장애인의 국민건강보험 건강검진 수검에 영향을 미치는 요인

박종혁,이진석,이진용,홍지영,김소영,김성옥,조병희,김용익,신영수,김윤,Park, Jong-Hyock,Lee, Jin-Seok,Lee, Jin-Yong,Hong, Ji-Young,Kim, So-Young,Kim, Seong-Ok,Cho, Byong-Hee,Kim, Yong-Ik,Shin, Young-Soo,Kim, Yoon 대한예방의학회 2006 예방의학회지 Vol.39 No.6

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.

편평 사마귀에 대한 DNCB와 DPCP 면역요법의 치료 효과에 대한 비교 연구

박종혁,김성진,이승철,원영호,전인기 ( Jong Hyuk Park,Seong Jin Kim,Seung Chul Lee,Young Ho Won,Inn Ki Chun ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.6

This stuc1y was conducted to evaluate the therapeutic effect of immunotherapy on verruca plana. Forty-four patients with verruca plana were tried with dinitrochlorobenzene(DNCB) and diphenylcyclopropenone(DPCP) by topical application on the norinal uninvolved skin of the inner arms for sensitization and challenge. The lesions were challenged in weekly intervals after sensitization. The results obtained in this study are as follows. 1. Mean age of our patients was 20-year-old and sex ratio was about 1:2 (14 of male, 30 of female). 2. Tbe sites of the lesion weve face (60.9%), neck (7.2%), trunk (2.9%), arm (li3.0%), hand (11.6% ), leg (4.3% ). 3. Thirty two patients (72.7%) from 44 cases were completely cured after DNCB (81.3%) and DPCP (67%) treatment and iesions on younger patients showed a better response than those of of older patients(p<0.05). 4. There were no statistic relationship between duration of the lesions and therapeutic response. 5. Average challenge number after sensitization was 3.77 in DNCB, 2.26 in DPCP, respectively. 6. Sensitization rates in the cured patients were to treat verruca plana 94.7% (18/19) in DNCB, 76.9% (10/13) in DPCP, respectively. (Korean J Dermatol 1997;35(6): 1082-1087)

변형을 동반한 족근 관절 관절염에 대한 관절 고정술 후 결과

박종혁,문승진,이주홍,Park, Jong-Hyuk,Moon, Seung-Jin,Lee, Ju-Hong 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.1

중등도 이상의 변형을 가진 족근 관절 관절염에 대해 관혈적 관절 고정술은 양호한 결과를 보였으며 경비골 도달법에 의한 관절 고정술이 이상적인 족근 관절의 고정 위치를 얻는데 보다 용이하였다. Purpose: We reviewed the results of ankle arthritis with advanced deformity treated with open arthrodesis. Materials and Methods: Seventeen patients who had painful ankle arthritis with advanced deformity underwent open arthrodesis using chevron osteotomy or transfibular approach and were followed for an average of 4.2 years (range, 1.5 to 9.7 years). The average age was 51.4 years and the most common cause was traumatic arthritis (13 patients). Postoperative outcome was evaluated using Mazur's grading system for ankle function. we also checked time to union, patient satisfaction, complications, position of arthrodesis and degenerative changes of adjacent joints. Results: Clinical score was improved to 76.4 points from 46.7 points. Average time to union was 4.3 months and the rate of satisfaction was 88%. Complications included 1 nonunion, 2 malunion, 1 superficial infection and 1 combined delayed union and malunion. There were 14 cases within $5^{\circ}$ valgus in frontal plane and 13 cases within neutral to $5^{\circ}$ dorsiflexion in sagittal plane. 3 cases in chevron osteotomy revealed valgus and plantarflexed position over $5^{\circ}$. Degenerative changes of adjacent joints was seen in 2 patients. Conclusion: Open arthrodesis for ankle arthritis with advanced deformity shows favorable clinical outcome. Transfibular approach shows more consistent results than chevron soteotomy for desired position of arthrodesis.

고혈압약 투약을 시작한 장애인의 투약 순응도와 이에 영향을 미치는 요인

박종혁,신영수,이상이,박재현,Park, Jong-Hyock,Shin, Young-Soo,Lee, Sang-Yi,Park, Jae-Hyun 대한예방의학회 2007 예방의학회지 Vol.40 No.3

Objectives : The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. Methods : The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. Results : The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence $(CMA{\geq}80%)$ rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. Conclusions : The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

Ubi-Home에서의 지능적 멀티미디어 스트리밍을 지원하는 DRM 설계 및 구현

박종혁,이상진,홍인화,안태원,이덕규,Park Jong-Hyuk,Lee Sang-Jin,Hong In-Hwa,Ahn Tae-Won,Lee Deok-Gyu 한국통신학회 2006 韓國通信學會論文誌 Vol.31 No.3C

본 논문에서는 Ubi-Home에서의 지능적 멀티미디어 스트리밍을 지원하는 콘텐츠 보호 및 관리 시스템(UHSMS-DRM: Ubi-Home Smart Multimedia Streaming-Digital Right Management)을 설계 및 구현하였다. 제안 시스템은 Ubi-Home에서 디지털 콘텐츠의 저작권 보호 및 관리를 위한 유연한 유통 플랫폼을 제공하며, PC, STB, PDA, Portable device 등 다양한 디바이스의 인증을 통해 정당한 사용자에게 Multimedia Steaming Service를 제공한다. 그리고, 도메인 인증개념을 적용하여 Ubi-Home의 모든 디바이스에 대한 라이센스 관리의 효율성을 높인다. 또한, Ubi-Home에서 intelligent Service를 위해 사용자의 위치를 인지하기 위한 알고리즘을 제안 및 적용한다. In this paper, we design and implement the UHSNS-DRM(Ubi-Home Smart Multimedia Streaming-Digital Right Management) in Ubi-Home. The proposed system support flexible distribution platform for digital content copyright protection and management in Ubi-Home. This system also can provide multimedia streaming service to authorized users who are using PC, STB, PDA, and Portable Device, etc. Furthermore, we adopt concept of domain authentication and it help to improve the efficiency of license management for all devices in Ubi-Home. We design user's location recognition algorithm in order to provide intelligent services. Of course, this algorithm is applied for the proposed system. Start after striking space key 2 times.

외안근에 발생한 고립형 근농양 1예

박종혁,전루민,Jong Hyuk Park,Roo Min Jun 대한안과학회 2014 대한안과학회지 Vol.55 No.4

Purpose: To report the case of an isolated abscess in an extraocular muscle. Case summary: We report a case of an isolated abscess in an extraocular muscle in a patient who was treated with systemic chemotherapy for precursor B lymphoblastic leukemia. A 54-year-old female who had undergone systemic chemotherapy for precursor B lymphoblastic leukemia presented with right ocular pain and limited eye movements. On ophthalmic examination, she had elevated intraocular pressure (IOP) and limited upward and downward gaze. MRI (magnetic resonance imaging) examination revealed an isolated abscess in right inferior rectus muscle. Although the patient was treated with empirical intravenous antibiotics and IOP-lowering agents, the size of the abscess increased, as confirmed by MRI findings. Therefore, we performed a pus drainage procedure by the transconjunctival approach. We were not able to find any residual abscess lesions on CT scans 3 months postoperatively. The patient's ocular pain disappeared and the limited eye movements improved significantly 6 months postoperatively. Conclusions: There have been no case reports of an isolated abscess in an extraocular muscle in Korea. For immunocompromised patients unresponsive to systemic empirical antibiotic treatment, an early pus drainage procedure by the transconjunctival approach may be a useful and effective therapeutic method in the management of an idiopathic isolated abscess in an extraocular muscle. J Korean Ophthalmol Soc 2014;55(4):616-622

해조환(海藻丸)이 갑상선(甲狀腺) 기능항진증(機能亢進症)에서 항산화(抗酸化) 효과(效果)에 미치는 영향(影響)

박종혁,윤철호,서운교,강정준,서종은,신억섭,정지천,Park, Jong-Hyuck,Yoon, Cheol-Ho,Seo, Un-Kyo,Kang, Jeong-Jun,Seo, Jong-Eun,Shin, Uk-Seob,Jeong, Ji-Cheon 대한한방내과학회 2000 大韓韓方內科學會誌 Vol.21 No.3

This study was carried out to examine if Haejohwan (HJ) inhibits oxidant-induced lipid peroxidation and therby produces protective effect against thyroxine-induced hyperthyroid rats. Triiodothyronine $(T_3)$, thyroxine $(T_4)$, lipid peroxidation, xathine oxidase activities and type conversion ratio were increased in thyroxine treated group. However, they were decreased in HJ extract's pre-applied group. Glutathione level, activities of glutathione peroxidase, glutathione Stransferase and glutathione reductase were decreased in thyroxine treated group. But, they were increased in HJ extract's pre-applied group. These results suggest that in thyroxine-induced hyperthyroid rats HJhas an increase in the activities of oxygen free radical scavenging enzymes and inhibition of xanthine oxidase activities, and prevents lipid peroxidation.

AIA 및 CMAA의 CM 분석을 통한 국내 CM 적용 시안

박종혁,박홍태,Park, Jong-Hyuk,Park, Hong-Tae 한국건축시공학회 2007 한국건축시공학회지 Vol.7 No.4

This study tries to provide concept on establishment of CM license basis, CM selection procedure and CM contract documents through a comparative study of CM services in several CM contract documents in the America. This results of study are summarized as follows; Establishment of basis on the work scopes and legal license of CM company. Establishment of CM selection and contract procedure. Preparation of CM contract documents. Preparation of CM manual.

정상안압녹내장의 시야손상 진행과 각막생체역학인자의 관련성

박종혁,최규룡.Jong Hyuk Park. MD. Kyu-Ryong Choi. MD 대한안과학회 2013 대한안과학회지 Vol.54 No.11

Purpose: To evaluate the association between corneal biomechanical properties and progression of visual field loss in normal tension glaucoma. Methods: This study enrolled 73 eyes of 73 patients with normal tension glaucoma who were undergoing medical treatment, and classified them into progressing and nonprogressing groups by visual field trend analysis. The corneal biomechanical properties measured by the Ocular Response Analyzer (ORA; Reichert Instruments, Depew, NY, USA), central corneal thickness, and Goldmann applanation tonometry were comparatively analyzed between the 2 groups. Results: Twenty-six eyes reached a progression endpoint. The prevalence of hypertension was higher in the progressing group (42.3%, progressing, 17.0%, nonprogressing; p = 0.03). Progressing eyes had lower corneal hysteresis (9.1 ± 1.3 vs. 9.8 ± 1.5 mm Hg, p = 0.03) and lower corneal resistance factor (9.5 ± 1.5 vs. 10.4 ± 1.4 mm Hg, p = 0.01) compared with nonprogressing eyes. Upon multivariate analysis, the presence of hypertension (odds ratio [OR] = 3.46, p = 0.03) and corneal hysteresis (CH) (OR = 0.66 per mm Hg lower, p = 0.02) remained statistically significant. Conclusions: The CH measurement with ORA was significantly associated with risk of visual field progression in normal tension glaucoma. Eyes with lower CH had a greater risk of progression of visual field loss than those with higher CH. J Korean Ophthalmol Soc 2013;54(11):1757-1766

시공공정 효율화를 위한 시뮬레이션 수식모형 구축에 관한 연구

박종혁,전용배,Park, Jong-Hyuk,Jeon, Yong-Bae 한국건설관리학회 2007 건설관리 : 한국건설관리학회 학회지 Vol.8 No.1

If construction process operate composing work team by judgment manager's experience, possibility that progress of construction process becomes as inefficient is much. But, If produce optimal proposal of resources allocation, construction cost and duration through simulation at work plan step, work schedule because do quantification efficient operate do on. When plan construction process in this research, resources allocation by change of work team operation change, resources cost loss, total cost, optimal proposal of construction duration tentative plan of numerical formula model that can do simulation propose. Apply and revealed to apartment house framework which horizontal work area of process and vertical work area are composed as is each different construction process to verify proposed numerical formula model. Achieved efficiency than work team's operation results which apply numerical formula model that is presented in this research and enforce simulation is applied in actuality example construction. 건설공사의 시공공정을 관리자의 경험적 판단에 의하여 작업팀을 구성하여 운영하면, 시공공정의 진행이 비효율적으로 될 가능성이 많다. 그러나 시공계획단계에서 모의조작을 통하여 자원할당, 공사비, 공사기간의 최적 안을 산출하면 시공공정을 정량화하여 효율적인 운영을 할 수 있다. 본 연구에서는 시공공정을 계획할 때 작업팀 운영의 변화에 따른 자원할당 변동치, 자원 손실비, 총공사비, 공사기간의 최적 안을 모의조작 할 수 있는 수식모형의 시안 식을 제안하였다. 제안된 수식모형을 검증하기 위하여 시공공정의 수평작업역과 수직작업 역이 각각 상이하게 구성된 공동주택 골조공사에 적용하여 시현하였다. 본 연구에서 제시된 수식모형을 적용하여 모의 조작을 실시한 결과가 실제 사례공사에서 적용된 작업팀의 운영실적보다 효율화를 달성하였다.