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        중소규모 사업장에서 근골격계 증상의 고 위험군 선정과 운동프로그램의 효과

        김보경,박정일,임현우,구정완,이강숙 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.1

        목적: 중소규모사업장 근로자들의 근골격계증상을 실제적이며 효과적으로 관리하는 방안을 제시하기 위하여 중점관리대상자를 선별하고 근골격계 운동프로그램의 효과를 평가하고자 하였다. 방법: 문헌검색과 Delphi법에 의한 전문가의견을 종합하여 근골격계질환과 관련된 요인을 선정하고 785명을 대상으로 이들 요인들에 관한 설문조사(5점척도)를 실시하였으며, 증상이 있는 군(3점척도 이상)을 위험군으로, 위험군 중에서 작업특성관련요인과 일반특성관련요인이 함께 있는 군(평균이 3점척도이상)을 고 위험군으로 분류하여 중점관리대상자를 선별하였다. 저 위험군과 고 위험군을 대상으로 12주간 근골격계 운동프로그램을 실시 한후 증상 호소율의 변화를 비교, 분석하여 운동프로그램의 효과를 평가하였다. 결과: 근골격계질환 위험군은 전체대상자 785명 중, 454명(57.8%)이었으며 고 위험군은 121명 (15.4%)이었다. 저 위험군의 근골격계증상에 대한 위험요인의 다중로지스틱회귀분석 결과 유의한 위험용인은 성, 근골격계질환과 관현된 개인질병이었고, 고 위험군에서의 위험요인은 연령, 성, 근골격계질환과 관련된 개인질병 등이었다. 저 위험군을 대상을 12주간의 운동프로그램 실시한 후 대조군에서의 근골격계증상호소율은 유의한 변화가 없었으나 중재군에서는 근골격계증상 호소율이 신체부위 모두에서 유의하게 감소하였고, 고위험군을 대상으로 12주간의 운동프로그램을 실시한 결과 대조군에서 근골격계 증상호소율이 팔과 팔꿈치 부위에서 유의하게 증가한 반면 중재군에서는 허리부위에서 증상호소율이 유의하게 감소하였다. 결론: 이상의 결과를 종합하면 저 위험군에서는 운동프로그램이 근골격계증상 관리에 유의하게 기여하였으나 고 위험군에서 운동프로그램의 효과는 확인할 수 없었기 때문에 고 위험군에서의 근골격계 증상을 효과적으로 관리하기 위하여는 운동프로그램외의 다른 조치가 필요할 것으로 판단된다. Objectives: This study was conducted to provide data for the establishment of a practical and the effective exercise program for managing the musculoskeletal symptoms of workers who are employed in small and medium sized enterprises. Methods: The risk factors related to musculoskeletal disease management were chosen according to the relevant literatures, and were based on advise from experts on the Delphi method. Questionnaires on selected risk factors (with a 5-point Likert scale) were given to 785 subjects who worked in small and medium sized enterprises. The subjects were then classified in the risk group when they had the symptoms and recorded at least 3 points. From those subjects in the risk group, those who had both work-related factors and general characteristics factors (with an average of at least 3 points) were further classified as the high risk group. We performed a 12-week musculoskeletal exercise program for the low and high risk groups to analyze their changes in symptoms and complaints in order to estimate the effectiveness of the exercise program. Results: Out of 785 subjects, 454(57.8%) were in the risk group of musculoskeletal diseases and 121(15.4%) were in the high risk group. According to multiple logistic regression analysis of the factors for the musculoskeletal symptoms in the low risk group, the significant risk factors were sex and personal disease related with musculoskeletal disease, while the risk factors in the high risk group were age, sex, and personal disease related with musculoskeletal disease. After the I2-week exercise program was performed by the low risk group, the number of musculoskeletal symptom complaints in the control group did not significantly changed, whereas for the intervention group, the number of musculoskeletal symptom complaints significantly declined for all parts of the body. After the 12-week exercise program performed by the high risk group, the number of musculoskeletal symptom complaints in the control group was significantly enhanced for the arm and elbow parts. In the intervention group, the complaint rate for musculoskeletal symptoms significantly declined only for the low back. Conclusion: The musculoskeletal symptoms were significantly improved by the exercise program in the low risk group, but not in the high risk group. It is suggested that control measures on administrative and/or work related factors, in addition to the exercise program should be considered simultancously for the control of musculoskeletal symptoms in groups at high risk of musculoskeletal disease.

      • 骨盤炎患者 1例에 대한 症例報告

        이보라,이정은,박경미,정진홍,유동열 대전대학교 한방병원 2001 惠和醫學 Vol.10 No.1

        After treating a patient suffering from pelvic inflammatory disease, a significant result is gained as follows. This study was done from the patient who were at the oriental Medicine Hospital of Daejeon university during 15 days, from 12. 12 to 12. 26, 2001. A 27-year-old patient had complained an abdominal pain, chest discomfort, nausea, vomiting, urination difficulty and constipation. During the hospital periods, the kinds of therapy are acupuncture, moxibustion, herb-med and physical therapy. Given the treatment, she felt so satisfied about her symptom's improvement. But as a result of Ultrasonogram of pelvis, she had multiple follicles on the right ovary, so it had to be given a surgical operation. For the surgical operation, she was transferred to the Chungnam University Hospital

      • 대학생의 성별, 학년별, 전공별 스트레스에 관한 연구

        김보혜,안윤정,정민영,차지영,최경원,김지현,김수지,이자형 이화여자대학교 간호과학대학 2004 이화간호학회지 Vol.- No.38

        The purpose of this study was to investigate the level and effect of stress on physical and mental health. Based on that result, we offer the basic research to lessen students' stress and make a program to promote health condition effectively. Subjects were 526 university students. (male: 232(44.1%) female: 294(55.9%). composed of 7 majors: human studies&social science, management, Science&technology, education. law, medicine, entertainment. freshman 108(20.5%), sophomore 140(26.6%) junior 148(28.1%), senior 130(24.7%)) Subjects were filled with 127 questionnaires. T test and ANOVA were used to evaluate each stress levels. The .05 level of significance was the critical for this research. Also used the correlation to know the relation between stress levels and effects. The result of the study were as follows: 1. According to gender, male students got 2.37, female students got 2.46 on the stress level(p=.05). And also the belonging items showed female students got higher stresses than male students. 2. According to grade, the average score of stress level was 2.42. sophomores got the highest stress and freshmen got the lowest stress level. But that was not meaningful difference. freshman and sophomore got higher stress on studying. and except the freshman, all grades got severe stress on employment. 3. According to major, there were differences on university life and surroundings. On university life, the students who majored management got highest stress and the students who majored Education got the least stress. And on surroundings, the students who majored Law got highest stress. 4. According to gender, female students suffered from more stress effects than male students.(male 2.3725 female 2.4657 t:-1.968 p:.050) 5. According to grade, the average score of stress was 2.2285. sophomore got 2.3042 and junior got 2.2148 on stress effects. 6. According to major, The students who major in law got more stress effects caused by family than any other students. The students who major in entertainment and gymnastics got more stress effects than any other students in surroundings. 7. There were significant correlations between the stress level and effects(r.=847, p=.000).

      • 기술수준에 따른 여자축구 인프론트 킥 동작의 협응구조

        지보경,육동원,김지수,신정택 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.2

        The purpose of this study was to investigate coordination structure of infront kick in women soccer as a function of skill level. To succeed this purpose, four girls' high school students who had never experienced soccer before were selected as novices, and four girls' high school students who had played soccer for over three years as experts in this lab. To recognize the change of coordination structure according to practice, novices had practiced infront kick in soccer for two weeks. consequently they were taken films of kicking motion three times -before practice, after one week practice, after two weeks practice. However, experts were taken once. The experimental instruments for this study consisted of a video camera, reference frame. LED and APAS for digitizing. Angle to angle diagrams and phase plan portraits for qualitative analysis of coordination structure were gotten with LabVIEW 6i. The conclusions are as follow: firstly, novices' coordination structure had been changed since practice. Secondly, there were significantly different between coordination structures of experts and pre-practice novices. Lastly, there were similar between coordination structures of experts and post practice novices.

      • 제2형 당뇨병 환자에서 우연히 발견된 기종성 방광염 1례

        박보민,김윤정,이영태,노정현,권수경,김동준,고경수,이병두,임경호,이순희,박정현 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

        Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.

      • Lutembacher 증후군 환자 증례 보고

        김성범,서정주,곽철훈,김상민,이보라,민선경,황은구,김용인,조욱현,최석구 인제대학교 2008 仁濟醫學 Vol.29 No.-

        Lutembacher's syndrome is rare combination of mitral stenosis (MS) and atrial septal defect (ASD). The hemodynamic interplay between the MS and ASD leads to wide variation of clinical presentation. Here we describe a 43-year-old female with Lutembacher's syndrome and tricuspid regurgitation with pulmonary hypertension, who underwent direct closure of ASD and tricuspid valvuloplasty successfully. We also reviewed other literatures in an effort to increase awareness of this condition.

      • KCI등재

        동일한 시료에 대한 국내 기관간의 STR 분석결과 비교 : STR 유전자좌 분석법의 표준화 설정을 위하여

        박종태,신경진,양윤석,우광만,이숭덕,이승환,이정빈,정연보,조승희,한길로,한면수,홍승범 大韓法醫學會 2001 대한법의학회지 Vol.25 No.1

        This paper described a collaborative exercise intended to see what kinds of short tandem repeat (STR) loci are used in different DNA typing laboratories in Korea and to compare their results for the demonstration whether uniformity of DNA profiling results from different laboratory could be achieved in Korea Laboratories were asked to test five tissue DNAs using methods routinely used in each laboratory and to report the results to the coordinating laboratory. The exercise demonstrated that each laboratory was using different STR loci for the typing with different STR numbers,2 VNTRS,36 STRs and amelogenin in total, and the direct comparison of the results from all the laboratory for the 18 loci could not be done as only one laboratory submitted typing results. Among 21 loci for which several laboratories submitted typing results, results for 14 loci were the same and results for the other 7 loci were different depending on the participating laboratory. D1S80, F13A01, D16S539, D21S11, D18S51, D3S1744 were the loci with different typing results. Even in the cases where commercial kits were used, the results were not the same depending on the machines used, that is the capillary electrophoresis or the gel based electrophoresis. The reason for the different results, points about the standardization of the methods arid the profiling data were described.

      • SCIESCOPUSKCI등재

        Comparison of Immune Responses to the PCV2 Replicase-Capsid and Capsid Virus-Like Particle Vaccines in Mice

        ( Bo-kyoung Jung ),( Hye-ran Kim ),( Young-hyeon Lee ),( Hyun Jang ),( Kyung-soo Chang ) 한국미생물생명공학회(구 한국산업미생물학회) 2019 Journal of microbiology and biotechnology Vol.29 No.3

        Porcine circovirus type 2 (PCV2) is the causative agent of postweaning multisystemic wasting syndrome (PMWS) in pigs. Replicase (Rep) proteins are considered essential for viral replication. Capsid (Cap) protein is the primary immunogenic protein that induces protective immunity. Little is known about comparison on the immunogenicity of PCV2 Rep and Cap fusion protein and Cap protein. In the present study, recombinant baculoviruses expressing the Rep-Cap fusion protein (Bac-Rep-Cap) and the Cap protein (Bac-Cap) of PCV2 were constructed and confirmed with western blot and indirect fluorescence assay. Immunogenicities of the two recombinant proteins were tested in mice. The titers of antibodies were determined with a PCV2-specific enzyme-linked immunosorbent assay (ELISA) and a serum neutralization assay. The IFN-γ response of immunized mice was measured by ELISA. The mice immunized with the Bac-Rep-Cap and Bac-Cap successfully produced Cap-specific immunoreaction. The mice immunized with the Bac-Cap developed higher PCV2-specific neutralizing antibody titers than mice injected with the Bac-Rep-Cap. IFN-γ in the Bac-Rep-Cap group was increased compared to those in the Bac-Cap group. Vaccination of mice with the Bac-Rep-Cap showed significantly decreased protective efficacy compared to the Bac-Cap. Our findings will indubitably not only lead to a better understanding of the immunogenicity of PCV2, but also improved vaccines.

      • KCI등재

        Study on Physique Characteristics of Skilled Athletes

        Bo Kyoung Kim,Suk Hee Lee,Jung Gyu Yoon,Hye Mi Jeon,Jung Hee Kim,Ju Hwan Lee,Joon Hee Lee,Mun Hwan Lee,Duncan Chang,Wan Suk Choi 국제물리치료학회 2011 Journal of International Academy of Physical Ther Vol.2 No.1

        The purpose of this study is to investigate whether there are differences in physique characteristics between the excellent domestic player groups in each sport player's, to prevent epidemiologic damage of musculoskeletal system and to provide fundamental data to improve performances for players. This study has performed for total 60 student players from Y University in Yongin, Gyeonggi-do, consists of 20 Kendo players, 20 Judo players and 20 Taekwondo players. We measured the length and circumference of arm, leg, body using Martin anthropometer to collect the data for 3 groups. There was significant difference in lower left arm length between player groups(p<.01), and Kendo players' right side femoral were longer than other 2 groups for leg length measurement(p<.01). Judo players' circumference for right/left stretched arm/bent upper arm were thicker than other 2 groups(p<.01). Taekwondo players' chest circumference were smaller than other 2 groups(p<.01), and Taekwondo players' right/left femoral circumference were thinner than other 2 groups(p<.05). From this study, it was found that there are physique characteristics differences between the Kendo, Judo and Taekwondo player groups. This indicates that repeated exercise for each sport player causes physique change, and it may cause epidemiologic damage of musculoskeletal system. It is recommended to perform balancing exercise prior to main exercise.

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