정신과를 방문하는 환자의 통증호소의 빈도 및 특성

송지영,박진철,박종학,오동재,손형석,정근재 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 정신과 방문 환자에서 통증 호소는 적지 않을 것이라고 알려져 있으나 국내에서 정신과 외래 환자의 통증 관련 연구는 부족한 실정이다. 이에 정신과 외래에 오는 환자들에서 통증의 빈도와 특성을 1,2,3차 의료기관에서 알아보고자 하였다. 대상과 방법: 1차 의료기관(개인정신과의원) 외래환자 298명, 2차 의료기관(종합병원) 정신과 외래환자 99명, 3차 의료기관(대학병원) 정신과 외래환자 446명으로 총 843명의 성인 남녀를 대상으로 이들이 정신과에 방문했을 당시의 통증 여부와 조사 당시의 통증 유무 및 현재 통증의 정도를 평가하였다. 그리고 기질적 원인의 여부, 만성 통증의 여부, 통증의 부위, 통증 악화 요인, 보상문제의 유무, 약물 투여 내용 등을 조사하였다. 결 과: 1) 전체 대상자 843명 중 통증이 동반되었던 환자의 비율은 41.3%였으며, 기관별로 보면 개인의원 44.9%, 종합병원 44.5%, 대학병원 38.1%였다. 2) 조사 당시에 통증을 갖고 있는 경우는 3개 기관에서 평균 24.1%였다. 통증의 정도는 VAS상 평균 46.7㎜였으며 개인의원에서 대학병원에 비해 의미있게 그 정도가 심했다. 또한 `강하다` 이상의 통증 정도를 호소한 경우는 34.0%, `괴롭다` 이상의 불쾌정도를 표현한 경우는 26.2%였다. 3) 통증이 있었던 환자 중 기질성이 뚜렷한 경우는 적었으며(1.5∼5.9%), 통증의 부위는 머리가 50.9%로 가장 많았다. 통증의 지속기간은 6개월 이상인 만성통증의 경우가 68.7%를 차지했다. 4) 주요 약물로는 항불안제가 41.4%로 가장 많이 사용되고 있었으며, 통증과 관련하여 진통제를 처방받는 환자는 3.2%에 불과하였다. 결 론: 정신과 외래를 방문하는 환자들의 통증의 특성은 의료기관에 따라 인구통계학적 차이 뿐만 아니라 진단분포도 다르므로 3기관을 직접 비교하기에는 무리가 있으나, 본 연구 조사 결과 정신과 외래를 방문하는 환자들 중에서 40% 이상이 통증을 경험하고 있으며 2/3이상은 만성 통증이라 할 수 있었다. 이들은 중등도 이상의 통증을 갖고 있으며 당장 통증을 해결해 주어야 할 숫자도 적지 않았다. 따라서 정신과 환자의 통증에 대한 평가와 관리가 앞으로 더욱 강조되어야 할 필요가 있다고 사료된다. Objectives: The purposes of this study were to investigate the frequency and clinical characteristics of pain among the psychiatric out-patients in three clinics. Methods: A Total of 843 psychiatric adult out-patients(298 subjects from a private clinic, 99 subjects from a general hospital, 446 subjects from a university hospital) were assessed for the presence of pain during OPD follow-up and at the time assessed. And, the presence of organic causes, duration and site of pain, aggravating factors, compensation problems, and prescribed drugs were also investigated. Results: 1) The frequency of pain among psychiatric out-patients was overall 41.3%(44.9% in private clinic, 44.5% in general hospital, and 38.1% in university hospital, respectively). 2) The frequency of pain at the time assessed was 24.1%. In severity of pain, the average of VAS was 46.7±18.0㎜. Patients of private clinic showed more severe pain than that of general hospital. Moreover, patients who experienced over `marked` occupied 34.0% and pain as over `distressed` occupied 26.2%. 3) Only a few subjects had the definite organic causes(1.5-5.9%). The most common site of pain was on head. The patients having a pain over 6 months(i.e. chronic pain) occupied 68.7%. 4) The most common drugs prescribed were anxiolytics; 41.4% of patients were prescribed. The analgesics were prescribed only in 3.2% of patients. Conclusion: This result revealed that more than 40% of patients experienced pain in psychiatric OPD and two third of patients were suffered from chronic pain. Therefore, the evaluation and management of pain should be more emphasized.

Hyppo를 이용한 Rolling Cylinder의 용융특성에 관한 실험적 연구

송희열,김동석 건국대학교 산업기술연구원 1997 건국기술연구논문지 Vol.22 No.-

This is concerned with the study on the thermal performance of PCM mixture and melting effects of PCM cylinder where the air flows outside. Hypo is used as PCM and Na₂B₄O7·7H₂O or Na₂SO₄as nucleating agent. The temperatures of PCM in axial direction, cylinder wall, air inlet al and outlet were measured for the various air velocity and rolling speed of cylinder. Experiment results show that optimum condition of PCM mixures is 95 wt% of Hypo containing 1.5 wt% of Na₂SO₄as nucleating agent. Melting effects have excellent increase with rolling. The melting time of PCM with rolling is 1/9~1/2 times shorter than that of PCM without rolling. The effect of air velocity on melting is remarkable than that of rolling. The melting time of PCM is expressed as following correlations with respect to air inlet velocity and rolling speed of PCM cylinder.

실증연구를 위한 주택용 태양열 온수기 모니터링 시스템 개발

양동조,김재열,한재호,송경석,김우진 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

The application of solar energy, in the field of alternative energy, was on the increase tendency. In the case of advanced nations, through continuous R&D, solar hot water heater with high efficiency has been used for the house and the industrial process on business, advanced nations were reached up the experimental stage of solar generation system. But, the actual circumstance of the domestic has been not accomplished the popularization of solar hot water heater and the settlement of it which is the fundamental stage of the solar energy usage. This trouble, the domestic was flooded with small enterprise for producing solar hot water heater, was caused by the popularization and the production without verification of performance. To supply the monitoring program for evaluating solar hot water heater, this research was purpose to improve the technical development of the enterprise for producing solar-heat hot-water-boiler and served as an aid for the enlargement and the popularization on solar energy.

환기팬 시스템의 소음 저감에 관한 실험적 연구

이종석,송화영,이동훈 서울産業大學校 2005 논문집 Vol.54 No.1

This paper introduces an experimental study for the noise reduction of a ventilating fan system. For the purpose of noise reduction of it, an absorptive duct silencer filled with a glass fiber has been conventionally utilized. However, a glass fiber has some disadvantages like hygiene and secondary pollution problems. In order to overcome these problems, in this paper, a perforated duct silencer has been applied to the ventilating fan system. For the designing of a perforated duct silencer, the transmission losses for various perforated panel systems are measured and compared with their sound absorption performances.

후궁성형술로 치료한 경추 척수병증 환자에서 방사선학적 소견이 예후에 미치는 영향

김석준,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.7

제지폐수처리용 생물고분자응집제를 생산하는 Bacillus sp. K-111의 배양특성조사

권기석,손용호,최선택,정석관,송숙희,김동걸 7개 국립대학교 환경연구 논문집 공동발행 위원회 2002 환경연구논문집 Vol.2 No.1

Flocculant-producing microorganisms were screened from obtained strains in the laboratory using a pulp-wastewater treatment as the flocculating agent. K-111 strain that had high flocculating activity among them was selected and identified as Bacillus sp. K-111 16s rDNA sequencing. The favorable medium for the production of flocculant was glucose 1.5%, NH_4NO_3 0.2%, tryptone 0.01%, K_2HPO_4 0.08%, KH_2PO_4 0.06%, CaCO_3 0.03%, MgSO_4·7H_2O 0.005%, MnSO_4 0.005% in 1 liter of D.W. at initial pH 7.0. The optimum culture temperature and pH were 30℃ and pH 7.0, respectively. the flocculating activity was observed most highly after 36 to 48 hr of cultivation at the optimum conditions. the flocculating activity of produced biopolymer on optimum conditions was about 2.5-fold higher than that of screening medium.

소양호에서의 종속영양세균의 종구성 및 Alkaline phosphatase 분비 세균에 관한 연구

이동훈,안태석,조규송 江原大學校 附設 環境硏究所 1990 環境硏究 Vol.7 No.-

The total and heterotrophic bacterial distributions, compositions and alkaline pho-sphatese activities were analyzed in Lake Soyang from Sep. 1987 to Aug. 1988. The heterotrophic bacteria was small porition, 0.07-2.63% of total bacterial number which ranged from 3.2×10^(5) to 3.2×10^(6) cells/ml. The composition of bacterial commumity was less diverse insummer and at the fish farm site and Pe-ridinium blooming site. Pseudomonas and Flavo bacterium were the dominant genera in all sites. The highest proportion and activity of alkaline phsophatase was appeared in Flavobacterium, while Pseudomonas was the most predominant group.

경안천의 오염현황

이동석,박갑성 한국물환경학회 2004 한국물환경학회지 Vol.20 No.6

At five stations in Gyeongan River, a tributary of Lake Paldang, physicochemical and biological environmental factors of water, particulate matters, and sediments were investigated biweekly from April 11 to December 22 in 2001. The studied area was characterized as a stream-lake system. The system is primarily referred to a place where the environmental factors had considerably changed depending on the amount of precipitation. As a result, the river turned out to be strongly eutrophicated. Also, some characteristics of the water and the particulate matters at midstream such as average concentrations of conductivity, nutrients, and chlorophyll α were higher than the characteristics of up and down-stream. However, the concentrations of organic matters and ratio of clay and silt of the midstream were determined to be higher than up and down-stream sediments. As the result of the factor analysis, 4 major different patterns for environmental factors are found from samples of water, particulate matters, and sediments.

한국의 노인인구구조와 노인의료복지정책에 관한 통계적 고찰

김동석 ; 송애랑 김천대학교 2004 김천대학교 논문집 Vol.25 No.-

Thanks to the rise of the level of living and the development in the technology of health and medical care, the average span of a man's life has been prolonged along with the increased population of the aged. According to statistics in 2002, the population rate of the aged was 7.9%. Now, our society is aging and expected to be an aged society. The aging socioty is causing many serious problems about the income and medical care of the aged. Thus, this study through the inquiries into statistical records shows the present state of policies regarding the health and medical care Also, this study shows welfare policies about the aged of England and USA. The various systems and policies of other developed countries that are different from ours but should be seriously accepted are points in dis- pute. It is asserted that we should adopt and specialize welfare policies regarding the aged of various classes. Furthermore, the policies should be focused on medical care.

중등학교 국어과 듣기평가의 자료개발에 관한 연구

박동규,신기태,신동일,송갑석,유상준 전주대학교 교육문제연구소 2000 敎育論叢 Vol.15 No.-