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      • 갱년기 여성의 호르몬 대치 요법에 대한 수용율

        이임순,장진영,이정재,이순곤,이권해,이해혁,김승형 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

        Purpose: We have evaluated the compliance of hormone replacement therapy. Method: There are 185 climacteric women who are divided into three groups (Group I, Group II, Group III). Group I is given conjugated equine estrogen(CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate(MPA, 5mg, day 1-12). Group II is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group III is given only conjugated equine estrogen(CEE, 0.625mg, day 1-30). Results: 1) The compliance rate of hormone replacement therapy during three months is 77.9% including each Group I : 77.7%, Group Ⅱ : 76.1%, Group Ⅲ :80.4%. 2) The compliance rate of hormone replacement therapy during six months is 60.7% including each Group Ⅰ:52.9%, Group Ⅱ: 56.4%, Group Ⅲ: 79.5%. 3) The compliance rate of hormone replacement therapy during nine months is 49.7% including each Group Ⅰ: 45.5%, Group Ⅱ:41.7%, Group Ⅲ: 64.3%. 4) The compliance rate of hormone replacement therapy during a year is 44.4% including each Group Ⅰ: 40.2%, Group Ⅱ:35.3%, Group Ⅲ: 59.5%. Conclusion : It is vital that we maximize compliance if patients are to receive the full benefits from hormone replacement therapy. We think that physicians who prescribe hormone replacement therapy for climacteric women should enough explain the purpose, risks, and side effect of treatment for maximizing compliance of hormone replacement therapy.

      • KCI등재

        정신분열증과 우울증의 지각결핍의 비교

        이수형,송경의,이형영,하형욱 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.4

        정신분열증 환자의 지각결핍을 타 질환군과 비교해 보기 위하여 1983.6.1부터 동년 8월 31일 까지 전남의 대병원 정신과 외래에 다니는 우울증 환자 20명 국립나주정신병원에 입원한 정신분열증 환자 20명을 임의 선택하여 Garner의 모형을 이용 카드 분류를 시행하고 그 자료를 토대로 수정분류시간, 공제지수, 비율지수 등을 산출하여 변량분석한 결과 다음과 같은 결론을 얻었다. 1. 양 군의 수정시간을 변량 분석한 결과 유의한 차이를 발견할 수 없었다. 2. 공제지수와 비율지수를 변량분석한 결과 과다성 분류와 여과분류에서는 공제지수와 비율지수에서 아무런 유의차가 없었다. 3. 주사분류에서는 공제지수 비교에서 1% 수준에서 비율지수 비교에서 5% 수준으로 우울증의 분류시간이 긴 것으로 나타났다. 이상의 결과를 살펴볼 때 여과기능의 결함이라는 지각결핍은 정신분열증의 고유한 장애가 아닐 수도 있겠다. The perception of stimuli with two dimensions (size and figure) was investigated using Garners card sorting method into schizophrenic and depressive patients. The comparison of three performance indices (redundancy, filltering, scanning) between two study groups revealed that 1) the analysis of variance of the corrected time shows no significant difference between two groups, 2) in redundancy and filtering sorting the subtractive and ratio indices show no significant difference between two groups, 3) in scanning sorting the depressive group shows significantly longer sorting time than schizophrenic group(p<0.01 in subtractive index, p>0.05 in ratio index). The above findings suggest that the previously known perceptual deficit(mainly filtering deficit) may not be specific only to schizophrenia.

      • KCI등재

        지역사회 정신의학 전공의 교육과정 실태조사

        홍진표,황순찬,이영문,이선형,신나리,이종일,박종익,장동원,정인원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

        Objectives : There is a increasing need to recruit and retain more psychiatrists who can plan and implement organized programs to work with chronic mentally ill patients in community settings. The aim of study is to discover what training is currently in place to prepare psychiatrist for work in "community" or "public" settings. Methods : Survey questionnaires were mailed to 85 residency training directors and 10 leaders of community mental health in 2005. Response rate was 75%. Results : Academic seminar about community mental health were not administered to residents in 63% of training hospitals. Forty one out of 64 training hospitals had community mental health rotation programs, Community mental health center (50%) and day hospital (36%) were the most common type of programs. Few general hospital had affiliation with community mental health programs. The amount of time for clinical rotation varied from less than three months part time to 6 months fulltime, with most frequent form of one day per week for three month in second or third year of psychiatry residents. Conclusion : Further steps are needed to improve residency training curricula and to encourage well qualified psychiatrist to choose careers in community psychiatry.

      • 요꼬가와吸蟲症 治療에 있어서 Praziquantel(Distocide^(�))의 效果

        李純炯,蔡鐘一,洪性琮,全英淑,徐丙卨 대한화학요법학회 1984 대한화학요법학회지 Vol.2 No.2

        國産 praziquantel(Distocide^(ⓡ))의 요꼬가와吸蟲感染에 대한 治療效果를 알아보기 위하여 전라남도 강진군 탐진강 流域의 住民 중에서 68名의 蟲卵陽性者를 색출하고 體重당 100㎎/㎏의 praziquantel을 單回 투여한 후 70일에 追跡大使檢査를 실시하여 驅蟲效果를 判定하였다. 結果는 다음과 같다. 1. 총 45名의 追跡檢査者 중 41名이 蟲卵陰轉되어 91.1%의 治療率(care rate)을 보였으며 이들의 投藥前 E.P.G 合計가 125,600이었던 것이 投藥後 800으로 減少되어 99.4%의 蟲卵率을 보였다. 2. 驅蟲效果는 投藥前 感染强度(E.P.G)에 따라 다소 다른 것으로 나타났으며 輕感染者일수록 높은 效果를 보였다. 3. 藥劑服用에 의한 副作用은 2例에서 가벼운 頭痛이나 현기증을 호소한 이외에는 전혀 문제되지 않았다. 이상의 結果로 볼 때 國産 praziquantel(Distocide^(ⓡ)) 요꼬가와吸蟲症에 대하여 10㎎/㎏ 單回投與로 매우 우수한 驅蟲效果를 보이는 것이 立證되었고 效果, 投藥法, 副作用 등을 감안할 때 집단치료 약제로서 손색이 없을 것으로 생각되었다. Fraziquantel(Cistocide", Chinpoc:-g Pharm. Co). a 'croad spectrum anthelmintic zgzirs: tremato6es and cestodes, ~ 5 - i - a ~ tested for its efficacy In treatment of A!letclgonin.zis yok~govias infection. during the priod fron? Jzmsry t o Ajmi. 1984. A total of 68 egg ~ o s i t i r e cases TTES selected from the inhabitants of Kangjin-gun, South Choila Do, 2nd treated a i t h lOmg/kg ?x<:- weight of I;raziquar.te! in single dose. Among them 25 heavy infection cases were purged ~ i t l 20-20g of magnesium sulfzte(MIgS04) one hour after the treatrcent. Follow up stool exammztion was done after 70 days and the drug efficacy was estimated in terms of cure(=egg negati7-e conversion) and egg reduction rates. The results were as follows: 1. AIiong 45 follm- up cases 41 were cured(91.1% in cure rate) and the pre-treatment E.P. G.(eggs per gram of feces). 125,600, was reduced to 800 after the treatment(gg.4X in egg reduction rate). 2. The cure rates x-ere dependent upon the degiee of E.P.G.; the lower the intensity of infection before treatment, the higher the cure rate was obtained. 3. There x-ere nearly no side effects due t o drug administration except f o r slight degree of headache and dizziness in 2 cases. From these results, it is concluded that lOmg/kg single dose of praziquantel (Distocide") is highly recommendable in treatment of M. gokogawat infection.

      • 폐폴리우레탄 폼을 이용한 유출유 흡수

        이현구,김형순 한국공업화학회 2003 응용화학 Vol.7 No.1

        This study investigate the effectiveness of rigid and flexible waste polyurethane foams for oil spills clean up. For the two types of the waste foams used as a sorbent, rigid sandwich panel foam and high density auto seat foam were selected, respectively. The sorption test of the above foams were performed in different types of petroleum products, and in the presence and absence of water as well. Finally, the same experiments were carried out in simulated seawater bath in order to estimate that actual sorption properties in the sea. In the case of rigid polyurethane foam, the sorption properties that the sorbent materials had, were poorer as compared with the flexible foam except floating ability, which showed good sorption properties not only in floating ability, but also in initial sorption rate and maximum sorption capacity.

      • 肝吸蟲感染에 있어서의 免疫反應에 關한 硏究 : 白鼠脾藏 大好파이로 닌細胞數의 경시적 變動 Chronological Changes of Large Pyroninophilic Cell Count in the Spleen

        李純炯,宋哲鏞 중앙대학교 의과대학 의과학연구소 1978 中央醫大誌 Vol.3 No.1

        In order to know some aspects of immune response of albino rats by Clonorchis sinensis infections, the histopathological changes of the liver and the chronological changes of large pyroninophilic cell(LPC) count in the spleen were observed. Rats of 5 experimental groups (A series), each group consisted of 5 rats, were infected with 50 metacercariae of C. sinensis, and they were kept for 3 days (Group Ⅰ), 7 days (Group Ⅱ), 28 days (Group Ⅲ), 56 days (Group Ⅳ) and 84 days (Group Ⅴ). The same number of experimental groups(B series), each group of rats inoculated with 50 adult worms of C. sinensis intraperitoneally, were also kept as same as the above A series. Rats of each experimental groups were sacrificed immediately after the respective infection period, and then microscopic specimens of the liver and spleen were prepared by staining the paraffin sections of removed tissues with hematoxylin-eosin stain and methyl green-pyronin stain. Those materials from the experimental groups were examined in comparison with the materials obtained from non-infected control groups. The results obtained were as follows: 1. The counts of LPC in the periarterial lymphatic sheath of spleen were rapidly increased and reached at the maximum on the 3rd day (Group Ⅰ) in both A and B series of rats. Thereafter, the LPC counts were gradually decreased. 2. LPC counts of A series of experimental group were generally higher than those of B series throughout the whole infection period. 3. Histopathologically the liver failed to show any parasitic worm inside the intrahepatic biliary system in the rats of B series. However, various pathological changes of the liver, which seemed to be induced by the toxic metabolites of C. sinensis inhabiting in the abdominal cavity, were observed in B series of rats.

      • Tennis 競技의 內容分析 (1) : Point로 連結되는 打球類型을 中心으로 Mainly on the Stroke Form Connected with Point

        李淳川,李敏炯,安禹洪 慶北大學校 師範大學 1981 敎育硏究誌 Vol.23 No.-

        As the result of investigation of the stroke form and the batted ball's Course under the change of the player's position that are connected with the last point in the contents of the tennis game, we got the conclusion of below. 1. As-the tennis game is percentage game, it is better to be the defensive form stroking one more time than the rival to win in the Single match. 2. We should have much training of Back especially among the mainly using Ground stroke, and should lead the game to use much high Smash and Volley that have high probability of success in practical game. 3. We should have much training of Ground stroke in Dead Zone, of Fore in Right service area, of Back volley in the Left area. 4. It is need to have the train of stroking crossly in both sides of Dead Zone, and we knew that it has higher probability of success to stroke straightly in all service area.

      • 島山 安昌浩의 理想村 建設 運動 : 새마을運動과 관련하여

        李淳珩 제주대학 1975 논문집 Vol.7 No.1

        Dosan Ahn Chang-ho was a politician who had devoted his life to the independence movement of the people under the oppression of Japan. He was a thinker who had great ability in administration and idea of national salvation for the permanent prosperity of the Korean people. Especially he was a man of thought and practice with all his heart to national education in Korea. He thought that powerlessness of the people had caused the country to fall and that it was impossible for our nation to become independent and prosperous without power. Therefore to develop the fundamental power of the people and to strive for unity is to build his independence movement. He evolved the political struggle since the year of 1907 with Shin Min Society, Kuk Min Society of the Korean people in America and the Provisional Government in China, and he organized the Young Korean Academy, Heung Sa Dan for training talents necessary to the independence. He established educational facilities, Dae Sung ScHool and undertook activities of the national renovation through education. Particularily he felt keenly the necessity of the fundamental idea of national salvation and built many times the independence movement base ill foreign countries. It was a long term plan preparing for the independence struggle with military of officers' training school. It was for building up the economic and educational base of compatriots in foreign countries and for leading the almost permanent safe life in the Shelter regions where independence patriots were roaming. Here, he would train the national power through education in many fields, training talents, economy, military, art and science. This was called the Model Village, fundamental base of the independence movement. He tried to carry out the plan centering around China, front North Manchuria to Wha-book and Wha-Nam in China as the proposed site. In 1932, he was arrested by the Japanese police, and built the model villages near P'yang to renovate Korea but they didn't come true. But first of all the Model Village movement was the half permanent base of life of compatriots in foreign countries, secondary it was the training base of talents, thirdly it was an educational movement of the local plan which they tried to extend accross the nation to form the modern rural community. He built up the comportable model village combined with social various functions, and he tried to renovate Korea. From the keynote of the comportable Model Village it is in touch with the Saemaul Movement. It was the cultivation movement for developing social various fields to train the leadership which is necessary to the village community with building up the collective village aiming at the development of education and economy. So we can say that the SaeMaul Movement is the realization of the idea of the Model Village. The Saemaul Movement rests on three bases of spiritual development of the people, the betterment of living attitude, industralization through the economic and social development to lead the national and cultural life. On the contrary the Model Village Movement was the social education movement to extend effectively, which people with the sane and sound mind, as the conscious factor of the people (spirit development), cooperate with each other, going through the rational farming and vocational life (economy development), and rational life showing that community enjoys culturally sense of welfare (social development). Especially the kernel of the Model Village was for training men of ability in the vocational schools. He prospected the new history creation by renovating human spirit and human attitude with the rational reconstruction or social development. He took a serious view of human factors by developing history rather than by changing poltical and social organization. Then it will be his excellent methodology, and coincide with the position of scholars who have discussed modernization and social development, stressing on human factor by developing society. Therefore the Model Village Movement, social development movement which has attached importance to talents training will be high estimated now. It will be developed and succeeded to the Saemaul Movement, which is the idea of promoting the country in our history.

      • 夏眠이 만손住血吸蟲 感染 Biomphalaria glabrata에 미치는 影響

        李純炯,宋哲鏞 중앙대학교 의과대학 의과학연구소 1975 中央醫大誌 Vol.1 No.1

        To elucidate the changes and differences in Schistosoma mansoni infected snails, Biomphalaria glabrata, during the process of estivation, the growth rate, survival rate, and histopathological findings were observed during the 22 weeks experimental period. Two groups of snails, each group consisted of 36 snails, were used for the present experiment. One group of snails carrying S. mansoni infection (Group Ⅱ) was underwent 18 weeks of estivation while other group of S. mansoni infected snails was applied as control group (Group Ⅰ) and reared in the water. The results obtained were as follows: 1. The growth rates (increase in shall diameter and wet weight) of estivating snails (Group Ⅱ) were consistently lower than those of their control snails (Group Ⅰ) kept in water. 2. The growth rates rose rapidly when the estivating snails were put into water for 4 weeks, after 18 weeks of estivation. No shedding of cercariae was observed among those exposed, estivating snails, when they were put into water again. 3. The survival rate of estivating snails (Group Ⅱ) was lower than their control (Group Ⅰ) from the beginning to 13th week of experiment, but since then they showed little difference. 4. The histopathological changes were observed in the hepatopancreas, ovotestes, seminal vesicle, kidney and restal ridge of above snails which belong to both Group Ⅰ and Group Ⅱ. In general, the reduction of parenchyme and degenerative pictures were prominently observed during the estivation (Group Ⅱ), whereas destructive and degenerative pictures by the compression of invaded cercariae were monitored in control snails (Group Ⅰ).

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