인천지역 TDI 노출 작업자에서 직업성천식 유병율

김형렬,김철우,홍윤철,전형준,김치년,김현수,이지나,신주연,고동희,노재훈 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.2

목적 : TDI는 직업성천식을 일으키는 대표적인 물질로 알려져 있다. 과거 TDI에 노출된 작업자들의 천식 발생률을 5~6%가량 보고하였고, 국내에서도 2-20%에 이르는 유병율을 보고한바 있다. 작업환경이 많이 개선되고, 노출량이 감소된 최근에도 TDI에 의한 직업성천식에 대한 보고가 많이 이루어지고 있어, 이에 대한 적극적인 조사와 진단과정을 통해 유병율을 구하고 질병발생의 변화양상을 파악해 보고자 하였다. 방법 : 인천지역에서 특수건강진단을 수행하는 2개 기관의 TDI 노출 근로자 400여명 중, 사업장의 규모가 50인 이상이며 사업주가 연구진행을 허락한 사업장에서 근무하는 근로자 중 직접적으로 TDI에 노출되는 작업에 종사하는 근로자 170명을 연구대상으로 하였다. 이들에 대해 설문지와 산업의학의사의 면담을 통한 작업관련성 평가를 근거로 정밀대상자를 선정하고 이들에 대해 메타콜린 유발시험, TDI 유발시험 등을 수행하여 직업성천식을 확인하였다. 결과 : 설문조사 결과 11명이 직업과 관련하여 천식증상을 보이는 것으로 나타났고(6.9%), 이중 7명에서 메타콜린 유발검사 양성소견을 보였다. TDI에 의한 특이유발시험 결과 1명에서 양성반응이 나타나, 이 집단에서 TDI에 의한 직업성천식의 유병율은 0.58%였다. 결론 : 과거 국내연구에서 TDI에 의한 직업성천식의 유병율이 2~20%에 이르렀던 데 비해, 본 연구에서는 0.58%로 나타났다. 이는 국외 논문에서도 나타나는 경향으로 작업장 노출량 감소로 점차 발생률이 감소하는 양상을 보이고 있다. 그러나 이미 증상이 나타난 근로자들이 부서를 옮기거나, 직장을 그만둠으로 인해 그 유병율이 과소평가되었을 가능성도 있다고 판단된다. Objecdives: This study was carried out to estimate the prevalence of isocyanate-induced occupational asthma in toluene diisocyanate (TDI) exposed workers. Methods: We examined 170 workers who had been directly exposed to TDI through a medical questionnaire, physical examination, and pulmonary function test. Based on screening examination, workers with suspected occupational asthma were selected for further evaluation such as methacholine and TDI challenge tests. Results: Eleven (6.9%) among 170 workers complained of symptoms of occupational asthma. and 7 among these 11 symptomatic workers showed positive responses to the methacholine challenge test (4.1 %). One spray painter was confirmed as having the TDI induced occupational asthma following a positive response to TDI challenge test. Conclusions: The prevalence of TDI-induced asthma was at 0.58% was lower than that for former studies (2-20%). Improved workplace environment, lower level of TDI exposure compared to the past, and the healthy workers effect may have contributed to this low rate of asthma prevalence in workers with TDI exposure.

인삼 선발계통의 지역적응성 검정

Bong Jae Seong,Sun Ick Kim,Ka Soon Lee,Moo Geun Jee,Su Dong Kim,A Reum Kwon,Hyun Ho Kim1,Young Chang Kim 한국약용작물학회 2017 한국약용작물학술대회 발표집 Vol.2017 No.05

Background : For cultivation of varieties of ginseng, the pure line selection method, which is to select the best among those cultivated in farms for pedigree breeding, replicated yield trials and regional adaptation trials before registering as a new variety, is widely used. Although there are 25 registered varieties of ginseng in Korea, the quality of ginseng is declining together with the amount of harvest being decreased by 15 - 20% due to the heat injuries and diseases from the warming & abnormal climate. Thus, the needs for development of disaster-resistant varieties with better chances of surviving through high temperature, salts and disease are increasing. Therefore, this study is to cultivate disaster-resistant varieties among those selected for their disaster tolerance and salt tolerance through regional adaptation trials. Methods and Results : As a result of examining the growth characteristics of the selected 2 - 5 year old varieties used in the study, among the 5-year old crops, Goryeo 4 and Eumseong 5 showed superior growth in both above and below aerial parts, and among the 4-year old crops, Eumseong 11 and Cheonryang showed superior growth while the growth in the below aerial parts were satisfactory in the order of Cheonryang > Eumseong 10 > Eumseong 11 > Eumseong 9. Among the 3-year old crops, the most superior growth in both above and below aerial parts was observed in Eumseong 14 with the weight of the below aerial part, root diameter and taproot length at 13.8 g, 11.8 ㎝ and 6.2 ㎝ respectively. Among the 2-year old crops, Eumseong 10 showed the most superior growth in both above and below aerial parts. Conclusion : Based on the above results, Goryeo 4 and Eumseong 5 among the 5-year old crops, Eumseong 11 among the 4-year old crops, Eumseong 14 among the 3-year old crops and Eumseon 10 among the 2-year old crops showed the most superior growth among the selected varieties. The growth characteristics of both above and below aerial parts in each year will continuously be monitored.

혈액형에 따른 자기이미지와 의복가치

김현아;지영은;구영아;이규혜 한양대학교 2005 韓國 生活 科學 硏究 Vol.25 No.1

This study examined empirical differences of self‐image and clothing values (hedonic/utilitarian) by consumers’ blood types. One hundred and eighty one undergraduate students with diverse majors were respondents of the empirical study. A questionnaire was developed to measure students’ self image, clothing values and demographic variables including blood types. Dimensions of self‐images for undergraduate students were classified into optimistic futuristic, self‐centeredness, social, safety/ conservative, feminine, and indifferent. For hedonic aspects of clothing values four factors were extracted: novelty/ enjoyment/ charm, fashion value orientation, clothing‐confidence, and mix and match. Utilitarian aspects of clothing values consisted of five factors: symbolic/social recognition, comfortable, economic, practical, and ease of care. ANOVA results indicated no major difference of self‐images by blood type. The only significant result was found in the safe/conservative image. People of the blood type A, B and O showed lower level of safety seeking and conservatism. However, comparatively, people of type AB blood are holding back their emotion, not expressive, watchful against other people, and pursuing safety. No major differences were found in clothing value sub dimensions in conjunction with the blood types. The research findings are suggestive of existence of insufficient evidence of self‐image and clothing values by the individual’s blood style.

쑥, 진피, 두충이 고지혈증 흰쥐의 체내 지질대사에 미치는 영향

김지현,왕수경 대전대학교 이과대학 기초과학연구소 1997 自然科學 Vol.- No.-

본 연구는 생후 4주된 Sprague-Dawley rats을 1% cholesterol, 30% lard를 첨가조제한 고지방 식이로 3주간 사육하여 고지혈증을 유발시킨 후 쑥, 두충, 진피를 섬유질원으로 하여 식이중 총 식이섬유 함량이 10%가 되도록 조제한 식이로 흰쥐를 6주간 사육했을 때의 체내 지질대사에 미치는 영향을 cellulose군과 비교 관찰하였다. 그 결과 실험 동물의 총 식이섭취량에 있어서 cellulose군, 진피군이 쑥군, 두충군보다 유의적으로 높았고, cellulose군과 진피군 비교에서는 대조군인 cellulose군이 높았다. 체중 증가량은 cellulose군이 나머지 세 군에 비해 유의적으로 높았다. 지방 흡수율은 두충군이 LDL-콜레스테롤은 쑥, 두충, 진피군이 cellulose군에 비해 비해 유의적으로 낮았고, 특히 두충군이 가장 낮았다. 중성지방은 cellulose군에 비해 세군이 유의적의로 낮았고, HDL-C/TC에 있어서는 cellulose군에 비해 나머지 세 군이 유의적으로 높았다. 두충, 쑥, 진피군 중에서는 두충군이 가장 높은 경향을 보였다. 혈당에 있어서는 통계적 유의차는 없었지만 쑥, 진피군이 다소 낮은 경향을 보였고, cellulose군이 가장 높았다. 간의 총지질과 총콜레스테롤 함량은 cellulose군이 다른 세 군에 비해 유의적의로 높았고, 중성 지방에 있어서는 cellulose군이 유의적으로 낮았다. 변의 총지질과 총콜레스테롤 농도는 두충, 쑥군이 celluloserns, 진피군에 비해 유의적의로 높았고, 진피군도 cellulose군에 비해 다소 높은 경향을 보였다. 중성지방은 진피군에 비해서 대른 세 군이 유의적으로 높았고 수분을 포함한 변중량, 건중량에 있어서는 cellulose군에 비해 쑥, 진피군이 유의적의로 높았으며 두충군도 cellulose군에 비해 다소 높은 경향을 보였다. 수분함유량은 진피군이 유의적으로 높았고, 두충군, 쑥군이 cellulose군에 비해 높았다. 이상의 연구 결과 진피는 혈중 총지질, 총콜레스테롤 수준 저하, 그리고 배변에 효과적이고 두충은 혈중의 HDL-콜레스테롤 증가, 총콜레스테롤 감소에 효과적의로 나타나 진피, 두충이 우수한 지질 대사 개선 효과를 나타내는 것으로 보인다. 이러한 결과로 보아 cellulose와 같은 불용성 식이섬유보다 수용성과 불용성 식이섬유를 동시에 함유하고 있는 식품 자체가 고지혈증·동맥경화의 예방이나 치료에 효과가 있을 것으로 기대된다. This study was performed to investigate the influence of dietary foods from three Chinese medicinal herbs(Mugwort, Dried orange peel and Duchung) on lipid metabolism in rats. Male rats of Sprague-Dawley strain were divided into four dietary groups(Cellulose(CL), Mugwort(MW), Dried orange peel(OP), Duchung(DC)) after three weeks of hyperlipideniic dieting and were fed ad libiturn each of the experimental diets for six weeks. The fiber sources of the experimental diets were prepared by drying and milling mugwort, orange peel, duchung and cellulose. Each of the fiber sources was mixed into the diet to achieve 10 8% levels of total dietary fiber. Levels of apparent fat absorption exhibited a significant decrease in the MW and DC groups. The OP group also showed a decreasing trend, but to a lesser extent. The levels of serum total lipid were not significantly different among the four experimental groups. Total serum cholesterol levels were significantly lower in the OP group than in both the CL and MW groups. Serum TC; and LDL-cholesterol levels were significantly higher in the CL group than other groups. Serum HDL-cholesterol levels were significantly lower in the CL group than in the other groups. Total lipid and total cholesterol in liver were significantly higher in the Cl, group than in other groups and TG in liver was significantly lo\w in the CL group than in the other groups. Total lipid and total cholesterol in feces displayed a significant increase in the MW and DC groups when compared with the CI, group. The OP group also showed an increase compared to the CL group. (Korean J Nutrition 30(8) : 895~903, 1997)

미혼 여성근로자의 건강행태와 자각적 건강상태와의 관련요인 분석

김현지,한성현,이태용,김정선 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

This study was peroformed to identify health behaviors and health problems, and the relations between health behaviors and health problems of unmarried female workers. The Cornell Medical Index Health Questionnaire(CMI) was used to measure their health problems. Survey was conducted with 973 unmarried female workers from October 2001 to March 2002. The main reason of health problems is the stress commonly in both white color workers and blue color workers. Among white color workers, smoking and stress is significantly related with respiratory system, musculoskelectal system. Stress is significantly related with digestive system, neurological system. Drinking and stress is significantly related with fatigability(p<0.05). Among blue color workers, smoking, drinking, strees is significantly related with respiratory system. Stress, smoking, eating habit is significantly related with digestive system. Stress, smoking, eating habit, hours of sleep is significantly related with musculoskeletal system. Stress, smoking is significantly related with fatigability(p<0.05).

푸드뱅크 기탁식품의 안전성 확보를 위한 HACCP 제도 적용

김철재,박현신,배현주,이지해,양일선,강혜승 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.3

The purpose of this study was to analyze the problems arising from the actual conditions of the Foodbank, and to implement the HACCP system as a solution in terms of increasing the safety of donated food within the Foodbank. In order to apply HACCP system, the entire Foodbank working process such as preparation, collection, transportation, division, and distribution was considered and analyzed to decide the application point for CCPs. Donated foods mainly consisted of processed foods, raw materials, lunch boxes, and cooked foods from mass catering establishments, which dominated over the others in terms of quantity. Cooked foods were divided into three groups based on menu-types and processing methods. Temperature, pH, and aw were measured on cooked foods, and Total Plate Count, Coliforms, E. coli, Salmonella spp., Staphylococcus aureus, Listeria monocytogenes, and E. coli O157:H7 were conducted in order to apply a HACCP plan. Form these experiments, temperature, pH, and aw of donated food were likely contributed to microbial growth. Donated foods before HACCP implementation showed high numbers in terms of total plate count and Coliforms, both well over the acceptable standard levels. By setting the CCPs on maintenance of donated food below 10℃ and using a 75 ℃ reheating method, microbiological hazard levels were able to be controlled and lowered. From these results, it is concluded that in order to guarantee food safety, foods donated to the Foodbank must not only maintain a reasonable level of initial microbiological growth, but also must be handled properly through time and temperature controls within the Foodbank system. Furthermore, in terms of implementing the HACCP plan within the Foodbank management structure, basic food safety and sanitation measures, such as reheating facilities and various cold chain systmes such as refrigerated vehicle for food transportation are importantly needed. The training and education of Foodbank personnel and management in areas such as awareness of hygiene and safe food handling and practice are also required and necessary.

다차원 인덱싱 방식을 이용한 이미지 내용기반 검색 기법

김지현 瑞逸大學 1999 論文集 Vol.17 No.-

이미지를 위한 내용기반 검색 기법으로 다차원 인덱싱 방식을 제안하였다. 이미지 특징 추출 방법으로는 색상, 질감, 모양등이 있는데, 이미지를 구성하고 표현하는 요소로서 단일 색상(회색 레벨 이미지)과 밝기 함수만을 가정하였다. 또한 이미지 표현을 위한 패턴 인식중 2차원 모양 매칭 기법으로서 단순한 탬플릿 매칭과 특징 공간 기법을 소개하고, 내용기반 이미지 검색시 시간과 비용을 줄이기 위한 다차원 인덱싱 검색 기법으로써 색상, 질감, 모양 등 추출된 각각의 특징을 R-tree를 사용하여 분리된 특징 벡터에 매핑함으로써 성능을 개선하였다.

재발성 복부 통증을 호소한 환자에서 복벽에 발생한 자궁내막증 1예

홍현진,박성한,이준식,배용목,김지연,안광순,박선자 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1

Endometriosis is the abnormal growth of endometrial tissue outside the uterine cavity. Endometriosis in the abdominal scar following cesarean section is very rare condition among the extrapelvic endometriosis. The frequency of abdominal wall endometriosis secondary to cesarean section is from 0.03% to 0.8% in some reports. It is difficult to diagnosed in spite of the typical symptoms. The typical symptom is aching swelling in the area of the surgical scar, which is influenced by the phases of menstruation. The definitive diagnosis is established by pathologic analysis. Surgical excision remains the treatment of choice. The majority of patients presented from 1 to 2 years after the precipitating operation. We experienced an unusual case of abdominal wall endometriosis presented over 10 years after cesarean section, who was admitted to our hospital complaining of recurrent left lower abdominal pain. So, we report this case with a brief review of the concerned literatures.

Graves 병과 혈청 면역글로불린-E의 연관성

김현영,박기룡,김성훈,김지연,송수근,최영식,박요한 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.5

연구배경: Graves 병은 미만성 갑상선종, 갑상선기능한진, 안구침법 등을 특징으로 하는 자가면역성 질환으로, 갑상선자극호르몬 수용체에 대한 자가항체(TRAb)가 갑상선을 자극하여 발생된다. TRAb는 Graves병 환자의 약 85%이상에서 검출되며 활성화된 TRAb는 대부분 IgE로 알려져 있다. 그러나 최근 Graves병 환자의 갑상선조직과 안구조직에 IgE의 침착과 꽃가루 등에 의한 알레르기성 비염으로 인해 Graves병이 발생하거나 재발된 견우가 보고되어 Graves병의 병인에 IgE의 연관성이 제기 되고 있으나, 국내에서는 이에 대한 연구가 드물다. 본 연구에서는 Graves병에서의 혈청 IgE농도와 Graves병의 병기와의 관계 및 TRAb와 IgE 농도와의 연관성을 살펴보고자 하였다. 대상 및 방법 : 2000년 4월 1일부터 7월 1일까지 고신의료원 내분비내과를 방문한 환자 중 Graves병 46예, 만성갑상선염 6예 및 고신의료원 건강증진센터를 방문한 환자 중 갑상선질환의 병력이나 가족력 및 알레르기성 비염의 병력이 없는 35예의 정상대조군을 대상으로 연구를 시행하였다. TRAb는 갑상선자극호르몬 결합 억제 면역글로불린(TBII)으로 측정하였으며, IgE는 효소면역분석법으로 측정하였다. 결과: IgG인 TBII는 Graves병에서 만성갑상선염과 대조군에 비해 높았으며, IgE 평균농도는 Graves병에서 598.1±1112.9U/mL로 만성갑상선염 환자의 98350±79.7U/mL, 대조군 161.72±194.4U/mL에 비해 높았다(p<0.05). Graves병에서 알레르기성 비염의 발병율은 10.9%(5/46)였으며, Graves 병에서의 혈청 IgE 농도는 알레르기성 비염의 병력이 있는 경우 903.1±1152.2U/mL로 없는 경우 560.8±1117.0U/mL보다 높은 경향을 보였다. Graves병의 병기에 따른 TBII와 IgE 농도의 변화를 항갑상선제로 치료하지 않은 군(비치료군)과 치료한 군(치료군) 및 재발군으로 나누어 비교하였을 때, TBII는 치료군(7.4±18.6%)에 비해 비치료군(49.9±23.9%)과 재발군(21.1±3.1%)에서 높았으며(p<0.05), 혈청 IgE치도 치료군(233.8±432.7U/mL)에 비해 비치료군(758.6±1250.0U/mL)과 재발군(1198.5±1952.1U/mL)에서 높은 경향을 보였다. 항갑상선제로 치료한 치료기간에 따른 TBII와 IgE 농도 변화에서, TBII는 비치료군(49.9±23.9%)과 1년 미만 치료군(24.8±3.8%)에서 1년 이상 치료군(2.22±1.97%)에 비해 높았으며(p<0.05), 혈청 IgE 농도는 비치료군(758.6±1250.2U/mL)에서 1년 미만 치료한 군(158.3±91.5U/mL)과 1년 이상 치료군(252.7±483.4U/mL)에 비해 높았으나 유의하지는 않았다. 결론: Graves 병에서 IgE 농도는 증가되어 있었으며, Graves 병의 각각 다른 병기에서의 혈청 IgE 농도의 변화는 Graves qudd의 경과에 영향을 미치는 IgG인 TBII치의 변화와 유사한 경향을 보였다. 그러나 혈청 IgE와 Graves 병과의 연관성을 알아보기 위해서 IgE와 더불어 CD23항원 등의 다른 검사도 병행하는 전향적 연구가 필요할 것으로 생각된다. Background: It is widely believed that Graves' disease is and autoimmune disorder characterized by the presence of the circulation TSH receptor antibody (TRAb). The majority of the activity of TRAb is of the immunoglobulin G(IgG) class. However, other immunoglobulin such as immunoglobulin E(IgE), may play a rloe in the activity. IgE accumulation has been reported to occur in the thyroid gland and ocular muscles of subjects with Graves' disease. Furthermore, it has been noted that recurrence of Graves' disease can be induced by and allergy to pollen. Because an allergy to pollen is commonly associated with IgE, IgE might play a role in the induction of Graves' disease. Therefore, investigated whether IgE was elevated in Graves' disease, and evaluated the potential relationship between the levels of TRAb and IgE Graves' disease. Methods: Forty-six patients with Graves' disease, and 6 with chronic thyroiditis, diagnosed at the Kosin Medical Center between April, 2000 and July, 2000 were included in this study. Thirty-five persons without thyroid disease or a history of allergic rhinitis were used as normal controls. The level or TRAb was measured using thyrotropin binding inhibitory immunoglobulin (TBII). Serum total IgE was measured using as enzymeimmunoassay method. Test for thyroid function, TBII and total IgE were performed in all cases, and the results statistically analyzed. Results: TBII, as IgG, and the serum IgE level were higher in the patients with Graves' disease, and the levels of the latter were 598.1±1112.9U/mL, 98.5±79.7U/mL and controls 161.7±194.4U/mL in the Graves' patients, those with thyroiditis and the controls, respectively (p<0.05). The prevalence of allergic rhinitis in Graves' disease was 10.9%. The serum IgE level in Graves' disease with, and without, allergic rhinitis were 903.1±1152.2U/mL and 560.8±1117.0U/mL, respectively, although there was no significancant difference between the two groups. According to the clinical stage, the serum TBII level was higher in the untreated Graves', and relapsed patients 49.9±23.9% and 21.1±3.1%, respectively, than in the treated group, 7.4±18.6% (p<0.05). The serum IgE level was higher in the untreated Graves' and relapsed patients 758.6±1250.2U/mL and 1198.5±1952.1U/mL, respectively, than in the treated group 233.8±432.7U/mL, although this was not significant. According to the duration of treatment, the serum TBII levels were higher in the untreated Graves' patients, and those treated for less than 1 year, than in those treated for more than 1 year, with values of 49.9±23.9, 24.8±3.8 and 2.22±1.97%, respectively (p<.05). The serum IgE level was higher in the untreated Graves' disease (758.6±1250.2U/mL) than in the groups treated for less than 12 months (158.3±91.5U/mL) and more than 12 months (252.7±483.4U/mL), but the differences were not significant. Conclusions: The concentration of IgE was high in Graves' patients, and although not statistically significant, the serum igE level in Graves' patients with allergic rhinitis was higher than those without. With regard to the clinical stage of Grave's disease, the change in the IgE level tended to follow that of the TBII. Further study will be required to define the possible role of IgE in the pathogenesis in Graves' disease (J Kor Soc Endocrinol 17:640∼648, 2002).

전자 매뉴얼을 위한 XML 문서 저장 스키마 설계

김지현,오성균 瑞逸專門大學 2000 論文集 Vol.18 No.-

일반 매뉴얼 제작 공정을 XML 문서를 기반 한 전자 매뉴얼 시스템으로 전환하는 과정에서 매뉴얼 제작 공정에 대한 분석과 문제점을 파악한다. XML 문서 설계 시 효율적인 문서 검색이 가능하도록 DFS 방문 순서에 의한 트리 구조 표현으로 적용하여 비분할 저장방식 문서 저장 시스템 설계로 XML 문서에서 추출할 수 있는 모든 정보를 엘리먼트 테이블과 경로 테이블에 저장하고, 질의 검색 시 필요한 고비용의 조인 연산을 줄임으로서 성능을 향상시킬 수 있는 저장 데이터베이스 스키마 설계를 제시한다.