The Longitudinal Trend of Cardiac Surgery in Korea from 2003 to 2013

Lee, Kyeong Soo,Kim, Chang Suk,Park, Jong Heon,Hwang, Tae Yoon,Kim, Sang Won,Sim, Sung Bo,Lee, Kun Sei The Korean Society for Thoracic and Cardiovascular 2016 The Korean Journal of Thoracic and Cardiovascular Vol.49 No.sup

Background: The purpose of this study was to investigate longitudinal changes of the utilization of operational and surgical medical care inside and outside a metropolitan area over 10 years, analyzing the residential areas of patients and the locations of medical facilities for major cardiovascular surgery. Methods: Data analysis was conducted by classifying the addresses of patients and the locations of medical care facilities of metropolitan cities and provinces, using data from the National Health Insurance Corporation from January 2003 to December 2013. Results: There is serious concentration of major heart surgery to medical facilities in Seoul; this problem has not improved over time. There were differences in percentages of surgical procedures performed in the metropolitan areas according to major diseases. In the case of Busan and Daegu provinces, at least 50% of the patients underwent surgery in medical facilities in the city, but there are other regions where the percentage is less than 50%. In the case of provinces, the percentage of surgical procedures performed in medical facilities in Seoul or nearby metropolitan cities is very high. Conclusion: Policies to strengthen the regional capabilities of heart surgery and to secure human resources are required to mitigate the concentration of patients in the capital area. Many regional multi-centers must be designated to minimize unnecessary competition among regional university hospitals and activate a win-win partnership model for medical services.

우리나라 화상 환자의 발생 및 치료현황

이원재,배남석,이혜경,나동균 대한화상학회 2003 대한화상학회지 Vol.6 No.2

종합검진센터 내원자에서 관상동맥질환 위험요인들의 분포

이충원,이종영,박종원,윤능기,김영조,이현우,이무식,서석권 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3

1991년3월부터 8월사이에 대구시에 소재한 1개의 대학병원의 종합검진센타에 내원해서 종합검진을 받은 남자 422명(69.9%)과 여자 182명(30.1%)을 대상으로 하여 심헐관계질환의 위험요인들의 전체적인 분포를 보았다. 평균 연령은 남자가 43.3(표준편차, 10.3), 여자가 44.4(표준편차, 10.8)였다. 남자에서 연령에 따라 0.05 수준에서 통계적인 유의성을 보인 위험인자는 혈청 총콜레스테롤(TC). 트리글리세라이드(TC), 고밀도 지단백콜레스테롤(HDL), 저밀도 지단백콜레스테롤(LDL), 수축기혈압, 비체중, A형행동양상이었으며 생활습관으로서는 음주, 흡연, 규칙적인 운동, 우유와 커피섭취, 수면 등이었다. 여자에서는 TC, TG, LDL, 수축기와 확장기혈압, 비체중 그리고 커피섭취와 수면 등이었다. 남자에서 총콜레스테롤의 평균은 181.7mg/dl(표준편차, 32.2), 여자는 182.5mg/이(표준편차, 42.2)였다. 대부분의 위험인자들은 구미의 수준에 미치지 못했으나 남자에서 흡연율이 전체적으로 61.8%로 높으 수준이었으며 특히, 20~29세가 72.9%, 30~39세가 75.2%로서 다른 연령군에 비해 상대적으로 높았다. 여자에서는 전체적으로 6.0%에 지나지 않았다. 확장기혈압 90mmHg 이상을 고혈압자로 정의했을 때의 유병률이 여자 전체대상자에서 24.7%로 높았으며 50-59세는 표본수가 적어서 문제가 되었으나 53.1%였다. 어떤 인구집단내에서 총콜레스테롤의 평균이 200mg/dl 미만이면 고혈압과 흡연의 인구집단의 수준에 관계없이 관상동맥질환(coronary heart disease)의 발생은 드문 것으로 보고가 되고 있으므로 당분간 관상동맥질환 발생률의 급속한 절대적인 증가는 힘드리라 사료된다. 그러나 이러한 결과는 본 연구의 대상자들이 대표성을 지니지 못하며 건강검진센터에 자발적으로 내원한 사람들이므로 해석에 주의를 요한다. Authors examined the distributions of the risk factors for the coronary heart disease in the 422 male (69.9%) and 182 female (30.1%) visitors to the health examination center of a university hospital located in Taegu March to August 1991. Mean age of males was 43.3(standard deviation, SD 10.3) and that of females was 44.4(SD 10.8). Total cholesterol(TC), triglyceride (TG), high-density lipoprotein and low-density lipoprotein cholesterol(LDL), systolic blood pressure, Quetelet index, and Type A Behavior Pattern, and some of life habit variables(alcohol intake, smoking, regular exercise, milk and coffee intake and sleeping) were statistically significant in age groups of the males(P<0.05). In the females, TC, TG and LDL, systolic and diastolic pressure, Quetelet index, coffee intake and sleeping were statistically significant in age groups (P<0.05). Mean of total cholesterol was 181.7㎎/dl(SD,32.2) in males and that of females was 182.5㎎/dl(SD,42.2). Most of the risk factors levels were lower than the Euro-Americans', while smokers were high with 61.8%, especially 72.9% in 20-29 age group and 75.2% in 30-39 age group in males. In females, smokers were just 6.0%. Hypertensives defined by more than 90mmHg diastolic pressure were 24.7% in females, particularly 53.1% in 50-59 age group, but size of the strata was rather small(N=49). In the light of the report that coronary heart disease is uncommon irrespective of population levels of smoking and hypertension, where average total blood cholesterol level in a population is low(<200mg/dl), it is not likely that the absolute increase of the number of the coronary heart disease will increase markedly in the near future. But cautions should be exercised in interpreting the results of this study due to the lack of representativeness and volunteerism. .

K 대학병원 서어비스에 대한 소비자 만족도

이태섭,박종원,이무식,윤능기,이충원,서석권 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3

Authors administered a questionnaire to 300 clients visited to the K University Hospital during August in 1992 to investigate the degree and related factors of consumer's satisfaction with the hospital services. Clients consisted of 82 in-patients and 158 out-patients, 52.4 percent of them was male. Four dimensions of satisfaction were assessed which were medical management, administration, environment and attitude. In-patients reported as dissatisfied with the waiting time during receipt, investigative medical procedures and pharmacy (64.7%), lack of conveniency facilities for patients and their guardians(48.8%) and provision of conveniency facilities in the ward(42.4%), unsanitary state of out- and in-hospital(41.5%). Out-patients reported dissatisfaction with the course of medical management and the time needed(70.3%), the waiting time during receipt, investigative medical procedures and pharmacy(68.3%), lack of conveniency facilities for patients and guardians(42.4%). But both in-patients and out-patients were satisfied with medical equipments, doctor's diagnosis reliability and medical effects, technician's attitude more than 50%. Canonical correlation analysis was done to find related sociodemographic factors to the four dimensions of satisfaction. Of the four canonical functions, the first was only statistically significant in in-patients. Its eigen value was 0.56 and its canonical correlation coefficient was 0.60. Satisfaction with environment and medical management was selected as important concept in dependent variables. Standardized canonical function of environment and medical management were 0.76 and 0.35 respectively. It was related with woman with high educational attainment and increasing number of hospital visits. In out-patients, the first, second and third function were statistically significant and their eigen values were 0.18, 0.4, 0.08 respectively which were small compared to those of in-patients. Their canonical correlation coefficient were 0.40, 0.35, 0.28 respectively. Low degree of environment but high degree of medical management satisfaction was noted in the first function which was related with old age, woman and professional occupation. Low degree of satisfaction with administration(second function) was related with city resident, non-professional occupation and young age. High degree of medical management but low degree of administration satisfaction(third function) was related with surgical visitor, man and non-professional occupation. The direction of hospital managerial strategies could be planned and general characteristics of dissatisfactory clients might be suggested with these results.

공원묘지 유실에 의한 대량재해의 개인식별

강신몽,이한영,윤중진,이원태,김종열,이영석,서재관,최득린,서지석,이혜경 大韓法醫學會 1992 대한법의학회지 Vol.16 No.1

Individual identification of severely decomposed or skeletonized bodies is an important part in medicolegal field. 142 bodies were torn up and carried away by flood in a park cemetry, Kwang-Ju, Kyunggi province, Korea at Sept., 10, 1990. The authors examed the 56 bodies, which were gained, through medical, anthropological, odontological, radiological methods, and superimposition for individual identification. Among them, 41 cases were successfully identified, and remaining 15 cases were not identified because of sever destruction and no adequate information.

Liquid‐Crystalline Blue Phase Laser with Widely Tunable Wavelength (Adv. Mater. 21/2013)

Hur, Sung‐,Taek,Lee, Bo Ram,Gim, Min‐,Jun,Park, Kyung‐,Won,Song, Myoung Hoon,Choi, Suk‐,Won WILEY‐VCH Verlag 2013 ADVANCED MATERIALS Vol.25 No.21

<P>A liquid‐crystalline blue‐phase laser with a tunable photonic bandgap (PBG) of over 150 nm and a wide temperature range is demonstrated by Myoung Hoon Song and Suk‐Won Choi on p. 3002. A lasing peak shift of more than 100 nm is realized due to the large PBG shift of the liquid‐crystalline blue phase. The shift in the lasing wavelength was reversible during repeated temperature changes over the entire stability range of the liquid‐crystalline cubic blue phase. </P>

十二變에 대한 考察 : 六元正紀大論을 중심으로

채영진,남호현,이석모,여성원,한성규,이재원,안민식,정헌영,금경수 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

The six kinds of natural factors(It refers to wind, cold, summer-heat, dampness, dryness and fire.) is constantly moving to maintain the balance of whole climate of one year. Four seasons are the largest mediation of whole climate of one year. The cold and the heat have the relationship of mutual intervention. The dampness and the dryness have it also. In this process they raise various climate appearance. And that various climate appearance influence the whole lives on the earth. This paper is concerned with the classification of them.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

중국의 미니멀리즘 패션에 나타난 미의식 연구 -도가(道家)의 ‘도(道)’ 미학을 중심으로-

양정원(Yang, Jung Won),이미숙(Lee, Mi Suk) 한국디자인문화학회 2021 한국디자인문화학회지 Vol.27 No.2

본 연구 목적은 탈현대적 가치를 갖는 도가사상의 ‘도(道)’ 미학에 주목하여 중국의 미니멀리즘 패션에 내재되어 있는 미의식을 분석하고자 한다. 연구 방법은 선행 연구 및 관련 서적을 중심으로 문헌 고찰을 통해 서양 미니멀리즘과 이와 연관성을 갖는 ‘도’ 미학을 살펴보고 이를 토대로 도가적 미니멀리즘 미의식을 도출한 후 중국의 미니멀리즘 패션의 미의식을 분석하였다. 연구범위는 2008년 이후부터 2021년까지 중국문화에 노출되어 중국문화의 영향을 받은 중국계디자이너들이 전통적 미의식을 통해서 미니멀리즘으로 재해석한 작품을 대상으로 하였다. 서양 미니멀리즘과 상응하는 연관성을 갖는 ‘도’ 미학을 허(虛), 무위자연(無爲自然), 유(遊), 유무상생(有無相生) 등의 미적 개념으로 대별하여 조형적 특성 및 미적 가치를 살펴본 후 도출된 도가적 미니멀리즘의 미의식은 ‘비움의 허무미’, ‘미완의 약졸미’, ‘일기적 공간미’, ‘변증적 상생미’ 등으로 나타났으며 이를 토대로 중국의 미니멀리즘 패션에 내재된 미의식을 분석한 결과는 다음과 같다. 첫째, 서양의 미니멀리즘의 ‘단순성’은 자연의 ‘본질추구’라는 특성을 내포한 ‘허’의 미적 개념과 연관성이 발견되며, ‘허의 미니멀리즘적 단순성’에서 도출된 ‘비움의 허무미’는 무정형이며 일체의 꾸밈이 없는 직선형 실루엣의 간결한 형식으로 표출된다. 둘째, 미니멀리즘의 ‘환원성’은 ‘자연적 본질로의 회귀’라는 특성을 내포한 ‘무위자연’의 미적 개념과 연관성이 발견되며, ‘무위자연의 미니멀리즘적 환원성’에서 도출된 ‘미완의 약졸미’는 인위적 흔적을 덜어내고 자연의 본성 그대로를 전시하기 위해 천연재료의 본형을 살리려는 방법으로 표출된다. 셋째, 미니멀리즘의 ‘상황성’은 ‘절대 자유의 공간 추구’의 특성을 내포한 ‘유’의 미적 개념과 연관성이 발견되며, ‘유의 미니멀리즘적 상황성’에서 도출된 ‘일기적 공간미’는 비구조적 풍성한 실루엣, 천연의 질감을 갖는 소재 등을 통해 표출된다. 넷째, 미니멀리즘의 ‘전체성’은 ‘유무대립의 관계가 상생하여 강렬한 어울림’을 내포한 ‘유무상생’의 미적 개념과 연관성이 발견되며, ‘유무상생의 미니멀리즘적 전체성’에서 도출된 ‘변증적 상생미’는 비대칭, 비균제적 조화를 통해 표출된다. 이상으로 자연주의적 색채가 강한 도가적 미의식은 환경을 고려한 지속 가능한 패션 디자인의 기초자료로 활용되리라 기대된다. The purpose of this study is to analyze the aesthetic consciousness inherent in Chinese minimalism fashion by paying attention to the ‘Do’ aesthetics of the Taoism, which has post-modern values. As a research method, through literature review focusing on previous studies and related books, Western minimalism and its related ‘Do’ aesthetics were examined, and the aesthetic consciousness of Taoist minimalism was derived based on this, and then the aesthetic consciousness of Chinese minimalism fashion was analyzed. The scope of the study was targeted at works that were exposed to Chinese culture from 2008 to 2021 and reinterpreted as minimalism by Chinese designers who were influenced by Chinese culture with a traditional aesthetic consciousness. The aesthetic consciousness of Taoist minimalism, which was derived after examining formative characteristics and aesthetic values by dividing the aesthetics of ‘Do’, which has a corresponding connection with Western minimalism, into aesthetic concepts such as ‘Heo’, ‘Muwi-jayeon’, ‘Yu’, ‘Yumusangsaeng’, appeared as ‘Empty Heomu beauty’ and ‘Unfinished Yakzol beauty’, ‘Ilgijeok Space beauty’, ‘Dialectic Win-win beauty’. Based on this, the results of analyzing the aesthetic consciousness inherent in Chinese minimalism fashion are as follows. First, the ‘simplicity’ of Western minimalism is found to be related to the aesthetic concept of ‘Heo’ which implies the ‘pursuit of the essence’ of nature, the ‘Empty Heo-mu beauty’ derived from ‘Heo’s minimalistic simplicity’ is expressed in a concise form of a straight silhouette without any amorphous ornamentation. Second, the ‘reduction’ of minimalism is found to be related to the aesthetic concept of ‘Muwi-jayeon’, which contains the characteristics of ‘return to the essence of nature’ and ‘Unfinished Yakzol beauty’ derived from ‘minimalistic reducibility of Muwi-jayeon’ is expressed as a way to remove artificial traces and reveal nature. Third, the ‘situationality’ of minimalism is found to be related to the aesthetic concept of ‘Yu’, which contains the characteristics of ‘absolute freedom space pursuit’, and the ‘Ilgijeok Space beauty’ derived from ‘minimalistic situationality of Yu’, is expressed through unstructured silhouettes and natural textures. Fourth, the ‘wholeness’ of minimalism is found to be related to the aesthetic concept of ‘Yumusangsaeng’ that implies ‘intense harmony due to the coexistence of relationships’, and ‘Dialectic Win-win beauty’ derived from the ‘Yumusangsaeng’ of the aesthetics of the ‘existence-free coexistence’ is expressed through asymmetric and non-uniform harmony. As mentioned above, the Taoist aesthetic with strong naturalistic colors is expected to be used as a basic material for sustainable fashion design considering the environment.

인터넷 메타데이타 검색 및 관리 시스템의 설계 및 구현

이원석,박경용,양영종,정효택,김순용,이규철 한국문헌정보학회 1997 한국문헌정보학회지 Vol.31 No.2

인터넷은 디지탈 형태의 다양한 정보를 신속하게 전달한다는 점에서 매우 각광을 받고 있다. 그러나, 대량의 인터넷 정보 중에서 자신이 원하는 정보 자원을 정확하게 많이 얻어 낼 수 있는 방법의 제공은 매우 어려운 문제이다. 본 논문에서는 인터넷 정보 자원의 메타데이타를 관리하기 위해 SeriCore라는 SGML 형식의 메타데이타 DTD(Document Type Definition)를 정의하고, 이들 메타데이타를 효율적으로 저장하고 검색, 관리할 수 있는 시스템을 설계, 구현하였다 The Internet has gained popularity because ot provides various information in digital format. However, it is very difficult to provide methods which make it possible to search adequate information resource from bulk of Internet information. In this paper, we define a SGML metadata DTD, named SeriCore, and design and implement a metadata retrieval and management system which can store, retrieve and manage the Internet metadata efficiently