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김찬형,천근아,구민성,남윤영,홍창형,이홍식 대한정신약물학회 2003 대한정신약물학회지 Vol.14 No.2
Objectives: Obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder with a bimodal pattern in age onset and treatment outcomes. This study attempted to ascertain the importance of the age factor for a better phenotypic precision. Therefore, the authors compared adult OCD patients with an early symptom onset to adult OCD patients with a later symptom onset. Methods: One hundred sixty five patients with OCD were evaluated with semistructured interviews; 79 with symptom onset before the age of 17 (early onset group) and 86 with symptom onset after the age of 18 (late onset group). The two groups were analyzed in terms of Y-BOCS (Yale-Brown Obsessive Compulsive Scale) scores and demographic data including clinical variables. Results: Early onset group has more comorbidity of tic disorder and lesser of depression and anxiety disorder than late onset group. Early onset group showed more family history of tic disorder than late onset group. The treatment response to SSRI is relatively declined after 18 months of initiation in early onset group. Conclusion: The results indicate that age at onset may be an important factor in subtyping OCD. Early onset group may have more biological and familial tendency that might be differentiate the two groups.
상법상 실제운송인의 손해배상책임에 관한 비판적 고찰과 입법론
김찬형,KIM, Chan-Young 한국무역상무학회 2016 貿易商務硏究 Vol.69 No.-
Under the Korean legal system, as an actual carrier is not the contractual party to the contract for carriage of goods by sea, it has been tortiously liable for the damage to, or loss of cargo, should there be the negligence by its part. However, the Rotterdam Rules introduces a revolutionary liability regime for the actual carrier. According to the Rotterdam Rules, the liability of the actual carrier is same with that of a contractual carrier with the result that a shipper is entitled to bring the direct action to the actual carrier, as well as the contractual carrier on the same basis. Nevertheless, it is expected to take long time for the new approach in respect of actual carrier's liability to be confirmed by many countries, and furthermore most of shipping countries including Korea still adopt the Hague-Vis by Rules where the shipper is not allowed to bring the direct action to the actual carrier. This study reviews on whether or not the alteration of actual carrier's liability based on Rotterdam Rules would be reasonable, considering the current Korean legal system. Furthermore, this study, whilst recognizing that the overall introduction of the new liability regime is somewhat premature, suggests the imposition of contractual liability to the actual carrier from a long-term perspective. Having in mind that the article 809 of the Korean Commercial Act allows the shipper to bring the direct action to the shipowner only in the case that a time charterer is the contractual carrier, this study explores a method to apply the contractual liability to the actual carrier in the case that a slot charterer or freight forwarder is the contractual carrier, in order to establish the uniform liability system.
복합유기용제에 노출된 근로자들의 스트레스지각 및 정신병리
김찬형,고경봉,Kim, Chan-Hyung,Koh, Kyung-Bong 한국정신신체의학회 1993 정신신체의학 Vol.1 No.1
저자들은 GARS(Global Assessment of Recent Stress)척도와 SCL-90-R(Symptom Checklist-90-Revision)을 사용하여 동일한 산업장에서 유기용제에 노출된 근로자들과 노출되지 않은 근로자들 간의 스트레스지각과 정신병리를 비교하였다. 유기용제 노출군은 비노출군보다 일-직장, 대인관계의 변화, 질병 및 상해, 경제적 문제, 그리고 전체적인 스트레스지각점수에 있어서 유의하게 더 높았다. 정신병리에 있어서는 유기용제노출군이 비노출군보다 신체화척도점수에 있어서만 유의하게 더 높았다. 그러나 유기용제에 노출된 기간과 정신병리 간에는 유의한 차이가 없었다. 양군 모두에서 여자는 남자보다 정신병 리가 유의하게 더 현저하였고, 연령은 정신병리와 유의하게 음 상관성을 보였다. 이상의 결과들은 유기용제노출군이 비노출군보다 스트레스지각 및 정신병리가 더 현저함을 시사해 준다. 따라서 기업주는 물론 보건정책 수립자들이 유기용제에 노출되는 근로자들의 건강 특히 정신건강에 대해 관심을 기울여야 할 것이다. A comparison was made between workers exposed to organic solvents and those not exposed to them regarding stress perception and psychopathology, using GARS scale and SCL-90-R. The exposed group scored significantly higher than the non-exposed group in stress perception relevant to job-wort changes in relationship, sickness or injury, financial, and overall global area. The exposed group was significantly higher in somatization scale than the non-exposed group. However, there was no significant correlation between duration of exposure and psychopathology. In each of the groups. female workers showed more psychopathology than male ones. Age showed significantly nagative correlation with psychopathology. These results suggest that the exposed group shows higher stress perception and more psychopathology than the non-exposed group. Thus. it is emphasized that health policy makers as well as employers should pay more attention to health. espcially mental health for the workers exposed to organic solvents.