학생청소년의 불안성향과 문제행동 유형간의 상관분석

김헌수,이재우,나철,김영돈,김민호,김은희,권지란,박광식,이길홍,민병근 중앙대학교 의과대학 의과학연구소 1987 中央醫大誌 Vol.12 No.4

The purpose of the present study was to examine the relationship between their problem behavioral pattern and anxious trends among Korean student adolescent. Zung's measurement of anxiety level undergone through used of the self-rating anxiety scale. the data were collected through the questionaire survey which was conducted on Dec.1, 1983. Subjects served for this atudy consisted of 1,404 syudents in Korea, randomly sampled from Korean student population by means of census method. The data were analysed by CDC-174 computer of KAIST, using SPSS pogram. Statistical methods empoyed were χ^2 test and Eta measures. the results of this study were as follows. 1. It showed that students psychological anxious trends had greatest significant correlation with adolescent student's problem brhavioral pattern, but the cardiovascular, respiratory, gastrointestional and genitourinary anxious trends has not significantly related with student's problem behavioral pattern. 2. Students group with undersocialized aggressive, undersocialized nonaggressive,undersocialized school-norm avoidant, or socialized nonaggressive behavioral patterns were less anxious, whereas those with socialized latent aggressive, socialized sexual, or socialized modellong behavioral patterns were higher anxious.

Mo¨ssbauer Effect of the Lithium- and Cesium- nitrosylpentacyanoferrates(Ⅱ)

김일구,류상훈,김형상,홍치유,심동훈,김순구 동국대학교 자연과학연구원 2000 자연과학연구 논문집 Vol.5 No.-

We observed the 57Fe Mo¨ssbauer spectra and Fourier transformation infrared spectra & X-ray fluorescence spectra of lithium nitrosylpentacyanoferrates(Ⅱ) (Li₂[Fe(CN)5NO]·4H₂O, Li₂NP) and cesium nitrosylpentacyanoferrates(Ⅱ) (Cs₂[Fe(CN)5NO]·H₂O, Cs₂NP) samples which comprise nitrosylpentacyanoferrates(Ⅱ) anions with a Fe atom center. The Mo¨ssbauer parameters, values of isomer shift and quadrupole splitting have been measured at room temperature and liquid nitrogen temperature. Also the Mo¨ssbauer Lamb factors of all samples have been measured at room temperature. We have drawn the experimental line width of the Mo¨ssbauer lines normalized to natural line width Γn versus effective thickness of 57Fe.

서남해안 지방에서 발생한 Vibrio vulnificus 감염의 임상적 고찰

조남수,김춘호,김성중,김용배,조수형,안태훈 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: V. vulnificus infection in found between May and October when the man who has hepatic disorder or immunity disorder eats raw shellfish and it causes the systemic symptoms such as sudden fever, chilling, shock and stupor and local skin lesions like bleb and necrosis. This disease has 46∼61% of fatality rate in spite of intensive treatment. This study conducts the examination of history, epidemic study, ingesting raw fish and bacteriologic investigation in the patients with similar clinical symptoms to the above and examines the diagnostic dorrelations. Method: It is conducted with 31 cases who admitted at emergency medical center of Chosun University Hospital from May of 1995 to September of 1998 and are suspected to have V.vulnificus infection. It analyze bacteriologic examination, the survey of residence, eating raw shellfish, hepatic disorder, alcohol drinking habits and skin lesion. Results: 1) The rate of male and female is 15.5:1 and in the age, 18 cases are in fifties, seven are in forties and six are over sixties. 2) Clinically, V.vulnificus is detected in 20 of 31 cases which is suspected to have V.vulnificus infection and it is not detected in 5 cases. Other bacteria are detected in 6 cases and they include staphylococcus aureus, pseudomonas species, β-hemolytic streptococcus and E-coil. 3) In local distribution, Kohung has 10 cases, Shinan and Mokpo have six, Haenam and Kangjin have five, Yongkwang and Muan have five, Naju and Yongam have five and Kwangju has one. 4) Eating fishes and raw shellfishes is found in 31 cases. In the kind of shellfishes, eating raw clam is 10 cases, raw thin-shelled surf calm is 8 cases, raw oyster is 5 cases and sliced raw fish is 4 cases and pickled sea foods are 4 cases. 5) The cases with hepatic disorder are 23 and 15 cases with heavy alcohol drinking Carrier are included. The cases with Diabetic Mellitus are four and those with pulmonary tuberculosis are two. Two cases have not basal diseases. 6) On the opinion of skin lesion, 20 cases show vesicular necrosis, 7 cases have dendriform erythema, 3 cases have papule and one case doesn't show clear skin lesion. Conclusion: When V.vulnificus infection is detected, it is fatal and those who have hepatic disorder or heavy alcohol drinking habit must avoid eating fishes and shellfishes raw in summer. It is important to have emergency treatment for the patient whose V.vulnificus infection is suspected. It is considered that the administration of initial antibiotics is effective by generalizing the clinical symptom, epidemic opinion and patient history even before the results of bacteriologic confirmed.

Headed Reinforcement를 사용한 철근콘크리트 깊은 보의 전단거동

강경훈,이우진,김수봉,서수연,윤승조,김성수 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

Generally, headed reinforcement offers several advantages over straight bar or hooked bar anchorages to develop reinforcement in concrete members. The purpose of this study is to investigate the shear behaviors of reinforced concrete deep beam with headed reinforcement. Five deep beam specimens are designed to study the anchorage capacity of headed reinforcement as well as the contribution of H-bar and V-bar to the shear. Two anchorage types, standard 90-degree anchorage and headed reinforcement, are considered in design. From the tests, it is shown that In the test results, headed reinforcement is able to replace standard 90-degree anchorage as the anchorage method. The evaluation on the contribution of H-bar and V-bar in current design code for deep beam shows that the former is overestimated 75% and the latter is overestimated 17%.

幼兒自閉症에 있어서 엔도르핀系와 社會性發達에 關한 硏究

曺洙哲,徐維憲,金憲植,金星秀,崔雄 서울醫大 1990 精神醫學 Vol.15 No.4

관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection

Chun, Yoon-Keun,Ha, Joo-hun,Hong-Jung-Woo,Oh, Soo-Myung,Kim, Sung-Soo 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Yoon-Keun Chun¹,Joohun Ha□Hong-Jung Woo□, Soo Myung Oh□,Sung Soo Kim□ ¹Department of Molecular Biology, College of Medicine,²Department of Surgery, college of Medicine,³Department of Internal Medicine, College of Oriental Medicine,and ⁴East-Weat Medical Reserch Institute,Kyung Hee University, Seoul, Korea. The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection. Proceedings of International Symposium on East-West Medicine, Seoul. 212-230, 1999. -Hepatitis B is caused by hepadnavirus. Hepatitis B virus replicates through 3.5kb pregenomic RNA intermediate which is regulated by core promoter. Pathogenesis of hepatitis B virus has been bilieved the result of host immune response. But recently many studies have reported that high level of viral replication caused by mutation in core promoter might result in severs hepatitis. But these studies were performed in vitro, not in vivo. So there is yet debate about which factor, viral of host factor, is more important in pathogenesis of hepatitis B virus. So we measured real viral replication level in 204 chronic hepatitis B patients by quantifying HBV DNA from sera by our novel PCR-based more sensitive method, and compared these results with ALT level measured from same sera, which indicates liver cell damage. Surprisingly there are no significant correlation between HBV DNA quantity and ALT level. Then we cloned core promoter region. In SSCP, we found that many viral mutants coexist in one patient. Base on SSCP result, we chose main viral core promoter type in each patients, which is thought to determine overall viral replication level in this patient. Main type of core promoter region of each 41 patients were directly sequenced. And with these we measured promoter activity by luciferase assay system and compared promoter activity with on another. We found tha there were some differences in promoter activity according to core promoter sequences. And we constructed replication-competent viral constructs with core promoter from 41 patients and Transfected these into HepG2 cell and measured HBV DNA by southern blot. There were also differences in HBV DNA quantity according to core promoter sequences. On these all results we investigated correlation between the effect of HBV core promoter on viral replication in vitro and HBN DNA quantity, ALT level from sera of each patients. We found there is no significant correlation among them. As a result, we concluded that in determining severity chronic hepatitis B patients, host factors of each patient is more important rather than replicative activity of virus itself.

한국 가정의 인구학적 특성이 가정의 심리풍토에 미치는 영향에 관한 연구

김헌수,이길홍,민병근 중앙대부설한국의과학연구소 1982 한국의과학 Vol.14 No.4

재범 비행 청소년의 예측인자 분석

김헌수,김현실 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.2

연구목적: 본 연구의 목적은 청소년 비행의 재범 예측인자를 규명함으로써 초범자와 재범자를 판별하며, 나아가 재범가능 비행 청소년을 위한 중재 프로그램 개발의 기초자료를 제시하기 위함이다. 방법: 본 연구는 설문지 조사와 면담을 통한 횡단적 · 후향적 서술비교 조사연구이며, 필요시 연구자가 직접 소년원 및 소년분류심사원을 방문하여 소년원 및 소년분류심사원의 재원기록을 참고하였다. 본 연구에서 사용할 설문지는 국내외의 관련자료 수집과 문헌고찰을 토대로 본 연구자가 제작한 정신건강실태 설문서 중 본 연구를 위한 연구문제에 해당되는 문항을 발췌하여 적용하였다. 본 연구의 표집 대상은 비례층화 표본 추출법을 이용하여 전국의 11개 소년원 중 3개 소년원, 2개 소년분류심사원 총 5개의 소년원및 분류심사원에 재원중인 12∼18세 사이의 비행청소년 총 546명을 연구대상으로 선정하였다. 자료수집은 연구대상자에게 연구의 목적과 취질를 설명한 후 연구 참여에 동의한 청소년을 대상으로 실시하였으며 수집된 자료중 불충분한 자료는 제거한 후 SAS 프로그램으로 분석하였다. 본 연구분석에 적용한 통계방법은 서술적 통계, t 검정 및 로지스틱 회귀 분석법 등이다. 결과: 본 연구의 분석결과는 다음과 같다. ① 재범청소년은 초범청소년보다 보다 역기능적인 가정 역동적 환경을 보였다. 즉 재범 청소년은 초범 청소년 보다 부모-자녀 관계와 가족원간의 관계가 원만하지 않았으며, 가정안정도와 가족원의 가정 만족도는 낮았다. 또한 재범 청소년의 모친이 초범 청소년의 모친 보다 가계유지를 위해 사회활동을 더 많이 하는 것으로 나타났다. ② 재범청소년은 초범청소년보다 보다 부적응적 성격특성을 보였다. 즉 재범청소년은 초범청소년에 비해 사회성향, 반사회적 성격 특성, 공격성향 및 우울성향은 높은 반면 생활만족도는 낮았다. ③ 초범 비행시 연령과 재범과의 상관성 검증에서는 초범 비행시 연령과 재범간에 유의한 상관이 있었다. 즉 초범 시 연령이 낮은 청소년일수록 재범화되는 경향이 높았다. ④ 초범과 재범을 판별하여줄 수 있는 재범예측요인으로는 첫 범죄시의 연령(oddsratio : 46.3)이 가장 높게 나타났으며, 다음으로는 부모-자녀관계, 사회성향, 공격성향등의 순으로 나타났다. 반면 우울성향은 초/재범의 예측과의 관계가 없는 요인으로 나타났다. 결론: 본 연구결과 처음 범행시의 연령이 가장 강한 청소년 재범예측요인임을 알 수 있었다. 즉 첫 범해시의 연령이 낮을수록 재범자가 될 가능성이 높음을 알 수 있었으며, 다음으로는 부모-자녀관계, 사회성향, 공격성향이 재범예측요인으로 분석되었다. 그러나 본 연구에서는 청소년의 역기능적 가정역동적 환경, 부적응적 성격특성 또한 재범관련 변수로 분석되어 청소년범의 채범화를 막기 위해서는 이러한 다차원적 변수가 고려된 중재 프로그램의 개발이 필요하다. Objectives: The purpose of the present study was to identify predictors of juvenile recidivism in Korea. Method: As a questionnaire survey, subjects served for this study consisted of 546 delinquents adolescents including 246 one-time delinquent and 300 recidivists in Korea, sampled from Korean delinquent adolescents, using the proportional stratified random sampling method. Data were analysed by the SAS program. Staistical methods employed were t-test and logistic regression analysis, etc. Results: The juvenile recidivists showed the higher dysfunctional family dynamic environment than one-time delinquent. The juvenile recidivist showed the more maladaptive personality character than one-time delinquent. The predictors of juvenile recidivism were age at first committing delinquent behavior, parent-child relationship, sociability and aggressive impulsiveness, in descending order. Among these predictors, the strongest predictor was age factor. That is, age at first-committing delinquent behavior showed 0.46 of odds ratio. Conclusions: In conclusion, it was found that age of adolescent at first-committing delinquent behavior served as the strongest predictor of juvenile recidivism among Korean adolescents. That is, the adolescents committed first delinquent at younger age showed higher rate of recidivism in Korea.

한국 정신 역동학실제의 현황 분석

김헌수,김현실,민병근 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.1

This study was intended to get the base-line data of psychodynamic formulation for teaching the residents through the analysis of the current status of psychodynamic formulation in Korea. Data were collected through the mailings-questionnaire survey. Subjects served for this study consisted of 1,034 psychiatrists including 259 residents and 775 psychiatric specialists in Korea, using census method. Statistical method employed was percentage rate. 1. 267 respondents(25.8%) among 1,034 psychiatrists replied to our mailings questionnaire. 2. 83.5 percent of respondents perceived psychodynamic formulation to be very important, 46.8 percent of respondents felt formulation to be crucial for second year residents, while 37.8 percent of respondents stated that they referred to textbooks of psychiatry, others(25.1 percent) sent guidelines for the mental status examination and/or descriptions of the intake interview. 5.6 percent of respondents did not provide any materials for psychodynamic formulation. 2 percent of respondents did not answer this question. 55.4 percent of respondents recognized general psychiatry, psychopharmacology and biological psychiatry to be more important than the teaching of formulation. As a result, though the Korean psychiatrists recognized formulation to be very important, they did not sufficiently provide the materials about psychodynamic formulation. 3. the Korean psychiatrists prefered to psychoanalysis models, focal psychodynamic approaches and/or biopsychosocial approaches in case of formulating the psychiatric patients, while the American psychiatrists tended to adapt psychoanalysis and/or ego psychological models to their patients. 4. 72.7 percent of respondents indicated that they distinguished psychodynamic formulation and diagnostic assessment, while 20.9% of respondents emphasized that all patients require a diagnostic assessment. 48.7 percent of respondents viewed that psychodynamic tended to be overlooked and declined due to recent advanced biological psychiatry.