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명준표,김형수,이건세,장성훈 한국간호과학회 2012 Asian Nursing Research Vol.6 No.3
Purpose: Longitudinal changes in the prevalence of self-reported physician-diagnosed allergic rhinitis (AR) in Korea and the association between the prevalence of AR and type of residence area among Korean males and females in 1998, 2001, 2005 and 2007e2009 were evaluated. Methods: Age-standardized prevalence was calculated using the Korea National Health and Nutrition Examination Survey (KNHANES) IeIV. Stratified factors of sex, age, and socioeconomic status were adjusted to compare the prevalence of AR in relation to residential area by multiple logistic analysis. Results: The prevalence of AR increased by tenfolds from 1.2 % in 1998 to 12.0 % in 2007e2009. The trends for prevalence of AR were also statistically significant (p < .05). The age-standardized prevalence of AR among urban females was higher (13.9%) than that in rural females (11.5%). After adjustment for survey years, age, socioeconomic levels and asthma, the odds of AR were higher in urban than rural residents, except for males in 1998. Conclusion: The prevalence of AR in Korea has increased over the past decade, and living in an urban area may be a susceptible factor. For prevention and management of AR, further evaluations of contributing factors and mechanisms underlying differences in AR are needed.
명준표,김경연,임 영 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.2
배경: 카플란증후군은 다발성 폐결절(multiple pul monary nodules). 류마티스성 관절염 (rheumatoid arthritis),탄광에서 일하였던 직업력이 있을 때 진단된다. 하지만 국내에서 카플란증후군 증례에 대한 보고는 매우 드물고,특히 규폐증 환자에게서 발생한 카플란증후군이 보고된 바 없어,이에 증례를 보고하고자 한다. 증례: 49세 남자환자는 25년간 석재 공장에서 석공으로 일하였던 직업력과 더불어 흉부방사선 검사 결과를 통해 규폐증 진단 받았으며,류마티스성 관절염 역시 확진되어 카플란증후군으로 진단되었다. 고찰: 국내의 카플란증후군의 보고는 외국에 비해 매우 적은 실정이다. 따라서 진폐증 환자를 치료하는 지방 산재의료원들의 환자에 대한 연구가 필요하다. 또한 카플란증후군 뿐만아니라 진폐증에 대한 완치법이 없으므로 질환 발생의 예방을 위해 사업장에서 분진농도의 허용기준 이하 관리,호흡보호구의 착용,진폐증에 대한 교육,체계적인 건강관리 등을 통하여 환자 발생의 예방 및 환자를 조기 발견하고 작업 전환을 시키는 방안이 필요하다. Background: Caplan originally described a condition, now reffered to as Caplan's syndrome or Caplan's disease, where progressive massive fibrosis was exhibited by coal miners with multiple pulmonary nodules, and rheumatoid arthritis. This syndrome is very rare in Korea. Case report: The patient was a 49-year old male, with occupational history as a stonemason for 25 years. Silicosis was diagnosed by chest X-ray, while rheumatoic arthritis was diagnosed by immunological examination. Caplan's syndrome was confirmed based on these findings, occupational history, and clinical symptoms. Discussion: The authors report on the patient's Caplan's syndrome, with a particular focus on his silicosis.
명준표,김형수,이건세,장성훈 대한의사협회 2018 대한의사협회지 Vol.61 No.8
The main role of industrial accident compensation insurance is to protect injured workers and their families by providing various benefits. If a certain disease occurs due to work, the worker must prove the causal relationship between the work and the disease, although it is not easy for injured workers to do so. The epidemiological approach to causality is based on a comparison of the incidence rate in exposed and non-exposed groups. Recently, some arguments have been made regarding the application of epidemiological causality in litigation related to tobacco and some environmental-related diseases. The 3 main points of dispute are as follows: 1) the distinction between specific and non-specific diseases and causal inference, 2) the relative risk and the attributable fraction of the causative factor for the related disease, and 3) the application of population-level epidemiological study results to individual causation. Until now, the main approach to the causality of occupational diseases has been proximate causal relationships because of the practical difficulties in applying epidemiological causality to all events. As coverage under the Industrial Accident Compensation Insurance Act expands, the application of epidemiological causality must be considered, as well as the expansion of applicable occupational diseases. Moreover, doing that could provide enough evidence for managers and workers to take steps to prevent occupational disease. The safety net provided by industrial accident compensation insurance for protecting injured workers needs to be implemented on the basis of scientific evidence.
한 전자제품 연구소 남자 종사자들의 생활습관실천과 대사증후군의 관련성
명준표,김형렬,김용규,구정완,박정일,Myong, Jun-Pyo,Kim, Hyoung-Ryoul,Kim, Yong-Kyu,Koo, Jung-Wan,Park, Chung-Yill 대한예방의학회 2009 예방의학회지 Vol.42 No.5
Objectives : The objectives of this study were to determine the relationship between lifestyle-implementation and metabolic syndrome in an electronics research and development company, and to provide a foundation for health providers of health management programs for setting priorities. Methods : From July 1 to July 16, 2008 we carried out a descriptive cross-sectional survey. Consecutive workers of one R & D company in Seoul, Korea (N=2,079) were enrolled in study. A checklist for lifestyle (from the National Health Insurance Corporation) consisted of questions regarding diet, drinking, smoking and exercise. After the survey, researchers obtained data from health profiles for metabolic syndrome(waist-circumference, triglycerides, HDL cholesterol, blood pressure and fasting blood sugar level). Lifestyle was recorded as good or not good. Statistical analysis of metabolic syndrome and the lifestyle of subjects was done using multiple logistic regression analysis. Results : The prevalence of metabolic syndrome in our study gropu was 13.3% (N=277). After adjustment for age, the adjusted odds ratios (odds ratio, 95% confidence intervals) for metabolic syndrome increased in proportion to the number of bad habits: two (1.72, 1.23-2.44), three (2.47, 1.73-3.56), and four (3.63, 2.03-6.34). Relative to subjects eating both vegetables and meat', the OR for 'meat' eaters was 1.66 (1.18-2.31). Compared with 'nonsmokers and ever-smoker', the OR for 'current-smoker' was 1.62 (1.25-2.10). Compared with 'Healthy drinker', the OR for 'unhealthy drinker' was 1.38 (1.05-1.83). Conclusions : Poor lifestyle was associated with an increased likelihood of metabolic syndrome. These findings suggest that lifestyle-based occupational health interventions for young employees should include a specific diet, smoking cessation, and healthy-drinking programs.