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.

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.

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.

농촌사회에 있어서의 학교의 지역사회개발과정 모형

이순형 濟州大學 敎養學部 1976 論文集 Vol.5 No.-

The present study is accomplished by the hereafter Four-Year Jeju-Do Human Development Project that a foreign community development projectst institute has andertaken in the rural community. Correlation with the problems of the education development in the project makes the writer teaching-learning process, extension service in the community, facilities open as a center of the community, adult education to the inhabitants and participating actions in the development as a real member of population. Here we understand that the community development is an educational process through the diversified and synchronous approach in the all spheres of ecnomics. politics, society and culture, which are preceded encourage to carry out a set of study with an emprasis on the adult education and the school development of the community. This paper tries to model the community development process in which school is key, on the basis of the function of the com-munity school to make the theoritical foundations of the study concerned. The functions of a school in a community are summarized into two parts-trans-mission and modifbation of school culture. Nowadays the latter must be more emphasized than the former for the will to development. Therefore it is desirable that the school in the community draws up an educational system which will be greatly devoted to the improvement and development of the community. In fact, a school is only a cultural agent in the farming village and teachers are a great number of high-levelled latent human reumurces. It is often reported that a school as a propelling organization succeeded in developing the farming village when we take the snccessful example of the Saemaul Movement, which is typical as a Korean community development movement. Recently a school accepts the national idea and social demands. In particular, the appearance of the Saemaul education sets off the change. But it is not a new educational demand and movement at all, and the theory of the community school suggests that a school can carry out the role as the key propeller of the community development. To accomplish the conceptional illumination of the model, this study deals with the concept of the community and community development, and with the role of school education in the community development in connection with the functions of the community school for necessity of adult education. In addition to that, by summing up the community development process. this study on the basis of conce-ptional set. will sample the development process as a model which a school as a catalytic kernel develops in the rural community with the unions of the outer support of the inhabitants, government and people. First of all, in order to make the inhabitants suppose the systems which promote the development of the four realms, economics, politics, society and culture of their own aociety. by contribution to spiritual development and vocational techinques practice that is the educational tasks for development through the functions, this article will begin with breef description of the functions of the community school curriculum and localization of by the human development, the basic element. The elements of the process will be estimated with the recognition of the urgent contradictions of the community, goal establishment of development, expecting establishment of the criteria of project evaluation, enforcement plans of practical proposal, project implementation and achievements. The results of evaluation will be diagrammed with the process so that the community may complete the develo-pment continuously after being feed-back into each element and separating mutually. When we make out that the community development is the intentional changing process of the community environment, the developmental action of. the community school( I ), a propelling organization, is to make systematic achievements( lV) come true, by the inhabitants' common ownership of the educational demands and assertions in the developmental process which is just expected to cause in the specific process in order to promote the several systematic developmental process to the environmental limited situation(II) of the community. In this sense, the developmental process is an investing means of manipulations of the community environment to approach the consent goal for the continuous achievements of the community development. The rusults of producing function, which are made progress as the developmental process by the investing function for the systematic change of the facing environmental conditions, are the development in the all realms of the community.

意思決定 結果로 본 姑婦間 權力의 所在 : Exploring Changing Patterns of Family Roles between Mothers-in-law and Daughters-in-law

李順炯 德成女子大學校 1984 德成女大論文集 Vol.13 No.-

The purpose of this study is to identify the main decision maker in family roles and to observe power distribution between mothers-in -law (MILs) and daughters-in-law(DILs) in the Korean stem families. Interviews were conducted with MIL-DIL pairs living in both urban and rural areas. Questions include 7 sets of role (1. representer 2. sacrifice-maker 3. resource0manager 4. money and goods-keeper 5. child care taker 6. educator 7. consumer) totalling 25 individual items. The major findings are as follows: 1. The family power is differentially distributed by sex: that is, the male decides major issues such as the purchase of house. Also children join in the decision making process of all issues. 2. The age of respondents is significantly related to the power distribution in the family. Younger MIL-DIL pairs are more likely to make DIL-oriented decisions than older pairs. 3. The residential area is significantly related to the power distribution in two roles as representer and sacrifice maker role. Also it is related to the total role score. 4. Total incoem of the family is related to power distribution in five economic roles; that is, DILs in poor families decide economic roles more often than those in medium and high income families. 5. MILs whose sons are employed decide issues powerfully than MILs. Social economic variables such as husband's employment, family income, finantial help of MILs, are related to decision making of economic roles. Consequently, power distribution in Korean family becomes more DIL oriented: MILs lose their influence in family afairs.

폐폴리우레탄 폼을 이용한 유출유 흡수 : Oil, oil/water, 인공해수조에서의 흡유 특성 분석 Estimate of Sorption Properties in Oil, Oil/water, Artificial Seawater

이현구,이춘부,김형순 한국공업화학회 2003 응용화학 Vol.7 No.2

This study investigates the effectiveness of rigid, semi-rigid, and flexible waste polyurethane foams for oil spills clean up. For the three types of the waste foams used as a sorbent, rigid sandwich panel foam, head rest and high-resiliency seat foam in automotive applications were selected, respectively. And the foam of each type also was synthesized with the recipe based on it. The sorption test of the above foams were performed in different types of petroleum products, diesel, bunker-A, and-C, as a function of temperature, and in the presence and absence of water as well. Reuse-ability of the foam were confirmed through measuring for the change of maximum sorption capacity according to sorption cycles. Finally, the same experiments were carried out in artificial seawater bath in order to estimate that actual sorption properties in the sea.

우리나라 인플레의 假說과 그 檢證에 관한 考察

李亨純 成均館大學校 韓國産業硏究所 1974 韓國經濟 Vol.2 No.-

地域社會學校의 部落開發 活動類型및 그 合理的 推進過程에 관한 調査硏究

李淳珩 제주대학교 1982 논문집 Vol.14 No.1

This writing attempts to establish the general task and to grove for the effective method of school activities in the community, which are necessary for the community development. In pursuit of this aim, the writer has considered several types and has made an attempt to find out the reasonable courses of the school function for the villiage development. For the very survey, there were a case study on variable activities of the community school and an use of the questionaire on schools in Jeiu Area. The unit of the community development is made on the basis of a farm villiage centered around a school. And the whole phenomenon of the community is studied throughout the aspects: economy, politic, culture. There are prescrived six areas of community school activities to find a solution to educational problems occured from the said aspects. It is assumed that the school as a main institution for the community development has tried to invest the intended processes in the community as follows: discovering the problems, setting up the improving goals, designing the evaluation criteria, and finding out the proposals and implementaries and the evaluation. It is the assumption that the variety from the said operation means the very function of the school for the villiage development. As a result of the survey, the pattrens of school activities are abstracted as follows: the development of inhabitants' way of thinking and the improvement of their life-style, the spread of the technical side in the farming subsidiary industry for the increase of the income and the support of their industrial activities, the operation of the curriculum centered on the community, the reform movement of the educational environment, and the selfsupport education of the school. It is thus that there can be extracted five types in the school activites. And then the five can be classified into twenty-five details. And as for the unfolding process of the school for the villiage development, it canbe analyzed into two parts: the designing process and the operating one. The former is investigated and commented on the school system and the proper factors of the programs for the fulfillment and forwarding of fhe designed task. In consequence of that, it is approved that the school has made a spread of several activities for the community development, however, the effect leaves an unsatisfied something to be desired. The reason is that there are Ho good operating systems to fulfill the designed programs effectively in the school. Even if the school has them, they are not linked to inhabitants. it is also pointed out that teachers have a weak knowledge and understanding of the programs. From the result of the above survey, the writer likes to make some suggestions for the effective fulfillment of the school program for the villiage development. The first step to take is that the systematical training program fur teachers have to be preceded. And then it is necessary that the school find out the school system emphasized on being linked to inhabitants for another thing.

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).

기초의학교육의 당면과제

李純炯 대한의학협회 1995 대한의학협회지 Vol.38 No.2