흡연 및 음주가 근로자건강에 미치는 영향

이성관,이충원,Lee, Seong-Gwan,Lee, Chung-Won 대한산업보건협회 1990 산업보건 Vol.23 No.-

大邱市內 國民學校敎員 集團檢診成績

李性寬,孔相澤,金炅守 慶北大學校 1960 論文集 Vol.4 No.-

The following results were obtained during the course of mass examination for pulmonary tuberculosis carried out on the 530 primary school teachers in Taegu City: 1. Tuberculin test 90.1% out of all the examinee gave the positive tuberculin reaction, and the male showed the slightly higher positive rate than did the female, presumably due to the fact the female teachers examined were younger in their age than were the male; the posititive male teachers were 92.1%, while there were 86% of positive cases in the female group. There was found the tendency that the positive rate increased with age, and the age distribution in detail was as follows: 20-25years of age………………………84.4% 26-30 〃 ………………………91.4% Above 30 〃 ………………………98.5% 2. Blood Sedimentation Rate There was found no marked differences in the blood sedimentation rate between the tuberculin positive and negative groups. 10% of cases in the negative group showed the accelerated sedimentation rate, while in the positive group, 14.9% of cases showed the acceleration in sedimentation rate. 21.9% of the X-ray positive group gave the result of acceleration in sedimentation rate and there were only 10.3% of accelerated cases in the X-ray negative group. 3. Indirect X-ray Examination Out of 530 teachers who received the indirect X-ray examination, 32 cases were found to have been suffering from the active pulmonary tuberculosis, 92 were questionable eases 377 cases gave the negative roentogenographic signs. and the rest were those cases who had the abnormal heart and who could not be diagnosed definitly due to technical failure. All loathers except the 377 roentogenographically negative cases received the direct X-ray examination and there were found 44 cases with the positive shadows. And the detailed results of this examination were as follows: Active tuberculous cases……………27 Questionable 〃 〃 …………… 9 Inactive 〃 〃 …………… 8 The above findings shows 6.5% of morbidity among the primary school teachers in Taegu City. It is to be noted that 40% of cases with tuberculin negative reaction showed the calsified shadows in their X-ray films, and 8% of cases were suffering from the active pulmonary tuberculosis. 4. Sputum Examination 3 out of 119 cases (2.7%) gave the positive results in their sputum examination. 5. In order to find out the morbidity of the pupils who were charged by the open tuberculous teachers, we compared the results of tuberculin reaction of the pupils charged by the open tuberculous teachers for the past one year with that of pupils under the charge of the non-tuberculous teacher, and the results in detail were as follows: a) In the patient-teacher class, 45% of cases gave the positive reactions while 30% of cases were found to be positive in the tuberculin test among the non-patient-teacher class. b) There were no negative reversion in positive reactors among the patient-teacher classes, however, there were noted 33% of negative reversion cases among the non-patient teacher classes. c) In the patient-teacher classes, there were 48% of conversion cases in the groups who were received BCG vaccination one year before, while there were found 37.2% and 24% of cases among the non-patient teacher classes.

정기 건강진단에서의 바이러스성 B형 간염의 조사결과 : Object : public official and school personnel in private school 공무원 및 사립학교 교직원 대상

윤능기,이성관 啓明大學校 醫科大學 1984 계명의대학술지 Vol.3 No.2

1984年 4月 20日부터 同年 5月 31日까지 實施했던 公務員 및 私立學校 敎職員 定期健康診斷에 應한 사람은 總 3,552名으로 設問書에 應答한 사람은 3,054명이고 이 中 豫防注射 未接種者가 男子 2,132名, 女子 763名으로 總 2,895名이었다. 豫防注射 未接種者의 總 HBsAg 陽性率은 9.1%, 總 anti-HBs 陽性率은 30.8%이었다. HBsAg 陽性率에서 男子 20~24歲 11.1%, 25~29歲 13%, 30~34 11.9%, 女子 20~24歲 6.3%, 25~29歲 12.0%, 30~34歲 7.0%로 若年層이 높았다. anti-HBs 陽性率은 5歲階級別 年齡分布로 男女 共히 不定하였다. 豫防注射未接種者 GOT樣相은 HBsAg陽性者에게서 40U/L以上의 異常이 男子 8.3%, 女子 3.7%로 HBsAg陰性者의 男子 0.7%, 女子 0.5%보다 顯著히 높았다. 豫防注射接種 實施者에게서는 HBsAg陰性者는 境界領域 25.0~39.9U/L이 男子 8.7%만 나타나고 女子는 없었으며 anti-HBs陽性者는 境界領域이 男子 2.8%, 異常이 4.2%, 女子는 없었으며 HBsAg陽性者는 男女 共히 2名으로 數가 적어 HBsAg陰性者 및 anti-HBs陽性者와 比較가 되지 않았다. 豫防注射未接種者 GPT樣相은 40U/L以上이 異常으로서 HBsAg陽性者는 男子 14.0%, 女子 8.3%이며 HBsAg陰性者와 anti-HBs陽性者는 男女 共히 한名도 없었다. 豫防注射接種 未實施者의 Alkaline phosphatase樣相은 191U/L以上의 異常으로서 HBsAg陽性者는 男子 1.7%, 女子는 없었고, HBsAg陰性者 및 anti-HBs陽性者는 男女 共히 한名도 없었다. 應答者의 HBsAg陰性·陽性者 및 anti-HBs陽性者別로 父母, 妻, 兄弟, 子息을 家族(한家口內에 居住)으로 보고 現在의 이家族中에서 保菌者나 肝炎을 앓고 있는 사람은 HBsAg陰性者 3.3%보다 HBsAg陽性者 5.5%가 높았다. 이것을 통해 間接的으로 家族內에서 感染源이 되는 것이 HBsAg陰性者보다 陽性者에게서 높았던 것을 알 수가 있었다. The Epidemiological study on VBH by the periodic health examination for all the member of public officials, school personnels in private schools were carried out in 1984. While the total number of health examination was 3,552, the respondents to questionnaire was 3,054. Therefore the real objectives consist of 911 public officials of Kyungpuk province office, 825 policemen, 884 hospital employees of Keimyung Medical College teaching hospital and 528 school personnel of Keimyung University. The positive rate of HBs Ag and anti-HBs of the all 2,895 nonvaccinatees were 9.1% and 30.8%. The positive rate by sex for HBs Ag and anti-HBs were 9.8% and 31.9% in male and 7.1% and 27.7% in fem~e respectively. The highest positive rate by age was 25-29 age group showing 13% in male and 12% in female. The positive rate of anti-HBs was indefinate among age groups. Rates of negative and positive to HBs Ag and positive to anti-HBs in all 159 vaccinatees were 38.0%. 2.5% and 59.5% respectively. The rate of boderline and above value of GOT for positive and negative persons of HBs Ag in all nonvaccinatees were 25.3% and 8.2% in male and 11.4% and 1.2% in female respectively showing definate higher in positive group than that of the negatives. The rate of abnormal value (40U/L and above value) of GOT for positive and negative persons of HBs Ag in all nonvaccinatees were 8.3% and 2.3% in male and 3.7% and 0.7% in female respectiv디y showing definate higher in positive group than that of the negatives. The rate of abnormal value (40U/L and above value) of GPT for positive and negative of HBs Ag and positive persons of anti-HBs in all nonvaccinatees were 14.0%, 0% and 0% in male and 8.3%, 0% and 0% in female respectively.

RESISTANCE OF THE ADULT WORMS OF CLONORCHIS SINENSIS AGAINST VARIOUS SUBSTANCES

李性寬,金炅守 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1

1. Among the Group A drugs, the adult worms showed weak resistance to Salvarsan and Quinine. 2. Among the Group B, the adult worms showed relatively weak resistance to Gentiana-Violet which is commonly used for the treatment of Clonorchiasis. 3. Neostibnal showed greater resistance to the adult worms in its pure solution. However, Stibnal was much more effective to the adult worms than diluted Neostibnal. 4. Garlic in Group C was found to be most powerful agent against adult worms. 5. The adult worms survived for over 100 hrs. in the temperature of 37℃, and they became immobile within a few second as temperature rises above 37℃.

各種物質에 對한 Metacercaria의 抵抗力 : RESISTANCE OF THE METACERCARIA AGAINST VARIOUS SUBSTANCE

李城寬,李光直 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1

Since the liver distoma is caused by ingestion of the raw fresh water fish, determination of the resistance of the metacercariae present in those fishes is an important subject. Because Koreans use special seasonings in their cooking. The resistance of the metacercaria against several seasonings as well as other drugs has been determined. 1) Among the seasonings the metacercariae have the least resistance against garlic. They became immobile within 10 minutes in the filtrate of 1.0 gm of garlic in 1.0㏄. of water. 2) The metacercariae are quite resistant in the low temperature. They could survive for 40 hours in the temperature of 2℃ below zero and for 34 days in 2℃. However, they became immobile within one minute in the temperature above 55℃. 3) Among the antiprotozoas the metacercariae have a relatively weak resistance against Quinine and Atabrin but they are quite resistant against antibiotics such as streptomycin and Penicillin. 4) Among the drugs commonly used for the treatment of clonorchis the metacercariae have a weak resistance against Gentiana-Violot and Emetin but they are quite resistant against Antimon derivatives.

農村의 母子保健 및 영유아 死亡에 관한 硏究

李性寬,金容達 慶北大學校 醫科大學 1981 慶北醫大誌 Vol.22 No.1

The present study was conducted to investigate the status of maternal and chiid health and infant mortality rate on 2,153 pregnant women registered at health center and their infants from July 1977 to December 1979 in Gun-Wee Gun, Kyungpook Province. The results obtained are as follows; In the socio-demographic risk groups of the registered women in the past, 12 percent were over 35 years old, 11.4 percent experienced more than 5 times of child-bearing among all women and 50 percent of over 35 year old women experienced more than 5 times of child-bearing. 30 percent of pregnant women were registered within the first trimester. 17.5 percent of risk factors was identified during the period of prenatal care, and 6.5% of the factors was found at the first consultation. 17 percent of the women received 5 times of pre-natal care, and average number of visits was 3. During delivery, 27.3 percent were attended by professional attendants and the rest were done by the members of their family. Sterilized delivery kit was used at the high level of 92.7 percent. Abnormal presentation and abnormal placenta led to difficult delivery account for 21.7 percent. B.C.G. vaccination given within a year revealed 70 percent, and only 6.7 percent were properly given within 1 month. D.P.T and polio vaccination given in proper time revealed 20%, and the rate of complete vaccination showed 40 percent. Infant mortality rate was 47.6 percent. In the death causes, 60 percent were unknown, and the death causes which were confirmed were almost preventable. In infant deaths, neonatal deaths account for 82.1 percent. In neonatal deaths, hebdomadal deaths account for 63.1 percent and the deaths on the birth day were 47 percent. The rate of infant mortality was inceased with the age of pregnant women and the numbers of parity, and it decreased with the educational levels.

結核通院患者의 統計學的觀察

李性寬,金炅守 慶北大學校 1960 論文集 Vol.4 No.-

This report describes the results of statistical studies carried out on 525 patients who, under the diagnosis of pulmonary tuberculosis, had been treated at the Kyoung Pook University Medical School Y.B Clinic during the period January to December 1954.

農村 및 都市人口의 趨勢

李性寬,盧寬植 慶北大學校 醫科大學 1980 慶北醫大誌 Vol.21 No.1

最近 産業構造의 變化로 農村의 젊은이들이 都市로 流出함에 따라 農村人力 不足의 심각성을 나타내고 있다. 또한 이들中 生産力이 높은 젊은 可姙女性들의 轉出로 이들 轉出에 의한 人口減少外 出産力의 低下로 人口減少는 더욱 加速化되고 있으며 相對的으로 老齡人口의 增加로 이에 대한 對策이 要望된다. 都市에서는 이들 農村에서의 出山力이 높은 年齡層의 轉入으로 1965년에는 社會的 人口增加가 自然人口增加를 上廻하였으나 점차 自然人口增加가 社會人口增加를 추월하고 있다. 따라서 都市에서의 人口政策은 都市周邊 轉入者에 대한 積極的인 對策이 마련되어야 할 것이 要望된다. The rapid industrialization of Korea since 1960 has also brought a rapid urbanization process and recently many rural areas have begun to show actual depopulation in which particularly the young men and high reproductive women are leaving for cities. In rural area, therefore, reduction of population is accelerated by migration of these young people as well as reduction of fertility owing to decrease of young reproductive eligible women. In urban area, the number of migrants was exceeded the number of births in 1965, but the number of births is gradually exceeded the number of migrants. Therefore it is desirable to change the strategy for birth control from rural area to sub-urban where cluster of migrants including high reproductive women is gathering.

母의 特性이 幼兒保健에 미치는 影響

李性寬,姜福秀,金玉培,宋善祐 慶北大學校 醫科大學 1980 慶北醫大誌 Vol.21 No.2

幼兒保健에 영향을 미치는 母의 특성중 年齡과 敎育程度를 中心으로 이에 따른 幼兒登錄時期, 豫防接種, 健康相談回數 및 健康相談期間 등의 실태를 알기 위해 1980年 5月 15日부터 同年 10月 20日까지 1970年度 大邱 母子保健센타에 登錄된 幼兒 2,635名을 對象으로 조사 분석하였다. 성적을 要約하면 다음과 같다. 幼兒保健管理를 위한 登錄時期는 2個月以內 早期登錄率은 1,690名中 73.1%이며, 母의 年齡이 젊은 群이 40才以上 高齡群에 比하여 早期에 登錄한 것으로 나타났고, 高等學校以上 高學歷群이 中卒以下 低學歷群보다 出生後 早期에 登錄한 것으로 나타났다. 「디 피·티」와 「폴리오」의 완전 3回 接種者는 各各 53.8%와 61.5%로 完全한 接種이 이루어지지 않고 있으며, 兩者 모두 母의 年鈴이 젊을수록 敎育程度가 높을수륵 3回 完全 接種率이 높게 나타났으나 統計的으로는 有意한 差異를 인정할 수 없었다. 「디·피·티」와 「폴리오」의 豫防接種時期에 있어 適期豫防接種者는 各各 40.6%와 39.8%로 나타나 과반수 이상이 適期接種을 하지 않은 것으로 나타났다. 「디·피·티」의 適期 接種率은 母의 年齡이 젊을수록 그리고 學歷이 높을수록 그 接種率이 높게 나타났으며, 「폴리오」의 경우도 年齡이 젊을수록 適期 接種率이 有意하게 높고 高學歷群이 低學歷群보다 適期 接種率이 有意하게 높았다. 「비시지」 適期接種은 生後 1個月以內로 되어 있으나 全體約으로 불과 22% 程度가 適期接種을 하고 있는 것으로 나타났다. 「비시지」接種時期에 있어서도 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 1個月以內 適期 接種率이 높게 나타났다. 幼兒 保健營理를 위하여 健康相談을 실시한 회수에 있어서는 전대상에서는 平均相談回數가 3.9回로 나타났고 70% 以上이 4回以內로 中斷하였으며, 6回以上 실시한 경우는 母의 年齡이 젊을수록 相談回數의 빈도가 높았고 敎育程度가 높을수록 相談回數가 增加하는 경향을 나타내었다. 영·幼兒健康相談期間과 豫防接種과의 比較 調査에서 대체로 50%정도는 「디·피·티」을 3回 最終 接種과 동시에 相談을 中斷한 것으로 나타났고, 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 최후접종과 동시에 中斷한 率이 낮았으며, 相談期間도 연장된 경향을 나타내었다. 이상의 成續을 종합하면 母의 年齡이 젊을수록 그리고 敎育水準이 높을수록 幼兒保健에 더 有利한 영향을 주었음을 알 수 있지만 본 硏究에서 젊은 年齡群이 대체로 學歷이 높은 것을 勘案할 때 敎育程度가 幼兒保健에 더 有關하게 영향을 미칠 것으로 사료되는 바이다. The present study was conducted to investigate the status of child health care and the relationship between child health and mother's characteristics such as age and educational level on 2,635 children registered at Daegu MCH Center in 1978, during the period of 5 months from May to October 1980. Analysis of the study was infant registration time, vaccination times, begining time of vaccination, consultation times for child health, and health consultation period since complete vaccination of D.P.T. Of the 1,690 infants in the study, 73.1 percent were registered within 2 months after birth for child health care at MCH Center. The rate of early registration increased with younger groups and higher educational levels of mothers (p<0.005). The rates of complete vaccination of D.P.T. and Polio revealed 53.8 percent and 61.5 percent, respectively. The rates of two kinds of vaccination showed increasing tendency with younger and higher educational groups of mothers. The rates of D.P.T. and Polio vaccination given properly within 2 months after birth revealed 40.6 percent and 39.8 percent, respectively. The percent of polio vaccination given properly increased with younger groups and higher educational levels of mothers (p<0.05). Only ene-fifth of infants(22%) were given BCG vaccination properly within the first month after birth. Overall, average number of visits for health consultation was 3.9. More than 70 percent of the infants had 1-4 visits of health consultation. Frequency of visits for health consultation increased with younger group of mothers (p<0.05). More than half of the Infants had no visit for health consultation after vaccination of 3 complete doses of D.P.T. The period of health consultation showed prolonging tendency with frequent visits among yonger groups and higher educational groups of mothers.

韓國結核의 疫學的硏究 (第一報)

李性寬,丁洛珍 慶北大學校 1960 論文集 Vol.4 No.-

By the epidemiological observation of wide snread tubereulosis throughout Korea(1954-1959), following results were obtained. 1)In the observation of the infection rate by age, The age group of 1-5 year olds is below 20%, but the rate shows a sharp increase at the time of entering primary school(exposure with society) and it keeps a gradual increase with age. In the age group of 18-20year olds, it is in the vicinity of 90%, in the age group of 21-25 year olds, it is approxiniately 95% which is the highest. After 25year of age, there is a slight decreasing. In Rural area the infection rate increases with age rather mildly than in urban area. 2) In the infection rate by sex, generally in urban area, the age groups of 1-6 and 13-16 year olds among female show a higher rate than among male, but in the age group of 6-12 year olds as well as 16 year olds and older age groups on male show a higher rate than in female, In Rural area, the infection rate shows quite opposite results in comparison to the Urban area. 3) In the natural infection, younger age groups of under 6 year olds show a considerably weak reaction, but over 6 year olds shows a generally strong reaction to the Tuberculin test. Among children in rural area, the reaction degree of Tuberculin is weaker than that of urban area. Tuberculin reaction degree of Japanese primary school children is weaker than that of Korean. 4) T. B. family shows a higher positive rate and stronger reaction degree to Tuberculin test compared with Non T. B. family. 5) Induration rate is very low in younger age groups and it increaseswith age. 6) In younger gae groups, the variation of tuberculin reaction is marked and only a small number shows the fixation reaction and tends to show a weak reaction, but older age groups show a generally stable reaction and no tendency of weakness with reaction degree 7) In the variation of questionable positive case, reversion is frequent in younger age group but conversion is frequent in older age group 8) Reversion of positive case is frequent in younger group especially in the group which had a weak reaction degree and no induration in tuberculin allergy. 9) In the comparison of reaction degree of various tuberculins, the most potent one is Korean O. T. and the next is American O. T. Japanese O. T. showed the lowest positive rate. 10) In the study of reaction to the different tuberculin concent-rations, younger age group shows lower infection rate with low concentration tuberculin. However the infection rate showed a marked higher rate by increase of age, which means the older age group has already contracted a slight infection with longer exposure to the external contact. 11) The rate of appearance of Necrosis and Blister in the tuberculin reaction is lower in of -der age group. 12) In tuberculin allergy after BCG vaccination, the largest reaction was obtained at 1-2month after vaccination. Reaction degree and induration rate are highest at I month after vaccination, after which they decrease gradually and reach lowest reaction at 6 months after vaccination. Increase of reaction degree from 6th month after vaccination is probably due to the reinfection. 13) In the revaccinated group, a stronger and longer signs were obtained in tuberculin reaction and induration rate comparing with the first vaccinated group. 14) The defferences in the reaction degree of various tuberculin and it's concentration are more prominent in the group of BCG vaccinated than that of natural infection. 15) In the group who became reversed after being converted with BCG vaccination, reconversion rate is very high regardless of observation period. However, after BCG vaccination, there is a slight decrease in reconversion rate in the group which elapsed long time since vaccination, but a markedly higher rate was observed than among the non vaccinated. Therefore, it is recommended to observe the T. B. infection among the groups which are in the state of readiness for the reaction like BCG vaccinators. This might be one of the reasons why the reinfection in tuberculosis is so frequent. 16) With inoculation of a small amount of living and dead BCG to the reversed group after BCG vaccination, such revaccinated group showed a markedly higher rate of tuberculin allergy which appeared very rapidly than the non vaccinated group. This is also one of the evidences to support the reinfection which mentioned above.