젊은 남자 성인의 칼슘과 철의 영양상태에 관한 연구

박영숙,곽주영,권지혜,류화라 순천향대학교 기초과학연구소 2002 순천향자연과학연구 논문집 Vol.8 No.1

A survey was performed to 174 male young men who were living alone(40 persons) and shared living with friends(4143 persons) in Chungnam province. Their average age was 22.6 years old, height 171.8 ㎝, and weight 65.6 ㎏. Their daily calcium intake level was averaged 271.9±169.1 ㎎, which was 38.8 %RDA. Comparing calcium intake of each mealtime, breakfast, lunch, dinner, and snacks were composed of 18.6%, 30.0%, 34.0% and 17.4%, respectively. Their daily iron intake level was averaged 8.9±10.8 ㎎, which was 74.3 %RDA. Comparing iron intake of each mealtime, breakfast, lunch, dinner, and snacks were composed of 15.4%, 33.6%, 36.3% and 14.7%, respectively. These results suggested that deficiency of the two minerals in young male adults were severe and the nutrient qualities were also poor, no matter of their living alone or with accompanies. The deficiency was more profound in calcium than iron. And we observed iron nutriture differed significantly according to their living status, such as iron intake and its %RDA were significantly worse in single living subjects than the others. However calcium did not show significant difference. We concluded that shared living environment in young male adults could possibly improve their dietary mineral intake levels.

선택적 함구증을 보인 6세아동의 놀이치료

곽영숙 대한소아ㆍ청소년정신의학회 1992 소아청소년정신의학 Vol.3 No.1

발달 장애 아동에게 시행된 주간 치료실 프로그램의 치료 결과에 대한 고찰

곽영숙,강경미,이혜숙 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.1

연구목적 : 본 연구는 발달 장애 아동들에 행해진 주간 발달 증진 프로그램의 효과 및 치료 결과에 대하여 고찰하고자 하였다. 방법 : 발달 장애 아동들의 애착 형성을 향상시키고 부모-아동의 상호작용 증진을 통한 발달 촉진을 목적으로 국립서울정신병원 주간 치료실에서 1996년 이후 1년 단위로 3년간 시행된 치료 프로그램에 참석한 2세에서 7세의 발달 장애 아동(전반적 발달 장애-31명, 기타 발달 장애-18명) 49명을 대상으로 하였다. 정신과 전문의 2인 이상에 의하여 진단되었고 추적 진료 동안의 언어 치료사, 작업 치료사, 사회 사업가의 평가와 관찰, 간호사 관찰 및 보호자로부터의 정보를 통하여 진단적 신뢰도를 높였다. 이들에서 프로그램 참여 기간 동안의 교육 진단 검사(PEP), 아동기 자폐증 평정척도(CARS), 그리고 사회 성숙도 검사(SMS)상의 변화를 추적 조사하였고, 프로그램 참여시의 진단, 신체 연령 및 발달 연령, 동반 질환 등에 따라 분류하여 치료 효과를 비교하였다. 결과 : 프로그램에 참여한 아동들은 PEP 종합 점수와 SMS사회지수에서 통계적으로 유의한 진전을 보였다. 치료 시작시 발달 연령, 동반 잘환, 그리고 CARS점수의 증증도에 따른 각 집단에서 치료 효과상의 유의한 차이는 없었다. 결론 : 발달 장애 아동들을 위한 주간 치료실에서의 발달 중진 프로그램의 결과는 참여한 아동 모두에게 효과적이었다. 향후 동반 질환의 특성과 발달 연령에 맞는 특수 치료 프로그램 개발이 이루어져야 할 것이다. Objective : This was conduced to evaluate the effect of early intervention to promote the development of children with developmental disorders. Methods : 49 children(31 in PDD group and 18 in DLD group) participated in a one year day treatment program conduced from 1996 to 1999. They were performed PEP, CARS , and SMS. They were grouped by diagnosis, comorbidity, chronological age and CARS score at the beginning of the program and the treatment effect was compared. Results : The children who participated in the day treatment program showed significant increase in their PEP, SMS score, and decrease trend in their CARS score. When children were grouped by diagnosis, comorbidity, chronological age, and severity in CARS score we did not find out significant difference between groups. Conclusion : Our data suggest that the day treatment program which emphasis on development is effective in treating children with developmental disorders. KEY WORDS : Day treatment program · PDD.

놀이정신치료

곽영숙 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.2

놀이정신치료의 역사와 분류를 통해 놀이정신치료의 다양한 발전 과정을 살펴보았고, 놀이의 기능과 임상적 응용을 통해 기본 개념과 실제적 요소를 짚어 보았으며 주요 치료적 접근에서는 대표적 치료 방법인 정신분석적 기법과 비지시적 치료의 이론과 실제기법을 정리하여 소개하였다. 또한 놀이치료에서의 발달론적 접근을 이해하기 위해 발달과정으로서의 놀이, 그 치료적 적용, 인지발달적 측면 그리고 치료과정에 대해 조명해 보았다. 중심 단어 : 놀이정신치료ㆍ역사와 분류ㆍ놀이의 기능과 임상적 응용ㆍ주요 치료ㆍ발달론적 접근 The author reviewed history and development of variable approaches of play psychotherapy. To understand basic concepts and practical factors of play, the functions of play behavior and it's clinical application were summarized. As major therapeutic approaches, both theoretical concepts and practical techniques of psychoanalytic approach and those of nondirective approach were presented. For clinician it is important to know developmental theories which can be applied to various therapeutic technics and to apply these theories to play therapy situations. So, to know the developmental approach in play psychotherapy, play as a developmental process, its' therapeutic application, play in the perspective of cognitive development and the therapeutic process of play psychotherapy were reviewed. With the knowledge of developmental concept therapists can increase their abilities to prescribe an appropriate type of play therapy. KEY WORDS : Play psychotherapyㆍHistory & classificationㆍThe functions and clinical application of playㆍMajor therapeatic approachesㆍDevelopmental perspective.

학령기 만성질환아와 정상아의 신체상에 관한 연구

박인숙,문영숙,곽명순 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

This study has attempted to determine the influence of a chronic disease on body image, and to show that body image is directly related to one's self concept. Body image is the concept of one's own body based on present and past perception, and is related to one's self concept. Body image is dynamic concept constantly changing throughout the life cycle but it changes greatly in illness, surgery, and accident. The child with a chronic disease experience pain and immobilization due to illness and he/she experiences as strange environment in the hospital. Illness often brings feeling of frustration and loss of self-esteem. Therefore this study was done to compare the body image, self concept of a child with a chronic disease, with that of a normal healthy child, and to determine the relationship between the body image and self concept. The subjects in this study were 7-12 aged 43 children being treated for chronic illness of university hospital in Taejon(patient group) and 7~12 aged 65 children attending T elementary school in Taejon(normal healthy group) For the measurement of body image, the researcher used Osgood's Semantic Differential Scale, Secord & Jourard's Body Cathexis Scale. For the measurement of the self concept, the researcher used Jacox & Stewart's Health self concept. The period for data collection was from March 9 to October 24, 1992. The analysis of data was done by use of percentage, T-test, General Linear Modeling, Kruskal-Willis Test, Pearson Correlation Coefficient. The results of the study were as follows ; 1. Comparison of score on body image(Semantic differential scale) between chronically ill child and normal child showed a statistical significant different(t=-5.765, P<.001). (chronically ill child M : 3.265, normal child M : 4.062) Comparison of score on self concept between chronically ill child and normal child showed a statistical significant difference(t=-5.713, P<.001) (chronically ill child M : 0.565, normal child M : 0.844) 2. The relationship between the body image and the general characteristics of subjects showed as follows ; In the body image(Semantic differential scale) showed a statistical significant difference according to age in normal child(P<.001). In the body image(Body cathexis scale) showed a statistical significant difference according to age in normal child(P<.05). In the body image(Body cathexis scale) showed a statistical significant difference according to diagnosis(P<.05). 3. The correlation between body image and self concept showed as follows ; Body image(Semantic differential scale) and self concept correlated significant difference in the total group(P<.001), chronically ill child(P<.01), normal child(P<.001). Body image(Body cathexis scale) and self concept correlated significant difference in the total group(P<.05).

입원노인의 삶의 질, 죽음 불안, 영적 안녕에 관한 연구

김연숙,권영은,성기순,곽혜련 노인간호학회 2007 노인간호학회지 Vol.9 No.2

Purpose: The purpose of this study was to provide appropriate spiritual and comprehensive nursing care for elders admitted to hospital by identifying factors that affect their quality of life, anxiety about death, and spiritual well being and by identifying correlations between these variables. Method: From April 23 to June 30, 2007, 76 patients 65 years of age or older, admitted to the Bobath Memorial Hospital were enrolled in the study. The elders were questioned about their quality of life, anxiety about death, spiritual well being, and their demographic characteristics. The data were analyzed using t-t.est. ANOVA, and coefficient with SPSS for Window version 10.1. Result: This study shows that for most of the elders, quality of life was found to be higher than average at 3.29 out of 5.00. Also, anxiety about death was found to be higher than average at 2.45 out of 4.00. However, spiritual well being was found to be lower at 2.75 out of 6.00. The study showed that as quality of life improves, anxiety about death was reduced. There was no direct relation between quality of life and spiritual well being. There was no direct relation between anxiety about death and spiritual well being. Quality of life for elders was found to be related to gender (p=0.008), economic status (p=0.019), and relationship with family (p=O.OOO). Anxiety death was affected most by job (p= 0.024) and period of hospitalization (p =0.043). Spiritual well being was affected by education(p=0.014), religion (p=O.OOO), and children (p=0.028). Conclusion: The purpose of the study was to improve nursing services for elders admitted to hospital to improve the quality of their lives and spiritual well being and to reduce anxiety about death.

크릴분말이 콜레스테롤 및 카드뮴 식이 흰쥐의 간 및 심장 지질에 미치는 영향

조영숙,박석규,박정로,손미예,문주석,곽수동 순천대학교 기초과학연구소 1992 基礎科學硏究誌 Vol.3 No.-

In order to investigate effects of krill on lipid components of liver and heart in cholesterol and cadmium-fed rats, male Sprague-Dawley rats were raised for 4 weeks with 8 experimental diets. Krill used in this experiment contained 65.4%(w/w) of protein and 16.7% of lipid. Krill contained 35% of polyunsaturated fatty acids and more unsaturated fatty acids than saturated fatty acids by 2 times. Amino acid content of krill was high in order of Glu, Asp, Tyr and Lys. Rats fed krill diet showed more food intake and weight gain compared with control group. However, food efficiency ratio and weight of liver and heart were not significantly different. The ingestion of cadmium resulted in a severe restriction in growth rate with normal or mild reduction of liver and heart weight. Cadmium also caused a significant decrease in food efficiency ratio. The contents of total and free cholesterol of liver and heart in rats fed krill diets were similar or slightly higher than those fed control diet. Dietary krill also showed no significant difference in liver and heart cholesterol levels in rats with cadmium ingestion. The contents of phospholipid and triglyceride in liver and heart of krill group were slightly higher than those of control group. Supplement of krill reduced triglyceride content of liver in rats ingested with cadmium without any effect on the level of phospholipid and heart lipids. The concentration of cadmium in plasma significantly increased with dietary krill. However, the krill supplement did not influence the concentration of cadmium in liver or heart. A significant accumulation of lipid in liver tissue was observed in all dietary groups but standard group. However, no difference in degree of lipid accumulation was found among the dietary groups. Necrosis and hemolysis of liver in all dietary groups were not shown.

병원급식에 일반위생관리기준과 HACCP 제도 적용을 위한 시설,설비 위생관리 점검도구 개발

이정숙,곽동경,강영재 한국조리과학회 2003 한국식품조리과학회지 Vol.19 No.3

The rapid increase in food borne illness outbreaks in Korea hat been one of the major threats to the Nation's Health. Foodservice establishments have been identified at the major place for these outbreaks. mainly due to the lack of sanitary management and sanitary facility management practices. The purposes of the study were to develop hospital food service facility evaluation tools, based on the general HACCP-based standards and guidelines, for hospital food service establishments, to ensure the safety) of these foodservices and to reduce the risk of food home illness. The scope of this study included: 1) an assessment of the current foodservice sanitation practices and managements for 6 general hospitals, with more than 400 beds. and 3 general hospitals, with less than 400 beds; 2) the development of foodservice establishments sanitation evaluation tools and sanitation standards, based on the HACCP system. The survey data showed varied results between the hospitals surveyed. Most of the hospital foodservice operations had many problems with ventilation and the plumbing. The total dimensional mean scores for the hospitals with more than 400 beds and less than 400 beds were 31.5 and 27.0, respectively. The highest dimension scores were for the water supply facility and lighting, with the lowest for insect and rodent control and toxic materials management. The levels of the mean scores were very low, especially for the general hospitals with less than 400 beds. These low mean scores may have arisen from critical problems within the hospital foodservice operations. The most needed facility management items for improvement were: storage shelf should be spaced 6 inches from the floor and walls, the use of three compartment sinks, utility sinks and cleaning facilities, with a floor drain for cleaning mops or liquid wastes, a ventilation hood designed to prevent dripping onto food, cooking facilities should be disassembled for washing and sanitizing, a separated hand washing sink and a sanitized food board for each area should be provided, all toxic material must have warning labels attached, and be stored in an area away from food preparation under padlock. The evaluation tool consisted of 14 dimensions, with 65 check-off items. The results of this study will provide basic facilities' guidelines to regulators, or foodservice industry personnel, wishing to build. or expend. and establish an efficient flow of food. As a result, food Pome illnesses will be effectively prevented, and the Nation's health will be promoted for the development of their own sanitation standards, with a checklist for the safe production of foods.

자폐장애와 어머니의 우울정도와 그들 자녀의 자폐증상간의 상관관계

이수경,곽영숙,강경미 대한소아ㆍ청소년정신의학회 1998 소아청소년정신의학 Vol.9 No.2

백서 간세포 핵소체 인산단백질 B23의 진화론적인 특성 규명

이혜정,윤상인,박주인,정진숙,김영대,김정만,곽종영,김인후 동아대학교의과대학 1997 동아의대학술지 Vol.9 No.1