• Title/Summary/Keyword: 인지저하

Search Result 520, Processing Time 0.032 seconds

A Case of Sick Sinus Syndrome in Extremely Low Birth Weight Infant with Annular Pancreas (고리췌장을 동반한 초극소저체중출생아에서 나타난 굴기능부전증후군 1례)

  • Kim, Ji-Eun;Bauer, Siegfried;Boo, Yoon-Jung;Lee, Jang-Hoon;Jang, Gi-Young;Choi, Byung-Min;Park, Moon-Sung
    • Neonatal Medicine
    • /
    • v.18 no.2
    • /
    • pp.395-398
    • /
    • 2011
  • Sick sinus syndrome (SSS) is a disorder characterized by sinus node dysfunction. Although the condition is most common in the elderly, it can occur in children including neonates and its recognition and treatment are important. The diagnosis of SSS is based on the presence of sinus bradycardia, sinus arrest or exit block, combinations of sinoatrial and atrioventricular nodal conduction disturbances, and atrial tachyarrhythmias documented in the Holter recordings. In most children with SSS, previous history of congenital heart malformation or cardiac surgery is noted. SSS is also seen in the children including neonates without heart disease or other contributing factors, however SSS is most often idiopathic. The treatment of SSS depends on the basic rhythm problem, but generally involves the placement of a cardiac pacemaker. We report a case of SSS in extremely low birth weight infant without congenital heart disease and suggest that the treatment system is necessary for preterm infants with SSS.

Characteristics of Pre-Service Secondary Mathematics Teachers' Anticipating Through the Task Dialogue Activity (과제대화록 작성하기를 통한 중등수학 예비교사의 예상하기 특징 분석)

  • Kim, Ji Soo;Lee, Soo Jin
    • Journal of Educational Research in Mathematics
    • /
    • v.27 no.3
    • /
    • pp.511-536
    • /
    • 2017
  • The present study aims to investigate ways in which pre-service secondary mathematics teachers anticipate 1) students' responses to specific mathematical tasks which are chosen or devised by the participating pre-service teachers as requiring students' higher cognitive demand and, 2) their roles as math teachers to scaffold students' mathematical thinking. To achieve the goal, we had our pre-service teachers to engage in an adapted version of Spangler & Hallman-Thrasher(2014)'s Task Dialogue writing activity whose focus was to develop pre-service elementary teachers' ability to orchestrate mathematical discussion. 14 pre-service teachers who were junior at the time enrolled in the Mathematics Teaching Method Course were subjects of the current study. In-depth analysis of both Task Dialogues which pre-service secondary mathematics teachers wrote and audiotapes of the group discussions while they wrote the dialogues suggests the following results: First, the pre-service secondary teachers anticipated how students would approach a task based on their own teaching experiences. Second, they were challenged not only to anticipate more than one correct students' responses but to generate questions for the predicted correct-responses to bring forth students' divergent thinking. Finally, although they were aware that students' knowledge should be the crucial element guiding their decision-making process in teaching, they tended to lower the cognitive demands of tasks by providing students with too much guidance which brought forth the use of procedural knowledge. The study contributes to the field as it provides insights as to what to attend in designing teacher education course whose goal is to provide a foundation for developing pre-service teachers' ability to effectively orchestrate mathematical discussion.

Structure-activity Analysis of Benzylideneacetone for Effective Control of Plant Pests (벤질리덴아세톤 화학구조 변이에 따른 생리활성 변화 분석 및 식물 병해충 방제 효과)

  • Seo, Sam-Yeol;Jun, Mi-Hyun;Chun, Won-Su;Lee, Sung-Hong;Seo, Ji-Ae;Yi, Young-Keun;Hong, Yong-Pyo;Kim, Yong-Gyun
    • Korean journal of applied entomology
    • /
    • v.50 no.2
    • /
    • pp.107-113
    • /
    • 2011
  • Benzylideneacetone (BZA) is a compound derived from culture broth of an entomopathogenic bacterium, Xenorhabdus nematophila (Xn). Its immunosuppressive activity is caused by its inhibitory activity against eicosanoid biosynthesis. This BZA is being developed as an additive to enhance control efficacy of other commercial microbial insecticides. This study was focused on the enhancement of the immunosuppressive activity of BZA by generating its chemical derivatives toward decrease of its hydrophobicity. Two hydroxylated BZA and one sugar-conjugated BZA were chemically synthesized. All derivatives had the inhibitory activities of BZA against phospholipase $A_2$ ($PLA_2$) and phenoloxidase (PO) of the diamondback moth, Plutella xylostella, but BZA was the most potent. Mixtures of any BZA derivative with Bacillus thuringiensis (Bt) significantly increased pathogenicity of Bt. BZA also inhibited colony growth of four plant pathogenic fungi. However, BZA derivatives (especially the sugar-conjugated BZA) lost the antifungal activity. These results indicated that BZA and its derivatives inhibited catalytic activities of two immune-associated enzymes ($PLA_2$ and PO) of P. xylostella and enhanced Bt pathogenicity. We suggest its use to control plant pathogenic fungi.

Clinical Characteristics of Haenyeo with Depressive Disorders (해녀 우울장애 환자의 임상적 특징)

  • Park, Joon Hyuk;Jun, Byoung Sun;Lee, Chang In;Kim, Moon-Doo;Jeong, Ji Woon;Jung, Young-Eun
    • Korean Journal of Biological Psychiatry
    • /
    • v.23 no.2
    • /
    • pp.63-68
    • /
    • 2016
  • Objectives Haenyeo are Korean professional women breath-hold divers in Jeju island. The aim of this study was to investigate the clinical characteristics of depressed Haenyeo group, compared to non-Haenyeo depressed group. Methods This study included 75 Haenyeo and 340 non-Haenyeo with depressive disorders recruited from the Dementia Early Detection Program in Jeju island. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview. All patients completed the questionnaires, including the Subjective Memory Complaints Questionnaire (SMCQ), the Patient Health Questionnaire-15 (PHQ-15), and the Blessed dementia scale. Depression was evaluated by the Korean version of short form the Geriatric Depression Scale (K-SGDS) and cognition was assessed by the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) assessment packet. Results Although the mean scores of the K-SGDS were similar between Haenyeo and non-Haenyeo depressed groups, the Haenyeo group showed a higher mean score on the PSQ-15 (p < 0.001, ANCOVA adjusting for age, the K-SGDS and education). The Haenyeo group showed poorer performance on the Korean Version of Frontal Assessment Batter (p < 0.001), the Mini-Mental State Examination in the Korean version of the CERAD Assessment Packet (p < 0.018), the word fluency test (p < 0.001), and the word list memory test (p = 0.012) in ANCOVA adjusting for age and education. The mean SMCQ score was higher in the Haenyeo depressed group than in the non-Haenyeo depressed group. Conclusions The Haenyeo depressed group shows cognitive dysfunction, especially frontal lobe dysfunction, compared to the non-Haenyeo depressed group, indicating the Haenyeo depressed group may have more severe frontolimbic dysfunction due to chronic exposure to hypoxia. The Haenyeo depressed group suffers more somatic symptoms than the non-Haenyeo depressed group.

Comparative Evaluations of Magnetic Resonance Image, Spiral Computed Tomography and Ultrasound in the Diasnosis of Experimental Diaphragmatic Rupture in the Rabbit (토끼의 횡격막 파열 진단에 있어서 자기공명영상, 나선형전산화단층촬영 및 초음파의 가치 비교)

  • 김학희;정승은;이배영;최병길;신경섭
    • Investigative Magnetic Resonance Imaging
    • /
    • v.1 no.1
    • /
    • pp.154-161
    • /
    • 1997
  • Purpose: Traumatic rupture of the diaphragm is not easy to diagnose and often delayed. Delayed diagnosis of diaphragmatic rupture accompanied by higher chances of strangulation of herniated viscera which may result in higher morbility and mortality. The purpose of this study was to evaluate diagnostic accuracy of spiral CT, MRI and US for the diagnosis of diaphragmatic rupture in an animal model. Materials and Methods: Small, medium, and large sized transabdominal diaphragmatic ruptures were surgically made in experimental rabbits and then followed up with spiral CT, MR!, and US at 1 day, 3 day, and 1 week after operation. Results: US was superior to MR! or spiral CT in diagnosis of diaphragmatic rupture(P(0.05). The sensitivity and specificity were 94.4% and 92.9% for US, 54.0% and 85.7% for MRI, and 46.0% and 78.6% for spiral CT, respectively. The size of laceration was not related to diagnostic sensitivity in US. Sensitivity of MRI and spiral CT increased as the size of laceration were larger, but no statistical significance was present(P>0.05). All experimental animals developed pleural effusion or hemothorax one day after operation. In acute phase, US and MRI were more sensitive than spiral CT in detecting diaphragmatic rupture. Spiral CT was more sensitive than US and MRI in delayed phase but without statistical significance(P>0.05). In the experimental rabbits with accompanying visceral hernia through the diaphragmatic defect, diagnostic accuracy was found equally high among three image modalities(P>0.05). Conclusion: This study indicates that US is the most accurate diagnostic method in detecting injury to the diaphragm in a rabbit model. The findings obtained in this experimental study can be applied to the diaphragmatic rupture of human being.

  • PDF

The Effect of Mindfulness-Based Cognitive Therapy on Psychiatric Staff (정신건강의학과 직원 대상의 마음챙김명상 기반 인지치료의 효과)

  • Kang, Bum Seung;Yang, Hey Jung;Hong, Min Ha;Kim, Hyun Soo;Song, Hoo Rim;Kim, Young Jong;Kim, Woo Jung
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.25 no.1
    • /
    • pp.12-18
    • /
    • 2017
  • Objectives : Psychiatric staffs may experience excessive work stress, burnout, and reduced job satisfaction in clinical settings. This can increase chances of diminishing their overall working efficiency or having difficulty managing their own mental health. The purpose of this study was to investigate the effect of group mindfulness-based cognitive therapy(MBCT) on job stress, burnout, self-efficacy, resilience, and job satisfaction. Methods : Twenty eight psychiatric staffs who agreed to participate in the study were included. Self-report questionnaires were used to measure job stress, burnout, resilience, self-efficacy, and job satisfaction. To examine the effects of group MBCT, the scores were compared before and after MBCT. Results : Work stress and burnout scale scores were significantly decreased after group MBCT. Resilience, job satisfaction, and self-efficacy scale scores were significantly increased after group MBCT. Conclusions : In the current study, group MBCT for psychiatric staffs helped to reduce their work stress and burnout, and, as well, helped to improve resilience, self-efficacy, and job satisfaction. This suggests that, in mental health treatment settings, psychiatric staffs can improve their mental health through group MBCT. Improving mental health of psychiatric staff may also have a positive impact on their patients.

A Study on Dress-up Turning as Means of Expressing Automobile Drivers' Self-identity (자동차 사용의 정체성 표출 수단으로서의 드레스업 튜닝에 대한 고찰)

  • 이호숭
    • Archives of design research
    • /
    • v.11 no.3
    • /
    • pp.219-228
    • /
    • 1998
  • As automobile drivers' desires become ever diversified with the spreading phenomenon of 'characteristic automobile decorations', it is feared that the design quality may be deteriorated, while the safety be retarded in terms of performance and function. In Korea, the 'Dress-up tuning' becomes the source of the social criticism because of lack of relevant codes and professional tuning services, while automobile drivers are excessively having their automobiles overdressed ignoring the overall aesthetic aspect and functions. Under such a circumstance, this study was aimed at reviewing the practices and dress-up accessories by each automobile part of those foreign automobile makers and professional tuners who have introduced the concept of 'customizing' and developed dress-up accessories and various tuning parts only to satisfy their customers' tuning needs. It is anticipated that automobile styling would tend more to pursue a 'coordination' featuring ordinary consumers' individualistic senses, while customers' needs reflecting their life styles be more refined. Meanwhile, Korean automobile consumers have accommodated the product designs : presented within the producers' frameworks, but they are expected to pursue the design values varying according to changing structures of production, society and industry as well as the resultant design activities. In all, makers and designers are requested to be aware of such changing environment structures and thereby, explore other alternatives, or reflect seriously on the socio-cultural implications inherent in the products, namely on the production and consumption of people's favorites.

  • PDF

A Study on the Police Station for Adoption of Local Police System (지역경찰관서 설치에 관한 연구)

  • Park, Chan-Hyeok;Jung, Eui-Rom
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.8
    • /
    • pp.536-543
    • /
    • 2018
  • In 2003, the local police system was adopted, and the personnel and installation of local police agencies were subsequently changed. According to the "Police Law", local police station shall be established under the control of chief of police department, and the criteria for the installation of local police stations were to take into consideration of population, administrative districts, area, geographical characteristics, traffic and other conditions. The chief of local police has the authority to install district police station according to the "National Police Agency and its Organization". However, it is hard to say they were applied. Futhermore, it is inappropriate to apply the laws and regulations equally across the nation. Also, it has been criticized for its difficulties of patrolling, the weakened relationship with local residents, and poor quality of security services in rural areas. Therefore, this study suggests that the criteria for the installation of the police station should be made through a comprehensive analysis of the characteristics of the areas and security needs.

The relationship between emotional empathy and depression: Focused on the mediating effect of self criticism (정서공감과 우울의 관계: 자기비난의 매개 역할을 중심으로)

  • Choi, Hyera;Han, Sumi;Kim, Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.2
    • /
    • pp.144-154
    • /
    • 2018
  • While depressives tend to be preoccupied with their own grief and the negative aspects, they might lack the capacity to interact with outside world. With the intention to determine whether depressives might have certain characteristics regarding empathic behavior, as behavior is highly based on responsiveness to others, we examined the relationship between emotional empathy and depression. In addition, we examined the mediating effect of self-criticism on the relationship between emotional empathy and depression. Data was collected from 146 online university students and analyzed using the correlation and multiple regression model. Results showed that perspective taking, which is the cognitive aspect of empathy, was negatively correlated with depression. Concerning the emotional aspects of empathy, both empathic responding and empathic concern were negatively correlated with depression, while personal distress was positively correlated with depression. Regression results, which set the empathy related variables as predicting variables, found perspective taking decreased depression, and personal distress enhanced depression. In addition, personal distress showed significant enhancing effect on depression and was completely mediated by self-criticism. With the result, implications and limitations of this study were discussed.

Impact of Smartphone Hangul Typography on the Legibility of the Elderly (스마트폰 한글 타이포그래피가 고령자의 가독성에 미치는 영향)

  • Jeong, Seong-Won
    • The Journal of the Korea Contents Association
    • /
    • v.16 no.11
    • /
    • pp.661-674
    • /
    • 2016
  • Despite a dramatic increase in the use of smartphones these days, the elderly's smartphone usage rate is relatively low. This is because there are some facts limiting the elderly's access to the smartphones: 1) aging in both physical and cognitive abilities and 2) complicated functions that are hard to see in the phones. In this study, we studied how Korean typography influence the elderly's legibility and extracted proper Korean typography factors that would best suit the elderly when they use the smartphones. As a result of the study and legibility evaluation for the 24 seniors over 65, we could witness the excellence of 13pt font size compared to 11 or 12 and the Serif typeface as being better than San Serif typeface. On the other hand, the space between the letters and lines did not make a big influence on the elderly's readability. From the preference evaluation, there were no differences found between Serif typeface and San Serif typeface. However, a bigger font size was preferred in the order of 13pt, 12pt, and 11pt. There was no difference in preference found regarding the space between the letters and the lines. We expect that proper Korean typography in smartphones could help the elderly in using the smartphones well.