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노인 만성 조현병 환자군에서 병태생리, 인지기능, 병식, 삶의 질 간의 관련성
홍경기,이준노,임선진,김정민,나의현,홍문화,한혜리 대한노인정신의학회 2014 노인정신의학 Vol.18 No.2
Objective:The aim of this study was to investigate the association with psychopathology, cognitive function, insight and quality of life (QOL) in elderly patients with chronic schizophrenia over age 55. Methods:103 schizophrenic patients over age 55 with illness duration over 10 years, are enrolled in a cross-sectional study. The subjects were assessed by the Korean version of 4th Revision of Schizophrenia Quality of Life Scale, Korean Version of Scales to Assessment Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS) and the cognitive function battery designed for this study. Multiple regression stepwise selection models were executed to identify the relations among variables, and the contributing factors to QOL. Results:Among schizophrenic patients with lower illness-severity with PANSS total score below 75, higher PANSS positive subscale score and lower number of hospitalization were related to lower QOL. Among patients with higher illness-severity with PANSS total score of 75 and over, higher PANSS general psychopathology subscale score, better intelligence, better delayed recall function, worse attention, better awareness of medication effect and later onset were related to lower QOL. Conclusion:Results of our study suggest that improvement in positive symptom and general psychopathology could increase the QOL in elderly patients with chronic schizophrenia over age 55. And the management which could improve attention, awareness of need for medication would attribute the QOL.
발달장애 문제행동 치료 가이드라인 제작을 위한 다학제적 접근
홍경기(Kyungki Hong),송호광(Hokwang Song),오매화(Maehwa Oh),오윤혜(Yunhye Oh),박수빈(Subin Park),김예니(Yeni Kim),최성구(SungKu Choi) 대한신경정신의학회 2018 신경정신의학 Vol.57 No.2
Objectives : To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods : To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview(FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results : According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion : It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.
Effect of Household Processing on Pesticide Residues in Field-sprayed Tomatoes
권혜영,김택겸,홍수명,서은경,조남준,경기성 한국식품과학회 2015 Food Science and Biotechnology Vol.24 No.1
Tomatoes sprayed with chlorothalonil, oxadixyl, and thiophanate-methyl in a greenhouse were cooked to juice and puree using washing, blanching, peeling, and boiling. Washing reduced amounts of chlorothalonil, oxadixyl, and thiophanate-methyl pesticide residues by 92, 52, and 84%, respectively. A concentration of 3.66% chlorothalonil remained in peeled tomatoes, 0.32% in juice, with no detection in puree. Oxadixyl remained at a concentration of 40% in peeled tomatoes, 54% in juice, and 77% in puree, and the remaining concentration of thiophanate-methyl was 6.2% in peeled tomatoes, 8.7% in juice, and 16.2% in puree. Non-systemic pesticide residues on tomato surfaces could be largely removed through washing and peeling. Reductions in levels of systemic pesticides in tomato pulp during boiling were dependent on the physico-chemical characteristics of pesticides.