처음 발견된 고혈압 환자들의 관리의도와 실천에 영향을 미치는 요인

전소연,주성민,이석구 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2

This study will provide early effective intervention strategy through a predicting behavioral intention or behaviors of hypertension patients, and improve the compliance via early removal of barriers. Study subjects are new case of hypertension with above stage 2 by JNC-Ⅵ from first community survey including blood pressure measurement, sociodemographic questionnaires and physical examination in study region. Second survey was applied to the new case of hypertension(541 persons) for estimation of behavioral intention. Subject of this survey was 383 persons. Follow-up survey performed about 5 months later after regular telephone visiting by trained nurse previously. Final study subjects were 222 persons with above stage 2 hypertension by JNC-Ⅵ criteria. This results were as follows ; 1. State of hypertension management 18.9% of subjects managed with drug medication, 19.7% with exercise, 29.8% with quitting or reducing of smoking, 37.0% with quitting or reducing of alcohol. 2. Sociodemographic factors Drug medication was higher in old age, lower education level, and rural residents. Its difference is statistically significant. In gender difference, female was higher than male. In aspect of life style modification management, exercise rate was higher in male, high educational level, 5th and 4th decade age group, but it was not statistically significant. Reducing or quitting of smoking was higher in male, rural area residents, above high school educational level, but was not significant with the exception of habitation area. 3. Life style modification It was revealed statistically significant that male and rural area residents were higher in life style modification. In education level, contrary to the intention for life style modification, the lower education level is, the higher life style modification occurs. 4. Factors associated with intention The former or abstinence smoker and alcohol drinker revealed higher intention score than current in intention for life style modification. And the other variables were not statistically significant.

대전·충남지역 고등학교 1학년생의 풍진 항체보유율과 백신접종 후의 항체형성률

오성균,김수영,여경오,김윤태,최명한,이석구,조영채,이동배,이태용 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

For the purpose of investigating the positive rate of rubella antibody and sero-conversion rate after rubella vaccination, 863 high school students of the two regions were studied from April 21st, 1996 to September 20th, 1996. The main results were as follows; 1. Positive rate of IgG in male was higher than in female, and the rate of IgM was also higher in male than in female. 2. Positive rate of IgG by blood type was similar, but positive rate of IgM was higher in AB type than the others. 3. Positive rate of IgG by vaccination was similar to all groups, but positive rate of IgM was higher in which was not vaccinated group. 4. Positive rate of IgG and IgM, having vaccination card, was less than which was not having vaccination card. 5. Those who were vaccinated acquired IgG(+) regardless of an existence of IgG antibody, and 28.3% of IgG(-), IgM(+) male who was not vaccinated became IgM(+), IgG(+) after 3months later. As a result positive rate of male was higher than female. The author conclude that vaccination is necessary to prevent from rubella for them.

한국 노인의 폐렴구균 백신 접종률 및 관련 요인

이석구(Sok Goo Lee),전소연(So Youn Jeon) 한국농촌의학 지역보건학회 2021 농촌의학·지역보건 Vol.46 No.2

65세 이상 노인의 폐렴구균 국가무료 백신 접종은 2종류 중 한 개에 대해서만, 그것도 보건소에서만 접종이 가능하여 다른 국가예방접종 감염병과 달리 전산등록 자료에 의한 백신 접종률 파악이 불가능한 실정이다. 따라서 이 연구는 65세 이상 노인에게 권고되고 있는 2종의 폐렴구균 백신 모두에 대하여 백신 접종률을 파악함과 동시에 백신 접종 이유나 미접종 이유, 백신 접종 관련 요인을 파악하고자 하였다. 본 연구의 모집단은 65세 이상 노인이 되며, 최종 분석대상자수는 총 1,150명이었으며 컴퓨터 전화조사 방법을 사용하였다. 조사내용은 폐렴구균 백신 접종현황(접종여부-2회, 접종일자, 백신종류, 접종기관종류, 접종비용 지불여부, 자료원), 백신 접종을 한 이유, 백신 접종에 대해서 알게 된 정보원, 백신 접종을 하지 않은 이유, 백신 접종 관련 요인이었다. 65세 이상 노인의 폐렴구균 백신 접종률은 56.2%로 미국(2017년) 69.0%, 영국(2019년) 69.2% 보다 낮은 수준이었다. 폐렴구균 백신 접종 관련 요인으로는 여자가, 연령이 낮을수록, 시부 거주자가, 직업이 없을 때, 고학력자가, 의료보장이 있을 때, 기혼자가, 동거가족이 있을 때에 백신 접종률이 높게 나타났다. 또한 국가 권고 성인 예방접종을 인지하고 있을 때, 의사에게 성인 예방접종의 필요성을 설명 받은 경험이 있을 때, 본인의 성인 예방접종 기록을 보관하고 있을 때, 성인 예방접종이 감염병 예방에 도움이 된다고 높게 인지하고 있을 때, 국가나 지방자치단체의 성인 예방접종 홍보 경험이 있을 때 백신 접종률이 높게 나타났다. 앞으로 국가지원 대상이 아닌 성인 예방접종에 대해서도 정확한 접종기록 관리를 위한 대안의 개발이 필요하며, 국가의 감염병관리 정책 근거자료로 활용할 수 있도록 정기적인 성인 예방접종률 산출이 이루어져야 할 필요가 있다. Objectives: This study aimed to identify the vaccination rate for pneumococcus among aged 65 or older, and at the same time to determine the reasons for vaccination or non-vaccination. Methods: The population of this study was aged 65 or older, with a total of 1,150 subjects to be analyzed and a computer assisted telephone interviewing was used. The survey included pneumococcal vaccination status, reasons of vaccination, sources of information on vaccination, reasons for not vaccination, and other related factors. Results: The vaccination rate for pneumococcus among aged 65 or older was 56.2 percent, lower than 69.0 percent in the U.S. (2017), and 69.2 percent in the U.K. (2019). Among the factors related to the pneumococcal vaccination, the groups with the high vaccination rate were women, low age groups, residents of urban areas, people without a job, people with high education, medical insurance subscribers, married people, and people who have family members. In addition, the groups with high vaccination rates were those with high awareness, those who received recommendations from doctors, those who had vaccination records, those who believed in vaccination effects, and those who saw public service advertisements. Conclusions: In the future, it is necessary to develop alternatives to accurately manage vaccination records for adults who are not eligible for state support, and regular adult vaccination rates should be calculated so that they can be used as evidence for the country"s infection control policy.

지역사회 노인들의 신체적 기능상태와 관련 요인

이석구(Sok-Goo Lee),전소연(So-Youn Jeon) 한국노년학회 2006 한국노년학 Vol.26 No.4

본 연구는 충청남도에 소재한 도농복합시에 거주하고 있는 65세 이상 노인들을 대상으로 신체적 기능상태를 평가하고, 이에 영향을 미치는 관련요인을 밝히고자 수행하였다. 연구대상 지역은 5개동, 1개읍, 10개면으로 구성된 지역이며 조사지역을 통리별로 세분화하여 선정하였고, 선정된 통리에 거주하고 있는 65세 이상 노인들에 대하여 2003부터 2004년까지 2년 간 전수조사를 실시하였다. 조사에 참여한 노인들은 총 11,956명(65세 이상 노인인구의 77.8%)이었으며 이중에서 응답내용이 불충분한 196명, 의사에게 치매 진단을 받았거나 한국판 간이정신상태 검사결과 확정적 인지기능 장애(20점 이하)로 판정된 1,000명을 제외한 10,760명을 최종 분석대상으로 하였다. 조사방법은 노인들의 가구를 방문하여 연구자가 개발한 구조화된 설문지를 통한 직접 면접조사 형식으로 이루어졌으며 주요 분석결과를 요약하면 다음과 같다. 첫째, 노인들의 기능상태는 인구사회학적 특성별로 차이가 있었으며 성별로는 남성에서, 젊은 노인일수록, 교육수준이 높을수록, 직업이 있는 경우, 도시 거주자, 주관적 생활수준이 양호한 노인들에서 활동적 상태의 비율이 보다 높게 나타났다. 둘째, 노인들의 주ㆍ객관적인 건강수준에 따라 기능상태에 유의한 차이가 있음을 발견하였다. 입원경험이 없을수록, 우울증상이 없을수록, 감각지각 능력이 양호할수록 기능상태 역시 양호하였다. 셋째, 현재 흡연과 음주를 하고 있는 노인들이 기능상태가 양호하였고, 운동을 실천하고 있는 노인, 규칙적으로 식사하는 노인들의 기능상태가 보다 양호하였다. 넷째, 노인들의 사회적 지지가 좋을수록 활동적 상태의 비율이 높게 나타났다. 특히 가족 지지에 있어서 유배우 노인들이, 동거 가족수가 많을수록, 가족과의 관계가 좋을수록 기능상태가 양호하였다. 결국 노인들의 전반적인 건강수준이 양호하고, 사회적 지지가 양호한 노인들이 신체적 기능상태가 보다 양호하다는 결론을 도출하였다. 나아가 기능상태와 관련 요인을 고려하여 개개인에 적합한 노인 보건의료복지 서비스의 개발은 노인들의 건강 불평등을 해소하기 위한 주요 전략이 될 것이다. This study was performed to evaluate the status of physical function, and to investigate related factors above 65 year old living a mixed rural-urban city. The survey area included 5 Dongs, 1 Eup, 10 Myeons(Korean administrative district unit). And we divided survey area by Tong and Ri, more smaller survey unit, then surveyed all resident older adults for 2 years, 2003-2004. The enrolled subject was 11,956(77.8% of total elderly), we analysed 10,760 data finally except 196 incomplete data and 1,000 data with low cognitive function score(below MMSE-K test score 20). The survey method was direct interview at subject's home with structured questionnaire. The study results were as follows. First, the status of physical function was different by sociodemographic characteristics, revealed better in male by sex, more younger old by age, higher level of education, having job than jobless, urban resident in living area, more abundant living condition subjectively. Second, it revealed that the status of physical function was better in the case of healthier, subjectively or objectively. For example, the functional status was more fine in no hospital admission history, no depression experience, and more intact sensori-cognitive function. Third, those who performed exercise regularly, smoke, drunk alcohol beverage, and took a meal regularly were better. Finally, in the relation with social support, the functional status was better when the old's social support was better. Especially in family support, the functional status was fine in case of living with spouse, having more larger family size, more frequent relationship with their family. As a result, those who has good general health status and social support were better in physical function. To develope individual elderly's health and welfare programme properly in considering functional status and its related based on this study results, it will be important strategy for mitigating health inequity in old ages.

한국 19세 이상 성인들의 B형간염 백신 접종률 및 관련 요인

이석구(Sok Goo Lee),전소연(So Youn Jeon) 한국농촌의학 지역보건학회 2022 농촌의학·지역보건 Vol.47 No.2

본 연구는 19세 이상 성인들을 대상으로 B형간염 백신 접종률, 백신 접종이유 및 미접종 이유, 백신 접종 관련 요인을 파악하고자 하였다. B형간염 백신 접종률은 사후가중치를 적용 후 1차 38.0%, 2차 32.5%, 3차 26.9%로 나타났다. B형간염 백신 접종 관련 요인으로는 여자가, 저연령에서, 군부 거주자가, 직업이 있을 때, 고학력자가, 건강보험 가입자가, 배우자가 있을 때, 동거가족이 있을 때, 국가 권고 성인 예방접종을 인지하고 있을 때, 의사에게 성인 예방접종의 필요성을 설명 받은 경험이 있을 때, 본인의 성인예방접종 기록 보관하고 있을 때, 성인 예방접종이 감염병 예방에 도움이 된다고 높게 인지하고 있을 때, 국가나 지방자치단체의 성인 예방접종홍보 경험이 없을 때에 백신 접종률이 높게 나타났다. 결론적으로 우리나라 성인의 B형간염백신 접종률은 양적 향상 및 질적인 측면에서의 개선을 위한 국가 정책 마련이 필요함을 발견하였다. 또한 성인의 B형간염 항체 형성률을 함께 파악하여 감염병 발생 감소나 퇴치를 위해서 국가수준의 예방접종률 목표치 선정과 함께 달성 정도 평가를 위한 정기적인 성인 예방접종률 산출이 필요하다. 더욱이 국가의 예방접종통합관리시스템을 통하여 안정적으로 성인의 예방접종 기록을 관리할 수 있도록 전산등록률 향상 방안을 마련할 필요가 있다. Objectives: This study aimed to identify the vaccination coverage for hepatitis B among aged 19 or older, and at the same time to determine the reasons for vaccination or non-vaccination. Methods: The survey was conducted through a Mixed-Mode Random Digit Dialing Survey (RDD) method. The survey included hepatitis B vaccination status, reasons of vaccination and non-vaccination, sources of information on vaccination, and other related factors. Results: The vaccination coverage for hepatitis B among adults 19 years of age and older were 38.0%, 32.5%, and 26.9% for the first, second, and third doses. A related factors with high rate of hepatitis B vaccination was women, younger than 65 years of age, rural residents, having a job, highly educated, health insurance subscribers, living with spouse, family members living together. In addition, the vaccination rate was higher in those who was aware of the states recommended adult vaccination, were explained by a doctor about the need for adult vaccination, kept their vaccination records, and recognized that it helped prevent infectious diseases, and had seen promotional materials. Conclusions: In the future, it is necessary to check the antibody retention rate along with the hepatitis B vaccination coverage of adults on a regular basis. In addition, in order to accurately and quickly identify the hepatitis B vaccination coverage, it is necessary to prepare a plan to improve the computerized registration rate to manage adult vaccination records.

A Novel Motion Vector Refinement Algorithm for Spatial Resolution Reduction Transcoding

Goo-Rak Kwon,June-Sok Lee,Jae-Won Kim,Nam-Hyeong Kim,and Sung-Jea Ko 대한전자공학회 2004 ITC-CSCC :International Technical Conference on Ci Vol.2004 No.7

Noise-Robust Modulation Identification Method for Adaptive Receiver Based on Software Defined Radio

Goo-Rak Kwon,June-Sok Lee,Jae-Do Jin,Sung-Jea Ko IEEE 2007 IEEE transactions on consumer electronics Vol.53 No.3

<P>In this paper, we propose an effective noise- robust modulation identification algorithm for adaptive receiver based on software defined radio. The proposed method can estimate the carrier frequency, symbol rate, and modulation scheme of the received signal without the use of the handshaking process requiring supplementary information such as the training sequence. Experimental results show that the proposed algorithm demodulates the signal with a low probability of error at the noisy channel conditions.</P>

문자와 영상이 혼재된 문서에서의 개선된 이치화 방법

강구수(Gahang Goo Soo),이수열(Lee Soo Yeol),김서규(Kim Seo Kyu),김재호(Kim Jae Ho),조석팔(Cho Sok Pal) 한국통신학회 1990 한국통신학회 학술대회논문집 Vol.1990 No.11

전방십자인대 재건술 후 24주간의 재활 훈련이 남녀의 기능성 수행능력에 미치는 영향

김진구 ( Jin Goo Kim ),양상진 ( Sang Jin Yang ),옥정석 ( Jung Sok Oak ),박우영 ( Woo Young Park ),안근옥 ( Keun Ok An ) 한국스포츠정책과학원(구 한국스포츠개발원) 2013 체육과학연구 Vol.24 No.2

이 연구는 전방십자인대 재건술 후에 24주 동안 실시한 재활 훈련이 남녀의 기능성 수행능력에 미치는 영향을 규명하기 위하여 실시하였다. 이 연구의 피험자는 자가건 이식을 통한 전방십자인대 재건술을 받은 환자(남 10명, 여 8명)를 대상으로 하였다. 재활 훈련은 Shelbourne과 Nitz의 가속 재활 훈련 프로그램을 기초로 하여 단계 수정 및 CPM/수영을 프로그램에서 제외한 내용으로 수정하여 수술 직후부터 24주 동안 진행되었다. 사전?사후 검사는 전방십자인대 재건술 시행 전과, 수술 시행 후 24주에 걸쳐 실시하였다. 이 연구의 실험 결과 주요 발견사항은 첫째, 재활 훈련 기간에 따라 유의한 차이를 나타낸 변인은 환측 한발멀리뛰기검사, 동시수축반원검사, 카리오카검사, 3종기능성수행능력검사였다. 둘째, 남녀 집단간에 유의한 차이가 나타난 변인은 환측/건측 한발멀리뛰기검사, 동시수축반원검사, 왕복달리기검사, 3종기능성수행능력검사였다. 셋째, 재활 훈련 기간과 남녀 집단 간의 상호작용효과가 유의한 변인은 동시수축반원검사 및 3종기능성수행능력검사였다. 결론적으로 전방십자인대 재건술 후 재활과정에서 기능성 수행능력을 위해 남녀 모두 유사한 재활 훈련프로그램을 적용할 수 있으나, 무릎의 회전 제어능력 향상을 위한 재활 훈련 프로그램은 남녀간에 차별을 둘 필요가 있다고 판단된다. The purpose of this study was to examine the effect of a rehabilitation training program after anterior cruciate ligament (ACL) reconstruction between genders. Subject of this study were 10 males(29.2±7.2 yrs) and 8 females(27.2±6.8 yrs) who underwent autograft ACL reconstruction. Functional performance ability were measured and analyzed before and after 24 weeks. The modified Shelbourne and Nitz accelerated rehabilitation program were applied. Finding of this study was as belows: First, one-leg hop test, co-contraction semicircular test, carioca test, and TFPT showed significant differences among occasions. Second, one-leg hop test, co-contraction semicircular test, shuttle run test, and TFPT showed significant differences between genders. Third, co-contraction semicircular test and TFPT showed significant interaction. In conclusion, this study revealed that most knee rehabilitation exercise training can be applied to both genders except the knee rotational feedback/feedforward function exercises during the period of recovery after ACL reconstruction between genders.

당뇨병성 신경병증 진단법의 유용성 ( 예비보고 ) - Feldman 등의 2 단계 진단법에 대하여 -

신영구(Young Goo Shin),오윤정(Yoon Jung Oh),고영윤(Young Yoon Ko),이성근(Seong Keun Lee),이성규(Seong Kyu Lee),정윤석(Yoon Sok Jung),이관우(Kawn Woo Lee),김현만(Hyeon Man Kim) 대한내과학회 1998 대한내과학회지 Vol.54 No.6

N/A Objectives: It is important to consider the symptoms of diabetic neuropathy in determining a diagnostic approach. To evaluate diabetic neuropathy, an appropriate questionnaire for Korean diabetic patients is required. In 1994, Feldman et al. proposed the two-step diagnostic approach which included a questionnaire. To adapt a diagnostic approach and questionnaire for Korean diabetics, we initially diagnosed diabetic neuropathy by using Feldman's method and by assessing the efficiency of their method for Korean diabetics as a preliminary study. Methods: We diagnosed diabetic neuropathy with Feldman's method in 99 NlDDM patients who visited Ajou university hospital from October 1, 1996 to April 30, 1997. The sensitivity and specificity of Feldman's diagnostic procedures were ebaluated. To include the highly specific symptoms in the diagnostic approach, we applied a different scaring system (from 5 to 1) to the questionnaire accroding to specificity and then evaluated the sensitivity and specificity with this new system. If the sensitivity and specificity were 60% or more, the new scoring system was regarded as clinically useful. Results: Using Feldman's method, the sensitivity of MNSIQ and MNSIC was 12.8% and the specificity was 88.3% and 98.3%, respectively. The sensitivity of MDNS and NCV was 100% and the specificity was 68.3% and 61.6%, respectively. The new scoring system consisted of 13 of 15 questions with sensitivity of 46.2% and specificity of 71.7%, omitting 2 questions due to possible relation to vascular symptoms. Among the 4 diagnostic procedures, the strongest correlation existed between MDNS and NCV. None of the procedures had a significant correlation with MNSIQ. MNSIC, which shares similar characteristics with MDNS, had significant correlation with MDNS and NCV, but its sensitivity was very low. Conclusion: MNSIQ and MNSIC were not useful as screening instruments in the dignostic approach to diabetic neuropathy using Feldman's method, Thus, a new questionnaire composed of symptoms common in Korean diabetic patients should be designed, and MNSIC could be omitted from the diagnostic approach.