Lorazepam 과 Diphenhydramine 의 추체외로증후군에 대한 효과비교

서미라,최보문,백인호 대한신경정신의학회 1986 신경정신의학 Vol.25 No.1

In this study, a comparative evaluation on clinical efficacy between intravenous lorazepam and diphenhydramine for extrapyramidal symptoms occurring on neuroleptic therapy was made. Subjects were consisted of 42 cases in cluding 8 males and 34 females. They were under double - blind procedure, given single injections o f 4 miligrams of lorazepam ( 21 cases) and 50 miligrams of diphenhydramine ( 21 cases) seperately. The effects were evaluated by Extrapyramidal Symptoms ( EPS ) Rating Scale for extrapyramidal Symptoms as well as by the Brief Psychiatric Rating Scale ( BPRS ) for psychotic symptoms and signs. The results were as follows : 1) Most of extrapyramidal symptoms induding parkinsonian symptoms, akathisia and dystonia were noted to be significantly improved 60 minutes after injection on EPS Rating Scale scores. 2) BPRS evaluation 60 minutes after injection resulted in significant reduction of the total mean scores in both groups, although no significant difference can be made in terms of efficacy between the group when the two groups were compared. 3) Clinically it can be suggested that the seda-tive effect of diphenhydramine was less than that of lorazepam. The above mentioned results suggest that lorazepam and diphenhydramine may well be the drugs of choice for the treatment of extrapyramidal symptoms occurring on the neuroleptic therapy.

창의적 웹디자인 컨셉 개발에 관한 연구

서미라,박상진,곽훈성 한국콘텐츠학회 2006 한국콘텐츠학회논문지 Vol.6 No.6

Contemporary society demands the ability to cope with the change competitively to the designer which is being accelerated of change and various media are emerging. The web design field which is one of the core design industry field of the contemporary society is needing the conversion from manufacturing technology specialization into creative design development composition. Generally, creative design development ability can be learned by studying. So, creativity development education is needed to develop creative design. Creative thought training is perceived as the core condition for competitive design and the education method for this is being proceeded multiply. But the study for design concept is lacking concretely. By this, this paper is to study the model which helps setting the design concept deduction creatively by instigating new ways of thought. The concept development process suggested in the study procedure systemizes the course for creative web design concept deduction and expects it to be utilized in design development to reinforce competitiveness. 다양한 미디어의 출현과 변화가 가속화되어가는 현대사회는 디자이너에게 경쟁력 있게 변화에 대처 하는 능력을 요구한다. 현대사회의 핵심 디자인 산업분야 중 하나인 웹 디자인 분야도 제작 기술 전문화에서 창의적 디자인 개발 구도로의 전환을 절실히 필요로 하고 있다. 일반적으로 창의적 디자인 개발 능력은 학습을 통해 익힐 수 있다. 따라서 창조적인 디자인 개발을 위한 창의력 개발 교육이 필요한 것이다. 창의적 사고훈련이 경쟁력 있는 디자인을 위한 핵심 요건으로 인식되면서 이에 대한 교육방법이 다각도로 진행되고 있다. 하지만 구체적으로 디자인 컨셉을 위한 연구는 미흡한 실정이다. 이에 본 논문은 새로운 사고방식을 자극하는 방법으로 디자인 컨셉 도출을 보다 창의적으로 설정하는데 도움을 되는 모델을 연구하고자 한다. 연구 과정에서 제시된 컨셉 개발 프로세스는 창의적인 웹 디자인 컨셉 도출을 위한 과정을 체계화시키며 경쟁력 강화를 위하여 디자인 개발에 활용되기를 기대한다.

감성어휘을 통한 디지털이미지 크리에이팅에 관한 연구

서미라,박상진,곽훈성 한국콘텐츠학회 2006 한국콘텐츠학회논문지 Vol.6 No.4

Such changes that the digital paradigm brought propels a change of the value system itself in the existing society so that a way of thinking that differentiates oneself from others is getting much stronger. As public interests are higher in the image production on the internet, such authoring environments as development of related technologies, expansibility of information, and systematization of available information continue to change. Therefore, a variety of unique image presentations that fit to the changed environments are necessary and an expression method is indispensable for such image production. This study focuses on digital image creating in which a synectics method is applied. It suggests digital image application methods and examples that contain not just simple image distortion or variation but intrinsic significance. It is believed that it will be of good use to produce a variety of unique and innate digital images in the end. 디지털 방식이 가져온 변화는 기존사회 가치체계 자체의 변화를 추구하며 남과는 다르게 차별화 시키고자하는 사고방식이 그전보다 훨씬 강해지고 있다. 따라서 변화된 환경에 맞는 다양하고 독창적인 이미지 연출이 필요하며, 이미지 제작을 위한 표현 방법이 필요하다. 본 논고는 디지털 이미지 크리에이팅에 관한 것으로 먼저 개발 대상을 선정하고, 감성차원을 통해 개발 대상에서 연상되는 감성어휘를 추출한다. 이 후 대상간의 연계성을 시네틱스의 상징적 유추를 통해 시각화시키는 프로세스로 진행된다. 본 논고에서 활용된 시네틱스 기법은 그 특성상 대상의 본질적인 의미를 파악하는 기회를 제공하여 그 해결책의 본질에 대한 새로운 통찰력과 접근방법을 찾을 수 있기에 문제 정의와 문제 해결에서 창조성을 자극시키는 도구로써 사용되었다. 궁극적인 연구 목적은 단순한 이미지의 왜곡이나 변형이 아니라 본질적인 의미가 담긴 디지털 이미지 제작의 방법 모색과 프로세스 접근에 대한 태도의 전환을 통해 독창적이고 다양한 디지털 이미지 연출에 도움이 되고자 함이다.

자유학기제와 도덕교과 교육의 변화 : 2013 자유학기제 연구학교 보고서 분석을 통한

서미라 공주대학교 인문학연구소 2015 인문학논총 Vol.14 No.1

캐릭터 커스터마이징 게임에 나타난 유형별 스타일링 분석

서미라 한국디지털정책학회 2015 디지털융복합연구 Vol.13 No.5

결핵성 심낭삼출의 전산화단층촬영소견

서미라 대한영상의학회 1998 대한영상의학회지 Vol.38 No.6

Purpose : To evaluate the CT findings of tuberculous pericardial effusion. Materials and Methods : In 12patients with tuberculous pericardial effusion. CT scans were obtained. The condition was diagnosed by thepresence of chronic granulomatous inflammation with caseous granuloma or acid fast bacilli in a biopsy specimen orpericardial fluid. CT findings were evaluated with regard to the appearance and the location of pericardialthickening, location of pericardial effusion, loculation of the pericardial effusion by adhesion of pericardiumand associated findings such as pulmonary tuberculosis or pleural effusion. Results : In all cases, pericardialeffusion and thickening were seen. This thickening was usually even(10 of 12 cases), and occurred mainly in theanterior portion(7 of 12 cases). Thickened pericardium was enhanced and showed higher attenuation than adjacentchest wall muscle. Effusion was usually found in the anterior portion(10 of 12 cases), though the right and leftside were also involved(5/12 and 6/12 cases, respectively). Loculation of pericardial effusion was noted in tencases. Pleural effusion occurred in eight cases and associated active pulmonary tuberculosis in five. Conclusion :The CT findings of tuberculous pericardial effusion are enhanced evenly-thickened pericardium and anteriorloculated pericardial effusion, and are helpful for the diagnosis of tuberculous pericardial effusion.

Suggestion of Teaching-Learning Methods to Cultivate Creative Design Capacities

서미라,김애경 한국콘텐츠학회 2014 International Journal of Contents Vol.10 No.2

This study suggests a teaching-learning method to improve creative design abilities of students majoring in design. By suggesting acreative design-inducing (CDI) teaching-learning method process and a creative design-inducing (CDI) teaching-learning method,this study aims to expand creative thinking among students with the aim of producing produce creative output as well as improvingthe effectiveness of design teaching. It also presents a case of the teaching-learning method in a design-related department, theprocess of teaching where the new method is applied is also examined. The teaching method this study suggests has the followingmerits: First, it allows the teacher to use various tools depending on the creative thinking abilities of individuals. By providingstudents with custom-made teaching, the method motivates and focuses students during the lesson. Second, it is easier for students togenerate creative ideas than with other teaching methods.

The Use of Persona Based Scenario Method for the Development of Web Board Game for the Pre-elderly

서미라,김애경 한국콘텐츠학회 2014 International Journal of Contents Vol.10 No.2

This study defined the pre-elderly as middle age people from 50 to 59. Because it is difficult to produce a design to satisfy the preelderlywithout deeply understanding them, their financial and physical characteristics and persona-based scenario method wasstudied. An experimental study about persona based scenario method was conducted, and as a result, the types of personas foundwere as follows: 1) Users enjoy the same games online and offline. 2) Users enjoy playing alone on the computer. 3) Users prefergames that end quickly with win or loss. Writing the situation scenario for each type, the pre-elderly's problems and needs occurringwhile they play web board games were obtained. The obtained user requests were as follows: users would like the level of difficultyto be simpler in the game of baduk; users wanted unlimited credit and refrainment from using English words in go-Stop; and therewere simple comments about game screen design.

미만성 폐출혈의 방사선학적 소견

서미라 대한영상의학회 1998 대한영상의학회지 Vol.39 No.6

Purpose : To describe the chest radiographic and CT findings of diffuse pulmonary hemorrhage. Materials andMethods : Two radiologists retrospectively analysed the chest radiographic and CT findings of six patients withdiffuse pulmonary hemorrhage. Using open lung biopsy (n=2) and transbronchial lung biopsy or bronchoalveolarlavage (n=4), diagnosis was based on the presence of hemosiderin-laden macrophage or intra-alveolar hemorrhage.Underlying diseases were Wegener's granulomatosis (n=2), antiphospholipid antibody syndrome (n=2),Henoch-Schonlein purpura (n=1), and idopathic pulmonary hemosiderosis (n=1). In all patients, sequential chestradiographs, obtained during a one to six-month period, were available. HRCT scans were obtained in five patients,and conventional CT scans in one. Follow-up HRCT scans were obtained in two. We also analyzed the patterns ofinvolvement, distribution and sequential changes in the pulmonary abnormalities seen on chest radiographs and CTscans. Results : Chest radiographs showed multifocal patchy consolidation (n=6), ground-glass opacity (n=3), andmultiple granular or nodular opacity (n=3). These lesions were intermingled in five patients, while in one therewas consolidation only. Sequential chest radiographs demonstrated the improvement of initial pulmonaryabnormalities and appearance of new lesions elsewhere within 5-6 days, though within 7-25 (average, 13) days,these had almost normalized. HRCT scans showed patchy consolidation (n=5), multiple patchy ground-glass opacity(n=5), or ill-defined air space nodules (n=4). These lesions were intermingled in five patients, and in one,ground-glass opacity only was noted. In two patients there were interlobular septal thickening and intralobularreticular opacity. The distribution of these abnormalities was almost always bilateral, diffuse with no zonalpredominancy , and spared the apex of the lung and subpleural region were less affected. Conclusion : Althoughchest radiographic and CT findings of diffuse pulmonary hemorrhage are nonspecific, sequential changes inbilateral multifocal patchy consolidation and ground-glass opacity, accompanied by clinical symptoms such ashemoptysis or anemia, may be helpful in the diagnosis of diffuse pulmonary hemorrhage.

실버세대 취업정보사이트의 웹 접근성 준수 현황 분석

서미라,박상진 한국디지털정책학회 2013 디지털융복합연구 Vol.11 No.12