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가감팔물탕(加減八物湯)을 투여한 아토피 피부염 환자 104명의 경표피수분손실율 변화
안상훈,이종훈,Ahn Sang-Hoon,Lee Jong-Hoon 대한한의학방제학회 2003 大韓韓醫學方劑學會誌 Vol.11 No.1
The skin is a barrier between the living organism and its environment, and this barrier function resides in the stratum corneum. The main function of the stratum corneum is to serve as a barrier preventing the penetration of irritants and transepidermal water loss(TEWL). The rate of transepidermal water loss is a convenient parameter for expressing barrier function. Impaired barrier function was manifested by a greatly increased rate of transepidermal water loss. In atopic dermatitis the rate of transepidermal water lossis greatly increased transepidermal water loss. Medication of Gagampalmultang restored to normal the abnormally high rates of transepidermal water loss in the 104 patients with atopic dermatitis. It specifically plays an important role in regulating barrier function.
북한이탈주민과 남한주민의 복지태도 차이에 관한 다집단경로분석 연구
안상훈(Sang-Hoon Ahn) 한국사회정책학회 2020 한국사회정책 Vol.27 No.1
이 연구에서는 북한이탈주민과 남한주민의 복지태도를 결정하는 사회계층화 변인들의 이론적 경로구조가 두 집단 사이에 동일한지, 차이가 난다면 어떤 점에서 차이가 나는지를 실증분석을 통해 검증하였다. 두 집단에 관한 비교가능한 사회조사자료에 대해 다집단경로분석을 실시, 형태동일성 검증과 등가성제약 검증을 수행하였다. 분석결과 기본적인 형태동일성이 확인되었고 교육수준 변인으로부터의 경로를 제외한 모든 경로에서 경로계수에 대한 집단 간 등가성제약도 확인되었다. 사회계층론의 객관적 지표인 교육수준, 소득수준, 주거지위가 주관적 지표인 계층의식을 매개로 하여 복지태도에 영향을 미친다는 가설이 검증된 것이다. 이는 인적자본론과 주거계층론의 주요 논점을 재확인한 것이기도 하다. 연구결과는 실천적 함의도 지닌다. 통일시대 남북주민 간 사회통합의 중심적 이슈로서 복지정치의 갈등구조를 남북한 지역갈등을 넘어 연착륙시킬 정책적 가능성을 확인하였다. 북한이탈주민을 위한 사회정책의 방향성이 인적자본향상이나 주거안정 관련된 사회서비스로 확장되어야 할 필요성도 제안하였다. This study statistically examined similarities and differences in theoretical path of welfare attitude between North Korean defectors and South Korean residents, which was suggested based on the theories of social stratification. A method of multi-group path analysis was applied to examine configural invariance and cross-group equality constraints. Analytical results shows that hypotheses of configural invariance and almost all of cross-group equality constraints except coefficients from educational level was accepted. All in all, hypothesis of the theoretical path structure of social stratification, in which welfare attitude is determined by the mediating variable of strata consciousness. Subject strata consciousness is in turn determined by objective variables of education level, income level and housing status. This means that hypotheses of human capital theory and housing class theory are also statistically accepted. In conclusion, some implications for politics and policy-making are suggested on the basis of the statistical results. There are possibilities that result in soft-landing of welfare political conflicts between North and South residents. Policy orientation for North Korean defectors should be modified to expand more social services of activation and housing security, beyond the passive measure of income transfers.
안상훈 ( Sang Hoon Ahn ),박승우 ( Seung Woo Park ),정재복 ( Jae Bock Chung ),이진헌 ( Jin Heon Lee ),이세준 ( Se Joon Lee ),정준표 ( Jun Pyo Chung ),송시영 ( Si Young Song ),강진경 ( Jin Kyung Kang ) 대한췌담도학회 1999 대한췌담도학회지 Vol.4 No.1
The Mirzzi syndrome, which occurs in 0.7~1.4% of patients undergoing cholecystectomy, is an unusual benign obstruction of common hepatic duct resulting from ex-trinsic compression by a gallstone impacted in either the neck of the gallbladder or the cystic duct. The aim of this study is to investigate the clinical features of Mirizzi syndrome. From January 1989 to April 1998, among 1,320 patients with gallstone disease, 17 patients were diagnosed as having Mirizzi syndrome at Severance Hospital. Their medical records were reviewed and their clinical, radiological, and surgical features were analysed retrospectively. The incidence of Mirizzi syndrome was 1.3% (17/1320). Included patients comprised of 12 males and 5 females, with an average age of 59.0 years (range 3~86). 2. The presenting symptoms were right upper quadrant pain 11(64.7%), followed by jaundice 9 (52.9%), indigestion 7 (41.2%), nausea 6 (35.3%), fever 2 (11.8%), and pruritus 2 (11.8%). 3. According to the Cse-ndes` classification, the cases were categorized into type I 12 cases (70.5%), type Ⅱ 1 case(5.99%), type Ⅲ 2 cases (11.8%), and type Ⅳ 2 cases(11.8%). 4. Open cholecystectomy was applied to nine patients. Three patients who were believed to be unfit for surgery because of high risk were treated by endoscopic approach. There was no procedure-related complication. The Mirizzi syndrome is an unusual complication of gallstone disease. Though accurate diagnosis and cholecystectomy is a rational option, medical treatment can be performed in selected patients who are unfit for surgery.
주거 관련 물질적 이해관계가 복지태도에 미치는 영향: 주거지위와 연관된 주요 변수를 중심으로
안상훈 ( Sang Hoon Ahn ),박종연 ( Jong Yeon Park ),김수완 ( Soo Wan Kim ) 한국사회복지정책학회 2013 사회복지정책 Vol.40 No.4
본 연구는 사람들의 복지태도에 영향을 미치는 요인으로서 주거와 관련된 물질적 이해관계 요인을 다루었다. 우선 복지태도를 총체적 복지태도인 ‘소득격차 정도에 대한 인식’과 프로그램 특수적 복지태도인 ‘주거지원 정부지출 확대지지 정도’로 구분한 후, 이와 밀접하게 연관된 이론적 논의로서 복지지위론과 주거계층론을 통합적으로 검토하여 주거지위와 연관된 주요 논의를 정리하였고, 사회 균열구조와 관련된 주거 측면에서의 이해관계 변수로서 자가소유 여부, 순 주거자산가치, 월평균 주거부담액 및 주거복지 관련 사업 경험 여부를 추출하였다. 다음으로는 각 복지태도에 주거 관련 변수들이 실제로 영향을 미치는지를 다중회귀분석을 통해 검토하였다. 제5차 한국복지패널조사 자료를 이용하여 분석한 결과, 로그 순 주거자산가치가 작을수록, 그리고 주거복지 수급자가 비수급자에 비해 더욱 소득격차가 크다고 인식하는 것으로 나타났다. 또한 자가 비소유자가 소유자에 비해, 로그 순 주거자산가치가 작을수록, 로그 월평균 주거부담액이 클수록, 주거복지 수급자가 비수급자에 비해 더욱 주거지원 정부지출 확대를 지지하는 것으로 나타났다. 결론적으로 본 연구를 통해 주거관련 이해관계나 연령과 같이 신정치론 논의에서 도출된 변수들이 복지태도에 유의하게 영향을 미친다는 것을 확인할 수 있었다. 또한 주거계층론과 복지지위론의 주거 영역에의 적용 논의를 결합하여 주거지위에 따른 복지태도 설명의 현실적 적합성을 높일 수 있음을 확인할 수 있었다. The main purpose of this study is to examine the effect of housing-related material interests on Koreans` welfare attitudes. This study first divided ‘welfare attitudes’ into two categories: the perception of income inequality as ‘whole welfare attitudes’, and the degree of support for expanding housing welfare expenditure as ‘program specific welfare attitudes.’ Then this study reviewed the main points of the ‘welfare status model’ and those of the ‘housing class theory.’ After that, this study derived main housing-related material interest variables from the review of theories: homeownership, net housing assets, the monthly housing-related burden and the experience of housing welfare benefits. Using those variables, this study analyzed the fifth wave of ‘Korean Welfare Panel Study’ data by multiple regression analysis (OLS) in order to verify the effect of housing-related material interests on welfare attitudes. The results show that those who have less net housing assets and those who did not receive housing welfare benefits are more likely to perceive the income inequality more severely. In addition, homeownership and net housing assets tend to have a negative effect on the support for expanding housing welfare expenditure; meanwhile, the monthly housing-related burden and the experience of housing welfare benefits tend to have a positive effect. In conclusion, this study shows that those variables derived from new politics discourses such as housing-related material interests and age have significant effects on welfare attitudes in Korea. Moreover, this study also suggests that welfare attitudes are better explained by the model derived from combining the the ‘housing class theory’ and ‘welfare status model.’