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

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.-

대구시 모 보건소에 내소한 성병환자에 대한 연구

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

The authors selected the medical records of the 2,346 diagnosed urethritis and syphilis patients from those who visited to a public health center in Taegue City, 1, January 1985 to 31, December 1987 to treat their urologic symptoms. Their medical records were used to investigate distribution status of the infection by demorgaphic and temporal variables. The results were as follows: 1. The most frequent age group was 20-29 years of age, 65.6%, and the less than 20 years of age group was 10.2%. In 30-39 age group, males 17.9% and females 23.0% and in 40-49 group, males 4.5% and females 12.2%. The female excess prevalence remained the same after that age group. 2. The order of relative frequency of the infection by month in which 3-year cases were combined was August, 11.3%, July 10.9%, January, 10.3% and the monthly distribution of the student was August, 16.0%, January, 11.6%, March, 10.7%, which suggests a coincidence with the periods of the school vacations. The seasonal distribution was summer 31.2%, spring 25.5%, autumn 21.7%, winter 21.5%. 3. The relative frequency of infection by martial status showed the unmarried was 70.3% and the married 29.37%, which was a significant difference. 4. The distribution by occupation was merchants 25.5%, office workers 19.2% and students 15.5% which was unexpectedly high. 5. In the distribution by source of infection of the males, friends was the most frequent source with 28.7%, restaurant employees 25.2%, prostitutes 16.8%, prostitutes 16.8%, and employees of lodging service 12.4%. 6. In the distribution by age and source of infection, friends were the most frequent source of infection(63.1%) in the less than 20 years of age group. In 20-29 years of age group, friends were 28.6%, restaurant employees 24.5%, prostitutes 17.8%, where showed increasing proportions of employees of the service trade. In 30-39 years of age group, restaurants employees 35.9%, employees of the lodging service 15.9%, prostitutes 14.9%, which means that most of sources of infection were employees of the service trade. In 4.-49 years of age group, restaurant employees 39.7%, prostitutes 17.2% and in 50-59 group, spouse was the most frequent(27.3%) and in the more than 60 years of age group prostitutes was 50%, but the total cases of that age group were too small to tabulate meaningfully. 7. The relative frequency of infection by infection history showed the inexperienced ws 48.4% and the experienced 51.6% and in the inexperienced, males 47.9% and females 78.1%.

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.

高卒生의 就業身檢에서 본 치아우식(Dental Caries)에 對한 調査硏究

윤능기 최신의학사 1979 最新醫學 Vol.22 No.10

용혈성 요독 증후군이 합병된 출혈성 장염 1예

김능수,이원길,김기연,이종명,윤종수,김성한,전정훈 대한감염학회 1997 감염 Vol.29 No.3

저자들은 쇠고기에 의해 매개된 것으로 추정되는 출혈성 장염 및 이에 합병된 용혈성 요독 증후군 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. We report case of hemolytic uremic syndrome(HUS) associated with hemorrhagic colitis. A 35-year0old man was admitted to a local hospital because of abdominal pain and watery diarrhea which had developed about 6 hours after taking roast beef. He was treated with intravenous fluids and antibiotics, but watery diarrhea changed to bloody in nature from the next day. He was transferred to our hospital due to progressive ascites and jaundice on his 8th day of illness. Examinations revealed ascites, jaundice, microangiopathic hemolytic anemia, thrombocytopenia and uremia. Sorbitol-negative Escherichia coli was isolated from his stool, which proved as Shiga-like toxin-negative E. coli, serotype O25. His conditions improved markedly after three times of plasmapheresis and intravenous fluids therapy, and the organism was not isolated from the follow-up stool culture.

영幼兒養育에 關한 調査

李性寬,宋善祐,尹能基,李學洙,鄭鍾學,C.Kersting 慶北大學校 醫科大學 1973 慶北醫大誌 Vol.14 No.2

There is no doubt that good nutrition for infants relates not only to the health of the individual but also influences the health of the nation. In spite of nutrition's trememdous importance, there is no data available concerning infant nutrition and, moreover, there is no study about the knowledge, attitudes and practies of infant feeding and weaing. Taking into account the fact that most infants in Korea are breast fed, and have a long lactation period, there must be provision for adequate supplemental food at the proper time. The first step in launching a new health program should be the exact evaluation of the present status of infants' feeding diet. This study was designed to collect basic data on the status of infants' nutrition in order that these data might be sued as program organization indicators for the improvement of infant nutrition. The data were obtained through interviewing 726 mothers who registered their children at the Taegu MCH Center's well baby clinic.

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. .

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.