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안윤옥,An, Yun-Ok 한국건강관리협회 1989 건강소식 Vol.13 No.1
현재 의료보험은 치료에 국한된 요양급여가 대부분인데, 예방사업을 통한 질병발생의 예방이 건강의 손상을 줄이고 궁극적으로는 건강을 증진시킬 수 있으며 의료비의 상승을 억제할 수 있다고 안윤옥 서울의대 교수는 지난해 11월11일에 있었던 건강관리 워크숍에서 강조했다. 본문은 안교수의 발표문을 게재한 것이다.
Cancer Risk in Adult Residents near Nuclear Power Plants in Korea - A Cohort Study of 1992-2010
안윤옥,Zhong Min Li,박병주,유근영,이덕희,임현술 대한의학회 2012 Journal of Korean medical science Vol.27 No.9
This study evaluated cancer risk for adult residents near Nuclear Power Plants (NPPs) in Korea through a valid prospective cohort study during 1992-2010. The study cohort was composed of 11,367 adults living within a five km radius from the NPPs for the exposed and 24,809 adults for the non-exposed or reference cohort set at two different levels of proximity; 5-30 km radius and more than 30 km radius away from NPPs. In 303,542.5person-years of follow-up, a total of 2,298 cancer cases of all sites, or 1,377 radioinducible cancers diagnosed during 1992-2008 were ascertained. Multiple adjusted hazard ratios and 95% confidence intervals were estimated using multivariate Cox proportional hazard model. There were no epidemiological evidence for increased risk of cancer due to radiation from NPPs. Radiological study results or surveillance data of radiation doses around NPPs could be well documented for risk estimation of radio-inducible cancers,instead of epidemiological study results of the long-time required. Continuous surveillance of quantitative measures of dose levels around NPPs and radiation exposures to the residents is warranted.
중년 남성에서 고정상혈압에 의한 고혈압발생 위험 규명을 위한 코호트내 환자-대조군 연구
안윤옥,배종면,Ahn, Yoon-Ok,Bae, Jong-Myon 대한예방의학회 1999 Journal of Preventive Medicine and Public Health Vol.32 No.4
Objectives : High-normal blood pressure' is a factor influencing decision to initiate targeted intensive intervention strategy in westernized populations. JNC-VI offered the vigorous lifestyle modification for persons with 'high-normal blood pressure', who could be early detected. As a hypertension seems to be the result of multiple genetic factors operating in concert with associated environmental factors, it will be necessary to identify the high-normal blood pressure as a risk factor of hypertension for applying primary prevention strategy in Korean people. Methods : Although cohort study design might be adequate to recruit incidence cases, to keep time sequence of events, and to prevent information bias, nested case-control study was chosen for avoiding measurement errors because hypertension is a benign disease. Source population was the 'Seoul Cohort' participants and follow-up was done by using Korea Medical Insurance Corporation's database on the utilization of health services from 1 Jan93 to 30Jun97. Incidence cases were ascertained through the chart review, telephone contacts, and direct blood pressure measurements. Controls included the pairing of 4 individuals to each case on the basis of age. Results : As 75% of 247 incident cases had high-normal blood pressure, the crude odds ratio for hypertension was 2.04 (95% CI 1.47-2.83). Another statistically significant risk factors of hypertension were body mass index, dietary fiber, alcohol consumption, weekly activity and history of quitting smoking. The multivariate odds ratio of high-normal blood pressure adjusted for all risk factors was 1.84 (95% CI 1.31-2.56). Among high-normal blood pressure group, body mass index, weekly ethanol amounts, weekly physical activity, and dietary fiber except history of quitting smoking were still risk factors of hypertension. Conclusion : 'High-normal blood pressure' is a risk factor for hypertension in Korean middle-aged men, which represents that the vigorous lifestyle modification for persons with 'high-normal blood pressure' is need.
안윤옥,An, Yun-Ok 한국건강관리협회 1986 건강소식 Vol.10 No.12
인구8-9만명의 지역주민을 대상으로 한 전수조사에서는 인구 10만명당 연간 암발생율은 남자 140,여자 103명으로 보고된 바 있다. 암발생율은 진단기술의 정도나 주민의 의료 양상에 의해 크게 달라질 수 있겠으나 현재 우리나라 암발생율은 대략 130-150/10만명으로 추정되며 연간 약5~6만명의 암환자가 새로이 발생되는 것으로 믿어진다.
자료처리과정(資料處理過程)에 대(對)한 통계학적(統計學的) 검토(檢討) -일부(一部) 의학잡지(醫學雜誌)에 게재(揭載)된 논문예(論文例)를 중심(中心)으로-
안윤옥,고응린,Ahn, Yoon-Ok,Ko, Ung-Ring 대한예방의학회 1973 Journal of Preventive Medicine and Public Health Vol.6 No.1
One hundred and thirty one health articles (as 'original articles') reported in medical journals published in Korea during the period from Jan. to Dec. 1971. were selected as the study materials for tile purpose of resumption and criticism. Of a total of 131 articles, thirty-nine were not required the statistical application for the data processing and drawing their conclusions and ninty-two, 70.2%, were needed to apply. The 92 articles were divided into three groups by the types of study: 54 for experimental study, 30 for clinical case analytic study and 8 for field study. Each report was resumed and criticised under the statistical aspects in terms of data processing and the validity of the conclusions. The results of resumption of the 92 articles needed statistical application are summarized as follow; 1. Of the 54 articles of experimental studies resumed, thirty-one articles, 57.4%, were considered acceptable. Among the 38 articles classified as clnical case analytic and field studies, only 28.9 per cent were considered acceptable. In total 45.7 per cent or less than half were considered acceptable. 2. Types of errors encountered are as shown in Table 3. 3. The most frequently encountered error was that the conclusions were drawn without having made any statistical test. This type of error was found in 14 out of 35 errors presented in experimental studies, 11 of 35 in clinical case analytic studies and 5 of 9 in field studies and 30 out of 97, 38.2%, in total.