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허혈성심질환 예측모형을 이용한 사회경제적 위치와 허혈성심질환 위험도의 연관성
고동희,한순실,지선하,김형렬,Koh, Dong-Hee,Han, Sun-Shil,Jee, Sun-Ha,Kim, Hyoung-Ryoul 대한예방의학회 2006 예방의학회지 Vol.39 No.4
Objectives: The object of this study is to assess the relationship between socioeconomic factors and the predicted 10-year risk of cardiovascular disease by using health risk appraisal of ischemic heart disease. Methods: The study population was taken from The 2001 Korea National Health and Nutrition Survey, and it consisted of 1,566 men and 1,984 women aged 30-59. We calculated 10-year risk using the risk function of ischemic heart disease as developed by Jee. The educational level and equivalized household income were dichotomized by a 12 years education period and the median income level. Occupation was dichotomized into manual/non-manual work. We stratified the population by age(10 years) and sex, and then we rated the risk differences according to socioeconomic factors by performing t-tests for each strata. Results: There were gradients of the predicted 10-year risk of ischemic heart disease with the educational level and the equivalized household income, and thet was an increasing tendency of risk differences with age. Manual workers didn't show significant risk difference from non-manual workers. Conclusions: There was definite relationship between low socioeconomic position and the predicted risk of ischemic heart disease in the future.
중소기업의 경쟁력 강화를 위한 지원정책에 관한 연구 - 안산시의 중소기업을 중심으로 -
고동희(Dong Hee Koh),김상수(Sang Soo Kim),문준연(Jun Yeon Moon) 한국중소기업학회 2001 중소기업연구 Vol.23 No.1
The role of small and medium sized firms is especially important in terms of number, sales volume, etc., in city of Ansan. Thus, the competitiveness of firms directly affects the development of Ansan city. In this study, we suggest what Ansan city should do to strengthen the competitiveness of small and medium sized firms. We summarize and analyze the current support policies of Ansan city. We conducted the survey to figure out the problems of current support policies and what kinds of assistance firms are looking for. Based on the results the survey, we suggest eight policies to improve not only the competitiveness of existing firms but also the industry structure. These policies are the following; `pioneering international markets,``joint marketing,``improvement of current assistance policies,``construction of one-stop service system,``construction of information data bases about industry,``acceleration of firms` use of information,``smooth supply of labor force,` and `start-up of new business`.
2017 유럽소화기내시경학회 초음파 내시경 유도하 생검 가이드라인 소개 - 췌장담도계 질환 중심으로
고동희 ( Dong Hee Koh ) 대한소화기학회 2019 대한소화기학회지 Vol.74 No.3
EUS currently plays an important role in the diagnosis and treatment of digestive diseases. In addition, EUS-guided sampling has been applied to pancreaticobiliary lesions for the accurate diagnosis of pancreaticobiliary lesions. Many new instruments and studies for EUS-guided sampling are being developed and attempted. This review introduces and summarizes the key recommendations made in the recent guideline for EUS-guided sampling developed by the European Society of Gastrointestinal Endoscopy. (Korean J Gastroenterol 2019;74:137-141)
고동희 ( Dong Hee Koh ) 대한소화기학회 2018 대한소화기학회지 Vol.72 No.6
Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines with broad support from the clinician. Korean Pancreatobiliary Association has developed clinical practice guidelines for the diagnosis and treatment of acute pancreatitis to provide a framework for clinicians to manage acute pancreatitis and to improve national health care. The guidelines were divided into four parts: the diagnosis of acute pancreatitis, the assessment of the severity, the initial management, and the treatment of necrotizing pancreatitis and local complications of acute pancreatitis. In this article, we summarize and present the diagnosis and treatment guidelines for acute pancreatitis established in Korea. (Korean J Gastroenterol 2018;72:281-285)
생존분석을 이용한 직무 스트레스가 직업성 요통의 발생에 미치는 영향 분석
고동희(Dong-Hee Koh),김형렬(Hyung-Ryoul Kim),장세진(Sei-Jin Chang),고상백(Sang-Baek Koh),강성규(Seong-Kyu Kang),원종욱(Jong-Uk Won),노재훈(Jae-Hoon Roh) 대한직업환경의학회 2005 대한직업환경의학회지 Vol.17 No.2
Objectives: Occupational low back pain is a major cause of morbidity and the increases of medical and industrial costs. Efforts to control occupational low back pain have been largely unsuccessful, and further understanding of the risks including the psychological factors is needed. This retrospective study was designed to identify the effect of job stress on occupational low back pain among shipyard workers. Methods: The study group consisted of 976 male workers who were working at a Korean shipyard. A structured self-reported questionnaire was used to assess the participants' physical work factors, job stress and general characteristics. Job stress was measured using Karasek's JCQ(Job Content Questionnaire). Occupational low back pain was identified according to the NIOSH symptom survey criteria. Physical work factors were assessed using the Quick Exposure Check. Since the work duration can affect the relationship of physical work factors and job stress to occupational low back pain, we analyzed this association by dividing workers into two groups by work duration: 1) all workers, and 2) less than 5 years. Cox's proportional hazard model was used to elucidate the relationship of job stress with occupational low back pain in these two groups. Data were analysed with SAS 8.1. Results: In the all workers group, job demand, bending or twisting of the back, and carrying heavy materials were associated with an increased the risk of occupational low back pain. In the workers with less than 5 years work experience, people with high job demand were more likely to experience occupational low back pain than those with low job demand. Conclusions: These results suggest that job stress as well as physical work factors can raise the risk of occupational low back pain. Especially, in the workers with less than 5 years work duration, job stress played a more crucial effect on the occurrence of occupational low back pain than physical work factors did.
구조방정식 모형을 이용한 사회적 지지가 직무스트레스와 사회심리적 스트레스에 미치는 영향 분석
고동희(Dong-Hee Koh),한순실(Sun-Sil Han),김형렬(Hyoung-Ryoul Kim),장세진(Sei-Jin Chang),최선행(Sun-Haeng Choi),원종욱(Jong-Uk Won),노재훈(Jae-Hoon Roh) 대한직업환경의학회 2005 대한직업환경의학회지 Vol.17 No.2
Objectives: Social support was previously regarded as acting only a stress modifier, but many recent studies have found a direct effect on stress. The purpose of this study is to evaluate the role of social support on job stress and psychosocial stress to determine whether it acts via direct effect or indirect effect. Methods: This study was performed in May 2003. The study population consisted of 425 male workers in an automobile factory in Korea. Data were collected with structured self-administered questionnaires. We used JCQ(Job Contents Questionnaires) to measure job stress and social support, and PWISF(Psychosocial Well-being Index-Short Form) to measure stress outcome. We analysed the relationships using Structural Equation Modeling software AMOS4. Results: It was found that social support acts both as a direct stressor and an indirect stressor via job stress. However the direct effect was double the indirect effect. Conclusions: The direct effect of social support on stress was the more major. Therefore social support is an independent stressor rather than a stress modifier in automobile factory workers.
고동희 ( Dong Hee Koh ) 대한췌장담도학회 2015 대한췌담도학회지 Vol.20 No.1
Pancreatic cancer is one of the most lethal malignancies. Despite the availability of newer and better antineoplastic combinations, the 5-year survival rate for all stages of pancreatic cancer remains only 6%. Palliative care represents an important aspect of care in patient with pancreatic cancer. Thus, optimal palliation of symptoms to maximize remaining quality of life is of primary importance to most patients. This review discusses highlights the most significant problems faced when caring for patients with advanced pancreatic cancer. Common problems include pain, pancreatic insuffi ciency, anorexia-cachexia and depression. To provide optimal and meaningful supportive care for patients with advanced pancreatic cancer is complex and requires ongoing close monitoring of the physical and emotional aspects of the patient. Prompt management of the many symptoms and problems associated with pancreatic cancer is essential to minimize distress and improve quality of life for patients with this fatal disease. Recognizing end-of-life concerns and patient preferences during the dying process helps clinicians find ways to alleviate suffering for patients and families.
보상액이 내생변수인 경우의 최저가격보상제 효과에 대한 분석
고동희 ( Dong-hee Koh ) 한국산업조직학회 2019 산업조직연구 Vol.27 No.4
I analyze the effects of price matching guarantees when a firm can decide how much it will compensate for the price difference in a market with two different types consumers. Guarantees to compensate less than price difference will never be used and the effects of guarantees to compensate more than price difference do not depend on the compensation amount. Guarantees to compensate as much as price difference will be used as far as the number of loyal consumers is not too large, and profit does not decrease with this guarantees. The difference of the guarantees to compensate more than price difference and those to compensate as much as price difference arises when the number of loyal consumers is small. First, when the number is very small, the former will never be used. Second, when it is moderately small, both guarantees will be used. In case of the former, however, firms may be in the situation of Prisoner’s Dilemma in the sense that profits decrease when the demand of price sensitive consumer is price elastic. Finally, when a firm can decide the compensation amount, only the guarantees to compensate as much as price difference will be chosen when the number of loyal consumers is small. When the number is moderate, firms are indifferent between two guarantees and either of two guarantees will be chosen.