한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사

조맹제,장성만,함봉진,정인원,배안,이영문,안준호,원승희,손정우,홍진표,배재남,이동우,조성진,박종익,이준영,김진영,전홍진,이해우 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies. Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%). Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males. Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

순천대학교 농과대학 개편 방안

임행진,배인휴,임준택,배영환 순천대학교 1996 大學發展硏究論文集 Vol.2 No.-

1. 대학 명칭 변경 농과대학을 생명자원 과학대학으로 개편 2. 학부제 운영 방안 1) 제1차안에 따른 6개 학부로 개편하되 추가적인 여론 수렴이 반드시 요망됨. 2) 학부 운영시 정원 감축 요망 현행 395명 → 300명 (24% 감축) 3) 학부 구성시 전공의 세분화는 지양하되 통합을 위한 새로운 분야는 인정한다. 3. 교과과정의 운영 1) 교양과목―외국어 및 전산 교육 강화 2) 전공과목 ① 강의 책임시수를 하향 조정하여 강의 내실화 도모 ② 유사과목 중복 개설 지양 ③ 복수전공제 도입 ④ Team teacing, 동일 과목 분반제 등의 도입으로 전문성 제고 3) 교과과정의 개편 절차 (1) 농대에 교과과정 개편위원회를 설치하여 자체 의견을 수렴 (2) 교과과정 개편위원회에서 ① 교양과목 이수 학점 조정 ② 학부(전공)간 중복 및 유사 교과목 조정 ③ 공통 과목 담당 교수진과 강의분담 방법 결정 ④ 복수전공 허용 범위 및 시행 방안 조정 4. 대학 발전 방안 1) 농과대학 특성화 시설원예 분야로의 특성화유도 2) 대 농민 기술지원 센타 설립을통한 현장애오 해결 연구부, 교육부, 지도부, 농업정보부, 식물병원 등 설치 3) 대학의 자립 능력 배양 ① 농대 발전기금 조성, 농대 부석기관의 자체 수익사업 운영 ② 부속기관의 수익을 재투자할 수 있도록 제도 개선 4) 연구 여건 개선 ① 연구 전담 교수제 확대 시행 ② 공동기기동 설치 및 전공별 공동기기실 운영 The problems that College of Agriculture in Korea are confronted with consist of a few number of faculty members in very department, and hence too many lecture hours per prefessor, departments with similar speciality, duplicated subjects, and hence duplicated lectures in similar subjects, poor experimental equipments, poor extension system, and a small amount of budget. It would be necessary to reorganize the system of College of Agriculture to solve these problems. The objective of the study is to construct the direction of reorganization of College of Agriculture in Sunchon National University. For the objective, survey composed of all professors in the Agricultural College and discussions among committee members were adopted. Survey data was collected and analysed. Through the study, reorganization strategies were built as the point of change of college name, administration of school system by unifying departments with similar major area, basic directions in reconstructing the curriculum for the school system, and strategies for the growth of the College. 1) Name of College of Agriculture will be changed to College of Life and Resource Science. 2) College of Agriculture can be reorganized into six schools based on survey, and for more concrete reorganization, additional opinions must be gathered. Number of incoming student can be reduced for school system from 395 at present to 300 (24% reduction). Finely specialized major should be prohibited, but addition of departments or speciality of new research area can be allowed for the establishment of administration of school system. 3) In management of curriculum, foreign language and computer science should be reinforced as general course in the school system. Obligated lecture hours of professor should be reduced, which would enhance the quality of lecture, and offerring lectures with similar subjects should be restricted. Dual major system is going to be allowed. Team teaching and class separation for the same subject should be allowed for the enhancement of lecture quality. In curriculum revision process, committee of curriculum revision in College of Agriculture must be set up and gather opinios for better revision. The committee regulate the credits for the general course, control overlapping or similar subjects among the schools(majors), select lectures for team teaching and the way of class separation in the same subject. They also provide permitted limits of and the way of conducting dual major system. 4) For further growth of the college, the following items should be satisfied. With the limited number of faculties, concentrating facilities and research capability of the college into specialized area is needed to enhance the competitive power of the college. In this study, the committee agreed to select horticultural area in greenhouse as the specialized area. This will be achieved gradually by employing new faculty members with major in this area and conducting cooperative research among faculty members. An extension system to train farmers for the newly developed technologies in agriculture should be established. In this facility, farmers can exchange their experiences among them, and farmers and the university faculty members can conduct experiments to solve problems occurred in farming practices. The extension system consists of division of reasearch, education, advise, information in agricultural area, and diagnosis of pest and diseases. Annual budget of the college largely depends upon the budget from the Ministry of Education. With the limited budget, it is almost impossible for the college to invest into the area where college faculty members intend to for the farmers. Collection of a fund for the growth of the college is needed. This fund can be gathered either from the alumni, faculty members and students or by reinvesting the profit from experimental farm of the college. The system for the reinvestment of the profit from appendges of the college should be established. The condition of research should be improved. This can be achieved by employing full-time researchers as faculty members and reducing lecture load of professors. Building for the center of cooperative research and systematic installation of experimental facility and equipments might also be needed for the improvement.

한국 금융기관의 시설경비·경호 현항과 개선방안

박준석,최진영 龍仁大學校 武道硏究所 2004 武道硏究所誌 Vol.14 No.2

In this paper, examine present status of financial institution s facility in USA and Japan which are known as advanced countries of private security industry, and analyze face subject and controversial points. And then, grope improvement plan for efficient security and problems of Korean financial institution s security. As results of study, for improved self-security of financial institutions, followings are the financial institution self-security plans and confrontation plan of private security companies. First, among the financial institutions, crime is increasing to community bank which security is vulnerable relatively than major banks. This is evidence that advanced security equipments are effective to control the will of crime. Therefore, financial institution should install advanced security equipments under the sense of duty that manage customer s property safely by oneself, and cooperate with private security company for better crime prevention activities. Second, criminals are usually propel crime at opening, changing time at lunch, and at closing hour. Because, employees of financial institution are not paying much attention in those loose time. Therefore, non-window personnel s supports are must be provided to make circumstance that window personnel works at right position certainly when starting time or shifting time. Third, when crime is occurred, non-window personnel must issue alarm quickly and request cooperation of the police or private security company. Especially, one of the important suggestion by this paper is that alarm should be issued to in and out side of financial institution along with the police and private security company and establish citizen arrest system which helps arrest criminals by citizen or related agents in neighbor area. Fourth, Security must be managed as multiple system such as automatic alarm device on building walls and vault to issue the alarm when there are unusual noises or vibration of vault because in case of single alarm he, F criminals cut off the alarm line, it could be open state to crime. So, must establish multi alarm system and make criminals not to accomplish crime by delaying entry time. Fifth, to customer who withdrawal cash or check more then certain amount, escort service should be introduced and escort to destination safely as customer protection system even if customer does not ask for. And Followings are confrontation plan of private security companies. First, confrontation ability at initial stage is not enough. Under current security system, it is very hard to reach the spot with crime time even If go out as fast as possible. Therefore, manage manless automatic monitor system thoroughly and set multi-channel warning system so that alarm may issue around police station or private security' company as well as banking facilities neighborhood in case of panic button is pressed in window, and must grope plan of total citizen criminal prevention system that can request neighborhood inhabitants' cooperation. If systematic and synthetic management is accomplished in window, crime can be prevented in some degree. In other words, most of crime at window can be prevented by alarm management system at window, cooperation system with professional security agents and insuring window security agents, etc. Second, securing professionalism of professional security team is urgent. Most of private security company's manpower are not qualified, and it is that they are not much helpful when actual situation occurred. Also, it is truth that their role is limited to carry out preventive patrol activity. Therefore, professional training and education to financial facility staff is required. Moreover, should recruit specially trained manpower at military or police, and it is necessary to consider plan that confront properly in initial state of crime. And the most important thing is holding back criminal's crime wills thru security staffs periodic and systematic confrontation training abut financial facilities crime. Third, professional security school is necessity to educate and train private security staff by each fields. As a plan to this idea, utilizing education and training system of existing school or military, and newly establish professional education and training institute to cultivate professional security staffs. Especially, for financial facility, must aim at operation of the most advanced security equipments. And for cash-in transit vehicles, must used wireless transmitter equipped vehicles and bags obligatorily, so that it is possible to trace the location when it is robbed.

인슐린 비의존성 당뇨병에 동반된 심상성 천포창 1 례

이상준,박진용,임태형,윤영호,권순대,남창욱,허규찬,박근용,구본식,김상표,장종억 啓明大學校 醫科大學 1997 계명의대학술지 Vol.16 No.3

저자들은 인슐린 비의존형 당뇨병 환자에서 통증성 구강내 미란 및 전신성 수포성 미란을 동반한 심상성 천포창 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Various skin conditions such as diabetic dermopathy, necrobiosis lipoidica diabeticorum, bullosis diabeticorum, granuloma annulare occur frequently in diabetes, although common lesions may be associated by chance. Pemphigus vulgaris(PV) is a blistering skin disease seen predominantly in elderly patients. This disorder is characterized by the loss of cohesion between epidermal cells with the resultant formation of intraepidermal blisters. These blisters rupture easily, leaving denuded areases that may crust and enlarge peripherally. In half or more of patients, lesions begin in the mouth: approximately 90% of patients have oromucosal involvement at some time during the course of their disease. But the relationship of this disorder with diabetes is not clear. We experienced a case of pemphigus vulgaris associated with NIDDM in 67 years old woman who was admitted due to painful oral ulcer and control of blood glucose, so we present this case with a review of literatures.

구순구개열환자에서 자가입자망상골을 이용한 이차성 치조골이식에 관한 임상적 연구

김종렬,진성준,조영철,표세정,변준호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

Purpose : This study is conducted to evaluate the clinical success of secondary alveolar bone grafting using autogenous iliac particulate cancellous bone marrow in cleft maxilla. Materials and methods : We evaluated 107 cleft patients who had been admitted to the Dept. of Oral and Maxillofacial Surgery of Pusan National University Hospital from January 1, 1991 to January 31, 1999 and had been performed secondary alveola bone grafting with autogenous particulated cancellous bone marrow from iliac crest. Results : 1. Men were 70 and women were 37, which shows 65.4% and 34.6% and the proportion of males to females was 1.9: 1. Unilateral cases were 89(83.2%) and bilateral cases were 18(16.8%). 2, Age of bone grafting is widely distributed from 7 to 29, and the average was 13.2. 3. Success rate was 97.8% in unilateral cases, 94.4% in bilateral cases. Overall success rate was 96.7%. 4. We evaluated the bone graft contour by the percentage of bone attachment level adjacent to the alveolar cleft and the menial side showed 82.4% and the distal 87.7%. 5. The amount of notching the alveolar ridge at the grafted site through the ratio of notching length up to the most apical base to the length of proximal segment anatomic root was 0.19.

항 혈소판 요법을 이용한 관동맥내 Stent 삽입술의 조기 결과

손지원,김영준,손민수,오세진,안태훈,최인석,신익균 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.6

L-라이신 발효에 있어서 당밀전처리의 영향

신현철,김성준,성진석,전영중,이재흥 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.3

Can molasses, the most widely used carbon source for the industrial fermentation of L-lysine, usually contains a high concentration of calcium ions which tend to cause scaling problem in the recovery process. To remove the calcium ions, cane molasses was pretreated with sulfuric acid by adjusting the pH to 2.5~3.5. When the pretreated solution was directly heat-sterilized and used in the fermentation, a significant reduction in L-lysine production was observed. In this paper, we proved that sucrose is a superior substrate for L-lysine fermentation of that of glucose or fructose and that the above-mentioned decrease of L-lysine production was caused by the hydrolysis of sucrose in the molasses when the molasses was heat-sterilized at a low pH. The problem was overcome by adjusting the pH of molasses to neutral before sterilization.

구순구개열환자에서 자기늑골을 이용한 일차성 골이식

김종렬,정기돈,진성준,조영철,변준호,손우성 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.5

Alveolar bone grafting is an essential component of successful surgical rehabilitation in many common cleft deformities. Primary alveolar bone grafting is defined as alveolar bone grafting which takes place before eruption of the primary dentition or before 1 years of age. The major objective in primary alveolar bone grafting is to prevent significant maxillary segmental collapse and arch disturbances. If severe, this can make secondary rehabilitation difficult, costly, and protracted. Such early stabilization may eliminate or, at least, decrease the amount of orthodontic arch expansion required during the transitional dentition period. Furthermore, early obliteration of alveolus fistulae improves speech and dental hygiene. It is critical that abutting maxillary segmental alignment be achieved(generally when the patient is 8 to 10 months of age) before grafting. Otherwise, the amount of dissection necessary to develop mucosal flaps for bone graft coverage will be more extensive, thus risking increased scar formation with potential adverse effects on growth. We report a preliminary result of 4 cases of primary alveolar bone graft using rib bone, performed by limited dissection and onlay graft technique at 8 to 10 months of age. They showed satisfactory clinical results especially in terms of growth up to now.

자갈함량과 질소시비량이 고랭지 배추재배시 침투수에 의한 질소용탈 및 생육에 미치는 영향

박철수,이계준,정영상,주진호,황선웅 한국환경농학회 2005 한국환경농학회지 Vol.24 No.1

고랭지 배추재배지의 성토재로 사용되고 있는 석비레는 모래와 자갈함량이 높아 토양침식과 양분용탈의 주 요인이 되고 있어 본 연구는 자갈함량에 따른 배추수량과 질소의 용탈양상을 구명하고자 pot 시험을 수행하였다. 시험 결과, 배추의 생체수량은 자갈의 함량이 증가할수록 감소하는 경향이었고, 특히 질소시비량 240 kg/ha 구에서는 현저한 수량감소를 보였다. 질소시비량 60 kg/ha 구에서는 자갈함량 30%, 질소시비량 120 kg/ha 구에서는 자갈함량 50%를 변환점으로 하여 배추수량이 급격히 감소하였다. 배추의 생육장해는 질소시비량이 240 kg/ha인 구에서는 대부분 위조현상이 나타났으며 결구 초기인 8월 초순에는 자갈함량이 50% 이상이 되면 질소시비량을 ha당 120 kg만 시용해도 50% 이상이 위조현상을 보였다. 침출수의 암모늄태 질소는 자갈함량과 질소시비량이 많을수록 침출수의 농도가 높아지는 경향을 보였는데, 특히 배추의 고사가 발생한 30% 이상의 자갈함량과 질소시비량 240 kg/ha인 처리구의 농도는 139-339 mg/L이었다. 침출수의 질소용탈량은 자갈함량에 따라 정의 상관관계를 보였고, 자갈함량이 10% 증가될 때마다 pot당 0.14g씩 증가하여 자갈함량이 10%일 때에 비하여 자갈함량이 30%가 되면 약 3.8배 증가하였다. 배추재배 시험 후 토양의 화학성은 NH₄-H 농도와 pH는 처리간에 일정한 경향을 보이지 않았고, NO₃-N 농도는 자갈함량 30%까지는 증가하다가 50%부터는 감소하는 경향을 보였다. 사양토에서 자갈의 함량이 30%일 때 질소비료 240 kg/ha, 자갈함량이 50%일 때 질소비료 120 kg/ha을 시용하면 배추의 생육장해를 가져올 수 있다. 따라서 이러한 토양에 시비를 하게 되면 염류장해와 위조현상을 초래하므로 토양유실이 심한 고랭지는 특수환경을 고려한 시비기준이 설정되어야 할 것으로 판단된다. Continuous monocropping of Chinese cabbage in Gangwon highland increased gravel and sand contents due to surface soil erosion. Nutrient leaching and Chinese cabbage growth were investigated with different treatments of gravel contents and nitrogen application levels by using 0.5 m²Wagner pots. Gravel contents were 0, 10, 30, 50, 70, and 90%(w/w), nitrogen application levels were 60, 120, and 240 kg/ha, and manure compost application rate was 15 ton per hectare, respectively. Wagner pots were filled with loamy sand soil mixed with 5 cm-sized gravels. Fresh weight of Chinese cabbage was decreased as gravel contents in soil increased, and particularly severely decreased at 240 kg-N/ha. Yields of Chinese cabbage were remark-ably decreased at the rate of 60 kg-N/ha with 30% gravel content and 120 kg-N/ha with 50% gravel content. Most of Chinese cabbages were severely wilted by heavy N application at the rate of 240 kg-N/ha in the middle of growth stages regardless of gravel contents, while about 50% of Chinese cabbage showed wilting symptom in the treatment of more than 50% of gravel contents and 120 kg-N/ha. N content in leachate in-creased as gravel content and N application increased. The relationship between gravel content and N con-tents showed linear regression: N in leachate = 0.014(gravel content) -0.039 (r = 0.961). Particularly, NH₄-N contents in leachates with more than 30% gravel content and 240 kg-N/ha ranged from 139~339 mg/L. Chinese cabbage growth in loamy sand soil containing 30%, and 50% gravel contents could be adversely affected by N application at the rate of 240, and 120 kg-N/ha, respectively.

혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.