KAPE연구 - 돼지도체 자동판정기계(VCS2000) 정육율 조사

장세헌,Jang, Se-Heon 축산물품질평가원 2017 KAPE누리 Vol.250 No.-

綠豆澱粉 Gel 에서의 Liesegang 現象

장세헌,한만운,Jang Se Heon,Han Man Un 대한화학회 1952 대한화학회지 Vol.2 No.1

불안, 기분장애로 치료 중 보행장애 외에 서동과 강직을 동반한 정상뇌압수두증 증례

장세헌,제영묘,최진혁,배정훈,성상윤,조세훈,김영훈,Jang, Sae Heon,Jae, Young Myo,Choi, Jin Hyuk,Bae, Jung Hoon,Seong, Sang Yoon,Cho, Se Hoon,Kim, Young Hoon 한국정신신체의학회 2015 정신신체의학 Vol.23 No.1

정상뇌압수두증은 보행장애, 요실금 및 치매 등의 전형적인 세 가지 증상 외에도 추체외로 증상과 다양한 신경심리 증상이 동반될 수 있다. 이 사례는 불안과 정동증상으로 치료 중 보행장애와 요실금 증상을 보였던 46세 여자 환자에서 항파킨슨 약물의 사용과 기존 정신과 치료 약물의 중단에도 불구하고 증상의 호전이 없었으나, 뇌 컴퓨터 단층 촬영상 뇌실의 확장 소견이 보였고 시험적 뇌척수액 배액에 의해서 수일 내에 증상들이 극적으로 호전되어 정상뇌압수두증을 감별해야 했던 경우이다. 뚜렷한 대뇌 실질의 위축 소견이 없으나 뇌실이 확장되어 있을 경우 추체외로 증상과 신경심리 증상이 있을 경우 정상뇌압수두증의 전형적 세 가지 증상을 보이지 않는다 하더라도 정상뇌압수두증의 가능성을 고려해서 시험적 뇌척수액 배액 등의 시술이 진단과 치료에 도움이 될 수 있음을 보여주는 사례라고 생각된다. In addition to classical triad such as gait disturbance, urinary incontinence and dementia, parkinsonian extrapyramidal motor signs and neuropsychiatric symptoms can be observed in patients with normal pressure hydrocephalus (NPH). In our case, a 46 year old female patient showed extrapyramidal symptoms such as bradykinesia, rigidity and neuropsychiatric symptoms such as agitation, anxiety, restlessness and regressed behavior beside two(gait disturbance & urinary incontinence) symptoms of three classical triad. It was difficult to diagnose this patient as NPH from the beginning because of her relatively young age and previous psychiatric mediation history for controlling advanced anxiety and affective disorder. Antiparkinsonian agents and discontinuation of psychiatric medications did not work for this patient. Patient's brain computed tomographic finding showed enlarged ventricles. We suspected NPH and did empirical drainage of 30mL CSF. Finally, patient's pyramidal and neuropsychiatric symptoms as well as two of three classical triad of NPH were improved dramatically within several days. It is important to consider NPH as one of the differential diagnosis in patient with parkinsonian symptoms and various neuropsychiatric symptoms who did not respond to usual clinical management especially in case of ventricular enlargement in neuroimaging because of its treatable property by CSF shunt operation.

돼지 종돈, 사료 및 시설에 따른 정육율 및 도체특성 조사

장세헌,임원호,서명인,소병헌,노이현,박진목,서병부,Jang, Se-Heon,Lim, Won-Ho,Seo, Myung-In,So, Byung-Hun,Noh, Yi-Hyun,Park, Jin-Mok,Seo, Byoung Boo 한국축산식품학회 2018 축산식품과학과 산업 Vol.7 No.1

우울 증상이 호전된 비우울 집단과 우울집단 간의 우울 기분 반응 양식의 비교

장세헌(Se-Heon Jang),장유경(Youkyung Jang),이대수(Daesoo Lee),제영묘(Youngmyo Je),홍성욱(SungWook Hong),윤창영(Changyoung Yun) 대한생물치료정신의학회 2007 생물치료정신의학 Vol.13 No.2

Objectives:Nolen-Hoeksema asserted that people have a consistent and unique response style to depression. The interpersonal differences in vulnerability and persisting time of depression can be explained by such a variability of interpersonal response style to depressive mood. We compared the differences of depressed mood response style between acutely remitted non-depressive group(n=28) and currently depressive group(n=18). We tried to investigate what kind of response style is most responsible for the remission and persisting of depression. Methods:We divided patients who were diagnosed as depression with ICD-10 criteria and being treated by pharmacotherapy into two groups by KDS(Korean Depression Scale). One is acutely remitted non-depressive group and another is currently depresssive group. And we checked depressed mood response style questionnaire(DMRQ). Results:There were significant differences in DMRQ subscales between two groups. Non-depressive group showed more problem-solving(t=2.325, sig.=.026), more mood-controlling(t=2.054, sig.=.046) and less ruminative(t=-3.619, sig.=.001) response style subscale than depressive group. There was no significant difference in the mood-avoiding response style(t=-1.406, sig.=.167). Conclusion:We concluded that problem-solving and mood controlling response styles can act as a mediator that decrease the severity of depression during treatment of depressive patients. On the while, the ruminative response style can be a mediator that persist depressive symptom and prohibit the recovery of patient from depression.

우울증 환자에서 신체화 증상에 따른 질병행동의 차이

윤창영,장세헌,제영묘,이대수,최진혁,Yoon, Chang-Young,Jang, Se-Heon,Jae, Young-Myo,Lee, Dae-Su,Choi, Jin-Hyuk 한국정신신체의학회 2009 정신신체의학 Vol.17 No.2

연구목적 : 질병행동은 건강 상태 또는 그에 상응하는 증상을 지각, 평가, 반응하는 적응적/비적응적 방식을 의미한다. 인지치료적인 측면에서 볼 때, 신체화 증상은 신체 지각적 측면에서 증상을 지각, 평가, 반응할 때 확대나 증폭과 같은 왜곡이 일어나 생긴다고 설명된다. 즉, 신체화를 질병행동의 이상이라고 이해할 수 있다. 본 연구에서는 신체화 우울증군과 비신체화 우울증군 간의 질병행동을 비교하여 우울증 환자에서 보이는 신체화와 관련된 질병행동의 특성을 알아보고자 하였다. 방법 : 본 연구는 ICD-10의 진단 기준으로 진단된 우울증 환자 45명을 대상으로 한국형우울증척도(Korean Depression Scale)를 이용하여 신체화 우울증군과 비신체화 우울증군을 나누었으며, 두 집단에서의 질병행동의 차이점을 질병행동질문지(Illness Behavior Questionnaire)를 통해 비교하였다. 결과 : 신체화 우울증군은 비신체화 우울증군에 비해 질병확신 하위척도($6.79{\pm}2.08$ vs $4.76{\pm}2.23$, p=0.003)와 부인 하위척도($3.25{\pm}1.22$ vs $2.10{\pm}1.41$, p=0.006)에서 유의하게 높은 점수를 보였다. 건강염려 하위척도와 불안정성 하위척도에서는 유의한 차이를 보이지 않았다. 질병행동 하위척도들이 신체화에 어느 정도 영향을 미치는지에 대한 회귀분석의 결과에서도 신체화 우울증군이 질병확신 하위척도(odds ratio=1.418, p=0.089)와 부인 하위척도(odds ratio=1.880, p=0.083)에서 유의하게 높았다. 결론 : 본 연구에서 신체적으로 질병을 확신하고 심리적으로 질병을 부인하는 것이 우울증 환자에서 신체화 증상을 특징짓는 질병행동으로 나타났다. 이러한 질병행동의 하위척도들은 우울 기분과 신체화 증상을 보이는 정신질환을 감별하고 예측하는 유용한 심리적 지표로 활용될 수 있을 것이다. Objectives : Illness behavior is defined as the persistence of an adaptive/maladaptive mode of perceiving, evaluating and responding to health status and symptoms according to the status. In a cognitive aspect, somatizing symptoms are regarded as being originated from distortions, including magnification and/or amplification, of perceiving, evaluating and responding to symptoms such as bodily sensations. That is somatization may be explained by maladaptive illness behavior. In this study, we tried to investigate differences of illness behavior in depressive patient according to the presence of somatization. Methods : We divided 45 patients who were diagnosed as depression with ICD-10 diagnostic criteria into two groups(somatizing and non-somatizing group) according to the somatization subscale of Korean Depression Scale and compared two groups in the differences of illness behavior using the Illness Behavior Questionnaire. Results : Somatizing group showed significantly higher scores than non-somatizing group on the disease affirmation subscale($6.79{\pm}2.08$ vs. 4.76, p=0.003) and the denial subscale($3.25{\pm}1.22$ vs. $2.10{\pm}1.41$, p=0.006). There were no significant differences between two groups on the general hypochondriasis subscale and the affective unstability subscale. In a logistic regression analysis, somatizing group also showed higher odds ratio (OR) scores on the disease affirmation subscale(OR=1.418, p=0.089) and the denial subscale(OR=1.880, p=0.083). Conclusion : The disease affirmation and denial may be a discriminative mechanism of somatization in depressive patients. These subscales of Illness Behavior Questionnare could be useful markers, and psychiatric illnesses with somatizing and depressive symptoms may be differentially diagnosed and be predicted through these subscales.

BPM(Business Process Management) SW 벤치마크테스트

이영석,장세헌,정철,신수경,Lee, Yeong-Seok,Jang, Se-Heon,Jeong, Cheol,Sin, Su-Gyeong 한국정보통신기술협회 2006 TTA저널 Vol.105 No.-

우울 증상이 호전된 비우울 집단과 우울집단 간의 인지요인의 비교

장유경(You-Kyung Jang),장세헌(Se-Heon Jang),제영묘(Young-Myo Jae),이대수(Dae-Su Lee),홍성욱(Sung-Wook Hong),윤창영(Chang-Young Yun) 대한생물치료정신의학회 2007 생물치료정신의학 Vol.13 No.2

본 연구는 우울증으로 진단받고 약물치료 후 우울증상이 잔존하는 우울군과 증상이 관해된 비우울군간의 인지요인의 특성을 비교분석하고자 하였다. 한국형우울척도(KDS)를 사용하여 우울군(n=18)과 비우울군(n=28)으로 나누었다. 자동적 사고 척도, 역기능적 태도척도, 귀인양식 척도를 시행하여 인지적 특성을 살펴보았다. 자동적 사고 척도에서는 두 군간의 유의미한 차이가 있었으며, 자동적 사고척도는 KDS와 강한 상관관계가 있었다. 역기능적 태도 척도와 귀인양식에서는 두 군간 의미있는 차이를 보이지 않았다. 이러한 연구 결과를 토대로 본 저자는 자동적 사고는 기분 상태 의존적인 인지요인이며 역기능적 태도와 귀인양식은 아마도 개인의 영속적인 특질을 반영하며 우울증과 관련하여서 자동적 사고에 비해 보다 지속적으로 영향력을 미치는 것으로 보았다. 따라서 우울 증상의 재발에 취약할 수 있는 기저의 우울 생성적 인지 요소를 제거하기 위해서는 약물치료에 의한 표면적인 우울증상의 감소 외에 보다 적극적인 치료적 개입이 요구됨을 제안하였다. Objectives:This study was performed to compare the cognitive factors between recently recovered non-depressed group and currently depressive group. Methods:To measure the degree of depressive mood, KDS(Korean Depression Scale) was used. We divided patients in two groups. One is recently recovered non-depressive group(n=28) and the other is currently depressive group(n=18) during antidepressant medication. To assess the cognitive state, we administered DAS(dysfunctional attitude scale), ASQ(attributional style questionnaire), and negative ATQ(automatic thought questionnaire). Results:In ATQ score, there was a significant difference between two groups(t=3.453, p=.002). ATQ score strongly correlated with KDS score(r=.786, p<0.01). But, there was no significant differences between two groups in mean scores of DAS and all positive and negative attributional style subscales, even though DAS score correlated with KDS score significantly(r=.383, p<0.01). This means that ATQ score decreased according to remission of depression. But DAS and especially negative attributional style score didn’t changed even though improvement of depression with antidepressant medication. Conclusions:We concluded that automatic thoughts were the mood state-dependent cognitive factor and dysfunctional attitude and attributional styles were cognitive factors that maybe reflect more permanent personal traits and underlying vulnerabilities of depression than automatic thoughts. We also concluded that the additive treatments more than antidepressant medication would be needed to change the dysfunctional attitudes and attribution styles, which could possibly act as the depressogenic factors in recently recovered non-depressive patients during maintenance antidepressant medication.

난원공개존을 통한 기이성 신 색전증 1예

임대섭 ( Dae Seop Lim ),정은수 ( Eun Soo Jeong ),정진성 ( Jin Sung Jung ),장세헌 ( Se Heon Chang ),유승현 ( Seung Hyen Yoo ),장우진 ( Woo Jin Jang ),정시정 ( Shi Jung Chung ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.6

Paradoxical embolism is a kind of stroke caused by embolism of thrombus of venous origin through a lateral opening in the heart, such as a patent foramen ovale (PFO). Although the most frequent manifestation of paradoxical embolism is cryptogenic stroke, noncerebral paradoxical embolism is also associated with PFO. We experienced a case of cryptogenic renal infarction in a previously healthy 70-year-old man. He had no cardiac thrombus on transthoracic echocardiography and electrocardiogram revealed a normal sinus rhythm. Because it was cryptogenic renal infarction, we performed transesophageal echocardiography with microbubble test. Microbubble test using agitated saline proved the presence of right-to-left shunt and patent foramen ovale was diagnosed. We also performed lower leg doppler ultrasonogram, but there was no evidence of deep vein thrombosis. Although only the presence of a right-to-left shunt is not enough to establish the diagnosis of paradoxical embolism, it is uncommon for the source of the embolism to be identified. In this case, we concluded that paradoxical embolism is the cause of renal embolism. We report paradoxical renal embolism through PFO with review of relevant literatures.