先天性 肺動脈辨狹窄症 : 肺結核症合倂症 1例와 低體溫法을 利用하여 直視下 開放性辨切開術을 實施한 1例의 術後 經過報告 A Case of Pure Pulmonic Stenosis Successfully Repariret by Open, Transarterial Valvulotomy Unter Hypothermia and a Case Complicated by Pulmonary Tuberculosis

孫宜錫,宋昌燮,Hewlett, Thomas H.,李永麟,金相壽,丁海源 醫藥係社 1961 綜合 醫學 Vol.6 No.7

人蔘이 自然發生高血壓쥐에 있어서 血壓 및 血漿 Renin 活性度에 미치는 影響에 關한 實驗的 硏究

孫宜錫,朴陞哲,許鳳烈,李禎均,林憲吉,咸駿洙,梁忠模,韓哲洙,朴贊雄,金海中 대한의학협회 1979 대한의학협회지 Vol.22 No.9

부산지역 근로자들에서 Alcohol Use Disorders Identification Test (AUDIT)와 간기능 검사와의 연관성 조사

손진군,송혜란,이광영,김진하,김호찬 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.3

목적: 세계보건기구에서 알코올의존 이전 단계인 위험 및 유해음주를 조기에 선별하기 위해 개발한 AUDIT와 근오자 정기 건강 진단시 간기능 수치를 조사하여 집단검진에서 AUDIT의 유용ㅇ성과 AUDIT점수와 간기능 이상과의 연관성을 확인 하고자 하였다. 방법: 생산직 근로자 440명을 대상으로 AUDIT설문을 시행하고 이들의 간기능 수치를 측정하여 세계보건기구 기준에 따른 정상, 우험음주와 김종성등(1999)의 기준에 따른 정상, 위험, 유해음주 사이의 간기능의 차이를 비교하고 비정상 간기능에 영향을 미치는 요인들을 비교 하였다. 결과: 체질량지수가 정상인 군에서 세계보건기구 기준에 의한 정상, 위험음주의 비정상 간기능에 대한 단순분석시 교차비는 위험음주가 2.81로 통계적으로 유의하게 높았고, 김종성 등(1999)의 기준에 의한 정상, 위험, 유해음주간의 비정상 간기능에 대한 chi-square test for linear trend 분석시 교차비는 위험, 유해음주에서 각각 1.23, 2.14로 통계적으로 유의하게 높았다. 비정상 간기능에 영향을 미치는 요인들을 다중 로지스틱 희귀분석을 구한 교차비는 AUDIT문항 No. 1-3(고위험군- 2.39), 연령(30대-1.95, 40대-2.40, 50대-3.85), 체질량지수(과체중-1.66, 비만-4.53), 세계보건기구 기준(위험음주-2.10), 김종성 등 기준(유해음주-2.20) 모두에서 통계적으로 유의하였다. 결론: AUDIT를 이용한 음주문제의 선별기준은 간기능 장애와 유의한 연관을 보여 향후 집단 검진시 음주로 인한 간기능 장애의 예측검사와 위험 및 유해음주의 선별검사로 AUDIT활용이 가능 할 것으로 생각된다. Objects: The purpose of this study was to investigate the usefulness of the Alcohol Use Disorders Identification Test (AUDIT) and the relationship between AUDIT score and liver function test. Methods: AUDIT questionnaires were distributed to 440 blue-collar workers. We compared liver function test with firstly, normal and hazardous drinking as measured by Kim et al.(1999). We also compared influencing factors on abnormal liver function. Results: By simple analsis in the normal BMI group, abnormal liver function was significantly affected by hazardous drinking (odds ratio 2.81) based on the guideline of WHO. By chisquare test for linear trend in the normal BMI froup, abnormal liver function was significantly affected by hazhrdous drinking (odds ratio 1.23) and harmful drinking (odds ratio 2.14) based on the guideline of Kim et al. By multiple logistic regression analysis, abnormal liver function was significantly affected by AUDIT questionnaires No. 1-3 (odds ratio risk 2.39), age (odds ratio-thirties 1.95, forties 2.40, fifties 3.85), BMI (odds ratio- overweight 1.66, obesity 4.53), guideline by WHO (odds ratio- hazardous drinking 2.10), and guideline by Kim et al (odds ratio-harmful drinking 2.20) Conclusions: We found that the problem of alcohol drinking as meadured by AUDIT was significantly associated with abnormal liver function. Therefore we suggest that AUDIT will be useful for the predictive test of abnormal liver function and screening test of hazardous and harmful drinking.

일차성 식도이완불능증의 풍선확장술후 치료효과의 객관적 평가지표

손영해,나호영,조성범,주영은,김현수,최성규,유종선,김세종 全南大醫大 2001 전남의대학술지 Vol.37 No.2

조선소 용접공진폐증의 발생에 관련된 요인 분석

손혜숙,최성룡,유영진,이채언 大韓産業醫學會 1994 대한직업환경의학회지 Vol.6 No.1

부산지역조선소에 근무하는 547명의 용접공을 대상으로 용접공진폐증의 유소견율을 작업부서, 용접기간, 용접시작 년도, 연령과 마스크사용에 따라 비교하였다. 전체 용접공진폐증의 유소견율은 7.9%로 동지역에서 1989년 조사된 유소견율 8.9%보다 낮았다. 용접공진폐증의 유소견율은 용접작업기간이 길수록, 작업시작년동가 빠를수록, 마스크를 사용하지 않은군에서 통계적으로 유의하여 높게 관찰되어 용접공진폐증의 발생에 용접작업기간, 환경개선정도와 마스크사용의 영향을 미치는 인자로 관찰되었다. 이들 인자중 용접기간 5-9년군이 5년 이하군에 대하여, 1975년 이전 용접시작군, 1976-81년 용접시작군이 1982년 이후 시작군에 대한 odds ratio가 각 각 5.98, 8,8과 12.38였다. 용접공진폐증자 37명의 방사선사진은 과거와 비교한 결과 진행된 예는 없었으며, 10명은 변화가 없었다. 비진폐군에 비하여 용접공진폐군에서 결핵유병율이 통계적으로 유의하게 높게 관찰되었다. 이상의 결과에서 조선소에서 발생하는 용접공진폐증은 환경개선 및 보호구의 적절한 착용 등으로 발생을 예방하는 것이 가능하고, 발생된 경우라도 역시 적절한 관리에 의해 호전되므로, 조선조 용접공 진폐증은 타 진폐증과는 구분 관리되어야 할 것이다. 즉 조선소 용접공진폐증의 발생을 예방하기 위하여 지속적인 법적규제와 근로자 개인에 대한 보호구 사용의 필요성 및 올바른 보호구 사용에 대한 교육이 필요하겠으며, 발생한 용접공진폐증은 즉각적인 작업부서전환보다는 진폐증이 발생한 부서의 환경개선을 고려함과 동시에 진폐발생자에게 보호구착용 등을 지도하면서 추적 관리를 하여야 할 것이다. Pneumoconiosis is one of the most important occupational disease in Korea. In Pusan, most of pneumoconiosis is welders' pneumoconiosis developed in shipyard. With clinical(including interview with every patients) and radiological(chest radiographs) methods, author purposed to know the factors related to the concept for health care(management) of shipyard welders. The prevalence rate of welders' pneumoconiosis was calculated by the means of reading of chest radiographs of 547 shipyard welders. The prevalence rate of welders' pneumoconiosis(including suspected pneumoconiosis, category 0/1) was 7.9%. It was lower than that (8.9%) in same area studied in 1989. Prevalence rate increased as total welding duration increased and the welding work began early. It was higher in welders who did not use antidust mask. Probability of the occurrence of welder's pneumoconiosis was related with the time that the welder began welding work. sixteen cases among the 37 who were diagnosed as pneumoconiosis returned normal in the follow-up chest radiographs. There was no case aggrevated. The pertinent management for the personnels and their working environment contributed to the decrease of incidence of the welders' pneumoconiosis and the improvement of the disease. Tp prevent the occurrence of the pneumoconiosis in shipyard welders, it seems to be necessary for the company to be supervised under the any legislation, and to educate the welder to use the protective apparatus. It is suggested that considerate and continuous observation under the adequate management is preferable to the immediate conversion of the working department for the pneumoconiotic welders.

결핵 환자의 치료 순응도 향상을 위한 자기 간호교육의 효과

오영주,전진호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

Objectives : Good compliance to standard guideline might be the most important factor for success of tuberculosis treatment. This study was performed to propose the way to promote the compliance through evaluating the effect of self-care education in pulmonary tuberculosis treatment. Methods : The subjects were 100 patients(male 82, female 18) admitted in the national tuberculosis hospital, and study period was from December 1, 2000 to March 31, 2001. Study method was a direct interview survey with questionnaire that consisted of knowledges, attitudes, compliances about tuberculosis treatment, and some characteristics of subjects. The pre- and post-educational data were compared by chi-square test and paired t-test using SPSS(ver 10.0) with α-error=0.05. Results : The mean age of the subjects was 41.8±12.8years, and most of them was male. Half of them was still drinking and smoking, and the tuberculosis treatment categories of WHO was categoryⅢ 42%, categoryⅣ 22%, categoryⅡ 21%, categoryⅠ 15% when admitted. Average prevalent period was 56.8 months, and 68% of them showed positive sputum smear test. The average knowledge level was increased from 6.88±1.85 when admitted, and 8.02±1.57 when two months after(p〈0.001), that means, the effect of education was recognized. In contrast, recognition and attitudes showed no difference. And, the frequency of subjective aggravation was higher in the group of low compliance: voluntary medication stop(p=0.022). Conclusions : This study had some limitations; lack of representativeness because the subjects were limited to the patients in one tuberculosis hospital, and, not sufficient sample size etc. Nevertheless, because the effect of the education was partly recognized, to enhance the effect of tuberculosis treatment, the contents of self-care education would be changed toward the practice with a close monitoring of the patients' compliance.

부산지역 모 공단 및 인근지역 사업체의 산업보건 실태에 관한 조사연구

이동영,손혜숙,이채언,박형종,김대환,엄상화,최성용,유병철 인제대학교 1993 仁濟醫學 Vol.14 No.4

부산지역 공단 및 인근지역 사업체의 산업보건실태를 파악하기 위하여 205개 사업체의 보건담당자를 대상으로 1990년도의 보건실태에 관한 설문조사를 하였다. 조사내용을 일반사항, 보건관리실태에 관한 사항, 작업장 유해환경 및 보호구 지급사항, 건강관련 사항 및 근무조건에 관한 사항 등으로 대별하여 분석ㆍ관찰하였다. In order to obtain the fundamental data for developing more effective and acceptable programs of public health manegement in an industrial complex, 205 health manager in the plants answered the questionaire of the status of industrial health during 1990. The questionaire consisted of general charateristics, health care status, environmental problems, health problems, and others. 72.4% of 205 plants had less than 100 workers. Fabricated metal manufacture was 32.4%. Although Footwear manufacture was 6.4%, the percentage of workers was 33.1% of total workers. The percentage(56.2) of retired women was higher than that(38.2) of men. 51.9% of total plants has recieving group health care services. 85.4% of plants was exposed to noise, 66.5% was exposed to dust. Ear plug and mask were given to prevent noise and dust in 69.2% and 68.6%, respectively. Among 22,299 workers, 618(2.8%) were diagnosed as suspected non-occupatinal disease. 85.9% of them worked on continuously and had their disease treated. The cases suspected for occupational disease was 100 workers. 82.5% of them changed their post. 45% had the compensation for their occuaptional disease. The rate of working: accidents was 2.3%.

미용사들의작업관련성 근골격계 장애에 관한 연구

박수경,최영진,문덕환,전진호,이종태,손혜숙 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목적 : 미용사의 작업관련 근골격계 장애 실태와 관련 요인을 알아보고자 한 것이다. 방법 : 최종 대상이 된 미용사 267명에 대하여 2000년 3월부터 5월까지 Karasek의 J7Q와 N10SH의 표준화 설문지를 이용하여 일반적 특성, 직무관련 스트레스, 근골격계 장애 자각증상 등을 자기 기입식으로 작성하게 하였다. 결과 : N10SH 감시기준에 의한 근골격계 자각 증상 호소율은 전체적으로 94.4%으로 높은 편이었으며, 각 신체부위별로는 어깨 부위(61.0%), 목 부위(59.9%), 허리 부위(53.2%), 손 및 손목 부위(41.6%)의 증상 호소율이 비교적 높게 나타났으며, 상대적으로 무릎 및 허벅다리 부위(36.7%), 발 및 발목 부위(34.8%), 등 부위(28.8%), 팔 및 팔꿈치부위 (28.5%), 종아리 부위 (28.5%), 손가락 (22.8%) 등은 낮았다. 다변량 분석 결과, 미용사들의 WRMDS는 직무 스트레스와 건강관련 습관 등에 영향을 받은 것으로 관찰되었으며, 부위별로 목부위는 직무의 불안정성, 허리부위는 여자, 음주, 결정의 허용범위, 손 및 손목부위는 음주, 무릎 및 허벅다리 부위는 흡연, 발 및 발목부위는 흡연, 결정의 허용범위, 그리고 등부위는 직무의 불안정성 등이 유의한 요인으로 관찰되었다. 결론 : 주관적인 증상 호소만을 이용한 제한점에도 불구하고 산업보건의 명확한 대상이 되지 않고 있는 미용사 등의 서비스업 종사자에 대한 WRMDS 연구의 기초자료로서 활용될 수 있을 것이다. Objectives : To determine the prevalence and related factors of work related musculoskeletal symptoms in hairdressers. Methods : Informations on general characteristics, job strain, and musculoskeletal symptoms were obtained by a self-administered questionnaire, through adopting NIOSH instrument and JCQ (Job content questionnaire) , from 267 hairdressers, between March and May, 2000. Results : The symptom prevalence by N10SH surveillance criteria in total was high as 94.4%; shoulder (61.0%), neck (59.9%), low back (53.2%), hand and wrist (41.6%), etc. In multiple logistic regression, significant factors affecting the symptoms by body region , job insecurity on neck; gender, alcohol, decision latitude on low back; alcohol on hand and wrist; smoking on thigh and knee; smoking, decision latitude on ankle and foot; job insecurity on upper back. Conclusions : Musculoskeletal symptoms of hairdresser were highly prevalent, and associated with job strain and their health habits. This Is a basic data of work related musculoskeletal disorders among hairdressers who are not the subjects of occupational health service at the present time in Korea.

방사선 사진을 이용한 계수 영상의 판독능에 관한 실험적 연구

나경수,조봉혜,손영순 大韓口腔顎顔面 放射線學會 1994 Imaging Science in Dentistry Vol.24 No.2

The comparative detectability of the artificial defects among conventional radiographs, digital images and digital subtraction images was evaluated. The artificial defects were made within spogy bone of 24 unilateral mandibles of adult dogs. The results were as follows: 1. With normal exposure time, the detectability of digital subtraction radiographs was 90.3% which was statistically significant superior to those of conventional radiographs(78.0%) and digital images(75.9%)(p<0.05). 2. With half-exposure time, the detectability of conventional radiographs, digital images and digital subtraction radiographs was 68.4%, 67.3% and 69.9% respectively. There was no statistical significant difference among the detectability of these methods(p>0.05). 3. All radiographic images with normal exposure time showed statistically significant superior detectability to those with half-exposure time(p<0.05). 4. The detectability of digital subtraction radiographs was not linearly related to the standard deviation of the grey levels of reference line(p<0.05).

요골 두 아탈구와 동반된 상완골 내 상과 골절 : 1예 보고 A Case Report

이한용,유기원,정진영,송주현,고해석,강용구,손문익 대한골절학회 2003 대한골절학회지 Vol.16 No.2

주관절 손산 중 상완골 내 상과 골절은 단독으로 혹은 주관절 탈구와 동반되어 발생하는 것이 일반적이다. 저자들은 15세 남자 환자의 좌측 요골 두 아탈구가 동반된 상완골 내 상과 골절을 경험하였다. 도수 정복을 시도하였으나 요골 두 아탈구의 정복을 얻을 수 없어 관혈적 정복술로 치료하엿다. 6개월추시 결과 후휴증이 없는 정상적인 관절 상태를 확인할 수 있었다. 연령, 원인 , 손상 기전으로 분석해 보면 이 동반 손상은 발생하기 매우 어렵고, 문헌 탐색 결과 현재까지 동일한 증례를 찾아볼 수 없었으므로 보고하는 바이다. It has been known that fracture of medial epicondylar apophysis of distal humerus may be isolated of associated with elbow deslocations. We have experienced a case which medial epicondylar fracture of the distal humerus was associated with subluxation of the radial head. Initially, we had tried reduction of subluxated radial head by closed method, but failed. Finally open reduction gad been performed. At 6 month after open reduction, clinical and radiological result were excellent. As it is difficult for those associated injuries to occur simultaneously and the similar cases never have been reported yet, we would like to present this case with a review of the literature.