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      • KCI등재후보

        스트레스 측정 도구로서의 Hemoglobin AHemoglobin A₁c 유용성 평가

        김혜숙,정경동,감신,최광서,김건엽,김성아 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

        To assess the possibility and usefulness of glycosylated hemoglobin (HbA₁c) as a screening tool for measuring stress; single-item for stress, BEPSI(Brief Encounter Psychosocial Instrument), PWI(Psychosocial Wellbeing-Index), FBS(Fasting Blood Sugar) and other demographic variables were assessed in 89 healthy male workers at periodic health examination. HbA₁c was not correlated with any kind of stress scores used in this study, but correlated with age(r=0.226). The single-item for stress, BEPSI, PWI were correlated each other(p<0.05). This result suggests well-organized brief questionnaire for stress might be enough to evaluate the stress level of workers in periodic health examination.

      • KCI등재후보
      • KCI등재후보

        産業災害로 인한 手脂切斷 患者의 療養期間과 診療費의 變異

        이종호,이종영,손지연,하영애,박순우,감신,이영숙,김건엽,강윤식 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

        This study was conducted to analyze variation in patient days and medical care benefits among finger-amputated patients due to industrial injury. The 242 personal data on medical care for finger-amputated patients due to industrial injury(131 in 1994, 111 in 1995) of Regional Labor Office were analyzed. The major results of this study were as follows: Patient days per case were 69. And the ratio of the maximum and the minimum among patient days for case was 26.6. Patient days per case in university hospital were 134.8 and the longest than other medical facilites. The ratio of the maximum and the minimum among the patient days per case was higher in hospital(24.7) than in other medical facilities. Benefits per case were 1,258,000 Won. And the ratio of the maximum and the minimum among benefits of case was 232.0. Case benefits was higher in university hospital (2,685,000 Won) than in other medicl facilities. The ratio of the maximum and the minimum among the benefits per case was higher in hospital(232.0) than in other medical facilities. Variation in patient days and medical care benefits per finger-amputated patient in industrial injury was large. This study results indicated need for a new industrial injury compensation insurance policy initiative for efficient utilization of medical resources and quality assurance. And the author thought that the results of this study would influence the policy for the industrial injury compensation insurance policy.

      • KCI등재

        IPTV VOD 서비스 가격지수 산정 및 수요함수 추정

        이건엽 ( Keon Yeop Lee ),조지형 ( Jee Hyung Jo ),조신 ( Shin Cho ) 정보통신정책학회 2019 정보통신정책연구 Vol.26 No.2

        본 논문은 국내 한 IPTV 사업자의 2012-2017년 월간 자료를 이용하여 IPTV VOD 서비스의 가격지수를 산정하고 수요함수를 추정하였다. 첫째, 가격지수를 보면, (1) PPV(Pay Per View) 가격지수는 66% 상승하였다. (2) 월정액인 PPM(Pay Per Month) 상품은 71% 하락하였는데, 이는 가입자들의 VOD 시청이 꾸준히 늘어나 VOD 건당 실질 가격이 하락했기 때문이다. (3) 무료 SVOD(Subscription VOD)의 내재 가격을 산정한 결과, 가입자 당 시청 건수의 감소로 말미암아 4.86배 상승하였다. 둘째, PPV VOD 수요함수 추정 결과, (1) 설명변수 중, 가격과 대체재인 PPM 소비량은 통계적으로 유의미하지 않았고 소득 변수는 음(-)의 값을 보였는데, 설명변수 간의 심각한 다중공선성으로 말미암아 이처럼 이론과 합치하지 않은 결과가 나왔다. (2) 다중공선성이 가장 심한 소득 변수를 제외하고 분석한 결과, 가격과 PPM 소비량이 모두 유의미한 음(-)의 값을 갖는 것으로 나타나 소비자 이론을 지지하고 있다. 필자들이 아는 한, 본 논문은 최초로 VOD 가격지수 산정 및 수요함수 추정을 행함으로써 학문적으로 기여한다고 판단한다. 또한 VOD 가격 설정 및 상품 구성, OTT와의 경쟁전략을 비롯한 다양한 전략적 시사점과 함께 정책적 시사점도 제시하였다. This paper calculates price indices and estimates the demand function for VOD services using a Korean IPTV provider’s monthly data for the years 2012-2017. For price indices, we find that (1) the PPV (Pay Per View) price index increased by 66% during the period; (2) the PPM (Pay Per Month) price index dropped by 71% due to a continuous increase in VOD viewing per subscriber; and (3) the imputed price assigned to ‘free’ subscription to VOD sharply increased by a factor of 4.86 as subscribers viewed less of free VOD. For the demand function estimation, we find that price and PPM consumption variables were statistically insignificant as explanatory variables, while income was estimated to have a negative effect, all to the contrary of theoretical expectations on account of multicollinearity problems. After removing the income variable to fix the multicollinearity problem, both price and PPM became significantly negative, supporting the theoretical predictions. To the best of our knowledge, this paper is the first attempt to calculate price indices, estimate the demand function of VOD services, and note some theoretical and practical implications.

      • SCOPUSKCI등재

        Health Impact Assessment of Free Immunization Program in Jinju City, Korea

        Kim, Keon-Yeop,Jeon, So-Youn,Jeon, Man-Joong,Lee, Kwon-Ho,Lee, Sok-Goo,Kim, Dong-Jin,Kang, Eun-Jeong,Bae, Sang-Geun,Kim, Jin-Hee The Korean Society for Preventive Medicine 2012 예방의학회지 Vol.45 No.4

        Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

      • KCI등재
      • KCI등재

        국내 생활터 중심의 건강증진사업

        김건엽(Kim, Keon-Yeop),김현지(Kim, Hyun-Jee),윤창호(Youn, Chang-Ho) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.2

        본 연구는 건강도시 지자체를 대상으로 국내 생활터 중심의 건강증진사업 사례들을 살펴봄으로써 국내 건강 증진사업의 성공적인 확산을 위한 기초자료를 제공하고자 실시되었다. 2008년부터 2010년까지 국내 건강도시에서 실 시한 생활터 중심 건강증진사업 자료, 건강도시 현황자료, 보고서, 논문, 워크숍 및 심포지엄 자료집 등 관련 이차자 료를 수집하고 전문가 회의를 통해 시사점을 도출하였다. 2008년 수행한 건강도시 총 사업 중 건강한 생활터 사업은 27개 사업(14.7%), 2009년의 경우에는 42개(21.8%)였다. 생활터 종류를 살펴보면 2008년에는 마을과 학교가 각각 6개 (22.2%)로 가장 많았다. 2009년에는 학교 12개(28.6%), 아파트 8개(19.0%), 마을 6개(14.3%), 어린이집 5개(11.9%), 직 장 및 경로당이 각각 4개(9.5%), 시장 3개(7.1%)의 순이었다. 대도시 지역의 경우 학교, 아파트를 중심으로 생활터 접 근을 하고 있고, 농촌 지역의 경우 마을이나 경로당을 중심으로 생활터 접근을 하고 있다. 국내 생활터 중심의 건강 증진사업 사례를 건강증진학교, 건강한 작업장, 건강마을과 건강한 아파트, 건강증진병원, 건강한 시장, 건강경로당을 중심으로 살펴보았다. 생활터 중심의 건강증진사업을 지속적으로 하기 위해서는 ‘생활터’와 ‘건강증진’에 대한 인식을 바꾸고 이를 위해 생활터가 건강한 도시(지역사회)를 만들기 위한 중요한 역할을 할 수 있도록 노력하여야 할 것이다. This study was conducted to investigate setting approach of health promotion in Healthy city projects. We used the secondary data of 2008-2010 Healthy city projects, reports, papers, workshops and symposia and had professional meetings to obtain the implications. Setting approach of health promotion in Healthy city projects conducted 27 (14.7%) in 2008 and 42 (21.8%) in 2009. Looking at the type of setting approach, villages and schools, respectively, was the highest (six, 22.2%) in 2008. In 2009, the school was 12 (28.6%), apartment 8 (19.0%), village 6 (14.3%), day nursery 5 (11.9%), workplace and senior center 4, respectively (9.5%), market 3 (7.1%). School and apartment are the most common setting approach in the metropolitan area, but senior center and village are most common in the rural areas. The good examples of health promoting schools, healthy workplaces, healthy villages, healthy apartments, health promoting hospitals, healthy markets, healthy senior centers were examined. To sustain and success the setting approach in health promotion, persons in settings must know the exact meaning of 'setting' and 'health promotion' and the efforts that setting can play an important role in healthy cities (communities) will be required.

      • KCI등재
      • SCOPUSKCI등재

        연령이 기관내 삽관시 혈역학적 변화에 미치는 영향

        김건식,신동엽,최영규,신옥영,이두익,곽태홍 대한마취과학회 1991 Korean Journal of Anesthesiology Vol.24 No.6

        Laryngoscopy and endotracheal intubation are often associated with hypertension, tachycardia and increase in catecholamines concentrations. The mechanism for these reflex cardiovas-cular changes is unknown, but may be a result of reflex sympathetic activation, involving baroreceptor system, provoked by stimulation of the epipharynx and laryngopharynx. The purpose of the present study was to determine the effect of increasing age on the changes of hemodynamic response to endotracheal intubation. We evaluated in 36 patients aged 20~79 years, ASA class I and II, given atropine sulfate 0.01 mg/kg and hydroxyzine sulfate 0.04 mg/kg I.M as premedication and thiopental sodium 5.0 mg/kg and succinylcholine chloride 1.0 mg/kg I.V. for induction of anesthesia. Patients were studied in three age group's as followings, Group I (n=12):20~39years Group II (n=12): 40~59 years Group III (n=12): 60~79 years Heart rate and blood pressure increased at endotracheal intubation in all age groups to compare with control value, there were no relationship with age in increment of blood pressure but increment of heart rate diminished with advancing age. The reason for above results is that the sensitivity to the vasoconstrictive effect of a-recep- tor stimulation is similar in all age groups, but the sensitivity to B-receptor stimulation altered cardiac chronotropic response is different with advancing age. Additionally, the diminution of sensitivity to a-receptor is not caused by decrease of density of B-receptor, but due to the impairment in the coupling of the B-receptor adenylate cyclase complex in the elderly.

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