• 한국병원경영학회지
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• 제5권2호
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• pp.100-119
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• 2000

This study was conducted to understand the influences or satisfaction of mental disease patient's carer about medical service on utilizing hospital, for 202 mental disease patients who are in 19 hospitals from March 2, to 31, 2000 with questionnaire. Factor for understanding satisfaction of patient's carer includes ability of medical professional, view of facility, kindness of steps, convenience of medical procedure, cleanness of environment and convenience of traffic. The data collected were analyzed by SPSS program and the results of this study are summarized as follows; 1. There are not significantly difference bet wren general character and whole satisfaction of patient's carer. 2. Each factor has the positive relation with whole satisfaction of patient's carer about medical service. 3. Whole satisfaction of patient's carer have the significant positive relation with utilizing hospital($\beta$=.527, p=.000), this means that the higher whole satisfaction of patient's carer, the higher their tendance of utilizing hospital. 4. Knowledge for mental disease of patient's carer appear the positive results in view of medical care. In conclusion, the policy has to be developed in order to prevent the stop of utilizing hospital of patient and their carer. But there is a limit to except mental disease patients in this study.

• 한국국방경영분석학회지
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• 제34권3호
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• pp.93-105
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• 2008

최근 정신질환에 대한 사회적 편견이 감소하면서 이차성 이득(secondary gain), 즉 군복무 기피를 위한 목적으로 정신과적 증상을 호소하는 환자가 늘어나고 있다. 특히 객관적 진단도구가 없는 정신의학적 문제의 경우 환자의 주관적 증상호소와 의사의 전문적 판단이 실제 유일한 진단 기준이다. 본 논문에서는 데이터마이닝을 이용하여 과거 정신과 입원 환자들의 처방데이터 분석을 통해 의병전역 결정을 위한 객관적 기준을 제공하여 의무조사의 신속한 의사결정에 도움을 주고자 한다. 따라서 정신과 환자 처방분석을 통한 의병전역 결정지원 시스템을 제안한다.

• 대한장애인치과학회지
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• 제1권1호
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• pp.33-36
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• 2005

Manifestations in tuberous sclerosis such as seizure, mental retardation, end-stage renal disease (ESRD), and heart problems present a number of challenges to the dentist and anesthesiologist. Lack of cooperation in addition to the severe medical condition makes dental treatment more difficult. General anesthesia is often required for mentally and physically handicapped patients undergoing extensive dental treatment. We experienced a case of dental treatment under general anesthesia in a 36-year-old male patient with tuberous sclerosis associated with ESRD and mental retardation. He was treated on an outpatient basis followed by hemodialysis without any complications.

• 생물정신의학
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• 제16권2호
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• pp.127-132
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• 2009

Marchiafava-Bignami disease(MBD) is a rare complication of chronic alcoholism characterized by symmetrical demyelination of the corpus callosum. We report a case of MBD in a Korean patient having chronic alcohol dependence. The patient exhibited mental depression, weakness of all four limbs and dysarthria. Laboratory data showed mild hyponatremia. Magnetic resonance imaging(MRI) revealed unusual symmetrical resolving lesions of the putamen in addition to the typically observed lesion of the corpus callosum. The neurologic disturbances were gradually improved with the normalization of low plasma sodium levels. Marked improvement of abnormal MRI findings was noted after thiamine supplement, though the patient still exhibited severe cognitive impairment.

• 생물정신의학
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• 제14권1호
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• pp.48-54
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• 2007

Objectives : This study aimed to examine the relationship between behavioral and psychological symptoms of dementia(BPSD) and patient and caregiver QOL in Alzheimer's disease(AD). Methods : Fifty-one AD patients and their caregivers participated. Measures about patients were Neuropsychiatric Inventory(NPI), Korean version of QOL-Alzheimer's Disease(KQOL-AD), Activities of Daily Living(ADL), Clinical Dementia Rating(CDR), and Korean version-Mini Mental State Examination(K-MMSE). Caregiver QOL was assessed with KQOL-AD and General Health Questionnaire/Quality of Life-12(GHQ/QOL-12). Results : Patient QOL-AD on patient ratings was negatively correlated with appetite/eating change and NPI scores. Patient QOL-AD on caregiver ratings was negatively correlated with hallucinations, depression/dysphoria, and NPI scores. Caregiver QOL assessed by the GHQ/QOL-12 was negatively correlated with agitation/aggression, depression/dysphoria, and NPI scores and was negatively correlated with distress related to agitation/aggression, depression/dysphoria, and NPI scores. Conclusion : BPSD of AD patients was associated with low QOL of both patients and caregivers. Thus, interventions of BPSD were needed to improve both patient and caregiver QOL.

• 대한한방내과학회지
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• 제37권2호
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• pp.420-426
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• 2016

Objective: This case report examined a patient to determine if traditional Korean medicine treatment was effective for treating acute intracerebral hemorrhage (ICH) diagnosed with moyamoya disease.Method: The patient was treated with herbal medicine, acupuncture, and Western medicine and was followed up with for symptoms, vital signs, and brain computed tomography (CT) scans.Results: During the treatment, the patient’s mental state was mostly alert. The patient’s headaches were improved after the use of painkillers; the patient’s fever and blood pressure were well controlled. The cerebral hematoma was removed smoothly.Conclusion: Traditional Korean medical therapy (herbal medicine and acupuncture) along with Western methods appeared to be effective in managing the acute phase of ICH diagnosed with moyamoya disease.

• 대한유전성대사질환학회지
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• 제13권2호
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• pp.98-103
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• 2013

Purpose: MAT-I/III deficiency by MAT1A gene mutation causes isolated hypermethioninemia, which is considered to be a clinically benign disease. But in some patients, mental retardation, developmental delay, myelination disorder may be shown. This study was performed to find out the clinical manifestations and genetic characteristics of patients with isolated hypermethioninemia. Methods: Clinical, biochemical and genetic analysis were done to 10 patients with isolated hypermethioninemia who were referred to department of pediatrics, Soonchunhyang University Hospital from March 1999 to March 2012. Results: At first visit, all patients' mean plasma methionine level was 5.5 mg/dL (2.1-14.6) and there were no increase of amino acid levels including homocystine in all patients. Serum homocysteine level was evaluated in seven patients who visited after year 2003, and ranged from 4.96 to $11.15{\mu}mol/L$ (normal < $25{\mu}mol/L$). Methionine restricted diet was started to all patients. Nine patients who managed regularly showed normal development, but one patient whose initial plasma methionine level was 14.6 mg/dL showed language delay at 1 year of age and was diagnosed as mild mental retardation (IQ=66) at 6 years of age. Genetic analysis was done to eight patients, R264H mutation was identified in seven patients. Also, both R299C and R356Q mutation were identified in one patient. Conclusion: Clinical findings in patients with isolated hypermethioninemia were generally good, but one patient showed mental retardation and language difficulty. R264H mutation which usually inherits as an autosomal dominant trait was most frequently found in our patients, and R299C/R356Q mutation were also identified.

• 대한유전성대사질환학회지
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• 제19권1호
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• pp.26-30
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• 2019

EFMR은 뇌전증을 보이는 여자 환자에게서 지적장애가 동반된 것이 특징적인데 이들 중 PCDH19 변이와 연관이 있는 경우를 PCDH19 연관성 뇌전증으로 분류하였다. PCDH19 연관성 뇌전증은 조기에 발병하며 열에 민감하고 잘 조절되지 않는 군집발작을 보이는 것이 특징이다. 발달장애나 인지 및 행동장애를 동반할 수 있으며 정상에서부터 중증까지 다양하게 나타날 수 있다. 최근 이러한 질환에서 유전적 원인을 찾고자 하는 노력으로 뇌전증 유전자 패널을 이용하는 경우가 많아지고 있다. 저자들은 EFMR 환자에서 뇌전증 유전자 패널을 이용한 유전자 검사상 PCDH19 돌연변이가 확인된 사례를 경험하였기에 보고하는 바이다.

• 사상체질의학회지
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• 제14권3호
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• pp.167-173
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• 2002

Insomnia is a temporary or continuous condition in which one has difficulty sleeping, due to physical impediments or physical problems. Because insomnia does harms to a labor power or imposes mental and physical burden on a patient, we should pay attention to this disease. This case is about a patient who was 62 years old man with a chronic insomnia since 1996, inspite of no past history about psychical disease. He had sufferred from a cerebral infarction and hypertension since March. 2002. and was hospitalized in Sangji University korean medicine hospital, 25. June. 2002. This patient had been treated by herb-med, Yanggyuksanhwatang for 4 weeks and showed an improvement. This paper describes the process and contents about the patient was cured.

• 동의신경정신과학회지
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• 제17권1호
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• pp.145-152
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• 2006

The purpose of this study was to investigate the clinical application of oriental medical therapy to Pick's disease We treated the patient with oriental medical therapy. The recovery of the dementia was evaluated by Korean-Mini Mental State Examination(MMSE-K), Korean-dementia Rating Scale(K-DRS) & Barthel ADL Index.(ADL) The applicability of oriental medical therapy has positive effects on the patient with Pick's disease. The Sum of MMSE-K score was increased. K-DRS & ADL were also promoted.