Health Behaviors Before and After the Implementation of a Health Community Organization: Gangwon’s Health-Plus Community Program

Hyeong,Kim Nam-Jun,Kim Soo-Hyeong,박웅섭 대한예방의학회 2023 예방의학회지 Vol.56 No.6

Objectives: Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon’s Health-Plus community program, implemented from 2013 to 2019 on residents’ health behaviors.Methods: This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted.Results: HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables.Conclusions: The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.

급성 약물 중독에 대한 임상적 고찰

조수형,조남수,김용배 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

A clinical observation was made on 194 cases of drug intoxication to Chosun University hospital via emergency room during one year from January 1994 to December 1994. The observed results were summarized as follows; 1. The ratio of drug intoxicated patients to total patients of emergency room was 1.3%(194 patients of the total 14,836 patients) 2. Female was slightly more than male (54% : 46%) and the age group of the third decade was of the largest proportion. 3. In monthly distribution, September had the largest propotion(14.4%). The largest proportion of the time interval on arrival to emergency room and of presumed time of poisoning was night(8 p.m. ∼12 p.m.). 4. Suicidal attempt was the most common motive of drug intoxication(82.5%). 5. The most common drug of intoxication was S.H.T.(sedatives, hypnotics, tranquilizer)(24.7%). 6. The abnormal signs on arrival to emergency room were tachycardia, tachypnea, hypertension in order of frequency. 7. The observed abnormal laboratory findings on arrival to emergency room were leukocytosis(97 cases), glucosuria(21 cases), proteinuria(10 cases) in order of frequency. 8. The outcome of the patients were recovery(42.8%), against discharge(35%), hopeless discharge(16%), death(6,2%).

농업협동조합중앙회 지배구조의 문제점

전형수,박태원 대구대학교 경제경영연구소 2007 경제경영연구 Vol.5 No.1

지난 2004년 12월 농업협동조합(농협)중앙회의 지배구조에 대한 개정안이 국회를 통과하였다. 이로 인하여 농협의 지배구조에 적잖은 문제점들이 제기되었다. 예를 들면, 농협중앙회의 소유와 경영 분리문제는 협동조합의 관점에서 본 것이 아니라 이윤배당을 중시하는 주식회사의 관점에서 본 것이기 때문에 협동조합의 특성을 제대로 파악한 것이라 볼 수 없다. 또한 총회의 관한을 약화시키고 상임이사의 권한을 강화한 점 또한 협동조합의 특성을 유지․발전하기 보다는 협동조합의 정체성을 훼손하는 결과를 초래하였다. 이처럼 농협의 특성과 지배구조는 일반자본기업(주식회사)의 특성과 지배구조와는 엄연히 다를 수밖에 없다. 이에 본 논문은 협동조합의 특성과 원칙, 아이디어를 전제조건으로 농협중앙회 지배구조의 문제점을 지적 하려한다. The amendment of regulations affecting the governing body of National Agricultural Cooperative Federation (NACF) has been know to the public in December 2004. This brought many issues to governing structure of NACF. For example, the issue of the separation of ownership and management of NAFC was raised not from the perspective of cooperatives but from the company emphasizing the profit dividend. Therefore, it misses the features of cooperatives. Additionally it weakened the authority of the general meetings and enforces the authority of the directors, which brought damage to the identity of cooperatives rather than maintain or improve it. As such the characteristics and the governing structure of cooperatives cannot help being different from those of general companies (limited liability companies). Thus, this article will point the problems of corporate governance of NAFC under the characteristics, principles and ideas of cooperatives.

투명각막절개를 이용한 백내장수술 후 각막난시의 변화

어수재,박규형,형성민 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.1

연구목적: 백내장수술은 절개창의 크기를 줄이고 접힘 인공수정체를 삽입한 뒤 봉합을 실시하지 않는 방법을 통해 조기 시력회복과 광학적 안정성을 도모하는 방향으로 발전해 왔다.최근에는 이측 투명각막절개를 통한 수술이 많이 이루어지고 있는데, 이는 공막낭절개에 비해 수술시간이 빠르고, 출혈이 없으며, 수술조작이 쉽다는 장점이 있다.그러나, 공막낭절개시보다 시축에 가까워 좀더 많은 난시를 유발할 가능성이 있다. 투명각막절개를 이용한 백내장수술 결과와 공막낭절개를 이용한 백내장수술 결과를 비교하여 난시의 정도와 방향성, 조기 시력회복 여부를 알아보고자 하였다. 대상 및 방법: 백내장수술을 받고 3개월이상 추적관찰이 가능했던 환자 28명 31안을 대상으로 하였다.투명각막절개를 시행한 17안을 대상군(Ⅰ군)으로 하였고 공막낭절개를 시행한 14안을 대조군(Ⅱ군)으로 하여 수술 후 각막난시의 변화와 시력회복에 관해 연구하였다.수술 후 유도된 각막난시는 Cravy 벡터분석법을 이용하여 계산하였고, 총 각막난시(Kt)와 방향성을 고려한 각막난시 (dK)를 비교하였다. 결과: 수술로 인해 유발된 총 각막난시는 Ⅰ군과 Ⅱ군 사이에 통계적으로 유의한 차이가 없었다.방향성을 고려한 각막난시는 Ⅰ군과 Ⅱ군 모두 술 후 도난시로의 변화를 보였고 추적관찰 기간동안 두 군 사이에 유의한 차이는 없었다.절개창의 위치에 따른 방향성을 고려한 각막난시의 차이는 없었다.술 후 나안시력은 Ⅰ군과 Ⅱ군 사이에 유의한 차이가 없었다. 결론: 공막낭절개와 투명각막절개를 이용한 백내장 수술은 난시의 정도와 방향성, 조기 시력 회복에 차이가 없었다.그러므로, 수술적 접근이 용이하다는 점, 수술조작이 간편하다는 점과 수술시간이 단축된다는 점에서 볼 때 투명각막절개를 이용한 백내장수술이 더 바람직하다고 생각한다. Purpose : The changes in corneal astigmatism and visual acuity after phacoemulsification with foldable intraocular lens implantation through clear corneal incision were compared with scleral tunnel incision. Materials and Methods : Postoperative corneal astigmatic changes, early vision recovery were evaluated after cataract surgery through clear corneal incision (group Ⅰ, 17 eyes) by comparisoning with that of after cataract surgery through scleral tunnel incision (group Ⅱ, 14 eyes).Surgically induced corneal astigmatism was calculated by Cravy's vector analysis. Results : The surgically induced corneal astigmatism (Kt) in both groups showed no statistically significant difference in against-the-rule change during all follow-up period.The surgically induced corneal astigmatism "with- or against-the-rule" according to definition (dK) showed no different result in both groups according to incision site.There was no different result in both groups for uncorrected visual acuity. Conclusion : There was no different result in postoperative corneal astigmatism (Kt, dK) and early vision recovery after carataract surgery through clear corneal incision and scleral tunnel incision.Therefore, in aspect of easy surgical approaches, easy operative procedures and short operative times, cataract surgery through the clear corneal incision is superior to that through the scleral tunnel incision.

Takayasu′s 동맥염에 의한 쇄골하 동맥류(1예)

조남수,조수형,박광철 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Takayasu's arteritis is a non-specific inflammatory process that involves the aorta and its main branches, the etiology of which remains unknown. This arteritis occurs predominantly in young Asian women, although there have been many documented cases in males and non-Asians. Criteria for the diagnosis of Takayasu's arteritis were developed by The Subcommittee on Classification of Vasculitis of the American College of Rheumatology in 1990, of which a modified version is shown in Table 1. The presence of three or more of the six criteria shown demonstrated a diagnostic sensitivity of 90.5% and a specificity of 97.8%. Takayasu's arteritis is known as 'pulseless disease,' and this non-specific inflammatory arteriopathy typically produces segmental arterial narrowing and occlusion with resultant end-organ ischemic consequences, including upper extremity digital necrosis, stroke, visceral ischemia and renal failure. Previously reported sites of aneurysm formation include the thoracic and abdominal aorta, as well as the innominate, the carotid and the superior mesenteric arteries, but rarely the subclavian artery. A 26-year-old man presented with a progressively enlarging and tender pulsatile mass at the base of the left neck, intermittent Claudication of the upper limbs in association with a decreased brachial artery pulse and a bruit over the subclavian artery. Computed tomography and aortography demonstrated a 4 cm × 5 cm aneurysm of the left subclavian artery. There was no evidence of occlusive disease. An aneurysmectomy with 8 mm hemashield graft interposis was performed. Pathology revealed a chronic, active inflammatory process. Aneurysm formation is an unusual complication of Takayasu's arteritis. Emergency department physicians must carefully observed patiens with symptomatic upper extremity pain and paresthesia and must consider whether those symptoms might be due to the formation of a subclavian artery aneurysm due to Takayasu's arthritis

割賦賣買

金炯秀 朝鮮大學校 法學硏究所 1999 法學論叢 Vol.5 No.-

서남해안 지방에서 발생한 Vibrio vulnificus 감염의 임상적 고찰

조남수,김춘호,김성중,김용배,조수형,안태훈 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: V. vulnificus infection in found between May and October when the man who has hepatic disorder or immunity disorder eats raw shellfish and it causes the systemic symptoms such as sudden fever, chilling, shock and stupor and local skin lesions like bleb and necrosis. This disease has 46∼61% of fatality rate in spite of intensive treatment. This study conducts the examination of history, epidemic study, ingesting raw fish and bacteriologic investigation in the patients with similar clinical symptoms to the above and examines the diagnostic dorrelations. Method: It is conducted with 31 cases who admitted at emergency medical center of Chosun University Hospital from May of 1995 to September of 1998 and are suspected to have V.vulnificus infection. It analyze bacteriologic examination, the survey of residence, eating raw shellfish, hepatic disorder, alcohol drinking habits and skin lesion. Results: 1) The rate of male and female is 15.5:1 and in the age, 18 cases are in fifties, seven are in forties and six are over sixties. 2) Clinically, V.vulnificus is detected in 20 of 31 cases which is suspected to have V.vulnificus infection and it is not detected in 5 cases. Other bacteria are detected in 6 cases and they include staphylococcus aureus, pseudomonas species, β-hemolytic streptococcus and E-coil. 3) In local distribution, Kohung has 10 cases, Shinan and Mokpo have six, Haenam and Kangjin have five, Yongkwang and Muan have five, Naju and Yongam have five and Kwangju has one. 4) Eating fishes and raw shellfishes is found in 31 cases. In the kind of shellfishes, eating raw clam is 10 cases, raw thin-shelled surf calm is 8 cases, raw oyster is 5 cases and sliced raw fish is 4 cases and pickled sea foods are 4 cases. 5) The cases with hepatic disorder are 23 and 15 cases with heavy alcohol drinking Carrier are included. The cases with Diabetic Mellitus are four and those with pulmonary tuberculosis are two. Two cases have not basal diseases. 6) On the opinion of skin lesion, 20 cases show vesicular necrosis, 7 cases have dendriform erythema, 3 cases have papule and one case doesn't show clear skin lesion. Conclusion: When V.vulnificus infection is detected, it is fatal and those who have hepatic disorder or heavy alcohol drinking habit must avoid eating fishes and shellfishes raw in summer. It is important to have emergency treatment for the patient whose V.vulnificus infection is suspected. It is considered that the administration of initial antibiotics is effective by generalizing the clinical symptom, epidemic opinion and patient history even before the results of bacteriologic confirmed.

健康診斷 및 運動能力 評價를 통한 心肺適性 運動處方 프로그램 開發

黃樹寬,高成京,金亨鎭 한국노화학회 1991 한국노화학회지 Vol.1 No.1

韓國 文化行政의 機能變化에 관한 試論 : 文化國家 實現을 위한 行政의 變化課題 A Problems of Korea's Cultural State and it's realization

김형수 단국대학교 대학원 1997 學術論叢 Vol.21 No.-

Korea which was started as a newly emerging independent country since the Second World War created the miracle of economy in the process of a short industrialization. Consequently Korea has been established as a forerunner of newly NICS and the assertion that it should be included in advanced industrial countries has been often raised in international society. Such a economic growth reduced the absolute poverty class to less than 10% of the whole population and social development index also achieved a notable results. However, it is evaluated in spite of such a development that Korea has achieved unequal development have shown stagnation in comparison with the achievements of economic growth which were accomplished over half a century. It is because the strengthening of instrumental modernism led by growth-centered sense of value acts on the ideology which suppressed the growth of democratization and civil society. Accordingly, to overcome this unequalness, the work to recreate a new value system is required on the basis of humanism and the spirit of enlightenment. It means the logic of economic growth should be converted into that of cultural development form that of culture by the nation has restricted the early culture policies to the preservation of traditional arts and customs and the support of these areas. In addition, to secure the validity of the superior logic the culture has been used as the value of a means or to emphasize the legality of political power, official information administration has been recognized as the agent of cultural administration. It is also a real and urgent problem of cultural administration in Korea. With the recognition of these problems, this study is first to seek the extension of recognition and area of culture which the administration of Korea has overlooked in the logic that the economic growth is just national development and then it diagnoses the current condition of cultural administration in Korea by examining the changes of cultural administration system in Korea and aims at suggestion its desirable direction. The conclusions of this study are these; First, the ministry of culture and sports should be reorganized to the independent organization for cultural administration from long-term view. Second Office of Sports should be created under ministry of culture and sports and specialty and independence of cultural administration should be enhanced. Third, to secure the professional personnel of cultural administration, open examination for cultural service should be executed. Fourth, cultural budget should be secured in the level of 1% of national budget. Finally, the historical facts of cultural administration should be arranged through data analysis before the primary materials of cultural administration are disappeared and each achievement should be reevaluated.

버들치(Rhynchocypris oxycephalus)의 산란기에 광주기가 생식선 발달에 미치는 영향

강형철,임봉수,이영돈 제주대학교 해양과환경연구소 2006 해양과환경연구소 연구논문집 Vol.30 No.2