회원작품 - 여주박물관

이성관,송성욱,Lee, Sung Kwan,Song, Sung Wook 대한건축사협회 2020 建築士 Vol.619 No.-

결핵 퇴록 환자의 실태와 그들 가족 접촉자의 이환에 관하여

이성관 ( Song Kwan Lee ),송달효 ( Dal Hyo Song ) 대한결핵 및 호흡기학회 1978 Tuberculosis and Respiratory Diseases Vol.25 No.3

노인들의 기동부자유 및 만성병 이환실태

서정희(Suh Jung Hee),박정한(Park Sung Han),우극현(Woo Kuck Hyeon),이성관(Lee Sung Kwan),송선우(Song Sun Woo) 한국노년학회 1983 한국노년학 Vol.3 No.1

To provide the data for the health and welfare program planning for the aged, 3,631 residents of the Nam Gu in Taegu city whose age was 65 years or older were randomly sampled and interviewed between December 1982 and February 1983. Three hundred-sixty of the interviewees (9.9%) had some limitations in activity and the percentage increased as the age increased. The female (10.7%) had a higher rate of the activity limitation than the male (8.3%) but the difference was not statistically significant. The study population with middle school or higher education (30.1%) had a higher activity limitation rate than the no formal education group (9. 7%) (p<0.01). However, the past major occupation and religion were not significantly associated with the activity limitation. Among 360 persons with activity limitation, 310 or 86.1% had no limitation in daily activity within the house but could not go out of the house and the rest were bed-ridden or needed assistance for toilet or feeding. The persons with the limitation in such basic activity as toilet and feeding accounted for 1.4% of the study population. The interviewees stated that their activity limitation were due to senility without a specific disease in 16.3% of the male and 24.2% in female. The most common disease limiting activity was the cardiovascular disease(40.9%) and followed by the fracture or arthritis (21.4%) and neuralgia (19.2%). The prevalent chronic illnesses included neuralgia (41.8%), respiratory diseases(bronchial asthma, chronic bronchitis, pulmonary emphysema., etc.) (21.2%), cardiovascular diseases (coronary heart disease, hypertension, stroke, etc.) (13.4%). The percentage of healthy persons without any chronic illness was higher in male (33.9%) than in female (27.9%) (p<0.05). The prevalence rate of respiratory diseases was significantly lower among the Protestant (16.5%) than those with no religion (23.5%), and lower among the non-smokers (17.3%) than the smokers (26.7%) (p<0.01). The interviewees quited smoking in 9.6% and stopped drinking in 21.4% after chronic Illness had developed. A higher percentage of the interviewees with respiratory disease (13.8%) and cardiovascular disease (17.1%) quited smoking than those with other diseases (p<0.001). Interviewees with cardiovascular diseases stopped drinking (40.4%) more frequently than those with other diseases (p<0.001). In view of the association of smoking and drinking with the common chronic illnesses, however, health education should be strengthened to stop smoking and drinking. Regardless of the activity limitation, over 93% of the study population preferred to stay home with their family and only 3.1% wanted to go to a nursing home.

母의 特性이 幼兒保健에 미치는 影響

李性寬,姜福秀,金玉培,宋善祐 慶北大學校 醫科大學 1980 慶北醫大誌 Vol.21 No.2

幼兒保健에 영향을 미치는 母의 특성중 年齡과 敎育程度를 中心으로 이에 따른 幼兒登錄時期, 豫防接種, 健康相談回數 및 健康相談期間 등의 실태를 알기 위해 1980年 5月 15日부터 同年 10月 20日까지 1970年度 大邱 母子保健센타에 登錄된 幼兒 2,635名을 對象으로 조사 분석하였다. 성적을 要約하면 다음과 같다. 幼兒保健管理를 위한 登錄時期는 2個月以內 早期登錄率은 1,690名中 73.1%이며, 母의 年齡이 젊은 群이 40才以上 高齡群에 比하여 早期에 登錄한 것으로 나타났고, 高等學校以上 高學歷群이 中卒以下 低學歷群보다 出生後 早期에 登錄한 것으로 나타났다. 「디 피·티」와 「폴리오」의 완전 3回 接種者는 各各 53.8%와 61.5%로 完全한 接種이 이루어지지 않고 있으며, 兩者 모두 母의 年鈴이 젊을수록 敎育程度가 높을수륵 3回 完全 接種率이 높게 나타났으나 統計的으로는 有意한 差異를 인정할 수 없었다. 「디·피·티」와 「폴리오」의 豫防接種時期에 있어 適期豫防接種者는 各各 40.6%와 39.8%로 나타나 과반수 이상이 適期接種을 하지 않은 것으로 나타났다. 「디·피·티」의 適期 接種率은 母의 年齡이 젊을수록 그리고 學歷이 높을수록 그 接種率이 높게 나타났으며, 「폴리오」의 경우도 年齡이 젊을수록 適期 接種率이 有意하게 높고 高學歷群이 低學歷群보다 適期 接種率이 有意하게 높았다. 「비시지」 適期接種은 生後 1個月以內로 되어 있으나 全體約으로 불과 22% 程度가 適期接種을 하고 있는 것으로 나타났다. 「비시지」接種時期에 있어서도 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 1個月以內 適期 接種率이 높게 나타났다. 幼兒 保健營理를 위하여 健康相談을 실시한 회수에 있어서는 전대상에서는 平均相談回數가 3.9回로 나타났고 70% 以上이 4回以內로 中斷하였으며, 6回以上 실시한 경우는 母의 年齡이 젊을수록 相談回數의 빈도가 높았고 敎育程度가 높을수록 相談回數가 增加하는 경향을 나타내었다. 영·幼兒健康相談期間과 豫防接種과의 比較 調査에서 대체로 50%정도는 「디·피·티」을 3回 最終 接種과 동시에 相談을 中斷한 것으로 나타났고, 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 최후접종과 동시에 中斷한 率이 낮았으며, 相談期間도 연장된 경향을 나타내었다. 이상의 成續을 종합하면 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 幼兒保健에 더 有利한 영향을 주었음을 알 수 있지만 본 硏究에서 젊은 年齡群이 대체로 學歷이 높은 것을 勘案할 때 敎育程度가 幼兒保健에 더 有關하게 영향을 미칠 것으로 사료되는 바이다. The present study was conducted to investigate the status of child health care and the relationship between child health and mother's characteristics such as age and educational level on 2,635 children registered at Daegu MCH Center in 1978, during the period of 5 months from May to October 1980. Analysis of the study was infant registration time, vaccination times, begining time of vaccination, consultation times for child health, and health consultation period since complete vaccination of D.P.T. Of the 1,690 infants in the study, 73.1 percent were registered within 2 months after birth for child health care at MCH Center. The rate of early registration increased with younger groups and higher educational levels of mothers (p<0.005). The rates of complete vaccination of D.P.T. and Polio revealed 53.8 percent and 61.5 percent, respectively. The rates of two kinds of vaccination showed increasing tendency with younger and higher educational groups of mothers. The rates of D.P.T. and Polio vaccination given properly within 2 months after birth revealed 40.6 percent and 39.8 percent, respectively. The percent of polio vaccination given properly increased with younger groups and higher educational levels of mothers (p<0.05). Only ene-fifth of infants(22%) were given BCG vaccination properly within the first month after birth. Overall, average number of visits for health consultation was 3.9. More than 70 percent of the infants had 1-4 visits of health consultation. Frequency of visits for health consultation increased with younger group of mothers (p<0.05). More than half of the Infants had no visit for health consultation after vaccination of 3 complete doses of D.P.T. The period of health consultation showed prolonging tendency with frequent visits among yonger groups and higher educational groups of mothers.

保健所機能 標準化作業 및 保健所와 支所의 均衡있는 開發策 : 農村保健所를 中心으로

李性寬,宋達孝 최신의학사 1977 最新醫學 Vol.20 No.7

Since the commencement of the activities of the health centers there have been many problems inherent in the system. Namely health centers have excluded the medical care function from -their list of activities and it is this function which is most eagerly desired by the community at large. So the function has not been sufficient to solve the health needs of communities in our country. Therefore, the health center has not been able to really take roots in the community in our, country. Even though the health centers have conducted public health measures for the prevention of diseases the community has never appreciated these endeavors due to a lack of -understanding about health in general. The health center should accordingly be renewed from :its old stagnant activities and be reactivated to perform new tasks including medical care. Indeed the government has changed the health center with performing these tasks including providing medical care to low. income persons beginning this year. The duties and responsibilities of the health center are therefore of very great importance. The function of the health center should be based on community needs. It is highly desirable then to establish new functions and strengthen old functions of the health center in order to fulfill the health needs of the community. Also it would be desirable to create a local community .organization to inform the people that the health center is their own agency and that would act for their own health maintenance and promotion. The function of the health center should include: 1. Medical care 2. Local health planning -based on health needs of the community 3. Community health organization including participation of residents 4. Health organization in coordination with outside health facilities 5. Supervision, guidance and training for health workers at health sub-center 6. Functions concerning environmental sanitation including food sanitation 7. Evaluation The function of the health sub-center should be: 1. Primary medical care, patient case finding and referral to high level facilities 2. Comprehensive health services based on household unit 3. Collection of vital statistics to evaluate the project programs 4. Cooperating with local residents 5. Guidance concerning health matters in every day life To improve the function of the health center it would be desirable to provide a competent staffs, a sufficient financial support, installation of modern equipments and unification of the administrative channels. To improve the efficiency of personal health services to the community at the health sub center it would be desirable to establish a place where health care could be easily delivered to the community.

BCG의 再接種方法에 관한 硏究

李性寬,申在鉉,宋善佑,申泰圭 中央醫學社 1973 中央醫學 Vol.24 No.6

It is a well known that upon reinoculation of B.C.G. there is a severe local reaction at the site of inoculation, called the Koch. phenomena. We intend to explore a new method of inoculation which does not invoke an undesirable reaction; therefore we may increase public acceptance of B.C.G. inoculation. So we tried the oral administration of B.C.G. instead of inoculation. The results of the study are as follows: 1. Tuberculin allergy after oral administration of B.C.G. was lower in rate and weaker-in reaction than those of the inoculation. 2. There is no any side reaction with oral administration of B.C.G. 3. Taking into account of the fact that the positive rate was increased with advancing time after oral administration of B.C.G. it would be possible to expect improvement of the reaction by increasing the dose of B.C.G.

영幼兒養育에 關한 調査

李性寬,宋善祐,尹能基,李學洙,鄭鍾學,C.Kersting 慶北大學校 醫科大學 1973 慶北醫大誌 Vol.14 No.2

There is no doubt that good nutrition for infants relates not only to the health of the individual but also influences the health of the nation. In spite of nutrition's trememdous importance, there is no data available concerning infant nutrition and, moreover, there is no study about the knowledge, attitudes and practies of infant feeding and weaing. Taking into account the fact that most infants in Korea are breast fed, and have a long lactation period, there must be provision for adequate supplemental food at the proper time. The first step in launching a new health program should be the exact evaluation of the present status of infants' feeding diet. This study was designed to collect basic data on the status of infants' nutrition in order that these data might be sued as program organization indicators for the improvement of infant nutrition. The data were obtained through interviewing 726 mothers who registered their children at the Taegu MCH Center's well baby clinic.

農村의 社會人口學的要因이 結核蔓延에 미치는 影響

李性寬,Mills, Paul K.,金重剛,宋達浩 최신의학사 1977 最新醫學 Vol.20 No.2

今般 農村地域部落에서의 結核蔓延調査에서 結核有病率이 높은 部落에서는 部落內 指導層, 卽 많은 部落民과 接觸이 많은 有志人士에서 傳染性結核患者가 傳染源으로 役割했음을 確認하였고 農村의 共通的인 蔓延源으로서 氏族部落形成이 또한 重大한 役割을 함을 確認하였으며 有病率이 높은 部落에서 氏族形成率이 높음을 確認하였다. Mass tuberculosis survey in two rural villages showed a much higher infection and prevalence rate of tuberculosis in one of the villages even though both villages are very similar various reasons for this situation have been noted including the fact that influential community members -who have frequent contact with many villagers are open tuberculosis patients. In the future it is recommended that control activities concentrate on such individuals and that strenuous efforts be -made to convert them to sputum negative at the earliest possible date. X-ray screening in the two villages showed a distinctive familial pattern in both villages ,under study. Certain family units were shown to have much higher active case rates than other family units. Therefore it is our conviction that in the future tuberculosis control programs in Korea direct their control activities towards those family units which display higher prevalence rates

都市婦人의 産前管理와 非産前管理가 産科的合倂症에 미치는 影響에 關한 硏究

宋善祐,李性寬 慶北大學校 醫科大學 1975 慶北醫大雜誌 Vol.16 No.1

都市婦人의 産前管理와 非産前管理가 産科的合倂症에 미치는 影響에 關한 硏究

宋善祐,李性寬 慶北大學校 醫科大學 1975 慶北醫大誌 Vol.16 No.1

Recently most of the countries in the world stressed health service for mothers and children to reduce maternal and infant mortality. More than 90 percent of deliveries were conducted at hospitals in the United States and western countries while less than 40% of them in countries located in Asia and other continents. In Korea, institutional delivery counted for only 20 percent. Actually, the field of MCH is not only the weakest point in the medical profession in our country but also dropped behind among other developing countries. The important purposes of this study were to clarify the risks concerning childbearing, situations of prenatal care at primary health facilities and the significance of prenatal care. The study was conducted for 2 years from Feb. 1971 to Dec. 1972, using those were registered at the Taegu MCH center numbering 2,657. The results obtained are as follows. 1. Generally the women utilizing the M.C.H. center were younger, better educated and of fewer parity compared to general married women. 2. The rates of sociodemographic and medical obstetric risk were 24.9% and 26.3% respectively. 3. The rates of registration within 11 weeks, 12-27 weeks, and after 28 weeks were 1%, 9% and 90% respectively. 4. The rate of visits for prenatal care of those women who have visited the center more than 9 times, 5-8 times and less than 4 times were 3.4, 18, and 78.6% respectively. 5. The women with complications registered a little earlier and visited a little more often than those of total respondents. 6. In the comparison of obsteric complications between the prenatal care group and without prenatal case group, the former was 22.2% while the latter, 26.8%.