의료환경 변화에 대비한 의학기술부문의 교육방향

최종학,윤범철,조경진,이준협,임국환,고성진,최경호 高麗大學校 倂設 保健大學 保健科學硏究所 2003 保健科學論集 Vol.29 No.1

Under the pressure to open the service market as proposed by World Trade Organization, we can easily expect our educational systems for allied health professions will experience a lot of changes in near future. Accordingly, we compared our current educational systems for allied health professions with the foreign ones and mapped out some strategies predicting the forthcoming enormous changes. Major investigations and analysis are summed up as follows, The educational programs for allied health professions which was started in 1963 in Korea are stilled remained as 2 to 3 school years, while the systems in advanced countries have already been changed or been changing from 2 year to 4 year college levels. We can hardly find the uniform educational system or school years for the allied health professions in the world except for Korea. Fortunately, university level four-year programs for the profession was established in 1979 in Won-joo for the first time in Korea. However, there are still only few four-year programs in this country. To meet the rapidly changing needs we have faced in the health areas we should supply appropriate health personnel through various efforts. Now we would like to suggest followings, <Educational goals for the allied health professions> 1) reconfirming characteristics for the educational goals of health professions 2) extending school years for the allied health professions 3) strengthening clinical training and internship 4) expanding opportunities for the continuing education through lifelong education 5) upgrading from old-fashioned technologies to advanced technologies 6) cultivating competencies of health professionals for the global competition <Suggestions for the Development of Allied Health Professions> 1) reforming the school years of educational programs for the allied health professions to meet the global standards 2) expanding the role of junior college programs for the allied health professions through the development of intensive courses in the professions. 3) diversifying and specializing the allied health professions mainly through 4 year B.S. degree programs.

一部 勤勞者의 B型肝炎 바이러스의 感染에 관한 疫學的 調査

張美英,金光鍾,金榮煥,林國煥 高麗大學校 倂設 保健大學 保健科學硏究所 1985 保健科學論集 Vol.14 No.1

In order to find out the positive rate of surface antigen of hepatitis B virus (HBsAg) in the industrial workers and to study the association with liver disease, a total of 2,579 workers in an industrial establishment was selected and evaluated. During the three months from June 1985, a screening test detecting HBsAg was conducted by reverse passive hemoagglutination method (RPHA method) and factors related to hepatitis B virus infection were studied through the questionnaire survey. The results of the examination were as follows; 1. The positive rate of HBsAg was 7.5%; male 8.1%, female 6.0%; production line workers 7.8%, office workers 6.5%. But, there were no statistical significance between the two rates. 2. The occurrence rates of HBsAg in the workers who have a long working experience in the plant and elders were turned out to be bit higher. Workers with middle school education background showed higher rate. 3. It was confirmed that the positive rate of HBsAg was related to history of medical treatment for the industrial accident, past history or family history of liver disease, particularly mothers' past history. 4. It was also learned that the positive rate of HBsAg was related with skin test for liver or lung flukes and drinking habit. 5. No significant difference was found in positive rate amongst the persons who have had experiences in acupunctural, blood transfusion, sexual intercourse with prostitutes, injury caused by nail cutting or shaving at the harbor shop.

Aneurysm of the Posterior Inferior Cerebellar Artery: Clinical Features and Surgical Results

Rhim, Jong-Kook,Sheen, Seung-Hun,Oh, Sung-Han,Noh, Jae-Sub,Chung, Bong-Sub The Korean Neurosurgical Society 2005 Journal of Korean neurosurgical society Vol.37 No.6

Objective: Aneurysms arising from the posterior inferior cerebellar artery(PICA) are uncommon. We review literature on that and surgical results on aneurysmal treatment by choice of surgical approach. Methods: On the basis of radiologic findings & charts, we review retrospectively the surgical results of 12 cases from Mar 1999 to Dec 2003. Results: The mean age of the 12 patients was 55.8(ranged from 36 to 71) and female was predominant (female:male = 8:4). Locations of PICA aneurysms revealed variously(vertebral artery - PICA junction: 8, lateral medullary segment: 2, PICA - anterior inferior cerebellar artery common trunk: 1, telovelomedullary : 1). Surgical approaches & treatments were attempted in 11 cases and embolization was done in 1 case(Far lateral transcondylar or supracondylar approach & clipping: 9, Far lateral transcondylar or supracondylar approach and trapping: 2, suboccipital approach & clipping: 1). The surgical result were 8 of 12 patients were good outcome, 1 of 12 was severely disabled and 3 of 12 were died. Conclusion: First, we choose surgical approach by the laterality of aneurysms and surgical or interventional treatment is attempted as soon as possible. The PICA aneurysm is regarded as having a relatively good surgical outcome without drilling of the posterior arch of the atlas.

Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report

Jong-Kook Rhim,Chul-Hoo Kang,Jay Chol Choi,Joong-Goo Kim 대한신경중재치료의학회 2021 Neurointervention Vol.16 No.2

A 44-year-old woman presented with acute confusion, apparently due to a clinically silent subarachnoid hemorrhage followed by vasospasm, which in turn led to an ischemic stroke. During the initial evaluation, an acute ischemic stroke in the left middle cerebral artery territory was observed. Magnetic resonance imaging revealed a late subacute hemorrhage in the left basal cistern. Digital subtraction angiography indicated the presence of a small saccular aneurysm that had recently ruptured, as well as vasospasm in the left circle of Willis. Balloon angioplasty and balloon-assisted coil embolization were performed for the vasospasm and saccular aneurysm, respectively. This case demonstrates that clinically silent subarachnoid hemorrhages resulting in ipsilateral vasospasm and infarction can occur as complications of a ruptured aneurysm.

Endovascular Treatment of Bilateral Cavernous Sinus Dural Arteriovenous Fistula: Therapeutic Strategy and Follow-Up Outcomes

Jong Kook Rhim,Young Dae Cho,유동현,Hyun-Seung Kang,Won-Sang Cho,Jeong Eun Kim,Min Jae Cho,황교준,O-Ki Kwon,한문희 대한영상의학회 2018 Korean Journal of Radiology Vol.19 No.2

Objective: Bilateral cavernous sinus dural arteriovenous fistula (CSdAVF) is very rare, even in Asian countries. The research intended to present clinical and radiologic outcomes of treating such fistulas through endovascular embolization. Materials and Methods: Data was obtained from 220 consecutive patients, with CSdAVF, who were treated from January 2004 to December 2015. Bilateral CSdAVF was identified in 17 patients (7.7%). The clinical and radiologic outcomes of the fistulas were assessed with an emphasis on the technical aspects of treatment. Results: At the time of treatment, 7 and 10 patients presented with bilateral and unilateral symptoms, respectively. In the former cases, 4 patients had progressed from unilateral to bilateral symptoms. Bilateral fistulas were treated with a single-stage transvenous embolization (TVE) in 15 patients, via bilateral inferior petrosal sinuses (IPS) (n = 9) and unilateral IPS (n = 6). In the other 2 patients with one-sided dominance of shunting, only dominant fistula was treated. Two untreated lesions were found on follow-up to have spontaneously resolved after treatment of the dominant contralateral fistula. Of the 34 CSdAVF lesions, complete occlusion was achieved in 32 lesions after TVE. Seven patients (41.2%) developed worsening of cranial nerve palsy after TVE. During the follow-up period, 4 patients obtained complete recovery, whereas the other 3 remained with deficits. Conclusion: With adjustments of endovascular procedures to accommodate distinct anatomical configurations, endovascular treatment for bilateral CSdAVF can achieve excellent angiographic occlusion results. However, aggravation of symptoms after TVE may occur frequently in bilateral CSdAVF. In the patients with one-sided dominance of shunt, treatment of only dominant fistula might be an alternative option.

保健系 專門大學 卒業者를 위한 學士課程 敎育方案

임국환,최종학 高麗大學校 倂設 保健大學 保健科學硏究所 1997 保建科學硏究論集 Vol.6 No.1

This study was carried out to introduce a bachelor program for junior college graduates in the field of public health. We surveyed the opinions of the directors of academic affairs, professors and alumni through Questionaires. The results obtained are as follows : 1. 99.8% of respondents agreed on the introduction of a bachelor program. The purpose of this program would be to offer junior college graduates up-to-date expertise and access to modernized technology. 2. This program should be established at junior college of public health which are equipped with optimal faculty and facilities, considering proper regional distribution. 3. Academic credits for the students to graduate would be over 60 credits in case of a two-year system college graduate and over 30 for a three-year system graduate. 4. The survey showed that many respondents preferred evening lectures or lectures offered duting the weekends. 5. Applicants would be required to submit documents and recommendation letters for admition. An entrance examination might be considered.

플리스틱 가소제인 DIISOCECYL PHTHALATE 의 독성학적 고찰

이국경(Kook Kyung Lee),주종호(Jong Ho Joo),김세일(Se Yl Kim),제정환(Jeong Hwan Che),남기택(Ki Taek Nam),강진석(Jin Seok Kang),안병우(Byeong Woo Ahn),홍충만(Choong Man Hong),임국환(Kook Hwan Rhim),양기화(Ki Hwa Yang),장동덕(Dong Deuk 한국수의병리학회 2000 한국수의병리학회지 Vol.4 No.2

Intracranial Saccular Aneurysm

Suk, Jong-Sik,Min, Byung-Kook,Choi, Duck-Young,Rhim, Kwang-Seh 중앙대부설한국의과학연구소 1988 한국의과학 Vol.20 No.2

保健系 專門大學 卒業者를 위한 學士課程 敎育方案

임국환(Kook Hwan Rhim),최종학(Jong Hak Choi) 고려대학교 보건과학연구소 1997 보건과학논집 Vol.6 No.1

Use of Triple Microcatheters for Endovascular Treatment of Wide-Necked Intracranial Aneurysms: A Single Center Experience

조영대,Jong Kook Rhim,강현승,Jeong Jin Park,전진수,김정은,조원상,한문희 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.5

The dual microcatheter technique is common practice for coil embolization of a wide-necked aneurysm, due to safety and efficacy. However, technical limitations of some complex configurations may necessitate additional microcatheters to bolster coil stability, compact the coil, or for protection. Described herein is a triple microcatheter technique for endovascular management of wide-necked intracranial aneurysms. Data accruing prospectively between January 2006 and October 2014 on simultaneously executed triple microcatheter coil embolization procedures done in 38 saccular aneurysms were reviewed. Clinical and morphological outcomes were assessed, with emphasis on technical aspects of treatment. The triple microcatheter technique was successfully applied to all 38 saccular aneurysms, involving the posterior communicating artery (n = 13), the middle cerebral artery (n = 10), the basilar tip (n = 7), the anterior cerebral artery (n = 5), and the internal carotid artery (n = 3). Stent protection was added in four patients and balloon remodeling in one. Dual microcatheters (n = 24) were usually deployed to deliver the coil within sacs of aneurysms, with the additional microcatheter used for protection. Otherwise, triple microcatheters were deployed for coil delivery (n = 11) or coils were delivered via a single microcatheter, with dual microcatheters deployed for protection (n = 3). Successful occlusion of aneurysms was achieved in 89.5% of cases, with no procedure-related morbidity or mortality. Stable occlusion was maintained in 72.2% (26/36) of the aneurysms at the final follow-up (mean interval, 30.2 ± 22.7 months). The outcomes of this limited study suggest that the triple microcatheter technique may be an effective and safe therapeutic option for wide-necked aneurysms, using technical strategies tailored to complex angio-anatomic configurations.