아증후군적 양극성 장애

김문두,전봉희,윤보현,박원명,Kim, Moon-Doo,Jeon, Bong-Hee,Yoon, Bo-Hyun,Bhak, Won-Myong 대한생물정신의학회 2011 생물정신의학 Vol.18 No.4

Subsyndromal bipolar symptoms are common during maintenance treatment and appear to be associated with relapse into an episode of the same polarity. This implies subsyndromal symptoms are an important problem in recurrent bipolar disorder and require more additive and infallible therapeutic intervention. Undetected, untreated subsyndromal states lead patients to have poor prognosis and quality of life. The combination of a long undetected illness and significant psychosocial impairment renders early identification and intervention vital for the treatment of bipolar disorders. Methods for early identification includes finding prodromes, using screening tools such as the HCL-32 (Hypomania Checklist-32) and the BSDS (bipolar spectrum diagnostic scale). Various augmentation treatment methods would be needed to reduce subsyndromal symptoms, especially, psychosocial treatment has the potential to help patients address the multiple psychosocial problems associated with this chronic illness. To overcome difficulties of diagnosing subsyndromal disorder and to treat it appropriately, a staging system was suggested by some researchers. It assumes that earlier stages have better prognosis and require simpler therapeutic regimens. Staging may assist in treatment planning and prognosis of bipolar disorder, and emphasize the importance of early intervention. Further research is required in this exciting and novel area.

육종 분류 분야 ( 농학관 ) : 백두산 반달가슴곰의 분자유전학적 특성 분석

홍용표,김원명,신은명,양병국 ( Yong Pyo Hong,Won Myong Kim,Eun Myeong Shin,Byung Guk Yang ) 한국임학회 1998 한국임학회 학술발표논문집 Vol.1998 No.-

『명도집설(鳴道集說)』에 나타난 정(程)이의 선불교 비판 연구

권선향 ( Sun Hyang Kwon ),김원명 ( Won Myong Kim ) 한국동서철학회 2013 동서철학연구 Vol.69 No.-

본고는 『근사록』 「변이단편」과 『명도집설』을 통해 정이의 선불교 비판에 관하여 고찰하고자 한다. 『근사록』「변이단편」에서는 정이의 불교비판의 대강을 알 수 있다. 정호는 윤리 사회적인 면에서 불교를 비판하는데 반해 정이는 이론중심으로 불교를 비판하고 있다. 이같은 이론적 비판을 통해 정이는 유학적 체계를 세울 수 있었다. 특히 『명도집설』에서는 정이의 불교비판에 대해 광범위하게 다루고 있는데 여기서 정이는 선불교 비판에 치중하였음을 알 수 있다. 당시 선불교의 위세는 대단하여 유학을 능가하고 있었기 때문에 정이는 선불교 비판을 통해 유학의 세를 회복하고자 한 것이다. 먼저 정이는 선불교가 위세를 떨치고 있는 세태에 대한 부정적 견해를 서술하고 있다. 또한 선불교의 심성론과 수행론에 대해 비판하고 있다. 이를 통해서 볼 때 정이는 유학의 흥기와 이론적 체계의 정초를 위해 노력하였음을 알 수 있다. 실례로 그는 불교의 사상을 유학적 개념으로 대체하고자 하였다. 경(敬)의 개념은 이를 대표한다. 이러한 노력들을 통해 정이는 유학의 수양론을 세울 수 있었다. 따라서 정이의 선불교 비판은 유학적 수양론 방면에서 기여하는 바가 매우 크다고 볼 수 있다. 그럼에도 불구하고 『명도집설』에 나타난 정이의 불교비판은 치우친 측면이 있다. 이지순은 그러한 측면을 매우 날카롭게 지적하고 있다. 이런 점들을 볼 때 정이의 선불교 비판은 유학적 견지에서 의도적으로 이루어진 것임을 짐작케 한다. his study examines Cheng I(程이)`s criticism on Zen Buddhism drawing upon Jinsailu(『近思錄』) and Mingdaojishuo(『鳴道集說』). The former outlines Cheng I`s critical position on Buddhism. While Cheng Hao(程顥) evaluates Buddhism from ethical and social aspects, Cheng I`s position can be differentiated from its strong theory basis. A sound theoretical basis in his criticism on Buddhism contributed to the development of the structure of his Confucianism theory. In particular, Migdaonjishuo covers Cheng I`s criticism on Buddhism in a great detail. According to the interpretation in Migdaonjishuo, Cheng I focused his critical evaluation on Zen Buddhism (particularly cultivation theory of mind), which overwhelmed Confucianism during his time. This reveals that Cheng(敬) I made significant efforts for the revival of Confucianism. For instance, he attempted to replace important building blocks of Buddhism with basic concepts from Confucianism. In fact, his efforts led to the establishment of cultivation theory of mind in Confucianism. Despite Cheng I`s apprent contribution, his criticism on Buddhism is somewhat biased and unbalanced from the perspective of Confucianism. Lizhichun(李之純) made this point clear in Migdaonjishuo.

수면주기 지연 증후군 1례

박원명,김제헌 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.1

Whereas insomnia (disorders of initiating and maintaining sleep) and hypersomnia(disorders of excessive somnolence) have been studied for many centuries, physicians only recently become aware of that the sleep-wake rhythm itself can also be disturbed. Indeed, at this time we can only dimly perceive the importance of circadian rhythm for healthful sleeping. Not only do our internal circadian rhythm have to be properly entrained to the 24-hour cycling of this planet, but it also seems crucial that an individual's usual bedtime hours be properly located within that individual's circadian rhythm. Delayed sleep phase syndrome is one of disorders of the sleep-wake schedule, which usually arises from mismatches between the patient's circadian rhythm and society's timetable. We experienced a case of salary man who developed delayed sleep phase syndrome for about one year. He had considerable difficulty in falling asleep at appropriated time in the night and increasing difficulty in awakening in the next morning. When not on a strict schedule(eg, weekends, holidays), he had a normal sleep pattern and after a sleep of normal length awaked spontaneously and felt refreshed. Polysomnographic recordings performed in our department for 3 consecutive nights demonstrated that he was noted only a delayed pattern of sleep and awaking time. There was no evidence of significant organic diseases except hepatitis type B. Past history revealed no previous psychiatric disorders and no family history of psychiatric disorders.

狩獵人의 意識 및 行態에 關한 硏究

邊雨爀,金源明 高麗大學校 自然資源科學硏究所 1996 自然資源科學硏究 Vol.4 No.-

The purpose of this study is to investigate hunter's consciousness and the behavior of hunting activities, thereby proposing primary information of decision-making hunting polices and regulation which are based to manage wildlife resource. Data for this study were obtained from available 809 among 3,424 questionares delivered to hunters who have gone hunting to chungbuk hunting preserve in 1990. The results of study are as follow, most of the hunters who are good scholar and earn a large income and are the middle-aged, are influential members of the society as a whole. The 48.2% of hunters were unsatisfied with this hunting trip, because of coming home with poor bag and the fear of illegal traps. Hunters thought the density of wildlife population was very low, and the bag was dependent in hunter's hunting ability. Hunters thought that their ability of according to hunting laws and regulations and discrimination power of wildlife were more developing hunting preserve, hunter's education, hunting trust, revicement hunting law, and enforcement hunting agent are need to enrichment hunting culture and economics.

수면 무호흡과 불안장애의 불면증에 대한 다원수면기록

채정호,박원명,채영래,김제헌 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.2

Objects : The authors studied polysomnographic findings of patients with sleep apnea DIMS (disorders of initiating and maintainig sleep) syndrome and anxiety disorders with insomnia related to another mental disorders. Methods : Eight patients with sleep apnea DIMS syndrome and fourteen patients with anxiety disorder with insomnia related to another mental disorder(nonorganic) were studied using computerized polysomnography. Results : 1) The sleep period time were significantly decreased in anxiety disorder group and the sleep latency was prolonged in these patients. 2) The changes in sleep stage and the number of arousals during sleep period time were more frequent in sleep apneic patients group. And using these variables we could discriminate sleep apneic patients group from subjects with anxiety disorder. 3) The stage 1 sleep was significantly increased in sleep apneic patients. 4) The apnea index in sleep apnea patients was 28.1±25.7. Conclusion : These results suggested that even though there were similiar clinical presentaion such as insomnia, the sleep features of sleep apnea DIMS syndrome and anxiety disorder with insomnia were different. And though there were no instruments to check respiratory flow or movement, it would be possible to discriminate the sleep apnea DIMS syndrome from the anxiety disorder with insomnia by recording the changes in sleep stage and the number of arousals in overnight electroencephalographic procedure.