홧병 경험군과 홧병 비경험군간의 홧병의 질병개념에 대한 비교연구

홍진표,김창윤,이창화,김성윤,박인호,이철,한오수 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.2

Objective The concept of Hwa-byung in terms of illness entity remains vague. In order to clarify such illness entity, this study was conducted to find out differences and similarities in subjects who experienced Hwa-byung and those who did not experienced Hwa-byung from a wide distribution within the general population. Method (1) Test Material The questionnaires were made up with reference to previously published articles on Hwa-byung, to SCL-90-R and to diagnostic criteria of DSM-Ⅲ-R. The questionnaires included the subject's demographic variables, their awareness of Hwa-byung, their experience of Hwa-byung, and also their opinions about its possible causes, precipitating factors, symptomatology, effective treatment modalities, course and prognosis of Hwa-byung. Such questionnaires were given to 50 subjects, all of whom are psychiatric out-patients at Asan Medical Center, for determining its validity and reliability before selecting 27 questionnaires. (2) Subject Subjects were recruited from among patients and their family members who visited the out-patient clinics of seven different departments at Asan Medical Center in Seoul a large metropolis (N=334), the out-patient clinics of seven different departments of Hae Sung General Hospital in the industrial city of Ulsan, Korea (N=299) and the seven branches of the public health center of Yeonchun county, Korea (N=262), a rural area. From these 895 subjects, 67 subjects who don't know about Hwa-byung and 34 subjects who didn't answered to the question on experience were eliminated from study subjects. The final number of study subjects was 794. (3) Methods of analysis The subjects were divided into the Hwa-byung experienced group and the Hwa-byung inexperienced group. The demographic data and the concepts of Hwa-byung were statistically analyzed by the student t-test or the chi-sq test. Results and Discussion The mean age of the Hwa-byung experienced group is significantly higher than that of the Hwa-byung inexperienced group. MOre women experienced Hwa-byung than men and lesser educated subjects experienced significantly more Hwa-byung. The place of residence, the place of upbringing and socioeconomic status have no significant difference statistically between the two groups. Both groups considered the primary cause of Hwa-byung as being psychological origin. However in the Hwa-byung experienced group, more subjects considered that the supernatural factor was the primary cause of Hwa-byung. One of the primary precipitating events causing Hwa-byung in both groups is conflict in interpersonal relationships ; however, the Hwa-byung inexperienced group exhibited more experiences in the realm of economical losses such as "failure of business" or "loss of capital" as precipitating factors causing Hwa-byung. Both groups consider that the symptoms of Hwa-byung are a combination of multiple physical and mental symptoms. With particular respect to in mental symptoms, such as depressive symptoms, anxiety symptoms and hostility are thought to be prominent features. As effective treatment modalities, subjects in both groups consider that both himself and his family members should make effort to resolve intrafamilial conflicts. But in contrast with the Hwa-byung inexperienced group, the Hwa-byung experienced group requires more concrete and more attention-giving modalities as important treatment strategies. The Hwa-byung experienced group considers its prognosis more grave than the Hwa-byung inexperienced group.

일 농촌지역에서 발기부전의 유병률 및 상관 요인

홍진표,송해철,이무송,이창화,안준호,한오수,안태영,김성윤 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The purpose of this study was to investigate the prevalence of erectile dysfunction (ED) in a rural area of Korea and to examine the relationship between the prevalence and correlates of subjects. Method : This study was done as a part of the chronic disease survey of rural area by the Asan Foundation. Among 30 years or older population from Jung Eup, a rural area of Korea, 711 male subjects were sampled using a cluster probability sampling method. Trained interviewers visited and interviewed subjects aged 30 years or older with a structured interview. ED was categorized as 'none', 'mild', 'moderate', or 'severe' according to the ability to 'attain and/or maintain an erection satisfactory for sexual intercourse'. Response rate was 54.3% (N=386). Results : The age weighted prevalence of ED was 27.2% (minimal 14.1%, moderate 7.6%, severe 5.5%). Prevalence and severity increased with age. Liver disease and underweight were significantly (p<0.05) associated with ED. Smoking seemed to be correlated with ED, but did not reach statistically significant level. Conclusion : ED was highly prevalent in the rural community of Korea. Medical, sociodemographic, and lifestyle variables associated with ED may alert physicians to patients at risk for ED and offer insight to its etiology.

혼합형 자가면역성용혈성빈혈과 동반된 Evans 증후군 1례

선길홍,윤찬영,박상곤,박경희,우정주,한경택,김진화,김영훈,정춘해,박치영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Evans syndrome is defined as a simultaneous or sequential occurrence of autoimmune hemolytic anemia and autoimmune thrombocytopenia. Autoimmune hemolytic anemia (AIHA) is usually induced by IgG warm autoantibody or cold-active IgM antibodies reacting specifically with antigens associated with a patient's RBC. AIHA is a fairly uncommon disorder, with estimates of the incidence at 1 to 3 cases per 100,000 per year. Mixed-type AIHA is a relatively uncommon form of AIHA, with studies noting the incidence of 7-8% among cases of AIHA. We experienced a patient, 46-year-old woman who was diagnosed having a very rare clinical presentation of mixed warm and cold antibody mediated Evans syndrome. She was treated with corticosteroid therapy only and has been maintaining a complete response for 15 weeks. 저자들은 혼합형의 자가면역성 용혈성 빈혈과 자가면역성 혈소판 감소증이 동시에 발생한 혼합형 Evans 증후군으로 진단하고 스테로이드 요법 후 혈액학적으로 회복된 상태로 15주가 지난 현재 steroid 5 mg/일 까지 감량한 상태에서 추적 관찰 치료중인 46세 여자 환자를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

국내에서 파상풍의 연령별 면역혈청학적 역학연구

강진한,허재균,김종현,이경일,박수은,마상혁,이명숙,반상자,홍성화,조대현,이성호 대한감염학회 2001 감염 Vol.33 No.2

Background : The incidence of tetanus in adults and neonatal tetanus have been markedly reduced by world-wide use of DTP vaccines. But, tetanus is still one kind of major health problems in many developing countries, and several serosurvey stduies in developed ountries revealed that substantial proportions of adult opulation may lack immunity against tetanus and imunity level against tetanus is continuously decreasing by age. In Korea, tetanus outbreaks have been disappeared since the 1980s by high acceptant DTaP vaccination rates. Annually, few tetanus patient has been reported since 1990s. But, there knave been no seroepide-miological studies to tetanus, no trials to assess tetanuts immunizations. And we do not use Td vaccine in adults for maintaning tetanus immunity. In this aspect, we conducted age related survey of immunity to tetanus and indirectly assessed the immunogenecity of tetanus vaccines, used in Korea. Methods : For the evaluation of age related sero-survey of tetanus immunity in Korean population, study subjects were classified into 16 groups (A∼J group; below 10 years with one year interval, K∼O group; 11~60 yrs with 10 years interval, p group; over 60 yrs). The numbers of each group were 100, and sex distributions of each group were almostly equal. And far the indirect assessment of tetanus immunization in Korean children, children under 15 years old age were classified into 6 groups (I∼VI) according to the status of DTaP vaccination. The numbers of this each group were 50, and sex ratio was almostly equal. Specific IgG antibody to tetanus toxin were detected by ELISA. And the ANOVA repeated t-test was used to compare antibody levels in study groups. Results : In age related groups, the antibody levels to tetanus toxin were well maintained until 20 years old age group (L group), but thereafter the titers abruptly decreased below 0.1 IU/mL and over 75% populations among the groups over 30 years old age needed maintenance of protective immunity to tetanus. The antibody level of male was statistically higher than that of female in P group. In the groups related DTaP vaccination status, the antibody titer was very low in pre-vaccination group (I), but the titers after primary vaccinations were sharply increased and highly maintained until 15 years. Conclusion : The results of our study revealed that the immunity to tetanus was dramatically decreased in age groups over 30 years old. This result indicates that Td vaccination program in adults should be considered for maintenance of immunity to tetanus. And our study indicate that DtaP vaccination programs and vaccines, used in Korea, are effective for acquisition and maintenance of tetanus immunity in Korean children. (Korean J Infect 33:104~111, 2001)

Lidocaine, Thrombin, Epinephrine 의 항균효과

김진우,이동건,전혜선,김승준,김석찬,안중현,김치홍,권순석,김영균,김관형,문화식,신완식,송정섭,박성학 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

목적 : 기관지내시경 검사에서 흔히 사용되는 국소마취제인 lidocaine과 내시경시 지혈목적으로 사용되는 thrombin과 epinephrine이 각종 균주에 미치는 항균효과에 대해 알아보고자 하였다. 재료 및 방법 : 균주는 가톨릭대학교 성모병원에서 2004년 3월부터 2004년 9월까지 임상검체 에서 동정된 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 각각 42, 42, 42, 43주를 대상으로 하였다. Lidocaine, thrombin, epinephrine 감수성 검사는 National Committee for Clinical Laboratory Standards (NCCLS, 2002)의 기준에 따랐다. 결과 : Lidocaine은 S. aureus, S. pneumoniae, P. aeruginosa에서 MIC_(50), MIC_(90) 모두 20,000 ㎍/mL 이었다. K. pneumoniae는 각각 10,000 ㎍/mL이었다. Thrombin은 S. aureus와 P. aeruginosa에서 MIC50 500 lU/mL 과 MIC_(90) 500 IU/mL 이상이었고, K. pneumoniae에서는 MIC_(50)과 MIC_(90)이 모두 500 lU/mL이상이었으나 S. pneumoniae에서는 MIC_(50)과 MIC_(90)은 125 IU/mL이었다. Epinephrine은 K. pneumoniae, S. pneumoniae에 대한 MIC_(50), MIC_(90)가 모두 >500 ㎍/mL이었고, S. aureus와 P. aeruginosa에 대한 MIC_(50), MIC_(90)가 모두 500 ㎍/mL이었다. 결론 : 기관지 내시경 검사에서 흔히 쓰이는 lidocaine, thrombin, epinephrine 등의 약제들이 호흡기 질환의 흔한 병원균인 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 균주들에 대해 항균 효과가 있을 수 있어 세균배양검사에 영향을 미칠 수 있겠다. Background : We performed this stody to find out about antimicrobial effect of lidocaine which is commonly used local anesthetic, and thrombin and epinephrine used for hemostasis during bronchoscopic procedures. Materials and Methods : The microorganisms that were cultured from specimens obtained during bronchoscopy were Staphylococcus aureus (n=42), Streptococcus pneumoniae (n=42), Klebsiella pneumoniae (n=42), and Pseudomonas aeruginosa (n=43) collected from St. Mary's Hospital, from March to Sep 2004 were used for susceptibity testing. Susceptibility to lidocaine, thrombin, and epinephrine were tested according to the National Committee for Clinical Laboratory Standards. Result : MIC_(50) and MIC_(90) of lidocaine for S. aureus, S. pneumoniae, P. aeruginosa were all 20,000 ㎍/mL and that for K. pneumoniae were 10,000 ㎍/mL. MIC_(50) and MIC_(90) of thrombin for both S. aureus and P. aeruginosa was 500 IU/mL and above 500 IU/mL, respectively; that for K. pneumoniae were all above 500 IU/mL and for S. pneumoniae they were 125 IU/mL, MIC_(50) and MIC_(90) of epinephrine for K. pneumoniae and S. pneumoniae were above 500 ㎍/mL; that for S. aureus and P. aeruginosa were 500 ㎍/mL. Conclusion : We observed possible antimicrobial effect of lidocaine, thrombin, and epinephrine in vitro against pathogens such as S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa, which are common respiratory microorganisms. The use of these agants could affect the result of bacterial culture.

세 도시의 생활 쓰레기 발생량의 장래 추이 예측

오정화,강호,이진홍 忠南大學校 環境問題硏究所 1995 環境硏究 Vol.13 No.-

This study centers on a long-term prediction for the generation of municipal solid wastes for 3 cities such as Pusan, Taejon and Cheongju. For the long-term prediction several statistical models based on time or population were proposed and utilized. The MSW discharge per day from 3 cities predicted is in the range of 12,100~14,600 ton for Pusan, and 3,100~3,800 ton for Taejon, and 2,200~2,600 ton for Cheongju in the year of 2008, respectively. However, the volume-based charge system since January 1995 has made a great effect on the generation of MSWs. Unfortunately, there has been few data to consider this effect for the prediction. Therefore, there has been an urgent need to collect new baseline data for the more realistic long-term prediction.

月經痛 및 冷帶下에 活用된 外治法에 對한 文獻的 考察

조선화,鄭鎭鴻 대전대학교 한의학연구소 2000 한의학연구소 논문집 Vol.9 No.1

According to the literatual study on the external medical treatment of Menorrhalgia and Leucorrhea for gynecologic condition, the results were as follows. 1.Using external medical treatment for Menorrhalgia is to insert vagina theraphy, fumigation theraphy, to wash vagina theraphy, to insert anus theraphy, to apply hot pack theraphy and use with suppository such as BANSUKHWAN(礬石丸), SASANGZASAN(蛇床子散), KUMBONGHYUNGJU(金鳳衡珠) 2.Using external medical treatment for leucorrhea is washing and fumigation on vagina, to wash vagina, to insert vagina, cleansing theraphy and use with Suppository such as YONGYEOMGO(龍鹽膏), KAMISASANGJASAN(加味蛇床子散),SASANGSACHUNGSEJE(蛇床子洗劑). 3.ANGELICAE GIGANTIS RADIX(當歸) is in mostly general use for external medical treatment of Menorrhalgia and leucorrhea, in that order ANSU SEMEN(杏仁), EVODIAE FRUCTUS(吳茱??), TORILIS FRUCTUS(蛇床子), CORYDALIS TUBER(玄胡索), CINIAMOMI ORTEX(肉桂), CARYOPHYLLI FLOS(丁香) ALUMEN(枯白??), AQUILARIAE LIGNUM(沈香). 4.The efficacy of medicines to use external medical treatment is as follow to help circulation of blood, to warm spleen and stomach, to warm blood, to warm uterus and remove cold, to remove heat and dry moisture, to down heat-product, to contract bloodvessel, to counteract poison and destory virus, to make energy and blood. 5.KUMBONGHYUNGJU, made same size as cherry and shape vagina medicine, use for Menorrhalgia, menstural irregularity, Leucorrhea, it has the efficacy as follow to remove cold and dry moisture, to warm uterus, to help circulation and romove pain, to down moisture-heat.

2007년 대한감염학회 권장 성인 예방접종 권장안

강진한,김홍빈,손장욱,이상오,정문현,정희진,최영화,최정현,최준용,최희정 대한감염학회 2008 감염과 화학요법 Vol.40 No.1

In 2007, the Korean Society of Infectious Diseases recommended an immunization schedule for adults residing in Korea. This recommendation includes four categories: standard immunization for healthy persons, supplementary immunization for persons with underlying illnesses, recommendations for health-care personnel and for international travelers. The Standard Immunization Schedule consists of universal vaccination (tetanus-diphtheria/tetanus-diphtheria-pertussis (Td/Tdap); hepatitis A vaccine for persons aged 20s; human papilloma virus vaccine for women under 26 years old; meningococcal vaccine for military recruits and college students in dormitories; influenza vaccination for persons aged 50 years or more and pregnant women; and pneumococcal vaccination for persons aged 65 years or more) and catch-up vaccination (hepatitis A vaccine for persons aged 30s; hepatitis B vaccine, varicella and MMR vaccines for persons who have uncertain specific immunities). The Supplementary Immunization Schedule recommends 4 vaccines, i.e., pneumococcal, influenza, meningococcal, and Haemophilus influenzae type b, appropriate to the underlying illnesses, and confirmation of the presence of antibodies to hepatitis A and hepatitis B. The Recommendation for Health-Care Personnel includes universal vaccination (influenza and pertussis) and catch-up vaccination (hepatitis B, measles-mumps-rubella and varicella for seronegative health-care personnel). The Recommended Immunization for International Travelers focuses reinforcement of vaccinations for healthy persons and includes certain immunizations necessary for international travel (yellow fever, meningococcal, plaque, tick-borne encephalitis, and cholera). These guidelines can be seen at www.ksid.or.kr.

성인여성의 취업유형에 따른 쇼핑성향 및 구매기준 비교연구

이진화,홍재원 대한가정학회 2004 Family and Environment Research Vol.42 No.3

The purpose of this study was to compare shopping orientations and purchase criteria according to the occupational status, professionals, non-professionals, and homemakers among female consumers. Subjects were selected from mailing lists through a random sampling technique in the United States. Collection of the research data was made using an adaptation of the Total Design Method for implementing mail surveys. ANOVA, Regression, and Duncan Test were used to conduct the data analysis on 254 out of 1000 questionnaires. The three job status showed significant differences in 5 shopping orientations(Sex role oriented, fashion conscious, credit oriented, catalog oriented, and value onented). Even after controlling the effect of income and education level, significant differences were noticed in 4 shopping orientations, the exception being value conscious. Brand, price, and country of origin among the job status groups also showed significant differences in results for purchase criteria.

Paint sludge내 활성을 고려한 건조방법에 관한 연구

이순홍,백우진,윤강재,이재현,김화진 안양대학교 산업기술연구소 2004 自然科學硏究 Vol.11 No.1

각종 도장산업에서 발생하는 paint sludge는 대부분 소각후 매립 또는 건조과정을 거쳐 단순 무기재로서 재활용되어지고 있다. paint sludge의 양은 매년 증가하는 추세이고 이에따라 국내외에서는 paint sludge를 보다 가치가 높은 유기재로서 재활용하는 방안이 연구되어지고 있다. 따라서 재활용공정 중 필수공정인 건조방법을 이전과는 다른 방법등을 도입하여 paint sludge내 활성기를 보존하고 함유수분을 효율적으로 제거하기 위하여 효과적인 연구방법을 찾는데 연구의 목적이 있다. 본 연구에서는 문헌연구를 통하여 건조온도를 낮추는 효과를 기대할 수 있는 물리적 방법인 감압건조법과 paint sludge에 첨가제를 첨가하여 건조효율을 높일 수 있는 화학적 첨가제를 첨가한 방법을 건조방법에 적용하여 실험하였다. 또한 화학적 첨가제 첨가 후 전처리로서 수분산시킨후 감압여과하는 공정을 추가하여 실험하였다. 감압건조법을 이용하여 활성기 잔존을 위한 최적의 조건을 온도별, 압력별 건조효율 비교실험을 통하여 80℃, 60mmHg로 결정한 후 각 첨가제별 건조효율을 비교하였다. 4가지 첨가제 중 bentonite가 24시간 건조 후 함수율 2.38%로 가장 높은 효율을 나타냈었다. 또한 전처리를 행한 경우 magnesium chloride, sodium hydrogen carbonate 및 bentonite는 paint sludge 입자내 수분을 흡습하여 여과시 시간을 길게 진행하여도 기존의 함수율보다 낮은 함수율을 얻었다. Calcium oxide경우 감압여과 30분 처리 후 감압건조를 실시한 결과 첨가량이 증가할수록 높은 효율을 나타내었으며 첨가량 5%일때를 제외하고 10%, 20%, 30%일때 모두 4시간안에 5%이하의 함수율을 얻을 수 있어 감압건조만으로 이루어진 공정에 비해 절반정도의 시간을 단축할 수 있었다. 첨가제량에 따른 경제성과 재활용시 영향을 미칠 가능성을 고려하여 첨가제량은 10%정도가 적절한 것으로 판단된다. Paint sludge내 활성을 고려한 건조방법에 관한 연구 활성기의 손실여부는 FT-IR spectrum을 사용하여 -COOH, -OH 및 -NH_(2)기가 건조후 paint sludge powder내에 존재하고 있음을 확인하였다. 활성기의 존재로 인하여 paint sludge의 물성을 유지한 고기능성 재료로의 재활용이 가능할 것으로 예상되며 실제 공정에 적용할 경우 좀 더 많은 연구가 필요할 것이라 사료된다. Most of the paint sludge that is derived in the paint industry is buried after incineration. Only a few amount of them recycled as an inert inorganic filler in the fine powder form by the process of being dried or after incineration. The purpose of this study is to find out the effective method that can dehydrate and preserve active radical in efficiency. We made the experiment on the method of decompression drying which can lower the temperature of drying as a physical method, the method of a chemical addition which can rise the efficiency of drying. In the study, bentonite was the most excellent in the dehydrating efficiency to show the final water content of 4.5% in 10 hours, and sodium hydrogen carbonate, magnesium chloride, calcium oxide, raw paint sludge followed bentonite in order to of efficiency, when we decided 60mmHg, 80℃ as the best suited condition for the survival of active radical. We measured the loss of active radical by using FT-IR spectrum and confirmed the existence of -COOH, -OH and NH_(2) radicals in paint sludge.