한국인 알코올 의존 환자에서 알코올 대사 효소 유전자형 빈도의 남녀 차이

김성곤,김철민,이덕기,황인복,이현숙,김성연,전은숙,송영상,박제민,최병무,김명정 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.2

Objectives : There are a number of preceding epidemiological studies reporting gender differences in the genetic etiology of alcohol dependence. The author investigated gender difference in the frequencies of ADH2 and ALDH2 genoypes between the patients with alcohol dependence and normal control. Methods : The subjects were 141 alcohol dependent patients (104 males, 37 females) and 138 normal control (79 males, 59 females). The frequencies of 1/1 and 1/2+2/2 (2+ afterward) genotypes for ADH2 and ALDH2 were investigated in male and female between alcohol dependence and normal control group. DNA was extracted from WBC in peripheral venous blood and PCR-RFLP method was used out for genotyping. Results : First, the frequency of ADH2 1/1 genotype was significantly higher in alcohol dependent patients than normal control in both genders. Second, while there was no gender difference in the frequency of ADH2 1/1 genotype in normal controls, in the patient group however, the frequency was significantly higher in females than males. Third, in male subjects with alcohol dependence, the frequency of ALDH2 1/1 genotype was significantly higher than in male normal control subjects. On the other hand, in female subjects with alcohol dependence, the frequency of ALDH2 2+ genotype was significantly higher than in female normal control subjects. Conclusion : These results suggest that while the risk of alcohol dependence is predominantly affected by ALDH2 1/1 geno-type in male, the female ADH2 1/1 genotype is mainly associated with the risk of alcohol dependence. This means that there are gender differences in the genetic etiology of alcohol dependence.

특수학교(급)고등부 졸업생의 진로실태 및 진로 지원체제 구축방안 : Future Directions and Practices for Developing a Comprehensive Career Support System in Special Education School

정희섭,김현진,김형일,정동영,정인숙 국립특수교육원 2005 연구보고서 Vol.- No.11

이 연구는 장애인 삶의 질을 보다 확충하는 차원에서 특수학교(급) 고등부 졸업생의 진로 실태를 분석하고, 그 결과를 기반으로 현실여건에서 최상의 진로 지원체제 구축방안을 마련 하는데 목적을 두고 수행되었다. 이 연구는 목적의 달성을 위해 문헌고찰을 통해서 진로실태 분석모형을 개발하고 진로 지원체제 구축을 위한 요인을 발굴한 이후, 최근 5년간 전국 특수학교(급) 고등부 졸업생을 대상으로 전반의 진로실태를 조사?분석하고, 문헌분석 및 실태조사를 통해서 도출된 결과를 중심으로 학교와 지역이 연계된 진로 지원체제 구축 방안을 제시하였다. 먼저, 특수학교(급) 고등부 졸업생의 진로 실태에 대한 조사 결과를 제시하면 다음과 같다. 특수학교(급) 고등부 졸업생 진로실태 조사는 전국 120개 특수학교(고등부 과정 설치 특수학교), 161개 고등부 특수학급 총281개 학교의 2001년도부터 2005년도까지 5년간 졸업생 1,334명을 조사대상으로 하였다. 이들 조사대상 1,334명은 행정공문으로 각 학교별 졸업생 명부를 통하여 추출된 것으로, 실제 5년간 특수학교(급) 고등부 졸업생의 11.1%에 해당된다. 실태조사는 1차로 우편을 통한 설문지 발송과 회수를 통해서 이루어졌고, 2차로 본원의 현장연구위원 교사 176명이 소속 지역교육청의 졸업생을 직접 방문하여 설문 및 면담 조사실시하는 방법을 통해 이루어졌다. 조사결과에 의하면, 특수학교(급) 고등부 졸업생의 35.2%가 직장을 가진 취업자이고, 64.8%가 직장을 가지지 않은 미취업자(가정거주, 시설거주, 자영업, 대학진학포함)로 조사되었다. 장애영역별 학교 졸업생의 진로 실태를 취업률 중심으로 제시하면, 시각장애학교 졸업생 36.8%, 청각장애학교 졸업생 45.4%, 지체부자유학교 졸업생 35.1%, 정신지체 및 정서장애학교 졸업생 31.7%, 특수학급 졸업생 39.5%로 나타났다. 한편, 졸업생의 연도별 추이를 취업률 중심으로 제시하면, 2001년도 졸업생 45.3%, 2002년도 졸업생 32.8%, 2003년도 졸업생 32.2%, 2004년도 졸업생 31.3%, 2005년도 졸업생 33.8%로 나타났다. 최근 5년간 특수학교(급) 고등부 졸업생의 진로실태 전반에서, 미취업자는 가족과 함께 생활하지 않은 장애성인이 많고, 학교 졸업이후 무직상태가 지속되고, 직장생활을 원하지만 특별한 지원을 받지 못하고 있으며, 전반적인 생활만족도가 낮은 것으로 나타나고 있다. 한편, 취업자의 경우, 직장생활을 하고 있는 그 자체의 만족도를 제외하고는 고용상황 전반이 열악하고, 직장의 직무수행에 다소의 어려움을 느끼고 있고, 직장의 이직률이 높지만 적절한 지원을 받고 있지 못하며, 직장의 적응 · 유지를 위한 직업훈련을 받지 못한 경우가 많고, 현 수준보다 높은 임금을 지급하는 안정된 직장에 대한 요구가 많은 것으로 나타나고 있다. 또한 직장 생활의 직무수행 효율화를 위하여 장애인식 개선 혹은 장애인편의시설 확충에 대한 요구가 많은 것으로 나타나고 있다. 이와 같은 연구의 결과를 토대로 진로 지원체제 구축을 방안을 제시하면 다음과 같다. 특수학교(급) 고등부 졸업생의 진로 지원체제 구축 방안은 진로교육 대상자의 ‘개별성’과 진로발달 단계의 ‘연속성’을 보장하고, 진로 관련 기관간의 ‘협력성’을 강조하는 진로 지원체제의 구축이 필요하다는 방향성을 설정하고, 다음과 같은 구체적인 방안이 필요하다고 보았다. 첫째, 학령기 특수교육 대상학생의 직업 · 진로교육 실시를 위한 기반을 조성하여야 한다. 특수교육 진로관련 다양한 용어들을 정비하고, 직업 · 진로 관련 법규의 수정 및 보완이 이루어져야 하며, 개별화교육계획(IEP)에 개별화전환계획(ITP)이 포함되도록 하는 법규의 재정이 필요하다. 이를 통해서 단위 특수학교(급)에서 진로교육이 시스템적으로 실천되도록 하는 토대를 마련하여야 한다. 둘째, 현행 특수교육 직업 및 진로 관련 교육과정의 현실화가 이루어져야 한다. 현행 제7차 특수학교 교육과정 기본교육과정의 ‘직업교과’ 교육실시 시기를 앞당기고, 선택중심 교육과정 ‘전문선택’의 이수 범위를 확대할 필요가 있으며, 이를 통해서 현실성 있고 실제적인 단위 학교의 직업 및 진로교육 교육과정 운영이 이루어지도록 해야 한다. 한편, 특수학급 재학생들의 직업 및 진로교육을 효율적으로 실천하기 위한 근거를 국가수준 교육과정 문서에 마련하고, 다양한 교과에 산재된 진로관련 내용을 지도할 수 있도록 교사용 지도서를 제작 · 배부하여 활용토록 해야 한다. 셋째, 특수교육 대상학생을 위한 진로교육 방법의 개선이 이루어져야 하다. 직업 · 진로교육을 위한 일관성 있는 모형을 마련하여 적용하여야 하며, 진로교육의 효율적인 실시를 위하여 평가체제 및 평가주체를 명확히 확립하고, 직업 · 진로교육의 효율적인 실시를 위하여 전문 인력을 양성하여 배치하여야 한다. 또한, 특수교육 대상학생을 위한 직업 및 진로교육은 현장친화적인 교수-학습이 이루어지도록 하는 방법상의 변화를 모색해야 하며, 현장을 중심으로 하는 다양한 진로교육 모델을 개발하여 개별학생들의 요구와 필요가 충족되도록 하여야 한다. 넷째, 특수교육 대상학생의 졸업 시 진로선택의 역량 및 지원의 강화가 이루어져야 한다. 특수교육 대상학생의 자기결정 능력을 지속적으로 향상시키고, 이를 통해서 자신의 진로를 선택하고, 선택한 진로를 유지 · 발전시킬 수 있도록 그 역량을 강화해야 한다. 또한 특수교육 대상학생의 가족이 학교의 진로교육, 지역의 진로지원을 위한 프로그램의 계획 · 실행 · 평가 전반의 과정에 효율적인 참여가 이루어지도록 지원해야 한다. 한편, 학교와 지역의 직업 · 진로관련 기관 및 인사 간을 연계하는 가칭 ‘연계 및 협력 조력자’를 양성하여 활용토록 해야 한다. 다섯째, 장애성인의 지역사회에서의 효율적인 진로 지원을 위하여 다양한 지원 프로그램이 마련되어야 한다. 특수학교(급) 고등부를 졸업한 대학진학자와 미취업자는 항시 취업대기자이기 때문에 이들을 위한 대학 당국과 평생교육기관에서의 진로 지원을 위한 다양한 프로그램을 마련하여야 한다. 또한 특수학교(급) 고등부를 졸업한 취업자를 위해서는 직업 적응 및 유지, 직업 이동을 위한 준비 프로그램, 인턴 프로그램, 사후관리 프로그램을 마련하여 지원이 이루어지도록 해야 한다. 또한 국가는 범정부 차원의 특수교육 대상학생 직업 및 진로 촉진을 위한 추진 기구를 구성하여 운영하고, 장애학생 및 장애성인의 취업활성화를 위한 정책적 지원 기구와 방안을 강구하여야 한다. 이상에서와 같이, 특수교육 대상학생의 진로교육 및 진로지원은 그들의 삶의 질 향상에 목표를 두고, 진로 대상자의 개별성과 진로발달 단계의 연속성, 관련 기관간의 연계성을 기반으로 하는 학령기, 졸업시점, 학령기 이후가 통합된 적절한 지원체제를 마련해야 한다. 이와 같은 진로 지원체제가 현실성을 가지고 효율적으로 작동하게 된다면, 대부분의 일반인이 그렇듯 장애인도 직업을 가지고, 일과 노동의 댓가로 보수를 받으며, 받은 보수로서 세금을 납부 하면서 국가와 사회에 기여하고, 가정을 유지하면서 자신의 만족감을 가지며 살아가는 데 기여하게 될 것이다. The purpose of this study was to suggest the future directions and practices for developing a comprehensive career support system in special education school, based on the analysis of the actual career status of the high school graduates with disabilities in Korea. The research was conducted in several ways. First, by reviewing the related research and the literature, the analytical frame for the actual career status was developed and the considerable factors for the development of a comprehensive career support system were identified. Second, the nation-wide survey was conducted to overview and to analyze the actual career status of the students who graduated special education high schools over the last 5 years. Third, based on the literature review and the results of the survey analysis, the future directions and best practices for the comprehensive career support system were suggested. First, the nation-wide survey was conducted in the following. The subjects were 1,334 high school graduates from both 120 nation-wide special education schools (these schools include the course of high school) and 161 special education classes among 281 general education high schools from 2001 to 2005. The subjects were identified through the school graduate lists. And they were 11.1% of the total graduates both from special education schools and special education classes over the last 5 years. The first preliminary survey was conducted by mailing the questionnaires in returning envelops. The second survey was conducted by the 176 teachers who served as research committee members of the KISE. The teachers conducted in-depth surveys and interviews by calling on the graduates who belonged to their local school districts. The survey results showed that 35.2% of the graduates were employed and 64.8% were unemployed (staying at home, living in the facilities for people with disabilities, self-employed, and attending college or universities). The survey results according to the schools classified by the disabilities indicated the following employment rate; 36.8% of the graduates from the school for the visual impairments, 45.4% of the graduates from the school for the hearing impairments, 35.1% of the graduates from the school for the physical disabilities, 31.7% of the graduates from the school for the mental retardation and emotional disorders, and 39.5% of the graduates from the special education classes. On the other hand, the employment rate were different by the year; 45.3% of the graduates in 2001, 32.8% in 2002, 32.2% in 2003, 31.3% in 2004, and 33.8% in 2005. In general, the actual career status of the high school graduates with disabilities over the last 5 years were identified for the unemployed graduates; a) many unemployed graduates did not live with their family; b) the status of unemployment went on after high school graduation; c) most unemployed graduates wanted to have occupations, but there were little support for employment, such as vocational education programs; and d) their overall level of satisfaction in life was low. Meanwhile, the employed graduates also indicated that their employment condition was poor, except the fact that they had some satisfaction for them to have jobs. The actual career status for the employed graduates were identified in the following; a) their overall employment condition was poor; b) they felt some difficulties for carrying out their jobs; c) a change of occupation rates were high without proper support, d) there were little job training for adapting a new workplace and for maintaining their current jobs; d) there were high expectations for stable jobs with better wages than their current jobs; and e) they also requested for improving the convenient facilities for the people with disabilities and for increasing the understanding and the awareness of people with disabilities for their work efficiency. Based on these findings of the high school graduates with disabilities, the future directions and practices for developing a comprehensive career support system in special education school are suggested; a) the individualities of each student with disabilities and the continuity of career development are ensured, and b) the collaboration among schools, the community resources, and the employment agencies are emphasized. Therefore, it is necessary to draw a concrete plan in the following. First, the foundation of vocational education and career services should be established firmly for the students with disabilities in school. It is necessary to compile the glossary for the vocational education, career services, and transition in special education. It is also required to amend and make laws related to vocational education and career services, and to mandate the TP(Individual Transition Plan) to be included in the IEP(Individualized Education Program). Through these laws and policies, a firm basis for the systematic vocational education should be implemented. Second, the present vocational education and career related curriculum should be actualized. The 'vocational course' of the 7th Special Education Curriculum should be taught earlier, the 'specific elective courses' from the choice-based basic curriculum should be expanded in order to implement the school-based vocational career education curriculum practically and realistically. At the same time, these suggestions should be mandated by the national curriculum. And the teacher's manual should be prepared and distributed for teachers to effectively guide students for their vocation and career preparation. Third, the vocational education teaching strategies for students with disabilities should be improved. The consistent model for the vocational and career education as well as the effective assessment system should be developed and implemented. And for the effective implementation of the vocational and career education, the professionals should be trained and be placed in school. Moreover, the model for the vocational and career education for students with disabilities should utilize the field-based teaching and learning strategies. Especially, the field-based model needs to be diverse in order to meet the individual students' needs. Fourth, it is essential to strengthen the ability and to support the career choices of students at the time of graduation. It is necessary to continually make better for their self-decision ability. Through their self-decision ability, they can make their career choices and strengthen the ability to keep and develop their chosen careers. In addition, the families of students with disability should be supported in order to participate effectively in vocational and career education in schools and the whole process of planning, implementation, and the assessment for the career support within the community. Therefore, the 'transition coordinator', who can make connections and cooperations among schools, community resources, and the employment agencies, should be trained and utilized. Fifth, a variety of supportive programs for adults with disabilities must be provided in order to ensure the effective career supports in the communities. Since the students who went to college or universities after graduating special education high schools(classes) and the unemployed high school graduates are potential employees, the university authorities and the continuing education agencies must have a variety of supportive programs for them. Besides, it is essential to have specific programs for a job adaptation and sustainment, job preparation program for a career change, various internship programs, and the follow-up programs. In addition, the government should have the special organization for promoting the employment of the students with disabilities and adults with disabilities as well. In conclusion, the purpose of the vocational and career education for the students with disabilities should be the improvement of their quality of life. Therefore, based on the individuality of each student with disabilities, the continuity of career development stages, and the inter-agency collaboration, the comprehensive career support system should be integrated throughout the schools years, at the time of graduation, and after the graduation. If the suggested comprehensive career support system are to be implemented effectively within each school and each classroom, the people with disabilities will have occupations, get paid for the work they do, pay the taxes, have families, and contribute to the community and the nation with a feeling of great satisfaction, just as the most people without disabilities do.

청소년 스포츠 활동 참여가 학교생활 만족도에 미치는 영향

김종인,김정욱 公州大學校 스포츠科學硏究所 2005 스포츠科學硏究所論文集 Vol.17 No.-

The purpose of this study was to analyse synthetically the relationship between the middle school students' participation in sports activity and the degree of satisfaction in their school life, to provide the teachers with the helpful information, and to provide the basic data for the development of physical education in school and the planning of policy. The subjects in this study were 379 students in middle schools which were located in Daejon-shi. The variables included in this study were the degree of participation in sports activity on the basis of the student's sex, of the number of family members, of the education level, the age, and the occupation of their parents, of the standard of life, and of the expense for their participation in sports activity. The data collected were analysed in the light of their participation in sports activity and the degree of satisfaction in their school life. It aimed at the comparison and analysis of the relationship of these two factors. The data were collected through the questionnaire and the statistical way used for the analysis of data were frequency analysis, one way analysis of variation(ANOVA), and multiple regression analysis. The results from the data analysis were as follows: 1. There was a meaningful difference in the middle school students 'participation in sports activity according to the following factors; sex, the education level and the occupation of their parents, and the expense for participation in sports activity. Specifically, in the factor of sex, there was not a meaningful difference in the behavioral participation and the cognitive participation. But there was a meaningful difference in the affective participation. In the factor of the education level of their parents, there was a meaningful difference in the behavioral participation. But there was not a meaningful difference in the cognitive participation and the affective participation. In the factor of the occupation of their mother, there was a meaningful difference in the cognitive participation. In the factor of the expense of participation, there was meaningful difference in the behavioral participation. 2. There was a meaningful difference in the degree of satisfaction in school life to the observance of rule according to the background factor such as the occupation of their mother. 3. There was a meaningful correlation between the participation in the sports activity and the degree of satisfaction in school life. Also, the behavioral participation and cognitive participation in sports activity has significantly influenced on the factors such as the observance of rule. The affective participation in sports activity has significantly influenced on the factors such as the students' relationship with teachers, the observance of rule. In conclusion, there was a meaningful difference in the middle school students' participation in sports activity and the degree of satisfaction in their school life according to the background factor. There was a meaningful correlation between the participation in the sports activity and the degree on satisfaction in school life.

Endoscopy and Imaging Modalities/Basic Science of Gastrointestinal Disorders/Miscellaneous : Changing Pattern Of Digestive And Liver Disease In Korea, 1990-2006 Year; A Single Center Study

( Jung Hyun Kwon ),( Sang Woo Kim ),( In Sik Chung ),( Myung Gyu Choi ),( Kwan Woo Nam ),( Jung Pil Suh ),( Jae Hyuck Chang ),( Won Haing Hur ),( Yu Kyung Cho ),( Jae Myung Park ),( In Seok Lee ) 대한소화기학회 2007 SIDDS Vol.9 No.-

Background/Aims: Westernization in many Asian countries have changed lifestyles and diets, so once rare diseases have now become prevalent. The aim of this study is to investigate the changing pattern of digestive and liver disease in Korea, from 1990 to 2006. Methods: We extracted data specific gastrointestina (GI) disease based on the International Classification of Diseases code from the in-patients records at the Kangnam St. Mary`s Hospital in 1990, 1996 and 2006. This hospital is a tertiary-care hospital in Seoul, Korea, which has a capacity of 800 beds. Results: The admission rate for GI disease increased between 1990 and 2006. Overall in-patients were 1,623 persons in 1990, 2,368 persons in 1996 and 4,166 persons in 2006. The mean age of in-patients increased as time went by. A stomach cancer was the most common diagnosis during all periods, but its prevalence has decreased. Colon cancer ranked the 7th in 1990, but markedly increased and now ranks the second. The third was a hepatocellular carcinoma. The bile duct and gallbladder cancer, pancreas and esophageal cancer ranking followed with little interval change. In cases of cancer patients, a regular admission dramatically increased for chemotherapy. The number of patients admitted with pre-malignant neoplasm of stomach and colon increased remarkably with the development of endoscopy. The liver transplant, inflammatory bowel discase, and reflux esophagitis emerged form mid-1990s with greater frequencies, yet much below the levels found in the West. The admission rate for peptic ulcer, especially ulcer bleeding remained relatively stable, despite a decreased rate for ulcer perforation. Liver cirrhosis, hepatitis, cholelithiasis with cholecystitis-cholangitis, appendicitis, hemorrhoid and gastritis all decreased. Conclusions: The stomach cancer is the leading cause of admission, despite a recent decline. Colon cancer showed a marked rise. The liver transplant, inflammatory bowel disease and reflux esophagitis were new diagnosis with an increased tendency.

Clinical impact of admission hyperglycemia on in-hospital mortality in acute myocardial infarction patients

Kim, Eun Jung,Jeong, Myung Ho,Kim, Ju Han,Ahn, Tae Hoon,Seung, Ki Bae,Oh, Dong Joo,Kim, Hyo-Soo,Gwon, Hyeon Cheol,Seong, In Whan,Hwang, Kyung Kuk,Chae, Shung Chull,Kim, Kwon-Bae,Kim, Young Jo,Cha, Kwa Elsevier 2017 INTERNATIONAL JOURNAL OF CARDIOLOGY Vol.236 No.-

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Acute hyperglycemia on admission is common in acute myocardial infarction (AMI) patients regardless of diabetic status, and is known as one of prognostic factors. However, the effect of hyperglycemia on non-diabetic patients is still on debate.</P> <P><B>Methods</B></P> <P>A total of 12,625 AMI patients (64.0±12.6years, 26.1% female) who were enrolled in Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and December 2015, were classified into 4367 diabetes (65.4±11.6years, 30.4% female) and 8228 non-diabetes (63.3±13years, 23.9% female). Patients were analyzed for in-hospital clinical outcome according to admission hyperglycemic status.</P> <P><B>Results</B></P> <P>In diabetic patients, independent predictors of in-hospital mortality were old age, high HbA<SUB>1</SUB>C, pre-Thrombolysis In Myocardial Infarction (TIMI) flow 0, left ventricle ejection fraction<40%, cardiogenic shock and ventricular tachycardia. In non-diabetic patients, independent predictors of in-hospital mortality were old age, high admission glucose (≥200mg/dL), pre TIMI flow 0, failed percutaneous coronary intervention, low left ventricle ejection fraction<40%, cardiogenic shock, stent thrombosis and decreased Hb≥5g/dL. In hospital mortality was significantly higher in diabetic patients compared to non-diabetic patients (5.0% vs. 3.4%, <I>p</I> <0.001). However, non-diabetic patients with hyperglycemia have significantly higher mortality compared to diabetic patients (17.4% vs. 7.2%, <I>p</I> <0.001). Comorbidity including cardiogenic shock (<I>p</I> <0.001), cerebral hemorrhage (<I>p</I> =0.012), decreased Hb≥5g/dL (<I>p</I> =0.013), atrioventricular block (<I>p</I> <0.001) and ventricular tachycardia (<I>p</I> =0.007) was higher in non-diabetic with hyperglycemia than in diabetic patients.</P> <P><B>Conclusions</B></P> <P>These findings underscore clinical significance of admission hyperglycemia on in-hospital mortality in non-diabetic AMI patients.</P>

의료방사선관리의 국제화 연구 : 핵의학분야의 의료방사선관리

김인규,오헌진,김혁주,오현주,박기정,이광용,이병영,정승환,강영규,이현구,김귀야,한상용,김연교,양현규,이명철 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

의료방사선은 인간의 질병진료와 예밤에 활용되어 각종 질병으로부터의 적절한 진단 및 의학발전에 중대한 역할을 담당하고 띤다. 또한 인공방사선원중 가장 큰 비중을 차지하고 있으며, 방사선원을 이웅한 이득과 손실을 생각쌀 때 피폭선량의 최소화 및 곡률적영향의 최소화를 위해 이득을 최대화하는 노력을 하고 있다. 진단뿐만 아니라 치료에도 사응하고 있는 인공방사선원의 적절한 관리를 위한 조사 및 연구는 국내에서는 아픽까진 실시되지 않았으며, 국외에서는 이미 활발한 조사 덴 연구가 이루어 지 고 있다. 일반적으로 의료기관의 핵의학분야에서 환자의 진단 및 치료에 사용되는 방사성의약품으로는 Tc-99in, Ga-67, 1-131, 71-201 등이 있으며 이를 이용한 방사능측정웅장비 및 치료뭉장비에는 Gamma Camera, 감마선재측기, 베타선계측기, Dose CaTibrator, PET(양전자방출전산화단층촬영장치)등이 있다. 이어 식푿의약품안전청f"서는 핵의학분야의 방사선보건학적 연구를 위해 핵의학분야의 진료와 관련된 인력, 시설, 장비, 방사성의약품의 사응, 핵의학적 진료형태 및 핵의학적 진료장치에 대한 성능관리등에 대해 조사·연구하였다. A nationwide survey was conducted in the Korea in 2001 to determine the facilities available and the level of activity at centres where radionuclide and therapy was practised in 2000. A response rate of 75% indicated that 120 centres were providing radionuclide therapy and diagnosis. About the good treatment of radionuclide using in medical, researched so many country, but not yet in. Generally nuclear medical part use Tc-99m, Ga-67, I-131, Tl-201 in diagnosis and therapy, radiation detector and equipment for therapy use Gamma Camera, beta-counter, Dose Calibrator PET(Positron Emission Tomography). 81% rate of centre has Gamma Camera and 97% rate of use Tc-99m, I-131 radionuclide. In-vitro did more than in-vivo test absolutely. So in KFDA researched in unclear medical part in Man-Power, facilities, equipment use of nuclear medicine, part of diagnosis and diagnosis equipment.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

Condylar positioning changes following unilateral sagittal split ramus osteotomy in patients with mandibular prognathism

Kim, Myung-In,Kim, Jun-Hwa,Jung, Seunggon,Park, Hong-Ju,Oh, Hee-Kyun,Ryu, Sun-Youl,Kook, Min-Suk Korean Association of Maxillofacial Plastic and Re 2015 Maxillofacial Plastic Reconstructive Surgery Vol.37 No.-

Background: This study was performed to evaluate three-dimensional positional change of the condyle using three-dimensional computed tomography (3D-CT) following unilateral sagittal split ramus osteotomy (USSRO) in patients with mandibular prognathism. Methods: This study examined two patients exhibiting skeletal class III malocclusion with facial asymmetry who underwent USSRO for a mandibular setback. 3D-CT was performed before surgery, immediately after surgery, and 6 months postoperatively. After creating 3D-CT images by using the In-vivo $5^{TM}$ program, the axial plane, coronal plane, and sagittal plane were configured. Three-dimensional positional changes from each plane to the condyle, axial condylar head axis angle (AHA), axial condylar head position (AHP), frontal condylar head axis angle (FHA), frontal condylar head position (FHP), sagittal condylar head axis angle (SHA), and sagittal condylar head position (SHP) of the two patients were measured before surgery, immediately after surgery, and 6 months postoperatively. Results: In the first patient, medial rotation of the operated condyle in AHA and anterior rotation in SHA were observed. There were no significant changes after surgery in AHP, FHP, and SHP after surgery. In the second patient, medial rotation of the operated condyle in AHA and lateral rotation of the operated condyle in FHA were observed. There were no significant changes in AHP, FHP, and SHP postoperatively. This indicates that in USSRO, postoperative movement of the condylar head is insignificant; however, medial rotation of the condylar head is possible. Although three-dimensional changes were observed, these were not clinically significant. Conclusions: The results of this study suggest that although three-dimensional changes in condylar head position are observed in patients post SSRO, there are no significant changes that would clinically affect the patient.

관상동맥 스텐트 시술 후의 재협착에 관한 연구

김윤철,이정우,김보영,강정아,임대승,이민수,김정희,성보영,최성준,성인환,전은석 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

Coronary stent implacement is known as an effective treatment in the intimal dissection after percutaneous transluminal coronary angioplasty and the prevention of restenosis. However, In-stent restenosis still remains a major concern in clinical stenting. The stents were placed in 103 patients from July 1996 to March 1999 and performed follow-up coronary angiograms in 59(57.3%) patients. To identify the clinical, angiographic and procedurerelated variables 'which predict late restenosis within the stented artery, 59 patients(58.3±9.9, M:F= 41:18) were studied. The clinical characteristics of the patients were stable angina in 23(39.0%), unstable angina in 14(23.7%), acute myocardial infarction in 21(35.6%) and old myocardial infarction in 1(1.7%). Coronary stenting was performed in 1 patient(1.7%) for primary lesion, 50 patients(84.7%) for suboptimal results after PTCA, 6 patients(10.2%) for bail-out procedure, and 2 patients(3.4%) for restenotic lesions. All patients were treated with aspirin and ticlopidinc. The follow-up angiograms were obtained at 7±4 months. The overall in-stent restenosis rate was 27.1%. The coronary angiographic findings were 32 single vessel(54.2%), 19 two vessel(32.2%) and 8 three vessel disease(13.6%). The angiographic morphological characteristics were type A in 33(55.9%), type B in 14(23.7%), type C in 12(20. 3%) cases. Variables of 16 patients with restenosis were compared with those of 43 patients without restenosis. Previously known predictors for in-stent restenosis were multiple stenting, stenting for restenotic lesions, residual stenosis after stenting, stenting for total occlusion lesions, reference diameter, balloon to vessel ratio, acute gain and minimal luminal diameter after procedure, design and characteristics of stents, ostial lesion of aorta, high pressure method for stenting, lesion length, diabetes mellitus, size of artheroma, saphenous vein grafts, ulcerlating lesions and calcified lesions. In this study, Reference diameter before stenting(2.43±0.54mm vs. 2.88±0.65mm, p=0.016) and balloon-to-artery ratio(1.28±0.26 vs. 1.11±0.18, p=0.006) were predictors for in-stent restenosis. 1) The overall in-stent restenosis rate was 27.1%. 2) In the analysis of predictors for in-stent restenosis, there was no significant differences in clinical, angiographic factors between group with restenosis and without restenosis. But, Only reference diameter before stenting and balloon-toartery ratio were predictors of late in-stent restenosis. In conclusion, stenting is effective revascularisation method for selected patients with ischemic heart disease, and to minimize in-stent restenosis rate, stent implanting is achieved in a large vessel on the basis of an artery-to-stnet ration of 1:1, if possible.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1997)

김재홍,문득곤,김정수,김용준,임동진,박상훈,김희성,이민수,송기훈,김갑형,김형석,성소영,이인섭,김석우,황지환,조창근,김경문,부태성 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

Background : In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. Objective & Methods : For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1997. 99 strains of N. gonorrhoeae were isolated, among which 45(45.5%) were PPNG. Conclusion : The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 45.5% in 1997.