한국에 있어서의 학교급식개선을 위한 연구 II. 자활급식 2년간의 관찰

김명호,이원덕,김영옥,김문식,Kim, Myung-Ho,Lee, Won-Duck,Kim, Young-Ok,Kim, Moon-Shik 대한예방의학회 1976 Journal of Preventive Medicine and Public Health Vol.9 No.1

It is obvious that adequate nutrition is essential for growth and development of school children, and many elementary schools in this country have already practiced it. Therefore, it would seem apparent that the school feeding program would have a significant effect on the growth and development of school children. This paper presents a two-year experimental school-feeding program from 1973 to 1974, and attempts to evaluate its effects by before-and-after nutrition surveys conducted in two elementary schools, one experimental and the other as a control. The two schools are both located in the same county (Yongin-Kun, Kyunggi-Do), and the families of their students are presumed to share the same socio-economic level. To assess the effect of school-feeding, we measured height, weight, chest circumference and grasping power. Physical examination was done foresigns of nutritional deficiency. A stool examination for parasites and blood examinations for hemoglobin, hematocrit and serum protein were included. Analyses were done for 150 students selected randomly at the beginning of the program. These students attended the school throughout the program period. Results are as follows: 1. The amount of increase of height, weight, chest cirumference and grasping power were greater in the experimental school than in the control school, but the differences are not statistically significant. 2. Signs of vitamin deficiency decreased in both experimental and control schools during the two-year program period. 3. At the time of the 1974 post-survey, values of Hb. & Hct. revealed no significant differences between the two schools, but serum protein level was a little higher than that of general Korean rural children of the same age. 4. Infestation rate of parasites had increased in both schools during the two-year program period. 5. Each student of the two schools was classified into three major classes, according to the level of economic condition of his or her parents, namely higher, middle and lower. The results of each class of the experimental school was compared with that of the corresponding class of the control school, expecting the relative magnitude of change largest in the lower economic class of the experimental school. However, change was greatest in the middle class, still not being statistically significant. Finally, the authors concluded that the two-year period for such a program is not sufficiently long for its beneficial effects to be demonstrated and measured. As long as the growth and development of children are concerned, planning with a more distant perspective is required, as well as the development of new methods of evaluation.

건강문제에 관한 의견조사 -우리나라 학부모의 인식도를 중심으로-

김명호,백종현,이경자,Kim, Myung-Ho,Baik, Jong-Hyun,Lee, Kyung-Ja 대한예방의학회 1986 예방의학회지 Vol.19 No.1

Obtaining an available information on health concerns of parents of school-age children and furthermore developing the sound policy for the public on health education, this study was conducted during Nov.-Dec. 1985 in the four selected areas; Seoul, large, middle and small city, and farming and fishery villages for 3,337 parents of schoolchildren in Korea. In this study, parents complected a questionnaire containing 34 items related to health concerns(e.g. drinking alcohol, air pollution, cancer, etc. see Table 4 and Fig. 2). For each health items, respondents were asked to indicate a choice between three levels of concern; 'Very high concern,' 'Moderate concern,' 'Little concern', and 'No opinion'. An analysis of responses indicated that most of the top ten health concerns identified by parents as cancer, abortions among high school students, medical malpractice, water pollution, traffic accidents, air pollution, suicide of parents and homicide of offspring, heart disease, venereal diseases, and high blood pressure in that order. Those health problems about which respondents were least concerned were more closely related to the individual, such as drinking alcohol, smoking, tooth decay, gum disease, underweight, overweight. Of greater concern were more such as water pollution, abortions among high school students, air pollution, accidents, medical malpractice. For cancer, heart disease, high blood pressure, various accidents, environmental pollution, parents showed high concern, however, for health issues which contributed as causative influences such as lung cancer from smoking and liver cirrhosis and traffic accidents from drinking alcohol showed less concern. Relationship between parent's residential areas, educational level and sex distribution and health concern showed little difference, however, for these issues parents identified as relatively high concern. Most parents stowed more concern in sex-related of family-related health issues such as abortions among high school students, suicide of parents and homicide of offspring.

정신보건

김명호,Kim myung ho 대한간호협회 1964 대한간호 Vol.3 No.4

코발트60 원격치료기에 대한 Semiuniversal Wedge Filter의 제작과 임상응용

김명호,윤석록,신동오,Kim, Myung-Ho,Yun, Suk-Rok,Shin, Dong-Oh 대한방사선치료학회 1989 大韓放射線治療技術學會誌 Vol.3 No.1

고 에너지 방사선으로 용적이 적은 표재성 종양 및 부정형의 체표면과 경사진 조사야에 대한 방사선 치료시 종양 용적내에 균등한 선량분포를 얻기 위해서 Wedge filter 기법이 많이 사용되고 있다. 본 연구의 목적은 코발트 $60{\Gamma}$선 치료를 위한 Semi-Universal Wedge filter의 제작과 임의의 조사야에 대한 최적한 출력 및 정확한 조작방법을 기술하고 방사선 치료계획의 최적화를 기하기 위해서 Wedge filter의 임상응용 방법을 제시하고자 한다. Wedge filter are used in high energy radiation therapy to obtain uniform isodose lines at small volume tumor and irregular body surface. The aim of this study is not only to describe the method of construction and setting of semi-universal wedge filter for $^{60}Co$ radiation therapy but also to get the optimum treatment planning by clinical application of wedge filter.

InterCom : 에이전트 기반 인터넷 컴퓨팅 환경 설계 및 구현

김명호,박권,Kim, Myung-Ho,Park, Kweon 한국정보처리학회 2001 정보처리학회논문지 A Vol.8 No.3

네트워크와 컴퓨터 기술의 발달로 물리적으로 분산된 컴퓨터를 하나의 자원으로 사용하려는 연구가 많이 진행되고 있다. 일반적으로 이러한 연구들은 메시지 패싱을 기반으로 하는 환경을 개발하는 것이 주류를 이루고 있다. 이러한 환경은 보통 과학계산용 문제를 풀기 위해 많이 사용되고 주어진 문제의 내부병렬성을 이용하여 병렬처리 하게 된다. 따라서 보통 이러한 환경에서는 고도의 병렬성을 얻을 수 있다는 장점이 있는 반면에, 프로그래밍이 어렵고, 사용하기가 어려우며, 분산된 컴퓨터에 사용자의 계정이 있어야 한다는 단점이 있다. 그런데 만일 주어진 문제가 완전히 독립적인 작은 문제를 분할된다면 더욱 효율적인 환경을 만들 수 있다. 이러한 문제 유형은 생물정보학, 3차원 애니메이션, 그래픽스 등에 많이 준재하며, 이를 위한 새로운 환경 개발은 매우 중요한 연구라 할 수 있다. 따라서 본 논문에서는 이러한 문제를 효율적으로 처리하는 프록시 컴퓨팅 기반의 InterCom이라는 새로운 환경을 제안하고, 이들 구현한 것에 대해서 설명한다. 이 환경은 에이전트, 서버, 클라이언트로 구성되어 있다. 이 환경의 장점은 프로그래밍하기가 쉽고 분산된 모든 컴퓨터에 사용자 계정이 없어도 되며, 분산되는 코드를 자동 컴파일해 줌으로써 사용하기 쉽다는 것이다. Development of network and computer technology results in many studies to use physically distributed computers as a single resource. Generally, these studies have focused on developing environments based on message passing. These environments are mainly used to solve problems for scientific computation and process in parallel suing inside parallelism of the given problems. Therefore, these environments provide high parallelism generally, while it is difficult to program and use as well as it is required to have user accounts in the distributed computers. If a given problem is divided into completely independent subproblems, more efficient environment can be provided. We can find these problems in bio-informatics, 3D animatin, graphics, and etc., so the development of new environment for these problems can be considered to be very important. Therefore, we suggest new environment called InterCom based on a proxy computing, which can solve these problems efficiently, and explain the implementation of this environment. This environment consists of agent, server, and client. Merits of this environment are easy programing, no need of user accounts in the distributed computers, and easiness by compiling distributed code automatically.

불안전 협심증을 진단받은 환자의 흉통 한방 치험 1례

김명호,안립,최동준,Kim, Myung-ho,Ahn, Lib,Choi, Dong-jun 대한중풍순환신경학회 2014 대한중풍.순환신경학회지 Vol.15 No.1

A 44-year-old male complained of chest pain. Two years ago he was diagnosed with angina pectoris for stenosis of coronary artery in coronary angiography. Despite of medication, his chest pain aggravated to cardiovascular society classification class III. His electrocardiogram, cardiac enzymes were normal. Accordingly we diagnosed him with unstable angina. And we pattern differentiated him with heart heat syndrome considering his other symptoms. He wanted conservative care instead of coronary artery intervention generally recommended for treating unstable angina. We treated him for 13-days with tongxinluo, modified daochi-san, acupuncture, smoking prohibition which were thought to be effective for treating unstable angina based on experimental, clinical studies. Within the therapeutic period, frequency of chest pain and frequency of taking nitroglycerin were on the decrease.

JaNeC을 위한 온라인 성능감시기의 설계 및 구현

김명호,김남훈,최재영,Kim, Myung-Ho,Kim, Nam-Hoon,Choi, Jae-young 한국정보처리학회 2002 정보처리학회논문지 A Vol.9 No.4

성능감시기는 분산처리 환경에서 프로그램의 성능을 추적하고 평가하기 위해 필수적인 것이다. 성능감시기는 출력방법에 따라 오프라인과 온라인으로 나눌 수 있다. 오프라인성능감시기는 프로그램이 종료된 후에 그 성능을 분석하는 것이고, 온라인 성능감시기는 프로그램의 수행 중에 분석하는 것이다. 따라서 프로그램의 빠른 분석과 디버깅을 위해서는 온라인 기능이 필수적이다. JaNeC은 Java로 구현된 분산처리 환경으로 이를 위한 오프라인성능감시기가 포함되어 있다. 그러나 이 성능감시기로는 JaNeC에서 수행되는 프로그램을 효율적으로 분석할 수 없다. 따라서, 본 논문에서는 JaNeCe에서 수행되는 프로그램의 빠른 분석과 디버깅을 위해 온라인 성능감시기를 설계하고 구현하는 것에 대해서 설명한다. 이 온라인 성능감시기는 분석하고자 하는 프로그램에 영향을 최소화하도록 설계되었으며, 효율적인 프로그램 분석을 위해 다양한 형태의 그래픽 출력을 제공한다. 또한 프로그램이 종료된 이후에도 다시 분석할 수 있도록 하기 위해 오프라인 성능감시기와의 인터페이스도 제공한다. A performance monitor is indispensable to trace and evaluate performance of a program under distributed processing environment. A performance monitor il classified as off-line and on-line according to its output method. An off-line performance monitor analyzes its performance after a program terminates, and an on-line performance monitor analyzes its one while a program runs. Therefore, the on-line function is essential to analyzing and debugging the program fast. JaNeC, distributed processing environment that is implemented in Java, contains an off-line performance monitor for this. However, this performance monitor may not analyze the program running on JaNeC efficiently. Consequently, this paper explains that an on-line performance monitor is designed and implemented for fast analysis and debugging of the program running on JaNeC. This on-line performance monitor is designed to minimize effects on a program to analyze, and provides various forms of graphic output, to analyze the program effectively. In addition, even after a program terminates, it provides interface with the off-line performance monitor, to analyze again.

경골 Inlay 방법을 이용한 후방 십자 인대 재건술의 합병증

김명호,박희곤,유문집,변우섭,심상호,Kim Myung-Ho,Park Hee-Gon,Yoo Moon-Jib,Byun Woo-Sup,Shim Shang-Ho 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.2

목적: 경골 Inlay 방법으로 자가 골-슬개건-골을 이용한 후방 십자 인대 재건술의 합병증을 알아 보고자 하였다. 대상 및 방법: 1994년 9월부터 2004년 1월까지 경골 Inlay방법으로 후방 십자 인대 재건술을 시행한 57명 58예를 대상으로 수술의 합병증에 대해 분석하였다. 남자가 50명, 여자는 7명이며, 평균 연령은 35세(15$\~$73세)였다. 후방 십자 인대 단독 손상은 28예, 슬관절내 동반 손상이 있는 경우가 30예였다. 원인 별로는 교통 사고가 39예로 가장 많았고, 운동 손상이 7예, 넘어진 손상이 7예, 기타 5예였다. 추시 검사는 술 후 4주, 3개월, 6개월, 1년째 외래 방문을 하게 하였다. 분석 방법은 슬관절의 안정성을 측정하기 위해서 KT-2000TM 슬관절 계측기 및 긴장 방사선 촬영을 사용하였고, Lysholm Knee Score와 임상적 합병증을 평가하였다. 결과: 수술 전 Lysholm Knee Score는 평균 43.2점에서 최종 추시상 87.9점으로 향상되었다 $KT-2000^{TM}$ 슬관절 계측기 검사 상 수술 전 평균 8.75 mm(6.2$\~$l4.3 mm)에서 최종 추시상 3.41 mm (2.1$\~$l0.6 mm)로 향상되었다. 수술 중 합병증으로 슬와 동맥 파열과 동반된 구획 증후군이 1예에서 발생되었으며, 슬개골 골절 1예, 20$^{\circ}$ 이상의 굴곡 운동 범위 감소가 2예, 근위 경골부의 고정 나사가 경골 전면부에 돌출되는 경우가 2예에서 있었다. 수술 후 합병증으로 동요 관절이 11예, 슬개골 골절이 1예, 슬관절의 신전 운동 범위 제한이 5예 및 굴곡 운동 범위 제한이 13예에서 관찰되었으며, 슬관절 주위 통증 21예, 무릎을 꿇을 때 통증이 8예 관찰되었다 결론: 경골 Inlay 방법으로 자가 골-슬개건 -골을 이용한 후방 십자 인대 재건술의 다양한 합병증이 발생되어 수술 및 수술 후 재활시 세심한 주의가 요구된다. Purpose: This study was planned to evaluate complications? of posterior cruciate ligament (PCL) reconstruction with tibial inlay technique using autogenous bone-patellar tendon-bone graft. Materials and Methods: From September 1994 to January 2004, we analyzed surgical complications in fifty-seven patients with fifty-eight cases who underwent PCL reconstruction. Fifty of them were male and seven female. The mean age of the patients was 35(15$\~$73). Twenty eight cases of injury were isolated PCL, while thirty cases had associated injury of knee. The causes of injury were thirty-nine cases of traffic accident, seven sport injuries, seven fall down injuries, and five of others. The follow-up study was done at 4 weeks, 3 months,6 months and 1 year after surgery. KT-2000 arthrometer and posterior stress X-ray were used to examine the stability of the knee joint and the Lysholm Knee Score and a variety of clinical complications were evaluated. Results: Although the mean score of the preoperative Lysholm Knee Score was 43.2, the postoperative score was increased to 87.9. The preoperative mean value of knee stability using KT-2000 arthrometer was 8.75 mm(6.2$\~$14.3 mm) but the postoperative mean was 3.41 mm(2.1$\~$10.6 mm). The intraoperative complications were: one case of popliteal artery injury with compartment syndrome, one case of patellar fracture, two cases of 20$^{\circ}$ flexion loss, and two cases of anterior cortical penetration of the screw through proximal tibia during screw fixation. The postoperative complications were: eleven cases of knee instability, one case of patellar fracture, five cases of extension loss, thirteen cases of flexion loss, twenty-one cases of around knee pain and eight cases of kneeling pain. Conclusion: After PCL reconstruction with tibial inlay technique using autogenous bone-patella tendon-bone graft, complications were observed in this study. Careful attention during and after the operation, as well as rehabilitation must be required.

한국농촌보건향상(韓國農村保健向上)을 위(爲)한 고찰(考察)

김명호,Kim, Myung-Ho 한국농촌의학.지역보건학회 1988 농촌의학·지역보건 Vol.13 No.1

병실내 소음도와 환자와의 관계

김명호,차일환,Kim, Myung-Ho,Cha, Il-Whan 대한예방의학회 1973 예방의학회지 Vol.6 No.1

In this study noise source in a ward at four general hospitals in Seoul area has been investigated and analysed. The degree of reaction against noise by 171 randomly has also been examined. The results of the study have shown that the source of noise is the speakers of wired broadcasting or from visiting guests in two hospitals located in residential area. The patients at the two other hospitals located at commercial site have been suffered more from traffic noise. However, because of their separated living at hospital from their ordinary houselife, sixty one percent of the inpatients have wished a music sound of around 60 dB (A). After having considered the results of the investigation and wishes of the inpatients, following suggestions have been made: 1. Reduce the number of guests or their length of stay. 2. Wired broadcasting system should be substitued by wireless one, or if it's unavoidable, it should be used in office rooms only. 3. Since the stops and starts of vehicles induce much noise, Seoul City Government be requested to prepare an appropriate administrative measure for the vehicles around hospital area and it should prevent the establishment of new hospitals along high way site. 4. By using earphone, inpatients can choose a wireless channel according to each individual's taste. This through the masking effect, would cover up the noise source. 5. Rooms along the streets should be utilized as offices, otherwise double windows should be set up for inpatient's wards. 서울시내 4개 종합병원에 대한 병실내 소음원을 조사 측정하고 상호영향관계를 검토하였다. 입원환자 171명을 무작위 추출하여 소음에 대한 반응도를 조사하여 측정된 소음과 비교 검토하였다. 결과적으로 거주지역에 위치한 2개의 병원은 유선방송의 스피커소리와 방문객에 의한 소음이 크고 상업지역에 위치한 2개의 병원은 교통소음이 크게 환자의 불평대상이 되고 있다는 결과를 얻었다. 그러나 61%의 환자들은 가정과 분리된 병원생황의 영향으로 약 60dB (A)의 음악 또는 기타소리를 원하고 있었다. 이런점을 고려하여 다음과 같은 방법으로 소음을 감소시킬 수 있을 것이다. 1. 보호자이외의 방문객수 및 체류시간을 단축시킨다 2. 병원내의 유선방송을 폐지시키고 무선통신방법을 활용한다. 부득이한 경우 사무실 위주로 방송한다. 3. 차량의 정지, 출발 그리고 가속시에 발생하는 소음의 영향을 감안하여 서울시당국에서 병원주위도로를 통행하는 차량에게 적당한 행정조치를 하고 고가도로 건설을 피하게 한다. 4. 병실내 환자의 기호에. 따라 들을 수 있는 청취장치를 (이어폰을 사용)하여 Masking Effect로 소음을 음폐토록 한다. 5. 도로변에 인접할 병실은 가능한한 사무실로 사용하고 병실로 사용시는 이중창을 장치하도록 한다.