The Effects of Food Stability and Unmet Medical Needs Experienced by the Elderly on the Suicidal Ideation: Focused on the Mediating Effect of Depression

조준,최정민 (사)한국조리학회 2019 한국조리학회지 Vol.25 No.9

The purpose of this study is to identify the mediating effect of depression on the relationship between food stability and unmet medical needs experienced by the elderly and the suicidal ideation of the elderly. To test the study hypothesis, logistic regression analyses and sobel-tests were used for 1,671 elderly persons aged 65 years or older. According to the results, first, a partial mediating effect of depression was found in the relationship between the dietary life conditions and unmet medical needs experienced by the elderly and the suicidal ideation of the elderly. Based on the foregoing, practical and policy proposals that will enable the control of the suicidal ideation of the elderly were suggested.

Relationship between Income Class and Health of the Elderly: Focusing on the Mediating Effect of Food Insecurity

조준,최정민 (사)한국조리학회 2019 한국조리학회지 Vol.25 No.9

The purpose of this study is to examine the mediating effect of food insecurity on the relationship between the income classes and health of the elderly. To test the study hypothesis, multiple regression analyses and sobel-tests were used for 1,548 elderly persons aged 65 years or older. According to the results of analyses, first, a partial mediating effect of health was found in the relationship between the income classes experienced by the elderly and the health of the elderly. Based on the foregoing, theoretical grounds for social welfare intervention to manage the health of the elderly were presented.

의료품질의 향상을 위한 두피절개 및 드레싱 방법의 개선 효과 분석:CT 영상안내에 의한 직선형 또는 S자형 두피절개와 액상 드레싱효과

조준,엄기수,박근상,김미영,이동규 한국품질경영학회 2006 품질경영학회지 Vol.34 No.4

The authors aimed to analyze the quality improvement efficiency of wound dressing with 2-octyl cyanoacrylate(2-OCA) in stereotactic image guided linear or sigmoid incisions in a cohort of consecutive craniotomy patients, and to compare clinical results with those of iodine-dressing and silk sutured patients underwent conventional craniotomy surgery with large pedicle flap incisions without stereotactic guidance. In methods, 26 patients were involved as the study group at one hospital. We retrospectively compared their results with those of 38 consecutive control patients at the same unit. The suggested new medical material, 2-octyl cyanoacrylate(2-OCA), resultantly decreased or prevented the contaminated fluid influx from scalp outside. The mean infection rate for the control group (7.89%) was relatively higher than that of the study group (3.85%). In addition, the use of stereotactic image guided craniotomy was significant to reduce operation time, to simplify operative procedures and to decrease potential risk factors.攀†교신저자 mykim@inha.ac.kr ※ 이 연구는 2004년도 건국대학교 학술진흥연구비 지원으로 수행되었음.攀攀

말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고

조준,박성호,김재영,Cho, Joon,Park, Sung-Ho,Kim, Jae-Young 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.4

Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

척추전방전위증의 업무상질병 인정기준 개선

조준,윤도흠,박용구,Cho, Joon,Yoon, Do Heum,Park, Young Gou 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.12

Objective : World Health Organization and International Labour Organization, in June 8, 1999, requested that working conditions should be reformed ethically right and economically solid for 2.7 billion world labour force. The purpose of this study is to request compensable surgical therapeutic options and to suggest the renewal in cognizance criteria for worker's compensation, especially in spondylolisthesis. Methods : Regarding spondylolisthesis, we obtained data from Korea Labor Welfare Corporation(KLWC). Spinal disease occurrence incidences and medical fees of National Federation of Medical Insurance(NFMI) were analysed. The compensated 122 spinal instrumented cases included 117 male and 5 female patients, aged from 23 to 72 years old(mean : $45{\pm}9.85$). We compared Korean and Foreign Workers Compensation Law. Results : Numbers of herniated nucleus pulpus(78 cases), spinal fractures(34 cases) and dislocations(4 cases) were claimed after spinal interbody fusion operation and were compensated. These compensated degenerative diseases, work related illness, occurred in the course of work. A case of 52-year old spondylolisthesis patient with Disability Grade 8 was compensated by KLWC, according to its occurrence at work by accident. With exception of trauma at work by accident, current cognizance criteria were too narrow to be compensable, especially in surgical therapeutic option, for worker's spondylolisthesis. Conclusion : Considering both worker's compensation law and clinical pathologic progress, we believe that spondylolisthesis should be regarded as a compensable occupation related disease if and when aggravates rapidly in the course of work. We suggest a new cognizance standard to KLWC for labour welfare and proper worker's compensation.

요추간판 탈출증 환자의 컴퓨터 적외선 전신 체열 촬영을 이용한 수술 후 평가

조준,문창택,나중환,조병일,장상근,이예철 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.7

Digital infrared thermographic imaging system is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. The authors present the result of digital infrared thermographic images of 83 patients of operated lumbar disc herniation from October, 1990 to March, 1991. 46 patients have received discectomy and the other 37 patients have received chemonucleolysis. We have done digital infrared thermographic imaging preoperatively and postoperatively. In preoperative digital infrared thermographic imaging, diagnostic sensitivity is about 76%. In postoperative digital infrared thermographic imaging, clinical results were well correlated in discectomy group. But in chemonucleolysis group, clinical results were not correlated with digital infrared thermographic images.

OSID 시스템 체계 연구를 통한 객체기반연속수치지도 관리

조준 대한공간정보학회 2011 한국지형공간정보학회 학술대회 Vol.2011 No.5

Traumatic Entrapment of the Vertebrobasilar Junction Due to a Longitudinal Clival Fracture: A Case Report

조준,문창택,최우진,장상근,고영초,노홍기,강현승 대한의학회 2008 Journal of Korean medical science Vol.23 No.4

Vertebrobasilar junction entrapment due to a clivus fracture is a rare clinical observation. The present case report describes a 54-yr-old man who sustained a major craniofacial injury. The patient displayed a stuporous mental state (Glasgow Coma Scale [GCS]=8) and left hemiparesis (Grade 3). The initial computed tomography (CT) scan revealed a right subdural hemorrhage in the frontotemporal region, with a midline shift and longitudinal clival fracture. A decompressive craniectomy with removal of the hematoma was performed. Two days after surgery, a follow-up CT scan showed cerebellar and brain stem infarction, and a CT angiogram revealed occlusion of the left vertebral artery and entrapment of vertebrobasilar junction by the clival fracture. A decompressive suboccipital craniectomy was performed and the patient gradually recovered. This appears to be a rare case of traumatic vertebrobasilar junction entrapment due to a longitudinal clival fracture, including a cerebellar infarction caused by a left vertebral artery occlusion. A literature review is provided.

新型冠状病毒病国际防控与国际法

조준,박상식 경상국립대학교 법학연구소 2022 法學硏究 Vol.30 No.4

2019年12月以来中国爆发了新型冠状病毒感染引起的急性呼吸道传染病,由于感染患者数量大且多国出现疫情,被世界卫生组织通报为构成国际关注的突发公共卫生事件。随着世界经济贸易的全球化和国际交通流通的加快,国际社会依存程度不断扩大,使得疾病的扩散变得更加难以避免,日益成为需要国际防控的全球性问题。以国际法中的《国际安全条例(2005)》为例,论述相关国际法的演进过程和发展趋势,以及其在新冠肺炎防控中的作用。同时讨论在疫情的具体防控中相关国际法存在的效力有限,缺乏有效的监督和制裁手段;规定的内容存在冲突和欠缺两种现象;具有明确法律地位的参与主体有限;国际法与国内法不协调的问题。并根据存在的问题提出了以共同利益调整效力落实,并构建监督机制;更加充分的发挥世界卫生组织的主导作用;推送非政府间国际组织法律地位的确立和补充作用的发挥;发挥国家的核心作用,推进国际立法与国内立法并重的构想。

흰쥐 척수에서 피라밋바깥로를 배제한 피라밋로 운동유발전위의 구분에 관한 연구

조준,박용구,이무삼 대한해부학회 2000 Anatomy & Cell Biology Vol.33 No.2