혈압과 체형의 상관관계에 관한 조사

정갑열 釜山醫師會 1983 釜山醫師會誌 Vol.19 No.6

임상간호사의 직무스트레스가 우울증에 미치는 영향

정갑열,이현재,이영일,김정일,김영기 한국직업건강간호학회 2007 한국직업건강간호학회지 Vol.16 No.2

釜山·慶南地域의 2, 3次 醫療機關의 基本形 設定을 爲한 基本調査硏究

鄭甲烈 동아대학교 부설 산업의학연구소 1995 산업의학연구소 논총 Vol.- No.2

의료전달체계와 의료자원의 공급 등에 대한 여러 연구자들의 성적과 현재의 상황을 토대로 하여 부산·경남지역 2,3차의료기관의 기본형을 개발하고 이에 따른 개설진료과목, 소요의료인력 및 투자예산 등을 추정할 수 있는 기본자료를 얻고자 본 연구를 시도하였다. 부산과 경남지역의 입원의료수요는 1996년에 연간 1,000명당 각 798.9일 및 773.9일 이었고 외래의료수요는 일인당 연간 외래방문횟수가 각각 8.71회 및 7.89회로 1993년에 비해 약 10% 내외 증가될 것으로 추계되었다. 병상수요는 1996년에 각각 11,727병상 및 9,718병상으로 1990년 12월 당시의 병상수를 기준으로 할때 부산지역은 1995년 부터, 경남지역은 1994년 부터 병상부족현상이 초래될 것으로 추계되었다. 의료기관별 적정소요인력 추정치는 2차의료기관인 경우는 병상당 1.162-1.249명, 3차의료기관인 경우는 대학병원 1.365명, 비대학병원 1.196명으로 추정되었다. 적정개설진료과목수는 2차의료기관인 경우는 병상수별 유형에 따라 4-17개의 필수과와 1-6개의 임의권장과를 두고 3차의료기관은 23개 내외의 진료과목을 두는 것이 좋을 것으로 판단되었다. 대지구입비를 제외한 투자예산의 추정치는 2차의료기관인 경우는 병상당 3,000-5,910만원, 3차의료기관인 경우는 7,710만원 정도가 적당한 것으로 추정되었다. This study was conducted to obtain the basic data on the estimated inpatient and ambulatory care utilization amounts, number of beds requirements, proper installing medical departments, proper hospital manpower requirements and investment budget requirements based on the current circumstances and previous investigator's results for developing the basic model of secondary and tertiary medical facilities in Pusan and Kyung-Nam area. In Pusan and Kyung-Nam area, eatimated inpatient days per 1,000 population in a year were 798.9 and 773.9 days in 1996, respectively. And estimated number of visits per person for ambulatory care utilization in a year were 8.71 and 7.89 times in 1996, respectively. The estimated numbre of beds requirements in 1996 were 11,727 and 9,718 beds, respectively. And the bed-deficit situation will be led from 1995 in Pusan and 1994 in Kyung-Nam area comparing the current number of beds in December, 1990. Proper hospital manpower requirements per bed were estimated as 1.122-1.249 persons in secondary medical facilities, 1.365 persons in university hospital and 1.079 persons in non-university hospital. Proper number of installing medical departments will be judged as a good thing that setting up 4-17 necessary departments and 1-6 optional encouraging departments according to the number of hospital beds types in secondary medical facilities. And it was judged that about 23 departments were proper in tertiary medical facilities. Proper investment budget requirements except site purchase price per bed were estimated 30-59.1 million won in secondary medical facilities and 77.1 million won in tertiary medical facilities.

단말기 작업종사자들의 건강관리에 관한 고찰

정갑열,Jeong, Gap-Yeol 대한산업보건협회 1987 산업보건소식 Vol.40 No.-

집단관리 결핵환자들의 건강실태조사 -코오넬 의학지수의 응용-

정갑열,Jung, K.J. 대한예방의학회 1978 Journal of Preventive Medicine and Public Health Vol.11 No.1

This survey was conducted on a total 672 pulmonary tuberculosis patients who were registered at certain health center in Busan, during the period from July 15th to August 31st, 1977, based on Modified Cornell Medical Index(CMI) consisting of 70 questions. Number of 'Yes' response of an individual patients was collected by each large section of Modified CMI. The each number of 'Yes' response was standardized by mean of Z scoring. Z score was obtained by following formula. Z=50+10(Xi-m)/s M : means of 'Yes' response by each section for all subjects s : standard deviation of the mean Xi : number of 'Yes' response by each section in an individual patients The results of obtained were as follows: 1. The number of investigated cases were 672 (459 males and 213 females). The most prevalent group was 20-24 years old group as 18.4% by age, moderate advanced group as 50.8% by radiological diagnosis, INH+PAS+SM group as 34.7% by antituberculotics and unemployed group as 59.9% by occupation. By bacteriological examination of sputum, the rate of negative group was 60.5% and positive group was 39.5%. 2. Z score of complaints by sex was higher in female as 52.4 than in male as 48.9 in general. By radiological diagnosis, there was decreasing tendency with age in male but increasing tendency with age in female. 3. By age group, Z score of complaints was increasing tendency with age in male but there was non-significant differences in female. 4. By bacteriological examination of sputum, the Z score of complaints was increasing tendency with the more discharged bacteria in both sex generally. 5. By antituberculotics, INH group was revealed the highest Z score of complaints as 50.4 in male and INH+PAS group was the highest as 51.21 in female. 6. By occupation, agricultural and fisherman group was the highest as 53.5 and the next group was professional, technical and related workers, unemployed and sales workers in that order.

B형 간염 Virus가 원발성 간암에 미치는 영향

정갑열 釜山醫師會 1982 釜山醫師會誌 Vol.18 No.8

職業性 鉛暴露가 血壓에 미치는 影響에 關한 調査硏究

鄭甲烈 大韓産業醫學會 1989 대한직업환경의학회지 Vol.1 No.1

연폭로로 인한 건강장애의 예방대책을 수립하고 생물학적 정보관리에 도움이 되는 자료를 얻을 목적으로 우리나라의 연취급 산업장여성근로자(연폭로군)192명과 일반사무직여성근로자(비폭로군) 126명을 대상으로 일반적 특성외에 연폭로에 관련된 수종의 생물학적지표(연폭로관련지표)들을 조사함과 동시에 이들 요인들이 혈압에 미치는 영향의 정도를 조사한 결과를 요약하면 다음과 같다. 1. 연폭로군과 비폭로군간에 일반적특성치에는 차이가 없었으나 연폭로관련지표인 요중 coproporphyrin배설량, 요중 σ-aminolevuoinic acid배설량, 요중연량 및 혈중연량에는 유의한 차이가 있었다. 2. 연폭로군중 저혈중연량군(혈중연량 30㎍/㎗미만)과 고혈중연량군(혈중연량 30㎍/㎗)간에는 수축기 및 이완기혈압, 요중 coproporphyrin배설량, 요중연량 및 혈중연량에 유의한 차이가 있었다. 3. 연폭로군중 요중 coproporphyrin배설량, 요중연량 및 혈중연령의 농도별분포는 연폭로군과 비폭로군 모두 정규분표 형을 보였으나 요중 σ-aminolevulinic acid배설량의 경우는 2봉형을 보였고 연폭로군을 저혈중연량군 및 고혈중연량군으로 구분시는 4종류 모두 불규칙한 분포양상을 나타내었다. 4. 혈압과의 유의한 관련성을 나타낸 연폭로관련지표는 비폭로군에서는 없었으나 고혈중연량군에서는 이완기혈압과 요중연량 및 혈중연량간에 통계적으로 유의한 단순상관관계가 있었다. 5. 연폭로관련지표의 농도별 혈압치의 분포는 비폭로군에서는 특별한 양상이 없었으나 연록폭로군에서는 대체적으로 농도가 높아짐에 따라 혈압치도 증가되는 경향이 있었으며 특히 고혈중연량군의 요중연량 및 혈중연량의 경우에 더욱 현저하였다. 6. 4종류의 연폭로관련지표로서 혈압치를 설명해 줄수 있는 정도는 비폭로군의5.3-6.1%에 비해 연폭로군에서는 11.0-12.6%였으며 특히 고혈중 연량군에서는 12.0-15.4%로서 유의하게 높았다. For the purpose of establishing the preventive program against the health consequences of lead exposure and obtaining the effective biological monitoring data, the author investigated the values of biological parameters relating to lead exposure and the degree of influences on blood pressure level by these parameters including general characteristics in 192 female industrial workers dealing with lead(lead-exposed group) and 126 female official workers(non-exposed group). The summarized results were as follows; 1. Between the lead-exposed group and non-exposed group, the significant differences were showed in urinary coproporphyrin, urinary delta-aminolevulinic acid, urinary lead and blood lead amount. 2. Between the low blood lead group(less than 30㎍/㎗) and high blood lead group(more than 30㎍/㎗) in lead-exposed group, there were significant differences in systolic and diastolic blood pressure, urinary coproporphyrin, urinary lead and blood lead. 3. Among the parameters relating to lead exposure, the distribution of concentration of urinary coproporphyrin, urinary lead and blood lead showed normal distributed type in lead-exposed and non-exposed group. But the case of urinary delta-aminolevulinic acid showed bimodal type. On the other hand, dividing the lead-exposed group into low blood lead and high blood lead group, irregular distributed type were showed in all 4 kinds of parameters. 4. The parameters relating to lead exposure which showed significant correlation to blood pressure were absent in non-exposed group, but there were statistically significant simple correlation among the diastolic blood pressure and urinary lead and blood lead in high blood lead group. 5. The distribution of blood pressure by the concentration of parameters relating to lead exposure were not showed specific mode in non-exposed group, but there was increasing tendency with the higher concentration of parameters relating to lead exposure in lead-exposed group. Especially in high blood lead group, the increasing tendency of blood pressure with the level of urinary lead and blood lead were predominant. 6. The opportunity to explain variation of each blood pressure by the 4 kinds of parameters relating to lead exposure were 11.0-12.6% in lead exposed group and 12.0-15.4% in high blood lead group comparing to 5.3-6.1% in non-exposed group.

생리적 제인자들이 혈압에 미치는 영향의 다변량분석에 관한 조사연구

정갑열 부산의대 1983 부산의대잡지 - 부산대학교 의과대학 Vol.23 No.2

무증상 연중독자에 대한 착화제 치험 예

홍영습,이행렬,김원술,김동일,김준연,정갑열 동아대학교 부설 산업의학연구소 1995 산업의학연구소 논총 Vol.- No.2

연폭로에 기인한 증상은 없으나 PbB를 포함한 몇가지 생물학적 연폭로 지표가 이상소견을 나타낸 이른바 무증상 만성 연중독자 3명을 대상으로 작업부서 전환을 통한 연폭로중지와 동시에 d-Penicillamine과 CaEDTA를 각각 투여하여 이들의 성적을 관찰하고 아울러 생물학적 연폭로지표의 변동상태를 관찰한 결과는 다음과 같다. 1. d-Penicillamine 투여로 3례중에서 2례에서는 PbB를 비롯한 생물학적 연폭로지표의 호전이 없었고 2례에서 부작용이 발생되어 투여후 2일 혹은 7일에 투여를 각각 중지하였다. 2. CaEDTA 투여로 PbB, ALAD, ALAU 및 CPU는 투여 직후부터 호전되기 시작하여 투여후 6주이후부터는 현저히 호전되었으며 ZPP는 투여후 10주경부터 호전이 관찰되었다. 한편 CaEDTA의 투여에 따른 부작용은 3례 모두에서 발생되지 않았고 단지 혈중 아연량만 감소하였다. 3. CaEDTA 투여후의 체내 연량 감소의 지표로는 PbB, ALAD 및 ALAU가 비교적 조기에, 그리고 ZPP는 CaEDTA 투여후 약 2개월후부터 유용할 것으로 사료된다. 한편 연폭로 중지만을 통한 체내 연의 자연배설의 경우와 폭로중지와 더불어 착화제 투여를 병행한 경우의 성적비교가 향후에 있어야 할 것으로 사료된다. We report the clinical trial of chelating agents administration on three workers who exposed to lead more than ten years with blood lead level between 58㎍/dl and 75.5㎍/dl without clinical symptoms due to lead poisoning. They were treated with d-Penicillamine and CaEDTA, and we observed not only the results by chelating agents administration but also the alteration of biological lead exposure indices:PbB, PbU, ALAD, ALAU, ZPP and CPU. The results were summarized as follows; 1. In d-Penicillamine administration trial, the biological lead exposure indices were not improved in two of three cases. And two of three cases revealed adverse reactions including rash, fever, nausea and vomiting, therefore d-Penicillamine administration was stopped within each 2 days or 7 days and then CaEDTA was administered for 3 days under the hospitalization. 2. In CaEDTA administration trial, the biological lead exposure indices except ZPP were improved at the time of administration, and ZPP was reduced after 10 weeks of administration. And adverse reaction except reduction of blood zinc level was not revealed in three cases. 3. We considered that PbB, ALAD and ALAU were the useful biological indices of efficacy for using chelating agent in early, while ZPP was after 2 months.

判別分析法을 利用한 脂肪肝의 高危險群 豫測

朴鏞萬,金埈淵,金東一,李常柱,朴耕一,金源述,鄭甲烈 동아대학교 부설 산업의학연구소 1995 산업의학연구소 논총 Vol.- No.2

This study was carried out on 484 persons who visited Dong-A University Hospital Human Dock Center from March to August 1992. The objective of this study is prediction of high risk group of fatty liver from obesity, liver function test, and serum lipid levels using method of discriminant analysis, in general screening of health check, especially abdominal ultrasonography was not done. Result of discriminant analysis were 328 cases in control group, 267 were predicted correctly to be members of control group(81.4%), while 61 were assinged incorrectly to fatty liver group. Similarly, 95 out of 70(73.7%) of the fatty liver group were identified correctly, and 25(26.3%) were misclassified. The overall percentage of cases classified correctly was 79.67%.