정신보건관련시설 입원(소)자의 주요 정신장애 유병률 : 전국 20개 시설의 입원(소)자를 대상으로

조성진,조맹제,서동우,함봉진,홍진표,배재남,이준영,이동우,박종익,전홍진,김성주,김용익 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : One of the objectives of this study is to estimate the prevalence rates of psychiatric diagnoses in the combined populations of psychiatric hospitals, psychiatric nursing facilities and homeless asylums using the Korean version of the Composite International Diagnostic Interview (K-CIDI), which is a comprehensive and fully standardized interview schedule to assess psychiatric disorders for diagnosis. The Other objective is to compare with previously studied prevalence rates of Psy-chiatric diagnoses using the results of this study. Methods : The study subjects, aged from 181o 64 years, were randomly selected from 64,582 institutionalized population of psychiatric hospitals, Psychiatric nursing facilities and homeless asylums as of 30, June, 2001. Twelve trained interviewers administered the K-CIDI to the selected respondents. A total of 1,875 respondents (male 1,194, female 681) completed the interview. Results : The lifetime and one year prevalences of any diagnosis excluding nicotine dependence · withdrawal, anxiety disorder, eating disorder, somatoform disorder were 88.2% (male 88.1%, female 88.3%), and 65.8% (male 62.7%, female 73.7%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were 78.5% (male 75.3%, female 83.7%), and 56.8% (male 51.9%, female 64.8%), respectively. The lifetime and one year prevalences of alcohol use disorder (dependence/abuse) were 26.7% (male 37.9%, female 8.3%), and 8.7% (male 12.8%, female 2.1%), respectively. The lifetime and one year prevalences of mood disorder were 18.1% (male 13.5%, female 25.8%), and 10.4% (male 7.2%,female 16.9%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were comparable with the 2001 community survey by 1.19% to 1.32%, and 0.51% to 0.61%, respectively. The lifetime and one year prevalences of schizophrenia were also comparable by 0.16% to 0.28%, and 0.16% to 0.25%, respectively. There were no significant changes of prevalence rates when correction were applied to other psychiatric diagnosis. Conclusion : The results of this study could be used for evaluating the distribution of psychiatric diagnoses in mental health related facilities and for planning mental health policies.

콘서트홀의 음향 예측을 위한 1:50 스케일 모델의 활용

전진용,류종관,유병철 대한건축학회 2003 대한건축학회논문집 Vol.19 No.1

In acoustical design of a concert hall, the acoustical model test which has the potential to enable effective prediction of acoustical characteristics of auditoria, is able to accommodate the complex behavior when sound hits finite size of obstacles. On the other hand, computer programs, though they offer a powerful modeling aid, cannot yet accommodate the wave nature of sound such as diffusion and diffraction. During the small-sized acoustical model test, using nitrogen is necessary to control the air absorption and the effect of humidity at the high frequencies. Generally, 1/8" microphone is used to receive the high frequency sound. In this research, the 1/50 scale model of the concert hall was tested, and its acoustical characteristics were analyzed. By comparing and analyzing the result with the result of computer simulation, the usefulness of the 1/50 scale model test was investigated. As a result, it was found that the distribution condition of the acoustical factors of both methods was highly analogous in each seat and octave band. However, in case of comparing the acoustical factors, the values of C80 and D50 showed differences, which may be caused by sound diffusion and diffraction phenomena.

노인의 운동유형에 따른 혈관탄성과 혈압의 반응

전용수,김일곤,이종호,차진 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

The purpose of this study was to analyze the response of Vascular Compliance and blood pressure on aerobic, muscular endurance, stretching exercise and to ascertain the best effects of exercise for improve vascular health in the Elderly men, The subjects were 20 old men, I measured blood pressure and vascular compliance pre and post exercise. For the data, all the measurement were represented by mean(M) and standard deviation(SD) using SPSS package(version 10.0). Statistical techniques for data analysis were paired t-test to determine the difference in pre-post data into group and were one-way ANOVA to determine the rank between group, The Conclusions of this study were as follows; 1. The vascular compliance(p<.01) and blood pressure(p<.05) showed significant differences between pre and post exercise in aerobic exercise groups, 2, The vascular compliance(p<.000) and blood pressure(p<.01) showed significant differences between pre and post exercise in muscular endurance exercise. 3. The vascular compliance(p<.000) and the systolic blood(p<.01) showed significant differences between pre and post exercise in stretching exercise, But diastolic blood pressure showed no significant(p<.437) differences between pre and post exercise. 4. The vascular compliance showed significant(p<.05) only left ankle which differences in order of muscular endurance, stretching, aerobic post-exercise between group. The systolic blood pressure showed significant(p<.001) which differences in order of aerobic, muscular endurance, stretching and the diastolic blood pressure showed significant(p<.01) which differences in order of muscular endurance, aerobic, stretching past-exercise between group.

회맹장 및 대장을 침범한 장 결핵에 있어서 바륨을 이용한 방사선 이중조영촬영 소견에 대한 연구

진용현,전혜정,이용근,강철호,조성범,김윤환,박철민,차상훈,김일영,이혜경 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

To determine the characteristic double contrast barium enema findings of ileo-cecal and colonic tuberculosis and to make differential diagnosis from other bowel inflammatory disease. Sixty-seven patients confirmed as ileo-cecal and/or colonic-tuberculosis in six hospitals were evaluated retrospectively. The diagnosis was proven by endoscopic biopsy, surgery, and clinical follow up. Nine of 67 patients were excluded because radiologic findings were normal though endocopic biopsy examinations resulted in tuberculosis. Histopathological diagnosis were madein 58 cases as follows: endoscopic biopsy(n=29), operation(n=12), follow up examination(n=14), tissue culture(n=1), laparoscopic biopsy(n=2). There were 30 men and 28 females. The mean age were 36 yrs(range:16-67), 34 patients were in the second and third decade. The distribution of lesions, morphological characteristics, mucosal changes, ulcer shape and depth, associated with other tuberculous lesion, multiplicity were retrospectively analyzed in the findngs of double contrast barim enema. The commonest clinical symptoms were abdominal pain(n=35, 60%) and diarrhea(n=18, 31%). The chest radiography revealed association of pulmonary tuberculosis in 39 cases. Tuberculous lesions of other organs except chest were present in five cases. Double contrast barium enema findings showed a thickening and irregularity of intestinal mucosal fold(n=29, 50%), bowel contraction and/or shortening(n=26, 45%). There were small, nodular, superficial ulcers in the case of ulcer depth less than 2 mm in the depth. As many as 39 cases(67%) in this series had two or more lesions in the intestinal tuberculosis. The involved segment revealed symmetrical feature(n=21, 36%). Inflammatory pseudopolypoid lesions were noted in 30 cases(52%). The ileo-cecal region was involved in 38 cases(66%). The ascending colon(n=25, 43%) was the second commonest site with or without contiguous cecal involvement. Lesions in terminal ileum, ileo-cecal valve, transverse colon, descending colon and appendix were seen in 19, 18, 18, 12 and seven cases, respectively. Among 18 cases of ileo-cecal valve lesions, there were incompetency in nine cases(16%) and wide gapping in four cases(7%). In 14 cases, tuberculous enterocolitis was diagnosed by clinical follow-up and double contrast barium enema study. 12 out of 14 cases, the findings of double contrast barium enema of tuberculous enterocolitis were normalized after anti-tuberculous medication. However, two cases showed more aggravated state than before due to inappropriate treatment. Double contrast barium enema plays an important role in the diagnosis of tuberculous enterocolitis, determines the type, site and extent of the involvement and helps in treatment guide by using sequential studies.

자궁내막에 발생한 점막 연관 림프조직 (MALT) 림프종 1예

전균호,조현진,박성균,김천복,김대연,김종혁,김용만,김영탁,목정은,남주현 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.4

Non-Hodgkin's 림프종의 약 40%는 결절외(extranodal) 림프종으로 대개 위장관에서 발생하며 이들 중 점막 연관 림프조직(mucosa-associated lymphoid tissue: MALT)에서 기원한 림프종은 MALT 림프종으로 분류된다. 위 외의 부위에서 원발성으로 발생하는 MALT 림프종은 매우 드물지만 실제 거의 모든 신체 장기에 발생하는 것으로 알려져 있는데, 가장 흔한 부위인 위 외에도 폐, 갑상선, 침샘, 눈물샘에 발생하고, 드물게 안구, 유방, 방광, 신장, 흉선 등에도 보고된 바 있다. MALT 림프종은 오랜 기간동안 원격 전이하지 않고 국소 병변으로 남아 있는 특징이 있어 치료 방향 또한 국소 병변의 치료에 집중되며, 예후도 림프절 기원의 림프종에 비해 양호한 것으로 알려져 있다. 본 저자 등은 자궁 내막에 원발성으로 발생한 MALT 림프종 1예를 경험하였기에 문헌 고찰과 함께 이를 보고하고자 한다. Mucosa associated lymphoid tissue (MALT) lymphoma can rarely develop primarily in extranodal sites other than stomach which is the most common site for it. Other rare primary sites are small intestine, colorectum, esophagus, lung, thyroid, salivary gland, lacrymal gland, breast and skin. MALT lymphoma represents a distinct clinicopathologic features: it is usually localized to their original site for a long time and shows much more favorable prognosis than lymphoma at other site, but some MALT lymphoma can arise simultaneously or successively in different organ or give rise to another MALT lymphoma of other organ and can be multifocally disseminated or recurred. We report a very rare case of high grade B-cell lymphoma of mucosa associated lymphoid tissue (MALT) of the uterine endometrium, which was confirmed by immunohistochemical assay.

정신분열병 환자에서 세가지 청각 자극 "Oddball" 모형에 의한 사건관련전위 P3a와 P3b

진용탁,박이진,남지민,한상익,전양환 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.5

Objectives : Using 3-stimulus auditory "oddball" paradigm reflecting fronto/central and temporo/parietal functions Simultaneously, we examined patients with schizophrenia. Methods : fifteen patients with schizophrenia from outpatient clinic and fifteen normal controls from hospital staffs were recruited for the study. To elicit P3a and P3b, 3-stimulus auditory oddball paradigm was employed. The 3-stimulus auditory oddball paradigm was composed of standard tone (1,000 Hz, 75 dB, 80%), target tone (2,000 Hz, 75 dB, 10%) and distracter (White noise, 95 dB, 10%). Results : P3a and P3b were prominent in fronto/central and temporo/parietal areas, respectively, in both schizophrenics and normal controls. The P300 amplitude in patients with schizophrenia was reduced across P3a and P3b (p<0.01). The P300latency in patients with schizophrenia was delayed across P3a and P3b (p<0.01). Conclusion : These results were consistent with frontal and temporo-parietal lobe dysfunctions in schizophrenics. The 3-stimulus auditory paradigm could be applied for patients with schizophrenia and useful for further exploration the disorder.

무시멘트형 인공 고관절 전 치환술 이후 완전 체중 부하

김주용,전진욱,김영창 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Introduction: The purpose of this study is to evaluate the result of immediate full weightbearing after cementless total hip arthroplasty and to find the appropriate rehabilitation program. Materials and Methods: The(52patients)60case of cementless total hip arthroplasty was evaluated after average duration of follow up 78.4months. The age of patients at the time of operation had average 54.7years. Preoperatively diagnosis was avascular necrosis 36case, osteoarthrites 18case. The Harris hip score was checked clinically at last follow up and osteolysis and subsidence was evaluated radiologically. Results: Harris hip score was improved to 93.2point, Radiologic finding revealed no severe more than 2㎜ and subsidence and physical examination revealed hip pain on only 2case. inguinal pain on 1case. Results: At last, we can not find fibrous ingrowth that was worried in the prvevious rehabilitation program. No significant difference was revealed as compared with the result of previous reports. Immediate full weightbearing after cementless total hip arthroplasty shortend the hospital stay and can make early return to the society.

광굴절 매질을 이용한 칼라 패턴분류 시스템의 구현

윤진선,김남,전용성,정교일 충북대학교 컴퓨터정보통신 연구소 2000 컴퓨터정보통신연구 Vol.8 No.2

본 논문은 광굴절 매질(LiNbO3)을 이용한 칼라 패턴분류에 관한 연구이다. 광굴절 매질을 이용하여 모양 정보 뿐만 아니라 칼라 정보도 분류하는 시스템을 구현하였다. 칼라 패턴분류 시스템의 특성 실험으로서, 자기 상관 및 상호 상관 특성 실험을 수행하여 상관 세기를 비교 측정함으로써, 광굴절 매질을 이용하여 기록된 복소 공간 필터의 유사 판별 능력을 실험하였다. 광학 실험에서 렌즈의 초점거리는 250mm, He-Ne 레이저의 참조광의 각도는 11° , Ar 레이저의 참조광의 각도는 7°를 사용하여, R에 대한 상관결과는 원점으로부터 47.7mm. G에 대한 상관결과는 원점으로부터 30.5mm에서 각각 얻을 수 있었다. In this paper, the color pattern classification technique using a photorefractive material(LiNbO3) is proposed. The optical implementation to classify the shape and color distributions is realized. The discrimination capability of the color pattern classification system is examined against the similar patterns in the optical experiment for auto-correlation and cross-correlation tests. The correlation peak of red light is obtained at coordinates (47.7, 0) and the correlation peak of green light is acquired at coordinates (30.5, 0), when the focal length of the lens is 250mm, the reference waves of He-Ne laser and Ar laser are introduced at 11° and 7° respectively.

골프용품의 관여도수준과 상표충성도에 관한 연구

최종진,전용재 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

The golf product industry needs to focus on the participation level to the product, which is a medium for the consumers to satisfy their diverse set of demands. This research purports to examine the effect of participation level on the level of brand loyalty at the time of purchasing golf products. The research subjects were selected among the customers of golf practice sites located in Seoul and Gyeonggi Province. The sampling method used for the research subjectsis the Convenient sampling method among probability sampling methods. The research subjects were asked to fill in the survey questionnaire in person in the form of self-administered method. Among the collected 220 survey questionnaires, 15 which were deemed unreliable in their content were excluded. As such, 205 questionnaires were used for the final data analysis. SPSS/PC statistical program 10.0 Version for Windows was used for data processing, and the following statistical methods were used. Firstly, Descriptive analysis was conducted to analyze the response distribution of research subjects' demographical variables and each question categories. Secondly, Cronbach' test was used for the reliability test of the survey questionnaire. Thirdly, independent T-test, One-way Anova Analysis, correlation analysis, and Multiple regression analysis are to be used for the testing of hypothesis, and Duncan test was used for the post-test. Statistically significant level was set at p<.05 level. The results of research conducted using the above mentioned methods are as follows. Firstly, the level of participation at the time of golf product purchase according to the golf product consumers' demographical variables, manifested difference in the product performance elements not corresponding to expectation when it comes to average monthly income, product performance elements when it comes to age, and elements of participation level at the time of golf product purchase in terms of educational level. However, there was no difference in the level of participation in terms of gender and occupation. Secondly, as for the level of brand loyalty at the time of golf product purchase according to the golf product consumers' demographical variables, there were differences in the importance of product and in brand perception elements. Also, there was difference in the elements of brand perception in it came to the educational level. However, no difference was shown in the level of brand loyalty for gender?ccupation, and monthly income level. Thirdly, the effect of participation level on the level of brand loyalty at the time of golf product purchase manifested significant influence of participation level and product performance elements on the elements of golf product loyalty level. Also, participation level and elements not corresponding to expectation seem to affect brand perception.

SELDI-TOF MS를 이용한 유방암 환자 진단을 위한 새로운 혈청 표지자의 개발

정용식,김호승,윤태일,전미선,윤용달,이용성,이기환,김혜진,김명욱,박희붕 한국유방암학회 2004 한국유방암학회지 Vol.7 No.1