대인불안과 사회문화적 요인의 상관관계

오강섭,허묘연,이시형 대한신경정신의학회 1999 신경정신의학 Vol.38 No.1

연구목적 : 한국 일반인들에 대한 사회공포 증상의 정도와 양상, 기능의 손상정도 등을 알아보고, 대인불안과 성격특성, 부모의 양육태도, 대인관계에서의 특징들간의 상관정도를 알아보기 위한 것이다. 방 법 : 서울지역에 거주하는 일반 중학생, 고등학생, 대학생 및 성인 1087명을 대상으로 전반적인 사회적 상황에서의 불안과 회피 정도, 증상과 상황, 대처방법, 가해의식, 일상생활에의 영향을 조사하였고, 내-외향성 검사, 부모양육태도 검사와 대인관계태도 검사를 이용하여 대인 불안과 관련된 성격과 사회적인 요인을 평가하였다. 결 과 : 대인불안 증상은 정시곤란, 실수공포, 표정공포, 횡시공포, 타인시선공포가 전 연령에 걸쳐 높게 나타났다. 청소년기는 전반적으로 대인상황에 대한 불안 수준이 올라가 있고, 중학생과 고등학생의 경우 남자가 여자에 비해 유의미하게 높은 정도의 대인불안을 갖고 있는 것으로 나타났다. 가해의식은 성인으로 갈수록 줄어드는 경향이 있었다. 대인불안의 상황은 모든 연령에서 연단이나 면접상황에서 가장 많은 어려움이 호소하였으며, 대처방식의 경우, 연령이 증가할수록 ‘그럴 수 있다’ 건강한 대처방식의 비율이 높아지는 것으로 나타났다. 내향성에 대한 자신의 평가와 타인의 평가를 비교해보면, 모든 연령집단에서 타인이 평가하는 것보다는 자신이 스스로를 더 내성적인 것으로 생각하였다. 양육태도의 경우에는 아버지나 어머니 모두, 거부나 높은 기대, 불안, 통제적인 태도는 대인불안이 높은 것과 관련되어 있는 반면에 감정적인 지지를 나타내는 태도는 낮은 대인불안과 관련되어 있었다. 대인관계태도에서 자기 바하나, 은근성, 타인의 의견을 지나치게 염려하는 태도, 체면 등은 대인불안과 유의미한 관련성을 나타냈으며, 사교성이나 응석은 대인불안과 부적인 관계를 갖는 것으로 나타났다. 결 론 : 대인불안의 정도, 내향성, 대인불안 및 회피 정도와 일상생활에서의 지장 정도간에 서로 깊은 상관관계를 나타내어, 대인불안의 정도와 내향성이 높을수록 일상생활에의 지장이 많은 것으로 판단되었다. 부모의 양육태도에서는 거부, 높은 기대, 불안, 통제적 태도 등이, 대인관계태도에서는 자기비하, 은근성, 타인의견 염려, 체면 등이 대인불안과 관련되는 것으로 나타났다. Objectives : We examined the degree of social anxiety and physical symptoms, situations, maneuvers in phobic situations, the degree of offending others, disability in normal Korean sample. And We also studied the correlations of social anxiety and socio-cultural factors (personality characteristics, child rearing attitudes and interpersonal attitudes). Methods : The subjects were total of 1087 including junior high school students, high school students, college students and adult population living in Seoul. We administered the following scales : SAD(Social Avoidance and Distress Scale), Social Anxiety Symptom and Situation, Maneuvers in Phobic situations, Offending others, SDS(Sheehan's Disability Scale), EPQ(Eysenck Personality Questionnaire), Child Rearing Scale and Interpersonal Attitude Scale. Results : Among social phobic symptoms, fear of eye to eye contact, fear of mistake, fear of facial expression, fear of side glancing and fear of other's gazing were prevalent in decreasing order. The level of general social anxiety were high in junior high school and high school students, and male subjects reported more social anxiety. the degree of offending others decreased with age. The most difficult social anxiety situations were public speaking and interviewing. The frequently used maneuver in phobic situations was reasoning. All subjects perceived themselves more introverted than others did. On the Child rearing attitude, rejection, high expectation, anxious, control subscales of both parent were correlated with high level of social anxiety, and the emotional care was correlated with low level of social anxiety. On the interpersonal attitudes, self-devaluation, indirectedness, overconcern of other's opinion, face saving subscales were positively correlated with social anxiety, and the socialization and eungseok were negatively correlated with social anxiety. Conclusion : The social anxiety and the introversion were associated with the disability of daily activity. Some subscales of child rearing attitudes and interpersonal attitudes were also associated with the social anxiety.

사회공포증과 관련된 양육태도검사의 개발 연구

이시형,오강섭,허묘연 대한소아ㆍ청소년정신의학회 1998 소아청소년정신의학 Vol.9 No.2

발관리 교육프로그램이 노인 당뇨병 환자의 발관리 이행과 족부합병증에 미치는 효과

노영숙,전시자,권연숙,임미숙,심강희 노인간호학회 2007 노인간호학회지 Vol.9 No.2

Purpose : Diabetic foot complications are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to verify the effects of foot care education on compliance with foot care and diabetic foot complications when the patient is an elder with diabetes. Method: A group pretest-posttest design was used to examine the effects of 6 months of foot care education with a group of 13 elders with diabetes. The major dependent variables including foot care compliance and diabetic foot complications were measured at the beginning and end of the treatment period to examine the effects of foot care education. Result : There were no significant differences in total foot care compliance scores and presence of diabetic foot complication after 6 months, Conclusion : Interventions involving problem based education and pursuing long-time effects may be more effective in implementing and sustaining improvements than just group education or one time interventions for elders with diabetes.

반복작업으로 유발된 수근관내의 굴곡근 건초염과 수근관 증후군 : 증례 보고 Case Report

김돈규,서경묵,신주연,강시현,송인섭 중앙대학교 의과대학 의과학연구소 2003 中央醫大誌 Vol.28 No.1

A 46 year-old woman who had worked repetitive manual job for 3 years visited our hospital because of aggravated right hand sensory symptom and newly developed limitation of 3, 4, 5th finger extension. In physical examination, moderate swelling of volar aspect of wrist and limitation of finger extension was noticed as well as positive tinnel sign. We confirmed carpal tunnel syndrome after electrodiagnostic studies and associated flexor tenosynovitis of 4th flexor tendon in the carpal tunnel through MRI (magnetic resonance imaging) study. She was successfully treated with conservative program including wrist splint and steroid injection. We also tracked the result of treatment using MRI and electrodiagnositic studies. Analyzing her work procedure, we concluded that repetitive and forceful exertional nature of job impose a high burden on hand and wrist region and it caused her carpal tunnel syndrome.

An Experimental Study on Cervical Abrasion of the Tooth Surface by Toothbrushing with Horizontal Scrub

Si-Yeon Kang,조자원,Yeon-Soo Chang,Sung-Hyun Woo,김홍식,이명구,Jee-Won Lee 대한예방치과학회 2007 International Journal of Clinical Preventive Denti Vol.3 No.2

Molecular and biochemical characterization of three acetylcholinesterases from the pinewood nematode, Bursaphelenchus xylophilus

Jae Soon Kang,Jae Young Choi,Yeon Ho Je,Si Hyeock Lee 한국응용곤충학회 2009 한국응용곤충학회 학술대회논문집 Vol.2009 No.10

Three acetylcholinesterase (ace) genes were identified from Bursaphelenchus xylophilus and named as Bxace1, Bxace2 and Bxace3. Open reading fragments of Bxace1, Bxace2 and Bxace3 were composed of 622, 625 and 588 amino acids, respectively. Sequencing comparison with Torpedo ace gene identified cholinebinding site, catalytic triad functional site, three internal disulfide bonds and aromatic residues for the catalytic gorge. Transcriptional profiling by quantitative real-time PCR revealed that Bxace3 is more actively transcribed than Bxace1 (2-3 times) and Bxace2 (9-18 times) in both propagative and dispersal stages. The three ace genes were functionally expressed using baculovirus system. Kinetic analysis using three choline substrates demonstrated that BxAce2 has higher maximum velocity than BxAce1 (ca. 2 times) and BxAce3 (ca. 100 times) whereas BxAce3 shows lower Michaelis constant than BxAce1 (12.8 times) and BxAce2 (13.6 times). In inhibition assay using five organophosphates (OPs) and three carbamates (CBs), all the three BxAces were highly inhibited by paraoxon, DDVP and chlorpyrifos-oxon but not inhibited well by fenamiphos and fosthiazate. Interestingly, inhibition assay revealed that BxAce3 is less sensitive to all insecticides tested than other two BxAces. The inhibition kinetic data obtained in this study should provide essential information for the development of OP- and CB-based nematicidal agents againt B. xylophilus.

Molecular and biochemical properties of venom allergen-like protein support a pathogenic function in the pinewood nematode, Bursaphelenchus xylophilus

Jae Soon Kang,Jae Young Choi,Yeon Ho Je,Si Hyeock Lee 한국응용곤충학회 2011 한국응용곤충학회 학술대회논문집 Vol.2011 No.05

Venom allergen-like protein 2 (Vap2) was characterized from the pinewood nematode, Bursaphelenchus xylophilus, which is a destructive pathogen in several countries including Japan, China and Korea. Among three vaps of B. xylophilus (Bx-vap)reported in GenBank, Bx-vap2 showed the highest transcript level in both pine-grown propagative stage (PGPS) and media-grown propagative stage (MGPS). Bx-vap2 also was revealed that its transcript level over 10-fold increased in PGPS. In addition, western blot using BxVap2-polyclonal antibody showed that expression level of BxVap2 was significantly increased in PGPS. In immunohistochemistry, moreover, strong signals were detected around putative subventral gland in PGPS, whereas weak signals were observed in MGPS. These experimental results suppose pathogenic function of BxVap2 and migration assay using Bx-vap2 knock-down worms by RNA interference supports this postulation.

Breeding of four-leaf white clover (Trifolium repens L.) through 60Co gamma-ray irradiation

In-Ja Song,Hong-Gyu Kang,Ji-Yeon Kang,Hae-Deun Kim,Tae-Woong Bae,Si-Young Kang,Pyung-Ok Lim,Taiji Adachi,Hyo-Yeon Lee 한국식물생명공학회 2009 Plant biotechnology reports Vol.3 No.3

Four-leaf white clover is not found easily in nature due to its low appearance rate (1 in 10,000). Because people believe that it brings good luck and like to either keep it or present it to a loved one, it has commercial and ornamental value. To breed four-leaf clover, we exposed its flowers to c-rays at the pollination stage. The M1 seeds produced following doses at 25–100 Gy showed an approximately 74% germination rate, with seedling survival at 46%. In the M1 generation of plants irradiated within that dose range, we found an increased frequency of four leaflets. One of them, Jeju Lucky-1 (JL-1), had a frequency of about 60%. To see whether that mutation was somaclonal or genetic, we observed its M2 generation and found that such a phenotype reappeared. Although our results demonstrated that the irradiation of fully mature flowers led to a higher frequency of 4-leaflets, we could not clearly explain the genetic mechanism involved. We suggest that JL-1 is valuable as a new variety, without further genetic fixation, because white clover can be propagated vegetatively by stolons. Four-leaf white clover is not found easily in nature due to its low appearance rate (1 in 10,000). Because people believe that it brings good luck and like to either keep it or present it to a loved one, it has commercial and ornamental value. To breed four-leaf clover, we exposed its flowers to c-rays at the pollination stage. The M1 seeds produced following doses at 25–100 Gy showed an approximately 74% germination rate, with seedling survival at 46%. In the M1 generation of plants irradiated within that dose range, we found an increased frequency of four leaflets. One of them, Jeju Lucky-1 (JL-1), had a frequency of about 60%. To see whether that mutation was somaclonal or genetic, we observed its M2 generation and found that such a phenotype reappeared. Although our results demonstrated that the irradiation of fully mature flowers led to a higher frequency of 4-leaflets, we could not clearly explain the genetic mechanism involved. We suggest that JL-1 is valuable as a new variety, without further genetic fixation, because white clover can be propagated vegetatively by stolons.

실내 무선센서네트워크 환경에서 효과적인 위치측위 시스템 연구

김영주 ( Yeong Ju Kim ),정민아 ( Min A Jeong ),차세연 ( Se Yeon Cha ),김슬기 ( Seul Gi Kim ),박연지 ( Yeon Ji Park ),이주희 ( Ju Hui Lee ),한시연 ( Si Yeon Han ),강하연 ( Ha Yeon Kang ),김혜지 ( Hye Ji Kim ) 한국컴퓨터교육학회 2013 한국컴퓨터교육학회 학술발표대회논문집 Vol.17 No.2

유비쿼터스 환경이 구축되고 사용자의 현재 주변 상황에 적합한 서비스를 제공하기 위해서는 실외 환경에서의 위치 기반 서비스뿐만 아니라 실내 위치 기반 서비스가 필요하다. 이를 위해 본 논문에서는 실내 환경에서 위치를 효과적으로 측위 할 수 있는 시스템을 개발하였고, 위치측위에 대한 정확도를 보정하기 위해 칼만필터와 확장칼만필터 보정알고리즘을 적용하여 이 두 방법에 대한 성능평가를 수행하여 정확도가 향상됨을 검증하였다.

호스피스 환자와 가족을 위한 임종교육 시청각 자료 개발

서미숙,강유정,윤지윤,김태연,조혜준,박소연,이시연,장지혜,김유진,강믿음,Seo, Mi-Suk,Kang, Yu Jung,Yoon, Ji Yoon,Kim, Tae Yeon,Cho, Hye Jun,Park, So Yeon,Lee, Si Yeon,Jang, Ji Hye,Kim, Yu Jin,Kang, Mi Teum 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.3

목적: 호스피스완화의료의 목적은 환자와 가족의 고통을 줄이고 삶과 죽음의 질을 향상시키는데 있다. 편안한 임종을 맞이하는 것은 죽음의 질을 향상시키는데 역할을 한다. 이를 위해 환자와 보호자는 남은 삶 동안 임종을 준비할 수 있도록 임종과정 중 발생하는 다양한 문제와 요구에 대한 이해가 필요하다. 따라서 호스피스 환자와 가족을 위한 매뉴얼화된 임종교육 시청각 자료를 개발하고자 한다. 방법: 시청각 자료 개발을 위해서는 문헌고찰을 토대로 접근하기 쉬운 파워포인트 유인물로 초기 교육자료 개발하였고 다섯 차례에 걸친 전문의의 자문과 수정 및 보완, 평가 과정을 거쳐 완성하였다. 결과: 호스피스 환자와 가족들을 대상으로 한 시청각 교육자료는 3차시 5단계로 분류하였으며 교육 소요시간은 총 26분 34초이다. 최종 교육프로그램은 시청각 교육실 협력 하에 촬영하였으며 시청각 자료를 완성하였다. 결론: 본 연구는 완화의료병동의 구축과 전문성 증대를 위해 개발된 매뉴얼화 된 임종교육 시청각 자료로써 큰 의의가 있으며, 호스피스 환자와 가족뿐 아니라 호스피스 영역 전문 종사자들이 호스피스 환자와 가족을 대상으로 효율적인 임종교육 자료로 적극 활용되길 기대한다. Purpose: Patients and their caretakers need to understand various problems and requirements in the dying process so that they may prepare for death for the rest of their remaining life. Accordingly, a systematic audio-visual resource was developed to educate hospice patients and their families at the palliative care ward about the process of dying. Methods: For the development of an audio-visual resource, a initial education material was produced in the form of simple and accessible Power Point handouts based on literature study. Then, the program was completed through five rounds of a process, including expert advice, revision, update and evaluation. Results: The final version of the program was filmed with cooperation of the medical literature information division. Using the program, patients and families were educated through five phases over three sessions for a total 26 minutes and 34 seconds. Conclusion: The significance of this study lies in the fact that it was conducted after the establishment of the palliative care ward, which made it easier for nurses provide the education. It is expected that the program may be used by hospice specialists as well as nurses as an education resource for hospice patients and their families.