Therapeutic Approaches to Tardive Dyskinesia

Lee,Jong-Sung 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.4

신경안정제의 지연 부작용의 하나인 “지발성 부수의 운동증”은 조기�u견과 체계적인 치료계획을 필요로 한다. 이 논문에서는 그 처치방법과 약물치료 지침의 개요를 논하였다. “지발성 부수의 운동증”은 점차 증가 추세에 있는 중요한 임상적 문제점으로 대두되고 있다. 현재 널리 이용되고 있는 각종 신경안정제들은 거의 모두가 보편적으로 「도파민」수용체 차단의 기전으로 작용되고 있는 것이다. 그리하여 모든 제제가 “지발성 부수의 운동증”을 일으킬 가능성이 있다고 봐야만 된다. 만약에 “이 부수의 운동증”의 예방이 어려울 때에는 적절한 처치방버버이 필요한 문제로 등장하게 된다. 본 개론에서는 원인론적 정신약물학적 데이터를 근거로 하되, 개개환자의 개인적으로 특수한 필요성에 맞도록 치료기술을 발전시키는데 필요한 일정한 기본적 지침을 제시했다. 〔後 記〕 위의 논문은 1979년 7월 2∼4일 서울에서 개최된 대한 의학협회 및 재미한인의사회의 제 4차 합동 학술대회에서 발표된 것으로서 그 후 곧 별도로 서울시내 필동소재 중앙대하교 의과대학 부속 성심병원에서도 구연되었든 것이다. 이 놈문의 저자는 이번 내한시 전기학술대회에 참석하기 직전에 우리 순천향의과대학 부속 순천향병원을 방문해주고 ①“Liaison & consultation ”와 ② “Crisis intervention”에 관한 흥미있는 강연을 해준 바 있었다. 실은 그때에 ③“Tardive dyskinesia”에 관한 본 놈문도 같이 구연해 줄 예정이었으나 시간이 모자라서 뜻을 이루지 못한 채 논문 원고만을 맡기고 갔었다. 이에 영문으로 된 상기 논문을 본 「순천향의대논문집」에 싣게된 것인데, 국문 초록은 그의 영문 abstract 원고가 따로 있었던 것을 가능한한 그대로 번역하여 논문 끝에 싣게한 것이다.

4-Nitrostyrylphenylsulfone의 加水分解反應 메카니즘과 그의 反應速度論的 硏究

맹주양,권기성 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.1

The rate constants for the hydrolysis of 4-Nitrostyryl-phenylsulfone were determined by UV spectrophotometer in 50% methanol-water at 29℃ and a rate equation which can be applied overwide pH range was obtained. From this equation, we may conclude the following; above pH 12, the over-all rate is only dependent on the concentration of hydroxide ion and below pH 9.5, the reaction is initiated by the attack of a water molcule on the activated carbon-carbon double bond. In the range of pH from 9.5 to 12, these two reactions occur competitively.

變化에 對한 빠른 適應의 試圖 : On the purpose of setter's activity 세타의 活動을 中心으로

朴仁鎬 순천향의과대학 1978 Journal of Soonchunhyang Medical Science Vol.1 No.1

This study has attempted to find out the way how to cope with the various changes happened in the valley ball game. Specially this study has dealed with not only the action of setter who leads the attack against the other side but also the problem of choosing the theme in order to make the game perfect. Sublating the old transformational method, this study tried to solve following problems by analyzing a part of the game. 1) The position of setter in defence 2) The position of setter in attack 3) The setter controling the attack rhythom. 4) The direction of the rapid attack and switch system. In order to study these following problems, the results of the latest national games and the setter's condition and activities has analyzed through the enquette method and the film of stactical datas. This study made it clear by referring to the general athletic reference books and the guide books for valley ball game. The results of this study are as follows 1) It is unreasonable to fix the content of the game by only one Setter in game 2) It is necessary for forword player and back player to act together in game as a total valley. 3) The stable receive is the prior question for the better stable attack 4) It is necessary to break up the blocker by partispating not only the main attacker but also the third attacker. But we can't always disregard the transfor-mational attack conception.

精神障碍者 家族의 精神障碍 全般에 관한 認識

南光鉉 순천향의과대학 1978 Journal of Soonchunhyang Medical Science Vol.1 No.1

Although negative prejudices on mental distrubances may prevail in Korea until today, family dynamics and familial functions in psychic disturbances are nevertheless stressed. It can be said that the attitude and concepts of family member about the psychic disturbances are the key of success of treatment. In this point of view a study was performed on general concepts about psychic disturbances by family member of 378 patient in National Mental Hospital by means of written quetionaire and reply through the postal service. Recovery of reply paper is numbered 117(37% of the total) out of the total of 378 in patients families. No response by the majority (63% of the total) was primarily assumed to be the manifestation of the indifference of the patient and the negative prejudice on the mental illness. Of the 117(37% of the total) replies 110 were assessed as follows : 1. Although negative prejudice on psychic disturbances can be seen, majority understood rightly the cause and treatment of mental illness. About half of reply showed a positive attitude toward the prognosis of illness. 2. Intrafamilial problems and guily feelings showed a high preponderance in the estimation of patient or family member. This fact is assumed to be an important signal to the patient treatment and family treatment. 3. Coordination among family members in treatment of patient and doctor is emphasized. Thus we can expect a more close relationship among doctor, patient and family members in treatment of patient. 4. A favourable attitude and image toward the mental institute and therapeutic members were expressed.

재접합술의 일차 보고

나수균,윤치순,최창욱,김학현 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.4

It was about 70 years ago that Carrel and Guthrie started experimental limb replantation. Malt succeeded, firstly, replantation of the amputated arm of 12 years old boy in 1962 and Tamai succeeded finger replantation in 1965. Since Jacobson and Suarez described superiority of small vessel repair using microscope, further advances in replantation occurrd with the develop-ment of suture material (18-20μ) and needles (65-120μ); making repair of vessels of 1 mm in diameter. The authors experienced four cases of traumatic amputation during the period from March, 1979 to Sept.. 1979 and the primary result of replantation is reported in this paper. 1. All cases were male and in the age group between 21 to 29. 2. Mode of amputation; two cases were amputated by presser, one case was by iron cutter and one was by paper cutter machine. 3. Tow out of four cases were incomplete amputation and two were complete multiple amputation. One case of multiple amputations was right four digits except thumb at the proximal phalanx level and the other was bilateral wrists. 4. The shortest duration of ischemia was four hours and 45 minutes and the longest was 13 and a half hours. 5. Four out of four replanted digits and two wrists were survived and the remains were failed. The possible cause of failure seems to be too long ischemic time. 6. Further functional results will be reported later.

體力章 制度가 中學校 體育 敎育課程에 미치는 影響 : on the basis of Middle School 서울特別市 中學校를 中心으로

朴仁鎬 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.3

본 논문에서는 한국경제가 급속도로 성장한 시기중 1975년부터 1978년까지의 중학교 졸업생들의 체력발전도를 체력장 결과를 통해서 알아본 결과 해마다 우수자 증가를 나타내고 있으며 1978년에는 3급까지는 68%를 접하고 있다. 체력장분석결과 또한 1선에서 실시하고 있는 체력장훈련이 전체 체육교과과정중에 차지하는 실제 비중과 체육 교육과정의 이해도를 30분항의 질문을 통하여 중학교 과정 전반에 걸쳐 알아본 결과 체육의 일반적 이해도는 본문에서 밝힌바와 같이 46.7%였고 운동기능면이 35%이며 체육시간의 실시과정에서는 55%가 체력장에 할당되었고 체력장이 끝난 9월 이후는 체력장에 대한 흥미상실과 여건부족이 48.9%로 밝혀졌다. 체력장에 나타난 급수상승으로 보아 일부종목에서 나타난 바는 기초체력육성의 최적기인 중학교 시기에 단계적으로 체육학습이 필요함에도 불구하고 14세에 이르러 기록이 급증하고 있다. 이는 고등학교에 입학하는데 입시점수에는 좋은 결과를 얻을지는 모르겠으나 중학교 체육 교육결과를 통해서 교육목표를 달성하는 목적이 있다면 중학교 체육수업이 기초체력이나 순수한 체력 신장을 위해서 이루어져야 함에도 불구하고 현재 실시하고 있는 체력장은 지나치게 체력장 위주의 수업으로 진행되고 있음을 발견할 수 있어, 이는 교육 교과과정의 정당적인 운영이 되어야 할 것으로 본다.

注射의 副作用

文澈 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.3

This paper is primarily concerned with the local and systemic complications of injections utilized to medicate to administer fluids to a patient population. The administration of various therapeutic agents by intramuscular and intravenous injections is a common and practical procedure in modern medicine. With widespread use of these methods of administration the incidence of injection complications seens to be increasing. The complications of intramuscular injection include abscess and cyst formation, lingering pain, intravascular injections, periostitis and peripheral nerve injuries with consequent neuropathy. Antibiotics are the chief offenders, particularly chloramphenicol and tetracycline. Careful localization of the injection site is of primary importance. The increasingly frequent use of plastic catheters for medication or infusion of fluids intravenously has been accompained by a increased number of injuries and complications associated with the methods of inserting and removing them, and with their protracted residence withni vascular system. Among them local hematoma, thrombophlebitis, and extravasation of iufused fluids are common but easily can be managed. And catheter embolism, cardiac perforation, and thoracic duct injuries are unusual but seriousin their untoward effects. Not all of these complications can be prevented. However, a knowledge of the anatomy of the various injection sites, plus careful technique in carrying out the injection, should reduce the complications attributable to faulty procedure.

韓國正常成人의 頭蓋測定에 關한 硏究

崔碩鉉,金榮吉,洪聖鎬,朴鍾燮 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.2

During the part 5 months period, form April to August in 1978, cephalometric analysis was done in 500 cases of admitted and out patients, which was dided into 5 groups and each group had 100 cases. The 5 groups were randed on 21-30 age, 31-40 age, 41-50 age, 51-60 age, and 61-70 age. The cephalometry was calculated at Plastic Surgery, Department of Soon Chun Hyang Medical College and the result was summarized as follow. 1) In 21-30 age group, slight protrusion of maxilla was seen. 2) In 31-40 age group, slight protrusions mandible and maxilla were seen. 3) In 41-50 age group, slight retrusion of maxilla was seen. 4) In 51-60 age group, slight retrusions of mandible and maxilla were seen. 5) In 61-70 age group, slight retrusions of mandible and maxilla were seen.

勤勞 및 非行靑少年의 精神病理學的 硏究

韓善浩 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.2

In this study, it was aimed to reveal the psychopathological characteristics of the working adolescents and the juvenile delinpuents through the MMPI test. The subjects of the study were 203 male delinquents and 98 female delinquents, 109 malemale working adolescents and 90 female working adolescents. MMPI test was hiven to all 500 adolescents. The results were as follows: 1. F, Pa, Pt, and si scale were the high scores in the working adolescents and the delinquents compared with the normal akolescents. Between the working akolescents and the delinquents, the scores in these scales were higher for the delinquents than for the working akolescents, especially the Sc score. 2. In the delinquency, the delinquency sxale and the psychopathological scale, (critical itens), the scores for the delinquents were higher, and the scores for the working akolescents were also suggestive that the working group may have more problens than the normal adolescents. 3. fifty sevenpoint six percentage of the male delinquents and 29.4% of the male working adolescents were expected doing misdemeanour and for the female, 68.4% of the delinquents and 30.0% of the working group were expected doing so. 4. For the males, there is no difference in the frequency ratio of the psychopathological seriousness for the non expected delinquency group and the expected delinquency group respectively. But for the females, the psychopathological seriousness were the high scores for the non expected delinquency group. 5. from the previous results, it could be surmised that the working akolescents may have the delinquency and the psychopathological seriousness and that for the delinquents, the delinquency is remarkable at first but the psychopathological seriousness is a more important factor of their misdemeanour. Especially for the females, their psychopathological problems effected their misdeeds more than for the males.

母子保健管理

金孝台 순천향의과대학 1979 Journal of Soonchunhyang Medical Science Vol.2 No.3