해군,해병 장병의 결핵유병율에 관한 조사

유동준 ( Dong Joon Lew ) 대한결핵 및 호흡기학회 1971 Tuberculosis and Respiratory Diseases Vol.18 No.4

교통사고(交通事故)에 대(對)한 역학적(疫學的) 고찰(考察)

박동철,유동준,Park, Dong-Chul,Lew, Dong-Joon 대한예방의학회 1984 Journal of Preventive Medicine and Public Health Vol.17 No.1

A retrospective study has been made of 170,026 cases of motor vehicle accidents which had been reported to the National Police Headquarters of Republic of Korea, 1983. Also a study has been made of 264 cases of road traffic casualties who were treated at the Eul-ji General Hospital from Jan. 1, 1983 to Dec. 31, 1983. This study was conducted to find out the nature and pattern of the traffic accidents from the clinical and epidemiological view points. In additions, the modes of injury from the road accidents were persued which might help to reduce the traffic accident rate. The results of the study were summarized as follows; 1. In this study, the highest incidence was in the age group between $21{\sim}30$ years (21.29%). And the age group of highest death rate was under 10 years (7.28%). 2. In the comparison of sexual differences, male was dominated in accidents number and death rate. (Casualty rate; 61.66%). 3. In the comparison of each hour differences, the accident was mostly occured during afternoon from 16:00 to 18:00(12.23%). 4. The most common day of week was Sunday (14.74%). 5. The most common season of year was Autumn (27.92%). 6. In the comparison of occupational differences, the high incidences were showed in labor men (31.06%) and business men (12.12%). 7. In the comparison of accidental vehicles, the most common vehicle were cars and the next were trucks and buses. 8. The most common mechanism of accidents was collision (57.41%). 9. In the comparison of clinical differences, orthopaedic and neurosurgical injuries were most common types of the hospitalized casualties. 10. In the comparison of anatomical fracture sites, the most common site was tibia (15.81%) and the next site was femur (12.56%).

일부 의과대학생들의 비만도 및 생활태도에 관한 조사 연구

안동기,최중명,윤태영,유동준,박순영,Ahn, Dong-Kee,Choi, Joong-Myung,Yoon, Tai-Young,Lew, Dong-Joon,Park, Soon-Young 대한예방의학회 1995 예방의학회지 Vol.28 No.1

This study was carried out to evaluate the associations between lifestyles and Body Mass Index in a group of 349 male and 65 female medical students, ages 17 to 31 years. 20.0% of male students and 3.1% of female students showed the over weight in the classification of obesity by Japan Society for Study of Obesity. There was no statistically significance in the comparison of the height, body weight, body mass index, obesity index and body fat(%) according to grade in both sexes. But male students showed increasing tendency of waist-hip ratio with grade. According to obesity category, there was significant difference in the comparison of body weight, body mass index, obesity index, waist-hip ratio and body fat(%), but height. Body mass index was positively related with waist-hip ratio(r=0.6150, p=0.0001) and fat(%)(r=0.5101, p=0.0001) in males and waist-hip ratio (r=0.4734, p=0.001) and fat(%)(r=0.4522, p=0.002) in females. This study provides an opportunity to further examine the relationship of sociddemographic factors and health behaviors to obesity, and suggest the basic concept to match the obesity study to general epidemiological cohort studies for controlling of chronic adult diseases.

원저 : 재태기간 및 출생시체중에 따른 신생아분류에 관한 연구 ( Original Article : A Study on the Neonates Classification by Gestational Age and Birth Weight )

성기천(Kee Chun Sung),유동준(Dong Joon Lew) 경희대학교 경희의료원 1986 慶熙醫學 Vol.2 No.4

일부 지역 주민에서 고혈압이환과 비만지표와의 관련성

손락성,윤태영,최중명,박순영,유동준,최봉근,Son, Lack-Seong,Yoon, Tai-Young,Choi, Joong-Myung,Park, Soon-Young,Lew, Dong-Joon,Choe, Bong-Keun 대한예방의학회 1999 예방의학회지 Vol.32 No.4

Objective: To examine the relationship between hypertension prevalence and the four commonest anthropometric measurements for obesity(body mass index(BMI), wasit-hip ratio(WHR), waist circumference(WC) and body fat in Korean adults. Methods: We studied the cross-sectional association of the anthropometric indices and blood pressure in 1,197 individuals(who were participants in the population-based cohort study). Hypertension was defined as blood pressure $\geq160/95\;mmHg$ or current use of antihypertensive medication. Informations on life-style factors were obtained from personal interview. Results: There were close associations between BMI, WHR and WC with blood pressure in both men and women. After age adjustment, BMI and WC showed significantly positive correlation with systolic and diastolic blood pressure levels in both men and women. Odds ratio(ORs) of being hypertensive were estimated comparing the highest to the lowest quantile, adjusting for age, smoking status, alcohol intake levels, education attainment. The simultaneously adjusted ORs of being hypertensive, comparing the highest vs the lowest categories, was for BMI 2.0(95% confidence interval(CI)=0.9-3.2) in men and 3.2 (95% CI=1.7-6.1) in women, for WC 2.1(95% CI=1.0-4.4) in men and 3.1 (95% CI=1.6-5.9) in women, for fat(%) 4.2(95% CI=1.9-9.5) in men and 2.1(95% CI=1.2-3.6) in women. Conclusion: In addition to measures of overall obesity(BMI) as well as central obesity(WHR, WC), body fat(%) was independently associated with prevalence of hypertension. Among obesity indices, body fat was the most predictor variable in hypertensive state in male and BMI was in female.

최근 20년간 우리 나라 주요사인의 추이

김득조(Duk-Jo Kim),최봉근(Bong-Keun Choi),윤태영(Tai-Young Yoon),최중명(Joong-Myung Choi),박순영(Soon-Young Park),유동준(Dong-Joon Lew) 대한임상노인의학회 2000 대한임상노인의학회지 Vol.1 No.1

연구목적 : 최근에 이르러 우리 나라의 주요 사망원인은 전염성질환에서 비전염성의 만성퇴행성질환으로 현저히 변화되었다. 이제 저자들은 최근의 주요 사인의 변화양상과 그 추이를 검토하고저 본 연구를 수행하였다. 방법 : 그간 경제기획원, 통계정 및 기타 관련 정부 부서로부터 1977년이래 발표된 과거 20년간의 주요사인에 관한 통계자료를 수집, 연도별로 분석, 검토하여 최근 우리 나라에서 주요 사인의 변천양상과 그 추이를 고찰하였다. 결과 : 1970년대 후반 내지 1980년대 초반에서 주요사인이 전염성질환에서 비전염성의 만성퇴행성 질환으로 현저하게 역전되었는데, 특히 순환기계 질환과 악성 신생물이 수위권으로 괄목하게 부상하였다. 또한 1980년 중분이래 사망의 외인(불의의 사고)에 의한 사망이 점차 증가하여, 이제는 순환기계질환, 악성신생물(암) 그리고 사고(사망의 외인)은 三大주요사인이 되어 1996년도 현재 이 3대 사인이 전체사인의 약 61%를 차지하였다. 결론 : 주요사인의 추이를 보면, 과거에 위세를 떨치던 전염성질환(결핵포함)은 급격히 감소되었고, 비전염성의 만성퇴행성 질환인 소위 "성인병"인 순환기계질환과 암 그리고 만성폐쇄성 폐질환 등은 아직도 그 사망수준은 높은 실정이다. 또 각종 사고로 인한 사망률은 매년 꾸준히 증가하여 제 3위 사인으로 전체 사망의 약 15%를 차지하고 있다. Background : Recently the leading causes of death were remarkably changed from the communicable to the non-communicable chronic degenerative diseases. We tried to confirm the changing pattern and the transition of the recent leading causes of death in Korea. Methods : We have made an attempt to examine the changing pattern and the transition of the leading causes of death in our country recently since 1977 by analytically reviewing the annual statistical data on the causes of death for the latest two decades reported mainly from the Economic Planing Board, National Statistical Office and other informative materials. Results : After the inverting period of the late 1970s and 1980s changing remarkably from the communicable to the non-communicable disease, the leading causes of death were changed to the chronic degenerative diseases such as circulatory disease and malignant neoplasms recently. With the particularly increasing deaths due to the unintentional accidents since the mid-1980s, circulatory disease, malignant neoplasms and accidents became the three major causes of death, and accounted for about 61 percent of the total deaths in 1996. Conclusion : In reviewing the changing pattern, the transition of the leading causes of death, communicable diseases formidably prevailed for the past decades were rapidly decreased recently, and chronic degenerative disease, so-called, "Chronic Illness" such as circulatory diseases, malignant neoplasms, and chronic obstructive pulmonary disease are in tendency of continuous increase year by year.

高血壓의 豫防을 위한 疫學的 硏究

柳東俊 慶熙大學校 1985 論文集 Vol.14 No.-

The author studied on the prevention of hypertension epidemiologically, particularly by reviewing the large body of accumulated knowledge those epidemiologic elements considered relevant to the population control of hypertension and its sequelae. Therefore, epidemiologic research into risk factors for hypertention and their potential contribution to primary prevention is also emphasized in this study. The results of the study were summarized as follows: 1. The epidemiologic evidence is consistent with hypertension as the major known risk factor for adult cardiovascular morbidity and premature mortality from coronary heart disease and stroke. 2. Hypertension in populations represents the higher ranges of the graded characteristic of blood pressure, and risk of morbidity varies directly with level of pressure. 3. Most instances of hypertension in populations are responsive to simple pharmacologic regimens supplemented by general hygienic measures. Concurrent management of other cardiovascular risk factors, particularly smoking and dietary induced hypercholesterolemia, is probably required for prevention of coronary heart disease. 4. The recent accelerated decline in hypertension-related mortality in the developed countries such as the United States suggests that some of the decrease of attributable to hypertension control, the potential for further improvement is considerable as the majority of hypertensives are not currently under control. 5. Pragmatic research in primary prevention is beginning, utilizing the epidemiologic knowledge of risk factors for hypertension: high-risk groups can be identified based on obesity, family history, race, and sight elevation of blood pressure within the normal range, and intervention strategies can be applied based on dietary restriction of salt and calories supplemented by hygienic measures, including both exercise and relaxation.

제주도 주민에서 Human T-cell Lymphotropic Virus Type Ⅰ(HTLV-Ⅰ) 감염에 관한 혈청역학적 연구

강석민,박순영,최중명,김원천,최창현,윤태영,김응,김준명,유동준 대한감염학회 1997 감염 Vol.29 No.3

목적 : Human T-cell lymphotropic virus typeⅠ(HTLV-Ⅰ)은 human retrovirus로서 성인 T세포 백혈병/림프종(adult T-cell leukemia/lymphoma; ATL)과 HTLV-Ⅰ associated myelopathy/tropical spastic paraparesis(HAM/TSP)의 병인과 관련이 있는 것으로 알려져 있다. HTML-Ⅰ감염은 일본의 남서부지방에 토착화되어 있으며, 카리브해 연안, 중남미, 아프리카 일부지역이 토착지역으로 알려져 있다. 특히 최근에는 일본과 지리적으로 가까운 대만과 중국에서도 HTLV-Ⅰ 유행지역이 있음이 알려졌다. 국내에서도 1993년 여러지역의 공혈자를 대상으로 한 조사에서 항체양성률이 0.13%이었으며, 내륙보다는 일본에 가까운 지역으로 갈수록 증가하여 제주도의 경우 0.80%라는 예상외로 높은 항체양성률을 보고하였다. 따라서 제주도 주민의 정확한 HTLV-Ⅰ 항체보유율을 파악하고, 나아가서 이 지역의 HTLV-Ⅰ감염의 전파경로를 규명하여 향후 HTLV-Ⅰ 감염예방 및 관리를 위한 대책을 마련코자 광범위한 혈청학적 및 역학적 조사를 실시하였다. 방법: 1995년 12월부터 1996년 3월까지 제주도 주민 2,372명으로부터 혈청을 채취하여 microtiter particle agglutination test를 이용하여 HTLV-Ⅰ 항체양성여부를 판정하였다. 혈청검사에서 양성을 보인 조사대상은 상담조사를 통해 수혈여부, 정맥주사용 마약사용여부, 일본인과의 성접촉여부, 일본에서의 출생 및 생활여부, 현재 및 과거질환력, 부모, 자식, 배우자의 질환력 등에 관하여 알아보았다. 결과: 제주도 주민 2,372명 중 항체양성자는 19명으로서 항체양성률은 0.80%이었다. 남자에서의 항체양성률은 0.78%이었으며, 여자에서의 항체양성률은 0.82%로서 여자에서 남자보다 항체양성률이 높았다. 항체양성률은 20대에서 1.45%로 가장 높았으며, 다음이 40대 1.41%, 10대 이전 0.91%, 30대 0.70%, 50대 0.54%의 순으로 나타났다. 항체양성자의 평균연령은 35.5세이었으며, 남자의 경우 35.2세, 여자의 경우 35.7세이었다. 지역에 따른 항체양성률은 제주시, 북제주군이 각각 0.61%인데 반하여 일본에 면해 있는 남제주군, 서귀포시는 각각 0.83%, 1.37%로서 더 높았다. 항체양성자에 있어서 감염위험인자 및 관련질환유무를 조사하였으며 특별한 관련사항은 발견할 수 없었다. 결론: 본 연구에서 나타난 제주도 주민에서의 높은 항체양성률은 향후 Western blot, RIPA 또는 PCR과의 비교검사를 통해 확인이 필요하겠으며, 이들 검사에서도 높은 항체양성률이 증명된다면 수혈을 통한 높은 전염률을 고려할 때 제주도 지역만이라도 공혈자의 혈액에 대한 검색검사로서 HTLV-Ⅰ항체검사 실시의 필요성을 검토해야 할 것으로 사료된다. Background : Human T-cell lymphotropic virus typeⅠ(HTLV-Ⅰ) is a retrovirus that has been identified as a cause of adult T-cell leukemia/lymphoma and tropical spastic paraparesis. HTLV-Ⅰ infection is highly economic in the southwestern islands of Japan, Caribbean basin, South America, and Africa. In 1993, we showed that the seroprevalence of antibodies to HTLV-Ⅰ was 0.13% among blood donors in Korea, but surprisingly, 0.80% in Cheju-Do adjacent to endemic areas of Japan. So this study was designed to reevaluate the seroprevalence of antibodies to HTLV-Ⅰ among residents in Cheju-Do. Methods : Total 2,372 residents in Cheju-Do were tested from December, 1995 to March, 1996. Anti-HTLV-Ⅰ antibodies were tested from December, 1995 to March, 1996. Anti-HTLV-Ⅰ antibodies were detected by the microtiter particle agglutination test. Result : Among total 2,372 residents, 19 were anti-HTLV-Ⅰ positive. So the overall positive rate of anti-HTLV-Ⅰ antibodies was 0.80%. The positive rate in females was higher than in males(0.82% vs 0.78%). The positive rate was 1.45% in the age group of 20-29 years, 1.41% in 40-49 years, 0.91% in 0-9 years, 0.70% in 30-39 years, and 0.54% in 50-59 years. The mean age of seropositives is 35.2 in males and 35.4 in females, with a mean of 35.3. Geographically, high positive rate was observed in Sogwipo-City(1.37%) and Namcheju-Gun(0.83%) compared to those of Pukcheju-Gun(0.64%) and Cheju-City(0.61%), which showed high seroprevalence in districts adjacent to endemic areas of Japan. Any specific risk factors or associated disorders of HTLV-Ⅰ infection could not be found among the seropositives. Conclusion : The seroprevalence of antibodies to HTLV-Ⅰ in Cheju-Do was noted to be very high by the microtiter particle agglutination test. So henceforth serosurvey by confirmative laboratory tests in needed, and if high seroprevalence is showed from it, screening of blood donors for HTLV-Ⅰ in Cheju-Do should be considered to prevent transfusion-associated HTLV-Ⅰ infection.

癌의 豫防에 關한 疫學的 考察

柳東俊 慶熙大學校 醫科大學 1991 慶熙 醫大 論文集 Vol.16 No.1

急性一酸化炭素中毒에 있어 2-Pyrrolidone Acctamide의 治療效果에 關한 實驗的 硏究

柳東俊,尹德老,金仁達 서울大學校 1977 서울醫大學術誌 Vol.18 No.1