우리나라 주부(主婦)의 로인부양의식(老人扶養意識)·태도(態度)에 관한 연구(硏究)

류호신 ( Ho Shin Ryu ) 한국보건사회연구원 1985 保健社會硏究 Vol.5 No.2

This study was to investigate the present status of family services for the aged in the contemporary Korean society. The Traditional family services for the aged parents is changing rapidly as consequence of rapid industrialization in the past decades. The present study attempted to find out motivation, financial support, problems in family service, relationship among the family members and consciousness of family service in extended family. A total of 1,694 housewives supporting the relating aged were interviewed. The samples of survey were consisted of 1,584 daughters-in-law and 89 married daughters and 21 others housewives. The findings are as follows; 1. The most notable motivation (67.7%) of family service is still the case supported by the married eldest son in contemporary Korean society. 2. Approximately two third of the housewives interviewed did not provide any regular extra-money for the aged. 3. The supporters such as daughters-in-law, married daughters and other supporters mentioned that the emotional problems in their services for the aged were more often than others; such as financial problems, medical care, provision of services. 4. As regard to the relationship among the family members, it was realized that the couples who communicated more frequently each other, had a closer relationship with their parents. Furthermore, their children of the couples who keep excellent relations, had better and more contact with their grandparents. 5. 97.5 percent of the persons interviewed responded that the children should take responsibility to take care of their parents. It is also found that more then half of the persons interviewed agreed with the eldest son`s responsibility for their parents. 6. It was also realized that among the persons interviewed including parents (the aged), the younger generation prefered to live independently instead of relying upon their children. But older generation had opposite opinion instead. In conclusion, this study confirmed that majority of Koreans interviewed had their opinions that the responsibility of taking care of the aged were still remained with their close family members. Therefore it is suggested that the above opinions should be considered in formulating the policy on the care for the aged.

병원분만아(病院分娩兒)의 미숙아(未熟兒) 및 저출생체중아(低出生體重兒)에 관한 문헌고찰(文獻考察)

류호신 ( Ho Shin Ryu ),홍재웅 ( Jae Woong Hong ) 한국보건사회연구원 1986 保健社會硏究 Vol.6 No.2

The authors attempted to study on incidence, fatality and cause of death of premature and low-birth-weight infants by reviewing the 30 original papers published from 1955 to 1986 in Korea. All the papers were based on the hospital records of the new-born infants. Accordingly, the results would be interpreted in a limited ranges. The findings of this study were summerized as follows : 1. Although the incidence of the premature and low-birth weight infants were fluctuated by year, it was estimated that the incidence of low-birth-weight was 8.0 per cent in Korea recently. The incidence of premature and low-birth-weight infants was the highest during 1965-1970 (Premature 8.4%, low-birth-weight infant 10.9%). Regarding sex and maternal age, in male showed lower than in female and those with their mothers between 26 and 30 years of age revealed the lowest. Incidence was higher at the first born and the third born. 2. However the common causes of incidence were uncertain, it was suspected that the premature was caused by premature rupture of membrane, (pre) aclamsia, toxemia, abnormal placenta and low-birth-weight infants caused by toxemia, twin, premature rupture of membrane, abnormal placenta. 3. Fatality rates in hebdomadal period of premature and low-birth-weight infants tended in general to become lower annually. But, neonatal fatality rates were changeable. Fatality rates were higher in male than in female. The heavier the birth weight, the lower the fatality rate was revealed rapidly. 4. The most common clinical cause of death in low-birth-weight infants was respiratory distress syndrome, and followed by pneumonia & other infections, birth injury & intracraneal hemorrhage, congenital anomaly in that order. While the cause of death by autopsy was shown atelectasis, hyaline membrane disease, pneumonia & other infections, birth injury & intracraneal hemorrhage in that order.

韓國人口의 老齡化에 관한 考察

孔世權(Kong, Sae Kwon),柳好信(Ryu, Ho Shin) 인구문제연구소 1984 人口問題論集 Vol.- No.25

눈물길 조영검사 시 양측 안 와 사위 상 획득의 유용성에 대한 연구

박좌우,이범희,박승환,박수영,정찬욱,류형기,김호신,Park, Jwa-Woo,Lee, Bum-Hee,Park, Seung-Hwan,Park, Su-Young,Jung, Chan-Wook,Ryu, Hyung-Gi,Kim, Ho-Shin 대한핵의학기술학회 2014 핵의학 기술 Vol.18 No.1

눈물길 조영검사 시 눈물기관 해부학적 구조의 다양성, 눈물길기형, 검사 중 발생하는 유루증과 같은 경우 전면상 외에 코 안으로의 배출을 좀 더 자세히 표현해낼 수 있으며, 유루증과 코 눈물관으로의 배출을 구별할 수 있는 방법의 필요성을 생각해 보았다. 이에 전면상 지연 촬영 외에 양측 안 와 사위상을 획득하는 방법의 유용성에 대해 알아 보고자 하였다. 2013년 1월부터 2013년 8월까지 눈물길폐쇄로 인한 유루증을 주소로 하는 78명의 환자를 대상으로 하였다. 평균나이는 $56.96{\pm}13.36$세였다. $^{99m}TcO4^-$ 3.7 MBq (0.1 mCi)을 $10{\mu}L$ 씩 마이크로피펫을 이용하여 양 안 하결막낭에 1-2방울 점안 후 1분 씩 20frame, 20분 간 동적 검사를 시행 하였다. 동적 검사 직후 양 안에서 코 안으로 배출이 확인되는 경우는 즉시 사위상을 획득하였고 어느 한쪽의 안 와라도 배출이 보이지 않는 경우 40분 뒤 전면상으로 확인 후 안 와 사 위상을 획득하였다. 검사 시 사용한 장비로는 Pin-hole Collimator를 장착한 Gamma Camera (Siemens Orbiter, Hoffman Estates, IL, USA)장비를 사용하였다. 실험대상 78건의 영상 중 전면상에서 코 안으로의 배출이 확인되었던 환자는 35명이었다. 그 중 양 안 모두에서 코 안으로 배출을 보인 환자는 15명이었고 양 안 8명, 좌 안 2명, 우 안 1명에서 사위상을 통해 보다 나은 배출 양상 관찰이 가능하였다. 좌 안 및 우 안에서 배출이 있었던 환자는 20명이었고 10명이 전면상에 비해 명확한 배출을 보여 주었다. 그 외 배출 가능성이 있는 환자는 13명이었으며 코 눈물관으로의 추적자이동이 보이지 않은 환자는 30명이었다. 기술통계 결과 총 35명 중 21명(60%)이 사위상 추가 촬영으로 전면상보다 뚜렷한 배출 양상을 나타내었다. 배출 감별유용성에 관한 Likert 5점 척도 blind test를 통해 사위상 획득이 전면상에서 자세히 보이지 않는 부분을 나타내 줌으로써 배출 유무 확인이나 배출 지연, 코 눈물관 폐쇄를 진단하는 데 도움이 된다고 응답하였다. 또한 유루증 발생시 코 눈물관으로의 배출과 피부로의 흘림을 구별할 때 사위상이 전면상에 비해 구별능이 높다고 응답하였다(전면상:$4.14{\pm}0.3$, 사위상:$4.55{\pm}0.4$). 눈물길 조영검사 시 양측 안 와 사위상을 전면상 이외에 추가적으로 획득한다면 전면상에서 충분히 보여주지 못하는 영역의 검사가 가능하여 코 눈물관 이후로의 배출 유무를 확인하고 피부에서 유루증의 흐름을 코 눈물관과 구별하는 데 용이하기에 판독의 진단능을 높일 수 있을 것이라 사료된다. Purpose: Diversity and the lachrymal duct deformities and the passage inside the nasal cavity except for anterior image such as epiphora happens during the test were able to express more precisely during the dacryoscintigraphy. Also, we thought about the necessity of a method to classify the passage into the naso-lachrymal duct from epiphora. Therefore, we are to find the validity of the method to obtain both oblique views except for anterior views. Materials and Methods: The targets of this research are 78 patients with epiphora due to the blockage at the lachrymal duct from January 2013 to August 2013. Average age was $56.96{\pm}13.36$. By using a micropipette, we dropped 1-2 drops of $^{99m}TcO4^-$ of 3.7 MBq (0.1 mCi) with $10{\mu}L$ of each drop into the inferior conjunctival fold, then we performed dynamic check for 20 minutes with 20 frames of each minute. In case of we checked the passage from both eyes to nasal cavity immediately after the dynamic check, we obtained oblique view immediately. If we didn't see the passage in either side of the orbit, we obtained oblique views of the orbit after checking the frontal film in 40 minutes. The instrument we used was Pin-hole Collimator with Gamma Camera(Siemens Orbiter, Hoffman Estates, IL, USA). Results: Among the 78 patients with dacryoscintigraphy, 35 patients were confirmed with passage into the nasal cavity from the anterior view. Among those 35 patients, 15 patients were confirmed with passage into the nasal cavity on both eyes, and it was able to observe better passage patterns through oblique view with a result of 8 on both eyes, 2 on left eye, and 1 on right eye. 20 patients had passage in left eye or right eye, among those patients 10 patients showed clear passage compared to the anterior view. 13 patients had possible passage, and 30 patients had no proof of motion of the tracer. To sum up, 21 patients (60%) among 35 patients showed clear pattern of passage with additional oblique views compared to anterior view. People responded obtaining oblique views though 5 points scale about the utility of passage identification helps make diagnoses the passage, passage delayed, and blockage of naso-lachrymal duct by showing the well-seen portions from anterior view. Also, when classifying passage to naso-lachrymal duct and flow to the skin, oblique views has higher chance of classification in case of epiphora (anterior:$4.14{\pm}0.3$, oblique:$4.55{\pm}0.4$). Conclusion: It is considered that if you obtain oblique views of the bilateral orbits in addition to anterior view during the dacryoscintigraphy, the ability of diagnose for reading will become higher because you will be able to see the areas that you could not observe from the anterior view so that you can see if it emitted after the naso-lachrymal duct and the flow of epiphora on the skin.

農村地域 保建所와 保建醫療院의 診療量 및 診療費 比較分析에 관한 硏究

柳好信 한국인구보건연구원 1990 保健社會論集 Vol.10 No.2