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        DSM-Ⅲ에 의한 불면증에 관한 연구 : 정신과 외래환자를 대상으로 Based on Psychiatric Outpatients

        정한용,이대희,신동균 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.3

        This investigation was based on the study of 247 Psychiatric patients with insomnia of at least 1 month’s duration, who had visited at the Department of Neuropsychiatry, Korea University Hae wha Hospital from January 1983 to December 1983. The results were as follows; 1. There were 101 men and 146 women with the mean age of 38.9 years. They had occupied 40.4 percent of all psychiatric patients in the same period. 2. The most common diagnoses were, in order, affective, somatoform, anxiety, schizophrenic, compulsive personality, and passive-aggressive perscalnity disorder. Also about one half of them were in the anxious of fearful cluster. 3. In the duration of insomnia, more than one half had been suffering from insomnia for at least 12 months and there were no statistical significances among diagnoses except subtypes of affective disorder. 4. Difficulty falling asleep was the most common type in this investigation. Difficulty falling asleep was more common in bipolar disorder, mania; V codes; schizophrenic; dysthymic; and compulsive personality disorder, whereas difficulty staying asleep was more common in major depression and bipolar disorder, depressed. 5. Twenty-one patients had axis Ⅲ diagnoses and also they had axis Ⅰ diagnosis as principal diagnosis. 6. In the MMPI results, the scales most elevated were, in order, hypochondriasis, conversion hysteria, depression and psychasthenia. These findings suggested that various factors such as somatic concern, depression, anxiety, fear, and obsession were correlated with insomnia.

      • SCOPUSKCI등재
      • 오리 網膜에 存在하는 神經節細胞의 數와 分布에 關한 硏究

        姜翰秀,金武剛,申台均,金弘善,柳時潤,李永浩 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

        The number and distribution of the retinal ganglion cells in the 1-week-old and 7-week-old ducks were determined from whole flat mounted preparations stained with methylene blue and thionin. The results were summarized as follows. 1. In the 1-week-old and 7-week-old ducks, the areas of the retinas were 269.4㎟ and 357.2㎟, respectively, and the total cell numbers 1,742,800 and 1,808,800, respectively. 2. The ganglion cells based upon soma diameter were classified into 3 groups such as small (below 10㎛), medium (10-20㎛) and large (above 20㎛) ganglion cells. In 1-week-old duck, the relative frequencies of these 3 groups were 91.0%, 8.5% and 0.5%, respectively, and in 7-week-old duck, 83.7% 14.7% and 1.6%, respectively. 3. Area centralis was located at the distance of 1.6mm (1-week-old) and 2.0mm(7-week-old) nasal side from the anterior tip of the pecten. The number of ganglion cells in the area centralis was 11,000 cells/㎟ (1-week-old) and 12,000 cells/㎟ (7-week-old). 4. There was a gradual decrease in density of retinal ganglion cells extending from area centralis to the periphery of retina. 5. The density of the large (above 20㎛) ganglion cells was higher in the peripheral regions than in the center of retina. Higher densities were noted in the superior-temporal region in 7-week-old duck, and in the nasal region in 1-week-old duck than in the other regions. 6. The direction of the beak tip is approximately 30° in 1-week-old and 26° in 7-week-old duck from the angle of the pecten.

      • 자유경쟁시대를 맞이한 한국 언론인의 의식연구

        李東信,韓均泰 慶熙大學校 1989 論文集 Vol.18 No.-

        Korean press is now in the- new competition era when its whole structure has been turned to a free open market system since 1987, owing to strong demand for democracies expanded over every field of society. Though, there was no effort in provide a guideline or suggest a direction for journalists and their organizations as well on the basis of analysis of their awareness on the changed working conditions. In this regard, the primary purpose of the present study was to examine journalist s opinions and attitudes about performance and its social circumstance. The data for this research were collected in 45 days from July 15 to the end of August in 1987. The ample was drawn from editorial rooms of 7 firms including 5 dailies and 2 broadcasting corporations, but persons working in the department of revisal were excluded horn the sample because they were generally considered not journalists. As a result, a total of 319 questionnaires were analyzed in this study. The result of this study mainly displayed four kinds of aspects on Korean journalist's professionalism. First, it showed a high degree of job satisfaction and qualification as journalists. Second, it found two important professional functions (delivery of unbiased information and formation of public opinion in the right direction), four major factors for job speciality including accuracy and critical approach, and relatively strict ethical level for protecting news source, private right and people's right to know. Third, there would appear that the most significant things to accomplish the freedom of press were, complete separation between editing and management' and 'the establishment of democratization within the organization'. Finally, solutions for independence of editorial right, the hottest issue in recent years, were revealed to be 'making diverse kinds of institutional devices to minimize external pressure to editorial room', and 'reforming or improving the unchanged family-oriented management structure'. As above, this pilot research is presumably believed to provide a broad range of knowledge on journalists' own thinking related to the present situation of the press. However, it has some limitation to generalize its result because of its sampling frame Accordingly, it suggests that a future study should be based not only on a theoretical perspective, also on representative sampling.

      • ICAO체제에서의 다자간 항공자유화의 추진배경

        양한모,이영혁,신홍균 한국항공대학교 1996 論文集 Vol.34 No.-

        1944년 시카고 조약을 중심으로 운영되어온 ICAO체제는 각국의 영공주권원칙에 기초하고 있다. ICAO 체제하에서 각국은 자국내의 항공운송에 대한 통제권을 행사하여 왔고, 국가간의 항공운송은 해당 영공국가의 허가를 받아 이루어져 왔다. 특히 각국은 국제항공운송을 위해 당사국들간의 양자협정을 통해서 상호 항공운송권을 교차 허가하는 방식을 택하여 왔다. 그러나 최근에는 각국의 항공운송권을 더 이상 양자협정방식에 의해서 허용하는 것이 아니라, 다자간 협정에 의해서 허용함으로써, 각국의 항공운송시장을 자유화하는 것이 항공사의 이익과 여객의 편의 및 경제적 이익을 위해 필요하다는 주장이 강력히 제기되고 있다. 이는 미국 및 유럽을 비롯한 주요 선진국들의 항공정책에서도 어느 정도 수용되고 있는 추세이다. 이에 ICAO는 미래의 국제항공질서의 재편 차원에서 다자간 항공 자유화에 관한 수차례의 국제회의를 개최한 바 있으며, 현재 가장 바람직한 질서의 구축을 위한 의견을 수렴하고 있다. 본 연구는 다자간 항공자유화의 최근 동향을 분석하여 우리 나라의 국제항공정책의 수립을 위한 정책자료를 제공하고자 한다. 구체적으로 현재의 다자간 국제항공질서의 형성과정과 그 주요 내용을 정리하여, 향후 전개될 항공질서의 재편의 향배를 예측하고자 하였으며, 아울러 ICAO가 개최한 주요 국제회의에서 표명된 국제항공질서의 진로에 관한 전문가들의 의견과 각국의 국제 항공정책을 분석하고 있다. 또한 그러한 분석을 바탕으로 하여 우리나라의 대응방안에 관한 정책 제안을 담고 있다. The ICAO system established by the Chicago Convention of 1944 based upon the solemn recognition of the sovereign right of each State over air space, within which each State is entitled to have the right of controlling air transport within his own territory. This made the bilateral air transport agreement between each State be a common legal form of allowing air transport right to the carriers of the other side. However, multilateral approach for liberalizing the world air transport market is strongly put forward around aviation community. It is claimed that multilateral agreement is a better form of assuring the interest of air carriers as well as passengers than bilateral agreement. Some major powers, such as U.S.A. and member of European Union, have shown their positive attitude toward that approach. In such context, The ICAO has convened recently a few international conference. Taking into consideration such recent development in this field, we illuminate the formation and status of current international air transport order, and analyze the major States' air transport policy in order to allow more reliable prevision of future development.

      • KCI등재후보

        흰쥐 Nucleus Raphe Magnus에 투여한 Morphine이 척수 Serotonin 유리에 미치는 영향에 관한 연구

        이신재,임요한,최영님,김형룡,정동균 대한구강생물학회 1991 International Journal of Oral Biology Vol.15 No.1

        It is known that the interaction between opioid neuron and serotonergic neuron in bulbospinal pathway has an important role on pain control. This experiment was perfomed to directly measure the release of serotonin into spinal cord superfusates before and after the microinjection of morphine and its antagonist, naloxone into the NRM of rats. High performance liquid chromatography with electrochemical detection was used to quantitate the amine. The injection of morphine into the NRM induced a significant increase in the amount of serotonin released in the spinal cord, which was reversed after the intraperitioneal injection of naloxone. These results support the proposal that : the analgesia produced by morphine microinjected into the NRM is mediated by the activation of spinally projecting serotonergic neuron.

      • 조직학적 진단된 chronic necrotizing pulmonary aspergillosis 2예

        김연숙,정숙인,기현균,김춘관,김신우,한정호,김성민,백경란,송재훈 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.1

        CNPA는 기존의 폐질환 및 폐절제술로 인해 국소방어기전에 저하가 있거나 비특이적 전신면역상태저하를 갖고 있는 환자들에게서 주로 발생하는 만성적인 공동성 폐질환이다. 현재까지 우리나라에서는 CNPA의 보고가 없는 상태이고, 저자들은 최근 조직학적으로 진단된 CNPA 2예를 경험하였기에 보고하는 바이다. 저자들이 경험한 CNPA 환자들은 만성알코올 중독 및 기관지확장증과 같은 기저질환과 폐절제술을 받은 병력이 있었다. Aspergillus가 폐실질을 침윤하고 있는 조직소견과 조직배양에서 Aspergillus가 검출되어 조직학적 진단이 가능하였고, amphotericin B의 정주요법 및 경구 itraconazole 투여와 폐절제술 등으로 성공적으로 치료되었다. 아직 많은 임상의들에게는 낯선 질환인 CNPA의 치료성적은 환자의 동반질환 및 CNPA 자체의 중증도, 진단과 치료 시작의 지연 등에 의해 크게 좌우되므로 만성적으로 진행하는 공동성 폐병변을 갖고 있는 환자에게서 CNPA를 감별하는 것이 중요하다. Chronic necrotizing pulmonary aspergillosis (CNPA) is a chronic cavitary form of pulmonary aspergillosis. Dozens of CNPA cases have been reported in patients with systemic immunologic dysfunction or altered local defense mechanism from preexisting pulmonary disease. Review of literatures revealed that no CNPA cases have been reported in Korea yet. We experienced two cases of CNPA proven by lung biopsy. A 53-year-old alcoholic male in poor nutritional state was admitted with generalized weakness and weight loss. Chest CT revealed a cavitary nodule surrounded with ground-glass attenuation. CT-guided fine needle aspiration and biopsy was done. The biopsy specimen demonstrated dichotomously branching septated hyphae consistent with those of Aspergillus sp. Another case was a 39-year-old man with bronchiectasis who was admitted with persistent hemoptysis. He had a past history of pulmonary tuberculosis. A parahilar lesion with intracavitary soft tissue mass was incidentally detected in high-resolution GT. Left lingular segmentectomy was done due to uncontrolled hemoptysis and CNPA was histologically diagnosed. Both patients were successfully treated with intravenous amphotericin B followed by oral itraconazole. Even though CNPA is unfamiliar to most clinicians, it should be included in differential diagnoses of chronic progressive cavitary pulmonary lesion, especially in patients with immunologic dysfunction.

      • SCISCIESCOPUS

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