종합검진센터 내원자에서 관상동맥질환 위험요인들의 분포

이충원,이종영,박종원,윤능기,김영조,이현우,이무식,서석권 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3

1991년3월부터 8월사이에 대구시에 소재한 1개의 대학병원의 종합검진센타에 내원해서 종합검진을 받은 남자 422명(69.9%)과 여자 182명(30.1%)을 대상으로 하여 심헐관계질환의 위험요인들의 전체적인 분포를 보았다. 평균 연령은 남자가 43.3(표준편차, 10.3), 여자가 44.4(표준편차, 10.8)였다. 남자에서 연령에 따라 0.05 수준에서 통계적인 유의성을 보인 위험인자는 혈청 총콜레스테롤(TC). 트리글리세라이드(TC), 고밀도 지단백콜레스테롤(HDL), 저밀도 지단백콜레스테롤(LDL), 수축기혈압, 비체중, A형행동양상이었으며 생활습관으로서는 음주, 흡연, 규칙적인 운동, 우유와 커피섭취, 수면 등이었다. 여자에서는 TC, TG, LDL, 수축기와 확장기혈압, 비체중 그리고 커피섭취와 수면 등이었다. 남자에서 총콜레스테롤의 평균은 181.7mg/dl(표준편차, 32.2), 여자는 182.5mg/이(표준편차, 42.2)였다. 대부분의 위험인자들은 구미의 수준에 미치지 못했으나 남자에서 흡연율이 전체적으로 61.8%로 높으 수준이었으며 특히, 20~29세가 72.9%, 30~39세가 75.2%로서 다른 연령군에 비해 상대적으로 높았다. 여자에서는 전체적으로 6.0%에 지나지 않았다. 확장기혈압 90mmHg 이상을 고혈압자로 정의했을 때의 유병률이 여자 전체대상자에서 24.7%로 높았으며 50-59세는 표본수가 적어서 문제가 되었으나 53.1%였다. 어떤 인구집단내에서 총콜레스테롤의 평균이 200mg/dl 미만이면 고혈압과 흡연의 인구집단의 수준에 관계없이 관상동맥질환(coronary heart disease)의 발생은 드문 것으로 보고가 되고 있으므로 당분간 관상동맥질환 발생률의 급속한 절대적인 증가는 힘드리라 사료된다. 그러나 이러한 결과는 본 연구의 대상자들이 대표성을 지니지 못하며 건강검진센터에 자발적으로 내원한 사람들이므로 해석에 주의를 요한다. Authors examined the distributions of the risk factors for the coronary heart disease in the 422 male (69.9%) and 182 female (30.1%) visitors to the health examination center of a university hospital located in Taegu March to August 1991. Mean age of males was 43.3(standard deviation, SD 10.3) and that of females was 44.4(SD 10.8). Total cholesterol(TC), triglyceride (TG), high-density lipoprotein and low-density lipoprotein cholesterol(LDL), systolic blood pressure, Quetelet index, and Type A Behavior Pattern, and some of life habit variables(alcohol intake, smoking, regular exercise, milk and coffee intake and sleeping) were statistically significant in age groups of the males(P<0.05). In the females, TC, TG and LDL, systolic and diastolic pressure, Quetelet index, coffee intake and sleeping were statistically significant in age groups (P<0.05). Mean of total cholesterol was 181.7㎎/dl(SD,32.2) in males and that of females was 182.5㎎/dl(SD,42.2). Most of the risk factors levels were lower than the Euro-Americans', while smokers were high with 61.8%, especially 72.9% in 20-29 age group and 75.2% in 30-39 age group in males. In females, smokers were just 6.0%. Hypertensives defined by more than 90mmHg diastolic pressure were 24.7% in females, particularly 53.1% in 50-59 age group, but size of the strata was rather small(N=49). In the light of the report that coronary heart disease is uncommon irrespective of population levels of smoking and hypertension, where average total blood cholesterol level in a population is low(<200mg/dl), it is not likely that the absolute increase of the number of the coronary heart disease will increase markedly in the near future. But cautions should be exercised in interpreting the results of this study due to the lack of representativeness and volunteerism. .

1989-2000년의 5, 12세 한국아동의 치아우식실태에 관한 조사연구

이춘희,최충호,권호근 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.1

The objective of this study was to analize the change of dental caries prevalence in Korean children and adolescents from 1989 to 2000. National oral examination survey reports in 1989,1991,1995 and 2000 were collected for this purpose The major finding were summerized and the results were as follows : 1. The dft of 5-year-old children in creased from 1989 to 1995 and decreased slightly from 1995 to 2000 the dt decreased or remained constant and the ft increased. 2. The dt of 5-year-olds decreased constantly by 1991 in rural area but in urban area, it remained stable by 1991 and the ft increased in rural and urban area. 3. The DMFT of 12-year-old children increased from 1989 to 2000 the DT decreased of remanined constant and the FT increased, the MT remained below 0.05 4. The DT index of 12-year-olds decreased constantly by 1991 in rural area but in urban area, it remained stable by 1991 and FT index increased in rural and urban area 5. The percentage of caries free and caries experience have increased in rural and urban area. According to results the dft of 5-year-olds and the DMFT of 12-year-olds have increased specially among the component of dft and DMFT dt and DT decreased or remain stable while ft and FT increased constantly which means that the restorative index(ft/dft, FT/DMFT) increased also and the percentage of caries experience increased. Based on this study, preventive approach is more required to lower caries prevalence of korean childeren

광고기법의 수업과정적용 가능성 탐색

이유기,권충훈 진주교육대학교 학생생활연구소 2000 학생생활연구 Vol.8 No.-

전신성 홍반성 루프스에서 고용량 경정맥 당질코르티이드로 치료된 단백질 소실성 장질환 1예

이규형,권창모,김현도,윤대영,이재웅,홍여훈,이충기 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Generalizes edema and hypoalbuminemia are relatively common presenting manifestations in many clinical situations. The differential diagnosis of hypoalbuminemia include; Kwashiorkor, synthetic dysfunction of the liver, and excessive protein loss as in nephrotic syndrome. In systemic lupus erythematosus (SLE), hypoalbuminemia and generalized edema are most commonly due to protein loss associated with lupus nephritis; gastrointestinal involvement is uncommon, and therefore protein loss through the gastrointestinal tract is quite rare. We report a case of a protein losing enteropathy (PLE) associated with SLE. The patient was referred to out hospital for generalized edema, arthralgia and facial rash. After clinical evaluation, the patient met the criteria for the SLE diagnosis; hypoalbuminemia with general edema was consistent with a protein losing enteropathy. After two weeks of therapy with parenteral high dose glucocorticoid, the patients was improved in laboratory findings as well as clinical symptoms.

최근 6년간 연세의료원에서 경험한 한국인 안면골 골절에 대한 임상적 연구

권준호,이충국,이의웅,민우석,윤중호,박형식 大韓顎顔面成形外科學會 1989 Maxillofacial Plastic Reconstructive Surgery Vol.11 No.1

This is a series of continuing research on facial bone fractures of Koreans worked by Dept. of Oral and Maxillofacial surgery, Dental College of Yonsei University, Seoul, Korea, since 1972. The study was based on a series of 630 patients with facial bone fractures treated as in patient at Yonsei Medical Center, Yonsei University, during the period of Jan. 1982 through Dec, 1987. The results obtained are as follows: 1. The ratio of Men to Women was 4.3 : 1, and admissions for facial bone fractures have been increased year after 1984. 2. The age frequency was highest in the third decade(38.3%). and fourth, second, fifth decade in orders. 3. The traffic accident was the most frequent cause of facial bone fractures(51.3%). 4. The most common location of facial bone fractures was the Mandible(35.3%), and Zygoma complex(29.8%), Nasal bone(15.0%), Maxilla(11.0%) were next in order of frequency. 5. In 291 patients of Mandible fractures, 226(77.7%) had fractures only in Mandible and 65(22.3%) had another facial bone fractures. The most frequent fracture site of mandible was the Symphysis(43.0%) and Angle(22.4%), and Simple fracture was the most frequent in type of fracture(66.9%). Intermaxillarty fixatin & Open reduction was major method of treatment(36.9%). 6. In 394 patients of Midface fractures 323(82.0%) had fractures only in Midface and 71(18.0%) had another facial bone fractures. The most frequent site of Midface fractures was zygoma complex & zygomatic arch(42.7%), and Simple fracture was the most common type of fractures. Observation(Maxilla :44.2%, Zygoma :51.0%) and Open Reduction(Maxilla :20.0%. Zygoma :23.5%) were the major method of treatment. 7. The frequency of Nasal bone fracture was about 1/5 of Midface fractures, and Closed Reduction(42.2%) was the major method of treatment. 8. The complication was reported in only 16 patients, and Malunion was the major complication. 9. Head(44.4%), Lower extrimities(14.5%) and Eye(12.3%) were injured commonly with facial bone fractures. 10. The elapsed time from injury to hospital was within 24 hours in 73.8% of patients, however 15.5% of patients arrived the hospital 72 hours after injury.

K 대학병원 서어비스에 대한 소비자 만족도

이태섭,박종원,이무식,윤능기,이충원,서석권 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3

Authors administered a questionnaire to 300 clients visited to the K University Hospital during August in 1992 to investigate the degree and related factors of consumer's satisfaction with the hospital services. Clients consisted of 82 in-patients and 158 out-patients, 52.4 percent of them was male. Four dimensions of satisfaction were assessed which were medical management, administration, environment and attitude. In-patients reported as dissatisfied with the waiting time during receipt, investigative medical procedures and pharmacy (64.7%), lack of conveniency facilities for patients and their guardians(48.8%) and provision of conveniency facilities in the ward(42.4%), unsanitary state of out- and in-hospital(41.5%). Out-patients reported dissatisfaction with the course of medical management and the time needed(70.3%), the waiting time during receipt, investigative medical procedures and pharmacy(68.3%), lack of conveniency facilities for patients and guardians(42.4%). But both in-patients and out-patients were satisfied with medical equipments, doctor's diagnosis reliability and medical effects, technician's attitude more than 50%. Canonical correlation analysis was done to find related sociodemographic factors to the four dimensions of satisfaction. Of the four canonical functions, the first was only statistically significant in in-patients. Its eigen value was 0.56 and its canonical correlation coefficient was 0.60. Satisfaction with environment and medical management was selected as important concept in dependent variables. Standardized canonical function of environment and medical management were 0.76 and 0.35 respectively. It was related with woman with high educational attainment and increasing number of hospital visits. In out-patients, the first, second and third function were statistically significant and their eigen values were 0.18, 0.4, 0.08 respectively which were small compared to those of in-patients. Their canonical correlation coefficient were 0.40, 0.35, 0.28 respectively. Low degree of environment but high degree of medical management satisfaction was noted in the first function which was related with old age, woman and professional occupation. Low degree of satisfaction with administration(second function) was related with city resident, non-professional occupation and young age. High degree of medical management but low degree of administration satisfaction(third function) was related with surgical visitor, man and non-professional occupation. The direction of hospital managerial strategies could be planned and general characteristics of dissatisfactory clients might be suggested with these results.

토마토의 側枝發生 및 生育에 미치는 植物生長 調節物質의 效果

權宇生,姜忠吉,李政明 경희대학교 부설 식량자원개발연구소 1978 硏究論文集 Vol.1 No.-

The present experiment was conducted to investigate the effect of several growth regulators on the growth and branching habit of pinched and nonpinched tomato plants (Lycopersicum esculentum Mill cv. Daehyung-boksoo). The results are as follows. 1. Spray of NAA decreased the number and fresh weight of axillary shoots of intact seedlings without influencing the main shoot growth. 2. TIBA decreased apical dominance of intact seedlings with little or no influence on the whole plant growth. In the pinched plants, however, TIBA caused severe growth inhibition as well as the decrease in apical dominance. 3. SADH treatment caused growth inhibition and increased apical dominance. SADH may be used only to obtain compact seedlings prior to transplanting. 4. GA promoted early growth and increased plant fresh weight On the contrary, the apical dominance of GA-treated plants was decreased as compared to the control 5. Ethephon at 500 ppm caused severe chlorosis and leaf abscission. The ethephon effect persisted for about 2 weeks after spraying

토마토의 側枝發生 및 生育에 미치는 植物生長 調節物質의 效果

權宇生,姜忠吉,李政明 慶熙大學校 1980 論文集 Vol.10 No.-

The present experiment was conducted to investigate the effect of several growth regulators on the growth and branching habit of pinched and nonpinched tomato plants (Lycopersicum esculentum Mill cv. Daehyung-boksoo). The results are as follows. 1. Spray of NAA decreased the number and fresh weight of axillary shoots of intact seedlings without influencing the main shoot growth. 2. TIBA decreased apical dominance of intact seedlings with little or no influence on the whole plant growth. In the pinched plants, however, TIBA caused severs growth inhibition as well as the decrease in apical dominance. 3. SADH treatment caused growth inhibition and increased apical dominance. SADH may be used only to obtain compact seedlings prior to transplanting. 4. GA promoted early growth and increased plant fresh weight. On the contrary, the apical dominance of GA-treated plants was decreased as compared to the control. 5. Ethephon at 500 ppm caused severe chlorosis and leaf abscission. The ethephon effect persisted for about 2 weeks after spraying.

창업보육센터 입주기업의 특성과 창업보육서비스에 따른 기업성과 분석

이충섭,정양헌,최수일,권철홍 대한경영학회 2003 大韓經營學會誌 Vol.16 No.7

This study is focused on the characteristics of firms in business incubators and relationship of firms' performance and incubating services. Ninety-three firms in the business incubators of universities and research institutes were surveyed and their market/technology environment, performance, and incubating services received were evaluated from their point of view. Data were then, analyzed to find out necessary factors for operating the incubation centers efficiently and providing appropriate incubating services for the business performance of firms in the centers. Firms in the incubation center are very optimistic to their business opportunity and alleged to be positive about their successful business future. With their business performance, firms are generally satisfied and try to increase the performance by having product related and technological advantage. On average, firms evaluate their performance in financial and internal processing aspect aspects lower than performance in customer and innovation aspect. Although firms are generally satisfied with the incubating service they received from the center, they seem to need more specific and customized services for their own business purpose. It is, therefore, suggested that incubating services are evaluated and necessary services are developed based on firms' needs in order to improve firms' overall satisfaction with services from the incubation center. It is also suggested from this study that market/technology environment, business performance, and incubating service characteristics of firms in the incubation centers are associated each other and need to be analysed all together.

대구시의 대기오염이 일별 사망에 미치는 영향(1993~1997)

이미영,이충원,서석권 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : In order to evaluate the relationship between daily mortality and air pollution in Deagu for the period by the data from January 1993 to December 1997. Methods : Deaths from accident (International Classification of Disease, Revision 9 ; 800∼999 and Revision 10 ; V01-Y89) were excluded. Daily counts of deaths were analysed by general additive poisson model on the current day to 5 days before death, with controlling for effects of year, season, weather, weekday and holiday. The air pollutants examined included total suspended particulate (TSP), sulfur dioxide (504, nitrogen dioxide (NO2 , carbon monoxide (CO) and ozone (O3). Results : Mortality was associated with NO2, SO2 and CO in the air. Total mortality was estimated to increase by 1.6 %(95 % CI 0.3∼3 %) with each 10 ppb rise in NO2 on the current day and the preceding 1 day, 9.4 %(95 % CI 7∼13 %) with each 100 pub rise in SO2 and 2.7%(95% CI 0.1∼5%) with each 1 ppm rise in CO on the current day. The NO2 was more evident for the elderly who were 65 years and more. Cardiovascular-specific mortality was associated with the levels of CO on the current day. Respiratory-specific mortality was associated with the levels of TSP and NO2 5 days before death. Excess mortality risk is clearly evident in the upper range of NO2 levels and increased monotonically with NO2. Conclusions : This study suggested that the air pollution status below the current Korean ambient air quality standard might have an adverse effect on daily mortality. Then, it is impertive that the strategy for control of the air pollution-related daily mortality should be developed.