한국인 관상동맥성 심질환의 위험요인으로서 혈청지질에 관한 메타분석

김기순,김양옥,박종,박종구,김춘배,지선하,류소연,Kim, Ki-Soon,Kim, Yang-Ok,Park, Jong,Park, Jong-Ku,Kim, Chun-Bae,Jee, Sun-Ha,Ryu, So-Yeon 대한예방의학회 1999 예방의학회지 Vol.32 No.4

Objectives : To determine the relations between seven blood lipids such as total cholesterol(TC), triglyceride(TG), HDL-cholesterol(HDL), LDL-cholesterol(LDL), apolipoprotein A-1(Apo A1), apolipoprotein B(Apo B) and lipoprotein(a)(Lp(A)) and the coronary heart diseases(CHD), the quantitative techniques of meta-analysis were applied to studios of blood lipids and CHD in Koreans. Methods : We searched the Korean and the English literature published from 1980 to August, 1997 by manual search and bibliography review. Information on sample size, study design, participant characteristics(gender, age) and blood lipid levels were abstracted by reviewers using inclusion criteria. Estimates of the effect sizes of blood lipid levels on CHD in Koreans and corresponding 95% confidence intervals were calculated using random-effect models. Results : We identified 16 case-control studies to apply meta-analysis. The overall effect sizes for CHD were 20.3(95% CI: 14.23-20.22) in TC, 24.8(95% CI: 12.6-36.86) in TG, 15.16(95% CI: 3.99-26.33) in LDL, -3.48(95% CI: -5.79 - -1.17) in HDL, -9.78(95% CI: -16.98 - -2.58) in Apo-a1, 17.88(95% CI: 9.72-26.05) in Apo B and 18.95(95% CI: 17.88-20.02) in Lp(a). Conclusions : Our results suggested that seven blood lipids were significantly associated with CHD in Koreans. Well-designed and prospective studies between blood lipids and CMD in Koreans should be peformed.

일부 농촌지역 고혈압자의 사망에 미치는 요인 -12년 추적 연구-

김기순,박종,Kim, Ki-Soon,Park, Jong 한국농촌의학지역보건학회 1993 농촌의학·지역보건 Vol.18 No.1

In order to find the factors associated with the death of hypertensives, 12 year follow-up study for 267 hypertensives whose average blood pressure were 140/90 mmHg or above during their first health screening in 1979-1980 at YongJin Township, Wanju Country, North Cholla Province by the Community Health Team of Chonju Presbyterian Medical Center. The study results are as follows : 1. Initial general characteristics of hypertensives were studied. The age distribution of studied hypertensives showed 27.3% in 40-49 years, 25.8% in 50-59 years, 29.6% in 60-69 years and 17.2% In 70 + years old group. Marital status showed that 82.8% of hypertensives had their wife or husband. 74. 5% were employed on agriculture. 56.5% of hypertensives were illiterate. 2. Among the hypertensives, 91.6% of male and 22.8% of female reported that they were smokers. 82.6% of hypertensives had body mass index lower than 25 Kg/$m^2$. 46.8% of average systolic blood pressure were 160mmHg or above and 54.3% of average diastolic blood pressure were 95mmHg or above. 3. Twenty percent of hypertensives reported that they were treating hypertension at the beginning of follow up, while 68.5% reported that they were not treated. 28.1% reported that they were treating hypertension within 6 months before last follow-up. but 69.3% reported that they were not treated for hypertension within Ii months before last follow up. So 50.6% were classified as never treated group and 41.2% as treated group. 4. Average blood pressure for initial 3 years were calculated. The change of average systolic blood pressure was observed as $161.3{\pm}19.4mmHg$ at the first year, $145.6{\pm}28.0mmHg$ at the second year and $141.4{\pm}37.2mmHg$ at the third year. Average diastolic blood pressure were changed from $96.2{\pm}14.4mmHg$ at the first year to $90.6{\pm}18.6mmHg$ at the second year and $86.4{\pm}22.9mmHg$ at the third year. 5. By the follow-up of hypertensives, 54 hypertensives (46.2%) among 117 male hypertensives and 50 hypertensives (33.3%) among 150 female hypertensives died for 12 years. 42.6% of male death and 52.0% of female death were caused by cerebrovascular diseases. 6. Through univariate statistical test about the association between general characteristics or cardiovascular risk factors of hypertensives and mortality for 12 years, age variable among male and among female age, marital status, occupation. educational level. systolic blood pressure and treatment status were shown as significant variable to influence upon the mortality. 7. By multiple logistic regression analysis, among male age and systolic blood pressure were selected as significant variable to be associated with the total mortality for 12 years. Among female age, systolic blood pressure and treatment status were selected as statistically significant variable to be associated with the total mortality for 12 years.

일부 지역 의사들의 흡연실태와 금연지도활동에 대한 조사연구

김기순,강명근,박형철,김진선,류소연,Kim, Ki-Soon,Kang, Myung-Gun,Park, Hyung-Cheol,Kim, Jin Sun,Ryu, So-Yeon 대한예방의학회 2003 예방의학회지 Vol.36 No.3

Objectives : The purposes of this study were to assess the smoking status, knowledge and attitude related to smoking and smoking cessation activity of the physicians in a community, and to identify their predictors of smoking cessation activity. Method : All physicians employed by various health facilities in a community were surveyed using a structured questionnaire. Of the physicians surveyed,523 (69.6%) returned completed questionnaires. Results : The smoking rate of physicians was 29.3% (34.2% in males, 3.6% in females) and the knowledge and attitude scores to smoking were $22.5{\pm}2.4\;and\;65.4{\pm}0.9$, respectively. The self-efficacy score was $3.4{\pm}1.0$ and the smoking cessation activity score was $65.4{\pm}6.9$. The smoking cessation activity was statistically significant with working place, specialty, knowledge and attitude to smoking and self-efficacy. In stepwise multiple regression, smoking cessation activity was predicted by doctors' working place, specialty, attitudes related to smoking issues, and self-efficacy of counseling knowledge and stills. Conclusion : Physicians need to participate routinely and actively in smoking cessation activity. For doctors to effectively counsel and intervene in patients regarding smoking cessation, it is essential to integrate education un smoking cessation intervention into curricula in formal education and to offer continuing education including smoking cessation intervention.

관상동맥질환 위험요인 구명을 위한 코호트내 환자-대조군 연구

김기순,박종,박종구,김춘배,천병렬,이태용,이강숙,이덕희,고광욱,지선하,서일,류소연,Kim, Ki-Soon,Park, Jong,Park, Jong-Ku,Kim, Chun-Bae,Chun, Byung-Yeol,Lee, Tae-Yong,Lee, Kang-Sook,Lee, Duk-Hee,Koh, Kwang-Wook,Jee, Sun-Ha,Suh, Il,Ryu, So 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.2

Objective : To elucidate risk factors for coronary heart diseases among Korean males. Methods : A nested case control study was conducted among a Korea Medical Insurance Cooperation(KMIC) cohort composed of 108,802 males. The eases included 246 male patients who were admitted to hospital due to coronary heart diseases from 1993 to 1997 (120-25 by ICD) and whose diagnosis was confirmed by the protocol by WHO MONICA Project(1994). The control group was composed of 483 patients selected by frequency matching considering age and resident area from an inpatient care group without coronary heart disease during the same period. For study cases and the controls, the results of a health check-up in 1990 and a questionnaire on life style in 1992 were received through the KMIC. Some additional information was collected by telephone interviews during October 1999. Results : Multiple logistic regression analysis showed that the odds ratio(OR) of coronary heart diseases among past smokers and current smokers as compared to non-smokers were 1.94(95% CI : 1.14-3.31) and 2.20(55% CI : 1.35-3.59), respectively. The OR among persons who drank 4 cups or more of caffeinated beverages such as coffee or tea daily as compared to persons who drank one cup for 2-3 days was 2.50(95% CI : 1.07-6.12). The OR among persons with high normal BP and stage 3 hypertension against normotension were 2.51 (95% CI : 1.44-4.37) and 5.08(95% CI : 2.38-10.84). The OR among persons whose blood cholesterol were 240 mg/dL or mere against lower than 200mg/dL was 2.24(95% CI : 1.43-3.49). Conclusion : Smoking, drinking of excessive caffeinated beverages, hypertension and high blood cholesterol were proven to be significant risk factors for coronary heart diseases among Korean males.

한국(韓國) 농촌지역주민(農村地域住民)의 사망률(死亡率) 및 사망원인(死亡原因)에 대(對)한 연구(硏究) -경기도(京畿道) 강화군(江華郡)을 중심(中心)으로-

김기순,이병목,Kim, Ki-Soon,Lee, Byung-Mok 대한예방의학회 1977 Journal of Preventive Medicine and Public Health Vol.10 No.1

To use basic data for health planning and evaluation of Kangwha community health project of Yonsei University, a study on death rates and causes of death were investigated in two townships (Naega and Sunwon Myuns) in Kangwha County from April 1, 1975 to March 31, 1977 All death was identified and reported by family health workers who are living in each village and 2 trained public health nurses confirmed the death. The causes of death were investigated by 2 public physicians. Total number of deaths for 2 years was 230 and the followings are brief summary of the study. 1. Age-adjusted crude death rates of study area were 8.69 per 1,000 population in 1975 and 7.18 per 1,000 population in 1976. Age-adjusted crude death rates for male were 9.18 in 1975 and 6.38 in 1976 and for female were 8.33 and 7.80 per 1,000 population 2. Age specific death rate curves by year and sex showed 'U' shapes. 3. Infant and neonatal death rates were 30.08 and 22.56 per 1,000 live births in 1975, and the rates in 1976 were 18.18 and 13.64. 4. The most common cause of death was cerebrovascular disease and average cause specific death rate for the disease was 215.5 per 100,000 population. 5. Four leading causes of death were non-infectious origin; cerebrovascular disease, malignant neoplasms, senility and suicide. Pulmonary tubeculosis and pneumonia occupied 5th and 9th causes of death. 6. Stomach cancer and hepatoma occupied 61.3% of total death due to malignant neoplasms. 7. Most frequent cause of neonatal death was birth injury. Two deaths due to tetanus were found in 1975, but no death due to this disease was found in 1976. 8. About half of deceased received care from physician before death.

군 결핵 환자의 자아개념과 지식 및 간호요구와의 상관관계 연구

김기순 ( Ki Soon Kim ),전경옥 ( Kyong Ok Jun ),김은희 ( Eun Hee Kim ) 국군간호사관학교 군진간호연구소 1988 군진간호연구 Vol.8 No.-

J. S. 밀의 민주주의론

김기순 ( Kim Ki Soon ) 영국사학회 2018 영국연구 Vol.40 No.-

이 논문은 밀을 ‘내키지 않은 민주주의자’ 내지 엘리트주의자로 다시 규정한 근래의 해석들을 비판하였다. 밀은 ‘참 민주주의’를 정치공동체 모두의 참여와 모두의 의사를 반영하는 최선의 대의정부라고 규정하고서 이를 단순 다수파의 지배인 ‘거짓 민주주의’와 대비시켰다. 그는 보통선거제와 비례대표제가 ‘참 민주주의’의 항구적인 두 요소이어야 한다고 보았다. 밀은 이 민주주의가 자율, 개성, 자립, 자치, 공동선 같은 가치들로 특징되는 개인과 사회의 발전의 필수 조건이라고 여겼다. 밀은 복수투표제가 민주주의의 폐단의 하나인 계급입법을 방지하기 위한 방책이라고 인정하였다. 그렇지만 그는 복수투표제가 근본적으로 평등주의에 반하는 특권이며, 그 효용성은 비례대표제에 의해 대체되며, 장차 시민의 지적·도덕적 수준의 향상과 더불어 불필요해질 것이라고 보았다. 밀은 복수투표제를 자신의 ‘참 민주주의’의 항구적인 제도로 간주하지 않았다. 나는 보통 선거제, 비례대표제, 복수투표제를 다룬 『대의정부론』 제7장과 제8장의 텍스트를 밀의 논지 자체를 중심으로 분석하고, 『자서전』과 연설 및 편지에 의거해서 밀의 입장이 『대의정부론』 이후 일관하였음을 밝혔다. This paper attempts to criticize some recent interpretations of Mill’s theory of democracy, which redefine Mill as ‘a reluctant democrat’ or even an elitist. Mill distinguished ‘true democracy’ from ‘false democracy’: the former being the best representative government that secures everyone’s participation and opinion in the political process, while the latter merely majority rule. Mill proposed universal suffrage and proportional representation as two permanent elements of ‘true democracy’. He thought that this democracy would be an essential condition for the development of individuals and society, which was characterized by autonomy, individuality, self-government and the common good. Mill also acknowledged that plural voting could be a safeguard against class legislation, which he thought was one of the main defects of democracy. But he saw plural voting as basically an anti-egalitarian privilege and argued that its utility would be replaced by proportional representation. He anticipated that it would become needless with the improvement of citizen’s intellectual and moral competence. This paper analyzes what Mill ‘actually’ said about universal suffrage, proportional representation and plural voting in chapters 7 and 8 of Considerations on Representative Government, and also demonstrates with Mill’s statements from Autobiography, public and parliamentary speeches and many letters that his position was consistent since the publication of Considerations on Representative Government.

윤리학에 있어서 「존재」 와 「당위 (當爲)」 의 구분의 특성과 그 한계

김기순(Ki Soon Kim) 철학연구회 1981 哲學硏究 Vol.16 No.-

일부 농촌지역 고혈압자의 사망에 영향을 미치는 요인

김기순(Ki-Soon Kim),박종(Jong Park) 한국농촌의학 지역보건학회 1993 농촌의학·지역보건 Vol.18 No.1

연구 논문 : 글래드스턴과 아일랜드 토지문제 -토지법안(1886)의 성격-

김기순 ( Ki Soon Kim ) 영국사학회 2010 영국연구 Vol.23 No.-