우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

동양 전통과학의 탐구방법론 연구 : 朱子의 格物致知論을 중심으로

최영제,이우붕,정원우,김용수,문장수,방경곤,김기정 경북대학교사범대학과학교육연구소 2005 科學敎育硏究誌 Vol.29 No.-

다발성 연조직 종괴를 동반한 급성 림프구성 백혈병의 증례 보고

장정용,허경회,이원진,허민석,이삼선,최순철 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.2

A 15-year-old patient, who had been diagnosed and treated as Burkitt cell type acute lymphoblastic leukemia (ALLL3) already, visited our department. He complained of gingival enlargement and loosening teeth 1 month ago. The clinical examination revealed anterior open bite, gingival enlargement, and nontender swelling particularly in molar regions of both jaws. Deep periodontal pockets and severe mobility was shown on most of the teeth. The panoramic radiographs showed severe bone destruction and extrusion of the molars. The contrast enhanced CT showed multiple enhanced mass and bone marrow obliteration in both jaws. Chemotherapy was done and the swelling was subsided at 1 month later. In conclusion, radiologic findings of leukemia with soft tissue mass, known as chloroma or granulocytic sarcoma, mimic those of lymphoma, so blood test may be needed for the final diagnosis.

신상아에서 후족부 모세 혈액 검사 이후에 발생한 종골 골수염

최장석,김정원 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

In neonate, osteomyelitis of the calcaneus is extremely rare and various reports have indicated that it accounts for 3~8% of all bone infections among neonates, infection can result from hematogenous seeding or direct inoculation, as seen in puncture wounds (accidental or for blood sampling), open fracture, degloving injuries. and extension of pressure ulceration. Although direct inoculation has been reported to be the more frequent cause, other reports suggest a hematogenous etiology in the majority. We compared our experience that neonate calcaneal osteomyelitis after hind foot capillary blood sampling for cogenital metabolic deficiencies test and follow up of bilirubin level at Paik Hospital, Inje University, Pusan, Korea to that reported in the literature to determine if the experience at this institution was similar to that previously reported. Additionally, characteristics of the clinical presentation, laboratory investigation, treatment, and outcome were studied to determine if any factors might be helpful in making an earlier diagnosis, improving outcome, or both.

소음성난청 유소견자들의 사후관리 실태

최장선,송재석,원종욱,강종두,차봉석,노재훈 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.2

The number of workers with noise induced hearing loss which comprise 56.9% in the total number of workers with work-related diseases in Korea of 1994, are becoming in position of the most serious problem. Periodic health examination system which was introduced for health care of workers on hazardous workplace has played important role in health care and the prevention of work-related diseases. The goal of periodic health examination may be obtained when we not only discover occupational disease, but also control them effectively. To study the post-examination health status of workers with noise induced hearing loss diagnosed from 1991 to 1994 in the periodic health examination, all 154 workers in 102 manufacturing factories in Banwol and Siwha industrial complex were reviewed. 1. Among 154 workers, 87 workers(56.5%) were changed to different department, 67 workers(43.5%) remained in the same department. 2. Among 102 workplaces, only 23 workplaces(22.9%) had changed their working environment while 79 workplaces(77.1%) did not. 3. In this study, post-examination health care of the workers diagnosed as noise induced hearing loss had significant correlated with the presence of health care manager, Industrial Health and Safety Committee in workplace and size of industry. The improvement of working environment is also closely related with the presence of health care manager in workplace. 4. Among 154 respondents, 3 workers(1.9%) had received compensation while 151 workers(98.1%) did not. 5. The reasons for not requesting the compensation were that 117 workers(77.5%) were ignorant of the administrative procedure for compensation, 30 workers(19.9%) were not sure of receiving compensation, 4 workers(2.6%) were busy. Considering the result of this study, we must establish the guide of management or contents of post management for noise induced hearing loss. To prevent the noise induced hearing loss, and protect the workers with noise induced hearing loss, education about post management is much required for employer and employee.

몬테카를로 방법을 이용한 고강도콘크리트 구조물에 대한 휨변형의 해석적인 연구

최광진,장일영,송재호,홍원기 金烏工科大學校 1995 論文集 Vol.16 No.-

The object of this thesis is an analytical study on flexural deformation of high strength concrete structures using Method. Using the established experimental data that has been presented in various documents the stress-strain relationship curves of high strength(500㎏f/㎠) models are proposed. Based on both methods of logarithm regression analysis and multiple regression analysis adopted in order to establish the relationships between design parameters, responsed random variables and flexural deformation analyzed using monte carlo simulation and simpson composite formula. Additional random variables are introduced to incorporate both the confidence in the analytical accuracy of engineering mechanics associated with structural response quantities and the uncertainty in the construction quality control. The result is expected to accomodate other important design parameter of high strength concrete design in treating reliability theory that practicing engineers and structural engineering.

충전층 반응기에서 전분의 고정화 동시당화발효법에 의한 ETHANOL제조

최동진,원성호,김장규,김남기 成均館大學校 科學技術硏究所 1992 論文集 Vol.43 No.2

Kinetic data of immobilized Saccharomyces cerevisiae, Zymomonas mobilis, and S. cerevisiae-Z. mobilis with amylase from Aspergillus shirousamii(SimultaneousSaccharification-Fermentation of starch) in packed bed reactor were investigated with 10%, 15%, 20%, and 25% water-soluble starch solution at 30 ℃ and initial pH 5.0. For the comparison of ethanol productivity, Z mobilis ATCC 10988, S. cerevisiae ATCC 26603, and dual organisms(Z. mobilis-S. cerevisiae) were immobilized with 3%[W/V] agar-agar gel respectively on the styrofoam bead. The results were that the volumetric ethanol productivity of dual organisms was better than that of Z. mobilis and of S. cerevisiae. And the volumetric ethanol productivity of 25% soluble starch solution was better than that of the others.

18세기 말 전라도 수군전법 변화의 특성 : 전라우수영『전지도첩』과 전라좌수영『수조홀』을 중심으로

장원주,최형주 龍仁大學校 武道硏究所 2011 武道硏究所誌 Vol.22 No.1

이 연구는 18세기 말에서 19세기 초에 작성된 전라도수군의 군사훈련과 관련된 2종의 자료를 중심으로 18세기 말 전라도 수군전법 변화의 특성을 살펴보기 위해 작성되었다. 당시 수군제도의 전략적 재편과 수군전법의 전술적 보완이 요구되고 이에 따라 변화하던 수군편제를 살펴볼 수 있는 것 중 하나가 바로 수조다. 임진왜란 이후 중국의 수군전법을 받아들여『兵學指南』의 수조를 정비한 조선은 18세기에 이를 더욱 보완해 『兵學通』수조의 완성을 보았고, 이 시기를 전후하여 각 지역의 일선 수군지휘관들에 의해 수조홀기류 문서들이 작성되기 시작하였다. 이 자료들 중 전라도의 수군전법을 보여주는 것이 전라좌수영『水操笏』과 전라우수영『戰陣圖帖』이다. 전라우수영『戰陣圖帖』에는 총 12가지의 진도가 수록되어 있다. 이 진도들은 1780년 이전의 7개 진도와 이후의 5개 진도로 나눌 수 있다. 두 부류의 진도에 나타나는 전라우수영의 진관 편제는 확연히 다르며, 진형 역시 그 성격이 크게 달라 18세기말 전라우수영 전법의 변화를 뚜렷이 살펴볼 수 있게 해준다. 1830년대에 작성된 것으로 추정되는 전라좌수영『水操笏』은 총 8부분으로 나뉘어져 있다. 수군군사훈련의 핵심내용을 담고 있는 첫 번째「水操笏」과 두 번째의「夜操笏」은『兵學通』의 수조절차를 대부분 요약하면서도 절차와 의례에 중점을 두고 있었다. 즉『水操笏』은『兵學指南』과『兵學通』의 형식과 절차를 그대로 따르면서도 조선적인 특색을 띄고 있다 할 수 있겠다.

30% Minocycline 국소 약물송달제제의 생체내, 외방출역학, 세포독성 및 세포활성도 측정

최현순,이상철,김강주,장원규,정서영,정종평 대한구강생물학회 1992 International Journal of Oral Biology Vol.16 No.1

Present study was performed to examine in vitro and in vivo release kinetics, cell cytotoxicity and cellular growth survival of local 30% Minocycline delivery. The purpose of this study was to determine the possibility of clinical use of 30% Minocycline load polycaprolactone film(Mino-Strip). The size of Mino-strip is 6.5㎜×2.5㎜×0.3㎜, Mwt: 5.7㎎). In vitro releasing test, each film showed a large initial burst effect within first one and two hours and more than 84% of Minocycline was releasing test, each film showed a large burst effect within first two and three hours. A steady state kinetics was observed for 8 days both in vivo and in vitro releasing test. In cytotoxicity test, there was no significant cytotoxic effect in Mino-strip to human gingival fibroblast. In cellular growth survival test, there was no significant cellular growth survival effect in Mino-strip to human gingival fibroblast.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.