플로어 토론문

임정수(Im Jung-Soo) 한국법학원 2011 저스티스 Vol.- No.122

아포지단백 E 유전자 변이와 백내장의 관련성

지미정,임정수,백혜정,Mijung Chi,Jung Soo Im,Hae Jung Paik 대한안과학회 2011 대한안과학회지 Vol.52 No.4

Purpose: To evaluate the association of apolipoprotein E (APOE) polymorphism and cataracts in the Korean population. Methods: The present research included participants from a population-based study in Incheon, Korea. A sample of 126 adults genotyped for polymorphisms of APOE underwent a medical interview, an eye examination which included visual acuity testing, slitlamp cataract evaluation and fundus examination. The APOE polymorphism was determined using a polymerase chain reaction method. Results: Eighty-eight participants (69.8%) were diagnosed with cataracts or had undergone cataract surgery in 1 or both eyes, and 38 participants (30.2%) demonstrated no signs of cataract. The frequencies of the APOE genotypes and alleles were not significantly different from the cataract and the control group. APOE ε2 carriers were less likely to have cataracts than non-ε2 carriers with an odds ratio of 0.367 which was almost statistically significant with the multiple logistic regression analysis (p = 0.052). Conclusions: There was no significant correlation of APOE genotype and cataracts. However, a slight negative association of APOE ε2 and cataracts were found in the Korean population. J Korean Ophthalmol Soc 2011;52(4):420-428

강화군에서 시행한 말라리아 신속진단킷트의 유용성 평가

권수정(Su-Jung Kweon),권오준(Oh-Jun Kweon),윤성태(Sung-Tae Youn),임준(Jun Yim),임정수(Jeong-Soo Im) 한국농촌의학 지역보건학회 2006 농촌의학·지역보건 Vol.31 No.2

고혈압 환자의 연간 내원일수, 처방일수 그리고 진료비

천병렬,감신,임정수,박순우,박정한,임부돌,Chun, Byung-Yeol,Kam, Sin,Im, Jeong-Soo,Park, Soon-Woo,Park, Jung-Han,Lim, Bu-Dol 대한예방의학회 2002 Journal of Preventive Medicine and Public Health Vol.35 No.4

Objectives : To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients. Methods : The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed. Results : The proportion of the most proper medical care pattern group (Group VIII) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group IX) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group VIII+IX) was therefore 15.5%. The proportion of the insufficient care group (Group I, IV) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group VIII) was 29 days; the mean annual medical expenses,453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group VIII+IX) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group was highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%). Conclusions : The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.

급성 충수돌기염 환자에서 의료보장형태와 천공률의 관련성

홍지영,김건엽,이무식,남해성,임정수,이정애,나백주,Hong, Jee-Young,Kim, Keon-Yeop,Lee, Moo-Sik,Nam, Hae-Sung,Im, Jeong-Soo,Rhee, Jung-Ae,Na, Baeg-Ju 대한예방의학회 2004 예방의학회지 Vol.37 No.3

Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.

不動産實權利者名義登記에 관한 法律 小考

이기우(Lee, Key Woo),임정수(Im, Jung Soo) 호남대학교 인문사회과학연구소 2003 인문사회과학연구 Vol.10 No.-

부동산소유권제도의 현대화 과정에서 부동산명의신탁제도가 판례에 의하여 확립되었으나, 부동산투기에 악용되는 등 사회경제적 폐해가 심각하게 되었다. 1990년 8월 1일 부동산등기특별조치법을 제정하여 부동산명의신탁을 규제함으로써 부동산거래질서를 바로 잡아보고자 하였으나, 그 실효성이 약하여 소기의 목적을 달성할 수 없었다. 이에, 부동산 투기를 근본적으로 방지하기 위한 대책으로 강구된 것이 부동산실명제이고, 그 핵심적인 내용으로서 명의신탁약정의 사법적 효력까지 부인하는 부동산실권리자명의등기에 관한 법률(본 논문에서는 ‘부동산실명법’이라고 함)을 1995년 3월 30일 제정·공포하고 1995년 7월 1일부터 시행하였다. 그러나, 부동산등기제도의 변화 없이 단순히 국가의 공권력인 형벌권과 과세권을 수단으로 이를 실천하고자 규정되었기 때문에, 그 규제내용이 너무 강하고 논리적으로 모순되는 점이 있다는 비판을 면하지 못하고 있다. 그리고, 동시에 이와 같은 명의신탁제도를 일도양단으로 금지하는 것만이 법 이론상, 그리고 우리의 사회현실상 과연 최선인가 하는 비판도 있다. 근자에 들어 명의신탁의 금지와 관련한 문제로 또 다른 법적 분쟁이 발생하고 있는바, 이 법의 입법취지를 어떻게 이해하고 그 금지규정을 어떻게 해석하느냐의 판단아래 보다 총체적인 견지에서 이 법의 적용을 검토해야 할 것으로 판단되어, 먼저 부동산실명법의 적용범위를 고찰하면서 이와 관련되는 문제점을 정리해 보았고, 명의신탁 약정의 효력에서 발생되는 문제점에 관하여 명의신탁의 유형에 따른 상황 차별적 논리로서 검토해 보았으며, 특별히 수탁자의 처분행위와 형법상의 횡령죄와의 관련성에 관하여 살펴보았다.

일개 군 사망신고자료에 기재된 사인의 정확성과 관련요인

신희영,신준호,남해성,류소연,임정수,이정애,정은경,Shin, Hee-Young,Shin, Jun-Ho,Nam, Hae-Sung,Ryu, So-Yeon,Im, Jeong-Soo,Rhee, Jung-Ae,Chung, Eun-Kyung 대한예방의학회 2002 Journal of Preventive Medicine and Public Health Vol.35 No.2

Objectives : To evaluate the accuracy of the registered cause of death in a county and its related factors. Methods : The data used in this study was based on 504 cases, in a county of Chonnam province, registered between January and December 1998. Study subjects consisted of 388 of the 504 cases, and their causes of death were established by an interview survey of the next of kin or neighbor and medical record surveys. We compared the registered cause of death with the confirmed cause of death, determined by surveys and medical records, and evaluated the factors associated with the accuracy of the registered cause of death. Results : 62.6% of the deaths were concordant with 19 Chapters classification of cause of death. external causes of mortality, endocrine, nutritional and metabolic diseases, neoplasms and diseases of the circulatory system showed the good agreement between the registered cause of death and the confirmed cause of death. The factors relating to the accuracy of the registered cause of death were the doctors' diagnosis for the cause of death (adjusted Odds Ratio: 2.67, 95% Confidence Interval: 1.21-5.89) and the grade of the public officials in charge of the death registry (adjusted Odds Ratio: 0.30, 95% CI=0.12-0.78). Conclusions : The accuracy of the registered cause of death was not high. It could be improved by using the doctors' diagnosis for death and improving the job specification for public officials who deal with death registration. 전라남도의 일개 군에서 1998년 1월 1일부터 1998년 12월 31일까지 사망으로 신고된 건수는 총 504건이었으며, 이중 설문조사와 의무기록조사로 확인사인의 추정이 가능했던 388건을 연구대상으로 하였다. 확인사인을 신고사인과 비교하고 사망자와 사망관련 변수, 신고자의 특성 그리고 사망신고담당 공무원의 특성에 따른 양자간의 일치율을 통해 신고사인의 정확성과 관련된 인자를 파악하였다. 신고사인과 확인사인의 전체적 일치율은 19대 분류상 62.6%을 보였다. 19대 분류에 의한 사인별 일치율을 보면 손상, 중독 및 사망의 외인이 가장 높았고, 그 다음으로는 내분비, 영양 및 대사질환, 신생물, 순환기계질환 순이었다. 반면에 낮은 일치율을 보인 질환은 피부 및 피하조직의 질환, 근골격계 질환, 정신 및 행동장애 이었다. 사망자 및 사망관련변수에 따른 확인사인과 신고사인의 일치율은 사망자가 남자일 때, 사망 연령이 50대와 60대일 때, 그리고 사망원인 진단자가 의사일 때 높았다. 신고자의 특성별로는 신고자의 연령이 증가함에 따라 일치율이 감소하였으며, 신고자의 교육 정도와 직업과도 유의한 관련성이 있었다. 또한 사망신고 담당 공무원의 특성에 따라서는 공무원의 직급이 6급인 경우 7급 이상인 경우에 비해 일치율이 높았다. 확인사인과 신고사인의 일치여부를 종속변수로 하여 단변량분석을 실시한 후 통계적으로 의미 있는 변수에 대한 로지스틱 회귀분석의 결과를 보면, 사망원인 진단자가 의사인 경우 비차비 2.67(95% 신뢰구간: 1.21-5.89)로 높았으며, 사망신고담당 공무원의 직급이 7급 이상인 경우 비차비 0.30(95%신뢰구간: 0.12-0.78)로 낮았다. 사망신고자료에 기재된 신고사인의 정확성과 관련된 요인에 대한 결과를 종합하여 볼 때 무엇보다 중요한 일은 사망을 의사로 하여금 진단하게 하는 일이다. 또한 사망신고담당 공무원의 업무를 명확히 해야 하며 이들을 대상으로 하는 정기적이며 강화된 교육도 강조되어야 할 것이다.

한 농촌지역에서의 허혈성 심질환 위험인자 분포와 심전도 소견과의 관련성

손석준(Seok-Joon Sohn),권순석(Sun-Seog Kweon),임정수(Jung-Soo Im),김상용(Sang-Yong Kim),신민호(Min-Ho Shin) 한국농촌의학 지역보건학회 1999 농촌의학·지역보건 Vol.24 No.2

의대생과 비의대생의 학업 스트레스와 영향요인에 관한 연구

성안나,허수연,윤정교,이지연,최민기,전종하,김재훈,박귀화,임정수,고광필,정재훈,최윤형,Seong, Anna,Heo, Suyeon,Yoon, Jeonggyo,Lee, Ji Yeon,Choi, Min Gi,Jeon, Jong ha,Kim, Jae Hoon,Park, Kwi Hwa,Im, Jeong-Soo,Ko, Kwang-Pil,Jung, Jaehun,Choi 연세대학교 의과대학 2021 의학교육논단 Vol.23 No.2

This study examined the relationships among personality traits, coping efficacy, and academic stress in medical and non-medical students in South Korea, and investigated the mediating effect of coping efficacy in the relationship between personality traits and academic stress. The study group comprised 210 medical students and 175 non-medical students. They were asked to rate their personality traits, coping efficacy, and academic stress. The data were analyzed using IBM SPSS ver. 26.0 (IBM Corp., Armonk, NY, USA) and AMOS ver. 26.0 (IBM Corp.). Medical students scored higher for examination stress and lower for extroversion than non-medical students. In both groups, extroversion and conscientiousness positively affected coping efficacy, while neuroticism influenced it negatively. Neuroticism directly influenced all types of academic stress in both groups, while extroversion and conscientiousness only had direct effects on examination stress among medical students. Coping efficacy mediated the associations between personality traits and academic stress, except for the relationship between neuroticism and grade stress among medical students. The study indicates that coping efficacy had a significant effect on relieving academic stress among students with higher scores for extroversion and conscientiousness. Efforts should be made to decrease neuroticism to lower academic stress, as the relationship between neuroticism and academic stress is not directly influenced by coping efficacy. The implications of these results are discussed regarding a consultation system for students, especially those in medical school.

종합병원의 규모별 수익성 영향요인 연구

정명진(Jeong Myung-Jin),서창진(Suh, Chang-Jin),임정수(Im Jung-Soo),오대규(Oh Dae-Kyu) 한국국제회계학회 2012 국제회계연구 Vol.0 No.41

This study aims to understand if the size of a general hospital affects its profitability and, if so, what factors affect this. This study examined public(medical corporation) general hospitals. It was differentiated from previous studies by dividing these hospitals into large, medium, and small-sized hospitals based on the number of beds and levels. According to the study, the variable of personnel expenses, material costs, and maintenance costs was significant for all hospitals, whichever variable was used for profitability, whereas the variable of interest costs was significant for the profitability of medium and small-sized hospitals. These results suggest the following implications. Future studies on the profitability of general hospitals need to consider the characteristics by bed-numbers. The continuity of a study can be improved through the use of officially released financial materials. In addition, it is considered important for hospitals of any size to manage personnel expenses, maintenance costs, and material costs as against medical service profit to improve profitability. The management of interest costs is also important, especially for medium and small-sized general hospitals.