肺結核患者의 難治化에 미치는 要因에 關한 調査硏究

沈雲澤,李棟培,曺永釵 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

To find out the factors affecting to the intractability of pulmonary tuberculosis, we analyzed the 1,047 pulmonary tuberculosis patients, registered and treated at the Clinic of Chungnam Branch of Korean National Tuberculosis Association for entire 8 years from January 1st, 1978 to the December 31st, 1985. Following variables were find out to be the affecting factors to the intractability of pulomonary tuberculosis. 1. General characteristics : age of patient, residential area, education, occupation, marital status and smoking status; above 30 years of age, rural area, low educational background, physical workers and heavy smokers were more apt to be intractable pulmonary tuberculosis patient. 2. Laboratory findings : chest P-A, direct sputum smear and culture, and rate of antituberculous drug resistance; moderately advanced and far advanced, smear and culture highly positive and higher occurrence rate of antituberculotic resistance. 3. Medical facility they treated : primary and retreatment; the patient who treated at the drug store and health center were find out: more easily become intractable pulmonary tuberculosis patient.

산업근로자들의 소음성난청 발생에 관한 조사연구

이동배,조영채,심운택 忠南大學校 環境問題硏究所 1988 環境硏究 Vol.6 No.1

We surveyed 42 industries in Chungchong province for measurement of noise level with hearing test of 1,474 workers from there. 8.1% of total 1,474 workers had their hearing loss at over 45dB in 4000Hz. Mining occupied the highest percentage hearing loss with 11.5%. There showed a tendency of the increased occurrence of hearing loss with the career of service and the age of the workers. And also, C??-dip phenomenon was seen.

農漁村의 醫療脆弱地域에 必要한 醫療人力의 活用方案에 關한 調査

沈雲澤 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.2

In order to utilize medical manpower in the rural doctorless area, the present condition was investigated in this survey through on-the-spot survey to Chungcheongnamdo province in Korea and on-site inspection to doctorless villages in Japan, from May 1 to August 15, 1981. As a result of the above activities and related reference, I would propose the countermeasures as follows; 1. The fundamental Health care delivery system should be established to utilize medical manpower in the rural doctorless area. 2. The primary health care, of which the health subcenter forms the core, should be strengthened for health programs in the rural area. 3. It is necessary to strengthen the organization and function of Myon health subcenter. 4. It has better replace provisionally the medical manpower with community health practitioner in the rural area, by the time that public doctors are secured for rural doctorless area.

공단 근로자들의 혈증 중금속 농도에 관한 비교 연구

심운택,이동배,조영채,이영수,윤창규 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1

For the purpose to estimate the exposure levels of heavy metals and to present a basis of occupational health managements to the industrial workers exposed to heavy metals, this study conducted to know the lead and chromium levels of whole blood of industrial workers. The study population were divided into three groups to the exposure levels ; directed exposure group, indirect exposure group and non-exposure group, and the sample number of workers who exposed to lead were 80, chromium were 77, and control group were 31. The contents of lead and chromium were analyzed by atomic absorption spectrophotometer. The results were summerized as follows : 1. Sex distribution of studied group were 77.1 % in male, and 22.9 % in female. Age distribution were 74.4% in 30-49 age group. The work in years were 43.1 % in 5-10 years, 29.8% in 1-4 years. 2. Mean blood level of lead were 33.53㎍/㎗ in direct exposure, 23.84㎍/㎗ in indirect exposure group and 11.77㎍/㎗ in control group. 3. Mean blood levels of chromium were 1.9㎍/㎗ in direct exposure, 1.51㎍/㎗ in indirect groups and 0.95㎍/㎗ in control group. 4. Mean lead levels of direct exposure group was higher in male than female as 36.44㎍/㎗, 27.35㎍/㎗ respectively, but there was no difference in indirect and control group by sex. Mean chromium levels of direct exposure group were higher levels 2.26㎍/㎗ in female than 1.84㎍/㎗ in male, but there were no difference in indirect and control group by sex. 5. The age group of 29 or younger among the direct exposed had high level of lead and chromium as 35.7㎍/㎗ 2.41㎍/㎗ respectively, but that age group had no evident difference in the level of lead and chromium among the indirect exposed and non-exposed.

靜穩太陽年의 黑點活動과 서울地區 地磁氣 수직分力과의 關係

沈雲澤,朴喜椿 成均館大學校 1966 論文集 Vol.11 No.-

우리 나라에서 地磁氣수직分力의 測定 및 太陽黑點의 觀測은 國際靜穩太陽年(1964∼65)에 國際機構에 加入하므로서 始作되었다. 우리는 이 論文에서 1965年度에 成均天文臺의 12.5inch Equatorial Reflector에 依해 觀測된 黑點 活動과 地磁氣 測定分科에서 Ruska-VR-Type magnetometer에 依해 Geomagnetic Coord.26.9°N 187.9°E(Geographical Coord, 37°35′N 127°03′E)에서 測定한 地磁氣 수직分力을 Analysis하여 서울 地方에서 Sq variation과 Sunspot Relative No와의 關係와 SD variation과 Sunspot Relative No 및 大陽黑點群의 C.M.P. 通過와의 關係를 求하였다. 그 結果를 보면 Sq variation이 Sunspot Relative No와 線形關係를 갖이며 SD variation이 Sunspot Relative No가 極大를 이룬 翌月에 極大를 이루어 서로 잘 對應되고 있으며 이 原因을 살펴보니 大黑點群이 C.M.P.를 많이 通過한 翌月에 SD variation이 極大를 이룸을 볼 수 있었다. This study has the purpose of describing the relations with the solar activies and geomagnetic vertical components for international quite sun year at Seoul area. The number of relative sunspot values derived for the reflector telescope with 12.5 inchs aperture and the type 348 receiver, and the sunspot groups are classified by Zu¨rich classifications. The geomagnetic vertical compoment is measured by the division of geomagnetism with Rusk-VR-type magnetometer. The following conclussion are obtained. 1. The sunspot relative number and Sq's monthly variation have linearlity; R=7.9Sq+14.4 2. The SD's monthly variation have the greatest phenomena when the sunspot relative number reached to the greatest, there are occured its phenomena at next month when a large sunspot groups passed to center of meridian planes. This periodic variation have the difference of a month with the sunspot activities and SD variation.

택시 운전기사들의 유병상태에 관한 조사 연구

심운택,이종연,오장균,조영채 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1

A questionnaire survey was conducted on 572 taxi drivers in Taejeon City to investigate the prevalence rate which was derived from the subjective symptoms of respondents according to the working condition and daily life effected on health. The disease were classified the cardiovascular disease, gastrointestinal disease, neurotic disease and musculoskeletal disease according to the subjetive symptoms. The results obtained were as follows : 1. Among the subjective symptoms. the complaint rate of latigability, eye strain, loss of appetite, irritability, dizziness on standing, stiffness on shoulder. and low back pain became decreased in that order. 2. The prevalence rates of cardiopulmonary and gastrointestinal disease were low in the old aged group, and the prevalence rates of all disease was proportional to the frequencies of accident experience. but no evident trend in job conditions. 3. The groups having regular meal time and rest after meal showed low prevalence rate in all disease. The sleeping time and smoking habit were related to the neurotic and cardiopulmonary disease. 4. The group of usual drug intake occupied 68% of all studied subjects, the age group of 40 or more and the group of having G-1 disease showed high rats of usual drug intake.

제17회 농촌의학세미나 주제발표(농기계상) 토론 자료

심운택 한국농촌의학 지역보건학회 1992 농촌의학·지역보건 Vol.17 No.1

開業醫 硏修敎育에 關한 調査 硏究

沈雲澤,李棟培,曺永釵 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2

For the purpose of analyzing the opinions of medical practitioners who already took lectures of medical practitioner training seminars, we conducted the surveys from April I through June 30, 1984. Total subjects were 472 nationwide medical practitioners and their opinion about present training seminar system and about improvement of that in the future were analyzed. Followings are the conclutions therefrom: 1. Of the lectures of medical practitioner training seminar, 47. 5% were sponsered by provincial medical society, 25. 5% were scientific lecture meetings of sectional society and 21.5% were professional chair of medical college. 61. 9% of subjects responsed "may be acceptable", 14.6% were "difficult to grasp the content of lecture" and "no interest", but 6. 9% responsed "interest" 2. About the effect of lectured training seminar, 40.2%, of subjects responsed "clinically" practicable", 34.8% were "modern knowledge but clinically cannot practicable" and 22:0%. were "too theoretical to clinical use" in that order. 3. Only 62. 7% of sudjects knew the scores acquired after training seminar. 59.7% of subjects didn't know the regulation on the shortage of aqcuired scores. 4. For the reason that obstacles about the lecture of training seminar, 47.5% were lack of time, 22. 1% were inappropriate lecture place and 16. 1% were not good details of seminar. 5. As for the opinion about the contributions of lectured seminar, the follow: Acquisition of knowledge about modern medicine and drug 44. 5%, reinforcement of knowledge about clinical medicine 20.1% helpful in the clinical use 12.9,% and promote mutual friendship 6.2%. 6. The places of training seminar wanted by subjects were as it is with 35.5%, lecturing tour to the Eup and Myon with 27.8%, university hospital and training hospital with 20.8%, establish the training course to the university hospital with 13. 3%. 7. Details and methods of training seminar were distribute the teaching material with 42.2%, for the practical technique with 30. 1%, theoretical lectures with 24.6%. And the fields of training seminar were without consideration of major field were 53.4%, consideration of major field only with 40.9%. 20. 4% wanted October for the time of training seminar, 16.3% on November, other months were revealed lower rate.

重力異常에 依한 韓國의 地殼構造

沈雲澤 成均館大學校 1971 論文集 Vol.16 No.-

The Bouguer anomaly distribution in and around Korea has been analyzed for the study of the crustal and upper mantle structures. In the first stage of the treatment, the Bouguer anomalies △g_o for 1^o square are calculated from the map compiled by Woollard, Kumagai, and Shim, and the reduced Bouguer anomalies △G are obtained by "influence coefficient method." The reduced Bouguer anomaly could be regarded as the mean gravitational attraction over a square if the structure just below it is assumed to extend horizontally to infinity. This enables one to estimate the depth of the Mohorovicˇicˇ discontinuity D by the simple formula D=Do-△G/2πk^2Δp, provided the normal depth of the Moho D_o and the density difference Δp between the crust and mantle are given. Also shown is a contoured map of the depth of the Mohorovicˇicˇ discontinuity in Korea with a contour interval of 1㎞.

새마을 診療事業의 效果的 管理를 爲한 保健行政學的 硏究

沈雲澤,崔在圭,安鴻子,金明淑 忠南大學校 1974 論文集 Vol.13 No.1

In order to investigate effective management of Sae Ma Eul medical project in the public health and administrative aspect, surveys were conducted on realities of some of Sae Ma Euls and Health centers in Chungnam Province from August 1 to December 31, 1973, and the following results have been obtained. 1) 71.6% of Sae Ma Eul has participated in the Sae Ma Eul medical project, and it's contents in order were as follows; environmental sanitation, family planning, vaccination, and maternal and child health. The rate of participation in the isolated island was meagre. 2) Most of residents in Sae Ma Eul were not concerned in utilization of health center, while the members of this organization visited them frequently. 3) There were 34 doctorless Myon in Chungnam Province, and 366, 247 of residents were not in medical benifits. 4) Total number of Sae Ma Eul medical projects in Chungnam province in 1973 were performed 785 times, and 73 times of them were carried out by members of Medical College. 5) A team of Sae Ma Eul medical projects was composed of 4 members in Health Center team, and 20 members in medical school team. The former team cared average 99 patients per a day, and the later 107 patients. The ratio of patients per a member was 25 in the former team and 5 in the later. 6) Only 1% of public health budget was invested in drug expenditure for Sae Ma Eul medical project. 7) The more careful plan and closer interconference were needed for perfomance of Sae Ma Eul medical project. 8) It seems to be likely that present unit of district is changed to educational unit for Sae Ma Eul medical project.