여성에서 경도 간기능 이상과 비만과의 관련성

손혜숙 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Objective : This study investigated any correlation between obesity and mild abnormality of liver function. This investigation would support the necessity of the early management of obese people through detection of liver abnormality from a regular health check. Methods and Materials : This study included a total of 748 female subjects age 20 to 70 years who have less than two times the standard liver function level. Measurements on Body Mass Index. Alcohol, HbsAg, HbsAb, High density lipoprotein (HDL), Triglyceride(TG), Total cholesterol(TC) in relation to the liver function-Aspartate Aminotransferase(AST), Alanine Aminotransferase(ALT), and -Glutamyl Transferase-were evaluated for both normal liver function group and mild abnormal liver function group(higher than the standard level but lower than two times the standard level). Results : Using the logistic regression analysis, the odds ratio to the mild abnormality of liver function was that ALT with HbsAg was 5.9 fold, BMI level higher than 25㎏/㎡ was 2.17, TC level higher than 200㎎/dL was 2.14, and ALT with BMI higher than 25㎏/㎡ was 3.59. GTP with TC and TG higher than 200㎎/dL were 3.76 and 3.04 respectively. Conclusion : It is found that there is a positive correlation between obesity and mild abnormality of liver function in female population. When mild abnormality of liver function is detected in female population, obesity and fat level in blood should be closely observed to prevent and to manage liver disease in female population.

일개 대학병원에서 치료중인 만성질환자의 금연,절주 및 운동 실천 정도

손혜숙,전진호,이종태,정귀원,김성준,엄상화,유병철 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

Background: Many chronic diseases are associated with the lifestyle such as smoking, alcohol drinking and exercise. Attention is increasingly paid on the effect of exercise for the management of chronic disease these days. Objective: The purpose of this study was to evaluate the status of the smoking habit, alcohol drinking and physical exercise of the patients with chronic diseases. Methods: Total 793 persons(normal:422, chronic disease patients:371) in a hospital were questioned regarding the habits of smoking and alcohol drinking, and a practice of physical exercise in 1999. The patients with chronic illness were divided into three groups(Group I included the patients of hypertension and diabetes mellitus. Group II includes respiratory disease and cancer. Group III included liver disease ). The rate of exercise, the rate of smoking cessation and the rate of abstinence were assessed. In logistic regression analysis with each independent variables in each disease groups(I, II and III), odds ratio for the presence of disease was controlled for age and education. Results: The rate of exercise, the rate of smoking cessation and the rate of abstinence was 31.5%, 27.3% and 9.5% in the patients with chronic disease, respectively. In control group, those were 31.5%, 21% and 2.1%, respectively. In logistic regression analysis with exercise as independent variable, odds ratios(95% CI) for age and education were significantly high, with smoking cessation, odds ratio for age was high and with abstinence, odds ratio for disease was high in all disease groups. Conclusion : It was suggested that an effort for proper changes of lifestyle related to disease such as smoking, alcohol drinking and exercise should be intervened in the patients with chronic diseases.

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.

부산 ·경남지역 중학교 남학생의 학년에 따른 컴퓨터 음란물 접촉실태에 관한 연구

김혜옥,손혜숙,김대환,이종태 韓國保健敎育 ·健康增進學會 1999 보건교육건강증진학회지 Vol.16 No.2

To evaluate the status of the contact to lascivious computer programs and sexual attitude and behaviour by the grades of middle school boy students, the questionnaire survey was done on 715 students of five middle schools in Pusan and Kimhae area from December 15 to December 24, 1997. The data were analyzed by PC SAS; X² -test. The level of significance was 0.05. 404 students (56.5%) had a personal computer in their home. 516 students (72.2%) have experienced of using a computer program. 294(57%) of them usually played a game with computer. 514 students(71.9%) had experiences of the contact to a lascivious computer program, which increased with the grades of the students(p〈0.05). The first exposure to a lascivious program was when they were elementary school students in 24.6% of first grade middle school students, 13.8% of second grade, and 11.3% of 3rd grade students. 92% of the students was introduced to first contact through their friends. 63.7% of them watch the program at their friends home. The most common drives to contact to a lascivious programs were curiosity (53%). Sexual desire was a higher drive in third grade students (20.6%) than lower grades. After contacting to a computer lascivious program, desire of masterbation was more frequent in lower grade students, and feeling disgust was more frequent in higher grade students (p〈0.05). Frequence of masterbation or sexual intercourse was higher in high grade students(p〈0.05). In conclusion, distribution and popular use of computer attributes to the increased exposure to lascivious programs and lowering the age of first exposure. there was the difference according to the grades in the feeling and sexual behaviour after contacting to computer lascivious program. Appropriate methods to protect young students to contact a lascivious program should be sought. The use of computer should be educated in elementary school students accompanied by proper sex education.

결식아동의 실태와 특성

박장숙,전진호,김성준,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Objective : The unprivileged children without lunch(UCWL) has been being markedly increased and becoming one of the social problem in Korea. This study was performed to assist the development of efficient support program through the investigation of the status and characteristics of the UCWL. Methods and Material : Subjects were 104 students sho were receiving the meal aid from the six social welfare facilities and 110 ordinary students of an elementary school in Pusan area. Questionnaire survey was conducted from February to March, 2001. Data was analyzed using SPSS program(ver 10.0). Results : There was no difference in gender and school years' distribution. The phenomenon of family deficient, instability of parents' job, unsatisfaction to the home's atmosphere, ill adaptation to their school life, and be alienated from their colleague were more frequent in UCWL(p<0.05). Impulse of runaway from home and suicide showed no difference, however, the present worries, preference of way for assist showed differences(p<0.05), The majority(88%) of UCWL has been giving the meal and less than on year. The most common way was food stuff(76%) and financial support for school meal program(73%), while the most preferred way was financial support for everyday life(43%). Conclusion : UCWL satisfied and gave thankful mind to the present supports, however, showed negative aspects - like emotional unstability and difficulties in their school life. Therefore, it thought to be needed the touch on the emotional aspects, not only on the formal and economic aids.

들민달팽이(Deroveras varians)의 배자발육과 난황단백질

진병래,손흥대,박혜진,조은숙 東亞大學校附設 農業生命科學硏究所 1999 農業生命資援硏究 Vol.8 No.1

들민달팽이의 배자발육은 해부현미경으로 관찰하였다. 산란 후 4일이 경과면서 발육이 급격하게 진전되어, 10일이 지나면서 난 내에서 들민달팽이 유충의 형태를 갖추고, 12일째 부화하였다. 들민달팽이의 배자발육에 따른 난황단백질의 변화는 산란 1일째, 3일째 및 6일째 알의 난황단백질을 전기영동방법으로 분석하였다. 그 결과 배자발육과 함께 급격히 감소되는 난황단백질 관련 밴드를 관찰할 수 있었다. We characterized embryogenesis and egg proteins of Variable field Slug, Deroceras varians. The embryogenesis was observed by light microscopy. The eggs were hatched at the twelfth day after oviposition. The egg proteins of the first day, third day and sixth day after oviposition were analyzed by native-and SDS-PAGE analyses. The results showed that yolk proteins are gradually decreased during embryogenesis.

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%.

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.

2000년 부산광역시 서구에서 발생한 세균성이질 역학조사 평가

홍상기,김정규,전진호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Purposes : Bacillary Dysentery is one of the representative infectious disease that widely occurred in recent years, Korea. This study was performed to propose the helpful advices for control of Bacillary Dysentery outbreak based on an assessment of the results of epidemiological survey for Bacillary Dysentery outbreak on May 16, 2000 in Busan. Methods : Subjects were 7,188 peoples who showed diarrhea and contacted with active participants in a religious meeting and suspected cases surveyed from May 16 to May 31, 2000. Direct interview about participation, presence of diarrhea, and history of spring water drinking, and rectal swab on the patients who had diarrhea were done. Results : Among 7,188 peoples, 458 patients had simple diarrhea, and 135 patients confirmed infected with Shigella sonnei. Among confirmed cases. 94.8% had actively participated the religious meeting. The first case occurred on May 10, and consecutive outbreak was concentrated on May 12 and 13. Elementary school children(40.7%) and their parents(35.6%), and women(65.2%) were majority of the confirmed cases. Drinking history of the spring water during the meeting was highly suspected as a cause of this outbreak(odds ratio=3.29, 95% confidence interval=1.59∼6.82). Food intake history was not checked because with low possibility of causing factor. Conclusions : This outbreak appear to be closely related to drinking not sterilized spring water when participating in a religious meeting. However, actual route of transmission was not defined because the epidemiological survey was started six days after the first attack, and, could not find the causative agent in the spring water. The prompt epidemiological survey thought to be essential and important when occurred episode. And also, cooperation with the corresponding health authorities would be very important when the outbreak occurred distant area as this episode. Personal and public concerns and efforts should be sustained to prevent the outbreak and spread-out of Bacillary dysentery.

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.