수형자 대상 저축프로그램의 해외 사례연구: 한국에서의 적용가능성에 관한 소고

최정태 ( Jung Tae Choi ),한창근 ( Chang Keun Han ) 한국사회복지정책학회 2016 사회복지정책 Vol.43 No.2

본 연구는 수형자의 성공적인 사회복귀를 위해 자산형성정책 일환인 ‘매칭(Matching)저축프로그램(또는 저축프로그램)의 도입 가능성을 살펴보고 있다. 교정정책이 수형자들의 원만한 사회복귀를 통한 재범률의 감소를 목표로 한다면, 취업과 소득보조중심의 정책뿐만 아니라 저축을 통한 자산형성에도 보다 많은 관심을 가져야 할 것이다. 이에 본 연구에서는 제도적 저축이론의 자산효과를 설명하고 한국에서 다양하게 실시되고 있는 저축프로그램들을 소개하고 있다. 또한 외국에서 수형자들을 대상으로 실시되고 있는 저축프로그램들을 사례분석을 통해 설명하고 있다. 사례분석의 주요 결과에서는 수형자에게 저축프로그램 및 금융관련 프로그램의 제공은 재범률의 감소를 도모한다는 것이다. 본 연구는 자산형성이 가진 여러긍정적인 측면들을 고려한다면 수형자의 원활한 사회복귀를 도울 뿐만 아니라 그들의 삶을 긍정적으로 바꿀 수 있다는 측면에서 수형자들을 위한 매칭저축프로그램의 도입이 필요하다는 점을 강조하고 있다. The purpose of this study is to introduce a matched savings program (one of the asset building programs) and to explore whether it is effective or efficient for successful re-entry, leading reduction of recidivism rate, for inmates. Drawing upon previous research and evidence, asset building has contributed to the ways in which people could have acquired confidence, made a specific plan for the future, and continued to take care of their family. Albeit those practical aspects that the program includes, the current correctional policy regards employment and income as the prime method for the re-entry: underestimating the importance of assets and making inmates struggle with asset poverty after entering their community. The U.K., Singapore, and Vermont in the US have once adopted the opening saving accounts program and the asset building program for prisoners; especially the Co-operative Bank in the U.K. found that the program was effective lessening recidivism rate. In contrast, in South Korea, there are no savings or asset-related programs for inmates but a number of matched savings programs for low-income households. Therefore, in order to achieve major goals of Korea correctional service, leading successful re-entry with preventing re-offending after release, this study suggests that introducing a matched savings program as a correctional service will be the way to accomplish those goals.

Nicotine 패치에 의한 Nicotine 중독 증례

손유동,이재성,강구현,최정태,안무업,서정열,안희철,Sohn, You-Dong,Lee, Jae-Sung,Kang, Gu-Hyun,Choi, Jung-Tae,Ahn, Moo-Eob,Seo, Jeong-Youl,Ahn, Hee-Cheol 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.1

Nicotine poisoning arising from the use of nicotine patches is rare. However, because nicotine patches are classified as an OTC drug, the risk of misuse or abuse is increasing. Nicotine poisoning using nicotine patches shows an unusual clinical presentation compared to that from oral ingestion of multiple doses of nicotine. We present a case of misused nicotine patches that cause a nicotine poisoning. A thirty-nine year-old healthy man visited the ER with complaints of an intermittent cramping abdominal pain with nausea and vomiting. Upon physical examination, there were no specific findings except increased bowel sounds, and the patient's initial laboratory findings were also unremarkable except for an increased bilirubin level. CT revealed a mild degree of fatty liver. The patient's symptoms did not improve any further with conservative management. During his ED stay, we meticulously took his history again, and we discovered that he had used nicotine patches for three days, six days before admission, and had misused the nicotine patches as NSAID patches. The patient's diagnosis of nicotine poisoning was confirmed by a urine cotinine level ten times the normal value. After a 12-hour stay in the ED, his symptoms disappeared without any specific management.

Wet Blast 기술을 이용한 초박형 웨이퍼의 Edge Trimming 공정 평가

김학두(Hak-Doo Kim),최정태(Jung-Tae Choi),서현모(Hyun-Mo Seo) 대한기계학회 2015 대한기계학회 춘추학술대회 Vol.2015 No.11

노이즈 제거 알고리즘을 적용한 전도성 섬유 기반 손목형 ECG 시스템의 구현

최원철(Won-Cheol Choi),최정태(Jung-Tae Choi),이인수(In-Soo Lee) 한국정보기술학회 2018 한국정보기술학회논문지 Vol.16 No.8

In recent years, the convergence of IT technology and all industries is taking place rapidly. In the textile industry, smart clothes or smart fiber combined with IT technology are emerging as a future high value-added industry. In this paper, we implemented the conductive fiber-based wrist ECG (Electrocardiogram) system with noise rejection algorithm. Namely, electrodes using conductive fibers were manufactured in a band of wrist parts to measure ECG signals and to eliminate noise with a digital filter. The noise rejection algorithm was also used to minimize the malfunction rate during the activity. The experiment results show that the performances of the proposed wrist ECG system are good. In particular, we were able to avoid heart rate measurement errors that could be generated by user’s movements after wearing a fiber-type ECG system because of noise rejection algorithm.

관통상으로 응급실을 내원한 내국인과 외국인 환자의 진료의 차이

김용관 ( Yong Kwan Kim ),장용수 ( Yong Soo Jang ),강구현 ( Gu Hyun Kang ),최정태 ( Jung Tae Choi ),전후 ( Hoo Jeon ),김진호 ( Jin Ho Kim ) 대한외상학회 2010 大韓外傷學會誌 Vol.23 No.2

Purpose: With the increasing numbers of foreign residents in Korea, the need for an emergency medical care system for foreign patients seems to be growing. Sometimes, a foreigner admitted to an emergency room is not treated sufficiently due to the absence of insurance, facility in the Korean language, and a guardian. The management of a foreigner with trauma in the ER is difficult due to various problems such as social and economic status. The purpose of this study was to investigate the current management status of foreigners with penetrating wounds in the emergency room. Methods: This study is an analysis of 580 patients that were diagnosed with penetrating wounds in one teaching Hospital from Jan. 1, 2008 to Dec. 31, 2008. We analyzed results according to nationality, alcohol ingestion, intentional or accidental trauma, trauma mechanism, injury severity, management time in the ER, and outcome in the ER. Results: Of the total 580 patients, 486 patients (83.8%) were native Koreans and 94 patients (16.2%) were foreigners. According to the Revised Trauma Score, the average score of native Korean patients was 7.808, and the average score of foreign patients was 7.638. Of native Korean patients, 22.6% had knife wounds while 38.3% of foreign patients did. Of native Korean patients, 17.3% experienced intentional trauma while 33.0% of the foreign patients did. Of native Korean patients, 22.5% had ingested alcohol while 49.4% of the foreigners had. Of native Korean patients, 10.5% were admitted while 7.6% of the foreign patients were. Of native Korean patients, 14.2% were discharged against medical advice (DAMA), while 18.5% of foreign patients were. Of native Korean patients, 1.2% ran away while 8.7% of the foreign patients did. Conclusion: Stabbing was the most common cause of penetrating wounds in foreigner patients in this study. Intentional trauma was more common in foreigners with penetrating wounds than in native Koreans. The severity was higher in foreigners with penetrating wounds than it was in native Koreans, and patients who ran away or were discharged against medical advice were more commonly foreigners with penetrating wounds. Social insurance or policy is needed for the management of foreigners with penetrating wounds. (J Korean Soc Traumatol 2010;23:102-106)

외상환자의 전산화 단층촬영소견에서 나타난 달무리 소견의 임상적 유용성

이승용 ( Seung Yong Lee ),손유동 ( You Dong Sohn ),안희철 ( Hee Cheol Ahn ),강구현 ( Gu Hyun Kang ),최정태 ( Jung Tae Choi ),안무업 ( Moo Eob Ahn ),서정열 ( Jeong Youl Seo ) 대한외상학회 2007 大韓外傷學會誌 Vol.20 No.2

Purpose: The management of hemorrhagic shock is critical for trauma patients. To assess hemorrhagic shock, the clinician commonly uses a change in positional blood pressure, the shock index, an estimate of the diameter of inferior vena cava based on sonography, and an evaluation of hypoperfusion complex shown on a CT scan. To add the finding for the hypoperfusion complex, the ``halo sign`` was introduced recently. To our knowledge, this ``halo sign`` has not been evaluated for its clinical usefulness, so we designed this study to evaluate its usefulness and to find the useful CT signs for hypoperfusion complex. Methods: The study was done from January 2007 to May 2007. All medical records and CT images of 124 patients with trauma were reviewed, of which 103 patients were included. Exclusion criteria was as follows: 1) age < 15 year old and 2) head trauma score of AIS ≥ 5. Results: The value of kappa, to assess the inter-observer agreement, was 0.51 (p < 0.001). The variables of the halo-sign-positive group were statistically different from those of the halo-sign-negative group. The rate of transfusion for the halo-sign-positive group was about 10 times higher than that of the halo-sign-negative group and the rate of mortality was about 6 times higher. Conclusion: In the setting of trauma, early abdominal CT can show diffuse abnormalities due to hypoperfusion complex. Recognition of these signs is important in order to prevent an unwanted outcome in hemorrhagic shock. We conclude that the halo sign is a useful one for hypoperfusion complex and that it is useful for assessing the degree of hemorrhagic shock. (J Korean Soc Traumatol 2007;20:144-148)

인천 인현동 호프집 화재 피해자 분석

최정태,안무업,안희철,최영미,정재봉,서정열,유기철,이삼우,박석현,조준휘,김성환,김아진,송근정 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Purpose : This study was conducted to develop field triage, transportation, distribution, and prehospital care at a fire disaster by analyzing the victims of the fore that broke out at a bar in Incheon. Method : We analyzed the cases of the victims of a fire in Incheon in Oct. 1999. We determined the primary care hospital, the arrival time, the burn size, the outcome, and the injury type from the medical records, the concerned organ records, and interviews with concerned persons. Result : The total number of victims was 137: 56 prehospital deaths, 1 hospital death, and 80 survivals. The Pearson correlation coefficient between the burn size and the severity was -0.175. There were 121(89.6%) cases of inhalation injury, 59 (43.7%) cases of flame burns, 66 (48.9%) cases of hypoxic brain damage, and 16 (11.9%) cases involving other types of injury. Conclusion : The causes of death of the fire victims were inhalation injury and hypoxic brain damage due to CO poisoning and other toxic inhalants. We propose the use of a simple triage and rapid treatment(START) system and a reassessment the delayed category in fire disasters.

전국 병·의원 파업 중 응급센터 운영

최영미,안무업,안희철,최정태,유기철,장석준,박인철,송근정,홍은석,정성필,김승환,황정연,조준휘 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4

Purpose: From June 20, 2000, to June 24, 2000, for five days, nationwide hospitals and clinics went on strike in opposition to the government's policy on the separation of dispensaries from medical practice. The present study examined the present state of medical examination and treatment and the management system of the third medical institution to indicate a model for dealing with such strikes ahead in the future. Methods: The present state of the medical examination and management system in eight hospitals of the nationwide emergency medical centers was examined. The term of strike, June 20, 2000, to June 24, 2000, for five days, was the subject term; Five weekdays of the week just prior to the strikes and two consecutive holidays, January 1, 2000, and January 2, 2000, were chosen as a contrast group. Results: During the term of strike, the number of patients was larger than it was on the weekdays, but was less than it was on consecutive-holidays. ^1) In severity triage, the ratio of emergency patients increased but non-emergency and delayed patients decreased than consecutive-holidays, and the number of medical personnel decreased for all types of visits. The attending hospitals in cases of disease increased, and^2) the ratio of internal medicine, general surgery, obstetrics, orthopedics patients increased than consecutive-holidays level, and the ratio of gynecology, phychiatry, opthalmology patients increased than consecutive-holidays and weekdays level. The ratio of cases in CPR decreased, and deliveries was at the same level as it was on the weekdays. Both radiation tests and emergency tests decreased. Conclusion: During a strike, carrying out severity triage and operating emergency outpatient care for non-emergency patients, such as outpatients, may be desirable. Adding emergency-treatment manpower to the areas where the number of patients increased, ^3) putting additional nursing and assistance manpower in emergency and operation rooms, providing for administration manning at the consecutive-holidays level, and resetting radiation and examination manpower at the consecutive-holidays level should be considered in managing effectively and emergency medical center.

응급실로 내원한 소아학대 환자

최정태,안무업,송준호,안희철,황장회,조용준,유기철,신동훈,최영미,송근정 대한응급의학회 2000 대한응급의학회지 Vol.11 No.1

Background. To develop the guidelines and the education models for primary agents caring for victims of child abuse, and investigate victims of child abuse visited the department of emergency medicine, College of Medicine, Hallym University, Choon-chun Sacred Heart Hospital. Methods. Survey assessed the age, sex, visiting time, offender, tools of maltreatment, types of maltreatment, and types of injury of 47 victims under 18 years old visited the emergency center, between the Jul. 1996 and the Aug. 1998. The injury severiy of victims of child abuse was compared with control group of 197 general violence victims visited the same emergency center at the same duration. Results. The age distribution was 12.8%(n=6) of the 0-1 year old, 17%(n=8) of the 1-3 years old, 8.5%(n=4) of the 4-6 years old, 12.8%(n=6) of the 7-12 years old, and 48.9%(n=23) of over the 13 years old, The sex distribution was 49%(n=23) of male and 51%(n=24) of female, The most common visiting time was 59.6%(n=28) of the 22-02 o'clock. The types of abuse were 46.6%(n=22) of the physical abuse, 27.7%(n=13) of the neglect, 17%(n=8) of the psychic abuse, and 8.5%(n=4) of the sexual abuse. The offender was 38%(n=18) of the parents, 26%(n=12) of the relatives, 4.3%(n=3) of the grandmothers, and 6.4%(n=3) of the nurses. The severity of injury was applied to the ISS(injury severity score). The severity of injury according to ISS was mean ISS=3.82±2.2 in the case of child abuse and mean ISS=1.86±1.6 in the case of general violence(P=0.000). Conclusion. Most victims of child abuse still never come to the overt attention of physicians, social workers, or other professionals. Therefore the establishment of CAN(Child abuse and neglect) protocol and the organization of CAN team in the hospital consisted by department of emergency medicine, pediatrics, and psychiatrics is essential. Furthermore, the co-operation system with child welfare facilites and polices in community is needed.

FET 형 센서 어레이를 이용한 이온 측정 시스템의 구현

손병기,최정태 경북대학교 전자기술연구소 2001 電子技術硏究誌 Vol.22 No.2

An ion-measuring system using FET type electrolyte sensor array composed of 4 different sensors has been implemented and it can measure 4 different ion (H^+, Na^+, K^+, Ca^(2+)) simultaneously. Implemented system employed the electronic switchs which is controlled by MPU(micro processor unit) to connect a signal detecting circuit with 4 sensor array. The DC level of sensor signal which enter A/D converter input can be adjusted by 12bit D/A converter automatically. We measured 3 different ion(H^+, Na^+, K^+) concentration to evaluate the performance of developed system.