HPLP와 사상체질설문(四象體質說問)을 이용(利用)한 근로자(勤勞者)들의 건강상태(健康狀態) 평가(評價)

최문일,이은경,권소희,고광재,서병윤,정재열,장두섭,송용선,이기남,Choi Mun-Il,Lee Eun-Kyoung,Kwon So-Hee,Ko Kwang-Jae,Seo Byeong-Yun,Jeoung Jae-Yeal,Jahng Doo-Sub,Song Yung-Sun,Lee Ki-Nam 대한예방한의학회 2001 대한예방한의학회지 Vol.5 No.1

개인의 건강증진사업을 진행하기 위해서는 건강에 긍정적인 영향을 미치는 생활양식과 생활양식에 영향을 미치는 요인에 대한 역학적 조사가 필요하며 이는 연령집단별로 건강위험인자나 생활양식 및 건강실천행위 등이 모두 다르게 나타나기 때문이다. 체질에 따른 생활양식 등의 차이를 규명하는 것은 체질의학이 예방서비스의 일환으로 적용될 수 있는 기초자료를 제공하는 데 큰 역할을 할 뿐 아니라 체질의학을 현대화하는 데에도 기여할 것으로 사고된다. 이에 본 연구에서는 각 체질을 분석하고 체질별 건강증진 생활양식 실천정도를 파악한 결과 몇 가지 결과를 얻었기에 보고하는 바이다. 1. 연구대상자 중 태음인(太陰人)은 43.7%였고 소음인(少陰人)은 33.6%였으며, 소양인(少陽人)은 22.7%로 나타났다. 2. 연구대상자의 자아실현, 건강책임, 운동, 영양, 대인관계, 스트레스 관리를 포함한 건강증진 생활양식의 총 평균은 138.9이고 총 평점은 2.62이었다. 각 영역별 평점은 대인관계 2.94, 자아실현 2.86, 스트레스관리 2.71, 영양상태 2.68, 건강책임 2.37, 운동영역 2.21의 순으로 대인관계가 가장 높고 운동영역이 가장 낮았다. 3. 건강증진 생활양식 전체영역과의 관계를 보면 여성의 경우와 연령이 높을수록 건강증진 생활양식 실천정도가 높게 나타났다. 건강증진 생활양식 각 영역과의 관계를 보면 성별에서 보면 건강책임영역과 영양영역, 스트레스관리 영역에서 여자가 더 높은 실행정도를 보였고 운동영역에서 남자가 더 높은 실행정도를 보였다(P<0.05). 연령에서는 건강책임영역에서는 30대가, 영양영역과 스트레스관리영역에서는 50대가 가장 높은 실행정도를 보였다(p<0.05). 결혼상태에 따라서는 영양의 영역에서만 기혼자가 유의하게 실행정도가 높게 나타났다(P<0.05). 4. 건강증진 생활양식 각 영역과 사회경제적 특성과의 차이를 보면 월수입에서는 대인관계영역에서만 월수입이 100만원 미만이 가장 높게 나타났고(P<0.05), 교육수준별로는 자아실현영역에서만 교육수준이 높을수록 이행정도가 높게 나타났으나(P<0.05) 나머지 영역에서는 유의한 차이가 나타나지 않았다. 5. 대인관계영역을 제외한 모든 영역에서 태음인(太陰人)의 건강증진 생활양식의 실천정도가 가장 높았으며 자아실현영역에서는 소양인(少陽人)과 거의 비슷했다. 소음인(少陰人)은 건강책임 영역을 제외하고는 모든 영역에서 실천정도가 가장 낮은 것으로 나타났고 건강책임은 태음인(太陰人), 소음인(少陰人), 소양인(少陽人)의 순서로, 대인관계 영역에서는 소음인(少陰人), 태음인(太陰人), 소양인(少陽人)의 순으로 실천정도가 높음을 알 수 있다. Overview: The purpose of this study was to evaluate the determinants on the correlation between constitution and health promoting lifestyle profile on the workers. Also, the questionnaire on the HPLP (health promoting lifestyle profile) of Walker(1987) and Sa-sang constitution of Lee(l894) were utilized Methods: Data from a representative sample of 652 workers were analyzed Pearson's chi-square test analysis was utilized to test the explanatory causal model and to determine the direct and indirect effects of independent variables on quality of life. Results: Constitutional distribution among exposed group, were Tae-eum In(43.7%), So-eum In(33.6%), and So-yang In(22.7%). The degree of the subjects practicing health promoting lifestyle, on a scale of 1 to 4, is an average of 2.62, personal relations 2.94, self-realization 2.86, stress management 2.71, nutrition 2.68, responsibility for health 2.37, and exercise 2.21, with personal relations earning the highest points and exercise the lowest As for factors influencing health promoting lifestyle, there is significant difference between sex and age. That is female and higher age. On the difference between constitution and health promoting lifestyle, Tae-eum In is the highest all area except personal relations. So-eum In is the lowest all area except responsibility for health. Conclusions: Tae-eum In totally do health promoting lifestyle well but So-eum In relatively not. On the Study we used the HPLP(health promoting lifestyle profile) on the premise that each person's daily life, the attitude and the practice level to the health have an influence on the health. So in the constitution there is a little differences in the consideration and the practice level and health condition will be different. On this study we finish up by knowing about the health promoting lifestyle. But on next time we will have to go on studying about the sign and the comparison with the result of western and oriental medical health examination to the each constitution on carrying out continuously oriental medical health examination.

사업장(事業場) 근로자(勤勞者)의 사상체질(四象體質)에 따른 생활습관(生活習慣), 자각증상(自覺症狀), 건강인식(健康認識)에 관(關)한 연구(硏究)

서명효,강홍구,장두섭,왕명자,차남현,김삼태,권소희,정해경,송용선,이기남,Seo Muoung-Hoy,Kang Hong-Goo,Jahng Doo-Sub,Wang Myoung-Ja,Cha Nam-Hyun,Kim Sam-Tae,Kwon So-Hee,Jung Hae-Kyoung,Song Yung-Sun,Lee Ki-Nam 대한예방한의학회 2003 대한예방한의학회지 Vol.7 No.2

The study was conducted to evaluate the difference of life style, subjective symptoms and health cognition depending on the Sasang Constitution in the industrial workers. The results were as follows ; Constitutional distribution among exposed group were Tae-eum In(38.4%), So-eum In(35.2%), and So-yang In(26.4%) and it was turned out that Tae-eum In took a higher portion of Sasang constitution than other constitutions in technician workers. 'Exercise' and 'Obesity' were found most in Tae-eum In, In So-eum In there were many 'Normal' weight and 'Having digestive disorders' were found most in So-eum In. There were no significant difference in the health cognition among the constitutions. The closer to 'normal' weight, the higher prevalence in 'having' concern about health condition and the more 'normal' condition in sleeping, the higher prevalence of 'having' self-confident in present health.

일부 자동차 공장 근로자들의 職業的 特性과 社會 心理的 Stress의 相關性 硏究

김성삼,홍지우,한현정,최희석,권소희,정해경,김삼태,송용선,이기남 한국전통의학연구소 2004 한국전통의학지 Vol.14 No.1

〈Objective〉 This study were carried out to study to assess the relationship between job characteristics, general characteristics, health behaviors, and psychosocial distress and suggested the preventive oriental medicine approaches in occupational health area. 〈Methods〉 We measured job characteristics(job demand, job control, jop insecurity) by The Karasek's Job Content Questionnaire, health behaviors(smoking, drinking, exercise, coffee), general characteristics at work by a self-administered questionnaire. Psycho social distress was measured by PWI(Psychosocial Well-being Index), a 18-item self- administered instrument. 370 data for research were collected through the process of oriental health examination with questionnaire in workplace. Statistical analysis was done by t test, oneway ANOVA, and hierarchical multiple regression analysis with SPSSWIN (version 10.0) 〈Results〉 Among the 152 respondents, the prevalence of high job strain was 27%(41 persons). The Odds ratio of high job strain was 3.11(95 2.12~4.11), and those of passive group and active group were 2.01(95 0.83~2.76) and 1.80(95 0.83~2.76), respectively. Our results supported the association between psychosocial distress and job strain. 〈Conclusion〉 The odds ratio of high strain isolated group(high strain group+low social support) was 3.59(95 2.05 5.13), but the odds ratio of high strain collective group was 1.32(95 0.23 2.41). Social support at work was modifing factor of the association between psycho social distress and job strain. Therefore we reviewed the evidence that economic depression was associated with psycho social distress in this study, and that the strength of the social support was important in maintain health.

갑상선 유두암의 크기에 따른 초음파 특징 분류

박소영(So-Yung Park),김연민(Yun-Min Kim),이현복(Hyun-Bok Lee),조남수(Nam-Soo Cho),윤준(Joon Yoon) 대한방사선과학회(구 대한방사선기술학회) 2013 방사선기술과학 Vol.36 No.2

대한갑상선학회는 0.5 cm 보다 큰 경우에만 미세침흡인술을 권고하고 있으나, 본원에서는 0.5 cm 이하의 결절에서도 갑상선 유두암이 많이 발견되고 있다. 이 연구는 건강의학센터에서 미세침흡인술을 시행하여 갑상선 유두암으로 확진된 결절을 토대로 크기에 따른 초음파 특징을 분류해 보고자 한다. 결절의 크기를 장경 0.5cm 이하, 0.5∼1 cm, 1 cm 보다 큰 결절의 세 그룹으로 나누어 각각에서의 악성을 시사하는 초음파 소견에 차이가 있는지 알아보았다. 288개의 악성결절 중 0.5 cm 이하 크기는 21.5 % (62/288), 0.5∼1 cm 54.9 %(158/288), 1 cm 보다 큰 결절은 23.6 % (68/288)로 나타났다. 앞뒤가 긴모양의 특징은 0.5 cm 이하 그룹 90.3% (56/62), 1 cm 보다 큰 그룹 48.5 % (33/68)로 나타나 통계적으로 유의한 차이를 보였다(p<0.001). 0.5 cm 이하 그룹에서 well defined smooth 결절은 1예도 없었으며, 침상(spiculated) 혹은 불규칙한 경계는 크기가 클수록 빈도가 증가하였다(p=0.024). 내부에코는 0.5 cm 이하 그룹에서 고에코(hyperechogenicity)와 동에코(isoechogenicity)의 결절은 1예도 없었으며, 각 그룹별로 현저한 저에코(marked hypoechogenicity)보다 저에코(hypoechogenicity)가 많았다(p=0.034). 미세 혹은 거대석회화는 0.5 cm 이하에서 77.4 % (48/62)가 관찰되지 않았으며, 0.5 cm 이하 그룹부터 21.0 % (13/62), 48.1 % (76/158), 64.7 % (44/68)로 결절 크기가 증가할수록 관찰빈도가 증가하였다(p<0.001). 초음파에서 0.5 cm 이하의 결절은 앞뒤가 긴 모양과 침상 혹은 불규칙한 경계, 불분명한 경계를 보였고, 저에코 혹은 현저한 저에코가 많았다. 그러나 미세 혹은 거대석회화는 없는 것이 특징적이었다. 따라서 0.5 cm 이하의 작은 크기의 결절에서 악성을 시사하는 초음파적 특징은 미세침흡인술이나 추적검사에 대한 유용한 지침을 제공할 수 있을 것으로 사료된다. The Korean Thyroid Association recommends fine-needle aspiration biopsy (FNAB) for nodules more than 0.5 cm in diameter. But nodules, smaller than 0.5 cm have been found in papillary carcinomas of the thyroid (PTC) at the health promotion center at SMC. We wanted to evaluate the ultrasonographic findings according to size of nodule in proven PTCs by FNAB, especially less than 0.5 cm. All nodules were classified into three groups by their longest diameter : less than 0.5 cm, more than 0.5 cm but less than 1 cm, and more than 1 cm. Sonographic findings suggesting malignancy were analyzed according to their size groups. Of 288 malignant nodules, 21.5 % (62/288) were less than 0.5 cm , 54.9 % (158/288) were more than 0.5 cm but less than 1 cm, 23.6 % (68/288) exceeded 1 cm. A taller-than-wide shape was observed in 90.3 % (56/62) of nodules less than 0.5 cm, and 48.5 % (33/68) of nodules exceeding 1 cm (p<0.001). There were no well-defined smooth nodules among nodules less than 0.5 cm, and spiculated or irregular margin nodules increased as the size increased (p=0.024). Nodules of size less than 0.5 cm did not showed hyper or isoechogenicity. Hypoechogenicity was greater than the marked hypoechogenicity in each group (p=0.034). Micro- or macro-calcifications were not founded in 77.4 % (48/62) of the nodule group sized less than 0.5 cm. From the small size of the group, micro- or macrocalcifications were observed 21.0 % (13/62), 48.1 % (76/158), 64.7 % (44/68), so the number of nodules containing micro- or macro-calcification increased as size increased (p<0.001). PTCs less than 0.5 cm in size on ultrasonography had taller than-wide shape, spiculated or irregular and ill-defined margins, and exhibited hypo and markedly hypoechogenicity, but microor macro-calcifications were not common. These ultrasonographic features of nodules less than 0.5 cm can be useful in reporting and guiding FNABs or follow-up exams.

LT, Others : PE-131 ; A case of Caroli syndrome in adult

( So Yoon Yoon ),( Tae Hun Kim ),( Il Hwan Moon ),( Kwon Yoo ),( Sun Young Yi ),( Sung Ae Jung ),( Ki Nam Shim ),( Hye Kyung Jung ),( Seong Eun Kim ),( Won Yung Cho ),( Hye In Kim ),( Eun Mi Song ),( 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-

enhancing dots which acknowledged the presence of Caroli`s disease. Portal hypertension is not common manifestation of Caroli`s disease itself but a major problem when it combined with congenital hepatic fibrosis. Liver biopsy was performed and showed irregular fibrosis containing small bile ducts. He was counseled for the future liver transplantation. We present a rare case of Caroli syndrome confirmed by CT and liver biopsy in adult. Caroli syndrome is a rare congenital disorder of intrahepatic bile ducts that is characterized by intrahepatic bile duct dilatation and prominent fibrosis in the portal area. In Korea, only 2 cases have been reported in adult age. A 23 year old male visited emergency room for hematemesis. He had received splenectomy for unclear causes several years ago. He didn`t drink alcohol and serologic tests for viral hepatitis were all negative. Liver imaging study revealed multiple intrahepatic large bile duct dilatation with central

LT, Others : PE-131 ; A case of Caroli syndrome in adult

( So Yoon Yoon ),( Tae Hun Kim ),( Il Hwan Moon ),( Kwon Yoo ),( Sun Young Yi ),( Sung Ae Jung ),( Ki Nam Shim ),( Hye Kyung Jung ),( Seong Eun Kim ),( Won Yung Cho ),( Hye In Kim ),( Eun Mi Song ),( 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1

Caroli syndrome is a rare congenital disorder of intrahepatic bile ducts that is characterized by intrahepatic bile duct dilatation and prominent fibrosis in the portal area. In Korea, only 2 cases have been reported in adult age. A 23 year old male visited emergency room for hematemesis. He had received splenectomy for unclear causes several years ago. He didn’t drink alcohol and serologic tests for viral hepatitis were all negative. Liver imaging study revealed multiple intrahepatic large bile duct dilatation with central enhancing dots which acknowledged the presence of Caroli’s disease. Portal hypertension is not common manifestation of Caroli’s disease itself but a major problem when it combined with congenital hepatic fibrosis. Liver biopsy was performed and showed irregular fibrosis containing small bile ducts. He was counseled for the future liver transplantation. We present a rare case of Caroli syndrome confirmed by CT and liver biopsy in adult.

여성 흉부 CT 검사 시 ASIR의 적용과 Bismuth Breast Shield 사용으로 인한 선량감소효과 및 화질평가

박소연(So Yung Park),방성호(Sung Ho Bang),남윤철(Yoon Chul Nam),김문찬(Moon Chan Kim),한동균(Dong Kyoon Han) 대한CT영상기술학회 2011 대한CT영상기술학회지 Vol.13 No.2

목적 여성의 흉부 CT 검사에서 dose modulation, bismuth 재질의 유방 차폐재, ASIR 기술 적용을 통한 유방, 갑상선, 폐의 선량 감소효과와 화질평가를 위함이다. 대상 및 방법 CT장비는 GE VCT XTe(GE Medical System, USA)를 사용하였고, 선량 측정을 위해서 Rando anthropomorphic woman phantom(model RAN-110, Churchin associate LTD, USA)과 형광유리선량계(GD-352M, 12mm, FGD-1000 reader, Asahi Techno Glass Cooperation, shizuoka, Japan)를 사용하였으며, 유방의 차폐를 위해 bismuth로 코팅된 라텍스(F&L Medical Products Co., 0.060 mmPb equivalent, USA)를 사용하였다. 화질평가를 위해서는 ACR phantom(model #438, Gamex RMI, USA)을 사용하였다. 선량측정은 유방과 갑상선, 폐에 각각 형광유리선량소자를 2개씩 삽입하여 본원 흉부CT 검사인 2.5mm slice thickness, 40 mm beam bollimation, 0.6 sec rotation time, 1.375:1 pitch, 120 kVp로 고정하고, bismuth 유방 차폐재 유무에 따른 non dose modulation, dose modulation, dose modulation과 ASIR를 함께 적용한 여섯 가지 방법에서 측정하여 선량감소 효과를 평가하였다. 화질평가는 Rando 팬텀과 ACR 팬텀에서 각각의 방법에 따라 스캔한 후 노이즈와 균일도, 직선성을 평가하였다. 결과 Dose modulation을 적용하면 유방, 갑상선, 폐의 organ dose는 각각 36.5%, 50.7%, 37.2% 감소되었으며, dose modulation과 bismuth를 함께 적용 시 각각 47.2%, 58.0%, 47.6% 감소되었다. 또한, dose modulation과 bismuth, ASIR를 모두 적용하면 각각 69.8%, 66.9%, 65.0% 감소되었다. ACR 팬텀을 통한 노이즈 측정 결과는 선량감소 방법을 적용하지 않은 검사 방법이 31.2로 가장 낮게 측정되었으며, dose modulation과 bismuth를 적용한 경우 64로 가장 높게 측정되었다. Dose modulation과 ASIR를 함께 적용하였을 때에는 dose modulation만 적용했을 때보다 낮았다. 중앙, 3시, 6시, 9시, 12시 방향에서 측정한 균일도는 bismuth를 사용하지 않은 스캔방법에서는 ACR의 권고기준에 포함되었으나 bismuth를 사용한 서까지 스캔방법에서는 중앙부 값이 상승하여 ACR에서 권고하는 허용범위에 속하진 않았으나 중앙과 가장자리의 CT number 값의 차이는 차폐재와 인접한 12시의 경우만 제외하고 5HU 이내로 허용범위 내에 속하였다. 직선성 평가는 bismuth를 사용하지 않은 스캔방법에서는 물의 CT number 값을 제외하고는 ACR의 권고 치에 포함되었다. 그러나 bismuth를 사용한 세 가지 스캔방법에서는 뼈의 CT number 값은 허용범위에 안에 들어왔으나 공기, 아크릴, 폴리에틸렌은 기준치에 근소한 차이로 벗어났으며 물의 CT number 값은 가장 크게 증가하였다. 결론 여성의 흉부 CT 검사 시 dose modulation, bismuth 유방 차폐재 사용 및 ASIR의 적절한 적용은 영상의 질은 유지하면서 환자의 선량을 감소시킬 수 있는 방안으로 이를 적극적으로 활용할 것을 권고한다. I. Purpose The purpose of this study was to assess radiation dose savings when using bismuth breast shield in the female chest CT- non dose modulation, dose modulation, adaptive statistical iterative reconstruction(ASIR)-in various combinations and to evaluate the effect on image quality. II. Meterial and Methods The glass dosimetry elements were put on the left and right breast, thyroid and lung of rando phantom. The phantom were scanned with same protocol, 2.5 mm slice thickness, 40 nun beam collimation, 0.6 sec rotation time, 1.375:1 pitch, 120 kVp and with each of following methods without and with bismuth breast shield, respectively. 1. In application of non dose modulation, 275 mA 2. In application of dose modulation, noise index at 15.86(100-275 mA) 3. In application of dose modulation and 40% ASIR, noise index at 20.14 (100-275 mA) All examinations were performed with a 64 slice MDCT scanner(GE LightSpeed VCT XTe, Waukesha, Wisconsin, USA), Rando anthropomorphic woman phantom(model RAN-110, Churchin associate LTD, USA) and glass dosimetry system(GD-352M, 12 mm, FGD-1000 reader, Japan) in the measurement of organ dose. Protection device of breast was constructed from the bismuth-coated latex sheets(F&L Medical Products Co., USA). ACR phantom(model #438, Gamex RMI, USA) was used same methods for assessment of the image quality. III. Result When the dose modulation was applied, the organ doses of breast, thyroid, lung have decreased to 36.5%, 50.7%, 37.2% and in case of dose modulation with bismuth breast shield, those of breast, thyroid, lung have decreased to 47.2%, 58.0%, 47.6%, respectively. Then when the combinations of using ASIR with dose modulation and bismuth breast shield was applied, the organ doses of breast, thyroid and lung have decreased to 69.8%, 66.9%, 65.0%, respectively. Also, radiation dose of superficial radiosensitive organ, thyroid decreased 15.5%, 14.9%, 2.4% by bismuth breast shield during the application of non dose modulation, dose modulation, ASIR with dose modulation, respectively. The measurement of noise with ACR phantom bas shown that method reducing the radiation dose was not adopted, the noise reached the lowest value. The result of applying ASIR with dose modulation was lower than in that case of applying dose modulation only. The combinations of using ASIR with dose modulation and bismuth breast shield reduced 8% of noise as well as 31.5% of the CTDIvol as compared with using dose modulation with bismuth breast shields. IV. Conclusions The application of ASIR technology brings not only the decrease of noise but also low radiation dose. The bismuth breast shield reduced radiation dose in adjacent radiosensitive organ, thyroid as well as directly shielded breast. Further study is required to diminish the radiation dose of the patients while maintaining adequate image quality through the combinations of the various dose reduction methods.

저분자량 헤파린으로 혈액투석 중 발생한 출혈성 심장 눌림증 1예

김소미 ( So Mi Kim ),유우주 ( Woo Joo Yoo ),현진남 ( Jin Nam Heun ),김석영 ( Sunk Yung Kim ),박상은 ( San Hun Park ),이선미 ( Sun Mi Lee ),김나리 ( Na Ri Kim ) 대한내과학회 2008 대한내과학회지 Vol.74 No.1S

장대 현수교 가설설계 사례 : 울산대교 가설엔지니어링

나영묵(Yung Mook Na),조남소(Nam So Cho),강병섭(Byung Seob Kang),김규왕(Kyu Wang Kim),서주원(Ju Won Seo),김기남(Gi Nam Kim) 한국강구조학회 2012 韓國鋼構造學會誌 Vol.24 No.5

Anti-inflammatory and anti-diabetic effect of hot-water extract of Gryllus bimaculatus (HW-GB)

Bo Mi Park,So Yeon Kim,Young Nam Kim,Yung Choon Yoo 한국실험동물학회 2021 한국실험동물학회 학술발표대회 논문집 Vol.2021 No.7

In this study, the inhibitory effect of hot-water extract of GB (HW-GB) on inflammation of LPS-stimulated Raw 264.7 macrophages and alloxan-induced diabetes was investigated. In the anti-inflammatory activity, treatment with HW-GB significantly inhibited the production of inflammatory mediators such as nitric oxide (NO), tumor necrosis factor (TNF-α) and IL-6 from LPS-stimulated Raw 264.7 macrophages in a dose-dependent manner. Treatment of HW-GB also showed the expression of mRNAs of iNOS synthase, TNF-α and IL-6 in RT-PCR analysis. Furthermore, this extract of GB was shown to inhibit LPS-induced inflammation in RAW 264.7 macrophages via down-regulation of activation of MAPKs such as ERK, JNK and p38. For type 1 diabetes experiment, HW-GB was administered orally for 5 days before alloxan injection. Oral administration of HW-GB significantly decreases the increase of blood glucose level in alloxan-induced diabetic mice. Additionally, HW-GB-fed mice reduced the increase of food intake and water consumption observed in alloxan-induced diabetic mice. Results of an experiment in which the expression of genes associated with metabolic activity by qPCR method revealed that oral administration of HW-GB prominently increased GLUT2 and GS gene expression in the liver, and enhanced GLUT 4, SIRT4, SIRT6, CPT1α, and GK gene expression in the muscle. Collectively, these results suggest that HW-GB has potential activity to inhibit inflammation and diabetes, and this extract is a promising candidate for development of functional foods and drugs to improve inflammation-related diseases and diabetes.