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      • SCOPUSKCI등재

        심실 부수축기 조율환자의 마취 경험 1예 보고

        이수일 대한마취과학회 1989 Korean Journal of Anesthesiology Vol.22 No.4

        Parasystole is of special interest among the disturbances of ectopic impulse formatioo. First, a parasystolic arrhythmia is of clinical importance because the ventricular origin ordinarily indicates the presence of organic heart disease. Second, parasystole, although not rare, is frequently overlooked because it is difficult to be differentiated from extrasystole. In this paper a ventricular parasystole is presented. A 48 year-old woman was seen with an irregular pulse rate not accompanying cardiac symptoms or signs. The chest radiograph failed to show cardiomegaly. E.K.G. revealed the dominant rhythm of sinus origin with intermittent ventricular parasystolic beats. The basic rhythm was sinus with a rate of 83 per minute. The coupling interval varied between 0.52 & 0.7 second. The shortest, calculated interectopic interval ranged from 45.2 to 49.7 (These numbers represent hundreds of a second). Occasional ventricular fusion beats appeared. She was uneventfully nephrectomized under general anesthesia with halothane-N2O-O₂for left renal empyema of tuberculosis. She dispensed well with any antiarrhythmic agent during admission

      • KCI등재
      • KCI등재

        고속도로 사고잦은 지점 분석방법 연구

        이수일,유준석 한국안전학회 2010 한국안전학회지 Vol.25 No.6

        We have to develop more correct and systematic way to choose Hazardous Highway Segments. In this research, we applied CRP(Continuous Risk Profile) technique which developed by UC Berkeley Traffic Safety Center in year of 2007, and can analyze yearly dangerous level tendency of continuity in the route of main road that is under California Department of Transportation(Caltrans). We changed standard of CRP to suit in Korean circumstance with consideration in radius of curve and traffic volume. For the verification by actual accident data, we embodiment the CRP by using the data from total of 587 case of accident in latest 10 years in Gyeong-Bu Highways, the amount of 56km. Finally, the effectiveness of technique in this research has been verified by obtained same result with current method for Hazardous Highway Segments. In addition, when calculating the Hazardous Highway Segments with technique that presented in this research we obtained following statements. First, identified dangerous level of continuity in the route by using CRP. Second, Accurate of Actual Hazardous Highway Segments selection has been developed by using last 10 year’s data and profile making which provide simplicity analyze of Tendency. Third, after reforming the way of selection, effective range has been wider than former selection and it gives advantage for the policy side

      • KCI등재

        방송사업의 소유겸영규제 개선

        이수일,LEE, Suil 한국개발연구원 2011 韓國 開發 硏究 Vol.33 No.4

        본 논문은 수평적 규제체계를 분석의 준거 틀로 하여 방송채널사용사업자(PP)에 대한 수평적 소유겸영규제, 플랫폼사업자에 대한 수평적 소유겸영규제, PP와 플랫폼사업자 간 수직적 소유겸영규제, 지상파방송사의 PP 겸영규제, 지상파방송사와 플랫폼사업자 간 소유겸영규제 각각에 대하여 규제목적을 명확히 설정하고, 규제목적과 규제기준의 정합성, 규제목적에 따른 규제수준의 적정성을 분석함으로써, 각 규제의 타당성을 검토하고 규제목적에 부합하는 개선방안을 도출하였다. 분석결과, PP에 대한 수평적 소유겸영규제는 주요 방송프로그램의 지정 등 행위규제로 대체하거나 소유겸영규제의 기준을 현행 매출액에서 시청점유율로 변경하고, 플랫폼사업자에 대한 수평적 소유겸영규제는 종합유선방송사업자(SO), 위성방송사업자, IPTV사업자에게 유료방송 가입자 수를 기준으로 하는 동일한 소유겸영규제를 적용하고, 여타의 소유겸영규제는 폐지하는 것이 타당함을 보였다. 이와 같이 PP와 플랫폼사업자에 대해 적정한 소유겸영규제가 설계된 상태에서는 별도로 PP와 플랫폼사업자 간 수직결합을 규제하는 것이 불필요함도 보였다. 한편, 지상파방송사의 PP 겸영규제는 여론의 다양성 보호라는 규제목적에서만 정당화될 수 있으므로, 현행 PP 사업자 수의 기준은 시청점유율 기준으로 변경하는 것이 합리적이다. 마지막으로 플랫폼사업자에게 유료방송 가입자 수를 기준으로 한 소유겸영규제가 설계되는 경우, 지상파방송사와 플랫폼사업자 간 소유겸영규제는 의무제공(must offer)채널지정, 주요 방송프로그램 지정 등 행위규제로 대체되어야 함을 보였다. This paper uses the horizontal regulation system as the base analysis framework. The study clearly defines the regulatory goals of the followings: the horizontal cross-ownership regulations on program provider (PP) and platform provider, the vertical regulation on cross-ownership between PP and platform operator, the regulation on cross-ownership of program provider by terrestrial broadcasting company, and the regulation on cross-ownership between terrestrial broadcasting company and platform provider. Then, by analyzing the conformity between goals and criteria of regulations and the adequacy of the regulation level according to regulatory purposes, this paper examines the justifiability of each regulation and extracts improvement measures that suite regulatory purposes. This analysis finds following appropriate measures: replacing the horizontal cross-ownership regulation on PP with conduct regulations, such as designating major broadcasting programs or replacing the current criterion of cross-ownership regulation from sales to the audience market share; reshaping the horizontal cross-ownership regulation on platform provider so that system operator (SO), satellite broadcaster and Internet protocol television (IPTV) operator would be applied by the same regulation based on the number of subscribers of pay television services; and discontinuing other cross-ownership regulation. In this way, the study shows that with appropriate regulations on cross-ownership of PP, there would be no need for additional regulation on vertical integration between PP and platform operator. On the other hand, given that the regulation on terrestrial broadcasting cross-ownership of PP could be justified only by regulatory purpose of the protection of the diversity of public opinions, it would be desirable to replace the current criteria of the number of PPs with the criteria of the audience market share. Lastly, the study shows that when platform operator is targeted by the cross-ownership regulation based on the number of subscribers of pay television services, the regulation on cross-ownership between terrestrial broadcasting company and platform provider should be replaced with conduct regulations, such as designating must-offer channels and major broadcasting programs.

      • KCI등재

        도시 영세 노인들의 건강평가에 관한 연구

        이수일,조병만,황인경,김돈균,김영실,강수용,차애리,하이호 대한보건협회 1998 대한보건연구 Vol.24 No.2

        도시 일부 영세지역 노인들의 건강관리를 위한 기초자료를 얻기 위하여 1995년 3월부터 12월까지 부산시의 한 영세민 집단거주지역의 60세 이상 노인 220명을 대상으로 건강행태, 일상 생활 기능 장애, 인지기능, 상병상태 및 의료 이용양상에 대한 설문조사를 실시하고, 1996년 10월에는 건강진단을 실시하여 아래와 같은 결과를 얻었다. 1. 건강행태에서는 101명(45.9%)이 현재 흡연을 하고 있었고, 51명(23.2%)이 현재 음주자였다. 비타민 섭취자는 39명(17.7%)이었으며, 규칙적인 운동을 하는 사람은 77명(35.0%)이었다. 2. 영양상태는 영양소와 열량의 섭취는 전반적으로 한국노인 권장량(RDA)보다 낮은 값을 나타내었으나, 남녀 모두에서의 비타민 C 섭취량과 여자의 나이아신 섭취량, 남자의 철분 섭취량은 권장량보다 높게 나타났다. 3. 일상생활기능 장애중 가장 높은 빈도의 일상생활의 기능적 장애를 보인 항목은 목욕하기였고, 가장 낮은 빈도를 보인 것은 식사하기였다. 4. 인지기능의 경우, 구분점을 18점/19점으로 했을 때 18점 이하로서 인지장애가 있는 사람이 남자는 75명 중에서 12명(16.0%), 여자는 145명 중에서 52명(35.9%)이며, 남녀 전체는 64명(29.0%)이었다. 5. 급성질환의 유병률은 22,7%이며 호흡기질환이 가장 많았고, 만성질환의 유병률은 69.1%로서 근골격계 질환이 가장 많았다. 6. 최근 15일간 외래 의료 서비스 이용률은 31.4%였으며, 지난 1년간 입원 의료 서비스 이용률은 22.2%였다. 7. 의료이용에 대한 장애요인으로는 교통의 불편과 경제적인 문제가 가장 높은 장애요인이었다. 8. 건강진단의 결과를 1995년도 의료보험관리공단에서 발표한 피부양자 중 60세 이상 노인의 건강진단 결과와 비교하여 볼 때, 흉부방사선 검사 결과를 제외하고는 다른 검사항목에서 차이는 없었다. 이와같이 영양상태, 질병이환, 인지능 장애 등이 다중적 건강장애요인으로 작용하고 있는 점이 파악되었으며 확인 가능하였던 지난 1년간 입원 의료 서비스 이용률을 고려할 때 이들의 실제적 건강상태는 더 열악할 것으로 추측되었고 여기에 다수의 일상생활장애자 및 의료이용의 지리적 장애가 있어 이에 대한 종합적이고 포괄적 보건관리 프로그램의 수립이 필요하다. To estimate the health status of the urban poor elderly in Pusan, the questionnaire composed of health behavior, cognition function, nutrition, acute and chronic disease status and activity of daily living(ADL) was applied to and laboratory health check was performed on the aged over 60 years at Unbong District, in which the urban poverished have lived since 1992. The prevalence of chronic disease above 60 years old was 69.1% and that of acute disease was 22.7%. Compared with the elderly of other region, cognition function level was low and nutritional deficiency of Vit A, Vit B_1, Vit B_2, and calcium was detected among the elderly in Unbong District. But there was no meaningful results of the laboratory health examination, compared with those of the elderly of general populatoin, except the chest X-ray findings. It was suspected that the low point prevalence of respiratory disease on questionnaire, compared with high ratio of abnormality on radiologic chest findings, could be due to seasonal variation or changed house structure, apartment. There was a tendency among the participants to choose oriental medicine to treat their diseases rather than western. They had difficulties in utilizing medical services mainly for transportation and economic reasons. But there was probability to underestimate the health problems of them.

      • KCI등재

        도시 일부지역(신림 7동)의 주요 정신질환에 대한 역학조사

        김헌,이수일 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.4

        In order to determine the prevalence rates and ecological aspects of major mental disorders such as schizophrenia, affective disorder and epilepsy in a part of Korea Urban Community, Shyllim 7 Dong, Seoul, Korea. This survey was conducted using the census visit method from Jun. 1982. for 4 months. This community is mainly composed of poor peoples, which is considered as a slum. Followings are the results obtained. 1) The prevalence rates for schizophrenia, affective disorder and epilepsy among 20, 727 inhabitants were 0. 11%, 0. 08% and 0. 10% respectively. 2) About seven-tenths of the schizophrenics (69. 6%) and two-thirds of the epileptics(61.9%) had suffered for more than 5 years. 3) Twenty two schizophrenics(95.7%) had left their native places for the urban community, and eighteen schizophrenics(78.3%) have been there for more than 5 years. 4) In regard to treatment, the most popular treatment was mental hospital care(46.2%), followed by acupuncture and herb medicine(35.4%), shamanistic practices and religious method(27.7%), and eleven patients(16.9%) did not receive any treatment.

      • KCI등재

        혈액투석환자와 일반인의 자살에 대한 태도에 관한 비교연구

        김동원,이병욱,이수일 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.3

        The purpose of this study is to examine attitudes toward suicide in hemodialysis patients and normal persons. The attitude measures were attained by the Suicidal Opinion Questionnaire established by Domino. Hemodialysis patients were 49, and normal subjects were 53. The results of the differences of scores of 10 attitude factors between two groups are as follows ; 1) It is revealed that factors which reached level of significant differences were ethics, religion, and mental illness. 2) The result of multiple regression of the suicide attitude factors for subjects showed that mental illness factor and religion factor are included in the regression equation by significant level. 3) As comparing the scores of suicide attitude factors according to religious belief, no factors reached the significant level, but factor scores of patients and normal group were significantly different. 4) Duration of hemodialysis had no significant effect on the suicide attitude factors.

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