2002년 서울시 대기오염과 출생 자료를 이용한 저체중아 환경보건감시체계 연구

서주희,김옥진,김병미,박혜숙,임종한,홍윤철,김영주,하은희,Seo, Ju-Hee,Kim, Ok-Jin,Kim, Byung-Mi,Park, Hye-Sook,Leem, Jong-Han,Hong, Yun-Chul,Kim, Young-Ju,Ha, Eun-Hee 대한예방의학회 2007 예방의학회지 Vol.40 No.5

Objectives: The principal objective of this study was to determine the relationship between maternal exposure to air pollution and low birth weight and to propose a possible environmental health surveillance system for low birth weight. Methods: We acquired air monitoring data for Seoul from the Ministry of Environment, the meteorological data from the Korean Meteorological Administration, the exposure assessments from the National Institute of Environmental Research, and the birth data from the Korean National Statistical Office between January 1, 2002 and December 31, 2003. The final birth data were limited to singletons within $37{\sim}44$ weeks of gestational age. We defined the Low Birth Weight (LBW) group as infants with birth weights of less than 2500g and calculated the annual LBW rate by district. The air monitoring data were measured for $CO,\;SO_2,\;NO_2,\;and\;PM_{10}$ concentrations at 27 monitoring stations in Seoul. We utilized two models to evaluate the effects of air pollution on low birth weight: the first was the relationship between the annual concentration of air pollution and low birth weight (LBW) by individual and district, and the second involved a GIS exposure model constructed by Arc View 3.1. Results: LBW risk (by Gu, or district) was significantly increased to $1.113(95%\;CI=1.111{\sim}1.116)\;for\;CO,\;1.004(95%\;CI=1.003{\sim}1.005)\;for\;NO_2,\;1.202(95%\;CI=1.199{\sim}1.206\;for\;SO_2,\;and\;1.077(95%\;CI=1.075{\sim}1.078)\;\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was significantly increased to $1.081(95%\;CI=1.002{\sim}1.166)\;for\;CO,\;1.145(95%\;CI=1.036{\sim}1.267)\;for\;SO_2,\;and\;1.053(95%\;CI=1.002{\sim}1.108)\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was increased to $1.003(95%\;CI=0.954{\sim}1.055)\;for\;NO_2$, but this was not statistically significant. The air pollution concentrations predicted by GIS positively correlated with the numbers of low birth weights, particularly in highly polluted regions. Conclusions: Environmental health surveillance is a systemic, ongoing collection effort including the analysis of data correlated with environmentally-associated diseases and exposures. In addition. environmental health surveillance allows for a timely dissemination of information to those who require that information in order to take effective action. GIS modeling is crucially important for this purpose, and thus we attempted to develop a GIS-based environmental surveillance system for low birth weight.

초등학교 담임교사의 상담자로서 역할지각 및 수행실태와 아동의 기대 분석

서주희,김양현,Seo, Ju-Hee,Kim, Yang-Hyun 한국초등상담교육학회 2006 초등상담연구 Vol.5 No.1

The objective of this study is to conduct survey analyses of the role perception and performance of homeroom teachers in elementary schools in Seoul as well as their students' expectations for teachers' role as counsellors. The study also aims to analyze the causes behind the lackluster performance, to provide assistance in teachers' counselling and guidance activities and collect basic data for providing a plausible orientation for elementary school counselling. Research topics for achieving these study objectives are as follows. First, what is the status quo of counselling between elementary school students and teachers? Second, what is the role perception of elementary school homeroom teachers as counsellors and their current level of performance? Third, what are the differences in students' expectations for homeroom teachers' role as counsellors according to students' environmental variables such as gender and grade? Fourth, what are the discrepancies between the roles perception and performance of elementary school homeroom teachers and role expectation of students for homeroom teachers' role as counsellors? In order to answer these questions, surveys were conducted for 229 teachers and 385 students in grades 4, 5 and 6 in 11 elementary schools in Seoul, and the results were analyzed. The questionnaires used for this study were modified and supplemented according to the research objectives based on survey questions released by Gyung-Beom Lee(1989), Hak-Soo Lee(2001) and Gi-Nam Gwon(2005). Statistical analyses were peformed using the SPSS for Windows 10.0 program. The results of the study can be summarized as follows. First, most elementary school homeroom teachers were involved in counselling activities, and about half of them were providing counselling once a month or less. The classroom was the primary location of counselling, and more than half of the surveyed teachers were dissatisfied with their counselling activities. The teachers cited overwhelming teaching hours and excessive work as the factors that made counselling difficult. Second, it was revealed that most elementary school students have had experiences of anguish and most have had some form of counselling. They mostly sought counselling from their parents and friends, and the reasons behind such choices were that they were very understanding. Third, most students responded that they have had no experience of receiving counselling from their homeroom teachers. Among those with counselling experience with their homeroom teachers, most said that the counselling was helpful. The most significant reason for not receiving counselling from their homeroom teachers was that the students had no worries to talk about with their teachers. Fourth, as a result of categorizing the role of elementary school homeroom teachers as counsellors according to the areas of counselling, role perception for each area turned out to be generally high, while performance was substantially lacking. Fifth, in terms of the causes for the lackluster counselling performance, overwhelming teaching hours and excessive work were indicated for counselling areas of academic and personality issues. Sixth, the analysis of students' expectations for elementary school homeroom teachers as counsellors for counselling areas according to gender and grade revealed that there was no overall statistical significance. Seventh, from the general perspective, the level of role perception of the homeroom teachers were higher than the level of students' expectations. In conclusion, in order to enhance the teacher's role as a counsellor, there has to be a concrete perception of roles as a primary premise, calling for training sessions and programs dedicated to counseling for the teachers to take part in. Moreover, in order to alleviate the most significant causes for undermining teachers' counselling activities - overwhelming teaching hours and excessive work - there must be administrative consideration as well as

국내 3-7세 어린이의 혈중 납, 수은, 카드뮴 농도와 관련요인

서주희,김병권,김유미,김록범,정진용,홍영습,Seo, Ju-Hee,Kim, Byoung-Gwon,Kim, Yu-Mi,Kim, Rock-Bum,Chung, Jin-Yong,Hong, Young-Seoub 한국환경보건학회 2014 한국환경보건학회지 Vol.40 No.4

Objectives: Children are more susceptible to heavy metal toxicity than adults. The purpose of this study was to evaluate heavy metal concentrations in the blood of Korean preschoolers and investigate the association between metals in blood and related factors. Methods: A total of 512 subjects from 36 to 83 months of age were sampled. A questionnaire survey was performed and the levels of lead, mercury and cadmium were measured in the blood samples of all subjects. Their parents were interviewed in order to obtain information on basic characteristics, dietary patterns, socio-economic factors, and indoor/outdoor environment of the preschoolers. Multiple linear regression was used to analyze the association between the above factors and lead, mercury or cadmium concentrations. Results: The geometric mean concentrations of lead, mercury and cadmium in the blood were $1.45{\pm}1.58{\mu}g/dL$, $2.14{\pm}1.74{\mu}g/dL$ and $0.23{\pm}1.91{\mu}g/dL$, respectively. Results from multiple linear regression analysis showed that blood lead levels were associated with birth weight and paternal smoking status. Daily mercury intake from food and maternal education were also shown to influence mercury concentrations in blood. Also, blood cadmium concentrations were associated with maternal age and having a bus garage near the place of residence. Conclusion: This study suggests that smoking status, dietary patterns and the environmental status near the residence should be considered as important factors for preventable sources of heavy metal exposure in preschoolers.

Face mask를 이용한 유치열기 골격성 반대교합의 치료

서주희,이광희,김대업,이지영,Seo, Ju-Hee,Lee, Kwang-Hee,Kim, Dae-Eop,Lee, Ji-Young 대한소아치과학회 2002 大韓小兒齒科學會誌 Vol.29 No.1

III급 부정교합은 서양인에서 약 5%의 발생빈도를 보이며, 일본인과 한국인에서 교정환자중 50%정도로 증가하는 추세이다. 이런 III급 부정교합자의 63%가량이 상악골의 열성장 또는 상악골의 열성장과 하악골의 과성장에 의한 것이라고 알려져 있다. 일반적으로 환자의 나이가 많을수록 악정형력보다는 치열에서의 변화량이 크므로 치료는 조기에 시행하는 것이 바람직하다고 하였다. 조기치료시 성장조절, 환자의 협조도, 치료의 관리와 같은 결정요소들을 잘 판단하여 시행함으로써 상악골의 더 많은 전방이동이 가능하며 정상 성장을 도모하고 교합관계가 증진되며 안모의 개선으로 인해 정상적인 사회 심리적 발육이 이루어질 수 있다. 본 증례는 반대교합을 주소로 원광의료원 치과병원 소아치과에 내원한 유치열기 환아에게 facemask를 이용한 조기 치료로 양호한 결과를 얻었기에 보고하는 바이다. The prevalence of Class III malocclusion is approximately 5% in the Caucasian population, rising to as mush as 50% in the Japanese and Korean population. Recent studies have suggested than 63% of this malocclusion display maxillary retrusion. If left untreated, the malocclusion tends to worsen. Consequently, early treatment is commonly indicated to obtain a more normal jaw relationship. This report is 2 cases treated patients who diagnosed as skelectal Class III malocclusion due to deficient maxilla using facemask.

오염된 유치 상아질에 대한 자가 부식 프라이머의 결합강도에 관한 연구

서주희,이광희,김대업,Seo, Ju-Hee,Lee, Kwang-Hee,Kim, Dae-Eup 대한소아치과학회 2002 大韓小兒齒科學會誌 Vol.29 No.1

연구목적은 자가부식 프라이머의 적용 시기에 따른 타액과 혈액 오염에 대한 결합력에 미치는 영향을 알아보는 것이었다. 유치 시편을 각각 10개씩 제작하여 대조군, 접착전 타액 오염, 접착제 중합후 타액 오염, 접착전 혈액 오염, 접착제 중합후 혈액 오염된 상황으로 2가지 종류의 자가부식 접착제와 복합레진을 적용하여 만능 물성 시험기로 전단결합강도를 측정, 분석하였다. 접착제 적용전 타액 오염(I군)시에는 대조군과 비교하여 결합력이 유사하거나 약간 감소되었으나, 통계학적 유의한 차이가 없었다(P>0.05). 접착후 타액 오염(II군)이나 접착 전후의 혈액 오염(III, IV군)시 유의하게 결합력이 감소하였다. (P<0.01). Clearfil SE Bond가 AQ Bond보다 유의하게 높은 결합강도를 보였다(P<0.05). The purpose of this study was to determine and compare the shear bond strength of two self-etching primer systems to primary teeth contaminated with saliva and blood. Clearfil SE Bond and AQ Bond were evaluated. One hundred specimens were made by seventy-five deciduous teeth(fifty anterior and twenty-five posterior teeth) and divided randomly into ten groups. Small flat dentinal surfaces were prepared by grinding the buccal, lingual and labial areas. Specific surface treatments were applied to each group: (1) a self-etching primer application(control group), (2) saliva contamination followed by primer(Group I), (3) primer curing followed by saliva contamination (Group II), (4) blood contamination followed by primer(Group III), (5) primer curing followed by blood contamination(Group IV). After bonding of composite resin(Z100, 3M, USA) to contaminated sample surfaces and thermocycling(1,000 cycles), shear bond strengths were measured using Universal Testing Machine(Zwick Z020, Zwick Co., Germany). The results were as follows; 1. Group I showed lower shear bond strength than control group but no statistically significant difference was found(P>0.05). 2. Group II and blood contamination group(Group III & IV) showed significantly lower shear bond strength than control group(P<0.01). 3. The shear bond strength of Clearfil SE Bond was significantly higher than that of AQ Bond(P<0.05).

임신 중 실내외 PM<SUB>10</SUB> 노출이 영유아의 성장발달에 미치는 영향 : 모자환경보건센터(MOCEH)의 임산부 및 영유아 코호트연구

서주희(Ju-Hee Seo),하은희(Eun-Hee Ha),박혜숙(Hye-Sook Park),이보은(Bo-Eun Lee),홍윤철(Yun-Chul Hong),김양호(Yangho Kim),하미나(Mina Ha),김병미(Byung-Mi Kim),장문희(Moon-Hee Chang),박은교(Eun-Kyo Park) 한국환경독성학회 2011 한국독성학회 심포지움 및 학술발표회 Vol.2011 No.10

융모막혈관종증에 의해 발생한 태아수종 1례

서주희 ( Ju Hee Seo ),김애란 ( Ellen A Kim ),김기수 ( Ki Soo Kim ),피수영 ( Soo Young Pi ) 대한주산의학회 2009 Perinatology Vol.20 No.3

Apart from the common etiologies of neonatal hydrops fetalis, a miscellaneous group of rare causes of them include abnormalities of the placenta, namely, chorangioma (chorioangioma). Chorangiomatosis is multiple small chorangiomas, a rare tumor occurring in 1% of pregnancies, of varying sizes in the placenta. When chorangioma is large enough it can cause high output cardiac failure of the fetus and results in non-immune hydrops. We report a case of neonatal hydrops fetalis caused by placental chorangiomatosis in which the placenta could have been easily overlooked. We suggest evaluating every placenta for biopsy in cases of neonatal hydrops fetalis especially when the other causes of hydrops fetalis have been ruled out.

치과위생사의 유니폼이 전문직 자기이미지에 미치는 영향

서주희 ( Ju Hee Seo ),진기남 ( Ki Nam Jin ),윤종희 ( Chong Hee Yun ) 한국의류학회 2010 한국의류학회지 Vol.34 No.8

임신중 PM₁? 노출이 태아 성장 및 임신결과에 미치는 영향 : 모자환경보건센터(MOCEH)의 임산부 및 영유아 코호트연구

서주희(Ju-Hee Seo),하은희(Eun-Hee Ha),박혜숙(Hye-Sook Park),이보은(Bo-Eun Lee),노영만(Young-Man Roh),홍윤철(Yun-Chul Hong),김양호(Yangho Kim),하미나(Mina Ha),김병미(Byung-Mi Kim),장문희(Moon-Hee Chang) 한국환경독성학회 2010 한국독성학회 심포지움 및 학술발표회 Vol.2010 No.11

남해안 별신굿의 전승 양상과 지화(紙花) 및 종이 오브제

서주희(Seo, Ju-Hee) 동서미술문화학회 2020 미술문화연구 Vol.17 No.17

이 글은 국가무형문화재인 남해안 별신굿의 전승 양상과 굿판에서 무당이 제반 의례에 사용하는 도구인 지화(紙花) 및 한지 오브제(objet)를 살펴보는 것이 목적이다. 오늘날 국가무형문화재에서 가장 중요한 전승 축이 ‘기능’과 ‘예능’이다. 굿에서의 기능은 각종 소도구 제작을 의미한다. 소도구에는 가장 기본적인 것이 종이를 이용한 여러 오브제(objet)들이다. 지화(紙花), 지(紙)탈 등이 그러한 것들이다. 남해안 별신굿은 잘 알려진 바와 같이 통영 및 거제 등 남해안의 마을에서 정기적으로 행해지는 공동체 문화가 담긴 축제로 세습무가(巫家)들이 주도하고 있다. 세습무 가운데 남해안 별신굿을 택한 이유는 서해안 대동굿, 배연신굿이나 동해안 별신굿은 이미 1970년대부터 연구가 활발하게 시작되어 학계에 일찍 알려졌던 것과 달리 남해안 별신굿은 1980년대에 들어서야 그 존재가 겨우 확인되고 1987년에 비로소 무형문화재로 지정받았다는 사실 때문이다. 그뿐만 아니라 지금 이 시대에 대한민국에서 가업을 잇는다는 것은 생각만큼 쉽지 않은 일이기에 12대째 세습무를 이어오고 있다는 사실에 주목할 필요가 있다. 1987년 7월1일 국가무형문화재 제82-4호로 지정된 이후 혈연세습이 아닌 사람들도 남해안 별신굿보존회로 들어와 굿의 기・예능을 학습하고 함께 굿판에서 활동하고 있다. 이렇게 세습무계의 속성이 변하게 된 이유는 ‘사회 인식의 변화, 활동무대의 감소, 경제적 이유, 사명감의 차이’ 등에서 비롯되었다고 생각된다. 본 논문은 기존의 연구자료에는 언급되지 않은 남해안 별신굿전승자들의 계보도와 현재 남해안 별신굿을 계승하고 있는 보유자와 전승자로부터 확인된 사실과 근거를 토대로 남해안 별신굿의 전승 양상을 살펴보았다. 그리고 이를 통해 남해안 별신굿과 그 안에 담긴 공동체 문화 그리고 전통공예미술인 지화(紙花) 및 종이오브제에 관한 내용도 함께 고찰하였다. The purpose of this study is to examine the condition of the tradition group and family line of Southern Coast Byeolsin-Kwut a national intangible cultural property and a Paper flower Objet and Paper Objet an equipment used by shamans for rituals at Kwut. The most important transmission axes in national intangible cultural properties are function and entertainment. The function in the Kwut means making various props. The most basic of props are various objets using paper. Paper masks and Paper f lowers are such things. Southern Coast Byeolsin Kwut (SCBK) refers to the traditional shamanic rituals held to honor village tutelaries by hereditary shamans along the southern coastal villages on the Korean Peninsula, Tongyeong and Geoje. These communal festive rituals are hosted by shamans whose social status passes down through family bloodlines Unlike other similar communal shamanic groups The western coast Daedong-Kwut and the western coast Baeyeonsin-Kwut and the eastern coast Byeolsin-Kwut extensively studied in the 1970s. It was only in the 1980s that the tradition of the Southern Coast Byeolsin-Kwut was identified. SCBK was designated by the Korean government as a National Intangible Cultural Heritage in 1987. It is noteworthy that the hereditary shamans hosting traditional social events in this area have been Kept through 12 generations, when we consider the difficulties in keeping old family traditions in Korea. The designation Kwut as National Intangible Cultural Heritage No. 82-4 on July 1, 1987 led to the establishment of the Southern Coast Byeolsin-Kwut Preservation Society and the participation of ordinary citizens in the performance of the rituals. The recent development in the tradition of hereditary shamans could be attributed to the changes in public awareness of the tradition, the decrease in the opportunity for performances, and has changed economic situations, and has brought about differences in the sense of duty. The main discussions in this study includes the genealogy of Southern Coast Kwut. hosts which is not mentioned in the data so far discussed and the holders of the heritage officially acknowledged by the Korean government, and people who has finished Southern Coast Byeolsin-Kwut thus providing comprehensive understanding of the tradition based on facts proven through the research on heritage holders. This study are expected to contribute to the reinterpretation of the heritage of Kwut and the production of traditional craft art, Paper flower and Paper objet.