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강동윤,이동엽,죄보윤,문승희,최은영 대한약물역학위해관리학회 2024 약물역학위해관리학회지 Vol.16 No.1
: The importance of effective adverse drug reaction (ADR) management in local clinics is increasing. This study investigates the current status of ADR management and reporting system use in local clinics, and opinions on development directions for effective ADR prevention. Methods: From January 11th to January 17th, 2022, an online survey was conducted targeting physicians working at local clinics regarding ADR management, use of reporting systems, and development of ADR prevention systems. Results: The awareness of the ADR reporting system was 54.50%, and 22.07% of respondents actually reported ADR incidents. The primary reasons for not reporting were ‘lack of time and unfamiliarity with the process,’ accounting for the highest percentage at 36.62%. Regarding sharing ADR information with other healthcare institutions, 88.56% responded that it would be helpful, and 66.49% indicated they could trust such information. The most crucial areas for improvement identified from the survey were the sharing of ADR records and national-level management. Conclusion: Creating an environment where local clinics can diligently report ADRs and establishing a system to share verified ADR information with other clinics will be a great help to national drug safety. (PeRM 2024;16:57-64
강동윤,김병수,강정수,Kang, Dong-Yun,Kim, Byung-Soo,Kang, Jung-Soo 대한동의생리학회 2005 동의생리병리학회지 Vol.19 No.3
The dream is a well-known experience in the routine life. It is the image and thought being occurred during the sleep, and the complex reaction of our mental world to the event of everyday. In particular, there are so many opinions of the reason why people have a dream and this thesis is telling about the physical and pathological changes in the human as one of that various opinions. The aspects of this thesis are often founded in the diverse texts of oriental Medicine, including the Internal Classics(내경), and there were some cases that regarded the dream as diagnostic object and put to clinical uses. These attempts were not only tried out by particular orient thoght, also the ancient Greeks thought that the dream would represent important informations about the health. But, these ideas have been treated lightly by the impacts of the western medicine since the modern age. Straightforwardly, before the psycho-analytics was not development, most of the doctors and scientists regarded the dream as things like dregs of mind. The central operating bodies of the dream are the Spirit(신) and Hon and Beak(혼백), and the Spirit(신) is more essential part between the two.
스마트시티 융합 얼라이언스 및 규제 샌드박스 제도 소개
강동윤 대한교통학회 2022 대한교통학회 학술대회지 Vol.86 No.-
국토교통부에서는 스마트시티 관련 산업육성을 위해 스마트시티 융합얼라이언스, 스마트시티 규제샌드박스 제도 등 다양한 스마트시티 산업육성 정책을 추진하고 있다. 그 중 스마트시티 융합얼라이언스는 2019년에 결성하여 국내 기업 중심의 스마트시티 산업생태계 활성화를 위한 다양한 혁신활동 여건 조성과 민관소통플랫폼으로써 역할을 하고 있으며, 2021년말부터는 지자체, 스마트도시서비스지원기관, 대학 등이 참여하는 포괄적 연합체로 개편하여 국내외 판로개척 등 다양한 활동을 지원하고 있다. 스마트시티 규제샌드박스 제도는 2020년 6월 도입되었으며, 기업의 스마트시티 관련 사업화 과정에서 발생하는 규제애로사항 해소를 지원하고 있다. 규제특례 승인 시 신청기업에 제한된 지역에서 제한된 기간 동안 기술을 시험·검증할 수 있는 기회를 제공하고, 안정성이 확인된 기술은 제도개선을 통해 사업화가 지속될 수 있도록 추진하고 있으며, `22년 3월 기준 총34건의 서비스가 승인되어 세종, 부산 등 10개 지자체에서 실증사업을 진행하고 있다. 규제특례 승인에 따라 해외진출, 매출증가, 고용증가 등 다양한 긍정적인 시너지를 이뤄내고 있다.
Zolpidem Use and Risk of Fracture in Elderly Insomnia Patients
강동윤,박소영,이철우,김예지,최남경,이중엽,박병주 대한예방의학회 2012 예방의학회지 Vol.45 No.4
Objectives: To evaluate the risk of fractures related with zolpidem in elderly insomnia patients. Methods: Health claims data on the entire South Korean elderly population from January 2005 to June 2006 were extracted from the Health Insurance Review and Assessment Service database. We applied a case-crossover design. Cases were defined as insomnia patients who had a fracture diagnosis. We set the hazard period of 1 day length prior to the fracture date and four control periods of the same length at 5, 10, 15, and 20 weeks prior to the fracture date. Time independent confounding factors such as age, gender, lifestyle,cognitive function level, mobility, socioeconomic status, residential environment, and comorbidity could be controlled using the casecrossover design. Time dependent confounding factors, especially co-medication of patients during the study period, were adjusted by conditional logistic regression analysis. The odds ratios and their 95% confidence intervals (CIs) were estimated for the risk of fracture related to zolpidem. Results: One thousand five hundred and eight cases of fracture were detected in insomnia patients during the study period. In our data, the use of zolpidem increased the risk of fracture significantly (adjusted odds ratio [aOR], 1.72; 95% CI, 1.37 to 2.16). However,the association between benzodiazepine hypnotics and the risk of fracture was not statistically significant (aOR, 1.00; 95% CI, 0.83 to 1.21). Likewise, the results were not statistically significant in stratified analysis with each benzodiazepine generic subgroup. Conclusions: Zolpidem could increase the risk of fracture in elderly insomnia patients. Therefore zolpidem should be prescribed carefully and the elderly should be provided with sufficient patient education.