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정신질환자들의 역기능적 태도, 스트레스 대처 방식 및 우울증상 간의 관계
박찬무,서경란,이민규,Park, Chan-Moo,Seo, Kyung-Ran,Rhee, Min-Kyu 한국정신신체의학회 1997 정신신체의학 Vol.5 No.1
This study was aimed to investigate dysfunctional attitudes, stress coping strategies and depressive symptoms in psychiatric patients. The subjects of this study consisted of 210 patients(138 schizophrenic patients, 29 depression patients, 43 alcohol dependence patients) according to DSM-IV criteria. Futhermore, the instruments were K-BDI(Beck Depression Inventory-Korean version), DAS(Dysfunctional Attitude Scale) and multidimensional coping strategy scale. The results were the following. 1) There were statistically significant correlations between depressive symptoms and dysfunctional attitudes in psychiatric patients. 2) In terms of coping strategies, there were positive correlations between depressive symptoms and focus on and venting emotions, accommodation, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. Whereas, there was significant negative correlation between depressive symptom and active coping. 3) In terms of coping strategies, there were significant correlations between dysfunctional attitudes and focus on and venting emotions, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. 4) Depression groups reported significantly higher BDI scores than schizophrenia groups. 5) In depression groups, DAS scores were significantly higher than those in schizophrenia groups. 6) In terms of coping strategies according to diagnosis, there were significant differences in venting emotions, active forgetting and self-criticism. As for venting emotions, alcoholic groups were scored significantly higher than schizophrenic groups. As for active forgetting, depression groups were scored significantly higher than schizophrenic groups. In self-criticism, depression groups and alcohol dependence groups reported significantly higher scores than schizophrenic groups.
배병주,박찬무,곽현모,황영환,Bai, Byoung-Choo,Park, Chan-Moo,Kwak, Hyun-Mo,Whang, Young-Whan 대한생식의학회 1993 Clinical and Experimental Reproductive Medicine Vol.20 No.1
Five hundred and fory-four women were provided government funded sterilization reversal services with technique of microsurgery at 15 reversal institutions designated by the Korean Association for Voluntary Sterilization since the inception of Female Reversal Program in 1981. A large majority of reasons for requesting reversal surgery was a loss of children, comprising 87.3%, and the mean interval between sterilization and reversal was 33.6 months. Two hundred and ninty-one of 418 women who were post-operatively followed up with the length of 11 months to 11 years, have experienced term dilivery or ,intra-uterine pregnancy, represented 69.6%. Eight cases have experienced ectopic pregnancy and 9 cases spontaneous abortion. The largest number of reversal clients were sterilized by the laparoscopic unipolar coagulation technique and the next largest group was sterilized by the laparoscopic banding technique, representing 59.8% and 28.9% respectively. The highest pregnancy rate, 80.9%, was shown in clients who had undergone laparoscopic banding technique while the lowest, 61.8%, was the group of laparoscopic bipolar coagulation. The most common site of the anastomosis was isthmic-ampullary portion and the next was isthmic-isthmic portion. The highest success rate, 77.8 %, was marked in the isthmic-isthmic anastomosis and the lowest was in the ampullary-ampullary anastomosis, representing 50.0%. A more than 60% of the clients became pregnant within 6 months of their reversal surgery, with the shortest interval being 1 month, the longest 39 months, and the mean 7.6 months. A large majority of the successful cases were pregnancy within 1 year of their reversal surgery, representing 82.1 %. The higher rate of pregnancy, 73.5%, was in the clients undergone reversal surgery within 36 months of their sterilization and the lower pregnancy rate, 64.1 %, was in the clients undergone reversal surgery longer than 37 months of their sterilization.
한국(韓國)에서의 정관수술(精管手術)과 심혈관질환(心血管疾患)으로 인한 사망(死亡)과의 관련성(關聯性) 연구(硏究)
공세권 ( Sae Kwon Kong ),조애저 ( Ae Jeo Cho ),맹광호 ( Kwang Ho Meng ),박찬무 ( Chan Moo Park ),( L-cheng Chi ),( Lynne R. Wilkens ),( James E. Higgins ),( Albert J. Siemens ),( Malcolm Potts ) 한국보건사회연구원 1986 保健社會硏究 Vol.6 No.2
This community-based case-control study was carried out in four cities in South Korea to examine whether vasectomy is associated with a long-term increased risk of cardiovascular death in Korean men. Korea was chosen for study because of its long established vasectomy program (>20 years), the relatively high vasectomy prevalence (12% among adult males) and its location in the Orient. Cases are 413 men who died at age 35~65 between October 1982 and September 1983, with an underlying cause of death, as reported in the death certificate, of ischemic heart disease ( N=29, ICD 410~414), non-traumatic cerebrovascular disease (N=295, ICD 430~438)or hypertensive disease (N=89, ICD 401~405). Each case was matched on age and parity to a living male from the same neighborhood. Wives of cases and controls were interviewed at home as surrogates. Univariate analysis of the association of vasectomy and cardiovascular death revealed an odds ratio of 1.4 (95% CLs=0.8~2.4). Multivariate logistic regression analysis, controlling for potentially confounding variables, revealed a lower adjusted odds ratio of 1.0 (95% CLs=0.4~2.4). Thus we did not detect an association between vasectomy and cardiovascular death in Korean men, nor did we detect a statistically significant increased risk for those subjects who had a vasectomy 15 years or longer (odds ratio= 1.3, 95% CLs=0.4~4.4). The results coincide with those from Western epidemiologic studies and do not support the vasectomy-atherosclerosis hypothesis originating from animal research.