관상동맥내 스텐트 삽입후 발생한 관상동맥류 2례

제인수,허민영,문치숙,이재호,정수룡,조길현,이영민,김대경,김두일,김동수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Coronary artery aneurysms are detected with increasing frequency because of the routine use of coronary angiography in the diagnosis and management of coronary artery disease. Although some coronary artery aneurysms are congenital or inflammatory, most are atherosclerotic. The prognosis of atherosclerotic coronary artery aneurysm may depend on the morphology of the aneurysm or the presence of coexisting obstructive disease. Coronary artery aneurysms have been also reported to occur after ballon angioplasty, directional athrectomy, laser angioplasty, and stent implantation with a frequency of 2% to 4%. The long-term outcome of post-intervention coronary artery aneurysm is unknown. We report two cases of the development of a coronary aneurysm 6 months after stent implantation as a treatment of severe obsructive coronary artery disease.

纖維補强 콘크리트의 特性 및 그 利用에 관한 硏究

文濟吉 건국대학교 1977 學術誌 Vol.21 No.2

The effect of steel fibers on the static compressive stresgth, spiliting tensile strength and bending strength of concrete mas studied. The size of test specimen were organized two groups using φ15cm × 30cm cylinder and 15cm × 15cm × 55cm beam specimen (span 45cm). For each groups of specimen, the different mixture of water cement ratios and contents of steel fiber included were applied the combination of three different water cement ratios (50%, 55%, 60%) and two different volume percentage of 0.5 mm × 0.5mm × 30mm steel fibers (1% and 2%). After that the results of those specimens test were compared same size and same water cement ratios of specimens of plain concrete respectively. The comparative results of steel fibers added into concrete specimen with plain concrete showed that the slight increase in the compressive strength. Otherwise the tensile strength and bonding strength were increased definitely in the steel fiber added to the concrete. The study was also concluded good condition of concrete toughness in order to prevent concrete crack development by the action of steel fiber in the concrete.

탈모증의 정신의학적 특성 분석 : 원형탈모증과 전신성탈모증간의 비교 분석

이길홍,이헌재 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 원형탈모증의 심한 정도와 환자의 개인적 특성, 탈모양상, 정신의학적 특성, 동반 신체 질환 및 치료방법 등과 같은 탈모증 상관변인간의 관계 분석을 통해 탈모증의 원인적 변인들을 탐색하여, 이를 토대로 탈모 호발 성향이 있는 환자들의 치료 및 예방 지침을 수립하기 위해 연구를 시도하였다. 방 법 : 정신병리적 심각도와 탈모증의 심한 정도간에 상호 연관성을 알아보기 위하여 1998년 1월부터 12월까지 최근 1년간 중앙대학교 용산병원 피부과에 내원하여 정신과로 의뢰된 탈모증이 경미한 원형탈모증 환자 60명(남 25명, 여35명)과 탈모증 정도가 심한 일반 전신성 탈모증 환자 33명(남 15명, 여 18명)간의 임상 양상의 차이를 비교 분석하였다. 수집된 자료는 SPSS-PC+90V 프로그램을 통해 자료 처리를 하였고, 집단간의 차이는 교차 분석 및 T-검증 분석을 통해 비교 분석하였다. 결 과 : 1) 탈모증이 심할수록 겨울에 발병하고, 사회 경제수준이 낮다 2) 탈모증이 심할수록 탈모 과거력이 있고, 3회이상 재발하며, 탈모 정도가 심하고, 조기에 발병하며, 탈모기간이 2년 이상 장기간이고, 탈모 악화기간이 9개월 이상이 많으며, 첫 탈모 부위가 두정부이고, 눈썹 탈모가 많으며, 탈모부위가 2군데 이상이고, 부모가 탈모 경험이 있는 경우가 많다. 그리고 치료해도 변화가 없거나 악화되고, 치료를 실패하는 비율이 높다. 3) 탈모증이 심할수록 스트레스 지각도가 높고, 인간관계나 인성관계에서 적응상의 어려움을 겪으며, 가정내 적응이 원만하지 못하고, 최근 가정내 갈등으로 인한 생활 변동으로 인해 스트레스를 받는다. 4) 탈모증이 심할수록 우울증이 많고, 불안 증상들이나 우울 증상들을 흔히 호소하며, 인격장애가 있을 때 탈모가 촉진되고, 특히 히스테리성 인격이나 피동 공격성 인격을 지닐수록 탈모 정도가 심하다. 5) 탈모증이 심할수록 신경증적인 MMRI소견을 보이고, 특히 히스테리 성향이나 건강염려 성향이 높다. 6) 탈모증이 심할수록 동반 피부질환이 적고, 정신과약물인 alprazolam을 복용하고 있으며, tretinin이나 polytar, soraren을 사용하고, ultra-violet A 광선치료를 하는 경향이 있다. 결 론 : 정신사회적 스트레스와 탈모증이 밀접한 연관이 있고, 인격 장애가 탈모증에 선행하는 예측 인자이며, 자신의 심리적 갈등을 직접 표현하지 못하고 신체증상으로 전환시킬수록 탈모가 촉진되고, 탈모가 심할수록 정신의학적 문제를 흔히 야기한다는 것은 정신과적 개입이 필요함을 말해주고 있다. 따라서 1차 진료 의사인 피부가 의사들은 병발하는 정신장애에 대한 깊은 관심을 갖고, 공동 치료 계획을 세워야 한다. Objectives : The present study was performed to reveal correlations between the severity of the alopecia and their alopecia related variables such as patterns of hair loss, psychiatric characteristics, associate illnesses, and methods of treatment and to use them as basic materials for proper management and early prevention of the alopecia prone cases. Methods : In order to analyze correlation between the severity of psychopathogy and the severity of hair losses, the subjects were divided into two subgroups as the 60 case of alopecia areata and the 33 cases of alopecia totalis with more severely affected loss of hairs, who had visited to the department of psychiatry after they were consulted from the department of dermatology, Yongsan hopital, ChungAng University, Seoul, Koera, from January 1998 to December 1998. In data analysis, the subjects were statistically assessed by chi-squre test and T-test through SPSS-PC+8.0V. Results : 1) Those with the more severely affected alopecia were more likely to visit to the department of dermatology in winter, and to show lower socio-economical level in comparison to the alopecia areata. 2) Those with the more severely affected alopecia were more likely to show past history of alopecia, to recur frequently more than 3 times, to be damaged more severely, to have an younger mean age at onset of alopecia, to have longer total duration of hair loss than 2 years, to have longer recent duration of hair loss than 9 months, to have more loss of hairs on the vertex area at onset of alopecia, to have more loss of hairs in eyebrows, to have more loss of hairs more than 2 areas, to have more family history of alopecia in their parent, and to have poorer prognosis in comparison to those of the alopecia areata. 3) Psychosocial stress were positively correlated with the severity of loss of hairs. In the more severely affected alopecia group, their degree of stress were perceived higher. The more severely affected patients with alopecia, were poorer in their adjustment in family life, interpersonal reations or heterosexual relations, and suffered more from intrafamilial life changes in comparison to those of the alopecia areata group. 4) Those with the more severly affected alopecia were more likely to show serious psychopathology such as an increased rate of the depression, to complain more frequently with anxiety symptoms or depressive symptoms, to have personality disorders including the histrionic or the passive aggressive traits in comparison to the alopecia areata. 5) Those with the more severly affected alopecia were more likely to show neurotic MMRI code profiles such as histrionic or hypochondriacal trends. 6) Antianxiety drug such as alprazolam and drung therapies including tretinin, polytar or oral sorarens plus ultra-violet light A photochemotherapy were significantly more effective in the treatment of those with the more severly affected alopecia group. Conclusion : The most important factors in developing a psychopathologic reaction to the hair loss due to alopecia seems to be the presence of mental disorders including depression, the presence of stressful life events such as intrafamilial life changes, the presence of a significantly higher percentages of personality disorders such as the hysterical or the passive aggressive, and the presence of the psychosocial sequele and maladjustment in various life situations. From the above facts, the authors suggested that dermatologists acting as the primary care physician are in a unique position to recognize psychiatric comorbidity and execute meaningful intervention for patients with alopecia with psychiatrists.

학생청소년의 폭력 기사에 관한 환경생태학적 연구

이길홍,이헌재 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.3

목 적 : 일간 신문에 게재된 청소년 범죄 기사의 내용 분석을 통해 청소년 폭력을 미연에 예방 및 선도하기 위한 지침을 설정하기 위하여, 최근 11년간 동아일보 및 충청일보에 게재된 청소년 범죄 기사를 대상으로 전수 조사를 실시하였다. 방 법 : 자료 분석에서는 12세에서 21세에 이르는 청소년 연령층의 범죄 기사 681건(남 642건, 여 39건)중에서 학생 범죄기사 261건(남 238건, 여 23건)을 연구 집단으로 선정하고, 비학생 범죄기사 420건(남 401건, 여 16건)을 대조군으로 선정하여 비교 분석하였다. 결 과 : 1) 학생집단은 연령이 연소하고 여성이 많은 반면 비학생집단은 고연령층이 많았고 남성이 많았다. 범죄 청소년중에서 학생집단의 비율은 계속 증가 추세를 보인 반면 비학생집단은 최근 감소하고 있었다. 2) 학생집단은 폭력범이나 절도범이 많았고 집단범죄가 많은 반면 비학생 집단은 강력범이 많았고 단독 범죄가 많았다. 학생집단의 범행 시간은 오후가 많은 반면 비학생집단은 밤중에 흔히 범행을 하였다. 3) 학생집단은 심리적 갈등이나 경제적 문제로 인해 범행을 한 반면, 비학생집단은 호기심이나 정신적 문제, 이성 문제로 범행을 한 경우가 많았다. 범행 방법은 학생집단은 육체적 공격성향을, 비학생 집단은 도구적 공격성향을 보였다. 4) 학생집단은 집단 범죄가 많았고, 저연령 학생과 공범이 많은 반면, 비학생 집단은 단독 범죄가 많았고, 고연령군 무직자와의 공범이 많았다. 5) 학생집단은 가해자가 면식범이고, 첫 피해자가 저연령층 학생이 많았고, 비학생 집단은 모르는 사람이 많았고, 피해자가 고연령층인 경우가 많았다. 결 론 : 증가일로에 있는 학생청소년들의 폭력행위를 예방 및 선도하기 위해선 학교 및 가정에서 심리적 안정감을 줄 수 있도록 노력해야하며, 교우관계 개선과 더불어 방과후 저녁 시간대의 여가 선용 방안에 대한 집중적인 선도 계몽이 필요할 것으로 지적되었다. Objective : The present study was performed to identify the socio-psychiatric aspects of adolescent criminal offences reported on daily newspapers and to use them as basic materials for prevention of adolescent criminal offences. Methods : The author analysed 681 cases of adolescent criminal offenders, including 642 males and 39 females who reported on daily newspaper such as DongA Ilbo and Chung-Cheong Ilbo, aged from 12 through 21, In data analysis, the subjects were divided into two subgroups as the student(261 cases) and the non-student(420 cases). Results : 1) The rate of student were more common in female and younger in their age group comparing with the non-student. Recently, the incidence of student's offences of all adolescent offences were remarkably increased, while those of the non-student was decrease. 2) Violence and theft or group offences were more common in the student, while felony or solitary offences were more frequently observed in the non-student. The more vulnerable time of criminal offences in the student were more in afternoon, while the non-student were more in midnight. 3) The psychological conflicts and the economical causes were the most ones in the student, while the curiosity, the personality problems and the heterosexual conflicts were more common in the non-student. Physical aggression were more prominent ones in the student, compared with the instrumental aggression in the non-student. 4) The student committed offense more in patterns of group offences with peers, younger in their age and were more often with their peer students, while the non-student committed offense more in the patterns of solitary crime, more prevalent with older aged jobless peers. 5) Most of the victims in the student were more abused to the intimate persons, and more younger students, while those in the non-student were more abused to the unknown persons and more older aged adolescents. Conclusion : In order to prevent and correct increasing tends of violence in school, nationwide guidance programs should be promptly applied through promotion of psychological wellbeing in family and school, proper guidance to peer relationship, and providing more opportunities for sound recreational activities in evening time to help dissipate the frustration of the adolescents.

등누르기 人工呼吸法에 對한 比較 考察 : Comparing Schafer's and Neilsen's method

李栽吉 군산대학교 1979 群山水産專門大學 硏究報告 Vol.13 No.2

This study was attempted to analyze the prone presspure Artificial Respiration, comparing Schafer's method with Neilsen's by use of questionnaire taken from 290 freshmans(male) at National Gun San Fisheries Junior college. The results were concluded that Schafer's one was more comfortable in practising it and excellent in blowing condition to suspended animation.

船員敎育의 國際的인 趨勢와 우리의 對處方案 : 漁船員을 中心으로

裵錫悌,李吉來 군산대학교 1984 群山水産專門大學 硏究報告 Vol.18 No.2

In accordance with trend of international decision of training and certification for fishing vessel's crew, we have to involve the tendency of international flow. Accordingly, the domestic law has been reformed in order to promote safety of life and the protection of marine environment due to the pollution. With the reform of ship personal law according to IMO/STCW convention, we have to supplement the category of training syllubus suitable for the decision of IMO/STW 1984.

漁船의 海難事故와 防止 對策에 관한 硏究

裵錫悌,李吉來,徐萬錫 군산대학교 1993 群山水産專門大學 硏究報告 Vol.28 No.1

The marine casualties of fishing boat has been taken place in many ways i.e. collision, foundering, agrounding, engine blink, fire, damage of fitting. etc. I have investigated the aspects of marine casualties of fishing boat concernings to the states of character of casualties during 1987∼1991 and suggested counter-measure for preventing marine accident of fishing boat. The results were as follows: 1. Most casulties were occured on the mishandling of engine on account of deficiency of maintenance and preliminary article. 2. Most marine casualties has been taken place the vessel less than 100 ton by the tonnage and much happend on account o operational fault and neglect of their duty by the reason. 3. The authorities will be estabilished prohibited zone according to the operational method to keep out of the marine casualties of fishing boat. 4. The authorities must strengthen the safety education of fishing boat to replace education which is prositive and practical once five years. 5. The administration have to consolidate the safety inspection of fishing boat according to the international trend. 6. Even in fishing boat, the Fishing boat must be utilized the GMDSS system in connection with the marine casualties. 7. The administration must unify the all of act concerning to the fishermen promote the social welfare and their well-being.

海技士 養成에 關한 問題点과 改善方案에 關한 硏究

李吉來,鄭與基,裵錫悌 군산대학교 1977 群山水産專門大學 硏究報告 Vol.11 No.1

We have investigate following subjects relating to training the ocean -going liscensed officer connecting with improvement of liscense systm. 1)In the merchant marine course, The employment has been increased on acc-ount of national support, cooperation industry connected, increase of domestic vessel, overseas of employment, however, In a fishery course are anticipated producing large number of ocean going licensed offilcer by reason of the depr-essing of deep sea fishery, chang in situation, increase of student capacity. 2)It is important to take clear aim to the student in the fisheries educational facilities and It will profitable the fisheries educational target are composed of practical skill 50%, personality 50%. 3)We must set up the scholorship system, to form connection with affiliated company and strengthen co-operation of enter-prise and educational organization in order to secure the superior ocean-going lescensed officer. 4)The restricted liscense (concerning to the fishing boat) shall be abolished for the sake of eliminate present conflict.

폐결핵으로 오인된 SIADH를 동반한 편평상피 세포폐암 1예

김순제,류하근,김선두,이길도,박봉안,류주성,유재등,김인숙,신현준,문언수 대한노인병학회 1999 Annals of geriatric medicine and research Vol.3 No.4

현행 고등학교 화학 교과서 비교 연구

오제직,최석남,이종길 공주대학교 사범대학 과학교육연구소 1994 과학교육연구 Vol.25 No.1

This paper aims to help the teachers select the textbook and provide them with the basic teaching materials as an ideal model by analyzing the organization (its element and appropriateness), volume amount, experiment matter, and the contents of the highschool chemistry textbooks, which have been revised in accordance with the 5th amended curriculum. The results of the analogy are as follow 1. Organization (its element and appropriateness) : Though having some distincitive characteristics, all the textbooks have almost the same introduction, development, summary, and further study, which are appropriate for the textbook model. 2. The volume amount: All the textbooks have almost the same frame, but s a big difference in such things as the number of pages, of pictures and charts, of Gothic terminology, and relative importance of each chapter. And all the materials such as pictures and photos are black-and-white, which we think are less helpful to the students` study. 3. The experiment matter: There`s a geat difference in the number, kinds, ratio contents and subject of experiment in each chapter. And there are some distinctive characteristics in the type, level, method, and investigative skills of the experiments. 4. The contents : There are considerable differences in the additional and reduced sections. Therefore, which book is selected is very important, and the teachers should not skip any class-work.