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梁元淑 최신의학사 1977 最新醫學 Vol.20 No.7
13名의 Schizophrenia환자에계 H.T.P 반응검사를 pre-psychotherapy와 post-psychotherapy에 실시해 보았더니 그 반응결과는 다음과 같이 나타났다. ① above the average midpoint of the page는 증가되고 below the average midpoint of the page는 감소되었다. ② left the average midpoint of the page늘 감소되었고 right the average midpoint of the page는 증가되었다(단 tree는 ②의 결과와 반대임). ③ The upper left quadrant는 약간 증가되었고 the lower right quadrant는 약간 감소되었거나 변화가 없었다. ④ 대단히 크게 그린 집은 감소되었다. ⑤ 지붕이 집의 크기와 비교되었을때 보다 큰것은 증가되고, 빈약하거나 작은 지붕은 감소되었다. ⑥ 지나치게 크게 그린 나무의 trunk는 감소되었다. ⑦ 나무의 branch를 오른편에 많이 그친 그림은 증가되었다. ⑧ 귀의 생략은 감소되였다. ⑨ 색채는 主로 Black과 Brown을 가장 많이 선택해서 사용하였으여 pre-psychotherapy에서 post-psy-chotherapy로 감에 따라 감소되었다.
Diphenylhydantoin과 Chlorpromazine의 倂用治療가 精神分裂症患者의 思考, 情緖 및 行動에 미치는 影響 : A Double-Blind Study
兪桂濬,梁元淑,金種柱 최신의학사 1977 最新醫學 Vol.20 No.7
The present study investigated the effects of a combined treatment of diphenylhydantoin and chlorpromazine on thought, affect and behavior of schizophrenic patients, comparing with chlorpromazine and placebo as a double-blind study. The number of patients selected for this study were 22 hospitalized patients. They were 5 acute schizophrenic episodes, 1 schizoaffective, 10 paranoid type and 6 chronic undifferentiated type which they showed rather acutely vivid symptoms, even though they were all relapsed and readmitted. Patients were randomly divided to two groups of D. P. H. +C. P. Z, and C. P. Z. +Placebo. Daily recommended dosages were 300mg for D. P. H, and between 150mg and 600mg for C. P. Z. They were all received drugs orally for two weeks for the study. Using the psychiatric rating scale and psychological testings (Rorschach and Korean Wechsler Intelligence Scale), the authors applied them to the before and after medication, and obtained the following results. 1) On the hyperside of psychopathology in the affect and behavior such as irritability, excitability, hyperactivity, hostility and anger etc, it seemed that the combination of two drugs have statistically significance to compare with C. P. Z. only, and totally they showed the trends of reducing the symptoms deviated from normality at the end of two weeks. But on the hyposide of it such as depression and hypoactivity etc, they showed little effect, both. 2) On thought process and content of thought, the two groups showed statistically no significance at the end of two weeks.
Aseptic Endocarditis in Behçet’s Disease Presenting as Tricuspid Valve Stenosis
이현상,최원숙,김균희,강정규,김나영,박선희,박영희,남은정,양동헌,박헌식,조용근,이종명,채성철 대한심장학회 2011 Korean Circulation Journal Vol.41 No.7
Aseptic endocarditis is an uncommon complication of Behçet’s disease (BD). We describe a rare case of a 39-year-old female who had BD with aseptic endocarditis of the tricuspid valve (TV) presenting as tricuspid stenosis. She was diagnosed with BD four years ago. The mucocutaneous lesions were well-controlled with colchicine and short courses of corticosteroids. She remained free of signs and symptoms of BD for one year without any medication. Three months before admission, she gradually developed dyspnea on exertion and peripheral edema. Echocardiography revealed dilated right atrium and markedly thickened TV with severe stenosis. TV replacement was performed. Pathologic examination of the valve showed fibrinoid necrotic material and inflammatory cell infiltration. Blood cultures and cultures of the excised valve were negative for microorganisms.