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소아청소년 복합만성질환자 수 및 진료비의 변화: 2011-2021년 건강보험청구자료 분석
오정윤,조수진,정진선,조진숙,박춘선 건강보험심사평가원 2023 HIRA RESEARCH Vol.3 No.2
Background: The number of children and adolescents has decreased by more than 3 million over the past 10 years. We analyzed changes in the number of children and adolescents with complex chronic conditions (CCCs) and their medical expenditures between 2011 and 2021. Methods: We used National Health Insurance claims data of patients under the age of 20 from 2011 to 2021. CCCs were classified as pediatric CCCs by Feudtner et al. Patients who repeatedly utilize medical services due to CCCs were defined as patients who sought medical care twice or more within the past 3 years. Their sex, age, CCC categories, and the number of CCC categories were presented using descriptive analyses. Results: The number of children and adolescents with CCCs increased from 345,320 (3.04%) in 2011 to 451,238 (5.33%) in 2021. Patients who repeatedly utilized medical services due to CCCs increased by 71,889 during the same period. The proportion of patients with two or more CCC categories increased from 35.80% in 2011 to 43.67% in 2021. In 2021, patients with other congenital or genetic defect were most common. Medical expenditures associated with CCCs increased from 475,654 million won (12.34%) in 2011 to 768,467 million won (19.11%) in 2021. Conclusion: The number of patients with CCCs and their medical expenditures increased in Korea between 2011 and 2021. The results indicate that consistent national efforts are required to maintain the specialized pediatric care. Further studies are needed to identify pediatric patients who require specialized medical services through various methods.
지역사회거주 노인에서 한국어판 세계보건기구 장애평가조사표의 개발
윤진상,김재민,신일선,양수진,정태길,이형영 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.1
Objectives : This study aimed to develop the Korean version of World Health Organization Disability Assessment Schedule II (WHODAS II-K) with community dwelling elderly population. Methods : The WHODAS II-K was administered to 1204 community residents aged 65 or over in two areas of Kwangju, South Korea, in 2001. For assessing 'health condition', data on physical illness, depression (Korean version of Geriatric Mental State Schedule B3), and cognitive dysfunction (Korean version of Mini-Mental State Examination) were collected. For evaluating 'contextual factors', informations on demographic charactehstics (age, gender, living area, marital state, and religiou), socio-economic status (education, type of accommodation, number of room, previous occupation, and current employment), and social network were obtained. Results : WHODAS II-K showed high levels of internal consistency, split-half reliability, and inter-rater and test-retest reliabilities. In the correlation analyses, scores on the WHODAS II-K were significantly correlated with the unfavorable conditions in the all variables on health condition and contextual factors. Partial correlations of scores on the WHODAS II-K with health condition were significant even after controlling for contextual factors. Conclusion : The WHODAS II-K is a reliable and valid instrument for assessing disability in elderly population since it reflects physical illness, depression, and cognitive impairment, which are common in elderly.
서진종,김민지,김선희,기혜영,정재근,김은선,박종태,김경심,이수야,김명권,정윤석 대한감염학회 2008 감염과 화학요법 Vol.40 No.4
Background : This investigation was to perform the epidemiological surveillance and genetic analysis on respiratory viral agents from children with acute respiratory infections in Gwangju. Materials and Methods : For this study, 3,695 specimens obtained from patients with acute respiratory infections were collected by collaboration with pediatric hospitals in Gwangju between 2005 and 2007. Specimens were screened for 8 respiratory viruses including influenza viruses (IFV), human rhinoviruses (HRV), human coronaviruses (HCoV), adenoviruses (ADV), parainfluenza viruses (PIV), human enteroviruses (HEV), respiratory synthitial viruses (RSV) and human bocaviruses (HBoV). Respiratory viruses were detected using multiplex (RT) PCR with viral specific primers. Results : Out of 3,695 specimens, the ratio of virus detection was 24.9% (919). Overall, HRV (35.5%) and IFV (34.9%) were the most common viruses found, followed by HBoV (14.8%), HCoV (10.6%), RSV (3.7%), ADV (3.4%), PIV (3.2%) and HEV (3.0%). In addition, multiple infections were detected in 80 patients (8.7%). When the prevalence was analyzed according to season, HBoV, IFV and HCoV showed two epidemic points in late spring and early winter. ADV, HRV, RSV PIV and HEV, however, were all found to have only one epidemic point, with RSV being most common during winter and the others being most prominent during spring. Conclusions : Through this epidemiological surveillance, the respiratory viruses prevalent in children in Gwanaju area were investigated. We strongly recommend the development of nationwide policy for the management of prevalent respiratory virus that includes long term collection of data and samples, vaccine development and prevention education of the misuse of antibiotics.
부산의 해안지역 초고층 건물이 도시 풍환경에 미치는 영향에 관한 연구
박수진, 윤성환 신라대학교 부산학연구센터 2010 부산연구 Vol.8 No.1
본 연구는 우리나라의 대표적인 해안도시인 부산에 최근 등장한 해안지역의 초고층 건물들에 의한 도시의 풍환경의 영향을 검토하는 것을 목적으로 한다. 해운대구 마린시티 일대를 대상으로 CFD 시뮬레이션을 실시하였으며, 현재의 고층 저밀도로 가정한 모델을 비교 분석하였다. 계산 결과는 수평분포와 수직분포로 구분하여 그 영향을 검토했으며, 해안지역 초고층 건물에 의한 풍환경의 영향은 다음과 같다. 1) 풍환경은 건폐율보다 건물의 높이에 의한 영향이 더 크다. 기류의 수평분포와 수직분포 모두에서 고층건물에 의해 기류가 정체하는 영역이 넓어짐을 볼 수 있다. 2) 건물이 높을수록 도시 캐노피가 형성되는 지점이 높아진다. 저층건물 단지의 경우 건물높이의 약 1.5배 지점에서 도시 캐노피가 형성되었으나, 고층건물 단지의 경우 건물높이의 약 2.5배 지점에서 캐노피가 형성되었다. 도시 캐노피의 높이가 낮을수록 해풍도입을 통한 대류현열확산 효과가 높아지며, 이를 통한 도시 고온화 및 열섬현상 발생 억제에도 유리하다. 이러한 결과를 통해 해안에 인접한 지역에 초고층 단지를 계획할 때에는 이로 인한 도시 풍환경의 변화를 반드시 사전에 고려한 필요가 있음을 제고한다.
박건수,진윤수 충남대학교 체육과학연구소 2007 體育科學硏究誌 Vol.25 No.1
The purpose of this study is to make a close inquiry into Naegong Dancing(NgD) practitioners' identification through got experiences on training courses. This study can be summarized as follows: The first, participants of this study experienced various meaning phenomenons which divert their view of new thoughts and the aim of their will of life through the training of Naegong dancing. The second, depending on the background of centralized and immersed phenomenons based on setting up exercises, one of mind and body, a breath power of hypogastric breathing, a yelling power is the way of basic essential training for martial arts practitioners. The third, inquiring values of Naegong dancing practitioners and their continuing sports activities are to be think twice factors to change their characters in daily life and social life.
미량 Ni 첨가 Fe-Ni 합금의 고온산화 거동에 관한 연구
孫根洙,尹在弘,金晋夏,金顯洙,成田敏夫,林重成 대한금속재료학회 2002 대한금속·재료학회지 Vol.40 No.10
Oxidation behavior of Fe-Ni alloys added by small amount of Ni was studied, under the exposure to the temperatures up to 1100℃, 1150℃, and 1200℃, respectively. The slope of mass change curve representing an oxidation rate was 1 or 2 up to 20 seconds and decreased to 1/2 after 20 seconds in a parabolic shape. The temperature of the initial stage of oxidation increased more quickly at the furnace inside than at the surface of the specimen, and its behavior was reversed due to oxidation heat after 20 seconds later. Oxide layer was mainly composed of FeO. And particle of Fe_3O_4 and Fe_2O_3 was distributed in FeO layer. The order of the composition ratio for the oxide was Fe_2O_3,·Fe_3O_4,·FeO at the oxide surface, FeO,·Fe_3O_4,·Fe_2O_3 at the internal oxide, and FeO,·Fe_3O_4,·Fe_2O_3 at the surface of metal after stripping oxide layer.