農村住民의 健康에 미치는 疾病에 對한 認識과 意識에 關한 調査硏究

윤능기 최신의학사 1979 最新醫學 Vol.22 No.10

실제 생활의 스트레스상황하에서 적대감과 심혈관계 반응

윤능기,이충원 대한보건협회 1992 대한보건연구 Vol.18 No.1

The authors selected 98 men by convenience sampling method from civilian applicants for the Navy special diving course in 1990 and administered a self-report Cook-medley Hostility Scale (Ho), blood pressure measurements and sociodemographic data collecting questionnaire and interview to examine the relationship between dimensions of hostility and cardiovascular responses to real-life stress-inducing situation. The mean age was 20.3(Standard deviation, SD 1.0). The mean score of Ho was 21.2(SD, 6.1) and its range was 8-40. Smokers were 54.1% and 82.7% were drinkers. The real-life stress situation was presumed to be the process of listening to the safety precautions of pressure and oxygen resistance test before the running hyperbaric chamber, after which systolic and diastolic blood pressure(SBP and DBF) and pulse rate(PR) were measured with the same methods as control resting measurements. The parameters were compared with control BP and PR. The total score of Ho was subdivided into 3 categories with approximately equal intervals. And change of SBP between resting and stressful situation was from 130.4±8.3mmHg to 134.2±11.5mmHg in high hostility group, resulting in difference of 3.77mmHg which was statistically significant(P=0.027). Moderate and low hostility groups showed differences of 2.97mmHg and 0.45mmHg respectively, both of which were not singificant. DB-Pand PR did not change siginficantly. Ho items were divided into 2 subsets according to Costa et al and 6 subsets according to Barefoot et al. to find out toxic components of Ho. Subset scores were dichotomized into low and high scores by median which was excluded to improve subset discrimination. High scores on hostile affect and other subsets by Barefoot et al. were significantly associated with greater SBP changes to stress situation. These results suggest that high scores on specific subsets of Ho may be associated with greater cardiovascular reactivity under real-life stress situation.

農村婦人의 子女數에 對한 態度에 關한 硏究

尹能基,李性寬 慶北大學校 醫科大學 1975 慶北醫大誌 Vol.16 No.1

In some developed countries where the family planning program has been implemented throughout all of social strata, woman's attitude and desire toward family size constitute one of the major components of her fertility behavior. Estimating the future population growth, the woman's attitude might be easily considered as one of the important factors in these countries. However, there was a different situation in consideration with an ideal number of children in Korea. That is, most of Korean women are expressing about the ideal number of children with boy preference. But in reality it is very difficult to achieve the desire for the ideal number of children by sex ratio. Therefore, the author intended to identify in this study differences among the ideal, desired and actual number of children at the termination of childbearing and also the number of children by sex ratio at the time when acceptance of contraception terminates childbearing. The results obtained from the study are as follows: 1. Major composition of ideal number of children in rural women were 2 sons-1 daughter(34.4%), 2 sons-2 daughters (33.6%) and 3 sons-2 daughters (22.7%) totaling more than 90%. The women thought a mean number of 2.3 sons and 1.6 daughters or a total of 3.9 children is ideal. Younger (under 34 years) and better educated women wanted favorably small size of families (2 sons-1 daughter) thain older and less educated women. The women who had experienced death of their own child wanted favorably larger size of families (3 sons-2 daughters) than those who had not. 2. Coincidence of number between ideal and desired children for women terminated chidbearing with contraception were higher among the younger (under 34 years) and better educated women (middle school career or higher) than the older and less educated. 3. Comparing with the average number, ideal, desired and existing children of those women who were terminated childbearing showed 2.4 sons-1.7 daughters (4.1) 2.5 sons 2.1 daughters(4.6) and 2.5 sons 2.1 daughters (4.6) respectively. Therefore, they actually had more children rather than ideal(0.8) and desired children(0.5). In analysis of number of children in these two categories, there were no difference in the younger (under 34 years) and better educated women but considerable differences of the older(more than 35 years) and less educated. Those were no difference between expected and existing children. 4. Looking at the number of existing children at the time when accepted contraception for termination of childbearing, the sonless women did not accept the contraception even having 2 or more daughter while daughterless women accepted contraception in high rate with increasing number of sons. The acceptance rate of contraception of those women who had one son increasing very slowly with increasing number of daughters while the rate increased rapidly of those women who have only one daughter with increasing number of son. The women with two or more sons and one or more daughters acceptthe contraception almost 100% including the rate of willingness to accept immediately.

오늘의 피임실태(避妊實態)에 관(關)하여

윤능기,Yoon, Nung-Ki 대한예방의학회 1980 Journal of Preventive Medicine and Public Health Vol.13 No.1

Natural increase rate in population is reached to 1.7% in 1975 fron 2.5% in 1966 because of the effect of Govermental Family Planning Program. The average number of present children and ideal children is just the same, 2.4 people, in this investigation. So, I assume that the number of present and ideal children is approaching each other. The rate of unmarried female workers who don't know even one thing about the know ledge of contraception was 23.9%, and especially that of rural women was 31.5% and 41.3% of them has never experienced contraception. 'Boy-preference' presented 60.1% of unmarried female workers and 79.1% of married women. 'Connection of a family line' related to 'Transfer to next generation of a family line' presented 38.0% and 'Trustworthiness' related to 'Leadership of a family' presented 26.0% (total 64.0%). As this point, Ive can find that this rate reveals the traditional sense of patriarchal system in society and family. The rate of women of experienced artificial abortion has been 52.1% and that of women using it as birth control caused by 'Many children' and 'Short brith-interval' 46.6% of women of experienced pregnancy. So, we can see that artificial abortion is a main cause of Maternal Health destruction.

일부대구지역의 공무원 및 사립학교교직원을 대상으로 한 집단검진결과에서 치아우식과 치주염에 관한 조사

윤능기,서석권 대한보건협회 1987 대한보건연구 Vol.13 No.2

病院來訪者의 診療選擇에 關한 硏究

尹能基 啓明大學校 醫科大學 1982 계명의대학술지 Vol.1 No.1

The writer has investigated their inclination for medical diagnosis and treatment throught 1,481 persons in total from March 8, 1982 to June 10, 1982. : 567 Out-patient and their relatives the investigation has had direct interview with, 487 Kyung San Buk Do personnel who received physical examination, 417 Daegu Bank employees. 1. Last year, the percentage in the choice of medical institution was 48.9% of all the investigated in phusician's clinic, only 2.5% in herb clinic. This figure showed that their preferance for physician's clinic was much greater that herb clinic. The reason they chosen the Phusicians was that they found "the treatment is sufficient" in 36.8%, "lab tests are sufficient" in 21.5%, "the medical facilites are good" in 11.2% of them. Of all the patients who have visited either the Physicians, 48.7% in both physicians and herb as follows: 35.% in physicians, 61.0% in herb physicians, 48.7% in both physicians and herb physicians. The number of the patient who have visited the herb physicians was much higher than that of the physicians. 2. They have administerated herb medicine (a restorative) 51.0%, medicine (kinds of vitamine) in 37.9% of all the investigated as health promotion. The percentage of herb medicine was much highter than that of medicine. 3. In the case of "dislocated bone," all the investigated prefered the acupuncture to herb medicine as treatment method regardless of educational level. The percentage was as follows: 35.7% in illiteracy, 22.7% in primary school graduate, 21.4% in middle school graduate, 45.7% in high school gradute and 39.8% in college graduate. 4. The differance in the percentage between the attitude of physicians and herb physicians toward the patients was 9.4% to the effect that herb physicians used more "difficult expressions" than physicians and 7.9% the effect that physicians was more "complex" than herb physicians in the medical diagnosis and treatment. This figure showed that these two example were greater in the differance of percentage than any other reason.

일부(-部) 대구지역(大邱地域)의 건강(健康)한 공무원(公務員) 및 사립학교(私立學校) 교원(敎員)을 대상(對象)으로 한 집단건강진단(集團健康診斷) 결과(結果) 조사(調査)

윤능기,서석권,Yoon, Nung-Ki,Suh, Suk-Kwon 대한예방의학회 1987 예방의학회지 Vol.20 No.1

경제성장과 더불어 국민전체의 식생활 향상과 생활양상의 변천에 따른 운동부족을 초래하기 쉬운점 등 우리의 환경이 나날이 달라져 가고 있는 상황아래 비만증과 고지혈증으로 인한 뇌혈관질환, 당뇨병 등의 성인병이 중시되어 가고 있는 것은 우리나라의 사망상에서도 나타나고 있다. 따라서 국민보건상 식생활개선과 비만관리의 보건지도가 매우 중요하다고 생각되어 이와 같은 조사가 앞으로도 계속될 건강진단에서 추구조사가 이루어져 건강관리와 건강지도의 자료가 되었으면 한다. 1) 체중증가 남녀 공히 30대에서 증가하고 특히 여자에서 남자보다 현저하게 증가하였다. 2) Cholesterol과 혈당검사를 받은 수경자의 총Cholesterol과 혈당치의 $Mean{\pm}SD$는 각각 $181.63{\pm}34.67mg/dl,\;87.28{\pm}11.67mg/dl$이며 Mean+2SD는 각각 251 mg/dl, 111 mg/dl이였다. 3) 총 Cholesterol치 251 mg/dl 이상자는 3.0% (남자 3.2%, 여자 2.7%)이며, 혈당치 111mg/dl 이상자는 3.5% (남자 4.6%, 여자 1.2%)였다. 4) +20%이상 비만자에서 총 Cholesterol치 251 mg/dl는 12.9% 남자13.3%, 여자10.5%, 혈당치 111mg/dl 이상자는 7.6%(남자 6.6%, 여자는 단 2명)였다. 5) +20%이상 비만자에서 고혈압자가 남자8.2%, 여자 8.7%로 나타나고 같은 연령이라도 체중이 증가함에 따라 남녀 공히 수축기나 확장기혈압치가 상승하였다. Authors obtained the results of the investigation for healthy people through the routine health examination of public officers and school personnels in private schools which were conducted in 1986. The results were as follows; 1) Those who were above 20% incidence of body weight for 3917 study population were revealed 5.2% in males and 15.1% in females of $45{\sim}49$ years of age, 6.8% in males and 24,4% in females of $50{\sim}54$ years old, 5.8% in males and 13.5% in females of $55{\sim}59$ years old, and they showed that the incidences were significantly higher in females than in males at 0.01, 0.01 & 0.05 in P-values respectively. 2) Mean$\pm$SD of total cholesterol level for 3,265 healthy people with both sexes combined showed $181.63{\pm}34.67$ and it was $188.61{\pm}33.96$ in people of $40{\sim}59$ years old with both sexes combined. Mean$\pm$SD of fasting blood sugar level for 3,266 healthy people showed $87.28{\pm}11.67$ and that in $40{\sim}59$ years of age were $89.14{\pm}11.74$. Therefore, mean$\pm$2SD of total cholesterol and fasting blood sugar were $112.26{\sim}250.98mg/dl$ in males and $58.93{\sim}110.61mg/dl$ in females. 3) This investigation showed 3.0% in above 251 mg/dl of total cholesterol and 3.5% in above 111 mg/dl of fasting blood glucose. 4) Those who were above 251 mg/dl of total cholesterol and above 111 mg/dl of blood glucose in above 20% incidence of body weight according to the Broca' index were 12.9% and 7.6% respectively. 5) Those who have hypertension according to the criteria of WHO with obesity of above 20% incidence of body weight showed 8.4% in both sexes (8.2% in males and 8.7% in females). 6) Blood pressures increased according to more aging and gaining body weight.

금호강 저질(sediment)중에 함유된 중금속의 분포와 오염원과의 상관성 검토

윤능기,이충원,서석권 啓明大學校 醫科大學 1988 계명의대학술지 Vol.7 No.2

The sieved sampling of the sediments of the Kumho river was carried out along 5 minor tribrtaries to study the distribution of the heavy metals according to particle size and to locate the source of heavy metals contributing to the pollution of the Kumho river which flows through the Taegu city April in 1988. The results were as follows; The heavy metal concentrations generally increased with the decreasing size of sediments and were higher in lower portion of sediment than in upper one at the same particle size. The coefficients of variation of each heavy metal in the same particle size were similar generally, but those among heavy metals showed markedly different values. It was found that the main source of pollution of the Kumho river was the Third Industrial Complex, but the contribution of Palge should no be underestimated.

종합병원 직원 건강진단에 따른 직원 건강관리 고찰

윤능기 최신의학사 1979 最新醫學 Vol.22 No.2

老令과 老人病, 그의 管理

윤능기 韓國社會事業大學 老人福祉硏究所 1980 老人福祉硏究 Vol.3 No.-