범법 정신 장애자와 일반 정신 장애자의 약물 사용 양상에 관한 비교 분석

이길홍,박두병,나철,이재광,기백석,이재우,유영식,이영식,이헌재 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

범법정신장애자의 정신의학적 특성분석

이길홍,이재광,박두병,나철,기백석,이재우,유영식,이영식,이헌재 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

The diagnosis of coronoid impingement using computed tomography

Baik, Jee-Seon,Huh, Kyung-Hoe,Park, Kwan-Soo,Park, Moo-Soon,Heo, Min-Suk,Lee, Sam-Sun,,Choi, Soon-Chul 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Coronoid impingement can cause limitation of mouth opening. In many cases, it appears to be related to the coronoid hyperplasia. We present a case of mouth opening limitation caused by coronoid impingement on the posterior surface of the zygomatic bone without coronoid hyperplasia. The bony changes in coronoid and zygoma including surface irregularity and discontinuity of the cortex and sclerotic change of inner medullary space were noted on computed tomography (CT) scans in different level of axial planes. Through another CT scans in open mouth position could demonstrate that those bony changes were caused by the contact of both surfaces against each other. In case coronoid impingement is suspected of the many possible causes, the open mouth CT scans will be needed to reveal the direct impingement of coronoid on zygoma even without coronoid hyperplasia.

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy in management of peritoneal carcinomatosis: Single center experience in Korea

Hee Ju Lee1,HyungJoo Baik1,박요한,서상혁,김광희,Ki Beom Bae,Kwan Hee Hong,김기향,변정미,Dae Hoon Jeong,Kyung Bok Lee,오민경,조광래,안민성 대한종양외과학회 2019 Korean Journal of Clinical Oncology Vol.15 No.2

Purpose: Peritoneal carcinomatosis (PC) has been considered a terminal condition and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIEPC) is regarded as an alternative therapeutic option. This study aimed to evaluate the 30-day clinical outcomes of CRS/HIPEC and the feasibility of the surgery by investigating the morbidity and mortality in Inje University Hospital. Methods: Data were retrospectively collected from 19 patients with PC who underwent CRS/HIPEC at Inje University Hospital in 2018. We evaluated pre-, intra-operative parameters and postoperative clinical outcomes and early complications. Results: The mean operating time was 506.95 minutes and the mean blood loss was 837.11 mL. Six cases (31.58%) had morbidity of grade III or above. A longer operating time (≥560 minutes, P=0.038) and large blood loss (≥700 mL, P=0.060) were positively correlated with grade III or worse postoperative complications. Conclusion: Our early experience with CRS/HIPEC resulted in a 31.58% morbidity rate of grade III and above, with risk factors being longer operating time and greater intraoperative blood loss. As the surgical team’s skills improve, a shorter operating time with less intraoperative blood loss could result in better short-term outcomes of CRS/HIPEC.

먹파리 교상 1예

김명환,박현정,이준영,조백기,이인용,이원구 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.4

The Police And The People : Determinants Associating Cooperative Attitude Of The Public To The Police In Japan And China

이백철 경기대학교연구교류처 1997 論文集 Vol.41 No.1-1

동모더나이트상에서 CO에 의한 NO의 환원

이경환,이창용,하백현 漢陽大學校 環境科學硏究所 1991 環境科學論文集 Vol.12 No.-

소수형 모더나이트에 동의 함량을 달리하여 담지시켜 환원·산화처리한 촉매를 제조하였다. XRD, ESR 및 TPR 를 이용하여 촉매중 동의 상태를 관찰하고 NO를 CO로 환원시키는 반응을 수행하였다. 이 결과 동이온의 함량은 담지되는 동량에 비례하며 NO의 환원반응 활성도 증가하였으나 최대 활성점을 가지는 동함량이 존재하였다. 이 최대 활성점을 나타내는 동함량에서 최대 농도의 활성점이 형성된다고 생각된다. Copper oxide was loaded on hydrogen-mordenites as impregnated state with different contents. These copper-mordenites were characterized to know the formation of copper ion and CuO particles over H-mordenites and tested with the NO reduction activity by CO. The results lead to the conclusions that copper ion concentration over mordenite as well as the reduction activity increased simultaniously with the copper loading content indicating a maximum activity in which highest concentration of active sites may be created.

廢水溶液으로부터 슬래그형 휠타 사용에 의한 카드뮴 및 크롬이온의 제거

李羲彰,河白顯 漢陽大學校 環境科學硏究所 1988 環境科學論文集 Vol.9 No.-

본 논문은 폐수에 존재하는 Cd(Ⅱ) 이온과 Cr(Ⅲ) 이온을 제거할 때 slag filter와 sand filter를 사용하여 제거 효율과 실행 가능성에 대해서 연구하였다. 유출수와 제거과정에서 여재 slag와 sand를 비교하였다. 여재 slag의 유효 입경은 0.45 ㎜, 균등계수는 1.67이고 sand의 유효 입경은 0.46 ㎜, 균등계수는 1.35의 것을 사용하였다. pH가 7에서 100 ㎎ Cd/ℓ의 인공폐수를 sand와 slag column에 통과시켰을 때 slag filter는 최초 Cd농도의 60~70%가, sand filter은 5~10%가 제거되었으며 Cd제거시 최적 pH는 7이고 sand column의 열세척은 slag column보다 1.5배 정도가 좋았다. pH가 7에서 인공폐수를 slag와 sand에 통과시키면 slag column의 제거효율은 62hr내에 99.7%에 달했고, sand column에서는 28.5%이었다. This study was carried out to investigate the feasibility and removal efficiency of Cd(Ⅱ) and Cr(Ⅲ) ions removals from the simulated wastewater solution by using slag media type filter. The results of the slag filter were compared to coventional sand filter at the point of view of effluent quality and removal performance. The obtained effective size and coefficient uniformity were 0.45㎜ and 1.67 in slag, 0.46㎜ and 1.35 in sand respectively. At pH7, imulated wastewater, 100㎎ Cd/ℓ was passed through both filter columns. The slag filter showed 60 to 80 percent removal efficiency of the initial Cd concentration, while the sand filter showed only 5 to 10 percent. Optimum pH value for Cd removal showed 7, obtained optimum back wash frequency of slag column was 1.5 times less than of sand. With the simulated wastewater having ionic concentration of pH7 the removal efficiency of the slag column and metal concentration of 100㎖/ℓ revealed 99.7 percent during 62hrs, while that of the sand column was 28.5 percent.

우울증 환자 치료에 있어서 Tianeptine과 Sertraline의 효과와 안전성 비교

이민수,강성민,기백석,연병길,오병훈,이철,채정민,백인호 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.2

연구목적: 주요 우울증의 치료에 있어서 티아넵틴과 써트랄린의 임상적 효과와 안정성을 비교하기 위하여 연구를 시행하였다. 방법: DSM-IV 진단 기준에 의거하여 주요 우울증의 진단기준에 부합되고 17항목 해밀턴 우울척도 점수가 14점 이상인 환자를 대상으로 하였다. 총 40명의 환자를 무작위적 방식에 따라 티아넵틴 치료군과 써트랄린 치료군으로 분류하였다. 선탠된 환자에서 다른 항우울제를 복용하고 있는 경우 7일 이상의 약물 배설기간을 가진 후 티아넵틴과 써트랄린을 각각 6주간 투여하였으며, 기준점, 1주후, 2주 후, 4주 후, 6주 후에 HAM-D, MADRS, 그리고 CGI, COVI 등을 사용하여 평가하였다. 본 연구기간 중 발생된 모든 부작용은 부작용의 발생 및 소실 시기, 심한 정도, 발생 빈도, 관련 조치 및 결과에 대하여 증례기록서에 기록하도록 하였다. 결과: 30명(티아넵틴군 15명 ; 써트랄린군 15명)이 6주간의 연구를 완결하였고 티아넵틴 치료군에서는 1일 37.5mg을 투여하였으며 써트랄린군에서는 1일 평균 64.0±22.5mg을 투여하였다. 본 연구 결과 HAM-D, MADRS, CGI 상에서 두 군 모두에서 치료 1주 후부터 유의한 감소를 나타내었으며 이는 2주 후, 4주 후, 6주 후에도 지속적인 감소를 보였고 두 군간에 항우울 효과의 차이는 없었다. 활력징후, 일반 혈액학, 생화학, 심전도 검사 등에서는 두 군 모두 유의한 변화는 없었다. 티아넵틴과 관련된 부작용으로 흔히 보고한 증상은 오심(33.3%), 복부 불쾌감(26.7%), 구강 건조(20.0%), 두통(13.3%)등 이었고 써트랄린 치료군에서는 구강 건조(53.3%), 두통(46.7%), 오심(33.3%), 그리고 식욕 부진(33.3%)등으로 티아넵틴군에서 보다 적은 발현빈도를 보였다. 결론: 티아넵틴은 우울증의 치료에 있어서 효과적이고, 내약성이 우수한, 안전한 항우울제이다. Objective: This study was designed to evaluate the efficacy and safety of tianeptine and sertraline in the treatment of patients with depression. Method: The study was done on the patients with major depression diagnosed by DSM-IV, who had aHamilton Rating Scale for Depression(HAM-D) score ≥ 14 on the first 17 items of the HAM-D. A total of 40 patients were randomly assigned to tianeptine group and sertraline group. Tianeptine and sertraline were prescribed to each group. 6 weeks of each medication was carried out after 7 days of drug excretion period. Evaluation using 17 item HAM-D, Montgomery and Åsberg Depression Rating Scale(MADRS), Clinical Global Impression Scale (CGI), and Covi Scale was done on the baseline and after 1 week, 2 weeks, 4 weeks, and 6 weeks. Regrding all side effects that had occurred during the period of our study such as their developed/disappeaed time, severitien, incidences, managements and results have been recorded. Results: A total of 30 patients(tianeptine group 15 ; sertraline froup 15) finished the 6 weeks of research. 37.5mg of the daily dose was regularly prescribed to the tianeptine group, the average amount of 64.0±22.5mg of the final daily dose was prescribed to the sertraline group. Total 17 item HAM-D scores, total points of MADRS and CGI showed significant decrease after 1 week in each treatment froup and continous decrease after 2, 4 and 6 weeks ; and no difference was found between tianeptine group and sertaline group in the antidepressant efficacy. Also there were no significant changes in vital sign, CBC, chemistry, and EKG in each treatment group. The common reported side effects of tianeptine were nausea(33.3%), epigastic distress(26.7%), dry mouth(20.0%), headache(13.3%) and those of sertraline were dry mouth (53.3%), headache(46.7%), nausea(33.3%), anorexia(33.3%). Conclusion: According to the results, tianeptine was effective in improvement of depressive symptoms and was well tolerated and safe in patients with depression.

교통사고로 인한 두부외상환자에서의 외상후 기간과 정신과적 증상과의 관계

이재광,박두병,기백석 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.1

외상 후 기간과 정신과적 증상의 정도사이의 관계를 알아보기 위하여 교통사고로 두부외상을 당한 환자 81명을 대상으로 본 연구를 시도하였다. 정신과적 증상은 SCL-90-R, 다면성 인성검사, 바랏 충동성검사척도, 그리고 웩슬러 지능검사 등을 이용하여 조사하였다. 두부외상환자중 53명은 사고 후 6개월(평균 13.7개월)이 지난 환자들이었으며, 28명은 사고 후 6개월(평균 5.07개월)이 경과하지 않은 환자들이었다. 본 연구에서 외상 후 기간과 정서적 증상의 정도사이에는 직접적인 관련이 있는 것으로 나타났는데 뇌외상 후 6개월이 지난 환자들에서는 6개월이 지나지 않은 환자들에 비해서 정서적 증상들이 더 심했으며 더 충동적이었다. 그러나 지적기능은 두 집단간에 차이가 없었다. 이러한 결과는 뇌외상 후 시간이 경과함에 따라서 뇌외상으로 인한 적응상의 문제점들을 환자가 더 많이 인식하게 될 뿐만 아니라, 뇌가 우리 신체장기중 가장 중요한 장기이기 때문에 불안을 더 많이 경험할 수 있으며, 다른 한편으로는 보상과 관련된 문제점등이 관련되기 때문일 것으로 추측된다. 이러한 결과는 뇌외상환자들의 후유장애평가시기가 너무 빨라서는 안된다는 것을 시사해주며, 다른 한편으로는 뇌외상 환자들을 치료하는데 있어서 인지기능뿐만 아니라 정서적 문제에 대한 치료도 초기부터 병행되어야 함을 시사해 준다. In order to investigate the relationship between the post-traumatic period and the severity of emotional distress, we examined 81 patients with head trauma by traffic accident using symptom Checklist 90-R, Minnesota Multiphasic Personality Inventory(MMPI), Barratt Impulsivity Scale, and Wechsler Adult Intelligence Scale as measurement tools. Among them 53 patients were referred more than 6 months after traffic accident(mean period 13.70 months) and 28 patients were referred within 6 months after traffic accident(mean period 5.07 months) for evaluation of their neuropsychiatric symptoms. It was discovered that there was a direct correlation between the post-traumatic period and the severity of emotional distress. The more chronic head trauma patients were more emotionally distressed and impulsive compared to acute patient group. These differences in emotional functioning appeared to be independent of level of neuropsychological impairment measured by Wechsler Adult Intelligence Test. Increased awareness of impaired mental functioning with the passage of time, increased apprehension about head injury, and compensation problem related to traffic accident were described as possible causes of enhanced emotional distress in some chronic head trauma patients. In conclusion, the results of this study suggest that an effective time-period for evaluation of sequellae of head trauma should not be a short one, and proper management of emotional problem of head trauma patients must be performed from the early phase of treatment.