일개 지방자치단체의 건강진전도 평가

고광욱,김윤지,송성은,김정민 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

Background: Healthy and sustainable community is essential component of development. But there has been no systematic reporting about healthy municipality in specific city, although economic development results in considerable progress. Method: According to the Ontario progress monitoring tool partial monitoring has been done. Survey to the stakeholder including public officers were done and analyzed. Result: Economic area were most lowly reported area. By specific item, direction of improvement were induced in each area including social environment and human health area. Green space, waste treatment, traffic problem, small health service benefit were major agenda among the stockholders. Conclusion: According to the Ontario progress reporting, we got good picture about healthiness of one municipality and concrete direction of improvement.

지역건강증진사업 설계를 위한 노인신체활동 프로필 작성

고광욱,김윤지 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Background:Recent development of community health promotion initiative in physical activity and active living requires systemic profiling of community elderly for design of interventions. Especially the social marketing approach to physically active living needs detail information about target population. So the Nam-gu of Busan Metropolitan City did survey as part of National Health Promotion Initiatives. Methods:Reconstructed CDC profiling tool was used to survey. Subjects were selected from District directory. From August 5 to December 13, trained interviewer visited 49 community elderly centers and 2 community elderly colleges. Results : Female seventh decades non-educated ill elderly were majority of subjects. They already had the significant level of knowledge about benefits of physically active living. 63.3% were in maintenance stage and 50.9% exercised lightly to improve health. 62.2% exercised alone. 60.8% of non-exercising were bad health condition. 63.7% had intention to do exercise. The biggest worry of subjects was health problem and 76.8% of subjects got health information from television. Conclusion : Social and behavioral approaches and environment and policy approach looks like matches well to the community elderly of Nam-gu. Especially light walking program associated with more specific health education for independent living looks like strongly recommended.

발달장애학생을 위한 주제중심 통합단원 멀티미디어 학습자료 개발 : 수학과 화폐영역을 중심으로 with the Area of Money in Mathematics

김용욱,윤광보,김지원 한국정신지체아교육학회 2001 지적장애연구 Vol.3 No.-

발달장애학생의 교수ㆍ학습에서 학생들이 적극적이고 능동적으로 참여하는 경험중심, 생활중시의 교육이 강조되고 있다. 실생활 속에 모든 지식이 통합되어 있기 때문에 생활중심의 구체적인 생활사태와 당면한 주제 중심의 통합교육과정 및 교과통합지도가 필요하다. 본 연구는 통합의 요소에 따른 유형과 통합의 정도 및 구성 방식에 따른 유형을 살펴봄으로 발달장애학생의 위한 통합교육과정 모형으로 주제 중심의 통합을 선정하고 통합단원의 주제와 학습활동을 구성하였다. 화페영역을 중심으로 수학과와 연계된 교과의 공통된 학습내용과 적용 가능성, 생활중심 그리고 구현될 멀티미디어 요소를 함께 고려하였다. 이를 토대로 본 연구에서는 선정된 주제와 학습내용에 멀티미디어 요소를 접목하여 발달장애학생을 위한 화폐중심 통합단원 멀티미디어 학습자료를 개발하였고 이는 교과통합지도와 멀티미디어 학습자료의 필요성을 강조하는 현장 중심의 학습자료가 될 수 있다. 향후에는 교육과정에 개발된 학습자료를 통합하는 현장 적용 효율성에 관한 추후 연구가 필요하다. Recently, it is strongly considered that the real-life and experience centered education with students' active participation should be implemented to students with developmental disabilities in their learning activities. For this implementation, the curriculum and subject integration based on real-life stories and issues is necessary since all knowledge is included in the real life. In this study, there are 3 steps employed to develop a subject integrated multimedia teaching material. The first step is the selection of curriculum as a model of curriculum integration, and the second step is the process of subject and activity organization related with Mathematics, Koreans, and Social Science. The last step is to develop an integrated curricular applied multimedia factors such as graphic, image, and animation. As a result, the final product can be used as a teaching model applied an integrated curricular and multimedia in the special education classroom. The further study is necessary to validate its effectiveness when applied to students with developmental disabilities.

성인학습원리 기반 웍샵에 의한 사회의학 교육평가의 시도

고광욱,김정민,김윤지,이용환,유병철,전만중 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background: For effective education of social medicine, new and more efficient means of education are needed because social medicine consist of diverse background academics . Metohods: Workshop based lecture was carried out twice in social medicine class for medical students and was assessed with questionnaires survey. Results: Half of the students were satisfied with workshop-based learning and required more discussion time and pre-information. Conclusions: With some improvements, workshop-based adult learning method is expected to bring effectiveness in social medicine education.

두개강내로 전이된 Adenoid Cystic Carcinoma 2례 : 증례보고 Report of Two Cases

송재욱,윤상민,이창훈,장지수,이승훈,조경자,강신광 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

The authors describe two cases of unusual intracranial metastatic adenoid cystic carcinomas. A 42-year-old woman had a right pariental epidural metastatic mass. presumed hematogenous. spread from a primary tumor in the parotid gland. In second case, a 32-year-old man had a intracranial metastatic adenoid cystic carcinoma mimicking calcified psammomatous meningioma on CT scans. We present these unusual cases with a review of relevant literature and a discussion of possible pathogenesis.

라미부딘 내성 만성 B형 간염 환자에서의 아데포비어의 치료 효과

이지숙,장리라,이상욱,한병훈,윤병철 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Backgrounds/Aims : Adefovir dipivoxil(ADV) has been shown to be effective against lamivudine resistant strain of hepatitis B virus. But continuation of lamivudine therapy or switching to Adefovir dipivoxil in patients with viral breakthrough after long term lamivudine therapy are controversial. To find efficacy of adefovir dipivoxil, we retrospectively assessed clinical course after lamivudine resistance in patients who changed adefovir dipivoxil and continued lamivudine therapy. Methods : 58 patients with lamivudine resistant HBV mutants after at least 6 months of lamivudine treatment were included in this study. 24 of the 58 patients were treated with ADV and rest of them were continued the lamivudine therapy after lamivudine resistance. The continuous lamivudine treatment group (n=34) was divided into two groups according to ALT count (ALT≧40, n=19 vs ALT<40, n=16) The clinical course and the biochemical and virological response of the switching adefovir group were compared with those of continuing lamivudine group. HBV genotypes and YMDD mutation site was anaylzed by TRUGENE HBV Genotyping. Results : At twelve months, the levels of median serum HBV DNA and ALT was decreased and albumin was improved significantly(P<0.01) in adefovir switching group compared with lamivudine sustained group, especially ALT was elevated more than 40. There is no significant differences between adefovir switching group and lamivudine sustained group (ALT<40, n=15). This study showed that adefovir dipivoxil reduces HBV replication and improves not only biochemical markers of disease activity, but also liver function. HBV genotypes of 58 patients were all C and rtM204I/V mutant was the most common. Conclusion : This study provides an evidence that adefovir dipivoxil can be effective in the treatment of lamivudine-resistant HBV mutants, especially ALT elevated.

정신분열병의 선택적 주의력 저하의 보상 기전

최지욱,정범석,김지웅,김성윤,권준수,전덕인,김창윤 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : This study investigated the compensatory neural correlate of selective attention deficit in schizophrenics Show-ing near-normal performance. Methods : A 'modified Stroop' was developed that can be used measure the response time during functional imaging. An event-related functional magnetic resonance imaging study was carried out in 10 clinically stabilized schizophrenics and 10 healthy controls during the performance of a 'modified Stroop'. In the 'modified Stroop', the subjects were required to respond with a two-button mouse to whether or not the color of a subsequent word corresponded to one of T-shirt. The significantly activated brain regions were investigated in a voxel-wise Mest of the Stroop load. Results : Schizophrenics, compared with healthy controls, showed poorer response time, but had similar accuracy. Compen-satory activation in the right inferior frontal gyms (IFG) was observed in schizophrenics. The left paracingulate sulcus was less activated in the schizophrenics than in the healthy controls. Conclusion : These results suggest that, in schizophrenics showing a normal accuracy during the Stroop, selective attention deficits might be related to the left paracingulate sulcus as well as the anterior cingulate. In addition, their deficits may be compensated with the right IFG.

남해주민들의 운동행동변화단계에 따른 변화과정, 의사결정균형 및 자기효능감

천광훈,고광욱,김윤지,신용현 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: The purpose of this study was to examine the differences of the process of change, decisional balance. self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical medals among Namhae resident. For systemic continuos health promotion initiatives of public health center, basic information about exercise behaviors in need. Method: The stage of change, decision balance, self efficacy and other health-related information was surveyed from systematic sample of Namhae population. Result: The result of process of change was precontemplation (32.4%), contemplation (18.8%), preparation (18.8%), action (11.0%), and Maintenance (23.6%). Conclusion: There are corroborative evidence about the need for interpersonal organizational intervention to exercise behaviors of Namhae population and social alternative for the exercise behavior.

항정신병 약물이 Cyclooxygenase-2 유전자 발현과 Prostaglandin E_2 농도에 미치는 영향

김종우,조성욱,범재명,윤도준,장환일,송지영 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.2

Objectives : Cyclooxygenase(COX) is the central enzyme in the biosynthetic pathway to prostaglandins from arachidonic acids. The action mechanism of nonsteroidal anti-inflammatory drugs is through inhibition of COX activity and prostanoid biosynthesis including prostaglandin E_2(PGE_2). The antipsychotic drugs are known having an analgesic effects, however its mechanisms of actions of action to pain control was not still clearly proved. In the present study, the effects of antipsychotic drugs(chlorpromazie and clozapine) on the production of PGE_2 and the expression of COX-2mRNA and protein in P815 cell line were studied. Methods : For that purpose, the methods of RT-PCR, western blot and prostagalndin E_2 enzymeimmunoassay were applied. Results : The results showed tha tin P815 cells treated with chlorpromazine, the level of COX2 mRNA was significantly decreased compared to the control cells. And total cellular PGE_2 levels were significantly decreased after treatment with chlorpromazine and clozapine. Conclusion : These results suggest that antipsychotic drugs have revealed their analgesic effect through the inhibition of COX-2 activity and PGE_2 production. And also, these results partly supports the excess theory of prostaglangdins in the pathogenesis of schizophrenia.

노인 인구에서 신경인지기능저하와 혈청 지질농도와의 상관성

유영선,최석주,정성수,김지은,윤성욱,전동욱,백준형,박성우,이정구,추일한,김영훈 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.6

Objectives : In this study, the authors evaluated the correlation between eurocognitive impairments and serum lipids levels among Korean elderly over the age of 65. Methods : A total of 609 elderly individuals participated in this study. Screening for cognitive impairments were carried out using the Mini-Mental Status Examination-Korean version (MMSE-KC). There were 197 subjects above 1.5SD Of MMSE- KC and they were evaluated using the Korean versions of the Consortium to Establish a Registry for Alzheimer's Disease (AD) (CERAD-KC) and Geriatric Depression Scale (GDS-K). Results : There was a correlation between old age/low levels of education and AD (p<0.05, P<0.01). There was an inverse correlation between the serum level of total cholesterol and the word list recognition test scores. The serum levels of LDL cholesterol were inversely correlated with the scores on the constructional praxis test, word list recall test and word list recognition test. Inverse correlations between the serum level of triglyceride and scores on the word list recall test and word list recognition test were also observed. Conclusion : There were inverse correlations between the serum levels of lipids and language/memory function in subjects with AD.