인간생명과질병 : 의학의발전과수명연장 의학전문대학원영상의학과 한헌
학력및경력 1984 서울대학교의과대학졸업 1984-1988 서울대병원인턴및영상의학과레지던트 1988-1991 육군대위만기전역 ( 군의관 ) 1991-1996 중앙길병원영상의학과과장 1996-1999 인하대학교병원영상의학과조교수 1999-현재 강원대학교의과대학조교수, 부교수, 교수 1999-2000 강원대학교의과대학의학과장 2002-2003 하버드대의대 Decision Systems Group 2003-2005 강원대학교의과대학장 2004-2012 강원도건강증진사업지원단단장 2007-2012 속초의료원원장 2008-2015 방송통신대학교정보통계학과학사및석사 2010-2012 보건정보통계학회회장
Health ( 건강 ) Physical health ( 육체적건강 ) Mental health ( 정신적건강 ) Public health ( 공중보건 ) Nutrition ( 영양 ), Exercise ( 운동 ) Hygiene ( 위생 ) Stress management ( 스트레스관리 ) Health care ( 건강관리 ) Workplace wellness programs( 직장건강 )
중요내용요약 의학발명품 영상의학 (X-ray, 초음파, CT, MRI, 중재술 ) 심장 기초과학의발전과현대의학 공중보건 하수도, 감염관리 암치료, 암조기진단, 건강증진 장기이식 인공장기 바이오인공장기 유전자정보 의료정보학, 전산학 국가와사회시스템의발전 ( 건강보험, 장기요양보험 )
Medical Inventions ( 의학발명품 ) 1895 X-ray 1903 심전도 1905 혈압계 1928 penicillin 1931 전자현미경 1938 항생제 1957 심장박동기 1967 심장이식 1970 MRI & fmri 1973 CT scan 1979 초음파검사 1982 인공심장
Modern Medicine ( 현대의학 ) Medicine was revolutionized in the 19th century by advances in chemistry( 화학 ) and laboratory techniques and equipment. old ideas of infectious disease epidemiology were replaced with bacteriology( 세균학 ) and virology( 바이러스학 ).
Modern Medicine Bacteria and microorganisms were first observed with a microscope( 현미경 ) by Antonie van Leeuwenhoek in 1676, initiating the scientific field microbiology( 미생물학 ). Ignaz Semmelweis (1818-1865) in 1847 dramatically reduced the death rate of new mothers from childbed fever by the simple expedient of requiring physicians to clean their hands before attending to women in childbirth.
Modern Medicine British surgeon Joseph Lister proved the principles of antisepsis( 소독 ) in the treatment of wounds.
Modern Medicine Charles Darwin's 1859 publication of The Origin of Species( 종의기원 ). Mendel (1822-1884) published in 1865 his books on pea plants, which would be later known as Mendel's laws. Re-discovered at the turn of the century, they would form the basis of classical genetics( 유전학 ). The 1953 discovery of the structure of DNA by Watson and Crick would open the door to molecular biology( 분자생물학 ) and modern genetics( 현대유전학 ).
Modern Medicine Eugenics( 우생학, 인종개량 ), in 1865 by Francis Galton. the Nazis experiments in World War II. compulsory sterilization ( 불임 ) programs continued to be used in modern countries (including the US, Sweden and Peru).
Modern Medicine Pasteur invented with Claude Bernard (1813-1878) the process of pasteurization( 저온살균법 ) still in use today. Pasteur, along with Robert Koch (who was awarded the Nobel Prize in 1905), founded bacteriology( 세균학 ). Koch was also famous for the discovery of the tubercle bacillus( 결핵균 ) (1882) and the cholera bacillus( 콜레라균 ).
Modern Medicine Florence Nightingale showed the elemental role of nursing( 간호 ) in order to lessen the aggravation of patient mortality which resulted from lack of hygiene and nutrition( 위생과영양 ). Nightingale set up the St Thomas hospital, post-crimea, in 1852.
Modern Medicine the decline in many of the most lethal diseases was more due to improvements in public health( 공중보건 ) and nutrition( 영양 ) than to medicine. It was not until the 20th century that the application of the scientific method to medical research began to produce multiple important developments in medicine, with great advances in pharmacology( 약리학 ) and surgery( 외과학 ). During the First World War, Alexis Carrel and Henry Dakin developed the Carrel-Dakin method of treating wounds with an irrigation( 세척 ), Dakin's solution, which was a germicide( 살균제 ) which helped prevent gangrene.
Modern Medicine The great war spurred the usage of Roentgen's X-ray, and the electrocardiograph( 심전도 ), for the monitoring( 감시 ) of internal bodily functions. However, this was overshadowed by the remarkable mass production of penicillum antibiotics( 항생제 ), which resulted from government and public pressure.
Modern Medicine new medical categories of mental illness( 정신병 ), which eventually came into psychiatric usage despite their basis in behavior Seizure( 간질 ) Lobotomy( 대뇌백질절제술 ) (cutting parts of the brain apart) Antipsychotic( 항정신제 ) chlorpromazine therapeutic communities( 공동체치료 )
Modern Medicine the evidence-based medicine( 근거기반의학 ) information technology( 정보기술 ) the Human genome project - 유전자지도
인간수명 이집트피라미드건설노예 조선시대 미국건국당시 현재 미래
People are living longer!
Drugs and medical care +5 years
Public Health impact +25 years
Public Health achievements in the 20th century Immunizations( 예방접종 ) have virtually eliminated: Smallpox( 천연두, 마마 ) Diphtheria( 디프테리아 ) Pertussis( 백일해 ) Tetanus( 파상풍 ) Polio( 소아마비 ) Measles( 홍역 ) Rubella( 풍진 )
Public Health achievements in the 20th century Infectious disease control
장기이식과인공장기 콩팥 3천만원 간 7천만원 안구 1억원 심장 5억원 의수 의족 바이오인공장기
바이오인공장기 인공피부 인공연골 인공골 인공심근 간줄기세포 췌장줄기세포 조혈모세포
< 표 1-3> 미국내바이오인공장기중세포치료제수혜가능환자수 질환환자수 ( 백만명 ) 심혈관질환 58.0 자가면역질환 30.0 당뇨병 16.0 골다공증 10.0 암 8.2 알츠하이머질환 4.0 파킨슨질환 1.5 화상 0.3 신경손상 0.25 선천성기형 0.15 계 128.4 자료 : Science, February 25, 2000
염기서열분석 DNA 정보
안젤리나졸리 (40) 가유방절제술을받은것은지난 2013 년. 여섯명의자녀를둔엄마이자섹시하고건강한여성미의상징이던그녀가스스로가슴을떼어냈다는소식에전세계는충격에휩싸였다. 유방절제로배우인생에치명적인타격을입게될것이란우려도쏟아져나왔다. 하지만그녀는 2 년만에다시난소와나팔관을절제하는수술을받았다. 이유는분명했다. 졸리의외할머니와어머니와이모등은모두유방암과난소암으로이른나이에사망했고, 검사결과졸리도그유전자를고스란히물려받은것으로드러났기때문이다.
만성질환 고혈압 당뇨 고지혈 치매 암
건강증진 흡연 음주 비만 운동
등산 낚시 테니스 골프 마라톤 수영 피트니스 요가 운동
경제력의영향
생노병사의비밀 건강정보
새로운직업 요양보호사 간병인 Personal Health Trainer
건강하게살려면 건강에대한관심과관리
중요내용요약 의학발명품 영상의학 (X-ray, 초음파, CT, MRI, 중재술 ) 심장 기초과학의발전과현대의학 공중보건 하수도, 감염관리 암치료, 암조기진단, 건강증진 장기이식 인공장기 바이오인공장기 유전자정보 의료정보학, 전산학 국가와사회시스템의발전 ( 건강보험, 장기요양보험 )