일부 직장인의 정기 건강진단 실시 결과에 관한 고찰

남택승,홍종관,박종안,한구웅,김주자 순천향대학교 1987 논문집 Vol.10 No.2

서울, 천안, 구미에 각각 위치한 순천향대학 부속병원에서 서울, 천안, 구미 및 인근 군단위 지역의 공무원 및 사립학교 교직원을 대상으로 1986년 4월부터 동년 7월까지 집단건강진단을 실시하고 설문지를 배부, 조사하여 분석한 결과 다음과 같은 성적을 얻었다. 1. 1차 검사결과 유소견율은 수축기혈압 1.1%(남자 1.4%, 여자 0.2%), 이완기혈압 6.4%(남자 8.0%, 여자 1.5%)이었다. 2. 공복시혈당은 전대상자의 3.3%(남자 3.8%, 여자 1.2%)가 고혈당의 유소견율을 나타내었으며 뇨당은 1.3%(남자 1.6%, 여자 0.5%)의 유소견율을 보였다. 3. 순환기계질환에 관한 2차 검사유소견율은 수축기혈압 24.1%, 이완기혈압 74.9%.안저검사 41.1%, 심전도 검사 36.1%. 혈중 트리글리세라이드 검사 36.1%이었다. 4. 혈압의 연도별 변화는 '86년도의 혈압 평균치는 수축기혈압이 남자 122.7±15.7mmHg, 여자 113.0±13.1mmHg로 '82. '84년도에 비해 유의한 차가 있는 것으로 나타났으며(남 P<0.01, 여 P<0.05) 이완기혈압은 남자 80.9±15.1mmHg, 여자 73.8±23.9mmHg로 남자에 있어서만 (P<0.05). 연도별로 유의한 차가 있는 것으로 나타났다. 5. 혈압의 개인별 경시적 변화를 보면 수축기혈압의 경우 전체적으로 99.8%가 계속 정상으로 유지되고 1.2%는 고혈압 상태로 계속 유지되고 있는 것으로 나타났으며 이완기혈압의 경우는 전체적으로 92.8%가 계속 정상, 7.1%가 계속 고혈압으로 나타났다. 6. 혈중 콜레스테롤 평균치의 연도별 변화는 통계적으로 유의하게 증가되었다.(P<0.01). 7. 혈압과 관련요소들에 대한 상관관계에서 상관성이 있는 것은 수축기혈압의 경우 남자에 있어서 비만도, 뇨단백, 혈중 크레아티닌 및 콜레스테롤, 안저검사, 심전도검사, 혈중 트리글리세라이드이었고 여자에 있어서는 Stout지수, Rohrer지수, 뇨단백, 혈중 콜레스테롤, 안저검사, 심전도검사, 혈중 트리글리세라이드이었다. 이완기혈압의 경우 남자에 있어서는 뇨단백, 혈중 콜레스테롤, 안저검사, 심전도 검사, 혈중 트리글리세라이드이었고 여자에 있어서는 Stout지수, Rohrer지수, 뇨단백, 혈중 크레아티닌, 심전도 검사, 혈중 트리글리세라이드이었다. 8. 당뇨질환에 관한 2차 검사 유소견율은 공복시 혈당이 전체 51.8%, 식후 2시간 혈당치가 전체 41.2%이었다. 9. 공복시 혈당 평균치의 연도별 변화에서 '86년도 혈당 평균치는 남자 92.5±20.4㎎%, 여자 87.6±15.9㎎%이었고 연도별 증가는 통계적으로 유의하였다(P<0.01). 10. 혈당의 개인별 경시적 변화는 전체적으로 99.6%가 계속 정상, 2.32%가 계속 고혈당이었고 고혈당에서 정상으로, 정상에서 고혈당으로 된 경우는 각각 0.02%, 0.05%였다. 11. 혈당과 관련요소들에 대한 상관관계에서 상관성이 있는 것은 남녀 모두에서 Stout지수, Rohrer지수, 뇨당, 식후 2시간 혈당치이었다. 12. 건강행태에 관한 설문조사에서 자신의 건강상태에 대한 인식, 흡연, 음주, 식사에 대한 항목이 정상군과 유소견군간에 유의한 차가 없는 것으로 나타났다. Health Insurance Corporation which covers government officials and privated school faculties has held periodic health examination for the insured every other years since 1982 under the Insurance Law. The purpose is to detect diseases and trea diseases at their early stage. Three Soonchunhyang University Affiliated Hospitals located each in Seoul, Chunan, and Gumi city are committed to carry out the health examination. There are two steps in examination. The first step is for all insured, the second step is for the people whose results come out abnormal in the first step examination. Each item of the tests has been predetermined by the Corporation and most of them are to detect many chronic diseases e.g. hypertension, diabetes mellitus, liver disease, pulmonary Tbc., renal disease, and venereal disease. In spite of increasing concern regarding these diseases recently, we are lack of even basic statistics such as prevalence rate. Authors collected health examination results from three hospitals and analysed them.

일부 아연광산지역에서의 Cadmium이 주민의 건강에 미치는 영향

남택승,홍종관,한구웅,박종안 順天鄕大學 1987 순천향대학논문집 Vol.10 No.1

일부 아연광산지역에서 Cadmium이 주민의 건강에 미치는 영향

박종안,한구웅,홍종관,남택승 순천향대학교 1987 논문집 Vol.10 No.1

The cadmium contents of environment and human body were measured for the health status of the residents in the selected area near an old zinc-mining site assuming that cadmium contamination in the environment would affect the health status of the residents and the results were as follows: 1. The cadmium contents of the environment were 0.021±0.012 mg/m3 in the air. 0.019±0.011 mg/ml in the water, 0.382±0.233 mg/g in the rice and 0.342±0.211 mg/g in the tooth. 2. The major complaints of the residents were excessive sputum, dyspnea and pains on both extremities. F드믿 complained more frequently than male in dyspnea, lumbago and pains on both extremities. 3. An assessment of the nutritional health status of residents revealed that for male 8.5% were weak, 10.1% were fat and 32.5% were anemic, while for female 17.6% were weak, 15.3% were fat and 30.1% were anemic. 4. The prevalence rate of hypertension was 152.8?(male; 84.7?. female;200.0?) and the prevalence rate of diastolic hypertension was higher than that of systolic hypertension. 5. The diagnostic variables verifing the assumption mode in this study were blood pressure(0.76, p〈0.05) and E.S.R.(0.57, p〈0.01). From the above results, the environmental cadmium contamination affects the health status of the residents in the area near an old zinc-mining site to a certain extent, but not to a great extent(R2=0.55).

흡연에 의한 급성 호산구성 폐렴 2예

박종빈,김학렬,주현준,유태양,신성남,신정현,송정섭,황기은,김소영,양세훈,정은택 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2

최근 흡연을 시작한 젊은 성언에서 급성 호산구성 폐렴의 발생에 대한 증례가 보고되고 있다. 급성 호산구성 폐렴은 대개 발열을 동반하기 때문에 초기에는 감염성 폐렴으로 잘못 진단, 치료되는 경우가 많다. 아직 정확한 병태 생리 및 조직학적 소견은 밝혀져 있지 않지만 병력 청취 및 임상 양상, 방사선 소견의 관찰을 통해 급성 호산구성 폐렴을 의심하고, 진단을 위해 기관지 폐포 세척액 검사를 시행한다면 좀 더 쉽게 진단 내릴 수 있을 것이다. 본 저자들은 최근 처음 시작한 흡연에 의해 발생한 급성 호산구성 폐렴을 진단하고, 스테로이드를 투여하여 성공적으로 치료한 환자 2예를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Acute eosinophilic pneumonia(AEP) is characterized by acute febrile respiratory illness associated with diffuse pulmonary infiltration and pulmonary eosinophilia. The specific etiology for acute eosinophilic pneumonia is elusive. By some investigators, cigarette smoking is suggested as a causative substance which can cause AEP. In recent, the authors experienced two cases of AEP following cigarette smoking. Both cases had characteristic features including age around 20 years, new onset smoking before occurance of AEP, diffuse infiltration on chest radiography, pulmonary eosinophilia based on bronchoalveolar lavage and acute improvement after steroid therapy. These clinical features are resemble with previous smoking induced AEP case reports. Base on these clinical features, cigarette smoking associated AEP could be diagnosed more easily.

수술후 SUCKING이 구순열 수술결과에 미치는 영향

이택종,김남북 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.2

In the most plastic surgical literature, sucking in general is discouraged on the basis that this muscular activity will jeopardize the cleft lip repair and feeding is recommended with a spoon, cup or asepto syringe. Although we had recommended spoon feeding postoperatively, we were made aware that some mothers had, in fact, bottle-fed their infants with no apparent harm. So we performed this study to define the effect of bottle-feeding or breast feeding on the outcome of cleft lip surgery. 30 infants were fed by means of a spoon for three weeks, and 30 started bottle-feeding or breast-feeding as soon as they were fully awake following operation. There were no statistically significant difference in the complication rate between the two groups.

뇌동맥류 파열 환자에서 증후성 뇌혈관연축의 발생 및 회복에 영향을 미치는 인자들

최석민,석종식,권정택,민병국,황성남,김영백,홍현종 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

To determine the factors affecting development and recovery of symptomatic vasospasm. the author analysed the results of patients with ruptured intracranial aneurysms treated by nimodipine and prophylactic “triple0H” therapy. From January 1991 to December 1995. 199 patients underwent surgery for ruptured intracerebral aneurysms. Combined hypervolemic hemodilution was initiated at the time of admission. Induced hypertension was added immediately after surgery(aneurysmal neck clipping). All patients received nimodipine intravenously or orally until the 14th day of SAH Sixty patients underwent surgery on Day 0 through 2 after attacks of subarachnoid hemorrhage(Goup A) 105 patients on Day 3 through 14(Group B). and 35 patients after Day 14(Group C). Of 199 patients. 76(38%) patients suffered from symtomatic vasospasm. Symptomatic vasospasm occured in 34% of Group A patients. 33% of Group B patients. and 5% of Group C patients. Symtomatic vasospasm occured more frequently in the older age group. the Fisher group 3 and Hunt & Hess grades 3, 4 and 5 groups. Of 76 patients who suffered from symptomatic vasospasm. 47(62%) patients recovered completely. The author analysed the relationship between recovery rate and sex, age. Hunt & Hess agrde and Fisher group among these 76 patients. Recovery rates between these groups were not significantly different. Based on this experience the author believes that Hunt-Hess grade. Fisher group and age are important factors affecting symptomatic vasospasm development.

敎職員의 慢性疾患 有病樣相

韓久雄,鄭鍾學,南澤昇 순천향대학교 1984 논문집 Vol.7 No.1

The mass health screening examination was excuted differently from the primary screening test and secondary precision test for 2,718 teachers in Gumi City and its adjoined three Guns, Kyungpook Province, 1982. The age of subjects was between 20 and 64 years old, and the percentage of men teachers showed 74 and the percentage of women teachers was 26. The results of the screening tests are summarized as follows: Of 2,718 subjects, 16.5% (6.8% for hypertension, 4.2% for liver disease, 2.8% for pulmonary tuberculosis and 1.8% for diabetes) required secondary precision test. Detected cases account for 63.8% of the 447 teachers taking secondary precision test, this was equivalant to 10.5% of the total examined teachers. 3.3% of the total examined teachers turned out to be confirmed cases and 7.2% of the total examined teachers was suspicious cases. The confirmed cases of the total examined teachers by disease were 1.0% for prevalence of pulmonary tuberculosis, 1.4% for prevalence of hypertension and 0.8% for prevalence of diabetes. The pervalence rate obtained by age group were 26.1% for 50~59 age group which was the highest rate group, 16.0% for 40~49 age group and 6.6% for 30~39 age group. It was shown that the rate increased by age. Although hypertension, diabetes and pulmonary tuberculosis increased by being old, in cases of liver disease, renal disease and anemia, 30~49 age group was marked as high rate.

열공성 경색 환자의 경동맥 초음파소견 및 혈청지방의 분포

여상준,민병국,황성남,석종식,김영백,박승원,권정택,최덕영 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.1

방사선 조사를 받은 두경부 병소의 재건을 위한 유리피판술

채수욱,고경석,김주봉,박상훈,한상훈,이택종,남순열,김상윤 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.3

Radiation therapy is an effective cancer treatment modality as a primary treatment in early cancer and as an adjuvant treatment in advanced cancer, especially in head and neck lesions, but it also causes irreversible chronic damages to overlying normal tissues that may lead to wound complications. As well, at the microscopic level, radiation injury causes both stasis and occlusion of small vessels. Therefore, surgical reconstruction of previously-irradiated lesions in the head and neck poses a great problem. Fifth-six patients with head and neck lesions underwent 57 microsurgical reconstructions between 1990-1998. Thirteen patients were irradiated before surgery. The previous radiation dose was 30∼75.6 Gy. The free tissue transfer was successful in 52 of the 57 microsurgical reconstructions(91.2%). The success rate was 92.3%(12/13) in previously-irradiated patients and 90.9%(40/44) in nonirradiated patients. Postoperative complications, such as flap loss, fistula, and infection, developed in 4 irradiated patients and 8 nonirradiated patients. Overall complication rate was 30.8%(4/13) in previously-irradiated patients and 18.2%(8/44) in nonirradiated patients. Although the failure rate of previously-irradiated patients was higher than that of nonirradiated patients, there was no statistically significant difference between them. Thus, free tissue transfers in patients with previously-irradiated head and neck lesions are suitable for one-stage reconstruction.

Befunolol Hydrochloride ( 0 . 5 % BentosR ) 에 의한 알레르기성 접촉피부염

남종택(Jong Taik Nam),김기호(Ki Ho Kim),조광열(Gwang Yeol Joh) 대한피부과학회 1994 대한피부과학회지 Vol.32 No.6

Befunolol hydrochloride is a B-adrenergic receptor antagonist cornnory used topically in treatment of glaucoma because of a satisfactory intraocular pressure lowering apcity without relevant topical or systemic side effects. We repart herein a case of allergic contact dermatit.is due to befunc ol nydrochloride in 0.5% Bentos eyedrops, A 52-year-old Korean woman had suffered from erythemanedema with itching sensation on her left eye since Novembeir 18, 1992. She had used various ophtalrnic preparations including Bentos eyedrops containing befinolol hydrochloride 0,5% as its activ cinstituent since October, 1992 for treatment of glaucoma of her left eye. Patch test with the European standard series, rubber series, the patiants eyedrops and their individual constituents showed positive. reactions only to 0.5% Bentos eyedrops(as is) and to befunolol hydrochloride. We noted rapid improvement of skin lesions and syipsms after the withdrawal of Bentos eyedrops and applicatior of another B-blocker(carteolol hydrocilcide). (Kor J Dermatol 1994; 32(6) 1142- 1146)