아동행동 조사표에 의한 입원한 행동장애 청소년 분류

이환배,백기청,곽영숙 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.2

To make a suchclassification of conduct disorder by using CBCL. the authors investigated 37 conduct disorders adolescents in Seoul National Mental Hospital during the period from June 1, 1987 to June 30, 1991. The results were as follows : 1) The total numbers of conduct disorder adolescents are 37 patient, and 4 clusters are subclassified. 2) In one way ANOVA. the scores of externalizing and internalizing showed statistically significance. 3) To compare the score of subscale factor, in parent form CBCL, delinquent, aggressive, hyperactive factor showed statistically significance, and the remainder factors are not significant. 4) In comparison between clinical data and clusters, the age of symptom onset showed statistically significance, and orders are cluster 4, cluster 2, cluster 3 and cluster 1. The X2 test, the sex showed statistically significant the ratio of females 60.0% in cluster 2, 14.3% in cluster 3, 12.5% in cluster 1 and 0% in cluster 4. 5) i) In the main and interaction effects between 4 clusters and 2 forme of CBCL in each matched CBCL subscale, external, internal. aggressive(P<0.001) and deliniquent(P<0.01) factor showed statistically significant. ii) In the two forms of CBCL, social, school and total factor showed statistically significant. The remainder factor showed statistically no significance. iii) In the clusters and two forms of CBCL. the external and aggressive and internal factor showed statistically significance and in the cluster 1, the score of YSR of external and aggressive factor are higher than parent form CBCL, and in cluster 3 the scores of parent form and higher. In cluster 4, the score of internal factor of parent form CBCL is higher than the self form.

종합병원 응급실 내원환자 특성 조사

조동숙,최혜경,이환형 중앙의학사 1995 中央醫學 Vol.60 No.12

In order to enhance the efficiency of Emergency care ana to provide the basic knowledge necessary for EMT students, this study conducted a survey for 761 emergency care outpatients visiting at emergency medical center of the general hospital in pusan city. The distribution of the patients is as follows: There were more male visitors than female. The age distribution shows that over 60years old patient is 19.4%. An average of 28.8 people had visited for emergency care on Sundays and on average of 27 people had visited on saterdays. It was observed that more patients visited the hospital in the afternoon. Medical patients covers the most with 31%, surgery department covers 26.3%. 41.3% of the patients stay less than 3 hours at the hospital. The elder patients are stayed longer in the hospital. 49.8% at the patients were hospitalized and 48 % of the patients were returned home

退行期 偏執症 患者의 自害에 依한 舌 部分切斷 1例

田珍淑,李成主,張煥一 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.4

A 51 year-old male patient was admitted to Neuropsychiatric ward of Kyunghee University Hospital from April 2 to May 28 in 1984, because he amputed his tongue for himself with a tool under the psychotic state. He has been a heavy drinker with paranoid personality make-up, and lost his father when he was 10 year-old, and separated from his mother at eighteen. Recently, he lost his job and frequently troubled with his spouse, and separated from his son. Psychodynamically, guilt, separation anxiety, lowered self-esteem induced by loss of social role function which led social isolation, and using of rigid adaptation to the stressful life events were remarkable features.

45歲 以後에 初發한 偏執症候群의 特徵

田珍淑,張煥一,李成柱 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

The 25 patients, in whom paranoid symptoms had occurred after age 45, and who had been admitted to Kyung Hee University Hospital from May 1979 to June 1984, were compared with 40 paranoid schizophrenics who had fitted to the DSM-Ⅲ diagnostic criteria, to clarify whether such syndrome should be classified to schizophrenia or a separate entity. The results were as following; 1. The male to female ratio was 0.92:1 in late paraphrenics, in contrast with 2.33:1 in control (p>0.05). 2. The age at onset was 53.6±8.0 year in late paraphrenics, in contrast with 28.1±7.6 year in control (p<0.001). 3. Majority of late paraphrenics had been ill for 2 weeks to below 6 months (48.0%), while for above 2 years in control (60.0%) (p<0.0005). 4. The late paraphrenics had been in hospital for 32.1±18.6 days on the average, in contrast with 53.4±31.3 days (p<0.01). 5. At time of admission, majority of late paraphrenics had married (68.0%) (p<0.005), in contrast with being single in control (62.5%) (p<0.0005). But divorced, separated or deceased were more in late paraphrenics (32.0%) than control (p<0.05). 6. The numbers of children of late paraphrenics were 3.8±2.0, and of control 0.8±1.4 (p<0.001). 7. Upon socioesonomic classes, majority of both patients belonged to middle class (p>0.5), and control (42.5%) belonged to lower class more than late paraphrenics (20.0%) (p>0.05). 8. The control had been admitted more frequently (2.9±2.1 times) than late paraphrenics (1.4±0.9 times) (p<0.01). 9. Both patients had schizophrenic family members most of all (each other 12.0% and 7.5%) (p>0.5), the late paraphrenics had somewhat more paranoid disorder (8.0%) than control (2.5%) (p>0.3). 10. Majority of late paraphrenics had paranoid personality trait (80.0%) (p<0.0005), in contrast with schizoid one in control (55.0%) (p<0.025). 11. Precipitating factors were present in 92.0% of late paraphrenics and 60.0% of control (p<0.01). Among the contents, family problem was most predominant (56.0%) (p<0.0005) in late paraphrenics and marital and financial problems (each other 28.0%) (p<0.05) in next order, while work (30.0%) and interpersonal problem (17.5%) were more prominent in control (p>0.5). 12. Among the contents of delusions, majority of both patients had persecutory ones (80.0%) (p>0.5) and idea of reference (each other 40.0% and 62.5%) (p>0.05). Otherwise, late paraphrenics had infidelity (36.0%) and hypochondriacal (32.0%) ones (p>0.05), while delusion of being controlled (55.0%) (p<0.01) and other Schneiderian ones (30.0%) were more common in control (p<0.05). In addition, affective symptoms (72.0%) (p<0.05) and cognitive difecit (40.0%) (p<0.0005) were more common in late paraphrenics, while hallucination (60.0%) (p>0.3) and loosening of association (67.5%) (p>0.05) in control. 13. The responses to physical treatment mainly composed of antipsychotics were fair (each other 92.0% and 100.0%) (p>0.05). Otherwise, late paraphrenics administered antidepressants (24.0%) more than the control (p<0.01), while electroconvulsive therapy was used more in control (20.0%) (p>0.1). 14. Most of the clinical diagnoses at discharge were established as paranoid disorder (56.0%) and in next order, paranoid schizophrenia (20.0%). Based on the above results, we concluded that late paraphrenia should be classified to paranoid disorder rather than atypical psychosis in addition to the agreement with the validity of separating this syndrome from schizophrenia in DSM-Ⅲ.

여성들의 자기효능감과 건강증진행위에 관한 연구

정숙희,하안례,심선녀,이용환,김광혁 고신대학교보건과학연구소 2003 보건과학연구소보 Vol.13 No.-

The results were as follows : The higher the degree of self-efficacy feeling, one of the recognition factor was the more did they do health-promoting activities (γ=0.48, p=0.00). The conducting degree of health-promotion activities resulted in 3.79 points in the perfect score of 6point, which was a quiet high result. The subordinate areas under the health-promoting activity were adjustment of personal relationshiP (4.42), nutrition (3.93), stress control (3.87), self-realization (3.64), alcoholic drink/smoking (3.38), and responsibility for health. As for the differences of self-efficacy feeling according to subjects general characters, significant differences were found in the areas of age, occupation, whether or not they have taken healthrelated lectures, family and geriatric diseases of family members or relatives. The above study results tell that the self-efficacy feeling has a great effect on their putting the health-promoting activities into practice, in daily life.

製紙廢水 슬러지의 濃縮 및 脫水特性에 關한 硏究

金煥起,朴相肅,李壯煥 全北大學校 附設 都市및環境硏究所 1992 都市 및 環境硏究 Vol.7 No.-

Paper and pulp industry are improving by development of paper and publication culture, also treatment and generated sludge in wastewater treatment have operated significant factor of development in paper industry. Therefore, this paper had study on the thickening and dewatering of sludge for the methods of the rational treatment and disposal of sludge in paper mill industry. 1. The primery sludge of wastewater treatment in paper mill are rapid to zone settling velocity, because sludge concentration are concentrated more primery sludge than seconday sludge. 2. The injected polymer to sludge of wastewater treatment in paper mill is 2.6mg. This is very similar to that quantity of injected polymer in treatment plant of paper mill wastewater. 3. Specific resistance to sludge of wastewater treatment in paper mill is 0.33×10 exp (7)sec^2/g, dewatering sludge in paper mill wastewater are good, because specific resistance of sludge in wastewater treatment plant is smaller than other sludge.

개의 콜레스테롤 담석 증례

전혜영,박성환,한재익,이숙진,김근형,정동우,나기정 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.1

본문참조

폐농양 및 복부농양을 일으킨 Eikenella corrodens 감염 2예 : Two Case Reports and Review

정용희,류미숙,김영식,이우인,이희주,서환조 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.1

Eikenella corrodens is a slowly growing, facultative anaerobic gram-negative bacillus. It is a normal inhabitant of the human upper respiratory tract, and it is recognized as an infrequent cause of invasive disease. To date, a few cases of E. corrodens infection were noted from all other organ. We report herein two cases of E. corrodens infection. In one case E. corrodens was isolated in the lung abscess and in the other case it was in the appendiceal abscess. The patients were treated empirically with penicillin G. The results of the bacterial culture and sensitivity test were available with it. The patients were discharged 15 days later with marked improvement after treatment. Our report clearly demonstrates that E. corrodens can be the pathogen of lung abscess and intraabdominal abscess. We reviewed descriptions from the literature of infections caused by E. corrodens.

The review of the clinical usefulness and price of currently listed drugs in South Korea

CHO Jung Sook,KIM Jung Ock,PARK Eun Yeong,LIM Min Kyoung,LEE Jin Hee,LEE Jong Hwan,SUNG Ye Na,YOON Sang-heon,NA Yewon,KIM Ji Yeon,LEE Seung Yeon,LEE Sook Hyun,LEE Yeun Hee,SO Soo Mi,KIM Byung Soo,LEE 대한약학회 2012 大韓藥學會 總會 및 學術大會 Vol.2012 No.1

임신 중기 태아 맥락총 낭종 119예의 추적 조사: - 18번 삼염색체증과의 연관성 여부를 중심으로 -

이은혜(Eun Hye Lee),이유미(You Me Lee),신명철(Myung Choel Shin),민유선(Yu Seon Min),이상희(Sang Hee Lee),김현철(Hyeon Chul Kim),김종욱(Jong Wook Kim),이숙환(Sook Hwan Lee),이위현(Wee Hyun Lee),조진호(Jin Ho Cho),이정노(Chung No Lee) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.7

목적 : 임신 중기 태아 맥락총 낭종의 임상적 의미를 알아보고자 하였으며 특히 18번 삼염색체증과의 연관성에 중점을 두었다. 연구 방법 : 1998년 3월부터 1999년 6월까지 4,948명의 단태 임산부에서 선별 초음파검사를 시행하여 132예의 맥락총 낭종을 발견하였다. 그 중 정밀 초음파검사와 추적 검사를 받은 119예를 대상으로 하였다. 단독 맥락총 낭종은 91예, 고위험군의 맥락총 낭종은 28예였는데, 단독 맥락총 낭종은 일반 산모의 태아에서 발견된 맥락총 낭종이면서, 정밀 초음파검사에서 다른 이상 소견이 없는 경우로 정의하였다. 태아 맥락총 낭종이 염색체 검사를 필요로 하는 고위험 산모에서 발견되거나, 일반 산모의 태아 맥락총 낭종이라도 정밀 초음파검사에서 다른 이상 소견이 있으면 고위험군의 맥락총 낭종으로 정의하였다. 염색체 검사는 39예에서 시행하였다. 단독 맥락총 낭종 집단과 고위험군의 맥락총 낭종 집단에서 낭종이 발견 및 소실 시기, 낭종의 크기, 양측성, 다발성 및 복합성을 비교하였다(t-test, chi-square test; p<0.05). 정밀 초음파검사, 추적 초음파검사, 염색체 검사 및 분만 결과를 알아보았다. 결과 : 맥락총 낭종의 발견 시기는 단독 맥락총 낭종 집단과 고위험군의 맥락총 낭종 집단에서 차이가 없었다 (19±2 vs 18±1주; p>0.05). 낭종의 크기(6.4 vs 6.2 mm), 양측성(60% vs 57%), 다발성(66% vs 57%), 및 복합성(8% vs 14%)도 차이가 없었다. 맥락총 낭종은 크기에 상관없이 소실되었으며 소실 시기도 차이가 없었다(25±3 vs 26±3주). 단독 맥락총 낭종을 가진 태아는 출생후의 소아과 진찰이나 양수 천자에서 모두 정상으로 밝혀졌다. 고위험군의 맥락총 낭종 28예 중에는 18번 삼염색체증이 2예, 21번 삼염색체증이 1예 있었다. 삼염색체증을 가진 태아들은 모체혈청 선별검사가 양성이거나 정밀 초음파검사에서 다른 이상 소견이 있었다. 나머지는 정상으로 밝혀졌다. 결론 : 맥락총 낭종이 초음파검사에서 다른 이상소견과 동반되어 있다면 염색체 이상의 위험도가 매우 높으므로 반드시 염색체 검사가 필요하다. 그러나 단독 맥락총 낭종을 가진 태아는 염색체 이상의 위험도가 매우 낮은 것으로 알려져 있고, 본 연구에서 18번 삼염색체증은 한 예도 없었다. 따라서 일반 산모의 태아에서 발견된 맥락총 낭종은 염색체 검사의 적응증이 아니라, 정밀 초음파검사의 적응증으로 인식해야 한다. Objective: To evaluate the clinical significance of fetal choroid plexus cysts (CPCs) in the second trimester, especially an association with trisomy 18. Methods: From March 1998 through June 1999, second trimester screening ultrasonography was performed on 4,948 unselected single-ton pregnancies. CPCs were noted in 132 fetuses. Among them, detailed ultrasonography and follow-up was possible in 119 cases and they were recruited into the study. There were 91 cases of isolated CPCs and 28 cases of CPCs in high-risk population. Isolated CPCs were defined as: mother did not have any risk factors requiring amniocentesis and there were no other sonographic abnormalities on detailed ultrasound. CPCs in high-risk population were defined as: mother had any risk factor requiring karyotyping or there were any other sonographic abnormalities although she was general population. Amniocentesis was performed in 39 cases. We compared gestational age at time of detection, size, bilaterally, multiplicity, and complexity of CPCs in the group of isolated CPCs and CPCs in high-risk population (t-test, chi-square test; p<0.05). We evaluated the findings of detailed and follow-up ultrasonography, karyotypes, and final outcomes of pregnancy.Results: Gestational age at time of detection was not different in both groups of isolated CPCs and CPCs in high-risk population (19±2 vs 18±1 wk, p>0.05). Mean size (6.4 vs 6.2 mm), bilaterality (60% vs 57%), multiplicity (66% vs 57%), and complexity (8% vs 14%) of CPCs were also similar. All CPCs were disappeared irrespective of size and mean time of disappearance was 25±3 and 26±3 week, respectively (p>0.05). All cases of isolated CPCs resulted in phenotypically-normal neonates. It was confirmed by either amniocentesis or postnatal examination by the pediatrician. Among fetuses having CPCs in high-risk population, two trisomy 18 and one trisomy 21 were detected. All of them had positive result of maternal serum marker test and/or sonographic abnormalities. Remaining cases were proved normal.Conclusion: The risk of chromosome abnormalities is very high when CPCs are associated with other abnormalities on detailed ultrasound, indicating a clear need to offering genetic amniocentesis. As contrast, the risk of chromosome abnormalities for a case of isolated CPCs is very low, and in this series there was no trisomy 18. Therefore isolated CPCs should be considered as the indication of detailed ultrasound examination, but not routine karyotyping.