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.

‘존재의 용기’로서 정지용의 신학적 사유 고찰 ― 「슬픈偶像」과 「삽사리」, 「溫井」을 중심으로

金貞秀 ( Kim Jeong-su ) 성균관대학교 대동문화연구원 2020 大東文化硏究 Vol.111 No.-

본고는 「슬픈偶像」과 「삽사리」, 「溫井」 등을 재해석함으로써 후기 시의 바탕에 놓인 정지용의 신학적 사유와 그 가치를 가늠하고자 한다. 이 시 세 편의 공통된 시적 소재는 ‘나―그대’의 관계(사랑)이다. 이를 중심으로 「슬픈偶像」에서는 ‘신/인간’의 관계에 대한 탄식 어린 물음이, 「삽사리」와 「溫井」에서는 그러한 물음에 대한 자답(自答)으로서 정지용의 신학적 사유가 개진된다. 이 세 편의 시에는 절대자와의 거리감을 신앙(관계)의 일부로 수용하고자 하는 존재의 용기에 대한 사유가 깃들어 있다. 신의 부재로 경험되는 고난의 순간이야말로 절대적 믿음을 깨닫는 계기이며, 신앙은 신과 자아의 ‘거리감’을 상호귀속적 관계(사랑)의 본질로서 끌어안았을 때 가능해진다는 것이다. 이 신학적 사유 속에서 시인의 신앙은 신이 나를 구원해줄 것이라는 확신이 아니라 신이 부재하는 상황 속에서, ‘그럼에도 불구하고’ 담담히 순종하는 태도로 나타난다. The purpose of this study is to find and value theological reasoning of Jiyong Jeong, which is shown in his later poetry by reinterpreting "Seulpeun Usang (sad idol)", "Sapsari" and "Onjeong (Hot spring well)". The main subject matter of these three poems is the relationship (love) between you and 'me'. "Seulpeun Usang (sad idol)" furiously expresses internal conflict of the poet against the Absolute through the shape of the 'sleeping God' and the motive of unrest 'drifter' who wanders. Although it praises the God at a first glance, it contains a so-called theodicy question that is raised from fundamental skepticism about the faith. The poem expresses double-valued feeling (praise and sigh at the same time) toward the Absolute. In the process, faith and skepticism shows their contradictory co-existence as found in the Book of Job. This authentic feature of the poem inevitably leads thinking to the relationship between the God and the self. The poems in which Jeong's theological thinking is actively formed are "Sapsari" and "Onjeong (Hot spring well)". The important element in 'Sapsari' is the relationship between 'Sapsari and you', which represents the relationship between 'you and me' in a different form. The relationship contains the poet's thinking about the courage to be that attempts to accept the distance with the Absolute as a part of faith. In the poem, faith is shown in the form of plain obedience 'in spite of' the circumstance that the God seems not to exist, rather than confidence of salvation by the God. The relationship between 'the God and the self' that started to be formed by such faith (attitude) is more clearly presented in 'Onjeong (Hot spring well)'. The poem indicates that the unreduceable distance between the God and the self does not conflict with 'co-existence'. Rather, it could be the base of 'co-existence'. It is in the moment of hardship, which could be experienced by 'absence of the God', that people realize the absolute faith. The real faith could be obtained when the distance between the God and the self is embraced as the nature of the mutual attractive relationship (love).

혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

중증 재생불량성 빈혈 환자에서 신우신염에 대한 광범위항생제치료 중에 속발한 Saccharomyces cerevisiae 진균감염 1예

김철희,이정호,이정찬,강정현,곽상혁,배광봉,김현수,김종숙,조덕연,김삼용 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.1

Most patients with aplastic anemia who do not respond to immunosuppressive treatment or are not candidates for bone marrow transplantation die of infection or bleeding. The neutropenia in acute leukemia, aplastic anemia, or occurring subsequently to chemotherapy and bone marrow transplantation increases susceptibility to infection. In general, the number of infectious episodes correlate with the degree and duration of neutropenia. Global immunosuppression produced by conditioning for bone marrow transplantation or graft-versus-host disease, is associated with unusual bacterial and fungal pathogens, or serious viral and protozoan infections. In addition, repeated treatment with broad-spectrum antibiotics is associated with the emergence of resistant organisms and fungal diseases because of the altered microbial microenvironment of the host. The incidence of invasive fungal infection caused by Saccharomycetes eerevisiae in immunosuppressed patients is very rare, compared with that of infection by candida or aspcrgillus species. Cases of Saccharomycetes cerevisiae fungemia occurring in the course of treatment with broad-spectrum antibiotics are reported in patients with extensive burn or with prosthetic valve endocarditis. We experienced a case of urinary tract infection by Saccharomycetes cerevisiae in a 27-year old female patient with severe aplastic anemia. We report the case with a review of relevant literatures.

卵寄生蜂을 利用한 벼혹명나방의 生物的 防除에 關한 硏究

金正洙,金佑龍,金正富 진주산업대학교 1994 論文集 Vol.33 No.-

The biology and possibility of the practical use of an egg parasite of rice leaf roller(Cnaphalocrocis medinalis), Trichogramma japonicum were investigated at Chinju area in 1994. The T. japonicum was a dominant parasitoid of rice leaf roller with 2∼21.5% parasitism in Chinju, Sancheong and Hadong area surveyed. The life spans of T. japonicum were 4.8 and 2.8 days in female and male, respectively. Oviposition was taken 3.3days and development was taken 12.3days. An average number of eggs oviposited was 56.7 per female. Egg laying of rice leaf roller showed three peaks, that is early-June, late-July∼early-August and mid-September in field. T. japonicum was mass produced on paper card deposited with Cadra cautella Walker eggs, an alternative host and about 7,000 parasitoids were emerged. The egg parasitisms of rice leaf roller were 80.7%, 76.7% and 24.3% when the egg-cards were placed in the field by 2m, 4m and 8m distances, respectively.

In VitroCharacteristics of Heparin/Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand Nanocomplexes

Kim*, Yu-Jeong,Young Chae*, Su,Jin, Cheng-Hao,Hyung Park, Jae,Choon Lee, Kang Informa UK (TaylorFrancis) 2009 MOLECULAR CRYSTALS AND LIQUID CRYSTALS - Vol.508 No.1

장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

유황훈증처리법 개발에 의한 장미흰가루병 생력적 방제 연구

김정수,김우룡,김정부 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

Studies were conducted to investigate the labour-saving control method of rose powdery mildew(Sphaerotheca pannosa) with sulphur fumigation in korea. The results are abstracted as follows. Sulphur produces SO_2 while burning and causes plant injury. However, if the sulphur is vapourized by solution status without burning, sulphur forms thin films on the surface of leaves or stems of roses. Thus, mycelia and oidia of rose powdery mildew can be controlled by this mechanism. Apparatus is tin cylinder container with 40 cm in diameter by 17 cm in height. The electric wires are installed at 2 cm high from container bottom. Temperature regulator (Keeping temperature 130-60℃) and timer are also installed. Place 2 kg of sulphur powder in container and heat to vapourize sulphur. Sulphur powder should be always over 1/3 to prevent burning. The bioassay apparatus was operated in the closed greenhouse at night for 4-5 hours for 5 days. One fumigation apparatus was enough for 990㎡. The 100% of rose powdery mildew was controlled. Superficial plant injury was not observed on roses at the rate of standard and double amount. One Fumigation apparatus was installed in the 990㎡. The 100% of rose powdery mildew was controlled. Superficial plant injury was not observed on roses at the rate of standard and double amount. One fumigation apparatus was installed in the 990㎡ of greenhouse were roses were cultivating. Observations were made from February to October. Sulphur fumigation method resulted in 99-100% of pest control by four times compared with 50-70% in farmers' routine method by eight times. The saving effect of control expenses were saved by 80% and no plant injuries were observed.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

부산의 한 대학병원에서 분리된 Acinetobacter baumannii의 PER-1 Extended-Spectrum β-Lactamase 생성 현황

김정만,강현경,정석훈,배일권,권수봉,조병규,김둘만,김현주,김아성 대한임상미샐물학회 2004 Annals of clinical microbiology Vol.7 No.1