정신장애인 치료에 중요 역할 담당자의 정신질환에 대한 태도조사

김병후,정선욱,강연화,김윤,김창엽,홍진표,한오수,조맹제,김용익 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

Objectives : Attitudes of families of mentally ill, health personnels and community leaders to the mentally ill after the development and utilization of the community mental health program and reintegration of the chronically ill patients into society. This study was designed to compare the attitudes toward the mentally ill patient of the persons who have important role in treating the mentally ill and to find the variables influencing the attitudes. Methods : We measured attitudes toward mental illness in psychotic patients' families(N=139), community leaders(N=180) and health personnels(N=324) including mental health personnels before the implementation of community mental health services in Yonchon county and Seodaemun district area. The instrument used to measure attitudes was Opinion about Mental Illness(O. M. I.) scale. Results : 1) Health personnel showed lower Authoritarianism(Factor A) and higher Benevolence(Factor B) scores on the average than community leaders and psychotic patients families. 2) Current residence affect the attitudes in psychotic patients' families, not in community leaders and health personnels. Families in urban area showed lower Authoritarianism(Factor A) and Social Restrictiveness(Factor D) and higher Benevolence(Factor B) scores than in the rural areas. 3) Many patient variables were correlated to the attitudes of families. Duration of illness, number of recurrence, number of admission, age of patient and family burden were positively correlated mainly to Social Restrictiveness(Factor D). 4) Sex and religion of respondents showed no or weak relationship with the factor scores. Conclusions : Education for community leaders and families is required to achieve successful community mental health services. Community support program should be developed for chronic, recurrent and burdensome psychiatric patients in the first place.

음식물류폐기물 공공 자원화시설 운영에 관한 연구 (Ⅱ)

홍용표ㆍ김웅용ㆍ신현곤(Yong Pyo HongㆍUng Yong KimㆍHyun Gon Shin) 유기성자원학회 2016 유기물자원화 Vol.24 No.1

본 연구는 음식물류폐기물 공공 자원화 시설 운영의 문제점과 제도 개선방안을 위하여 실시하였다. 현재 운영중인 음식물류 폐기물의 가동율 현황과 자원화 시설의 확충 계획에 대한 분석을 통해 시설의 무분별한 신규건설로 인한 국가의 예산이 낭비되지 않도록 그 대안을 제시하였으며, 그 결과는 다음과 같다. 공공 자원화시설 신규 확충보다는 기존 민간 자원화시설을 활용하여 예산을 절약하고 음식물류 폐기물의 안정적인 처리는 물론 자원순환을 촉진시킬 수 있는 정책전환이 필요하다. 음식물류 폐기물을 친환경적인 방법으로 안정적으로 처리하기 위해서는 제도개선이 필요하며, 이를 위해 민간 자원화시설 가동률 저하를 줄일 수 있는 준공영제 도입이 필요하다. 또한, 공공 자원화시설의 검증된 기술과 경제성 확보 방안 마련이 필요하다. This study is conducted to find out the problems of the public food waste recycling facility operation and its improvement. In order to save the national budget by analyzing plans to expand including operation rate for the food waste recycling facility, the alternative ways are suggested. The result can be as follows: Policy switch is required not only to save budget and stable disposal of food waste but also to promote resource recycling rather than expanding public facilities. In order to change the policy for stable and eco-friendly disposal of food waste, it is necessary to adopt semipublic system that prevent the decline of the rate of operation of private resource recycling facility. Furthermore, it is required to prepare both qualified technologies of public resource recycling and the ways of profitability secure.

음식물류폐기물 공공 자원화시설 운영에 관한 연구 (Ⅰ)

홍용표ㆍ김혜선ㆍ김웅용ㆍ신현곤(Yong Pyo HongㆍHye Sun KimㆍUng Yong KimㆍHyun Gon Shin) 유기성자원학회 2016 유기물자원화 Vol.24 No.1

본 연구는 음식물류 폐기물 공공 자원화 시설 운영의 문제점과 제도 개선방안을 위하여 실시하였다. 기존 음식물류 폐기물 공공자원화 시설에 대한 실태조사를 통해 운영에 따른 문제를 분석하였으며, 이를 위하여 음식물류 폐기물의 발생량 및 자원화 현황, 공공 및 민간 자원화시설 현황, 전국의 주요 음식물류 폐기물 공공자원화 시설의 실제 운영과정에서 나타난 문제점을 분석한 결과는 다음과 같다: 현재 국내 음식물류 폐기물의 분리 수거량은 약 97%인 것으로 나타났다. 그리고 대부분의 공공 자원화시설은 음식물류 폐기물의 자원화가 아닌 단순처리에 급급한 것으로 나타났으며 경제성도 없는 것으로 분석되었다. 특히, 바이오가스시설 대부분은 실시설계와는 달리 가스 생산량 및 수요량이 전혀 맞지 않는 것으로 나타났다. This study is conducted to find out problems of the public food waste recycling facility and its improvement. Through a research on the actual condition, it is possible to analyze the problem of operation. Moreover, for this improvement, with analysis of the current state of recycling rate including its generation and the problem that can be shown from the real operation of the public/private food waste recycling facility, the results are as follows: It can be shown that the current amount of domestic food waste resource recycling is about 97 %. Almost every public recycling facility is analyzed to be economically infeasible and is not for recovery but to simple disposal. Especially, most of Biogas facilities appeared that amount of production and demand is not appropriate differed from enforcement design.

대학교 신입생의 특성에 관한 실태조사(Ⅱ) : 1995학년도 조선대학교 신입생을 대상으로 1995 chosun University Entrants

조용래,박상학,김상훈,표경식,김학렬,김양옥,김기순,박종 조선의대 1995 The Medical Journal of Chosun University Vol.20 No.2

대동맥 이첨판과 승모판 이탈증을 동반한 대동맥 판하부 협착 1예

김용화,장경식,양태영,임영국,안기완,홍순표 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

Discrete subaortic stenosis is a rare cardiac disorder especially in Orientals which occupies eight to ten percent of aortic stenosis, It occurs mainly before age of eighteen and accompanies with aortic valve abnormalities such as aortic stenosis, supravalvrlar stenosis, bicuspid valve and muscular hypertrophic subaortic stenosis, and other cardiac abnormalities such as ventricular septal defect, pulmonary stenosis and coarctation of aorta. There is no report of discrete subaortic stenosis accompanied with mitral valve prolapse. The major complications of discrete subaortic stenosis are aortic insufficiency, and subacute bacterial endocarditis. We report a case of asymptomatic nineteen-year-old male of discrete subaotic stenosis with bicuspid aortic valve and mitral valve prolapse, which is comfirmed by two-dimensional and Doppler echocardiography including transesophaigeal echocardiography.

도시지역 초등학생에서 주의력결핍 과잉운동장애의 유병율

표경식,박상학,김상훈,조용래,김학렬,문경래 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : To study the prevalence of ADHD in urban elementary school children using the Korean version of the disruptive behavior disorders parent rating scale. Materials and methods : 6,372 students from seven urban elementary schools were targeted using the parent rating scale. Results : (1)The total ADHD prevalence was 6.1%. It can be broken down as follows: 4.1% was the Inattentive type, 1.0% was the Hyperactive-impulsive type and 1.1% was the Combined type. 8.3% occurred in male students and 3.9% occurred in female students. The prevalence in boys was significantly higher. (2) The prevalence of Conduct Disorder(CD) was 0.3%: 0.2% for male students and 0.3% for female students. There was no significant difference between girls and boys. (3) The prevalence of Oppositional Defiant Disorder(ODD) was 4.4%: 5.0% for boys and 3.9% for girls. The value for boys was significantly higher. (4) A statistically significant difference between grades was found with ADHD, but no significant difference between grades was found with CD and ODD. (5) In the results of the comorbidity research, ADHD accompanied by CD was 2.3%. ADHD accompanied by ODD was 25.5%. ADHD accompanied by both CD and ODD was 4.1%. (6) Mild forms of ADHD, CD and ODD were found four times more often than that observed in typical cases. Conclusion : Prevalence of ADHD in urban elementary schools is high and CD or ODD is accompanied more frequently. In the future, the school mental health project should be focused mainly on ADHD. From the beginning of urban elementary schools, ADHD should be screened for. Intervention is required depending on whether or not there are accompanying diseases.

미국의 식물유래약용물질(Plant-Made Pharmaceuticals, PMPs)의 안전성 규제

김태산,원소윤,이근표,류태훈,진용문,이길복,김현준 한국국제농업개발학회 2005 韓國國際農業開發學會誌 Vol.17 No.1

1. 식물유래 약용물질 (PMP)은 살아있는 식물에서 생산된 치료용 단백질로, 발효조에서 세포계통을 이용하는 것보다 적은 비용으로 높은 순도의 단백질을 생산할 수 있어 이에 대한 연구개발이 확대될 전망이다. 2. 식물유래 약용물질의 재배시험을 감독하는 주관부서는 미농무부(USDA)의 동식물 검역청(APHIS)이다. 3. PMP의 생산에는 알팔파. 옥수수, 벼 잇꽃과 담배 등이 이용되고 있다. 4. 현재 상업화된 PMP는 없으나 ProdiGene, Inc사 등 몇몇 생명공학 회사에서 이들의 연구개발이 진행되고 있다. 5. 2002년에 PMP 재배시험은 130에이커 규모로 34개 시험장에서 20건이 허가 되었으며 주별로는 애리조나, 네브라스카 등 14주에서 시험이 이루어 졌다. 6. 미국 USDA의 PMP 재배 지침에 의하면 PMP의 재배생산에는 안전성확보를 위한 별도의 전용장비를 필요로 하며 파종에서 생산까지 엄격하게 관리된다. 7. 미국 USDA의 APHIS는 2002년 PMP 옥수수를 생산하는 ProdiGene, Inc사에 대하여 2건의 포장시험허가 위반사항을 적발하여 벌금 조치를 한바있다. Plant-made pharmaceuticals(PMPs) are therapeutic agents(pharmaceutical proteins) produced in genetically engineered plants. To yield these valuable products plants offer several advantages that include large-scale production capacity at a reduced cost, equivalent purity/activity to other manufacturing systems, and freedom from contamination with animal pathogens, prions, or disease-causing germs. But there are risks of contamination of the food supply and unintended effects on ecosystems. In the U.S. PMPs are regulated under stringent requirement of the U.S. Department of Agriculture(USDA) and the Food and Drug Administration(FDA). In this article, contamination incident with PMP corn engineered by ProdiGene, Inc will be briefly introduced and regulations of PMPs will be discussed.

대학교 신입생의 특성에 관한 실태조사(1) : 1994학년도 조선대 신입생 일부를 대상으로 1994 Chosun University Entrants

김학렬,조용래,박상학,김상훈,박근무,표경식 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

The main purposes of this survey are to identify the characteristics of entrants and to provide some suggestions for both a policy planning for entrants and student guidance. For this, entrants(N=868) who were admitted to natural science, engineering, education. fine arts, and other colleges of Chosun University(CU) in 1994 were surveyed with the questionnaire developed by authors. The questionnaire dealt with 1) demographic characteristics. 2) life environment - family relationship, family circumstances, economic conditions, 3) life during high school, 4) attitudes toward both the university and one's subject of study - major sources of informations about the university and attitude toward the university. major sources of informations about one's subject of study and attitude toward one's subject of study, 5) the plan of the university life and course after graduation, 6) interpersonal relationship, and 7) self-perception. The characteristics of entrants were globally examined, and differences between the sexes and differences among colleges in the characteristics described above, if any, were also mentioned. Some suggestions based on the results of this survey were provided in terms of both a policy planning for entrants and student guidance, Finally, one limitation of this survey was discussed from the standpoint of the generalization of the results and some suggestions for future surveys were also discussed.

급성기 두부손상에서 Creatine Kinase-BB (CK-BB)의 임상적 의의

김헌주,홍순기,허철,한용표 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.4

Serial enzymatic determinations by electrophoresis were confined in serum of CK-BB (creatine kinase brain fraction), which were performed on 150 patients with acute head injury. The purpose of this study was to re-evaluate the usefulness of this serum enzyme value as a prognostic correlates. The results obtained are as follows : 1) 125 cases (83.3%) among 150 cases with head injury were revealed as CK-BB positive finding, whereas 25 cases (16.7%) with negative results have generally good outcome. 2) 3 cases (11.5%) of false positive finding were shown among 26 control group with back pain. 3) The maximum value of CK-BB(CK-BBmax) was seen within 1st day(38.4%), and 3rd days (80.8%) following injury. 4) The appearance of mean CK-BBmax had two varieties of peak incidence on 1st-and 4th day following injury. 5) The Glasgow Coma Scale(GCS) Score on admission had close relationship to the value of inital CK-BB(CK-BBin) and CK-BBmax respectively (P<0.001) 6) The ratio of mean value between CK-BBin and CK-BBmax had statistical significance in cases of skull fracture and contusional and/or intracerebral hemorrhage, respectively (P<0.05. p<0.001). 7) The significant correlation of mean CK-BBin(≥1 IU/L) to outcome (P<0.003) was shown, whereas mean CK-BBmax(≥1 IU/L) to outcome did not (P= 0.126). 8) The Glasgow Outcome Scale (GOS) was strongly correlated to mean GCS Score (P<0.000) and mean CK-BBin (P<0.000). but not to mean CK-BBmax (P<0.139). 9) The correlationship between mean value of CK-BBin and CK-BBmax was statistically significant only in good recovery and moderate disability group, respectively (P<0.000 & P<0.003).

고산에서 측정한 PM_(2.5) 이온 농도 특성 : 1998~2002년 측정자료 Measurement Data between 1998 and 2002

김나경,김용표,강창회,문길주 한국대기환경학회 2003 한국대기환경학회지 Vol.19 No.3

The aerosol ionic composition of PM2.5 measured at Gosan, Jeju Island, Korea, for years between March 1998 and February 2002 are presented and discussed. The annual mean concentration of non-sea-salt sulfate(nss-SO₄²^(-)) and ammonium(NH₄+) ions are high (0.094 μeq/m³ and 0.085μeq/m³, respectively). Also, nss-SO₄²^(-) and NH₄^(+) show high correlation(0.892). The concentrations of most ions are high in springtime. As the result of factor analysis, Gosan area mainly affected by sea-salt, anthropogenic species, and crustal species.