한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

7두의 개에서 배설성 요로조영술을 통한 신장 기능 평가

최윤정,이기자,최형준,이용진,박성준,송근호,정성목,최호정,이영원 忠南大學校 獸醫科大學 動物醫科學硏究所 2005 動物醫科學硏究誌 Vol.13 No.-

Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. It is an inexpensive and easy way to visualize of anatomic and functional status of the kidney and has been used as a primary imaging modality for the evaluation of urinary tract abnormalities. We describe urological signs of 7 dogs who examined with excretory urography and ultrasonography. Six cases were referred to veterinary medical teaching hospital. Chungnam national university (VMTH, CNU) to evaluate renal function after the treatment for renal failure and one case was referred showing hematuria. In case 1, 2 and 4, blood test and urinalysis was normal and the results of excretory urography presented that renal function were normal range. In case 3, the results of urinalysis, ultrasonography, and excretory urography except blood test presented abnormal kidney and hydronephrosis was diagnosed. In case 5 and 6, blood test, urinalysis, ultrasonography and excretory urography indicated renal failure. In case 7, blood test, urinalysis and ultrasonography presented partially abnormal signs, however, the results of excretory urography was normal range.

What makes hybrid insourcing successful: A new public–private partnership model for social welfare services

Yang Jae‐jin,Kim Hey Sung,Choi Seong Eun,Ryu Lanhee,Choi Young Jun 한국사회복지학회 2020 Asian Social Work and Policy Review Vol.14 No.1

Outsourcing has been a key policy tool for delivering a range of social services, and regarded as more effective than insourcing or direct government provision. At the same time, it has also caused many delivery issues such as principal‐agent problems, a lack of policy coordination, and poor‐quality welfare services. While the pendulum continues to swing between insourcing and outsourcing, we aim to propose a new public–private partnership model called the “hybrid insourcing model” and examine which factors influence the performance of the model. In South Korea, around 2010, the local government in Namyangju City was the first to implement the “Hope Care Center model,” a kind of hybrid insourcing model, which has been praised for its innovation and widely emulated by central and local governments. Our analysis utilizes data collected between December 2017 and January 2018 from public sector employees and civilian staff in Namyangju and a comparable city, A. From this, we draw a number of implications, both for theory and for policy. We argue that, for public–private partnerships, active cooperation and equality are the biggest factors in contributing to positive performance. These work alongside leaders with a clear vision and with employees' positive attitude

8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

NSIP와 BOOP의 고해상전산화단층촬영 소견과 비교

백상현,박재성,차장규,홍현숙,김대호,박성진,조준희,이혜경,최진수 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.2

Purpose: BOOP and NSIP also share similar clinical features such as subacute flu-like illness, the finding of bronchoalveolar lavage, the result of pulmonary function test and more favourable outcome than usual interstitial pneumonia(UIP). The author try to compare the HRCT findings of NSIP with BOOP by pattern and distribution of diseases. Materials and Methods: HRCT findings of histopathologically proven NSIP(Group Ⅰ; 6, Group Ⅱ; 7, Group Ⅲ; 2) in 15 patients(5 male, 10 female, age range, 39-69 years; mean age, 53 years), BOOP in 15 patients(6 male, 9 female, age range, 26-76 years; mean age, 52 years) were reviewed retrospectively. Results: The common pattern of the two diseases was admixed consolidation, ground glass attenuation & reticular densities with/without architectural distortion(NSIP; 53.3%, BOOP; 46.7%). The main component of the pattern wan predominantly consolidation(NSIP; 46.7%, BOOP; 73.3%) and ground glass attenuation(NSIP; 40.0%, BOOP;20.0%). Architectural distotion was more provinent finding with NSIP(mild ; 3, moderate ; 4, severe; 2) compared with BOOP(mild; 7, moderate; 2, severe; 0). The predominant overall distribution was lower lung, peribronchovascular & peripheral lung field in both of the two entities(NSIP;73.3%, BOOP; 73.3%). Peribronchovascular involvement was more common with NSIP(100%) than BOOP(80%), whereas peripheral involvement was more common with BOOP(93.3%) than NSIP(80%). Conclusion: The HRCT findings of NSIP and BOOP were similar in pattern and distribution. But NIP manifested more frequently ground-glass attenuation, whereas BOOP showed more frequently consolidation. Architectural distortion was more severe with NSIP than BOOP. NSIP invoved more frequently peribronchovascular space and BOOP were more common in peripheral lung field.

학교교육과 태권도장의 인성교육 관련성에 관한 연구

최성곤,정현진 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

This study aims to accomplish the personality education more effectively through the analysis of the contents of the curriculums for the development of the personality education in the Taekwondo halls on the basis of the curriculums concerned with the personality education in schools (morals and physical education). The study is summarized as follow: first, in the Ⅱ chapter, the theoretical contents of personality and personality education are arranged, then, in the Ⅲ chapter, the structures and contents of the curriculums concerned with the personality education in the schools(morals and physical education) are analyzed, and in the Ⅳ chapter, the structures and contents of the curriculums in the Taekwondo halls are analyzed and the analysis of the contents of the personality of Taekwondo is attempted on the basis of the results. The study has shown the structures of the present school curriculums as follow: First, the school education is changed into the personality education of the integrated approach resembling the definitive or behavioral approach getting out of the cognitive approach with an emphasis on the ability to think morally. And it is trying to make the students practise what they learn in the actual situations by activating the service activities or group activities, and it attaches importance to performance assessment like learning process, learning behavior and so on in learning assessment.

폐플라스틱의 재자원화 방안에 관한 연구

최진호,이주성,공성호,김영채,배성렬 한양대학교 에너지·환경기술연구소 1997 에너지·環境技術論文集 Vol.3 No.-

세계적으로도 '92년 리우 환경회담 이후 점차적으로 환경에 대한 규제가 엄격해지고 있고, 선진국에서는 recycling과 연계되어 모든 분야의 과학발전이 이루어지고 있다. 더구나 최근 EC의 유럽회의에서 가까운 시기에 역내에서 사용되는 포장용기의 90%이상을 재생사용토록 의무화하는 새로운 리사이클링 규정안을 통과시켰으며 국내에서도 쓰레기 종량제가 전국적으로 실시되어 폐플라스틱의 수거, 처리 방안이 문제시 되고 있다. 이러한 상황에서 적절한 대비책으로 폐플라스틱의 수급현황, 자원화전망 그리고 개발중인 여러 가지의 처리 방안을 제시하였다. 그리고 지금까지는 아무리 우수한 기술이 있어도 경제성이 없으면 상업화가 이루어지지 않았으나, 향후의 리사이클 방향은 조금씩 바뀔 것으로 생각되며 이는 우선 플라스틱의 발생 및 사용량의 절약에서 시작하여 재생이용을 추진하고 최종적으로 소각에 의한 열이용의 순서로 이루어져야 할 것이다.

CA 조성 조건에 따른 쓰가루 사과 과실의 호흡량 및 향기 성분 변화

崔成鎭 대구효성가톨릭 대학교 1997 연구논문집 Vol.54 No.2

사과의 쓰가루 품종을 대상으로 하여 여러 조합의 CA 조건에서 호흡량의 변화를 추적함으로써 적정 CA 저장 조건을 구명하고 CA 저장의 결과로 나타나는 향기 생성 감소의 대처방안을 마련하기 위한 기초 실험을 수행하였다. 쓰가루 과실의 호흡은 O₂농도의 변화와 밀접한 관련을 보여 O₂농도를 저하시킬 수록 감소하는 경향이 뚜렷한 반면, CO₂농도의 증가는 오히려 호흡의 증가를 초래하는 것으로 관찰되었다. 따라서 쓰가루 과실의 실제 CA 저장에 있어서 저산소 조건의 지속적 유지는 호흡을 억제시킴으로써 과실의 저장성 향상에 기여할 것으로 기대되는 반면, 고이산화탄소 조건에 대한 과실의 반응은 저장 기간의 경과와 더불어 변화될 수 있으며 호흡 억제의 관점에서 볼 때 CA 저장 효과의 극대화를 위하여는 저장 기간 중 전진적으로 CO₂농도를 낮추어 줄 필요가 있을 것으로 생각된다. 한편 쓰가루 과실에서는 ester, alcohol, aldehyde, ketone 류의 총 9종의 향기 성분이 동정되었으며 CA 처리에 의하여 향기 성분의 양과 종류가 크게 감소하는 것으로 관찰되었는데, 향기를 구성하는 각 성분은 CA 조성 조건에 따라 상이하게 변화하였다. The change of respiration rate and aromatic volatile compound level were determined in Tsugaru apple fruits during storage under various O₂and CO₂concentrations. The respiration rate was closely correlated with O₂concentration, so that decrease of O₂concentration to 1% resulted minimal respiration rate of the fruits. The increase of CO₂ concentration did not however contribute to the reduction of respiration, but rather increased more the respiration with the elapse of storage duration. In order to maximize the CA effect it is therefore recommended, to maintain the O₂concentration continually at low level, while decreasing CO₂concentration gradually through the storage duration of fruit. CA storage reduced the level and kind of aromatic viratile compounds from Tsugaru fruit, although each aroma components were differently changed according to the CA condition.

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.

RUSLE 방법을 이용한 만대천 유역의 토사유출량 산정

최한규,박수진,국성표 江原大學校 産業技術硏究所 2010 産業技術硏究 Vol.30 No.B

This study was intended to estimate the soil runoff at the basin of Mandaechun where the measure needs to be taken to deal with the increasing muddy water resulting from soil runoff during wet season and torrential rain at the high reaches of the Soyang lake where highland vegetables are cultivated and soil replacement for improvement is carried out every two to three years. The study was carried out in such a way of identifying the topographic factors using geographical spatial data from Water Management Information System (WAMIS) and ARC-VIEW program and estimating the soil runoff by rainfall frequency using Revised Universal Soil Loss Equation (RUSLE), and furthermore, evaluating the soil runoff contribution at the basin of Mandaechun based on estimate of the soil runoff by section.