일차의료에서 우울증 진단과 치료

권혁중,조동영 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.13 No.-

Depressive disorder is prevalent illness. When depressive symptoms become qualitatively different, pervasive, or interfere with normal function, they are considered to be pathological. Major depressive disorder is defined as depressed mood or anhedonia lasting at least two weeks plus a set number of psychologic or physical symptoms. Dysthymia has fewer symptoms than major depression and is a chronic illness lasting at least two years. A condition known as depressive disorder not otherwise specified includes conditions that do not have enough symptoms (fewer than five) or are of insufficient duration to be considered major depressive disorder. Depression is second only to hypertension as the most common chronic condition encountered in general medical practice. A diagnosis of depressive disorder can be complicated by concomitant illnesses or medications that mimic the symptoms of depression. The keys to successful management of depression include thorough screening, patient engagement and education, early follow-up of adherence to the treatment plan and careful monitoring of response. By putting these strategies into practice, family physicians can provide excellent care for their depressed patients and, in many cases, help them achieve lasting remissions.

비만의 성공적인 관리

권혁중,조성일 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Obesity is a common health problem in worldwide, and effective management is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Basic management of overweight and obese patients requires a comprehensive approach involving diet and nutrition, regular physical activity, and behavioral change, with an emphasis on long-term weight management rather than short-term extreme weight reduction. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the cornerstone of management and the best management for long-term weight loss. Behavior modification involves using such techniques as self-monitoring, stimulus control, cognitive restructuring, stress management and social support to systematically alter obesity-related behaviors. Physicians and other health professionals have an important role in promoting preventive measures and encouraging positive lifestyle behaviors, as well as identifying and treating obesity-related comorbidities. Health professionals also have a role in counseling patients about safe and effective weight loss and weight maintenance programs.

만성피로 환자들의 임상적 특성 분석 : 3차병원 입원 환자들을 중심으로 The Inpatients of a Tertiary General Hospital

권혁중 최신의학사 2000 最新醫學 Vol.43 No.5-6

XML 저장 관리 시스템에서 효율적인 버전 관리 및 문서 저장 방안

정현주,김권양,최재혁 한국컴퓨터교육학회 2003 컴퓨터교육학회 논문지 Vol.6 No.4

빠르게 변하는 정보화 사회에서 방대한 양의 문서 정보를 전자 문서로 만들고 관리하는 것은 필수적이다. 이러한 전자 문서를 표현하는 데 있어서 사용하는 문서 내에 포함된 모든 정보를 손실 없이 저장하고 관리하는데 적합한 언어가 전자 문서의 표준인 XML이다. 본 논문에서는 문서의 변경이 발행한 경우에 문서 전체가 아닌 변경이 발행한 내용만 버전을 부여하고 저장함으로써 저장 공간을 절약하였다. 그리고 문서의 변경 내용이 일정한 크기 이하이면 JOIN 연산을 생략할 수 있도록 시스템을 설계함으로써 JOIN연산으로 인한 시스템의 성능 저하를 줄여 효율적인 XML 문서 저장과 빠른 검색 및 버전 관리가 가능한 방안을 제시하고, 이를 적용한 문서 저장 관리 시스템을 구현하였다. In rapidly changing an information=oriented society, it is essential to control massive document information by electronic file, In relation to these electronic document, it is also important to keep and maintain all kinds of information without any losses. It should be allowed to trace previous contents as well as recently updated contents by controlling updated contents with version. For these, XML is recommendable. In this thesis, we intend to save the document storing space by saving only updated contents with version without saving whole documentation, when document is updated. In case of controlling the history of document update by version, we designed system so as to omit “JOIN operation” if document size is under a certainspecific size. Therefore, we implemented a new XML document repository system which is possible for quick search and efficient XML document saving by reducing perfomance deterioration caused by JOIN operation.

3차병원 가정의학과 입원환자의 내용 비교 분석

권혁중 최신의학사 2000 最新醫學 Vol.43 No.5-6

3년간 한 대학병원의 말라리아 환자의 임상 분석

권혁중 최신의학사 2000 最新醫學 Vol.43 No.5-6

대도시와 중소도시 여성의 골다공증에 대한 인식도

신욱태,권혁중,조동영 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

As average lifespan in human increased, women's concerns about health promotion after postmenopause are increased. Osteoporosis causes the serious health problem in postmenopausal women. We investigated comparison between Seoul and Chungju for women's recognition about osteoporosis to utilize patient's education data. Information, concerning whether the osteoporosis was well understood, were gather 405 patients, who visited an university hospital from January 1 to April 30, 2001. The mean age of 201 women in Seoul is 46.39 years old, and mean age of 204 in Chungju is 46.35 years old. Among 201 women in Seoul, 43(21.4%) women answered "well known" osteoporosis, and 32(15.9%) women answered "unknown" osteoporosis. Among 204 women in Chungju, 24(11.8%) women answered "well known" osteoporosis, and 32(15.9%) women answered "unknown" osteoporosis. There were significant association between recognition of osteoporosis and their education level, but not significant related with their economic level. Subjective and objective recognition for osteoporosis in Seoul was relatively higher than women in Chungju, but compliance about doctor in Chungju was relatively higher than women in Seoul. But we found that recognition level of postmenopausal osteoporosis is low in Seoul and Chungju. We concluded that knowledge for osteoporosis was relatively low, seoul was relatively higher than in Chungju. Therefore, correct patient education for prevention and treatment of osteoporosis would be needed.

지방간과 혈중 중성 지방 측정치와의 관련성

유준,권혁중,조동영 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

There were many studies about correlation between fatty liver and serum triglyceride level. However, we have experienced many fatty liver patients that actually did not show high serum triglyceride level. So, we conducted this study to reconfirm the con-elation between fatty liver and serum triglyceride level. We randomly selected 118 patients in Health Examination Center. We divided the selected materials into the patient and control group by the level of fasting serum triglyceride level, 200mg/d.L. We analyzed frequency and distribution of factors(age, body mass index, alcohol, diabetes mellitus) related to fatty liver between patient and control group. Then we analyzed odd ratio of fatty liver among two groups. There were 22 peoples in patient group and 96 people in control group. There were no statistical differences in the mean body mass index, the frequency of overweight, the frequency of alcohol users, the mean fasting serum glucose, and the frequency of diabetes mellitus patients between patient and control group. The odd ratio of fatty liver among two groups did not mean statistical difference. However, there was statistical significant difference in the frequency of body mass index on the base of multiple logistic regression analysis of serum triglyceride level, body mass index, and frequency of diabetes mellitus, and alcohol users between patient and control group. There was no correlation between fatty liver and serum triglyceride. But there was correlation between fatty liver and body mass index.

혈소판감소증 : 임산부 및 신생아 중심으로

이창훈,권혁중,김정은 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

It is important to distinguish from physiologic incidental thrombocytopenia (IP) in pregnant women and pathologic thrombocytopenic conditions associated with pregnancy involving pre-eclampsia/eclampsia, HELLP syndrome/AFLP, TTP/HUS, DIC, and infectious diseases. And also, they should be differentiated from ITP, SLE, and drug-induced thrombocytopenia which are immunologic disorders. Although neonatal thrombocytopenia in most cases occurs from non-immune mediated dise-ases or pregnancy-induced thrombocytopenic conditions, but rarely, neonatal alloimmune thr-ombocytopenia (NAIT) which was caused by fetomaternal mismatch for human platelet all-oantigen (HPA) can occur.

충주시 고등학생의 최근 4년간(1988-2001) B형간염 표면항원 및 항체 양성률 조사

김형수,이건세,장성훈,박수경,김청식,이창희,권혁중,정순섭 한국역학회 2002 Epidemiology and Health Vol.24 No.2

Objective : Since Korea has been known to be of the endemic area for hepatitis B virus(HBV) infection, vaccination for HBV has been recommended for all neonates in Korea. After starting vaccination in 1983, the change of sero-positivity of HBsAg and HBsAb is expected. This study was carried out to investigate the seropositive rate of hepatitis B virus surface antigen and antibody in high school freshmen students in Chungju-city. Methods and Materials : From 1998 to 2001, a total of 11,735 who were born in 1982 to 1986, were enrolled in this study. HBsAg and anti-HBs were tested by reversed passive hemagglutination and passive hemagglutination, respectively. Results : The study population was 11,735 students who were composed of 5,813 males (49.6%) and 5,914 females (50.4%). The HBsAg sero-positivity of male and female students was 3.25% (n=381) and 2.59% (n=153) respectively. The anti-HBs sero-positivity of male and female students was 62.2% (n=3,154) and 64.1% (n=2,969) respectively. There are significant difference observed in comparison of HBsAg and anti-HBs seropositivity according to sex (p<0.05). From 1982 to 1986 on birth year, anti-HBs sero-positivity has been increased significantly from 63.3% to 73.3%. But the change of HBsAg sero-positivity has not been changed significantly. Conclusions : As compared with previous studies of HBsAg and anti-HBs, the sero-positive rate of HBsAg has not been changed but that of HBsAb has been increased significantly. This result revealed that the effect of HBV vaccination program was successful.