규조토 가공업체에서 발생한 규조토폐증의 진행에 관한 추적조사

임현술(Hyun Sul Lim),김지용(Ji Yong Kim),이원재(Won Jae Lee),윤임중(Im Goung Yun) 대한직업환경의학회 1993 대한직업환경의학회지 Vol.5 No.2

2008년 지역사회건강조사 질관리정도 평가

김종희 ( Jong Hee Kim ),박해용 ( Hye Yong Park ),김윤아 ( Yun A Ki ),강양화 ( Yang Hwa Gang ),김정숙 ( Jung Suk Kim ),임도상 ( Do Sang Im ),탁양주 ( Yang Ju Tak ),임현술 ( Hyun Sul Im ),김호 ( Ho Kim ) 한국보건정보통계학회 2010 보건정보통계학회지 Vol.35 No.2

Objective: 2008 Community health survey is an survey to produce health statistics of 253 communities. This study aims to develope quality management`s system and assess the quality of [2008 Community Health Survey]. Method: We reviewed literatures related to health interview survey in and out countries and visited the survey site to get information. We set up 3-step system for managing quality of [2008 Community health survey], which consists of community health center, college and KCDC. We also developed a survey manuals, a quality management system and a quality index. Using quality-evaluation index, we assessed quality of [2008 Community Health Survey]. Result: Out of 231,355 participants which were 101,307 male, 118,941 female, 220,248(95.2%) completed the questionnaire. Spot-replacement, Household-replacement was 0.6%, 7.2%, respectively. Kappa index of answer-concordance was 0.68 which means a good concordance. According to results of survey site evaluation, quality poor items were Questioning order(Insufficiency 45.6%), Question completion(Insufficiency 36.8%), Explanation of survey goal(Insufficiency 31.6%), Probing(Insufficiency 28.1%) orderly. Conclusion: The quality of [2008 Community Health Survey] was fine, but more efforts to improve health-survey quality need in the future.

유리섬유에 폭로된 근로자의 건장장해에 관한 역학 조사

임현술,정해관,김지용,김정란,윤임중 대한보건협회 1997 대한보건연구 Vol.23 No.2

본 연구의 목적은 유리섬유를 취급하는 근로자에서 발생 가능한 건강장해의 종류와 유리섬유를 취급하는 근로자의 피부질환의 특성을 파악하고 피부질환의 진단 방법을 개발하는데 있다. 따라서 유리섬유를 직접 취급하는 남성 근로자 40명을 폭로군으로, 유리섬유를 취급하지 않고 폭로군과 같은 사업장에 근무하는 남성 생산직근로자 57명을 비교군으로 선정하여 설문 조사와 단순흉부촬영을 시행하고 피부 병변에서 유리섬유를 관찰하여 다음과 같은 결과를 얻었다. 1. 폭로군에서 통계적으로 유의하게 많이 호소한 자각증상 내용은 '기침이 난다(32.5%)'가 가장 호소율이 높았고, '코가 간지럽다(30.0%)', '눈이 따갑다(27.5%)', '코가 따갑다'(5.0%)', '가래가 많다(225%)'의 순이었다. 2 흉부방사선 촬영의 모든 소견이 폭로군과 비교군에서 통계적으로 유의하지 않았다. 3 유리섬유를 취급하는 근로자의 피부질환의 유병률은 25.0%, 누적 유병률은 75.0%였다. 4. 유리섬유를 취급하는 근로자중에서 피부질환이 발생한 시점은 유리섬유를 취급한지 1개월 미만이 46.7%로 가장 많았고, 피부질환의 발생 부위는 손과 팔이 가장 많았고, 피부 발진은 또 56.7%가 관찰할 수 있다고 응답하였으며, 병의원을 이용하여 피부 가려움증을 치료한 근로자는 6.7%에 불과하였다. 5. 피부 채취 표본을 스카치 테이프와 수산화칼륨을 이용하여 광학 현미경, 면광 현미경 및 위상차 현미경을 이용하여 유리섬유의 존재를 증명함으로써 유리섬유에 의한 피부 가려움증을 진단할 수 있었다. Man-made vitreous fibers(MMVFs) have been used for insulation over 60 years. MMVFs are amorphous silicates with a length-to-diameter ratio greater than 3:1. Fibrous minerals can induce irritation on skin and upper respiratory tract. This study was conducted to evaluate the health risks of glass fiber workers. We examined 40 male glass fiber workers (exposure group) and 57 male workers who do not use glass fiber(comparison group) with questionnaires, physical examination, chest x-ray and pathologic examination. The results were as follows: 1. Most of the clinical symptoms were significantly more frequent among the exposure group than the comparison group. Cough(32.5%), itching of nose(30.0%), irritation of eyes(27.5%), irritation of nose(25.0%), sputum(22.5%) were the major symptoms among exposure group. 2. No case of pneumoconiosis was observed among the exposure group and there was no difference in chest abnormalities between the exposure group with the comparison group. 3. Prevalence of dermatosis among the exposure group was 25.0%(10 cases) and cumulative prevalence was 75.0%(30 cases). 4. Onset of dermatosis among the exposure group was most frequent within one month after dealing (46.7%). The most frequent site of skin lesion was hands(53.3%) and arms(50.0%). Skin eruptions was observed in 17 cases(56.7%) and only two cases(6.7%) were treated at clinic. 5. Glass fiber induced skin lesions could be diagnosed by scotch tape method or KOH mount and examining the specimen under the light, polarizing and phase-contrast microcopies.

성게 가시에 의해 유발된 수지의 육아종성 염증 2예

김정란,김동훈,장태정,이종임,임현술,이현경,배성한 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.1

규조토 가공업소에서 발생한 규조토폐증에 대한 조사

임현술,이원재,윤임종 大韓産業醫學會 1992 대한직업환경의학회지 Vol.4 No.1

Diatomaceous earth, or diatomite, quarried from the remains of aquatic plants deposited millions of years ago, continues to be a very important raw material with many industrial uses. In its natural state, diatomaceous earth is an amorphous silica with no crystalline pattern. For many uses, however, it is calcined and calcination converts a portion of the amorphous silica to a crystalline form, cristobalite which is far more fibrogenic. In the factory which calcination was done with diatomeceous earth seven workers were proved as pneumoconiosis on June 15th 1990. Afterthen thirty five male subjects from the entire factory were examined by questionnaire, physical examination, spirometry and chest radiography, etc. on January 22th 1991. The radiographs were doubly read by two chest disease specialist and their findings were classified by International Classification of Radiographys of Pneumoconiosis (ILO, 1980). The results were as follows ; 1. Seven workers (20.0%) were diagnosed as pneumoconiosis among male employee. There was an increasing tendency in prevalence of pneumoconiosis as the age is older and the duration of dust exas the age is older and the duration of dust exposure is longer. 2. Their major complaint was extional dyspnea or dyspnea and significant difference was observed than now cases among exposed and nonexposed group. 3. The results of spirometric test showed the forced expiratory volume at 1 second (FEV1.0) was decreased significantly in the cases than nonexposed.

1992학년도 동국대학교 경주캠퍼스 신입생의 건강행태에 관한 조사

임문환,임현술 동국대학교 경주대학 1992 東國論集 Vol.11 No.-

This study was carried out to evaluate the health behavior among freshmen, Kyongju Campus, Dongguk University on 1992. the study subjects were 376 male and 99 female freshmen. Questionnaire survey was performed. The results obtained were as follows : 1. 54.5% of the male and 1.0% of the female freshmen were smoking cigarettes. the rate of smoking among male freshmen who graduated the high school in the big, the middle, and the small sized cities is higher than the rate of smoking among those who graduated the high school in Gun areas(P<0.01). The longer the year after graduation of high school is, the higher the rate of smoking is(P<0.05). 2. 88.6% of the male and 43.4% of the female freshmen were drinking liquor. The rate of drinking among male freshmen who graduated the high school in the big, the middle, and the small sized cities is higher than the rate of drinking among those who graduated the high school in Gun areas(P<0.01). 3. 31.6% of the male and 11.1% of the female freshmen were doing regular exercise. The rate of doing exercise among male freshmen who graduated the high school in the big, the middle, and the small sized cities is higher than the rate of doing exercise among those who graduated the high school in Gun areas(P<0.05). 4. 8.0% of the male and 1.0% of the female freshmen had experience of sexual intercourse. The rate of sexual intercourse experience among male freshmen who graduated the high school in the big, the middle, and the small sized cities is higher than the rate of sexual intercourse experience among those who graduated the high school in Gun areas(P<0.05). Thus it is postulated that health education about health behavior should be necessary for freshmen.

골반경을 이용한 자궁외 임신의 치료

정해관,이민석,이현경,임문환,김용탁,이성우,임현술,황선보,오연희,배철성,심재철,김승현,도은형,윤혜원 東國大學校醫學硏究所 1995 東國醫學 Vol.3 No.-

동국대학교 의료원 산부인과에서는 1991년 10월 1일부터 1994년 12월 31일까지 약 39개월동안 자궁외 임신으로 진단된 79명의 환자에게 골반경 수술을 시행하였다. 골반경수술은 수술후 입원기간의 단축, 개복으로 인한 불필요한 출혈의 방지 및 수술시간의 단축, 수술후 유착감소 및 반복수술의 용이성, 미용상의 효과가 좋았다. 특히 비파열성 자궁외 임신에서 골반경을 이용한 난관개구술과 MTX 국소투여법 같은 보존적 치료는 매우 효과적이었다. 그리고 난관파열이 되어 어느정도 복강내출혈이 있는 파열성 자궁외 임신에서도 골반경수술의 장점을 살리면서 시술을 할 수 있을 것으로 생각된다. Prevalence of extrauterine pregnancy has increased. With the availability of the rapid quantitative B human chorionic gonadotropin titers and more accurate sonograms, the diagnosis of probable extrauterine pregnancy is being made earlier and often before tubal rupture. Salpingectomy at the time of laparotomy has been the standard treatment for tubal pregnancy, even when the tube was not ruptured. Recently conservative surgery via salpingotomy/salpingostomy or fimbrial expression has been advocated. The pelviscopy is an essential tool in making the diagnosis and, given certain criteria, can be useful for management as well. Pelviscopic management of extrauterine pregnancy has been described extensively in last several years. These methods have been associated with low morbidity, early recovery, and short hospital stay. Although the role of medical therapy for extrauterine pregnancy is still uncertain, medical therapy of early, unruptured extrauterine pregnancy can be safe and cost effective and even result in improved fertility, compared with the standard surgical therapy. Conservative treatment of unruptured type tubal pregnancy, which have been diagnosed early, salpingotomy and salpingostomy and MTX local injection are highly effective. We have experienced 80 cases of pelviscopic surgery in 79 patients with extrauterine pregnancy. Among the procedures, salpingectomy was peformed most frequently(78.5%). Salpingotomy was also performed(12.5%), salpingectomy was performed(1.3%), pelviscopy guided MTX local injection was performed(1.3%), and fimbrial expression was performed(1.3%). Of 79 patients, complication occurred in 7 patients. In one patient with liner salpingotomy, additional pelviscopic salpingectomy was needed for bleeding control from previous salpingotomy sites. Hospital stay was averaged 3.8 days. Pelviscopic treatment of extrauterine pregnancy was simple and effective with fast recovery even in patients with pelvic adhesions due to prior operations, ruptured extrauterine pregnancies with moderate intraperitoneal free blood.