부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

고령자 남녀와 20대 남녀에 있어서 다양한 등속수축중 최대 모멘트의 비교

金智源(Ji-Won Kim),金相佑(Sang-Woo Kim),文基旭(Ki-Wook Moon),嚴光文(Gwang-Moon Eom),李泳揆(Young-Gyu Lee),南貞淑(Jung-Sook Nam),朴寬龍(Kwan-Yong Park),金耀翰(Yo-Han Kim),洪廷和(Jeong-Hwa Hong),朴炳奎(Bung-Kyu Park) 대한전기학회 2008 전기학회논문지 Vol.57 No.10

In this paper, we investigated the maximum ankle joint plantarflexion moment (MPM) of young and elderly subjects during various modes of isokinetic contractions with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (14 males: 22.7±2.5yrs, 13 females: 20.5±1.3yrs) and the elderly subjects (17 males: 65.8±10.5yrs, 26 females: 71.4±5.2yrs). The MPM was normalized by each subject's body weight. The MPM of elderly females was the weakest among the groups, particularly, at the eccentric contractions. The male-to-female ratio of MPM was greater in the elderly than in the young and the young-to-elderly ratio of MPM was greater in female than in male, both during the eccentric contractions. The result suggests that the decreased muscle force per body weight, especially at the eccentric contraction, may be one reason for the more frequent fall of the elderly female than the elderly male.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

영일만에 출현하는 부유성 난과 자치어의 종조성 및 계절변화

한경호,홍지선,김영섭,전경암,김영숙,홍병규,황동식 한국어류학회 2003 韓國魚類學會誌 Vol.15 No.2

경상북도 영일만 연안에서 2001년 2월, 5월, 8월 및 11월에 계절별로 채집된 부유성 난과 자치어의 종조성 및 계절변화를 연구하였다. 채집된 부유성 난은 총 9개 분류군으로, 멸치가 출현량의 63.4%로 가장 우점하였고, 다음 까나리는 23.7%를 차지하였으며, 나머지는 7개 분류군이 12.9%를 차지하였다. 자치어는 총 7목 28과 37개의 분류군이 출현하였는데, 그 중 32개 분류군은 종 수준까지, 3개 분류군은 속 수준까지, 2개 분류군은 과 수준까지 동정하였다. 2월에는 2목 7과 12종, 5월에는 3목 5과 7종, 8월에는 6목 18과 21종, 11월에는 6목 14과 16종이 출현하였다. 주요 출현종으로서는 까나리가 자치어 출현량의 22.7%를 차지하여 가장 우점하였으며, 다음은 멸치가 16.7%, 동갈양태속 어류가 14.1%를 차지하였고, 노래미와 쥐노래미가 각각 5.7%와 5.5를 차지하였다. The ichthyoplanktons in coastal waters of Yongil Bay were sampled during four different months (February, May, August and November 2001) to study their distribution. The collected fish eggs were identified as belonging to nine species. The most dominant species Engraulis japonicus accounted for 63.4% of the total fish eggs, followed by Ammodytes personatus (23.7%) and Sardinops melanostictus (9.2%). The collected larvae and juveniles were identified into 37 taxa (28 families, 7 orders). Of these, 32 were identified to species, three were identified to genus and two were identified to family level. The dominant species Ammodytes personatus accounted for 22.7% of the total larvae and juveniles, followed by Engraulis japonicus (16.7%), and Repomucenus sp. (14.1%). These three taxa constituted 53.5% of the total collected larvae and juveniles.

대량의 각혈로 사망한 장티푸스 1예

한상우,유진홍,권순석,김성훈,박지찬,홍은정,최경성,박용완,장준희,안지원,박유경,강지영,박상미,신완식 대한감염학회 2004 감염과 화학요법 Vol.36 No.5

We experienced a 25 year-old male patient with typhoid fever complicated with massive hemoptysis. Pulmonary complication in typhoid fever is very rare and to our knowledge, there has been no report of hemoptysis as a main cause of death with this disease. We herein report a rare case of typhoid fever.

Mirtazapine 사용과 연관된 고혈당증 환자 1례

홍영재,박지도,김정기 대한신경정신의학회 2001 신경정신의학 Vol.40 No.1

Mirtazapine은 고전적 우울증 치료제의 부작용과 독성을 감소시키기 위한 시도로 개발된 여러 가지 약제들 중 하나로 α2-noradrenergic 자가수용체와 이종수용체에 대한 길항작용을 함으로써 norep-inephrine과 serotonin의 신경전달을 항진시켜 항우울 효과를 나타내며 흔히 진정, 체중증가, 현기증등의 부작용을 나타내는 것으로 알려져 있다. 저자들은 Mirtazapine 사용과 연관되어 고혈당증이 발생하였다가 약물투여 중지이후 혈당이 정상으로 회복된 1례를 경험하였기에 보고하는 바이다. 향후 고혈당증이나 당뇨병을 일으킬 수 있는 약물을 투여하는 환자에서는 당뇨병에 대한 전반적인 검사 및 약물투여 기간 동안에 혈당에 대한 주의 깊은 추적검사가 시행되어져야 할 것으로 생각한다. Mirtazapine- a newly developed drug with reduce adverse effects and toxicity of original antidepressants- has been known to have antidepressant dffect by enhancing the transmission of norepinephrine and serotonin via blockade of α₂-noradrenergic autoreceptor and heteroreceptor and to have common side effects such as sedation, weight gain, and dizziness. We report a case of 50 years old female depressive patient who developed mirtazapine-associated hyperglycemia during treatment with mirtazapine and returned to normal glucose level after stopping the usage of mirtazapine. In patients who receive drugs with the risk of hypergly cemia and diabetes mellitus, we should consider the evaluation for diabetes mellitus and follow it up carefully in the future.

조선 후기 사대부의 일상복식

홍나영,김지연 이화여자대학교 생활환경대학 인간생활환경연구소 2005 인간생활환경연구소 논집 Vol.- No.3

The purpose of this study is to research the everyday costumes of the upper class in the late Joseon period. The 18th century was the main period that the tradition of the Korean costumes was established. The results of the study were as the following. First, men's coats, which were called po, had many varieties, such as dopo, changui and joongchimak. Hats were also developed along with coats. Men wore gat when they went outside, and wore tanggeon, jeongiagwan, chungieonggwan, or dongpagwan when they were at home. Second, women's clothes were a combination of a short and tight jacket called jeogori, and a logn, voluminous skirt called chima. Women tended to have their hairstyles done with wigs. Also, they had to werar veils to cover their faces due to the influences of Confucianism. During the early times of the Joseon Dynasty, women used to werar jang-ot as a coat. However, curing the late times of the Joseon Dynasty, jang-ot changed as a type of a veil. During that time, the custom of covering the women's heds with a veil was more emphasized than the early Joseon period. Third, th war between Korea and Japan(Imjinwaeran, 1952~1598) brought many changes in the styles of the Korean costumes. Due to the changes of social statuses and of the society, some farmers or merchants tried to initate costumes of the upper class. They wore the dress items of the upper class, or used high quality silk for their clothing. As a result, the fashion of the upper class began to affect the lower class, and was simultaneously influenced by the style of the lower class. The fashion of the 18th century emphasized on showing the tight upper bodylines. Also, people began to expose parts of their underwear through the slits of their clothing.

두경부의 이물질 삽입에 의한 관통성 외상

홍순재,백지영,차인호 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.3

Penetrating injuries in the head and neck region are not common but can pose difficult situations to manage properly. In small cross-sectional area, the neck housed many vital structures, such as carotid artery, internal jugular vein, cervical spines, esophagus, laryngotracheal complex and nerves. Because each vital structure is located within the fascial compartments, bleeding into these closed spaces can give rise to compression of surrounding structures, which may result in compromised airway. Therefore, management of the penetrating injuries should be based on the fully understanding of anatomical relationships, accurate clinical examinations, a careful history taking and the proper treatment planning. We present two cases of penetrating injuries in the head and neck region and discuss on the clinical considerations for the proper management with the literature review.

家畜排泄物 콤포스트化 有效利用에 關한 硏究

洪志亨,全炯柱,朴又龍,崔秉旻,金在煐 順天大學校 1983 論文集 Vol.2 No.1

家畜排泄物의 堆肥化 작업체계의 工學的인 局面은 畜産經營의 畜産物 生産性, 에너지保存, 公害防力및 勞動力 節約에 密接한 關係를 갖고 있는 바이다. 그러나 韓國에 있어서 現在 畜産業의 飼養規模와 飼育頭數는 每年 增加하는 傾向을 나타내고 있으나, 傳統的인 家畜排泄物의 堆肥化處理 加工作業上의 問題點에 關한 硏究資料는 거의 없는 實情으로 堆肥化 작업체계 改善確立이 切實히 要求되고 있다. 따라서, 本硏究의 目的은 家畜排泄物 堆肥化 작업체계상의 工學的인 諸問題點을 調査分析하고 이에 對한 現況을 評價하여 改善方案을 模索하기 위한 基本資料를 提供하기 위해 遂行되었으며 調査分析 結果를 要約하면 다음과 같다. 1. 畜産農家의 家畜排泄物 處分方法으로는 大部分이 自然乾燥, 堆積, 嫌氣的 固形堆肥化에 依하여 遂行되고 있어 家畜糞尿에 의한 公害가 深刻해 지고 있었다. 2. 野積堆肥化 가공작업체계에 있어서는 트랙터에 附着된 前後作動式 로우더가 바람직하다. 3. 好氣性 野積堆肥化 加工作業에 따른 良質의 腐熟堆肥를 얻기 위해서는 外部氣溫에 따라 適正通氣量을 維持하기 위해 3∼7日 間隔으로 混合攪拌해야 되며 氣象條件에 의한 影響을 防止하기 위하여 堆肥作業物質의 表面을 비닐 等으로 덮거나, 더운날에는 加水를 해야할 것이 要望된다. 4. 堆肥化 加工作業體系의 基本段階別로 이루어지는 畜産農家는 거의 찾아 볼 수가 없었다. 5. 堆肥化加工 過程은 畜産農家周圍의 콤포스트센타에서 全體農家가 地力增進과 公害防止를 위해 參與할 수 있는 總合的이고 協同的인 加工作業體系로서 一貫性있게 遂行되어야 할 것으로 思料된다. There was almost no livestock farms to follow the basic stage in composting operation system. Composting disposal process should be performed successively an integrate cooperative operation system at compost center which is participated in all farmers near the livestock farms for the purpose of land improvement and pollution abatement. Well matured compost which is resulted from aerobic windrow solid composting should be turned at 3 to 7 days to insure abequate aeration according to the ambient temperature. The compost material should be covered with vinyl sheets etc. to avoid the effect of climatic condition.