• Title/Summary/Keyword: 섭식문제

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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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SMITH-MAGENS SYNDROME (SMS) : A CASE REPORT (Smith-Magenis Syndrome (SMS) 환아의 증례 보고)

  • Kim, Eun-Young;Lee, Keung-Ho;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.341-347
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    • 2003
  • Smith-Magenis syndrome (SMS) is a clinically recognizable multiple congenital anomaly and mental retardation syndrome caused by an interstitial deletion of chromosome 17 p11.2. Physical features include short stature, characteristic facial appearance: flattened mid-face, down-turned mouth, prominent and often rosy cheeks; prominent jaw in older children and adults, chronic ear infections, hearing impairment, eye problems, including: strabismus (an eye which turns in or out) and myopia (nearsightedness), hoarse voice, short fingers and toes, heart defects or murmurs, problems related to the urinary system, scoliosis (curvature of the spine), an unusual gait (walking pattern), and decreased sensitivity to pain. Behavioral and developmental characteristics include speech delay and articulation problems, developmental delay, learning disability, mental retardation, hyperactivity, self-injury, including: head banging; hand biting; picking at skin, sores and nails; pulling off finger- and toenails; inserting foreign objects into ears, nose, or other body orifices, explosive outbursts, prolonged tantrums, destructive and aggressive behavior, excitability, arm hugging or hand squeezing when excited. This report is the case of a Korean 3-year-3-month old male with Smith-Magenis syndrome referred from local clinic for the treatment of dental caries. The patient was treated by physical restraint after prophylatic administration of antibiotic(Amoxacillin 50mg/kg).

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Influence of Wood Decaying Fungi for Termite Ecology (목재부후균이 흰개미 서식에 미치는 영향)

  • Jo, Chang-Wook;Kim, Young-Hee;Hong, Jin-Young;Kim, Soo Ji;Lee, Jeung-Min;Choi, Jung-Eun
    • 보존과학연구
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    • s.33
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    • pp.99-108
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    • 2012
  • The white-rot fungus (Trametes versicolor) and brown-rot fungus (Tyromyces palustris), which cause damage to a variety of wooden cultural properties and buildings, such as drying of the wood tissue, decay and cracks, sponge, and discoloration, give rise to serious structural and aesthetic problems. Moreover, pest termites (Reticulitermes speratus kyushuensis Morimoto) can cause damages like hollowing the outdoor beams or pillars of wooden buildings and finally causing such buildings to collapse due to the termites' destruction of the inside of the beams or pillars, leaving only a thin layer on their surfaces. This study was conducted to determine the impact of the wood-decay fungus, a representative damage-causing microorganism, and of insects and termites on the termite ecology. The damage ratio was calculated as the weight of the timber, and the overall total mass was reduced from two kinds of rot fungi. The white-rot fungi reduced the total wood mass, but the brown-rot fungi were observed to have had an increasing tendency to do so. The wood mass was measured after drying to determine the destruction capacity of termites. As a result, the wood mass consumed by the brown-rot fungi was shown to be greater.

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ORTHODONTIC AND PROSTHODONTIC TREATMENT IN CLEFT LIP AND PALATE PATIENT (순/구개열 환자에서의 교정-보철 치험례)

  • Chang, Weon-Suk;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.3
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    • pp.388-393
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    • 2000
  • Cleft lip and palate is one of the most common congenital defects in oro-maxillo-facial region. Because most patients undergo surgical repair in early life, the sagittal jaw relationships used to be deteriorated gradually from palate surgery up to adulthood. Also, the maxillary lateral incisor may be absent or atypical-shaped in the cleft site and may not erupt or erupt ectopically, so multidisciplinary dental cares are needed for cleft lip and palate patients. The effects of the cleft lip and alveolus seem to be limited to that part of the dentofacial complex that surrounds the cleft area. In the maxillary arch, the anterior part of the non cleft segment has a tendency to be rotated forward. On the other hand, the cleft segment has a tendency to rotated slightly medially ; hence, the tendency for canines to be edge-to-edge and sometimes in crossbite. Lip and alveolus surgery adequetely correct these problems, with little untoward effect on the skeletal maxillary-mandible relationships. In this report, the patient has a repaired lip and cleft alveolus on the left side with congenital missing on '62, '22, oronasal fistula, and skeletal class III malocclusion which is not affected by lip surgery. Dental treatments for this patient including orthodontic(space supervision, functional regulator in mixed dentition, fixed therapy in permanent dentition) and prosthodontic(removable obturator with key and keyway attachment and Konus crown) therapy were performed to improve the patient's functions and esthetics.

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정형외과 모의수술을 위한 원격 시뮬레이터의 개발에 관한 연구

  • 최수미;김명희
    • Proceedings of the Korea Society for Simulation Conference
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    • 1996.05a
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    • pp.6-6
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    • 1996
  • 컴퓨터 통신망의 활용이 각 분야에서 걸쳐서 점차 확대되고 있으며 의료 분야에서도 원격진료(tele-medicine), 원격교육(tele-education), 원격수술(tele-surgery) 등에 대한 시스템 개발이 관심을 끌고 있다. 본 연구에서는 초고속 정보통신망 환경에서 정형외과 모의수술을 하기 위한 시뮬레이터의 프로토타입을 구현하였다. 원격 모의수술 시뮬레이터를 구축하기 위해서는 CT, MRI와 같은 의학영상 처리, 다지점간의 회의를 제어할 수 있는 통신 제어, 환자의 진료를 위한 멀티미디어 데이터의 저장 및 검색을 위한 데이터베이스 구축 등 다양한 기술들의 총체적인 결합이 요구되어진다. 구축 시뮬레이터는 세가지 주요 서브 시스템으로 구성된다. 첫째, 원격 시뮬레이션을 위한 전반적인 관리, 운영, 제어를 담당하는 수술회의 시스템, 둘째, 모의수술을 가능케 하기 위한 2차원 영상의 전처리 3차원 영상 재구성 및 조작을 통한 모의수술 시스템, 셋재, 멀티미디어 환자 자료의 검색 및 관리를 하기 위한 데이터베이스 운영시스템으로 구성된다. 제안된 원격 모의수술 시뮬레이터는 서버-클라이언트 구조를 기반으로 하고, 여러명의 의사가 공동작업(CSCW: Computer Supported Cooperative Work)에 의해 모의수술을 할 수 있도록 공용 윈도우를 기반으로 한 그래픽 사용자 인터페이스를 제공한다. 멀티미디어 의료 데이터의 전송은 TCP/IP 프로토콜을 사용하고, 사용자 인터페이스는 X-window를 이용하여 구축하였다. 본 시뮬레이터는 SUN Server 1000을 서버로 하고, 두대의 SDT Workstation을 클라이언트로 하여 Ethernet 환경에서 구현 및 검증하였다. 또한 ATM Network에서 본 시뮬레이터를 시험함으로써 국책 사업으로 구축되는 초고속 정보통신망 환경에서의 사용 가능성을 입증하였다. 판단된다.원과 섭식장소, 수중생물의 경우는 특히 수온, 수량 영양원등이다.(중략). 본 연구의 접근방법으로는 ASRS의 개념적인 Reference Model을 수립하고 이 Reference Model에 대한 Formal Model로 DEVS(Discrete Event System Specification)을 이용하여 시스템을 Modeling하였다. 이의 Computer Simulation을 위하여 DEVS형식론 환경에서의 Simulation Language인 DEVSim ++ⓒ를 이용하여 시스템을 구현하였다.. 실형 결과로는 먼저 선형 상미분방정식의 예로 mass-damper-spring system, 비선형 상미분방정식의 예로는 van der Pol 방정식, 연립 상미분방정식의 예로는 mixing tank problem 등을 보였으며, 그의 공학에서 일어나는 여러 가지 문제들도 다루었다.화물에 대한 방어력이 증가되어 나타난 결과로 여겨지며, 또한 혈청중의 ALT, ALP 및 LDH활성을 유의성있게 감소시키므로서 감잎 phenolic compounds가 에탄올에 의한 간세포 손상에 대한 해독 및 보호작용이 있는 것으로 사료된다.반적으로 홍삼 제조시 내공의 발생은 제조공정에서 나타나는 경우가 많으며, 내백의 경우는 홍삼으로 가공되면서 발생하는 경우가 있고, 인삼이 성장될 때 부분적인 영양상태의 불충분이나 기후 등에 따른 영향을 받을 수 있기 때문에 앞으로 이에 대한 많은 연구가 이루어져야할 것으로 판단된다.태에도 불구하고 [-wh]의미의 겹의문사는 병렬적 관계의 합성어가 아니라 내부구조를 지니지 않은 단순한 단어(minimal $X^{0}$ elements)로 가정한다. 즉, [+wh] 의미의 겹의문사는 동일한 구성요 소를 지닌 병렬적 합성어([$[W1]_{XO-}$ $[W1]_{

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Esophageal Reconstruction by Hypopharyngointestinal Anastomosis in Corrosive Upper Esophageal Stricture (부식성 상부식도 협착증에서 하인두-장 문합에 의한 식도재건술)

  • Park, Jae-Kil;Lee, Sun-Hee;Chang, Yun-Hee;Jin, Ung;Kwack, Moon-Sub;Kim, Se-Wha;Chun, Sung-Won
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.893-898
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    • 1998
  • Material and Method: Esophageal reconstruction by the hypopharyngointestinal anastomosis was done in 7 patients of corrosive upper esophageal stricture at St. Mary's Hospital from August 1995 to January 1997. Result: There were one male and six female patients ranging from 20 to 63 years of age. The causative agents were acid in 6 patients and alkali in 1 patient. The esophageal reconstruction was made by hypopharyngcolojejunostomy in 4 patients and hypopharyngocologastrostomy in 3 patients. There were no operative mortalities. One patient developed anastomotic stenosis but others were free from dysphagia. All gained 4 kg to 13 kg of body weight during the follow-up period. Conclusion: In this experience right colon and terminal ileum including ileocecal valve was revealed as a good substitute for the esophagus and the esophageal reconstruction by hypopharyngocologastro (jejuno)stomy seems to be a satisfactory method with acceptable morbidity and mortality in corrosive upper esophageal stricture patient.

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Relationship of Riboflavin and Niacin with Cardiovascular Disease (심혈관 질환과 리보플라빈 및 나이아신과의 상관성 연구)

  • Ahn, Ji Yeong;Kim, In Sik;Lee, Ji-Sook
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.4
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    • pp.484-494
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    • 2019
  • Cardiovascular disease is caused by different factors. These factors include innateness factors such as aging, biological factors such as high blood pressure, and environmental factors such as stress. This study examined the factors associated with cardiovascular disease and the ways to reduce its prevalence by analyzing the data within the Korean National Health and Nutrition Examination Reports from 2013 to 2017, and particularly the survey and examination data for people over 50 years old. The study population was divided into two groups: members of the first group consumed riboflavin and niacin at the recommended rate while those in the second group did not. Riboflavin intake was correlated with hypertension, hyperglycemia, and a low HDL-cholesterol level, whereas niacin intake was correlated with hypertension, hyperglycemia, waist size, and a low HDL-cholesterol level. The combination of niacin and riboflavin intakes was correlated with hypertension, hyperglycemia, waist size, and a low HDL-cholesterol level (P<0.05). The combined intake of the recommended levels of riboflavin and niacin reduced the average physiological factor abnormality rate to 80%. Taken together, the beneficial effects of riboflavin and niacin can reduce the prevalence of cardiovascular disease.

도시 지역 중년여성의 비만도에 따른 체형인식 및 체중조절태도 비교 연구

  • 정인경;권성옥;이일하
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1076-1076
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    • 2003
  • 최근 소득수준의 향상 및 식생활 습관의 서구화로 비만 유병율이 증가하면서 체중조절에 대한 관심이 급증하였다. 그러나 신체적 매력 중에서 날씬함을 너무 강조하는 사회적 분위기 등의 영향으로 자신의 체형을 왜곡되게 인식함으로써 이에 따른 신체에 대한 불만족은 무분별한 체중조절을 시도하도록 자극하는 요인이 되고 있으며 이러한 무리한 체중조절은 신체적·심리적 장애를 초래하는 것으로 알려지고 있다. 그러나 체형인식 및 체중조절에 대한 연구는 주로 젊은 여성들을 대상으로 한 것이 대부분으로 중년여성을 대상으로 한 연구는 거의 없는 실정이다. 따라서 본 연구에서는 자기체형에 대한 관심이 점차 높아지고 있는 중년여성들을 대상으로 비만도에 따른 체형인식 경향을 파악하고 체중조절에 영향을 미치는 요인들을 알아보고자 하였다. 조사대상은 도시지역에 거주하는 40세 이상 중년여성 249명으로 일반사항, 체형인식 및 체중조절태도, 이상식행동 등에 대하여 설문조사를 실시하였다. 모든 자료는 SAS program을 이용하여 분석하였다. 조사대상자의 평균 연령은 48.5세였으며 평균 비만도(BMI)는 22.7로서 정상범위에 속하였다. 비만도에 따른 체중군별 분포는 정상체중군이 72.9%로 가장 많았으며, 저체중군이 6.7%, 과체중군이 20.4%이었다. 자기 체형에 대한 인식도를 체중군별로 비교해본 결과, 정상체중군의 40.1%만이 자신의 체형을 ‘표준체형’으로 올바르게 인식하고 있을 뿐, 8.1%는 ‘마른 체형’으로, 51.7%는 ‘살찐 체형’으로 잘못 인식하고 있는 것으로 나타났다. 특히, 저체중군의 37.5%는 자신의 체형이 ‘표준체형’이라고 인식하고 있었다. 이상적으로 생각하는 체형에 대하여 조사대상자의 80.9%가 ‘표준체형’이라고 응답하였으며, 8.7%는 ‘마른 체형’을, 10.4%는 ‘살찐 체형’을 선호하는 것으로 나타났다. 자기 체형에 대해 조사대상자의 55.8%가 ‘불만족하다’ 고 응답한 반면 ‘만족하다’ 고 응답한 경우는 11.1%에 불과하였다. 그러나 체중조절에 대한 관심도는 체중군별로 비교해 보았을 때, 과체중군이 저체중이나 정상체중군에 비해 유의하게 높았다. 지난 1년 동안의 체중 감량 경험 여부를 조사해본 결과, 과체중군의 77.1%, 정상체중군의 65.3%, 저체중군의 62.5%가 체중감량 경험이 있는 것으로 나타났다. 체중감량 이유를 묻는 문항에 과체중군과 정상체중군의 경우 ‘건강을 위해서’라고 응답한 경우가 가장 많은 반면 저체중군의 경우 ‘체중이 증가되었기 때문에’라고 응답한 경우가 가장 많아 체중군별로 유의적인 차이를 나타냈다. 조사대상자의 53.8%가 체중감량을 하는 중 부작용을 경험한 적이 있는 것으로 나타났으며, 유의적인 차이는 없었으나 저체중군이 과체중이나 정상체중군에 비해 체중감량에 따른 부작용 경험자의 비율이 높았다. 이상식행동을 측정한 결과, 과체중이나 저체중군이 정상체중군에 비해 이상식행동 점수가 유의적으로 높았다. 세부요인별로 비교해 보았을 때, 체중조절에 대한 집착과 식이조절점수는 과체중군이 가장 높았으나, 섭식통제 관련 식행동 점수는 저체중군이 가장 높았다. 이상의 결과를 종합해 볼 때, 중년여성들의 경우 대부분이 자신의 실제 체형에 대하여 그릇된 인식을 갖고 있었으며, 체중을 감량하기 위해 지속적으로 노력하는 것으로 나타났다. 특히 저체중군의 경우 건강보다는 외모 때문에 무리한 체중감량을 시도하고 있었으며 이상식습관과 관련된 식행동 점수가 높은 경향을 보여 영양 및 건강 상태에 문제가 발생될 수 있을 것으로 생각된다. 따라서 중년여성들에게 자신의 체형과 이상체형에 대한 올바른 인식을 갖고 표준 체중을 유지할 수 있도록 지속적인 영양교육이 이루어져야 할 것으로 생각된다.

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Review and Suggestions for Applying DNA Sequencing to Zooplankton Researches: from Taxonomic Approaches to Biological Interaction Analysis (동물플랑크톤 연구에 있어 DNA 분석 기법의 활용 방법과 과제: 개체 동정에서 군집 분석, 생물학적 상호작용 분석까지)

  • Oh, Hye-Ji;Chae, Yeon-Ji;Choi, Yerim;Ku, Doyeong;Heo, Yu-Ji;Kwak, Ihn-Sil;Jo, Hyunbin;Park, Young-Seuk;Chang, Kwang-Hyeon;Kim, Hyun-Woo
    • Korean Journal of Ecology and Environment
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    • v.54 no.3
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    • pp.156-169
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    • 2021
  • Traditional morphological identification difficulties, such as phenotypic plasticity, misidentification of cryptic species, and larval stage species, can be compensated for by using DNA analysis techniques, such as DNA barcoding, in surveying zooplankton populations, including species identification. Recently, the rapid development of DNA sequencing techniques has allowed DNA-based community analysis not only for zooplankton assemblages in various aquatic ecosystems but also for the gut contents of zooplankton that are limited by conventional methods such as visual and microscopic identification. Therefore, the application of DNA sequencing can help understand biological interactions through the analysis of zooplankton food sources. The present paper introduces the major DNA-based approaches in zooplankton research topics, including taxonomic approaches by DNA barcoding, community-level approaches by metabarcoding, and gut content analyses, summarizes the analysis methods, and finally suggests the methodological topics that need to be considered for future applications.

A Qualitative Study on Coping strategies of Older adults with Depression: Focused on the Experience of Coping with Depression in Older Adults Living in Seoul (노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로)

  • Eo, Yugyeong;Ko, Jung Eun;Kim, Soon Eun
    • 한국노년학
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    • v.37 no.3
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    • pp.583-600
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    • 2017
  • The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.