두피 전체의 발모광을 보이는 정신분열병 1례

고정인,신성훈,이상열 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.1

Trichotillomania is characterized by recurrent pulling of one's hair, resulting in significant hair loss and involves many hours each day of pulling hair or thinking about pulling hair. Patients pulled hair from a variety of sites, including scalp, eyelashes, eyebrows, pubic region, face, and body, but the highest incidence and severity involved scalp hair. This symptom arises as a part of symptom complexes in a variety of psychiatric disorders such as obsessive compulsive disorder, depression, mental retardation, eating disorder and schizophrenic disorder. The authors experienced a case of trichotillomania in a 42 year old schizophrenic patient whose total hair in scalp was pull out. Several literatures were reviewed and psychiatric aspect of trichotillomania were discussed. For the treatment of this patient, haloperidol and supportive psychotherapy had been tried and been proven effective.

소아 호흡기계 감염증에 대한 Biostim^(�)(RU 41740)의 임상적 효과

고경옥,변상현,이건수,정용헌 최신의학사 1991 最新醫學 Vol.34 No.12

대체공정계획을 고려한 셀형제조시스템 설계에 대한 확률 모형

고창성,이상헌 慶星大學校 1998 論文集 Vol.19 No.1

Cellular manufacturing system (CMS) has been recognized as an alternative to improve manufacturing productivity in conventional batch-type manufacturing systems through reducing set-up times, work-in-process inventories and throughput times by means of group technology. Most of the studies on the design of CMS assumed that each part has a unique process plan, and that its demand is known as a deterministic value despite of the probabilistic nature of the real world problems. This study suggests an approach for designing CMS, considering both the alternative process plans and the uncertainly of the demand, A mathematical model is presented to show how to minimize the expected amortized and operating costs satisfying these two relaxations. A heuristic algorithm is developed based on tabu search which is well applied to get an optimal or near-optimal solution. An example problem is carried out to illustrate the heuristic algorithm and is compared with the deterministic counterpart.

유산소성 운동이 고지혈증 여성 고령자들의 APO 지단백 대사에 미치는 영향

고기준,김성헌 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.3

The purpose of this study was to determine the effects of continuous and intermittent treadmill exercise training on the change of apoprotein metabolism in hyperlipidemia female olders. Subjects was selected among the hyperlipidemia female olders who were enlisted in the old medical center in P metropolitan city. These subjects were female olders with hyperlipidemia syndrome who agreed with intention and experimental content of this study. Subjects were composed of 6 continuous group(average age of 71.2±2.3yrs) and 7 intermittent group(average age of 69.6±3.0yrs), total 13 members. Continuous and intermittent treadmill exercise training program were performed with intensity of 65~75% HRmax and RPE 13~15, for 30 min./day, 3 times/week during 10 weeks. The conclusion obtained from this study were as follows; 1. Apo AI after exercise was increased by 20.7% in continuous group, 15.3% in intermittent group but with no statistical signification. 2. Apo AⅡ after exercise was increased by 10.4% in continuous group, and decreased by 2.2% in intermittent group but with no statistical signification. 3. Apo B after exercise was increased by 17.9% in continuous group, 4.0% in intermittent group but with no statistical signification. 4. Apo CⅡ after exercise was increased significantly by 54.1%(P<0.01) in continuous group, and increased by 19.4% in intermittent group but with no statistical signification. 5. Apo CHI after exercise was increased significantly by 40.6%(P<0.05) in continuous group, and 44.6%(P<0.05) in intermittent group. 6. The ratio of HDL-C/Apo AI after exercise has been increased significantly by 111.0%(P<0.001) in continuous group, and 81.3%(P<0.001) in intermittent group. 7. The ratio of LDL-C/Apo B after exercise has been increased significantly by 94.2%(P<0.001) in continuous group, and 81.6%(P<0.01) in intermittent group.

역대 서울특별시 지방의원의 사회적 배경과 충원 유형

고경민,장성훈 서울시립대학교 부설 서울학연구소 2006 서울학연구 Vol.- No.26

Political recruitment is one of the major components of local political process. It has to be organized in such a way that enhances representation, democracy, efficiency, and effectiveness of a local political system. This study is focused on representation among them. This study is analyzing a trend of patterns of political recruitment of local council members of Seoul city through social backgrounds variables such as political party, age, occupation, education. The analysis of social backgrounds of local councils members becomes a basis to evaluate how much local councils has representation and democracy, and can offer standard of political recruitment of local politicians for democratization and activation of local politics. According to the analysis results, Seoul metropolitan Council members preferred most was the people who had social backgrounds such as education of university graduation or above, age between 40s~50s, recommendation of political party and special politician. Similarly, Seoul district council members preferred most was the people who had social backgrounds such as education of high school graduation or above, age between 40s~50s, and special politician. If the highly educated person who had administrative ability and specialty becomes a local politician, accomplishing efficiency of local politics can be positive. But it has possibility to infringe core values such as social representation or democracy of local council. Because local politicians represent public opinion and interests of local residents, they must not be extremely different with social backgrounds of local residents. However, their social backgrounds can be different with it of local residents in order to have the ability to carry out role of the excellent representative. It is a dilemma of local council configuration to harmonize efficiency with representation. None the less, as for the local council configuration where reflecting various classes and their interests in local communities, development of institution and change of consciousness of local residents must consist at the same time.

두피 전체의 발모광을 보이는 정신분열병 1례

고정인,신성훈,이상열 圓光大學校 醫科大學 神經精神科學敎室 1998 圓光精神醫學 Vol.14 No.1

Trichotillomania is characterized by recurrent pulling of one's hair, resulting in significant hair loss and involves many hours each day of pulling hair or thinking about pulling hair. Patients pulled hair from a variety of sites, including scalp, eyelashes, eyebrows, pubic region, face, and body, but the highest incidence and severity involved scalp hair. This symptom asries as a part of symptom complexes in a variety of psychiatric disorders such as obsessive compulsive disorder, depression, mental retardation, eating disorder and schizophrenic disorder. The authors experienced a case of trichotillomania in a 42 year old schizophrenic patient whose total hair in scalp was pull out. Several literatures were reviewed and psychiatric aspect of trichotillomania were discussed. For the treatment of this patient, haloperidol and supportive psychotherapy had been tried and been proven effective.

정신분열증 환자와 우울증 환자의 MMPI-2 프로파일

고윤화,손용훈,윤정흠,오상우,이귀행,박민철 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2

Background: Minnesota multiphasic personality inventory-2(MMPI-2) is superior to its predecessor in differential diagnosis. this study was to investigate MMPI-2 profiles of the patients with schizophrenia and depression and to discriminate among two groups. Methods: The sample consisted of 35 patients with schizophrenia(male 24, female 11), 35 patients with depression(male 18, female 17) diagnosed by the diagnostic and statistical manual of mental disorders(DSM-IV) for schizophrenia & depression at department of neuropsychiatry in WonKwang University from January 2005 to December 2007. The data from the results were analyzed statistically by t-test and discriminant analysis. Results: The results were as follows. First, according to t-test results the comparison of schizophrenia patients and depression patients in MMPI-2 among two groups showed significant differences; the validity scales: F, F(P); The clinical scales: D, Pa; The restructured clinical scales: Rcd(dem), RC4, RC6, RC8; The content scales: ANX, DEP, BIZ; The supplementary scales: AGGR, PSYC, Mt, GF, O-H. Second, as a results discriminant analysis, BIZ, D were significant predictors in distinguishing patients with schizophrenia from patients with depression. Third, probability to be discriminated schizophrenia in schizophrenia was 91.4%, probability to be discriminated depression in depression was 85.7%. Conclusion: Finally, we remind readers that although the MMPI-2 may prove to be useful in the task of differential diagnosis, it should be used only in combination with other patient information. 배경: MMPI-2는 감별진단에서 기존의 MMPI 보다 더 우수하다. 본 연구는 정신분열증 환자와 우울증 환자의 MMPI-2 프로파일과 두 집단을 판별하는 연구를 하였다. 방법: 2005년 1월부터 2007년 12월까지 원광대학교 병원 신경정신과에서 정신분열증과 우울증으로 진단된 정신분열증 환자 35명(남성 24명, 여성 11명), 우울증 환자 35명(남성 18명, 여성 17명)이 본 연구에 참여하였다. 자료는 t-검증과 판별분석으로 분석하였다. 결과: 결과는 다음과 같다. 1. t-검증 결과, 두 집단간 유의미한 차이를 보인 척도들로는 타당도 척도에서 F, F(P) 척도, 임상척도에서 D, Pa, 척도, 재구성 임상척도에서 Rcd(dem), RC4, RC6, RC8척도 였다. 내용척도에서는 ANX, DEP, BIZ척도 였으며 보충척도에서는 AGGR, PSYC, MT, GF O-H척도 였다. 2. 판별 분석 결과로서, 정신분열증과 우울증을 구별하는데 가장 유의한 예언요소는 BIZ, D척도로 나타났다. 3. 판별함수를 통한 진단율은 정신분열증을 정신분열증으로 판별해주는 정확도는 91.4%였고, 우울증을 우울증으로 판별해주는 정확도는 85.7%였다. 결론: 본 연구 결과를 통해서 MMPI-2가 두 집단을 감별하는데 유용하다고 증명되었을지 모르지만 더욱 정확하게 감별하기 위해서 환자의 기타 정보를 사용해야 할 것이다.

슬개골 골절에서 관절경을 이용한 정복 및 내 고정술

고상훈,조성도,나화엽,김우석,정유영,곽창렬,김범수 대한골절학회 2003 대한골절학회지 Vol.16 No.4

쪽파[Allium ascalonicum L.] 재배기간 중 Diazinon, Iprodione 및 Chlorfenapyr의 잔류랑 변화

고광용,나은식,김성헌,김상준,장영희,이규승 충남대학교 농업과학연구소 2005 농업과학연구 Vol.32 No.2

In order to know the residual pattern of pesticides and predict to the degradation period until below MRL, we experimented diazinon, iprodinon and chlorfenapyr for shallot. They were the most detected pesticide in shallot by NAQS (National Agricultural product Quality management Service) survey. In this experiment, we sprayed those pesticides 15days before harvest and analyzed 0, 1, 2, 3, 5, 7, 10, 14 day sample to establish logical equation and to calculate DT_(50). During the cultivating period, the residue amount of diazinon was changed from 1.02 mg/kg (0 day) to 0.01 mg/kg (14 day), DT_(50) was 2.19 days, and iprodione was changed from 1.45 mg/kg (0 day) to 0.14 mg/kg (14 day), DT_(50) was 4.15 days, and chlorfenapyr was changed from 1.5 mg/kg (0 day) to 0.01 mg/kg (14 day), DT_(50) was 1.97 days. The DT_(50) of double amount in those pesticides, diazinon was 2.24 days, iprodione was 4.82 days, and chlorfenapyr was 2.24 days, respectively.

Duchenne 근이영양증 환자에서 Propofol과 Remifentanil을 이용한 전정맥마취 경험 : 증례보고

김상훈,이현영,소금영,정종달,고지현 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

Patients with Duchenne's muscular dystrophy are considered to be at risk of peri-operative complications. It's patients can be associated with cardiac arrest, rhabdomyolysis, malignant hyperthermia during anaesthesia. This is a case report of a 14 years old male patient who had known Duchenne muscular dystrophy was scheduled for open reduction and internal fixation of right humerus fracture. Regional anesthesia was refused by the patient. Total intravenous anesthesia (TIVA) was performed with propofol and remifentanil, which was started at the targeted effect concentration of 3.0μg/ml and 10ng/ml via target controlled infusion. After the end of operation, the patient was awaken without any problem and was transferred to recovery room.