의료분쟁에 관한 보건정책학적 고찰 : 응급의료종사자를 중심으로

강병우 한국응급구조학회 1999 한국응급구조학회지 Vol.3 No.1

The medicolegal problem can be occurred in all medical field. Especially pre-hospital stage can be more exposed to the legal claims due to the very nature of EMT business and characteristics of ER patient or their family member. All Emergency Medical Technician should be concerned about the law associated with emergency care for handling the medicolegal problem, so the legally risky situations that may be occurred in pre-hospital stage and ER practice. This study reviewed malpractice claim of emergency patients filed in at Association of malpractice patients' family and two tertiary level hospitals. Problems related to treatment and misdiagnosis. Especially issues concerning emergency medical service system including of inadequate transport, delay in triage and transport accounted for many cases of all claims. This alerts us to the seriousness of medical accidents of emergency patient. This paper suggests several items that all E.M.T and every member of ED health care team always have to remember the medicolegally risk situations, must be trained in understanding the patients' wants and desires and should have the knowledge of the law associated with emergency health care. Develop the system that can share the informations about the medicolegal events which were experienced by each ED healthcare institutes.

전기차를 위한 리튬이온 이차전지 양극재 리튬인산철의 재조명

강병우 대한금속재료학회 2023 재료마당 Vol.36 No.4

Progress of the oxide-based Li solid electrolytes for all solid-state battery

강병우 한국공업화학회 2023 한국공업화학회 연구논문 초록집 Vol.2023 No.0

S-128 : 간질환없이 발프로산(Valproic acid) 복용 후 의식장애를 동반한 고암모니아혈증 1예

강병우,이용국,박정배,서정일 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

서론: 의식장애를 동반한 고암모니아혈증은 간경변, 간부전과 같은 진행성 간질환에서 대표적으로 발생하는 합병증의 하나로 잘 알려져 있다. 하지만 고암모니아혈증은 간질환에 의한 합병증 이외에도 약물에 의한 독성, Reye``s syndrome, 고용량 화학요법, Argininosuccinate synthetase, Carbamoyl Phosphate Synthetase 및 Ornithine transcarbamylase와 같은 효소 결핍 등 여러 원인들에 의해 발생할 수 있다. 특히, 약물에 의한 원인 가운데 신경정신과 영역에서 간질발작과 양극성 장애 치료제로 많이 사용하고 있는 발프로산에 의해서도 드물지만 발생할 수 있다. 저자 등은 간질환없이 발프로산 복용 후 고암모니아혈증을 일으킨 증례를 경험하여 보고하는 바이다. 증례: 54세 여자 환자로 내원3년전 발생한 외상성 경막외 출혈에 의한 외상후 스트레스 장애로 본원 정신건강의학과에서 clonazepam, carbamazepine, alprazolam을 복용하여 왔었고, 내원 4일전 간질발작으로 타병원에서 발프로산과 clonazepam을 처방받고 의식이 혼미하여 본원 응급실에 내원하였다. 내원당시혈압 130/80 mmHg, 맥박 92회/분, 호흡 22회/분, 체온 36.5℃이었다. 혈액 암모니아는 135 μg/dL이었다. 입원 2일째 별다른 치료없이 의식이 명료해져 퇴원하였으며 발프로산은 계속 투약되었다. 퇴원 5일 후 다시 의식이 혼미해져 응급실에 내원하였다. 내원당시 혈압 170/90 mmHg, 맥박 118회/분, 호흡 18회/분, 체온 36.5℃이었고, 당시 혈액 암모니아는 519 μg/dL, AST/ALT 28/15 IU/L이었다. 입원 후 시행한 뇌파에서 델타파가 관찰되고, 혈중 발프로산 농도가 61.9 μg/ml이어서 phenytoin으로 대체 투여하였다. 이후 혈중 암모니아 수치도 정상으로 회복되고 의식 상태가 명료해져 퇴원하였다. 임상에서 간질환없이 의식장애를 동반한 고암모니아혈증 환자를 접할 때 발프로산과 같은 약제 복용력을 반드시 살펴보고 심각한 부작용의 위험성을 줄이기 위해서 우선적으로 약제투여 중단이 필요하리라 본다.

광주보건대학생의 성의식에 대한 고찰 : 지식·태도·행위를 중심으로

강병우,김상엽,노기환,박덕수,이기정,이보영,장선희,조성태,지연상,황인선 광주보건대학 1997 論文集 Vol.22 No.-

The purpose of this study was to explore general attitudes to sex and marriage and to provide fundamental information for its related problem counseling in Kwang-ju Health College. For the purpose, questionaire that consisted of 14 items for general information of students(gender, residence, job experience etc.), I item for satisfaction of major, 10 items for marriage related attitude(the age for marriage, age difference with a match, etc.) and 28 items for sex related attitude(attitude to sex stereotype experience of sex education, etc.) was analyzed. The main results on this study was as follows; 1. Just 50.5% students answered to be satisfied with their major. 2. About one third of students had a stady girl freind or boy freind(34.2%) and they were the most in third grade. More students answered campus couple desireable than undesireable and more homo-sexual love passible. 3. Comparing male and female students' answers to sentences implied who can sexual intercourse with, as "Sexual intercourse without love is acceptable", or "Sexual intercourse with a person who love is acceptable" etc., the results showed that male students have more sex liberal attitude to the sexual intercourse than female. Comparing male and female students' answers to sentences implied gender related stereotype, as "Man have to be masculine and woman have to be feminine" etc., the results showed that female students have resistant attitude to the stereotypes than male. It would be dual sex and gender related attitude that males are unconservative but females are conservative, or sexual behavior of male is treated generous than female. 4. Intensive education on the sex and the publicize it must be considered.

대학생의 성 및 AIDS에 관한 의식 연구

강병우 韓國保健敎育學會 1994 보건교육건강증진학회지 Vol.11 No.1

Although the officially confirmed incidence of the acquired immune deficiency syndrome(AIDS) has remained low thus far in Korea, the progression of the pandemic has been rapid, concerned about an eventual increase in transmission. Until a vaccine or cure is found, public information and education remain an important weapon againt AIDS. For the year 2000, the current WHO projection is that there will be a cumulative total of 40 million HIV infections in man, woman and children, of which more than 90% will be in the developing countries. The incerased mortality among adults and children has raised concerns that AIDS may become so devastaing as to reverse positive population growth rates and wipe out entire population. In order to plan for the rising incidence of patient with AIDS, an assessment of AIDS-related cognition and behavior, attitude of the recognized high-risk groups is necessary. Considering that undergraduates have sexuality active and more oriented toward sexual concerns than other ages. Adolescents today are more sexually involved than in the past: The media, including films, music, and television, reinforce sexual concerns by preseating images of highly sexual adolescents. Incidence of both petting and sexual intercourse in higher and occurs at earlier ages, they are important reservoir of AIDS infection. Hence, it has become important to emymerats and describe the knowledge, atteitude and behavior of them, I want.. This information will eventually guide the direction of change in public policies and education programs to meet the challenges of AIDS. The objective of this study were to identity Knowledge, Attitude, Experience of Sex and AIDS in Korea. The data were collected by survey at Korean Federation for AIDS Affairs, INC. and J university, K junior college. After October in 1993, surveyed with 507 student during their's college days in Seoul. The questionnaire was designed to provide information on sex and AIDS -related knowledge and attitudes and experience. AIDS-related knowledge was measured by using 26 question on mode of transmission and AIDS-related attitudes were measured by 7 questions, AIDS-related experience was measured by 5 questions. There were the main dependent variables in our study. In conclusion, students during their university day need to develop AIDS-preventive education programs. Clearly, the many AIDS-prevention educational effort need to be guided by well trained health agents. Financial supports from all sectors (i.e., public and private) of our society are required to achieve that end. Further researches on AIDS-related Knowledge and Attitude and behaviors of undergraduates are needed for development of comprehensive AIDS prevention programs.

119구급대원의 심폐소생술 성적 분석

강병우 사단법인 한국응급구조학회 2005 한국응급구조학회지 Vol.9 No.2

병원전 심정지환자의 심폐소생술 성적

강병우 사단법인 한국응급구조학회 2004 한국응급구조학회지 Vol.8 No.1

소방공무원의 직무스트레스와 사회심리적 스트레스와의 연관성에 관한 연구

강병우 한국응급구조학회 2009 한국응급구조학회지 Vol.13 No.1

아파트 단지 환경시설물의 자연 형상 상관관계에 관한 연구

강병우,조택연 한국공간디자인학회 2020 한국공간디자인학회논문집 Vol.15 No.5

(연구배경 및 목적) 최근 아파트 단지 개발은 친환경적이고 쾌적한 주거환경을 목적으로 하고 있다. 이에 따라 아파트 단지를 구성함에 있어 자연적인 요소를 반영하여 친환경 아파트를 짓는 것은 하나의 기본구성으로 자리 잡게 되었다. 본 연구에서는 아파트 단지 환경시설물과 보편적 호감도의 상관관계에 대해 조사하였으며, 아파트 단지 내에서 자연풍경으로부터 느끼는 인간의 본성적 감성을 파악하고 이를 활용한 디자인 방안을 살펴보고자 한다. 이를 바탕으로 향후 아파트 단지 패러다임의 변화에 맞춰 아파트 환경특화의 방향성을 제안하는 것을 목적으로 한다. (연구방법) 첫째, 상위개념인 도시경관의 기본개념을 인지하고 아파트 경관의 의미에 대해 알아보았으며, 아파트단지는 도시경관 구조물로서 건축물외에도 다양한 환경시설 및 조형적 요소가 있음을 알아보았다. 그리고 환경시설물과 자연 형상과의 관계 및 향후 방향성에 대해 요약해보았다. 둘째, 인지과학과 진화 이론 및 진화 심리학을 기반으로 신경학 선행연구를 바탕으로 신경미학적 관점에서 자연 조형 구조와 조형 방법을 분석한다. 이를 통해 자연 형상 질서에 의한 프랙탈 이론과 접목하여 인간의 시각적 호감도 및 조형성과 관계가 있음을 고찰하였다. 셋째, 프랙탈 기하학 구조를 통한 환경시설물 및 아파트 단지 외부공간의 구조물을 사례 분석하여 공통적인 요소를 파악하였다. 단지 내에는 건축물, 복합공간, 인공시설 등이 있었으며, 자연 형상의 조형성과 호감도의 연계성을 알 수 있는 체크리스트를 설정한다. 체크리스트를 설정하는 방법은 프랙탈 기하학 구조의 핵심인 대칭성, 연속성, 반복적인 유사성을 기준으로 주변 경관과 조화로운지 판단하고자 하였다. 판단하는 기준은 총5개의 적합성 기준 (매우 강 ● / 강 ⊙ / 중 ◐ / 약 ◎ / 매우 약 ○)으로 분석을 하였다. 그리고 아파트 선정기준은‘한국기업평판연구소’에서 진행한 아파트 브랜드 평판 조사와 서울시의‘차 없는 아파트’기준으로 4개를 선정하였다. (결과) 이에 본 연구에서는 현재 아파트 단지의 환경시설물과 주변경관이 이질감 없이 어울리는지 연구하고자 하였다. 연구 결과 대부분의 환경시설물은 자연형상 보다는 인공적인 형태로 되어있어 주변 경관과 조화롭지 못하였다. (결론) 결론적으로 아파트 단지를 계획함에 있어 아파트 외 시설물 계획 시 자연 형상 구조가 고려되어야 할 사항임을 보여주고자 한다. 이를 바탕으로 친환경 주거공간으로서 지속적이고 가치 있는 아파트 단지계획에 활용될 수 있음을 제시하고자 한다. (Background and Purpose) The recent trend of developing apartment complexes was aimed at providing eco-friendly housing for a pleasant living experience. Hence, eco-friendly plans that take into consideration natural factors have become a standard factor while constructing apartment complexes. This study will explore the correlation between apartment environmental specialization and general favorability, and explore the design methods by identifying human preferences for natural landscape. Consequently, the purpose of this project is to propose the direction for apartment environmental specialization in line with the paradigm shift for future apartment complexes. (Method) First, we identified the basic concept of the urban landscape, which is a higher concept, and investigated the significance of the apartment landscape. An apartment complex is considered as an urban landscape structure, and includes various environmental facilities and formative elements in addition to buildings. The relationship between environmental facilities and natural shapes and future directions was summarized. Second, based on the literature review through cognitive science, evolutionary theory, and evolutionary psychology, we analyzed the natural structures and shaping methods from a neuroesthetics perspective. In relation to fractal theory caused by the shaping order in nature, the study identified the relationship between human visual favorability and formability. Third, certain common elements were identified by analyzing the structure of environmental facilities and exterior spaces of apartment complexes through fractal geometry. There are buildings, multi-use spaces, artificial facilities inside the complexes, and a checklist was established to identify the correlation between the composition of nature shaping and favorability. The checklist was aimed at determining whether it is harmonious with the surrounding landscape based on symmetry, continuity, and repetitive similarity, which are the core of fractal geometry. The checklist is classified into five conformity levels which are (Very Strong● / Strong⊙ / Medium◐ / Weak◎ / Very Weak○). In addition, four apartment selection criteria were identified based on the apartment brand reputation survey conducted by the “Korea Corporate Reputation Research Institute” and the “car-free apartment” standard in Seoul. (Results) This study examined the current apartment complexes’ environmental specialization elements and whether the surrounding landscapes are harmonized. The results showed that most of the facilities are more artificial than natural, therefore, it is not harmonized with the surrounding landscapes. (Conclusions) It is imperative to consider a natural structure in the process of planning any facilities within an apartment complex. This consideration can also be applied in the planning of sustainable and valuable apartment complexes as an eco-friendly residential space.