한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사

조맹제,장성만,함봉진,정인원,배안,이영문,안준호,원승희,손정우,홍진표,배재남,이동우,조성진,박종익,이준영,김진영,전홍진,이해우 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies. Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%). Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males. Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

高句麗와 北齊의 關係 : 552년 流入 送還의 문제를 중심으로 Centering around the problem of repatriation of the migrants in 552

李成制 한국고대사학회 2001 韓國古代史硏究 Vol.23 No.-

The purpose of this essay is to notice the relation between Koguryo and Northern Ch'i centering around the problem 0 repatriation of the migrants in 552. The migrants were not mer refugees who had flown into Koguryo in order to avoid the disorder of late Northern Wei. The problem of the migrants was related t that of the international order around Ying-zhou. This is why th migrants are so important to understand the relation between Koguryo and Northern Wei during the first half of the sixth century With disappearance of Northern Wei power around Ying-zhou Koguryo tried to expand her power around that region. As a result though Koguryo did not occupy that region, she could secure a lot of the migrants. The fact that Northern Wei demanded the repatriation of the migrants in 552 and that Koguryo refused that demand reveals that the problem of the migrants was very important to both parties. In the end, by repatriating the migrants Koguryo chose a friendly relation with Northern Wei rather than an opposition to Northen Wei. The result was that Koguryo could escape a military tensio from the west and achieve the balance of power with regard to Northern Wei. Besides, Koguryo's friendly relation with Norther Wei was a firm foundation on which Koguryo could deal with threat from T'u -chueh, Silla, Paekche. Thorough this essay, we can see the process that Kogury attempted to expand her power toward Ying-zhou and her attemp was deflected during the first half of the sixth century. Further, this essay tries to achieve a new understanding about the international order during the first half of the sixth century. That is, the collaps of the international order around Ying-zhou due to Northen Wei' disorder caused Koguryo to explore a new international order in which Koguryo took the initiative.

한국사람 손바닥문의 생김새

이제만,정민석,정호근,이경종,신동훈,안미선,김도윤,이민석,정구영,정연무,조한범,유상준,박성식 아주대학교 1997 아주의학 Vol.2 No.2

Palm prints have been used for personal identification because they are unique to each individual. Palm prints have also been used for diagnosing genetic disorders and for revealing physical anthropological characteristics, due to their specific appearance characteristic of genetic factors and nationality. Therefore, several analytical methods of palm prints have been developed and applied for the purpose described. However, in the previous reports, the analytical methods of palm prints and the numbers of subjects were insufficient to find Standard values for Korean palm prints. In this study, in order to determine the Standard value for Korean palm prints, we examined palm prints of 3216 Korean adults (2095 males and 1121 females), analyzed the data according to sex and side of hand, and compared with those of foreigners. The results are s follows: 1) The incidence of 7, 9, and 11 of D was 41.8%, 33.5%, and 20.4%, respectively. Comparing the incidences 017, 9, and 11 of D in Koreans with those of foreigners, the Korean belong to the Asians including the Japanese, the Chinese, and the Philippine, however, the Korean was doser to the Blacks and distant from the Whites than the other Asians. 2) The palm prints were classified into the open type in which B terminates at the ulnar border of hand, and the dosed type in which B does not. Open type, 7-5-5 (male 37.6%, female 39.5%) and 9-7-5 (male 23.9%, female 25.5%), was more frequent in female than in male, while dosed type, 11-9-7 (male 9.8%, female 9.1%), was more frequent in male than in female. Also, open type, 7-5-5 (right 28.9%, left 47.6%), was more frequent in left hand than in right hand, while dosed type, 11-9-7 (right 17.1%, left 2.1%), was more frequent in right hand than in left hand. Consequently, open type was more frequent in the weak hand, whereas dosed type was more frequent in strong hand. 3) Because a-b (39.2) and c-d (35.0) were more numerous than b-c (27.8), distance between a and b and between c and d were longer than that between c and d. The long distance of a, b and c, d could be resulted by wide moving range of second finger and fifth finger, respectively. Also, there was a tendency that the palmar ridge counts of right hand was more numerous than those of left hand, which could be resulted by wide moving range of right fingers in the right-handed persons who were more frequent than the left-handed persons. 4) O, in which there was no triradius, and X, in which dermal ridge from a triradius was blocked and terminated at the other dermal ridge, were frequent in C (O 7.8%, × 7.2%) than in D (O 0.1%, × 0.1%) or in B (O 0.4%, X 1.2%). The frequency of 0 and X in C was thought to be related with the location of ein the narrow space between d and b. The narrow space between d and b was known because c-d and b-c was less numerous than a-b. 5) The distances between adjacent triradii were longer in male than in female, however, the palmar ridge counts for a-b, b-c, and c-d were less numerous in male than in female. Consequently, dermal ridges were thought to be thicker in male than in female. The Standard values of Korean palm prints obtained from this study are expected to be used for both diagnosing genetic disorders and for revealing physical anthropological characteristics in Korea. Further studies to clarify the relationship between the palm prints and the power of hand as well as the moving range of fingers are in need.

중증 재생불량성 빈혈 환자의 동종골수이식 후에 병발한 간정맥폐색질환(Hepatic Veno-Occlusive Disease)의 임상 경과 및 혈액응고 인자들의 변화

이제환,이규형,최성준,민영주,김신,이정신,김상희,박찬정,지현숙,김우건 대한조혈모세포이식학회 1999 대한조혈모세포이식학회지 Vol.4 No.2

연구배경: 재생불량성 빈혈 경우에는 조혈모세포 이식 후 VOD의 발생에 관한 보고가 거의 없는 실정이다. 저자 등은 cyclophosphamide와 antithymocyte globulin으로 전처치 후에 동종골수이식을 시행한 재생불량성 빈혈 환자들을 대상으로 하여 VOD의 발생과 임상 양상, 혈액응고 인자들의 변화에 관하여 분석하여 보았다. 방법: 재생불량성 빈혈로 동종골수이식을 시행 받은 13예 환자를 대상으로 하였다. 임상적 기준에 따라 VOD를 진단하였으며 임상 경과에 따라서 경중을 분류하였다. Protein C, protein S, antithrombin Ⅲ, tPA, PAI-1 등의 혈액응고 인자들을 전처치 투여전, 골수 주입당일, 이식 후 제7, 14, 21일에 측정하였다. 결과: 7예(53.8%)에서 VOD가 발생하였으며, 경증 5예, 중등도 2예였다. VOD군에서 혈소판치가 20.000/㎕ 이상을 유지하는 데까지 걸리는 시간이 더 길었다(p=0.026). 또한 VOD군에서 적혈구 및 혈소판의 수혈 요구량이 각각 유의하게 많았다(p=0.025, 0.015). 혈액응고 인자들의 변화를 보면, 제 0일에 VOD군에서 PAI-1의 혈중 농도가 유의하게 더 높았다.(p=0.034). 결론: 재생불량성 빈혈환자에서도 조혈모세포 이식 후에 VOD의 높은 발생률을 관찰하였으며, 대부분이 경증이었다. VOD 환자에서의 혈액응고 인자들의 변화는 PAL-1이 VOD의 감별 진단을 위하여 이용될 수 있음을 시사하고 있다. Background: There are few reports about the occurrence of hepatic veno-occlusive disease(VOD) after bone marrow transplantation (BMT) for severe aplastic anemia (SAA). We analyzed the incidence and clinical outcomes of VOD and changes of coagulation factors in patients with SAA who were conditioned with cyclophosphamide plus ATG and underwent allogeneic BMT. Methods: Thirteen patients with SAA who underwent allogeneic BMT were included. A diagnosis of VOD was made according to clinical criteria, and severity of VOD was classified according to clinical course. Plasma levels of protein C, protein S, antithrombin Ⅲ, t-PA, and PAI-1 were determined before preparative chemotherapy, in the day of marrow infusion, and days 7, 14, and 21. Results: VOD occurred in 7/13(53.8%). Five were mild VOD and two were moderate VOD. Time to platelet ≥20,000/L was slower (p=0.026) and red cell and platelet transfusion requirements were higher (p=0.025,0.015) in patients with VOD . The mean plasma level of PAI-1 at 0 were higher in patients with VOD (p=0.034). Conclusion: We observed the high incidence of VOD after allogeneic BMT in patients with SAA. A majority of cases of VOD were mild. The changes of PAI-1 after BMT may be useful marker of hepatic VOD

혈관모세포종의 임상 분석

김은성,강삼석,이정길,김태선,정신,김재휴,김수한,이제혁 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.1

혼합물실험계획에 의한 커피혼합비율 최적화에 대한 연구

이종성,문제웅 江原大學校 産業技術硏究所 2002 産業技術硏究 Vol.22 No.A

Many industrial products such as paints, ink and adhesives are composed of the ingredients of a mixture. In mixture experiments, the characteristics of quality(response) depends only on the proportions of the ingredients and does not depend on the total amount of the mixture. This article discusses the constrained mixture experimental design, the data analysis, and the optimum formulation of ingredients based on the two quality characteristics - taste and flavor. It is shown that efficient designs can be constructed from D-optimal criterion. Special cubic models were selected as the final mixture response surfaces for both reponses. The desirability function was used for the optimization of the two responses.

Research Articles : Physiological characteristics of the Large Copper butterfly, Lycaena dispar (Lepidoptera: Lycaenidae)

( Seong Hyun Kim ),( Seong Jin Hong ),( Young Bo Lee ),( Hae Chul Park ),( Yeon Ho Je1 ),( Nam Jung Kim ) 한국잠사학회 2011 International Journal of Industrial Entomology Vol.23 No.2

To establish an indoor-rearing system for the Large Copper butterfly, Lycaena dispar and the Small Copper butterfly, Lycaena phlaeas, the effect of temperature, photoperiod and host plants on larval development was investigated. The larvae of Lycaena dispar fed on Rumex crispus, whereas the larvae of Lycaena phlaeas ate both Rumex crispus and Rumex acetosa. The duration of the larval period of Lycaena dispar was 13.8 days on R. crispus and that, of Lycaena phlaeas was 15.9 days and 15.2 days on R. acetosa and R. crispus respectively. Laboratory experiments show that the Large Copper larvae are able to feed on other Rumex species without harming their overall survival and can utilize these alternative host plants at least as efficiently as their natural host plant. This result suggests that plant chemistry is not responsible for their lack of utilization of the alternative host plants in the wild. Host plant choice by ovipositing females was measured with the two alternative hosts. Lycaena dispar preferred R. crispus to R. acetosa, wheareas Lycaena phlaeas preferred R. acetosa to R. crispus. Temperature has been proposed as an important determinant of developmental rate, lifespan and mortality in invertebrates. As temperature increased, length of the developmental period gradually decreased. The developmental period of the Large Copper larvae was 11.0 days and 28.5 days at 30oC and 17.5oC, respectively.

Treacher Collins 증후군 환아의 증례보고

박지현,김승혜,송제선,김성오,이제호 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.3

Treacher Collins 증후군(TCS)은 25,000명에서 50,000명당 1명의 빈도로 비교적 드물게 발생하는 난치성 질환이다. 이 질환은 정상적인 부모에게서 돌연변이로 발생하거나 상염색체 우성으로 유전된다고 알려져 있다. 하악과 상악, 협골의 발육 부전, 부정교합, 양측성 이개 기형, 안검렬의 반몽고증 사면(antimongoloid slant)이 특징적이며, 종종 구순열, 구개열, 외이도 폐쇄, 중이와 내이의 기형에 의한 청각소실, 왜소증, 심장과 골격의 이상 등을 동반한다. 또한, 인두의 형성부전, 소구, 거설증, 악골의 기형에 기인하여 수면 중 무호흡증, 만성 폐쇄성 무호흡증 등의 호흡 장애가 있을 수 있으며, 전신마취 유도 시에 기관내 삽관이 어렵다고 보고된 바 있다. 치과의사는 관련 신드롬에 대한 충분한 이해를 통해 환자에게 보다 안전하게 치료를 제공해야 하며 구강 건강 관리 및 선천성 안면 기형에 대한 문제 해결을 돕기 위해 적절한 치료 및 안면 수술에 관련된 가이드를 제시해야 한다. 본 증례는 전반적인 치아우식을 주소로 연세대학교 치과병원 소아치과에 내원하여 외래에서 치아우식 치료를 받은 TCS 환아에 대한 것으로, 문헌 고찰을 통해 얻은 다소의 지견을 함께 보고하는 바이다. Treacher Collins syndrome(TCS) is a rare, incurable condition occurring in approximately 1 of 25,000 to 50,000 births. It may occur as a spontaneous mutation out of genetically normal parents or it may be manifested as an autosomal dominant pattern. TCS is characterized by facial deformities such as, underdevelopment of the maxilla, mandible and zygoma, malocclusion, bilateral deformities of auricles, antimongoloid slant of the palpebral fissures. The syndrome is often associated with cleft lip and palate, ear malformations and hearing loss, short stature, and anomalies of the heart and skeleton. Respiratory difficulty associated with air way obstruction may also be observed, and there is considerable difficulty in airway management during general anesthesia. It is necessary that dentists provide safe dental treatments and guidelines to TCS patients by providing adequate understanding about the characteristics of the syndrome and proper ways of managements. The purpose of this study is to report the dental and medical characteristics of the patient who visited the Department of Pediatric Dentistry, Yonsei University for multiple dental caries treatment and to review the literatures of TCS.

혈관모세포종의 임상 분석

김은성,강삼석,이정길,김태선,정신,김재휴,김수한,이제혁 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.5