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.

전해산성수를 이용한 새로운 내시경 소독 시스템(Cleantop WM-1??)의 소독효율

이준행,이풍렬,송재훈,이남용,임윤정,장재권,김영호,김재준,백승운,이종철,최규완 대한감염학회 2001 감염 Vol.33 No.2

Background : Electrolyzed acid water (EAW) is a new liquid chemical germicide containing a mixture of oxidizing species and prepared by mixing a small amount of salt with tap water in an electrolyzer. We attempted an in-use evaluation of the high-level disinfection capability of Cleantop WM-1□, a new endoscope reprocessing system using EAW. Methods : Forty-seven flexible endoscopes were randomly collected just after upper endoscopic examinations and were disinfected using Cleantop WM-1□. Parts of the endoscopes without contact to EAW were disinfected with 75% ethyl alcohol. Immediately after the disinfection procedure, samples were taken from the biopsy channel (S-1), tip of the insertion tube (S-2), the umbilical cord (S-3), and the angulation knob (S-4). Results : In EAW-disinfected parts of the endoscopes, the culture-positive rates were 4.3% (2/47) in S-1 samples and 12.8% (6/47) in S-2 samples. In ethyl alcohol-disinfected area, the culture-positive rates were 2.1% (1/47) in S-3 samples and 25.5% (12/47) in S-4 samples. The colony counts of culture-positive samples ranged from 1 to 144. Pseudomonas aerugi-nasa was recovered from the angulation knob of an endoscope, but other contaminating organisms were mostly : normal flora or opportunistic pathogens. Conclusion : Although part of the endoscopes disinfected with 75% ethyl alcohol were contaminated with more organisms than EAW-disinfected areas, Cleantop WM-1□ showed a relatively good disinfection efficacy in reprocessing patient-used endoscopes. (Korean J Infect Dis 33:133∼138, 2001)

유역 피복 특성을 고려한 유출량 산정을 위한 地形情報시스템(GIS)의 적용

김재한,정관수,이근영 忠南大學校 産業技術硏究所 1999 산업기술연구논문집 Vol.14 No.1

To compute the direct runoff basin, The SCS Curve Number can be used simply. It was evaluated by the U.S. soil conservation service and applies to U.S. watershed, In this study to apply the SCS Curve Number to domestic basin, GIS was used to evalute it. In many case, when the direct runoff from the SCS Curve Number is calculated, much unadjusted hydrologic data are demanded. But using and being adjusted of these data are very difficult. In this study, the SCS Curve Number was evaluated through making DataBase by GIS to make simple procedure. and the direct runoff was computed by it. The result of this study shows that Evaluated Curve Number Value is 60.69 in AMC-I, 78.61 in AMC-II and 89.42 im AMC-III Condition from domestic basin

비정상 맹출로와 치근 만곡을 지닌 매복 상악영구전치의 자가치아이식 치험례

이예리,최성철,박재홍,김광철 大韓小兒齒科學會 2008 大韓小兒齒科學會誌 Vol.35 No.3

매복치의 치료는 그 발생원인,치아의 발육단계,매복된 위치 및 맹출 경로,환자의 협조도 등을 고려하여 치료방법을 결정 한다. 일반적으로 맹출에 영향을 줄 수 있는 유전적,전신적 유발인자가 있다면 이의 치료와 더불어 맹출 유도를 위한 조기치료의 필요성이 있으며,맹출에 장애를 주는 물리적 요소가 존재한다면 이를 우선적으로 제거해야 한다. 그러나 맹출과 관련된 어떠한 요인이나 맹출공간 부족 등이 발견되지 않았다면 유치 발거 이외에 치아를 외과적으로 노출시킨 후 교정장치를 부착하고 교정력을 이용하는 치아맹출 유도법,그리고 매복치를 외과적 재위치 또는 이식하는 방법을 사용할 수 있다. 자가치아이식술을 시행할 경우 치아발육 상태를 고려한 적절한 시기의 선택,적절한 치조와 형성 빛 이식치아의 발거와 식립에 있어 외상의 최소화등이 성공에 중요한 요소다. 본 증례에서는 상악우측중절치의 미맹출을 주소로 내원한 7세 여자 환자에서 CT검사결과 상악우측중절치의 치관부가 전 비극에 근접하여 협측으로 위치되어 있으며 치관부에서 만곡이 관찰되었다. 치근은 Nolla's stage 7정도의 발육을 보였으며 이에 자가치아이식을 시행하였다. 주기적인 관찰결과 치근흡수 등의 합병증 없이 양호한 치유양상이 관찰되었다. In the case of the impacted teeth, the clinician has to consider development of tooth, site of impaction, eruption path, and cooperation of patient, If there are genetic or general factors to effect the eruption of tooth, the clinician treats these first and then takes the early treatment for eruption guidance, If there are physical factors to intercept eruption, the clinician put them off first. However. if there are no factors to effect eruption of tooth and enough space for eruption, the clinician can consider extraction of deciduous teeth, forced eruption and surgical reposition. In case of surgical repositioning, proper time for root development, Proper socket formation, and minimal trauma are important for success. This case presents displaced impacted maxillary central incisor with dilacerated root. The development of root is Nolla's stage 7, and the tooth was treated by surgical repositioning. We can observe no root resorption and good healing pattern.

한반도 중서부 지각구조와 물성연구 : 부여록옥광산에서 산출되는 귀사문석의 광물학적 특성 Mineralogy of precious serpentine from the Booyo Green Jade Mine

김원사,정지곤,이병임,이재열 충남대학교 기초과학연구소 1995 연구논문집 Vol.15 No.-

충남 부여군 외산면에 위치한 부여록옥광산은 원래 석면을 대상으로 가행되었던 광산이었다가 폐광된 후 최근 세계적으로도 매우 희귀한 보석으로 인정받고 있는 귀사문석이 산출되고 있음이 발견되어 현재 채광작업을 재개하고 있다. 부여산 귀사문석은 광산의 주변암체인 선캠브리아기의 편암을 관입압 사문암체를 후기에 이를 다시 관입한 그로슐라 석류석맥의 접촉부를 따라 발달하고 있다. 이번 연구에서는 부여산 귀사문석에 대한 광물학적, 보석학적 특성을 규명하기 위하여 편광현미경, 비중계, 굴절계, 경도계, X선회절분석기, 화학분석, 적외선분광분석법 등을 이용해 연구하였다. 부여산 귀사문석은 짙은 녹색을 띠고 아투명하며 높은 지방광택을 나타난다. 모스경도는 H=5∼6이며 인성은 매우 높은 편이다. 비중은 2.67, 스포트법으로 측정한 굴절율은 No=1.56이다. X선회절분말양상은 7.40(100), 4.64(25), 3,68(68), 2.757(69), 2.530(49), 2.459(32), 2.113(32), 1.710(21)으로 안티고라이트임을 알 수 있었으며, 모암인 사문암도 안티고라이트로 구성되어 있다. 그러나 귀사문석과 사문암의 투명도와 경도 등이 다른것은 구성광물결정의 조직차이가 큰 요인인 것으로 여겨진다. 귀사문석의 주요 화학성분은 42.49% SiO_2, 39.08% MgO, 3.85% Fe_2O_3, and 11.87% H_2O 등이며, 미량원소로는 Cr(2188 ppm), Ni(1110ppm), Co(58 ppm), and Ta(108 ppm) 등이 있다. 적외선분광분석결과는 3600, 1190, 1070, 980, and 610 cm^-1에 흡수 peak를 나타내었다. 부여산 귀사문석(안티고라이트)은 감람석과 휘석으로 구성된 초염기성암이 변질되어 형성된 것으로 해석되며 그 생성반응은 (Fe, Mg)_2SiO_4 (감람석)+(Mg, Fe)SiO_3 (휘석)+2H_O→M_3sI_2O_5(OH_4)(티고라이트)+Fe_3O_4 (자철석). The Booyo Green Jade mine, located in Oesan-myon, Booyo-gun, Chungnam-do, had originally been developed for asbestos. Recently it has re-opened after discovery of precious serpentine. The precious serpentine is a gem variety of serpentine and is regarded as a rare and valuable gem material in the world. The precious serpentine develops along the contact between grossular garnet vein within the host rock serpentinite that had intruded schist of Precambrian age in the area. In this study mineralogical and gemmologicl properties of the precious serpentine from Booyo have been investigated by using polarizing microscope, specific gravity balance, refractometer, hardness tester, X-ray diffractometer, XRF and ICP-MS analyers, and infrared absorption spectroscope. The Booyo precious serpentine is deep green in color an semi-transparent, and also yields a highly oily luster. Mohs's hardness is measured to be H=5-4 with excellent toughness. Specific gravity is determined to be 2.67, and refractive index N_D=1.56 by a distant-vision method. Xray diffraction data shows peaks of 7.40(100), 4.64(25), 3,68(68), 2.757(69), 2.530(49), 2.459(32), 2.113(32), 1.710(21), which corresponds well to that of antigorite. The higher transparency and hardness of the precious serpentine than the neighboring serpentinite are most probably due to textural arrangement of constituent antigorite crystals. The major chemical constituents of precious serpentine are 42.49% SiO_2, 39.08% MgO, 3.85% Fe_2O_3, and 11.87% H_2O with trace elements Cr(2188 ppm), Ni(1110ppm), Co(58 ppm), and Ta(108 ppm). Infrared absorption spectroscopic analysis shows peaks at 3600, 1190, 1070, 980, and 610 cm^-1, Formation of the precious serpentine(antigorite) from ultramafic rock, which was made up of olivine and pyroxene, may represented by the following reaction: (Fe, Mg)_2SiO_4 (olivine)+(Mg, Fe)SiO_3 (pyroxene)+2H_O→M_3sI_2O_5(OH_4)(antigorite)+Fe_3O_4 (magnetite).

치관-치근 파절된 치아의 레진접착 후 의도적 재식술을 이용한 치험례

이예리,박재홍,최성철,김광철 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.2

치관-치근 파절(crown-root fracture)은 법랑질, 상아질, 백악질에 파급된 파절이며, 치수노출을 수반하는 것과 수반하지 않는 것이 있다. 치근부위만 파절된 경우와 달리 치관-치근 파절의 경우 치수와 치주조직을 통해 세균감염이 발생하기 때문에 치유를 기대하기 힘들다. 파절은 치근을 따라 다양한 부위에서 일어나기 때문에 치료방법은 파절 정도에 따라 결정된다. 치근의 파절선이 치관부에 근접한 경우 느슨한 치아 파절편을 제거한 후, long junctional epithelium이 형성되도록 치은을 노출 된 상아질에 맞게 적합시키거나, 외과적으로 파절 부위를 노출시키거나, 교정적 또는 외과적으로 치아를 정출시키는 방법 등을 고려해 볼 수 있지만 파절선이 깊은 경우 발치가 일반적이다. 그러나 최근 논문에서 수직 치관-치근 파절된 치아에 대해 발치대신 레진으로 파절선을 수복한 후 재식하여 성공한 사례가 발표되었다. 이 방법으로 치아를 보존할 수 있으며 이러한 방법이 전치부에서는 예후가 좋다고 보고되었다. 본 증례에서는 외상으로 인하여 상악중절치의 치관-치근 파절이 발생한 10세 환아에서 해당치아를 발치하여 레진으로 파절부위를 재부착한 후 재식하였다. 그러나 18개월간 주기적으로 관찰한 결과 문헌에서와 같은 좋은 결과를 나타내지는 않았다. A crown-root fracture is defined as a fracture involving enamel, dentin, and cementum. The fractures may be grouped according to pulpal involvement into uncomplicated and complicated. Generally a vertically crown-root fractured tooth must be extracted. However, it should be mentioned that the cases have been reported where bonding of the coronal fragment has led to consolidation of the intraalveolar part of the fracture. Definitive conservative therapy comprises one of four treatment alternatives; fragment removal only, fragment removal with gingivectomy, orthodontic extrusion of apical fragment, and surgical extrusion of apical fragment. The choice is primarily determined by the exact information on the site and the type of fracture, but the cost and the complexity of treatment can also be decisional factors. On the other hand, intentional replantation of the teeth with vertical root facture reconstructed with resin bonding has emerged as a new promising method in recent years. This case presents an intentional replantation of the crown-root fractured maxillary central incisor reconstructed with resin bonding. However, an obvious increase of radiolucency was observed after 4 months and the tooth was re-fractured after 16 months.

모낭 상피종

이태호,김재홍 한국의학사 1999 診斷과治療 Vol.19 No.12

교복과 권력 : 푸코적 관점에서

김인정,이재정 대구대학교 사범대학 부설 교육연구소 2008 敎育硏究 Vol.4 No.1

Probably the most distinguishing difference, at least in appearance, between the secondary school students and those of the primary and higher schools is 'uniform wearing.' This study is examining the tradition of school uniform from the perspective of Michel Foucault's discourse on power. This article would show that school uniform has been imposed as part of disciplinary power, which Foucault delineates as the modern mode of power. The conclusion is searching for the possible educational implications latent in this Foucauldian insights.

慶北地域에서 栽培中인 芍藥의 Paeoniflorin 含量分析

이인구,주길재,김태강,정재동 慶北大學校農業科學技術硏究所 1996 慶北大農學誌 Vol.14 No.-

主재배품종인 의성종과 영천종의 유효성분을 HPLC 및 TLC로 분석한 결과 主성분인 paeoniflorin 함량은 의성종이 영천종보다 높으며 albiflorin과 oxypaeoniflorin의 함량을 두 재배종에서 비교하면 의성종은 albiflorin 함량이 많고 영천종은 oxypaeoniflorin의 함량이 많았다. 생산지에 따른 paeoniflorin의 함량차이는 2.15%에서 4.08%의 범위였고 의성과 거창의 것은 비슷하였으며 영천의 것이 가장 낮았다. 18종의 재배종들은 품종에 따라 다양한 paeoniflorin 함량 차이를 보이며 작약성분분석의 HPLC 크로마토그람을 albiflorin, oxypaeoniflorin 및 paeoniflorin피크를 기준으로 비교해본 결과 크게 3가지 패턴으로 분류할 수 있었다. 이 세가지 유형은 의성종 패턴 9종, 영천종 패턴 4종 풍기표준 종패턴 5종 이었다. 수확시기에 따른 작약의 paeoniflorin의 함량변화를 조사한 결과 3월과 9월에 수확한 것이 낮았으며 5월과 11월에 수확한 작약의 paeoniflorin 함량이 높았다. The effective components of the peony cultivar, Euseongjagyag and Youngcheonjagyag, which were the major cultivars of peony in Kyeongbuk area, were determined with HPLC and TLC. The paeoniflorin content in the root of Euseongjagyag were more than that of Youngcheonjagyag. The root of Euseongjagyag contained much albiflorin and Youngcheonjagyag contained much oxypaeoniflorin in comparision with albiflorin and oxypaeoniflorin contents in both cultivars of peony. Paeoniflorin contents in accordance with peony prodution regions were ranged from 2.15% to 4.0%, and paeoniflorin content of local cultivar of Euseong and that of Geochang were approximatly the same but that of Youngcheon was the lowest. Paeoniflorin content in the 18 accessions of peony cultivar which were collected from Kyeongbuk area and harvested on November 1993, were ranged from 1.41% to 5.30%. The 18 accessions of peony were classified with the HPLC chromatogram pattern of peony root extract into the three groups which composed with Euseong peony group(9 accessions), Youngcheon peony group (4 accessions) and Punggi standard peony group(5 accessions). High content of paeoniflorin was contained in peony root harvested in May and November, but low content of paeoniflorin was contained in peony root harvested in March and September.

피부 결핵 (Ⅱ)

이태호,김재홍 한국의학사 2000 診斷과治療 Vol.20 No.8