치주질환치료에서 국소약물 송달제재의 임상 및 세균학적 효과

최성재,이만섭,권영혁,Choi, Sung-Jae,Lee, Man-Sup,Kwon, Young-Huk 대한치주과학회 1993 Journal of Periodontal & Implant Science Vol.23 No.1

The purpose of this study was to evaluate the clinical and microbiological effects of minocycline-loaded polycaprolactone strip on periodontal disease. Ten patients with probing depth (deeper than 5mm) were tested. Of the two periodontal pockets selected from each patient, one randomly selected pocket was treated by the insertion of 30% minocycline-loaded polycaprolactone sttip as the experimental group and the other with a minocycline-free polycaprolactone strip as the control group. All groups were examined by clinical and microbiological methods. 1. Plaque index scores, gingival index scores and sulcular bleeding index scores in both group were significantly reduced from the baseline to 2 weeks. Plaque index scores of experimental group and sulcular bleeding index scores of control group tended to be progressively reduced in all experimental periods. 2. Probing depth amounts in both group were significantly reduced from 4 weeks to 8 weeks. 3. Attachment loss amounts in both group shows no singnificant differences in time. Attachment loss amounts in experimental group tended to be less than those in control group. 4. The number of cocci in both groups were significantly increased in all experimental periods, but that of the non-motile rods were significantly reduced from 2 weeks in experimental group, and from 4 weeks in control group, that of the motile rods were reduced from 4 weeks in experimental group and from 1 week in control group. The number of spirochetes were reduced from I week during all experimental period in experimental group, but there was no changes in control group.

장수의 사회적 및 심리적 요인에 관한 탐색적 연구

최성재(Sung Jae Choi) 한국노년학회 2002 한국노년학 Vol.22 No.2

본 연구는 한국, 일본 및 핀란드 3개국 백세인(100세 이상 자)을 대상으로 장수의 사회적 및 심리적 요인을 찾아보려는 탐색적 연구로서 각국의 백세인 30명으로부터 자료를 수집하여 분석한 것이다. 연구의 제약으로 백세인의 공통적 특성을 그대로 장수요인을 추론하기 어렵고 사회인구학적 특성을 제외한 대부분의 공통적 특성들이 장수요인이 될 수 있는 가능성이 있음을 알 수 있었다. 장수와 관련 백세인의 사회적 특성은 다음과 같다. 백세인의 거의 대부분은 여성이었고 배우자를 사별한 상태에 있었다. 이들의 교육수준은 낮은 편이었고 종교가 있거나 종교적 신념이 있는 경우가 더 많았다. 대부분은 농어촌 지역에서 가장 오래 거주하였다. 동거하지 않는 가족과의 접촉 빈도는 대체로 아주 낮은 편이었고 거의 대부분은 형제자매와의 접촉이 없는 편이었다. 취미활동은 주로 신체적 움직임이 많지 않은 활동에 참여하는 경향을 보였고 빈번한 취미활동을 하는 경우는 아주 드물었다. 가장 오래 종사한 직업활동으로는 농사일이 제일 많았고 80대와 90대까지도 어떤 형태로든 활동을 하는 경향을 보였다. 수입원은 사회보장제도가 발달한 나라일수록 연금에 의존하는 경향이 있었고, 주관적 생활수준은 대체로 중하층 또는 그 이하였다. 주관적 건강상태는 일반적으로 생각하는 수준보다는 좋은 편이었으나 기능적 건강상태는 상당히 나쁜 편이었고, 특별한 건강관리의 행동을 하는 경우는 드물고 음주나 흡연은 대부분의 경우 처음부터 하지 않았다. 이들은 주로 10시간 정도 수면을 취하고 있었으며 식사는 거의 모두 규칙적으로 하고 있었다. 장수와 관련된 백세인의 심리적 특성은 다음과 같다. 성격적 특성으로 백세인은 (1) 태평함, (2) 인정 많음, (3) 온화함, (4) 사교적임, (5) 강직함, (6) 낙천적, (7) 자기주장적임, (8) 열성적임, (9) 쾌활함, (10) 활발함, (11) 부지런함, (12) 인내적인 성향을 보였다. 심리적 특성 중 감정적/정신적 측면을 우울 정도로 평가한 결과는 약간 내지는 상당한 정도 우울중의 경향을 보였다. 본 연구는 분석결과를 토대로 향후의 백세인 연구 및 사회복지적 함의도 제시하고 있다. This is an exploratory research study to find characteristics of centenarians in three different countries in order to seek social and psychological factors contributing to longevity. Data were gathered from 30 centenarians respectively from Korea, Japan and Finland. Due to limitations in research design and difficulties in conducting research on centenarians, social and psychological characteristics of centenarians found in this study could be only suggestive as factors contributing to longevity. Sampled centenarians were female and widowed. Their level of education was lower and they tended to be religious. They have rarely contacted family members and also rarely contacted siblings. They tended to have engaged in hobbies that require less movement. They tended to have worked until the age of 80s or 90s. Their level of living standards tended to have been lower-middle and lower class. Their health status subjectively judged by the centenarians was likely to be higher than what is generally thought, but their functional health status was low. They tended to have not done any particular health behavior and tended to have never drunken and smoked. They weer likely to have slept about 10 hours and taken nap a day. They were also likely to have had three meals regularly. Their personality characteristics were likely to be (1) going easy, (2) warmhearted, (3) mild, (4) sociable, (5) rigid, (6)optimistic, (7) self-asserting, (8) enthusiastic, (9) cheerful, (10) active (11) diligent, (12) patient. They tended to be mildly depressive. Based on these findings, this study is concluded with some suggestions on research methodology and social policies and services.

農漁民年金制度導入에 關한 硏究

Sung Jae Choi(崔聖載) 한국노년학회 1987 한국노년학 Vol.7 No.1

National Pension Law of which enforcement had been reserved since its enactment in 1973 came into force on January 1, 1988. Under this pension program based on social insurance scheme, while industrial workers of the establishment that has more than 10 employees are compulsorily insured, farmers and fishermen including self-employers and workers of the establishment that has less than 10 employees are voluntarily insured; especially socio-economic charaoteristics of the farmers and fishermen are not reflected. This situation causes the problem that farmers and fishermen are, in fact, left excluded from the benefits of public pension system. Conceiving this problem, serious this study is concerned with presenting justifications for immediate and separate introduction of public pension program for farmers and fishermen (PFF) independent of existing national pension program, and proposing a basic structure of the PFF. Farmers and fishermen have the following socio-economic characteristics: (1) While their total population is rapidly decreasing their elderly population is rapidly increasing. (2) Their farm oppration is small scale. (3) Their income level relatively lower than industrial workers'. (4) They have not prepared for financial security for their old age. (5) Accidents related to farming machines and agricultural chemicals are increasing. Social policy against these aversary conditions has been minimal and limited to the economic perspective, thus regarding rural area as "food production place" rather than "human dwelling place." From a review of literature about socio-economic background that contributed to the introduction of PFF and its initial system in industrialized countries such as Germany, France and Japan, the following generalizations could be drawn: (1) The PFF tended to be introduced 20-30 years later than the public pension for industrial workers. (2) Farmers were devided into farm operators and agricultural workers, and both groups were insured under different pension program. (3) Major benefit categories are old age pension and farm operation transfer pension, which is given to encourage the transfer of farm operation as soon as possible. (4) Government assisted half of the premium for the pension program. (5) the PFF tended to be introduced as independent program separate from the public pension program for industrial workers. Upon generalizations form the PFFs in industrialized countries the following justifications for immediate and separate introduction of the PFF. The PFF should be immediately introduced (1) in order to achieve goals of social security system more effectively, (2) in order to maintain national equity and social integration, (3) in order to expedite social development as well as economic development, (4) in order to narrow developmental gap between rural and urban area according to unpreceded rapid change in industrial and social structure, (5) in order to lighten increasing burden to support the elderly population in rural area. The PFF should be introduced as independent program separate from the existing national pension program (1) in order to reflect socio-economic characteristics of farmers and fishermen, (2) in order to make governmental financial assistance more justifiable, (3) in order to provide specific benefits appropriate to agricultural accidents, (4) in order to improve agricultural operational structure. Based on the above justifications for immediate and separate introduction of the PFF, the following basic structure of the PFF could be proposed: (1) Coverage: (a) For old age pension the PFF will compulsorily cover those farm operator and assistant workers among farm operator's family members who are 18 years and over to under 60. (b) For farm operation transfer pension the PFF will compulsorily cover farm operator who has land of 0.5 ha and over, while voluntarily cover those who operate land less than 0.5 h. (c) For accident benefits the PFF

老人福祉에 있어서의 실버産業의 役割

최성재(Sung-Jae Choi) 성곡언론문화재단 1996 성곡논총 Vol.27 No.3

증례 : 담도확장이 없었던 Mirizzi 증후군 1 예

최성재 ( Sung Jae Choi ),박병채 ( Byung Chae Park ),구자영 ( Ja Young Koo ),조왕기 ( Wang Ki Cho ),황일용 ( Il Young Whang ) 대한내과학회 1985 대한내과학회지 Vol.28 No.3

전신성 홍반성 낭창에 있어서의 혈청 항dsDNA 항체와 보체에 관한 연구

최성재 ( Sung Jae Choi ) 대한내과학회 1982 대한내과학회지 Vol.25 No.6

국민의 노후생활에 대한 전망과 대책에 관한 연구

최성재(Sung Jae Choi) 한국노년학회 1992 한국노년학 Vol.12 No.2

본 연구는 비노인층 국민률이 예상하는 노후생활의 전망과 노후생활상의 욕구와 문제점 및 이에 대한 개인적인 대비책을 알아보기 위하여 국민연금 보험 가입자(18세-59세) 1,000명으로부터 회수된 질문지를 분석하였다. 비노인층의 대부분온 자신들의 노후에 적어도 의식주의 생계유지는 가능할 것으로 예상하고 자녀에게 의존하지 않으려는 경향을 보였다. 건강보호는 배우자가 없는 경우 간병인 고용, 탁노소 이용, 유료양로시설 입소를 원하는 경향을 나타내었다. 그리고 노후 자녀와의 별거를 원하는 응답자는 70%이상이나 되었고 별거를 원하는 경우 노인전용주택을 선호하는 응답자도 40%이상이 되었다. 또한 이들은 가정과 사회에서 할 일이 어느 청도는 있을 것으로 예상하였고 퇴직후에 채취업율 훤하였다. 가정과 사회에서 자신들의 가치는 퇴직전에 비해 별로 떨어지지 않을 것으로 예상하였고 여가활동으로 취미활동과 사회봉사 활동을 원하는 경향을 보였다. 대부환의 응답자들은 노후에 자신들에게 문제가 있을 것으로 예상하였으나 노후훈체에 대하여 개인적인 대책을 세워서 실천하는 사랍의 비율온 높지 못하였다. 본연구에서는 조사결과와 관련하여 이론적인 면과 사회정책척인 면에서의 함의도 제시하고 있다. This study was designed to investigate non-elderly people's perception of prospects and present planning regarding post-retirement life. Data were collected from 1,000 insured persons under the National Pension Insurance Program through mailed questionnaires. Major findings are as follow. Most of the respondents tended to think they would maintain minimum level of living at least, and not to depend on their children for their living. For their health care without spouses they tended to think utilzing paid health carers, adult daycare services, and paid nursing home services. Nearly three fourths of the respondents wanted to live apart from their married children, and 40 percent of these wanted to live in housing specially designed for the elderly. Respondents generally thought they would have some amounts of works within and without the family, and wanted to be reemployed after retirement. They tended to think their value within and without the family would not drop much after retirement compared to that before retirement. Most of the respondents considered participating in volunteer activites and hobbies in their old age. In spite of the fact that almost all of them thought they would have problems in their post-retirement life, those who presently take preventive measures against the expected problems were not many. This study suggest some theoretical and policy implications related to these findings.

한국인에서 만성 피로의 빈도와 임상양상

최성재(Sung Jae Choi),지종대(Jong Dae Ji),송관규(Kwan Kyu Song),이영호(Young Ho Lee) 대한내과학회 1999 대한내과학회지 Vol.56 No.6

N/A Objectives : It was reported that fatigue was the seventh most common symptom in primary care and 24% of the general adult population had fatigue lasting 2 weeks or longer in the united states. No medical cause was found in 59% to 64% of those persons. Chronic fatigue syndrome is chracterized by debilitating fatigue of at least 6 months duration accompanied by other symptoms such as fever, pharyngitis, painful lymph nodes, headache, myalgia, sleep disturbances, neurocognitive complaints, and depression. Idiopathic chronic fatigue is defined as clinically evaluated, unexplained chronic fatigue that fails to meet criteria for the chronic fatigue syndrome. The objectives of this study were to determine the prevalence of idiopathic chronic fatigue and chronic fatigue syndrome (CFS) in Korea and to analysis the symptoms of those patients. Methods : Five hundred thirty persons who visited Korea university hospital health management center between March 1998 and June 1998 were participated in the study. The questionnaire made according to the Centers for Disease Control and Prevention criteria was administerd and patients with idiopathic chronic fatigue and chronic fatigue syndrome were diagnosed by this questionnaire, physical examination and laboratory tests. Results : Ten persons(1.9%) met the criteria for chronic fatigue syndrome. and 115 persons (21.7%) met the criteria for idiopathic chronic fatigue. The symptoms in patients with chronic fatigue syndrome were memory loss or forgetfullness(90%), sore throat(20%), painful lymph node(30%), myalgia(80%), multiple arthralgia(20%), headache(50%), unrefreshing sleep(100%), postexertional malaise(90%). Conclusion : Persons who met the criteria for chronic fatigue syndrome were found in 1.9% . The incidence of chronic fatigue syndrome in our study was high, compared with previous studies.

수도권 지역 중년기 이후 세대의 노후생활 인식과 노인에 대한 인식

최성재(Sung-Jae Choi) 한국노년학회 2009 한국노년학 Vol.29 No.1

본 연구는 수도권의 인구 고령화 현상을 예견하면서 향후 사회복지 정책과 서비스를 계획하고 구체적인 복지 서비스 기관과 시설을 재편성하는 기초 자료를 마련할 목적으로 시행되었다. 수도권 3개 지역에 거주하는 40대에서 80대까지의 30명을 표본으로 선정하여 심층적 면접을 통해 노후생활에 대한 인식과 노인에 대한 인식을 살펴보았다. 경제적 측면에서 노인에 대한 부정적 고정관념(ageism)으로 노인에게 취업의 기회가 잘 주어지지 않는 것은 물론 노인 스스로도 능력이 떨어진다거나 능력이 없다고 판단하는 경우가 많은 것으로 나타났다. 그리고 이러한 중년층과 노년층 사이에도 큰 차이를 보이지 않았다. 사회적 측면에서는 중년층 및 노년층 모두 별 차이 없이 사회 참여도가 낮았고, 노년층의 경우 일상생활 일과에서 특별한 목표가 없고 규칙적이지도 못하고 계획도 거의 없는 편이었다. 심리사회적 측면에서는 중년기 이후 세대들은 세대 간의 큰 차이 없이 아직도 가족, 이웃과 사회에서 소외되었다고 느끼지 않았다. 복지 서비스 측면에서도 중년층과 노년층 큰 차이 없이 모두 소득보장, 의료보장, 주거보장 등의 기본적인 서비스를 필요로 하고 있었고, 사회 서비스가 부족하다고 인식하고 있었으며, 특히 원하는 사회 서비스를 받기 위해서는 1 시간 이상의 이동도 가능하다고 했다. 중년층과 노년층 모두 노후준비의 필요성과 시의성에 대해 동의하지만 사회복지제도의 미흡과 자녀 양육 및 교육 때문에 실제적 준비를 할 수 없거나 할 수 없었다고 했다. 노후생활에 대한 인식에서는 중년층과 노년층 사이에는 큰 차이 없이 약간 긍정적이었고, 도시와 농촌 간에는 긍정적 정도가 엇갈리게 나타나고 있었다. 노인에 대한 인식은 세대 간과 연령에 관계없이 긍정적인 면은 거의 없는 반면에 부정적 면이 압도적으로 많았다. 본 연구는 또한 이러한 결과가 향후 수도권의 노인복지 정책과 서비스에 관련되는 함의도 제시하였다. This study examined life in old age and images of the aged perceived by middle-aged and old-aged generations through indepth interviews with 30 persons aged 40s through 80s residing in three areas (city or county) in capital region in Korea to use it as basic information in planning social welfare policy and reorganizing social services in response to population aging in capital region in Korea. In terms of economic life of the middle-aged and olde-aged generations perceived older people's opportunities for work were rarely given to the aged due to ageism and negative stereotypes of aging and the aged, and the aged tended to regard themselves less able or unable to work. In terms of social life of the aged both middle-aged and old-aged generations perceived that the frequency of social participation was low, and the daily life of the aged was found mostly aimless, unorganized and unplanned. In terms of psycho-social life of the aged both generations still felt that they were not alienated from the family, neighbors, and the society. In terms of social welfare services both generations thought the aged needed basic services such as income maintenance, health care, housing services, and particularly they felt lack of social services. The old-aged generation was willing to travel to the distance taking more than one hour to receive social services that they would need. Both the middle-aged and the old-aged agreed upon the necessity of preparation for old age and the benefits of earlier preparation, however, they said that they could not prepare for their old age due to lack of social programs to help preparation for old age and due to spending for rearing and education of their children. In terms of perceived life in old age both middle-aged and old-aged generations tended to be slightly positive, but the degree of positiveness differed between respondents from urban area and those from rural area regardless of generations. Images of the aged were perceived to be overwhelmingly negative while positive images were very few in number regardless of generations. This finding may suggests that negative stereotypes on aging and the aged are also prevalent in Korean society like in Western societies. Based on findings of this study some implications for social policies in response to population aging in capital region were suggested.

미국의 노인복지에 있어서의 사회복지와 실버산업의 역할

최성재(Sung-Jae Choi) 한국노년학회 1997 한국노년학 Vol.17 No.3

본 연구는 실버산업의 성격과 미국의 노인복지에 있어서의 사회복지와 실버산업의 역할을 규명하고 미국의 실버산업의 발전배경과 발전과정을 검토하여 한국의 실버산업의 연구와 발전을 위한 시사점을 찾으려는 것이다. 사회의 물질과 서비스공급체계를 경제시장과 사회시장으로 나눈다면 경제시장은 자연적으로 존재해 온 이윤추구의 사적시장의 영역이고 사회시장은 국가가 경제시장 밖에서 경제시장과 다른 원칙에 의하여 물질과 서비스를 공급하는 전통적 사회복지 체계의 영역이라 할 수 있다. 실버산업의 성격은 사회시장(사회복지)의 특성과 경제시장의 특성을 동시에 갖고 있는 것으로 볼 수 있다. 미국의 실버산업 발전에는 인구사회적 요인, 사회가치적 요인, 경제적 요인과 사회복지적 요인 등이 큰 영향을 미쳤으며 1960년대부터 본격적으로 발전하기 시작하여 다양한 서비스와 상품을 공급하고 있다. 미국의 사회시장인 사회복지체계는 노인들의 기초적이고 공통적 문제나 욕구에 주로 대응하고 있는 반면에 실버산업은 노인들의 부가적이고 개별적인 욕구에 주로 대응하고 있으며 특히 구매력50대 이상을 대상으로 삼아 급속히 발전될 것으로 전망된다. 미국에서의 실버산업의 발전과정과 사회복지체계와 관련한 역할을 검토한 결과는 한국의 실버산업의 역할을 바람직한 방향으로 규명해 나가는데 많은 정책적 시사점을 제공해 주고 있다. This study aims at defining the nature of the elderly market and roles of social welfare and the elderly market, and finding policy implications for the development of the elderly market in Korea. Since the term "elderly market" is generally used in English-speaking societies in stead of the term "silver industry" which was probably coinded in Japan, "the elderly market" is preferred in this study. We can classify the domains of supply of goods and services into the economic market and the social market. The economic market is the domain which have been naturally existed baed on principles of free competition and profit-making in the private marketplace, while the social market is the one in which the state supplies goods and services based on non-market principles outside the economic market. The elderly market can be definded to have the nature of both the economic market and the social market. Socio-demographic, socio-economic and social welfare factors seem to have influenced the development of the elderly market in America. The edlerly market in America appears to develop from the 1960s. The social market reponds to basic and common needs of citizens whereas the the elderly market respons to additional and self-developmental needs of citizens and is expected to prosper in the near future particularly targeting elderly Americans aged 50 and over. The results of reviewing the elderly market in America suggest many policy implications in developing desirable roles of the elderly market in Korea.