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정신분열증 환자의 단기 및 장기입원에 관한 임상적 고찰
최병무 대한신경정신의학회 1982 신경정신의학 Vol.21 No.2
In order to investigate the clinical factors and the treatment outcomes in relation to the duration of hospitalization, the author studied retrostectively the 197 short-hospitalized (less than one month) and 86 long-hospitalized (more than three months) schizophrenic inpatients for the last five years in Busan National University Hospital. The results were summarized as follow s; 1. Proportion o f long term hospitalization stead ily increased for the last five years. The shorthospitalized cases were about 20 percent of all during last two years. 2. There were no significant differences between the short-term and long-term groups in demographic characteristics such as age distribution, marital status and education. But the number of male cases was about twice of the female. 3. No significant differences were found in both duration of illness and chief complaints between the two groups. 4. In long-term group, the purpose of admission was mainly for the treatment but for the diagnostic purpose short-term group was hospitalized. 5. Almost all cases with acute episode were: short-hospitalized and no significant differences were noted in other subtypes of schizophrenia between the two groups. 6. For the majority of the short-term patients, the admission at the time of the study was either the first or second one. 7. No significant differences were noted in the rates of readmission between the two groups. 8. T he methods of treatment were pharmacotherapy, electroconvulsive therapy, group psychotherapy, psychodrama in almost all long-hospitalized cases. 9. The improved rates were 91.86% in long-term group. 10. Factors affecting the duration of hospitalization were the need for diagnotic certificat, poor understanding of the family about the disorder, economic difficulty and therapist’ s capacity of acceptance in short-term group and persistant symptom and electroconvulsive therapy in the longt-erm group.
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한 미혼남성의 발기 및 성욕감소 장애에 대하여 최면을 사용한 정신치료
최병무,Choe, Byeong-Moo 한국정신신체의학회 2000 정신신체의학 Vol.8 No.1
저자는 성욕감소장애를 동반한 남성발기장애 환자 1예를 약 9개월간 성치료, 정신치료 및 복합적으로 사용하여 치료하였다. 본 증례를 통하여 성기능장애 특히 성욕이 상실 또는 감퇴된 환자의 치료에서는 뿌리깊은 심리적 갈등을 해소하기 위하여 정신치료가 기본적으로 필요하고, 한 가지 이론이나 원칙에 구애되지 않고 환자의 상황에 따라 복합적인 치료 기법을 적용하는 것이 바람직하다고 생각되었다. 또한 이 과정에서 성적 환상을 증진시켜 성욕상실장애를 치료하고, 흥분기의 생리적 발기뿐만 아니라 심리적 흥분감을 고양시키는 부분에서 자기최면을 이용하는 것이 매우 유용하다는 것을 경험하였다. The author treated a case with combined male erectile disorder and hypoactive sexual desire disorder. Treatment consisted of concurrent psychotherapy, sex therapy, and self-hypnosis lasting 9 months. I suggest that psychotherapy is essential for the treatment of sexual desire disorder especially complicated with deep-seated psychological conflicts, in addition, it is necessary to apply various strategies flexibly in according to the patients' need. I have experienced that self-hypnosis is tremendously useful in the enhancing sexual fantasy and for the arousal of psychological pleasure as well as the maintenance of erection in the phase of sexual excitement.
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최병무,Choe, Byeong-Mu 한국데이터베이스진흥원 1997 디지털콘텐츠 Vol.8 No.-
최근 들어 많은 기업들이 인터네트를 활용한 호스트 시스템 마이그레이션에 관심을 가지기 시작했다. 그러나 실제로 어떻게 구축해야 될지 고민하고 있는 업체가 많은 실정이다. 따라서 여기서는 그에 관한 대표적인 사례를 소개하고자 한다. 이미 신문지상을 통해 여러번 소개된 바 있는 삼성전자는 국내 최초로 인트라네트를 구축하여 실제 사용하고 있다. 삼성전자의 사례를 통해 인터네트를 기업에서 사용하는 방법을 제시하고, 또 그 가능성을 엿보고자 한다.
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주요우울증에 대한 Milnacipran의 효과 및 안정성 : Fluoxetine과의 비교
이민수,함병주,기백석,김정범,연병길,오강섭,오병훈,이철,정한용,지익성,최병무,백인호 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4
Objectives : This 6-week, open label randomized, multicenter study was conducted to evaluate the antidepressant effect and safety of milnacipran and fluoxetine in patients with major depression. Methods : The study was done in patients with major depression diagnosed by DSM-IV who score ≥17 in 17 items Hamilton Rating Scale for Depression (17-item HAM-D) and score ≥25 in Montgomery and Asberg Depression Rating Scale (MADRS). A total of 87 patients were randomized to milnacipran group and fluoxetine group. In cases of the patients taking other antidepressants, 6 weeks of each medication was administered after 7 days of drug excretion period. The evaluation was done using 17 item HAM-D, MADRS, Clinical Global Impression Scale (CGI), and COVI scale after baseline, 1 week, 2 weeks, 4 weeks, and 6 weeks. The side effects that had occurred during the period of our study were put in records by developed/disappeared time, severities, incidences, managements and results. Results : A total of 87 patients were enrolled. 70 (mitnacipran group 39 ; fluoxetine group 31) of them were included for the 6 weeks of research and 17 of them dropped out with in the first week, not due to adverse reactions or deficiency of effects. Total 17 item HAM-D scores, total points of MADRS, and CGI showed significant decrease after 1 week in each treatment group and continued decrease after 2 weeks and 4, 6 weeks. But there was no difference between milnacipran group and fluoxetine group in the antidepressant effect. There were no significant changes in vital sign, CBC, chemistry, and EKG in each treatment group. The commonly reported side elfects of minlacipran were nausea (25.0%), headache (10.7%), vomiting (7.1%),constipation (7.1%), dizziness (7.1%) and those of fluoxetne were GI trouble (11.1%), diarrhea (11.1%), insomnia (11.1%),agitation (5.6%), and dizziness (5.6%). Conclusion : Milnacipran was effective for the improvement of depressive symptoms and was well tolerated and safe in patients with depression.
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최병무 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.4
저자는 성전환 수술을 받고자 내원한 환자22례를 정신의학적 측면에서 면담한 경험과 문헌 고찰등을 통하여 다음과 같은 결론을 얻었다. 1) 내원 이전에 정신과적 평가나 치료를 받은 환자는 거의 없었다. 2) 부정적 역전이를 해결하고 환자와 공감적 관계를 수립하는 것이 면담의 선결요건이었다. 3) 진성 성전환증 환자의 최선의 궁극적 치료는 현재로서는 성전환 수술이다. 4) 우리나라 환자를 위한 현실적이고 합리적인 수술환자 선택 기준의 확립이 요망된다. Twenty two preoperative transsexuals were interviewed by the author at Dong-A University Hospital in Korea and foreign and Korean literatures about transsexualism were reviewed to furnish clinicians with state-of-art knowledge about diagnosis and treatment. 1) No patient had undergone any psychiatric evaluation or treatment before visiting psychiatric unit. 2) Critical aspects of the psychiatric interviews with transsexuals were to establish an empathic relationship and to overcome negative countertransference. 3) So far the most practical and medically appropriate treatment modality for true primary transsexuals has been known as sex reassignment surgery. 4) It is necessary to establish refined and realistic criteria for selecting sex reassignment candidates in Korea.
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