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우울성향 청소년을 위한 게슈탈트 예술치료 프로그램의 효과
조환진 ( Cho¸ Hwan-jin ) 한국게슈탈트상담심리학회 2015 한국게슈탈트상담연구 Vol.5 No.1
The purpose of this study was to examine the effects of the Gestalt Art Therapy Program on self-expression and interpersonal relation of adolescents with depression. Volunteers from the Youth Counselling Assistance Center in B city were given a scale assessing 'Self-rating Depression'. Among them 18 adolescents who got over 20 in the score of depression were selected for this program and randomly divided into two groups; 9 in an experimental group and 9 in a control group. The program has been conducted to the experimental group for 60 minutes for two weeks (total 8 sessions). Participants were given scales measuring depression, self-esteem and interpersonal relation before and after the program. Based on experience reports, evaluations on the whole program and works from participants along with observations on behaviors in each session and recording, a qualitative research as well as a quantitative research was done to verify the effectiveness of the program. The process of the data was analyzed by ANCOVA through SPSS/WIN 18.0. The findings of this study were as follows. First, self-expression skills of the adolescents in the experimental group was increased significantly. Second, interpersonal relations of the adolescents in the experimental group was also enhanced. Consequently, this result revealed that the program had positive effects on the adolescents with depression and maladaptation of self-esteem and interpersonal relations. Therefore, the Gestalt Art Therapy program is thought to be much helpful to the adolescents with depression by constantly reinforcing them educationally, emotionally and behaviorally. Limitations to the current study and recommendations for future research are discussed as they pertain to the gestalt therapy and adolescent wellness.
자연 판막에서 발생한 Staphylococcus Lugdunensis에 의한 감염성 심내막염
조환진 ( Hwan Jin Cho ),설상훈 ( Sang Hoon Seol ),박상율 ( Sang Yool Park ),전현수 ( Hyun Soo Jun ),김동기 ( Dong Kie Kim ),김두일 ( Doo Il Kim ),김동수 ( Dong Soo Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2
A 37-year-old woman presented to our hospital with a 1-month history of fever. She also complained of lower leg pain. Transthoracic echocardiography showed large vegetations on the mitral valve leaflets. Staphylococcus lugdunensis was isolated from blood cultures. She was diagnosed with infectious endocarditis due to S. lugdunensis and was treated with antibiotics and surgery. Infective endocarditis caused by S. lugdunensis can be invasive and often resembles endocarditis due to Staphylococcus aureus. Thus, whenever this organism is found in patients with endocarditis, early surgical treatment of the infected valve should be considered. (Korean J Med 2011;80:212-215)
한국인 B형 간염 바이러스 관련 간질환에서 HBV C 및 S 유전자 영역 돌연변이의 면역학적 중요성
정정명 ( Jung Myung Chung ),조환진 ( Hwan Jin Cho ),이연재 ( Yeon Jae Lee ),장윤식 ( Yeun Sik Jang ),박은택 ( Eun Taek Park ),최봉기 ( Bong Ki Choi ),모혜경 ( Hye Kyoung Mo ),박영홍 ( Yeong Hong Park ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 본 연구의 목적은 HBV DNA의 C와 S 유전자 영역에서 돌연변이의 빈도를 관찰하고 면역 상태와 C와 S 유전자 영역의 돌연변이 사이에 상관관계를 알아보고자 한다. <방법> HBV 관련 간질환 소아와 성인 34명으로부터 추출한 혈청이나 생검 간조직으로부터 DNA을 추출하였다. 추출한 DNA로부터 HBV의 C와 S 유전자 영역을 증폭하고 클로닝하여 염기서열을 분석하였다. <결과> 34례의 adr type의 분석 결과 32례(94.1%)에서 co
좌심실 수축 기능부전을 가진 급성 심근경색 환자에서 ST 분절 변화가 미치는 영향
설상훈 ( Sang Hoon Seol ),이은주 ( Eun Ju Lee ),박영진 ( Young Jin Park ),조환진 ( Hwan Jin Cho ),양태현 ( Tae Hyun Yang ),김성만 ( Seong Man Kim ),김대경 ( Dae Kyeong Kim ),김두일 ( Doo Il Kim ),김동수 ( Dong Soo Kim ) 대한내과학회 2008 대한내과학회지 Vol.74 No.6
Background/Aims: Although the impact of ST segment elevation in patients with acute myocardial infarction (MI) has been studied, little information is available on the impact of ST segment elevation in the patients with acute MI and left ventricular systolic dysfunction. Methods: We retrospectively analyzed the baseline clinical and angiographic characteristics and the in-hospital and 1-year clinical outcomes of 117 consecutive patients who were diagnosed with acute MI and who had a left ventricular ejection fraction of less than 40%, and these patients were treated from January 2004 to June 2006 at Busan Paik Hospital. Coronary angiography at the index hospitalization and the major adverse cardiac events (MACEs), including cardiac death, non-fatal reinfarction, target vessel revascularization (TVR), and heart failure, were compared between the 77 patients with ST segment elevation myocardial infarction (STEMI) and the 40 patients with non-ST segment elevation myocardial infarction (NSTEMI). Results: Overall, the baseline clinical characteristics were similar between the two groups. On the coronary angiography, thrombolysis in myocardial infarction 0 flow was more common in the STEMI group as compared to the NSTEMI group (p<0.01) and the NSTEMI group had more frequent multivessel disease compared to the STEMI group (p=0.01). However, the in-hospital cardiac deaths and MACEs were not different on comparison between the two groups (p=0.66, p=0.81, respectively). The one-year cardiac deaths and MACEs were not significantly different on comparison between the two groups (p=0.37, p=0.68, respectively). Conclusions: This study demonstrated that ST segment elevation had no influence on in-hospital and the long term outcomes of patients with acute MI and left ventricular systolic dysfunction.(Korean J Med 74:632-639, 2008)
이상봉,설상훈,강석우,조환진,조경임,이원식,주영돈,손창학,고원규 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.1
Hookworm infection is one of the major parasitic diseases in warm moist climates, but its prevalence in Korea is very rare nowadays. Authors examined a case of iron deficiency anemia (IDA) associated with hookworm infection in a 46-year-old male. The peripheral blood examination showed markedly increased number of eosinophils, a low level of hemoglobin and decreased MCV. The iron study revealed that serum ferritin was 10.4 ng/ml, serum iron was 30㎍/dl. and total iron-binding capacity was 423㎍/dl. A large number of hookworm ova (7,925/g) were found in the stool sample. The G-I studies were all normal findings. We propose that we have to consider hookworm infection as one of the causes in a case of unknown IDA origin.
각종 만성 간질환들에서 B형간염 바이러스의 잠재성 감염에 대한 관찰
정정명,강석우,윤철,채두근,김성목,설상훈,조환진,조경임,박영홍,모혜경 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Objectives: Occult Hepatitis B virus infection is defined as HBV DNA positivity without HBsAg by serologic test. It has been thought to be caused by the escape mutant which do not express HBsAg or prouduce S protein with altered antigenicity. But the precise mechanism and pathophysiology of this phenomenon is still unclear despite of numerous previous reports. We investigated occult hepatitis B infection and their clinical characteristics in the patients with various chronic liver diseases. Methods and Materials: Thirty eight patients with chronic liver diseases with positive HBsAb or negative HBsAg were included. After confirmation of HBV DNA, we performed entire base pair sequence analysis on the C region of HBV genome. Results: 1. HBV DNA was detected 29 cases among 38 patients(76.3%) they had 12 chronic toxic hepatitis(41.4%), 7 liver cirrhosis(24.1%), 7 cases of simultaneous hepatocellular carcinoma with liver cirrhosis(24.1%), 1 chronic C hepatitis(3.4%), 1 alcoholic liver disease(3.4%), and 1 uncertified cause(3.4%). 2. The mutation at core promoter region were found in 24 patients(83.1%), of which 15 showed simultaneous mutations in both nucleotide 1762 and 1764, and 1 patients in 1764 single mutation. 3. Twenty four of 29 patients(83.1%) have mutations at precore region, of which the nucleotide 1896(codon 28) was the most frequent site(9 patients- 37.5%). 4. The mutations were found at whole length of core gene, but were the most frequent at epitope regions. For cytotoxic T cell epitope region, the mutation in codon 27 and 31 were from 9(31.0%) and 19(65.5%) patients, respectively. For CD4 epitope region, the mutations in codon 49, 60 and 76 were from 12(41.4%), 9(31.0%) and 16 patients(55.2%), respectively. And for B cell epitope region, those in codon 130 and 143 were from 19(65.5%) and 15 patients(52.0%), respectively. 5. S gene mutations were observed in only 3 patients, 2 liver cirrhosis and 1 hepatocellular carcinoma patients. Point mutation was frequently observed in codon 51, 67, 68, 91 of pre-S1, codon 38, 39, 40, 46 of pre-S2, and codon 3, 27, 82, 92 of S gene. In the case of hepatocellular carcinoma, the 120bp deletion from pre-S1 to pre-S2 was observed. Conclusion: From the above results, we may conclude that the occult hepatitis B virus infection is highly prevalent in epidemic area of HBV infection, and may be related with severe liver diseases. Escape mutant may be an important mechanism of this phenomenon.