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김두희,임현술,배근량 동국대학교 의학연구소 1999 東國醫學 Vol.6 No.-
국 문 초 록동국대학교 의과대학 부속 경주병원과 포항병원에서 1996년 1월 1일부터 1997년 12월 31일까지 2년간 암으로 진단 받아 보건복지부 한국중앙암등록본부에 보고하였던 경주병원 암환자 426명(남자 256명, 여자 170명)과 포항병원 암환자 196명(남자 112명, 여자 84명), 총 622명(남자 368명, 여자 254명)을 대상으로 암의 일반적인 특성을 파악하고 전국 암등록자료와 비교 분석하였다. 연구 방법은 암등록 조사보고서를 검토하여 대상자 선정을 한 후 암 환자의 일반적 특성을 조사하였다.암 환자의 평균 연령은 남자는 61.6±14.6세이었고 여자는 59.7±16.2세이었다. 연령 분포는 남녀 모두 70대 이상이 가장 많았고, 60대, 50대, 40대의 순이었다. 거주 지역별 분포는 양 병원 모두 지역 환자가 90% 이상을 차지하였으며 외부에서 환자의 유입이 거의 없었다. 원발부위의 병원별 분포는 여자에서는 차이가 없었으나 남자에서는 경주병원에서 폐암과 방광암이 유의하게 많았다(p<0.05). 전국 암등록자료와 비교하면 남자에서는 폐암과 방광암의 빈도가 높았으나 여자에서는 전국 암등록자료와 유사한 분포를 보였다. 원발부위별 성별 평균연령은 남자에서 위암 62.3±12.2세, 폐암 67.8±8.3세, 간암 56.6±12.5세, 대장암 56.0±15.0세, 방광암 68.0±10.8세, 여자에서 위암 63.4±13.2세, 자궁경부암 50.2±16.0세, 대장암 62.2±13.0세, 간암 63.6±14.4세, 유방암 49.0±9.2세로 남자에서는 간암과 대장암이 여자에서는 자궁경부암과 유방암의 평균 연령이 낮았다. 암 진단방법에 병원간 차이는 발견할 수 없었으나 성별 조직학적 검사 실시율이 남자는 74.5%, 여자는 83.1%로 여자의 실시율이 높았으며, 전국 암등록자료의 남자 79.3 %, 여자 86.8%에 비하여 낮았다. 암환자의 치료방법은 병원별 차이는 없었으나, 성별로는 여자에서 수술 실시율이 유의하게 높았다(p<0.01). 원발부위별로는 수술 실시율이 전국 암등록자료와 비교하였을 때 위암, 대장암, 폐암의 수술 실시율은 낮은 반면, 방광암, 자궁경부암, 유방암의 수술 실시율은 다소 높았다.본 조사는 2년간의 자료를 분석하였으므로 암의 특성에 관한 연도별 변화를 보기에는 어려움이 있었다. 앞으로 매년 자료를 수집하여 계속적으로 분석을 시도하는 노력이 필요하다고 생각한다.AbstractThis study was performed to evaluate the characteristics on 662 cases of cancer registered (male 368 cases, female 254 cases) in two Dongguk University Hospitals from January 1, 1996 to December 31, 1997. We obtained the reports of cancer registries in two hospitals and compared them with annual report of the Central Cancer Registry Center in Korea. The results obtained were as follows.The mean age of cases of cancer was 61.6±14.6 years in male, 59.7±16.2 years in female. The most frequent age group in the order of relative frequency was 70 and above, followed by 60∼69, 50∼59, and 40∼49 years of age in both sex groups. The most frequent places of residence was Kyongju or Pohang city(above 90%).In male, the primary sites of cancer in the order of relative frequency was stomach (28.0%), followed by lung (20.7%), liver (13.9%), urinary bladder (6.3%) and colorectum (6.3%). In female, the primary sites of cancer in the order of relative frequency was stomach (26.0%), followed by uterine cervix (11.8%), colorectum (10.2%), liver (7.1%) and breast (6.3%). The mean age of primary site of cancer was stomach 62.3±12.2 years, lung 67.8±8.3 years, liver 56.6±12.5 years, colorectum 56.0±15.0 years and urinary bladder 68.0±10.8 years in male. In female, The mean age of primary site of cancer was stomach 63.4±13.2 years, uterine cervix 50.2±16.0 years, colorectum 62.2±13.0 years, liver 63.6±14.4 years and breast 49.0±9.2 years. The relative frequency of cases diagnosed by the pathologic examination were higher in female (83.1%) than in male (74.5%)(p<0.05). The positive rate of operation were higher in female (52.8%) than in male (31.0%)(p<0.01). There were no difference of diagnostic and treatment methods between hospitals.
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최영준,Geun-Ryang Bae 대한소아청소년과학회 2012 Clinical and Experimental Pediatrics (CEP) Vol.55 No.12
Following the Five Year Measles Elimination Program, measles has been declared eliminated from the Republic of Korea since 2006. However, there remain challenges related to the surveillance of measles in the postelimination phase. Even though the routine surveillance system has revealed a gradual decrease in the number of reported cases since 2002, 4 resurgences have occurred, notably due to outbreaks. Because vaccine-modified measles is becoming widespread due to high vaccination coverage, conducting laboratory confirmation in each case becomes important. Moreover, susceptible individuals with measles have been identified through seroprevalence studies. Lastly, the efforts to improve the timeliness of measles reporting have led to the establishment of an active laboratory-based surveillance network, which has shortened the interval between diagnosis and notification. In these circumstances, searching for more sensitive and effective surveillance measures is important for maintaining the elimination status and preventing future outbreaks of measles in Korea.
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1999년 봉화군 일개 중.고등학교에서 발생한 세균성이질에 관한 역학조사
배근량,임현술,Bae, Geun-Ryang,Lim, Hyun-Sul 대한예방의학회 2000 Journal of Preventive Medicine and Public Health Vol.33 No.1
Objectives : This study was carried out to investigate the sources of infection and modes of transmission of an outbreak of shigellosis that occurred among students of B middle and high school in Bonghwa, Korea from May 1 to 21, 1999. Methods : We conducted questionnaires to 468 students, 38 stalls and 9 food handlers twice times (May 6, May 21) for follow up and secondary attack rate. Personal details and history of illness and exposure to particular foods were sought. And we conducted rectal swab for culture to 243 students, 33 staffs and 9 food handlers. Bacteriological examinations of water in the school were done. Cases were identified as subjects who had diarrhea (two or more loose stools in a 24-hour periods) on or after May 1. Results : A total of 307 cases (attack rate: 59.6%) of 515 subject were identified, including 50 confirmed (46 students and 4 staffs) by S. sonnei. All 9 food handlers denied illness and were had rectal swab for culture at May 6 that were negative for S. sonnei. 146 of 307 reported fever, 156 had tenesmus, 44 reported vomiting, and only 5 of 307 reported blood in the stool. The median duration of diarrhea was 4 days (range: 1-18 days). The mean incubation period until onset of diarrhea was 63 hours (range: 46-144 hours) and the secondary attack rate was 2.8% (43 cases of 1,561 family members). Risk for illness was higher among students who had eaten watered kimchi at March 30 than among those who did not [301(72.7%) of 417 versus 5(9.6%) of 52; RR=7.51;95% CI=3.26-17.31]. Conclusion : The source of infection was estimated to be contaminated watered kimchi by ore or two food hardier who is presumed to be carrier.
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배근량,임현술,Bae, Geun-Ryang,Lim, Hyun-Sul 대한예방의학회 2002 예방의학회지 Vol.35 No.1
Objectives : To evaluate the health hazards in the underground storage facilities of ginger roots. Methods : The authors reviewed the emergency rescue records from the Seosan fire department over the period Jan 1, 1996 to Aug 31, 1999. The atmospheres in 3 different underground storage locations were analyzed for $O_2,\;CO_2,\;CO,\;H_2S\;and\;NH_4$. Results : From the emergency records, we were able to identify 20 individuals that had been exposed to occupational hazards in the underground storage facilities. Among these 20 cases, 13 were due to asphyxiation (resulting in f deaths) and 7 were due to falls. In the first atmospheric tests, peformed on Feb 25, 1998, the O2 level inside the underground storage facility, located about $5{\sim}6$ meters below the surface, was 20.6% and the $CO_2$ level was about 1,000 ppm. CO, $H_2S\;and\;NH_4$ were not detected. In the second tests on Jul 6, 1999, measurements of the $O_2$ level at 3 meters below the surface in two different storage locations were 15.3 and 15.1%. And the $O_2$ levels inside the storage facilities were 12.2 and 12.1%. The $CO_2$ level was above 5,000 ppm (beyond upper limits of measurement). CO, $H_2S\;and\;NH_4$ were not detected. Conclusions : We conclude that asphyxiation in the underground storage facilities for ginger roots was not due to the presence of toxic gases such as CO, $H_2S\;and\;NH_4$, but rather the exclusion of oxygen by carbon dioxide was responsible for causing casualties. For the development of a hazard free working environment, safety education as well as improvements in storage methods are needed.
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Choe, Young June,Bae, Geun-Ryang The Korean Pediatric Society 2012 Clinical and Experimental Pediatrics (CEP) Vol.55 No.12
Following the Five Year Measles Elimination Program, measles has been declared eliminated from the Republic of Korea since 2006. However, there remain challenges related to the surveillance of measles in the postelimination phase. Even though the routine surveillance system has revealed a gradual decrease in the number of reported cases since 2002, 4 resurgences have occurred, notably due to outbreaks. Because vaccine-modified measles is becoming widespread due to high vaccination coverage, conducting laboratory confirmation in each case becomes important. Moreover, susceptible individuals with measles have been identified through seroprevalence studies. Lastly, the efforts to improve the timeliness of measles reporting have led to the establishment of an active laboratory-based surveillance network, which has shortened the interval between diagnosis and notification. In these circumstances, searching for more sensitive and effective surveillance measures is important for maintaining the elimination status and preventing future outbreaks of measles in Korea.
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