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일 농촌지역에서 알코올 남용 및 의존의 유병률 및 연관 변수
홍진표(Jin-Pyo Hong),김성윤(Seong-Yoon Kim),이무송(Mu-Song Lee),안준호(Jun-Ho Ahn),이창화(Chang-Hwa Lee),최명기(Myung-Gee Choi),강혜영(Hae-Young Kang),이군희(Gun-Hee Lee),이철(Chul Lee) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.2
Objective:The purpose of this study was to investigate the prevalence of alcohol abuse and alcohol dependence in a rural area of Korea and to examine the relationship between those prevalences and sociodemographic characteristics of subjects. Method:This study was done as a part of the chronic disease survey of rural area by the Asan Foundation. Among 30 years or older population from Jung Eup, a rural area of Korea, 1734 subjects was sampled using a cluster probability sampling method. Trained interviewers visited and interviewed subjects aged 30 years or older with the alcoholism part of Composite International Diagnostic Interview (CIDI). Response rate was 68.1% (N=1191). Results:The lifetime prevalence of alcohol abuse and dependence in male subjects were 36.0% and 17.5%, respectively. Those of female subjects were 6.7% and 1.6%, respectively. These estimate are similar to those of previous community study. The frequency of alcohol intake in male respondents was 10 times or more a month, but the amount of alcohol intake was dramatically dropped in group 60 years old and over. According to the logistic regression analysis, male and 50 to 69 aged group were significantly more likely to report lifetime or 12 month alcohol dependence. Low education seemed to be correlated with alcoholism, but did not reach statistically significant level. Conclusion:Alcohol abuse and dependence were highly prevalent in the rural community of Korea. Further study about the influence of the alcohol on brain and other organs in community indwellers will be needed for further understanding of the severity of alcohol use and related problems in Korea.
대형 지진하중 조건에서 배관 엘보우의 손상거동에 미치는 운전온도 영향
홍진의(Jin Ney Hong),김진원(Jin Weon Kim),이대영(Dae Young Lee),박흥배(Heung Bae Park) 대한기계학회 2021 대한기계학회 춘추학술대회 Vol.2021 No.4
본 연구에서는 원전 배관의 운전온도에서 대형 지진하중 조건에서 배관 엘보우의 손상거동을 파악하기 위해서, 큰 진폭의 반복하중 조건에서 배관 엘보우 시편을 이용한 손상시험을 운전온도 조건에서 수행하고 상온에서 수행된 시험 결과와 비교하였다. 시험에는 외경과 두께가 각각 114.3mm 와 6.0mm이고 굽힘각이 90°인 SA234 WPB 탄소강과 SA403 TP316 스테인리스강 엘보우 시편이 사용되었다. 시편 종류 별로 시험에는 내압이 0.18MPa 인 상태에서 변위제어 반복하중과 하중제어 반복하중이 작용되었으며, 모든 시험은 준정적 시험속도로 진행되었다. 시편 종류에 관계없이 변위제어 반복하중 조건에서는 엘보우 측면에서 축방향 균열이 생성되었으며, 하중제어 반복하중 조건에서는 단면변형에 의해 하중지지능력이 상실되었다. 이러한 손상 특성은 상온 시험 결과와 동일하였다. 반복하중 형태에 관계없이 SA234 WPB 탄소강 엘보우 시편의 손상사이클은 상온과 유사하였으나, SA403 TP316 스테인리스강 엘보우 시편에서는 상온에 비해 손상사이클이 짧았다. This study conducted a failure test using pipe elbow specimens at the operating temperature (OT) of the nuclear power plants (NPPs) under a large amplitude cyclic load and compared the failure behaviors with those at room temperature (RT) to investigate the failure behavior of pipe elbows under excessive seismic load at OT of NPPs. SA234 WPB carbon steel (CS) and SA403 TP316 stainless steel (SS) 90-degree elbows (114.3mm in diameter and 6.0mm in thickness) were used for testing. The tests were carried out under displacement- and load-controlled cyclic loads with an internal pressure of 0.2MPa and at a quasi-static rate. Regardless of the material type, elbow specimens failed due to axial cracking at the crown under displacement-controlled cyclic loads, and due to loss of load carrying capacity induced by ratchet induced bucking under load-controlled cyclic loads. These failure behaviors are the same as those from the results at RT. In addition, for both cyclic loading conditions, the failure cycles of SA234 WBP CS elbow specimens at 182℃ were almost similar to those at RT, and the failure cycles of SA403 TP316 SS elbow specimens at 316℃ were shorter that those at RT.
홍진표(Jin-Pyo Hong),이동은(Dong-Eun Lee),김병후(Byung-Hoo Kim),최용성(Yong-Sung Choi),서동우(Tong-Woo Suh),김진학(Jin-Hak Kim),박종익(Jong-Ik Park),정은기(Eun-Kee Chung) 대한사회정신의학회 2001 사회정신의학 Vol.6 No.1
정신보건법이 제정된 후 정신질환자의 인권보호 및 삶의 질 향상을 기대했지만, 장기입원은 오히려 가속화되고 있고, 만성정신질환자의 지역사회 관리는 제대로 이루어지지 못하고 있다. 본 논문의 목적은 이런 어려움을 극복하기 위해 미국, 호주 등에서 실시되고 있는 외래치료명령제를 소개하고 국내에 도입 필요성을 강조하기 위함이다. 외래치료명령제는 정신분열병, 조울정신병같은 만성적인 정신질환을 앓고 있어서 지속적인 약물치료가 필요한 환자들이 병식이 부족하여 치료가 중단됨으로써 반복적으로 재발되는 환자들을 지역사회에서 치료받도록 법적으로 강제하는 제도이다. 외국 연구들은 외래치료명령제를 실시할 경우 재발율이 낮아지고, 입원기간이 단축되는 등 많은 효과를 보고하고 있다. 외래치료명령제가 환자의 인권을 침해하고 치료를 거부할 권리를 제한한다는 주장이 있다. 따라서 대상을 엄격히 제한하고 치료를 거부할 권리에 대한 심사를 강화하면서 외래치료명령제를 실시한다면 비의료적 이유로 장기입원된 환자들이 지역사회에서 치료를 받을 수 있는 권리를 오히려 보장하게 될 것이다. 외래치료명령제가 실시되기 위해서는 정신보건법이 개정되어야 하며 정신보건전문가의 철저한 이해와 적극적인 협조가 필요하다. After legislation of the Mental Health Law in 1995 in Korea, we have anticipated improvement of human rights and quality of life of the mentally ill. But the recent result shows contradictory to our anticipation that long-term hospitalization has been validated and community care of chronic mental patients has gone too far distant. The objective of this article is to introduce the involuntary outpatient commitment which were used as an aid for rehabilitation of the chronic mentally ill in United States and Australia and to insist on the necessity of involuntary outpatient commitment in Korea. Involuntary outpatient commitment is a form of civil commitment in which the court orders an individual who have been poorly compliant to treatment and recurrently relapsed to comply with a specific outpatient treatment program. Many studies reported that involuntary outpatient commitment appears to provide improved outcome in rates of rehospitalization and length of hospital stay. Considering some arguments that outpatient commitment entails excessive state intrusion and interferes with the right to refuse treatment, explicit criteria of outpatient commitment should be operationalized and strict review system for refusal of treatment should be applied. Outpatient commitment decreases the time individuals must spend in psychiatric hospitals and enhances the right to be treated in the least restrictive ways. Mental health law should be revised for involuntary outpatient commitment. And understanding and cooperation of mental health personnels is the essential component in implementing involuntary outpatient commitment in Korea.
편집인의 글 : DFS에 근거한 치과공포 및 치과불안 유래 요인에 대한 문헌고찰
홍진실 ( Jin Sil Hong ),김영삼 ( Young Sam Kim ),이해진 ( Hae Jin Lee ),김주연 ( Ju Yeon Kim ),장기완 ( Kee Wan Chang ) 대한구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4
Objectives: The study on dental fear has increased recently. Studies found that people with high dental fear and or anxiety were less likely to visit dentists. The aim of this study is to review the trend of study on dental fear and to analyse the major factors related to dental fear. Methods: Seventy four papers listed in Korea Citation Index and SCI(E) were assessed. Quality Assessment and Validity Tool for Correlation Studies (QAVTCS) and Dental Fear Study (DFS) were used in this study. SPSS 12.0 was employed to analyse the descriptive statistics, t-test and Multiple Linear Regression (MLR) with stepwise. Results: The total mean score of QAVTCS for international studies was significantly higher than domestic studies (P=.001). The mean scores of item, ``Seeing the anesthetic needle`` and ``Feeling the anesthetic needle``, were severe level (Means= 3.05, 3.14, severe>3.00). According to the MLR, the powerful predisposing factors (independent variable) on ``Overall fear of dentistry (dependent variable)`` were ``Hearing the drill`` (P<.01) and ``Having teeth cleaned`` (P<.05). Conclusions: It was concluded that people had high dental fear in direct dental treatment environment such as contact with seeing anesthetic needle and hearing dental drill. Therefore, this study suggests the need to map out specific and multidirectional plan for decreasing dental fear.
가진실험을 통한 배관 엘보우의 변형과 손상거동에 미치는 대형 지진하중의 영향 평가
홍진의(Jin Ney Hong),김진원(Jin Weon Kim),김상언(Sang Eun Kim),이대영(Dae Young Lee),박흥배(Heung Bae Park) 대한기계학회 2021 대한기계학회 춘추학술대회 Vol.2021 No.11
Elbows in piping systems, which are designed to absorb energy by plastic deformation under an excessive external load, are vulnerable to cyclic deformation and related damage during beyond design basis earthquake (BDBE) events. Thus, understanding the deformation and failure behaviors of pipe elbows under large amplitude seismic loads is important to evaluate the structural integrity of piping system under BDBE condition. In this study, therefore, the present study performs excitation tests on elbow specimen using a shaking table under two types of input accelerations simulating excessive seismic loading. In the tests, two types of elbow materials were used and pressurized and unpressurized conditions were regarded. From the results, the effect of excessive seismic loads on the cyclic deformation and failure behaviors of pipe elbows for different elbow materials and internal pressures.
홍진표,이동은,함봉진,이준영,서동우,조성진,박종익,이동우,배재남,박수빈,조맹제,Hong, Jin-Pyo,Lee, Dong-Eun,Hahm, Bong-Jin,Lee, Jun-Young,Suh, Tong-Woo,Cho, Seong-Jin,Park, Jong-Ik,Lee, Dong-Woo,Bae, Jae-Nam,Park, Su-Bin,Cho, Maeng-Je 대한불안의학회 2009 대한불안의학회지 Vol.5 No.1
Background : In spite of the worldwide relevance of obsessive-compulsive disorder Ed-highlight : Unclear. Perhaps consider changing word choice. (OCD), there are considerable differences in prevalence, sex ratio, comorbidity patterns, and sociodemographic correlates. Data on subclinical OCD have been sparse to date. Methods : Data stemmed from the Korea Epidemiologic Catchment Area (KECA) study which had been carried out from April to December 2001. Korean versions of DSM-IV adapted Composite International Diagnostic Interview were administered to a representative sample of 6275 persons aged 18-64 living in the community. DSM-IV based criteria for subclinical OCD were applied. Results : The lifetime prevalence rates for OCD and subclinical OCD were 0.8% and 6.6%, respectively. In both OCD and subclinical OCD, the rates for males and females were not statistically different. OCD was demonstrated to be associated with depressive disorder, bipolar disorder, social phobia, generalized anxiety disorder, and alcohol and nicotine dependence. Additionally, subclinical OCD was associated with posttraumatic stress and somatoform disorders. Comorbidity rates in subclinical OCD were lower than those in OCD. Conclusions : The lifetime prevalence rate for OCD was less than 1% in the Korean general population. Age distribution and comorbidity patterns suggest that subclinical OCD represents a broad and heterogeneous syndrome and not simply a milder form of OCD.