산업보건관리자를 위한 소음성 난청 예방지침서의 개발

이원철,유경혜,장성실,이세훈,구정완,김현욱,노영만,이경재,김형아 가톨릭 대학 산업의학 쎈타 산업의학연구소 1996 韓國의 産業醫學 Vol.35 No.1

Occupational hearing loss became the leading occupational disease by constioution 56% of all work-related diseases in Korea. However, the prevalance rates showed wide variations among the specific medical examination providers and were very low(0.8-1.4%) compared with those 8.4% in Japan. The sources of these variations was regarded in the preview study as 1) Employee audometric estings were primarily conducted by nurses and nurse-aids who had no formal training for audiometry; 2) althought audiometric testing equipment used by the spedific medical examination providers, it should be periodically calibrated, a significant number of them were not properly calibrated : 3) Initial audiometric testings were conducted at any available spaces in workplace or at the testing room without considering bachground noise level. One of solutions that can be done for sloving surrent noise related problems is to provide a noise related manual for the occupational health managers including doctors, nurses and hyginests. This study was done to provide such a manual. The main core of the manual was hearing conservation program. And the contents of the manual was the same as the main frame of hearing conservation program such as noise survey, provided of the diagram showing the core contents of each factor of the hearing conservation program. Hopefully, this manual will be the references of the standardized performances of the specific medical examination providers.

폐경기 여성에서 호르몬 대치 요법시 병행 투여된 프로제스토젠 투여 방법에 따른 골대사의 생화학적 지표에 미치는 영향

이권해,강선영,임경빈,이해혁,구도형,이석민 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Purpose : To evaluate the impact of added progestogen on biochemical markers of the bone turnover undergoing hormone replacement therapy in the postmenopausal women. Materials and Methods : There are 71 postmentopausal women who are divided into three groups (Group I, Group II, Group III). Group I(continuous combined)is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group II(unopposed estrogen) is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 5mg, day 1-12). And there were measured serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion before starting hormone replacement therapy and 12 months later. Results : The serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion significantly decreased after hormone replacement therapy (Group, I, II, III). And there was no significance in decreases in biochemical markers of the bone turnover among three groups. Conclusions : It was concluded that the impact of added progestogen on the biochemical markers of the bone turnover undergoing hormone replaced therapy in postmenopausal women was not significant than nothing added group. Thus we concluded that progestogen was not impact on decreasing on the biochemical markers of the bone turnover in postmenopausal women undergoing hormone replacement therapy.

KAL기 추락에 의한 대량재해의 개인식별

강신몽,이원태,고영창,최상규,김윤희,이홍석,서재관,윤중진,이혜경,최득린,김종열,윤창육,변명식,이장홍 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

Individual identification is an important part in medicolegal field especially in mass disaster. At July, 27, 1989, KAL KE-803 was crashed on landing at Tripoli International Airport, Liba. The plane was caught in fire and sixty eight Koreans were sacrified. The majority of victims were severely charred and injured. The authors examed all dead bodies and successfully identified all the cases through visual, anthropological, odontological, radiological and pathological methods including fingerprint and blood typing.

공원묘지 유실에 의한 대량재해의 개인식별

강신몽,이한영,윤중진,이원태,김종열,이영석,서재관,최득린,서지석,이혜경 大韓法醫學會 1992 대한법의학회지 Vol.16 No.1

Individual identification of severely decomposed or skeletonized bodies is an important part in medicolegal field. 142 bodies were torn up and carried away by flood in a park cemetry, Kwang-Ju, Kyunggi province, Korea at Sept., 10, 1990. The authors examed the 56 bodies, which were gained, through medical, anthropological, odontological, radiological methods, and superimposition for individual identification. Among them, 41 cases were successfully identified, and remaining 15 cases were not identified because of sever destruction and no adequate information.

암환자의 건강문제 분류를 위한 횡단적 조사연구 : 서울시내 일개 종합병원 중심으로

김조자,이원희,유지수,허혜경,진혜영,최혜경 연세대학교 간호학연구소 1989 간호학 논집 Vol.12 No.1

The impact of cancer on human life has been recognized and the demand for care for the patient with cancer is ever increasing. Yet very little study around these concerns has been reported. The subjects of this study were 388 patients with cancer who were receiving treatment .in the outpatient department of Yonsei University Cancer Center. The study dealt with the health problems experienced while receiving this treatment. The research method used in this study was the structured interview technique using a questionnaire. Data collection was done between Dec. 1. l986 and June 30. 1987. The questionnaire used in this study was a revision of three questionnaires, one developed by D.W. McCaffrey(coping with cancer), one developed by C.A. Morris(self concept as altered by the diagnosis) and one developed by M.J. Yasko(management of symptoms associated with chemotherapy). Content validity was treated with oncologists and oneology nurses & nursing faculty members. The results and recommendation of the study areas follows: 1. Results. 1) Characteristics of the Sample The diagnoses of the subjects were as follow: The most frequent diagnosis was cancer of the stomach(26.5%), followed by breast cancer, lymphoma, rectal / colon cancer and lung cancer. The average age was 48.6 years. There were an equal number of men and women. There were 116(30.4%) subjects who received chemotherapy and surgery for the treatment of their disease of the total number of subjects. 264(69.5%) were treated for less than 1 year, and 116(30.5%) were treated for more than 1 year. The average Length of treatment was 12.7 months. 2) In Summary Health problems were categorized under four areas: physical. emotional, social and economical. The patients with lymphoma and stomach cancer experienced more health problems than any others in this study. According to the age of the patients, those in their 20's complained of physical and emotional problems most frequently and of those in their 30's social-economical concerns were most evident. In female gender. physical and emotional problems were identified more frequently than male patients. And yet male patients indicated greater concern with economic problems than female patients. Regardless of the treatment method or length of treatment health problems in different areas were similar and statistically not significant. However, economic concern was statistically significant(F = 2.52. p< 0.5) in those with receiving a combination of chemotherapy and radiation Marital status and health problems were also statistically significant. That is patients who were divorced, separated or widowed had more physical, psychological and economical problems than those who were married. 2. Recommendations. 1) Since the physical symptoms of nausea / muscle weakness and malnutrition were major health problems, the patient's diet and activity need to be carefully detailed and included in the care plan and further research is needed in order to implement physical, psychological. economical & spiritual interventions. 2) A follow up study should be done using a larger number of subjects and indifferent settings to further validate the health problem checklist for cancer patients.

유전체 충전형 플라즈마 반응기를 이용한 Trichloroethylene의 분해반응

이해완,류삼곤,박명규,박현배,황경창 한국화학공학회 2003 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.41 No.3

유전체 충전형 플라즈마 반응기를 이용하여 공기중 trichloroethylene (TCE)의 분해반응에 대한 연구를 수행하였다. 방전전력, 체류시간 및 반응물 유입농도 등과 같은 여러 가지 운전변수에 따른 TCE의분해효율을 조사하고, 반응 부산물의 분석을 통하여 TCE 분해 반응 메커니즘을 제시하였다. 실험결과 방전전력 및 체류시간이 증가함에 따라 TCE 분해효율은 증가하였으나 유입농도의 변화에 대한 영향은 거의 없었다. BaTiO_3를 충전한 반응기가 알루미나를 충전한 반응기보다 분해효율이 높았으나 TCE의 완전 산화분해의척도가 되는 CO_x(CO+CO_2)의 수율 및 CO_2의 선택도는 BaTiO_3를 충전한 반응기보다 알루미나를 충전한 반응기가 월등하게 높았다. 반응생성물 분석결과 주반응 생성물은 CO_x,CHCl_2COCl, C_2H_2Cl_2O_2및 COCl_2로 공기중 TCE의 분해 메커니즘은 주로 ClO와 OH 라디칼에 의한 반응으로 판단된다. The decompositon of trichloroethylene (TCE) in air using a ferroelectric packed-bed reactor was studied. The effects of discharge power, residence time, inlet concentration and other operating conditions on the decomposition efficiency were investigated and the analysis of reaction products was conducted to suggest the mechanism of TCE decomposition. Experimental results showed that the decomposition efficiency of TCE increased with increasing discharge power and residence time but was unaffected by inlet concentration. The decomposition efficiency for BaTiO_3 packed reactor was higher than that for alumina packed reactor, but the yield of CO_x(CO+CO_2) and selectivity of CO_2 as the measure of the complete oxidation of TCE were higher in alumina packed reactor. The main products of TCE decomposition were CO_x,CHCl_2COCl, C_2H_2Cl_2O_2 and COCl_2. On the basis of the results, it is inferred that the decomposition of TCE in air proceeds by OH and CIO radical reaction mechanism.

1901年 濟州民亂의 역사적 고찰

李惠璟 梨花女子大學校 師範大學 社會生活科 1987 綠友硏究論集 Vol.- No.29

前頭洞의 放射線學的 特徵에 依한 個人識別에 關한 硏究

李惠敬,文國鎭 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.1

Individual identification procedure is one of the most important part in medicolegal field. Recently, radiological investigation methods have been widely applicated to the medicolegal field for the purpose of individual identification. So the author attempted to classify the types, size indices and indices of frontal sinuses by use of radiological patterns and measurements, and also investigated their distributions in Korean population according to sex and age by analysis of 967 cases of simple skull anteroposterior and lateral films. The results could be summarized as follows. 1. Anteroposterior frontal sinuses could be classified into 15 types according to their locations, numbers and relations, namely 0, L1, R1, R2, B1, B2U, B2N, B3U, B3N, B4U, B4N, B5U, B5N, B6U, and B9U types. 2. Lateral frontal sinuses could be classified into 9 types, according to their numbers and relations, namely, X, I, IIU, IIN, IIIU, IIIN, IVU, IVN, and VU types. 3. B2 types, which had 2 chambers in both sides, including B2U and B2N tyeps, occupied more than 1/2 (59.1%) of all cases. B2U type was more frequent in male, and B2N type, in female. Unilateral types occupied only 5.4%. 4. Lateral frontal sinus types showed no differences between male and female. IIU type was most frequent (38.3%). 5. O and X types, which did not identified in simple anteroposterior and lateral films revealed significant differences in frequency between those groups under 15 and over 15, so it should be interpreted that pneumatization of frontal sinuses proceed continuously upto 15. O and X types were more frequent in female than male over 15. 6. Size indices were greater in male than female in both anteroposterior and lateral films. They showed significant differences between under 15 and over 15 groups. 7. Frontal sinus indices were calculated by proportion of longitudinal and horizontal plane of quadriangle covering whole frontal sinuses. Anteroposterior indices showed no difference between both sexes, but lateral indices showed higher values in female than male. This study suggested the possibility of forensic indicator system of frontal sinuses by use of their types, size indices, and sinus indices revealed in simple anteroposterior and lateral views. The forenisc indicator system of frontal sinus would be useful in individual identification.

일부간호사의 자아개념과 전문직태도와의 관계

李惠敬 대구산업정보대학 1993 논문집 Vol.7 No.-

This study attempted to analyze and confirm the correlation between self-concept and professional attitude. The subjects of the survey were 100 nurses selected from K hospital by questionnaire from Dec. 9 to Dec. 14, 1991. Data analysis included percentage, mean, S. D., t-test, ANOVA and pearson correlation coefficient. The results were as follows : 1) Self-concept by entrance into organization was significant. (t=2.75, df=98, p=.007) 2) Professional attitude by educational background was significant (F=3.44, df=2/97, p=.035) 3) The degree of professional attitude was high as 3.613 of a total score(5.0). 4) The hypothesis that "The more positive self concept will be, the higher professional attitude will be" was not supported(γ=.1909, p=.057).

학령전기 아동의 심적 표상 : ASSOCIATION WITH PARENTAL MENTAL REPRESENTATION 부모에 대한 심적 표상과의 관계를 중심으로

이혜란,신의진,이경숙 대한소아ㆍ청소년정신의학회 1999 소아청소년정신의학 Vol.10 No.1