VDT 취급 여성 사무직 근로자들의 견관절 기능장애에 대한 운동요법의 효과

최순석,정귀원,엄상화,정수진,이종태,전진호,이채언,배기택,Choi, Soon-Seok,Jeong, Kui-Won,Urm, Sang-Hwa,Jeong, Soo-Jin,Lee, Jong-Tae,Chun, Jin-Ho,Lee, Chae-Un,Pae, Ki-Taek 대한예방의학회 1998 예방의학회지 Vol.31 No.2

Visual display terminal(VDT) is popular in majority of office in modern countries. Musculoskeletal pain due to repetitive work with VDT is a serious industrial accident at present. In recent studies, shoulder pain in VDT users is the most common problem in Korea. The purpose of this study was to evaluate and compare the effect of excercises on shoulder dysfunction in VDT-related female office workers. Of the 119 patients with shoulder dysfunction, 32 patients entered into the study. 16 patients(Group I) were not prescribed excercises, other 16 patients (Group II) performed throughout the specific shoulder excercises such as pendular excercises(for-ward, backward and circumduction) and sidelying external rotation excercises with weights. After 3 months of excercises, the two groups were compared in term of the pain rating scale, disability questionnaire score and range of motion score. The results were summarized as follows ; 1. The pain rating scale in Group I before and after 3 months were not differenced significantly(p value=0.784) and in Group II, the scale before and after excercises were differenced significantly(p value=0.0005). 2. The disability questionnaire scores in Group I before and after 3 months were not differenced significantly(p value=0.437) and in Group II, the scores before and after excercises were differenced significantly(p value=0.0002). 3. The ROM scores of the affected shoulder in Group I before and after 3 months were not differenced significantly(p value=0.876) and in Group II, the scores before and after excercises were differenced significantly(p value=0.0017). In conclusion, that the specific shoulder excercises on shoulder dysfunction in VDT-related female office workers are encouraged.

콘크리트의 염해저항성에 미치는 플라이 애쉬 혼입율에 관한 고찰

최순석,오상균,박동천,안재철 대한건축학회지회연합회 2010 대한건축학회지회연합회 학술발표대회논문집 Vol.2010 No.1

건강 진단 수검 여성들의 유방 자가 검진에 대한 인식도 및 실천정도에 관한 연구

정수진,최순석,박준한,엄상화,정귀원,이채언,배기택,Jeong, Soo-Jin,Choi, Soon-Seok,Park, Jun-Han,Urm, Sang-Hwa,Jeong, Kui-Won,Lee, Chae-Un,Bae, Ki-Taek 대한예방의학회 1998 예방의학회지 Vol.31 No.4

The methods for the early diagnosis of breast cancer are mammography, physical examination, breast self-examination(BSE). This study was conducted to investigate the knowledge and practice of BSE by structured questionnaire which included questions on general characteristics, performance of mammography, physical examination of breast, knowledge and practice of BSE. The subjects in this study were 412 females between 20 and 69 year old who visit to the Health Care Center of College of medicine of Inje University from December 1997 to February 1998. The results were as follows. 1. Women who have Soften the regular mammography are 8.19% of these subjects and women who have gotten the regular physical examination by doctors are 4.19% of these subjects. 2. Regarding BSE, 77.4% of these subjects said that they knew BSE and 3.88% of these subjects said that they practiced BSE regularly. It was that women who knew BSE were more younger, better-educated and higher economic status(p=0.001) and lived a normal life with he. husband(p=0.033). And women who practiced BSE regularly were more younger, and married(p=0.001). 3. The most common barrier to doing BSE is 'Do not see the needs/worry unnecessarily', and the most common reasons for doing BSE is 'Early detection of Breast cancer'. 4. The overall frequency and percentage distribution of recommended BSE step in Korea is lower than U.S.A.

산업재해의 관련 요인

고대석,최순석,정수진,박준한,이헌,손병철,엄상화,이채언,배기택,전진호 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.1

This study was conducted to estimate the causing factors of industrial accident, and to prepare the fittable control program for accident through the evaluation of views of the patients who suffered from accidents. From January 5 to February 6 1993, questionnaire survey was executed on 166 persons who were injured and covered by the insurance under industrial accident compensation law at four university hospitals in Pusan. The results were as follows : 1. Most of subjects worked in the manufacturing(56.6%) and constrution(29.5%), and in the small factory less than 49 workers(56.0%). They were thirties and fourties(63.8%), less than 3 years tenure(53.6%), habitual drinker(69.2%). And, 72.3% worked for above 9 hours per day, 53.6% worked as near clerks, 89.2% thought that work is rather suitable to his own personality. 2. Self-recognition for the causing factor of industrial accident was the other's malfunction(19.3%), carelessness(15.1%), lack of education for satefy(15.1%), and they thought the accident occured by mainly some defect of establishment and working environment (34.9%), unskillfulness(22.9%0, self-carelessness(22.3%). 3. The interests and recognition on safety was insufficient, 88.6% require job education, but 53% pointed out the necessity for strengthening of present status - rather incomplete with relying on self-education(40.9%), no previous participation in safety education(29.5%), etc. 4. For the kind of accident, fall-down(16.3%), crash(13.3%), falling(12.7%) was frequent, head(24.7%) and fracture(41.0%) was frequent for the part and type of injury, respectively. And, they had more injured by cooperative work(82.5%) than single work. As results, improvement of working environment and strengthening education program would be emphasized for the effective control of industrial accident. And, there should be prepared the specific prevention program for the small scale industries.

근로자 건강진단 결과 분석과 활용 실태 조사

정귀원,엄상화,최순석,정수진,배기택,이정열 인제대학교 1998 仁濟醫學 Vol.19 No.2

산업안전보건법(근로자건강진단 실시규정) 및 의료보험법에 의거 1997년 1월 1일 부터 12월까지 서울지역 근로자 516명(남:381명, 여:135명)을 대상으로 일반건강진단시 실시한 각 검사 항목의 평균치는 모두 정상 범위에 있었고, 남녀별 비만도는 여자에서 정상율이 높았으며, 특히 여자 20대에서 93.8%로 가장 높았다. 고혈압의 경우 남녀별 평균 혈압은 116.8/78.3 mmHg, 109.9/71.6 mmHg, 유병율은 수축기 혈압의 기준치에 의하면 6.8%, 5.9%, 이완기 혈압에 의하면 16.0%, 8.9%로 남자에서 모두 높게 나타났다. 혈액검사 기준치에 따른 이상자율은 남녀별로 각각 혈색소 6.2% 5.2%, 적혈구 용적치 1.6%. 10.5%, 적혈구수 1.6%, 10.5%, 백혈구수 4.9%, 10.4%, 혈소판수 5.1%, 10.5%, AST 3.2%, 4.5%, ALT 22.3%, 5.9%, rGTP 8.1%, 12.6%, 총콜레스테롤 6.7%, 8.2%, 트리글리세라이드 22.8%, 14.1%, BUN 3.5%. 14.3%, Creatinine 1.5%, 28.0%, 공복시 혈당치 4.3%, 74%이었으며, B형간염 표면항원 양성율은 남녀별로 5.2%, 3.7%였고, 표면항체 양성율은 67.8%, 69.1%였다. 건강진단 결과에 따른 질병 유소견자들에 대한 사후 관리는 일반 질병 유소견자의 경우 근무중 치료가 60%(18명)로 가장 높았으며. 추적 정밀검사 8명(26.7%), 입원 요양치료 2명(6.7%), 금주, 금연, 식이습관 조절, 규칙적 운동 등 기타 의학적 조치 1명(3.3%)의 순으로 나타났고, 여자의 경우 근무중 치료와 추적 정밀검사가 6명중 각 3명씩 차지하였다. 질환 요주의자의 사후 관리에서는 남녀 모두 추적 정밀검사가 각각 23명(58.9%), 8명(47.0%)으로 가장 많았고, 다음이 근무중 치료 9명(23.0%), 5명(29.4%), 금주, 금연, 식이습관 조절, 규칙적 운동 등 기타 의학적 조치가 7명(20.0%), 4명(23.5%)순이었다. To survey the follow-up services and results of health examination among white collar workers who received health examination at Seoul Paik hospital, the authors analyzed some labaratory findings of blood(hemoglobin, hematocrit, RBC, WBC, platelet, AST ALT. r-GTP, tonal cholesterol. triglyceride, BUN, creatinine, fasting blood sugar), obesity index, blood pressure and follow-up services according to results of health examination of them. The subjects were 516 persons(male 381, female : 135) in total and study period was from Jan 1, 1997 to Dec 31, 1997. 1.Abnormal rates of obesity(120% and over standard body weight) among total subjects were 17.0% in male and 4.7% in female, and prevalence rate of hypertension were 6.8% in male, 5.9% in female by systolic pressure and 16.0% in male, 8.9% in female by diastolic pressure and it was gradually increasing with aging in total subjects. 2.The mean values of hematologic findings were all within normal limit but there were significant differences at WBC, Platelet. r-GTP, Total cholesterol, triglyceride, BUN, fasting blood sugar in male and hematocrit, total cholesterol in female between each age groups.(p<0.05) 3.Positive rate of Hepatitis type B surface Antigen and Antibody were 5.2%, 67.8% in male 3.7%, 69.1% in female each other. 4.Follow-up services of the subjects who were in abnormal conditions by health examination among white collar workers were insufficient to a view of practical management, those were treatment while on duty, putting on protectors and other recuperation, follow up study, a change of working places, shortening of working hours and restriction and prohibition of service.

서울 일부 지역 사무직 근로자들의 고혈압 유병률 및 고혈압 근로자들의 정밀 검사에 대한 조사

정귀원,엄상화,최순석,김정호,이종태,전진호,이채언,배기택 인제대학교 1997 仁濟醫學 Vol.18 No.1

근로 기준법 및 근로자 건강진단 실시 지침(노동부)에 의거 매년 건강진단을 받아야 하는 서울 일부 지역 근로자 1,480명(남:1.028명, 여:452명)을 조사 대상으로 고혈압의 유병률을 조사한 결과 남녀에서 각 18.8%, 6.0%였으며, 연령별로 구분한 고혈압의 비교 위험도는 40세 이상이 40세 미만보다 약 2배 높았다. 고혈압 정밀 대상자(160명)의 심전도와 안저 검사 이상율은 두항목 모두에서 정상군에 비해 높은 비율을 보였으며, 검사 항목들 간의 상관 관계에서 수축기 혈압은 이완기 혈압과, 혈청 콜레스테롤은 비만도, 중성 지질과 유의한 양(陽)의 상관 관계를 보인반면, 고밀도 지단백질은 중성 지질과 혈청 콜레스테롤과 음(陰)의 관계를 시현하였다. To determine the prevalence rate of hypertension by aging and hypertension-related factors, the authors carried out the survey of the on 1480 clerical employees and the results of detailed clinical examination (Lab data, echocardiography, fundoscopic finding) on 160 persons with hypertension in Seoul area from Jan 1, 1993 through Dec 31, 1993 The results are as follows : 1.The prevalence rate of hypertension among total subjects was 11.9% (male : 18.8%, female:6.0%), and it was gradually increasing with aging in male. 2.A prevalence rate of hypertension in subjects over 40 years old was about two times as large as that under the age of 40. 3.The prevalence rates of hypertension in obesity group(120% and over of standard body weight) and normal group(under 109% of standard body weight) were 14.1% and 6.1%. 4.The mean concentration of total cholesterol, HDL and triglyceride level in the hypertensive group were 223.7 37.1 mg/dl, 42.6 9.7 mg/dl. 197.4 61.0 mg/dl, respectively. 5.The abnormality rate in echocardiographic finding in the hypertensive group was 62.5%, and it was gradually increased as blood pressure increased. 6.The abnormality rate in fundoscopic finding of the hypertensive group was 42.5%, and it was gradually increased as systolic blood pressure increased. 7.The positivity rates of urinary protein in uristix were 1.5%(male:1.3%, female:1.7%) in normal group and 2.6% (male : 2.4%, female : 2.7% ) in hypertensive group. 8.There were positive correlation between systolic blood pressure and diastolic blood pressure; total cholesterol and index of obesity, triglyceride: and negative correlation between HDL and total cholesterol and triglyceride.

남성 사무직 관리자의 생활습관, 스트레스 수준과 과민성 대장증후군

김종렬,엄상화,전진호,정수진,이창희,정귀원,최순석,배기택,Kim, Jong-Ryul,Urm, Sang-Hwa,Chun, Jin-Ho,Jeong, Soo-Jin,Lee, Chang-Hee,Jeong, Kui-Won,Choi, Soon-Seok,Pai, Ki-Taek 대한예방의학회 1997 예방의학회지 Vol.30 No.4

Irritable bowel syndrome(IBS) is one of the common health problem that has been considered as stress-induced. This study was conducted to investigate the relationship between life style and the level of stress and IBS by structured questionnaire which included questions on life style, the self-esteemed gastrointestinal symptoms, and Psychosocial Well-being Index(PWI). Subjects were 1,498 male white collars who get the regular health check and participated in survey at Inje University Health Promotion Center from January to ,December, 1996. The overall prevalence of IBS was 37.5%(561 cases), and the level of stress by PWI score was higher in IBS group$(41.8{\pm}14.2)$ than symptom-free group$(34.6{\pm}12.6)$. As the result of comparison between the two groups, heavier smoking (adjusted O.R=2.48, 95% C.I 1.81-3.41), longer daily working time (adjusted O.R=5.19, 95% C.I 3.59-7.56), stimulatory food materials-mainly hot or salty (adjusted O.R=1.87, 95% C.I 1.44-2.45), higher body mass index (adjusted O.R=1.80, 95% C.I 1.27-2.57), and higher level of stress (adjusted O.R=2.81, 95% C.I 1.80-4.43) were estimated as risk factors of IBS. On the contrary, 6-8 hours sleeping per day (adjusted O.R=0.38 95% C.I 0.21-0.70), 3-4 times exercise per week (adjusted O.R=0.57 95% C.I 0.39-0.83), and tenure more than 20 years (adjusted O.R=0.25 95% C.I 0.16-0.35) were considered as protective factors to IBS. In summary, the assessment of the stress level might be placed in the first priority to control IBS, at least by some degree, which suggested that IBS could be controlled by avoiding such risk factors and by encouraging such protective factors.

이동단말과 PC 를 이용한 통합 DB 기반의 홈 서버 기능 설계 및 구현

박승성(Seung-Sung Park),김영관(Yong-Kwan Kim),최순석(Soon-Suck Choi),유화영(Hwa-Young Yu),권순량(SoonRyang Kwon) 한국통신학회 2003 한국통신학회 학술대회논문집 Vol.2003 No.11