한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Rifampicin에 의한 것으로 추정되는 위막성 대장염1예

김수현,이은우,정종혁,문승현,김동한,양혁승,오영상,김호동,김도현,박혁,박정환,박경옥,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

Pseudomembranous colitis, caused by altering the normal colonic flora and allowing the multiplication of Clostridium difficile, is an deleterious adverse effect of antibiotics. But it is rarely reported by rifampicin. Rifampicin is one of the first line drug in the treatment of tuberculosis and many patients are exposed to its potential adverse effects. We experienced a patient that had abdominal discomfort and hematochezia due to pseudomembranous colitis after receiving antituberculous medication, and which was probably caused by rifampicin. A 82 years old man was admitted with abdominal discomfort and hematochezia for one week. On the past history he had been diagnosed as endobronchial tuberculosis about 4 months ago. Colonoscopy revealed multiple discrete whitish mucosal lesion on rectosigmoid colon, and histologic findings were consistent with pseudomembranous colitis. The antituberculous agents were discontinued and vancomycin was administered. The patient's symptoms were resolved within several days. There was no recurrence after reinstitution of the antituberculous agents excluding rifampicin. We report here on a case of pseudomembranous colitis probably due to rifampicin.

7β-(5-Phenyl-2H-Tetrazolyl-2-Acetamido) Cephalosporanic Acid의 合成 및 抗菌作用에 관한 硏究

高玉鉉,姜馨龍,金京洙,金泳秀,洪石淳,金燦範 조선대학교 약학연구소 1992 藥學硏究誌 Vol.14 No.1

7β-(5-Phenyl-2H-tetrazolyl-2-acetamido) cephalosporanic acid was synthesized by condensation of 7-aminocephalosporanic acid(7-ACA) with(5-phenyl-2H-tetrazol-2-yl) acetyl chloride. This compound was tested for antimicrobial activity in vitro against Bacillus licheniformis ATCC 14580, Bacillus subtilis ATCC 6633, Candida albicans ATCC 10231, Escherichia coli ESS, Micrococcus luteus ATCC 9341, Pseudomonas aeruginosa IFO 13130, Staphylococcus aureus ATCC25923, Staphylococcus aureuss FDA-209p and Salmonella typhimurium SL 1102. This compound revealed excellent antibacterial activity against Bacillus subtilis ATCC 6633, Micrococcus luteus ATCC 9341, Staphylococcus aureus ATCC 25923 and Staphlococcus aureus FDA 209p. This compound have no antimicrobial activity against Candida albicans ATCC 10231, Pseudomonas aeruginosa IFO 13130 and Salmonella typhimurium SL 1102.

패류중 중금속함량에 관한 연구

신현수,허옥순,이진하,김세은,주인선,신동우,강석종,박만종,김지연,김근희,강숙경,정래석,허숙진,소유섭,최장덕,문병우,김진수 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

본 연구는 패류중 중금속함량 측정을 위한 분석효율이 높고 간편한 분해법을 찾아내어 그 방법에 의끓 유종중인 패류중 중금속함량을 파악하고자 수행하였다. 시료를 분해시키는 Microwave와 습식, 건식회법을 비교한 결과 변형습식회화르가 가장 적합하였다. 변형습식회차딘는 려린0,3+C104+H2SOf의 혼찰산을 쪼 · j 1 (v/v)의 비율로 혼합하여 사용하였 을 때 회수을 Pb린틴. Cd 97.8, Cu 94.2, Zn 92.8%를 나타내었근 분해시간은 2~2.5시간 소요되었다. 유통중인 패류중 중금속함량 」최소~최대(평균), mgAgl 은 Pb 0.028~o.528(0.153), Cd 0.OO7~1,832(0.587), Cu 0.360~37.375(4.6691, Zn 6.317~233.2iO(38.881), Hg 0.001 ~O.151(0.012)mg/ltg으로 나타났다. 또한 유통중인 5종의 패류중 중금속평균항량이 생산지 하재지역에서 구입한 패류에 비해 모든 중금속언써 약간 높은 함량을 보였으나 오염된 수준이 아닌 자연함유량수준이었다. This study was conducted to improve the digestion method for the determination of heavy metals in shellfishes and to estimate the contents of heavy metal in commercial shellfishes by their digestion method. This digestion method was compared microwave with wet and dry ash digestion for shellfish samples, obtained results showed that the modified wet ash Ⅱ digestion was convenient and easy to use. For the modified wet ash Ⅱ digestion, The mixed acid of HNO₃+HClO₄+H₂SO₄(25:5:1, v/v) was used. Under this condition, Recoveries were Pb 94.3, Cd 97.8, Cu 94.2 and Zn 92.8% and digestion time was ∼2.5 hours. The contents of heavy metal [minimum∼maximum (mean), mg/kg in commercial shellfishes were as follows ; Pb:0.028∼0.528(0.153), Cd:0.007∼1.832(0.587), Cu:0.360∼37.375(4.669), Zn:6.317∼233.250(38.881), Hg:0.001∼0.151(0.013). The contents of heavy metal in commercial shellfishes of five species were slightly greater than those of shellfishes purchased at Hajae. There was no great difference between the contents of heavy metal of Hajae and those of shellfishes purchased at Whole market.

Progastrin-releasing peptide as a diagnostic and therapeutic biomarker of small cell lung cancer

오형주,( Ha Young Park ),( Tae Ok Kim1 ),( Chul Kyu Park ),( Hong Jun Shin ),( Hee Jung Ban ),( In Jae Oh ),( Yong Soo Kwon ),( Yu Il Kim ),( Sung Chul Lim ),( Young Chul Kim ),( Soo Hyun Kim ),( Myung G 대한결핵 및 호흡기학회 2015 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.120 No.-

Background: Progastrin-releasing peptide (proGRP) is a recently identified biomarker of small cell lung cancer (SCLC). We aimed this study for evaluating the usefulness of automated proGRP measurement for diagnosis and treatment monitoring in patients with SCLC. Methods: From January 2011 to December 2013, plasma samples were prospectively collected from 452 [213 non-small cell lung cancer (NSCLC), 104 SCLC, 135 other diseases] patients visited for tissue diagnosis and tested by two-step automated immunoassay using the ARCHITECT proGRP assay kit (Abbott Diagnostics, USA). The cutoff level of proGRP was set at 63 pg/mL. Results: The mean proGRP was higher in SCLC (1823.0 ± 2684.0 pg/mL) than in NSCLC (61.0 ± 341.7 pg/mL) and other diseases (51.5 ± 222.6 pg/mL, p<0.001). The sensitivity of proGRP was 85.7% (90/105) in SCLC and 11.8% (25/212) in NSCLC. The specificity was 90.2%, positive predictive value was 72.5%, and negative predictive value was 95.4% in SCLC. The mean proGRP was higher in extensive disease (2158.1 ± 2980.6 pg/mL) than in limited disease (901.4 ± 1216.0 pg/mL, p=0.033). Among the 39 patients with SCLC could be followed, the mean proGRP levels of 23 responders were significantly decreased after chemotherapy (from 1651.5 ± 1386.4 pg/mL to 290.0 ± 524.8 pg/mL, p<0.001), whereas those of the 16 non-responders were not. (from 572.5 ± 790.3 pg/mL to 494.4 ± 610.9 pg/mL, p=0.583). Conclusion: Plasma proGRP could be a useful biomarker of SCLC for diagnosis and treatment monitoring. And the initial level may represent the tumor extent of SCLC.

In vitro 검출시스템을 이용한 석류 추출제품들의 에스트로겐 유사활성 검증

김옥수,이상현 신라대학교 자연과학연구소 2004 自然科學論文集 Vol.13 No.-

In order to verify the occurrence of an estrogenic compound in products of pomegranate extract, the estrogen-like activities were measured using an in vitro detection system. For this system, human breast cancer cell line MCF7 was transfected using an estrogen responsive CAT reporter plasmid. Estrogen-like activities of pomegranate extracts were evaluated using this system. Estrogen-like activity of a 500 μg/ml sample of pomegranate extract 1 was between those of 10^(-7) M and 10^(-9) M standard solution (17β-estradiol) and activity of 50 μg/ml sample of pomegranate extract 1 was as much as that of 10^(-9) M standard solution. Estrogen-like activity of a 500 μg/ml sample of pomegranate extract 2 was stronger than that of 10^(-7)M standard solution (17β-estradiol) and activity of 50 μg/ml sample of pomegranate extract 2 was as much as that of 10^(-7) M standard solution.

응급실에서 succinylcholine을 이용한 기관내 삽관시 혈청 칼륨의 변화

김무수,최옥경,어은경,정구영 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

Succinylcholine is a depolarizing neuromuscular blocking agent(NMB) and is used in induction of anesthesia. Succinylcholine-assisted endotracheal intubation has been routinely used in the operating room and rapid sequence intubation with NMB agent has been the method for airway management in emergency department(ED). Adverse effects of succinylcholine are hyperkalemia, malignant hyperthermia, transient hypotension, arrhythmia, and increased intracranial, intraocular and gastric pressure, etc. This study carried out the change of serum potassium as an adverse effects of succinylcholine during endotracheal intubation in ED. A prospective, noncontrolled design was used to study serial serum potassium levels in pre-and postendotracheal intubation(5min) from February 1996 to August 1996. Succinycholine was selectively used in patient with a ploblem of difficult endotracheal intubation (alert to drowsy mental status with intact gag reflex). The dose of succinylcholine was 1.5 mg/kg and injected into intravenous line during preoxygenation with bag-valve-mask device. Student's two-tailed t-test was used and p-value was<0.05. Among the total of 48 patients(male 27, female 21), the postintubation level of the serum potassium of 25 patients were increased and those of 21 persons were decreased compared with preintubation level. Two patient showed no change in amount. The average serum potassium indicated 3.7±0.8 mEq/L before the injection of the succinylcholine and 3.8±0.9 mEq/L 5 minutes after its injection. P-value showed more than 0.05 and as the result statistically there was no noteworthy difference. All patients were intubated within 30 sec and no patients were failed. We concluded that succinylcholine-assisted endotracheal intubation is a rapid and safe method as an endotracheal intubation practiced in ED and succinylcholin-induced hyperkalemia is miniimal and no adverse effect.

입제농약을 활용한 벼 병해충 생력방제 연구

김정수,이종옥,강수웅,김재현 진주산업대학교 농업기술연구소 2003 農業技術硏究所報 Vol.16 No.-

The experiment was carried out to establish of labor-saving control system on paddy field transplanted young rice seedling by machine. We examined the effect of control value between conventional control method that applied 6 times to paddy field during cultivation period and labor-saving control method that applied systematic pesticide one time to the seed, to the nursery box at transplanting day and twice to the middle stage of rice cultivation. The control value in labor-saving control method of Laodelphax striatellus, Nephotettix cincticeps and Lissorhoptrus oryzophilus were 93.4%, 92.7% and 86.1% compared with untreatment field, respectively and also the labor-saving method was more efficient than conventional control method at early stage of rice cultivation. The control value in labor-saving method of Nilaparvata lugens, Sogatella furcifera, Cnaphalocrocis medinalis were more than 84% and these showed almost same trend with conventional control method. The control value in labor-saving method of leaf blast and panicle blast were 91.7%, 93.8%, that showed similar result with conventional control method. The control value in the nursery box at transplanting day of sheath blight was 83.6%, these result were better than conventional control method that applied 2 times at middle stage of rice cultivation.

조선족 근로자의 사회적 지지, 스트레스, 외로움과의 관계

김옥수,백성희,김계하 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purpose of the study was to examine the relationships among social support (network, composition, and satisfaction), stress, and loneliness in migrant Yanbian Korean workers. Method: Data were collected by using Social Support Questionnaire 6, Visual Analogue Scale, and the Revised UCLA Loneliness Scale. Result: Results indicate that means for social support were 1.52 for network size and 4.83 for satisfaction. The proportion percentage of network for kin members was 67.37. Subjects felt the moderate level of stress and loneliness. The level of loneliness was negatively related to the level of social support. Conclusion: This study showed that there is necessity to reduce stress and loneliness among migrant Yanbian Korean workers. Adequate social support satisfaction is crucial t o reduce the level of loneliness in migrant Yanbian Korean workers.

放射線照射에 의한 濟州産 鹽乾옥돔의 貯藏性向上에 관한 硏究

金洙賢,鄭昌朝,趙韓玉,金在河 제주대학교 방사능이용연구소 1985 연구보고 Vol.1 No.-

濟州産 鹽乾옥돔(yellow sea bream ; Branchiostegus japonicus japonicus)을 Vinyl 眞空包裝 0, 0.5, 1.0, 1.5 및 2.0Mrad 水準으로 放射線 照射후 室溫과 冷藏으로 60日間 貯藏하여 鹽乾옥돔의 理化學的變化 및 官能檢査를 수행하였다. 貯藏期間中 總菌數는 放射線 照射水準이 높아짐에 따라 抑制되고 있었으며, 放射線照射와 冷藏處理가 더욱 效果的이었다. TMA의 增加率은 高線量水準에서 적었으며 2.0Mrad水準은 도리어 貯藏初期에 비하여 末期에 이르러 TMA의 含量을 減少시켰다. TMAO의 減少率은 貯藏條件에 관계없이 照射後 20日傾부터는 急激한 減少現象을 나타내었다. Total nitrogen의 減少는 無照射區에서 가장 컸으며, 照射水準이 높아짐에 따라 變化의 폭은 적었다. VBN含量은 各 處理區 모두 D30에서 顯著한 增加를 보이고 있었으며, 放射線處理에 따라 多少 抑制되었다. 放射線照査와 室溫貯藏區에서는 20日까지, 放射線照査 및 冷藏處理區에서는 40日까지 鹽乾옥돔의 鮮度를 유지시킬 수가 있었다. 組織變化, 總菌數, 腐敗 등 要因을 考慮할 때 鹽乾옥돔의 貯藏性向上을 위해서는 1.0Mrad가 適正水準으로 推定되었다. Salted dry yellow sea bream were vaccum packed in a plastic bags and irradiated at differents levels (0.0.5, 1.0, 1.5 and 20 Mrad) using ?? source. The irradiated samples were stored at room temperature and 5℃. Physical and chemical properties were examined during storage. The total bacterial count was depressed according to level of irradiation applied. It was noted that cold storage after irrdiation was more effective than room temperature. TMA contents slowly increased with higher dosage rates up to 1.5 Mrad but there was a gradual decrease of TMA at the 2.0 Mrad level.It was observed that there was a rapid decrease of TMAO 20 days after irradiation irrespective of storage temperature. The reduction of total nitrogen content was highest in the control but to a lesser degree when irradiation was applied. VBN content increased in all treatments 30 days after irradiation but it was also noted that there was a tendency toward depression of VBN by irradiation. The shelf life of salted dry sea bream was extended by 20 days with irradiation plus room temperature, and by 40 days with irradiation plus cold storage. To extend shelf life of salted dry sea bream, the most effective dosage rate was 1.0 Mrad based on tenderness, bacterial count and rancidity.