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圓光醫大 附屬 第2病院 神經精神科 患者에 對한 統計的 考察(Ⅱ)
박민철,장광철,김상원,김한주,유미경,김훈,유용진,김현정,박남진,오상우,이귀행,노승호,백영석 圓光大學校 醫科大學 神經精神科學敎室 1992 圓光精神醫學 Vol.8 No.1
본 연구는 1986년 7월 11일부터 1991년 7월 10일까지 원광의대 부속 제2병원 신경정신과에서 의래 및 입원치료를 받았던 6,072명의 환자를 대상으로 병원 역학조사를 실시하고 그 결과를 1차조사 (박민철 등1986)와 비교했다. 1.전체 환자 중 남자가 54.4%로 여자보다 많았고, 이리와 이리 인접지역이 84.0%로 대부분의 지역을 나타났다. 의료보장상태는 보험환자가 57.1%, 의료보호환자21.8%, 일반환자 21.1%였으며 연령별로는 20대 24.6%, 30대 22.8%로 20대 30대가 절반정도를 차지했다. 2.외래환자에서는 신경중성장애가 46.0%로 가장 많고 정동장애, 경련성장애 순이며, 입원환자에서는 정신분열증이 30.5%로 가장 많고 기질성정신장애, 정동장애의 순이었다. 3.남자는 신경증성쟝애(23.4%), 정신분열증, 기질성정신장애 순이고 여자는 신경증성장애(39.9%), 정동장애, 정신분열증의 순이었다. 남자가 여자보다 많은 진단은 알코올정신장애(94.6%), 기질성정신장애, 소아정신장애 순이고, 여자가 남자보다 많은 진단은 정동장애(64.5%), 신경증성장애였다. 4.진단별 연령분포에서 신경증성장에는 30대(25.3%), 20대, 40대 순이고, 정신분열증은 20대(40.5%), 30대, 40대 순이며, 정동장애는 20대, 30대, 50대 순이나 비교적 비슷한 융이었다. 5.진단별 발병연령에서 신경증성장에는 20대, 30대가 절반이고,정신분열증은 20대(51.3%), 10대, 30대 순이며 정동장애는 20대(30.7%), 30대, 50대 순이었다. 진단별 평균 발병연령은 신경증성장애 32.7세, 정동장애 36.1세, 정신분열증 23.6세였다. 6.진단별 이병기간은 2년이상이 신경증성장에 28.3%, 정신분열증 68.5% 정동장애 43.9%인데 전체적으로 41.0%였다. 진단별 평균 이병기간은 정신분열증 73.2개월, 정동장애 45.5개월, 신경증성장애 29.5개월이었다. We examined epidemiologic study of 6,072 patients who visited Wonkwang Neuropsychiatric hospital since July 11 of 1986 until July 10 of 1991 and compared this results with previous study(Park et al 1986). The study revealed as follows:1. Of total patients males visited this hosptial more than females as 57.1%, Most of them(84.0%) resided Iri and neighbouring Iri. In the point of insurance, insured patients, medicaid patients and uninsured patients were 57.1%, 21.8% and 21.1% respectively. On the distribution of age, the twenties, the thirties were 24.6%, 22.8% respectively and twenties and thirties were about half of total patients. 2. Of outpatients neurotic disorder was the most as 46.0%, secondly mood disorder and thirdly convulsive disorder, but of inpatients schizophrenia was the most as 30.5%, secondly organic mental disorder and thirdly mood disorder. 3. Of males neurotic disorder was the most as 23.4%, secondly schizophrenia, and thirdly organic mental disorder, but of females neurotic disorder was the most as 39.9%, secondly mood disorder and thirdly schizophrenia. alcoholic mental disorder(94.6%), organic mental disorder, child mental disorder were mostly found in males,but mood disorder(64.5%) and neurotic disorder were mostly found in females. 4. On the distribution of age neurotic disorder was found the most in the thirties(25.3%), next in the twenties and in the forties, and schizophrenia was found the most in the twenties(40.5%), next in the thirties and in the forties, but mood disorder was found the most in the twenties, next in the thirties and in the forties but revealed similar rates relatively. 5. On the distribution of age of onset neurotic disorder developed nearly half during the twrnties and the thirties, schizophrenia developed mostly during the twenties (51.3%), secondly the teens and thirdly the thirties, but mood disorder developed firstly the twenties(30.7%), secondly the thirties and thirdly the fifties. on the average age of onset of illness neurotic disorder, mood disorder and schizophrenia were 32.7 years, 36.1 years and 23.6 years respectively. 6. On the duration of illness more than two years was 28.3% in neurotic disorder, 68.5% in schizophrenia and 3.9% in mood disorder and on the average duration of illness schizophrenia, mood disorder and neurotic disorder were 73.2 months, 45.5 months and 29.5 months respectively.
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류마토이드 관절염 환자에서 인공 주관절 전치환술 후 발생한 주두의 부전 골절
서유준(Yoo-Joon Suh),송석환(Seok-Whan Song),이승구(Seung-Koo Rhee),배만규(Man-Kue Bae) 대한정형외과학회 2005 대한정형외과학회지 Vol.40 No.1
류마토이드 관절염과 이에 대한 치료로 시행되는 스테로이드 용법에 의해서 발생하는 골다공증은 부전 골절(insufficiency fracture)을 유발하는 중요한 요인이다. 류마토이드 관절염 환자의 하지에 발생한 부전 골절이나 삽입물 주위 골절은 종종 보고되고 있으나 상지에 발생한 부전 골절이나 삽입물 주위 골절에 대한 보고는 매우 드물다. 저자들은 주관절의 류마토이드 관절염의 치료로 인공 주관절 전치환술을 시행한 후에 발생한 주두의 부전 골절 3예에 대하여 3주간의 석고 고정을 시행하여 좋은 결과를 얻었기에 문헌 고찰과 함께 이를 보고하는 바이다. Osteoporosis due to the rheumatoid arthritis and the glucocorticoid therapy predisposes patients to insufficiency fractures. Insufficiency fractures or peri prosthetic fractures of the lower extremity in the rheumatoid arthritis have been frequently reported. But those of the upper extremity were rarely reported. We report three cases of the insufficiency fracture of the olecranon after total elbow replacement arthroplasty in patients with the rheumatoid arthritis. All the cases were successfully treated by immobilization for 3 weeks. At the last follow-up, there were no functional impairments or residual symptoms caused by the fractures.
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검도 수련자가 지각하는 운동만족과 심리적 욕구의 차이와 관계 분석
박승순(Park, Seung-Soon),김성규(Kim, Sung-Kue),유정인(Yoo, Jung-In) 한국체육과학회 2015 한국체육과학회지 Vol.24 No.1
This research has been executed with the intention to know of the difference in the psychological desire and exercising satisfaction of the swordmanship trainees according to the demographic characteristics and to understand what kind of effect is given on the exercising satisfaction by the psychological desire. 185 swordmanship trainees were collected for the sample, in order to achieve the research goal, and the statistical analysis has been carried out based on the research procedure and data analysis. In the verification analysis result of the difference in the psychological desire and exercising satisfaction, female trainees have shown higher psychological desire and exercising satisfaction compared to the male trainees, and the group of exercise career for no less than 10 years has shown higher level of the psychological desire than the group of less than 2 years. Also, the group of no less than 10 years has shown higher satisfaction compared to the group of less than 2 years in the improvement factors of the exercising capability. The most important psychological desire that is influencing the exercising satisfaction has shown to be the competence and autonomy, finally, and the relational influencing power has been changed according to the subordinate factors of the exercising.
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