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.

태권도 수련아동의 정서반응에 대한 연구

조연철,김찬우 啓明大學校 生活科學硏究所 2005 科學論集 Vol.31 No.-

Purpose of this study was to identify emotion study of Taekwondo Training children. to reach the purpose, 383 out of 400 children who participate in taekwondo training in Ulsan area were sampled. Questionnaire data were obtained from all subject by self-administration method. Frequency analysis, ANOVA analysis were conducted and SPSS for Window 11.0 program was used. Results of analysis could be summarized as the following 1. Male, 4th grade, 2 year training, 5th/week children are most popular among the subjects. 2. Relation of grade and purity present difference among 6th, 4th grade and middle school student. In the avoidance, difference present between 5th, 4th grade and middle school student. In the aggression and sociality, no difference presented, in the misconduct, difference between among the subjects. 3. Relation between participation period and emotion present no difference. 4. Relation of participation inducement and emotion present difference at aggression. 5. Relation of gender, training period and fear present no difference. Relation of gender, training period and devotion present no difference. In purity and misconduct, only gender present difference. Avoidance and aggression present no difference. 6. Relation among gender, participation inducement and fear present difference. Relation only between gender and participation inducement present no difference at avoidance. 7. Relation of grade, training period and avoidance, aggression, sociality, misconduct, purity present difference only at grade. 8. Relation of grade, participation inducement and fear, devotion present no difference. Relation between grade and participation inducement present difference at purity and avoidance. In aggression, only participation inducement present difference. In sociality, grade and participation inducement present no difference. In misconduct, only grade present difference.

사춘기 자녀와 어머니간의 커뮤니케이션에 관한 연구

오연옥,이정우 숙명여자대학교 생활과학연구소 1991 生活科學硏究誌 Vol.6 No.-

The children's gravity in a home is really great, so the education of children is an important problem. When they are in the infant days, the children are entirely influenced by their parents, but as soon as they are at paberty, they want to stand on their own legs with desire to find out the self. As a man who has character, they learn the responsibility to their activity through the communication. Also, they become defiant because they have mental troubles and can't adapt to the ideal and reality. We all hope to stabilize our home and grow the teenagers splendid, so the communication between parents and children is very important. The purpose of this study is to provide the basic imformation for the happy family life with the smooth communication between mother and the adolescent children work by analyzing the elements regarding the communication between mother and the adolescent children. The detailed contents of this study are as follows: 1) How general level of the communication satisfaction between mothers and their adolescent children is ? 2) How general level of the communication satisfaction in every low-ranking division is ? And how influence by socio-demographic factors(sex distinction, numbers of brothers and sisters, mother's education, profession and age, the level of home income). 3) How background variables influence independently mothers ans their adolescent children ? The research was inspected by 432 students of Girls' and Boys' High School in Seoul. As the means of the measurement, the questionaire was used and α=.61 as the result of Cronbach's Confidence Test. The questionnaires are composed for 30 days from the 25th of June. The data were analyzed by frequency, percentage, arithmetic mean, t-test, F-test, Duncan's Multiple Regression Test and Stepwise Multiple Regression Analysis. The results are summarized as follows: 1) The very satisfactory group is 26.2%, ordinary satisfactory group is 35.8% and undersatisfactory group is 38.0% in the communication satisfaction test between mothers ans their adolescent children. 2) The mean of the satisfaction is 3.41. Especially, the low-ranking divisions of the scholarly attainment, future aspiration, school life, making friends, social problems are more higher than total mean but the low-ranking divisions of the sex education, sex role, physical growth, valuation, family life are more lower than total mean. The children's communication satisfaction according to independent variables is significant. It showed high satisfaction in a home which has small number of children(p<.001) ans the high level of mother's education(p<.001). But mother's profession and age is partially significant. 3) The background variables influence the communication satisfaction between mothers and their adolescent children: mother's education is 35.7%, sex distinction is 8.5%, home income is 5.6%, number of brothers and sisters is 1.26%, mother's age is 1.28%. And they show totally 52.4%. As the above results show, in our country mother's concern about their children's scholary attainment and school life is great but they don't understand children's mental and emotional anxiety. So it is necessary to educate children through the communication in order to inspire them with the right valuation and firm subjectivity, because they are very important for the future of this country.

구미산업단지 대기중 휘발성유기화합물(VOCs)의 농도특성

최우건,배상호,박덕신,정연구,김태오 한국환경과학회 2004 한국환경과학회지 Vol.13 No.3

This study focuses on the measurement of airborne Volatile Organic Compounds (VOCs) in the Kumi electronic industrial complex during the time periods of August and September, 2002 and January and February, 2003. This study was based on the US-EPA method TO-14 while the VOCs were analyzed with GC/MSD. The toluene level revealed high concentration at all measurement sites. The areal rank of average concentrations of VOCs is as follows : industry l>industry2>urban>middle>residential. Concentrations of VOCs in Kumi electronic industrial ones were generally higher than at Yeochon and Ulsan industrial complexes. Dichloromethane and trichloroethylene, which are used as a cleaner in the process of electronic industries, were observed 4 to 8 times higher than those of other areas. Among the aromatic compounds, toluene showed the highest level, while the concentrations of dichloromethane and trichloroethylene were higher than those of other halogen compounds. In Kumi, toluene, trichloroethylene, and dichloromethane were confirmed as the major compounds of VOCs by this research.

국내에서 발생하고 있는 사람 브루셀라증의 임상적 특성

김연숙,최영실,오원섭,권기태,이혁,이선희,손준성,김신우,장현하,정숙인,고관수,박미연,백경란,송재훈 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

배경 : 2002년 내국인에서의 첫 사람 브루셀라증의 증례 보고 이후 국내에서 사람 브루셀라증이 빠른 증가를 보이고 있다. 이에 연구자들은 국내에서 발생하는 브루셀라증의 임상적 특성을 연구하고자 하였다. 방법 : 2003년부터 2006년 7월까지 7개 대학병원에 내원한 환자들을 대상으로 WHO의 진단기준에 의하여 확진된 브루셀라증 환자들의 의무기록을 후향적으로 조사분석 하였다. 배양된 균은 삼성서울병원에 의뢰하여 16S rRNA 유전자 분석방법을 이용하여 종을 확인하였고, 표준시험관응집검사는 국립보건원에 의뢰하여 시행하였다. 결과 : 34예의 환자들이 브루셀라증으로 확진되었고, 31명이 남자였다. 혈액에서 B. abortus가 증명된 경우가 8예, 표준시험관 응집검사상 의미 있는 항체가 상승을 보인경우가 26예이었다. 환자들은 대부분 축산업관련 종사자였고, 추후 브루셀라증으로 확진된 소와의 직접 접촉을 통해 감염된 것으로 여겨진다. 국내 사람 브루셀라증의 가장 흔한 증상은 발열이었고, 위장관계 합병증이 가장 흔히 동반되었다. 치료로는 doxycycline/rifampicin이 24예의 환자에서 doxycycline/aminoglycoside (streptomycin 혹은 gentamicin)이 10예의 환자에서 6주 이상의 기간 동안 투여되었다. 치료에 반응을 보이지 않는 환자는 없었고, 재발이 1예 있었다. 결론 : 국내에서 발생하는 사람 브루셀라증의 원인균으로 현재까지 분리 동정된 것은 B. abortus이며, 소 브루셀라증의 증가로 인해 인체감염사례가 함께 증가하는 것으로 사료된다. 위험 직업군 종사자들에서 감염된 소와의 직접 접촉을 통해 주로 발생하고 있는 브루셀라증의 임상종상은 국외에서 발생하는 경우와 유사한 양상을 보이고 있으며 치료에 대한 반응은 비교적 좋은 편이긴 하나, 추후 보다 많은 환자들을 대상으로 한 연구가 필요하리라 사료된다. 사람 브루셀라증의 조절을 위해서는 소 브루셀라증의 조절이 필수적이며, 브루셀라증의 조절에 성공한 선진국의 사례를 적극적으로 도입해야 할 것으로 생각된다. Background : Since the first Korean case of human brucellosis was reported in 2002, the incidence of human brucellosis has been rapidly increasing. We performed this study to evaluate the clinical characteristics of human brucellosis occurring in South Korea. Materials and Methods : Demographic features, clinical manifestations, and therapeutic outcomes of cases confirmed as brucellosis according to WHO diagnostic criteria were evaluated. Species of Brucella isolates were identified with 16S rRNA gene sequencing method. Serologic diagnosis was performed with standard tube agglutination test (STA). Results : A total of 34 cases were enrolled from 2003 to 2006 in six hospitals. Eight cases were confirmed with the isolation of Brucella from blood and 26 cases were confirmed with titer of antibodies ≥1:160 by STA. Male (31) was predominant and most of the patients were cattle farmers. The most common transmission route was direct contact with infected or their cattle byproducts. Fever was the most prominent symptom and fatigue followed. Gastrointestinal and musculoskeletal systems were commonly complicated. Patients were treated with doxycycline and rifampin or aminoglycosides for more than 6 weeks. All patients responded well to the therapeutic regimens, but one patient relapsed 10 months after treatment. Conclusion : Brucellosis occurring in Korea has been caused by B. abortus, whose preferred natural host animals are cattle. Korean patients were infected through direct contact with bovine brucellosis. Clinical manifestations of brucellosis were similar to those occurring worldwide. Therapeutic outcomes were good among patients with brucellosis in Korea. In order to prevent human brucellosis, measures to eradicate bovine brucellosis should precede.

『鄕藥集成方』의 데이터베이스 구축을 위한 원문의 전산처리

강연석,안상우 한국한의학연구원 2001 한국한의학연구원논문집 Vol.7 No.1

The 85 books were compiled into Hyangyakjipseongbang(鄕藥集成方) at the period of the king Sejong(世宗). That books were assembled on the late stage of the Korea dynasty(高麗) and the first stage of the Chosun dynasty(朝鮮). It is a great work on medicine and a textbook of native herbs representing independent medicine of the dynasty of Chocun. The original text was written in technical chinese character terms and this was processed with a newly developed text cognizance program which helped decrease the time and energy needed and increase accuracy. We hope that the ground work and experience gained from this process would be analyzed and used for future in computerized information management for medical classic literature.

韓國利益集團의 政治參與實態 및 그 發展方案硏究 : 大邱의 경우를 중심으로 A Case Study and Its Policy Implications

李瑛雨,鄭然植,盧東一 경북대학교 1987 社會科學 Vol.6 No.-

This paper analyzes the problems in the political participations of the interest groups and derives some policy implications for the development of democracy in Korea. A survey of 105 social and economic interest groups and 556 residents -181 as elites and 375 as masses-was performed in Taegu during August and September, 1987. We found through the survey that the interest groups usually participate into government agencies with conventional methods rather than non-government agencies with unconventional methods. The power and distributional structures are crucial factors characterizing the participations of Korean interest groups. The two structures, therefore, should be properly reorganized when we design the policies to develop the interest group politics in Korea.