종합병원에 입원한 남자환자에서 음주문제의 발생순서

박영남 최신의학사 1989 最新醫學 Vol.32 No.3

구강내 세균의 산생성도와 칫솔 관리법에 따른 칫솔 세균 오염에 관한 융합연구

박영남,류재기 중소기업융합학회 2020 융합정보논문지 Vol.10 No.8

Objective of this study was to compared the amount of bacteria in the toothbrush according to the management method of the toothbrush in use and the acidity of intraoral bacteria. Toothbrushes in use in more than one month of 50 healthy adults were collected and the number of bacteria and pH of the toothbrushes were measured. When the number of brushings per day was 4, the pH 4.97 and the microbial numbers was the lowest at 42.16(104×CFU/ml). When the replacement period of the toothbrush was 1 month, the pH 5.35 and the microbial numbers was the lowest at 19.80(104×CFU/ml). When stored in the bathroom, the pH 4.78, and the microbial numbers was highest at 149.46(104×CFU/ml). As a result, in order to block the germs of the toothbrush, it is necessary to develop a method that can easily disinfect the contaminated toothbrush at home. In addition, I think that it is necessary to educate about the proper brush cleaning and storage method when teaching brushing. 본 연구는 사용 중인 칫솔의 관리법과 구강내 세균의 산생성도에 따른 칫솔의 세균량을 측정하여 비교한 후 올바른 칫솔 관리를 위한 교육자료를 개발하는데 기초자료로 제시하고자 한다. 건강한 20대 성인 50명의 1개월 이상 사용 중인 칫솔을 수거하여 칫솔의 세균수와 pH를 측정하였다. 하루 칫솔질의 횟수가 4회인 경우 pH는 4.97로 가장 높았고 세균수는 42.16(104×CFU/ml)으로 가장 낮게 나타났으며 칫솔의 사용 교체 시기가 1개월인 경우 pH가 5.35로 가장 높았고 세균수는 19.80(104 × CFU/ml)로 가장 낮게 나타났다. 욕실에 보관한 경우 pH는 4.78로 가장 낮았고 세균수는 149.46(104 × CFU/ml) 가장 높게 나타났으며 유의한 차이가 있었다(p<0.01). 연구결과 칫솔의 세균을 차단하기 위해서는 가정에서 오염된 칫솔을 간단하게 살균할 수 있는 방법을 연구하고 개발해야 할 것이다. 또한 칫솔질 교육을 할 때 올바른 칫솔 세척 방법과 보관법에 대하여 교육을 할 필요가 있다고 생각된다.

치위생과 학생의 자원봉사 만족도와 자원봉사활동에 관한 연구

박영남,이혜진,오한나 한국디지털정책학회 2013 디지털융복합연구 Vol.11 No.11

우울장애와 불안장애의 공유 특성

박영남 대한생물치료정신의학회 2003 생물치료정신의학 Vol.9 No.1

This paper reviews the historical background of current concept of depressive and anxiety disorders, their comorbidity and pharmacological treatment of depressive and anxiety disorders to identify shared characteristics of both disorders. There is not only an overlap of symptoms but also high comorbidity between depressive and anxiety disorders. In US National Comorbidity Survey, 58% of respondents with life time major depressive disorder also had a history of anxiety disorders, 37-62% of anxiety disorders had a history of lifetime major depressive disorder. Comorbid depressive disorders were more prevalent in generalized anxiety disorder, obsessive compulsive disorder, panic disorder and agoraphobia, but much less in social phobia and simple phobia. The fact that antidepressants are effective not only for depressive disorders but also for anxiety disorders suggests common biological processes shared by both disorders. The organization of emotional response systems is founded on two basic motivation systems, defensive and appetitive. Limbic system and frontal lobe play a central role in the emotional response systems. Among the models of depression and anxiety, a tripartite model of negative affect factor, positive affect factor, and arousal-tension factor fains recent popularity. In this model, negative affect factor is manifested in nonspecific distress in depression and anxiety, low positive factor in lack of pleasure and interest in depression, and autonomic arousal in fear/panic. There has been a rapid progress in our understanding of neural modulation of emotion, and this progress wioo enhance our success in the treatment and prevention of depressive and anxiety disorders.

Anti-cariogenic Effects of Erythritol on Growth and Adhesion of Streptococcus mutans

박영남,정성숙,Jin Zeng,김선혜,옥승호,최충호 한국식품과학회 2014 Food Science and Biotechnology Vol.23 No.5

Erythritol is one of the most widely used lowcalorie sugar substitutes and has known inhibitory effectson the growth of Streptococcus mutans. However, themechanism underlying this inhibition is poorly understood. Expression profiles of the glucosyltransferase (GTF) andfructosyltransferase (FTF) genes in S. mutans were evaluatedin the presence of erythritol and other sweeteners. Adhesionof S. mutans to different carbohydrates was also determinedacross a range of concentrations. Erythritol significantly(p<0.05) inhibited adherence of S. mutans under multipleconditions, compared with sucrose. Erythritol significantly(p<0.05) inhibited expressions of gtfB, gtfC, gtfD, and ftf inthe presence of various carbohydrates compared with sucrose. These findings were consistent with an anti-cariogenic effectof erythritol on S. mutans, and suggested mechanisms bywhich erythritol inhibits formation of dental caries.

일부 종합병원 간호사들의 교대근무와 수면문제 및 피로자각증상과의 관련성

박영남,양혜경,김현리,조영채 한국직업건강간호학회 2007 한국직업건강간호학회지 Vol.16 No.1

신체 증상을 주소로 하는 정신과 외래환자의 임상적 고찰

박영남 啓明大學校 醫科大學 1984 계명의대학술지 Vol.3 No.2

저자는 1984년 1월부터 1984년 6월까지 계명대학교 동산병원신경정신과를 방문한 초진환자(403명)중 신체 증상을 주소로 하는 환자(133명)의 병원기록을 조사하여 다음과 결과를 관찰하였다. ① 신체 증상를 주소로 하는 환자는 정신과 외래초진환자의 32.6%였으며, 남여의 비율은 유의한 차이가 없었으며, 남자환자군은 40세 이전에, 여자환자군은 30~60세에 편중하여 분포하였으며, 평균나이는 남자(29.5세, σ=10.75)가 여자(37.8, σ=13.85)보다 젊었다.(P<0.01). ② 신체적 증상의 분포는 다양하였으며, 두통(63.9%)이 가장 많은 증상이었으며, 이어서 흉부 불편감(31.6%), 불면증(27.8%) 순으로 분포되었다. ③ 대상환자군의 77%정도가 입상적으로 진단할 수 있는 정신과적 질환을 갖고 있었으며, 우울증질환(31.6%), Somatoform Disorders(22.6%), 정신분열증(6.8%), 불안증질환(8.3%), 순으로 나타났다. ④ 대상환자군의 43.6%는 발병후 1년 이상이 경과한후 내원하였으며, 이들 환자의 38.4%는 초진후 내원하지 않았으며, 29.3%는 5회이상 추적치료를 계속하였다. 이상의 결과는 정신과 외래환자중 상당한 부분이 신체 증상을 주소로 하고, 이들 환자군에서 77%정도가 정신과적 질환을 갖고 있으며, 이들 환자군은 일관성 있는 치료를 받지 못하는 경향을 보인다. This study is done retrospectively on 133 new psychiatric outpatients with somatic complaints who were seen at Dong San Hospital, Keimyung University, between January 1984 and June 1984. The probands were 32.6% of the new psychiatric outpatients during study period. There was no significant sex difference, however, the male probands (Mean age=29.5, σ=10.75) were significantly younger than female probands (Mean age=37.8, σ=13.85) Headache(63.9%) was most common somatic complaints and was followed by chest discomforts (31.6%) and insomnia (27.8%). About 77% 6f the probands had diagnosable psychiatric disoders. Depressive disorders (31.6%) and somatoform disorders (22.6%) were two most common prychiatric diagnoses among the probands. The duration of presenting complaints were varied widely and it was over 1 year in 43.6% of the the probands. About 38% of the probands had single visit without follow up. The results of this study suggest that the somatic symptoms were quite frequent among psychiatric outpatients. Thorough psychiatric evaluation revealed underlying psychiatric disorders. These patients seemed to have a difficulty to develope therapeutic rapport and tended to wander from one place to another without satisfaction.

종합병원에 입원한 남자환자에서 음주문제의 유병율

박영남 啓明大學校 醫科大學 1989 계명의대학술지 Vol.8 No.1

The author surveyed the lifetime prevalence rates of 17 drinking-related problems among 382 ever-drinking hospitalized male patients in general medical and surgical service. The prevalence rates of 17 drinking-related problems were as follows: drunkenness 83.5%, attempting abstinence 57.3%, controlled drinking 39.8%, excessive drinking by own assessment 36.4%, family's complaint of drinking 33.5% blackout 30.4%, drinking-related physical problems 29.6%, friend's complaint of drinking 22.5%, morning drinking 16.8%, drinking despite physical problems 16.2%, job problems 13.6%, binge drinking 11.3%, withdrawal symptoms 11.3%, fighting after drinking 10.7%, accident and injury due to drinking 9.4%, inability to function without drinking male seems to have experienced substential drinking-related problems. The result also revealed higher prevalence rates of most of the problems surveyed among 40's and 50' of age group, lower educational level group and farmer by occupation.

정신분열증의 우울증상의 연구

박영남 啓明大學校 醫科大學 1986 계명의대학술지 Vol.5 No.1

The author studied depressive symptoms in 24 inpatient DSM Ⅲ schizophrenic patients. On admission, 16 of 24 patients scored above 21 in BDI, however, 7 of 24 patients did on discharge. There were no significant differences in the chronicity of illness, family history of psychiatric illnesses, precipitating events and functional level prior to index hositalization between schizophrenic patients with depressive symptoms and without depressive symptoms on admmission. The depressed group had significantly high scores of BPRS total and thinking disorder subscale of BPRS on admission but there were no significant differences between two groups on discharge. Comparing depressive symptoms of BDI between schizophrenic patients with depressive symptoms and primary depression patients, primary depression group had slightly high, though nonsignificant, BDI total scoures. Among individual items of BDI, sadness was significantly high in primary depression group.

우울증의 진단과 치료

박영남 대한가정의학회 1994 Korean Journal of Family Medicine Vol.15 No.1