• 농촌의학ㆍ지역보건
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• 제48권2호
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• pp.103-117
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• 2023

본 연구는 노인들의 사회적 관계와 신체활동 실천과의 관련성을 전기노인(65-74세)과 후기노인(75세 이상)으로 나누어서 살펴보았다. 연구 자료는 2020년 노인실태조사 원시자료를 이용하여 65세 이상 노인 10,097명을 대상으로 하였으며 사회적 관계(장애요인 및 동기요인)와 신체활동 실천과의 관련성 파악하고자 교차분석과 이분형 로지스틱 회귀분석을 실시하였다. 노인들의 신체활동 실천율은 전기노인 40.8%, 후기노인 29.2%로 전기노인이 11.6%p 더 높게 나타났다. 노인들의 신체활동 실천에 영향을 미치는 인구사회학적 특성으로 전기노인은 성별, 거주지역, 취업여부, 가구소득으로 나타났고, 후기노인은 성별, 연령, 거주지역, 교육수준, 가구소득으로 나타났다. 노인들의 신체활동 실천에 영향을 미치는 사회적 관계 장애요인으로 전기노인은 친한 친구수, 가족 간병여부, 운동 관련 정보검색 및 동영상 시청여부로 나타났고, 후기노인은 가구형태, 친한 친구수, 운동교육 참여여부, 운동 관련 정보검색 및 동영상 시청여부로 나타났다. 노인들의 신체활동 실천에 영향을 미치는 사회적 관계 동기요인으로 전기노인은 (손)자녀/친인척/친구와의 연락정도, 스포츠 활동 참여여부, 종교 및 사회활동 참여여부, 집에서 산책/운동할 수 있는 공원까지의 접근시간으로 나타났고, 후기노인은 (손)자녀/친인척/친구와의 연락정도, 스포츠 활동 참여여부, 녹지공간에 대한 만족정도로 나타났다. 결론적으로 노인들의 사회적 관계 장애요인과 동기요인은 신체활동 증진 전략 개발시 중요한 고려 요소임을 알 수 있었고, 노인 연령 간에도 차이가 있으므로 향후 전기노인과 후기노인의 특징을 고려한 맞춤형 신체활동 증진 정책 마련이 필요할 것이다.

• 한국병원경영학회지
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• 제7권2호
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• pp.52-79
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• 2002

The hospital is characterized by it's remarkable labor industry and human resources input by unit. Recently, the administrative personnel are recognized as an important staff to provide a hospital guidance to consumer and also easiness for consumer's visit to hospital. The purpose of this study is to find the organizational effectiveness of the administrative personnel in hospitals. The survey data involved in the study was derived from 229 personnels working in 3 medium and small sized hospitals and 1 university hospital in Inchon area. The major finding are as follows; 1. The organizational efficiency in accordance with the general characteristics of subjects in order of over 31 years of age, university graduates, long-term tenure and high position is higher, whereas, in as much as wage and well trained personnels in are higher, general hospital's organizational efficiency is higher in comparison with those of university hospital. 2. The organizational efficiency in accordance with satisfaction and the psychological motive contributional factors is higher as much as the high satisfactory level in every hospitals in general. 3. The organizational efficiency in accordance with the factors of job characteristics is higher in as much as difficulty of the jobs is lesser, however there was not statically significance. In as much as job standard level is higher and the more job responsibility the higher organizational efficiency. It was obvious that the higher professional expertise as well as the training and application level are improving the organizational efficiency. 4. The organizational efficiency in accordance with the factors of structural characteristics was higher in as much as the intercommunication was smooth and the structural formalization level are higher, however there was not statically significance between the participation level of decision making and the organizational efficiency. 5. In as much as older age, management of organization and the job level are satisfied, the higher structural formalization level, the smooth intercommunication have affected as major influence factors of organizational efficiency. 6. In the university hospitals is satisfied in the management and job level of hospital organization as there are no difficult jobs while the level of hospital's organizational formality is high and the intercommunication is smooth, which are improving the organizational efficiency. In the general hospitals is also satisfied the management and job level of hospital organization and psychological motive contributional factors is higher, it was apparent that the organizational efficiency is higher in as much as the level of job standardization is high and the intercommunication is smooth. As a result of this study, in order for improving the organizational efficiency of administrative personnel in hospitals, the management and job level as well as personal relation are preferably satisfied, whereas formalization of organization, intercommunication and etc. should be satisfied, and, therefore, it is advisable to buildup discriminated organizational management and environment for different division on the basis above factors. Since this study is carried on four hospitals in Inchon area, there is a certain limit to generalize its result to all domestic hospitals, nevertheless the gallop poll was made by developing the questionnaires with reasonability and reliability. Especially. as the study was carried by analyzing the comparison of influence factors' difference of organizational efficiency in accordance with the divisional characteristics of the university and general hospitals.

• Journal of Acupuncture Research
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• 제27권3호
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• pp.147-157
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• 2010

Objectives : The purpose of this study was to propose appropriate strategic directions and road maps for successful achievement of programs preventing winter disease in the summer. Methods : Details on programs preventing winter disease in the summer such as clear concept, theoretical basis, current status, intervention or available prescriptions and indication/contraindication/caution were prepared through the related journal review, upon which an observational study was devised and done for simulation to find out even a trivial problem and to guarantee the safety beforehand. The experimental group was divided into 5 groups by the size of pill and the way ginger is treated; 1cm pill with ginger group, 3cm pill group without ginger, 3cm pill group dipped into ginger, 3cm pill group applying ginger to acupoints and 3cm pill group with ginger Results 1. program preventing winter disease in the summer was defined as representative winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis and rheumatoid arthritis, and preventive care in the summer, reinforcing deficient yang qi of five viscera by using exuberant yang qi from summer heat. 2. It was based upon historically established theories which is 'nourishing yang qi in the spring and summer', 'long summer, namely rainy spell in the summer overwhelms the winter, because of earth winning water according to the five phases theory' and 'To replenish yang qi is major principle to treat winter diseases, which can be most appropriately and timely applied to the patient with deficient yang qi of five viscera inherently, especially in the three dog days of the summer, because of exuberant exterior yang qi and deficient interior yang qi in the five viscera'. 3. In the adjacent China and Taiwan, acupoint applying method in the three dog days named 'San Fu Tie' have been stirring a boom throughout the nation, in which Xiaochuan Gao was used as a basic prescription and it mainly was applied at bilateral $BL_{13}$, $_{15}$ and $_{17}$ for about 4 hours. As far as domestic current status, the necessity of adopting the above method prior to Herbal formula was also recognised, because not a few koreans have apprehension for the safety of it including medicinal herbs and are reluctant to take it any more due to negative advertisement of narrow minded doctors' association. 4. Indication of acupoint applying method in the three dog days included most of winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis. contraindication was pregnant woman and the weak such as infants and the old. More attention was paid to grasp firmly the normal reaction following the treatment for preventing side effect and teasing blister. recommendation was also given to abstain from food inducing phlegm and dampness such as meat, shrimp and crab as well as cold drinks and foods 5. In the simulation observational study based upon the above findings following review the related articles, no blister was shown on the acupoints icluding bilateral $BL_{13}$, $_{15}$ and $_{17}$ in every experimental group during 24hr observation following the acupoint applying treatment with pills made by modified and devised prescription. At 4 hr, the effectiveness of it reached a peak showing redness and mild tenderness and there is little difference between groups 3cm pills groups regardless of the way ginger was treated. abdominal distention and growling was found in all the volunteers during the treatment at CV 8. Strategic directions and road maps : Through successful fulfillment of the program preventing winter disease in the summer, Korean traditional medicine should be integrated into mainstream national health care services. Cultural access was thought to be as important as Scientific EBM approach. First of all, To evoke potential cultural homogeneity from campaigns and press advertisement was needed for promoting public awareness about preventing winter disease in the summer by enhancing immunity via acupoint applying treatment in the three dog days, and then indigenous name as Sambokcheop, protocol, Clinical Research Form for data collection of it should be developed and prepared. Once the first step was taken this summer, through a thorough data collection and scrutinized scientific evaluation, drawbacks should be compensted for and the efficacy and safety should be substantiated.

• Journal of Hospice and Palliative Care
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• 제15권1호
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• pp.18-29
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• 2012

목적: 본 연구는 말기환자의 의료적 의사결정에 대한 임상간호사의 인식 구조와 유형을 분류하고 파악하여 향후 실무현장에서 말기 의료적 의사결정 수행능력 향상과 공유된 의료적 의사결정 체계를 구축하기 위해 기초자료를 제공하기 위한 Q 방법론을 적용한 조사연구이다. 방법: 관련 문헌고찰과 개방형 질문지 그리고 개별 면담을 통해 Q 모집단을 추출하여 167개의 Q 진술문을 표집하여 내용의 중복과 표현의 명확성 등을 고려하여 수정한 후 Q 모집단을 의미와 주제별로 6개의 범주로 분류한 다음 각 범주에서 대표적이거나 상이한 의미의 Q 진술문 34항목을 선정하였다. P 표본은 대학병원에서 근무하고 있는 2년 이상의 임상간호사 37명을 편의표집방법으로 선정하였으며 34개의 진술문은 Q 카드에 인쇄하여 연구대상자들로 하여금 강제 정상분포가 되도록 각자 의견의 중요도에 따라 9점 척도 상에 Q 분류하도록 하였고, 양극단에 분류한 진술문과 관련하여 대상자와 면담을 시행하였다. 수집된 자료는 PC-QUANL Program으로 요인분석 하였다. 결과: 분류된 말기환자의 의료적 의사결정에 대한 대상자의 유형은 모두 4가지로 나타났으며 이들 유형에 의해 설명된 전체 변량은 52.7%였다. 제1유형은 '환자 참여형'으로 의료적 의사결정에 대한 환자의 자율성 보장과 이와 관련된 규율이나 법적 장치의 정비와 가이드 라인 마련에 중점을 두었다. 제2유형은 '의료인 역할중시형'으로 환자의 자율성 존중이 실현되기 위한 의료인간의 공유된 의사결정에 중점을 두었다. 제3유형은 '개방적 죽음문화형'으로 평소 죽음에 대해 환자, 가족, 의료인과의 개방적이고 솔직한 대화의 분위기 조성을 효율적인 말기 의료적 의사결정의 실천적 행위로 인식하였다. 제4유형은 '가족의사결정 참여형'으로 말기 의료적 의사결정에 가족의 현존과 역할이 갖는 의미에 강조점을 두었다. 결론: 이상의 결과를 통하여 임상에서 말기환자의 의료적 의사결정에 대한 교육프로그램을 계획하고 수행할 때에는 각 유형에서 나타난 임상간호사의 인식을 반영한 통합적이고 다 학제적인 교육내용이 반영되어야 할 것으로 본다. 본 연구는 임상간호사를 대상으로 오늘날 우리 사회에서 중요시 되고 있는 말기환자의 의료적 의사결정과 연관된 다양한 관점들을 문화적 측면에서 조명했다는 점에서 의의가 있다. 따라서 성숙하고 통합적인 말기 의료적 의사결정 교육프로그램을 위한 기초자료로 유용하게 활용될 것으로 기대된다. 본 연구 결과를 바탕으로 제언을 하면, 첫째, 말기환자의 의료적 의사결정과 관련된 의학과 간호학 분야의 통합적이고 다 학문적인 공통교육과정 개발을 제언한다. 둘째, 본연구를 토대로 한국인의 말기 의료적 의사결정에 대한 태도 측정도구 개발을 제언한다.

• 치위생과학회지
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• 제10권6호
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• pp.439-443
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• 2010

본 연구는 과량의 불소세치제 사용을 예방하기 위하여 만3~6세 아동의 불소세치제 사용량을 비교 평가하고자 충남 홍성군에 위치한 어린이집 5곳의 84명을 대상으로 칫솔두부크기와 세치제 짜는 방법에 따른 세치제량을 비교하였고, 실제적으로 어린이를 대상으로 구강보건교육을 시행하고 있는 구강보건교육자인 치위생과 학생 141명을 대상으로 콩알크기(pea-size)로 짜는 방법과, 소량의 세치제를 묻히는(smear) 방법으로 짠 세치제 양을 비교하여 다음과 같은 결과를 얻었다. 1. 어린이용 칫솔에 짠 불소세치제의 양은 0.29 g이었고, 성인용 칫솔에 짠 불소세치제의 양 은 0.34 g으로 유의한 차이가 나타나 작은 크기의 칫솔로 짰을 때 더 적은양의 세치제를 사용하는 것으로 조사되었다(p<0.05). 2. 3-6세 아동이 평소 통상적으로 짜는 방법대로 짠 양이 0.31 g이었고, 콩알크기(pea-size)로 짠 양이 0.21 g이었으며, 소량의 세치제를 묻히는(smear) 방법을 이용하여 짠 양은 0.26 g으로 조사되어, 평소 통상적으로 짜는 방법보다 콩알크기(pea-size)로 짜는 방법이나 소량의 세치제를 묻히는(smear) 방법을 이용하면 더 적은양의 불소세치제를 사용할 수 있는 것으로 조사되었다(p<0.05). 3. 치위생과 학생들을 조사한 결과 콩알크기(pea-size)로 짰을 때의 양은 0.23 g이었고, smear 방법을 이용했을 때는 0.15 g으로 조사되어, 소량의 세치제를 묻히는(smear) 방법을 이용했을 때 더 적은 양의 불소세치제를 사용하는 것으로 조사되었다(p<0.05). 4. 아동과 치위생과 학생들의 세치제 짜는 방법에 따라 차이가 있는지 조사한 결과 콩알크기(pea-size)로 짰을 때는 두 집단 간의 차이가 없었으나(p>0.05), 소량의 세치제를 묻히는(smear)방법으로 짰을 때는 치위생과 학생들이 더 적은양의 불소세치제를 사용하는 것으로 조사되었다(p<0.05) 5. 두부가 작은 칫솔을 사용하면 불소세치제 사용량을 감소시킬 수 있으며, 콩알크기(pea-size)로 짜는 방법과 소량의 세치제를 묻히는(smear) 방법은 불소세치제 사용량의 감소로 부주의한 불소 섭취를 최소화할 수 있어 어린이에게 추천할 수 있다.

• 대한예방한의학회지
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• 제1권1호
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• pp.149-165
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• 1997

In order that, investigating the feature of patients suffering arthritis, analysing its contents, and grasping a Primary factor affecting it, I might offerbasic datas which could help to plan and perform healthy affairs to thake precautions beforehand, I have investigated, analysed, and studied a total of 320 patients suffering arthritis, who have received physiotherapy in hospital located in Teaegu area for five months, from November 1 1995 to March 30 1996, of which summary and conclusion is this. 1. The general feature of patients in investigative objects In the distribution of the distinction of sex, men accounted for 26.9% and women, for 73.1%, and, in the fistribution of age, 60-year-old or more, most for 27.2% and from 20 to 29 years old, least for 14.0%. In the distinction of a vocation, housewives most accounted for 34.7% and students(jobless men), least for 19.3%. In the distinction of a matrimonial state, married persons most accounted for 76.7% and people living alone(divorce, separation by death, separation), least for 11.4%. In the distinction of an economic state, the middle classes most accounted for 73.5% and the upper classes, least for 2.9%. In the distinction of their academic careers, graduates of a primary school most accounted for 26.9% and graduates of university, for 14.1%, of which patients, having the ability to decode the national language, reached to 11.3%. In the distinction of the house form, people living in independent houses most accounted for 76.4% and residents in apartment(having an elevator), least for 9.4%. 2. In the distribution of the recurring state in the distinction of the feature, the recurring group was more than the group of patients falling that ill at first as 62.2% and in the distinction of the feature of the recurring group, the recurring group turned high in case of men being from 50s to 60s years old or more, people living alone (divorce, separation by death, separation), students (joblessmen), people working in farming, stockbeeding, forestry, fisheries, a simple labour, graduates of a primary school I having the ability to decode the national language, the upper classes, people part two years since they begined to suffer arthritis, people who had members having ever experienced arthritis among families. 3. In the distribution of arthritis on the distinction of bodily pars, a knee articulation most accounted for 50.2% and the articulation of fingers, for 8.8%, wile the simultaneous, several parts (multiple) accounted for 35.1%. In the distinction of the feature, arthritis of a knee turned high in case of men being from 20s to 30s years old, unmarried persons, people having academic careers of university, the middle classes, residents in apartment (having stairs). In the dictnction of a feature the case of several parts (multiple) turned high in case of women being from 50s to 60s years old or more, people living alone (divorce, separation by death, separation), people having the ability to decode th. national language, the graduates of a primary school, the upper classes, residents in apartment (having elevator). 4. In the distribution of arthritis on e distinction of a contracting term, two years or more most accounted for 51.6% and the case of contacting from one year to two years, for 15.3%. Analysing the distinction of the feature, the case of two years or more turned high in case of women being from 50s to 60s years old or more, people living alone (divorce separation by death, separation), the upper classes, people having the ability to decode the national language, residents in apartment (having elevator). 5. In the distribution of an treatment institution before patients came to help, their not curing most accounted for 39.1%, general, orthopedic, neurological surgery (physical therapy), for. 20.0%, and th. therapy of Chinese medicine (acupuncture, moxacautery, Chinese medicine), for 17.5%, and a pharmacy (medical therapy), for 13.4%. The case of patients not curing, in the distinction of a feature, turned high in case of men 20s years old, unmarried, the lower classes, people having academic careers of university, residents in apartment (having elevator). 6. In e distribution of the extent of satisfaction with treatment, common most accounted for 54.4% and some satisfaction, for 32.8%. The case of common, in the distinction of a feature, turned high, in case of men living alone from 50s to 60s years old (divorce, separation by death, separation), married persons, the upper classes, people having academic careers of university, residents in independent house, residents in apartment (having elevator), 7. In the distribution of the degree of knowledge of the cause of arthritis, patients knowing that the cause is to use very much a articulation in normal times most accounts for 60.1%, and patients knowing the state of short nutrition as a cause, for 2.5%. The case of patients knowing that the cause is to use very much in normal times, in the distinction of a feature, turned high in·case of ment being 20s and 60s years old or more, unmarried persons, e lower classes, people having the ability to decode. the national language, people having academic careers of university, residents in apartment (having stairs), 8. In the distribution of the state of physical exercise before arthritis contracted, patients exercising very much on the whole most accpimend for 40.3%, and patients not exercising, for 34.7%. The case of patients exercising very much on the whole, in the distinction of the feature, turned high in case of men being from 50s to 60s years old or more, people living alone(divorce, separation by death, separation), the lower classes, people having the ability to decode the national language, graduates of a primary school, residents in apartment (having elevator). 9. In the taste of patients suffering from arthritis, while the group of patients falling that ill at first and the recurring group didn't smoke cigarets, during alcohol and coffee on the whole, and the group of patients falling once again that ill drank a cup of distilled linquor and three cup of coffee or more on the whole per one day, and the group of patients falling that ill at first liked sort of vegetables and the recurring group liked very much sons of vegetables and fresh and meat in their loving food normal times. 10. Analysing the distribution on the dining table used by patients and the structure of a powder room, at first, in the structure of a powder room, the group of patients filling that ill have a toilet stool using as their sits, and a Bush toilet on the whole, and the recurring group, a toilet stool using as their sits and conventional type, and in the structure of a dinning table, the group of patients falling that ill at first and the recurring group turned high, each as 66.9% and 6.3%, who have a dining table carring here and there. 11. In the distribution of patients of arthritis in relation to stress, the case that they feeled severly symptoms of arthritis when thay got stress, turned high, each, as 78.6% in the recurring poop, and the case not knowing, as 61.5% in the first group. In the extent of stress normal times, the case that they got much stress on the whole turned high, each, as 72.4% in e recurring group, and the care that got less stress on the whole, as 60.0%. 12. In the distribution on the distinction of symptoms and impedimental extent, the recurring group turned high in each variable. Analysing the feature of the recurring group, in the distinction of symptoms, the case that they fooled much that the node of an articulation is stiff, turned high, as 71.6, and in the distinction of treatment before. patients came to helpk, the theraphy of Chinese medicine (physical theraphy), as 84.4%, the theraphy of Chinese medicine (acupuncture, moxacautery, Chinese medicine), as 73.2%, and in the distinction of the satisfing extent on treatment, the case of comman, as 72.3%, and in the cause of arthritis, the case not recruiting their health after a birth, as 68.5%, and the case not recovering wholely an articulation having got hurt, as 62.8%, and in the state of physical exercise before they begined suffering from arthritis, the case exercising very much on the whole, (as 74.2%), and in the extent of subjective impediment, the case of not being able to act almost, as 66.7%, the case of acting but feeling some hard, as 66.3%. 13. The correlation in variables in relation to arthritis Analysing realted variables, the recurring frequency showed correlation with such as the extent that patients got stress normal times, and the exercising state before suffering arthritis, and showed contra-correlation with academic careers, the wights, coffee. The cigaret, e loving food of taste, showed corralation with the weight, stature, alcohole as the loving food of taste. On the basis of this result medical members of heal, who are related to the regular education, public education or development of this program, should be concerned to prevent orthris.

• 대한예방한의학회지
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• 제5권2호
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• pp.69-92
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• 2001

The purposes of this study were to offer foundation making more certain standards of musculoskeletal disorder diagnosis, We researched musculoskeletal symptoms degrees, frequencies, and cares and then examined relation between musculoskeletal symptoms and diagnosis of musculoskeletal conditions using moire topography among workers at an automobile manufacturing plant. Therefore we propose the possibility of moire topography as diagnosing utilities of musculoskeletal disorders. Methods: This study was to examine the general characteristics, complaints of musculoskeletal symptoms, and work-related musculoskeletal disorder rates of cervicobrachial and lumbar area by survey among 435 workers at an automobile manufacturing plant and then to show each frequency and percentage, In the diagnosis using moire topography, we studied pain control necessity of cervicobrachial and lumbar area, 435 subjects were classified by 5 levels: A(no symptoms), B(need management), C(need treatment) and then more divided by B1(light symptoms)/B2(heavy symptoms), C1(light symptoms)/C2(heavy symptoms), And musculoskeletal areas were divided by 2 parts, cervicobrachial area(neck, shoulder, arm&elbow, and wrist&hand) and lumbar area, Then, frequency and percentage of each musculoskeletal areas(cervicobrachial and lumbar area) were appeared. At last, Pearson's chi-square test analysis was utilized to observe the relation between diagnosis using moire topography and general characteristics and the relation between diagnosis using moire topography and work-related complaint of musculoskeletal symptoms of cervicobrachial and lumbar area, Results: The subjects employed for this research were categorized into; by gender, all of them were males(l00%): by age, under 35 years 12 %, 36-40 years 56.3%, 41-45 years 26.3 %, and above 46 years 5.3% with 36-40 years accounting for most of it. By living location, owned houses represented 69.7%, rented houses 23.4%, monthly-rented 1.6%, the others 5.3%; by education, middle school and lower represented 3.0%, high school 89.4%, and junior college and higher 7.6% with high school occupying most of the group. By marital status, married represented 95.2%, unmarried 4.1%, and the others 0.7% with most of them married; by alcohol, drinking represented 81.8% and non-drinking 18.2%; by smoking status, smoking represented 53.6%, non-smoking 46.4% with no big difference between them. By working time(hours/week), below 50 represented 26.9%, 50-60 67.6%, above 60 5.5%; by working time(hours/day), below 9 represented 21.6%, 10-12 73.1%, above 13 5.3%; by job tenure(years), below 10 represented 25.1%, 11-15 54.3%, 16-20 15.2%, above 21 5.5%. By personal income per year, below 30 million won represented 11.0%, 30-40 84.8%, above 40 4.1%; by sleeping hours, below 6 hours represented 26.7%, 7-8 hours 69.9%, above 9 hours 3.4%. Complaint rates of musculoskeletal symptoms and work-related musculoskeletal disorder rates were 63.9% and 54.9% with shoulder area occupying most of both them. By pain degree of musculoskeletal symptoms, shoulder area represented $2.73{\pm}0.84$, lumbar area $2.66{\pm}0.86$, wrist and hand area $2.59{\pm}0.86$, neck area $2.55{\pm}0.74$, and arm and elbow area $2.48{\pm}0.71$. By cares about musculoskeletal symptoms, taking medication or care represented 34.4%-46.7%, absence or leave 15.4%-28.7%, and job transfer 6.3%-11.5%. So experienced cases more than one thing among cares about musculoskeletal symptoms represented 39.6%-54%. In the diagnosis using moire topography, pain control necessity of cervicobrachial area was shown below; A(no symptoms) 20.7%, B1(need management/light symptoms) 64.6%, B2(need management/heavy symptoms) 11.5%, C1(need treatment/light symptoms) 3.0%, C2(need treatment/heavy symptoms) 0.2%. By lumbar area, A(no symptoms) 8.7%, B1(need management/light symptoms) 52.2%, B2(need management/heavy symptoms) 30.3%, C1(need treatment/light symptoms) 8.7%, C2(need treatment/heavy symptoms) was none. In the relation between pain control necessity and general characteristics, age(P=0.013), education(P=0.000), and job tenure(P=0.012) with pain control necessity showed differences with significance. The relation between pain control necessity and complaint of musculoskeletal symptoms of cervicobrachial and lumbar area showed no difference with significance; in cervicobrachial area represented P=0.708, lumbar area P=0.318 Conclusions: This study for musculoskeletal symptoms on workers at automobile manufacturing plant showed that complaint rates of musculoskeletal symptoms for cervicobrachial and lumbar area were so high, 63.9%. But Pearson's chi-square test analysis was utilized to study the relation between musculoskeletal symptoms and the diagnosis using moire topography, showed no differences with significance. They have no differences with significance, but the prevalence rates of diagnosis using moire topography for cervicobrachial and lumbar area were more higher than complaint rates of musculoskeletal symptoms; complaint rates of musculoskeletal symptoms were 52.4%, 34.5% and the diagnosis using moire topography were 79.3%, 91.3% for cervicobrachial and lumbar area. The results of this study indicate that the diagnosis using moire topography can find weak musculoskeletal disorders that an individual can not feel, not be judged work-related musculoskeletal disease. Therefore, this study has an important meaning that diagnosis using moire topography can predict and control own physical condition complete musculoskeletal disorders beforehand, since oriental medicine theory considers that prevention is important.

• 헤리티지:역사와 과학
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• 제55권2호
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• pp.50-64
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• 2022

본 논문은 2005년 전라북도 유형문화재로 지정된 전주향교 소장 완영책판 중 <동의보감> 책판의 현황과 그것의 문화재적 가치를 제고(提高)하는 것을 목적으로 한다. 전주향교 소장 완영책판은 전라감영에서 서적을 인출할 때 사용하였던 것이었고, 현재 10여 종의 책판이 전하고 있다. 1987년 전주향교의 장판각에 목재 서가를 설치하여 보존하였고 현재는 전북대학교박물관 수장고에 보존 관리되고 있다. 그 중 <동의보감> 책판은 1814년에 전라감영에서 인출한 『동의보감』 판본의 판목인 것으로 추정되고 있다. 『동의보감』의 가치는 이미 오래전부터 국내외에서 인정을 받았다. 1610년 편찬된 『동의보감』은 1613년 개주 갑인자 목활자로 처음 간행되었고, 간행된 이후 조선뿐 아니라 중국과 일본에서도 간행될 정도로 그 가치를 인정받았고, 2009년에는 『동의보감』 초간본이 유네스코 세계기록유산에 등재되었다. 이처럼 『동의보감』의 판본은 인정을 받아 온 반면 판본을 찍었던 책판에 대해서는 그 의미와 가치에 대해 조명한 사례가 극히 드물다. 이에 본 논문은 <동의보감> 완영책판의 현황을 분석해보고 그것이 가진 의미와 가치를 제고시키고자 한다. 『동의보감』초간본의 세계기록유산 등재 과정에서도 언급된 바와 같이 『동의보감』은 공공의료와 예방의학의 이상을 선포한 조선의 혁신적 지시에 따라 편찬되고 보급된 의학서이다. 그 과정에서 책판은 바로 전국적인 보급을 위한 조선의 의지를 실현시킬 수 있었던 중요한 도구였다고 볼 수 있다. <동의보감> 책판은 목판 쇄의 목적을 넘어 위정자의 애민정신이 깃든 것이며, 백성을 위한 의학 지식의 보급에 더 의미를 부여할 수 있는 것이었다. 따라서 이 글에서는 『동의보감』에 대한 전반적인 내용들을 점검해보면서 전북대학교박물관 수장고에 보관 중인 완영책판 <동의보감>의 현황과 함께 그것의 의미와 가치를 제고해 보고자한다. 완영책판 『동의보감』은 감영에서 제작한 것으로는 거의 유일하게 전하는 목판이라는 점과 책판은 목활자본과는 달리 완정한 판본을 오래 보존하고 널리 유포하려는 데 목적을 둔다는 점에서 완영책판의 의미를 찾고자 한다.

• 대한소아치과학회지
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• 제50권1호
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• pp.75-88
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• 2023

이 후향적 연구는 2011년 1월부터 2020년 12월까지 서울대학교 치과병원 소아치과에서 시행된 전신마취 하 치과 치료의 추세 변화를 분석하고 치과 영역 중증 장애 여부에 따른 전신마취 재시행 양상을 비교해보고자 하였다. 1,719명의 환자에게 1,857건의 전신마취 하 치과 치료가 시행되었으며 평균 연령은 5.1세였고 남자가 59.3%였으며 ASA 2등급 이상인 환자가 52.9%, 치과 영역 중증 장애 환자는 26.8%였다. 연구 기간 동안 전신마취 시행 건수는 지속적으로 증가하였으며, 6.6%의 환자가 2회 이상의 전신마취 하 치과 치료를 받았고 10년 동안 전신마취 재시행률은 7.4%였다. ASA 2등급 이상인 환자(p < 0.0001)와 치과 영역 중증 장애 환자(p < 0.0001)에게서 전신마취 재시행의 가능성이 높았으며, 치과 영역 중증 장애 환자가 전신마취를 시행받은 시기의 연령이 더 높게 나타났다(p < 0.0001). 치과 영역 중증 장애 환자에게 첫 전신마취와 두 번째 전신마취에서 모두 영구치의 수복 치료(p = 0.002, p < 0.0001)가 더 많이 시행되었다. 최근 10년간 소아치과 영역에서 전신마취의 사용이 증가하고 있으며 치과 영역 중증 장애를 가진 소아청소년 환자의 전신마취 재시행을 줄이기 위한 정기 검진과 구강 위생 관리를 통한 예방이 중요하다.

• Tuberculosis and Respiratory Diseases
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• 제54권3호
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• pp.311-319
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• 2003

연구배경 : B-type natriuretic peptide(BNP)는 주로 심장의 심실에서 분비되는 호르몬으로서 심부전의 진단, 중증도 및 예후와도 연관이 있다고 알려져 있다. 중환자의 경우 급성병색시 심부전이 올수 있는 것으로 알려져있고 이는 환자의 예후와 연관이 있을 가능성이 있다. 그래서 저자들은 우선 이전 심질환의 병력이 없는 중환자들에서 BNP를 측정하여 증가여부를 살펴보고, BNP와 중환자의 중등도 및 예후와의 관련성 여부를 살펴보기로 하였다. 방 법 : 2002년 6월부터 10월까지 본원 중환자실에 입원하였던 환자 중 환자의 중증도와는 관련이 없이 BNP가 증가될 수 있는 울혈성 심부전, 심방 세동, 허혈성 심질환, 신부전 등을 제외한 32명을 대상으로 하였고, 대조군으로는 일반 병동 및 외래 환자 32명을 무작위로 추출하였다. BNP는 Triage B-Type Natriuretic Peptide test를 이용하여 fluorescence immunoassay를 통해 측정하였다. APACHE II score와 APACHE III score 및 중환자실 사망 여부를 추적하였다. 결 과 : 남녀비는 16 : 16이었고, 연령은 $59.2{\pm}20.6$세 였다. BNP는 $186.7{\pm}274.1$ pg/mL으로 정상 대조군의 $19.9{\pm}21.3$ pg/mL 보다 유의하게 높았다. 중환자군에서 BNP 100 pg/mL이상은 14명으로 43.8%였다. APACHE II score는 $16.5{\pm}7.6$이었고, 11명이 사망하였다. BNP값은 APACHE II score및 사망과 유의한 상관 관계를 보였고(r=0.443, p=0.011, r=0.530, p=0.002), 생존군과 사망군 BNP값은 유의한 차이를 보였으나($83.2{\pm}55.8$ pg/mL vs. $384.1{\pm}401.7$ pg/mL ; p=0.033), $PaO_2/FiO_2$와는 상관 관계를 보이지 않았다. 결 론 : BNP는 이전 심질환병력이 없었던 중환자에서 증가되어 있었고, 사망률 및 중증도 점수와도 유의한 상관 관계가 있었다. 따라서 중환자들의 예후를 예측하는데 비침습적이고 빠른 방법으로 도움이 될 가능성이 있다.