유럽건강도시 발전과 국내적 함의

송정국(Jung-Kook Song),고광욱(Kwang Wook Koh),임요환(Yo Hwan Lim) 한국보건교육건강증진학회 2021 보건교육건강증진학회지 Vol.38 No.1

제주도 성인의 신체활동 수준

송정국(Jung-Kook Song),고광욱(Kwang Wook Koh) 한국보건교육건강증진학회 2019 보건교육건강증진학회지 Vol.36 No.4

심뇌혈관질환 고위험군 대상 교육프로그램의 효과

송정국(Jung-Kook Song),박형근(Hyeung-Keun Park),홍성철(Seong Chul Hong) 한국농촌의학 지역보건학회 2015 농촌의학·지역보건 Vol.40 No.3

본 연구는 급성 심근경색과 뇌졸중의 고위험군인 노인들을 위하여 마련된 일개 권역심뇌혈관질환센터의 경로당노인 교육프로그램이 급성 심근경색과 뇌졸중 경고증상에 대한 지식수준을 높이는 데에 효과가 있었는지 교육프로그램 수행 1년이 경과시점에서 평가하였다. 2012년 제주특별자치도 제주시의 11개 경로당에서 337명을 편의표집 하였는데, 과거 2010년 해당 경로당에서 진행된 교육프로그램에 참여했었던 159명은 실험군으로 하였고, 교육에 참여하지 않은 178명은 대조군으로 하였다. 경고증상을 정확히 알고 있는지를 알아보고자 두 가지 질환 각각 3개 문항씩 총 6문항에 대하여 질환 별 증상이 맞는다고 생각하는지를 폐쇄형 질문으로 물어 명목형(정확한 인지 여부)으로 구분하였으며 빈도(백분율)로 나타내었다. 참여군과 비참여군 간에 경고증상에 대한 지식수준은 유의한 차이를 나타나지 않았고, 급성 심근경색과 뇌졸중 경고증상에 대한 지식이 최고 수준인 것(우수 인지수준, 경고증상 여섯 개 모두를 정확히 인지)과 경로당노인 교육프로그램 참여여부가 관련이 없는 것으로 나타나 교육 효과는 확인할 수 없었다. 다만 우수 인지수준이 될 오즈값은 교육수준이 초등학교 졸업 이상일 경우 초등학교 미졸업(무학 및 서당)에 대해서 3.01배 높았고(3.01; 1.72-5.26), 매일 빠지지 않고 TV뉴스를 시청할 경우 6일 이하로 시청하는 것에 대해서 2.97배 높게 나타났으며(2.97; 1.68-5.23), 이들은 통계적으로 유의하였다. 참여군에서 교육 참여 이후 높아진 지식수준이 교육 후 1년 시점까지 통계적으로 유의한 차이없이 유지되었던 것과 비참여군에서 지식수준이 참여군 만큼 높은 수준이었던 것은 교육참여와 상관없는 어떠한 교육중재적 요인을 공유하고 있음을 시사하였다. 결론적으로 심뇌혈관질환의 고위험군인 노인을 표적 선택하여 실시하는 일회적 지역사회 방문교육 대신 대중매체를 활용한 반복적 지식전달이 효과 있음을 알 수 있었다. 일회적 지역사회 방문교육의 효과는 지역사회 노인 전체를 대상으로 하는 대중매체 보건교육 캠페인이 잇달아 수반되어야만 그 효과를 장기적으로 유지할 수 있다. Objectives: This study was performed to investigate the effects of a health education program for the aged on knowledge about the warning signs and symptoms of acute myocardial infarction and stroke. Methods: Data from 337 elderly people (159 participated and 178 non-participated) at senior centers in Jeju-si were collected by 1 to 1 interview from January to March 2012, one year after the education program provided. Two stages of study were performed: Cross-sectional, case-control study on the level of knowledge about the warning signs and symptoms; and multivariate logistic regression to fine out predictors of optimal awareness. Results: No significant discrepancy of knowledge level between case and control group was found. The knowledge level as high as a surge was shown in both groups one year later. A surge of knowledge had been shown after the education provided in one month. The factors affecting the optimal level of knowledge were education (Odds ratio 3.01; Confidence Interval 1.72-5.26; P-value <0.001) and 7 days of watching TV news per week (2.97; 1.68-5.23; P<0.001). However, participation in the health education was not significant (1.60; 0.98-2.61; P=0.059). Conclusions: The effects of a targeted program in high-risk groups for cardio-cerebrovascular disease are only guaranteed in the enhancement by a population-based mass-media education campaign.

국민건강증진종합계획의 신체활동분야 계획 변천과 발전방향: 1~4차 계획을 중심으로

송정국(Jung-Kook Song),고광욱(Kwang Wook Koh),김혜숙(Hye-Sook Kim) 한국보건교육건강증진학회 2020 보건교육건강증진학회지 Vol.37 No.1

안면동맥 천공지피판술을 이용한 뺨결손의 재건

강재경,송정국,정현교,신명수,윤병민,Kang, Jae Kyoung,Song, Jung-Kook,Jeong, Hyun Gyo,Shin, Myoung Soo,Yun, Byung Min 대한두개안면성형외과학회 2012 Archives of Craniofacial Surgery Vol.13 No.2

Purpose: To reconstruct the midface, local flaps such as nasolabial flaps have been frequently used. These local flaps, however, have the shortcomings of requiring a secondary operation or limitations in the movement of the flap. Thus, new methods have been developed. This paper reports a case wherein the basal cell carcinoma on the cheek was resected and the skin and soft tissue defect was successfully treated using a facial artery perforator flap. Methods: A 68-year-old female consulted the authors on the basal cell carcinoma that developed on her cheek. The mass was fully resected and revealed a $2.3{\times}2.3cm$ defective region. Using a Doppler ultrasonography, the facial artery path was traced, and using a loupe magnification, the facial artery perforator flap was elevated and the defective region was covered with the flap. Results: The flap developed early venous congestion, but it disappeared without any treatment. Six months after the surgery, the patient was satisfied with the postoperative result. Conclusion: The facial artery perforator flap has a thin pedicle. It offers a big arc of the rotation that allows free movement and one-stage operation. These strengths make the method useful for the reconstruction of the midface among other procedures.

봉합결찰법을 이용한 골절된 상악동 전벽의 정복과 고정

정현교,강재경,송정국,신명수,윤병민,Jeong, Hyun Gyo,Kang, Jae Kyoung,Song, Jung-Kook,Shin, Myoung Soo,Yun, Byung Min 대한두개안면성형외과학회 2013 Archives of Craniofacial Surgery Vol.14 No.2

The anterior maxillary sinus walls are the most frequently injured sites in midfacial fractures. The maxillary sinus is a difficult surgical site for reduction and fixation due to its narrow surgical field, and has a chance of developing sinusitis when sufficient treatment is not given. In this study, the methods developed by the authors for managing such are introduced. Two small openings were made on both sides of the fracture line, then a suture knot was tied instead of wiring for reduction and fixation. Then an absorbable mesh was applied on top of the fracture site, with a suture knot for additional fixation. This method was applied on an actual patient, and it was a convenient method despite the narrow surgical field that was provided. The authors believe that using suture knots to fixate fractured segments and absorbable mesh is relatively convenient and economically efficient when it comes to the reduction and fixation of the maxillary sinus wall fracture with several fragments.

전진피판을 이용한 코끝 부위의 결손 재건: 증례보고

신명수,윤병민,송정국,이석재,박상현,정연우,Shin, Myung Soo,Yun, Byung-Min,Song, Jung Kook,Lee, Seog Jae,Park, Sang Hyun,Jeong, Yeon Woo 제주대학교 의과학연구소 2018 The Journal of Medicine and Life Science Vol.15 No.2

The reconstruction method of nasal area can be used differently depending on the location, size, age. In this elderly female patient case, without using the forehead medial flap, good results can be obtained by using an advancement flap considering the nasal aesthetic unit.

일 대학 여대생의 성역할정체감, 성공공포 및 우울

오세철(Se-Chul Oh),곽영숙(Young-Sook Kwak),송정국(Jung-Kook Song) 대한사회정신의학회 2018 사회정신의학 Vol.23 No.2

목 적 : 일 대학 여학생의 성역할정체감 유형 분포와 성공공포 및 우울위험에 취약한 특정 유형을 확인하고, 어떤 요인들이 이 유형이 되는 데에 영향을 미치는지 알아보고자 하였다. 방 법 : 자기기입방식 설문조사 응답지 74부로부터 얻어진 자료에 대해서 ANOVA 및 Scheffe의 사후 테스트, 이분형 로지스틱 회귀분석을 실시하였다. 결 과 : 미분화형과 여성성 유형이 동일하게 가장 많았고(28.4%, 21명) 양성성 유형이 가장 적었다(18.9%, 14명). 미분화형과 여성성 유형은 남성성 유형과 양성성 유형보다 성공공포 수준이 유의하게 높았다(F=5.41, p=0.002). 우울위험 정도는 양성성 유형, 남성성 유형, 여성성 유형, 미분화형 순으로 증가하였지만 통계적으로 유의하지 않았다(F=1.57, p=0.204). 남자 형제가 있는 경우(OR=9.56, p=0.021), 외모 만족도가 낮을수록(OR=2.54, p=0.032) 및 학업성취도가 낮을수록(OR=2.54, p=0.048) 미분화형이 될 위험도가 유의하게 높아지는 것으로 나타났다. 결 론 : 미분화형은 일 대학 여대생 성역할정체감의 주요 유형이자 성공회피와 우울위험에 취약한 유형이었다. 향후 해당기관 및 교육당 국은 이 유형에 영향을 미치는 요인을 고려한 성인 초기 여성을 위한 성역할정체감 확립 중재프로그램을 제공할 필요가 있겠다. Objectives : The purpose of this study was to investigate local characteristics of the distribution of sex-role identity types and the factors affecting a vulnerable type to fear of success and risk of depression among female students attending at a university in Jeju. Methods : Data from 74 participants were collected by self-reported questionnaires and analyzed by ANOVA and Scheffe’s posthoc test, and a multivariate logistic regression. Results : The most prevalent sex-role identity type was undifferentiated (28.4%), accompanied by femininity (28.4%) equally. Androgyny was the least prevalent (18.9%). The undifferentiated as well as femininity type showed a higher level of fear of success than the masculinity and the androgyny types did (F=5.41, p=0.002). Although the degree of risk of depression was increasing, starting from androgyny to masculinity, femininity and undifferentiated type in the order named, no significant difference was found among them (F=1.57, p=0.204). The factors affecting the undifferentiated type were having male sibling (Odds ratio 9.56 ; Confidence Interval 1.40-65.39 ; p=0.021), level of body image satisfaction (2.54 ; 1.09-5.93 ; p=0.032) and level of academic achievement (2.54 ; 1.01-6.40 ; p=0.048). Conclusion : The Jeju’s most prevalent and vulnerable type of sex-role identity is undifferentiated type among female students. This calls for an intervention concerning the affecting factors.

수종의 BRACKET(DBS)제거방법에 따른 법랑질 표면에 대한 주사전자현미경적 연구

송정국,손병화 대한치과교정학회 1985 대한치과교정학회지 Vol.15 No.2

With modification of the acid etch technique and improvements of the physical and mechanical properties of the acrylic resin, the removal of directly bonded attachments and the finishing of the underlying enamel have become an acute clinical problem. This study was to evaluation the efficacy of recently introduced instrumentation and techniques to remove bonded brackets and residual resin, and restore the affected enamel surface to an acceptable clinical condition. Forty-eight premolar which were scheduled for extraction for orthodontic purposes were bonded with brackets using super-C ortho Four additional premolars with untreated surfaces were used as controls . After one weak the brackets were removed and the residual resin removed by hand scaler, green stone, green rubber wheel, sandpaper disc, tungsten carbide bur, Sof-lex disc. Half the experimental teeth were given a final pumicing and then all were extracted and stored in 50 percent ethanol. The scanning electron microscopy was used to evaluated the enamel surface. Following results were obtained; 1. A satisfactory result was obtained by means of the Sof-lex disc. 2. The order of the scratch formation was the procedure using hand scaler, green stone, tungsten carbide bur, sandpaper disc, green rubber wheel, and Sof-lex disc. 3. The procedures using green stone and tungsten carbide bur showed many groove formations and the other procedures showed none. 4. Final pumicing serves effectively to remove residual abhesive and restore the enamel surface.