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.

EGFR 돌연변이와 ROS1 전위를 동시에 가진 폐선암 환자의 Erlotinib 치료 1예

김민환,박예현,박혜정,지아영,송창호,진무년,김영주,김선욱,이중희,김인수,김혜련,김주항,조병철 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1

The rearrangement of c-ros oncogene 1 (ROS1) has been recently identified as an important molecular target in non small cell lung cancer (NSCLC). ROS1 rearrangement and epidermal growth factor receptor (EGFR) mutation were mutually exclusive each other in previous studies, and the clinical implication of co-existence of the two genetic alterations has not been determined. We report a case of 46-year-old female never-smoker NSCLC patient whose tumor harbored ROS1 rearrangement and EGFR mutation concomitantly. She had undergone curative surgery for stage IIIA NSCLC, and the recurrence in left pleura and brain occurred at 2 years after the surgery. She received several lines of chemotherapy including docetaxel plus carboplatin, erlotinib, pemetrexed, and gemcitabine. Erlotinib therapy showed a favorable treatment response with progression-free survival of 9.5 months and partial response of tumor on radiologic evaluations. This case represents a successful erlotinib treatment in a NSCLC patient with concurrent ROS1 rearrangement and EGFR mutation.

어깨 근막통 증후군에서 어깨 관절운동범위에 대한 분석

김정수,김인아,이수진,김용규,박시복,고재우,송재철 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objective: This study was carried out to investigate if the measurement of range of motion(ROM) could be applied in the diagnosis of Myofascial Pain Syndrome(MPS) and to determine the severity by analyzing ROM in MPS patients. Methods: The study subjects were 476 female telephone number information service workers. Southampton Protocol and Pittsburgh Protocol were used to diagnose MPS and to measure ROM. ROMs were measured by 2 inclinometers exercising each shoulder passively and actively in 5 directions ; abduction, forward flexion, extension, external rotation, and internal rotation. Results: Compared to the normal group (n=147), the mean of right side ROM in the subjects (n=270) with same side MPS was 2.1˚ (SD=11.5) lesser in active extension and 1.7˚ (SD=10.4) lesser in passive extension. Compared to the mild group (n=210), the mean of right side ROM in the patients with same side severe MPS (N=58) was lesser in all directions. Especially in active forward flexion, passive forward flexion, active extension, passive extension and active external rotation, ROM in the subjects with severe MPS was lesser by 6.5˚ (SD=13.1), 5.1˚ (SD=12.8), 5.9˚ (SD=11.8), 5.0˚ (SD=10.6) and 3.9˚ (SD=9.8), respectively, than those of the subjects with mild MPS. Compared to the subjects with left side mild MPS(n=172), ROM in the subjects with left side severe MPS (n=59) was 5.3˚ (SD=13.3) lesser in active forward flexion. Conclusions: In this study, ROMs in the subjects with severe MPS tended to be lesser than those in mild patients. This tendency was more prominent in the right side than the left, active range of motion than passive and forward flexion and extension than others. The results of this study are expected to help diagnose shoulder MPS and determine severity.

우리나라 지역 직업성질환 감시체계의 현황과 전망

임종한,장성실,김성아,문재동,채창호,홍윤철,김수영,김진석,김영욱,한상환,이혜숙,원종욱,송동빈,하은희,강성규 대한산업의학회 2001 대한직업환경의학회지 Vol.13 No.2

기존의 특수건강진단과 작업환경측정을 통한 직업병 관리가 진폐증, 소음성난청 등의 소수 특정질환에 국한되고 실제 직업병 발생 규모 파악이나 신종 직업병의 발견에 한계를 보인다는 사실은 산업의학전문가들 사이에서도 공감을 이루고 있다. 미국과 영국 등에서의 직업성질환 감시체계에 대한 경험은 우리 나라의 직업성질환 감시체계 구축에도 새로운 자극제가 되면서, 1998년이후 인천, 대전, 여천, 구미, 부울경 지역에서 지역 직업성질환감시체계를 산업보건관리의 중요한 시스템으로 구축하려는 노력이 확산되고 있다. 새로이 구축되어지는 이들 지역 직업성질환 감시체계는 감시하고자 하는 대상질환, 활용 가능한 인적자원 및 자료원, 지역 의료체계의 특수성 등에 따라서 목적과 방법을 달리하면서 독특한 형태로 발전을 하고 있다. 각 지역단위 감시체계들이 그 상황에 맞게 독특한 목적과 전략들을 발전 시키면서도, 향후 발전할 국가적인 차원의 직업성질환 감시체계 구축을 위하여 직업성질환 감시의 기본 전략 등을 공유하는 등의 노력이 필요하다. 환례 정의 및 기본적인 등록 서식의 공유, 직업성질환 감시 자료원의 발굴, 공동의 정보 네트워크 및 직업성질환 감시 데이터베이스 구축 등 직업성질환 감시활동을 지원하기 위한 여러 기초 인프라 구축에 힘을 모아야 할 것이다. 우리 나라에서 직업성질환 감시체계를 성공적으로 구축하기 위해서는 수집된 자료의 질 관리를 위한 직업성질환 감시의 원칙 제정과 감시 전략의 공유 등이 필요하며, 전국적인 직업성질환 감시체계의 하부구조라고 할 수 있는 지역감시체계의 기초 토대 마련과 강화작업이 절실하게 필요하다.

침 시술로 발생한 Non-O1, Non-O139 Vibrio cholerae에 의한 패혈증

임태섭,지아영,이중희,장수연,김인수,김영주,김범경,김승업,박준용,안상훈,한광협,김도영 Ewha Womans University School of Medicine 2013 EMJ (Ewha medical journal) Vol.36 No.S

Vibrio cholerae is mainly known to cause gastrointestinal infection after seawater exposure or raw seafood intake. It is rarely reported to cause cellulitis or sepsis, but threre has been no known case after acupuncture. Herein, We report a 56-year-old cirrhotic patient of non-O1, non-O139 Vibrio cholerae septicemia caused by cellulitis of both lower extremities after acupuncture.

경기도 일부 지역 청소년들의 치과공포 및 불안에 대한 연구

심연수,김아현,안소연 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

본 연구의 목적은 경기지역 일부 중학생의 치과치료 관련 공포 및 불안 수준을 측정하고, 그와 관련된 요인 및 이에 영향을 미치는 요인에 대해 분석하여 불안과 공포감을 완화시킬 수 있는 방법을 모색하여 보다 편안하고 효율적인 구강건강관리가 이루어 질 수 있도록 하는데 있다. 본 연구는 경기도 일부 중학생 622명을 대상으로 설문조사를 실시하여 남학생 337명, 여 학생 277명으로서 과거 치과치료 경험이 있는 총 614명의 자료를 이용하였다. 분석 방법은 각 문항별 답변의 분포를 알아보 기 위해 빈도분석을 실시하였고, 남녀별 응답의 차이를 검정하기 위해 교차분석을 실시하였으며 공포점수의 비교를 위하여 Mann-whitney U 검정을 실시하였다. 연구 결과 경기도 일부 중학생들은 치과 전문가가 일반적으로 생각하지 못한 부분에 서도 치과공포를 느끼는 것으로 나타났고, 진료실에서 직접 치료를 하는 경우와 관련된 항목에서 공포를 느끼는 경우가 많은 것으로 나타났다. 마지막으로 여학생이 남학생보다 높은 수준의 치과공포도를 보였다(p<0.05). The objective of this study is to measure the fear and anxiety levels of some middle school students in Gyeonggi Province, to analyze the relevant factors, to seek how to alleviate such fear and anxiety and thus enable to make a comfortable and efficient oral management. Six hundred twenty two middle school students in Gyeonggi Province participated in the survey, which used the data of 614 respondents, i.e. 337 males and 277 females. A frequency analysis was conducted to determine the distribution of answers for each question, a crosstabulation analysis was performed to verify the gender differences in answer and an Mann-whitney U test was used to compare fear scores. According to the results patients feared even in unexpected circumstances. In addition, they feared when receiving direct treatment. In terms of gender, female students showed higher levels of fear than male ones (p<0.05).

청년정책과 청년 담론 : 젠더 관점의 고찰

김수아 이화여자대학교 젠더법학연구소 2021 이화젠더법학 Vol.13 No.2

이 글의 목적은 청년기본법(2020년)에 기초하여 구성된 제1차 청년정책 기본계획의 내용과 특징을 정리하고, 젠더 관점의 부재로 인해 발생할 수 있는 청년정책에서의 사회적 배제 문제를 다루는 것이다. 제1차 청년정책 기본계획은 기존의 청년정책이 취업과 창업을 중심으로 구성된 데 반해, 주거, 복지, 문화, 금융, 참여 권리 등 다양한 영역에 걸쳐 청년의 권익 증진을 위한 정부 정책을 제안하고 있다는 점에서 진일보한 면이 있다. 그러나, 취약계층 청년을 분류하여 복지 대상으로만 설정하고, 다른 한편으로 젠더 관점을 포함하지 않고 청년을 남성 기준의 보편 주체로 설정하여 여성의 문제를 청년과 분리하는 결과를 낳았다. 이에 따라 일자리, 주거와 복지에서의 청년 여성의 정책 수요를 반영하지 못하고 있는 문제가 있다. 격차 축소라는 목표 속에 성차별을 주요 의제로 삼지 않고 있는 문제를 해결하기 위해서, 청년정책 수요에서 성별 분리 통계 및 변화 양상에 대한 충분한 논의가 필요하고, 정상가족 규범을 근거로 하는 이행기의 청년 관점을 전환할 필요성이 논의되었다. The purpose of this study is to organize the contents and characteristics of the 1st Framework Plan for Youth Policy grounded on the Basic Act on Youths (2020) and deal with the issue of social exclusion in youth policy that may be resulted from the absence of gender perspective. Although previous youth policy was mainly about either employment or foundation, the 1st Framework Plan for Youth Policy is a step forward in that it suggests government policy for enhancing youths’ rights and interests in many different areas including their housing, welfare, culture, finance, or right to participate. The plan, however, classifies a vulnerable group of youths as a target of welfare and sets up youths as universal subjects with no perspective on gender, which has resulted in separating the issues of women from those of youths. Therefore, it fails to reflect female youths’ policy demand on employment, housing, or welfare. It is needed to discuss statistics grounded on gender division and the aspects of change in their demand on youth policy sufficiently, and this study has discussed the necessity to change the perspective of youths in transitional period based on the norms of normal family.

입지별 초고층 아파트단지의 일조환경에 관한 연구

김경철,이아희,박수호 동의공업대학 2000 論文集 Vol.26 No.1

The purpose of this study is sunshine environment that following conditions of location at high-rise apartment house in Pusan. As the results of this study : 1) According to conditions of location, an area of shadow is analyzed into a difference between the flatland and the slopeland. 2) On the basis of winter solstice, average of an area of shadow a per time that results of analyses were as follow SS apartment house 49.08%, HL apartment house 38.94%, WI apartment house 49.18%, MB apartment house 58.86%. 3) There are many influenced by crossed block of both sides arrangement on layout pattern ㄷ·ㅁ types.

대학생들의 다이어트 식습관 실태 조사

김연정,문진아,왕수경 대전대학교 기초과학연구소 2010 自然科學 Vol.21 No.-

대전대학교 교양과목으로 개설된 ‘식생활과 다이어트’ 교과목을 수강하는 남녀 학생 151 명을 대상으로 다이어트 경힘과 함께 그들의 식습관을 알아온 결과는 다음과 같다 조사대상자는 남학생 81 명과 여학생 70명으로 총 151 명이었다. 남학생들의‘식생활과 다이어트’ 수강동기는 식생활 전반에 대해 공부하고 싶다는 응답이 여학생들은 특히 다이어트에 관심이 있어서 라고 응답한 학생이 가장 높아 유의적 차이를 보였다 여학생 중 51 .4%, 남학생 중54.3%는 다이어트에 대한 경험이 있었으며, 다이어트 해 본 시기는 남학생은 대학교 때 여학생은 고등학교 때가 가장 높게 나타나 유의적 차이를 보였다. 다이어트 정보는 남학생과 여학생 모두 인터넷과 경험 있는 친구 나 선배를 통해서가 가장 높게 나타났다. 남녀 학생의 평균 운동 시간은 유의적 차이를 보여 남학생은 주 1 - 3시간 운동하는 학생이 가장 많았고 여학생들의 주 1 시간미만 운동하는 학생이 많았다. 식생활 태도에 대한 조사에서 아침 식사를 하지 않는 학생이 남녀 각각 19.6%. 18.6%로 나타났다. 남학생이 여학생보다 과식하는 경향을 보였으며 간식을 먹는 횟수는 여학생이 많았다. 조사대상자 자신의 식생활의 개선점으로 남녀 학생이 각각 56 .4%와 47.0%가 불규칙한 식사로 답하였다. 이상의 결과로 남녀 학생들이 다이어트에 대한 관심도가 높았고 식습관에 문제가 있어 “식생활과 다이어트”과목을 수강함으로써 식습관과 다이어트 과목을 통한 영양교육이 효과가 있을 것으로 본다. In th is study, 151 students(male were 81 and female were 70enrolled in ‘' Food and Diet course were asked about their diet experiences and food habits . In the question asking the reasons for taking this‘' Food and Diet'class , most male subjects answered they enrolled 'to learn about overall knowledge’, whereas female students answered ' special interest in diet’' led to taking th is class. 67 .1 %of women and 64.2% of men said they put effort to maintain weight. Also , 51 .4%of female and 54.3% of male have experience of diet. The period of diet was most frequent in University for men (33 .3%) and in high school for women (47.1 %). Diet information was gathered from internet of from friends with previous experiences for both genders . It showed students gain little through reading nutrition related books , percentage was low for men and women (3 .7%. 1.4%, respectively). For diet methods. 40% of the subjects in total said they do diet through exercise. Female subjects showed that they've tried many different methods such as yoga and diet therapy . 53 .1 % of male and55.7% of female answered the diet was effective and lost weight. In the questionnaire about the dietary life and habits. percentage of the subjects who do not eat breakfast was 19.6% for men and 18.6% for women. The frequency of excessive eating and taking snacks was higher in men and it showed statistically meaningful result. From above results , we can conclude that the interest in diet was high in both gender and they both have problems regarding eating habits. 80 by taking ‘' Food and Diet’' class , it is predicted that this course will have educational effect on students 'eating habits and their diet.

정상치은열구액과 치주질환시 치은열구액의 단백질 조성비교에 관한 연구

김수아,김형섭 全北大學校 齒醫學硏究所 1991 전북치대논문집 Vol.9 No.1

gingival crevicular fluid (GCF) is a promising source for markers of destructive periodontal disease activity. This study was undertaken to evaluate the protein composition of GCF in varying stages of the gingival inflammatory response. GCF sampled from 26 people with clinically healthy gingiva and 18 people with periodontitis were examined via sodium dodecyl sulphate polyacrylamide gel electrophoresis(SDS/PAGE). The result were as follows. 1. Total amount of GCF protein of diseased group significantly different from that of normal group. But difference in protein concentration was not that significant. 2. In analyzing GCF with SDS/PAGE, it was suggested that albumin is used as indicator plasma protein leakage because of heavily staining band of albumin in patients with periodontal disease. 3. In diseased group, overall bands of protein and bands of high molecular weight protein were heavily stained. It was proved useful information on high molecular plasma protein leakage with increasing vascular permeability due to inflammation.