지역사회 정신의학 전공의 교육과정 실태조사

홍진표,황순찬,이영문,이선형,신나리,이종일,박종익,장동원,정인원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

Objectives : There is a increasing need to recruit and retain more psychiatrists who can plan and implement organized programs to work with chronic mentally ill patients in community settings. The aim of study is to discover what training is currently in place to prepare psychiatrist for work in "community" or "public" settings. Methods : Survey questionnaires were mailed to 85 residency training directors and 10 leaders of community mental health in 2005. Response rate was 75%. Results : Academic seminar about community mental health were not administered to residents in 63% of training hospitals. Forty one out of 64 training hospitals had community mental health rotation programs, Community mental health center (50%) and day hospital (36%) were the most common type of programs. Few general hospital had affiliation with community mental health programs. The amount of time for clinical rotation varied from less than three months part time to 6 months fulltime, with most frequent form of one day per week for three month in second or third year of psychiatry residents. Conclusion : Further steps are needed to improve residency training curricula and to encourage well qualified psychiatrist to choose careers in community psychiatry.

Predicting postoperative total calcium requirements after parathyroidectomy in secondary hyperparathyroidism

( Byung Heon Kang ),( Soon Young Hwang ),( Jeong Yeop Kim ),( Yu Ah Hong ),( Mi Yeon Jung ),( Eun Ah Lee ),( Ji Eun Lee3 ),( Jae Bok Lee ),( Gang Jee Ko ),( Heui Jung Pyo ),( Young Joo Kwon ) 대한내과학회 2015 The Korean Journal of Internal Medicine Vol.30 No.6

Background/Aims: To prevent hypocalcemia after parathyroidectomy (PTX), parenteral calcium is required in addition to oral calcitriol and calcium. After switching to oral calcium, patients can be discharged from the hospital. The aim of this study was to analyze the clinical characteristics and outcomes of PTX performed at a single Korean center and to investigate the associated laboratory factors used to analyze the total amount of postoperative calcium required. Methods: We enrolled 91 hemodialysis patients undergoing PTX from November 2003 to December 2011. We collected clinical and laboratory data preoperatively, 12 and 48 hours postoperatively, at discharge, and 3 and 6 months postoperatively. Results: In total, 59 patients underwent PTX with autotransplantation (AT), 6 underwent total PTX without AT, 11 underwent subtotal PTX, and 15 underwent limited PTX. Total PTX without AT showed the lowest recurrence rate. At all postoperative time points, the mean levels of serum calcium, phosphorus, and intact parathyroid hormone (iPTH) decreased significantly, compared with preoperative levels; however, alkaline phosphatase (ALP) increased significantly from 48 hours postoperatively to discharge (p < 0.001). On multiple linear regression analysis, the total amount of injected calcium during hospitalization showed a significant correlation with preoperative ALP (p < 0.001), preoperative iPTH (p = 0.037), and Δphosphorus at 48 hours (p < 0.001). We developed an equation for estimating the total calcium requirement after PTX. Conclusions: Preoperative ALP, preoperative iPTH, and Δphosphorus at 48 hours may be significant factors in estimating the postoperative calcium requirement. The formula for postoperative calcium requirement after PTX may help to predict the duration of postoperative hospitalization.

설편평세포암에서 CD44, MMP-2, MMP-9, TIMP-1의 발현

이상화,표성운,김영실,최목균 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

Adhesion molecules and proteinases play an important role in the invasion and metastasis of a malignant tumor. However, there have not been many studies on tongue squamous cell carcinoma at Saint Mary's Hospital and Kangnam Saint Mary's Hospital, the Catholic University of Korea, between 1994 and 2000, and had not received chemo-or radiotherapy. The expression of the adhesion molecules CD44H, proteinases MMP-2 and MMP-9, and TIMP-1, which controls MMP activity, was analyzed by immunohistochemistry. In addition their association with the tumor size, lymph node metastasis, clinical stage, and cell differentiation was evaluated. Increased MMP-2 expression was significantly correlated with lymph node metastasis and clinical stage. However, it did not correlate with tumor size or cell differentiation. CD44H, MMP-9 and TIMP-1 expression were not significantly related to tumor size, lymph node metastasis, clincial stage and cell differentiation. The results suggest that MMP-2 is a possible immunohistochemical prognostic factor in tongue squamous cell carcinoma. Futher reasearches will be needed to investigate the additional tumor prognostic factors and their mechanisms.

카드뮴폭로후 고환, 신장 및 간장내 카드뮴축적량과 조직손상의 변화

이영구,박정덕,최병선,홍연표,장임원 大韓産業醫學會 1994 대한직업환경의학회지 Vol.6 No.1

To assess the changes of cadmium deposit and histopathologic finding of testis, liver and kidney, different dose of cadmium (Cd) was administerd into male Sprague-Dawley rat(purchased from KIST, Korea Institute of Science and technology) by single intravenous injection. At 12, 24, 48, 168 and 672 hours after Cd injection, tissue cadmium concentration and histopathological change were examined. Cd exposed group showed lesser weight gain than the control. Renal Cd content tended to increase in time-dependent pattern, while hepatic and testicular Cd content tended to decrease. Mean of renal Cd content to hepatic Cd content (Cd K/Cd L) also progressively increased. These results suggest that Cd might be gradually transported to kidney from other organs. In testis and liver, degenerative changes appeared relatively in acute phase. These changes became more pronounced in testis, while less prominent in liver. In kidney, swelling of proximal tubluar cells and thickening of glomerular basement membrane appeared relatively later and these changes were progressively aggravated.

인슐린 비의존성 당뇨병에 동반된 심상성 천포창 1 례

이상준,박진용,임태형,윤영호,권순대,남창욱,허규찬,박근용,구본식,김상표,장종억 啓明大學校 醫科大學 1997 계명의대학술지 Vol.16 No.3

저자들은 인슐린 비의존형 당뇨병 환자에서 통증성 구강내 미란 및 전신성 수포성 미란을 동반한 심상성 천포창 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Various skin conditions such as diabetic dermopathy, necrobiosis lipoidica diabeticorum, bullosis diabeticorum, granuloma annulare occur frequently in diabetes, although common lesions may be associated by chance. Pemphigus vulgaris(PV) is a blistering skin disease seen predominantly in elderly patients. This disorder is characterized by the loss of cohesion between epidermal cells with the resultant formation of intraepidermal blisters. These blisters rupture easily, leaving denuded areases that may crust and enlarge peripherally. In half or more of patients, lesions begin in the mouth: approximately 90% of patients have oromucosal involvement at some time during the course of their disease. But the relationship of this disorder with diabetes is not clear. We experienced a case of pemphigus vulgaris associated with NIDDM in 67 years old woman who was admitted due to painful oral ulcer and control of blood glucose, so we present this case with a review of literatures.

부산시 소재 각급 학교에 대한 대기오염도의 비교분석

이현희,정장표,장영환,이무강 慶星大學校 環境問題硏究所 2002 環境硏報 Vol.12 No.1

According to the conclusion of this study, air pollution concentration of Youngdo-gu belong to Seobu educational institution was in the lowest density.(SO_2 : 0.002 ppm, PM-10 : 32 ㎍/㎥, No_2 : 0.016 ppm) and Dongnae-gu belong to Dongnae educational institution was in the highest.(SO_2 : 0.002 ppm, PM-10 : 88㎍/㎥, No_2 : 0.047 ppm) Air pollution level by classification of each educational institution about elementary schools, middle schools, high schools in Busan appeared that the pollution level about all air pollutants appeared high in Dongnae, Dongbu, Bukbu, Haeundae, Nambu, Seobu in due order. Air pollution level by classification of each Gu about elementary schools, middle schools, high schools in Busan appeared that the pollution level of Geumjeong-gu was very high (SO_2 : 0.002 ppm, No_2 : 0.047 ppm, PM-10 : 89 ㎍/㎥) and level of pollution around high school in Busan was the highest. To improve air quality getting worse day by day, steady and systematic control of observing the air quality standards should be continued. The more effective and active method of air quality improvement should be considered.

송화분이 고지방 식이 섭취 흰쥐의 혈청과 간장에 미치는 영향

이영주,박무희,황성원,배만종,한준표 대구효성가톨릭대학교 식품과학연구소 1994 식품과학지 Vol.6 No.-

6주간 고지방식이를 섭취한 흰쥐에 있어 송화분과 탈지 송화분이 혈청과 간장에서의 지방 축적과 대사에 미치는 효과를 관찰하였다. 혈청에서의 total lipid, total cholesterol 농도는 고지방 식이군에 비해서 탈지 송화분과 송화분 투여군이 유의적으로 감소하였다. 혈청에서의 triglyceride 농도는 탈지 송화분과 송화분 투여군이 고지방 식이군과 비교했을 때 뚜렷한 감소를 보였으며, 이는 정상군과 비슷한 농도를 나타내었다. 혈당농도는 송화분, 탈지 송화분 투여군에서 유의성 있게 감소하였다. 간장을 조직학적으로 관찰한 결과, 고지방식이로 인한 조직의 지방 침착은 송화분 투여군에서 다소 억제함을 보였다. 이상의 결과를 미루어 볼 때 송화분은 동맥경화증 및 순환기계 질환의 예방과 치료에 효과적일 것으로 사료된다. Effect of pine pollen and defatted pine pollen on lipid accumulation and metabolism in serum and liver were investigated with rats fed high fat-supplemented diets for 6 weeks. Concentrations of total lipid and total cholesterol in serum significantly decreased in the experimental groups(treated with pine pollen and defatted pine pollen) compared with the control group. Concentration of triglyceride in serum was remarkably lower than that of control group. This was similar to that of normal group. Concentration of glucose in serum was significantly lower in the experimental group. It was observed from photographs of hepatic tissue in rats that pine pollen inhibits the lipid accumulation induced by high fat diets.

Y-Gd-In-Fe-O계의 분자장 상수와 교환상수의 결정

이영배,채광표 建國大學校 自然科學硏究所 1997 建國自然科學硏究誌 Vol.8 No.-

The substituted Yttrium Iron Garnet(YIG) systems Y-Gd-In-Fe-O have been investigated by means of X-ray diffractometry and SQUID. The specimens have been found to be the cubic garnet structure in the entire compositions. From the magnetization curve measured by means of SQUID and Dionne's formula related to cation distribution, molecular field-and exchange constants were determinated.

Spin-Peierls 전이를 하는 CuGeO₃계의 이온 치환 효과

이영배,채광표,권우현,백서욱,이성호 건국대학교 자연과학연구소 1998 建國自然科學硏究誌 Vol.9 No.1

Spin-Peierls 전이를 하는 CuGeO₃계에 원소를 치환했을 때의 자기적 및 결정학적 특성을 비교 검토하고, 직접 Cu₁-xGe₁-xFe₂O₃(x=0.05, 0.1) 시료를 제조하여 SQUID, Mssbauer 분광기, X-선 회절 방법으로 연구하였다. 이 시료의 결정구조는 orthorhombic 이고 격자 상수는 x= 0.05 때 a = 4.795Å, b=8.472Å, c=2.904Å 이고 x=0.1때는 a=4.784Å, b=8.472Å, c=2.904Å였다. 상온에서 Mssbauer 스펙트럼은 Fe³+ 이온의 사면체 자리에 의한 이중선과 팔면체 자리에 의한 Zeeman 선으로 중첩되어 나타났고 자기감수율의 극대점과 Mssbauer 변수의 불연속으로부터 본 시료의 spin-Peierls 전이 온도는 13K 임을 알아냈다. The magnetic and crystallograpic properties of the substituted spin-Peierls transition CuGeO₃ system have been reviewed, and we synthesized the Cu₁-xGe₁-xFe₂xO₃ (x=0.05 and x=0.1) system and studied by superconducting quantum interference device, Mossbauer spectrometer and x-ray diffractometer. The crystal structure is orthorhombic and the lattice constants are decreased as increasing iron contents. That is, in Cu₁-xGe₁-xFe₂xO₃ system a=4.795Å, b=8.472Å and c=2.932Å for x=0.05, and a=4.784Å, b=8.472Å and c=2.904Å for x=0.1 respectively. The Mossbauer spectra are superposition of the doublet due to the Fe³+ ions at tetrahedral sites and the sextet due to the Fe³+ ions at octahedral sites at room temperature. From the cusp of the magnetic susceptibility and the discontinuity of Mossbauer parameters we found the spin-Peierls transition temperature of our samples is 13K.

병원정보시스템의 경영전략적 활용방안에 관한 연구

이은효,신종연,윤병준,김영훈 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

This study includes an empirical analysis of utilization of strategic management with hospital information system and a policy implication on hospital management. The purposes of this study are to analyze the effects of strategic information and implementation on the major performance factors. For this study. the materials used are mailing survey data of 65 hospitals and related literature was reviewed. Crosstabulation and multiple response analysis were made to find the frequencies by groups. ANOVA and multiple regression analysis were adopted to examine the differences and the relationship between variables involved. The major findings are as follow: 1. Internal information needed for strategic management focuses on the patients' data and the ones of services being delivered. Using portion of financial indices also ranked 2nd by respondents. but financial analysis was not performed frequently. 2. The Effects of strategic information on the hospital management environment were the most in hospital planning and hospital administration and medical support tasks. Ane the effects of assessment of the external factors and rapidity and accuracy of decision making, however. were relatively low. 3. The more computer system group satisfy planning group on the material requested by planning group. the more effects of cost reduction and service promotion have favorable results. Besides. the more computer education and PR are performed. the more efficiencies of hospital management have favorable results. In result of more exploration, the relationship of between computer education and PR item and satisfaction level of planning group on requested material and cost reduction effects was statistically significant. Of the above results. there are favorable effects on the major performance factors. However. there are few results of being performed on systematic strategic planning, action and management. With regard to hospital management information system, there are many challenges in the future when applying strategic management methods. Hospital executives must begin to use information system strategically for survival and growth in the 2000s.