Isocyanates 폭로 근로자들의 기관지 과민성

최경숙,김규상,최병순,최정근,이세휘,문영한,Choi, Kyeong-Sook,Kim, Kyoo-Sang,Choi, Byung-Soon,Choi, Jung-Keun,Lee, Se-Hui,Moon, Young-Hahn 대한예방의학회 1996 Journal of Preventive Medicine and Public Health Vol.29 No.1

We studied the association of nonspecific bronchial hyperresponsiveness with general characteristics, exposure concentration, respiratory symptoms, chest x-ray findings, past histories and pulmonary function. We determined bronchial hyperresponsiveness by methacholine challenge test. And we conducted a respiratory symptom questionnaire and performed spirometry on 111 workers occupationally exposed to isocyanates in various industries. About 21.6% of subjects had bronchial hyperresponsiveness. No significant differences were observed between the hyperresponsive and non-responsive group with respect to age, sex, employment period, height, and smoking histories. Cough and breathlessness were significantly associated with the bronchial hyperresponsiveness. The hyperresponsive group had more experience of bronchitis and asthma in the past than the non-responsive group. The lower $FEV_1\;and\;FEV_1%$ were closely related with bronchial hyperresponsiveness. Bronchial hyperresponsiveness seems to be associated with some of respiratory symptoms, past histories and pulmonary function parameters in workers exposed to isocyanates.

여행사 이용객이 지각하는 소셜관광정보플랫폼이 e-충성도 및 지속적사용의도에 미치는 영향

최경숙(Choi, Kyeong-Sook),안완준,장병주(Jang, Byeong-Ju) 한국관광레저학회 2019 한국관광레저학회 학술발표대회 Vol.2019 No.12

Based on the results of the study on how social tourism information platform affects customers’ e-loyalty and continued use, this study aims to provide practical as well as academic implications so that various customer-tailored strategies can be implemented in the future operation of social tourism information platform in the travel industry. An empirical analysis was conducted through a survey to identify the causal relationship between the social tourism information platform, e-faithfulness and continued use of the travel agency’s social tourism information platform, and the following results were derived. First, the hypothesis that interaction and information reliability, a sub-factor of a travel agency’s social tourism information platform, would have a significant positive influence on e-faith was supported, but the hypothesis that usefulness would have a significant positive effect on e-faith was not supported. Second, the assumption that complementarity, reliability and usefulness, all of the subcomponents of the social tourism information platform, will have a significant positive impact on the continued use, was not supported. Third, the hypothesis was adopted that e-fidelity would have a significant positive influence on the continued use.

자기존중감과 긍정심리학

최경숙(Kyeong-Sook Choi) 대한스트레스학회 2007 스트레스硏究 Vol.15 No.3

중동호흡기증후군(MERS) 발생관련 전국 약학대학의 실무실습교육 대응현황

최경희,최경숙,이영숙,김재연,정경혜,오정미,최경업,나현오,김은경,Choi, Kyung Hee,Choi, Kyung Suk,Lee, Young Sook,Kim, Jaeyoun,Jeong, Kyeong Hye,Oh, Jung Mi,Choi, Kyung Eob,Ra, Hyeon Oh,Lee, Euni 한국임상약학회 2017 한국임상약학회지 Vol.27 No.1

Background: Pharmacy curriculum change was made from a 4-year program to a 2+4 year program in year 2009 in Korea. The change has resulted in more educational exposures on patient-centered practice environments for about 1,400 hours in the last year of the professional pharmacy program. When the Middle East Respiratory Syndrome (MERS) outbreak hit Seoul and suburban areas and propagated to other provinces in Korea, emergency response to avoid student infection in the pharmacy practice sites became an urgent issue. While other health professional programs such as medicine and nursing had activated emergency preparedness manuals, timely and clear guidelines were not disseminated to all pharmacy programs and protective measures largely relied on individual pharmacy program. Methods: A survey was developed by the Committee on Pharmacy Practice Experience Programs in the Korean College of Clinical Pharmacy to document the status of pharmacy programs during the Korea MERS outbreak in 2015. The 10-question survey was distributed to the pharmacy practice experience coordinators to 34 out of 35 pharmacy schools in Korea by emails. Results: Our findings showed that 82.4% of the program coordinators (28/34) responded to the survey, 96.4% of the programs did not have emergency preparedness manuals, administrative meetings were held in 89.3% of the pharmacy programs, the rotation schedules were modified or withheld in 53.6% of schools, and the changes were mostly observed from the programs classified as MERS outbreak regions. Conclusion: Further needs in establishing the emergency preparedness manual should be explored for pharmacy education stakeholders.

다기관 모집 외상 후 스트레스장애 환자에서 외상의 특성과 신체적 증상과의 관계

신재호,최경숙,채정호,우종민,지익성,김정범,정문용,대한불안의학회 재난정신의학위원회,Shin, Jae-Ho,Choi, Kyeong-Sook,Chae, Jeong-Ho,Woo, Jong-Min,Chee, Ik-Seung,Kim, Jung-Bum,Jeong, Mun-Yong 대한불안의학회 2008 대한불안의학회지 Vol.4 No.1

Objective : The aim of this study is to examine the characteristics of somatic symptoms in patients with PTSD according to trauma type. Methods : The subjects of this study were 84 patients diagnosed with PTSD according to the DSM-IVTR and CAPS criteria. The subjects ranged in age from 18 to 76 years, and they were recruited from 18 hospitals across the nation. All participants were asked about their trauma history, and they all completed the Davidson Trauma Scale (DTS), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Impact of Event Scale-Revised (IES-R) and Korean-Physical Somatic Symptom Inventory (K-PSI). The items of the K-PSI were categorized into 5 groups according to organ system, and the participants were classified into 6 groups according to trauma type. We compared the results of the social demographical scale, DTS, BDI, STAI, IES-R and each recategorized subscale of the K-PSI among the six groups. Results : There were significant differences between the 6 groups in terms of the Korean-Physical Somatic Symptom Inventory scores for each organ system, except for the cardiopulmonary system, as well as the BDI scores. Post hoc analysis revealed differences between the combat-related trauma group and all other groups but not among any of the other groups. Conclusion : Our result showed that there were significant differences in the somatic symptom scores among the 6 trauma groups. However, patient age and the time elapsed since the traumatic event may have hada crucial influence on the result of this study.

흡연하는 직장인에서 흡연 갈망과 관련된 요인

최호진(Ho-Jin Choi),이창화(Chang-Hwa Lee),정범석(Bum-Seok Jeong),김세진(Se-Jin Kim),최경숙(Kyeong-Sook Choi) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.1

Objective:The aim of this study is to examine the factors related to tobacco craving in smoking workers using Tobacco Craving Questionnaires (TCQ) and other measurements. Methods: Subjects of this study were 201 male working smokers, 18 to 65 years of age. Subjects were divided into two groups determined by the measurement of their tobacco craving level using the TCQ. Depending on their scores, the upper 25% were classified into the group with high TCQ scores (N=50), and the lower 25% were classified into the group with low TCQ scores (N= 52). Between the two groups, we compared the social demo-graphical scale, drinking and smoking habits, Fagerström Tolerance Questionnaire (FTQ), the Korean Occupational Stress Scale-Brief version (KOSS-B), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and CAGE questionnaire. Results:The group with high TCQ scores had more familial history of smoking than the group with low TCQ scores. The group with high TCQ scores had higher average and maximum drinks per day compared to the group with low TCQ scores. In addition, the scores of FTQ, KOSS-B, STAI, BDI, and CAGE were significantly greater for the group with high TCQ scores. When the significant variables between two groups were entered into the logistic regression analysis, the scores of FTQ, BDI and CAGE were identified as a significant risk factors for tobacco craving. Conclusion:This study presents that tobacco craving is significantly related to nicotine dependence, depression and alcohol dependence. Therefore, it is necessary to examine the alcohol use history, mood symptoms, in addition to smoking history, for successful cessation of smoking.

PTSD환자의 형사적 사법절차와 임상증상의 관련성 : 위험음주의 증가

박주은(Ju-Eun Park),최경숙(Kyeong-Sook Choi),이창화(Chang Hwa Lee),윤지애(Ji-Ae Yun) 한국중독정신의학회 2022 중독정신의학 Vol.26 No.1

Introduction: Criminal proceedings have been known as stressors for PTSD patients as well as provoking re-experience of trauma, which can worsen clinical symptoms. The purpose of this study was to investigate the correlation between criminal proceedings and the psychiatric symptoms in Korean PTSD patients. Methods: From March 2019 to November 2020, 63 PTSD patients at University Hospital were enrolled in this study. Among them, 11 patients were involved in the process of criminal proceedings. All patients were assessed using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), PTSD checklist-5 (PCL- 5), Patient Health Questionnaire-9 (PHQ-9), Korea Version of Alcohol Use Disorder Identification Test (AUDIT-K) and, the P4 Suicidality Screener (P4). Results: PTSD symptoms, depressive symptoms, and hazardous drinking were higher in the group of criminal proceedings. There was no significant difference in suicidal idea between the two groups. Involving criminal proceedings of PTSD patients was significantly related to hazardous drinking, and the results were significant even after controlling the severity of PTSD symptoms. Conclusion : The criminal proceedings were associated with the worsening of clinical symptoms in PTSD patients and had an independent effect on hazardous drinking. Our results suggest that interventions and social support for effective coping strategies for the trauma survivor involved in criminal proceedings are needed.

MMPI-2와 Personality Assessment Inventory 타당도 척도를 이용한 외상후 스트레스 장애 환자의 증상과장 평가

공성회,채정호,이종훈,한상우,박은진,최경숙,대한불안의학회 PTSD 연구회,Kong, Sung-Whoi,Chae, Jeong-Ho,Lee, Jong-Hun,Hahn, Sang-Woo,Park, Eun-Jin,Choi, Kyeong-Sook 대한불안의학회 2012 대한불안의학회지 Vol.8 No.1

Objective : We investigated whether Posttraumatic stress disorder patients have a higher tendency to exaggerate the extent of their psychological symptoms compared to other psychiatric patients. Methods : Medical records of patients, who had received psychiatric treatment at four university hospitals in Korea between January 2009 and December 2010, were retrospectively reviewed. We compared a group of 37 patients diagnosed with PTSD, and another group of 41 patients diagnosed with neurotic, stress-related and somatoform disorders according to the ICD-10. To compare the extent of malingering in the two groups, we compared the validity scales of MMPI-2 and Personality Assessment Inventory. We determined the number of participants in both groups feigning their responses by using various cutoff scores of the validity indicators. Results : The PTSD group showed significantly higher scores on the F (p=0.001), F (B)(p=0.000), F (P)(p=0.030), F-K (p=0.003) scale of the MMPI-2 compared to the other group of psychiatric patients. The PTSD group had a significantly higher NIM score (p=0.001) but a lower PIM score (p=0.020) of the PAI compared to the other group of psychiatric patients. Using the cutoff scores, the PTSD group showed a significantly higher number of patients who feigned responses compared to the other group ($Fb{\geq}75$ (p=0.010), $F-K{\geq}1$ (p=0.005), $F-K{\geq}10$ (p=0.011) from the MMPI-2, and $NIM{\geq}80$ (p=0.001) from the PAI). Conclusion : These results suggest that PTSD patients have a tendency to exaggerate their symptom. This group of patients overreported the severity of their condition during standardized personality assessment that included the MMPI-2 or PAI compared to patients diagnosed with other psychiatric disorders. Additional research is required to determine the factors influencing symptom exaggeration in PTSD.

지역사회 만성 조현병 환자에서 원예 활동과 웰빙(Well-Being)과의 관계

김주성(Joo-Sung Kim),차재운(Jae-un Cha),고부성(Bu-Seong Koh),최경숙(Kyeong-Sook Choi) 대한사회정신의학회 2016 사회정신의학 Vol.21 No.1

연구목적 : 본 연구는 만성 조현병 환자를 대상으로 자아존중감 증진, 행복감 향상, 자살사고와 충동성과 같은 증상의 호전, 일상생활기능 증진, 재활과 같은 환자의 웰빙(well-being)과 원예활동의 관계를 평가하기 위해 시행하였다. 방 법 : 대전시 대덕구의 정신건강증진센터에 등록된 만성 조현병 환자들 중 주간재활프로그램에 참여하면서 옥상 텃밭에서 시행하는 원예 활동에 자원한 25명을 대상으로 하였다. 참여자들은 2013년 6월부터 11월까지 총 30번의 옥상 텃밭에서 원예 활동을 하였고, 원예 활동을 시작하기 전과 후 로젠버그 자기존중감 척도(Rosenberg Self-Esteem Scale), 단축형 행복척도(Concise Measure of Subjective Well-Being), 역기능적 충동성 척도(Dysfunctional Impulsivity Scale ), 자살 생각 척도(Scale for Suicidal IdeationBeck), GAF 척도(Global Assessment of Functioning scale)를 평가하였다. 통계 분석은 원예 활동 전과 후에 평가한 각 척도들에 대해 대응표본 t-검정을 시행하였다. 결 과 : 옥상 텃밭의 원예활동 참여 전과 후를 비교한 결과 자아존중감(p<0.01)과 행복감(p=0,02)은 유의미하게 증가하였고, 충동성(p= 0.02)과 자살 사고(p<0.01)는 유의미하게 감소 하였다. GAF 척도는 원예활동 참여 전후에 유의미한 변화는 없었다. 결 론 : 옥상 텃밭의 원예 활동은 만성 조현병 환자의 자아존중감과 행복감을 증가시키고, 자살 사고와 충동성과 같은 증상을 감소시킴 으로써 웰빙을 높이는 것을 나타났다. Objectives : The purpose of the present study was to determine whether gardening activities would have a positive effect on the psychological well-being of patients with chronic schizophrenia living in a community setting. Methods : This study was a retrospective analysis of the records of a community mental health center and included 25 patients with chronic schizophrenia who participated in a gardening activities program. Each subject engaged in gardening activities 30 times over the course of 6 months, from June 2013 to November 2013. The Rosenberg Self-Esteem Scale (RSES), Concise Measure of Subjective Well-being (COMOSWB), Dysfunctional Impulsivity Scale (DIS), Scale for Suicidal Ideation-Beck (SSI), and Global Assessment of Functioning (GAF) scales were conducted at the beginning and end of the gardening activities program. Results : Paired t-tests revealed that 6 months of gardening activities resulted in significant improvements in self-esteem (p<0.01) and happiness (p=0.02), and significantly reduced impulsivity (p=0.02) and suicidal thinking (p<0.01). There was not a significant change in the GAF score. Conclusion : In the present study, gardening activity improved self-esteem and happiness and reduced impulsivity and suicidal thinking, having a positive effect on well-being in patients with chronic schizophrenia living in a community setting.

모유영양아와 인공영양아의 피하지방 및 상완위의 성장발육 상태 : 영아의 피하지방 및 상완위 발육상태

최경숙,최혜미,구재옥,임경숙,김주혜,김숙배 동아시아식생활학회 1997 동아시아식생활학회지 Vol.7 No.1

One- to three- month-old infants (n=232) were compared their upper arm cumference and skinfold thickness(triceps, subscapular) by feeding methods in cross-sectional study. There were two groups : breast-fed(BF) and formula-fed groups(FF). As reported previously^(7)), weight, length, head and chest circumferences of these infants were good, and overall growth status was not significantly different by feeding methods, but weight, weight velocity and chest circumference of formula-fed infants were higher than breast-feds at 3 month, significantly. Here, the triceps skinfold thickness of infants at 1, 2, and 3 postpartum months were 7.4, 9.5 and 10.5 ㎜, respectively. The triceps skinfold thickness of breast-fed infants were higher than formula-feds at 1 and 2 postpartum month, but at 3 month, that of formula-fed infants was greater than breast-fed infants, insignificantly. The subscapular skinfold thickness of infants were 6.4, 9.2 and 10.6 ㎜ at 1 to 3 postpartum months, respectively. The upper arm circumference of infants were 11.7, 13.4, 14.3㎝, and the arm muscle diameter were 34.5, 39.3 and 41.7㎝ at one to three postpartum months, respectively. The upper arm circumference of male infants was higher than females at 2, 3 postpartum months. Overall, there were no significant differences between feeding methods in triceps and subscapular skinfold thickness, upper arm circumference and arm muscle diameter. But 3-month-old formula-fed male infants showed bigger significantly in arm circumference than the breast-feds. From this survey, long-term survey on growth and body composition of large scales might be necessary to determine the effect of feeding methods of infants after 3 months and to set proper body composition standard for infant.