사망진단서(사체검안서) 상의 선행사인으로부터 사망통계의 원사인이 선정되는 비율 : 3개 대학병원에서 교부된 사망진단서를 중심으로

박우성,박석건,정철원,김우철,탁우택,김부연,서순원,김광환,서진숙,부유경 한국의료QA학회 2004 한국의료질향상학회지 Vol.11 No.1

Background : To exatnine the problems intolved in writing practice of death certificates, we cotnpated the determination of underlying cause of death for wital statistics using recorded underlying cause of death in issued death statistics. Methods : We collected 688 rnortality certificates issue in year of 2,000 from 3 university hospitals. And we also collected vital statistics from ministry of statistics. The causes of death were coded by experienced medical record wpecialists. And causes of death determined at ministry of statistics for national vita statistics were mapped to causes of death recorded at each death certificates. The rate that underlying causes of death for vital statistics were derived from underlying causes of death recorded at issued death certificaties sere analysed. Results : 64.5% of underlying cause of death for could be derived from underlying cause of death recorded at issued death certificates, 8.6% derived from intermediate cause of death, and 3.9% derived from direct cause of death. In 23% of cases, underlying cause of death could not be derived using issued death certificates. The rate that underlying cause of death for vital statistics could be derived from underlying cause of death recorded at death certificates was different between 3 university hospitals. Ane the rate was also different between death certificates and postmortem certificates. We classified the causes of death using 21 major categories. The rate was different between diseases or conditions tha caused death too. Conclusion : When we examined the correctness of death certificate writing practice using abpve methods, cortectness of writing could not be told as satisfactory. There was difference in correctness of writing between hospotals, between death certificates and postmortem certificates, and between diseases and conditions that caused death. With this results, we suggested some strategy to improve the correctness of death certificate writing practice.

연구논문 : 제주지역 미세먼지의 장기변동 및 농도변화에 관한 국지기상 분석

박연희 ( Yeon Hee Park ),송상근 ( Sang Keun Song ),이수정 ( Soo Jeong Lee ),김석우 ( Suk Woo Kim ),한승범 ( Seung Bum Han ) 한국환경과학회 2016 한국환경과학회지 Vol.25 No.1

Long-term variations of PM_{10} and the characteristics of local meteorology related to its concentration changes were analyzed at 4 air quality sites (Ido-dong, Yeon-dong, Donghong-dong, and Gosan) in Jeju during two different periods, such as PI (2001-2006) and PII (2007-2013), over a 13-year period. Overall, the long-term trend of PM_{10} was very slightly downward during the whole study period, while the high PM_{10} concentrations in PII were observed more frequently than those in PI. The concentration variations of PM_{10} during the study period was clarified in correlation between PM_{10} and meteorological variables, e.g. the low (high) PM_{10} concentration with large (small) precipitation or high (low) radiation and in part high PM_{10} concentrations (especially, Donghong-dong and Gosan) with strong wind speed and the westerly/northwesterly winds. This was likely to be caused by the transport effect (from the polluted regions of China) rather than the contribution of local emission sources. The PM_{10} concentrations in “Asian dust” and “Haze” weather types were higher, whereas those in “Precipitation”, “Fog”, and “Thunder and Lighting” weather types were lower. The contribution of long-range transport to the observed PM_{10} levels in the urban center (Ido-dong, Yeon-dong, and Donghong-dong), if estimated by comparison to the data of the background site (Gosan), was found to explain about 80% (on average) of its input.

환경의식의 종합적 측정을 위한 설문지 개발

우형택,문연화 대구효성가톨릭대학교 1998 연구논문집 Vol.58 No.2

With respect to the increasing importance of understanding our environmental concerns, this study was conducted to develop the questionnaire for the comprehensive and objective measurement of environmental concerns and test its reliability. The major research methods taken include the design of environmental questionnaire based on literature review and related theories, and the process of increasing the reliability of developed questionnaire through the repetition of reliability analysis. The total of 3 surveys were conducted and the total of 510 persons including diverse sample groups were questionnaired. The SAS PC+ package program was used in the reliability analysis of surveyed data. The first designed questionnaire consisted of 50 items including 25 items related to environmental pollution and 25 items related to nature conservation, reflecting various factors of environmental concerns. The result of the first reliability analysis showed that Cronbach-αfor the total was 0.75. To increase the reliability, items having low correlation with the total were eliminated, corrected, or revised. The reliability of redesigned questionnaire consisting of 46 items was significantly improved to the level of Cronbach-α0.88, the high reliability of measurement. In the second reliability analysis, 11 items were further revised and corrected to develop the questionnaire having the very high reliability. The reliability of the finalized questionnaire was further increased to the level of Cronbach-α0.92.

분편 인플루엔자백신(split influenza vaccine)의 임상효과 및 면역원성에 관한 연구

우흥정,김동림,정희진,천병철,이주연,안정배,김지희,박찬,신영규,김우주,김민자,박승철 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.1

목적 : 아단위 인플루엔자 백신 접종 후 백신의 인플루엔자 예방효과, 인플루엔자 방어 항체형성, 인플루엔자 백신의 안전성을 조사하고자 하였다. 방법 : 총 571명을 대상으로 인플루엔자 백신 접종을 하였고, 이들 접종자에서 인플루엔자 양질환의 이환을 조사하여 인플루엔자 백신의 인플루엔자예방효과를 알아보았고, 백신의 접종 전 및 접종 4주 후 혈청에서 혈구응집억제물(Hemagglutination Inhibition : HAI) 항체 검사를 실시하여 백신의 방어항체생성을 조사하였고, 백신의 안전성을 알아보기 위해 백신접종 후 1주일 이내의 부작용을 조사하였다. 결과 :백신 접종군과 백신 비접종군에서 인플루엔자 양 질환의 이환을 조사한 결과 접종군 28.35%, 비접종군 35.88%으로 나왔으며, p 값이 0.001로 통계적으로 접종군에서 유의하게 낮았고, 인플루엔자 양 질환의 예방 효과는 20.97%를 보였다. 백신의 방어항체 형성의 평가를 위해 유럽의 인플루엔자 백신 허가 기준을 조사하였는데 B/Guangdong/5/94균주의 백신접종 후 항체가 40이상의 비율을 제외한 다른 기준은 모두 만족 시켰다. 부작용은 전체 조사자 521명중 149명(29%)으로 주로 접종 부위의 국소 부작용을 호소했고, 전신 부작용은 2% 내외였으며 특별히 심각한 부작용은 발견되지 않았다. 결론 : 분편 인플루엔자 백신은 인플루엔자양질환의 예방과 방어항체생성에 효과 있으며 안전한 것으로 사료된다. Background : The safety and effectiveness of influenza vaccine are well known in developed country. The influenza vaccination has been recommended as one of the tentative immunization schedule for indicated persons since 1997 in Korea. But there are still no available data about them, even though nearly 5 million doses of influenza vaccine were used in 1997-1998 season. So it is immediately needed to investigate the safety. efficacy and immunogenicity of influenza vaccine among Korean. Methods : We studied the clinical efficacy of influenza vaccine by monitoring Occurrence of influenza-like illness in influenza risk group(vaccination ; 300, non-vaccination; 215) from December in 1997 to March in 1998. We used the split quadrivalent influenza vaccine containing 15 microgram of hemagglutinin of A/Beijing/262/95(HlNl), A/Wuhan/359/95(H3N2), B/Mie/1/93 and B/Guangdong/5/94. Hemagglutination inhibition(HA1) antibody titers were determined before immunization and 1 months after vaccination And we evaluated adverse effect of influenza vaccination at 7 days after vaccination. Results : Influenza vaccination was associated with si@icant reductions in influenza-like spptoms(vaccination group; 28.35%, non-vaccination group, 35.88%, p=0.001). The preventive effect of influenza-like i3lne.s among influenza risk goup was 20.97%. And immunogenicity of influenza A and B exceeded all of the European licensure criteria for immunogenicity except postvaccination proportion of titers 240 of B/Guangdong/5/94 strain. And the adverse effects were mainly local injection site problem and no serious adverse effect was noted. Conclusion : Split influenza vaccine is safe, inmunogenic and eff'tive in influenza risk group in Korea.

<외쪽이 설화>와 <地下國大賊退治 說話>에 보이는 自我의 自己實現 양상

신연우 洌上古典硏究會 2002 열상고전연구 Vol.15 No.-

"The Halfness-Child" can be regarded as the Self which draw back from the World. The Halfness-Child looks like it has no power to cope with the World. But he overcomes ultimately, not by the consciousness, but by the unconsciousness. The unconsciousness is believed that it has the ability which leads the Self to the right way and the power enough to gain the Self the life against to the World. The searcher in <Dragon slayer> tale also has the power to control the world by help of the unconsciousness, which is inner value of the Self, and sometimes contrary to the consciousness. It reflects the aspects of our real life, that is to say. We flinch from the world because we are weak, but at the same time we also have endless affirmative expectation about the power of the Self. We gain the power of the Self from inside, so it is radical and fundamental. And we have the will to realize the Self eventually, not submit to this robust World. When we read folktales we regard this will as just mirth or interest, but man reformed the world by the power of this will in the real world. The folktales like this seem like to be based on the belief that performers have in their Self that they will win ultimately, but they often don't know they have or realize.

南北韓對話와 東西獨의 接近方式

李瑛雨,鄭然植 경북대학교 법정대학 1980 法大論叢 Vol.18 No.-

The nations such as Korea, Germany, China, Pakistan and the Middle East are the example of political division and partition. Among those nations, particularly there are significant similarities and differences on the political division between Korea and Germany. This paper pursues to seek some findings in the process of approaches for the reunifications of the both countries, Korea and Germany. For this purpose this paper is analyzed under the similar descriptive chapters such as the emergence of partition and background of approaches, the main outcomes of talks and some perspectives for the further approaches of the both nations. With paying enormous efforts to achieve their utmost goal of the political reunifications Germanies have reached at a number of agreement for the cooperation of public health, economiy, postal service, various social, cultural aspects and so on In comparison with Germany, Koreas are still remaining in the first stage of the approach by the hindrance from the North which is nothing to be changed from the national liberation front line as a basic communist revolutionary strategy.

흉요추 방출성 골절의 방사선학적 소견

오연희,이현경,이원재,이성우,박수성 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

A retrospective review of 22 burst fractures of the thoracolumbar spine was performed to define the radiographic features found on CT and plain radiography. Characteristic components of the injury include : 1. Male to female ratio was 2.7 : 1, and the most prevalent age was 21 to 40 years. 2. Multiple level injuries were 6 cases (27.3%), and the most common cause of injury was fall down(14 cases, 63.6%). 3. The most cammon location was L1(45.5%) 4. The most common pattern of the retropulsed fragment in burst fracture was single midline fragment type(14 cases, 63.6%) and the most common type of burst fracture was classical form(10 cases, 45.5%). 5. Posterior element involvement of vertebra was seen in Ⅱ cases(50%) and the most common finding was laminar fracture in 9 cases. 6. The degree of anterior wedging above the 50% in height of vertebral body was in 4 cases (18.2%). 7. Degree of spinal canal narrowing and degree of neurological impairment is not directly correlated.

정밀어태치먼트의 완압정도에 따른 하악국소의치의 지지조직에 대한 3차원 유한요소 응력분석

정연진,우순섭,이영수,심광섭,유광희 한양대학교 의과대학 1999 한양의대 학술지 Vol.19 No.1

The purpose of this study was to evaluate the stress distribution developed in the supporting structures by mandibular distal extension removable partial dentures with 4 different precision attachments. The examined precision attachments were Mini SG attachment, CM box attachment. Mini Dalbo attachment, Technoroach attachment. Concentrated force(vertical force 200N, horizontal force 50N) was applied on the artificial 2nd molar of the removable partial dentures and distributed force(vertical force 100N, horizontal force 25N) was applied on the each artificial 1st, 2nd molars of removable partial dentures. Total 4 cases were compared and analyzed with 3-dimensional finite element method. And then, stress distribution patterns were analyzed and compared. The results were as follows. 1. In case of concentrated force; Maximal stress distribution was showed on the alveolus under artificial 2nd molar and then, stress mainly distributed on the residual alveolus of the denture base. 2. In case of distributed force; Maximal stress distribution was showed on the distal alveolar crest of distal abutment, and then, stress mainly distributed on the alveolus of mesial and distal abutments. 3. The stress of residual alveolus of non rigid attachment was greater than that of rigid attachment. 4. The stress of abutments of rigid attachment was greater than that of non rigid attachment.

후부비동에 관한 시신경의 해부학적 관계 : Ostiomeatal Unit CT상 연구 Ostiomeatal Unit(OMU)CT Anatomic Study

오연희,이성우 동국대학교 경주대학 1998 東國論集 Vol.17 No.1

PURPOSE : To delineate the relationship between the optic nerves and the posterior paranasal sinuses using CT data. MATERIALS AND METHODS : Direct coronal CT scans of 93 consecutive patients with chronic inflammatory sinus disease were reviewed two radiologist. The direct relationship between the optic nerves and the posterior ethmoid and sphenoid sinuses was recorded, as were indentations into the sinus wall, course of the nerve through the sinus region and bone dehiscence. RESULTS : A total of 186 optic nerves were evaluated in 93 patients. The relationship of the optic nerve to the posterior paranasal sinus fell into one of four discrete categories, type 1 through type 4. In most common form, type 1 nerves, course adjacent to the sphenoid sinus without indentation of the wall(153 nerves, 82%). Type 2 nerves course adjacent sphenoid sinus, causing indentation of the sinus wall (20 nerves, 16%). Type 3 nerves course through the sphenoid sinus(3 nerves, 2%). Type 4 nerves course immediately adjacent to the sphenoid sinus and posterior ethmoid air cell(0 nerves, 0%), Boone dehiscence was present in 11% of type 1 nerves, in 57% of type 2 nerves, and in 100% of type 3 nerves. CONCLUSION : The type 1 nerves were the most common form of the relation of the optic nerve to the posterior paranasal sinus and we had no case in contact with the posterior ethmoid sinus. Anatomic configurations that predispose the optic nerve to injury include type 2 or 3 optic nerves, bone dehiscence over the nerve. These configurations are common and should be routinely sought out so that devastating complications from surgery can be avoided.

수포성 갑개 : 만성 부비동염 123예에서 Ostiomeatal Unit(OMU)CT상 빈도수와 부비동 질환과의 상관 관게 Frequency and Appearance on OMU CT and Correlations with Sinus Disease in 123 patients with chronic Sinusitis

오연희,이성우 동국대학교 경주대학 1998 東國論集 Vol.17 No.1

Purpose: To determine the prevalence of concha bullosa in patients with chronic sinusitis, to assess the origin of the pneumatisation(from the anterior or posterior ethmoid cells), and to evaluate the significance of the concha bullosa in the genesis of inflammatory sinus disease. Materials and methods: We reviewed the OMU CT studies of 123 patients with chronic sinusitis, assigning four grades of pneumatisation; no, little, moderate, extensive. Results: Unilateral or bilateral concha bullosa was found in 51 patients(41%). In 76% of cases, it was pneumatised via the posterior ethmoid cells and in 24% via the anterior. A small concha bullosa was associated with abnormalities of the maxillary sinus, ethmoid cells and ostiomeatal unit respectively in 59%, 29%, and 41% of cases, whereas with a large concha bullosa the association was 50%, 30%, and 30% respectively on the ipsilateral side and also 50%, 10%, and 20% on the contralateral side. Conclusion: The presence of concha bullosa with variable size didn't correlate with sinus diseases in 123 patients with chronic sinusitis. And so usually accepted hypothesis that concha bullosa may contribute to the pathogenesis of inflammatory sinus disease seems doubtful.