상용채소의 무기질 함량 변화 : 무청 , 콩나물 , 취나물을 중심으로
최영희,김정숙,김명선,한재숙,Minamide, Takahisa 한국조리과학회 1999 한국식품조리과학회지 Vol.15 No.4
This study was conducted to investigate the changes of mineral contents in radish leaves, soybean sprout and chwi namul by cooking method(boiling, steaming, sauting) and cooking time(1, 3, 5 min.). The residual rate of minerals(such as Calcium, Sodium, Potassium, Iron and Magnesium) in radish leaves, soybean sprout and chwi namul by 1 minute sauting was the range of 83.2 to 99.1%. It was shown that sauting was desirable method for all three vegetables. The residual rate by the cooking method was sauting, steaming, boiling, in that order, but boiling in radish leaves and chwi namul were more desirable method than steaming for Calcium use. At the cooking method and cooking time, Potassium content in soybean sprout was reduced remarkably in 5 minutes boiling. Boiling of radish leaves and soybean sprout showed that Sodium was reduced remarkably after 5 minutes of boiling, 54.4% for radish leaves and 19.9% for soybean sprout, respectively.
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