우리나라 시 · 군 · 구 지역보건의료계획의 비전(Vision) 문구 분석

안치영(Chi-Young Ahn),김현수(Hyun-Soo Kim),김원빈(Won-bin Kim),오창훈(Chang-hoon Oh),홍지영(Jee-Young Hong),김은영(Eun-Young Kim),이무식(Moo-Sik Lee) 한국농촌의학 지역보건학회 2017 농촌의학·지역보건 Vol.42 No.1

지역보건의료계획서에서 비전은 각 지역의 보건의료계획을 나타내는 핵심요소임에도 불구하고 작성방법에 대한 구체적인 지침이 부재하여 각 지역의 비전은 매우 다양하게 표현되어 있다. 이에 이 연구에서는 제6기 지역보건의료계획에서 제시한 비전 문구를 보건소 유형별, 권역별로 분석하였다. 전국 229개 지역의 제6기 지역보건의료계획서의 비전 문구와 이와 관련된 미션, 전략체계도, 중장기 추진과제 등을 대상으로 하였다. 지역을 권역별 4개, 읍·면·동 구성에 따른 보건소 유형을 4개로 분류하였고, 각 지역 비전의 글자 수, 문장 평가, 단어 빈도, 문구 평가를 빈도분석과 카이제곱검정, 일원배치분산분석을 이용하여 분석하였다. 비전의 글자 수가 17자 이하인 보건소가 172개소(75.1%)였고, 보건소 유형별로 유의한 차이가 있었다(p<0.05). 문구에 대한 수사표현에서 비유법(37.1%)이, 한글 외에 표현 언어 사용에서는 특수문자(43.2%)가 많았으며, 보건소 유형별로 유의한 차이가 있었다(p<0.01). 비전에 사용된 단어들은 ‘건강’, ‘행복’, ‘함께’, ‘군민’ 또는 ‘시민’, ‘도시’, ‘100세’ 등이었다. 문구평가 점수에서는 특·광역시 및 수도권에서 가장 높았으며, 보건소 유형 및 권역별로 유의한 차이를 보였다(p<0.05). 보건소 유형별로 과정 및 평가 영역, 공유가능성 등에서 유의한 차이가 있었다(p<0.01). 방향성은 충청권, 수도권 순으로 권역별로 유의한 차이가 있었으며(p<0.01), 미래지향성 및 공유가능성은 영남권이 가장 높아 권역별로 유의한 차이가 있었다(p<0.01). 비전은 지역보건의료계획에 가장 중요 요소 중 하나이다. 이 연구는 지역사회 특성별로 비전의 설정이 다름을 확인하였으며, 이러한 결과를 통하여 지역보건의료계획 등 보건소 비전 수립시 참고가 될 수 있는 기초적인 자료가 될 것으로 판단된다. Objectives: In this study, we analyzed vision statements of the 6th community health plan of local government in Korea. Methods: We examined vision statements letters, missions and strategy plans, and long-term missions of 6th community health plans of 229 local government in Korea. We also analyzed the numbers of vision letters, sentence examination, word frequency, each vision statement with frequency analysis, chi-square test, and one-way ANOVA. Results: Among 229 local government, 172(75.1%) of local government had the number of letters (Korean) less than 17 of vision statements, and there were a significant differences according to type of community health centers (p<0.05). Figuration (37.1%) were the most used in an expression of vision statement sentence, and special characters (43.2%) were the most used language except Korean. The most commonly used words of vision statement in order of frequency were ‘health’, ‘happiness’, ‘with’, ‘citizen’, ‘city’, ‘100 years old’ etc. Chungcheong provinces and Daejeon metropolitan city had a highest score in directionality on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Gyeongsang provinces, Ulsan, Daegu, and Busan metropolitan cities had a highest score in future orientation and sharing possibilities on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Conclusions: Vision is one of the most important component of community health plan. We need more detailed ‘vision statement guideline’ and the community health care centers of local government should effort to make more clear and complete their vision.

-G308A Tumor Necrosis Factor-α 유전자 다형성과 주요 우울장애의 연합연구

배치운,오해정,채정호,박원명,전태연,한훈,김광수 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.2

Objectives : The present study was to examine possible association between the - G308A tumor necrosis factor (TNF)-α gene polymorphism and major depressive disorder (MDD) in Korean. Methods : 108 inpatients with MDD and 125 healthy controls participated in this study. Genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. Results : Genotype and allele distributions in patients with MDD (p=0.02, P=0.01, respectively), were significantly different from those of the controls. Conclusion : The present study suggests that the -G308A TNF-α gene polymorphism may have a potential role for the susceptibility to MDD in Korean population.

Diborane(B_2H_6) 가스의 합성에 관한 연구

이철태,오치훈 단국대학교 1998 論文集 Vol.32 No.-

A reaction between NaBH_4 and BCl_3 gas was carried out to find a new process for the synthesis of B_2H_6 gas. The optimum conditions for the synthesis of B_2H_6 gas were as follows : first step reaction temperature : 15∼25℃, BCl_3 mole ratio to NaBH_4 : 0.14, second step reaction temperature : 50℃, BCl_3 mole ratio to NaBH_4 : 0.19, amount of triglyme to 5g of NaBH_4 : 80㎖. Under above conditions, conversion and yield of B_2H_6 gas were 88.90% and 85.91% respectively.

울타리 고둥, Monodonta labio의 생식주기

송영보,이치훈,나오수,이영돈 濟州大學校 海洋硏究所 2002 해양과환경연구소 연구논문집 Vol.26 No.-

1995년 9월부터 1996년 8월까지 제주대학교 해양과 환경연구소가 위치한 함덕연안 조간대에서 채집한 울타리고둥, M. labio의 생식주기를 조사하기 위하여 생식소숙도지수의 변화와 생식세포 형성과정을 조직학적방법으로 조사하였다. 1. 울타리고둥의 생식소는 패각내 나선상 육질부 하단에서 꼬리돌기까지 간장부의 표면에 위치 하였다. 생식소가 성숙하면 암컷은 짙은 녹색, 수컷은 유백색을 띠고, 방출 후에는 암컷은 연갈색, 수컷은 연황색을 나타내었다. 2. 생식소숙도지수(GSI)는 암컷과 수컷 모두 수온이 상승하는 4월부터 상승하기 시작하여 9월에 암컷 0.47, 수컷 0.42로 최고치를 보이고 이후 10월부터 급격히 감소하였다. 저수온기인 1월에 GSI는 암컷과 수컷 모두 0.07로 최저치를 보였다. 3. 생식소의 발달 단계는 분열증식기(3월∼4월), 성장기(4월∼7월), 성숙기(8월∼9월) 그리고 방출 및 회복기(10월∼1월)의 연속적인 주기로 구분 할 수 있고, 주산란 시기는 10월로 추정 된다. 4. 울타리고둥, M. labio은 자웅이체로서, 성비는 약 1:1이었다(P>0.05). Reproductive cycle of thick liped monodont. Mondonta labio was invetigated by the histological observation of gonads and the gonadosomatic index(GSI). The thick liped monodont were collected at the intertidal zone of Hamdeok in Jeju-do from September, 1995 to August, 1996. Gonad of them was located o the surface of the liver below the stomachal caecum posterior spiral meat part of the shell. GSI value began to increase from May(as water temperature increased) and reached it's maximum value in September both male and female which were 0.42 and 0.47, respectively. It began to decrease from October thereafter, maintaining relatively in low value from January to March. The reproductive cycle of this species could be classified into four successive developmental stage; multiplication stage(March to April), growing stage(April to July), mature stage(August to september), spent and recovery stage(October to January). The main spawning period of M. labio appeared in October. The top shell, M. labio appeared to be gonochorism, neither sex reversal nor hermaphroditism. The sex ratio was approximately 1.0 : 1.0(P>0.05).

폐렴 구균(Streptococcus pneumoniae)에 의한 척수 경막외 농양 1예

이지영,위유미,손경목,기현균,문치숙,오원섭,백경란,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

폐렴구균은 보통 폐렴이나 뇌막염을 일으키는 균으로 척수 경막외 농양을 일으키는 경우는 매우 드물다. 본 저자들은 폐렴 구균에 의한 척수 경막 외 농양을 경험하여 보고하는 바이다. 과거 건강했던 36세 남자 환자로 사다리에서 낙상한 후 요통 및 고열, 신경학적 이상으로 내원하여 자기 공명 촬영 결과 척수 경막 외 농양으로 진단받고 항균제 투여와 함께 응급 수술을 시행하였다. 농 배양 결과 페니실린 감수성인 폐렴 구균이 분리 되었고, 수술 요법과 항생제 투여 후 농양은 치유되었으나 신경학적 이상은 호전 없는 상태로 타원으로 전원되었다. Pneumonia and meningitis are the most frequent manifestations of pneumococcal infections. Pneumococcal spinal epidural abscesses have been rarely reported. Spinal epidural abscess by Streptococcus pneumoniae has been diagnosed among the patients with diabetes mellitus, alcoholism, corticosteroid therapy, intravenous drug use, chronic renal failure, AIDS, and history of spinal surgery. Recently, we experienced a case of pneumococcal spinal epidural abscess after spinal trauma. A 36-year-old male patient was admitted with back pain, fever, and paraplegia which occurred 5 days after the trauma. Spine MRI revealed spinal epidural abscess at the level from T2 to T9. He was treated with antimicrobial agents and surgical exploration for spinal epidural abscess. Pus culture grew S. pneumoniae which was susceptible to penicillin. Despite early surgical treatment, neurologic sequelae remained. Considering the high mortality and morbidity of pneumococcal spinal epidural abscess, early diagnosis and aggressive treatment including surgical intervention and antibiotics therapy should be implemented immediately.

기종성 방광염을 동반한 기종성 신우신염 1예

김선두,김순제,이길도,김정수,김지훈,윤호상,송종오,문언수 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

Induction of Primary Male in Juvenile Red Spotted Grouper Epinephelus akaara by Immersion of 17α-methyltestosterone

Chi-Hoon Lee,Sang-Woo Hur,Oh-Soo Na,Hea-Ja Baek,Choong-Hwan Noh,Sang-Hyun Han,Ji-Hoon Park,Ji-Yeon Hyun,Young-Don Lee 한국수산과학회 양식분과 2014 한국수산과학회 양식분과 학술대회 Vol.2014 No.10

Humerus shaft fracture caused by arm wrestling injury: examination of mechanism through radiological analysis

Chi-Hoon Oh,Jaiwoo Chung,Cheungsoo Ha,Soo-Hong Han 대한정형외과 스포츠의학회 2024 Arthroscopy and Orthopedic Sports Medicine Vol.11 No.1

Background: Arm wrestling, a widely practiced sport, particularly among young male, has been associated with humerus shaft fractures. This study analyzed the occurrence patterns of humerus fractures and patients’ characteristics during arm wrestling exercises, considering radiological results and injury mechanisms. Methods: This was a retrospective analysis of 20 humeral fractures resulting from arm wrestling injuries. Surgical treatment using dual plates was performed in all cases, and radiographic imaging data were analyzed to determine fracture location, AO classification, and injury mechanisms. Cases with radial nerve palsy and bone healing period were also evaluated. Results: All participants were male, with an average age of 27 years, and most fractures occurred on the right side. Fractures were predominantly AO type A1 (40.0%) and B2 (60.0%). Arm positions at the time of fracture varied, with external rotation being the most common (50.0%). All fractures successfully united with an average healing time of 14 weeks, and two cases with radial nerve palsy recovered completely. Spiral fractures were predominant, with consistent characteristics observed in 3-dimensional computed tomography reconstruction. All fracture patterns exhibited an oblique fracture slope angle, which suggested that the injuries were primarily caused by rotational forces, even in AO type B2 fractures. Results suggest a progression from A1 to B2 fractures driven by compression force. Fractures occurred more frequently in losing or neck-and-neck situations, emphasizing the importance of creating winning conditions to prevent injuries. Conclusion: Most fractures occurred in nonarm wrestling experts, often in losing situations. Despite its global popularity, more fractures occur among nonprofessionals. Such injuries may be prevented by determining the winner or loser before entire external arm rotation. Alternatively, promoting arm wrestling among those with professional training is advised.

FERTILIZED EGG PRODUCTION IN NON-BREEDING SEASON OF CULTURED RED SPOTTED GROUPER, Epinephelus akaara BY USING ADAPTIVE PHYSIOLOGY

Chi-Hoon Lee,Sang-Woo Hur,Hea-Ja Baek,Choong-Hwan Noh,Sang-Hyun Han,Byeong-Hoon Kim,Jun-Young Park,Seung-Bo Oh,Kiyoshi Soyano,Young-Don Lee 한국수산과학회 양식분과 2015 한국수산과학회 양식분과 학술대회 Vol.2015 No.5

Epidemiology of pediatric fractures before versus during the coronavirus disease 2019 pandemic

Oh Chi Hoon,Yoon Siyeong,Ko Kyung Rae,Kwon Young Woo,Kim Kyeong Mi,Park Hyun Seo,Kang Hogyeong,Jang Inseok,Lee Soonchul 대한소아청소년과학회 2022 Clinical and Experimental Pediatrics (CEP) Vol.65 No.7

Several studies have reported changes in the prevalence of childhood fractures between the prepandemic and coronavirus disease 2019 pandemic periods considering the overall decrease in activity during the latter. This review aimed to organize and summarize the global trends in pediatric fracture incidence. Our findings should help predict fracture patterns in the postpandemic period by identifying changes in the past and present, thus aiding patient management.