부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

Flavobacterium meningosepticum에 의한 균혈증 1예

장성원,유진홍,진승원,김선우,김연식,박순민,이대훈,최민호,최주연,신완식,강문원,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.1

1996년 6월 카톨릭대학교 부천성가병원에 뇌경색으로 입원했던 61세 남자 환자의 혈액에서 Flavobacterium meningosepticum을 분리하였다. 환자는 폐렴을 동반한 패혈증의 예로 ceftriaxone과 metronidazole을 투여하였으나 입원 48시간만에 사망하였다. Flabovacterium meningosepticum is a rae cause of nosocomial infection which shows multi-drug resistance. It mainly invades patients with impaired immunity. Recently, we experienced a case of F. meningosepticum bacteremia in a patient with chronic debilitated state owing to stroke. The clinical progress was so rapid that he died within 48 hours. Blood culture revealed F. meningosepticum which showed characteristic yellow colony in blood agar plate.

뇌하수체 종양 제거술 시행 후 뒤늦게 발생한 횡문근 융해증과 동반된 중추성 열

장제혁,최규남,김일환,노은지,김윤정,유충헌,고정해,박봉수,김태균,권민정,이순희,박정현 인제대학교 2008 仁濟醫學 Vol.29 No.-

Body temperature is controlled by thermoregulatory center of the hypothalamus. We report a case of 24 years old man with central fever. He was subjected to a partial excision of pituitary tumor compressing optic chiasm four years ago. He has received hormonal therapy for panhypothyroidism after removal of pituitary tumor. And He received gamma knife operation for partially contrast-enhancing masses in suprasellar and both hypothalamic areas that is probably postoperatively remnant or recurrent tumor of pituitary adenoma. One year after gamma knife operation, he presented with a febrile syndrome of unknown origin including rhabdomyolysis. All usual investigations proved negative. We diagnosed him as central fever with rhabdomyolysis. He received medical ICU care with cooling bed, ice pack. And his symptom improved. Postoperative hyperthermia may result following resection of the pituitary tumor. When central fever is suspected taking note of past history, a quick recognition of course of fever can help reduce the using of unnecessary antibiotics and hospital stay.

AB 슬라이드, 크런치 및 윗몸일으키기 운동이 복직근 근활성도에 미치는 효과 : Comparison of It `s Myoelectrical Activities with Crunch and Sit-Up

지송운,김호성,양윤준,장재원 대한스포츠의학회 2004 대한스포츠의학회지 Vol.22 No.1

The purpose of this study was to compare the effect of AB slide™ on abdominal muscles with Crunch and Sit-up. Myoelectrical activities of Rectus abdominis muscles produced by AB slide™, Crunch and Sit-up were recorded. Healthy male aged from 17 to 36 years(23.0±5.9 yrs) were included fo the test. Surface electrodes were attached to upper and lower part of Rectus abdominis of the study subjects. Averaged integrated electromyography(AIEMG) and Normalized integrated electromyography(NIEMG) were recorded. The results are summarized as follows; First, the AIEMG of Sit-up were highest among them with insignificant difference statistically. Second, the NIEMG of upper part of Rectus abdominis were higher than the one of lower part with significant difference statistically(p<0.05). This phenomenon was same irrespective of the type of exercises. AB slide™ was not more effective than Sit-up and Crunch for strengthening of Rectus abdominis muscle. The upper part of Rectus abdominis was more activated than the lower part by all three exercises.

건축물 고형시료 중 석면 분석을 위한 방해 물질 제거방법에 대한 연구

김윤재,임지현,장봉기 순천향대학교 기초과학연구소 2021 순천향자연과학연구 논문집 Vol.27 No.1.2

In this study the following pretreatment methods are proposed using solid samples of buildings : furnace ashing methods according to the existing waste process, acid treatment after furnace ashing, acid treatment using graphite block acid circulation, a new method of attempting. This study propose a method for pretreatment of solid samples in buildings containing asbestos with a comparison of the asbestos analysis obstruction removal rates according to the above mentioned methods. The materials used in this study are 48 slates of 3 types and 48 textures of 3 types, total 96 samples which are solid samples in buildings. Pretreatment and acid treatment methods were classified in four ways: Electric high temperature furnace ashing methods according to the existing waste process and acid treatment with HCl(1+3)(Group A), Electric high temperature furnace ashing methods and acid treatment with aqua regia(HCl 3 : HNO3 1)(Group B), acid treatment with aqua regia(Group C) using graphite block acid circulation, a new method of attempting and acid treatment with inverse aqua regia(Group D). The removal rate of furnace ashing from slate samples in A and B treatment groups was 13.91%, and the removal rate of furnace ashing from texture samples in A and B treatment groups was 9.21%, so the removal rate of furnace ashing from slate samples was significantly higher than texture samples(p<0.001). The removal rate of asbestos analysis interfering substances from slate samples and texture samples in C treatment group with acid treatment with aqua regia using graphite block acid circulation were 30.50% and 30.58%, respectively. So in both slates and texture samples, the removal rate of asbestos analysis interfering substances from the slates and texture samples of A, B, and D treatment groups was significantly higher(p<0.001). The newly proposed acid treatment with aqua regia using graphite block acid circulation method in this study significantly eliminated more acid solubility material and asbestos analysis interfering substances than electric high temperature furnace ashing methods according to the existing waste process and acid treatment with HCl(1+3), and this method does not go through the process with high temperature furnace ashing, it is believed that asbestos analysis can be made easier by preventing changes in the characteristics of asbestos and the use of graphite block acid collection devices when acid treatment of solid samples in buildings containing large amounts of asbestos analysis interfering substances can be more effective than conventional methods.

요양병원 입원환자 평가도구의 타당도와 신뢰도

이지윤,윤주영,장사랑 노인간호학회 2008 노인간호학회지 Vol.10 No.1

Purpose: The purpose of this study was to evaluate the validity and reliability of a patient assessment instrument for patients in long-term care hospitals. Method: The participants in this study were 90 patients admitted to 3 long-term care hospitals. The data were collected in May and June 2007. Criterion related validity of the K-ADL (Korean Activities of Daily Living) was tested using Spearman correlation with the K-MBI (Korean Modified Barthel Index). Inter-rater reliability between two nurses was tested using weighted kappa and agreement percentage. Results: Criterion related validity of the K-ADL with the K-MBI was good with average Spearman correlation coefficient =0.96. Correlation coefficients of items were between 0.63 and 0.96. Inter-rater reliability was satisfactory with the average weighted kappa equal to 0.76. Items with weighted kappa of more than 0.4 numbered 122 (86.5%) and of more than 0.75, 74 (52.5%) Conclusion: The patient assessment instrument for patients in long-term care hospitals is reliable and K-ADL is valid for classifying these patients based on resource utilization, and for quality monitoring indicators.

서울 시내 4년제 남자 대학생의 우울과 흡연량, 흡연기간, 니코틴 의존도와의 관계

박지영,박소영,이미숙,백수진,신의경,예혜련,오승진,장윤정,조혜진,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

Background: With reports on the relation between smoking and depression appearing since 1980, it has become clear that depression is one of the psychodynamics of smoking, though there has been little or no progress made in the study of whether or not there is indeed a relation between depression and nicotine dependence. Purpose: The purpose of the study was to investigate the effects of depression on the amount and period of smoking and nicotine dependence among university man student smokers. Method: In periodical examination between 14 and 21, May, 2003, using 170 university male. The CES-D(Center for Epidemiologic Studies Depression) Scale and the FTQ(Fagerstrom Tolerance Qustionnaire) were utilized to measure the level of depression and nicotine dependency. The amount of smoking was calculated based on the number of cigarette used. Result: Results indicated that depression had something to do with amount of smoking. Nicotine dependence also was related to depression but total value was relatively low. finally the period of smoking had nothing to do with depression. Conclusion: The results of this study revealed that the amount of smoking of university man student smokers was very high. Both the amount of smoking and nicotine dependence were affected by levels of depression. Accordingly psychiatric nursing access such as emotional support is needed to manage depression and decrease smoking.

응력 상호작용과 연속압입 기법을 이용한 SS400 강봉의 굽힘 잔류응력 평가

李潤熙,池原宰,孫東一,張宰溢,權東一 대한금속재료학회 2002 대한금속·재료학회지 Vol.40 No.10

Apparent mechanical properties of welded structural components are deviated from the initially designed values due to the residual stress. Thus, exact assessment of the residual stress using a nondestructive method became an important issue in reliability researches. A nanoindentation model for evaluating the equi-biaxial thin film residual stress was proposed in the previous study. However, the surface residual stress in the welded joint is a non-equi-biaxial state and complex elastic/plastic deformations are involved in the macroindentation. Therefore, the previous model was modified to evaluate the real non-equi-biaxial residual stress by considering a new stress-proportional factor and a significant effect of the plasticity. The newly modified stress-analyzing model was verified empirically by comparing the evaluated uniaxial stress with the already known residual stress of 4-point bended specimen.

술폰기가 도핑된 폴리피를 제조 및 전기화학적 특성

박종호,김지윤,장순호,조영일 한국화학공학회 2003 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.41 No.4

정전류 중합법으로 도펀트의 화학적 구조와 크기에 따라 폴리피롤 막을 ITO 전극위에 합성하고 전기화학적 특성을 알아보았다. 전해중합 효율은 SBA, PVS, BDS 순으로 증가하였고 합성 전기량의 증가에 따라서는 변화되지 않았다. SBA를 도펀트로 제조된 폴리피롤 막은 산화 과정에서 음이온 및 양이온 교환특성이 나타남을 CV를 통해 알 수 있었다. 도펀트가 BDS인 폴리피롤 막은 전류밀도 1 mA/㎠에서 가장 높은 속도 상수 값을 나타내었다. 또한 선형분극 법으로 측정한 확산계수는 이중층 용량 성분 때문에 임피던스 법으로 구한 값보다 크게 나타났다. According to chemical structure and size of dopant, the polypyrrole films were prepared by constant current polymerization method on ITO electrode and its electrochemical properties were investigated. The current efficiency of polymerization of pyrrole was increased in the sequence 4-sulfobenzoic acid(SBA), polyvinylsulfonic acid(PVS), 1.3-benzenedis-ulfonic acid(BDS) and was unchanged with electricity of polymerization. As a result of cyclic voltammetry of polypyrrole film prepared with SBA as dopant, ion-exchange behavior both of anion and cation was observed during oxidation process. The maximum rate constant of polypyrrole doped with BDS was obtained at 1 ㎃/㎠. In addition, the diffusion coefficient calculated by linear polarization method was more large than that measured by impedance analysis due to double layer capacitance.

색상 측정 기기를 이용한 복합레진 적층 수복과 단일 수복의 색상 비교 분석

송영상,김자현,이빈나,장지현,장훈상,황윤찬,오원만,황인남 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2

Objectives: This study analyzed the difference in color caused by different thickness in enamel layer of composite resins when applied with single and layering placement technique, and evaluated if the results agreed with the shade guide from the manufacturers to verify reliability of the color matching process of the manufacturers. Materials and Methods: For single composite resin samples, 6 mm diameter and 4 mm thickness cylindrical samples were fabricated using Ceram-X mono (DENTSPLY DeTrey) and CIE L*a*b* values were measured with spectrophotometer. Same process was done for layering compositie resin samples, making 3 dentinal shade samples, 4 mm thickness, for each shade using Ceram-X duo (DENTSPLY DeTrey) and enamel shade resins were layered in 2 mm thickness and CIE L*a*b* values were measured. These samples were ground to 0.2 mm thickness each time, and CIE L*a*b* values were measured to 1 mm thickness of enamel shade resin. Results: Color difference (△E*) between single and layering composite resin was 1.37 minimum and 10.53 maximum when layering thicknesses were between 1 mm and 2 mm and 6 out of 10 same shade groups suggested by manufacturer showed remarkable color difference at anythickness (△E* > 3.3). Conclusion: When using Ceram-X mono and duo for composite resin restoration, following the manufacturer's instructions for chossing the shade is not appropriate, and more accurate information for Ceram-X duo is needed on the variation and expression of the shades depending on the thickness of the enamel. (Restor Dent Endod 2012;37(2):84-89)