新型 艦艇의 效率的인 運用 및 廠整備 改善 方案에 관한 硏究

박종익 해군대학 1989 海洋戰略 Vol.- No.63

한국의 정신보건에 대한 보건경제학적 접근

박종익 대한신경정신의학회 2010 신경정신의학 Vol.49 No.2

This review article aims to reveal the meaning and importance of economic evaluation in Korean mental health sector. The global burden of neuropsychiatric disorders, as measured by loss of disability-adjusted life years (DALYs), is estimated very high, irrespective of low mortality. There are several methods for such economic evaluation, including cost-effectiveness analysis (CEA),cost-utility analysis (CUA), and cost-benefit analysis (CBA), but there is still a paucity of such studies in the mental health sector. Economic evaluations of mental health in Korea can provide a rational basis to plan a national health policy regarding the global burden of diseases caused by psychiatric disorders.

전산화 신경인지기능검사(Seoul Computerized Neurocognitive Function Test)를 이용한 해독된 알코올 환자의 신경심리기능

박종익,이현정,고효정 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : To demonstrate consistent and significant findings of neurocognitive functioning in detoxified alcoholics have been inconclusive. The purpose of this study was to evaluate cognitive functions in detoxified alcoholics and the relationship between neuropsychological test scores and alcohol consumption patterns. Methods : Twenty-four alcoholics, aging between 30 and 50 years, at least 4 weeks after the beginning of detoxification and 24 normal controls equated for age and education were exmained on Seoul computerized neurocognitive function tests in order to evaluate neurocognitive functions, which include attention, memory function, executive function, motor performance. Results : Compared to controls, alcoholics were more impaired on both finger tapping test (FTT, right : p<0.05, left : p<0.01), but there were no significant differences between two groups on any measures including attention, memory function, and executive function. Even though there were significantly negative associations between length of drinking history and performances on FTT with both hands (right : r=-0.55, p<0.01 ; left : r=-0.48, p<0.05) in alcohol group, multiple regression analyses showed that age and STAI contributed significantly to the prediction of FTT, ameliorating the dignostic effect. Conclusion : There was no evidence of significant declines in attention, memory, and executive functions in alcoholics compared to normal controls, except impaired motor performance functions which may be related to concurrent anxiety.

충남 금산지역의 비보설화 고찰

박종익 어문연구학회 2019 어문연구 Vol.101 No.-

In Geumsan area, numerous a story complemented the terrain are being told.As such, there are many reasons why many of a story complemented the terrain tell the Geumsan area. First, the Sobaek Mountains and the Nohryeong Mountains are in contact with each other. Second, there are many big mountains, so there is a big slope. Third, the space where the village is located is cramped. Therefore, people worry a lot about complemented the terrain of the village's space. The story of complementing the terrain is about seeking harmony in the village space. The story deals with the prevention or overcoming of disasters. There are also various efforts and wisdom to take people's stable lives. In the full-scale discussion, the following three topics were analysed: First, it is a discussion about the shape of a mountain or village site. Our country traditionally thinks that according to the shape of mountains and villages, there are good luck and bad luck. Therefore, people carefully judge the shape of the mountain and make up for the lack. In this paper, various thoughts and experiences on the shape of these mountains or villages were analyzed. Second, the mountains are divided into four types according to their shape. One of them is divided into fire-causing mountains. The village facing the fire-causing mountain thought a fire broke out. in Geumsan, there were so many mountains that caused fires. Therefore, there were frequent fires in the village. In this paper, we discuss the cause of the fire or the countermeasures against it in relation to this point. In general, the village entrance is lined with two mountains on the left and right sides. These two mountains should be located at a quiet distance. Instead, I thought that if the two mountains were too far away, the good energy of the village would escape. The villagers thought about this and took measures to deal with it. As a result, they built towers or planted trees in front of the village. I think this will stabilize the town. In this paper, various stories about the supplementation of the village site were discussed. Furthermore, the characteristics of the story of the site of the village in Geumsan area were summarized as follows. First, the story of the topography supplement well reflects the geographical characteristics of Geumsan. Second, it becomes important data to reveal the origin of the tower or forest to complement the terrain. Third, it is an important factor in supporting these story community rites. 금산지역 마을에는 다수의 비보담(裨補談)이 전승된다. 이처럼 금산지역에 다수의 비보담이 전승되는 이유는 풍수상 마을입지에 결함이 많기 때문이다. 이 고장은 소백산맥 하단과 노령산맥 상단에 속하는 지역으로 산세가 거칠고 경사가 가파르다. 사람들의 삶터가 이러한 산세에 위치하다보니 자연스럽게 결함을 지니게 되었다. 비보담은 마을입지의 인위적 보완에 관한 이야기다. 그 속에는 재난에 대한 예방이나 극복과정이 담겨 있다. 또한 안정적인 삶을 취하기 위한 다양한 시도와 경험이 담겨있다. 이 글에서는 금산지역의 비보담을 형국담, 화기담, 수구담으로 나누어 분석하였다. 형국담은 마을이나 마을을 감싸고 있는 산의 모양에 관한 이야기이다. 특정한 형국은 행운과 불행을 동반하는데 행운을 유지하기 위한 사람들의 노력을 요구한다. 이러한 관점에 주목하여 행운을 유지하기 위한 주민들의 노력과 그 과정에서 생성된 비보물에 대해 살펴보았다. 화기담은 금산지역에 폭넓게 분포한다. 이 고장에 다수의 화기담이 전승되는 것은 지리적 특성상 화산(火山)이 많기 때문이다. 이에 주목하여 화재로 인한 피해와 이를 예방하기 위한 이 고장 사람들의 비보표현을 다루었다. 수구담은 마을입지의 지기(地氣)를 보완하기 위한 내용으로 구성되어 있다. 지리적 특성상 금산지역 마을의 다수는 수구에 결함이 나타난다. 따라서 주민들은 이 결함을 보완하기 위해 다양한 비보를 시도한다. 이 같은 일련의 비보행위를 중심으로 수구담을 분석하였다. 나아가 금산지역의 비보담에 담긴 세 가지 특징을 살펴보았다. 구체적으로 금산지역의 입지특성을 반영하고 있는 점, 비보물의 건립과 유래가 녹아있는 점, 공동체의례의 신앙적 기반이라는 점을 논의하였다.

한국·호주 고등학교 물리과 교육과정의 비교

박종익 忠北大學校 敎育.生活硏究所 2002 한국교육논총 Vol.23 No.2

외상후 스트레스 장애의 사건관련 기능적 자기공명영상

박종익,홍진표,조영래,박지강,이호규,김창윤,한오수 대한신경정신의학회 2002 신경정신의학 Vol.41 No.4

연구목적: 외상후 스트레스 장애 환자에서 두려움 자극을 주었을 시에 뇌의 어떤 구조물이 활성화 되는지 사 건 관련 기능적 자기공명영상을 시행하여 분석하고, 정상인과의 차이를 비교하여 두려움과 관련된 뇌 영상 소견에 대하여 알아보고자 하였다. 방 법: 교통사고와 관련된 9명의 외상후 스트레스 장애 환자와 정상인 9명을 대상으로 하였다. 사건 관련 자기공명영상은 1.5 T GE vision system을 사용하였으며, 자극 제시는 두려움 자극과 중립자극이 무 작위로 구성되었다. 총 scan time은 10분이었으며, TR은 3초, 자극간의 간격은 4.5초에서 11.5초로 다양하게 무작위로 제시되었다. 자료는 SPM99를 이용하여 분석되었다. 결 과: 환자군의 경우 두려움 자극에서 중립자극을 뺀 영상 분석에서는 양측 후두엽, 좌측 두정엽, 양측 방 추상 회전, 양측 도, 우측 소뇌, 좌측 변연엽, 우측 대뇌기저핵 일부에서 활성이 증가되었으며, 양측 전전두엽에서만 활성이 감소되는 소견을 보였다(p<0.001). 대조군에서의 두려움 자극과 중립 자극을 비교한 영상분석에서 좌측 방추상 회전, 양측 후두엽, 좌측 두정엽, 우측 전두엽 일부에서 활성화되었 다(p<0.001). 종합하면 외상후 스트레스 장애 환자에서 양측 도, 좌측 변연엽, 우측 소뇌가 두려움 자극과 관련해서 유의하게 활성화되었다 결 론: 사건 관련 기능성 자기공명영상은 감정을 유발하는 패러다임에서 매우 유용하게 적용될 수 있으며, 외상후 스트레스 장애의 두려움 반응은 도, 변연엽, 소뇌가 중요한 역할을 할 가능성을 시사한다.

古小說 主人公 出生談의 敍事構造 硏究

朴鍾翼 충남대학교 문리과대학 어문연구회 1995 語文硏究 Vol.27 No.-

대량 하부 위장관 출혈을 동반한 양성 고립성 맹장 궤양

박종익,박상수,강성구,신동규,윤진,김일명 대한대장항문학회 2006 Annals of Coloproctolgy Vol.22 No.6

A benign cecal ulcer is an uncommon lesion. The etiology remains unknown, and there are no pathognomonic lesions or symptoms. Lower gastrointestinal tract hemorrhage secondary to benign cecal ulcer is the most common complication. Herein, the case of a 24-year-old man with a benign cecal ulcer presenting with a massive lower gastrointestinal tract hemorrhage requiring transfusion until a exploratory laparotomy and right hemicolectomy, is reported with a review of the literature. Surgical intervention is warranted if malignancy is suspected or if the patient has signs of uncontrollable hemorrhage, perforation, or peritonitis.

교정시설 내 수용자의 정신건강 실태

박종익,김영주,이수정 대한신경정신의학회 2013 신경정신의학 Vol.52 No.6

Objectives The aim of this study was to identify mental health state of prisoners in correctional institutions and to develop strategies for improvement of the environment related to it. Methods This research included a total of 1700 inmates from three out of 50 prisons nationwide;Symptom Checklist-90-Revision (SCL-90-R), State-Trait Anger Expression Inventory, Beck Depression Inventory (BDI), the Korean Version of the Beck Scale for Suicide Ideation, and cut down, annoy, guilty, eye-opener were applied. Additional questionnaires were employed for investigation of inmates’ experience of violence within the correctional facilities and to examine utilization of mental health service before and after their admission to correctional facilities. Results Fifteen percent of the participants attained SCL-90-R T-scores of 65 or higher, which suggested that these individuals had, or were at great risk of, mental illness. As the level of anger felt by the prisoners turned out to be lower than expected, BDI scores of 22 and higher were observed in 28.1% of the inmates, and 33.6% of the prisoners had suicidal ideation. In addition,39.1% of the total inmates were diagnosed with alcohol abuse. Twenty-one percent of the prisoners were victimized in their correctional institutions; therefore, violence may be one of the potential factors leading to stress. However, only a small percentage of the inmates requested and received counseling as a help. Conclusion Mental health state among prisoners was serious and undesirable. This finding emphasizes the dire need for a system for regular assessment and improvement.

정신질환의 진단분류에 대한 정신과 의사의 관점에 대한 연구 - 동 아시아 4개국을 대상으로 -

박종익 대한신경정신의학회 2009 신경정신의학 Vol.48 No.4

ObjectivesZZThough both International Classfication of Disease (ICD) and Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition (DSM-IV) are currently in use for psychiatric diagnosis in practice, education, research and reimbursement of medical fees in Asian countries, there seem to be few studies about similarities and differences among them in terms of viewpoints on psychiatric classification. MethodsZZA questionnaire which has been developed to investigate the views of psychiatrists on their requirements of a classification system, and their opinions on those currently in use was translated into each language and adopted as survey tool in four East Asian countries. The total number of responses obtained was 703 (Korea, n=154;Japan, n=124;China, n=192, and Taiwan, n=233) although the method of data collection varied across all 4 countries. Since the response rate varied in these countries depending upon the convenience of sampling procedures, we compared percentages of responses to each of the questions instead of conducting a statistical analysis across them. ResultsZZThe comparison of surveyed data revealed diversity in the utilization, preferences and opinions for further revision of the DSM and the ICD classification systems in East Asia. Psychiatrists in China and Japan routinely used the ICD, while those in Korea and Taiwan favored the DSM. The majority of Asian psychiatrists expressed the view that reliable inter-clinician communication is considered the main purpose of a classification system. Psychiatrists seemed to prefer classifications with 30-100 diagnostic options. ConclusionZZThough there was limitation in terms of representation due to sampling methods, East Asian psychiatrists showed different pattern on the use of DSM and ICD across countries and had negative viewpoints on current diagnostic classification systems in terms of transcultural use. 본 연구는 현재 정신과에서 사용되고 있는 진단분류체계 인 DSM-Ⅳ-TR과 ICD-10의 개정을 앞두고 동아시아 4개국인 한국, 일본, 중국, 대만의 정신과 의사를 대상으로 현재 및 향후 진단분류체계에 대한 관점을 비교하기 위하 여 시행되었다. DSM과 ICD의 사용빈도가 나라마다 차이 가 있었으며, 이는 교육 환경과 밀접한 연관이 있었다. 문 화적인 다양성을 반영하고 있느냐에 대해서는 중국을 제외 한 3개국에서 부정적인 시각을 가지고 있었다. 그러나 대부 분의 경우에 현재 체계의 문제점 및 향후의 개선 방향에 대 해서는 비슷한 관점을 공유하기도 했다. 향후 보다 체계적 이고 광범위한 공동 연구를 통하여 아시아의 문화적인 요소 가 진단분류체계에 반영될 수 있기를 기대한다.