• Title/Summary/Keyword: 사회원인론

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A clinical review of community acquired methicillin resistant staphylococcal scalded skin syndrome (지역사회 획득 메치실린 내성 포도알균에 의한 포도알균 열상 피부 증후군의 임상적 고찰)

  • Heo, Soon Young;Song, Yoon Jeong;Kim, Sung Jun;Park, Sun Young;Kang, Du Cheul;Ma, Sang Hyuk
    • Pediatric Infection and Vaccine
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    • v.14 no.1
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    • pp.83-90
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    • 2007
  • Purpose : Staphylococcal scalded skin syndrome (4S) is a well known disease defined by clinical, microbiological and histological criteria caused by Staphylococcus aureus. This disease is uncommon but has been increasingly recognized. We investigated the clinical features of staphylococcal scalded skin syndrome. Methods : We reviewed retrospectively medical records of 53 patients diagnosis of staphylococcal scalded skin syndrome who were admitted to Changwon Fatima hospital from February 2002 to December 2005. These patients were divided into 3 clinical types; generalized type, intermediate type, abortive type. Age, sex ratio, clinical manifestations, laboratory findings, response to therapy and prognosis were investigated. Result : 1)The mean age of patients was 2.8 years, ranging from 20 days to 7 years. Male-to-female ratio was 1.9:1. 2) By clinical types, 6 patients were in the generalized type (11%), 29 patients in the intermediate type (55%), 18 patients in the abortive type (34%). The coexisting diseases were variable, including conjunctivitis (25 cases), atopic dermatitis (11 cases), otitis media (1 case). On laboratory findings, most of patients didn't have leukocytosis or increased C-reactive protein. 4) A total of fifteen Methicillin Resistant Staphylococcal Aureus (MRSA) strains were isolated from September 2003 through December 2005. Fourteen strains were positive for exfoliative toxin B gene by PCR and negative for enterotoxin, toxic shock syndrome toxin and Panton-Valentine leukocidin genes. 5) The mean duration of admission was 7.3 days. Patients were treated with vancomycin or amoxacillin/clavulanate or ampicillin/sulbactam or cefuroxime without significant sequelaes. Conclusion : Recently, Staphylococcal scalded skin syndrome caused by exfoliative toxin B produced by MRSA in the Changwon area has been increasing.

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THE CLASSIFICATION OF ADOLESCENTS IN RUNAWAY SHELTERS BY THE EVALUATION OF THEIR PSYCHOPATHOLOGY (보호시설 가출청소년의 정신병리에 대한 평가와 분류)

  • Lee, Jong-Sung;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.2
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    • pp.192-217
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    • 2001
  • Object:This study was carried out to classify adolescents in runaway shelters by evaluating their psychopathology. And the ultimate purpose is to offer basic data for preventing adolescents‘ runaway and for diversifying runaway shelters suitable for the problem of individual adolescent. Method:128 adolescents who stay in the runaway shelters were asked to complete self-report qeustionnaires including basic sociodemographic data, Child Behavior Check List(CBCL), Minnesota Multiphasic Personality Inventory(MMPI), and Symptom Check List-90-Revised(SCL-90-R). Korean Wechsler Adult Intelligence Scale(K-WAIS)[or Korean Educational Developmental Institute-Wechsler Intelligence Scale for Children(KEDI-WISC)] and Bender-Gestalt test(BGT) were also done by clinical psychologists. Results:The most common age of the subjects were 15-year-old, and they dropped out their schools in the middle school most commonly. Mostly they were from middle class family and their parents' educational level were high school graduates. The first runaway episode was most common in the middleschool period, and their runaways were repeated. The most common frequency of runaways were more than 10 times. About 10% of them abused drugs and about 80% of them abused alcohol. One third of them had experiences of illegal problems and 10% of them engaged in sexual activity for money. 95 adolescents(83%) in CBCL, 42 adolescents(36%) in SCL-90-R, and 70 adolescents(69.3%) in MMPI showed clinical significance. In intelligence test, 22 adolescents(22%) were mentally retarded. In BGT, 35 adolescents(39.4%) manifested brain dysfunction signs. Conclusion:Runaway adolescents in the shelters have variable and severe psychopathology. Their psychopathology is classified as follows;The behavior disorder group, the mood disorder group with anxiety/depression, the somatic disorder group with somatic symptoms, and the psychosis group with possibility of severe psychopathology. Therefore it is very important to evaluate psychiatric problems of runaway adolescents, and specific therapeutic interventions according to their problems are required.

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ATTACHMENT AND PSYCHOPATHOLOGY (애착과 정신병리)

  • Choi, Jee-Eun;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.40-60
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    • 2004
  • Introduction:Research on attachment in view point of the developmental perspective which began in the 1940s progressed during several decades. Many investigators focused mother-child separation in early attachment studies, and moved to the relationship with childhood psychopathology. Recently attachment theory and research are moving forward along the intergenerational transmission of attachment patterns, and adolescents and adult mental disorders in the developmental perspectives. Methods:We surveyed the research papers through Medline search, attachment-related monographs, and review or original papers published in Korean journal. Results:Developmental attachment researches have demonstrated convincingly that insecure attachment in infancy is associated with attachment disorder; several childhood psychopatholgy, such as institutional care and adoption, aggression and behavioral problems, childhood anxiety disorders and depressive disorders, gender identity disorder and feeding disorder, and child abuse and maltreatment; peer relationship and social competency, and parental behaviors. Recently the methodological advances including the Adult Attachment Interview that systematically assesses the adults' recollections of the earlier parent-child relationship they experienced could move beyond attachment researcher's initial concern with infancy to consider attachment processes throughout the life span. We could find that the quality of attachment was associated with several mental disorders in adolescents and adults significantly. Conclusion:Attachment theory would have focused on more specific parent-child relationship than general parental behavior. Recent attachment theory underscores its evolutionary origins to promote development of infant and contribute to human survival in psychobiological bases. Advances in attachment research could unite interests in evolutional biology and developmental psychology in understanding early parent-child relationship, and apply to clinical issues concerning mental health throughout the life span.

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Study of Radiological Approach to Treat a Chronic Constipation (만성변비환자의 방사선학적 접근방법에 관한 고찰)

  • Yoon, Seok-Hwan
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.5-12
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    • 2004
  • I. Introduction : The constipation is one of the common gastrointestinal symptoms seen in the clinical practice. When people come to the clinic complaining of the constipation, it is generally one of the cases of infrequent, painful or difficult evacuation as well as the hardened feces and unsatisfactory evacuation sense. Since the constipation is heavily influenced by dietary habit as well as the social and medical environment, the diagnostic radiology is useful to establish the objective and standardized definition in consideration of those various factors before diagnosis and treatment of the constipation patient. This paper describes the study of such diagnosis. II. Main Subject : Testing of CTT (colon transit time) is key study of the colon performance. CTT is very helpful in classifying the pathologic physiological types and defining the treatment plan for the chronic constipation. The study methods include using the radipaque marker, multiple marker technique and scintigraphic measurement. The defecography is the functional radiologic examination a that provides not only the anatomical information of anorectal but also performance of the pelvic floor and rectal change during evacuation. Study of dynamic movement of the anorectal during evacuation is helpful for diagnosis and treatment planning as well as follow-up testing for the constipation patient. One of the issues essential for the case history is the thorough observation of whether the patient shows the psychic psychological symptoms such as the behavior disorder or emotional disturbance. In that case, the decision must be made whether or which type of medication is needed for such psychiatric problem. III. Conclusion : The main causes of the constipation are insufficient intake of fiber or liquid. The key objective of such tests is to check etiology of the constipation. In general, the radiological examination does not provde the colon or anorectal performance information. It is envisaged that this study will provide the information to decide the testing and treatment plans and predict the prognosis of the patient by classifying the pathologic physiological types.

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Evaluation of Social Nicotine Dependence Using the Kano Test for Social Nicotine Dependence (KTSND-K) Questionnaire in Korea (Kano Test for Social Nicotine Dependence(KTSND-K) 설문지를 통한 한국인의 사회적 니코틴의존성의 평가)

  • Jeong, Jae Hee;Choi, Sang Bong;Jung, Wou Young;Byun, Min Gwang;Park, Moo Suk;Kim, Young Sam;Kim, Se Kyu;Chang, Joon;Yoshii, Chiharu;Kim, Sung Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.5
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    • pp.365-373
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    • 2007
  • Background: Smoking is one of the most important leading causes of morbidity and mortality. Smoking habit is recognized as nicotine dependence, which consists of physical and psychosocial dependence. To evaluate social nicotine dependence, the Kano Test for Social Nicotine Dependence (KTSND) working group developed a new questionnaire, which consists of 10 questions with a total score of 30 in Japan. We examined the social nicotine dependence among healthy adults using the new KTSND questionnaire and evaluated validity of the KTSND questionnaire in Korea. Method: We applied Korean KTSND questionnaire version 2 to employees of hospital, university students and people for medical examination and promotion test. Complete data obtained from the 741 responders were analyzed. Result: The mean age of responders was 31.8 years. Among them, males were 57.8%. Current smokers, ex-smokers, and non-smokers were 13.8%, 12.8%, and 73.4% respectively. According to smoking status, the total KTSND scores of current smokers were significantly higher than those of ex-smokers, and of non-smokers ($17.1{\pm}5.4$ versus $14.3{\pm}5.5$, and $12.3{\pm}5.5$, $p{\leq}0.001$). The total KTSND scores of males were higher than those of females, suggesting that males have a propensity for depending nicotine socially much more than females ($14.3{\pm}5.7$ and $11.7{\pm}5.4$ respectively, p<0.001). Eight of ten questions produced significantly different scores among three different smoking groups. When current smokers were sub-classified by heavy smoking index (HSI) that represented physical nicotine dependence, we did not find a significant difference of KTSND score between low HSI group (<4) and high HSI group (${\geq}4$), This finding suggested that the psychosocial dependence might play a different role from physical nicotine dependence in smoking. Most of the non-smokers (62.5%) had an experience of harmful passive smoking especially in public place. Conclusion: Our study suggested that the KTSND questionnaire could be a useful method to evaluate psychosocial aspects of smoking.

Discussions on the Distribution and Genesis of Mountain Ranges in the Korean Peninsular (III): Proposing a New Mountain Range Map (한국 산맥론(III): 새로운 산맥도의 제안)

  • Park, Soo-Jin;Son, Ill
    • Journal of the Korean Geographical Society
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    • v.43 no.3
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    • pp.276-295
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    • 2008
  • Recent disputes on mountain ranges in Korea have partially been derived from the discordance of the spatial distribution and the extent of mountain ranges presented by different researchers and school textbooks. The lack of consensus on the definition and genesis of mountain ranges adds further confusion. In order to overcome these problems, it is necessary to provide genetically classified mountain range maps for different usages, map scales and educational purposes. This paper first argues that mountain ranges and mountain ridges should separately be used as different conceptual frameworks to explain complex spatial distribution of mountains in Korea. The new mountain range map (sanmaekdo) proposed in this research puts strong emphasis on tectonic movement and denudational processes to explain the spatial distribution of mountains. The new mountain range map has 15 mountain ranges (sanmaek: in total, which are further divided into 7 primary and 8 secondary mountain ranges. The new mountain range map eliminates Jeogyuryeongsanmaek, Myohyangsanmaek, Myeoraksanmaek, and Masingnyeongsanmaek from the existing map, since these have a vague definition and obscure spatial distribution. On the contrary, few new primary mountain ranges (Gilju-Myeongcheonsanmaek, Yangsansanmaek, Jirisanmaek) and secondary mountain ranges (Wolchulsanmaek and Buksubaeksanmaek) are added to the new mountain range map. Other mountain ranges also show a large difference both in their spatial distribution and the extent of mountain ranges, compared with the previous map. This is especially the case for Nangnimsanmaek, Hamgyeongsanmaek, Taebaeksanmaek, and Sobaeksanmaek. A few new names are also assigned to Macheollyeongsanmaek (Baekdusanmaek), Gwangjusanmaek (Hwaaksanmaek), Charyeongsanmaek (Chiaksanmaek), and Horyeongsanmaek (Naejangsanmaek), even though they show similar spatial distribution patterns with the ones in the existing map.

A Comparative Analysis of the Rental-car and non-Commercial Passenger Car Accident Characteristics in Jeju Island (제주지역 렌터카 및 비사업용 승용차 사고특성 비교분석)

  • KWON, Yeongmin;JANG, Kitae;SON, Sanghoon
    • Journal of Korean Society of Transportation
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    • v.35 no.2
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    • pp.105-115
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    • 2017
  • Each year, a number of tourists visit Jeju Island, a popular tourist destination in the Republic of Korea. A large portion of the tourists (about 61%) use a rental car as a means of transportation. With this reason, the number of rental cars registered in Jeju was 15,517 in 2011, while the total number of the rental car has rapidly increased to 26,338 in 2015. For the same period, the number of rental car involved traffic accidents has been doubled. Thus, this study aims to analyze the rental car accidents' characteristics, clarifying primary factors related to rental car accidents in Jeju Island. To do this, 918 rental car accidents and 4,201 non-commercial passenger car accidents that occurred in Jeju island over the two years (2014-2015) were compared, using statistical methods such as chi-square test and z-test. The results show that the characteristics of rental car involved accidents are different from those caused by the passenger cars. Most of the rental car accidents in Jeju were caused by young drivers and drivers who had just obtained their driver's licenses. This study finds that driver immaturity, unfamiliar geography, and driving an unfamiliar vehicle are the main causes of the rental car accidents. Statistical analysis confirms that the characteristics of these accidents appeared significantly different from the passenger cars in terms of human and environmental factors. On the other hand, there is no clear evidence that vehicle-related characteristics are different between rental car and non-commercial passenger car accidents. The implications on transportation safety analysis and effective solutions to prevent rental car traffic accidents are discussed.

Correlation Analysis of Sewer Integrity and Ground Subsidence (하수관로 건전도와 도로함몰 발생 상관관계 분석)

  • Kim, Jinyoung;Kang, Jaemo;Choi, Changho;Park, Duhee
    • Journal of the Korean GEO-environmental Society
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    • v.18 no.6
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    • pp.31-37
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    • 2017
  • In recent years, the increasing trend of ground subsidence in major cities has caused social problems. Aged sewer pipeline as a main attribute for the subsidence is simply replaced and maintained according to a survey result with related to its buried period. However, other attributes and risk analysis for the subsidence have not been well studied yet. In this point, this study proposed various environmental and structural attributes with related to sewer pipelines and, then, a method of ground subsidence risk evaluation with a certain level of reliability. In order to find effective attributes to ground subsidence near to sewer, the nearest sewerage data were extracted at the location of subsidence in the City of Seoul, and a level of correlation was analyzed between subsidence and individual attribute. The effective weight factors for the proposed attributes was estimated through AHP analysis and its applicability was verified by comparing the actual subsidence data to the risk evaluation in the pilot study district of Seoul.

소비효율성 개념을 이용한 혁신의 이해

  • 박찬수;이정동;오동현
    • Proceedings of the Technology Innovation Conference
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    • 2003.06a
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    • pp.41-56
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    • 2003
  • 다양한 제품들이 존재하는 시장에는 타 제품에 비하여 품질대비 가격이 낮은 혁신적인 경쟁력있는 제품과 그렇지 못한 제품들이 혼재하고 있다. 그러나 정보의 부족(limited information), 제한적 합리성(bounded rationality) 등 여러 가지 원인으로 인하여 혁신적인 제품들만이 소비자들에게 선택되어 소비되는 것은 아니다. 본 연구에서는 이러한 현상을 설명하기 위하여 소비효율성(consumption efficiency)라는 개념을 도입, 제시하고자 한다. 만약 소비효율성이 극도로 낮다면 혁신적인 제품을 내어놓는다 하더라도 소비자들에게 선택되어 이윤이 발생될 확률이 낮기 때문에 생산자 입장에서는 혁신의 유인(innovation incentive)이 낮아질 수밖에 없게 된다. 이처럼 소비효율성의 문제는 혁신의 유인과 결과를 이해하는데 중요한 단초를 제공할 수 있게 된다. 이에 반하여 혁신을 이해하기 위한 기존의 분석틀은 생산경제이론(production economics)에 기반하고 있고, 효율성의 개념도 생산효율성(production efficiency) 혹은 기술적 효율성(technical efficiency)의 범주에서 다루어져 왔다. 본 연구에서 제시하는 소비효율성의 개념은 효용이론에 근거하고 있다는 점에서 기존 연구와 차별화된다. 본 연구는 효용함수 극대화이론에서 출발하여 경계헤도닉함수(frontier hedomic function)을 도출하는 이론적 유도과정을 제시한다. 실증분석을 위해서는 SFA(Stochastic Frontier Analysis)의 방법론 체계를 적용하였다. 제시된 분석틀은 국내 PC산업의 데이터에 적용되었다. 분석의 결과 몇 가지 가정하에 국내 PC산업이 약 13%정도의 비효율성을 안고 있는 것으로 판단할 수 있으며, 초기혁신구매자(early adopter)들은 일정 정도의 비효율성을 기꺼이 감수할 것으로 분석되었다. 궤적 분석에서는 각 산업별 기술의 특성을 분석하는 것으로, 특정 기술 지식의 활용 기간을 통해 기술 주기를 도출하고, 산업 내 평균 권리 청구 항목 수를 이용하여 각 산업의 기술 범위를 비교하였다. 각각의 동적 분석을 통해 시간에 따른 변화 양상이 관찰하였고, ANOVA 분석을 이용하여 통계적 유의성을 검증하였다. 본 연구는 현재의 기술 패러다임 내에서 Pavitt이 제시한 산업 분류의 근거를 보충 설명하였고 특허 정보를 이용하여 기술혁신의 산업별 유형에 대한 폭넓은 분석방법을 제시하였다.별 시간대별 효과분석을 통하여 정책의 시행여부가 결정되어야 할 것이다. 한편, 화물전용차선의 설치로 인한 물류비용의 절감을 보다 효과적으로 달성하기 위해서는 종합류류 전산망의 시급한 구축과 함께 화물차의 적재율을 높이고 공차율을 낮출 수 있는 운송체계의 수립이 필요한 것으로 판단된다. 그라나 이러한 화물전용차선의 효과는 단기적인 치유책일 수밖에 없기 때문에 물류유통 시설의 확충을 위한 사회간접자본의 구축을 서둘러 시행하여야 할 것이다.으로 처리한 Machine oil, Phenthoate EC 및 Trichlorfon WP는 비교적 약효가 낮았다.>$^{\circ}$E/$\leq$30$^{\circ}$NW 단열군이 연구지역 내에서 지하수 유동성이 가장 높은 단열군으로 추정된다. 이러한 사실은 3개 시추공을 대상으로 실시한 시추공 내 물리검층과 정압주입시험에서도 확인된다.. It was resulted from increase of weight of single cocoon. "Manta"2.5ppm produced 22.2kg of cocoon. It is equal to 9% increase in index, as compared to that of control. In case of R-20458, the increasing

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Forensic Geology : New Pioneer in Geological Area (과학수사지질학(Forensic Geology)의 출현: 새로운 지질학 영역의 구축)

  • Lee, Ok-Sun;Kim, Seong-Yong
    • Economic and Environmental Geology
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    • v.40 no.5
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    • pp.705-711
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    • 2007
  • We should treat carefully the one related to human rights among a large number of decision-making in our daily lives. As it is necessary to obtain physical evidences in the process of criminal investigation for solving a certain crime based on the principle of evidence, it leads to an increase in demand for forensic science and forensic geology. Forensic geology could be regarded as a fusion discipline of geology and forensic investigation and it is principally concerned to the study on the connection of a suspect and a crime scene with soil evidence which could be experimented using geological data and methods. So these results could be used as valuable information in a court. After its academic foundation has been builded since the last 1970s, its research objects have been expanded from soil evidence like rocks, minerals, soils, sediments to sociocultural, political, military and medical objects like ancient relics, mines, corpses. Its role is expanded from the simple finding of a particular location to the examination of archaeological theories and historical facts, the testimony of the cause of environmental pollution and the chronic demonstration of geological distribution of plants and anthropological origination. And these bring this discipline promptly to accept developed geological methodologies and to satisfy various forensic geological needs. Specialized forensic investigation institutes work actively for the R&D activities of forensic geology. In Korea, national institute of scientific investigation works a small part of forensic geological activities in total activities of forensic investigation. In conclusion, we concern to the importance of systematic discussion of building in proper position of forensic geology through its R&D methods, application cases of its performance and etc. based on geological characteristics in our country by a specialized geoscience institute.