일부 농촌지역 노인들의 만성질환 유병상태와 의료이용 양상

오장균,Oh, Jang-Kyun 대한예방의학회 1991 Journal of Preventive Medicine and Public Health Vol.24 No.3

To find out the state of illness, patterns of medical care utilization, and factors which determine medical care utilization for aged we surveyed 679 rural old persons who live in the Chungnam province from Jan. 10 1991 to Jan. 19. The major findings of this study were as follows : 1. The morbidity rate of chronic illness during last 3 months was 56.4% for all surveyed old persons ; 58.7% for female and 52.8% for male. 2. As expected, 80 years old or above group showed the highest morbidity rate, 60.2% and the 65-69 years age group was the lowest, 50.5%. 3. Old persons who are householder, whose family income is less than 290,000 won per month, and who receive benifits from the public medical assistance program had relative higher morbidity rate than other groups and the difference was statistically significant (p<0.05). 4. The most frequent chronic illness was musculoskeletal disease, 49.6% ; the disease from which the aged had suffered for the longest period was gastrointestinal, 11.6yrs : the cerebrovascular was the disease which inflicts the lowest level of physical ability. 5. 67.1% of 383 persons who were suffering from chronic illness were in need of medical care but unmet ; among the remaining 32.9% who utilized medical care, 19.2% utilized it in local clinics or hospital OPD and 15% in th health centers or subcenters. 6. Old person who are married, whose sons are householder and whose family income is 500,000 won or above per month showed relative higher utilization rate than other groups and the difference was statistically significant (p<0.05). 7. The most common reason why the aged did not utilize, in spite of, need medical care was economic problem, 35.4%. For the aged whose family income per month is 500,000 won or above, however the most common reason was tolerable symptom, 46.9% while persons who answered economic problem were 6.1% of them, the lowest frequency.

60세 이상 건강한 노인 여성의 골대사와 골밀도

오한진(Oh Han Jin),최희정(Choi Hee Jung),오장균(Oh Jang Kyun) 대한임상노인의학회 2001 대한임상노인의학회지 Vol.2 No.2

Background : Osteoporosis, the most common metabolic bone disease, is defined by low bone density and because risk of fragility fracture is strongly related to bone density. Bone loss after menopause accelerated at early stage of menopause, and then decreased. So, we evaluated associations of the general characteristics and lumbar BMD of aged postmenopaisaJ Korean women, and determine the markers of bone turnover simultaneously. Subjects and Methods : 308 postmenopausal Korean women aged over 60 years were evaluated who visited Samsung Cheil hospital & Women's health care center located in Seoul from Jan 2000 to July 2001, with respect to markers of bone turnover and BMD at lumbar spine. We compared changes of markers and changes of BMD of the subjects who stratified 4 groups according to age. We also measured obstetrical history and physical, anthropometric data including body fat. To compare the differences of BMD and markers of bone turnover according to age group, oneway ANOVA test were made. And to determine the contributable factors for lumbar BMD, multiple regression analysis were also made. Results : 1) BMD decreased continuously with age. 2) But, no significant changes of markers of bone turnover among 4 age groups. 3) There were no significant differences in physical anthropometric data among 4 age groups. 4) in Pearson's correlation test, YSM were noted significant correlation coefficients with lumbar BMD. 5) Years since menopause, weight were revealed as important factors that predicting spinal BMD by multiple stepwise regression analysis. Conclusion : We concluded that the bone metabolism was increased and also according to the increased bone turnover, BMD was decreased simultaneously with age in Korean postmenopausal women aged over 60 years. 연구배경 : 골다공증은 고령의 연령층에서 골절과 연관된 많은 합병증 및 병발증을 유발하여 사회적으로 경제적인 부담을 초래하는 것은 물론이고 개인에게는 삶의 질을 감소시킴으로 심각한 문제를 일으키는 질병이다. 고령에서 나타나는 골소실은 폐경 초기와는 다른 것으로 칼슘대사의 이상에서 오는 부갑상선 호르몬의 증가와 연관이 있다고 알려져 있으나 아직 한국인 고령 여성의 골밀도 변화와 골대사 지표의 변화에 대한 연구 결과가 미미하다. 연구방법 : 2000년 1월부터 2001년 8월까지 성균관대학교 의과대학 삼성제일병원 갱년기 클리닉에 내원한 60세 이상 여성 중, 동일한 골밀도 측정기로 골밀도를 측정한 여성을 대상으로 하였다. 대상자들의 설문을 통해 산과력을 확인하였으며, 체격과 지질대사 및 골대사 및 골밀도를 측정하였다. 또한 TSH, FSH 및 estradiol을 측정하였으며, 연령에 따라 4군으로 구분하여 차이를 비교하였다. 연구결과 : 60세 이상의 여성에서 연령의 증가에 따라 골밀도는 지속적으로 감소한 것으로 나타났다. 또한 골대사 지표인 total alkaline phosphatase, osteocalcin과 deoxypyridinoline을 측정하여 비교한 결과 각 연령 군에 따른 유의한 차이를 확인할 수 없었다. TSH, FSH 및 estradiol의 측정치도 각 군에 따른 유의한 차이는 없었다. 요추 골밀도를 예측할 수 있는 인자에는 폐경 기간, 체중, 및 출산횟수 및 유산횟수가 포함되었다. 결론 : 60세 이상의 여성에서 골대사는 지속적으로 증가되어 있는 것으로 생각되며, 또한 이에 따라 골밀도의 감소도 지속적으로 나타나는 것으로 생각된다. 그러나 대상자의 수를 늘리고 또한 음주와 흡연 및 운동 등의 요소에 대한 종합적이며 대한 전향적인 연구가 필요할 것으로 생각된다.

외측 횡보강된 철근콘크리트 기둥의 내진 성능 평가

이도형(Lee, Do Hyung),오장균(Oh, Jang Kyun),최은수(Choi, Eun Soo) 한국콘크리트학회 2011 한국콘크리트학회 학술대회 논문집 Vol.2011 No.11

폐경 여성의 골밀도 변화를 중심으로 한 치료 방법의 비용효과적 비교

오한진 ( Han Jin Oh ),김의현 ( Ui Hyun Kim ),오장균 ( Jang Kyun Oh ),윤현구 ( Hyun Koo Yoon ),한인권 ( In Kwon Han ) 대한폐경학회 2001 대한폐경학회지 Vol.7 No.1

N/A Background : There were many strategies to treat postmenopausal women with osteoporosis. Because of bone mass measurement confirms the existence of osteoporosis and also predicts the risk of fracture, the effectiveness of the treatment should be measured by the amount of increased bone mass. Methods : 311 postmenopausal Korean women were evaluated who visited one of university hospital located in Seoul from Aug. 1997 to July 2000, with respect to markers of bone turnover and BMD at lumbar spine. Subjects were classified into 3 groups, peri-menopause, early-menopause, and late-menopause by menopausal states. To evaluate the cost-effectiveness of treatment, we compared changes of BMD after 1-year of treatment and total drug costs for 1-year among 3 groups. And also to evaluated the cost-effectiveness between groups classified by WHO criteria, we also compared changes of BMD and total drug costs after 1-year. Results : Our results showed those findings: 1. The const-effectiveness was similar among 3 groups classified by the menopausal state. 2. Among three groups classified by bone density, osteopenia group showed significantly favorable cost-effectiveness score than normal or osteoporotic group.

Interdisciplinary treatment for ectodermal dysplasia

Jin-Hee Kim(김진희),Young-Ku Hoe(허영구),Jang-Kyun Oh(오장균) 대한치과교정학회 2000 대한치과교정학회지 Vol.30 No.6

탄소섬유시트(CFRP)와 강판피복으로 보강된 철근콘크리트 교량 교각의 지진취약도 분석

전정문(Jeon Jeong Moon),이두호(Lee Du Ho),오장균(Oh Jang Kyun),이도형(Lee Do Hyung) 대한토목학회 2010 대한토목학회 학술대회 Vol.2010 No.10

HAIS(Hanil Alcohol Insight Scale)를 이용한 알코올의존 환자들의 병식 평가

김종성(Jong-Sung Kim),박병강(Byoung-Kang Park),김갑중(Gap-Jung Kim),오미경(Mi-Kyung Oh),이충숙(Chung-Suk Lee),유남재(Nam-Jae Yu),오장균(Jang-Kyun Oh) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.1

Objective:The successful recovery of alcoholics requires a new “self-identity”, which can be built up by and should be based on the true insight which enables them to admit that they are alcoholic. But practically most patients rarely have any level of insight. This study was designed to analyze the insight status of alcoholics and its related factors, and thus to provide the fundamental data which can be used for rehabiliation. Method:Insight status of 60 alcoholics were analyzed, who were admitted to Hanil Alcohol Treatment Center, Taejon between June 1 and August 31, 1997, using HAIS (Hanil Alcohol Insight Scale). Results:1) The mean HAIS scores of 60 alcoholics were 5.05 (±9.19). Among these, 22 (36.7%) had “poor insight”, 29 (48.3%) “fair insight”, and 9 (15.0%) “good insight”. 2) This study showed the lower HAIS scores, the older the subjects were (p〈0.05), while the more educated got the higher HAIS scores (p〈0.001). They showed the higher HAIS scores, the higher the frequency of admission was (p〈0.05), the higher the MAST scores were (p〈0.01). In addition, higher HAIS scores were shown in the groups who have experienced alcohol-related physical illness (p〈0.05) and have participated in the educational programs on alcoholism (p〈0.01) than in other groups who have not, respectively. By the motives of admission, HAIS scores were the highest in those whose motive was voluntary, followed by semi-voluntary and involuntary in a decreasing order (p〈0.01). 3) With the further analyses of many variables shown to be related with HAIS scores using stepwise multiple regression, statistically significant were MAST scores, motives of admission, history of alcohol-related physical illnesses, experience in educational programs on alcoholism (p〈0.05), with the R2 value of 58.0%. Conclusion:This study revealed that most alcoholics (85.0%) had impaired insight, and that to increase the alcoholics’ nsight, much emphasis should be put on such therapeutic efforts as to help alcoholics achieve voluntary admission by persuation and confront their own physical and social consequences, to lead them to the participation in the educational programs on alcoholism.

알코올중독자 자녀 선별검사 점수와 가족기능 점수가 자녀의 정신사회적 증상에 미치는 영향

박찬일(Chan-Il Park),김종성(Jong-Sung Kim),정진규(Jin-Gyu Jung),김갑중(Gap-Jung Kim),오장균(Jang-Kyun Oh) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.2

Objectives:Alcohol dependence is known to be a disease affecting family function thereby influencing children. This study was designed to evaluate the influence of parents’ drinking and family function on their children’s psychosocial symptoms. Methods:The subjects were consisted of 187 Korean children. Effects of parents’ drinking problems on children were evaluated by the CAST-K (The Korean Version of the Children of Alcoholics Screening Test) questionnaire, family functions by Family APGAR (adaptability, partnership, growth, affection and resolve) and children’s psychosocial symptoms by PSC (Pediatric Symptomatic Checklist)-17. Results:There was a sig-nificant (p<0.01) positive correlation (r=0.374) between CAST score and PSC-17, and a significant (p<0.01) negative correlation (r=-0.302) between Family APGAR score and PSC-17. CAST-K and Family APGAR score had 21.8% explanatory power for children’s psychosocial symptoms by stepwise multiple regression analysis (p=0.000). Conclusion:The above results suggest that the drinking of parents and family dysfunction can produce child-ren’s psychosocial symptoms. When clinicians face children with psychosocial symptoms, they should evaluate the parent’s drink-ing problems and the family function. Also treating a patient with drinking problems, clinicians should evaluate whether their child-ren have psychosocial symptoms or not.

직장인의 스트레스 지각정도와 생활습관과의 관련성

오정진,최신규,김태호,김응수,오장균 대한가정의학회 1998 Korean Journal of Family Medicine Vol.19 No.4

폐경 후 골다공증의 치료방법별 효과 및 골대사 지표 변화에 의한 골밀도 변화의 예측성

오한진,오장균,이동배 대한가정의학회 2001 Korean Journal of Family Medicine Vol.22 No.8