한국인의 신뢰 수준 및 영향 요인 : 단체참여 및 개인의 사회,경제적 배경과 대인신뢰, 단체신뢰, 대중매체 신뢰

박희봉,이희창,김동욱,김철수,박병래 한국정책학회 2003 韓國政策學會報 Vol.12 No.3

본 연구는 한국인의 신뢰수준과 단체참여를 중심으로 신뢰에 영향을 미치는 요인을 분석하여, 이를 토대로 신뢰 증진을 위한 방안을 논의하는데 목적이 있다. 이를 위하여 대인신뢰, 단체신뢰, 대중매체신뢰와 관견된 23개 항목에 대한 신뢰를 Likert 5점 척도로 각각 질문하여 항목별 평균을 신뢰 측정치로 이용하였다. 각종 신뢰 변수와 단체참여 변수는 요인분석을 통하여 유형화 하였다. 본 연구의 측정을 위한 모집단은 우리나라 14개 광역 자치단체에 거주하는 20세 이상의 성인이다. 분석 결과 우리나라 국민들의 전반적인 신뢰수준은 유형별 큰 편차를 보였다. 즉 개인적 네트워크를 통해 이미 알고 있는 지인에 대한 사적신뢰는 매우 높은 반면 개인적인 친분이 없는 일반인 신뢰는 매우 낮게 나타났고, 사회단체에 대한 신뢰와 대중매체 신뢰는 비교적 높게 나타난 반면 공공기관에 대한 신뢰는 상대적으로 낮게 나타났다. 한편, 수평적 단체 및 수직적 단체 변수가 대인 및 단체 신뢰에 영향을 미치고 있었다. 대부분의 단체참여가 각종 신뢰에 영향을 미치고 있음을 나타내었다. 개인의 사회경제적 배경에 따라 긍정적 또는 부정적 형태로 다양한 영향을 나타내었다. 이는 우리나라가 아직 공동사회에 기초한 신뢰에 의존하고 있어 시민사회 및 2차사회 중심의 신뢰가 제대로 형성되지 못하고 있음을 시사하고 있다. 본 연구에서는 이러한 결과를 토대로 신뢰증진의 필요성에 관해 논의하였다. This study examines the trust levels of Korean people, and clarifies the factors to affect the Korean people's trust. For the purpose of this study, how the factors including horizontal association participation, hierarchical association participation and individuals' socio-economic status affect Korean people's trust is analyzed. More than 7,000 surveys are used for data in 14 provinces in Korea. The major findings of this study as followings : First, the degree of Korean people's trust has distinct difference according to the relationship with them and the subjects of the trust. Korean people show high levels of trust for their family members, friends and colleagues who they know already, while they hardly trust the general people. They show comparatively high levels of trust for civil association and mass media, while they show comparatively low levels of trust for public institutions. Second, hierarchical social association participation as well as the horizontal participation positively affect personal, associational, and meas medial trust. Third, according to the individuals' socio-economic status, the levels of trust shows strikingly contrast. Some variables of individuals' socio-economic status positively affect some kinds of trust, and others negatively affect other kinds of trust. This means that Korean peoples' trust is formed mainly by the gemeinschaft, not by the gesellschaft yet. Overall, this paper discusses how to improve various kinds of trust and suggests research implications for further research.

Magnetic Resonance Imaging and Pathologic Correlation of Cerebral Fat Embolism using Oleic Acid

박병래 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 2004 Journal of biomedical laboratory sciences Vol.10 No.2

To investigate the correlation between the magnetic resonance imaging (MRI) of cerebral fat embolism that is induced by injecting oleic acid into 10 cats, and a pathologic diagnosis. Using a microcatheter, 30 μl of oleic acid was injected into the internal carotid artery of 10 cats. MR T2-weighted image (T2WI), diffusion-weighted image (DWI) and Gadolinium-enhanced T1-weighted image (Gd-enhanced T1WI) were obtained after 30 minutes and 2 hours of embolization. After 30 minutes of the embolization, lesions of very high signal intensity were detected by T2WI in 6 cats, and of slightly high signal intensity in 2 cats; in the remaining 2 cats, signal intensity was normal. DWI showed lesions of very high intensity in 9 cats and of slightly high intensity in one cat. According to the findings of light microscopic examination, infarcted lesions mainly involved the gray matter, but also some white matter. A magnetic resonance imaging diagnosis for cerebral fat embolism that was induced by oleic acid through the internal carotid artery in cats showed high signal intensity on the T2WI and the DWI within an initial 2 hours, and with a well enhancement on the Gd-enhanced T1WI. Considering cellular edema, cerebrovascular injury and extracellular space widening, we assumed pathologically that cytotoxic and vasogenic edema exists at the same time.

韓國 福祉政策의 方向과 課題 : 醫療保障을 중심으로 the Medical Security system

朴炳來 대구효성카돌릭대학교사회과학연구소 1998 사회과학연구 Vol.5 No.-

The purpose of this study is to examine Medicare system of Korea. There are many problems in korean Medicare system, especially unreasonableness of levy a medical premium, limit and level of insurance money payment etc. This study shows that the development of Korean Medicare system was influenced by socio-structural elements and socio-economic aspects. The former is a strong bond of Korean family, nonofficial social support, nonofficial cultural solidarity etc., the latter is the phase and level of economic development. Therefore this study come to the conclusion that its demand for explanation about the relations between the policies of medical insurance and the characteristics of the phase and level of nation development.

진폐진행정도에 따른 혈청내 구리와 아연 농도의 변동

박정래,박종욱,이수일,이철호,오차재,김창원,조병만,김돈균 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 진폐증은 분진으로 인해 인체의 면역기전이 작용하여 폐섬유화가 진행되는 질환으로, 인체의 면역기전에 작용하는 구리와 아연은 진폐증의 병리적인 진행과정인 폐섬유화에 관여한다. 본 연구의 목적은 초기진폐증 유소견자와 진행된 진폐증 환자의 혈청 구리와 아연의 농도를 정상인과 비교함으로써 체내 구리와 아연의 농도가 진폐증의 섬유화의 진행정도에 따라 변동함을 밝히고, 이를 이용하여 폐섬유화의 진행정도를 추정할 수 있는 지표를 제시하고자 한다. 방 법 : 진폐정밀기관에 내원한 초진내 원자 100명과 진폐요양기관에 입원한 진폐증 환자 100명을 선정한 후 흥부사진소견을 ILO 분류법의 진폐진행정도에 따라 각각 세 군(Stage Vl, V2, V3 & Stage Pl, P2, P3)으로 구분한 후 각 군의 혈청구리와 아연의 농도를 비교분석하였다. 대조군으로는 폐결핵, 심근경색, 뇌경색을 경험한 적이 없는 일반인 100명을 선정하였다. 결 과 : 초진내 원자군의 혈청 구리농도는 섬유화의 진행단계에 따른 유의한 차이를 보였으며, Stage V3에서 가장 높았다. 입원환자군에서는 혈청 구리농도가 대조군과 유의한 차이를 보이지 않는데 (p=0, 152), 이는 입원환자의 불량한 영양상태와 건강상태 때문인 것으로 추정된다. 초진내원자군과 입원환자군의 혈청 아연농도는 섬유화의 진행에 따라 통계적인 차이를 보였으며, Stage V2와 Stage P2, P3에서 각각 대조군에 비해 유의하게 낮았다. 혈청 아연과 구리농도의 비또한 양군에서 섬유화의 진행에 따라 의미있게 높았는데, 섬유화가 현저히 진행된 단계 (Stage V3, Stage P2, P3)에서 대조군과 의미있는 차이를 보였다. 결 론 : 초진내 원자와 입원환자의 혈청 Cu/zrl 비는 섬유화의 진행정도가 현저할수록 대조군에 비해 유의하게 높게 나타났다. 진폐증 환자들의 혈청 Cu/zn 비는 진폐증의 폐섬유화의 진행정도를 추정함에 있어 상당히 유용한 지표로 이용될 수 있으며, 폐섬유화의 진행과정에서의 혈청 구리와 아연의 작용기전을 이용한 치료방법의 마련에도 도움이 될 것으로 판단한다. Objectives : Copper and Zinc, the trace elements of a living body, take a part in immunologic mechanism and induce the pulmonary fibrosis which is the pathologic progress of pneumoconiosis. This study was performed to assist the identification of the pathologic process of pulmonary fibrosis in pneumoconiosis. Methods : The subjects of thls study was 200 diagnosed persons as pneumoconiosis, of whom 700 persons was the visitors in the outpatients departments of pneumoconiosis and 100 admissive pneumoconiosis patients. The serum copper and zinc are measured and compared. Results : The mean serum copper concentration of visitor group was significantly higher than that of control group, and that of stage V3 subgroup of visitor group was highest because of their advanced fibrosis. But, there was not the difference of serum copper concentration between patient and control group. We thought that the reason was poor nutritional and health status of the patient. The mean of serum zinc concentration of visitor and patient control was lower than that of control group. As the degree of pulmonary fibrosis was more severe from stage Vl, V2, V3 of visitor to stage Pl, P2, P3 of patient, the mean of serum zinc concentration was lower. The ratio of serum copper/zinc of visitor and patient was higher than that of control, and that of patient was higher than that of visitor. Those results showed that the ratio of serum copper/zlnc ratio more greatly expressed the degree of progression of pneumoconiosis than only copper or zinc concentration by adjustment of nutritional and health status of the patient. Conclusions : As above study results, the degree of pulmonary fibrosis of pneumoconiosis could be estimated by means of serum copper/zinc ratio.

SEK1 카이네이즈 과발현(overexpression)생쥐 대식세포주(RAW264,7)의 Nitric Oixde(NO)유도성 세포고사 (apoptosis) 기전에 관한 연구

정병학,소홍섭,박래길,정헌택 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.2

Nitric oxide (NO) induces apoptotic cell death in murine RAW 264.7 macrophages. To A elucidate the NO-induced apoptotic mechanisms in SEK1/MKK4 overexpressed RAW 264.7 cells, we generated clones of RAW 264.7 cells which stably overexpressd kinase inactive SEK1 (RAW/SEK1-KI) or wild type SEK1 (RAW/SEK1-WT). Treatment of kinase inactive SEK1 transfected RAW 264.7 cells (RAW/SEK1-KI) with sodium nitroprusside (SNP), a NO donor, significantly decreased the cell viability than that of RAW control cells which were treated with the same amount of SNP. However, RAW/SEK1-WT cells were less susceptible to NO induced apoptosis. Furthermore, the treatment of NO with farnesyltransferase inhibitor (FTI) of Ras or MEK inhibitor (PD098059) significantly increased the apoptotic death of RAW/SEK1-KI. However, SB203580, a specific p38 inhibitor, did not affect NO-induced apoptosis of kinase inactive SEK1 transfected RAW 264.7 cells. For a while, caspase 3-like protease activity in NO plus FTI treated RAW/SEK1-KI cells were more increased than that of NO only. In addition, nuclear transcription factor kB (NFkB) was significantly activated in NO-treated RAW/SEK1-KI cells, whereas these transcriptional factor was not markedly activated in NO-treated RAW/SEK1-WT cells. Supershift analysis demonstrates that NFkB was composed of mainly p50 homodimer. Also pyrrolidine dithiocarbamate (PDTC), a strong inhibitor of NFkB, significantly inhibits the NO-induced apoptosis in RAW/SEK1-KI cells. Taken together, we suggest that SEK1 may play anti-apoptotic role in RAW cells from NO-induced apoptosis via the modulation of NFkB. In addition, in the absence of SEK1 kinase cascade activation, the viability of RAW cells may be mainly dependent on Ras/Raf/MEK/ERK pathway.

방사선 조사에 의한 phospholipase D 활성화 연구

김영래,김기환,조문준,임규,황병두,박승길 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Activation of oleate-dependent phospholipase D (PLD) isozyme by irradiation was reported previously. However, the effects of irradiation on other PLD isotypes (PLD1 and PLD2) have not been studied. There are several kinds of PLD isozymes in a cell. Therefore, it is difficult to study PLD isotype-specific activation in a cell by irradiation. We tested which isotype of PLD responds to irradiation. We used the fibroblasts cell lines overexpressing PLDl or PLD2 by introducing recombinant PLD1 or PLD2 cDNA. Phospholipids in cells were labelled with [(3)^H] myristic acid. Before irradiation, l-butanol was added. After irradiation with doses of 1, 2, and 10 Gray, we measured the formed phosphatidylbutanol containing [(3)^H] myristic acid. The overexpressed PLD isotypes were functional in those cell lines. PLD2 activity was enhanced by irradiation when we compared the PLD activations between control and PLD1 or PLD2 overexpressing cells. However PLD1 was not activated by irradiation. PLD2 isozyme, but not PLD1, was activated by irradiation. One Gray irradiation showed the maximal effect on PLD2 activation. The activation mechanism and physiological significance of PLD2 activation by irradiation remain to be uncovered.

들민달팽이(Deroveras varians)의 배자발육과 난황단백질

진병래,손흥대,박혜진,조은숙 東亞大學校附設 農業生命科學硏究所 1999 農業生命資援硏究 Vol.8 No.1

들민달팽이의 배자발육은 해부현미경으로 관찰하였다. 산란 후 4일이 경과면서 발육이 급격하게 진전되어, 10일이 지나면서 난 내에서 들민달팽이 유충의 형태를 갖추고, 12일째 부화하였다. 들민달팽이의 배자발육에 따른 난황단백질의 변화는 산란 1일째, 3일째 및 6일째 알의 난황단백질을 전기영동방법으로 분석하였다. 그 결과 배자발육과 함께 급격히 감소되는 난황단백질 관련 밴드를 관찰할 수 있었다. We characterized embryogenesis and egg proteins of Variable field Slug, Deroceras varians. The embryogenesis was observed by light microscopy. The eggs were hatched at the twelfth day after oviposition. The egg proteins of the first day, third day and sixth day after oviposition were analyzed by native-and SDS-PAGE analyses. The results showed that yolk proteins are gradually decreased during embryogenesis.

Cyanobacterium Synechocystis PCC6803 내에서 Bacillus thuringiensis subsp. morrisoni PG-14 cryIVD 유전자의 발현

이대원,박현우,진병래,정영호,박영목,강석권 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.2

미생물 살충제로 사용되고 있는 B. thuringiensis를 모기유충방제에 적용하기 위한 시도는 B. thuringiensis가 수서생태계에서 부유하지 못하고 가라앉으며, 생활환을 이루지 못한다는 문제점으로 인해 적용에 어려움이 있다. 따라서 본 연구는 모기유충에 강한 독성을 갖는 B. thuringiensis subsp. morrisoni PG-14의 cryIVD 유전자를 모기유충의 먹이인 cyanobactrium에 도입하기 위하여 발현벡터 pCYASK 5-1을 제작하고, cyanobacterium Synechocystis PCC6803에 형질전환시켜, 세포내에서 cryIVD 유전자의 발현과 뇌염모기에 대한 독성을 조사하였다. 그 결과 형질전환체 내에서 cryIVD 발현은 immunoblot 분석을 통해 B. thuringiensis subsp. morrisoni PG-14에서 발현된 단백질과 같은 분자량으로 발현되는 것을 확인하였으며, 모기유충에 대한 형질전환체의 독성은 1.40×10^6 cells/ml 농도에서 약 80%의 치사율을 나타내었다. Bacillus thuringiensis subsp. morrisoni PG-14 is a gram-positive soil bacterium producing mosquitocidal parasporal inclusions composed of several crystal proteins. Among these crystal protein genes, cryIVD gene is one of major component which has 72 kDa in size. However, these parasporal inclusions sink quickly from the surface of water where mosquito larval feeding occurred. To develope mosquitocidal cyanobacterium, therefore, we constructed the expression vector, pCYASK 5-1 harboring cryIVD gene. The expression vector, pCYASk5-1 was transformed into the cyanobacterium Synechocystis PCC6803 reported as a natural mosquito larval food source and the transformants were selected with kanamycin. Expression of cryIVD gene in transformant was characterized by SDS-polyacrylamide gel electrophoresis (PAGE) and immunoblot analysis. The mosquitocidal activity of a transformant was determined electrophoresis (PAGE) and immunoblot analysis. The mosquitocidal activity of a transformant was determined with Culex tritaeniorhynchus. The results showed that the transformed cyanobacterium is toxic to mosquito larvae and will be expected as a potential agent that is used for mosquito control.

학교체육 활성화 방안에 대한 연구(Ⅰ) : 강원대학교 교양체육 운영방법의 개선을 중심으로

이광재,문병용,노성규,박기동,홍관이,한상준,유옥재,엄기진,정청자,오수일,김윤래,박장평,부기원 江原大學校附設 體育科學硏究所 1986 江原大學校附設體育科學硏究所論文集 Vol.- No.11

Try to find a scheme for activation to College Physical Education, this Report informs the various kinds of Survey and process those were projected for improvement of management methods on Cultural Physical Education in Kang Weon National University. From experimentally carried out "Sports events Choosing System" not as usual be inforced "Total practical Skill System", Following Positive effects and sujestions were Presented; 1. "Sports events choosing system" gave birth to more students' interesting and more voluntary participation to the sports events they chose, and sports skill and instruction level was elevated due to charge of expert according to each sports events. This system would be managed continuously hereafter for it related to life sports. 2. This System needs to closed cooperations between College and Community, for the facilities of community are utilized by college. 3. To complete the plan for activation of college Physical Education, additionally, the successional study ; namely "autonomous extracurricular sports activity" should be excuted hereafter.

부산지역에서 산재보상을 신청한 과로사에 관한 연구

남연,오차재,박정래,이동준,조병만,이수일 大韓産業醫學會 2002 대한직업환경의학회지 Vol.14 No.1

목 적 : 부산지역의 근로복지공단에서 1991년부터 1999년까지 과로사 관련 보상심사가 이뤄진 총 219례를 대상으로 과로사의 발생양상과 그 인정여부에 영향을 밀치는 요인을 밝힘으로써 향후 과로사 관련 연구의 기초적 자료를 제공하고자 하였다. 방 법 : 부산지역의 3개 근로복지공단 지사에 소장된 과로사 심사기록을 대상으로 재해자의 인구통계학적 변수와 소속사업장과 근무환경에 대한 변수, 사망원인질환과 기존질병력, 업무상 과중부하의 성격과 분류, 직무수행성과 직무기인성 여부에 대해 조사하였다. 그리고 행정기관의 과로사 인정에 영향을 미치는 요인들을 평가하였다. 결 과 : 1. 전체 219례 중 135례(61.6 %)가 과로사로 인정을 받았으며, 96년 이후 매년 50례 이상의 보상신청이 이뤄져 왔다. 전체의 30.6 %가 50인 미만의 영세사업장 소속이었고, 직업운전사와 경비 직종이 34.7 %로 높았다. 연령층은 50대 이상이 48.8 % 였고, 하루 12시간 이상의 근무자가 29.6 % 였다. 근무형태에서는 교대근무와 심야근무 등의 불규칙 근무형태가 37.5 %였으며, 새로운업무에 배치된 지 6개월 이내에 발생한 경우가 21.5 %였다. 2. 사망원인으로는 뇌출혈 등의 뇌혈관계 질환이 전체의 49.8 %로 심장질환보다 많았고, 현행법령상의 인정범위에 속하는 경우가 85.4 %였다. 또한 선행질병력이 48.9 %에서 나타났는데, 대다수가 고혈압 등의 순환기 질환으로 확인되어 이들 병력자들의 보건관리에 중점을 둘 필요를 보였다. 3. 운전과 감시·정밀작업, 위험작업, 잦은 장기 출장 등의 위험요인에 노출된 경우가 전체의 53.9 %였고, 재해에 선행된 돌발사건이 전체의 17.8 %에서 관찰되었다. 업무상 과중부하에서 업무량증가와 업무시간연장이 전체의 64.7 % 였고, 6개월 이상의 장기적인 육체적, 정신적 과중부하가 있었던 경우가 42.5 %였다. 이 결과로 볼때 현행 법령상의 장기적인 과로에 대한 인정범위가 보다 확대되어야 할 필요를 보여준다. 4. 과중부하가 발생에 기여한 것으로 평가된 예가 전체의 76.3 %로 실제 인정율보다 높았다. 이중 충분요인으로 작용한 경우가 43.6 %, 부분요인인 경우가 10.4 %, 변경·촉진요인인 경우가 22.3 %였다. 5. 과로사 인정여부와 각 변수간의 로지스틱 회귀분석에서는 해당 업무의 근무경력이 6개월미만인 경우가 교차비 6.76(p=0.016), 사망질환이 법규상의 뇌심혈관계질환에 포함되는 경우가 교차비 3.00(p=0.034)을로 유의하게 높았다. 업무상 과중부하의 증가가 있는 경우는 교차비가 2.02로 높았으나 통계적 유의성은 다소 낮았다(p=0.081). 반면 50대 이상의 고령층과 기존 병력자의 경우는 상대적으로 불인정되는 경향을 보여 현행 행정기관의 인정기준이 과로에 민감한 대상층을 포괄하지 못하고 있음을 보여주었다. 결 론 : 부산지역에서의 과로사는 주로 50인 미만의 영세사업장 중 운전업, 경비업 등에 종사하는 40대 이상의 중·고령층 근로자에서 많았다. 재해자중 다수에서 뇌·심혈관계질환 병력이 확인되었고, 행정기관의 과로사 인정에는 법규상 인정범위의 뇌·심혈관계질환으로 사망한 경우와 재해자의 근무경력이 6개월 미만인 경우에서 인정되는 경우가 의미있게 높았다. 반면 기존 질병력이 있거나 50대 이상의 고령층의 경우 과로사로 인정되지 못하는 경우가 보다 많게 나타났다. 그러나 본 연구에서는 장기적인 과로와 과중부하를 유발하는 고위험직업에서의 과로사 빈도가 높아 현행 법규상의 과로인정기간의 범위를 넓혀야 할 것이고 직업에 대한 고려를 포함하는 인정기준의 검토와 개선이 요구된다. 그리고 과로사를 예방하기 위하여 업무시간 및 업무량의 개선과 관리가 필요할 것으로 판단된다. Onjectives : Karoshi is a word meaning death from work-overload. Work-related diseases due to continuous overwork are primarily cerebro- and cardio-vascular in nature. In korea, despite an increase in the incidence of Karoshi, it is not easy to recognise by workmen's compensation in Korea. This study intended to establish basic information concerning the incidence of Karoshi. Methods : 219 cases were collected based on workers' compensation records of three Busan Regional Centers of Labor Welfare Corporation from 1991 to 1999. The size of workplace, occupation, daily working time, type of working schedule, job tenures, characters of work-overload and duration of work-overload were investigated according of subgroups of general characterictics. Both univariate and multiple logistic regression analyses were userd to estimate the relationship between risk factors and a recognition of Karoshi. Results :1. 61.6 % of total cases were recognized as Karoshi. 30.6 % occurred in a small workplace of less than 50 workers, 34,7 % were drivers or guardss, and 48,8 % were more than 50 years old. Additionally, 29.6 % worked more than 12 hours, 37.5 % were irregular hours and shift workers and 21.5 % of the total had been on the job less than 6 months. 2. Of the causes of death, 49,8 % was cerebro-vascular diseases and it was more than cardio-vascular ones. And 80.4 % of total cases was belonged to the recognition-category of the Labour Ministry's Law. The previous desease history was found on 49.8 % of all cases. Of them, hypertension was most common as 21.9 %. 3. 53.9 % of patients were exposed to job hazards such as driving, monitoring, guarding, risky jobs and frequent long-term official trips. 64.7 % recorded a increased work-overload of job contents and working hours. Of the several types of work-overload, 42.5 % displayed long-term physical and psychotic work-overload and 22.2 % exhibited job characteristic work-overload. 4. In this study, work-overload was associated with the incidence of Karoshi in 76.3 % of cases. This rate was higher than the recognition of Workmen's compensation recorded by the Korea Labor Welfate Corporation. Of these, 43.6 % belonged to sufficient factors, 10.4 % partial factors, and 22.3 % were due to aggravating factors. 5. Logistic regression demonstrated that death due to cerebro- and cardio-vascular disease, short-tenure within 6 month was significantly associated with a recognition of Karoshi (p=0.034, OR=3.00, CI=1.09~8.30/p=0.016, OR=6.76, CI=1.43~32.07 respectively) and that an increase of work-overload was also associated, but its statistical significance was slightly lower(p=0.081, OR=2.02, CI=0.91~4.46). However, no association was found between this recognition and overtime work, hazardous job, irregular work schedule, low-income, injury-onset place, or small size of workplace. The elderly group(>50years old) and those with a previous disease history were negatively associated with recognition although the statistical associaltion was low. Conclusions : Karoshi in Busan occurred frequently in a small workplace of less than 50 workers, especially drivers or guards. Additionally, these cases worked more than 12 hours, were irregular hours and shift workers. The death due to cerebro- and cardio-vascular disease, short-tenure within 6 month was significantly associated with a recognition of Karoshi. However Karoshi in this study occurred frequently in overtime work and high risk groups of work-overload. Therefore, for prevention of Karoshi, work-overload and overtime work need improved and controled.