가감청영탕(加減淸營湯)에 효과를 보인 열성 아토피 피부염 환자 6례 증례 보고

서지혜,정창환,박선정,임소영,한수련,Seo, Ji-Hye,Jung, Chang?Hwan,Park, Seon-Jeong,Lim, So-Young,Han, Su-Ryun 대한한방안이비인후피부과학회 2014 한방안이비인후피부과학회지 Vol.27 No.3

Objective : The purpose of this study is to investigate the effect of Gagamchengyoung-tang($Ji\bar{a}ji\check{a}nq\bar{i}ngy\acute{i}ng-t\bar{a}ng$) for atopic dermatitis patients diagnosed as the febrile tendency. Method : This case study was done on 6 atopic patients with febrile tendency who have visited Korean Medicine Clinic from 2013.08.01. to 2014.04.30.. Gagamchengyoung-tang($Ji\bar{a}ji\check{a}nq\bar{i}ngy\acute{i}ng-t\bar{a}ng$) was prescribed to all 6 patients and evaluated the symptom change through photographs and questionnaire. Objective SCORAD Index(OSI) was used to evaluate the objective symptom and VAS was used to evaluate the subjective change. Results & Conclusion : The Objective SCORAD index and VAS were decreased in all patients. The average OSI reduction score was 26.3. Most symptoms of 6 patients were improved. Gagamchengyoung-tang ($Ji\bar{a}ji\check{a}nq\bar{i}ngy\acute{i}ng-t\bar{a}ng$) can be effective in patients who were diagnosed as febrile tendency.

부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

전자상거래 물류수송 및 CVO(Commerical Vehicle Operation)를 이용한 화물 위치추적 시스템 연구

정지문,황동환,최성 호서대학교 반도체제조장비국산화연구센터 2000 학술대회 자료집 Vol.2000 No.1

본 논문은 현재 발전하고 있는 전자상거래의 겉모습만을 보고 있는 사람들에게 그내부의 모습을 보여주는 한편, 물류수송의 문제점을 파악하여 그에따른 물류비용의 증가를 막아보자는데 있다. 전자상거래의 힘은 신속정확한 배달과 품질보증이다. 이에 따라 시간이 걸리는 배달일 경우에는 소비자의 기다림을 달래주는 위치 추적 정보 서비스가 필요하다. 종합물류 관리시스템의 하나인 CVO의 기술을 분석하고 화물위치 추적 시스템에 대하여 연구하였다. 특히 현재 우리나라의 쇼핑몰이나 기업의 상황을 분석하고, 전자 상거래의 배달, 운송에 관한 연구와 고찰로써 전자상거래 시대에 있어서 모든 기업들의 발전방안을 연구하였다.

SJO¨GREN'S SYNDROME 환자에게 즉시 임프란트 술식을 행한 치험례

최정환,손동석,이지연,이윤서,안선희,이재목 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.5

The old edentulous patients experience xerostomia commonly. They have considerable difficulty in wearing tissue-supported prosthesis and high risk rate of caries. One of them is Sj□gren's syndrome patient. Sj□gren's syndrome is a chronic inflammatory autoimmune disorder that results in a lymphocyte-mediated destruction of exocrine glands. We planned to place implants immediately after extraction in this case of autoimmune disease. The advantages of immediate implant placement include considerable decrease in time from tooth extraction to placement of the final prosthesis, fewer surgical procedures, and better acceptance of the overall treatment plan. We present a case of Sj□gren's syndrome patient treated with immediate implant placement & immediate loading in anterior region and immediate implant placement in posterior region.

전자제품 조립업체 근로자에게 직무 요구, 직무 조직, 경력 개발, 역할 압력, 경제력 압력등의 직무 스트레스가 업무관련 상지 근골격계 질환에 미치는 영향

한상환,조수현,김지영,성낙정 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.3

목적: 직무스트레스를 직무 요구, 직무 조직, 경력개발, 역할 압력, 경제적 압력 등 요인별로 구분한 후 업무관련 상지 근골격제 질환과의연관성이 높은 직무 스트레스 요인을 도출하기 위한 목적으로 본 연구를 시도하였다. 방법: 이동전화기 부품 조립 업체 여성 근로자 112명, 전수, 냉장고 조립 업체 3개 부서 남성 근로자 237명 전수, 그리고 사무직 근로자 87명 전수 등 총 436명을 대상으로 업무관련 상지 근골격계 증상과 직무 스트레스에 관한 설문 조사를 실시하였다, 물리적 작업 요인은 작업 과정을 인간공학적 평가서로 평가하였다. 근골격계 증상과 직무 스트레스 평가서에 제대로 응답하지 않은 53명을 제외한 총 382명을 최종 분석대상으로 하여, 직무스트레스 요인에 대한 요인분석을 실시하고 적합성이 높은 요인별로 직무스트레스 요인을 구분한 후 로짓 희귀 분석으로 상지 근골격계 질환과의 연관성을 분석하였다. 결과: 각 연구 대상군에서 목과 어깨 부위의 증상 호소율이 가장 높았으며, 손목과 손가락 부위, 팔꿈치 부위 순이었다. 목과 어깨 부위와 손목과 손가락 ㅂ위에서 부적절한 작업 자세와 힘 요인의 연관성이 관찰되었으며, 직무의 단순성, 직무 구분의 모호성, 직무의 자율성 부재, 경제적 압력, 승진 장애, 퇴직 압력 등의 직무 스트레스 요인이 유의한 것으로 나타났다. 여서 조립 작업자에서 증상 호소율이 더 높았으며, 근골격계 질환과 직무 스트레스의 연관성의 강도는 남성 조립 작업자보다 여성 조립작업자와 사무직 근로자에서 더 높은 것으로 나타났다. 결론: 본 연구 결과 물리적 작업 요인에 의한 영향을 보정한 후에도 사무직 근오자와 생산직 근로자 모두에서 직무 스트레스가 업무관련 상지 근골격계 질환에 영향을 미치는 것으로 해석할 수 있었으며, 특히 경제적 요인과 경력 개발 요인 들의 중요성이 부각되었다. 따라서 향후 직무 스트레스와 업무관련 상지 근골격계 질환에 대한 다양한 직종에서의 경험적 연구결과가 축적외어 우리 나라의 조직문화적 특성을 고려한 직무 스트레스 위험 요인 파악이 필요하다고 하겠다. Objects: To evaluate the association od upper extremity musculoskeletal disorders with job demand-control and effort-reward related job stress. Methods: Questionnaires concerning symptoms, psychosocial factors and work conditions were completed by 436 workers from a refrigerator assembly line, mobile phone assembly line, and an office, musculoskeletal conditions of the upper extremities were defined by the frequency, duration, and intensity of symptoms. A walk-through survey was performed to evaluate various physical work factors. Data were analyzed with the use of logistic regression. Results: A total of 32 workers completed the survey, for whom neck and shoulder symptoms were the most frequently reported, followed by finger and wrist, and then elbow symptoms. Both awkward working posture and forceful exertion were associated with an imcrease in shoulder/neck and finger/wrist symptoms. In addition, job stress factors such as monotony, low job clarity, low job control, low promotion prospect, economic issues, and retirement pressures were associated with increased neck/shoulder, elbow, and finger/wrist conditions. Women were more likely to report symptoms, and the association between musculoskeletal conditions and job stress factors was stronger in female assembly line workers and office workers than in male assembly line workers. Conclusions: The results suggest that musculoskeletal conditions of the upper extremities are associated with not only physical work factors but also job stress factors. In particular, economin issues and career development factors are important influences on workers in Korea.

TPN 처방시스템을 이용한 약국업무 개선

조영환,김정태,김승란,백지은,김미경 한국병원약사회 2000 병원약사회지 Vol.17 No.1

As a part of a plan to improve the multifunctional hospital information system, Asan Medical Center has invented the COES (Clinician's Order Entry System) for the physicians which involves computerized TPN prescription. As an initial step, an outline of the system has been formulated after collection relevant materials from various sources including foreign materials. This project simplifies and standardizes COES between physicians and pharmacists. By introducing this system, we could minimize the possible errors during inputing the inscription and converting the requirements to the volumes to prepare the required medicine. Units of prescribed volume were automatically changed through the computerization of TPN order. This procedure can save time and man-power for preparing the medicine by using Automatic TPN Prescripter. All of these has encouraged us to seek more active TPN consultation for the systemical examination and monitor TPN inscription, and to provide patients with TPN of a good quality.

계층분석법을 이용한 환경친화 계획요소의 중요도 분석에 관한 연구

류지원,김정환,정응호 한국환경과학회 2003 한국환경과학회지 Vol.12 No.9

This study focuses on importance level analysis of environmentally-friendly planning factors using Analytic Hierarchy Process(AHP). This study verify different planning principle makes comparison matrix by a relative comparison value, verified consistency after yield weight to analyze more objective importance for apartment complex estate environmentally-friendly planning factor. In order to decide importance of apartment complex estate environmentally-friendly planning factors multiplying weight of verified planning principle with weight of planning factors. The results are as follows; First, importance of preservation of green tract of lands, Preparation of Biotop, Tree planting of sites, Propriety of development density high except Ciculation and practical use of water. Next, valued planning factors constituent appeared to Energy efficient building plan, Rubbish recycling, thermal utilization of solar energy, Artificial tree planting of buildings etc. importantly. Finally, plan constituent that importance is underrated most appeared by Practical use of building meterials and equipment, Centralization of energy and resources, Preservation of corridor etc.

수목장(樹木葬)의 특성에 관한 고찰

서주환,최현상,정해천,승지현 경희대학교 디자인연구원 2005 예술· 디자인학연구 Vol.8 No.2

To secure a space for graveyard in a funeral has become one of the new issues in Korea. This caused the problems of graveyard shortage, destruction of national landscape, inroad of territory, and ecological environment. However, In eco-friendly method of funeral, the Woody Plant Funeral is a new form of Funeral to bury the ashes of the deceased under the wood so it participate with eternal life in wood and forest by provision of nature(wood and people return to nature to be born in nature). The purpose of this paper is to explain one of the counterplan which the Woody Plant Funeral solve graveyards problem.

기억력 저하를 호소하는 노인들을 대상으로 INM176를 3개월간 임상시험한 후의 치료성적 및 부작용 평가 보고

김지혜,고선규,고효정,권영아,김성환,김재경,김태은,박재우,서민영,송영란,이인수,김도관 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.2

Objectives : We examined the effects of INM 176 (K-l107) compared with placebo on the cognitive functions of 92 old aged subjects with cognitive impairment. Methods : This was a prospective, 12 week, double-blind, Placebo-controlled clinical trial. The elderly who achieved a score of less than 25 points on the K-MMSE or showed a high risk of Alzheimer's disease from the 7-Minute Neurocognitive Screening Battery were considered to have objective impairment and were selected as subjects for this study. The subjects were randomized to placebo or INM 176 group. The outcome measures were from the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-Cog), the Instrumental Activities ofDaily Living (IADL) and the Korean Geriatric Depression Scale (KGDS) and two kinds of computerized priming tests. After setting the total error score in the Alzheimer's Disease Assessment Scale-Cognitive section (ADAS-cog) as the repeated measurement factor, an analysis of variance of the combined factor design was done between the placebo and INM 176 group. Results : The interaction effect of time (pre- and post-trial) and group (placebo and INM 176 group) was significant in the analysis of the ADAS-cog's total error score. The INM 176 group's total error score in the ADAS-cog decreased significantly (p<0.01), whereas the placebo group showed a slight increase. The mean changes in IADL and GDS from baseline scores favored in the INM 176 group than in the placebo group. Outcome changes ofADAS-cog, IADL, KGDS scores during the 12 week clinical trail ofINM 176 and placebo demonstrated favorable responses in the INM176 administered group. Conclusions : This is a preliminary clinical trial result of INM176 as a memory pill. Based on these results, INM176 may be a candidate molecule for the improvement of cognitive functions, including memory, Further clinical trial should demonstrate its efficacy.

만성 C형 간염 환자에서 페그인터페론 알파2a와 리바비린 병합 치료중 발생한 벨마비 1예

김일환,장제혁,유충헌,최규남,고정해,김윤정,서광원,김지현,박성재,박은택,이연재,이상혁,설상영 인제대학교 2008 仁濟醫學 Vol.29 No.-

페그인터페론과 리바비린 병합요법은 만성 C형 간염의 일차 치료법이다. 저자들은 만성 C형 간염 환자에서 페그인터페론 과 리바비린 병합 요법 중에 발생한 벨마비 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 5년 전부터 만성 C형 간염을 앓아온 48세 남자이며, PEG-IFN α-2a 135μgm 피하주사 주1회와 하루 1200㎎의 리바비린을 투여하였다. 치료시작 후 9개월째 환자는 오른쪽 안면의 근력약화를 호소하였으며 벨마비로 진단되었다. 페그인터페론과 리바비린 병합요법을 지속하면서 관찰하였다. 환자의 벨마비는 페그인터페론 치료를 중단하지 않았음에도 3개월후 증상이 회복되고 이후 벨마비 재발 없이 현재 경과관찰 중이다. 만성 C형 간염에서 페그인터페론과 리바비린 병합 요법시 벨마비의 발생 가능성을 염두에 두어야 하겠다. A Case of Bell's Palsy Associated with Combination Therapy of Pegylated Interferon Alfa-2a (PEG-IFN) and Ribavirin for Chronic Hepatitis C Virus Infection Pegylated interferon alfa(PEG-IFN α) and ribavirin therapy is the first line treatment for chronic hepatitis C. Mild complications of the therapy are common, but more serious complications are rare. We report here a case of Bell's palsy that occurred in a patient with chronic hepatitis C virus infection during combination therapy of PEG-IFN α-2a and ribavirin. The patient was 49-year-old man with chronic hepatitis C (genotype 1b) for 8 years. He had compensated liver cirrhosis with splenomegaly. Therapy with PEG-IFN α- 2a 135mcg/week and ribavirin 1200mg/day was initiated. After 9 months of the therapy, the patient showed a loss of muscular tone on the right side of his face. A diagnosis of Bell's palsy was made. The Bell's palsy resolved over 3 months despite continuation of the combination therapy.