전기화상 환자에서 견관절 절단부 재건을 위한 상지 근피부 유리피판술의 증례 보고

이준협,이태섭,나민화,이동은,Lee, Jun-Hyup,Lee, Tae-Seop,Na, Min-Wha,Lee, Dong-Eun 대한미세수술학회 2001 Archives of reconstructive microsurgery Vol.10 No.1

The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wounds. However, in case of complete extremity amputation in eletrical burn patient, the transfer of pedicled flaps from the amputated part is not possible. In such instances, we have designed total arm musculocutaneous free-fillet flaps from the amputated limb to provide wound coverage, when replantation of the amputated part was contraindicated. now we present such a case. This technique allows immediate wound coverage without the morbidity of an additional donor site. The flap provides the ideal combination of large surface area, muscle bulk, and long vascular pedicle. It can be dissected rapidly to minimize ischemic time and could therefore be applicable to traumatic forequarter amputations.

곰팡이 센서(Fungal detector)를 이용한 알러지 환자 가정의 실내 환경 평가 - 사례연구

이준협,김영환,문경환,Lee, Jun-Hyup,Kim, Young-Hwan,Moon, Kyong-Whan 한국환경보건학회 2010 한국환경보건학회지 Vol.36 No.1

The indoor environmental condition was assessed in houses with allergy (asthma and atopy) patients by use of a fungal detector. The fungal index was calculated from the growth rate of the sensor fungi in a fungal detector encapsulating the spores, Alternaria alternata S-78, Eurotium herbariorum J-183 and Aspergillus penicillioides K-712. Fungal indices were higher in asthma patient's houses than in control houses and Eurotium herbariorum showed the highest growth response among the sensor fungi. Dust mites allergen, Der f1, was also significantly high in allergy patient's houses where fungal indices above 10 were detected. A correlation was observed between the fungal indices and dust mite allergen proliferations in examined houses. Therefore, the fungal index can be a useful tool as an indirect indication for detecting chronic dampness that brings both contaminations by fungi and dust mite.

우리나라의 各種 出産力指標에 依한 出産力 推移에 關한 分析

李準協(Jun Hyup Lee) 한국인구학회 1986 한국인구학 Vol.9 No.2

With Economic Development Plan, the Korean National Family Plan Program was introduced in early 1960's. The program, which has been a way for constraining population increase, has obtained excellent results. In other word, it has had an important role in controlling the increase in population. The purpose of this study is to analyze the change of fertility rates since 1970 and the level of completed fertility of Korean women since 1960. There are Age-specific Fertility Rate(ASFR), Total Fertility Rate(TFR), Gross Reproduction Rate(GRR) and Net Reproduction Rate(NRR) etc. in indices of period fertility. It is also possible to be seen the completed fertility rates by using Parity Progression Ratio. The data necessary for this study were obtained from Population & Housing Census Report from the year of 1960 to 1980 and Vital Statistics from 1980 to 1984, which conducted by Economic Planning Board, Republic of Korea. The summarized results of this study were as follows: 1. Age-specific Fertility Fertility Rate(ASFR) has been continuously decreasing till now. The ASFR for the women aged 25 to 29 was higher than those of any other groups and the ASFR for the women aged 20 to 24 was higher than that of the women aged 30 to 34 since the mid 1970's. 2. There are Total Fertility Rate(TFR), Gross Reproduction Rate(GRR) and Net Reproduction Rate(NRR) etc. in reproduction rates. First of all, TFR and GRR have been declining except late of 1970's and TFR showed 2.23 per ever-married women, GRR was 1.05 in 1982. Next, the change of NRR could not be found without life table by year and only NRR for the time of census was to be found. In 1980, NRR showed 1.27 per ever-married women and the level was still out of reach at replacement level of population. 3. Specific Fertility Rate by Birth Order(SFRBO) showed to be declined continually since 1972. Especially the SFRBO of the third live birth was decreased from about 22 per 1,000 ever-married women in 1972 to 12 or so in 1982. 4. To know the level of completed fertility, the mean number of completed live births per ever-married women was calculated from 1960 to 1980. The number of completed live births was more than 5 per ever-married women by the year of 1975 but have been declining and resulted in 4.69 in 1980.

학점은행제에 의한 보건행정학사 표준교육과정 개발

이준협(Jun Hyup Lee),이태로(Tae Ro Lee),임국환(Kook Hwan Rhim),김영환(Yong Hwan Kim) 고려대학교 보건과학연구소 2000 보건과학논집 Vol.9 No.1

수소결합에 의한 자기조립된 원반형 액정의 제조와 특성

이준협 ( Jun Hyup Lee ) 한국접착및계면학회 2014 접착 및 계면 Vol.15 No.4

페놀과 피리딘 간의 단일 수소결합을 이용하여 새로운 형태의 자기 집합된 원반형 액정을 제조하고 그 액정 특성을 조사하였다. 원반형 구조 설계를 위해 phloroglucinol을 중심부 분자로, 체계적으로 알킬사슬 길이를 변화시킨 trans-4-alkoxy-4’-stilbazole을 주변 물질로 사용하였다. 적외선 분광 분석을 통해 중심부 분자와 주변 물질 사이의 분자간 수소결합이 성공적으로 형성됨을 확인하였고, 또한 수소결합의 안정성이 분자 정렬에 의해 크게 영향을 받음을 확인하였다. 자기 집합된 원반형 액정 복합체는 원반형 메소겐 주위의 알킬 사슬 길이에 따라 다른 액정상들을 나타내었다. 긴알킬사슬을 함유하는 액정 복합체의 경우 육방형 컬럼상이 나타났으며, 상대적으로 짧은 사슬을 갖는 다른 액정 복합체에서는 네마틱 컬럼상이 형성되었다. 이는 자기 집합된 원반형 액정 복합체의 액정상 구조가 원반형 핵 단위 주변의 알킬사슬 길이에 의해 크게 영향을 받음을 의미하였다. New self-assembled discotic liquid crystals have been prepared through single hydrogen bonding between phenol and pyridine moieties, and their liquid crystalline properties were investigated. For the construction of discotic structure, we used phloroglucinol as a core molecule and trans-4-alkoxy-4`-stilbazoles with systematically varied alkyl chain lengths as peripheral units. FTIR results showed that the intermolecular hydrogen bonds between core and peripheral molecules are successfully formed, and the stability of the hydrogen bond is strongly influenced by molecular ordering. Discotic complexes exhibited different liquid crystalline phases depending on the length of alkyl chains around the discotic mesogen. The discotic complexes with longer alkyl chains showed hexagonal columnar mesophases, while the other complexes formed nematic columnar mesophases. These results indicated that the type of mesophase structure was strongly dependent on the alkyl chain length around the aromatic core.

일본의 의약분업 추진현황과 약가제도에 관한 고찰

이준협(Jun Hyup Lee) 고려대학교 보건과학연구소 1999 보건과학논집 Vol.8 No.1

두 종류의 중합기와 수소결합을 가지는 원반형 액정의 합성과 광중합

이준협(Jun Hyup Lee),이승준(Seung Jun Lee),장지선(Ji Sun Jang),조재영(Jae Young Jho) 한국고분자학회 2006 폴리머 Vol.30 No.5

반복되는 고용불안 발생 패턴과 정신건강의 관계 연구

양정연(JungYeon Yang),이준협(Jun Hyup Lee) 한국보건사회학회 2021 보건과 사회과학 Vol.- No.58

고용시장의 유연화 흐름 속에서 불안정 고용이 증가하고 있으며 실업자뿐만 아니라 비경제활동인구 증가 문제도 심각해지고 있다. 고용불안은 정신건강에 부정적 영향을 준다고 알려져 있으나 불안의 누적·반복 패턴과 정신건강 간의 관계를 살펴본 연구는 부족했다. 본 연구는 과거의 충격은 시간이 흐르면서 약화된다는 치유 모형과 스트레스의 축적이 특정 기준을 넘을 때 변화가 나타난다는 한계점 모형에 따라 과거 고용불안 경험이 현재의 정신건강에 미치는 영향을 살펴보았다. 한국복지패널자료(8기~14기)를 활용하여 10기~13기 임금근로자, 실업자, 구직포기자, 취업준비자 중 연령 조건을 충족한 2,673명을 선정하였다. 고용불안의 객관적, 주관적 측면을 모두 고려하여 최소자승회귀분석을 수행하였다. 분석 결과, 일회성의 고용불안 경험으로 인한 유의한 우울 및 자아존중감 악화는 발견되지 않았고 이를 넘어서는 불안이 최근까지 연속해 발생한 경우 정신건강의 악화 양상이 부분적으로 나타나 한계점의 존재를 확인하였다. 과거에 고용이 불안했어도 최근 고용안정을 경험한 집단에서는 고용안정 집단에 비해 정신건강 수준이 낮지 않아 치유 가설을 지지하였다. 본 연구는 반복적으로 고용불안이 누적되고 있는 집단에 대한 관심과 고용불안 상태가 만성적으로 이어지지 않도록 신속한 정책적 개입이 필요함을 시사한다. Job insecurity is increasing due to the flexibility in the job market, and the problem of increasing economically inactive population as well as the unemployed is also becoming serious. Job insecurity is known to have a negative impact on mental health, but there is a lack of research on the relationship between accumulated and repeated job insecurity and mental health. We examined the impact of past job insecurity on current mental health according to the healing model that past shocks are weaker than current shocks and the breaking point model that changes occur when stress accumulation exceeds certain points. Using Korea Welfare Panel Study Data(cycles 8~14), 2,673 of wage earners, the unemployed, discouraged workers, and job seekers were selected. We considered both objective and subjective aspects of job insecurity and used Ordinary Least Squares(OLS) regression in the analysis. We found that there was no significant deterioration in depression and self-esteem due to the one-time job insecurity, but if job insecurity occurred continuously until recently, it could worsen mental health, which confirmed the breaking point hypothesis. In addition, people who were unstable in employment in the past but are stable in recent years didn’t have a lower level of mental health than job security groups, which supported the healing hypothesis. Therefore, this study urges attention to people who experience repeated and accumulated job insecurity, suggesting that prompt policy intervention is required to prevent job insecurity from becoming chronic.

한국과 일본 성인의 체질량지수 비교 분석

방형애 ( Hyeong Ae Bang ),이준협 ( Jun Hyup Lee ),임국환 ( Kook Hwan Rhim ) 대한보건협회 2012 대한보건연구 Vol.38 No.2

Objectives: Body mass index (BMI) associated with anthropometric measures among adults in Korea and Japan, whose people have largely similar physical characteristics and lifestyles, were compared to study similarities and differences between the two countries, for obesity is related with increased risk of morbidity and mortality. Methods: Representative samples from the National Health and Nutrition Examination Surveys in 2009 in Korea and Japan were used, in which statistically significant data from several thousand men and women in both countries were present. General obesity criteria of BMI≥30㎏/㎡as well as BMI≥25㎏/㎡for Asians, suggested by WHO, were used. Results: Obesity rates using BMI≥25㎏/㎡for determining obesity were significantly higher generally for both men and women in Korea than those in Japan, with high confidence level(p<0.01). However, using BMI≥30㎏/ ㎡for determining obesity resulted in higher obesity rate for Japanese men. Conclusion: In light of Koreans` higher obesity rates compared with the Japanese counterpart, establishment of a system for continual monitoring and public awareness campaign, especially for women, by public health authorities are suggested for effective national health management to reduce obesity.

의료기관 종별 소득계층간 의료이용 불평등

임국환 ( Kook Hwan Rhim ),이준협 ( Jun Hyup Lee ) 한국보건경제정책학회 2010 보건경제와 정책연구 Vol.16 No.2

이 연구는 소득 계층별 의료이용 불평등 양상을 알아보았다. 소득 계층별 의료이용 불평등은 집중지수를 이용하여 측정하였으며, 외래와 입원, 의료기관 종별로 구분하여 측정하였다. 또한 소득계층간 의료필요에 의한 의료이용을 보정한 의료이용 불평등(C(HI))을 측정하였으며, 의료필요는 성, 연령, 주관적 건강, 활동제한 유무로 보정하였다. 의료필요를 보정하지 않은 실제 외래 이용 집중지수(C)는 모든 의료기관에서 음수(-)로 나타나 저소득층의 외래 이용이 많은 불평등 양상을 나타냈다. 의료필요를 보정한 소득계층별 외래이용 불평등(C(HI))은 저소득층의 이용이 많은 불평등은 거의 없어져, 소득계층 간에 동일 필요에 대한 동일한 의료 이용 원칙이 지켜졌으나, 의료기관 종별로는 다른 양상을 나타냈다. 보건기관에서는 저소득층에 유리한 의료이용 불평등이 컸으나, 종합전문요양기관의 의료필요 보정 외래이용 집중지令(C(HI))는 양수(+)로서 고소득층의 외래 이용이 많은 의료이용 불평등 양상을 보였다. 입원의 의료필요 보정 집중지수 (C(HI))는 음수(-)로서 저소득층의 이용이 많은 의료이용 불평등 양상을 나타냈다. 입원은 의료기관 종별에 관계없이 모든 의료기관에서 저소득층의 이용이 많은 입원이용 불평등 구조를 보였다. 앞으로 시계열 자료를 이용하여 의료제도나 건강보험의 정책변화가 소득계층별 의료이용 불평등에 어떤 영향을 미치는지에 관한 연구가 수행되어야 할 것이다. The purpose of this study is to examine the pattern of income-related inequality in medical care utilization of both outpatient and inpatient by provider types. We measured income-related inequality in medical care utilization by using concentration indices and also measured standardized income-related medical care utilization inequality(C(HI)) adjusted for medical needs. Age, gender, self-assessed health and activity limits variables are used in order to adjust medical needs among income groups. All unstandardized concentration indices(C) in outpatient visits by provider types have negative values which refer to inequality favoring the poor. After standardizing for need differences in physician visits, pro-poor inequality nearly disappears, which indicates equal treatment for equal need. But inequality in outpatient utilization varied by provider types. Strong pro-poor inequality tendency is seen in health centers, while the positive values for CHI in tertiary medical institutions and general hospitals present inequality favoring the better-off. Standardized concentration indices for inpatient admissions are negative, which shows inequality favoring the poor, in all medical institutions irrespective of provider types. In the future, by using longitudinal data, research on how various policy interventions of health insurance affect income-related healthcare utilization inequality should be carried out.