Objectives : Nowadays, the pharmacological method is widely used as the standard treatment for depression. However, as a result of newer agents being introduced, pharmacological treatment strategy ...continues to develop. To overcome problematic nature in this trend, Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD)had been developed in 2002 and revised in 2006. And we propose the third revision of KMAP-DD reflecting the new research results and the latest trends in the areas of pharmacological treatment.
Methods : 123 psychiatrists who had rich clinical experiences in depression were primary selected then surveyed via mail ;67 surveys were retrieved. This survey was constructed with 44 questions which contained overall treatment strategies to specific treatment strategies. Each treatment strategy or treatment option was evaluated with the overall score of nine and the following 95% confidence interval. Results were divided into three phases of recommendation; primary, secondary, tertiary.
Results : The initial strategy for pharmacological treatment in major depression disorder without psychotic features is a single treatment of antidepressant which does not take into consideration of the severity of depressive episode. Also, primary recommendations for the mild to moderate episodes are SSRIs except fluvoxamine, SNRIs and mirtazapine. As for the severe episodes, SSRIs except fluvoxamine and flouxetine, SNRIs except milnacipran, and mirtazapine are recommended. In case of no response to the initial treatment, switching to another antidepres-sants or adding another antidepressants are the preferred methods. In case of partial responses to initial treatment, adding another antidepressants or combination of atypical antipsychotics are preferred. As for atypical antipsychot-ics, aripiprazole and quetiapine are selected primarily in the combined pharmacological therapy.
Conclusion : If psychotic features are not apparent in major depression disorder, SSRIs, SNRIs and mirtazapine are initially consid-ered for single treatments. There are trends in which if enough response is not obtained in the initial treatment, stra-tegically adding another antidepressants are still preferred as well as combination of atypical antipsychotics. (J of Kor Soc for Dep and Bip Disorders 2013;11:5-11) KCI Citation Count: 1
강재의 피로균열전파율에 미치는 영향인자에 관한 연구 김선진(Seon-Jin Kim); 남기우(Ki-Woo Nam); 홍진표(Jin-Pyo Hong)
Han-guk haeyang gonghak hoeji (Online),
1999, Letnik:
13, Številka:
2
Journal Article
Recenzirano
Odprti dostop
The effect of specimen thickness on fatigue crack growth rate was studied. The objective of the present study is to investigate the effect of specimen thickness on the fatigue crack growth behavior ...at various stress intensity factor ranges and also the variation of material restance to fatigue crack growth. The fatigue crack growth resistance was treated as a spatial stochastic process, which varies randomly on the crack path, Compact tension specimens with a LT orientation for structural steel were used. All testing was done at a constant stress intensity level. The experimental data were analyzed for the size effect to determine the Weibull distributions of the material resistance.
The integrated gasification combined cycle (IGCC) system is well known for its high efficiency compared with that of other coal fueled power generation system. IGCC offers substantial advantages over ...pulverized coal combustion when carbon capture and storage (CCS) is required. Commercial plants employ different types of quenching system to meet the purpose of the system. Depending on that, the downstream units of IGCC can be modeled using different operating conditions and units. In case with $CO_2$ separation and capture, the gasifier product must be converted to hydrogen-rich syngas using Water Gas Shift (WGS) reaction. In most WGS processes, the water gas shift reactor is the biggest and heaviest component because the reaction is relatively slow compared to the other reactions and is inhibited at higher temperatures by thermodynamics. In this study, tehchno-econimic assessments were found according to the quench types and operating conditions in the WGS system. These results can improve the efficiency and reduce the cost of coal gasification.
Objectives：Suicide is the 4th major cause of death in Korea. The annual rate of suicide per 100,000 people was 23 persons in 2006. Suicide prevention became one of the most important issues in ...government health policy. This study aims to investigate the current status of suicide and evaluation for suicide prevention programs of Korea. Methods：All the associations and mental health centers carrying out suicide prevention programs were visited and interviewed to gather information related to the matters. Annual reports of the associations and centers were
also reviewed. Results：The Korean government has recently developed suicide prevention strategies, and comprehensive programs have been provided by suicide prevention associations and mental health centers. However, there are some similarities between contents of the suicide prevention programs in Korea and those in developed countries. Even though suicide is related to diverse aspects of social life, there is no central association to organize suicide prevention programs in Korea. Few organizations that provide the programs only exist around metropolitan areas in Korea. In other words, appropriate structures for monitoring and evaluating suicide prevention programs do not exist in Korea. Conclusion：Suicide prevention programs in Korea are under the stage of development. More comprehensive and organized strategies are needed in order to reduce the rate of suicide in Korea. KCI Citation Count: 2
Objectives：The purpose of this study was to investigate the differences in clinical characteristics between panic disorder patients with comorbid depression and without comorbid depression. ...Method：One hundred sixty patients who had visited the outpatient psychiatry clinic in the Asan Medical Center and had been diagnosed with panic disorder
between 2003 and 2006 were interviewed using Structured Clinical Interview For DSM-IV (SCID-I) and Anxiety Disorder Interview Schedule for DSM-IV (ADIS-IV). The Anxiety Sensitivity Index - Revised (ASI-R), Fear Questionnaire (FQ), Anxiety Cognition Questionnairen (ACQ,) and Panic Disorder Severity Scale (PDSS) were also used as self-reports. The subjects were divided into 2 groups；one with comorbid depression and one without comorbid depression. Results：Thirty-three subjects with panic disorder (21%) were diagnosed as having lifetime
major depressive disorder. Comorbidi diagnosis of agoraphobia, alcohol abuse, specific phobia, posttraumatic stress disorder, and hypochondriasis was significantly associated with comorbid major depressive disorder. The number of panic attacks and the PDSS score at diagnosis was higher in the subjects with comorbid depression than the subjects without comorbid depression. PDSS item 2 (panic distress) and 4 (agoraphobic fear/avoidance) score and total PDSS score were also high in subjects with comorbid depression. Conclusion：Panic disorder patients with comorbid depression reported more severe panic symptoms and distresses at diagnosis and suggest more severe psychiatric comorbidities. Objectives：The purpose of this study was to investigate the differences in clinical characteristics between panic disorder patients with comorbid depression and without comorbid depression. Method：One hundred sixty patients who had visited the outpatient psychiatry clinic in the Asan Medical Center and had been diagnosed with panic disorder
between 2003 and 2006 were interviewed using Structured Clinical Interview For DSM-IV (SCID-I) and Anxiety Disorder Interview Schedule for DSM-IV (ADIS-IV). The Anxiety Sensitivity Index - Revised (ASI-R), Fear Questionnaire (FQ), Anxiety Cognition Questionnairen (ACQ,) and Panic Disorder Severity Scale (PDSS) were also used as self-reports. The subjects were divided into 2 groups；one with comorbid depression and one without comorbid depression. Results：Thirty-three subjects with panic disorder (21%) were diagnosed as having lifetime
major depressive disorder. Comorbidi diagnosis of agoraphobia, alcohol abuse, specific phobia, posttraumatic stress disorder, and hypochondriasis was significantly associated with comorbid major depressive disorder. The number of panic attacks and the PDSS score at diagnosis was higher in the subjects with comorbid depression than the subjects without comorbid depression. PDSS item 2 (panic distress) and 4 (agoraphobic fear/avoidance) score and total PDSS score were also high in subjects with comorbid depression. Conclusion：Panic disorder patients with comorbid depression reported more severe panic symptoms and distresses at diagnosis and suggest more severe psychiatric comorbidities. KCI Citation Count: 1
한.일 여대생의 자기 체형 인식 및 체형 불안도에 관한 비교 연구 홍진표; 최봉순; Hong, Jin-Pyo ...
Journal of the Korean Society of Food Culture,
12/2000, Letnik:
15, Številka:
5
Journal Article
Odprti dostop
This study was carried out to investigate misconception for physique and desire for physique of college women in Taegu(412 subjects) and Fukuoka(423 subjects). The data was collected by questionnaire ...interview and anthropometric measurement. The results were as follows : The mean age, height, weight, and BMI of Taegu subjects were $19.9{\pm}1.2$ years old, $159.6{\pm}4.9cm,\;51.2{\pm}6.0kg\;and\;20.1{\pm}2.2$, respectively. The mean age, height , weight, and BMI of Fukuoka subjects were $18.3{\pm}0.6$ year old, $157.5{\pm}5.0cm,\;53.3{\pm}6.9kg\;and\;21.5{\pm}2.5$, respectively. The average ideal height desired by subjects in Taegu was higher than their real mean height by 5.1cm ; while the average ideal weight desired by subjects was lower than real mean weight by 2.6kg. The average ideal height desired by subjects in Fukuoka was higher than their real mean height by 3.2cm ; while the average ideal weight desired by subjects was lower than real mean weight by 5.4kg. The percentage of Taegu subjects who desired to be slender, be fatty and maintain weight were 70.1%, 7.3%, and 22.6% respectively. The percentage of Fukuoka subjects who desired to be slender, be fatty and maintain weight were 85.3%,2.6% and 12.1% respectively. The rate of misconception for the actual physique was 56.5% in Taegu subjects, and 57.2% In fukuoka subjects. The over estimation rate was higher in subjects desired for slenderness than in others. The adolescent females having a fatty body image in self-consciousness indicated that they felt high social physique anxiousness. Finally, the rate of misconception and the degree of social physique anxiousness were higher in those who had a desire for slenderness. 대구효성가톨릭대학교 여대생 412명과 일본의 후쿠오카 지역 여대생 423명을 대상으로 설문지 및 신체계측을 통하여 조사한 청년기 여대생의 자기체형인식과 수척하기 원하는 조절 지향 및 사회적 체형 불안도를 알아본 결과는 다음과 같다. 1. 조사대상자의 평균연령은 대구지역은 $19.2{\pm}2.1$세이며 신장은 $159.6{\pm}4.9cm$, 평균체중은 $51.2{\pm}6.0kg$로 BMI 수치는 $20.1{\pm}2.2$이었다. 이 수치는 한국인 20대 여자 평균 체중인 53 Kg 보다는 조금 낮았으며 키는 160cm로 근접한 수치를 보여주고 있다. 일본의 후쿠오카 지역 대상자는 $18.3{\pm}0.6$세이며 신장은 $157{\pm}5.0cm$, 평균체중은 $53.3{\pm}6.9kg$로 BMI 수치는 $21.5{\pm}2.5$이었다. 2. 대구지역 여대생의 이상적으로 생각하는 신상, 체중 및 BMI와 현실치와의 차는 희망신장은 $164.7{\pm}2.9cm$로 실제 그들의 평균 신장보다 $5.1{\pm}4.1cm$의 차이를 보였고 이상적체중은 $48.7{\pm}2.9kg$로 실제체중보다 $-2.6{\pm}5.0kg$로 적게 나타났다. 또한 이상적인 BMI수치를 보면 $18.0{\pm}1.0$로 실제 BMI수치보다 $-2.2{\pm}2.0$ 더 낮은 BMI수치를 선호함을 보여주었다. 후쿠오카 지역 대상자의 이상적으로 생각하는 신장, 체중 및 BMI와 현실치와의 차는 이상신장은 $160.7{\pm}3.5cm$로 실제 그들이 평균 신장보다 $3.2{\pm}4.2cm$의 차이를 보였고 이상적 체중은 $47.9{\pm}3.4kg$로 실제체중보다 $-5.4{\pm}5.8kg$로 적게 나타났다. 또한 이상적인 BMI수치를 보면 $18.5{\pm}1.2$로 실제 BMI수치보다 $-3.0{\pm}2.2$ 더 낮은 BMI수치 선호함을 보여주었다. 대구 및 후쿠오카 양 지역 대상자는 이상체형에서는 마른 쪽으로의 선호 경향이 높았다. 3. 체중조절지향도에서는 대구지역 대상자 중 좀더 마르기를 희망하는 학생의 수는 285명으로 전체의 70.1%를 나타냈으며, 좀 더 살찌기를 희망하는 학생의 수는 30명으로 전체의 7.3%, 현 상태에 만족하면서 그대로의 유지를 원하는 학생의 수는 93으로 22.6%이었다. 일본의 후쿠오카 지역의 대상차들 중 좀더 마르기를 희망하는 학생의 수는 361명으로 전체의 85.6%를 나타냈으며, 좀 더 살찌기를 희망하는 학생의 수는 93명으로 전체의 2.6%, 현 상태에 만족하면서 그대로의 유지를 원하는 학생의 수는 51명으로 전체의 12.1%였다. 4. 실제체형과 자기평가체형과의 비교 평가율에서는 과대 평가율이 대구지역은 56.5% 후쿠오카지역은 57.2%로 나타났으며 정당평가율은, 39.1%. 40.3% 과소평가율은 4.4%, 2.3%이 었다. 5. 대구지역 대상자의 체형평가에 따른 사회적 체형 불안도는 전체 대상자의 평균치는 28점이었으며 여윔에서는 너무 살찜으로 갈수록 사회적 체형 불안도가 상승하는 경향을 나타내었다. 후쿠오카 지역 대상자의 체형평가에 따른 사회적 체형 불안도는 전체 대상자의 평균치는 34점이었으며 여윔에서는 너무 살찜으로 갈수록 사회적 체형불안도가 상승하는 경향을 나타내었다. 후쿠오카 지역의 체형 불안 도가 대구지역보다 유의적으로 높았다. 한 일 여대생의 자기 체형인식 및 체형 불안도에 관한 비교연구에서 한국여대생이 일본여대생보다 평균 신장은 크고 평균체중은 적으며 이상적으로 생각하는 신장은 한국이 일본보다 더 크고 체중은 비슷하였다. 체중조절지향도는 한국여대생보다 일본여대생이 마르기를 희망하는 율이 더 높고 체
