고요산혈증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이종은,이준숙,이찬구,이한정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : Serum uric acid has now been identified as a marker for a number of metabolic and hemodynamic abnormalities. The aim of this study is to evaluate risk factors which influence hyperuricemia in the citizens of Asan. Method : The study design was cross-sectional and research subjects were 1086 citizens of Asan. General characteristics, cigarette smoking, alcohol consumption, and past history were obtained by interview using a structural questionnaire. Also, we measured height, weight and blood pressure, and serum uric acid of the subjects. Results : The mean serum uric acid level was 5.27 ㎎/㎗ in men and 4.01 ㎎/㎗, in women, In the multiple logistic regression analysis, statically significant risk factors of hyperuhcemia were gender, body mass index, blood lead concentration, and serum creatinine. Conclusion : Our results suggest that gender, body mass index, blood lead concentration, and serum creatinine might be the most important risk factors of hyperurcemia. Education program as well as routine check-up for serum uric acid was highly recommended for the effective prevention of hyperuricemia.

직업적 연폭로에서 혈중 연량 수준에 따른 선별검사로서의 혈중 ZPP 검사의 타당도

한구석,안현철,김용배,리갑수,김화성,황규윤,장봉기,이성수,안규동,이병국 순천향대학교 산업의학연구소 1999 순천향산업의학 Vol.5 No.1

In order to evaluate the validity of current screening criteria of lead exposure and to provide effective information for the better health management of lead workers, author investigated the interrelationship between blood lead and blood zinc protoporphyrin(ZPP) and evaluate the validity of blood zinc protoporphyrin as the screening test and blood lead as gold standard of diagnostic test. The total of 2245 lead workers (male workers: 1982, female workers : 263) from 12 lead using industries were studied. Blood lead, ZPP, hemoglobin and hematocrit were selected as lead exposure variables. Personal information on sex, age and work duration were also checked. Blood lead was measured with flameless atomic absorption spectrometry (model: Hitachi 8100) using standard addition method. Blood ZPP was measured with portable hematoflurometer (model: Aviv 206). The results obtained were as follows: 1. The mean blood lead of all lead workers were 0.7±14.3㎍/㎗(Male: 31.0±14.4㎍/㎗, Female: 28.2±12.9㎍/㎗), whereas the mean blood ZPP of those were 68.1±47.5㎍/㎗(Male: 63.9±43.7㎍/㎗, Female: 100.1±61.0㎍/㎗). The mean value of hemoglobin and hematocrit of all lead workers were 14.5±1.5g/㎗(Male: 14.7±1.3g/㎗, Female: 12.3±1.2g/㎗) and 45.4±3.6(Male: 46.2±2.8, Female: 39.5±3.1) respectively. 2. Validity of test using blood zinc protoporphyrin as screening test for blood lead levels of 30㎍/㎗ as gold standard of diagnostic test revealed that the highest validity value for male and female lead workers were 50 and 90 ㎍/㎗ of ZPP respectively, showing 50 and 60 ㎍/㎗ of ZPP for all lead workers. While those test for blood lead levels of 40㎍/㎗ as gold standard of diagnostic test revealed that the highest validity value for male and female lead workers were 60 and 90 ㎍/㎗ of ZPP respectively, showing 60 ㎍/㎗ of ZPP for all lead workers, those test for blood lead levels of 50 and 60㎍/㎗ as gold standard of diagnostic test revealed that the highest validity value for male and female lead workers were 60 or 70 and 100 ㎍/㎗ ZPP respectively, showing 60and 70 or 80 ㎍/㎗ of ZPP for all lead workers. 3. Predictive value of test using blood zinc protoporphyrin as the screening test for different blood lead levels of 30, 40, 50 and 60㎍/㎗ as gold standard of diagnostic test revealed that positive predictive value of screening test were decreased by the increase of blood lead level regardless of csreening criteria value ZPP and negative predictive value of screening test were increased accordingly regardless of screening criteria value of ZPP. On the other hand, within same blood lead level as a gold standard positive predictive values were inceased by the increase of screening criteria value of ZPP, whereas the negative predictive value were decreased accordingly by the the increase of screening criteria value of ZPP. 4. The correlation analysis of all lead workers among study variables revealed that CPbB and natural log transformation ZPP(LZPP) were better correlated with other variables and found to be better estimate than PbB and ZPP themselves. The age was correlated with all other variables, but the work duration was not. The correlation analysis of male and female workers among study variables revealed the same results with all lead workers. 5. The slope of simple linear regression of CPbB (independent variable) with ZPP in female workers(3.223)was steeper than in male workers(2.144). That of lead workers with work duration of less than 1 year was steeper than that of lead workers whose work duration was more than 1 year. But there was no slope difference between two groups divided by their work duration of 2 years less and more. The slope of simple linear regression of CPbB lead (independent variable)with ZPP in lead workers whose blood lead were higher than 30㎍/㎗and 40㎍/㎗ were steeper than those whose blood lead were less than 30㎍/㎗ and 40㎍/㎗. 6. The slope of simple linear regression of CPbB (independent variable) with ZPP in lead industries with low mean blood lead were less steeper than those with high mean blood lead. 7. The slope of simple linear regression of CPbB (independent variable) with LZPP in female workers(0.0308was steeper than in male workers(0.0253). That of lead workers with work duration of less than 1 year was steeper than that of lead workers whose work duration was more than 1 year. But where was no slope difference between two groups divided by their work duration of 2 years less and more. While the slope of simple linear regression of CPbB lead (independent variable) with LZPP in lead workers whose blood lead were hogher than 30㎍/㎗ was not steeper than those whose blood lead were less than 30㎍/㎗, there was no slope difference between two groups whose blood lead were less than 40㎍/㎗ and more than 40㎍/㎗. 8. The slope of simple linear regression of CPbB (independent variable) with LZPP in lead industries with low mean blood lead were less steeper than those with high mean blood lead, but the difference was not significant then that of CPbB and ZPP. With above results, it is recommended that the screening criteria value of ZPP should be down to 60-70㎍/㎗ from 100㎍/㎗ for male lead workers and screening criteria of ZPP for female lead workers was all right with current value of 100㎍/㎗. So it is recommended to make different screening criteria of ZPP for male and female workers like the hemoglobin and hematocrit screening criteria. It is also preferable to use CPbB and LZPP rather than uncorrected PbB and ZPP in the evaluation of lead exposure for lead workers.

대전시 노은 도매시장 채소류의 농약 잔류 실태 및 식이섭취량 추정

한국탁,이규승,이은경,이용재,고광용,원동준,이정원,권순덕 한국환경농학회 2003 한국환경농학회지 Vol.22 No.3

대전시 노은 도매시장에서 채취한 6종의 채소류 중 농약잔류량을 조사한 후 이에 대한 위해성 평가를 실시하였다. 전체 100건의 분석시료 중 농약이 검출된 시료의 비율은 46.0%이었고, 잔류허용기준 초과비율은 6.0% 이었다. 검출비율이 높은 시료는 상추(85.0%), 깻잎(80.0%), 오이(60.0%) 순이었고, 상추 3건, 깻잎 3건이 허용기준을 초과하였다. 살균제는 dicar-boximide계, 유기염소계, azole계 농약, 살충제는 유기인계, 합성 pyrethroid계 농약이 많이 검출되었다. 검출빈도가 높은 성분은 procymidone, chlorpyrifos, chlorothalonil, cypermethrin, EPN의 순이었다. 위해성을 평가하기 위해서 각 농작물에 대한 농약의 추정 섭취량과 ADI를 비교한 결과, 허용기준을 초과한 깻잎의 bitertanol, triflumizole, iprobenphos가 다른 성분에 비하여 높은 비율을 보였다. 그러나 각 농산물의 식이섭취량이 적어 ADI에 대한 추정섭취량의 비율이 0.46%이하로 나타나 그 영향이 매우 낮은 것으로 판단되었다. Pesticide residues in some vegetables collected at Noeun wholesale market in Daejeon were surveyed and assessed their risk In 100 samples, the detection rate of pesticide was 46.0% and the rate exceed MRL was 6.0%. Commodities showing high detection rate were lettuce(85.0%), perilla leaf(80.0%) and cucumber(60.0%). Dicarboximide, organochlorine, and azole fungicides and organophosphorus and pyrethroid insecticides were detected. Detection frequency of pesticide was in the order of procymidone, chlorpyrifos, chlerothalonil, cypermethrin and EPN. When the estimated intake amount of the pesticides were compared with ADI to assess their risk, bitertanol, triflumizole and iprobenphos in perilla leaf were higher rate than the other vegetables. However the total amounts of intake of pesticides were estimated to less than 0.46% of ADI.

한 · 아프리카 포럼의 의미와 이명박 정부의 대아프리카 정책에 대한 소고

이한규(Lee Han-kyu) 한국아프리카학회 2011 한국아프리카학회지 Vol.33 No.-

The foreign relations in the current international society is putting the authentic mutual dependence and understanding between the nations above others unlike the cold war system, so such circumstances require the medium & long term approach that could reinforce Soft Power in various fields. Such an approach is an advisable means in that it can actualize the international realism aiming for national interest with more appropriateness and also actualize the international idealism more reinforcing the approach to world peace and international issues at the same time. Especially the diplomatic strategy toward Africa employed by the countries in the West is changing into the strategy putting emphasis on Soft Power by linking the practicality of the so-called resource diplomacy and market expansion to sustainable economic development. With the coming of the 21st century, a nation’s diplomacy is confronted with endless changes and challenges due to a countless number of mutually influencing complex factors, and moreover, a nation is facing the situation where it cannot seek for only practical interests any more owing to the emergence and roles of diverse international performers. Especially in case of Korea, the capacity reinforcement of Soft Power is an imperative strategy in the medium & long term not only for the resource diplomacy toward Africa but also building peace in the Korean Peninsula. Further, it’s necessary to give a top priority to capacity reinforcement through the development of Soft Power uniquely applicable to Africa in case of Korea which is acquainted with the western culture in that Africa still has a cultural pattern different from the West. Accordingly, as a responsible stakeholder in international society, as a late-starting nation whose launching into Africa is late, and ,as someone argues, as a model of African economic development, Korea in the 21st century is required to reestablish the basic guideline for the policy toward Africa through the more comprehensive and consultative method led by the private-public-academic sectors, and to put forth the Korean paradigm of Soft Power to debate from the medium & long-range view. On its basis, there need to be the expansion of cultural exchange, and ‘intelligence gathering the strength’ of domestic resources that could expand the base of cultural exchange more than anything else.

재발 또는 불응성 비호즈킨 림프종 환자에서 CDME 구제항암화학요법 후 고용량 항암화학요법 및 자가말초혈액 조혈모세포이식의 효과

김세형,한강원,배상병,김찬규,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background and objectives : The long-term survival in patients with non-Hodgkin's lymphoma (NHL) after conventional dose chemotherapy is about 35% and the rest of the patients tend to have relapse. So, in relapsed or refractory NHL, we compared the outcome of patients undergoing high-dose chemotherapy with autologous peripheral blood stem cell transplantation(APBSCT) with only salvage chemotherapy of cisplatin, dexamethasone, mitoxantrone, and etoposide(CDME). Materials and methods : From June 1993 to December 1999, 25 patients with relapsed or resistant NHL were treated with CDME regimen as salvage chemotherapy. Twelve patients were received four cycles of CDME chemotherapy, and 13 patients were received high-dose chemotherapy with APBSCT following two cycles of CDME chemotherapy. Results : The median follow-up duration was 12.8 months(range:4-68). The overall response rate was 41.7% (complete response rate 25%, partial response rate 16.7%) in 12 patients with CDME only. Thirteen patients who were treated with high-dose chemotherapy with APBSCT achieved 61.5% complete response rate and 15.4% partial response rate, with an overall response rate of 76.9%. The estimated 3-year progression-free survival rate was significantly higher among patients who received high-dose therapy than patients who received CDME only(41.5% vs 20.0%, p<0.05). And, 3-year overall survival rate was significantly higher among patients who received high-dose therapy(51.3% vs 25.0%, p <0.05). Conclusions : In relapsed or refractory NHL, CDME chemotherapy is an effective salvage chemotherapy and allow peripheral blood stem cell collection. Also, high-dose chemotherapy with APBSCT following CDME is superior to CDME salvage chemotherapy only.

횡문근융해증과 급성 신부전 및 범발성 혈관내 응고장애를 동반한 열사병 1예

최대은,박수진,권오경,이한규,이영모,이상주,나기량,이강욱,신영태 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Heat stroke is a life-threatening illness characterized by an elevated core body temperature that rises above 40% and central nervous system dysfunctions that results in delirium, convulsions, or coma. Heat stroke is subdivided into two forms, classic and exertional. Since strenuous exercise is one of the major exacerbating and precipitating factors, the incidence of exertional heat stroke is high among young adult, especially military personnel undergoing military training. Exertional heat stroke commonly causes rhabdomyolysis, lactic acidosis, acute renal failure, shock and pulmonary edema. We report a case of heat stroke with rhabdomyolysis, acute renal failure, disseminated intravascular coagulopathy(DIC) after strenuous exercise. A 18 year old man was admitted to the hospital because of loss of consciousness. He was a wrestler and he had tried to lose 6kg in weight by jogging and strenuous exercise on that summer day with hot temperature. The development of this illness was favoured by much clothes inappropriate for that environmental condition with a purpose to enhance sweating, and by restricted intake of water and food. On admission, the blood pressure was 80/50mmHg, and body temperature was 39.4℃ with stuporous mentality. Laboratory finding were as follows : in complete blood cell count, hemoglobin was 16.7g/dL and platelet count was 158,000/ mm³. In blood chemistry, AST 1061U/L, ALT 201U/L, BUN 30mg/dL, Cr 2.2mg/dL, LDH 941IU/L, CK 696IU/L were resulted. In arterial blood gas analysis, pH 7.39, pCO₂ 30mmHg pO₂ 86mmHg, HCO₃ 18.4mEq/L, O₂ saturation 96.7% were resulted. In urinalysis, specific gravity 1.025, protein 3+, erythrocyte 2+ were resulted. In brain imaging study, brain CT finding was normal. After appropriate treatments with rapid cooling, hydration and supportive care, he improved with alert mental status. On 2nd hospital day, in laboratory result, thrombocytopenia and coagulopathy were appeared and renal insufficiency was aggravated. So he was treated with platelet concentrate and fresh frosen plasma for DIC, and enough hydration for appropriate urine volume preservation. After all, On 22nd hospital day, he fully recovered and discharged. Nowadays, with followed for some duration, he is wellbeing with no complications.

골반염증성 질환과 질염을 가진 환자의 진단과 추적관찰에서 Chlamydia trachomatis의 검출을 위한 이중 중합효소 연쇄반응의 적용

이진우,조현철,최규연,배동한,김휘준 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Objectives : PCR has generally been more sensitive than the conventional microbiological test for the detection of C.trachomatis which has been a leading cause of sexually transmitted disease. The purpose of this study was to evaluate the prevalence of C.trachomatis infection in the patients with pelvic imflammatory disease(PID) and the usefulness of nested PCR as a follow-up test in patiens with C. trachomatis infection after administration of antibiotics. Methods: Cervical swab specimens were obtained from 187 patients with PID and vaginitis attending the Soonchunhyang Chunan Hospital. From the C. trachomatis positive patients, cervical swab specimens were obtained once a week after treatment until PCR tested negative. We performed the nested PCR with Chlamydia-CR kit(Bioneer, Korea.) Results: From 6(5.8%) of 187 cervical swab specimen, C. Trachomatis was detected by nested PCR. These patients were treated with doxycycline and metronidazole for 7 to 14 days. All of 6 C. trachomatis positive patients revealed PCR-negative immediately after the completion of antibiotics treatment. Conclusions: With the above results, the nested PCR is a relatively simple, fast, and practical tool for the detection of C. trachmatis and may be a useful follow-up test for monitoring the treatment effect.

고농도 연폭로 근로자들에서의 요중 총단백 배설과 N-acetyl-β-D-glucosaminidase 활성치 연구

이병국,안규동,함정오,이성수 순천향 대학교 산업의학연구소 1995 순천향산업의학 Vol.1 No.1

To clarify the effect of occupational lead exposure on renal function 265 leas workers working in 5 lead acid battery industries and 2 secondary smelting industries were studied in 1992 and 263 lead workers from same lead using industries were studied in 1993. Due to the high turn-over rate of lead industries only 148 lead workers were followed up for two consecutive year study. Study variables for renal effect were urinary total protein (U-TP), urinary NAG, blood urea nitrogen(BUN), serum creatinine (S-Cr), and serum uric acid (S-Ua). On the other hand, blood lead (PbB), zinc protoporphyrin in whole blood(ZPP), delta- aminolevulinic acid in urine (DALA), hemoglobin(Hb) and hematocrit(Hct) were selected for the variables of lead exposure. Information on age, sex, work duration of lead workers were also obtained. Fifteen symptom questionnaires of lead exposure were provided to the lead workers and filled up by themselves and reconfirmed by medical doctor during interview. The cross-sectional observation of lead workers for 1992 and 1993 revealed that only the mean of NAG was significantly increased by the increase of PbB for two year study and the mean of BUN was significantly increased by the increased of PbB only in 1992 study, but there were significant mean differences of NAG and BUN between blood lead below 60㎍/㎗ and above 60㎍/㎗. On the other hand, there were no significant mean differences of indices of renal effect by the increase of ZPP, but the increase of DALA made the significant differences of means of NAG for two year study and made those of BUN, S-Cr and S-Ua in 1992 study. The frequency of workers whose value of renal function indicators were over the normal criteria (BUN>20㎎/㎗; S-Cr>1.2㎎/㎗; S-Ua>7.0㎎/㎗; NAG>8.0U/liter; U-TP>8.0㎎/㎗) by the level of PbB, ZPP and DALA were calculated. While only frequency of over the normal criteria of NAG by the level of PbB showed dose-response relationship for two each years study, that of NAG and S-Ua by the level of DALA showed dose-response relationship in 1992 study and there was no significant renal indices who showed dose-response relationship with the level of ZPP. In the longitudinal observation of 148 lead workers for one year follow up there was significant increase of mean PbB(p<0.01) for one year study period, and there were significant decrease of mean value of ZPP, Hb and Hct(p<0.01). Among the indices of renal effect, there was significant increase of mean of S-Ua and significant decrease of mean of S-Cr for one year study period. In the high lead absorption workers whose blood lead were over 60㎍/㎗, the proportion of abnormal value of NAG and U-TP were increased by the one year study period. While ZPP and DALA showed significant correlation with PbB in both year, Only NAG among indices of renal effect has statistically significant correlation with PbB in 1993 but not in 1992. There were no mean differences of prevalence of 15 lead related symptoms between two year. The most frequent symptom was fatigue and the most rare symptom was colicky pain around umbricus. There was no dosed-response relationship between lead related symptoms and lead exposure indices. With above results, NAG was found to be most reliable indicator who showed dose-response relationship with lead exposure. It is highly recommended that the addition of NAG measurement for battery of renal effect test in the medical surveillance of lead workers.

충북지역 자활센터의 사업성과 및 발전방안

한규량,이상배,김연희 忠州大學校 2008 한국교통대학교 논문집 Vol.43 No.-

Local self-sufficiency promotion center began to operate with the enforcement of the law for the securing of the least life of the people from October, 2000. It was made for the support of self-sufficiency of the poor who could work. As of December, 2006, 242 local self-sufficiency promotion centers are operating nationally. Their main business is to look after the patient, to repair the house, to clean, and to reuse the food. But now besides of these business, it widened its range from farming, eating out, helping mother who deliver a baby, and assisting the education of the disabled, to taking care of the old. The achievement of self-sufficiency business have inspired the will of life of the workers who took part in the self-sufficiency business and have promoted the vitality of them as components of the society by accepting their joining the social life in their community. This study has grasped the present condition of Chungbuk Association of Self-Sufficiency Promotion Center for the last 7 years and estimated its achievement and discussed the plan for the development of it.

황복(Takifugu obscurus)에 대한 중금속, 유기주석화합물 및 다환방향족탄화수소(PAHs)의 급성 독성

이정석,이규태,김동훈,김진형,한경남 한국환경독성학회 2004 환경독성보건학회지 Vol.19 No.2

We exposed juvenile puffer fish, Takifugu obscurus(30 days after hatching) to various aqueous pollutants including 4 kinds of inorganic metals(Ag, Cd, Cu and Hg), 2 organotin compounds(tributyltin [TBT] and triphenyltin [TPhT]) and 5 polycyclic aromatic hydrocarbon(PAH) compounds(chrysene, fluoranthene, naphthalene, phenanthrene and pyrene) to estimate median lethal concentrations(LC50s) of each pollutant after the 96-hour acute exposure. Among the inorganic metals, Hg(52㎍/L; 96-h LC50) was most toxic to test animals and followed by Ag(164㎍/L), Cu(440㎍/L) and Cd(1180㎍/L). Aqueous TBT was more toxic between the two organotins; the 96-h LC50 for TBT(5.1㎍/L) was 3 times lower than that of TPhT(17.3㎍/L). The acute toxicity of PAH compounds was highest for chrysene(1.5㎍/L; 96-h LC50) and decreased in the order of pyrene(65㎍/L)>fluoranthene (158㎍/L)>phenanthrene(432㎍/L)>naphthalene(8690㎍/L). The toxicity of PAH compounds was closely related to their physico-chemical characteristics such as K_(ow) and water solubility, and well explained by simple QSAR relationship. The sensitivity of puffer fish to various inorganic and organic pollutants was generally comparable to various fish species widely used as standard test species in previous studies and further evaluation should be conducted to develop adequate testing procedures for T. obscurus when used in various toxicity tests.