알코올 중독과 스트레스

박병강(Byoung-Kang Park) 대한스트레스학회 2007 스트레스硏究 Vol.15 No.4

가속수명시험에 의한 고속팬용 밀폐형 BLDC 모터의 열신뢰성 분석

박병강(Byoung-Kang Park),이태구(Tae-Gu Lee),조영진(Young-Jin Cho),최충현(Choong-Hyun Choi),이재헌(Jae-Heon Lee) 대한설비공학회 2004 대한설비공학회 학술발표대회논문집 Vol.2004 No.-

데이터센터 에너지진단을 통한 개선방안 도출 및 효과에 관한 연구

이병두(Byoungdoo Lee),박병강(Byoung Kang Park),남현민(Hyun-Min Nam),정홍구(Hong Goo Jung) 대한설비공학회 2019 대한설비공학회 학술발표대회논문집 Vol.2019 No.-

본 연구에서는 경기도에 위치한 데이터센터의 에너지성능지표인 PUE를 통해 현재의 에너지소비 형태를 파악하고, 개선아이템 19개를 선정하였다. 이중에서 시스템개선, 설계불합리, 운영개선측면의 개선유형별 기대효과를 산출하여 빙축열시스템을 적용한 Peak-cut, 외기냉방, 냉수펌프 운전개선, 냉동기응축기 살수시스템 개선, 마지막으로 서버실 온도 및 기류 불균형 개선안을 도출하였다.

HAIS(Hanil Alcohol Insight Scale)를 이용한 알코올의존 환자들의 병식 평가

김종성(Jong-Sung Kim),박병강(Byoung-Kang Park),김갑중(Gap-Jung Kim),오미경(Mi-Kyung Oh),이충숙(Chung-Suk Lee),유남재(Nam-Jae Yu),오장균(Jang-Kyun Oh) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.1

Objective:The successful recovery of alcoholics requires a new “self-identity”, which can be built up by and should be based on the true insight which enables them to admit that they are alcoholic. But practically most patients rarely have any level of insight. This study was designed to analyze the insight status of alcoholics and its related factors, and thus to provide the fundamental data which can be used for rehabiliation. Method:Insight status of 60 alcoholics were analyzed, who were admitted to Hanil Alcohol Treatment Center, Taejon between June 1 and August 31, 1997, using HAIS (Hanil Alcohol Insight Scale). Results:1) The mean HAIS scores of 60 alcoholics were 5.05 (±9.19). Among these, 22 (36.7%) had “poor insight”, 29 (48.3%) “fair insight”, and 9 (15.0%) “good insight”. 2) This study showed the lower HAIS scores, the older the subjects were (p〈0.05), while the more educated got the higher HAIS scores (p〈0.001). They showed the higher HAIS scores, the higher the frequency of admission was (p〈0.05), the higher the MAST scores were (p〈0.01). In addition, higher HAIS scores were shown in the groups who have experienced alcohol-related physical illness (p〈0.05) and have participated in the educational programs on alcoholism (p〈0.01) than in other groups who have not, respectively. By the motives of admission, HAIS scores were the highest in those whose motive was voluntary, followed by semi-voluntary and involuntary in a decreasing order (p〈0.01). 3) With the further analyses of many variables shown to be related with HAIS scores using stepwise multiple regression, statistically significant were MAST scores, motives of admission, history of alcohol-related physical illnesses, experience in educational programs on alcoholism (p〈0.05), with the R2 value of 58.0%. Conclusion:This study revealed that most alcoholics (85.0%) had impaired insight, and that to increase the alcoholics’ nsight, much emphasis should be put on such therapeutic efforts as to help alcoholics achieve voluntary admission by persuation and confront their own physical and social consequences, to lead them to the participation in the educational programs on alcoholism.

알코올 의존 환자들의 가정 폭력

박병강,김종성 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2

Alcohol has been suggested to be the principal risk factor for violence. However, few studies have been performed on domestic violence in the context of alcoholism. Authors reviewed the domestic violence patterns of 125 male alcoholics and following results were obtained. 1. The rate of domestic violence in alcoholics during 1-month period prior to admission was 53.6% and the statistically significant factors related to the rate of violence included patient's age(P<0.01), presence of psychiatric diseases(P<0.05), and adaptability of family(P<0.05). 2. The violence patterns showed verbal aggression only(43.4%), verbal and physical aggression(35.8%), and the combination of verbal, physical aggression and weapon use(42.3%). The violence pattern were significantly related to the victim's coping styles to the violence(P<0.05). 3. The objects against which violence was done were spouse and offsprings(40.3%), parents(32.8%), objects as in window smashing(l7.9%) and non-cohabitant(11.9%). The statistically significant variables related to violence objects were marital status(P<0.01) and the family's APGAR scores(P<0.05). 4. Drunken state preceding violence was 83.6% and its statistically significant variable was the victim's coping style(P<0.001). The above results have suggested that comprehensive point of view considering alcoholism as a disease of an alcoholic's whole family and not an individual alcoholic, is required as we approach its treatment.

알코올리즘 선별검사 도구들의 진단 효율 비교

박병강,이동배,이태용,조영채,권윤형 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

To compare the clinical usefulness of four alcoholism-screening tests frequently used in Korea such as MAST, NAST, AUDIT, CAST, 96 drinking males were given diagnostic interview based on DSM-IV criteria and scores from four tests were obtained and analyzed. Of 96 subjects, 52.1% were normal without drinking problems, 38.5% with alcohol abuse and 9.4% with alcohol dependence. In terms of reliability of items in screening tests, four items in MAST were not found to have statistically significant item-total correlation. The appropriate cut-off value for screening tests to detect alcohol use disorders were above 15 points in AUDIT, above 5 points in MAST, above one item in NAST and above 2 items in CAGE. In terms of sensitivity for detection of alcohol use disorders, NAST was highest with 93.5%, and specificity, CAGE was highest with 90.0%. Considering the lowest sensitivity of 76.0% in CAGE and 76.J% of specificity in MAST, AUDIT and NAST were the most appropriate in screening alcohol abuse. The appropriate standard values for screening alcohol dependence were above 26 pants in AUDIT, above 13 points in MAST, above 5 items in NAST, and above 3 items in CAGE. In screening alcohol dependence AUDIT had the highest sensitivity of 100.0%, and both AUDIT and NAST had the highest specificity of 94.3%, respectively. The sensitivity of three screening tools except AUDIT were the same with the value of 88.9% and therefore AUDIT were the most appropriate in detecting alcohol dependence taking into consideration the relatively low specificity of 85.1% in CAGE.

Diagnostic and Statistical Manual of Mental Disorders : Ⅳ진단기준에 대한 알코올리즘 선별검사 도구들의 민감도와 특이도 비교

박병강,김종성,이동배 大韓家庭醫學會 2000 Korean Journal of Family Medicine Vol.21 No.11

산업장 남성 근로자들의 건강습관에 관련된 혈액학적 검사소견의 변화

박승필,정용준,박병강,송기철,송인순,조영채 대한보건협회 2002 대한보건연구 Vol.28 No.1

To have an understanding of the impact of each of various life styles on the hematologic findings, 2,642 healthy male workers were investigated, who participated in the general health check-up in a university hospital during the 2-year period from Jan. 1, 1998 to Dec. 31, 1999, in terms of the relation between such factors as age, smoking, drinking and exercise, and each of their hematologic values. The results were as follows: Blue collar workers showed significantly higher level of hemoglobin, hematocrit, each of corpuscular values of erythrocyte(MCV, MCH, and MCHC), and neutrophil count as well as total leukocytes, than white collar workers. Based on age, the older age group showed significantly lower levels of hemoglobin while significantly higher levels in hemoglobin, hematocrit, each of corpuscular values of erythrocyte. In addition, the older age group showed significantly higher counts of neutrophil, lymphocyte, eosinophil, basophil as well as total leukocytes. The smoking group showed increased level, over non-smoking group, of such hematologic determination as hemoglobin, hematocrit, MCV, MCH, MCHC, total leukocytes, and counts of neutrophil, lymphocyte, eosinophil. The more smoking years were associated with significantly higher level of hemoglobin, hematocrit, MCV, MCH, total leukocytes, counts of neutrophil, lymphocyte and eosinophil, and the more cigarettes-a-day with significantly higher level of hemoglobin, total leukocytes, counts of lymphocyte and eosniophil. Irrespective of smoking status, the significantly higher levels of hematocrit, MCV, MCH, total leukocytes, neutrophil counts were found according to the increasing age. The drinking group showed, over non-drinking group, significantly higher level of total leukocytes, and specifically the group with the higher intake of drinking per occasion were associated with the significantly levels of hemoglobin, total leukocytes, eosinophil counts. The simple correlation among each determination of hematologic values revealed the signficantly normal correlation among hematocrit, MCV, MCH, MCHC, total leukocytes, counts of neutrophil and lymphocytes.

치료프로그램을 통한 알코올리즘 환자들의 병식 개선

오미경,김종성,박병강,유인술 대한가정의학회 2000 Korean Journal of Family Medicine Vol.21 No.9

일부 도시지역 노인들의 우울 정도 평가

김현정,송인순,정용준,송기철,박병강,조영채 대한보건협회 2002 대한보건연구 Vol.28 No.1

This study was performed to assess the degree of depression, find out the affecting factors of depression among older persons and manifest their psychological status. The subjects included the old people aged more than 65 years old who reside in urban areas. The interviews were delivered to 635 individuals in Taejon metropolitan city for the two-month period from June to July, 2000 and Zung Self-Rating Depression Scale was used for surveying the degree of depression. The collected data were statistically processed by SPSSWIN(ver 10.0) and led to the following results: The degree of depression among 635 subjects showed that 26.6% had mild depression, 8.2% moderate and 0.6% severe, while 64.6% were normal. Based on general characteristics, the degrees of depression were significantly higher in the female group, the older, the lower educated, the ones without cohabitants or spouse, and the ones without making expenses of living for themselves. Based on daily activities and psychological characteristics, the degrees of depression were higher in the group who don't go out, who don't have recreational or friendly gatherings, who aren't satisfied with the lives of the past or present, who have a sense of isolation, and who don't have the will to live. Based on the daily life styles, the degrees of depression were significantly higher in the group who don't have breakfast, and don't exercise or sports, but the variables of eating sneak, alcohol drinking, smoking and sleeping time were not significants. According to the seven items of health practice indices(HPI) and subjective health indices(SHI), the lower the scores come out, the higher the degrees of depression show up. The correlation coefficients between depression scores and related variables were significantly negative correlations in educational level, recreational activity, satisfaction of present lives, the will to live and subjective health status, while there is a positive correlation in a sense of isolation. Multiple logistic regression analysis revealed that the variable having effects on depression symptoms showed up the positive relations in the age and the sense of isolation, while showed up the negative relations in the educational level, the presence of spouse or not, recreational activity, the will in life, the eat breakfast or not, the drinking or not. the exercise or not, and subjective health status.