대상포진후 신경통 환자에서 Ketamine의 경구 투여 경험 - 증례 보고 -

김용익 ( Young Ik Kim ),정재윤 ( Jai Yun Jung ),채원석 ( Won Seok Chae ),황경호 ( Kyung Ho Hwang ),박욱 ( Wook Park ) 대한통증학회 2003 The Korean Journal of Pain Vol.16 No.1

경피적 관동맥 확장술의 시술량과 조기 시술결과의 관련성

김용익,김창엽,이영성,김선민,이진석,오병희,강영호,Kim, Yong-Ik,Kim, Chang-Yup,Lee, Young-Sung,Kim, Sun-Mean,Lee, Jin-Seok,Oh, Byung-Hee,Khang, Young-Ho 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.1

Objectives : To explore the relationship between Percutaneous Transluminal Coronary Angioplasty(PTCA) volume and the associated immediate outcome. Methods : A total of 1,379 PTCAs were peformed in 25 hospitals in Korea between October 8 and December 31 in 1997. Data from 1,317 PTCAs (95.5%) were collected through medical record abstraction. Inter-observer reliability of the data was examined using the Kappa statistic on a subsample of 110 PTCA procedures from five hospitals. Intra-observer reliability of the data was also examined. PTCA success and immediate adverse outcomes were selected as the outcome variables. A successful PTCA was defined as a case that shows less than 50% diameter stenosis and more than 20% reduction of diameter stenosis. Immediate adverse outcomes included deaths during the same hospitalization, emergency coronary artery bypass graft (CABG) within 24 hours after PTCA, and acute myocardial infarction within 24 hours after PTCA. The numbers of PTCAs performed in 1997 per hospital were used as the volume variables. Results : Without adjusting for patient risk factors that may affect outcomes, procedures at high volume hospitals ($\geq200$ cases per year) had a greater success rate (P=0.001) than low volume hospitals. There was a marginally significant difference (P=0.070) in major adverse outcome rates between high and low volume hospitals. After adjusting for risk factors, there were significant differences in procedural failure and major adverse outcome rates between high and low volume hospitals. Conclusions : After adjusting for patient clinical risk factors, the hospital volume of PTCA was associated with immediate outcomes. It is recommended that a PTCA volume per year be established in order to improve the immediate outcome of this procedure in Korea.

은유 분석을 통한 유아기 자녀와 함께하는 놀이에 대한 아버지의 인식

김용익(yong ik Kim),국소영(so young Kook) 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.8

목적 본 연구는 유아기 자녀를 둔 아버지가 자녀와 함께하는 놀이를 할 때 어떠한 경험을 하고, 어떻게 놀이를 인식하는지 은유 분석을 통해 확인하였다. 이를 통해서 자녀와 함께하는 놀이에 대한 아버지의 생각을 이해하고, 추후 유아기 자녀를 둔 아버지를 위한 부모교육 프로그램 개발 시 기초자료로 활용하기 위함이다. 방법 K도 소재 유치원 세 곳을 선정하여 질문지를 배포 및 수거하였고, 추가적으로 구글폼을 활용하여 임의 표집을 진행하였다. 총 267부가 회수되었으나 의미 분석이 어려운 56부는 제외하고 211부를 분석하였다. 자료 분석은 SPSS 26.0을 사용하여 빈도와 백분율을 산출하였다. 결과 유아기 자녀와 함께하는 놀이에 대한 아버지의 은유 표현은 총 160개였다. 은유 표현을 분석한 결과 아버지가 놀이를 바라보는 관점의 차이로 ‘자녀와 놀이할 때 드는 생각’ 그리고 ‘자녀의 놀이’ 두 가지로 구분되었다. ‘자녀와 놀이할 때 드는 생각’은 ‘감성으로써의 놀이, 관계로써의 놀이, 성장으로써의 놀이, 긍정과 부정이 혼합된 놀이, 교육으로써의 놀이 그리고 삶의 본질로써의 놀이’ 6개의 주제로 범주화되었다. ‘자녀의 놀이’는 ‘성장으로써의 놀이, 삶의 본질로써의 놀이 그리고 감성으로써의 놀이’ 3개의 주제로 범주화되었다. 결론 아버지들은 유아기 자녀와 함께하는 놀이에 대하여 대체로 긍정적으로 인식하고 있으며, 놀이를 수동적인 입장이 아니라 능동적이고 적극적으로 인식하고 있었다. 반면 일부 아버지들은 놀이를 부정적이거나 양가적으로 인식하기도 하였다. 본 연구에서 가장 많이 확인된 은유 표현은 ‘추억’이었다. 아버지들은 놀이를 매개로 자신의 아버지, 본인 그리고 자녀를 연결하면서, 자녀 역시 미래의 어느 순간에 자신과 함께했던 놀이를 긍정적으로 추억할 것이라고 인식하였다. Objectives The purpose of this study was to identify and analyze the experiences of fathers with young children when they play with their children and how they perceive play through metaphor analysis. Through this, it is to understand the thoughts of fathers when playing with their children and to use them as basic data for developing parent education programs for fathers with young children in the future. Methods Questionnaires were distributed and collected from three kindergartens in K province, and random sampling was conducted using Google Form. A total of 267 questionnaires were collected, but 211 questionnaires were analyzed except for 56 questionnaires that were difficult to analyze. Data analysis SPSS 26 was used for descriptive statistics-frequency analysis. Results There were a total of 160 types of metaphors for fathers about play with their early childhood children. it was divided into two categories: ‘thoughts of playing with young children’ and ‘children's play’ due to different father's perceptions on play. ‘Thoughts of playing with young children’ are categorized into six themes: play as emotion, play as relationship, play as growth, play mixed with affirmation and negativity, play as education, and play as the essence of life. ‘Children's play’ is categorized into three themes: play as growth, play as the essence of life, and play as emotion. Conclusions Fathers generally perceived the play with their young children positively, and recognized the play actively, not passively, while some fathers perceived the play negatively or ambivalently. The most frequently identified metaphorical expression in this study was ‘memories’. Fathers connected their fathers, themselves, and children through play, and their children will also positively remember the play they had with them at some point in the future.

초등학교 예비교사들의 설계 제도 능력 향상을 위한 CAD의 활용방안

김용익(Kim Young Ik) 한국실과교육학회 1998 한국실과교육학회지 Vol.11 No.1

The objectives of the study were to investigate concepts, characteristics of CAD in design and drawing, and to search for directions of CAD’s practical use for fostering of trainee-teachers’ design and drawing competence in primary school. The study was carried out through reviews of literature and CAD’s practices. The major recommendations of the study were as follows ; 1) Although relative importance of CAD’s practical use is gradually increasing, there are many difficulties in establishing educational goals and selecting educational contents because concepts, roles and limits of CAD are not clear. So, analytic studies are needed so that relationships between design-drawing and CAD are more clear. 2) Simple CAD softwares and materials for design-drawing education should be developed variously so that students can obtain and become familiar with them easily. Also, it should be designed assiduously by a group of experts for design-drawing and CAD. 3) Henceforth, more systematic and elaborate approaches in establishing educational goals and selecting educational contents should be followed.

장애인의 국민건강보험 건강검진 수검에 영향을 미치는 요인

박종혁,이진석,이진용,홍지영,김소영,김성옥,조병희,김용익,신영수,김윤,Park, Jong-Hyock,Lee, Jin-Seok,Lee, Jin-Yong,Hong, Ji-Young,Kim, So-Young,Kim, Seong-Ok,Cho, Byong-Hee,Kim, Yong-Ik,Shin, Young-Soo,Kim, Yoon 대한예방의학회 2006 예방의학회지 Vol.39 No.6

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.

측정장소가 왕복오래달리기 기록에 미치는 영향

김용익(Yong Ik Kim),박지훈(Ji Hoon Park),윤남규(Nam Kyu Yoon),천윤석(Yoon Seok Chun),홍나리(Na Ree Hong),서차영(Cha Young Suh) 한국체육측정평가학회 2015 한국체육측정평가학회지 Vol.17 No.3

본 연구의 목적은 학생건강체력평가시스템(PAPS) 체력요인 중 심폐지구력 측정 종목인 왕복오래달리기를 측정하는데흙, 인조잔디, 마루 중에서 올바른 장소를 학교 체육 교사들에게 제공하는 데 목적이 있다. 본 연구에 참여자는 경기도소재 Y중학교에 재학중인 남학생 20명을 대상으로 실시하였으며, 20m 왕복오래달리기 검사에서 측정된 왕복오래달리기횟수를 이용한 최대산소섭취량 추정값은 Leger et al.(1988)의 방법을 이용하였다. 최대산소섭취량 준거는 트레드밀을이용한 점증부하방법을 이용하였으며, Bruce protocol을 사용하였고, 호흡가스분석기(Quark b2 Metabolic Cart, Italy) 를 통해 산소섭취량을 측정하였다. 결과는 다음과 같다. 첫째, 측정장소에 따라서 왕복오래달리기 횟수에 유의한 차이가나타났다(p<.05). 장소에 따라 흙, 인조잔디, 마루에 따라서 왕복오래달리기 횟수 기록은 다르게 나타났다. 둘째, 왕복오래달리기의 연령, 속도를 고려하여 추정식을 대입한 최대산소섭취량은 장소에 따른 유의한 차이가 나타나지 않았다. 셋째, 연령, 속도를 고려하여 추정식으로 산출한 장소에 따른 최대산소섭취량과 호흡가스분석기를 이용한 최대산소섭취량실측값 사이에 낮은 상관관계를 보여주었다(r=.274). 넷째, Bland-Altman의 방법을 이용한 결과 최대산소섭취량과 측정장소간 추정식값의 신뢰구간이 가장 낮은 마루와, 평균차이가 작은 흙에서 일치성이 높다고 평가할 수 있었다. 본 연구는 20m 왕복오래달리기 검사 장소에 대한 올바른 장소를 일선 학교에 자료를 제공하는 데 목적을 갖고 연구에 임하였으나, 결과적으로 장소에 따라서 왕복오래달리기 횟수 차이가 있다는 사실만 확인하고 호흡가스분석기에 의한 최대산소섭취량 실측값과 상관이 높은 장소를 확인하지는 못하였다. 추후 측정 장소에 대한 활발한 연구를 통해서 일선 학교에올바른 측정 장소를 제공할 수 있도록 연구하여야 할 것이다. 또한 적절한 추정식을 제공하기 위해서 성별, 연령, 장소, 신체적 특성을 고려하여 국내에서 적용이 가능한 왕복오래달리기 추정식을 개발할 필요성이 있을 것으로 사료된다. The PACER (i.e., shuttle run) in PAPS is a measure of cardiopulmonary power. The purpose of this study was to investigate the difference in shuttle run records and maximum oxygenation depending on the surface materials of the test site such as artificial lawn ground, clay court, and gym. In addition, we tried to suggest teachers an appropriate test place and a facility. Participants are 20 middle school students who were in the Gyeonggi-do, and we applied the way as Leger et al. (1988) used in their study. Oxygenation was estimated using Respiratory Gas Analyzer (Quark b2 Metabolic Cart, Italy). The results were as follow. First, shuttle run records were different in accordance with where it was taken (i.e., clay, artificial lawn, and gym). Second, maximum oxygenation considering shuttle-run test`s age and speed has no differences by adopting Leger et al. (1988). Third, considering age and speed, there was no relationship between the amount of maximum oxygenation using Leger et al. (1988) and the real point of maximum oxygenation (r=.274). Fourth, from the results estimated by the Bland-Altman method, we could assess that the mean difference between the maximum oxygen consumption and the floor that has the lowest confidence interval showed a high conformity in the small soil. We wanted to recommend schools the specific place of 20m shuttle-run test. However, We only have known that the difference of frequency of shuttle- run and maximum oxygenation depends on the place with exception of the place which high related with the real point of maximum oxygenation using Respiratory gas analysis. Other studies may focus on the appropriate test place in the future. Also, we are willing to develop the shuttle-run test system which is applicable to domestic condition and characteristics including gender, age, and physical condition.

감각신경성 청력손실 환자에서 적외선 체열 검사로 치료의 결과를 예측할 수 있는가?

김용익 ( Yong Ik Kim ),이영훈 ( Young Hun Lee ) 대한통증학회 2003 The Korean Journal of Pain Vol.16 No.2

일부 도시·농촌지역 고령자의 건강검진 수진행동에 관련된 요인

김용익(Yong-Ik Kim),조영채(Young-Chae Choi) 한국농촌의학 지역보건학회 2004 농촌의학·지역보건 Vol.29 No.1

자궁암 조기검진행태 예측을 위한 계획된 행동이론과 이성적 행동이론의 적용

김용익,김창엽,신영수,이건세,Kim, Yong-Ik,Kim, Chang-Yup,Shin, Young-Soo,Lee, Kun-Sei 대한예방의학회 2001 예방의학회지 Vol.34 No.4

Background : Cervix cancer is the most common form of cancer among Korea women. in spite of proof that cervical cancer screening could reduce death rates substantially, the screening rates reported by previous Korean studies remain stubbornly very low. Behavioral studies to increase the cervix cancer screening rate are essential in order to develop the cancer screening program. Objective : To evaluate the factors which are related to the intention and behavior for cervix cancer screening using the Theory of Planned Behavior (TPB) and the Theory of Reasoned Action (TRA). Methods : The survey was conducted from July 21 st to 26th in 1998. Of 3,218 women, 303(12.2%) between 30 and 55 years old, voluntarily participated in the survey in the 3 Myeons in Choongju city. Charge-free cervix cancer screening was provided for the subjects 3 months later. Results : The R-square of both TPB and TRA to the intention (30% and 42%, respectively) was greater than the actual behavior (21% and 13%, respectively. TPB and TRA were found to provide an appropriate framework for the study of cervix cancer screening behavior. However, TRA was more powerful in explaining the intention, not only because the perceived behavioral control component exhibited lower reliability and validity than other components(altitude and subjective norm), but also because there may have been a few limitations in this study design. Consequently, the use of TRA is preferred in attempting to explain intention and actual behavior in this study. Conclusions : This study suggests that a successful intervention program should focus on changing attitudes and reducing psychologic barriers, rather than on just providing information. Physician recommendations, and the support of family members and friends are also very important factors in cervix cancer program participation. Physicians, friends, family members, and opinion leaders in rural areas, all of whom could affect the individual subjective norm, may all have the potential to play great roles as facilitators.

고도음주로 인한 우리나라 국민의 질병부담 측정

김용익,윤석준,이진용,이희영,박종혁,신영수,이중규,Kim, Yong-Ik,Yoon, Seok-Jun,Lee, Jin-Yong,Lee, Hee-Young,Park, Jong-Hyock,Shin, Young-Soo,Lee, Jung-Kyu 대한예방의학회 2005 예방의학회지 Vol.38 No.2

Objectives: This study estimated the burden of disease due to high alcohol consumption using DALY, a composite indicator recently developed by the Global Burden of Disease study group. The results were analyzed by age and sex. Methods: Firstly, high alcohol consumption-related diseases, and their relative risk (RR), were selected. Secondly, population attributable fractions (PAFs) were computed using formulae, including the relative risk (RR) and prevalence of exposure (Pe). Thirdly, the DALYs of high alcohol consumption-related diseases were estimated. Lastly, the attributable burdens of diseases due to high alcohol consumption wereconcluded as being the sum of the products that multiplied the DALYs of high alcohol consumption-related diseases by their population attributable fraction (PAF). Results : The burden of high alcohol consumption in Korea was 2992.3 person years (PYs) per 100,000 persons in men, and 1426.6 in women. For men, the high alcohol consumption-induced diseases with the five biggest burdens were liver cirrhosis, hypertensive disease, liver cancer, cerebral infarction and intracerebral hemorrhage. For women, these were cerebral infarction, intracerebral hemorrhage, hypertensive disease, liver cirrhosis and liver cancer. Conclusion: This study highlighted the attributable fraction of diseases due to exposure to high alcohol consumption, by quantifying the results of exposure to risk factors. Therefore, it is now possible to assess interventions for risk factors in quantifiable terms in each population. Finally, measuring the risk factor burdens was expected to contribute to priority setting and effective resource allocation in public health policy.