연 착화제 효능에 관한 동물실험적 연구

김정만,김병권,김성환,서병성,김인식,김용규,정갑열,김준연 동아대학교의과대학 1997 동아의대학술지 Vol.9 No.1

연 착화제 효능에 관한 동물실험적 연구

서병성,김준연,김정만,김용규,정갑열,김성환,김인식,김병권 동아대학교 부설 산업의학연구소 1997 산업의학연구소 논총 Vol.- No.3

This experiment was carried out to compare the efficacy of 2,3-dimercaptosuccinic acid(DMSA) and calcium ethylenediamine tetraacetate(CaEDTA) as chelating agents for lead poisoning. The rats had been fed water containing 0.5% lead acetate for 3 months and randomly divided into three groups. We administered DMSA only for group I(n=5), CaEDTA only for group II(n=5), and both DMSA and CaEDTA for group III(n=10), for 4 days. We evaluated urinary lead(PbU) level, blood lead(PbB) level and blood zinc protoporphyrin(ZPP) level before and after administration of the chelating agents. The results obtained were as follows; 1. After administration of chelating agents, the mean PbU levels, which were 248.2㎍/dl, 252.6㎍/dl and 270.0㎍/dl in group I, II and III before administration, were increased to 484.6㎍/dl, 479.9㎍/dl and 1,792.1㎍/dl in group I, II and III, respectively(p<0.05). 2. After administration of chelating agents, the mean PbB levels, which were 67.4㎍/dl, 59.9㎍/dl and 62.5㎍/dl in group I, II and III before administration, were decreased to 38.1㎍/dl, 36.3㎍/dl and 31.3㎍/dl in group I, II and III, respectively(p<0.05), but there were no different changes of ZPP level among groups. 3. The blood lead clearances, which were calculated by PbB level before and after administration of chelating agents, were 49.8%, 43.5% and 39.5% in group III, I and II, respectively.

우리나라 도시와 농촌 지역 주민의 혈중 연 및 혈중 Zinc Protoporphyrin농도 비교 연구

김준연,김병권,홍영습,이용언,정갑열 동아대학교 부설 산업의학연구소 1997 산업의학연구소 논총 Vol.- No.3

The study was carried out on healthy population in urban and rural area, in order to compare the level of blood lead (PbB) and blood zinc protoporphyrin (ZPP) between the population living in each area from July 1 1994 to December 31 1994. We stratificated the results with sex, age and area. The results obtained were as follows; 1. In urban area, overall mean of the PbB level was 7.08±1.61㎍/dl and both men and women had the highest level of PbB, which were 8.15±0.85㎍/dl, 6.90±1.48㎍/dl, in less than 39 years old group. In rural area, overall mean of the PbB level was 6.75±1.61㎍/dl and both men and women had the highest levels of PbB, which were 7.25±2.29㎍/dl, 7.00±2.92㎍/dl in 40∼49 years old group. And there was statistically significant difference between mean of the men's PbB level in urban area and that in rural area (p<0.05). 2. In urban area, overall mean of the ZPP level was 32.08±8.28㎍/dl and men had the highest level of ZPP, which was 29.59±5.13㎍/dl, in 40∼49 years old group, and women had that, which was 36.83±7.95㎍/dl, in less than 39 years old group. In rural area, overall mean of the ZPP level was 34.54±11.31㎍/dl and men had the highest level of ZPP, which was 32.10±5.45㎍/dl, in less than 39 years old group and women had that, which was 40.17±14.02㎍/dl, in 40∼49 years old group. And there was statistically significant difference between mean of the men's ZPP level in urban area and that in rural area (p<0.05). 3. There was statistically significant difference in PbB and ZPP between men and women group in both area (p<0.05) but not significant among age group in both area (p>0.05).

근로자 건강증진 실천에 영향을 미치는 요인

김은경,김병권,박종태,김형렬,구정완 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.1

목적: 본 연구에서는 사업장 근로자들의 건강증진 실천 현황을 알아보고, 실천에 있어서 장애요인이 되는 것이 무엇인지 파악하여 효율성과 실효성이 있는 사업장 건강 증진 사업의 발전방향을 모색하는데 그 목적을 두었다. 방법: 경기도 K대학병원, 서울시의 C대학병원에서 보건관리대행사업 또는 국고지원사업을 받고 있는 사업장 중 서울경기지역의 사업장 규모별 비율을 고려하여 사업장 규모별로 사업장 근로자수의 20%를 대상으로 사업장 건강증진사업 현황에 대한 설문조사를 시행하였다. 결과: 대상자 중 건강증진 활동을 하고 있는 비율은 51.3%로 나타났으며 건강증진을 실천하고 있는 경우, 금연을 하고 있다는 응답이 가장 많았고 실천의 계기로는 TV 또는 언론매체의 자극에 의한 경우가 33.4%, 건강진단에서 이상 소견 및 건강이상을 느껴서 시작한 경우가 22.1%였다. 근로자들이 가장 필요로 하는 사업장내 건강증진프로그램은 운동이 41.9%로 가장 높았고, 스트레스 관리가 그 뒤를 이었다. 건강증진사업에 대한 기대 정도는 상당히 효과가 있다고 응답하거나 어느 정도 효과가 있을 것이라고 응답한 경우가 84.8%로 건강증진사업에 대하여 근로자들이 긍정적으로 평가하고 있으며 기대도가 높은 것을 확인할 수 있었다. 건강증진 실천 여부에 영향을 주는 요인은 근로자의 건강상태, 직무자율성 등으로 나타났다. 결과: 개인의 의지 부족이나 시간, 비용 등이 건강증진 활동의 장애요인으로 작용하고, 근로자의 건강상태나 직무자율성 등이 건강증진 실천에 영향을 주고 있는 것으로 나타났다. 장애요인은 개인의 건강증진 실천 의지를 북돋아 주기 위한 사업장 단위의 근로자의 건강증진 활동의 유지 및 지지를 위한 프로그램 강화를 통해 극복할 수 있다. 또한 사업주의 시간적 배려, 사업주와 국가의 경제적 지원책, 지역사회 공공 체육시설 이용 개방 등을 고려할 필요가 있다. 건강증진 활동 실천집단과 비실천집단에 연령, 학력, 결혼여부, 연봉, 근무 일정 등의 차이가 있었는데 이를 통해 건강관리에 있어 시간, 경제, 개인의 생활환경이나 지식수준이 관여한다고 볼 수 있다. 결론: 이상의 결과를 통해 볼 때 건강증진 활동의 효과에 대해서 84.8%가 긍정적으로 평가하고 있다는 것을 알 수 있다. 현재 사업장 건강증진 활동은 금연이나 운동을 중심으로 이루어지고 있으나 본 연구 결과 운동이나 스트레스 관리에 대한 요구도가 높은 것을 확인할 수 있었다. 이에 따라 근로자들의 운동을 위해 사용이 용이한 운동 시설을 마련해야 하며 본 연구에서 긍정적으로 평가 되었던 바와 같이 사업장 밖에 공공 건강증진시설의 확대 방안을 강구하고, 스트레스 관리를 위한 구체적인 방안을 마련해야 할 것이다. Objective: The aim of this paper was to develop efficient and practical health promotion strategies in the workplace by investigating both the present status of health promotion and the barriers to its practice. Methods: A questionnaire was administered to 20% of industrial workers in the workplaces which receives the health care agency enterprise or are supported by a grant from the national treasury, K University Hospital in Gyeong-Gi province, and C University Hospital in Seoul. Results: According to the questionnaire survey, 51.3% workers were practicing health promotion activities and smoking cessation was the most common method among them. Regarding the factors that prompt workers to commence health promotion activities, TV or the mass media had a 33.4% effect, followed by a 22.1% effect for an abnormal finding at regular health screening. The most necessary health promotion activity in the workplace was exercise (41.9%), followed by stress management. When asked about their expectations of the health promotion program, 84.8% of the respondents answered that they expected it to be significantly or somewhat effective. Factors affecting the health promotion activities of workers were worker' s health status and job control. Conclusions: This study demonstrated that workers evaluate health promotion activities positively and that some workers are unable to participate in these activities despite their willingness to do so due to the barrier of circumstances. To encourage worker' s participation, the government and employers should remove barriers.

무증상 대퇴골두 무혈성 괴사의 증상발현

원중희,김용민,최의성,이호승,서중배,배병권 대한고관절학회 2001 Hip and Pelvis Vol.13 No.1

메틸렌 클로라이드에 의한 폐장염

장규진,박종태,,김은경,김병권,김해준 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: The authors report a case of pneumonitis caused by methylene chloride (MC). Methods: The patient was examined and diagnosed by clinical, radiologic, laboratorial and medical evaluation. The concentration of MC in the factory was measured to determine the exposure level. Results: The patient had an infiltration in chest X-ray, which underwent rapid relief of radiological finding, respiratory acidosis and hypoxemia in arterial blood gas analysis, and a ground-glass opacity in high resolution computerized tomography. MC was the only exposed chemical compound in this case. The concentration of MC was 39.9 ppm in the factory. Conclusions: We diagnosed this to be a case of pneumonitis by MC based on clinical laboratory findings, exposure history to MC and MC concentration in the factory.

The C677 Mutation in Methylene Tetrahydrofolate Reductase Gene: Correlation with Uric Acid and Cardiovascular Risk Factors in Elderly Korean men

Kim Kyeong Hee,Jeong Baekgeun,Kim Joon Youn,Lee Myeong Jin,Lee Sang Hwa,Lee Yong Hwan,Kim Byoung Gwon,Yoon Hyeong Ryeol,Nishio Hisahide,Hong Young Seoub 대한의학회 2004 Journal of Korean medical science Vol.19 No.2

Association between Low-level Mercury Exposure and Neurobehavioral Functions in Korean Adults Living in a Coastal City

Kim, Rock Bum,Kim, Byoung-Gwon,Kim, Yu-Mi,Hong, Young-Seoub,You, Chang-Hun,Kim, Dae-Seon The Korean Society of Environmental Toxicology 2013 환경독성보건학회지 Vol.28 No.-

Objectives The aim of this study was to determine the association between low-level mercury exposure and neurobehavioral functions in adults living in coastal regions of Korea. Methods We selected 172 adults aged 20-65 years living in a city in the coastal region of Korea. A sociodemographic survey was conducted, mercury levels in the blood, urine, and hair were measured, and the associations according to computerized neurobehavioral tests were determined using univariate analysis. After adjustment for associated variables, a multivariate linear regression analysis was performed. Results The geometric mean mercury levels in the blood, urine, and hair were $5.41{\mu}g/L$ (range, $0.00-15.84{\mu}g/L$), $1.17{\mu}g/g$-creatinine (range, $0.00-32.86{\mu}g/g$-creatinine), and 1.37 mg/kg (range, 0.42-6.56 mg/kg), respectively. Variables that were associated with simple reaction time according to the neurobehavioral test results were age and urine mercury level. Variables associated with choice reaction time were the recent use of Korean traditional medicine and urine mercury level. Variables associated with the right-hand finger tapping speed test were age, gender, smoking behavior, education level, monthly household income, and urine mercury level. Variables associated with the left-hand finger tapping speed test were age, gender, education level, and urine mercury level. After adjustment for associated variables, there was no significant association between urine mercury level and simple reaction time (${\beta}=25.96$; p =0.47), choice reaction time (${\beta}=50.37$; p =0.32), or the number of left-hand finger taps (${\beta}=-1.54$; p =0.21). However, urine mercury level was significantly associated with the number of right-hand finger taps (${\beta}=-3.86$; p =0.01). Conclusions We found no evidence that low-level mercury exposure in adults is associated with deficits in neurobehavioral functions. A longer follow-up study is required to confirm this conclusion.

만성 연중독자에서 발생한 신장해

김병권,김정만,홍영습,정갑열,김준연,김성률,나서희 동아대학교 부설 산업의학연구소 1997 산업의학연구소 논총 Vol.- No.3

We experienced a case of nephropathy in chronic lead poisoning The patient was 43-year-old male who has been working in secondary lead smelting plant for 14 years. On admission, blood pressure was 160/90 mmHg and the others were non-specific. In past history, he received chelating agent administration for lead poisoning irregularly and medicated for gout, and the blood lead concentration was 180.0 ㎍/dl on 2 months before admission. Smoking habit has been 1 pack per day for 15 years and drinking habit has been 1 bottle of Soju per day but less now. In liver function test, AST/ALT were 27/28 IU/l and γ-GT was 456 IU/l. In blood test, Hb : 11.5 g/dl, Hct : 34.0% and basophilic stipplings were found in peripheral blood smear. Chest PA was normal and abdominal ultrasonographic finding was non-specific except fatty liver. In the test of lead exposure indices, PbB : 83.0 ㎍/dl, PbU : 28.3 ㎍/l, and blood ZPP was 300.0 ㎍/dl. And in renal function test, BUN : 31.4 ㎎/dl, blood creatinine : 2.7 ㎎/dl, blood uric acid : 9.1 ㎎/dl, urinary albumin : 100.0 ㎎/g creatinine, urinary α-microglobulin : 120.5 ㎎/g creatininte, urinary β₂-microglobulin : 183.8 ㎍/g creatinine, and 24 hours urinary creatinine clearance was 31.9 ml/min. The ultrasonoguided renal biopsy showed the global sclerosis of glomerulus, moderate atrophy and loss of tubule, and interstitial fibrosis in light microscopy.

Study on the Efficacy of Lead Chelators in Lead Exposed Rats

Kim, Sung Hwan,Kim, Byoung Gwon,Kim, Jung Il,Jang, Tae Won,Hong, Young Seoub,Kim, Jung Man,Jung, Kap Yeol,Kim, Joon Youn 東亞大學校 大學院 2002 大學院論文集 Vol.27 No.-

일정기간 연에 노출된 흰쥐 (Sprague-Dawley)를 대상으로 연 착화제의 단독 혹은 병용투여로써 연 노출 지표의 변화를 관찰하고 연 착화제의 효능을 파악함으로써 연중독의 관리에 일조하는데 본 연구의 목적이 있다. 실험동물을 대조군과 실험군으로 양분하고, 실험군은 다시 착화제 투영 형태에 따라 BAL 단독투여, CaEDTA 단독투여, DMSA 단독투여, D-penicillamine 단독투여, BAL과 DMSA 병용투여, CaEDTA와 D-penicillamine 병용투여, DMSA와 D-penicillamine 병용투여의 10군으로 나누었다. 대조군과 실험군 모두 5주간 일정량의 연에 노출시킨 후, 실험군에 대해서는 착화제를 5일간 투여하였다. 요중으로 연을 조기에, 그리고 다량 배설시키기 위하여 연 착화제를 선택할 경우 CaEDTA 단독 혹은 CaEDTA와 다른 착화제와의 병용(p<0.05), 혈중 연 제거를 위해서는 BAL 단독 혹은 BAL과 다른 착화제와의 병용투여(p<0.05)가 각각 우수하다고 생각된다.