감시체계를 통하여 보고된 직업성 피부질환의 특성에 관한 연구 - 사업장, 특수건강진단기관, 피부과의사의 보고사례를 중심으로 기술 -

김형옥,이준영,정호근,안연순,Kim, Hyoung-Ok,Lee, Jun-Young,Jung, Ho-Keun,Ahn, Yeon-Soon 대한예방의학회 1999 예방의학회지 Vol.32 No.2

Objectives: This study was carried out to estimate the magnitude of skin disease related to occupation and to find out the characteristics of it. Methods: We collected and analyzed the cases of occupational skin disease reported by surveillance system composed of doctors and nurses in 150 enterprises with dispensary or attacked hospital and physicians in 92 specific health examination institutes and 150 dermatologists from May to November, 1998. Results: Among members of surveillance system, 66 enterprises and 47 specific health examination institutes and 55 dermatologists reported 571 cases of occupational skin disease in 512 workers. Excepting 81 cases reported by dermatologists, We analyzed 490 cases reported by enterprises and specific health examination institutes. Among 490 cases, contact dermatitis was most common(368 cases, 75.1%) and the second was hyper or hypopigmentation(36 cases, 7.3%). When we analyzed the characteristics of workers with occupational contact dermatitis, male workers were 281 (79.2%) and female were 74(20.8%). 165 workers(64.5%) had chronic skin disease with repeated cure and relapse. 245 workers(72.5%) answered positively that their coworkers had similar skin disease. 27 workers(8.7%) experienced absence due to contact dermatitis related to occupation. To analyze the type of industries of workers with occupational contact dermatitis, automobile and trailer manufacturing industry was most common(105 cases, 29.6%) and the second was manufacturing industry for image, sound and communication equipment(55 cases, 15.5%). Organic solvent(183 cases, 46.7%) was the most common treating material of workers with contact dermatitis and the second was various kinds of chemicals(59cases, 15.1%). Conclusions: This is the first study using nationwide surveillance system to collect data of occupational skin disease. We found that many workers had skin disease related to occupation and characteristics of occupational skin disease were chronic and clustering. Therefore, we had to establish counterplan to manage occupational skin disease and to operate surveillance system to identify trends of occupational skin disease, continuously.

후두재발암에 있어서 식도위문합술을 이용한 식도재건술의 치험 1례

홍원표(Won Pyo Hong),김형옥(Hyoung Ok Kim),김경수(Kyung Soo Kim),김충배(Chung Bae Kim),탁관철(Kwan Chui Tack) 대한두경부종양학회 1988 대한두경부 종양학회지 Vol.4 No.1

A transhiatal esophagectomy without thoracotomy and esophageal reconstruction with gastric transponsition was performed in a recurrent laryngeal carcinoma spread to cervical esophagus. There were several benefits to performing this method : 1) It could be performed in one stage, took shorter operating time, and provided safe and efficient palliation in the patient with esophageal carcinoma. 2) The possible maximum surgical margin was obtained and the incidence of suture line tumor recurrence was minimized. 3) Postoperative death from anastomotic disruption and secondary mediastinitis and sepsis were virtually eliminated. 4) Clinically significant gastroesophageal reflux rarely occured.

최근 5년간(1999년-2003년) 산업재해로 요양승인된 직업성 피부질환의 특성

안연순 ( Yeon Soon Ahn ),김덕한 ( Duk Han Kim ),이준영 ( Jun Young Lee ),김형옥 ( Hyoung Ok Kim ) 대한피부과학회 2005 대한피부과학회지 Vol.43 No.3

유아의 놀이성 및 창의성 향상을 위한 그림책 활용 전통놀이기반 사회교육프로그램의 적용

김형옥,정가윤 이화여자대학교 교과교육연구소 2020 교과교육학연구 Vol.24 No.2

본 연구는 유아의 놀이성 및 창의성 향상을 위해 그림책을 활용한 전통놀이 기반 사회교육 프로그램을 시행하여 놀이의 맥락을 제공하는 그림책의 유무에 따라 유아의 놀이성, 창의성에 미치는 효과와 집단 간 차이를 살펴보고자 한다. 이를 위하여 서울시에 위치한 M어린이집과 J어린이집 만5세 유아 각14명을 실험집단, 비교집단으로 선정하였다. 실험집단은 그림책을 활용한 전통놀이 기반 사회교육프로그램을 비교집단은 누리과정에 기반한 일반전통놀이를 실시하였다. 수집된 자료는 SPSS.21을 이용해 맨휘트니(Mann-Whitney)검증과 윌콕슨 검증을 실시하여 분석하였다. 본 연구의 결과는 첫째 사전사후 검사 결과를 비교해 본 결과, 실험집단은 프로그램 실시 전보다 놀이성, 창의성에서 긍정적 향상이 있었고 비교집단은 놀이성에서 긍정적 향상을 보였지만 창의성에서는 프로그램 실시 전과 차이를 보이지 않았다. 둘째, 실헙집단과 비교집단 간을 비교하였을 때, 실험집단은 비교집단 보다 전통놀이에 대한 흥미, 놀이성, 창의성에서는 유의한 차이를 보였다. The purpose of this study is to examine the effects on the playability and creativity of children and the differences between the test group and comparison group with and without the picture books to provide play context by implementing traditional play-based social education programs, using picture books to improve children’s playability and creativity. This study conducted an experiment with 28 five-year old children, selected from M and J child care centers in Seoul, to investigate whether the picture book-based traditional play has a significant effect on children’s playability and creativity. Among the 28 young children, 14 children were the experimental group experiencing traditional play program based on picture-books, and the other 14 children were the comparison group experiencing normal traditional play for eight classes. The collected data was analyzed using SPSS.21 by conducting a Mann-Whitney U test and Wilcoxon signed-rank test. The results of this study were as follows. First, comparison of the results of pre and post-test indicated the experimental group showed positive improvement in traditional play playfulness, creativity, compared to pre-program period. The comparative group showed a positive improvement in playfulness of traditional play, but did not show any difference in creativity. Second, when comparing the experimental group and the comparison group, the experimental group showed a significant difference in the playfulness and creativity than the comparison group.

한국의 발톱진균증 환자의 삶의 질에 관한 연구

조백기,박종갑,김형옥,김성욱,백승철,김진우,김시용,안규중,전재복,오지원,김낙인,이규석,오칠환,김수남,김상태,손숙자,신용우,김동석,이원우,권경술,서대헌,황규왕,이종석,고재경,강원형,정기양,최응호,김기홍,박석돈,강승주,함정희,명기범,김방순,구상완,김병수,원영호,김한욱,송은섭,정병수,노병인,홍창권,박장규,한지윤,김광중,구대원,김종민,김재홍,유희준,양경미 대한의진균학회 1998 대한의진균학회지 Vol.3 No.2

Background: Onychomycosis, especially toenail onychomycosis has become one of the common fungal infection and has historically been regarded as a cosmetic rather than medical problem by many patients, even by physicians. Recently, however, there are several reports that is a refractory disease which may cause a deleterious effect on patiets quality of life (QOL). Objective: The purpose of this study was to investigate the impact of toenail onychomycosis on QOL in Korea and to assess the chandes of QOL after treatment. Methods: Total 1004 patients with toenail onychomycosis which was confirmed by clinical findings and KOH preparation were were enrolled at 47 dermatologic centers in Korea, and interviewed with standardized QOL questionnaire before and after sytemic antifungal treatment. Responses to the questionnaire were scored by 5-point scale (1∼4) and averaged, and were analyzed for 5 dimensions of emotional impact, social impact, symptorn and functional impact, patients views concerning treatment, and relationship with doctor. Results: 1. Before and after treatment, the most serious impact was emotional dimension showing 1.90 and 1.30 in average score (AS), and social (AS: 1.14 and 0.83) and symptom and functional impact (AS: 1.05 and 0.92) was also affected. 2. In female rather than male, statistically more significant impact on patients QOL was observed in all dimensions. 3. After treatment, 3 of 5 dimensions were improved significantly - emotional dimension (AS : from 1.90 to 1.30), social dimension (AS: from 1.14 to 0.83), patients view concerning treatment (AS: from 1.34 to 1.02). 4. The drgree of patients satisfaction at the therapeutic effect was very high- 62.4% (immediately after treatment) and 65.8% (9 months affer initiation of treatment) of patients answered excellent or good. Conclusion: This study confirms that toenail onychomycosis has significant impact on the overall QOL of patients. Also the effect of antifungal therapy on patients QOL were watisfactory. Therefore, both doctor and patient should pay more attention to the treatment of onychomycosis. [Kor J Med Mycol 3(1): 115∼124]

알레르기성 비염에 대한 Astemizole-combi.의 치료효과

박인용,장태열,김형옥 한국의학사 1988 診斷과治療 Vol.8 No.4

근위조갑추벽에 발생한 심재성 수장족저 사마귀 1 예

박현정,유정민,김형옥 대한피부과학회 2001 大韓皮膚科學會誌 Vol.39 No.2

Deep palmoplantar warts (myrmecia) represent lesions of the DNA virus of the papova group, human papillomavirus, serotype 1(HPV-1). They are occur not only on the palms and soles, but also on the lateral aspects and tips of the fingers and toes. Herein we report a case of deep palmoplantar wart on proximal nail fold of right index finger in a 6 year old male.