• 동의생리병리학회지
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• 제25권2호
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• pp.352-358
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• 2011

This study was to develop experiment and practice curriculum for the Visceral Manifestation and Life Nurturing with traditional Korean psychobiology and Sasang medicine in School of Korean Medicine, Pusan National University. The required items for the 4-hour program such as objectives, contents and tools, and evaluation methods were described in details with the reference of standardized planning forms. The response of students to the 4-hour long program showed responses with high satisfaction ($8.11{\pm}1.06$), high interest ($8.57{\pm}1.07$) and low difficult ($5.16{\pm}1.22$). The students suggested to increase allocated time for lecture and discussion/presentation. We discussed the importance of systematic establishment and development of experiment and practice curriculum in Korean Medicine education. Since this program has usefulness for understanding of the tools for Korean psychobiology and Sasang medicine, it can be used for the establishment of evidence-based teaching programs with research data for the Korean medicine in the near future.

• 생물정신의학
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• 제5권2호
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• pp.197-209
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• 1998

In mordern society, nutritional and appetite disorders occur in epidemic proportions and are serious health harzards. Obesity and diabetes affect over 30% of American population, while eating disorders, such as anorexia nervosa and bulimia nervosa occur in a growing number of adolescences and young adults. The changes in various sociocultural aspects with the introduction of Westernized culture have had the effect of increasing the risk of same problems in Korea. Disorderd eating patterns are a primary symptom of numerous psychiatric disorders and loss of appetite and cachexia, during illness or in the elderly, preclude proper medical treatment for restoring good health or preserving life. Increased understanding of the systems of the body and brain, related to energy and nutrient balance, may help us to treatment and ultimately prevent these commom disorders. In this review, the author highlights the psychobiological mechanisms or factors which are associated with eating behavior, especially in the view of intake psychobiology. This review would be concentrated on 1) the theoretical concepts and theories of eating behavior ; 2) the psychobiological determinants of food intake ; and 3) the psychobiological control of eating behavior.

• 정신신체의학
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• 제4권1호
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• pp.124-137
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• 1996

As the society becomes more industrialized and modernized, we have more chances to experience a serious traumatic event. Post-traumatic stress disorder (PTSD) has 3 major categories of symptoms such as memory disturbance, hyperarousal and avoidance or numbness. I reviewed the psychobiological evidences in 3 main categories of symptoms and the biological treatment after a brief review of the epidemiology, psychosocial etiology and diagnosis of PTSD. The memory disturbance of PTSD might be developed by the potentiation of the memory pathway mediated by norepinephrine. PTSD induces HPA axis abnormality, it might also develop hippocampal dysfunction, which might contribute to the memory disturbance. The kindling effect develops desensitization, which might develop reexperiencing of the traumatic events and hyperarousal state. Chronic aroused state of locus ceruleus with resultant chronic maladaptive state of norepinephrine system, might develop hyperarousal state. Social avoidance and physical numbing state in PTSD might be caused by serotnin or opiate system. Stress induced analgesia might be developed by opiate reliesed against the acute stress. The biologic research results would help the selective treatment of PTSD.

• 정신신체의학
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• 제12권2호
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• pp.95-102
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• 2004

연구배경: 정신적인 면에 밀접한 관련이 있는 스포츠에 정신과적인 관심은 체계적으로 적용되지 못해왔으며 심리학에 비해 관심의 정도나 다양성은 많이 부족하였다. 이번 스포츠 정신의학의 소개는 기본적 개념과 영역을 간단히 논함으로써 정신과 의사로써 스포츠를 보는 다양한 시각을 제공하고 정신과 의사가 할 수 있는 기본적인 역할에 대해 소개하고자 한다. 결과 및 토론 : 운동선수들의 심리학적 발달 단계를 이해하는 것은 그들의 정신 구조를 알아가는데 많은 도움을 준다. 또한 어린 시절부터 지속되어온 일정한 성향은 시합 중에 혹은 연습 중에 간혹 보일 수 있는 문제점을 신속히 알아내는 데 많은 자료를 제공할 것이다. 운동의 정신 생물학은 운동 선수들의 정신 상태에 영향을 끼칠 수 있는 호르몬이나 신경 전달물질 같은 생물학적인 면을 논하게 된다. 운동 선수의 훈련이나 경기 중 일어날 수 있는 정신적 문제를 크게 5가지 항목으로 나눌 수 있다, choke, 슬럼프, 부상, 대인관계, 훈련딜레마. 선수들도 일반인들과 똑같이 정신과적 모든 질환에 노출되어 있다. 정신치료, 집단치료, 가족치료, 약물 치료 등 정신과 환자에게 사용될 수 있는 모든 치료법은 스포츠정신의학에서 사용될 수 있다. 결론: 비록 정신과 의사들이 영향을 끼칠 수 있는 중요한 부분들은 임상적 상황이 되겠지만 선수들 운동과 인생 전반에 걸쳐 벌어지는 선수들의 역할과 갈등에 관심 가짐으로써, 자신의 운동과 인생을 즐기며 살아가는 더 많은 인본주의적인 선수 출현에 일조했으면 한다.

• Imaging Science in Dentistry
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• 제44권1호
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• pp.1-6
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• 2014

Professionals performing radiographic examinations are responsible for maintaining optimal image quality for accurate diagnoses. These professionals must competently execute techniques such as film manipulation and processing to minimize patient exposure to radiation. Improper performance by the professional and/or patient may result in a radiographic image of unsatisfactory quality that can also lead to a misdiagnosis and the development of an inadequate treatment plan. Currently, the most commonly performed extraoral examination is panoramic radiography. The invention of panoramic radiography has resulted in improvements in image quality with decreased exposure to radiation and at a low cost. However, this technique requires careful, accurate positioning of the patient's teeth and surrounding maxillofacial bone structure within the focal trough. Therefore, we reviewed the literature for the most common types of positioning errors in panoramic radiography to suggest the correct techniques. We would also discuss how to determine if the most common positioning errors occurred in panoramic radiography, such as in the positioning of the patient's head, tongue, chin, or body.

• The Korean Journal of Pain
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• 제33권1호
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• pp.90-96
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• 2020

Background: Parkinson's disease (PD) is a neurodegenerative disorder that is the second most common disorder after Alzheimer's disease. PD includes both "motor" and "non-motor" symptoms, one of which is pain. The aim of this study was to investigate the clinical characteristics of pain in patients with PD. Methods: This cross-sectional study included 250 patients diagnosed with PD, 70% of which had mild to moderate PD (stages 2/3 of Hoehn and Yahr scale). The average age was 67.4 years, and the average duration since PD diagnosis was 7.1 years. Relevant data collected from PD patients were obtained from their personal medical history. Results: The prevalence of pain was found to be high (82%), with most patients (79.2%) relating their pain to PD. Disease duration was correlated with the frequency of intense pain (R: 0.393; P < 0.05). PD pain is most frequently perceived as an electrical current (64%), and two pain varieties were most prevalent (2.60 ± 0.63). Our findings confirm links between pain, its evolution over time, its multi-modal character, the wide variety of symptoms of PD, and the female sex. Conclusions: Our results demonstrated that the pain felt by PD patients is mainly felt as an electrical current, which contrasts with other studies where the pain is described as burning and itching. Our classification is innovative because it is based on anatomy, whereas those of other authors were based on syndromes.

• 수면정신생리
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• 제19권1호
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• pp.35-41
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• 2012

목 적 : 본 연구에서는 이미 정착하여 일상 생활을 하고 있는 북한이탈주민들 중 정신과 진료를 받은 환자들을 대상으로 정신생리를 고찰하고자 하였다. 방 법 : 본 연구는 2005년 1월 1일부터 2011년 7월까지 정신과를 내원한 북한이탈주민 환자 85명을 대상으로 후향적으로 인구학적 정보 및 정신과적 정보를 획득하였다. 결 과 : 85명의 북한이탈주민 중 75명(88.2%)이 여자였으며, 평균연령은 48세였다. 외래에서 주로 호소한 증상으로는 불면 47명(55.3%), 두통 37명(43.5%), 불안감 20명(23.5%), 우울감 19명(22.4%) 등이었으며, 입원시 주된 증상은 불면 14명(87.5%), 우울감 12명(75%), 두통 8명(50%) 등이었다. 결 론 : 국내에 입국해서 생활하고 있는 북한이탈주민들이 가장 많이 호소하는 정신과적 증상은 불면, 두통 등으로 나타났다. 향후 북한이탈주민들을 정신과적 평가 및 치료함에 있어서 정서적 호소보다 신체적 증상을 더 많이 호소하는 특징을 고려하여야 함을 시사한다. 또한 북한이탈주민들의 가장 많은 증상이 불면이었다는 점에서 향후 이들을 대상으로 수면에 대한 심도 있는 연구가 이루어야 할 것이다.