공중보건한의사의 진료여건에 관한 조사연구

정명수,오충선,이기남,Chong, Myong-Soo,Oh, Chung-Sun,Lee, Ki-Nam 대한예방한의학회 2006 대한예방한의학회지 Vol.10 No.2

Public health oriental medical doctor has played a great role in providing oriental medical treatment and oriental medical health program with public health medical services, the basic infrastructure, however, is not sufficient. In this study, the researcher surveyed the treatment working or service condition of public health oriental medical doctor. 1. The payment, allowance of doctors are fixed upon the law and guideline according to the financial status of local government. The branch of public health center has more support like an official residence with expenses. 2. The public health center mainly has assitants and ratio of full-timer is more than the branch public health center without any assistants if any, they are temporary employee 3. The public health center has 5.22 beds while the branch has 3.14 beds. The daily average number of patient for public health center is 15.01 while the branch has 8.7 More than half of outpatients are over sixties with musculoskeletal disease. 4. Regarding the traveling clinic, the public health center put into more operation than the branch. The 3rd year serving public doctor gives negative about the traveling clinic much more than 1st and 2nd year serving public doctor. The treatment service condition of public doctor of the public health center is better than the branch doctor, but we are on the point of role-changing as health promotion and preventive treatment to bring up motivation, education and competence strengthening for execution the local-bound health program.

추출조건을 달리한 마늘 추출물이 Triton WR-1339 유발 고지혈증 흰주의 체내 지질대사에 미치는 영향

정명수,김혜자,조화은,최윤희,한중호,이기남,Chong, Myong-Soo,Kim, Hae-Ja,Cho, Hwa-Eun,Choi, Yun-Hee,Han, Choong-Ho,Lee, Ki-Nam 대한예방한의학회 2009 대한예방한의학회지 Vol.13 No.1

The purpose of this study was to investigate the effect of garlic(Allium sativum L.) extracts with extraction conditions on hyperlipidemia prevention. The extracts prepared for garlic by hot temperature extraction(HG), low temperature extraction(LG), UMPM extraction(UG), fermentation(FG) and black garlic hot temperature(BG) method. To evaluate of hypolipidemia effect in vivo, we examined serum and liver lipid profiles of Triton WR-1339 induced hyperlipidemia rats. Serum triglyceride and total cholesterol levels in UG group were significantly higher than control group. Liver total cholesterol content in LG group and liver triglyceride in UG group was significantly lower than control group.

Streptozotocin 유발 당뇨 쥐의 혈당 및 혈청 지질에 미치는 한방추출물의 효과와 최적 농도에 관한 연구

정명수(Myong-Soo Chong),김혜자(Hae-Ja Kim),조화은(Hwa-Eun Cho),최윤희(Yun-Hee Choi),이기남(Kin-Am Lee) 대한한의학회 2008 대한한의학회지 Vol.29 No.1

도시와 농촌지역 노인들의 양생수준에 영향을 미치는 요인 비교

정대성,정명수,이기남,Chong, Dae-Seong,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2007 대한예방한의학회지 Vol.11 No.2

The purpose of this research is to seek for efficient method of health improvement program for the old and to offer basic material for the development of community's public health service. This study investigated into the yangseng life level of the old and the factors which affect their yangseng life, and was to offer basic materials for oriental medicine-based health improvement plan which is appropriate for each community. The 818 surveys were conducted upon the old who are above 65 and who live in Jeollabukdo, and the results from the survey are as follows ; 1. The rural area showed more percentage of old people, the old who live alone and who have job compared to urban area. More people in rural area were found to live at their own expense. Additionally, there were more people who had high education in urban area and who have disease in rural area. 2. The total yangseng level of recipients was 94.20, and the average was 3.25. The average of urbanite was 3.26 and it was 3.23 for who live in rustic area, but there found no significant difference. All the old live in both urban area and rural area showed the highest score in morality yangseng and lowest in sex-life yangseng. 3. There found no difference upon regions, but the recipients show high yangseng level when they are male, have spouse, live with them, have factors including high education background, job, religion and hobby, or have confidence in their health. They also show high yangseng level when they do not have any disease in progress. 4. According to the results of general traits and yangseng level of each category, the old who live in urban area show higher exercise yangseng level than the one in rural area, and there is no significant difference upon the region in other categories. There were some cases which general traits and regional characteristics mutually affected each other. In conclusion, the yangseng level of the old is affected by individual traits and habits rather than the regions in which they live. The old who live in rural area are required to focus on exercise more, since the exercise yangseng level of them were lower than the ones of urban area. Moreover, there were some cases which general traits and regional characteristics mutually affected each other, so it requires further in-depth study about the correlation.

비급여 한약의 보험급여에 대한 한의사의 인식도 조사

이은경,정명수,이기남,Lee, Eun-Kyoung,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2009 대한예방한의학회지 Vol.13 No.3

Objective : This research aimed to investigate and analyze the opinions of Oriental Medical Doctors (O.M.D.) on covering herbal medicines into National Health Insurance scheme. Methods : Structured questionnaires were e-mailed to the O.M.D.s listed on member's DB of the Association of Korean Oriental Medicine. Collected data were analyzed with the SPSS 12.0 program. Results : The insurance coverage for herbal decoctions was supported by 80.8% of the responders, the median reasonable price for daily herbal decoctions was \9,517, the minimum price median of daily herbal decoctions considering its costs was \8,080, and the daily technical fee median was \4,379. On health insurance coverage for herbal decoctions, O.M.D.s were specially considering the standardization of herbal medicines. Conclusion : In this study, majority of O.M.D.s assented to health insurance coverage for herbal decoctions, but considered standardization of herbal medicines and optional prescription fee. It needs to prepare plan for insurance coverage of herbal decoctions that reflect the character of oriental medicine and oriental medical institutions.

울금(鬱金)에서 분리된 demethoxycurcumin이 백서의 혈관재협착에 미치는 효과

길인호,정명수,신창호,배현옥,정헌택,이기남,Kil, In-Ho,Chong, Myong-Soo,Shin, Chang-Ho,Pae, Hyun-Ock,Chung, Hun-Taeg,Lee, Ki-Nam 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.3

The pathobiologic process of arterial stenosis following balloon angioplasty continues to be an enigmatic problem in clinical settings. This study investigates the ability of demethoxycurcumin, a curcuminoid isolated from Radix Curcumae, to attenuate balloon injury-induced neointima(NI) formation in the rat carotid artery. It was found that demethoxycurcumin induced inducible heme oxygenase(HO-1) expression and inhibited dose-dependently cellular proliferation in rat vascular smooth muscle cells. Perivascular application of demethoxycurcumin immediately following injury significantly reduced NI area and NI thickness 2 weeks post-injury. Interestingly, treatment with tin-protoporphyrin IX, a HO inhibitor, reversed the effects of demethoxycurcumin on NI formation. These results implicate demethoxycurcumin as a potent new therapeutic agent that is capable of reducing post-angioplasty arterial stenosis through induction of the HO-1 expression.

한국산 한약재의 항산화 활성 효과

이정호,정명수,이기남,Lee, Jeong-Ho,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2006 대한예방한의학회지 Vol.10 No.2

This study was performed to determine antioxidative activity of solvent extracts from medicinal plant. As the result, methanol extract from Saurus chinensis Bail and Glycine soya exhibited superior free radical activity as well as reducing power. In particular, methanol extract from Saurus chinensis Bail showed high free radical activity with 130.08${\mu}g/mL$ as $IC_{50}$ value and strong reducing power at concentration of $400{\mu}g/mL$.

계층별 한방의료 이용 실태에 관한 연구

이한울,정명수,이기남,Lee, Han-Wool,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2007 대한예방한의학회지 Vol.11 No.2

This study aims at looking into the use of oriental medical services in treating disease and patient's attitude of oriental medicine by social classes. The first to be explored through this study is medical accessibility, classifying them by age, gender and job. Second is to examine kinds of oriental medical services and expenses incurred in treating the disease. Third is to compare satisfaction for the services offered and investigate into relations between disease and oriental medicine through cross-analysis by class, and provide fundamental materials for enhancing accessibility to oriental medical centers for treating chronic diseases. The 1,376 households for the period of time from Apr. to Jun. 2005, were asked to answer to the questionnaires offered. The conclusion from the survey can be summarized as follows. Medical services for the onset of disease were less offered to females, older group, low schooling, and low-income bracket. It is attributable to an economic cause, in both genders. The in- and outpatients' rate were found higher in groups of female, older age, low-income and blue-color workers. Use of oriental medical centers were higher in outpatients than inpatients probably for low-income brackets were less frequently put on regular physical checkups, more exposing to diseases. Each hospitalization was found over six days longer in average; 19.7 days for oriental medical hospitals, 12.5 for hospitals. The hospital charges that patients should pay for one hospitalization showed 909,000 won in oriental medical hospitals, much higher than 518,000 won in hospitals. Outpatients were also found to pay more for oriental medical services; 55,000 won for oriental medical hospitals, 19,000 for hospitals. As to outpatients' satisfaction, oriental medical hospitals were generally found to be a little more satisfactory than general hospitals; 11.2% of respondents answered Very Satisfactory. Satisfaction to services offered to outpatients showed 82.2% of respondents responded to Over Satisfactory for herb clinics, 76% for general hospitals. For future intention to use oriental medical services, females, over 51 years old, lower education and income, and blue color workers showed more intention to use them. To be more competitive in treating chronic diseases, it is necessary that oriental medical services become more accessible through extending its coverage of insurance into more medical herbs and their prepared packs, as well as mapping out extensive publicity strategies to make known to the public about high efficacy of medical herbs and their safety.

한의약 공공보건사업 지원체계에 대한 고찰

이은경,정명수,이기남,Lee, Eun-Kyoung,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.3

Objectives : In spite of the importance of preparing a support system for public health programs, there is a relatively poor system to support Oriental medicine public health programs. In this regard, considerations have been made to give directions for the development of technical support organizations for Oriental medicine public health programs. Methods : The authors investigated support organizations of public health programs and compared Oriental medicine public health programs with them. Results : Technical support organizations for Oriental medicine public health programs are controlled by the National Traditional Korean Medicine Research and Development Center. However there is lack in the relevant budget, technical support, professional abilities for research and planning, connections with research institutes in the Oriental medicine field, and affiliations with the other public health programs. Conclusion : In this context, the following actions are required to systematically and technologically support Oriental medicine public health programs. Health improvement & technical support organizations whose incorporation is promoted by the Ministry of Health and Welfare, should include the National Traditional Korean Medicine Research and Development Center, so as to activate the Oriental medicine public health programs. Legal provisions and the budget for the Oriental medicine public health programs should be secured so as to help identify and implement effective programs for improving the community health. A society for public health oriental medicine need be established so as to consolidate research capacities for the Oriental medicine public health programs. Programs should be developed to train professionals and supports should be intensified for activities to build capacities in technical support organizations.

농촌지역(農村地域) 노인(老人)들의 건강실태(健康實態)와 양생(養生) 수준(水準)과의 관련성(關聯性) -전라북도(全羅北道) 일부(一部) 농촌지역(農村地域)을 중심(中心)으로-

문수영,정명수,서명효,김영훈,양선호,이기남,Moon, Su-Young,Chong, Myong-Soo,Seo, Myoung-Hyo,Kim, Young-Hun,Yang, Sun-Ho,Lee, Ki-Nam 대한예방한의학회 2005 대한예방한의학회지 Vol.9 No.2

The present study is designed to provide basic data for the future health promotion projects to be aimed at improving quality of life for the elderly people in the increasingly aging society of Korea by investigating factors related to the yangseng of old people in rural areas. The results of this study are intended to serve as fundamental for efficient approach toward health promotion projects for the elderly in rural communities. For this purpose, a survey by questionnaires was conducted to rural inhabitants from May to June 2004. The replies were analyzed from the perspective of Oriental medicine for yangseng. 1. The average points of health care appeared to be 3.24. In details by sub-areas, morality was 3.79, followed by 3.74 for activities and rest, 3.73 for sleeping, 3.29 for diet, 3.25 for mind, 2.88 for season, 2.12 for exercise and 1.95 for sexual life in sequence, showing that the yangseng of morality was scored highest while the area of sexual life were rated lowest. 2. As for the extent of health care depending on the characters of the subjects, spoused ones, married couples living alone, while the higher educated and the more leisure is utilized, the more the care is paid for yangseng. 3. Concerning the extent of yangseng depending on the general characters of the subjects, men showed more yangseng in activities and rest. The group aged 70 to 74 acquired the highest points in mind yangseng. The group with spouse featured higher concern for yangseng in the categories of morality, diet, activities and rest, sleeping and sexual life. Married couples who are living with no other family members recorded the highest points in the areas of morality, diet, sleeping and sexual life(P<0.05). 4. In terms of socioeconomic characters, the more one is educated, the more he/she is tended to take yangseng in the exercise, sleeping and sexual life. The group with occupation is inclined to take more yangseng in the activities and rest and sleeping. When people have to work for their keep, they usually showed to have highest yangseng for sleeping. People who enjoy leisure showed higher yangseng in all areas except for morality. In case man has religion, he showed more yangseng in the activities and rest, exercise and sleeping(P<0.05). 5. Those who reply they are confident with health showed higher yangseng. No significant difference was found in all areas except for sexual life in which high care is taken for yangseng, as far as one has no disease. Those who are confident with health had highest yangseng in all areas except for season yangseng(P<0.05). As seen above, extents of yangseng by the old people in the rural area are found to have difference depending on the individual and socioeconomic characters, factors which should be seriously considered in the local health promotion projects and projects for the health of the elderly. Particularly important is to launch health promotion programs and to analyze their effects to promote health care particularly in the areas of sexual life, exercise and season yangseng that turned out to be lowest by taking into account of yangseng in each sub-area.