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.

대구지역의 대기오염도 특성평가(Ⅱ) : 대기질 변수의 시간별 변동을 중심으로 Hourly variations of air quality parameters

백성옥,최진수,황승만 嶺南大學校 環境問題硏究所 1996 環境硏究 Vol.16 No.1

요약문본 연구에서는 과거 7년간의 실측자료를 이용하여 대구지역 주요 대기오염물질에 대 한 대기오염도 분석 및 광화학스모그 기간중의 대기질 평가는 물론 대기오염도 해석에 지배 적인 영향을 미치는 기상자료를 이용하여 대구지역의 시정감쇄 요인분석 및 풍향, 풍속과 대기안정도를 분석하였다. 주요 대기오염물질의 일주 시간대별 농도변화는 아황산가스와 분 진의 경우 오전 8~10시경과 오후 4시경에 각각 최고, 최저농도를 나타내였고 이산화질소는 오전·오후의 교통량증가와 기상인자의 복합적인 영향으로 두차례의 최고농도를 나타냈다. 일산화탄소는 시간 환경기준치에 크게 못미치는 수준으로 동절기와 하절기의 시간별 농도변 화 양상이 서로 상이하게 나타났으며 오존은 일사량이 증가하기 시작하는 오전 10시경으로 나타났다. 또한 대구지역 오존농도의 발생빈도는 최근(1993~1994)으로 올수록 증가하는 경향 을 보였으며 오존농도와 그 영향인자와의 상관성 역시 일사량과 이산화질소가 가장 중요변 수임이 증명되었다. 최근 6년간의 기상자료를 분석한 결과 시정거리는 가을철이 월편균 17~20km 정도로 가장 좋았으며 풍향, 풍속 및 대기안정도는 서북서풍이 연중 14.0%, 2m/sec 이하의 저풍속이 전체의 36.5%, 중립조건인 D등급이 전체의 48.1%로 각각 나타나 대구지역이 대기오염의 확산에 불리한 조건임을 시사하고 있다.AbstractWith empirical data obtained for last 7 years, this study was conducted to analyze major pollutants and to evaluate the air quality of Taegu during the period of photochemical smog. In addition to this, causes of visibility reduction in Taegu, wind speed, wind direction and atmospheric stability were also analyzed. In terms of the variation of concentration for each pollutant by time during daytime, the highest concentration of SOz and partic ulates was measured at around 8~10 o'clock, and the lowest concentration of those pollutants was found at approximately 15~16 o'clock.In the case of NO;, due to the traffic and complex atmospheric conditions, the highest concentration was measured twice a day. The concentration of CO was much less than the atmospheric standard. The difference in the variation of CO concentration with respect to time was found between summer and winter. Ozone concentration increased with surging amount of insolation and the highest level of ozone was presented at between 15 and 16 o'clock with no respect to season. High concentration of ozone was observed much more requently in last 2 years (1993~1994) and it is verified that the insolation and NOz were main sources to be highly related to ozone concentration. As the result of investigation of meteorological data obtained for last 7 years, the highest visibility (17~20 km) was found in autumn as the monthly average value. As conclusion, the analyzed data-base indicated that it is difficult to spread air pollutants out of metropolitan Taegu city because of low wind speed (lower than 2 m/s), wind direction (Northwest), and atmospheric stability (D).

구강 및 악안면 영역의 감염증에 관한 임상적 연구

백진현,이영수,심광섭 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.2

This is a retrospective study on the patients with infection of the oral and maxillofacial region with the purpose of obtaining some useful data for diagnosis and treatment plan of that relatively common disease in dentistry. The used materials of study were 87 in total, including 52 male patients, 35 female patients who diagnosed and treated at the Department of the Dentistry in Hanyang Medical College Hospital for the period of Jan. 1990 to Dec. 1994. The author analyzed the distribution and incidence of sex, age, admission period, etiologic factors, etiologic teeth, treatment method of infections, pus culture, antibiotics sensibilities and medication. The result obtained as follows : 1. The developmental incidences by sex was superior in male by the ratio of 1.5 : 1 and the infection was most frequently occurred during the third decades(35.6%). 2. The number of admitted patients elevated in February, March, and April, and average of admission period was 9.8 days. 3. Main etiologic teeth showed on lower molar region in adult(63%) and upper molar region in primary dentition(46.1%). 4. Medications were administrated in all of the cases, and surgical incision and drainage were performed in 53% and extraction of the causative teeth were performed in 63.6% of all cases. 5. The most common involved fascial spaces were Buccal space(41.4%), Infraorbital space(27.6%), Submandibular space(16.1%),in order, and 9 cases(10.3%) were Ludwig's Angina. In 68.2% of the patients, and infection involved only one fascial space and in 21.8% of the patients, it involved to more fascial spaces. 6. The most causative organisms isolated from pus culture were Gram-positive facultative cocci(55.5%), and antibiotics sensitivities on the total isolated bacterial strains were exposed chloramphenicol(88.6%), Cephalothin(88.6%), Erythromycin(81.5%), Lincomycin(77.8%) in order, but it showed resistant on Gentamycin(58.3%), Tetracycline(56.5%), Methicillin(38.5%).

대구지역의 대기오염도 특성평가(I) : 지역별 및 계절별 농도변동을 중심으로 Locational and Seasonal variations

백성옥,최진수,황승만,김광은 嶺南大學校 環境問題硏究所 1996 環境硏究 Vol.15 No.2

본 연구는 대구지방환경관리청과 유관기관 등에서 과거 7년간(1988~1994년) 측정한 대기질 관련자료중 아황산가스, 분진, 일산화탄소, 질소산화물 및 오존을 대상으로 통계분석하여 각기 배출강도가 다른 지역별 농도분포 특성을 평가하였고 대구지역의 전반적인 대기질 변화추이를 파악하였다. 그 결과 각 지점별 아황산가스의 농도는 전형적인 동고하저형을 나타내었으며, 도시가스공급과 황함량규제등 연료변환 정책의 효과로 인해 점차적으로 감소하고 있는 추세를 보이고 있다. 부유분진은 결측치가 많아 장기적인 농도변화추이를 판단하기는 어려웠으나 아황산가스와 같이 큰 계절적인 변동은 보이지 않았다. 질소산화물의 전반적인 농도분포는 장기 환경기준치 50ppb를 초과하지 않는 수준이었으나 최근엔 이동배출원의 영향이 가중되어 그 농도가 꾸준히 증가하는 추세인 반면 동고하저형의 계절적인 변동을 나타내는 일산화탄소는 가정용 무연탄 사용량의 감소로 대기중 일산화탄소의 농도는 점점 감소하고 있는 추세이다. 오존은 전반적으로 일사량이 많은 하절기에 농도가 높았고 동절기에는 농도가 낮은 경향을 보였다. 한편 주요 대기오염물질의 장·단기 기준달성도를 비교분석한 결과 대구지역의 대기오염물질중 아황산가스의 고농도 발생빈도는 공업지역에 집중되어 있었으며 질소산화물과 일산화탄소는 아직은 장·단기 환경기준을 초과하지 않는 수준으로 나타났고, 분진과 오존의 경우는 공업지역 뿐만 아니라 전지역에서 그 발생빈도가 유사하게 나타났다. In this study, characteristics and distributional patterns of the concentrations of air pollutants in Taegu area were evaluated using a data-base established from the ambient air quality monitoring stations for the period of 1989 to 1994. The result of this study demonstrated that in each sampling site, the SO_2 concentrations were much higher in winter than those in summer. However, a decreasing tendency was clearly shown in the annual variation of SO_2 concentrations, largely due to the use of LPG instead of anthracite coal for local heating systems and to the fuel policy of using lower sulfur content fuel in industrial sectors. Unlike SO_2, there was no distinct seasonal variation in the concentrations of suspended particulate matter. Concentrations of NO_x were found to be generally lower than the long term ambient air quality standard (50 ppb). The NO_x concentration has been gradually increased, reflecting the rapidly increased number of vehicles In this area, while the CO levels In ambient air were declind because of the reduced use of coal for domestic purposes. The Ozone concentrations in Taegu area exhibited that there has been already photochemical smog phenomena during the summer season when the insolation is strong.

확산-통계 혼합모델을 이용한 대구지역 SO₂농도 예측

백성옥,최진수 嶺南大學校 工業技術硏究所 1994 工業技術硏究所論文集 Vol.22 No.2

An urban air quality model, the statistical-deterministic hybrid model, has been successfully applied to sulfur dioxide(SO₂) data measured in the city of Taegu. The assumptions based on the steps in developing the hybrid model are that the frequency of SO₂ data can be reliably represented by two-parameter lognormal distribution and a simple deterministic relationship between percentiles of pollutant concentration and the inverse of wind speed exist for this urban area. Using the parameters estimated from the statistical model and long-term average concentration of SO₂ from the deterministic model(TCM2), geometric mean and maximum concentration of SO₂ were estimated for the two seasons in Taegu area during 1990, 1996 and 2001 respectively. Number of days exceeding the short-term(daily) ambient air standard for SO₂, corresponding to the 98~99 percentile positions on the expecting lognormal frequency density distribution curve, were estimated to be 1~5 days for the heating season in Taegu city.

알코올이 Dynamic Posturography에 미치는 영향

이진춘,고의경,장민호,이병주,백무진,노환중,왕수건,전경명 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.2

Post-cleft Defofmity의 치험례

백세민,김수신,김동일,김우경,차진한 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.4

There is increasing demand by cleft patients for improvement in their esthetic appearance and occlusion. Cleft lip and palate deformoty is a multifaceted problem. It is important to consider the underlying skeleton of the face as well as the covering soft tissue. With proper presurgical planing such as photographic, cephalmetric and dental cast analysis, the two jaw osteotomy and other procedures were performed simultaneously in 6 post-cleft deformity cases. We improved their facial appearance and occlusion. Their acceptance and satisfaction are exceptionally high.

조명조건 변화에 따른 횐쥐 시각교차위핵 신경세포의 면역반응성과 유전자 발현의 변화

백선용,김완수,김진정 대한해부학회 1995 Anatomy & Cell Biology Vol.28 No.6

결장직장 암종에서 Brain Type Glycogen phosphorylase 발현에 대한 면역조직화학적 연구

김수한,정동준,이정은,백무준,김창진 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

The colorectal carcinoma shows the highest incidence of cancer death in Korea. The colorectal carcinomas are diverse in their carcinogenesis, as some progress from polypoid adenoma to carcinoma while others occur de novo, or combined de novo and adenoma to carcinoma sequence. The searchs for the early biomarker of the colorectal carcinoma are important not only for the early detection of the cancer but also for the effective treatment. Brain type glycogen phosphorylase (BGP) is a kind of fetal isoenzyme frequently expressed in the various carcinoma, such as gastric carcinoma, renal cell carcinoma and colorectal carcinoma. In this study, the expression of BGP was evaluated in the colorectal carcinoma, normal appearing mucosa adjacent to the carcinoma and aberrant crypts foci (ACF) by immunohistochemistry using 70 cases of colorectal carcinoma. The results were as follows. 1. The BGP was expressed in 91.4% of 70 cases of colorectal carcinoma. 2. The expression rate of BGP accoarding to the location of the carcinoma was not different. 3. Seventeen percent of the colorectal carcinoma occurred by the polypoid adenoma-carcinoma sequence, while 60% of the cases occurred from de nove and 22.9% from combined polypoid adenoma-carcinoma sequence and de nove. 4. The BGP was expressed in 91.4% of normal mucosa adjacent to the carcinoma, while in 17.1% of normal mucosa for apart from the carcinoma. The BGP expressed in the above results suggest that the colorectal carcinoma arsie more frequently in de novo than polypoid adenoma-carcinoma sequence, which suggest that the pathogenesis of coloretal carcinoma in Korean might be different from that of western people. And the expression pattern of BGP in the colorectal mucosa could be early biomarker of carcinoma and the immunohistochemical stain for the expression of the BGP might be used for the early detection of the colorectal carcinoma.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.