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정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 정신사회적 측면 -
박종철,Park, Chong-Cheul 한국정신신체의학회 1993 정신신체의학 Vol.1 No.1
To become an effective and successful consultation-liasion psychiatrist the psychiatrist should consider two aspects of consultation before he/she meets his/her patients. First the psychiatrist should understand the internal need and psychological state of patients who visited their physician before being refered to a psychiatrist So psychiatrists should be careful in the evaluation of the patient's intention whether they are willing to accept the psychiatric treatment approach or not Second the psychiatrist should understand the situation and the physician's internal need in the consultation. Psychiatrists should recognize whether there are any factors which interfere with the mutual understanding and cooperation between physicians and psychiatrist.
"Lithium Ion이 內分泌系臟器에 미치는 影響에 關한 實驗的 硏究
朴鍾哲 大韓神經精神醫學會 1968 신경정신의학 Vol.7 No.2
The experimental work was done on white male rats, weighing between 170gm and 220gm. The experimental group was divided into A,B,C subgroup. In A and B subgroup Licl solution in a dose of 2mEq. per Kg was injected intraperitoneally for 4 days and 7 days respectively. In C subgroup Licl a dose of 1mEq. per Kg was injected intraperitoneally for 12 days. The control group was injected with normal saline intraperitoneally. In both experimental and control group 100μc of ?? and 7μc of ?? were respectively injected on 4th, 7th and 12th day intraperitoneally to a group of rats. The animals were sacrified 10 hour after the last injection. The following results were obtained. 1. The weight of endocrine organ and radioactive tracer uptake after lithium administration were found reduced in thymus, testicles and seminal vesicles, whereas in adrenals these were found increased. In thyroid ?? uptake was decreased, although ?? uptake was remarkablley increased. 2. After lithium administration thyroid showed enlarged follicles, in which profuse thin colloidal substance was observed. Adrenals showed hypertrophic zona fasciculata, while the medulla was notablly atrophic. Subsquent hyperfunction of thyroid and adrenal cortex were observed. 3. Thymus and seminal vesicles showed remarkable atrophy and subsquent hnpofunction of them were noted.
朴鍾哲,金昌榮,崔春鎬 大韓神經精神醫學會 1970 신경정신의학 Vol.9 No.1
The experiment was performed on mature white male rats, weighing between 180 gm and 240gm. The experimental animals were divided into A,B and C subgroups, which 200mg of sulful per kg emulsified in olive oil was given orally for 4 days, 7 days and 12 days respectively. The control groups was given olive in orally in the same amount and for the same periods. In both control and experimental groups 100μc of ??or 7μc of ??? was injected intraperitoneally on the 4th, 7th and 12 days respectively. The animals were sacrificed 18 hours after the injections. The following results were obtained. 1. In both A and B experimental subgroups, the seminal vesicles, testicles and adrenals, showed remarkable weight increase while the ??? uptakes in the same groups were mildly increased. In C experimental subgroup the weight of the organs was either slightly increased or decreased, while ??? uptakes was remarkably increased. 2. After sulfur adminstration the thyroidal follicles contained thick colloidal substance and their size was mildly enlarged. However, in comparison with the control group, the form of the glandullar cells was of more cuboidal. The adrenal cortex showed hypertrophic changes and the atrophy of the medulla was so severe that it could be hardly recognized. 3. In comparison with the control group, the tunica mucosa of the seminal vesicles had smaller folds and the superficial cuboidal cell layers was atrophic, the cytoplasm was scanty, and the nucleus remained in the center of the cells. 4. The testicles of the experimental subgroups, compared with those of the control groups showed atrophic changes in the spermatogonium and spermatocytic layers.