都市一部公務員들의 保健狀態에 關한 調査硏究

鄭蓮江,鄭京子 中央醫學社 1974 中央醫學 Vol.27 No.2

The authors intended to study the status of health of public service employee in Seoul district during the period from May to August, 1973. As a result of this study the following conclusions were obtained. 1) There was a not significant difference of anthropometric data that the mean of height in 츠, body weight in kg and chest girth in cm between administration service and functional service employee. 2) Average of various physical indecies by the anthropometric methods were as follows: a) Mean of relative weight were 37.2 in men and 33.1 in women. B) Mean of chest girth were 54.6 in men and 54.0 in women. C) Mean of Rohrer index were 2.0 in men and 1.9 in women. D) Mean of Kaup's index were 3.3 in men and 3.2 in women. 3) Average of nutritional status. Gauge by Vervaeck index were 91.8 in men and 87.2 in women, when copared those of standard level of same status. 4) The prevalance rate of tuberculosis wera 4.9% in administration service and 5.6% in functional service employee. And rate of having a decayed tooth or dental caries were 43.3% in administration service and 49.2°o in functional service employee.

우리나라 一部 農村地域의 避姙受容特性에 關한 硏究

鄭蓮江,李正姬,李미라,崔庚淑 중앙대학교 의과대학 의과학연구소 1980 中央醫大誌 Vol.5 No.1

The purpose of this survey is to summerize the data acquired by our researchers in our research on actual state of 3 villages in kyung­ki procince in preparation of the further field work in which we investigated the subjects of 369 women using questionaire method and to suggest the following based on this analysis: 1. The rate of practising contraception amounts to 58.8% of the subjects and is relatively high, compared with other rural areas. 2. As for the kinds of contraceptive intrauterine divice (I.U.D) is used by the greatest number of the subjects, i.d., by 30% of the subjects and the next is in the order of oral pill and condom. 3. As for the place they get contraceptive appliance, 83.9% of the subjects are using the health center and the rate well explains their cooperation with the family planning programme of the government. 4. 38.8% of the subjects report the experience of abortion and this rate is remarkably high in the case of rural area. This result of high rate, not lower than the urban areas, is above all, due to their geographical nearness to the cities and regarded as a harmful factor to maternal health. It shows that we have to produce measures to prevent abortion by Integration of family planning programme and maternal­child health programme in the rural area. 5. 31.6% of the subjects have chosen the medical organization for their last birth and for that matter there is a considerable difference between urban and rural areas. Therefore, we have to make efforts in the direction of increasing deliveries at medical organization.

초등학교 아동의 알레르기 피부 반응검사에 관한 연구

정윤경,정용헌 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

Allergic Skin Test is fundamental method for the diagnosis of the allergic disease. But studies of distribution of skin reactivity in normal children are not sufficient and variable positive criterias are difficult to interprete the allergic skin test. A study was performed to investigate the skin reactivity of apparently healthy students to D. Pteronyssinus during the period of May to June 1996. Subjects were selected from students attending to 6 grade of primary school in Taejeon and healthy assessed by health questionairs, 318 in total number, 178 in boys and 140 in girls. The results were summarized as follows : 1) In skin reactivity by Histamine, the mean sheal values were 3.28±1.70mm, the mean erythema values were 11.36±8.64mm. 2) In skin rectivity by D. Pteronyssinus, the mean when and erythema values were 1.88±3.41mm, 5.52±10.1mm respectively and the wheal showing under 2.9mm was of 75.2%, the erythema under 9.9mm was of 77.3%. 3) In skin reactivity by D. Pteronyssinus, cases showing above 3.0mm wheal and above 10 mm erythema encountered in 22.0%, those showing above 5.0 mm wheal and above 20mm erythema encountered in 13.2%. 4) the positive rate of the above 2+ was 26.7%.

성패귀인의 성차에 대한 연구

정진경, 류윤상, 최현주 忠北大學校 學生生活硏究所 1994 學生生活硏究 Vol.19 No.1

본문참고

일정축력 및 반복 횡하중을 받는 철골철근콘크리트 기둥의 내력과 변형성능

정수영,연길환,임경택,윤석천,한병찬 忠南大學校 産業技術硏究所 1995 산업기술연구논문집 Vol.10 No.2

An experimental investigation was conducted to investigate the strength and deformation capacity of Wide Flange Steel Encased Reinforced Concrete(SRC) Columns subjected to constant axial compression and cyclic lateral loading conditions. Six one-third scale specimens were tested, each consisting of a structural steel size encased in reinforced concrete. The parameters studied in the test program included the effects of B/t ratios of encased steel(=13, 18, 23), ratios of axial force(=1/3, 1/6). As a result, capacity prediction based on superimposing the moment-axial-load interaction surfaces of the steel shape and reinforced concrete produced good results; the average of the experimental-to-predicted capacity ratio being equal to 0.99∼1.20. The observed hysteretic behavior of the test specimens indicated that adequated ductility can be achieved and the concrete core must be inhibited to buckling of wide flange.

직무스트레스가 실업에 미치는 영향

정윤경,김형렬,박소영,홍정연,고상백,장세진 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.2

응급구조사 수습 과정에 대한 고찰

정경임,황정연 대한응급의학회 1993 대한응급의학회지 Vol.4 No.2

We performed this study to evaluate the efficacy of Emergency Medical Technician Education in a designated Facility. This article is the statistical analysis of which the results were obtained from the first trial of Emergency Medical Technician Training program by EMS instructor at Emergency Department, Wallace Memorial Baptist hospital in Pusan from Jun 28 to July 10, 1993. The results were as follow : 1) On sexual distribution of students, male was 57.6% and female was 42.4%. On age distribution, between 30-39 year-old age was 64.7% average age was 33.5 year-old. 2) The geographic distribution of their address was 57.6% in Pusan, the remainders in Kyung-nam, Kyung-buk, and Che-ju in order. 3) The average bed size of the hospital in which they served was 375 beds. 4) The students working in Emergency Room was 42.4%, the other was 57.6%. 5) There were 53.3% students who have the license for nurse-aid and 46.7% registered nurses. 6) The period of students clinical experience was for 101.8 months (about 8 years) in average, and their career in emergency room was for 38.1 months(about 3 years). 7) In the lecture, 91.1% of the students answered that they were content with the lecture qualities or that it was sufficient to learn. In learning the skills, 73.5% of the students replied they were content with the quality to teach the skills or it was sufficient one. Especially male students as a nurse-aid had the better results for the acquisition of the skills than the female registred nurse. 8) 57.6% answered their lecture time was short, 42.1% was proper. Most students were satisfied with the time length of their curriculum, but 26.5% of the students wanted to have more than 12 weeks of education couse. Most of them replied the proper size of the class must be below 20 students per class. 9) They answered the lectural time per a learning item was plenty in 72.0% of the students, not in 28.0%, and skill acquisition time per a learning item was appropriate for 41.4% of the participants, not for 58.6%. They answered the education materials were plenty in 85.3% and not in 11.8%. 10) The written tests showed normal distribution curve through the 4th written test and the results of the final written examination was 98.5 points in average. 11) There was very high correlation(co-efficient : 0.6234) between the 3rd and 4th written test and relatively high correlation between the 3rd and final test and between 4th written test and the skill tests. 12) The female students got the higher points than the male in the written test, but no significant differences of the points in the skill testing according to the participants sex. 13) The registered nurses made the better points in the written test compared to the nurse-aids, but statistically there was no significant difference in the skill testing. To develop better education program for EMT the counterplans on the basis of above results can be established as belows. 1) It will be necessary to ensure professional people who aquired the sufficient training and experience for emergency treatment and to look for legal basis. 2) The sufficient training for EMT is wanted and both starting education and continuing education needs to be focused. 3) The education program for EMT has to be varied according to its charateristics of qualification. 4) the special education program for lecturer for EMT is needed. 5) Each Medical and Education organization should work on the entire education course achieve its standardization of time length, content, methods and level. 6) The positive attitude of government is needed to solve the problems which happen with the current system of Emergency Medicine. It will be necessary to stipulate the items relevant to Emergency Medicine in the law.

응급구조사 수습 과정에 대한 고찰

정경임,황정연 침례병원 1994 浸禮病院學術誌 Vol.11 No.

대뇌 원발성 악성 임파종 1예 : A Case Report

한윤경,오석전,조해동,유영락,김남규,정환영,이중달 대한신경외과학회 1985 Journal of Korean neurosurgical society Vol.14 No.3

Primary malignant lymphoma is very rare and represents less than 1.5 % of all intracranial neoplasms. The authors have experienced a case of primary malignant lymphoma of the brain in a 66 year-old woman who presented with persistent headache, nausea and generalized weakness. Brain CT scan demonstrated typical deep seated tumor masses in the right temporal and left frontal lobes with strong contrast enhancement. We obtained a good result after surgery followed by radiation and chemotherapy and report our case with review of the articles.

제2형 당뇨병 환자에서 Voglibose와 Acarbose의 비교임상연구

정인경,정재훈,민용기,이명식,이문규,김광원,정윤이,박중열,홍성관,이기업 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.26 No.2

연구배경:아카보스와 보글리보스는 ­glucosidase inhibitors로써 비록 약리학적 작용이나 부작용에 있어서 두 약물간에 차이가 있다는 것은 잘 알려져 있으나 당뇨병 환자를 대상으로 아직 이에 대한 두 약물간에 직접적인 비교에 대해 연구된 바는 없었다. 이에 저자등은 국내 2형 당뇨병 환자에 대해 유효성과 부작용 발현에 대해 두 약제를 비교하고자 무작위법에 의한 위약 대조군의 이중 맹검법 연구를 시행하였다. 방법:시험 약제 투여 4주간의 관찰기를 설정하여 공복혈당의 변화가 30㎎/dL 이하이고, 식후 혈당이 200㎎/dL 이상인 환자로 기타 제외 기준에 해당하지 않은 환자 53명을 대상으로 하여 보글리보스 군(24명)과 아카보스 군(29명)으로 무작위로 나누었다. 치료기간은 총 8주로 하였으며, 4주간 간격으로 혈청학적 검사와 부작용을 분석하여 치료 효과가 부작용을 평가하였다. 결과:1)혈당 변화:보글리보스군은 식후 1시간 혈당이 치료 후 4주, 8주째 의미 있게 감소하였도, 아카보스군은 식후 1시간과 2시간 혈당이 치료 후 4주, 8주째 의미있게 감소하였다. 또한 관찰기 혈당에 대한 치료 4주째 감소량은 아카보스군에서 더 큰 경향을 보였으나, 치료 8주째에는 두 군 간의 강하정도에 의미있는 차이가 없었다(p=0.569). 2)인슐린 치의 변화:보글리스 군은 식후 1시간 인슐린 치가 치료 전에 비해 치료 4주, 8주째 감소하는 경향을 보였고, 공복 인슐린이나 식후 2시간 인슐린치는 치료전 후에 의미 있는 차이가 없었다. 아카보스군에서는 치료 전후로 공복 인슐린, 식후 1시간과 2시간 인슐린치에 의미 있는 차이를 보이지 않았다. 두약제 간에 치료 전과 치료 8주사이의 식후 2시간 인슐린의 감소량이 보글리보스 군에서 의미있게 높았다(p=0.040). 3)당화혈색소:보글리보스 군은 치료 전에 비해 치료후 당화혈색소가 감소하는 경향을 보였고, 아카보스군은 치료 전에 비해 의미있게 감소하였다. 당화혈색소 변화량은 두 군간에 의미 있는 차이는 없었다(p=0.412). 4)지질대사의 변화:중성지방, 콜레스테롤, 고밀도 진단백 콜레스테롤에 대해 두 군간에 의미 있는 차이는 없었다. 5)부작용:소화기계 부작용의 빈도는 치료 4주째 보글리보스 군에서 의미 있게 낮았으나(p=0.028), 치료 8주째 부작용의 빈도는 두 군간에 의미 있는 차이가 없었다(p=0.215). 결론:2형 당뇨병 환자에서 보글리보스와 아카보스의 두 약제의 임상적 유효성과 부작용발현에 대해 비교한 결과 치료 후 8 주 후 혈당강화효과는 두 약제간에 유사한 효과를 보였으나 보글리보스군에서 4주째의 초기 위장관 부작용이 적었다. Background : Acarbose and voglibose are alpha-glucosidase inhibitors. Although different pharmacological effects and adverse abdominal events associated with the two drugs have been reported, no study directly compared acarbose and voglibose in diabetes has been undertaken. To compare the pharmacological effects and gastrointestinal adverse events between two drugs, a randomized, placebo-controlled, double-bind study was performed in type 2 diabetes patients. Methods : The period of study was 12 weeks(observation period: 4 weeks; treatment period: 8 weeks). Fifty-three patients were randomized into two groups(the acarbose group: 24 patients; the voglibose group: 29 patients). The serum glucose, insulin, fructosamine, HbA_1c, cholesterol, triglyceride and the incidence of adverse events were measured. Results : 1) The reduction of glucose from before treatment to 4 weeks after treatment was significantly higher in the acarbose group, but the change before treatment and 8 weeks after treatment in the two groups was similar(p=0.569). 2) The insulin significantly decreased after voglibose treatment(p=0.040). 3) HbAa_1c level tended to decrease in voglibose group, and there was a significant decrease after acarbose treatment. However, the change in HbA_1c level before and after treatment was similar between the two groups(p=0.412). 4) The two drugs did not cause any other changes in the total, HDL-cholesterol and triglyceride. 5) The number of patients with gastrointestinal adverse events was significantly low 4 weeks after voglibose treatment (p=0.049), but the incidence in the two groups was similar after 8 weeks(p=0.215). Conclusions : Acarbose and voglibose significantly improved postprandial hyperglycemia in diabetes. The incidence of gastrointestinal adverse events was low 4 weeks after voglibose treatment(J Kor Diabetes 26:134~145, 2002).