주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.

水稻 이양전작(春播) 靑刈 옥수수의 경제성 조사

金基元,徐大振,姜奉泰 진주산업대학교 1972 論文集 Vol.9 No.-

1. The weather condition was good and the cost of producing 7,600Kg/wa of soiling corns was 3,911 Won 2. Appreciate value per Kg was 51 Won, labor-expense was 3,38won, fertilizer-expense 0,16 Won and productive quantity per invested labor-hour was 118Kg, 3. Forage quantity to purchase with the expense of soiling coiling corns sold is as follows:barley is 156,4Kg, corns are 88.3Kg, wheat bran is 165.7Kg, wheat 114.0Kg and nou-fatdrid ricebran is 23.42Kg. 4. After-farming growth and harvest quantity were not different, but the damage of disease was slightly more.

무증상으로 발견된 담낭-담관 누공을 동반한 Mirizzi 증후군 1예

홍진희,전태주,서지영,서동대,오태훈,신원창,최원충,신은아,김기환 인제대학교 2009 仁濟醫學 Vol.30 No.-

Mirizzi's syndrome is a rare complication of the gallstone disease, characterized by narrowing of the common bile duct (CBD) due to chronic extrinsic compression of an impacted gallstone in the cystic duct or the neck of the gallbladder. The impacted gallstone may erode into the bile duct, causing cholecystocholedochal fistula. The patients generally have history of repeated attacks of jaundice and abdominal pain. But there is no report about asymptomatic Mirizzi syndrome with cholecystocholedochal fistula which were found incidentally. So herein we present our clinical experience with a case of asymptomatic Mirizzi syndrome with cholecystocholedochal fistula in a young female.

위장관의 원발성 B 세포 악성 림프종의 재분류와 bcl-2, cyclin D1, bcl-6 및 p53 발현의 의미

서정균,김태원,김병수,조은택,박찬국,김만우,이미자,전호종 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : In recent years, the REAL (Revised European American Lymphoma) classification provided a new category of MALT (mucosa-associated lymphoid tissue) lymphoma and mantle cell lymphoma in B cell lymphomas. We have analyzed the expression of bcl-2, cyclin D1, bcl-6 and p53 and correlated with the subtypes and histologic grade of primary gastrointestinal B cell lymphoma. Also we investigated the usefulness of immunophenotypic features in diagnosis of low grade B cell lymphoma. Materials and Methods : Twenty-two cases of primary gastrointestinal B cell lymphoma were recategorized in low grade MALT lymphoma, low/high grade MALT lymphoma, high grade MALT lymphoma, and diffuse large cell lymphoma according to the morphological findings. We investigated the expression of bcl-2, cyclin D1, bcl-6 and p53 by immunohistochemical method. Results : The bcl-2 protein expression was higher in the low grade MALT lymphoma than in the high grade lymphoma. The cyclin D1 protein expression was negative in all cases. The expression of bcl-6 and p53 protein was negative in all low grade MALT lymphoma. Conclusion : The results suggest that we can differentiate the low grade lymphoma from the high grade lymphoma by immunohistochemical staining for bcl-2, bcl-6, and p53 protien.

太子蔘의 造血作用에 對한 實驗的 硏究

徐榮培,李龍求,李永喆,李太元 대한본초학회 2002 大韓本草學會誌 Vol.17 No.1

In order to investigate the hematopoietic effects of Pseudostellariae Radix various experiment about hematopoiesis were studied. The results were obtained as follows: 1. In the proliferous effect of bone marrow cells, water extracts of Pseudostellariae Radix played an important role on the proliferating bone marrow cells compared with control group. 2. The water extracts of Pseudostellariae Radix activated the bone marrow cells. 3. The water extracts of Pseudostellariae Radix promoted the proliferation of the bone marrow cells into cluster, BFU-E, CFU-GEMM. 4. In the bone marrow cells treated with CTX, the water extracts of Pseudostellariae Radix promoted the SCF, EPO, IL-4, IL-6 gene expression, but gene expression of its receptors, c-kit, EPO-R, TPO, c-mpl, EKLF, GATA-1 were not promoted significantly. According to the above results, water extracts of Pseudostellariae Radix promoted not only the differentiation of the bone marrow cells into CFU-GEMM which mother cell of erythrocytes, thrombocytes, monocytes and macrophages, but also the differentiation of the bone marrow cells into BFU-E. On the other hand, in the gene expression that have a lot of hematopoietic effects in the early differentiation of haematopoietic stem cells by promoting the gene expression of SCF, EPO, IL-4, IL-6 and so forth. Above results also demonstrates that the water extracts of Pseudostellariae Radix have somewhat meaningful effects in hematogenesis but not sufficient to explain its mechanisms about hematogenesis, therefore further deep studies should be accomplished about its mechanisms.

가열로의 열적해석 및 설계인자에 관한 연구

서용석,강성규,박원희,민동호,김태국 중앙대학교 기술과학연구소 1998 기술과학연구소 논문집 Vol.28 No.-

본 연구에서는 3차원 정육면체 가열로 내의 전도-대류-복사 복합열전달 특서을 해석하였으며, 연소가스의 유입속도, 벽면의 반사율과 매체의 흡수계수 등과 같은 인자들의 변화에 따른 영향을 살펴보았다. 가열로의 벽면들은 단열되어 있고 가열로 내부로 일정한 온도의 연소가스가 유입될 때 시스템 내부의 온도는 유입 온도와 비슷하게 균일한 온도 분포를 갖는 것으로 예측할 수 있었다. 유입 속도가 증가하더라도 가열로 내부의 온도에는 거의 영향을 미치지 않았으며, 가열로는 유입되는 연소가스의 흡수계수가 증가할수록 가열로 내부의 온도는 보다 균일하게 된다. 또한, 가열로 내부 벽의 반사율이 커질수록 벽의 온도는 감소하고 또한 벽면에 작용하는 유효복사열유속은 증가함을 알 수 있었다. 이러한 해석 결과로부터 가열로 내부의 온도 분포는 매체의 흡수계수가 클수록 그리고, 벽면 반사율이 작을수록 일정하게 유지될 수 있다는 것을 알 수 있었다. 그리고 이러한 결과들을 종합하여 볼 때 가열로의 설계 시 일정한 열의 유입과 가열로를 단열시키는 것이 중요하며, 그리고 매체의 흡수 계수를 크게 하고, 그리고 벽면의 반사율을 작게 하는 것은 가열로 내부의 온도를 일정하게 유지할 수 있는 중요한 조건이 된다는 것을 알 수가 있었다.

화학환원법을 이용한 Ag 나노분말의 합성

서원식,김태환,성재석,송기창 한국화학공학회 2004 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.42 No.1

화학환원법을 이용하여 AgNO_(3) 수용액에 환원제를 첨가시키는 방법으로 Ag분말을 제조하였으며, 이 과정 중 환원제의 종류 변화(N_(2)H_(4), NaBH_(4))가 얻어진 분말의 특성 변화에 미치는 영향을 살펴보았다. 또한 분말합성 과정 중 계면활성제(Tween20)를 수용액에 첨가하여 계면활성제가 분말의 특성에 미치는 영향도 살펴보았다. 제조된 분말의 SEM 측정결과 환원제로 sodium borohydride(NaBH_(4))를 사용하면서 제조된 Ag 분말의 크기는 약 0.3㎛인 반면 hydrazine(N_(2)H_(4))을 사용하여 제조된 분말의 크기는 약 1㎛로 sodium borohydride를 사용해 제조한 분말의 크기가 더 작고 고른 크기 분포를 보였다. 또 환원제로써 hydrazine을 사용시 계면활성제를 첨가하여 제조된 Ag 나노분말의 크기는 50nm정도로 계면활성제를 첨가하지 않고 제조된 분말보다(1㎛) 입자의 크기가 더 작고 균일한 입도 분포를 나타내었다. Silver powders were prepared by chemical reduction method using reductants in AgNO_(3) aqueous solution. The effect of the type of reductants(N_(2)H_(4), NaBH_(4)) was investigated on the properties of the obtained powders. In addition, the effect of the addition of asurfactant(Tween 20) during particle synthesis was studied. The Ag powders prepared using the sodium borohydride as a reductant were found to be 0.3㎛ in particle diameter, while those using the hydrazine showed 1㎛ in particle diameter. The mean particle size of Ag nanopowders, prepared by the addition of Tween 20 as a surfactant, was 50㎚, which is smaller than 1㎛ powders formed without the surfactant.

약죽요법에 관한 연구

徐海卿,吳旼錫,宋泰元 대전대학교 한의학연구소 2002 혜화의학회지 Vol.10 No.2

Objectives: There are a lot of food used herb medicine among the people in order to cure disease. A medicinal gruel is the easiest and most universal among alimmentotherapy. The purpose of this thesis is to understand a medicinal gruel therapy. Methods: I researched the definition, history, ingredients, application and special feature. Result and conclusion : A medicinal gruel therapy is alimmentotherapy for diseases prevent and diseases treatment which get mixed with her medicine and rice, based on oriental medicine theory. A medicinal gruel therapy was put on record in <A historical book>. A medicinal gruel therapy can be used in chronic diseases, convalescent stage, assistant treatment for acute disease, disease prevention, aging prevention, diet food and substitute food for breakfast.

만성경부통증 환자에 대한 근막이완술과 경피신경 전기자극 치료가 치료기간에 따라 관절가동범위와 통증에 미치는 영향

서현규,공원태,이상용 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.2

The purpose of this study is compare the effects of two therapeutic processes-ⅰ) conservative Myofacial Release Technique along and ⅱ) Transcutaneous Electrical Nerve stimuliation alone - on the increase in the range of motion(ROM) and on the decrease in patient's pain with chronic Neck pain. The subjects of the study were student with choronic neck pain in Daegu health university. Half of them (10) took conservative Myofacial Release Technique along and the others (10) took Transcutaneous Electrical Nerve stimuliation alone.I used 3D Motion analysis. The range of motion (ROM) in six areas-flexion, extension, left lateral flexion, right lateral flexion, left rotation, right rotation-to check the effectiveness of the two combinations of methods, measured pain with visual analogue scale (VAS) to see the effect on pain reduce. Assement was conducted to the groups before the treatment began and affer the four weeks treatment ended. This study shows that both groups demonstrated significant improvement in ROM increase and pain reduction. Flexion ROM increases were significant in MFR and TENS after treatment 2 weeks and 4 weeks. Extension ROM increases were significant in MFR and TENS after treatment 2 weeks. Right rotation ROM was no significant differences were found in MFR and TENS after treatment all weeks. Right lateral flexion ROM increases were significant in MFR and TENS after treatment 3 weeks. Left lateral flexion ROM increases were significant in MFR and TENS after treatment 1 weeks. But the others no significant differences were in MFR group and TENS group during 4 weeks.

束伍軍의 設置意義 대한 硏究

서태원 기전여자대학 1993 論文集 Vol.13 No.-

This study is to investigate the significance of the Sok-o-gun(束憶軍) which was established in 1594(Seon-jo 27). The establishment of the Sok-o-gun is closely connected with the State Reconstruction in 17th Century. By and large that significance is divided into three aspects. The contents are as follows. 1. The new tactics of Chol-gang-byung-bop(浙江兵法) and a train and defence on the center of a recidental district is introduced the Sok-o-gun by the government; The former aims at effectively retreating of Wae-gun(倭軍), the latter intends to eliminate the abuse of Byun-sang(番上) and Yu-bang(留防). 2. The government can enforce the control over Hyang-chon-min(鄕村民) not only by the control over Myen-ri-min(面里民) and by the unification of a righteous army into the Sok-o-gun but also by the control over Sa-chon(私賤) by the Sok-o-gun' system. To enforce the control over peopl in the rural society is closely connected with the State Reconstruction in 17th Century, the control over Sa-chon by the Sok-o-gun' system is most important. 3. The change of people who are charged with the military service is achieved by the institution of the Sok-o-gun. Not only the government and Yang-min(良民) convert consciousness over the lower class, but also the lower class have the chance of the elevation of status by the Institution of the Sok-o-gun.