한 도시지역 저소득층 주민의 정신건강수준

이영문,김흥모,이문숙,이호영 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 본 연구에서는 A시 지역사회 정신보건사업을 시행하면서, 지역사회 정신보건사업의 일차적 관리대상인 저소득층 주민들의 정신건강수준을 파악하고, 정신건강수준에 영향을 미치는 요인을 알아봄으로써 지역사회에 정신질환자들이 통합되어지기 위해서 시행해야 하는 사업계획을 수립하는데 기초자료로 활용함에 그 목적이 있다. 대상 및 방법: 본 연구의 대상은 A시에 거주하는 20-59세의 저소득층 주민들 536명이며, 조사도구로는 정신건강수준을 집단적으로 선별 검사할 수 있는 조사도구인 GHQ와 자아존중감 정도를 측정하는 SES도구를 이용하여 설문지를 통한 면접조사를 실시하였다. 대상인구의 인구. 사회학적 특성과 자아존중감 정도에 따른 정신건강수준을 알아보았고, 또한 정신건강수준을 세 가지 유형(전반적 정신건강수준, 사회생활 적응 정도, 불안·우울감 정도)으로 나누어 분석하였다. 결 과: 1) 대상인구의 인구학적 특성에 따른 정신건강수준을 살펴보면 여성보다 남성이, 연령이 높을수록, 배우자 없이 혼자 사는 계층이, 그리고 신체적 건강상태가 나쁠수록 전반적 정신건강수준과 사회생활 적응 정도가 낮았으며, 불안·우울감 정도도 높았다. 2) 대상인구의 사회. 경제적 특성에 따른 정신건강수준을 살펴보면 무직이나 단순근로직이, 교육수준이 낮을수록 월세나 임대로 사는 저소득계층에서 전반적 정신건강수준과 사회생활 적응 정도가 낮았으며, 불안·우울감 정도도 높은 것으로 조사되었다. 3) 자아존중감 정도가 높을수록 전반적 정신건강수준과 사회생활 적응 정도가 높았으며, 불안·우울감 정도는 낮았다(p<0.01). 4) 정신건강수준에 영향을 미치는 요인으로는 자아존중감과 신체적 건강상태, 연령을 들 수 있는데 이 가운데 자아존중감이 가장 많은 영향을 주었으며, 그리고 자아존중감이 높은 상태에서 신체적 건강상태가 좋을수록, 또한 연령이 증가할수록 전반적인 정신건강수준이 유의하게 증가되는 것으로 조사되었다. 5) 정신건강 위험집단의 특성에 대해 비위험집단을 비교 분석한 결과 위험집단이 비위험집단에 비해 20대와 40대가 이환율이 높은 것으로 조사되었으며, 배우자가 없는 계층이, 학력수준이 낮은 계층, 단순 근로직인 계층, 신체적 건강상태가 나쁜 계층에서 이환율이 높았다.(p<0.05). 결 론: 위의 결과로 보아 향후 지역사회 정신보건사업은 전반적으로 정신건강수준이 낮은 저소득층을 주요사업대상으로 추진해야 하고, 이환율이 높은 계층 즉, 20대와 40대이고 배우자가 없이 혼자 살며 학력수준이 낮아 단순근로직에 종사하고 신체적 건강상태가 나쁜 계층에 우선적으로 역점을 두어 정신건강 프로그램을 개발하고 교육과 홍보를 지속적으로 해 나가야 될 것으로 판단한다. Objective: This study was performed to support and enhance the community mental health for the urban poor. The purpose of the study were as follows: 1) to investigate the mental health states of the urban poor, who are the first target population, 2) to identify the factors influencing their mental health states. Methods: The subjects were community residents in low socioeconomic level, who are 20-59 years old. And the scale used was GHQ(General Health Questionnaire) which is used for screening the mental health states of groups and self-esteem. The survey subjects were directly interviewed by staffs in Public Mental Health Center. SPSS PC 6.0 was used for the statistical analysis. It investigated the mental health states, according to social and demographic attributes, and self-esteem of target population. And the mental health states were analyzed to three subdomains: overall mental health states, social dysfunction, and anxiety-depression domains. Results: First, in demographic attributes, the old men, who are of low socioeconomic level, single, bad physical health, low community life satisfaction, low educational background, and having no religions, were low in overall mental health states, social function, and high in anxiety-depression domain. Second, the residents, who had high self-esteem, were high in overall mental health states, social function, and low in anxiety-depression domain. Third, the residents, who had high self-esteem scores, were significantly high in overall mental health states, social function, and low in anxiety-domain. Fourth, Among the various factors influencing the mental health states, the self-esteem was the most important factor, and the physical health was the next important factor. And the higher self-esteem they had, the better physical health states, the order they were, the higher the mental health states became. Fifth, comparing the high risk group with non-risk group, those who were in their 20`s and 40`s, had no wives or husbands, low educational background, physical workers, and were not well healthy, were apt to have mental diseases. Conclusion: In the future, the first target population in the community mental health services will be the urban poor in low mental health states. For those who are apt to have mental diseases, the first step of community mental health works is to find, select and give basic mental health services. The staffs in community mental health center have to develop various mental health programs and inform the public of them.

FET형 CO₂센서의 제조 및 감응특성

이은숙,이영철,정지영,윤종훈,김창수,손병기,이흥락 경북대학교 센서기술연구소 1995 센서技術學術大會論文集 Vol.6 No.1

A FET type micro CO_(2) sensor based on a Severinghaus type arrangement has been prepared and its response characteristics were examined. The sensor was fabricated by formation of hydrogel layer containing bicarbonate/chloride ions on the PH-ISFET and the Ag/AgCl reference electrode prepared by the thermal evaporation and chemical chloridation methods. And then gas-permeable membrane was dip-coated on the hydrogel layer of the sensor. Gas-permeable membranes were fabricated with silicon rubber and polyurethane dissolved in toluene and THF, respectively. The CO_(2) sensor with the silicon rubber membrane showed better sensitivity and lower detection limit than the CO_(2) sensor with the polyurethane membrane for dissolved CO_(2). The sensor with silicon rubber membrane at optimal conditions showed a good response: linear range of 1.60X10^(-4) ~ 4.40X10^(-2) M CO_(2), sensitivity of 57.30 mV/decade, and detection limit of 7.50x10^(-4) M.

브루셀라균에 노출된 미생물 검사실 직원들에 대한 예방적 항생제 요법과 혈청학적 추적검사

이창섭,이혜수,이재현,박진희,최영실,황규잠,이흥범 대한감염학회 2008 감염과 화학요법 Vol.40 No.2

The aerozolization is one of possible Brucella transmission mechanisms, particularly in air-borne exposed laboratory workers. In this study, seven laboratory workers were potentially exposed to B. abortus via aerosols. Two laboratory workers who sniffed an agar plate several times were considered to be at high risk for acquiring the disease, 5 workers who did not work directly with the strain were be considered at low risk of infection. Prophylactic antibiotics of doxycycline 200 mg/day and rifampin 600 mg/day were offered for 6 weeks in high risk workers and 3 weeks for low risk workers respectively. Enrolled workers were advised to check for serological testing of Brucella species every 3 weeks during a total period of 12 weeks. Compliance with taking medicine was 57.1% (4/7) and compliance for completing the serological tests was 85.7% (6/7). None of the laboratory workers developed clinical disease or tested positive serologically during 3 months of seroloaical testing and 1 year of clinical follow-up.

濟州道 住民 蟯蟲感染의 疫學的 硏究

李根泰,李範珪,盧英俊,任世旭,李在興 醫藥係社 1955 綜合 醫學 Vol.12 No.12

흡연자와 비흡연자의 타액에서 코티닌 정량 및 ETS 노출량 평가

임흥빈,강영국,손형옥,이영구,문자영,이동욱 충북대학교 엽연초연구소 2001 煙草硏究 Vol.18 No.-

This study was conducted to measure and compare the salivary cotinine concentration between smokers and nonsmokers, and to investigate the effect on the exposure to environmental tobacco smoke(ETS) with housewives, living on an apartment of Korea. Saliva samples were taken from all volunteers and salivary cotinine was analyzed by a developed radioimmunoassay(RIA) method. The median salivary cotinine levels were 52.8±12.6 ng/ml and 44.6± 9.7 ng/ml in male smokers and in female ones, respectively, and they were 4.3±2.1 ng/ml and 2.9±3.1 ng/ml in male nonsmokers and in female ones, respectively. In addition, average salivary cotinine levels were 3.8±2.7 ng/ml in housewives from smoking homes and 2.4±2.4ng/ml in ones from nonsmoking homes. Results obtained from the analysis of salivary cotinine demonstrate that smokers had a significantly higher concentration of salivary cotinine than nonsmoker. But, there was no significant difference in the salivary cotinine concentration for housewives living in apartment between with smoking husband and with nonsmoking husband.

그레이브스병에서 방사성 요오드 치료에 따른 갑상선 자극 호르몬 수용체 결합억제 면역글로불린(Thyrotropin Binding Inhibitory Immunoglobulin, TBII)의 변화

조영석,권기현,이준철,나소영,이효진,홍우정,이유선,김군순,송민호,김영건,노흥규 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Prediction of thrapeutic response to radioiodine in Graves' disease is poorly understood. Although thyrotropin binding inhibitor immunoglobulin(TBII) level is a strong index for relapse after antithyroid drug medication, conflicting results are reported regarding its prognostic significance in Graves' disease treated with RAI. This study is dengned to evaluate possible relationship between post-treatment hypothyroidism and TBII in Graves' disease treated with RAI. Fourty two patient with Graves' disease after radioiodine treatment were studied retrospectively. The subject were divided into hypothyroid group and euthyroid or hyperthyroid group. We evaluated the association of hypothyroidism and TBII with radioiodine treatment dose. The mean age of hypothyroid group was 48±11 years and euthyroid or hyperthyroid group was 47±12 years. There was no difference in two groups. And there was no significant difference in post- treatment TBII between two groups(49.9±28.5%, 29.9±14.3%, p-value >0.05). The treatment-dose had no influence on post-treatment thyroid state. Euthyroid or hyperthyroid group was done with 13.6±6.9mCi and hypothyroid group was 17.0±10.4mCi(p-value > 0.05). TBII had no prognostic significance on long-term hypothyrodism in Graves' disease treated with radioiodine. And, treatment-dose had no influence on post-treatment thyroid state.

Formulation Prediction for Young's Modulus of Poly(dimethylsiloxane) by Spectroscopic Methods

Cho Han Saem,Moon Heh‐Young,Lee Heung Soon,Kim Yong Tae,Jeoung Sae Chae 대한화학회 2021 Bulletin of the Korean Chemical Society Vol.42 No.9

In this work, we refer to the fraction of hydrides and vinyl groups consumed in cross-linking reaction as a variation of the properties of poly(dimethylsiloxane) (PDMS) with varying the formulation of a curing agent from 3.2 wt % to 50 wt %. Young’s modulus, density, and refractive indices of PDMS were observed to have a maxima at a formulation of about 10 wt % of cross linker. The intensity of the Raman band for the Si H stretching mode in cross-linker is almost zero if the cross-linking agent is less than 10 wt %, but it is linearly increasing with increasing the content of cross-linker. The dependence of the elastic modulus on the formulation could be explained in terms of the fraction of cross-linked network. The analytical framework proposed in this work could be used for optimizing the formulation of PDMS and hence its properties can be tailored for specific applications.

혈액투석중인 만성신부전 환자에서 골대사 지표로써의 Osteocalcin치

송치운,이진홍,안미애,윤환중,윤상임,성기양,이강현,송민호,이강욱,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Background : Serum osteocalcin is synthesized by osteoblast and has been shown to be sensitive indicator of bone turnover inpatients with various metabolic bone disease. In renal osteodystrophy, serum osteocalcin is elevated due to decreased renal clearance and elevated level of PTH. This study was done to evaluate the usefulness of serum osteocalcin as a marker of bone metabolism and the correlation with other biochemical markers of bone metabolism. Methods : We measured serum osteocalcin, calcium, phosphorus, ALP(alkaline phosphatase) and PTH(parathyroid hormone) in 37 patients with end stage renal disease on hemodialysis. Osteocalcin was determined by radioimmunoassay and PTH was determined by radioimmunometric assay. Results : 1) The mean level of serum osteocalcin in ESRD patients was 233.8± 218.2ng/ml which was significantly higher than that of controls(p<0.0001). 2) The mean level of serum PTH in ESRD patients was 40.5± 43.8pg/ml was significantly higher than that of controls(p<0.005). 3) There was a significant positive correlation between the level of serum PTH, ALP and the level of serum osteocalcin in ESRD patients. 4) By using multiple regression, PTH is most reliable factor that affect to elevated level of serum osteocalcin ( beta coefficient = 0.687, Sig T<0.05). Conclusion : Serum osteocalcin as a marker of bone metabolism in ESRD patients is more useful than other biochemical marker such as serum calcium, phosphorus, ALP and PTH is a most reliable factor that affect to elevated level of serum osteocalin.

소화성 궤양에 대한 Nizatidine의 임상효과

안정기,이기천,허승식,이종선,정현용,이헌영,김영건 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.1

Nizatidine is a newly introduced potent H2-receptor antagonist of acid secretion with long duration of action. For evaluation of clinical efficancy and safety, twenty one patients with endoscopically proved thirteen gastric ulcers and eight duodenal ulcers were treated with nizatidine 300mg at bed time via per os for 6 weeks. The results were as follows 1. The rate of complete endoscopic healing of duodenal ulcer 92.3% and 87.5% after 6 weeks. The overall healing rate of peptic ulcer was achieved in 89.9% at 6 weeks. 2. Clinical symptoms disappeared in 84.6%, 92.3% and 100% of patients with duodenal ulcer and 75.0%, 87.5% and 87.5% patients with gastric ulcer at 2, 4 and 6 weeks respectively. 3. There were not developed any symptoms and signs suggesting side effect of drug. In conclusion, data from this study suggest that nizatidine 300mg p.o. at sleeping time is effective and safe in treatment of peptic ulcer disease, and is well tolerated on a short-term basis.

부부관계의 주관성 연구

김분한,이희영,정영미,이은영,김흥규 성인간호학회 2001 성인간호학회지 Vol.13 No.2

This sutdy was undertaken to find out the perception of marital relationship and to understand the typology. The Q-population consisted of 153 statements that were collected and 33 Q-samples were selected. The P-samples for this study were made up of 30 who were married. Each responded to a Q-set of marital relationship according to 9-point scale. The results of Q-sorting were coded and analysed using QUANL PC program. Typological observations were as follows. 1) One in body and spirit type : In type 1, couples had different backgrounds respectively but felt one in body and spirit. 2) Companionship type : 2. Couples had not so much a hierarchial as a horizontal relationship. Couples perceived themselves as interdependent and friends. 3) Adaptation type : Couples readily adapted themselves to a marital relationship. They only depended on their spouses at times and stressed the relationship. Marriage was accepted as destiny rather than choice. On the basis of these results, we suggest: When a marriage is in trouble, that we assess the type of marital relationship in advance and intervene with a proper program. In addition, practical intervention programs need to be developed tailored to the type of subjective perception about the marital relation