공해에 관한 소고

장임원 중앙대학교 1975 無影燈 Vol.1 No.1

의료보험적용인구의 노령화가 의료이용 및 진료비에 미치는 영향

장임원 중앙대학교 의과대학 의과학연구소 1992 中央醫大誌 Vol.17 No.2

This study aimed to investgate the influence on medical use and treatment amount caused by increase of old medical care insurance beneficiaries using the data of medical insurance for government employees and private school teacher and staffs during 5 years from 1985 to 1990. The number of medical care insurance beneficiaries, treatment cases per medical care insurance beneficiaries, treatment amount per case, average treatment days per case, and average treatment amount per treatment day of benificiaries aberage 65 years old were analysed by time seris during last 5 years, and number of case and total treatment amount by type of medical institution were analysed relative to total beneficiaries in 1990. The results were as follows; 1. Mddical care insurance beneficiaries above 65 years old increased 38,6% and their portion of total beneficiaries increased from 6.1% to 7.7% during last 5 years. 2. In-patient treatment cases per total beneficiaries and beneficiaries above 65 years old increased by 9.0% and 29.7% during last 5 years, respectively. 3. Out-patient treatment cases per total beneficiaries and beneficiaries above 65 years old increased by 22.5 and 68.8% during last 5 years, respectively. 4. In use of general hospital, hospital and oriental medical clinic, the beneficiaries above 65 years old was higher than the other age group. 5. Treatment amount per in-patient case in the total beneficiaries and beneficiaries above 65 years old increased by 51.5% and 51.6% during last 5 years, resptectively. And treatment amount per in-patient case of beneficiaries above 65 years old was 32% higher than that of total beneficiaries. 6. Treatment amount per out-patient case in the total beneficiaries and beneficiaries above 65 years old increased by 27.4% and 25.4% during last 5 years, resptectively. And treatment amount per in-patient case of beneficiaries above 65 years old was 25% higher than that of total beneficiaries. 7. Treatment amount per in-patient case of beneficiaries above 65 years old in general hospital was higher 32% than that of total beneficiaries. Treatment amount per out-patient case in the general hospital, hospital and clinic were 25%, 20% and 23% higher than those of total beneficiaries, respectively. 8. In-patient teatment day of beneficiaries above 65 years old and total beneficiaries increased by 11.9% and 13.1% during last 5 years, respectively. And treatment day per in-patient case of beneficiaries above 65 years old was 28% higher than that of total beneficiaries. 9. Out-patient teatment day of beneficiaries above 65 years old and total beneficiaries increased by 8.2% and 8.1% during last 5 years, respectively. And treatment day per out-patient case of beneficiaries above 65 years old was 47% higher than that of total beneficiaries. 10. Treatment amount per in-patient teatment day of beneficiaries above 65 years old and total beneficiaries increased by 35.4% and 34.0% during last 5 years, respectivly. And treatment amount per in-patient treatment day of beneficiaries above 65 years old was 3% higher than that of total beneficiaries. 11. Treatment amount per out-patient teatment day of beneficiaries above 65 years old and total beneficiaries increased by 16.0% and 18.3% during last 5 years, respectivly. And treatment amount per out-patient treatment day of beneficiaries above 65 years old was 15% lower than that of total beneficiaries.

일부 한국인의 혈중 Polychlorinated Biphenyls(PCBs)

장임원,홍연표 중앙대학교 의과대학 의과학연구소 1992 中央醫大誌 Vol.17 No.1

The blood polychlorinated biphenyls(PCBs) were measured by a capillary gas chromatography(Shimadzu Corp., Kyoto, Japan) in 24 females and 53 males Korean aged 10 to 76 years old with on known expousre to PCBs. There were 10 isomers of PCBs. The blood PCBs showed lower than 3.5 ppb which 1.04±0.53 ppb in female and 1.04±0.59 ppb in male, respectively, and left skewed log-normally distribution.

급성 및 아급성 카드뮴중독시 심장과 폐조직에 미치는 손상

장임원,박정덕,홍연표 중앙대학교 의과대학 의과학연구소 1994 中央醫大誌 Vol.19 No.3

To assess the effects of cadmium on heart and lung in acute and subacute intoxicated rat, different doses of cadmium were administered into male Sprague-Dawley rats by single intravenous injection. At 12, 24, 48, 168 and 672 hours after Cd injection, tissue cadmium concentration and histopathological findings were examined. Cardiac Cd concentration tended to increase in dose-dependent patter(r=0.8255, n=73, p<0.01), and was reached to peak within 12 hours after injection and then reduced with time. Pulmonary Cd concentration also tended to increase in dose-dependent pattern(r=0.8239, n=74, p<0.01), and the concentration was reduced with time. A significant correlation between cardiac and pulmonary Cd content was observed (Cd Lu=-0.0019+0.4783 Cd H, F=191.3, r=0.8556, n=72, p<0.01). Myofibrillolysis and contracture of myofiber were shown in heart tissue and alveolar septal wall thickening and inflammatory cell infiltration in interstitial tissue were observed in lung tissue. These Cd-induced histopathologic findings were aggravated with time and increasing dose.

권두시론 : 한민족의 평화통일을 위한 제언

장임원 참여연대 2013 시민과세계 Vol.- No.23

MMPI를 이용한 비행청소년들의 인성특징 분석

장임원 중앙대부설한국의과학연구소 1985 한국의과학 Vol.17 No.4

Cornell Medical Index에 의(依)한 산업재해(産業災害) 요인(要因)의 분석(分析)

장임원,Chang, Im-Won 대한예방의학회 1979 예방의학회지 Vol.12 No.1

By evaluating the health status of 152 male workers engaged in a metal-product factory by Cornell Medical Index in conjunction with their experience of industrial accident, I attempted to find out whether any health condition may effect on the occurence of industrial accident. Differences in frequency of complaints in each section of CMI between control workers and accident workers were statistically tested by T-test. On the other hand, influence of neuropsychiatric factors (section M-R) on the occurence of accidents was analyzed by $X^2-test$ with Fukamachi's classification. The followings were the results obtained in this study. 1. The average number (26.42) of physical complaints in accident group is significantly more than in control group (18.70). 2. The average number (17.70) of mental complaints in accident group is very significantly more than in control group (11.70). 3. Differences in frequencies of complaints by sections between accident group and control group was all significant except C (cardiovascular system), H (genitourinary system), I (fatigue) & J (frequency of disease). 4. frequency rate of neurotic workers who were identified by Fukamachi's classification was significantly higher in accident group (72%) than in control group (51%).

고등교육의 과시적 개혁보다는 구조적 정상화를

장임원,Jang, Im-Won 한국대학교육협의회 1994 大學敎育 Vol.70 No.-

의료소비자의 의료전달체계에 대한 반응

장임원 중앙대학교 의과대학 의과학연구소 1990 中央醫大誌 Vol.15 No.2

The medical care delivery system in Korea has been carried into effect from July 1989. This study was attempted to understand how some attributes (district, sex, income, occupation, education level, kind of insurance) of consumer's have influence on their recognition of effect of medical treatment, economic interest and convenience of medical care delivery system and it's successful settlement. Major results were as follows: 1. The affirmative rates for treatment effect, economic interest, convenience effect and settlemtn of medical care delivery system were 56.0%, 47.9%, 69.4% and 64.1% respectively. 2. Consumer's response to treatment effect, economic interest and successful settlement of medical care delivery system was affected chiefly by their geographic condition of medical care, therefore I insist that the reinforcement of distict medical care system is essential to the successful settlement of medical care delivery system.

한민족의 평화통일을 위한 제언

장임원 참여연대 참여사회연구소 2013 시민과세계 Vol.- No.23