만성두통 환자의 성격유형 A 행태, 스트레스, 우울 및 두통영향정도의 관계 연구

차남현,임사비나,정인태,김수영,안경애,김건식,이재동,이상훈,최도영,이윤호,이두익 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

To examine an estimate factor and grasp the relation of difference for Ype A Behavior Pattern(TABP), Perceived Stress Questionnaire. Depression and HIT-6 in the Chronic headache client. Method: Data collected by self-reported questionnaires from 38 client in S city who were selected by criteria of IHS, from the 19^(th) of October to 10^(th) of December, 2004. Result: 1) Differences between biographical data by TABP was significant by SaSang constitutions, by Stress was significantly influenced by age, and by Depression were significantly influenced health status and SaSang constitutions. 2) Correlations Coefficients among Study Variables were Stress and Depression(r=.494, p=.002) and Depression and HIT-6(r=.432, p=.010). 3) In regression analysis, HIT-6 were significantly influenced by Depression and Type A Behavior Pattern(TABP). These variables explained 38% and 34% respectively. Conclusion: The result suggest that chronic headache management with psychological aspect, as well as physical aspect should be a focus to enhance the quality of life.

만성두통환자에 대한 침치료가 심박변이도에 미치는 영향

정인태,이상훈,김수영,차남현,김건식,이두익,이재동,임사비나,이윤호,최도영 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objective : The purpose of this study was to assess the effect of acupuncture treatment for chronic headache patients using power spectrum analysis of the heart rate variability(HRV). Methods : 15 clinical experiment participants were gathered and through a questionnaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as Chronic Headache patients. Treatment was applied 2 times a weeks for 8 weeks. The acupoints, GV20, HN23, ST8, HN46, TE17, GB20, LI20, LI11, LI14, ST36, and LR3 were stimulated for 20 minutes. The effects of acupuncture treatment were analyzed using power spectrum analysis of the HRV, HRV was recorded before and after acupuncture treatment. Results : HRV before and after treatment was compared after 8 weeks of acupuncture treatment. Increase in mean values of SDNN and RMSSD were observed but the increases were not statistically significants. Increase in mean values of TP, LF and HF were observed but, the increase was significant(p<0.05) only in TP. Conclusions : The results suggest that acupuncture treatment on chronic headache patients can increase the activity of autonomic nervous system. Further use of HRV for quantitative analysis of acupuncture treatment on autonomic nervous system related symptoms is suggested.

만성두통환자에 대한 동서협진의 임상적 연구

정인태,이상훈,김수영,차남현,김건식,이두익,이재동,임사비나,이윤호,최도영 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objective : Because the cause and etiology of chronic headache are not yet fully explained, the treatment of this symptom is not simple. In order to study the effectiveness East-West pain treatment on chronic headache, we evaluated its effect of pain alleviation and quality of life improvement on chronic headache patients who were treated with nerve block and acupuncture, and only acupuncture for eight weeks. Methods : 92 clinical experiment participants were gathered and through a questionnaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as chronic headache patients. The qualified patients were classified into two groups, nerve block and acupuncture group(EW group, n=49) and acupuncture group(E group, n=43). Treatment was applied 2 times a weeks for 8 weeks. The acupoints, GV20, HN23, ST8, HN46, TE17, GB20, LI20, LI11, LI14, ST36, and LR3 were stimulated for 20 minutes. The effects of two groups were analyzed using VAS scores and BPI(Brief Pain Inventory). Results : The VAS and BPI after four weeks of treatment showed significant improvement among two but differences between the three groups was statistically insignificant. The VAS and BPI of the EW group after eight weeks of treatment showed statistically significant improvement compared to the other two groups. Conclusion : The pain treatment for chronic headache might be contributed to improvement of quality of life as well as alleviation of pain of chronic headache patients. It was suggested that the West pain treatment in combination with East pain treatment might be an useful modality to improve the pain and quality of life in chronic headache patients.

電子商去來에서의 消費者保護를 위한 法的 問題點에 대한 考察 : 電子認證과 電子署名을 중심으로

남경두,이수진 건국대학교 경제경영연구소 2000 商經硏究 Vol.25 No.1

Electronic certification and electronic signature issues are a vital concern for developing electronic commerce, and a number of initiatives are underway in both the public and private sectors to ensure that businesses and consumers can engage in secure and reliable electronic communications and transactions in the global networked society. In recent years OECD Member countries have undertaken to develop and iMplement may create obstacles to the evolution of national and global information and communications networks and hinder the development of electronic commerce. Both governments and the private sector have recognized the need for international collaboration to develop and efficient and secure information infrastructure. This paper in this area has focused on electronic authentication and signature issues in order to protect consumers. The paper concludes that electronic authentication and signature consensus about specific policy and regulatory issues related to information and communications networks and technologies, including electronic authentication and electronic signature.

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.

캔 및 병 오렌지쥬스의 저장온도에 따른 Q_10값 및 품질수명의 산정

이남경,윤재영,이서래 이화여자대학교 생명과학연구소 1995 생명과학연구논문집 Vol.6 No.-

현재 국내에서 유통되고 있는 캔 및 병 오렌지쥬스를 20,30,40,50℃에서 24주 동안 저장하면서 4주 간격으로 개봉하여 중금속(Sn,Fe,Pb) 함량, 비타민 C 함량, 갈색도와 pH의 변화에 대한 측정치로부터 온도별 활성화 에너지와 Q_10값을 계산한 다음 shel-life를 예측하였다. 캔쥬스의 품질지표로 삼을 수 잇는 것은 Sn,Fe,Pb함량, 비타민 C 함량이었고, 병쥬스에서는 비타민 C 함량, 갈색도이었으며 이들 품질지표에 대한 Q_10값은 1.3~2.0이었다. 쥬스를 50℃에 저장시 품질 허용한계에 도달하는데 요하는 기간과 Q_10 대표값으로 부터 shel-life를 계산하면 캔쥬스의 경우 10,20,30℃에서 각각 10,6,3개월 이었고, 병쥬스의 경우 각각 24,12,6개월이었다. 국내에서의 쥬스 유통온도를 평균 15℃로 가정할 때 적정 품질수명은 캔쥬스 8개월, 병쥬스 18개월로 평가되엇다. 캔 오렌지쥬스의 안전성을 확보하기 위해서는 식품공전Pb 허용기준(0.3㎎/㎏)의 재검토와 아울러 캔 재질의 개선을 위한 연구노력이 요구된다. Canned and bottled orange juices currently sold in Korean market were stored for 24 wweeks at 20, 30, 50 and 50℃ and analyzed after opening at 4 week intervals. Activation energy, Q_10 values and shelf-life at respective temperatures were calculated from the data on various quality indexes. Proposed indexes were lead, tin, iron and vitamin C contents in canned juices and vitamin C content and browning index in bottled juices and Q_10 values for these parameters were in the range of 1.3~2.0. Shelf-life calculated for canned juices at 10, 20 and 30℃ were 10, 6 and 3 months and that in bottled juices, 24, 12 and 6 months, respectively. When the distriburion temperature of juices in Korea is assumed to be 15℃ average, the optimum shelf-life was estimated to be 8 months in canned juices and 18 months in bottled juices. In order to ascertain the safety of canned orange juices, efforts are needed to re-examine the recommended distribution period, legal limit for lead and improvement of container materials.

캔 및 병 오렌지쥬스의 저장중 중금속과 비타민 C 함량의 변화

이남경,윤재영,이서래 이화여자대학교 생명과학연구소 1995 생명과학연구논문집 Vol.6 No.-

현재 국내에서 유통되고 있는 캔 및 병 오렌지쥬스를 20,30,40,50℃에서 24주 동안 저장하면서 4주 간격으로 개봉하여 중금속(Sn,Fe,Pb) 함량, 비타민 C 함량, 갈색도와 pH의 변화를 조사하였다. 병쥬스에서는 Sn,Fe,Pb모두 저장 중 그 함량 변화가 거의 일어나지 않았으나 캔쥬스는 중금속 용출에 대한 온도의 영향이 두드러지게 나타났다. 즉,Sn농도는 16주후 저장 전의 2.7~13.1배로 증가하였고, Fe농도는 24주후 4.3~5.2배로 증가하였으며 Pb농도는 24주 후 1.1~2.9배로 증가하였다. 캔쥬스의 총 비타민C 잔존율은 24주 후 20℃에서는 큰 변화가 없었으나 30~50℃에서는 13~76%로 감소하였고, 병쥬스의 경우는 4~80%로 감소하였다. 캔쥬스의 갈색도는 24주 후 40℃ 이하에서는 조금 증가하였으나 50℃에서는 완전히 변색되었으며 병쥬스의 경우는 모든 온도에서 캔쥬스보다 좀 더 변색되었다. 오렌지 쥬스의 pH는 40℃ 이하에서 포장용기에 상관없이 저장 중 거의 변화가 없었으나 50℃에서는 24주후 캔용기의 팽창과 함께 pH의 급격한 증가를 나타냈다. 국내에서 유통되고 있는 캔쥬스의 품질유지를 위한 유통기한을 재컴토해야 될 것이다. The effect of storage temperature and period on the contents of tin, iron, lead and vitamin C, browning index and pH was studied for canned and bottled orange juices currently sold in Koreanmarket, which were storeed for 24 weeks at 20, 30, 40 and 50℃ and analyzued at 4 week intervals. The change of metla content in cottled juices was negligible but metal release in canned juices was remarkably affected by storage temperature. Tin content after 16 weeks increased by 2.7~13.1 times, iron content after 24weeks increased by 4.3~5.2 times and lead content after 24 weeks increased by 1.1~2.9 times. Retention of total ascorbic acid in canned juices after 24 weeks at 30~50℃ decreased to 13~76%, while that in bottled juices decreased to 4~80%. Browning index in canned juices after 24 weeks below 40℃ increased slightly with serious discoloration at 50℃ while that in bolttled juices increased a little rapud. pH chane in canned and bottled juices during storage below 40℃ was not observed regardless of container type but a great change of pH was accompanied with swelling of container ends in the case of canned juices after 24 weeks at 50℃.

골수구성 백혈병 환자에게 발생한 결핵성 림프절염

이창섭,송진수,최평균,조재현,방지환,박경화,박완범,김홍빈,김남중,윤성수,박선양,김병국,오명돈,최강원 대한감염학회 2006 감염과 화학요법 Vol.38 No.5

혈액질환 가운데 결핵 발생이 증가한다고 알려진 것은 호지킨 림프종을 포함한 림프증식성질환 그리고 모양세포성 백혈병 등이 있다. 또한 동종 골수이식을 받은 환자에서도 결핵은 증가한다고 알려져있다. Kaplan 등은 골수구성 백혈병 환자에서 결핵 발생이 증가한다고 보고하였다. 그러나 골수구성 백혈병 환자에서 결핵의 발생이 증가하는 이유에 대해서는 아직까지 정확하게 밝혀지지 않았다. 저자들이 2년 동안 후향적으로 조사한 180명의 성인 골수구성 백혈병 환자들 가운데 결핵이 발생한 환자는 4명이었고, 발생 부위는 모두 림프절이었다. 결핵은 골수구성 백혈병의 특정 아형에만 국한되어 발생하지 않았지만, 50%에서 FAB 분류에 의한 M4였다. 림프절이 종대된 골수구성 백혈병 환자에서 특히, 결핵의 유병율이 높은 나라에서는 결핵성 림프절염도 감별진단에 포함시켜야 한다. During the neutropenic phase, leukemia patients receiving chemotherapy are prone to bacterial and, fungal infections; occasionally mycobacterial, viral and protozoal organisms may also cause infections. Mycobacterium tuberculosis infection was reported very rarely in these patients. This report describes four patients with M. tuberculosis infection identified from 185 adult patients who were diagnosed myelogenous leukemia between January 2003, and December 2004. There was no patient with M. tuberculosis infection from 44 lymphoid leukemia and 11 acute biphenotypic leukemia patients. Sites of infection were all lymph nodes. Three among four patients were presented with lymphadenopathy at initial diagnosis of leukemia, and the other one presented with lymphadenopathy after induction chemotherapy. There was no patient presented with lymphadenopathy during the neutropenic phase. Tuberculous lymphadenitis was presented in a patient with three acute myelogenous leukemia (FAB class 2 M4, 1 M2) and a chronic myelogenous leukemia, accelerated phase. An acute myelogenous leukemia patient had a leukemic cell and tubercle bacilli in the same lymph node. Tuberculosis should also be included as a differential diagnosis in myelogenous leukemia patient with lymphadenopathy, especially in the countries in which the disease is endemic.

잡음제거를 위한 자기동조 제어기 설계

李金源,崔南洙 관동대학교 1996 關大論文集 Vol.24 No.1

In this paper, self-tuning controller is designed, so that Hoo norm of the difference between the desired transfer function and the actual closed loop transfer function is minimized. For solving this problem. Nevanlinna-Pick interpolation method is introduced and 1-step ahead predictor is also utilized for the realizable controller design. A 2nd order system is used for simulation. The effect of the noise to the system output is shown to the rejected in simulation.

Letrozole에 반응을 보인 다발성 폐전이를 동반한 저도 자궁내막 기저육종 1례

이남수,원종호,박희숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Low-grade endometrial stromal sarcoma is generally an indolent tumor rich in estrogen and progesterone receptors. Objective responses to hormonal therapy, most commonly with megestrol acetate, have been reported. The patient is a 50-year-old woman who presented with low-grade endometrial stromal sarcoma confined to the vagina in 1992 and was treated with local excision. Approximately 4 years later, the patient had recurrent right ovarian and ileal mass treated with right oophorectomy and segmental resection of ileum. In 2002, multiple lung metastatic lesions were discovered and treated with megestrol acetate. But megestrol acetate showed no response during the period. Letrozole was then given at a daily dose of 2.5 ㎎ with partial response for a duration of 10 months. Letrozole at a daily dose of 2.5 ㎎ may be effective in low-grade endometrial stromal sarcoma.