도시근린공원 방범설계 (CPTED)의 효과성 검증

홍소연(Hong, So Yeon),권순호(Kwon, Soom Ho),박세희(Park, Se Hee),김은기(Kim, Eun Kee) 한국공안행정학회 2020 한국공안행정학회보 Vol.29 No.1

이 연구는 도시근린공원에서의 범죄예방환경설계 효과성 검증을 목적으로 실시되었다. 연구목적 달성을 위해 선행연구에서 활용된 범죄예방환경설계 평가항목을 활용하여 대상 공원 두 곳의 범죄예방환경설계 수준을 객관적으로 평가하였고, 설계 수준이 우수한 공원과 낮은 공원 방문객들을 대상으로 각각 범죄피해두려움을 측정하였다. 분석결과 설계 수준이 우수한 공원보다 설계 수준이 낮은 공원에서 방문객들의 범죄피해두려움이 더 높게 나타남을 확인 할 수 있었으며, 두 공원에서 느끼는 범죄피해두려움의 평균차이는 통계적으로 유의한 차이로 확인되었다. 따라서 도시근린공원에서의 범죄예방환경설계는 이용객들의 범죄피해 두려움을 낮추는 효과가 있다고 할 수 있다. 그러나 이 연구는 범죄피해두려움에 영향을 미치는 다른 요인들을 통제하지 못하였다는 점, 조사대상 공원의 범죄예방환경설계 수준에 대한 평가의 정교성이 다소 낮다는 점 등의 한계가 존재한다. 그럼에도 불구하고 ‘CPTED 인식’과 범죄피해두려움의 관계를 주로 검토하여 효과성을 검증하고자 한 기존 선행연구와는 달리 객관적 평가척도를 활용하여 설계수준 차이에 따른 범죄피해 두려움의 차이를 검증함으로써 CPTED의 효과성을 검증하였다는 점에서 의의가 있는 연구라 하겠다. This study was conducted to verify the effectiveness of crime prevention environment design in urban neighborhood parks. To achieve the objectives of the research, the crime prevention environmental design evaluation items used in the previous studies were objectively evaluated, and the crime prevention environment design levels of two target parks were objectively evaluated. Fear of crime was measured. As a result, visitors were found to have higher fears of crime victimization in parks with lower design level than those with better design level, and the average difference between crime fears felt between two parks was statistically significant. Therefore, the design of crime prevention environment in urban neighborhood parks can be said to reduce the fear of crime victims. However, this study has limitations such as the lack of control of other factors affecting the fear of crime, and the low level of elaboration of the assessment of crime prevention environment design of the park under investigation. Nevertheless, unlike previous studies that mainly examined the relationship between CPTED awareness and fear of crime, CPTED by verifying the difference of crime damage fear according to the design level by using objective evaluation scale. It is a meaningful study in that it verified the effectiveness of.

대한민국 법령에 나타난 정신질환에 대한 차별 조항 및 그 개선에 관한 연구

박종익,이성동,정은기,서동우,홍진표 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.2

만성 호중구성 백혈병 1예

박기령,조성민,우가은,이기현,손혜영,임정윤,최진혁,이순남,정화순 梨花女子大學校 醫科大學 醫科學硏究所 1997 EMJ (Ewha medical journal) Vol.20 No.2

Chronic neutrophilic leukemia(CNL) is a very rare myeloproliferative disease, characterized by sustained mature neutrophilic leukocytosis with granulocytic bone marrow infiltration, high NAP(neutrophilic alkaline phosphatase) score and absence of philadelphia chromosome, It is frequently accompanied by hepatosplenomegaly, elevated serum vitamin B_12 and uric acid level. For the diagnosis of CNL, the leukemoid reaction, especially secondary to neoplasia, infection and autoimmune diseases, should be excluded. Since Tuohy's first description in 1920, more than 50 cases fullfilling the above criteria have been reported worldwide, and 4 cases in Korea. Several authors have demonstrated the defect of intracellualr killing in the mature neutrophil and this finding correlates well with the very high incidence of fatal infection, The hemorrhagic diasthesis in CNL is caused by functional abnormality of the platelet. This disease has tendency to transform to blastic crisis and acute leukemia as in other myeloproliferative disease, but characteristically shows frequent coexistence with multiple myeloma. Until now , the therapeutic trials in CNL have been disappointing. Hydroxyrea and busulfan can control hyperleukocytosis. On the basis of functional defect in neutrophil, alpha-2b-interferon has been tried and several reports have demonstrated the clinical and functional effect of interferon on CNL. CNL is very rate hematologic disease and there are few report about general aspect of disorder. We report here a typical CNL case presenting with splenomegaly and leukocytosis with a review of the literature.

난소에 전이된 간세포암 1예

박용관,박치영,조은택,조기섭,박찬국,송창훈,이미자,기근홍 朝鮮大學校 附設 醫學硏究所 1995 The Medical Journal of Chosun University Vol.20 No.2

Hepatocellular carcinoma frequently metastasizes through direct extension, lymphatic, and hematogenous routes. The most common sites of metastasis are the lungs and the lymph nodes, glands, bones, spleen, kidneys, colon, and pleura are the sites of metastasis in decreasing order of frequency. But metastasis to the ovary is very rare. It is thought that metastasize to the ovary occurs through infiltration or dissemination. However, we observed ovarian metastasis of primary hepatic tumor in a 34-year old female who suffered from lower abdominal pain. At first, it was diagnosed as a primary ovarian tumor. But histologically, it presented sinusoidal pattern surrounded by the tumor cells and contained rounded by the tumor cells and contained round hyaline globules in minority of the cytoplasm. Then, the histologic features of percutaneous, sono-guided liver biopsy speecimen of the liver mass are similar to those of resected ovarian tissues. Therefore, we concluded that ovarian tumor was originated from hepatocellular carcinoma. In summary, this report examines a case of hepatocellular carcinoma with ovarian metastasis in a female and reviews the literature.

염증성 근섬유모세포종의 증례보고

은상아,박혁,차인호,김현실,정호걸,김기덕,박창서 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.36 No.3

The inflammatory myofibroblastic tumor (inflammatory pseudotumor) is a rarely occurring soft tissue lesion of unknown etiology. It can be of any location, but commonly it is found in lungs. It has been considered as a nonneoplastic reactive inflammatory lesion, but nowadays, confusion and dispute about its character is increasing due to its high recurrence rate and metastasis. We present a patient who had been diagnosed with an inflammatory pseudotumor in the right maxilla area, 1 year before visiting our hospital. After that, her pain and swelling did not resolved and she visit our hospital. On radiographic examination, aggressively infiltrative growth of the lesion with destruction of adjacent bony structure was noted. We found unusual aggressiveness of the inflammatory myofibroblastic tumor of the head and neck region. Because the typical behavior of the inflammatory myofibroblastic tumor is not defined yet, we recommend the surgical excision of the lesion and close follow-up.

악골에 발생한 백악질 및 골화성섬유종의 임상 및 방사선학적 고찰

박창서,김기덕,조은영 大韓口腔顎顔面放射線學會 1997 Imaging Science in Dentistry Vol.27 No.2

The purpose of this study was to know the proper diagnosis and to establish the treatment plan of cementifying and ossifying fibroma in the jaws through the clinical, raiological, and histopathologic considerations. The authors compared and analyzed the clinicoradiologic features of the thirteen cases of cementifying and ossifying fibroma, diagnosed at the Dental college hospital in Yonsei university, Seoul, Korea, during the period from 1980 to 1995. The obtained results were as follows: 1. Cementifying and ossifying fibroma occurred in the mean age, 44 years, ranged from 29 to 65 years and the male to female ratio was approximately 1:5. 2. Swelling was the most common frequent presenting complaints. Other reported symptoms included pain, tooth mobility and asymptom. 3. The frequency of the lesions was twelve cases in the mandible and one case in the maxilla. And eleven of thirteen cases were distributed on the premolar and molar region. 4. Radiologically, eight of thirteen cases were well defined lesions, five cases were relatively well defined lesions. And nine of thirteen cases were mixed lesions, three cases were radiopaque lesions, and only one case was purely radiolucenct lesion. 5. Histologically, seven of thirteen cases were classified ossifying fibroma, four cases were cemento-ossifying fibroma, and two cases were cementifying fibroma.

나이에 따른 한국인 정상 이하선의 전산화단층촬영값의 차이

박창서,김기덕,이은숙,정호걸 大韓口腔顎顔面 放射線學會 1999 Imaging Science in Dentistry Vol.29 No.2

Purpose : To determine normal CT number range of parotid gland by analyzing the change by age increase and the difference among individuals and between both sexes in CT number of normal parotid gland. Materials & Methods : 134 subjects who took the CT scan between the period of Jan. 1996 and Dec. 1997 at Yonsei University, Dental Hospital were selected. Criteria for selection were that the patients must be within the normal range clinically and radiologically, and the entire parotid gland on the axial view must be shown. Among the axial views, the one showing the greatest parotid gland size was selected and its CT number was recorded. Also, CT numbers from both masseter muscle were recorded as its control. Results : There was statistically significant correlation between CT number of right and left of parotid glands and masseter muscles. With the increase of age, there is a significant decrease in the CT number of parotid gland(p<0.05). There was no statistically significant difference in CT number between sexes except the 7th decade and beyond age group of parotid gland(p>0.05). Conclusion : As age increases, CT number of parotid gland has a tendency to decrease, and there is no significant difference in the CT numbers between left and right parotid gland. Therefore in the CT scan of patients suspected of having a salivary gland disease of the parotid gland, to consider normal range of the age-dependent CT numbers of parotid gland and compare the CT numbers of the right and left parotid gland might be useful in diagnosing the disease.(J Korean Oral Maxillofac Radiol 1999;29:451-458)

정신감정의뢰된 범법정신질환자들의 일반적인 특징의 변화 : Comparison Between 1971-1976 and 1987-1992 16년간의 비교

박강규,박재하,정은기 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.5

저자들은 사회문화변천에 따른 범법정신질환자들의 일반적인 특징과 이들에 대한 사회의 인식 및 태도의 변화를 알아보기 위하여 국립서울정신 병원에 정신감정의뢰된 범법피의자들중 감정결과 정신질환자로 진단된 1971년 1월 1일부터 1976년 12월 31일까지의 128례(A군)와 1987년 1월 1일부터 1992년 12월 31일까지의 189례(B군)를 대상으로 병록지 및 감정기록서를 조사 비교분석하여 다음과 같은 결과를 얻었다. 1) 성별분포에서 남녀비가 5.7:1과 2.4:1로 여자의 비율이 높아졌고, 교육정도는 국졸 이하가 감소하고 고퇴ㆍ고졸은 증가했다. 대도시 거주자가 증가하고 농ㆍ어촌 가주자는 감소하였다. 2) 질환별 분포에서 정신분열증은 유의하게 감소한 반면 우울증은 증가하고 알콜 및 약물중독 등 기타 질환군이 추가되었다. 3) 범죄내용에서 강력범, 폭력범, 재산범이 양군 모두에서 대부분이었는데 이중 살인은 감소하고 강도ㆍ강간 및 절도는 증가하였으며 보안법위반은 감소하였다. 4) 법행대상중 직계가족과 이웃ㆍ친지는 감소하고 타인은 증가하였으며 정신분열증의 살인대상은 이에 차이는 없었다. 5) 범행동기중 망상ㆍ환각, 퇴행적 미분별은 감소하고 발작적 충동은 증가하였다. 정신분열증에서는 망상ㆍ환각에 의한 범행이 가장 많았으나 양군사이에 차이는 없었고 발작적 충동에 의한 경우가 증가하였다. 6) 보호자인식 및 태도에서 과거 정신의학적 치료경험이 있었던 경우와 범행이 임박했을 즈음에 치료적 시도를 취한 경우가 증가했다. 이상의 결과로 보아 사회문화변천의 영향에 의해 범법정신질환자들의 일반적인 특징이 변하며 이들에 대한 사회의 인식과 태도에 긍정적인 변화가 있었음을 알 수 있었다 The purpose of this study is to investigate the change of characteristics of mentally ill criminals in legal case. The authors reviewed the medical records and additional data of 317 mentally ill criminals who had been referred to Seoul National Mental Hospital from Jan. 1971 to Dec. 1976(128 cases) and from Jan. 1987 to Dec. 1992(189 cases). The data obtained were analyzed in terms of several aspects ; demographic background, clinical diagnosis, features of crime, family attitude and recongnition. The results could be summarized as follows : During the past sixteen years, 1) As to demographic background, the frequency of female, high school graduated and urban residents were increased. 2) As to clinical diagnosis, the frequency of schizophrenia was decreased, whereas the frequency of depression was increased and alcohol or drug abuse et al were added. 3) As to types of crime, the frequency of homicide and violation of anticommunism law were decreased, whereas the frequency of larceny, rape and burglary were increased. 4) As to victims of crime, the frequency of stranger was increased. 5) As to motivations of crime, the frequency of impulsivity was increased, whereas the frequency of regressive misdiscrimination, delusion and hallucination were decreased. 6) As to family's recognition and attitude, the frequency of the previous history of psychiatric treatment and therapeutic try were increased. With the above results, the authors think that changes of characteristics of mentally ill criminals were attributed to the socio-cultural changes, and family's recognition and attitude changed into positive way.

Sertraline이 Bleeding Time에 미치는 영향

박현숙,장기용,김은남,강병조 대한생물치료정신의학회 1998 생물치료정신의학 Vol.4 No.2

본 연구는 선택적 세로토닌 재흡수 억제제(SSRIs), 특히 sertraline이 출혈 시간에 미치는 영향을 알아봄으로써 선택적 세로토닌 재흡수 억제제의 안전성과 혈액학적 부작용 측면을 평가하고자 하였다. 선택적 세로토닌 재흡수 억제제의 치료적 적응증에 해당하는 95명의 환자를 무작위 할당으로 sertraline 50mg 투여군, sertraline 200mg, 투여군, nortriptyline100mg 투여군, 위약(thiamine 100mg) 투여군으로 분류하여 정해진 양을 4주간 투여한 후 출혈 시간을 약물 투여 전, 약물 투여 2주 후, 약물 투여 4주 후의 3회에 걸쳐서 측정하였다. 95명의 환자 중 78명이 실험을 마쳤다. Sertraline 50mg 투여군에서 실험 전과 비교하였을 때 시간에 따르는 출혈 시간의 증가가 있었다. 다른 군에서는 실험 전과 실험 2주 후, 4주 후의 출혈 시간을 비교하였을 때 시간에 따르는 출혈 시간의 증가가 없었다. 연구 기간 동안 지혈 이상을 보인 환자는 없었다. 결론적으로 Sertraline 투여 초기에 정상 범위 내에서 출혈 시간의 증가가 있었다. Objective : This study was designed to assess the safety and hematological complications of the selective serotonin reuptake inhibitors(SSRIs) by examining the effect of sertraline on bleeding time. Method : Ninety five patients included in therapeutic indications of SSRIs were divided into sertraline 50mg, sertraline 200mg, nortriptyline 100mg, placebo(thiamine 100mg) groups. Bleeding time was measured at baseline, and repeated 2 and 4 weeks after the initiation of treatment with sertraline, nortriptyline and placebo 78 patients completed the study protocol. Result : Bleeding time was prolonged within normal range after 2 and 4 weeks of treatment in sertraline 50mg administration group. Bleeding time was not prolonged in the other groups. No patient developed clinical signs of abnormal hemostasis during the study period. Conclusion : Bleeding time was prolonged within normal range at initial period of treatment with sertraline.

태변흡인증후군의 병태생리와 치료

박상기,김은영 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

Meconium aspiration syndrome (MAS) is a disease of the term and near-term infant that is associated with considerable respiratory morbidity. MAS remains one of the most common but challenging conditions for obstetricians and pediatricians. Understanding of the syndrome's complicated pathophysiology will help determine the appropriate treatment strategy, including the use of continuous positive airway pressure (CPAP), conventional mechanical ventilation and other therapies. We review the pathophysiology and treatment of MAS including mechanisms of meconium passage, clinical manifestations and outcome.