• 제목/요약/키워드: CBT

검색결과 239건 처리시간 0.026초

폴리(페닐렌 설파이드)로 기능화된 다중벽 탄소나노튜브의 제조와 특성분석 (Preparation and Characterization of Poly(phenylene sulfide)-Functionalized MWNTs)

  • 홍성연;김영호
    • 폴리머
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    • 제38권6호
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    • pp.791-800
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    • 2014
  • Friedel-Crafts 직접 아실화 반응을 이용하여 $P_2O_5$/폴리인산 매질에서 다중벽 탄소나노튜브(MWNT)와 4-클로로벤조산(CBA)을 반응시켜 클로로벤조일(CB)기가 도입된 MWNT(c-MWNT)를 제조하였다. 이때 반응시키는 CBA양을 조절하여 염소원자 함량이 최대 5.3 wt%(CB기 함량 20.86 wt%)인 c-MWNT를 얻었다. 한편, 열가소성 엔지니어링 플라스틱 소재인 폴리(페닐렌 설파이드) (PPS)와 MWNT의 계면접착력을 증가시키기 위하여, 4-클로로벤젠티올(CBT)의 자기축합에 의한 PPS 중합시 c-MWNT를 함께 넣고 중합시킨 후 호모 PPS를 제거하여 MWNT-g-PPS를 얻었다. 이 MWNT-g-PPS의 열 및 표면 특성들을 분석하였으며, c-MWNT와 CBT가 반응하여 c-MWNT 표면에 PPS가 생성되었음을 확인하였다.

공황장애 약물 치료에 대한 한국형 알고리듬 개발(3) - 인지행동치료 - (Development of the Medication Algorithm for Panic Disorder(3) - Cognitive Behavioral Therapy -)

  • 이상혁;양종철;윤세창;서호석;김찬형;유범희;김민숙
    • 대한불안의학회지
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    • 제4권1호
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    • pp.28-33
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    • 2008
  • Objective : A working group of psychiatrists from the Korean Academy of Anxiety Disorders was established to determine the appropriate medication algorithm for treating patients with panic disorder. In this article, we discussed the consensus among psychiatrists regarding the use of cognitive behavior therapy (CBT) in the development of a treatment algorithm for panic disorder in Korea. Methods : Based on the guidelines or algorithms published by the American Psychiatric Association, National Institute for Clinical Excellence, and Canadian Psychiatric Association, we constructed questionnaires regarding the core components and contents of CBT for patients with panic disorder. Fifty-four experts in panic disorder completed the questionnaires. Results : There was statistically significant consensus among the experts in the belief that cognitive reconstruction and psychological education are the core components of CBT for the treatment of patients with panic disorder. However, there was some inconsistency between the opinions of some experts regarding the content and frequency of CBT and the results of studies published outside of Korea. Conclusions : CBT, especially the psychological education and cognitive reconstruction components, should be considered when treating patients with panic disorder. However, further consideration needs to be put into the design of a more detailed treatment guideline for the use of CBT in the treatment of patients with panic disorder.

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컴퓨터 기반 평가와 지필평가 간 학생 응답 특성 탐색 -컴퓨터 기반 국가수준 학업성취도 평가 병행 시행 결과를 중심으로- (Exploring Differences of Student Response Characteristics between Computer-Based and Paper-Based Tests: Based on the Results of Computer-Based NAEA and Paper-Based NAEA)

  • 백종호;이재봉;구자옥
    • 한국과학교육학회지
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    • 제43권1호
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    • pp.17-28
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    • 2023
  • 디지털 기반 지능 정보 사회로의 진입에 발맞추어 과학 교육과정에서는 과학과의 교과역량 함양을 강조하고 있으며, 역량 평가의 측면에서 컴퓨터 기반 평가가 관심을 받고 있다. 컴퓨터 기반 평가는 높은 실제성을 갖는 형태로 문항을 구현할 수 있고, 평가 결과를 데이터베이스로 축적하여 환류 체계를 구축함에 있어서도 이점이 있다. 다만, 평가 타당도 개선, 측정 효율성 저하, 관리 요소 증가 등의 문제를 해결할 필요가 있다. 본 연구에서는 학업성취도 평가가 지필평가에서 컴퓨터 기반 평가로 전환되는 과정에서 새로운 평가의 도입에 따른 학생들의 반응을 살펴보기 위해 2021년도에 시행된 학업성취도 평가의 지필평가와 컴퓨터 기반 평가의 병행시행 결과를 분석하였다. 특히, 동일한 문항을 평가 매체만을 변화시켰을 때 학생들의 성취에 미치는 영향, 컴퓨터 기반 평가의 장점을 살린 새로운 기능을 포함하여 문항을 구성했을 때의 변화가 학생들의 성취에 미치는 영향을 살펴보았다. 중학교 3학년 학생 7,137명이 지필평가와 2종의 컴퓨터 기반 평가 중 하나에 응시한 결과를 분석하였다. 평가 시행 후 집단별로 문항의 정답률과 변별도 평균을 산출하였으며, 학업성취도 출제 경험이 있는 과학교사 8명이 참여한 전문가 협의회를 통해 응답 특성에 대한 전문가 의견을 수렴하였다. 결과에 따르면 지필평가와 단순 모드 전환형 평가에서의 학생들의 성취 결과는 큰 차이는 없어 매체 효과가 거의 나타나지 않았다. 다만, 서답형 문항의 정답률이 컴퓨터 기반 평가에서 다소 높게 나타났음을 확인하였고, 이는 응답의 편이성과 관련되는 것으로 분석하였다. 한편, 컴퓨터 기반 평가 도입에 따라 새로운 기능들이 적용된 문항들에서 유사한 문항의 정답률과 차이가 10%p 이상인 문항들이 존재하였다. 학생들의 답지 반응을 분석한 바에 따르면, 이는 새로운 기능을 통해 마련한 혁신적인 문항들이 학생들의 이해 수준을 보다 세밀하게 파악한 결과로 볼 수 있었다. 결과를 토대로 컴퓨터 기반 평가를 도입하고 개발할 때 유의할 사항을 논의하고 시사점을 제시하였다.

가열살균한 Lactobacillus rhamnosus와 Lactobacillus plantarum의 콜레스테롤 저하 효과 (Hypocholesterolemic Effect of Lyophilized, Heat-Killed Lactobacillus rhamnosus and Lactobacillus plantarum)

  • 김대원;양대혁;김선영;김광수;정명준;강상모
    • 한국미생물·생명공학회지
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    • 제37권1호
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    • pp.69-74
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    • 2009
  • 유산균은 사람의 장 기능을 증가시키는 것으로 잘 알려져 있다. 우리는 배지에서 콜레스테롤 농도를 낮추는 균주 Lactobacillus rhamnosus CBT 1702 and Lactobacillus plantarum CBT 1209를 screening하였다. 이 균주들을 이용하여 콜레스테롤 저하효과를 보았다. 콜레스테롤과 담즙산이 함유된 MRS배지에서 콜레스테롤을 동화, 담즙산을 탈결합시키는 것을 확인하였다. 렛트에게 이들 균주를 혼합식이하여 콜레스테롤 제거능 정도를 보았다. 실험은 대조군, 고콜레스테롤군(HCD군), 고콜레스테롤에 생균첨가군(LLAB 군)과 고콜레스테롤에 가열살균 균 첨가군(HKLAB)으로 하였다. 그 결과 LLAB군과 HKLAB군이 혈중 콜레스테롤 농도를 HCD군에 비하여 각각 35%, 40% 유의적으로 감소시켰다. 그리고 특히 HKLAB군은 HCD군 및 LLAB군과 비교하여 HDL-C를 약 20%씩 유의적으로 증가시키고 LDL-C를 각각 60%, 20%정도 씩 유의적으로 감소시켰다. 동맥 경화지수인 AI와 심장위험인자 CRF를 비교하였을 때 LLAB 군과 HKLAB군은 HCD군 대비 각각 1.5배, 2배 유의적으로 낮았다. 또한 HKLAB군은 LLAB군에 비해 AI는 30% 유의적으로 낮고 CRF도 24% 유의적으로 낮았다. 결론적으로 본 유산균 Lactobacillus rhamno년 CBT 1702와 Lactobacillus plantarum CBT 1209는 고지혈 랫트의 AI와 CRF값을 감소시켜 동맥경화와 심장질환의 가능성을 감소시켰으며 이의 가열살균 균체는 이에 더욱 효과적이었으며 이러한 증상을 개선시키는 유용한 기능성 원료로 가능성을 보여주었다.

비만치료에 있어서 환자특성에 따른 인지행동요법과 행동수정요법의 효과 비교: 체계적 문헌고찰 및 메타분석 (Comparison of the Effects of Cognitive Behavioral Therapy and Behavioral Treatment on Obesity Treatment by Patient Subtypes: A Systematic Review and Meta-analysis)

  • 차진영;김서영;신인수;박영배;임영우
    • 한방비만학회지
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    • 제20권2호
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    • pp.178-192
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    • 2020
  • Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

직무스트레스관리중재 효과에 대한 메타분석 (A Meta-Analysis of Effects of Job Stress Management Interventions (SMIs))

  • 김정희
    • 대한간호학회지
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    • 제37권4호
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    • pp.529-539
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    • 2007
  • Purpose: This quantitative meta analysis sought to determine the effectiveness of SMIs. Method: Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organization-focused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome. Results : Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found A moderate effect was found for RT, and small effects were found for other ITs, The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes. Conclusions: SMIs are effective. Interventions involving RT and CBT are more effective than other types.

시아노박테리아의 세포외산물에 대한 연구 (Extracellular Products from Cyanobacteria)

  • 권종희;김기은
    • KSBB Journal
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    • 제23권5호
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    • pp.398-402
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    • 2008
  • Cyanobacteria havebeen identified as one of the most promising group producing novel biochemically active natural products. Cyanobacteria are a very old group of prokaryotic organisms that produce very diverse secondary metabolites, especially non-ribosomal peptide and polyketide structures. Though many useful natural products have been identified in cyanobacterial biomass, cyanobacteria produce also extracellular proteins related with NRPS/PKS. Detection of unknown secondary metabolites in medium was carried in the present study by a screening of 98 cyanobacterial strains. A degenerated PCR technique as molecular approaches was used for general screening of NRPS/PKS gene in cyanobacteria. A putative PKS gene was detected by DKF/DKR primer in 38 strains (38.8%) and PCR amplicons resulted from a presence of NRPS gene were showed by MTF2/MTR2 primer in 30 strains (30.6%) and by A3/A7 primer in 26 strains (26.5%). HPLC analysis for a detection of natural products was performed in extracts from medium in which cyanobacteria containing putative PKS or NRPS were cultivated. CBT57, CBT62, CBT590 and CBT632 strains were screened for a production of extracellular natural products. 5 pure substances were detected from medium of these cyanobacteria.

게임 트래픽 부하에 따른 멀티캐스트 라우팅 전략 (Multicast Routing Strategy Based on Game Traffic Overload)

  • 이창조;이광재
    • 게임&엔터테인먼트 논문지
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    • 제2권1호
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    • pp.8-16
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    • 2006
  • 인터넷에서 게임 트래픽과 같은 대용량 데이터의 부하를 분산하고 안정적인 전송을 위해 멀티캐스트 라우팅 프로토콜을 사용한다. 다양한 멀티캐스트 알고리즘 중 최근 CBT(Core Based Tree) 방식이 널리 사용되고 있으나 코어 라우터로 트래픽 집중되는 병목현상과 코어라우터의 위치에 따라 푸어 코어(Poor core)현상이 발생한다. 본 논문에서는 코어 라우터의 병목현상을 초래하는 링크 레이트(Link Rate)에 따라 코어 라우터의 상태를 SS(Steady State), NS(Normal State), BS(Bottleneck State)로 구분하였으며, 코어 라우터의 과부하에 따라 멀티캐스트 라우팅 전략을 CBT에서 Anycast로 전환하는 방식을 제안하였다. 온라인 게임에서 교환되는 주요 패킷의 크기에 준하여 두 가지 라우팅 방식을 비교하고 트래픽의 증가에 따라 Anycast 라우팅 방식의 성능개선을 보였다.

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An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

  • Kang, Na Ri;Kwack, Young Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권1호
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    • pp.15-25
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    • 2020
  • Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

체감보혈안신탕이 난소적출로 유발된 흰쥐의 비만에 미치는 영향 (Effect of Chekambohyulansin-tang, a Poly-herbal Formula, on the Obesity rats induced by Ovariectomy)

  • 권영규;강순병;김상찬
    • 동의생리병리학회지
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    • 제17권2호
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    • pp.380-393
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    • 2003
  • In order to evaluate the effect of Chekambohyulansin-tang (CST) which was a traditional poly-herbal formula has been used for treatment of obesity in Korea, on the obesity in ovariectomized rats, the changes of body weight, peri-kidney, abdominal and perineal subcutaneous fat weight and their histological changes were measured with the detection of number and/or size of adipocytes after an oral administration of CBT extracts (125, 250 and 500 mg/kg, respectively). CBT significantly attenuated elevations in the body weight, the absolute and relative weight of peri-kidney, abdominal and perineal fat tissues and decrease the severe hypertrophy, the number of adipocytes, and the diameter of adipocytes of peri-kidney, abdominal and perineal fat tissues in ovariectomized rats in a dose dependent manner. These results provide a story evidence that CBT can playa role in the treatment of obesity induced by ovariectomy. Determination of the specific mechanisms involred toxicological dosage of CBT on obesity will require addition study.