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        45歲 以後에 初發한 偏執症候群의 特徵

        田珍淑,張煥一,李成柱 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

        The 25 patients, in whom paranoid symptoms had occurred after age 45, and who had been admitted to Kyung Hee University Hospital from May 1979 to June 1984, were compared with 40 paranoid schizophrenics who had fitted to the DSM-Ⅲ diagnostic criteria, to clarify whether such syndrome should be classified to schizophrenia or a separate entity. The results were as following; 1. The male to female ratio was 0.92:1 in late paraphrenics, in contrast with 2.33:1 in control (p>0.05). 2. The age at onset was 53.6±8.0 year in late paraphrenics, in contrast with 28.1±7.6 year in control (p<0.001). 3. Majority of late paraphrenics had been ill for 2 weeks to below 6 months (48.0%), while for above 2 years in control (60.0%) (p<0.0005). 4. The late paraphrenics had been in hospital for 32.1±18.6 days on the average, in contrast with 53.4±31.3 days (p<0.01). 5. At time of admission, majority of late paraphrenics had married (68.0%) (p<0.005), in contrast with being single in control (62.5%) (p<0.0005). But divorced, separated or deceased were more in late paraphrenics (32.0%) than control (p<0.05). 6. The numbers of children of late paraphrenics were 3.8±2.0, and of control 0.8±1.4 (p<0.001). 7. Upon socioesonomic classes, majority of both patients belonged to middle class (p>0.5), and control (42.5%) belonged to lower class more than late paraphrenics (20.0%) (p>0.05). 8. The control had been admitted more frequently (2.9±2.1 times) than late paraphrenics (1.4±0.9 times) (p<0.01). 9. Both patients had schizophrenic family members most of all (each other 12.0% and 7.5%) (p>0.5), the late paraphrenics had somewhat more paranoid disorder (8.0%) than control (2.5%) (p>0.3). 10. Majority of late paraphrenics had paranoid personality trait (80.0%) (p<0.0005), in contrast with schizoid one in control (55.0%) (p<0.025). 11. Precipitating factors were present in 92.0% of late paraphrenics and 60.0% of control (p<0.01). Among the contents, family problem was most predominant (56.0%) (p<0.0005) in late paraphrenics and marital and financial problems (each other 28.0%) (p<0.05) in next order, while work (30.0%) and interpersonal problem (17.5%) were more prominent in control (p>0.5). 12. Among the contents of delusions, majority of both patients had persecutory ones (80.0%) (p>0.5) and idea of reference (each other 40.0% and 62.5%) (p>0.05). Otherwise, late paraphrenics had infidelity (36.0%) and hypochondriacal (32.0%) ones (p>0.05), while delusion of being controlled (55.0%) (p<0.01) and other Schneiderian ones (30.0%) were more common in control (p<0.05). In addition, affective symptoms (72.0%) (p<0.05) and cognitive difecit (40.0%) (p<0.0005) were more common in late paraphrenics, while hallucination (60.0%) (p>0.3) and loosening of association (67.5%) (p>0.05) in control. 13. The responses to physical treatment mainly composed of antipsychotics were fair (each other 92.0% and 100.0%) (p>0.05). Otherwise, late paraphrenics administered antidepressants (24.0%) more than the control (p<0.01), while electroconvulsive therapy was used more in control (20.0%) (p>0.1). 14. Most of the clinical diagnoses at discharge were established as paranoid disorder (56.0%) and in next order, paranoid schizophrenia (20.0%). Based on the above results, we concluded that late paraphrenia should be classified to paranoid disorder rather than atypical psychosis in addition to the agreement with the validity of separating this syndrome from schizophrenia in DSM-Ⅲ.

      • Rhabditis sp.의 생장에 미치는 온도의 영향에 관한 연구

        金昌煥,徐淑才 慶尙大學校 1986 論文集 Vol.25 No.2

        Rhabditis sp.는 토양선충의 한 종류로 토양내의 유기물을 섭취하는 자유선충인데 광범위한 온도조건에서도 서식하고 있는 것으로 알려져 환경요소 중 온도가 Rhabditis sp.의 개체증식과 생장에 미치는 영향을 검토해 보고자 여러 온도 조건하에서 배양하여 개체의 생장과 증식수 및 대사작용에 관여하는 Esterase와 Acid phosphatase의 pattern 변화를 Electrophoresis를 통하여 조사한 바 다음과 같은 결과를 얻었다. 1. 20℃±4의 온도범위에서 배양된 Rhabditis sp.가 다른 12℃, 32℃ 온도하에서 배양된 Rhabditis sp.와 비교하여 증식수와 체형의 크기에 차이가 있었다. 2. Nanspecific esterase는 총 13개의 Isoenzyme band가 확인되었으며, 각 온도에 따라 12℃는 7개, 16℃·20℃·24℃는 각 6개, 28℃는 5개의 major band를 확인할 수 있었다. band 5번(Rf 0.58)은 전 온도범위에서 확인되었고 band 12번Rf 0.89)는 24℃온도에서만 확인되어 각 band에 따른 활성온도 범위가 각각 달랐다. 3. Acid phosphatase의 Isoenzyme pattern은 총 4개의 Isoenzyme major band 중 band 1. 2. 4. 번은 12℃에서만 major band이었고(Rf 0.14, 0.29, 0.33), band 3번(Rf 0.31)은 16℃ 이상의 온도에서 major band이었다. The present studies was carried out to investigate the influence of temperature on the rate of growth and on the multiplication of Rhabditis sp.. Rhabditis sp. was cultured at various temperature levels (12, 20, 24, and 28℃) and analysed by electrophoresis to investigated the isozyme pattern of nonspecific esterase and acid phosphatase. The results obtained were as follows. 1. Rhabditis sp. cultured at 20℃±4 showed differences in the rate of multiplication and body lengths, as compared with that at 12° or 32℃. 2. A total of 13 isoenzyme bands of nonspecific esterase was idendified and the numbers of major bands at esch temperature(12, 16, 20, 14 and 28℃) were 7, 6, 6, 6, and 5, respectively. Band 5 appeared at all temperatures tested, whereas band 12 appeared only at 24℃. 3. The patterns of acid phosphatase isoeozymes showed 4 major bands.. Out of 4 major bands band 1, 2 and 4 represented as major bands only at 12℃, whereas band 3 represented as major band at temperatures above 16℃. The results showed that the temperatures had effect on the activity of isoenzyme bands.

      • 은으로 치환된 굴패각을 이용하여 제조된 항균제(Ag-Oy)의 항균효과

        정숙현,신춘환 東西大學校 1998 동서논문집 Vol.4 No.-

        은 치환된 굴 패각을 이용한 항균제의 항균효과를 조사하기 위하여 11종의 세균과 2종의 효모로 실험을 하였다. MIC 결과는 S. aureus 200ppm, V. parahaemolyticus 300ppm, P. vulgaris, S.faecalis, M. luteus 700ppm, E. aerogenes, K.pneumonia, P. aeruginosa 800ppm, S. typhimurium, E. codi, B. subtilis는 900ppm으로 나왔다. 그리고 S. cerecisiae와 C. albicans는 Ag-Oy에 아주 저항력이 높아 각각 1500, 3000ppm으로 나타났다. 1500ppm의 Ag-Oy로 실험한 살균효과는 아주 다양한 결과를 보였다. V. parahaemolyticus는 20분만에 완전히 멸륜되었고, S.aureus도 초기균수의 99.9%가 20분만에 사멸되었다. 그외 99.9%의 사멸에 소요된 시간으로 P.vulgaris, E. aerogenes, E. coli는 40분, M. luteus는 60분, B. subtilis, K.pneumonia는 150분의결과를 보였다. 1시간동안 배양하면서 사멸곡선의 사멸속도는 P.vulgaris, E.aerogenes, E.coli는 각각 0.086, 0.094, 0.094 log no. cell/min.로서 유사하게 나타나고, B.subtilis, K.pneumonia는 각각 0.013, 0.016 log no. cell/min로서 유사한 경향을 보이고 있다. To investigate antimicrobial effect of silver exchanged oyster shell(Ag-Oy), 11 bacteria and 2 yeasts are tested. The MIC results are 200ppm for S.aureus, 300ppm for V.parahaemolyticus, 700ppm for P. vulgaris, M. luteus and S. typhimurium, E. coli, and B. subtilis. S. cerevisiae, C. albicans are very risistant against Ag-Oy resulting 3300ppm and 1500ppm respectively. The sterilization effects of 1500ppm Ag-Oy are very diverse V. parahaemolyticus is completely sterilized in 20 min. and S. aureus results in 99.9% death and M. luteus needs 60 min. 99.9% death of B. subtilis. Death rate during 1 hour incubation with 1500ppm Ag-Oy, P. vulgaris, E. aerogenes and E.coli are very similar resulting 0.091, 0.094, 0.086 log no. cell/min. and also B. subtilis and K. pneumonia are similar rusulting 0.016, 0.013 log no. cell/min.

      • KCI등재

        退行期 偏執症 患者의 自害에 依한 舌 部分切斷 1例

        田珍淑,李成主,張煥一 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.4

        A 51 year-old male patient was admitted to Neuropsychiatric ward of Kyunghee University Hospital from April 2 to May 28 in 1984, because he amputed his tongue for himself with a tool under the psychotic state. He has been a heavy drinker with paranoid personality make-up, and lost his father when he was 10 year-old, and separated from his mother at eighteen. Recently, he lost his job and frequently troubled with his spouse, and separated from his son. Psychodynamically, guilt, separation anxiety, lowered self-esteem induced by loss of social role function which led social isolation, and using of rigid adaptation to the stressful life events were remarkable features.

      • 흰쥐에 있어서 Sparganum의 移行과 發育에 관한 硏究

        金昌煥,徐淑才,崔朱卿 慶尙大學校 1985 論文集 Vol.24 No.1

        This study was carried out to investigate the migration and development of the Sparganum in rats and the changes of haematological values in the hosts infected with Sparganum. The results obtained were summarized as follows: 1. The recovery rate of the Sparganum in the infected rats was 57 per cent on the autopical findings of the infected individual rats during observations from 2 hours to 32 days after infection with Sparganum. 2. The larval Sparganum was found in the digestive tract within two hours after administration with oral route and then, the worms began to penetrate and migrate via the abdominal cavity within 4 to 6 hours and the worms were found in the muscular tissues 2 days onwards after infections. 3. The infected Sparganum began to deveolp the size of the body from 4 day after infection and then, the size of the Sparganum was measured by 52.9mm long and 3.2mm broad on 32 days after infection . 4. In the haematological observation of the host the red blood cell values changed little, while the white blood cells were increased significantly during 2 days after infection and thereafter they were recovered to the normal values.

      • 製紙廢水 슬러지의 濃縮 및 脫水特性에 關한 硏究

        金煥起,朴相肅,李壯煥 全北大學校 附設 都市및環境硏究所 1992 都市 및 環境硏究 Vol.7 No.-

        Paper and pulp industry are improving by development of paper and publication culture, also treatment and generated sludge in wastewater treatment have operated significant factor of development in paper industry. Therefore, this paper had study on the thickening and dewatering of sludge for the methods of the rational treatment and disposal of sludge in paper mill industry. 1. The primery sludge of wastewater treatment in paper mill are rapid to zone settling velocity, because sludge concentration are concentrated more primery sludge than seconday sludge. 2. The injected polymer to sludge of wastewater treatment in paper mill is 2.6mg. This is very similar to that quantity of injected polymer in treatment plant of paper mill wastewater. 3. Specific resistance to sludge of wastewater treatment in paper mill is 0.33×10 exp (7)sec^2/g, dewatering sludge in paper mill wastewater are good, because specific resistance of sludge in wastewater treatment plant is smaller than other sludge.

      • 펜턴試藥을 이용한 廢水處理 슬러지의 脫水特性에 關한 硏究

        金煥起,朴相肅,劉永壽 全北大學校 1997 論文集 Vol.37 No.-

        This study was carried out to improve the dewatering characteristics of wastewater treatment sludge using Fenton's Reagent. The Fenton's Reagent consisting of FeSO_4 and H_2O_2 has powerful oxidizing ability and reactivity. According to the experimental results, primary dosage of FeSO_4 was more effective than secondary in the wastewater treatment sludge and the reagent was almost completed at about 20 minutes contact time with the wastewater sludge. The dosage ratio of FeSO_4:H_2O_2=1mole : 1.6mole was the highest dewatering efficiency. The specific resistance of Fenton's Reagent, 7.335×l0 exp (10)m/㎏, was much lower than these studied as 2.88×10 exp(14)m/㎏ of activated sludge and 1.05×10 exp(12)m/㎏ of conditioned digested sludge. Therefore, the Fenton's Reagent oxidized organics in and then improved dewatering of the wastewater treatment sludge.

      • KCI등재

        韓國에서의 Michigan 酒精依存 選別檢査의 適用에 對한 豫備調査

        張煥一,田珍淑 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

        The MAST questionnaires translated into Korean were performed from June to September in 1984 to 58 male patients with the diagnosis of alcohol dependence, 25 other psychiatric male patients and 63 normal males. The results were as followings; 1. There were statistically significant difference between alcoholics and controls in all questions except number 9, 10, 14 and 25. 2. Alcoholics (26±7) had significantly higher total MAST scores than other psychiatric patients (7±5) and normal controls (7±4). 3. Among alcohol histories, the amount and frequency of drinking were significantly different between alcoholics and controls. But, the severity of alcohol dependence was not correlated to the total score of MAST.

      • KCI등재

        아동행동 조사표에 의한 입원한 행동장애 청소년 분류

        이환배,백기청,곽영숙 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.2

        To make a suchclassification of conduct disorder by using CBCL. the authors investigated 37 conduct disorders adolescents in Seoul National Mental Hospital during the period from June 1, 1987 to June 30, 1991. The results were as follows : 1) The total numbers of conduct disorder adolescents are 37 patient, and 4 clusters are subclassified. 2) In one way ANOVA. the scores of externalizing and internalizing showed statistically significance. 3) To compare the score of subscale factor, in parent form CBCL, delinquent, aggressive, hyperactive factor showed statistically significance, and the remainder factors are not significant. 4) In comparison between clinical data and clusters, the age of symptom onset showed statistically significance, and orders are cluster 4, cluster 2, cluster 3 and cluster 1. The X2 test, the sex showed statistically significant the ratio of females 60.0% in cluster 2, 14.3% in cluster 3, 12.5% in cluster 1 and 0% in cluster 4. 5) i) In the main and interaction effects between 4 clusters and 2 forme of CBCL in each matched CBCL subscale, external, internal. aggressive(P<0.001) and deliniquent(P<0.01) factor showed statistically significant. ii) In the two forms of CBCL, social, school and total factor showed statistically significant. The remainder factor showed statistically no significance. iii) In the clusters and two forms of CBCL. the external and aggressive and internal factor showed statistically significance and in the cluster 1, the score of YSR of external and aggressive factor are higher than parent form CBCL, and in cluster 3 the scores of parent form and higher. In cluster 4, the score of internal factor of parent form CBCL is higher than the self form.

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