일반신검에 있어서 요당 및 요단백 측정의 의의

윤배중,Yun, Bae-Jung 대한산업보건협회 1987 산업보건소식 Vol.47 No.-

직업성 CS₂중독의 집단검진을 위한 기준 설정에 관한 연구

尹培重,宋東彬,車喆煥 고려대학교 의과대학 1989 고려대 의대 잡지 Vol.26 No.1

Although peripheral polyneuropathy and retinal hemorrhage or microaneurism are early findings of carbon disulfide poisoning, the electroneuromyography for detecting neuropathy is very delicate and time consuming while the retinal microangiopathy is not frequent. And it is very hard to find the carbon disulfide poisoning at early stage by using current laboratory examinations such as liver function, renal function, serum cholesterol, blood pressure and electrocardiogram, which showed low positive predictive values for the peripheral neuropathy. Therefore those tests seer to be of little use for the early diagnosis of carbon disulfied poisoning. This study was conducted to find out the screening method of occupational carbon disulfide poisoning. For the purpose, a total of 108 spinners were selected randomly as subjects of the study from a viscose rayon industry in which more than 200 spinners were working The concentration of carbon disulfide in air of work-place, age and career of workers, hematologic exmination, blood chemistries, funduscopic examination, electrocardiography and neurologic examination including electroneuromyography were performed to evaluate the carbon disulfide poisoning. The result suggests that funduscopy for retinal microangiopathy audiometry and for hearing loss that show relatively high positive predictive values to carbon disulfide posoning be used to detect abnormal cases. In addition, it is desirable that workers who worked more than 10years would be examined by electroneuromyography for finding peripheral polyneuropathy and carbon disulfide poisoning.

자동차공장(自動車工場) 근로자중(勤勞者中) 납땜공의 혈중(血中) 카드미움과 연함량(鉛含量)에 관(關)한 조사연구(調査硏究)

윤배중,Yun, Bae-Joung 대한예방의학회 1981 Journal of Preventive Medicine and Public Health Vol.14 No.1

납땜공 22명(名)과 대조군으로서 의과대학생 28(명)名을 대상(對象)으로 혈액(血液)을 $5{\sim}10ml$ 채취하여 Cd, Pb 함량(含量)을 측정(測定)한 후 대조군에 대한 납땜공의 혈중(血中) 함량(含量)의 통계치(統計値)를 비교한 결과는 다음과 같다. 1. 혈중 Cd과 Pb의 분포양상은 대조군과 납땜공 모두 비정규분포를 보이고 있으며, 대조군보다 납땜공에서 좌비대칭(左非對稱)으로 심하게 치우치면서 예리한 봉(峰)을 보이고 있다. 2. 혈중 Cd과 Pb함량의 개체간 변이는 대조군과 납땜공 모두 심하였으며, 특히 Pb의 경우 대조군보다 남땜공에 서 심하였다. 3. 대조군에 대한 납땜공의 혈중 Cd과 Pb 함량의 평균치는 Cd과 Pb의 경우 각각 통계적으로 유의했다(Cd; p<0.01, Pb; p<0.01). 4. 혈중 Cd 함량의 상대비는 산술평균으로 1.36배(倍), 기하평균으로 1.39배(倍)였다. 헐중 Pb 함량의 상대비는 산술평균으로 1.53배(倍), 기하평균으로 1.30배(倍)였다. 5. 혈중 Cd과 Pb 함량사이의 상관관계는 대조군과 납땜공에서 각각(各各) 통계적으로 유의했다(controls; p<0.1, solderers; p<0.1). Economic development of Korea brought rapid progress and expansion of her industries. Accordingly, number of workers who have been exposed to hazardous metals are increasing. For better understanding the significance of on the job human metal pollution, a total of 22 solderers among autoworkers and 28 controls among medical students was purposively selected as samples of the study. From their blood, concentrations of cadmium and lead were measured with atomic absorption spectrophotometer, and to compare with statistical indices of controls those of solderers were sumarized as follows. 1. Each frequency distribution of cadmium and lead concentration in blood of solderers was more positively skewed showing non-Gausian distribution. 2. Interindividual variation of lead concentration in blood of solderers was markedly revealed. 3. Each mean of cadmium and lead concentration in blood of solderers was higher than that of controls(Cd;p<0.01, Pb;p<0.01). 4. Relative ratio of cadmium concentration in blood of solderers to that of controls was 1.36 by arithmatic mean and 1.39 by geometric mean. Relative ratio of lead concentration in blood of solderers to that of controls was 1.53 by arithmatic mean and 1.30 by geometric mean. 5. It was shown that concentration of lead is slightly correlated with that of cadmium both in solderers and controls(solderers; p<0.1, controls;p<0.1).

경기도 지역 정신보건 사업 발전방향

윤배중 용인정신의학연구소 1997 용인정신의학보 Vol.4 No.2

경기도 결핵관리 전산화 사업

윤배중 대한결핵협회 1993 보건세계 Vol.40 No.12

만성정신병환자의 재활치료를 위한 주간보호 모델

이규항,김한오,이후경,윤성철,성상경,함웅,윤배중 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

목 적 : 본 연구는 전문병원 위탁형 정신보건센터에서 실시한 주간보호의 전체적인 체계, 운영, 프로그램에 관한 모델을 소개하고, 이 모델을 주간보호에서 시행한 후 그 결과와 시행과정에서 나타난 특징을 분석하여, 우리 실정에 맞는 주간보호 모델을 발전시켜 만성정신병환자의 생활유지와 재활을 촉진시키기 위한 목적으로 실시되었다. 방 법 : 본 주간보호 모델(이하 본 모델이라 함)을 1997년 3월부터 1998년 2월까지 의왕시 정신보건센터에서 총 23명의 환자를 대상으로 실시하였다. PANSS, Quality of Life, 삶의 만족 척도를 주간보호 전과 주간보호 실시 3개월 이후에 조사하였다. 프로그램 유익성 척도, 13가지 치료요인 척도를 주간보호 1개월째와 주간보호 실시 3개월 이후에 조사하였다. 결 과 : 1) 본 모델은 만성정신병환자의 증상을 감소시키고 삶의 질을 향상시켜, 환자의 생활유지 및 재활에 도움을 주었다. 2) 본 모델은 다양한 형태의 집단치료들을 사용하여 만성정신병환자에게 유익을 주었으며, 특히 예술치료와 활동치료가 환자의 신체적, 심리적, 사회적 기능회복을 위해 중요한 역할을 하였다. 3) 본 모델에 작용하는 치료요인의 특징을 보면 주간보호 초기와 후기에 모두 중시된 치료요인은 치료자와의 동일시, 치료자의 조언, 일차가족집단의 교정적 감정경험이었다. 주간보호 초기에 중시된 치료요인은 집단응집력, 이타심이었으며, 주간보호 후기에는 희망의 고취가 중시되었다. 4) 본 모델은 여러 분야의 치료자들과 다양한 치료방법들을 전체적으로 통합하여 사용하는데 유용하였다. 결 론 : 본 모델은 만성정신병환자의 생활유지와 재활을 위해 우리 나라에서 효과적이면서 효율적으로 적용될 수 있을 것으로 생각된다. Objectives : The purpose of this study was to present general system, operation, and program of a day care model managed by a psychiatrist, to evaluate the results of performing this model, and thus to develop a day care model applied to Korean situation appropriately for promoting maintenance and rehabilitation of chronic psychotic patients. Methods : We performed this day care model(hereinafter called as this model) from March 1997 to February 1998. The subjects were composed of 23 psychotic patients. PANSS, Quality of Life Scale, Life Satisfaction Self-Rating Scale were used before beginning this model and after three months of performing this model. Program Helpfulness Scale, 13 Therapeutic Factors Scale were used at one months of day care and after three months of day care. Results : 1) This model helped maintenance and rehabilitation of chronic psychotic patients through reducing their symptoms and increasing quality of life. 2) This model used the various group therapy, especially creative art therapy and activity therapy, played an important role for recovering physical, psychological, and social functions. 3) Important therapeutic factors at early and late period of this model were identification with therapists, guidance of therapists, and the corrective recapitulation of the primary family group. Important therapeutic factors at early period were group cohesiveness and altruism, and at late period instillation of hope. 4) This model was useful for integrating the multidisciplinary therapeutic team and the various therapeutic methods. Conclusion : This model would be applied to day care in this country effectively and efficiently for maintenance and rehabilitation of chronic psychotic patients.

경기도 지역 정신보건 사업의 추진배경과 정책결정과정

이충순,윤배중,이주훈,이종국,고영,이영문,최향순,김혜숙 용인정신의학연구소 1997 용인정신의학보 Vol.4 No.2

농작물중(農作物中) 중금속오염도(重金屬汚染度)와 1일섭취량(日攝取量) 및 허용기준설정(許容基準設定)에 관(關)한 연구(硏究)

염용태,배은상,윤배중,Yum, Yong-Tae,Bae, Eun-Sang,Yun, Bae-Joung 대한예방의학회 1980 Journal of Preventive Medicine and Public Health Vol.13 No.1

Certain heavy metals which may lead peoples to poisonous status are widely used in industry and their uses have been increasing along with rapid industrialization of this country. Such an increasement of metal uses aggravates the status of environmental pollution affecting foodstuffs which are the most important life supporting factor of animal and humanbeing. Concerning the safety measures to minimize food-borne transmission of such hazardous metals, surveillance is the backbone of them and probably more so with a potential problem such as intoxication. Theoretically, this surveillance should include the determination of levels of heavy metal toxicants in foods, the determination of food consumption patterns and typical total diet, and the estimation of total load of the metal contaminant from all sources of exposure including air, water, and occupational sources. In recent year, actually, such estimates on the total daily intake of some heavy metals from foods have been made in several developed countries and a wide variation of date by season, locality, and research method was recognized. Also in this country, this kind of research data is vitally needed to make up for the serious shortage or lack of references to estimate the total amount of heavy metal intake of the people. In this study, a modification model for estimation of the total daily intake of cadmium copper, nickel, zinc, and lead through foods was applied and concentrations of the above metals in crops cultivated in this country were measured with atomic absorption spectro photometer to get the following results. 1. Level of heavy metal concentration in crops Generally, the levels of such metals in essential crops such as rice, cucumber, radish. chinese cabbage, apple, pear, grape, and orange are similar or lower than those in Japan and other developed countries. By the way, a striking result on cadmium concentration was increasement of its concentration in rice from $0{\sim}0.035ppm$ in 1970 to 0.11ppm in this study. However, the value is still far below the. Japanese Permissible Lebel of 1.0ppm. 2. Estimation of total daily intake per capita from foods A new model for estimation was devised utilizing levels of metal concentration in foods, amount of food consumed, and other food factors. Based on the above method, the daily intake of cadmium was estimated to be $70.53{\mu}g/man/day$ in average which was as high as the Limit Value of ILO/WHO(up to $71.4{\mu}g/man/day$). Also, 3.89mg of Zinc, 1.65mg of cuppor, 0.32mg of lead were given as the total daily intake per capita by this research. 3. Efficacy of washing or skinning to decrease the amount of metals in crops After washing the crops sufficiently with commercial linear alkylate sulfonate, the concentration of heavy metals could be reduced to $50{\sim}80%$ showing decreasement rate of $20{\sim}50%$. Also, after skinning the fruits, decreasement rate of the heavy metal concentration shelved $0{\sim}50%$.

정신질환자 가족의 부담에 관한 연구

왕영애,이충순,윤배중 용인정신의학연구소 1998 용인정신의학보 Vol.5 No.1

선천성 심장기형의 발병요인에 관한 환자-대조군 연구

소순호,천병철,김순덕,윤배중,염용태 한국역학회 1999 Epidemiology and Health Vol.21 No.2