한국의 정신분열병 외래 환자의 직ㆍ간접비용

박종익,송선희,서동우,장현종,이종국,장안기,김윤,이철,홍진표 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 정신분열병 외래 환자의 직접 비용과 간접 비용을 추산해 보고, 의료 자원의 적절한 운용과 효과적인 배분을 위한 보건 정책의 기초자료로 사용하고자 한다. 방 법 : 정신분열병 진단을 받은 289명의 환자를 대상으로 6개월간 외래를 방문하면서 사용한 의료비와 시간을 조사하여 직접 비용을 추산하였고, 이 기간 동안 소실된 생산성을 간접 비용으로 환산하였다. 만성질환인 관상동맥 질환을 앓고 있는 환자 82명을 대조군으로 하여 비용을 비교하였다. 결 과 : 정신분열병 환자의 실업률은 72.1%였으며, 직장을 가지고 있는 경우에도 단순노무직의 비율이 64.5%로 매우 높았다. 정신분열병의 직접 비용은 평균 81.5만원으로 관상동맥 질환의 평균 71.5 만원보다 상대적으로 많이 추산되었으나 유의하지는 않았다. 간접 비용은 평균 645.6만원, 258.9 만원으로 정신분열병군이 2.5배 정도 높았다. 결 론 : 정신분열병은 다른 만성질환에 비하여 상대적으로 매우 고비용이 요구되는 질환이며, 보다 체계적인 비용의 추산을 통하여 양질의 정신 보건 서비스를 제공할 수 있는 토대가 마련되어야 할 것이다. Objectives : We have aimed to estimate the direct and indirect costs of treating out-patients with schizophrenia in Korea, to use this fundamental data for the effective management and proper distribution of the medical resource. Method : To estimate the direct cost, we surveyed the medical cost and time of two hundred and eighty-nine out-patients with schizophrenia for six months. And the lost productivity as many months was converted into the indirect cost. Those of eighty-two coronary heart disease patients were also estimated as a comparison group. Results : An unemployement rate of schizophrenic patients was 72.1 percent. Moreover the ratio of the laborer in the sample was, even if employed, 64.5 percent. The mean direct cost of schizophrenic patients was, about 815,000 won, higher than that of coronary heart disease, 715,000 won however it was not statistically significant. The former was also estimated 2.5 times more than the latter for the indirect cost, or 6,456,000 won versus 2,589,000 won. Conclusion : Schizophrenia is a relatively costly illness compared to other chronic illness, so the systematic estimation of the cost is necessary to provide mental health service of high quality.

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

남성유방에 발생한 지방육종

최종범,임성철,기근홍,전호종,서재홍 대한병리학회 1992 Journal of Pathology and Translational Medicine Vol.26 No.3

상악 유중절치의 치수치료후 치관수복에 대한 유한요소법적 분석

김종수,김용기,맹명호 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.4

The Finite Element Analysis has been used for stress analysis of prosthesis, orthodontic or orthopedic appliances and filling materials. The primary purpose of the present studying was to evaluate the effectiveness of needle post in promoting the retention and integrity of conposite crown restored on the pulpotomized primary central incisor. Three finite element models- natural tooth (Sample Ⅰ), composite crown with (Sample Ⅱ)and without (SampleⅢ) needle post-were constructed and the stress distribution within each model were analyzed and compared one another. The results can be summarized as follows: 1. In sampleⅠ. the stress was shown to have distributed uniformly throughout the whole tooth even to the alveolar bone. 2. In sample Ⅱ. the transmission of stress from the crown to the root area was shownto be very poor and irregular. 3. In sample Ⅲ. the needle post was proved to be very effective in distributing the seress well to the aveolar bone which might help in maintaining the stability of crown restoration.

工業敎育大學 機械科와 化工科의 敎育課題 開發을 위한 韓獨 共同 現場調査硏究

金基會,李輔成,李來烈,周赫鍾,朴鍾鎬,Bode, R.,Winkler, H.,Sigrist, L.,Echtermeyer, K.,Petzinna, C. 충남대학교 공업교육연구소 1982 論文集 Vol.5 No.1

In 1950s, until the end of the Korean War, economy of the Republic of Korea has been strongly oriented to agriculture. From 1960s to 1970s, four times successive Economic Development Plan has changed its economic aspects to the labor oriented export industry one. This change is connected with big problem. One of these problems which is important for the success is education in the field of technology. Then, College of Industrial Education at Chungnam National University is assigned being Koreas first, only and unique institution to educate the teachers for Technical High Schools, thus, to contribute to a prosperous development of the nation skilled manpower in a cardinal point. The main goal of this field study is to gather useful materials and informations, relevant and meaningful for the development of curricula measurments within the field of vocational technical education. This includes not only pre-vocational education in Technical High School but also the training of technical teachers at C.I.E.. After analysing the informations and results of this field study we can find quite a lot of possible recommendations for persons and institutions involved in vocational-technical education. But we will express only a certain amount of them, 1) Put higher emphasis on basic vocational qualifications ! 2) Provide realistic perspectives towards the world of work ! 3) Link theory and practice in vocational-technical education ! 4) Develop an active qualification strategy in schools ! 5) Develop thoroughly appropriate curricula ! 6) Reduce the number of students in classes ! 7) Adapt the equipment of schools towards educational goals ! 8) Integrate vocational practice into technical education !

Resin Jacket Crown을 이용한 법랑질 형성 부전증 환자의 심미적 치험례

김종수,김용기,이준석,이준행 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.4

Amelogenesis imperfecta represents a group of hereditary conditions that manifest enamel defects without evidence of generalized or systemic disorders. These enamel disorders are apparently heterogeneous in the basic chemical sturcture, resulting in a diverse presentation of clinical characteristics. The reported prevalence of amelogenesis imperfecta varies from 1 in 14,000-16,000 to 1.4 in 1,000 depending on specific population studied with the autosomal dominant hypocalcification type of amelogenesis imperfecta believed to be the least prevalent. The most widely accepted current classification system for delineating the amelogenesis imperfecta types considers the mode ofinheritance and clinical manifestations. Three major groups are recognized; hypoplastic, hypocalcified, and hypomaturation types. Delineating specific types of amelogenesis imperfecta can be confusing due to the phenotypical similarity of many forms and that the most recent classification lists 14 different types. A 12 year-old female patient came to our pediatric dentistry clinic complaining of the ugly shape and color of her teeth, especially the upper front area. Although the goal of the treatment was mainly focused on the improvement of patient's esthetics, longevity of the restorations was also considered in selecting the appropriate restorative system, resin jacket crown, which can satisfy the both aspects.

부모양육이 주정중독에 미치는 영향

이종일,정은기,김종우 국립서울정신병원 2000 臨床硏究論文集 Vol.2000 No.-

소아교정 환자의 치은염 개선을 위한 P.M.T.C.의 적용 증례

김용기,김종수,강용주 大韓小兒齒科學會 1997 大韓小兒齒科學會誌 Vol.24 No.4

Gingivitis is the most prevalent type of periodontal disease and the dental plaque is considered as a major contributory factor. As the poor oral hygiene is firmly related to the occurrence of periodontal disease, pediatric dentist should make every effort to promote the oral health and control the plaque effectively for the high risk patients, especially for those who are under orthodontic treatment. P.M.T.C.(Professional Mechanical Tooth Cleaning), introduced by Dr. P. Axelsson in 1969, is a very effective method of plaque removal and can be performed by specially trained personnel. Two pediatric orthodontic patients were treated by P.M.T.C. for the elimination of gingivitis and gingival swelling. Signi ficant improvements of gingival condition were achieved in both cases but additional preventive programs and home care along with professional office care seem to be necessary for the best result.

LASER를 이용한 FRENECTOMY

김용기,김종수,김용철 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.3

Laser is getting more attention from increasing numbers of dental clinicians by its own several unique characteristics : precision, hemostasis, and bactericidal capacity. It also provides patients with several advantages of minimal tissue damage, faster healing with less postoperative pain and minimal use of local anesthetics. Labial or lingual frenectomies were performed successfully in three pediatric patients using Nd-YAG laser. When compared to the conventional scalpel method, less local anesthetics were needed and the bleeding control was so excellent that any suture was not necessary. The operation sites were completely healed without any infection or complication and discomfort from swelling or pain was not noted in all cases throughout the healing process.

Chloral Hydrate를 이용한 직장투여 진정요법의 임상적 연구보고

김용기,박희승,김종수 大韓小兒齒科學會 1990 大韓小兒齒科學會誌 Vol.17 No.2

The purpose of this study was to evaluate overall clinical effect of conscious sedation performed by chloral hydrate adminstered through rectum. Patients with uncontrollable behavior were treated under sedation and treatment effect was evaluated using 5 rating scales modified by Lunt and recorded by operator subjectively. Very effective and effective cases were 35 out of 86 cases revealing 40.7% of success rate. Treatment effect of high dosage groups(75mg/Kg) was shown to be superior to low dosage groups(mg/Kg), but with no statistically significant differences between them. Vital signs were recorded to be relatively stable throughout procedure and no remarkable side effect was checked except a few cases of mild vomitting and dry mouth.