18–30세 사이에 발생하는 뇌경색의 특징, 다기관 레지스트리 연구

장윤경,송태진,김용재,허지회,이경열,김영은,장민욱,조수진,강석윤 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.3

Objectives: Although there have been several reports that described characteristics for young age stroke, information regarding very young age (18–30 years old) has been limited. We aimed to analyze demographic factors, stroke subtype, and 3-month outcome in acute ischemic stroke patient who have relatively very young age in multicenter stroke registry. Methods: We evaluated all 122 (7.1%) consecutive acute ischemic stroke (within 7 days after symptom onset) patients aged 18 to 30 from 17,144 patients who registered in multicenter prospective stroke registry, 1997 to 2012. Etiology was classified by Trial of Org 10172 in Acute Stroke Treatment criteria. Stroke severity was defined as National Institutes of Health Stroke Scale (NIHSS) and stroke outcome was defined by modified Rankin scale (mRS) at 3 months after index stroke. Results: The mean age of all included patients was 25.1±3.7 years and 76 patients (62.2%) were male. The median NIHSS at admission was 4. Considering stroke subtype, 37 patients (30.3%) had stroke of other determined etiology (SOD), 37 (30.3%) had undetermined negative evaluation (UN) and 31 (25.4%) had cardioembolism (CE) were frequently noted. After adjusting age, sex and variables which had P<0.1 in univariable analysis (NIHSS and stroke subtype), CE stroke subtype (odds ratio, 4.68; 95% confidence interval, 1.42–15.48; P=0.011) were significantly associated with poor functional outcome (mRS≥3). Conclusion: In very young age ischemic stroke patients, SOD and UN stroke subtype were most common and CE stroke subtype was independently associated with poor discharge outcome.

부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

Young-Ki Kim

Sun-young Park,Youngjae Lee,Jinyoung Song,Seok-ho Jeon,Ji-yoon Jeong,강병택,강지훈,장진화,장동우 한국임상수의학회 2016 한국임상수의학회지 Vol.33 No.3

Signalment: An 8-month-old female Alaskan malamute was presented for progressive cluster seizure disorder. Results: There were no abnormalities on neurological examination, survey radiographs, or blood analysis. Magnetic resonance (MR) imaging and computed tomography revealed extension of the olfactory bulb and frontal lobe into the nasal cavity. They also confirmed abnormal anatomy of the nasal turbinates within the rostral part of the nasal cavity and the absence of a cribriform plate. On T2-weighted and fluid-attenuated inversion recovery images, the herniated brain showed heterogeneous and hyperintense signals consistent with intraparenchymal edema. Transverse MR images showed brain herniation into the right frontal cavity and an asymmetrical lateral ventricle because of a left midline shift. On contrast-enhanced MR images, the protruding brain parenchyma was mildly enhanced. Ethmoidal encephalocele was suspected as the final diagnosis. Despite symptomatic treatment, the dog continued to exhibit seizures and was euthanized. Clinical relevance: Ethmoidal encephalocele is a rare disease in dogs. However, it could be considered as a cause of seizure in young dogs.

제주자치경찰의 운영실태와 한국자치경찰의 도입

송영지 ( Song Young-ji ) 제주대학교 법과정책연구원 2022 국제법무 Vol.14 No.1

전국적으로 도입된 자치경찰제는 자치경찰제 초기의 본연의 모습과는 동떨어져 있는 느낌을 지울 수가 없다. 앞으로도 많은 비판에 직면해 있는 것이 사실이지만 현재 상황에서 자치경찰제의 목표를 달성하기 위한 방안을 모색하고 자치경찰제의 올바른 정착 및 발전을 이루어 낼 수 있도록 하는 것이 최선이라 생각된다. 비록 제20대 국회에서 홍익표 의원 안이 기간이 지나 폐기되고 제21대 국회에서 김영배 의원 안인 일원화모델을 채택이 되어 현재 자치경찰의 모델로서 실시하고 있지만, 제주도에서 현재 실시되고 있는 제주자치경찰제도는 우리나라에서 최초로 실시되었다는 그 자체로도 매우 큰 의미가 있을 뿐만 아니라 전국적으로 시행하고 있는 자치경찰제 일원형 모델과는 달리 이원형 모델을 유지했다는 것에 의미가 있다. 그런데 현행의 자치경찰제는 전반적인 부분에 있어서도 예산과 인력부족 등으로 인해 주민들의 치안욕구를 충분히 충족시키지 못하고 있다는 점, 특별사법경찰의 지원범위와 수사 활동 체계의 조정, 수사권한의 확대와 관련된 문제점이 지적되고 있다. 지금 형태의 ‘개정된 경찰법’은 각 지방의 균형적인 발전 및 지역 특수성에 맞는 주민맞춤형 치안업무를 수행하기 위하여 비록 부족한 면이 있지만, 다양한 사항의 검토를 함으로써 성공적인 자치경찰제를 도입하기 위한 시행모델 내지 과도기적인 제도화라고 볼 수 있다. 결국 앞으로의 과제는 일원적 형태이든 이원적 형태이든 치안력의 공백이 생겨서는 안된다는 것이고 지방 자치단체의 진정한 자치경찰제 유지를 위한 예산 확보방안도 마련해야하며, 수사권 개혁 또한 향후 극복해야할 과제이다. 특히 자치경찰제에서 논의되지 않은 특사경에 대한 수사권의 역량강화에 관한 사항도 앞으로 해결해야 할 과제이다. 그러므로 이와 같은 문제점을 개선하기 위해서는 우선 특별사법경찰의 업무를 담당하는 전담부서를 신설하고, 개별 특별사법경찰을 자치경찰에 파견 또는 흡수하여 수사전문가와 행정전문가가 서로 협력하여 공동으로 수사하도록 함으로써 실질적인 지역 치안서비스를 강화하고, 자치경찰 사무의 범위도 대폭 확대하는 방안을 고려할 필요가 있다. 아울러 지방분권화의 차원에서 볼 때, 각 지역의 실정에 부합하는 치안서비스를 제공하기 위해서는 해당 지방자치단체와 주민의 의견을 충분히 수렴하고 이를 반영하는 것도 요구된다. The autonomous police system in Korea has been far away from its desired natural self. Even through a lot of criticism of the autonomous police system are expected, it is required that the improvement plan for attainment of the aim at local police system in order to achieve the proper settlement of korean local police system. The presented bill by Hong Ik-pyo had been scrapped through expiring the session of the 20th National Assembly. Although the introduced bill by Kim Young-bae, has been adopted and enforced in the 21st National Assembly, the system of Jeju Municipal Police is still relevant because the system is especially meaningful as it is the first local police system and has enforced a dualistic model. But, the autonomous police system in Korea with the exception of Jeju has adopted unitary model. However the present local police system has some problems in general such as budget gap, manpower shortage. it causes the locals’ desire for public security not to be satisfied. In addition, the local police system has indicated some troubles with special judicial police’s field of operation, revision of investigation activity system, extension of investigation power. In order to solve the problems, it is necessary to establish a new division to conduct the special judicial police work. In addition, special judicial polices in various professional fields should be sent to local polices, the experts in investigation have to collaborate with administrative specialist during the investigation process. As a result, security for the area in quality needs to be improved, and the scope of local police activity has to be expanded. Also, in respect of decentralization, in order to provide security service in accord with the each different areas, it needs to solicit and reflect the opinions from the local government and resident sufficiently. If the Jeju municipal police succeeds, the system will become a role model for the autonomous police system in Korea. In other words, the future model of the autonomous police system in Korea depends on whether or not the jeju municipal police system succeeds.

연구논문 : 대학생들의 인터넷 중독에 영향을 미치는 요인에 대한 연구

권미영 ( Mi Young Kwon ),황지영 ( Ji Young Hwang ),정혜윤 ( Hye Yoon Jung ),송시형 ( Shi Hyeong Song ) 극동대학교 사회복지연구소 2013 글로벌사회복지연구 Vol.3 No.2

본 논문의 목적은 대학생의 인터넷 중독에 영향을 주는 요인에 대한 분석을 통해 대학생의 정신건강을 위한 공적프로그램 도입에 대한 함의를 제공하는 것이다. 분석자료는 을지대학교 강남 을지 병원 중독연구소에서 대학생 453명을 대상으로한 설문지이다. 설문조사에 사용된 설문지는 인터넷 중독을 측정하는 인터넷 중독 척도(Young척도), 불안을 측정하는 불안척도(STAI)와 우울을 측정하는 Beck의 우울척도(BDI)로 구성되었다. 분석결과 첫째, 연령 및 학년은 인터넷 중독에 유의미한 영향을 미쳤다. 둘째, 나이가 어릴수록, 학년이 낮을수록 불안과 우울에 빠지기 쉬웠다. 셋째, 무엇보다 불안이 대학생의 인터넷 중독에 가장 큰 영향을 미치는 요인이었다. The purpose of this research to suggest implications on introduction of public-program for college students` mental health through analysing the factors which impact on internet addiction of college students. The analysing data is questionnaire intended to 453 college students in Kang- Nam Eulji hospital addiction institute. The questionnaire consisted of internet addiction scale (Young-scale), anxiety scale (STAI) and depression scale (BDI). This study reveals three main findings. Firstly, age and grade have an effect on internet addiction. Second, the younger, the lower grade, they are likely to be depressed and anxiety. Third, most of all, the anxiety has the most effect on internet addiction of college students.

Newcastle Disease Virus의 Fusion 단백 유전자의 제한효소분절형태(RELP)의 특이성

장경수,김지영,김석,김태용,송영환,허지연,김현수,송희종,전무형 충남대학교 수의과대학 동물의과학연구소 2001 動物醫科學硏究誌 Vol.9 No.-

To evaluate the specificity of restriction fragment length polymorphism (RFLP) of Newcastle disease virus (NDV) fusion (F) protein gene for various NDV strains. F protein genes of NDV CBP-1 isolate, LaSota, B1 and Kyojungwon (KJW) were amplified by reverse transcriptase-polymerase chain reaction (RT-PCR) and RFLP were examined. In RT-PCR using F primer sets for 1.7 kb F gene, the amplified products were observed in CBP-1, LaSota and B1 except KJW. However, F2 primer set for 521 bp yielded the amplified bands with all strains. The amplified F genes (1.7 kbp) were treatd with 15 different restriction enzymes to analyze RFLP and the cleavage patterns. CBP-1 showed various cleavage patterns with 8 enzymes, LaSota, with 11 enzymes and B1, with 11 enzymes. According to the cleavage patterns, the physical maps were constructed, and it was found that CBP-1, LaSota and B1 strains had specific cleavage sites with HinfI, XbaI and XhoI. These findings suggest that RFLP are worth applying in the diagnosis and molecular epidemiological studies of Newcastle disease.

병식 평가 척도-한국판(SUMD-K)의 신뢰도와 타당도 검증

송지영,김기태,이서경,김용희,노준호,김종우,장환일,반건호,강원섭 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.4

Objectives : This study was conducted to evaluate the reliability and the validity of the Korean version of the Scale to Assessment Unawareness of Mental Disorder (SUMD-K). Methods : The subjects were 55 schizophrenic patients between ages of 26 and 58 who were recruited from the psychiatric unit of the university hospital and the out-patient clinic. The SUMD-K and insight scale of PANSS were applied to the patients. Results : The range of inter-rater (Spearman's rho) of the general items of SUMD-K were .97-.98 on the current illness and .58-.98 on the past illness. The correlation coefficient between the sum and the general items of the SUMD-K showed high scores. The concurrent validity between SUMD-K and insight item of PANSS was high (scores between .59-.96). However,the reliability and the validity of the attribution items of symptoms showed low scores compared to the current symptoms. Conclusion : The SUMD-K was confirmed in its reliability and validity. It can be a useful clinician-rating scale for evaluating insight in schizophrenic patients as well as patients with other neuropsychiatric conditions.

긴장증의 임상적 특성에 대한 고찰

송지영,윤도준,변재영,장환일 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.3

26 cases(9 males and 17 females) with catatonia features on admission were analyzed in terms of its clinical characteristics. The results obtained were as follows : 1) In the diagnostic distribution, more than a half of the cases were schizophrenic disorders(57.5%) and the others were major depressions(26.9%) and schizophreniform disorders(15.4%). 2) The catatonia signs were nonspecific and evenly distributed among a variety of clinical diagnostic entities. But the signs of negativism, mutism, and posturing appeared frequently in all cases. 3) Acute onset was prevalent(65.4%), ECT was more frequently applied(61.5%) and treatment response was better(70.9%) in the catatonia group than non-catatonia. Although the definition of catatonia is not clear yet, above results support the opinions of previous studies that catatonia should be understood as a heterogenous symptom complex. And not only schizophrenia but also affective disorder are associated with catatonia features. This suggests that we have to re-evaluate the concept of Kahlbaum's old description.

전기경련요법의 작용기전

송지영 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.5

Electroconvulsive therapy which has not only antidepressant effects but also antipsychotic, antimanic and anticonvulsant effects exerts it's effects via changes on electrical, biochemical, endocrinological, vessels and cell membrances in the brain. And the influences to the biogenic amine system which is thought to be the powerful theoretical mechanism of endogenous depression seems to be closely related with the antidepressant effects of the ECT. Findings which is consistent are resensitization of the beta-adrenergic receptors, up-regulation of the 5-HT receptors and up-regulation of the GABA-B receptors. The rapid neurobiological changes after the ECT would be nonspecific and rather be due to ECT induced convulsion itself. When the ECT applied repeatedly, the biological responses seem to be delayed. It is thought that the changes are influenced by the readjustment of the sensitization on pre-and post-synapses and of the dynamic imbalance in various types of neurotransmitters. Despite considerable investigation, until recently we only know cut edge of the brain function. The knowledges derived from the study of ECT could give better understanding of the pathogenesis of depression and permit more effective psychopharmacological treatment modalities.

봉산탈춤 학습이 신체적 자기개념에 미치는 영향

송지영,이강순 한국문화교육학회 2008 문화예술교육연구 Vol.3 No.1

본 연구는 봉산탈춤 학습이 신체적 자기개념에 미치는 영향을 알아보는 데 목적을 두고 초등학교 4학년 학생들로 구성된 실험집단에 봉산탈춤 프로그램을 차시별로 적용하였고, 통제집단은 정규체육수업을 실시하였다. 본 연구 결과는 다음과 같다. 첫째, 신체적 자기개념의 심리적인 요인(봉산탈춤 유능감, 자기 존중감)에서 봉산탈춤 유능감과 자기 존중감 요인 모두 실험집단과 통제집단 간 차이가 나타났다. 둘째, 신체적 자기개념의 외적인 요인(체지방, 외모, 건강)에서 체지방, 외모, 건강 요인 모두 실험집단과 통제집단 간 차이가 나타났다. 셋째, 신체적 자기개념의 체력적인 요인(유연성, 지구력, 근력)에서는 유연성 요인에서 실험집단과 통제집단 간 차이가 나타났다. 넷째, 신체적 자기개념의 활동적인 요인(신체활동, 신체전반)에서는 신체활동과 신체전반 요인 모두 실험집단과 통제집단 간 차이가 나타났다. This study aims to examine the effects of Bongsan Mask Dance on elementary students' physical self-concept, focused on explaining the relation between Bongsan Mask Dance learning and physical self-concept. For this purpose, the data was collected from 74 male and female 4th-graders at G Elementary School in Incheon Metropolitan City and conducted a pretest and a posttest using a questionnaire with proved reliability and validity. The Bongsan Mask Dance learning program was applied to the experimental group for 6 weeks from September to October, 2007, 2 sessions per week and a total of 12 sessions, and 40 minutes per session. The control group had regular physical education classes with their class teacher while the experimental group was participating in the program. After the experiment, a posttest was performed. According to the results, the mean scores of the pretest was not significantly different between the experimental group and the control group(p<.05), which shows that the two groups were homogeneous. In the mean scores of the posttest, the experimental group and the control group were significantly different in 8 sub-factors of physical self-concept such as Bongsan Mask Dance competency, body fat/ slenderness, appearance, health, physical activity, self-esteem, flexibility and overall physical condition(p<.05). but were not significantly different in muscular strength and endurance.