토픽 모델링을 활용한 PM(Personal Mobility) 관련 블로그와 연구동향 비교

조홍준,김도경 한국도로학회 2023 한국도로학회 학술대회 발표논문 초록집 Vol.2023 No.10

하이데거 「존재와 시간은 윤리학인가? 」 - 아리스토텔레스 「니코마코스 윤리학 」 과 비교를 통해

조홍준 인천대학교 인문학연구소 2019 인문학연구 Vol.32 No.-

The paper argues that Being and Time was influenced by Nicomachean Ethics in chronological order, but that the former precedes the latter in logical order. To make this argument, I would like to show that each work goes through being structurally disassembled. We will look at Being and Time and Nicomachean Ethics in a structured way. After this, we will examine the opinions of F. Volpi, who values the relationship of influence between the two philosophers; especially Aristotle's influence on Heidegger. This provides a more content-based confirmation of the architectural similarities between the two works. Next, we will look at F. Rese's argument that Being and Time and Nicomachean Ethics are distinctly different works. This confirms the independence of those works altogether. Finally, I would like to try to relate these two independent works once again. In other words, if the fundamental ontology in Being and Time is fundamentally ethics, then as a form of normative ethics, Nicomachean Ethics should come later academically.

응급실 방문 환자의 입원의 적절성에 영향을 미치는 요인

조홍준,이상일 한국의료QA학회 1995 한국의료질향상학회지 Vol.2 No.1

Background: This paper describes an effort to provide baseline informations for appropriate utilization of emergency room in a terliary hospital. Methods: Authors have evaluated that the admissions in the emergency room were medically necessary by objective criteria, Appropriateness Evaluation Protocol(AEP), for one month in a tertiary hospital. Data were analysed by chi-square test and multiple logistic regression to exmaine statistical significances at the level of 0.05 Results: The prevalence of inappropriate decisions for admission was found to be 47.8%(154/322). Whether the physician decided the patient to admit or not was affected by type of services, number of departments involved, patients medical condition, route of visit, and a day of the week visited. Level of appropriateness of admission is significantly related to patients age, type of services, and a day of the week visited. Conclusion: We found that substantial proportion of admissions through emergency room are medically unnecessary and that non-medical factors are related to physician's for admission decisions and level of appropriateness of admission. This suggests that policy measures be required to relieve the overcrowding problem and to reduce non-emergent utilization of emergency room in a tertiary hospital.

담배규제정책과 의사의 역할

조홍준 대한의사협회 의료정책연구소 2019 의료정책포럼 Vol.16 No.4

우리 나라 개원의 고혈압 관리의 질 평가

조홍준,이상일 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.1

Backgroung : Hypertension is one of the most important risk factors the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated form ally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administerd questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committeeon Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, hollow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fund oscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatment for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea in very problematic in many aspects. So further investigations to find out the reasons of low quality and strategy for improving quality of care should be initiated.

반성이 필요한 의료인

조홍준 藥業新聞社 1994 醫藥情報 Vol.1994 No.1

문재인 정부의 담배규제정책 중간 평가

조홍준 대한의사협회 2019 대한의사협회지 Vol.62 No.11

Tobacco use is the most important preventable cause of mortality in South Korea and worldwide. This study aimed to evaluate the tobacco control policies of the Moon Jae-in government, which was established in May 10, 2017. Before the Moon Jae-in government, the tobacco tax was raised by the Park Geun-hye government from 2,500 won to 4,500 won (80% increase), but the price of cigarettes was still much lower in Korea than in other high-income countries. Cigarette smoking has been prohibited in all restaurants and bars since 2015; however, smoking rooms are allowed. Only large buildings are smoke-free. Pictorial warnings on cigarette packages were introduced in December 2016; however, they cover only 30% of the main packaging. Smoking cessation services provided by health care facilities have been subsidized by public health insurance since 2015. However, the advertisement, promotion, and sponsorship of tobacco are not further regulated. Since the beginning of the Moon Jae-in government, there has been no further strengthening of major tobacco control policies except for limited expansion of smoke-free public places and introduction of a lung cancer screening program. The first government-level tobacco control policies by the Moon Jae-in government, announced in May 2019, included increasing the size of the pictorial warnings and introducing standardized packaging by 2025, along with incremental expansion of smoke-free public places with prohibition of smoking rooms. These moves are positive; however, they do not include increasing tobacco taxes and regulating advertisement, promotion, and sponsorship of tobacco, which together are the backbone of tobacco control policies. The Moon Jae-in government should strengthen comprehensive tobacco control policies, ncluding tobacco taxes and banning tobacco advertisement, promotion, and sponsorship, to protect public health.

담뱃갑 경고그림, 규제개혁위원회, 그리고 보건의료운동

조홍준 연구공동체 건강과대안 2016 의료와사회 Vol.- No.5

우리나라 표준직업분류에 따른 흡연율 차이: 2003년도 사회통계조사 자료의 분석

조홍준,강영호,윤성철,Cho, Hong-Jun,Khang, Young-Ho,Yun, Sung-Cheol 대한예방의학회 2006 예방의학회지 Vol.39 No.4

Objectives: The purpose of this study was to investigate the differences in smoking rates according to the major occupational categories in South Korea. Methods: The study subjects were a weighted sample of 24,495 men and 26,121 women aged 25-64 from the 2003 Social Statistics Survey, which was conducted by the Korea National Statistical Office. Occupation was classified according to the Korean Standard Occupation Classification. We computed the age-standardized smoking rates according to gender and occupations after adjusting for the education level, marital status, and self-rated health. Results: For men, the smoking rate in elementary occupations was two times higher than that of clerks (OR=1.98, 95% CI=1.74-2.26). In general, a more prestigious job(professionals) correlated with lower smoking rates, and less prestigious jobs correlated with higher smoking rates, except for legislators, senior officials and managers. For women, smoking among service workers was 4.1 times higher than among clerical workers (OR=4.11, 95% CI=2.87-5.88). For women, their occupations, except elementary workers, and the unemployed, the retired and the armed forces, failed to show significant differences in smoking compared with the clerical workers. After adjusting for education, occupational differences in the smoking rate for men were attenuated in most occupations, except for legislators, professionals, and technicians. Further adjustment for marital status and self-rated health had a minimal effect on the occupational differences in the smoking rate for men. For women workers with service or elementary occupations, the ORs of smoking were attenuated with adjustment of the educational levels. However, the ORs of smoking were increased in workers with service, sales or elementary occupations, as well as for legislators, and the unemployed, the retired and the armed forces, after additionally adjusting for marital status. Conclusions: More prestigious jobs generally correlated with lower smoking rates in both sexes. The anti-tobacco policy should consider smoking rate differentials by occupations.

의약품 시판후 소사의 연구방법 개발에 관한 연구 - Angiotensin 전환효소 억제제의 부작용을 중심으로 -

조홍준,송윤미,서홍관,최현림,서학은,조경환,김영주,신호철,박은숙,황인홍,이정권,안윤옥,김영식,Cho, Hong-Jun,Song, Yun-Mi,Seo, Hong-Gwan,Choi, Hyun-Rim,Suh, Hag-Eun,Cho, Kyung-Hwan,Kim, Young-Joo,Shin, Ho-Cheol,Park, Eun-Sook,Hwang, In-Hong,Le 대한임상약리학회 1993 臨床藥理學會誌 Vol.1 No.1

연구배경 : Angiotensin전환효소 억제제인 Captopril과 Enalapril등이 단독요법으로도 강압 효과가 좋을 뿐아니라 부작용도 많지 않아 생활의 질을 개선시킬 수 있는 강압제로 보고되어 널리 사용하게 되었는데, 실제 임상에서 많은 환자에게 투여해본 결과 기침을 유발하는 사례가 자주 보고되었다. 이에 저자들은 Angiotensin 전환효소 억제제를 재료로하여 다기관 협동을 통한 시판후 조사방법론을 개발하고, 아울러 Angiotensin 전환효소 억제제 투여시 나타나는 기침의 발생을과 이와 관련된 요인을 밝히고자 시판후 조사를 시도하였다. 방법:1992년 2월부터 1992년 10월까지 11개 병원 가정의학과를 방문하여 Angiotensin전환효소 억제제를 투여한 고혈압 환자 348명을 연구대상으로 하였다. 이중 남자가 147명, 여자가 201명이었으며, 연령별로는 39세이하 38명, $40{\sim}54$세 156명, 55세 이상이 154명이었다. 최초 약물투여 후 2, 4, 8, 12주에 추적 관찰하였으며, 기침의 발생율은 PC-SAS 6.04를 이용하여 Kaplan-Meier방법과 Log-rank방법으로 분석하였다. 결과 : 병원별 총 추적기간은 777-3,367인일이었으며, 병원별 대상자 1인당 추적일수의 중앙값은 $25{\sim}79.5$일이었다. 병원별 추적 완료율도 $29.2{\sim}67.6%$로 다양하게 나타났다. 대상자중 남자에서의 기침발생율은 19.3%(95% 신뢰구간 $15.2{\sim}23.4%$)였고, 여자에서는 36.0%(95% 신뢰구간 $31.0{\sim}41.0%$)로 나타나서 여자에서 유의하게 기침발생율이 높았다. 연령, 흡연, 음주습관 및 약물의 용량과 기침발생율과는 관련성이 없었다. Captopril을 투여한 경우 기침발생율이(남자 8.7%, 여자 25.6%) Enalapril을 투여한 경우(남자 32.5%, 여자 48.1%)보다 유의하게 낮게 나타났다(P<0.01). 대상자중 남자에서의 기침발생에 의한 투약 중단율은 8.2%로 여자의 17.7%보다 낮게 나타났다(P<0.05). 기침이외의 부작용으로는 두통 6명(7.5%), 현기증 5명 (6.3%), 오심 2명 (2.5%), 피로감 2명 (2.5%), 피부발진 I명(1.3%), 설사 1명(1.3%) 등으로 나타났다. 그외 예상치 못했던 부작용으로는 소양증, 성욕감퇴, 심계항진, 안면홍조 등이 있었다. 결론 : Angiotensin전환효소 억제제 투여시 부작용으로서의 기침발생율은 남자 19.3%, 여자 36.0%로 나타났다. 의약품의 시판 후 부작용조사는 그 특성상 다기관 협동연구로서만이 가능하였으며, 따라서 사전의 면밀한 연구계획수립과 연구방법의 표준화가 필수적으로 요구되었다. 참여기관별로 연구성적의 유의한 차이가 나타났으며 이는 조사대상자의 특성이 다름으로 하여 기인된 현상으로 해석되었다. Background : Angiotensin converting enzyme(ACE) inhibitors are becoming increasingly used in the treatment of hypertension. Although they are generally well tolerated. they have been implicated in the occurrence of cough. To estimate the incidence and features of cough resulting from the use of ACE inhibitor a multicenter postmarketing surveillance study was carried out. Method : To ascertain cough associated with ACE inhibitors usage, we followed regularly the hypertensive patients with the use of ACE inhibitors at the interval of 2, 4, 8, 12 weeks. A total of 348 patients, 18.031 person-days, at 11 clinics were observed from february 1992 to October 1992. The incidence patterns of cough were analysed using Kaplan-Meier method. Results : Follow-up periods in 11 clinics ranged from 777 to 3,367 person days and median days per person ranged from 25 to 79.5. The proportion of uncensored cases at each clinic were found in various percentages from 29.2 to 67.6. The 12-weeks cumulative indicence of cough in $women(36.0%\;;\;95%CI\;31.0{\sim}41.0%)$ was higher than that in $men(19.3%CI\;15.2{\sim}23.4%)$. Dry cough was unrelated to age, smoking and alcohol habit, and dose of ACE inhibitor. The incidence of cough associated with the use of enalapril(men 32.5% . women 48.1%) was higher than that associated with the use of captopril(men 8.7% , women 25.6%). The incidence of withdrawal due to cough in women(17.7%) was higher than that in men(8.2%). Side effects other than cough included headache(7.5%), dizziness(6.3%), nausea(2.5%), fatigue(2.5%), rash(1.3%), diarrhea(1.3%), pruritus(1.3%), loss of libido(1.3%), palpitation(1.3%), and flushing(1.3%). Conclusion : Multicenter study is sine qua none for postmarketing surveillance, which needs in advance the concrete study protocol for the sake of valid evaluation of inter-center variation of study results. The 12-week cumulative incidence of coo임 as 19.3% in men and 36.0% in women.