장애인 건강검진 접근성 저해요인과 개선방안 도출에 대한 질적연구

홍혜수,임명준,김외숙,최은숙,김정환 한국보건행정학회 2020 보건행정학회지 Vol.30 No.3

Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was ‘failure to obtain check-ups.’ Causal conditions were observed as a ‘lack of communication method,’ ‘physical difficulties,’ and ‘staff unfamiliar with people with disability,’ Interventional conditions comprised ‘physical accessibility,’ ‘staffs’ competency,’ and ‘assistant manpower.’ The active strategy was included ‘to investigate the professional medical institution,’ ‘to find the medical institution of convenient traffic accessibility,’ ‘to overcome communication difficulties through equipment,’ and ‘to overcome linguistic barriers through sufficient communication.’ Whereas, ‘utilization of ancillary equipment,’ ‘the education of staffs on people with disability,’ ‘universal design manual,’ and ‘customized check-ups’ were included in the passive strategy. Such processes arose in the contextual conditions of ‘lack of expectations for daily lives’ and ‘lack of government support.’ As a consequence, the subjects participated experienced the ‘disadvantages,’ ‘discrimination,’ and ‘reduced reliability of the health check-ups.’ Conclusion: The subjects who participated in this study emphasized ‘staffs familiar with people with disability’ and ‘systems customized for people with disability’ are mandatory to secure complete health check-ups for people with disability.

지역사회 거주 조현병 범주 장애 환자의 신체건강관리 관련 요인

김미나,전민,이주연,김선영,김재민,윤진상,김수진,김성완 대한조현병학회 2019 대한조현병학회지 Vol.22 No.1

Objectives: To identify factors related to physical health monitoring of patients with schizophrenia spectrum disorder. Methods: A total of 172 patients with schizophrenia spectrum disorder registered in mental health welfare centers and rehabilitation facilities in Gwangju were recruited. Physical health monitoring was defined by two health behaviors; fasting blood tests within recent 2 years in all participants and routine medical check-ups covered by national insurance within recent 5 years in participants aged 40 years or older. Demographic and clinical characteristics including overweight, metabolic syndrome and knowledge about physical illness were compared according to physical health monitoring. Results: Prevalence of overweight and metabolic syndrome were 62.8% and 40.1%, respectively. The rates of fasting blood tests and routine medical check-ups were 34.9% and 67.9%, respectively. The rates of fasting blood tests were significantly higher in general hospital and university hospital compared to mental hospital or private clinic. Rates of routine medical check-ups were significantly lower in individuals using daily rehabilitation service and smokers. Knowledge about cancer and chronic illness were significantly better in individuals receiving routine medical check-ups compared with those not receiving it. Conclusion: Education about physical health should be integrated to mental health service in community mental health center.

2018∼2020년 상병건강검진 결과 추이 분석

조순영 ( Joe Seunyoung ),정은영 ( Jung Eunyoung ),권은지 ( Kwon Eunji ),우선영 ( Woo Seon Yeong ) 국군의무사령부 2023 대한군진의학학술지 Vol.54 No.1

Objective The purpose of this study was to identify the health condition and health behavior of soldiers through the analysis of medical check-ups of corporals from 2018 to 2020. Method This study was a secondary analysis, and the data of 257,565 soldiers from 2018 to 2020 medical check-ups of corporals held by the Armed Forces Medical Command were used. The medical check-ups consisted of physical examinations, blood tests, and medical survey. Results 248,683 soldiers (96.55%) were examined at military hospitals and 8,882 soldiers (3.45%) at medical battalion. As a result of physical examination, the average body mass index (BMI) was 23.82±3.11kg/m2, 49.63% of the soldiers had normal blood pressure. According to blood test results, soldiers with total cholesterol more than 240mg/dL were 1.89% in 2018, 1.87% in 2019, and 2.24% in 2020. The current smoking rate was 44.84% in 2018, 44.58% in 2019, and 44.30% in 2020. The rate of drinking was 85.05% in 2018, 84.92% in 2019, and 79.66% in 2020. Conclusion Medical check-up of corporal included not only active services but also full-time reserve services, and conducted in various institutions. Therefore, it is necessary to prepare a data management system and conducts a complete enumeration study using the data. In addition, we propose a longitudinal study to analyze changes in health behavior of soldiers. Lastly, we suggest to recheck the medical check-up questionnaires.

건강검진 수진자의 복부 초음파 검사 시 선별 검사용 흉부 저선량 전산화단층촬영의 추가적인 가치

이찬화,최준일,김민주,이종석,정대철,이창윤,이주혁 대한초음파의학회 2010 ULTRASONOGRAPHY Vol.29 No.2

Purpose: The purpose of this study was to assess the added value of screening low-dose computed tomography of the chest (LDCT) covering the abdomen in evaluating abdominal solid organs to the screening abdominal ultrasonography (US). Materials and Methods: We prospectively enrolled a consecutive series of 393physical check-up patients, who underwent screening abdominal US and LDCT of the chest from January to February, 2008. LDCT covered the lungs, liver, pancreas, gallbladder,spleen, and both kidneys. The 1st screening abdominal US were performed without information from the LDCT, and then abdominal images covered by LDCT were immediately evaluated. Then a 2nd US session was done with additional information from LDCT and US examination was focused to the findings of LDCT. Perpatient and per-lesion analyses were performed. Results: In per-patient analysis, additional focal lesions were found in 20 patients (5.1%) for liver and 9 patients (2.3%) for kidneys in the 2nd US sessions. In per-lesion analysis, 154 and 73 focal lesions were found in liver and kidneys, respectively, in the 1st US sessions. On the 2nd US session, 186 and 86 lesions were found in liver and kidneys, respectively. 20.8% and 17.8% of focal lesions were additionally found on 2nd US session in liver and kidneys, respectively. Most (62.5%) of the additional lesions detected in liver were located in segment 7 and 8, the hepatic dome. Conclusion: Previewing LDCT of the chest and abdominal solid organs before performing screening abdominal US can enhance the diagnostic performance of US in physical check-up patients. 목적: 본 연구의 목적은 복부 장기를 포함하는 흉부 저선량전산화단층촬영이, 복부 초음파 검사의 진단 능력 향상에 도움이 되는 지 알아보는 것이다. 재료 및 방법: 2008년 1월에서 2월 사이에 복부 초음파검사와 흉부 저선량전산화단층촬영을 포함한 건강 검진을시행한 393명의 수진자(남자 227명, 여자 166명, 평균연령 50.0세)에서 전향적인 연구가 시행되었다. 저선량전산화단층촬영은 간, 췌장, 담낭, 비장, 신장 등의 복부 장기를포함하여 촬영이 이루어졌다. 먼저 저선량전산화단층촬영을 시행 후, 그 영상을 보지 않은 상태에서 복부 초음파 검사가 1차로 시행되었으며, 이후 저선량전산화단층촬영 영상 정보를 참고하여 2차 초음파 검사가 시행되었다. 1차및 2차 초음파 검사에서 각 복부 장기에서 발견된 병변들을 수진자별, 병변별로 분석하였다. 결과: 수진자별 분석에서, 간의 경우 20명(5.1%), 신장의 경우 9명(2.3%)에서 추가적인 국소 병변이 2차 초음파검사에서 발견되었다. 병변별 분석에서 간과 신장에서는 1차 초음파 검사에서 각각 154개, 73개, 2차 초음파 검사에서 각각 186개와 86개의 국소 병변이 발견되었으며 각각20.8%와 17.8%의 국소 병변이 추가적으로 발견되었다. 간에서 추가로 발견된 병변의 62.5%는 간지붕부인 7번 및8번 분절에서 발견되었다. 결론: 건강검진 수검자에서, 흉부 저선량전산화단층촬영에 포함된 복부 장기의 소견을 복부 초음파 검사 전에 미리 확인하는 것은 초음파 검사의 진단 능력 향상에 도움이될 것으로 생각된다.

컴퓨터 보안대책에 관한 연구

최응렬(Choi Eung Ryul),황영구(Hwang Young Gu) 한국민간경비학회 2005 한국민간경비학회보 Vol.6 No.-

  오늘날 컴퓨터의 보급 확산으로 인해 컴퓨터에 대한 중요성은 점점 커지고 있으며, 동시에 컴퓨터에 대한 안전이 점차 어려워지고 있어 컴퓨터 보안에 대한 인식과 대책이 무엇보다도 중요하다. 현재 우리나라 국민이나 기업들의 컴퓨터보안 의식 및 수준은 점차 나아지고 있지만 아직도 많은 기업에서는 컴퓨터 바이러스 백신을 사용하지 않거나, 방화벽을 설치하지 않는 기업이 많아 컴퓨터 바이러스, 해킹 피해 등 침해사례는 더욱 증가하고 있는 실정이다.<BR>  따라서 이 연구에서는 컴퓨터 보안대책으로서 물리적 보안대책, 기술적 보안대책을 중심으로 제시하였으며, 특히 기술적 보안대책이라고 할 수 있는 통신 보안대책에 대해서는 별도로 제시하였는데 그 내용은 다음과 같다.<BR>  첫째, 컴퓨터시설에 대한 경보장치의 설치, 컴퓨터시설의 조명장치, 신분확인을 통한 시설 내 접근통제 등 물리적 보안대책이다.<BR>  둘째, 컴퓨터 작동불능상태에서 데이터를 보관하는 유일한 방법인 백업시스템구축 등 기술적 보안대책이다.<BR>  셋째, 침입방지시스템(IPS : Intrusion Preventing System), 침입탐지시스템(IDS : Intrusion Detecting System), 취약성 분석시스템(VAS : Vulnerability Analysis System) 등 통신 보안대책이다.<BR>  이러한 보안대책도 중요하지만 평소에 컴퓨터 장비에 대한 예방정비, 컴퓨터시설에 대한 주기적인 점검, 컴퓨터시스템의 작동에 대한 재검토, 최신프로그램으로 보안 패치, 방화벽 구축 등 사전예방활동이 무엇보다도 중요하다는 것을 잊어서는 안 될 것이다.   Many people use computers nowadays. Therefore, the importance of computers is increasing but keeping the security of computer is getting difficult. At this point, countermeasures for the security problems of computers are important issues. Although the level of recognition about the computer security problems is getting better, there are still so many corporations which are not using computer virus vaccines and fire wall. Therefore, the damages caused by virus and hacking are increasing.<BR>  In this study, I present the countermeasures for the computer security problems by classifying into three parts - physical security system, technical security system and communication security system.<BR>  Physical security system - Establishing alarm & lighting system on computer equipments; access control to the computer equipments by asking for identification etc.<BR>  Technical security system - Building a back-up system to prevent data loss while computer operation fails.<BR>  Communication security system - Intrusion Preventing System(IPS), Intrusion Detecting System(IDS), Vulnerability Analysis System(VAS) etc.<BR>  Although these security countermeasures are important, the regular check-ups on the security problems of computers are more important. For example, the reexamination of the computer operation, up-dating of the security patch files, and constructing a fire wall etc. should be considered in the regular check-up.

2002년과 2007년 건강검진 수진자 특성비교

김윤진,김영주,이정규,박현지 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

산업보건서비스체계의 효율적 관리방안에 관한 연구

문옥륜 ( Ok Ryun Moon ),한동운 ( Dong Woon Han ),최병순 ( Byung Soon Choi ),최재욱 ( Jae Wook Choi ),하은희 ( Eun Hee Ha ),이기효 ( Key Hyo Lee ),장동민 ( Dong Min Chang ) 한국보건행정학회 1994 보건행정학회지 Vol.4 No.1