• Annals of Clinical Neurophysiology
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• 제4권2호
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• pp.114-118
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• 2002

Backgrounds : Carpal tunnel syndrome (CTS) is a common condition that is usually diagnosed by electrophysiologic studies. However, CTS provide limited information to determine the causes of CTS and to choose the treatment method. We evaluated diagnostic sensitivity of MR imaging and treatment decisions by MR imaging in electrodiagnosed CTS. Methods : 14 patients (26 wrists) with electrodiagnosed CTS were studied using MR imaging. In 26 wrists for which axial T1 & T2 weighted images were obtained at 1.5T with a decided wrist coil. Previously described MR imaging of CTS such as increased median nerve signal, flattening of median nerve, reticular bowing, tenosynovitis and space occupying lesions were retrospectively evaluated. Degree of improvement was evaluated by global symptom score (GSS). The GSS rated symptoms from 0 (no symptoms) to 10 (severe) in each of five categories: pain, numbness, paresthesia, weakness/clumsiness, and nocturnal awakening. Subjects' GSS was recorded at baseline, 2 weeks, 1 month, 6 months after treatment. We decided to medical treatment that showed mainly inflammatory sign such as increased median nerve signal, tenosinovitis and to surgical treatment such as space occupying lesion, high canal pressure sign. Results : MR imaging showed that increased median nerve signal were in 20 wrists (77%), flattening of median nerve were in 6 wrists (23%), reticular bowing were in 3 wrists (12%), tenosynovitis were in 8 wrists (32%), decreased canal size in 2 wrists (7.6%), space occupying lesion were in 1 wrist (4%). A good outcome was revealed in 21 wrists by medical treatment that showed mainly increased median nerve signal, tenosynovitis. The mean GSS were 27.7 at baseline, 11.2 at 2 weeks, 11.0 at 6 months in medical treatment group. Another 5 wrist had surgical treatment shown by ganglion and high canal pressure sign such as median nerve flattening, reticular bowing, decreased canal size: 3 wrists had good prognosis, but 2 wrists (one patient) had no significant improvement due to small carpal tunnel size. Conclusions : Our results are in agreement with most previously described MR imaging signs of CTS. MR imaging plays an important role in several cases and especially in the assessment of failure of surgical treatment. Knowledge of MR findings may permit more rational choice of treatment.

• 대한한방내과학회지
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• 제28권4호
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• pp.751-757
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• 2007

Objectives : The aim of this study was to provide basic background information on stroke by evaluating various etiological factors on the basis that the onset time of cerebral infarction varies according to its cause. Methods : We studied hospitalized patients within 4 weeks after their ictus who were admitted at Kyunghee OMC, Kyungwon OMC, or Donguk Ilsan OMC from [month] $1^{st}$, 2005 to June $30^{th}$, 2007. We compared the general characteristics of acute stroke patients according to onset time. Results : Regardless of the onset time, the distribution of cerebral infarction patterns showed high SVO. The onset time did not show significant difference for average age, height, weight, BMI, waist measurement, hip measurement, or waist/hip ratio between onset during sleep and awakening. Patients whose stroke occurred while awake were more likely to have a past history of HTN, DM, ischemic heart disease, or atrial fibrillation but did not show significant difference according to their onset time. Conclusions : The above results show that the overall tendency of acute stage cerebral infarction patients varies according to their onset time. This study was carried out on the basis of previous findings that cerebral infarctions that occurred during sleep were more likely to have been caused by cerebral thrombosis, and strokes that occurred while awake were more likely to have been caused by cerebral embolism. However, there were no statistically relevant results, so a larger study group is needed to research the tendency of stroke patients.

• 감성과학
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• 제15권4호
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• pp.453-468
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• 2012

본 연구는 라벤더(Lavandula angustifolia)향이 성인 남자의 뇌기능에 미치는 효능을 살펴보기 위해 뇌파 변화를 살펴보았다. 라벤더향이 감성에 미치는 효과에 대한 연구는 주로 여자를 대상으로 한 연구가 많고 남자를 대상으로 한 연구가 거의 없다. 따라서 본 연구에서는 신체적으로 건강한 20대 남자 성인(35명)을 대상으로 피츠버그 수면질 지수를 통하여 수면질을 조사하여 실험군과 대조군의 좋은 수면질과 나쁜 수면질의 네 군으로 분류하였다. 뇌파 전극을 10-20 국제법에 의하여 전두부(F3, F4), 측두부(T3, T4), 후두부(O1, O2), 두정부(P3, P4)에 부착하고 라벤더 향기요법 전 3분, 향기요법 중 3분, 그리고 향기요법 후 3분씩 나누어서 뇌파 검사를 시행하였다. 결과에서 수면질이 좋은 군에 라벤더향이 뇌파에 미치는 영향은 양쪽 대뇌반구의 두정부에서 델타파를 증가시키고 오른 대뇌반구 측두부에서 세타파를 증가시키며, 양쪽 대뇌반구의 두정부에서 알파파를 감소시켰다(p<0.05). 또한 라벤더향은 수면질이 나쁜 군의 왼 대뇌반구의 전두부에서 델타파와 양쪽 대뇌반구의 전두부에서 세타파를 증가시켰다(p<0.05). 결론적으로 라벤더향은 수면질이 좋은 남자 성인에서 각성 상태에 관련된 뇌파를 감소시키면서 수면 상태에 관련된 뇌파는 증가시키는 효능이 있었고, 수면질이 나쁜 남자 성인에서는 수면 상태에 관련된 뇌파를 증가시키는 효능이 있었다.

• 한국보육지원학회지
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• 제8권1호
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• pp.85-107
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• 2012

본 연구는 만화영화 <월-이(Wall-E)>의 의미를 분석하여 유아교육에 대한 시사점을 도출하고자 하였다. 분석방법은 Wolcott(1994)의 개념에 근거한 질적 자료 분석 방법 중 해석적 분석 모형을 사용하여 다음과 같은 연구결과를 도출하였다. 첫째, 지구는 오염되고 파괴되어 버려진 땅으로 나온다. 액시엄은 지구를 파괴한 주체인 나태한 사람들의 안식처로, 선장실은 각성과 변화의 실마리를 얻는 공간이 된다. 둘째, 시간이 지남에 따라 액시엄은 귀환도구로 역할을 하며, 지구는 고향, 터전으로 인식되어 인간이 돌아왔을 때는 희망의 땅이 된다. 셋째, 캐릭터 중 <월-이>는 변화의 주체가 되어 자신뿐 아니라 인간들까지도 변화시킨다. 인간의 욕심은 지구에서의 생태적인 삶을 파괴하였다. 그러나 사람들과 서로 관계 맺고, 지구를 살리는 노력을 한다면 인류를 지속가능한 발전으로 이끌 수 있다. 본 영화를 분석한 결과 생태적 미디어가 가지는 특성인 자연친화 및 예찬, 자연파괴 및 현대문명 비판, 생명의 존엄성, 생태의식 함양, 공존, 공생, 상생의 원리 등의 요소들을 발견할 수 있었고, 유아들의 생명에 대한 감수성을 기르는 데 도움이 될 것으로 기대한다.

• 전자공학회논문지SC
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• 제47권2호
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• pp.43-49
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• 2010

자율신경계는 불수의적 활동 기능을 조절해 주는 신경계통으로, 자율신경계의 활성 정도를 정량적으로 평가하기 위해 심박 변이도가 이용된다. 그러나 심박 변이도는 환경 변화나 심리 상태의 변화 등에 민감하게 반응하며, 자세와 수면 박탈에 의해서도 심박 변이도가 달라질 수 있다. 특히 전자파 자원자 연구에서는 자각 증상 및 인지 여부에 의한 수면 박탈로 심박 변이도가 달라질 수 있다. 이에 본 연구에서는 자세에 따른 수면 박탈 횟수와 심박 변이도를 30분간 6 stage에서 측정하였고, 앉은 자세와 누운 자세에서 측정된 심박 변이도를 비교하여 앉은 자세나 누운 자세에서 심박 변이도를 측정하는 실험에 어떠한 자세가 적합한지 결정하고자 하였다. 심박 변이도 분석은 전력 스펙트럼을 이용한 주파수 영역에서의 LF (low frequency) / HF(high frequency)를 이용하였고, stage 1을 100%로 하여 개인 및 성별에 따른 초기 LF/HF 차이를 상쇄시켜 주었다. LF/HF 증가는 교감 신경의 활성 증가를 나타내고 감소는 교감 신경의 활성 감소를 나타낸다. 교차 분석 결과 수면 박탈은 자세의 영향을 받는 것으로 나타났으며 (p=0.002), LF/HF에 대하여 자세만을 변수로 고려하였다. 앉은 자세에서 수면 박탈 횟수는 모든 stage에서 누운 자세보다 유의하게 적었다 (p<0.05). 자세는 LF/HF에 유의한 영향을 끼쳤으며 (p=0.033), 앉은 자세에서는 stage 1과 비교하여 LF/HF가 stage 4, 5, 6에서 유의하게 증가하였고 (p<0.05), 누운 자세에서는 stage 1과 비교하여 모든 stage에서 LF/HF가 유의하게 증가하였다 (p<0.05). 따라서 앉은 자세가 누운 자세보다 수면 박탈 횟수가 적고 LF/HF 변화가 작기 때문에 피험자가 깨어 있어야 하는 심박 변이도 측정 실험에 있어서 더 적합한 자세라고 사료된다.

• 산업경영시스템학회지
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• 제39권2호
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• pp.82-87
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• 2016

As contemporary society has become more complicated, specialized, and segmented, people are experiencing more diverse types of stress. In particular, while several factors associated with job stress have been examined among nurses, who belong to a professional group, the existing research has made no quantitative assessments of stress that reflect temporal differences in individuals. Therefore, the aim of this study is to understand the effects of job stress on alpha-amylase with regard to the working hours of nurses, to assess the variations in jobs stress over time, and provide basic data to improve the quality of nursing services. Ninety nurses working in three shifts in general, emergency, and intensive care wards of a university hospital in D City participated in this study. Salivary alpha-amylase (SAA) was extracted and analyzed at two-hour intervals from 07:00 to 15:00 from nurses on the day shift and from 23:00 to 07:00 from those working the night shift. The SAA level was highest between 23:00 and 01:00 for nurses in general wards ($mean{\pm}S.D.\;39.00{\pm}14.88$) and between 11:00 and 13:00 for those in both intensive care units and emergency wards ($mean{\pm}S.D.\;67.50{\pm}62.93$ and $mean{\pm}S.D.\;39.67{\pm}35.96$, respectively). The characteristic variation in SAA was significant between 23:00 and 01:00 (p < 0.01) and for those in their fifties or older (p < 0.01). The activation ratio of alpha-amylase, a stress reactant, showed an increase when the sympathetic nervous system was activated by mental stress; in addition, job stress was manifested with the effect of awakening at different time segments and at different ages among the nurses. With the aim of raising the level of service based on the nurses maintaining their mental health, it is necessary to focus sharply on the time segment for critical control and to conduct repetitive studies to determine the divisions of eustress critical values as well as to expand the population.

• 대한수학교육학회지:수학교육학연구
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• 제12권1호
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• pp.49-70
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• 2002

There have recently been increasing exchanges between South and North Korea in many areas of society, involving politics, economics, culture, education. In response to these developments, research activities are more strongly demanded in each of these areas to help prepare for the final unification of the two parts of the nation. In the area of mathematics education, scholars have started to conduct comparative studies of mathematics education in South and North Korea. As a response to the growing demand of the time, in this thesis we compared the secondary mathematics education in South Korea with that in North Korea. To begin with, we examined the background of education, in North Korea, particularly predominant ideological, epistemological and teaching theoretical aspects of education in North Korea. Thereafter, we compared the mathematics curriculum of South Korea with that of North Korea. On the basis of these examinations, we compared the secondary school mathematics textbooks of South and North Korea, and we attempted to suggest a guideline for researches preparing for the unification of the mathematics curriculum of South and North Korea. As a communist society, North Korea awards the socialist ideology the supreme rank and treats all school subjects as instrumental tools that are subordinated to the dominant communist ideology. On the other hand, under the socialist ideology North Korea also emphasizes the achievement of the objective of socialist economic development by expanding the production of material wealth. As such, mathematics in North Korea is seen as a tool subject for training skilled technical hands and fostering science and technology, hence promoting the socialist material production and economic development. Hence, the mathematics education of North Korea adopts a so-called "awakening teaching method," and emphasizes the approaches that combine intuition with logical explanation using materials related with the ideology or actual life. These basic viewpoints of North Korea on mathematics education are different from those of South Korea, which emphasize the problem-solving ability and acquisition of academic mathematical knowledge, and which focus on organizing as well as discovering knowledge of learners' own accord. In comparison of the secondary school mathematics textbooks used in South and North Korea, we looked through external forms, contents, quantity of each area of school mathematics, viewpoints of teaching, and term. We have identified similarities in algebra area and differences in geometry area especially in teaching sequence and approaching method. Many differences are also found in mathematical terms. Especially, it is found that North Korea uses mathematical terms in Hangul more actively than South Korea. We examined the specific topics that are treated in both South and North Korea, "outer-center & inner-center of triangle" and "mathematical induction", and identified such differences more concretely. Through this comparison, it was found that the concrete heterogeneity in the textbooks largely derive from the differences in the basic ideological viewpoints between South and North Korea. On the basis of the above findings, we attempted to make some suggestions for the researches preparing for the unification in the area of secondary mathematics education.

• 대한한의학방제학회지
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• 제11권1호
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• pp.57-90
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• 2003

The result of Bibliographic studies on the pathological mechanism of the sudden coma, we got the conclusion like this. 1. The sudden coma is an acute syndrome that refers to be a sudden fainting, an unconsciousness, an aphasia or a cold clammy limb, and immediately awakes or dies, and awakes in a short time, and if we awake, it doesn't leave over and above a sequela. 2. The clinical presentation of the sudden coma can be summarized as follows : The 1st is a disease raising the sudden death due to unconsciousness accompanied by wry mouth & sudden syncope with coma. The 2nd is simply the state of cold limbs. The 3rd is the meaning of the physique and symptomes of the six meridians. The last is the ancient method of expression in contrast of the beriberi. 3. The pathological mechanism of the sudden coma consists of the toxoid from outside, Qi and Xie, fatigue, damp phegm, the damage from seven emotions and the damage from five mental elements, especially the mental disorder due to the angry energy, causes the problems when the fleming-up of liver fire and the depressed of liver qi raise the physiological disorder. 4. Therapeutic methods of sudden coma are soothing the liver and remove stasis, soothing depression and circulating of the qi, calming the liver and suppressing yang. When that is early stage, at first, we must checking upward adverse flow of the qi after promoting the circulation of qi and awakening, and then, we must regulate excessive deficiency of yin yang by therapy that is based on differentiated in symptoms according to heat & cold, deficiency & excess, and use invigorating herb medicine for supporting vigour.

• 한국조경학회지
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• 제36권1호
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• pp.103-115
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• 2008

This paper investigates the historical significance of Independence Park in Korean landscape architecture by examining the idea and goal, master plan and scheme, and meaning and limitation of the park The construction was announced in July and began with the Independence Arch in the middle of September, 1896. Dr. Philip Jaisohn (Suh Jai-Pil), Counselor of The Privy Office and president of the Independence newspaper, played an important role in park construction. He formally advised the arrangements and general planning of the park, but he actually played a leading role in the park as much as he designed and superintended the erection of the arch. He had the conception of a productive park for cultivating and experimenting with a variety of trees surrounding the monument. In terms of the history of Korean landscape architecture, Independence Park is important in that it is the first modem city park that was tried independently as part of the modernizing-Seoul project and the only park of which object and scheme were revealed. It also strengthens the roots of Korean modem landscape architecture by pushing Korean history of public parks into the prior time to Japanese colonial period and enriches the contents of Korean modem landscape architecture. Independence Park is the original realization of a public park because it was constructed with participation and donations from the planning stage to the construction and use. In addition, it is the goal and means to inspire the spirit of national independence and patriotism in Korean people and lead them to voluntary awakening, enlightenment, and participation. Independence Park, however, was not constructed according to Dr. Jaisohn's original intent due to the lack of funds and the rudimentary level of landscape construction technology. In addition, the location was too far from downtown and accessibility was very difficult. For these reasons, many do not consider the park as having been constructed. However, this kind of view must be changed. Other parks of the time were not detailed and decorated like typical western parks, but were left as public spaces. In other words, these parks should not be judged by comparing them to western parks. This is the same concept as that of the first parks of modem Korea being called 'park land.' These parks were more natural environments than planned gardens.

• 동의신경정신과학회지
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• 제26권4호
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• pp.337-348
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• 2015

Objectives: The purpose of this study was to review previous clinical studies on underlying mechanisms of sleep-related type-specific pathophysiological symptoms among the Sasang types. Methods and Procedure: We reviewed seven research databases from December 2003 to August 2015 with the keywords Sasang typology, constitution and sleep. The Sasang type-specific sleep-related symptoms were analyzed based on seven categories, including subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medications and daytime dysfunction. Results: Total of twelve studies were included in the analysis. The Tae-Yang type showed low subjective sleep quality, long sleep latency and frequent awakening, and the So-Yang type showed long sleep latency. The Tae-Eum type presented high subjective sleep quality, short sleep duration, frequent snore, toss and turn during the sleep, and insomnia and low frequency of dream. The So-Eum type showed long sleep latency in male and high frequency of dream. The Eum type combining Tae-Eum and So-Eum types had higher subjective sleep quality, longer sleep duration and higher frequency of dream than the Yang type combining Tae-Yang and So-Yang types.Conclusions This study reviewed type-specific sleep-related characteristics and discussed possible pathophysiological mechanisms involved. Differences in sleep characteristics among the Sasang types might stem from type-specific temperaments and require further study.