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정신분열병 환각의 횡문화적 연구 : 상해와 서울의 비교 A Transcultural Study
金光日,長良棟,陸明康,朴康奎,朴容千,金大虎 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.5
연구목적 : 정신분열병의 환각이 문화사회의 특성에 따라 어떤 차이가 나는지를 확인하고 그 의미를 문화정신의 학적 견지에서 고찰해보고자 이 연구를 시행하였다. 방 법 : Shanghai와 서울의 정신분열병 환자를 대상으로 환각의 형태, 내용, 주제 등에 관한 비교문화적인 조사연구를 하였다. Shanghai Mental Health Center, 국립서울정신병원, 한양대학교병원에 입원하고 있는 환자중 DSM-Ⅳ 진단기준으로 정신분열병의 진단이 확정된 환자 가운데 입원한지 1개월에서 6개월 이내인 환자를 대상으로 사전에 성별, 연령, 교육연한, 발병기간 임상아형, 등 5개 변인을 통제하여 조사대상을 선정하였다. 조사대상이 된 환자는 396명(Shanghai 182명, 서울 214명)이었다. 이중 환각이 확인된 환자 231명(Shanghai101명, 서울 130명)을 최종 연구대상으로 하였다. 결 과 : 환각의 형태에서는 양 집단 차이가 없었으나 환각의 내용이 양 집단에서 차이를 보였다. 즉 Shanghai에서는 정치적인 내용이, 서울에서는 초자연적/종교적 내용이 많았다. 결 론 : 환각의 주제나 내용은 망상과 긴밀하게 연관이 되어 있다는 점, 그리고 사회문화적 상황의 영향을 다분히 받고 있음을 알 수 있었다. Objective : The types, contents and major themes of schizophrenic hallucinations in Shanghai and Seoul were compared for evaluating cultural differences and connotation. Methods : Among the schizophrenic inpatients of Shanghai Mental Health Center in Shanghai and National Seoul Mental Hospital and Hanyang University Hospital in Seoul, 396 cases(182 cases in Shanghai, 214 cases in Seoul) were selected by two ways: a) five staged stratified random sampling of sex, age, education, clinical subtype and onset year, b) cases who have admitted for one to six months in their last admission. Among them, 231 cases(55.39% in Shanghai, 60.83% in Seoul) confirmed to have hallucinations were the final subjects of study. Results : Frequencies in types of hallucination were not different between the two groups. However, contents and major themes were different: Political themes and related contents were dominant in Shanghai cases, and supernatural and religious themes and related contents were dominant in Seoul cases. Conclusion : It was concluded that contents and themes of hallucinations were closely related to the delusional contents and themes, and such patterns were considerably influenced by so-ciocultural characteristics.
이정식,오동열,김광일 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.3
Opinions about the family burden of psychotic in-patient were collected from 207 caretakers of psychotic in-patient admitted to the Seoul National Mental Hospital from December 1989 to February 1990 through individual informal interview. Each respondent was asked to varbalize initially all the worries concerning the patients. and their care and then to choose two serious worries among them. Form these opinions, the authors tried to identify the family burden of psychotic in-patient and the relevance between family burden and demographic variables. and to discuss the issues arising from this investigation. The results were as follows : 1) The caretaker's worries could be classified into six areas. “The future and outcome” of the patient was the most frequent worrying area. being 64.3%. The worry about “Family was 45.4% ; Care and support”.42.5% : “Mental health support”. 14.5% ; “Shame and stigma”. 12.6% ; “Neighborhood”. 4.8%. 2) The parents worried much more about “The future and outcome” of the patient whereas the spouse and the siblings worried more about “Family” and the offsprings worried about “Neighborhood”. especially. The caretakers who inhabit in the metropolis worried more about “Care and support” and worried especially about “care and responsibility” among the “Care and supports” area while the caretakers in the other areas worried more about “Neighborhood ” and worried especially about “financial burden” among the“Care and support” area. The caretakers of the famale patient worried more about “everyday life of patients” among “The future and outcome area”. The higher the education level of the caretakers. the more they worried about “future of patient” among “The future and outcome” area and “influence on offspring” among the “Family” area. Male caretakers worried more about “drug” while female caretakers worried more about “policy and institution” among the “Mental health supports area”. There were three problems regarding family's burden of psychotic in-patient : Caretaker's loading in all areas : Caretaker's devastated emotion by the long-standing burden ; A lack of helpers.
胃亞全切除術 幽門形成術 幽門形成術 및 迷走神經切斷倂行施術後 Cortisone이 胃液分泌에 미치는 影響에 關한 實驗的 硏究
金光鎰 우석대학교 의과대학 1967 우석의대잡지 Vol.4 No.2
The effect of cortisone on the gastric secretion has well been documented by others. Author performed subtotal gastrectomy, pyloroplasty and pyloroplasty with vagotomy on mongrel adult canines and analysed free and total acidities and pepsin values of the gastric secretionof respective group after subcutaneous administration of cortisone acetate, 2.5㎎ per Kg of body weight, on 90 th postoperative day. The results are as follows : 1. In comparison with the values of cortisone stimulated control (gastrostomy) group, subtotal gastrectomy resulted in 100% reduction free acidity, 41.9% reduction in total acidity and 85.5% reduction in pepsin value following cortisone administration. Whereas, in this subtotal gastrectomy group, cortisone injection produced 61.2% increase in total acidity and 80% increase in pepsin value comparing with the values of pre-injection resting state. Free acidity was nil, as before infection, even after cortisone administration. 2. In vagotomy with pyloroplasty group, 91.7% reduction in free acidity, 17.4% reduction in total acidity and 20.2% reduction in pepsin comparing with the values of control group. Whereas, in this group, cortisone administration yielded simultaneous augmentation of 140%, 23.6% and 20% in free acidity, total acidity and pepsin respectively comparing with pre-injection resting state. 3. In pyloroplasty only group, only no significant changes were observed in acidity and pepsin value in either way except the post-injection free acidity in which 59.7% increase was noted comparing with the pre-infection value.