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      • KCI등재후보

        8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

        강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

        Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

      • KCI등재후보

        2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

        이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

      • Pyridostigmine과 Neostigmine의 골격근이완계 길항 효과에 관한 연구

        우현제,신용섭,김태관,이정은,최세진 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

        This present study was undertaken to observe the effects of pyridostigmine and neostigmine of heart rate and it's antagonistic effect on pancuronium in 62 patients during general anesthesia. We obserived the effect of pyridostigmine and neostigmine with atropine and glycopyrrolate of heart rate, appearance of arrhythmia, time required for returning of spontaneous breath an sustained tetanic response and effect on the amount of secretion in oral cavity and trachea. The result are as follows: 1. The incidence of bradycardia was the highest in the group of atropine and neostigmine i. v. administration together, and the lowest in the group of glycopyrrolate and pyridostigmine i. v. administration together. 2. The incidence of tachycardia was the highest in the group of atropine and pyridostigmine i. v. adminstration together, and the least in the group of glycopyrrolate and pyridostigmine i. v. administration together. 3. Among the experimental cases, only one showed arrhythmia which is PVD. 4. The time required for returning of spontaneous respiration was 4.6-6.1 minutes range in all groups. 5. The group of glycopyrrolate administrated showed the greates antisialogue effect.

      • KCI등재후보

        초·중학생 어머니의 양육스트레스와 언어적 학대와의 관계

        우희정,최정미 한국 가정과 교육 학회 2002 한국가정과교육학회지 Vol.14 No.3

        The purpose of this study was to investigate the relationship between parenting stress and verbal abuse of elementary and middle school students' mothers. The subject were 659 adolescences and their mothers. Data was analyzed by t-test, ANOVA, correlation. In the study, generally mother's parenting stress level and mother's verbal abuse level tent to be below the mean scores. Parenting stress related to learning expectation is significant difference to adolescent's sex/grade, but verbal abuse is not significant difference to the sex/grade. And parenting stress related to temperament and learning expectation is significant difference to mother's education level. And as for correlating parenting stress to verbal abuse, the significance appeared in these factors.

      • EJB기반의 컴포넌트 개발 프로세스에 관한 연구

        최일우,신정은,류성열 崇實大學校 生産技術硏究所 2001 論文集 Vol.31 No.-

        Software component is one of the key technologies, which has goals to improve the productivity and the quality of software development. Recently, many enterprises try to introduce component technologies for efficient management of legacy software, fixing systematic process of software development, and cost reduction. In this paper, we propose a component development process for the component software assembled with Enterprise Java Beans components and J2EE patterns. also our proposal includes datail activities and instruction for each phase.

      • 산업부산물인 Fly Ash의 라이닝콘크리트에의 적용에 관한 실험적 연구

        최세진,임정열,정우성,김완영,김무한 공주대학교 자원재활용신소재지역협력센터 2000 2차년도 센터 사업 성과집 Vol.2000 No.1

        This is an experimental study to analyze the usability of fly ash in the tunnel lining concrete. For this purpose, the mix proportion of plain concrete and concrete using fly ash(the replacement of 15 and 30% by weight of cement) to satisfy slump 15cm, air content 5% and compressive strength 270kgf/cm2, was selected. And then tests for slump, setting time, compressive strength, tensile strength, drying shrinkage and adiabatic temperature rise were performed. According to test results, it was found that the concrete using fly ash 15% (FA 15 concrete) was better than the plain concrete and FA 30 concrete. FA 15 concrete was more useful than the others in reducing the drying shrinkage : the drying shrinkage strains of FA 15 concrete after 20 weeks of air drying was lower about 10% than the plain concrete, and lower 6% than FA 30 concrete. And the highest compressive strength after curing for 28 days of 365kgf/cm2 was obtained from FA 15 concrete. This was almost 10-20% improvement in compressive sterngth, compare to the plain concrete and FA 30 concrete. And the effect of 5~7.5℃ of concrete using fly ash for hydration heat reducing was calculated. Therefore, concrete using fly ash 15% (FA 15) was expected to improve the performance of lining concrete.

      • 정책평가에 관한 사례연구 : 새마을운동의 공과평가를 중심으로 the merits and failure of the saemaul movement

        정우열,최진근 경운대학교 산업기술연구소 2001 産業技術硏究論文誌 Vol.3 No.2(A)

        The purpose of this study is to evaluation case of the saemaul movement. As the result of case analysis, the saemaul movement was contribute to increase of the income, improvement of life environment, formation of the basic order and cooperation group of citizens, change of consciousness and one's values of citizen. But its discuss major obstacles of successful implementatiom such as the political propensity and enforcement of participation. therefore, the following policy suggestions are recommend. First, our the saemaul movement should be properly connection with the local autonomy. Second, its should be active by citizens organization. Third, its needs to a introduction on participation method of interest orientation.

      • KCI등재

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