청ㆍ중년층의 고혈압에 영향을 미치는 요인에 관한 연구: 2021년 지역사회건강조사 자료 활용

남영희 한국학교·지역보건교육학회 2024 한국학교지역보건교육학회지 Vol.25 No.1

Objectives: This study aims to examine the general characteristics and physical activity characteristics of young and middle-aged individuals with hypertension, with the goal of identifying key influencing factors and providing public health policy recommendations. Methods: Participants in this study used data from the 2021 Community Health Survey. The study participants include 5,511 individuals diagnosed with hypertension in the young and middle-aged group (aged 19 to 49). The collected data were analyzed using SPSS 26.0. Results: Model 1 is the influencing factors of young and middle-aged hypertensive patients according to general characteristics. The explanatory power is R2= .065. The influencing factors are as follows. Economic activity (β= -.219, p<.001), breakfast per week (β= .117, p<.001), gender (β= .090, p<.001), subjective health status (β= .073, p<.001), and education level (β= .069, p<.001). Model 2 is the influencing factors of young and middle-aged hypertensive patients, including physical activity characteristics. The explanatory power is R2= .076. The influencing factors are as follows. Strength exercises (β= -4.791, p<.001), the walking activity (β= -2.694, p<.01), and the high-intensity physical activity (β= -2.629, p<.01). Conclusion: The active management of young and middle-aged hypertension is essential to prevent progression to serious disease. To prevent hypertension in young and middle-aged people, health education is needed to develop and utilize health promotion programs that take into account general characteristics and physical activity characteristics.

외국인 손상환자의 비의도적 손상에 영향을 미치는 요인

남영희 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.6

The purpose of this study was to identify the injury types and characteristics of foreigner inpatients who were hospitalized for unintentional injury and to seek prevention measures. The research method collected data from 86 foreign patients who were hospitalized for one year from January 1, 2015 to December 31, 2015 at one medical institution in Gyeonggi Province. The data analysis used SPSS Ver. 21.0. The result of the study showed that the ratio of men to women was 8:2, and the injury diagnoses were in the order of head/face injury (S00-S19), upper limb injury (S40-S69), and chest abdomen injury (S20). Injury types were in the order of sprain/dislocation, laceration/bite/open wounds, and the fracture. Injury characteristics were statistically significant in the department, BMI, place of occurrence of injury, activity of occurrence of injury, principal diagnosis, external injury, and ICISS. The factors of injury risk for foreigner inpatients were also identified as the place of occurrence of injury, activity of occurrence of injury, principal diagnosis, external injury, and ICISS. In conclusion, foreigners living in Korea were found to be injured during work for income at work, and in order to prevent injury to foreigners, it is necessary to improve the working environment along with regular safety and health strengthening education. 본 연구의 목적은 비의도적 손상사고로 입원한 외국인 환자의 손상유형과 특성을 파악하여 국내거주 외국인의 손상 예방책을 모색하고자 시도되었다. 연구방법은 경기도의 일개 의료기관에서 2015년 1월 1일부터 2015년 12월 31일까지 1년간 손상으로 입원치료를 받은 외국인 환자 86명의 자료를 수집하였다. 자료분석은 SPSS Ver. 21.0을 사용하였다. 연구결과는 대상자의 남녀비율은 8:2로 남성의 비율이 여성에 비해 매우 높았고, 다빈도 손상진단은 머리/얼굴손상(S00-S19), 상부사지손상(S40-S69), 가슴복부손상(S20-S39)순이었다. 손상유형은 염좌/탈구, 열상/물린상처/개방창, 골절 순이었고, 성별에 따른 손상특성은 진료과, BMI, 손상발생장소, 손상활동, 주 진단, 손상외인, 손상중증도(ICISS)가 통계적으로 유의하였다. 외국인 손상환자의 손상위험 요인으로는 손상발생장소, 손상 시 활동, 주 진단, 손상외인, 손상중증도(ICISS)로 확인되었다. 결론적으로 국내 거주 외국인은 주로 근무지에서 소득을 위한 작업 중 손상을 입는 것으로 나타났으며, 외국인의 손상예방을 위해서는 주기적인 안전보건 강화 교육 실시와 더불어 작업환경 개선이 필수적으로 요구된다.

Comparison of Specific IgE Antibodies to Wheat Component Allergens in Two Phenotypes of Wheat Allergy

남영희,황의경,진현정,이정민,신유섭,예영민,Arantxa Palacin,Gabriel Salcedo,이수영,박해심 대한의학회 2013 Journal of Korean medical science Vol.28 No.11

Specific IgE to gliadin was proposed as a marker for wheat dependent exercise induced anaphylaxis, while Tri a 14 was found to induce IgE response in baker’s asthma. We evaluated whether these components could be used for discriminating phenotypes of wheat allergy. Twenty-nine patients who were wheat-induced anaphylaxis and/or urticaria (n=21, group I) and baker’s asthma (n=8, group II) were enrolled. The prevalence of serum specific IgE to Tri a 14 was higher in group II (25%) than in group I (4.8%), while the serum specific IgE to gliadin was significantly higher in group I (70%) than in group II (12.5%). The cutoff value for predicting the baker’s asthma using the ratio of serum specific IgE to Tri a 14 to gliadin was 742.8 optical density×1,000/(kU/L) with high sensitivity and specificity. These findings suggest that Tri a 14/gliadin may be a potential marker for predicting baker’s asthma.

Identifying Genetic Susceptibility to Sensitization to Cephalosporins in Health Care Workers

남영희,김정은,김승현,Hyun Jung Jin,Eui-kyung Hwang,신유섭,Young Min Ye,박해심 대한의학회 2012 Journal of Korean medical science Vol.27 No.11

Exposure to cephalosporins could cause occupational allergic diseases in health care workers (HCWs). We evaluated the prevalence of serum specific IgE and IgG antibodies to cephalosporin-human serum albumin (HSA) conjugate and to identify potential genetic risk factors associated with sensitization to cephalosporins in exposed HCWs. The study population consisted of 153 HCWs who had been exposed to antibiotics in a single university hospital and 86 unexposed healthy controls. A questionnaire survey of workrelated symptoms (WRS) was administered. A skin-prick test (SPT) was performed, and serum-specific IgE and IgG antibodies to 3 commonly prescribed cephalosporins were measured by ELISA. Four single-nucleotide polymorphisms of the candidate genes related to IgE sensitization were genotyped. The prevalence of WRS to cephalosporins was 2.6%. The prevalence rates of serum-specific IgE and IgG antibodies to cephalosporins were 20.3% and 14.7%, respectively. The FcεR1β-109T > C polymorphism was significantly associated with IgE sensitization to cephalosporins in HCWs (P = 0.036, OR = 3.553; CI,1.324-9.532). The in vitro functional assay demonstrated that the T allele of FcεR1β -109T had greater promoter activity than did the C allele (P < 0.001). The FcεR1β -109T > C polymorphism may be a potential genetic risk factor for increased IgE sensitization to cephalosporins.

중등 음악교재 발간의 전통과 금수현의 음악교과서

남영희 한국예술종합학교 한국예술연구소 2022 한국예술연구 Vol.- No.36

Gum Su-Hyun’s New Middle School Music and New High School Music approved by the Ministry of Education were published and distributed during the first postwar era of educational reform(제1차 교육과정기). The purpose of this paper is to survey the music curriculum and textbook publications from liberation and throughout that first postwar era, and to analyze Gum’s textbooks. During these periods, the purpose of music education was to ‘purify people’s emotions’ and to inspire patriotism. In response to the strong demand for new nation-state construction and reconstruction of a country destroyed after the war, nationalism was overt in music education. Gum compiled textbooks to faithfully reflect this. The centralized curriculum system, designed and announced at the national level, continued until the late 1990s(제5차 교육과정기). The analysis of textbooks is necessary considering its dominant influence in teaching state-sanctioned social needs. 금수현은 해방기부터 음악교육과 매체·교재 발간에 적극적이었다. 문교부 검정 『남녀중학교용 새 음악교본』과 『남녀고등학교용 새 고등음악』은 제1차 교육과정기에 발간·배포되었다. 이 연구는 해방기부터 제1차 교육과정기 음악교과 교육과정과 교재발간의 맥락을 고찰하고, 금수현 음악교과서의 체재와 내용을 살펴보는 데 목적을 두었다. 해방기와 제1차 교육과정기 음악교육의 목적은 ‘국민 정서의 순화’와 정서·교양의 함양 및 애국심 고취에 있었다. 새로운 민족국가 건설 또는 전후 파괴된 국가의 재건이라는 시대적 요청이 강하게 제기된 때였으며, 음악교육에도 국가주의적 목적이 함의되어 있었다는 점에서 공통적이다. 금수현의 교과서는 해방기의 전통을 바탕으로 제1차 교육과정기 음악교육의 목적을 충실히 반영한 텍스트다. 학교 음악교육의 목적과 방법이 여전히 국가주의적 인식 안에서 진행되었음을 확인할 수 있다. 교육과정이 국가수준에서 결정·고시되는 중앙집권형 교육과정 체제는 제5차 교육과정기까지 이어졌다. 교과서는 국가가 제시한 사회적 필요와 명분을 제시하고 교육목표의 달성을 위해 지식과 정보를 효과적으로 배열한 매체다. 그 지배력을 고려할 때 다양한 시기의 음악교과서 연구가 이루어질 필요가 있다.

보훈 의료지원 및 의료시설 활성화 방안: 경기 북부를 중심으로

남영희,이현주 한국보훈학회 2022 한국보훈논총 Vol.21 No.3

본 연구의 목적은 경기 북부지역의 지역성 특성을 반영한 보훈대상자의 특성과 의료시설을 살펴보고 보훈 의료지원과 의료시설 활성화 방안을 제안하고자 수행된 연구이다. 보훈대상자의 노령화가 가속화되고, 특히 지역적 특성으로 인한 낙후된 경기기 북부지역에 보훈 의료기관의 설립 또는보훈 위탁병원 지정이 절실히 필요한 것으로 파악되었다. 연구결과를 통하여 다음과 같은 제언을제시하고자 한다. 첫째, 2022년 8월 기준 보훈대상자의 평균 연령이 71.2세로 고령화가 가속화되고 있다. 특히, 국가유공자 중 독립유공자 본인이 93세로 가장 높았다. 따라서 보훈대상자의 노령화 가속에 따른 보훈대상자의 수요에 맞춘 의료시설 확보와 의료지원 필요하다. 둘째, 경기 북부지역은 북한지역과 경계에 있는 군 접경지역으로 지역적 낙후와 의료시설의 취약으로 문화적, 경제적, 의료적 낙후에 대비한 의료시설과 의료지원 확보가 절실하다. 셋째, 경기 남부와 비교하면 경기 북부는 지역낙후도와 재정자립도가 매우 낮으므로 경기 북부권 보훈대상자를 위한 의료 인프라구축이 필요하다. 따라서 경기 북부권에 보훈병원을 추가로 설립하기보다는 공공성을 강화하고 지방보훈병원의 임무를 수행할 수 있는 민간종합병원을 위탁병원으로 지정하는 것이 타당할 것으로생각된다.

Immunologic Evaluation of Patients with Cefotetan-Induced Anaphylaxis

남영희,황의경,반가영,진현정,유혜수,신유섭,예영민,남동호,박해심,이수걸 대한천식알레르기학회 2015 Allergy, Asthma & Immunology Research Vol.7 No.3

Cefotetan is a commonly prescribed second-generation cephalosporin that acts against a wide range of bacteria. However, cefotetan-induced hypersensitivity has rarely been reported. We report 2 cases of cefotetan-induced anaphylaxis with immunologic evaluation. The first case was a 70-year-old asthmatic woman who had dyspnea and hypotension during administration of cefotetan, in which high serum-specific IgE to cefotetanhuman serum albumin (HSA) conjugate was detected by enzyme-linked immunosorbent assay. The second case was a 63-year-old asthmatic woman who complained of chest tightness and dyspnea during cefotetan infusion, in which high serum-specific IgG1 and IgG4 with no serum specific IgE to cefotetan-HSA conjugate was detected. The basophil activation test using basophils from the patient showed a significant up-regulation of CD63 with the addition of anti-IgG4 antibody compared with that in non-atopic healthy controls. In conclusion, cefotetan can induce anaphylaxis, which may involve both IgE- and IgG4-mediated responses in the pathogenic mechanism.

한국전쟁기 부산의 정훈음악

남영희 부산대학교 한국민족문화연구소 2022 한국민족문화 Vol.83 No.-

This study aimed to examine the reality of Troop Information and Education Music in Busan, the wartime capital during the Korean War. To this end, the activities of military bands and military orchestras, and the creation and dissemination of wartime songs were empirically examined. First, military bands and military orchestras were mobilized for consolation activities and military service for civilians and soldiers at home and abroad. Through concerts for foreign guests and UN forces, they contributed to building a wartime cultural front while advancing the level of culture and arts. Second, wartime national songs were composed at the private-public-army level. These songs were used as a strategy to promote national consciousness and patriotism as they were spread through the national singing movement. Third, wartime songs included in the wartime music textbook New Music directly revealed nationalism and patriotism. Songs for elementary school students did not show the perspective of approaching the phase of life triggered by the war from various perspectives, and unilaterally carried through the logic of nationalist victory discourse, consolation and protection, life control and service. During the war period, Troop Information and Education Music activities built a wartime cultural front through the strengthening of anti-communism and patriotism, implementation of democratic ideology, and unity and integration of the rear area. Music was created and distributed as a munitions comparable to military force, and it played a significant role in political struggles and nation-building that continued during the war. 이 글에서는 한국전쟁기 피란수도 부산에서 이루어진 정훈음악 활동의 실체를 규명하고자 했다. 이를 위해 군악대와 군 교향악단의 활동, 전시 국민가요 및 전시동요의 창작과 보급을 실증적으로 고찰하였다. 첫째, 군악대와 군 교향악단은 민간인과 국내외 군인을 대상으로 위무와 선무공작에 동원되었으며, 외빈과 유엔군을 위한 연주를 통해 우리 문화의 선양이라는 방식으로 전시문화전선을 구축하는 데 일조했다. 둘째, 민관군 차원에서 이루어진 전시 국민가요의 창작과 국민개창운동을 통한 보급은 민족의식과 애국심을 고취하는 전략이었다. 셋째, 전시 음악교과서 『새 음악』 소재 전시동요는 국가주의와 애국주의를 직접적으로 드러내고 있었다. 이들 동요는 전쟁이 촉발한 삶의 국면을 다양한 관점에서 접근하는 시각을 보여주지 못하고 국가주의적 승전담론, 위문과 원호, 전시 생활통제와 봉사의 논리를 일방적으로 관철시키고 있었다. 전시 상황에서 정훈음악 활동은 반공주의과 애국주의의 강화, 민주주의 이념의 관철, 후방의 단결과 통합을 통해 전시 문화전선을 구축해 나갔다. 음악은 군사력에 버금가는 전투력으로 창작・보급되었으며, 전중기에도 여전했던 정치투쟁과 국가만들기에 적지 않은 역할을 수행했다.

Immunologic Evaluation of Ofloxacin Hypersensitivity

남영희,김정은,김승현,진현정,황의경,신유섭,예영민,박해심 대한천식알레르기학회 2012 Allergy, Asthma & Immunology Research Vol.4 No.6

Quinolone hypersensitivity, most of which is immediate type, is rare but has increased in recent years. The pathogenic mechanisms underlying immediate reactions are not defined clearly. This study was aimed to observe the clinical characteristics of immediate hypersensitivity to ofloxacin and to investigate the pathogenic mechanism with detection of serum specific IgE to ofloxacin using an enzyme-linked immunoasorbent assay (ELISA). We recruited 5 patients with immediate hypersensitivity reactions to ofloxacin (group I), and as control groups, 5 subjects with ciprofloxacin hypersensitivity (group II) and 20 healthy subjects with no history of drug allergy. Serum specific-IgE to ofloxacin-human serum albumin (HSA) conjugate was detectable in four group I subjects (80%) and three group II subjects (60%). The ELISA inhibition test showed significant inhibition with both ofloxacin-HSA conjugate and free ofloxacin in a dose-dependent manner. As to ciprofloxacin, significant inhibition was noted upon addition of free ciprofloxacin in one subject, while minimal inhibition was noted in the other. We confirmed that an IgE-mediated response is a major pathogenic mechanism of ofloxacin hypersensitivity. Cross reactivity between ofloxacin and ciprofloxacin was noted with individual difference. Keywords: Cross reactivity, enzyme-linked immunosorbent assay, IgE, immediate hypersensitivity, ofloxacin.

외국인 근로자의 건강신념이 건강행위에 미치는 영향

남영희 한국학교·지역보건교육학회 2020 한국학교지역보건교육학회지 Vol.21 No.1

Objectives: This study was conducted to investigate the effects of personal characteristics and health beliefs on health behaviors of foreign workers living in Korea. Methods: The subjects of this study were foreign workers who understood the purpose of this study and allowed participation in the workplaces in northern Gyeonggi Province. The final subjects were 206, and collected all data were analyzed by SPSS 23.0. Results: The personal characteristics of the subjects were 51.0% for male and 49.0% for female, and the average age was 31.76(±6.96) years old. The mean for each health belief factors was perceived benefits 4.03(±.56), perceived severity 3.75(±.73), perceived susceptibility 3.65(±.64), self-efficacy 3.56(±.83), and perceived barriers 3.34(±.73). The mean of each health behavior factors was non-smoking 4.02(±.83), drinking 3.92(±.80), health responsibility 3.42(±.83), exercise 3.37(±1.01), dietary habits 1.91(±.11), and stress management 1.72(±.27). The correlation between sub-factors of health belief was all at the level of p <0.01. The sub-factors of health belief were health behavior and perceived susceptibility(r=.773, p<0.01), followed by self-efficacy(r=.760, p<0.01), and perceived severity(r=.574, p<0.01). The factors affecting health behavior were self-efficacy(β=.540, p<.001), perceived susceptibility(β=.461, p<.001), perceived benefits(β=.152, p<.05), marriage status(β=-. 100, p <.05), and income(β=-. 120, p <.05) in order. Conclusion: In-depth consideration of factors that can affect the physical, psychological and social health of foreign workers, and various program development and intervention strategies based on these factors should be sought.