• 대한한의학원전학회지
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• 제26권2호
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• pp.105-120
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• 2013

Objectives: Sasang Constitutional Medicine(SCM) is a Traditional Korean Medicine based on the natural human emotions of joy(喜), anger(怒), sorrow(哀), and pleasure(樂). Therefore, in this paper I would like to construct SCM as a Mind-Body Medicine by studying the relation between SCM and psychotherapy focusing on control of emotions. Methods : I have researched the psychological characteristics of the four human physical constitutions, as described by SCM, and psychotherapy with an emphasis on the natural human emotions of joy, anger, sorrow, and pleasure as discussed in the works of Lee Je-ma(李濟馬, 1837-1900). Results and Conclusions : The joy, anger, sorrow, and pleasure in SCM do not simply refer to human emotions. They have an inherent nature(性), emotion(情) and Qi(氣). They are tied to the psychological characteristics of the four human physical constitutions and the relationship between body and mind. The turning point in the transformation from Sasang philosophy to Sasang therapy lies in these emotions. Sasang Constitutional Medicine, which focuses on 'mind matter' and diagnosing illness, emphasizes medicine and food(藥餌), along with health maintenance(調養). In particular, health maintenance requires the following mental practices. First of all, through countinuous awarness(恒戒) and self-reflection(自反), one needs to practice moderation(中) and restraint(節) of the emotions of joy, anger, sorrow, and pleasure. Therefore, 'inward reflection while sitting(坐思)' is necessary. In SCM, this is very similar to meditation in that it enhances psychological self-control through mental training or practice.

• Child Health Nursing Research
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• 제25권2호
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• pp.103-111
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• 2019

Purpose: This study aimed to investigate incidence of delirium in the pediatric intensive care unit (PICU) and to analyze associated risk factors. Methods: The participants were 95 patients, newborn to 18 years, who were admitted to the PICU. The instruments used were the Richmond Agitation Sedation Scale (RASS), and the Cornell Assessment of Pediatric Delirium. Data analysis was performed using the descriptive, $x^2$ test, t-test, and logistic regression analyses. Results: The incidence of delirium in children admitted to the PICU was 42.1%. There were significant differences according to age ($x^2=14.10$, p=.007), admission type ($x^2=7.40$, p=.007), use of physical restraints ($x^2=26.11$, p<.001), RASS score ($x^2=14.80$, p=.001), need for oxygen ($x^2=5.31$, p=.021), use of a mechanical device ($x^2=9.97$, p=.041), feeding ($x^2=7.85$, p=.005), and the presence of familiar objects ($x^2=29.21$, p<.001). Factors associated with the diagnosis of delirium were the use of physical restraint (odds ratio [OR]=13.82, 95% confidence interval [CI]=4.16~45.95, p<.001) and the presence of familiar objects (OR=0.09, 95% CI=0.03~0.30, p=.002). Conclusion: Periodic delirium assessments and intervention should be actively performed. The use of restraints should be minimized if possible. The caregiver should surround the child with familiar objects and ensure a friendly hospital environment that is appropriate for the child.

• 대한본초학회지
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• 제21권2호
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• pp.63-75
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• 2006

Objectives : We investigated the effects of Liriopis Tuber on the nervous protection. Methods : We measured the reaction behavior with EPM(Elevated Plus Maxe) and MWM(Morris Water Maze) after applying restraint stress to rats. Also, the degrees of AchE generation were measured with immunohistochemical method in the regions of hippocampus, and the degree of TH generation in the regions of VTA and LC, respectively. Results : 1. As the results of measuring how long EPM which reflects anxiety reaction stayed in the open arm, there was the trend which can suppress anxiety reaction in the MMD+stress group(Liriopis Tuber+stress) but no statistical significance. The counting results how many EPM passed between opened and closed arm showed suppression trend against a physical activity in the saline+stress group but there was no statistical significance. 2. According to the result of MWM, the saline+stress group showed the learning retardation which means increased time arriving at goal compared to ti1e normal group at the second and third day of measurement. On the contrary, a learning retardation was significantly decreased in the MMD+stress group. Among the probe trial test a memory loss occurred in the saline+stress group, meanwhile memory ability was notably increased in the saline-stress group. 3. The degree of TH generation was investigated at the VTA and LC respectively after test animals treated with drug. In the saline+stress group, TH-immunoreactive cells were significantly increased, and these stress-induced TH increases were suppressed in the saline+stress group at the VTA region. However, the saline+stress group did not show any significant difference. 4. the degree of AchE generation was investigated at the CA3 of hippocampus. The saline+stress group showed that AchE-immunoreactive cells were significantly decreased. Those stress-induced reductions of AchE cells were meaningfully recovered in the saline+stress group. Although the cells showed recovery trend in the region of CA1 of hippocampus, statistical significance was not observed. Conclusion : The results of our study indicate that Liriopis Tuber can improve spatial memory ability of rats applied a restraint stress. This improvement of the spatial memory ability is considered to have an efficacy of nervous protection that Liriopis Tuber suppresses the generation of AchE in the hippocampus region and enhances the generation of TH in the VTA.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.520-532
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• 2021

본 연구는 통합적 연구방법을 활용하여 청소년 분노유발상황 척도개발의 기초자료를 제공하고자 한다. 이를 위하여 국내외 분노유발상황 척도 내용분석, 청소년 대상 분노유발척도인 NAS-PI 요인 및 타당성 분석, 청소년 전문가 대상 FGI의 3가지 연구 방법을 활용하였다. NAS-PI의 결과에서는 기존 5가지 범주 중 '좌절'을 제외한 '무례한 대우', '불공평', '타인의 거슬리는 특성', '짜증' 등 4가지 범주가 유의미 한 것으로 나타났다. FGI 분석 결과는 '거절', '신체적·언어적 폭력', '무시', '좌절', '통제 및 제지', '반추', '대인관계' 등 7가지 범주로 구성되었다. 이러한 내용을 국내외 분노유발상황 내용분석과 통합한 결과 최종적으로 '불공평', '부당함', '비난', '통제 및 제지', '무시', '좌절', '대인관계' 등 7가지 범주로 재구성이 가능하였다. 본 연구의 의의는 국내외 청소년 분노유발상황척도 내용 분석 및 양적, 질적 연구를 통합적으로 진행하여 국내 청소년대상 분노유발상황척도 개발의 기초자료를 제공한다는 것이다. 이러한 연구결과를 바탕으로 추후연구 필요성과 방향에 대해 논의하였다.

• 정신신체의학
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• 제27권1호
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• pp.35-41
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• 2019

연구목적 섬망은 중환자실에서 흔히 발생하는 것으로 알려져 있으나, 중환자실에서 일반적으로 수행되는 처치(procedure)와 섬망 발생 사이의 연관성을 조사한 연구는 아직까지 부족한 실정이다. 본 연구는 중환자실의 처치를 중점으로 섬망의 위험인자를 조사하기 위하여 후향적 관찰 연구를 시행하였다. 방 법 2016년 6월부터 2017년 5월까지 강남세브란스병원 중환자실에 입원한 환자 중 선정기준을 만족하는 1,156명의 환자를 포함하였으며, 섬망은 중환자실에 입실한 환자 전수를 정신건강의학과 전문의가 매일 규칙적으로 평가하였다. 문헌 고찰을 통해 선정한 섬망의 처치 관련 위험인자(risk factors for procedure-related)에 대한 노출 여부를 섬망 발생에 따라 비교하고, 유의한 차이를 보이는 변수에 대해 다중 로지스틱 회귀분석을 시행하여 섬망 발생 위험 확률을 높이는 요인을 확인하였다. 결 과 섬망 발생에 따라 유의한 차이를 보인 요인은 연령, 중증도, 수술 여부, 배액관 삽입, 도뇨관 삽입, 기관내 삽관과 신체 억제대가 있었다. 다중 로지스틱 회귀분석 결과에서 환자의 연령, 질병의 중증도와 신체 억제대 사용은 독립적으로 섬망 발생 위험 확률을 높이는 것으로 나타났다. 섬망 발생률은 15.3%였다. 결 론 신체 억제대의 사용은 중환자실 환자의 섬망 발생 위험 확률을 높이는 데 크게 기여하는 것으로 보인다. 이러한 결과는 중환자실의 섬망을 중재하기 위하여 연령과 중증도가 높은 고위험군에 대한 최소한의 신체 억제대 사용과 집중적인 관찰의 필요성을 시사한다.

• 대한소아치과학회지
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• 제27권1호
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• pp.146-150
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• 2000

장애인은 일반적으로 구강관리에 대한 인식과 수행능력의 부족으로 구강위생상태가 불량하며, 치과질환의 발생빈도가 높고 그 정도가심한 편이다. 장애인의 치과치료시 많은 어려움이 따르는 행동조절은 장애의 종류와 정도에 따라 심리적 물리적, 약물적 방법 및 전신마취 등을 선택할 수 있으나, 여러 가지 이유로 인하여 일반적인 방법으로 치료가 불가능할 경우 전신마취를 이용하게 된다. 장애인 환자에 있어서 보철치료는 정상인에서와 다를 바가 없으나 장애정도에 따라 치과의사의 세심한 주의가 필요하며, 수복후에도 철저한 구강위생관리를 위해 환자 스스로나 보호자의 각별한 노력이 요구된다. 본 증례는 경도의 장애를 가지고 있으나 치과치료에 대한 불안과 공포가 심하고, 다수치아의 수복을 위하여 장시간의 치과 치료가 요구된 경우로서 전신마취를 이용한 보존 외과적 처치 및 보철치료를 시행하여 비교적 양호한 결과를 얻었다.

• 대한장애인치과학회지
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• 제13권2호
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• pp.104-107
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• 2017

본 증례는 가부키 증후군 환아의 상악 좌측 제2유구치의 심한 우식으로 인하여 좌측 협부 종창이 관찰되었고, 물리적 속박 하에 절개 및 배농술을 시행 후 유구치는 발거되었다. 이후 전신마취 하에 남은 우식치아의 치료가 진행되었다. 가부키 증후군은 환자에 따라 다양한 의학적 소견을 보이므로 전신마취 하 치과 치료가 계획 될 경우, 의과와의 협진 및 철저한 치료계획이 필수적이다.

• 복식
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• 제41권
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• pp.207-223
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• 1998

The purpose of this study is to abstract the image from black dress, which has been favored by many people regardless of the times and examine it throughout the history of drss and thereby clearly define the images that black limplies in dress. Color image is a visual symbol, an image that forms through a combination of visual stimulus created by color, coupled with all the external factors related to it. Black is a one-dimensional color, of which the impact is subjective to its energy, which depends on light reflected on the object, and its texture. Therefore, black projects different images, depending on its surroundings. In general, black has had negative connotations in the Western culture. In dress, however, it has implied other various images different from the general negative ones. By combining general images of black and those exprssed in dress, major images of black were categorized into dignity, elegance, eroticism, asceticism and tragedy. Dignity is a category similar to the sublime. Dress with dignity has sharp contours and is generally made of velvet or silk which can be characterized by their splendor and voluminous-ness, exaggerating the body of a person wearing it. Such costume is mostly found in powerful countries in history such as Burgundy Court in the 15C, Spain in the 16C. Netherlands in the 17C. Elegance evokes grace and beautifulness. It includes elegance, grace, beauty and dandyism as subcategories or silk. Good examples are dandies' black costume and Ladies black and white dressees in the 19C. Eroticism is an image which expresses sexual attractiveness. Costume with eroticism is made of velvet or silk, which project sumptuousness through reflection. Such costumes expose parts of the body or are tightly tailored in order to emphasizes body contours. Asceticism means restraint from physical and mental desires. Costume with asceticism makes a person wearing it look smaller by covering the whole body. Puritan's black dresses and Bourgeoisie's black suit are good examples. Tragedy is anguish. sorrow. Black costume with grievous feelings such as mourning dresses is made of lusterless textile concealing most of the body except for the face.

• 한국염색가공학회지
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• 제1권1호
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• pp.54-62
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• 1989

The woven fabric composed of nylon 6 filaments was treated with aqueous solutions (20, 30, 40, 50, 60%) of formic acid at 3$0^{\circ}C$ for 10 minutes under unrestrained condition, and the shrinkage behavior and some kinds of properties were examined. The shrinkages of the constituent yarns and fabric were increased with formic acid concentration, but they were lower than that of the original filaments because of fabric-structural factors. And the shrinkage of the warp was lower than that of the weft because of the residual stress from weaving process. By the restraint forces such as fabric-structural factors and residual stress, the constituent filaments were damaged partially at 60% of formic acid concentration and the degree of damage on the warp was greater than on the weft. And though the fabric count were increased overall, the spacing between the warps was decreased prior to the weft and eliminated nearly at 60% of formic acid concentration. The thickness, tensile strength, elongation, and handle value of fabric were increased overall with formic acid concentration excepting that the tensile strength for both the warp and weft directions and the elongation for the warp direction were decreased instead by the damage of yarns. But the crease recovery was decreased except the case of the weft direction at 60% of formic acid concentration.

• 약학회지
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• 제49권4호
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• pp.291-298
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• 2005

Gardenia Jasminoides(GJ) is traditionally used for treatment of hepatic disease, insomnia, anxiety, and inflammatory disease. The aim of this study is to examine effects of GJ extract in response to stress. Animals of the normal group were not exposed to any stress and the control group were exposed to stress. The rats of the Ginseng and GJ supplementary group were orally administered once a day with 100mg of red ginseng extract, 100mg of GJ extract/kg body weight. The mice were given water containing 200mg of red ginseng extract, 200mg of GJ extract/100ml potable water. Animals were given supplements for 7 days without stress, and then were given supplements for 5 days with restraint and electroshock stress. After loading final stress, we examined stress related behavioral changes of experimental animals and measured the levels of blood corticosterone. GJ-supplementation partially blocked the stress effect on locomotion and elevated plus maze test in rats, and also partially blocked stress-induced behavioral changes such as freezing, burrowing, face-washing, smelling and rearing behavior in rats. The effect was almost equipotent to Ginseng's effect. GJ-supplementation didn't influence on fatigue related behavior or physical stress resistance. GJ-supplementation decreased the levels of blood corticosterone which is increased by stress in rats. These results suggest that GJ protects partially the living organism from stress attack and it has the potential to be used as a functional material to alleviate stress response.