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방전플라즈마 소결법에 의해 제조된 Cu-Ni-Zr-Ti 비정질 기지 복합재료의 미세조직 및 기계적 특성
신다운,민홍,이진규 대한금속·재료학회 2021 대한금속·재료학회지 Vol.59 No.5
In the present study, Cu54Ni6Zr22Ti18 bulk metallic glass composites were developed by spark plasma sintering(SPS) using gas atomized Cu54Ni6Zr22Ti18 metallic glass powders and Ta powders. Metallic glass composites with Ta phase were fabricated by SPS. The successful consolidation of Cu54Ni6Zr22Ti18 metallic glass matrix composites with the Ta phase was achieved through the strong bonding due to the plastic deformation of the Ta powder and the super-plastic behavior of the metallic glass powder in the supercooled liquid state during SPS. The deformed Ta phases were well distributed in the Cu54Ni6Zr22Ti18 metallic glass matrix. The compressive fracture strength and total strain were 1770 Mpa and 10.2%, respectively, for the Cu54Ni6Zr22Ti18 bulk metallic glass composite with 40 wt% Ta phases. The uniformly dispersed deformed Ta phase in the Cu54Ni6Zr22Ti18 metallic glass matrix effectively impedes the propagation of the first shear band and generates a second shear band, causing a crossing of the shear bands, resulting in an improvement in plastic strain. This increase in plastic deformation is related to the fact that the deformed Ta phase, uniformly distributed in the Cu54Ni6Zr22Ti18 metallic glass matrix, acts as a source of shear bands and at the same time effectively suppresses the movement of the shear bands, dispersing the stress and causing wide plastic deformation.
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정신과 의사와 비정신과 의사의 항우울제 처방에 대한 연구 : 건강보험심사평가원 청구 데이터 중심으로
김민지,김남우,신다운,이상진,박형근,김혜영,양보람,안용민,Kim, Min Ji,Kim, Namwoo,Shin, Daun,Rhee, Sang Jin,Park, C. Hyung Keun,Kim, Hyeyoung,Yang, Boram,Ahn, Yong Min 대한생물정신의학회 2019 생물정신의학 Vol.26 No.2
Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the non-psychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost- effectively than non-psychiatrists.
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송유진,이상진,이현주,Kim Min Ji,신다운,안용민 대한의학회 2020 Journal of Korean medical science Vol.35 No.47
Background: Korea is one of the countries with the highest rate of suicide, while suicidality is known to be closely related to mental illnesses. The study aimed to evaluate the suicide rates in psychiatric patients, to compare it to that of the general population, and to investigate the differences among psychiatric diagnoses and comorbidities. Methods: Medical records and mortality statistics of psychiatric patients at Seoul National University Hospital from 2003 to 2017 were reviewed. The standardized mortality ratio (SMR) for suicide was calculated to compare the psychiatric patients with the general population. The diagnosis-specific standardized mortality rate and hazard ratio (HR) were adjusted by age, sex, and psychiatric comorbidity (i.e., personality disorder and/or pain disorder). Results: A total of 40,692 survivors or non-suicidal deaths and 597 suicidal death were included. The suicide rate among psychiatric patients was 5.13-fold higher than that of the general population. Psychotic disorder had the highest SMR (13.03; 95% confidence interval [CI], 11.23–15.03), followed by bipolar disorder (10.26; 95% CI, 7.97–13.00) and substance- related disorder (6.78; 95% CI, 4.14–10.47). In survival analysis, psychotic disorder had the highest HR (4.16; 95% CI, 2.86–6.05), which was further increased with younger age, male sex, and comorbidity of personality disorder. Conclusion: All psychiatric patients are at a higher risk of suicide compared to the general population, and the risk is highest for those diagnosed with psychotic disorder.
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