새로운 가황계(OTOS/MBT)

박영남 한국고무학회 1980 엘라스토머 및 콤포지트 Vol.15 No.2

종합병원에 입원한 남자환자에서 음주문제의 유병율

박영남 啓明大學校 醫科大學 1989 계명의대학술지 Vol.8 No.1

The author surveyed the lifetime prevalence rates of 17 drinking-related problems among 382 ever-drinking hospitalized male patients in general medical and surgical service. The prevalence rates of 17 drinking-related problems were as follows: drunkenness 83.5%, attempting abstinence 57.3%, controlled drinking 39.8%, excessive drinking by own assessment 36.4%, family's complaint of drinking 33.5% blackout 30.4%, drinking-related physical problems 29.6%, friend's complaint of drinking 22.5%, morning drinking 16.8%, drinking despite physical problems 16.2%, job problems 13.6%, binge drinking 11.3%, withdrawal symptoms 11.3%, fighting after drinking 10.7%, accident and injury due to drinking 9.4%, inability to function without drinking male seems to have experienced substential drinking-related problems. The result also revealed higher prevalence rates of most of the problems surveyed among 40's and 50' of age group, lower educational level group and farmer by occupation.

정신분열증의 우울증상의 연구

박영남 啓明大學校 醫科大學 1986 계명의대학술지 Vol.5 No.1

The author studied depressive symptoms in 24 inpatient DSM Ⅲ schizophrenic patients. On admission, 16 of 24 patients scored above 21 in BDI, however, 7 of 24 patients did on discharge. There were no significant differences in the chronicity of illness, family history of psychiatric illnesses, precipitating events and functional level prior to index hositalization between schizophrenic patients with depressive symptoms and without depressive symptoms on admmission. The depressed group had significantly high scores of BPRS total and thinking disorder subscale of BPRS on admission but there were no significant differences between two groups on discharge. Comparing depressive symptoms of BDI between schizophrenic patients with depressive symptoms and primary depression patients, primary depression group had slightly high, though nonsignificant, BDI total scoures. Among individual items of BDI, sadness was significantly high in primary depression group.

養護敎師의 業務에 對한 認知 및 期待 調査硏究

朴英男 韓國學校保健學會 1991 韓國學校保健學會誌 Vol.4 No.1

The purpose of this study is to provide the necessary data for the effective performance of school nurse's work by comparing with the recognition and expectation on school nurse's work by the students and their teachers in school settings. The sample of this study was consisted of the 441 students and 535 teachers in Suwon. The data were collected by means of a structured questionnaire from 24th, Sept. to 29th, Sept. 1990. The collected data were analyzed utilizing SAS/PC program for percentage, frequency, mean, standard deviation and chisquare test. The major findings of this study were as follows: 1. The result of analysis in recognition on school nurse's work There is no statistically significant difference depending on teachers' school level, sex, age and career with school nurse(P>0.05). The students don't show significant difference on their school level and sex(P>0.05). Also, in the areas of school nurse's work, school clinic management has the highest recognition and school environment management has the lowest recognition. 2. The result of analysis in expectation on school nurse's work. There is statistically significant difference depending on teachers' and students' school level:the order of expectation is elementary, middle, and high school(P<0.05). In the result of comparison with students' and teachers' expectation in the same school level, there is significant difference only in elementary school(P<0.05). However, there is no statistically significant difference depending on teachers' sex, age, career with school nurse and students'sex(P>0.05). Also, in the areas of school nurse's work, school clinic management has the highest expectation and school environment management has the lowest expectation. Synthesizing the result of the study, we can have the conclusion like following. First, students' recognition on school nurse's work is lower than teachers' because most of school nurse's work is performed through their homeroom or other teachers. That can be the limitation for students to recognize school nurse's work. So, there must be a chance of regular meeting between school nurse and students to perform school nurse's work effectively. For this, we must change our educational system and make school nurse charge regular lesson. Second, in each area of school nurse's work, both students' and teachers' recognition and expectation about the area of school environment has much lower score than the other areas. This indirectly shows the school nurse don't do the work of the area actively. So, school nurses must make an effort to do the work of the area actively. And we must enforce the education of this area in education for new school nurses or re-education for school nurses.

청소년 정신과 외래환자의 임상적 고찰

박영남 啓明大學校 醫科大學 1985 계명의대학술지 Vol.4 No.2

저자는 1983년 7월부터 1985년 6월까지 계명의대 동산의료원 신경정신과에서 초진받은 만 13세부터 만 18세까지의 청소년 환자 261명의 병력지를 조사하여 다음의 결과를 관찰하였다. ① 조사대상연령의 청소년 환자는 같은 기간동안 신경정신과 외래에 초진받은 환자의 12.6%였으며, 남자와 여자의 비율은 1.8:1로 유의한 차이를 보였다. ② 조사대상 청소년 환자의 정신장애의 분포는 정신분열증유사 정신증 58명(22.2%), 불안장애 50명(19.2%), 간질 41명(15.7%), 정동장애 29명(11.1%), 신체형장애 29명(11.1%), 적응장애 12명(4.7%), 정신지체 9명(3.4%), 행동장애 5명(1.9%) 순으로 나타났다. ③ 연령에 따른 정신장애의 분포는 간질, 불안장애, 적응장애는 전 연령에 고르게 분포하였으며 정신분열증유사 정신증, 정동장애, 신체장애는 고연령층에 편중하는데 비하여, 행동장애는 저연령층에 편중하는 경향을 보였다. ④ 성별에 따른 정신장애 분포는 남자에서는 불안장애, 정신분열증유사 정신증, 간질 순으로 여자에서는 정신분열증유사 정신증, 간질, 정동장애의 순으로 나타났다. ⑤ 조사대상 청소년 환자의 56.7%가 발병후 6개월이상 경과후 내원하였으며, 8.4%만이 발병후 2주이내에 내원하였다. 이들 환자군의 38.3%는 초진후 내원하지 않았으며, 21.5%는 4회이상 치료를 계속하였다. ⑥ 조사대상 환자군의 형제간의 서열분포는 남자에서는 막내, 중간, 첫째 순으로, 여자에서는 중간, 막내, 첫째 순으로 나타나 유의한 차이를 보였다. The author studied retrospectively the clinical characteristics of 261 adolescent psychiatric outpatients who made their first visit to Department of Neuropsychiatry Dongsan Medical Center, Keimyung University, from July 1983 to June 1985. The results were as follows; 1. This adolescent probands were 12.6% of the new psychiatric outpatients during study period. There were significant difference of sex distribution among probands and the ratio between male and female was 1.8 :1 2. The distributions of psychiatric disorders of probands were in following order ; Schizophrenia like psychosis 58(22.2%), Anxiety disorder 50(19.2%), Seizure disorder 41(15.7%), Affective disorder 29(11.1%), Somatoform disorder 29(11.1%), Adjustment disorder 12(4.7%), Mental retar-dation 9(3.4%), Conduct disorder 5(1.9%). There were some trends in the distribution of psychiatric disorders according to age and sex. Seizure disorder, anxiety disorder and adjustment disorder were relatively evenly distributed among all ages, however, schizophrenia like psychosis, affective disorder and somatoform disorder tended to aggregate among older age group, and conduct disorder was more common among younger age. In male the frequencies of psychiatric disorder were in order of anxiety disorder, schizophrenia like disorder and seizure disorder, and in female in order of schizophrenia like disorder, seizure disorder and affective disorder. 3. The duration of illness was varied widely among probands. It was over six months in 56.7% of probands and within two weeks in only 8.4%. Regarding follow up visit, 38.3% or probands had only one vist and 21.5% of probands made more than 5 visits. 4. The distribution of sibling ordinal position of the probands was in order of last born, inter-mediate born, and first born in male, and in order of intermediate born, last born and first born in female.

소아 정신과 외래환자의 임상적 고찰

박영남 啓明大學校 醫科大學 1985 계명의대학술지 Vol.4 No.2

저자는 1983년 1월부터 1985년 6월까지 계명의대 동산의료원 신경정신과에서 초진받은 만 12세이하 소아 정신과 외래환자 100명의 병력지를 조사하여 다음의 결과를 관찰하였다. 1. 조사대상환자 100명의 남녀의 비율은 2:1이고, 년령이 증가함에 따라 환자의 수가 증가하였다. 2. 조사대상환자 100명의 정신과적 진단분포는 간질 25명, 정서장애 20명, 주의집중 장애 12명, 소아기 정신증 12명, 수면장애 7명, 야뇨증 및 분실금 6명, 정신지체 6명, 상동증성 운동장애 4명, 행위장애 3명, 적응장애, Dyslexia 및 기질성 정신증 각각 1명, 그리고 2명에서는 정신장애가 없었다. 3. 조사대상환자 100명중 64명은 발병후 6개월이 경과한후 내원하였으며, 단지 7명만이 발병후 2주이내에 내원하였다. 4. 조사대상환자 100명중 51명은 초진후 다시 내원하지 않았으며, 22명은 2~4회, 25명은 5회이상 치료를 받았다. 5. 조사대상환자 100명은 평균 2.9명의 형제(본인 포함)를 갖고 있으며, 남녀간에 차이가 없었다. 형제서열의 분포는 막내가 42명, 첫째가 32명, 중간이 20명이었다. The author studied retrospectively the clinical characteristics of 100 child psychiatric outpatients who made their first visit to Department of Neuropsychiatry, Dongsan Medical Center, Keimyung University, from January 1983 to June 1985. The results were as follows ; 1. There were significant differences of sex distribution among probands and the ratio between male and female was 2 : 1. 2. The distributions of psychiatric disorders of probands were in following order ; Seizure disorder 25, Emotional disorder 20, Childhood psychosis 12, Attention deficit disorder 12, Sleep disorder 7, Mental retardation 6, Enuresis/Encopresis 6, Stereotyped movement disorder 4, Conduct disorder 3, Adjustment disorder 1, Dyslexia 1, Organic mental disorder 1, and No mental disorder 2. 3. There were some differences in the distribution of psychiatric disorders according to age and sex. Emotional disorder was more frequent among older age group and attention deficit disorder was more frequent among younger age group. While emotional disorder was more frequent in female, seizure disorder, childhood pschosis, attention deficit disorder, sleep disorder, mental retardation, and conduct disorder were more frequent in male. 4. The duration of illness was varied widely among probands. It was over six months in 64 of 100 probands and within two weeks in 7 probands. Fifty one of 100 probands made only one visit and 25 probands had 5 or more visits to the clinic. 5. The distribution of sibling ordinal position of the probands was in order of last born, inter-mediate born and first born.

우울증의 진단과 치료

박영남 대한가정의학회 1994 Korean Journal of Family Medicine Vol.15 No.1

정신건강의학의 새로운 도전 : 증상 치료에서 정신건강의 증진으로

박영남 대한신경정신의학회 2012 신경정신의학 Vol.51 No.3

정신건강의학은 정신장애 치료에 초점을 두고 증상을 완화시키는 치료를 개발하는데 상당한 성과를 이루었다. 그러나 정신장애의 치료만으로 건강하고 행복한 삶에 이르는 것에 한계를 인식하면서 정신건강 증진의 필요성의 높아지고있다. WHO는 정신건강을 개인이 자신의 능력을 실현하고,삶에서 정상적 스트레스에 대응하고, 생산적으로 일하고, 그리고 지역사회에 공헌할 수 있는 안녕 상태라 하였다. 긍정심리학은 긍정적 감정을 함양하고, 다른 사람과 함께 어울리고 활동하는 참여하는 삶을 살며, 그리고 삶의 의미를 찾아정신건강을 증진하고 행복한 삶을 살도록 하는 것을 추구한다. 저자는 정신건강 증진과 관련하여 긍정심리학의 성과를소개하였다. 정신장애 치료와 함께 정신건강 증진의 중요성을 인식하고 우리나라 실정에 효과적인 정신건강 증진 기법을 개발하는 것이 정신건강의학이 직면한 새로운 도전이라생각한다. The author would like to explore a new challenge for psychiatry in the coming the decade. Although there has been a remarkable progress in symptomatic treatment within psychiatry during the past half century, the progress has been meager in the field of mental health promotion. On the other hand, the public has gained an increasing awareness of the importance of mental health and also expresses a strong desire for mental health promotion. The current practice of psychiatry is not comprehensive enough to fulfill the public’s needs, and finding a way to fulfill those needs is a new challenge for psychiatry in the future. Psychiatry must meet the growing need to survive as a beloved discipline by the public in the coming decade. Positive psychology has made a substantial progress in the field of mental health promotion and could be applied in psychiatry practice. The author proposes that psychiatry should pay a close attention to new developments in mental health promotions and make a genuine effort to apply a new strategy to mental health promotion, not only in clinical practice but also in research.

에리스리톨의 Streptococcus mutans에 대한 성장력과 산생성능의 억제효과

박영남 한국디지털정책학회 2013 디지털융복합연구 Vol.11 No.12

정신분열증의 항정신병약물 요법의 한계점

박영남 최신의학사 1985 最新醫學 Vol.28 No.9