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      • KCI등재
      • KCI등재

        한국인 직무 스트레스 측정도구의 개발 및 표준화

        장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

        Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

      • Comparisons of obstetrical outcomes among vaginal, intramuscular progesterone treatment and conservative management for the prevention of preterm birth in twin pregnancies with a short cervix

        ( Young Li Kim ),( Young Jae Lee ),( Hee Young Cho ),( Eun Ah Kim ),( Min Jung Baek ),( Young Ran Kim ),( Sukho Kang ),( Ji Yeon Lee ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-

        목적: To determine the differences in pregnancy outcomes among cases treated by vaginal progesterone, intramuscular(IM) progesterone and conservative management in twin pregnancies with a short cervix. 방법: This is a retrospective study of 273 twin pregnancies complicated by a short cervix(<2.5cm) who delivered from 2007 to 2016 in CHA Bundang Medical Center. Women who received cervical cerclage were excluded. Treatment groups included 1) group I; conservative management group without progesterone treatment(n=174), 2) group II; vaginal progesterone suppository group(n=30), 3) group III; IM progesterone injection group(n=69). Primary outcomes were spontaneous birth at <28, 32, 34, or 36 weeks of gestational age(GA). The secondary outcomes included hospitalized for tocolytics or antenatal corticosteroids, small for gestational age and low APGAR score(<7) at 5 min. 결과: Preterm birth before 36 weeks of GA was different among 3 groups(29.3%[51/174] vs.20.0%[6/30] vs.43.5%[30/69], p=0.034). Low APGAR score(<7) at 5min was significantly different among 3 groups(7.8%[27/348] vs.5.0%[3/60] vs.15.2%[21/138], p=0.018). After multivariate analysis, preterm birth(<36 weeks) occurred more frequently in group III than group I(aOR 6.90 95%CI:1.06-45.04, p=0.044). However, there was no significant difference between group II and III. Meanwhile, there were more cases with low APGAR score(<7) at 5 min in group III than group I(aOR 6.58 95%CI:1.43-30.21, p=0.015) and group II(aOR 17.04 95%CI:1.56-185.74, p=0.020) after multivariate analysis. 결론: In twin pregnancies complicated by short cervical length, IM progesterone group showed significantly greater occurrence of preterm birth before 36 weeks of GA in comparison with vaginal progesterone group and conservative management group.

      • KCI등재

        일 지역 농업인의 근력강화운동이 정신사회 및 신체적 건강수준에 미치는 영향

        정민예,양노열,유인규,고상백,이경숙,김경란,김효철 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.4

        목적 농업인을 대상으로 근골격계질환의 예방과 관리를 위한 근력강화운동을 실시하여 심리상태와 신체능력에 미치는 효과를 밝힘으로써 농작업과 관련된 향후 치료프로그램의 기초자료를 제공하고자 하였다 방법 규칙적인 운동프로그램의 참여 경험이 없는 농작업 종사자 28명을 대상으로 8주간 주 3회 근력강화운동을 실시하여 4주 이상 규칙적으로 참여한 대상자의 정신사회적 수준(자아존중감 사회심리적 스트레스) 신체적 수준(장악력 민첩성 동 정적 균형능력 근지구력) 요통 수준의 변화를 측정하였다 결과 근력강화운동에 참여한 대상자들의 자아존중감은 운동전에 비하여 유의하게 향상되었고 사회 심리적 스트레스는 유의하게 감소하였다 장악력 민첩성 동 정적균형능력은 운동 후 모두 유의하게 향상되었으며 요통 수준 또한 유의하게 감소하였다 결론 농업인에게 근력강화운동의 적용은 심리적인 안정을 주고 신체능력을 향상시켜 근골격계질환을 예방하고 관리하는데 적합한 치료프로그램으로 사용될 수 있으며 요통 수준을 감소시키는데 유용한 프로그램이었다. Objectives To evaluate both the psychosocial and physical effects of muscle strengthening exercise on farmers and in so doing evaluate their effect on musculoskeletal disorders in farmers. Methods 28 subjects participated in our muscle strengthening exercise program. Mean age of subjects was 63±13 years. The exercise program was performed 3 times a week during the 8 week studys period Before and after training various measurements were made self esteem scale (SES), psychosocial well being index short form (PWI SF), static and dynamic balance ability grip strength arm curl, time up and go (TUG), functional reach, and oswestry disability index. Results The muscle strengthening exercise program increased the self esteem grip strength and static and dynamic balance of subjects, while psychosocial stress and low back pain levels were decreased significantly (P<0.05) Conclusions The muscle strengthening exercise improved psychosocial and physical status of test subjects. Thus exercise may be an effective strategy for enhancing the psychosocial and physical health of farmers.

      • KCI등재

        부정교합이 성인 여자대학생의 자존감에 미치는 영향

        정민호,허욱,백승학 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.6

        Objective: The purpose of this study was to evaluate the effects of malocclusion on the self-esteem of female university students. Methods: The subjects were composed of 67 female university students who showed Class I molar relation, no missing or supernumerary teeth and has had no orthodontic treatment experience. Each subject was evaluated with Rosenberg's Self-esteem Scale to measure the level of self-esteem and also evaluated the degree of anterior crowding and lip protrusion through model analysis and cephalometric soft tissue profile analysis. Results: The results showed that a protrusive profile and crowding of upper anterior teeth had significant reducing effects on the level of self-esteem. The protrusion and crowding groups showed no significant differences in self-esteem between groups. Conclusions: Malocclusion had significant negative effects on the self-esteem of female university students. Further research to investigate the negative psychological influence of malocclusion and the education of lay people about this influence is necessary. 본 연구의 목적은 성장이 끝난 성인 여대생들에 있어 가장 흔한 부정교합의 하나인 전치부의 crowding과 입술주위 돌출감이 자존감(self-esteem)에 미치는 영향을 알아보는 것이다. 연구를 위하여 대학에 재학중인 여자대학생 67명을 대상으로 구강검진과 두부계측방사선 사진촬영, 모형계측을 실시하여 상악전치부의 치아배열과 입술의 돌출도를 평가하였다. 또한 Rosenberg의 자존감 평가 설문조사문항을 이용하여 이들의 자존감을 평가한 후 전치부의 치아배열, 입술주위 돌출도와 자존감 간에 어떠한 관계가 있는지 통계처리 하였다. 실험결과, 입술의 돌출을 가졌거나 전치부의 치아배열이 고르지 못한 학생들은 치아배열이 고르고 돌출되지 않은 안모를 가진 학생들에 비하여 유의하게 낮은 자존감을 보여주었다. 부정교합이 심리적으로 미치는 부정적 영향력에 관하여 더욱 체계적인 연구와 교육, 홍보가 필요하다고 생각한다.

      • SCOPUSKCI등재

        관골 축소술에 대한 임상적 고찰

        백세민,함정욱,백롱민,오갑선 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

        Orientals with prominent cheek bones are aesthetically unpleased. So we have performed reduction malarplasty which consists of medial and lateral malar osteotomies, mobilization of malar complex to more attractive point, and wire fixation through coronal incision on 288 patients from March, 1988 to February, 1997. Results have shown symmetry, natural contour, good patient acceptance, and no significant complication. The concept of 'mobilization of malar eminence to more attractive point' is important because the goal of surgery is not to achieve merely 'flat' malar complex. At the same time various procedures have been also performed to improve facial aesthetics. The simultaneous subperiosteal face life was advantageous especially to aged patients and to those with severe anterior projection of malar eminences. Reduction malarplasty combined with reduction angleplasty and face life is one of the useful way to restore the youthful appearance.

      • KCI등재

        초임계유체에 용해된 염료의 폴리에스터 섬유에 대한 염착

        민정명,박민우,전정호,최백선,배효광 한국화학공학회 2004 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.42 No.2

        반유통형의 초임계유체 염색장치를 사용하여 333.2K, 373.2K, 413.2K의 일정온도와 150bar-300bar의 압력에서 이산화탄소에 분산염료를 용해하여 폴리에스터 직물을 염색하고 염색시간에 따른 염착량을 측정하였다. 같은 방법으로 HFC-134a를 사용하여 383.2K와 413.2K의 일정온도와 50bar-160bar의 압력에서 염료를 용해하여 염색을 실시하고 염색시간에 대한 염착량을 측정하였다. 염착랑에 대한 초임계유체의 온도와 압력의 영향이 검토되었다. 이산화탄소와 HFC-134a의 초임계 용매를 비교하기 위하여 두 용매에 대한 염료의 용해도와 평형염착량의 관계를 검토하였다. 동일한 온도에서 HFC-134a를 초임계유체로 사용할 때보다 이산화탄소를 사용하는 것이 큰 평형염착량을 나타내었다. HFC-134a에 대한 염료의 용해도는 이산화탄소보다 훨씬 크지만 직물을 염색하는 초임계용매는 이산화탄소가 더 유리하였다. The uptake of disperse dye into polyester fiber in supercritical carbon dioxide was measured in the pressure range between 150 bar and 300 bar at each temperature of 333.3K, 373.2K and 413.2K, and the uptake in supercritical HFC-134a was measured in the pressure range between 50 bar and 160 bar at each temperature of 383.2K, 413.2K, using a flow-type apparatus with a cylindrical dyeing vessel. The effect of dye uptake in supercritical fluids on temperature and pressure was investigated. The dye uptake at constant pressure was much increased with temperature than it did with the pressure at constant temperature. The equilibrium uptakes of disperse dye in supercritical carbon dioxide were compared with those in the supercritical HFC-134a. The equilibrium uptakes in the supercritical carbon dioxide were much great than those in the HFC-134a at the same temperature. The supercritical carbon dioxide is better supercritical media than the HFC-134a, even though dye in the supercritical HFC-134a is much solved than in the supercritical carbon dioxide.

      • KCI등재후보
      • 안지오텐신 변환효소 억제제와 안지오텐신 II 수용체 차단제 투여 후 발생한 급성 신부전과 폐부종으로 전원된 선천성 단일신 환자의 치료 1예

        백두현,김경진,홍성철,강석형,송하응,김혜인,김수현,오현정,강혜원,김서우,유민아,류동열,최규복,강덕희 이화여자대학교 의과대학 2010 EMJ (Ewha medical journal) Vol.33 No.1

        Blockers of renin-angiotensin system(RAS) including ACE inhibitor or ARB are one of the most frequently prescribed medications for the treatment of hypertension, heart failure and proteinuria. One of the major side effects of these RAS blockers is the deterioration of renal function, mainly due to a reduction of intraglomerular pressure. Therefore, close monitoring of renal function is recommended when RAS blockers are initially prescribed, especially for the patients with impaired renal function. We report a patient who was transferred to our hospital due to the sudden development of oliguria and dyspnea after treatment for hypertension with ACEi and ARB. She was finally diagnosed as RAS blocker-induced acute renal failure with pulmonary edema complicated on congenital solitary kidney. After hemodialysis and conservative treatment, her renal function was recovered with maintenance of normal urine output. Conclusion:This case highlights the necessity of the functional and structural evaluation of kidney to prevent the serious complication such as acute renal failure before the administration of ACEi and/or ARB.

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