한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

난치성 전두엽 간질의 외과적 치료

김정목,김형일,김근수,김철진,이정청,이민철 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.11

Recent advances of neuroimaging and electrophysiological monitoring technique have contributed in improving the surgical outcome of frontal lobe epilepsy. The authors have analysed 36 consecutive cases of intractable frontal lobe epilepsy that were treated at our institute between September. 1992 and December, 1995 to determine the clinical, electrophysiological, and neuroimaging characteristics as well as to delineate the efficacy of surgical treatment in improving the seizure outcome. The patients consisted of 19 males and 17 females. The mean age of the seizure onset and the mean duration of epilepsy were 14.9 and 11.6 years, respectively. Magnetic resonance imaging(MRI) showed no lesion in 9 patients and pathological lesions in 27 patients. The types of the lesions observed included primary brain tumor, mostly low-grade glioma in 10 patients, cortical dysplasia in 4, posttraumatic scar in 4, neocortical gliosis in 3, cyst in 3, and postencephalitic atrophy in 3. Intracranial recordings were performed in 23 cases to determine the epileptogenic zone. The surgical outcome was graded according to Engle’s Classification as Class A in 20 patients. Class B in 2, Class C in 9, and Class D in 5. The surgical outcome was promising regardless of the presence or the absence of the lesion on MRI, invasive recording, age of seizure onset, and duration of epilepsy.

Lidocaine, Thrombin, Epinephrine 의 항균효과

김진우,이동건,전혜선,김승준,김석찬,안중현,김치홍,권순석,김영균,김관형,문화식,신완식,송정섭,박성학 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

목적 : 기관지내시경 검사에서 흔히 사용되는 국소마취제인 lidocaine과 내시경시 지혈목적으로 사용되는 thrombin과 epinephrine이 각종 균주에 미치는 항균효과에 대해 알아보고자 하였다. 재료 및 방법 : 균주는 가톨릭대학교 성모병원에서 2004년 3월부터 2004년 9월까지 임상검체 에서 동정된 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 각각 42, 42, 42, 43주를 대상으로 하였다. Lidocaine, thrombin, epinephrine 감수성 검사는 National Committee for Clinical Laboratory Standards (NCCLS, 2002)의 기준에 따랐다. 결과 : Lidocaine은 S. aureus, S. pneumoniae, P. aeruginosa에서 MIC_(50), MIC_(90) 모두 20,000 ㎍/mL 이었다. K. pneumoniae는 각각 10,000 ㎍/mL이었다. Thrombin은 S. aureus와 P. aeruginosa에서 MIC50 500 lU/mL 과 MIC_(90) 500 IU/mL 이상이었고, K. pneumoniae에서는 MIC_(50)과 MIC_(90)이 모두 500 lU/mL이상이었으나 S. pneumoniae에서는 MIC_(50)과 MIC_(90)은 125 IU/mL이었다. Epinephrine은 K. pneumoniae, S. pneumoniae에 대한 MIC_(50), MIC_(90)가 모두 >500 ㎍/mL이었고, S. aureus와 P. aeruginosa에 대한 MIC_(50), MIC_(90)가 모두 500 ㎍/mL이었다. 결론 : 기관지 내시경 검사에서 흔히 쓰이는 lidocaine, thrombin, epinephrine 등의 약제들이 호흡기 질환의 흔한 병원균인 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 균주들에 대해 항균 효과가 있을 수 있어 세균배양검사에 영향을 미칠 수 있겠다. Background : We performed this stody to find out about antimicrobial effect of lidocaine which is commonly used local anesthetic, and thrombin and epinephrine used for hemostasis during bronchoscopic procedures. Materials and Methods : The microorganisms that were cultured from specimens obtained during bronchoscopy were Staphylococcus aureus (n=42), Streptococcus pneumoniae (n=42), Klebsiella pneumoniae (n=42), and Pseudomonas aeruginosa (n=43) collected from St. Mary's Hospital, from March to Sep 2004 were used for susceptibity testing. Susceptibility to lidocaine, thrombin, and epinephrine were tested according to the National Committee for Clinical Laboratory Standards. Result : MIC_(50) and MIC_(90) of lidocaine for S. aureus, S. pneumoniae, P. aeruginosa were all 20,000 ㎍/mL and that for K. pneumoniae were 10,000 ㎍/mL. MIC_(50) and MIC_(90) of thrombin for both S. aureus and P. aeruginosa was 500 IU/mL and above 500 IU/mL, respectively; that for K. pneumoniae were all above 500 IU/mL and for S. pneumoniae they were 125 IU/mL, MIC_(50) and MIC_(90) of epinephrine for K. pneumoniae and S. pneumoniae were above 500 ㎍/mL; that for S. aureus and P. aeruginosa were 500 ㎍/mL. Conclusion : We observed possible antimicrobial effect of lidocaine, thrombin, and epinephrine in vitro against pathogens such as S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa, which are common respiratory microorganisms. The use of these agants could affect the result of bacterial culture.

클럽 샤프트(Club Shaft) 특성에 따른 골프 스윙(Golf Swing)동작 분석

김성일,김기형,김형수,이현섭,김진욱,안찬규,김희진 한국운동역학회 2002 한국운동역학회지 Vol.12 No.2

본 연구는 클럽 샤프트의 대표적인 재질인 그라파이트(graphite)의 유연한(flexible) 클럽 샤프트(club shaft)의 특성에 따라 피험자가 운동학적(kinematics) 요인이 되는 관절의 각변위, 각속도, 각가속도, 클럽헤드의 속도와 가속도와 같은 변인들이 어떻게 적응하는지 비교 분석하여 보다 효율적인 드라이버 선택에 도움을 주며 샤프트 특성에 따른 신체관절의 움직임에 대한 자료를 제시하고자 하였다. 고속 카메라 2대의 속도는 500fps로 하였고 각 regylar,stiff, x-stiff, 자신의 클럽을 포함 각 4개의 클럽을 사용하여 각 클럽당 3번씩 촬영하였으며 목표방향에서 20m이상 벗어나는 경우의 촬영은 다시 촬영하였다. 본 연구에서는 디지타이징(digitizing)을 신체 9개 마커는 강체로 가정된 클럽과 신체분절 모델로 정의하였으며 2 대의 카메라(500fps)로부터 얻은 avi화일을 컴퓨터에 저장하고 자료로부터 Butterworth 6th order recursive digital filter를 사용하여 1차 자료를 smoothing 하고 DLT를 이용하여 3차원 좌표를 구성하도록 한다. 좌표값을 얻기 위하여 kwon3d v3.0을 이용하였다. 본 실험은 피험자 스스로 클럽의 특성에 따라 스윙의 속도를 달리 하기 때문에 스윙의 시간이 달라지며 어느 정도 클럽이 강성에 따라 스윙시간이 빨라지는 결과로 나타났다. 이것은 피험자가 샤프트가 강성(stiffness)에 따라 스윙 속도를 빨리 하게 되는 원인이 되는 것으로 생각된다. 어깨의 각변위는 클럽이 regular의 경우 임팩트에서 각속도를 계속 유지하고 있으며 stiff, x-stiff의 경우에는 어깨의 움직임이 임팩트에서 급격하게 감소되는 것을 알 수 있다. 이것은 팔의 동작과 클럽의 힘을 크게 하기 위한 동작으로 생각된다. 어깨 각속도는 클럽이 stiff할수록 각속도가 큰 감속하는 것으로 나타났다. 손목속도는 regular 클럽의 경우 손목의 감속이 늦게 되고 임팩트에서 손목의 감속이 적게 하는 것으로 나타났으며 stiff와 x-stiff의 클럽에서 임팩트 시에 순간적인 감가속으로 인해 클럽의 속도를 증가시키고 있다. 임팩트 시에 손목의 감가속은 클럽헤드의 임팩트 시 속도를 증가시키는 결과를 보였다. 클럽헤드는 regular 클럽이 임팩트전에는 속도 증가가 커지는 결과와 일치된 결과를 보이고 있다. The purpose of this study was to find the rational method to analyze golf swing with specific property of club shaft. Three subjects were filmed by two high speed digital cameras with 500fps. The phase analyzed was downswing of each subject. The three-dimensional coordinates of the anatomical landmarks were obtained with motion analysis system Kwon3d 3.0 version and smoothed by lowpass digital filter with cutoff frequency 6Hz. From these data, kinematic and kinetic variables were calculated using Matlab(ver 5.0) The variables for this study were angular velocity and accelerations, which were calculated and following conclusions have been made : 1) Golf swing time of stiff club is faster than that of regular club. 2) In shoulder joint motion of swing with the stiff club, x-stiff showed mort rapid negative acceleration than that of regular club. 3) In regular club, the velocity of club head would be more effective velocity, which was increasing, than those of other clubs before impact. 4) In wrist joint motion of swing with stiff club, x-stiff club showed faster than regular club in the downswing and impact more rapid negative acceleration.

효소처리에 의한 표백화학열기계펄프의 탈수특성 평가

김형진 國民大學校 山林科學硏究所 2002 山林科學 Vol.14 No.-

최근 약 10년간 펄프·제지산업에서 바이오 기술의 응용은 환경 보존에 대한 관심의 증가와 경제적인 효율성 등의 부가적인 특성에 힘입어 크게 발전해 오고 있다. 또한 생물공학의 집중 육성에 의한 새로운 효소의 개발은 실험실적 응용이 아닌 산업 현장으로 실제 적용되기에 이르렀다. 이러한 결과에 기인하여 제지용 펄프의 물성 개선 효과 뿐 아니라 공정의 효율적 에너지 절감 측면으로 공정 개선을 유도하기에 이르렀다. 제지공정에서 효소의 적용 이점은 섬유의 유연성 개선, 종이의 물성 향상 등의 특성에 부가하여, 고해 에너지 절감 및 탈수 거동의 효율화를 통해 공정 에너지의 효과적 절감 방안 등을 제시할 수 있다. 본 연구에서는 고수율 기계 펄프로서 섬유의 물성이 우수하여 각종 지종의 종이 제조에 많이 사용되고 있는 화학열기계펌프(BCTMP)를 효소의 생물 공학적 특성을 이용하여 섬유의 특성을 개질 처리코자 하였으며, 펄프 제조공정에서 생성된 미세분에 의한 탈수성 저해 요인을 개선코자하였다. BCTMP를 이용한 효소 처리가 섬유의 여수 특성 및 탈수 거동에 미치는 영향 평가하기 위해 효소 처리 조건, 즉 효소 첨가량, pH, 처리 시간 등의 인자를 설정하여 고찰하였다. The application of bio-technological treatment with various types of catalytic enzyme to pulp and paper industry has been rapidly and steadily developed since last two decades. Recently, with the development of new species of enzyme, the usages of biological enzyme in paper industry are expanded from simple laboratory scale or poilot scale to industrial process for papermaking. Moreover, in the future, the amount of its use will be continuously increased. From these results of trials, the application examples of enzyme were scaled up from simple fibre modification to specialty paper manufacture and, additionally, to th savings of refining energy and dewatering efficiency. In this research, a commercial enzyme was considered for the fibre modification of bleached chemi-thermomechanical pulp which if featured with high physical quality of fibrous material as well as high yield property. Enzyme was primarily treated for the purpose of dewatering improvement. Results were analysed on the basis of three main forcuses, which are optimum dosages of enzyme, pH and treatment time.

펄프 몰드의 탈수성 개선을 위한 기능성 첨가제의 응용

김형진,서진호,류정용 한국공업화학회 2004 응용화학 Vol.8 No.1

Recently, with the higher concerns of environmental problem, the pulp mold products are newly focused as a substitute for styrene form products. In spite of great advantage of pulp mold for environmental-friendly product, the mold industry are still small scaled and poor-equipped. Therefore, this study was carried out for the efficiency improvement of mold product by the evaluation of dewatering ability. 5kinds of functional wet-end additives were applied to wet forming process as a floculant for the improvement of dewatering. The addition of PAM based additives showed higher dewatering ability than PEI based agent.

Alum첨가에 의한 settling tank의 백수 침전효율 평가

김형진,안정송,유성호 한국공업화학회 2004 응용화학 Vol.8 No.1

Because paper industry spends lots amount of water, the reuse from recycling of water is very important in economically as well as environmental aspects. Save all system, like CDS and settling tank, plays an important role in the recycling of water. In this study, the sedimentation efficiency of white water was tested under the different amount of alum addition in order to find the optimum conditions of waste water treatment. At the conditions of alum 100 ppm and A-polymer 1 ppm, the coagulation efficiency was highest and SS density was obtained below 50 ppm from 3 kinds of paper production lines.

부비동내시경수술 후 후각기능의 변화

김진국,남태욱,임채형,장현종 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Background and Objectives: Rhinosinusitis is the most common cause of olfactory impairment and endoscopic sinus surgery is considered as a surgical procedure of choice for treating chronic sinusitis. CC-SIT (Cross-Cultural Smell Identification Test) consists of 12 items well known in most non-English-speaking cultures. Authors evaluated the therapeutic effects of endoscopic sinus surgery on olfactory dysfuction using CC-SIT. Materials and Methods: The subjects of this study were seventeen sinusitis patient who had undergone ESS from November 2001 through April 2002. All patients were divided into two groups according to nasal polyp and CT findings. CC-SIT was used for the evaluation of olfactory function. Results: Forty seven percents of patients had improvement in olfactory function postoperatively. No correlation was found between changes in CC-SIT score and nasal polyp and preoperative CT findings. Conclusion: It is concluded that nasal polyp and CT findings have no effect on olfaction.

교정용 선재의 직경 증가를 위한 전기도금법과 무전해도금법의 비교연구

김재남,조진형,성영은,이기헌,황현식 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.2

본 연구는 교정용 선재의 직경을 증가시키기 위한 방법으로 무전해도금법의 이용 가능성 여부를 전기도금법과의 비교를 통해 알아보고자 시행되었다. 0.016 인치 스테인레스 스틸 교정용 선재에 도금을 위한 전처리를 시행한 후, 시중에 판매되는 무전해니켈도금액(Hessonic-Gr, 신풍금속, 한국)을 사용하여 90℃ 온도에서 0.018 인치 직경이 될 때까지 도금을 시행하였다. 무전해도금 과정 중 시간에 따른 직경증가율을 구하는 한편, 도금 후 세 지점의 직경을 계측하여 균일성을 평가하였다. 도금 금속의 정성분석을 위하여 X-선 회절분석을 시행하는 한편, 물성검사를 시행한 후 전기도금한 경우와 각각 비교 분석하였다. 연구결과 무전해도금한 군이 전기도금을 시행한 군보다 강성, 항복강도, 극한강도 모두 높은 경향을 보였으며 강성과 극한강도에서 통계적으로 유의한 차이를 나타내었다 (p < 0.05). 또한 무전해도금한 군의 직경증가율은 0.00461 ± 0.00003mm/5min (0.00092mm/min)로, 전기도금한 군의 직경증가율 0.00821 ± 0.00015mm/min와 차이를 보였다. 도금 후 세 지점의 직경을 계측하여 균일성을 평가한 결과, 두가지 도금법 모두에서 균일한 양상을 보였다. 이상의 결과로 무전해도금법을 통해 직경이 증가된 선재가 전기도금법에 의해 직경이 증가된 선재보다 기존의 선재와 가까운 물성을 보임을 알 수 있었으며, 이의 임상적 적용을 위해서는 도금시간의 감소가 필요함을 알 수 있었다. The purpose of this study was to evaluate electroless plating as a method of increasing the diameter of an orthodontic wire in comparison with eletroplating. After pretreatment plating of the 0.016 inch stainless steel orthodontic wire, electroless plating was performed at 90℃ until the diameter of the wire was increased to 0.018 inch. During the process of electroless plating, the diameter of the wire was measured every 5 minutes to examine the increasing ratio of the wire's diameter per time unit. And to examine the uniformity, the diameter at 3 points on the electroless-plated orthodontic wire was measured. An X-ray diffraction test for analyzing the nature of the plated metal and a 3-point bending test for analyzing the physical property were performed. The electroless-plated wire group showed a increased tendency for stiffness, yield strength, and ultimate strength than the electroplated wire group. And there was a statistically significant difference between the two groups for stiffness and ultimate strength. In the electroless-plated wire group, the increasing ratio of the diameter was 0.00461 ± 0.00003 mm/5 min (0.00092 mm/min). In the electroplated wire group, ti was 0.00821 ± 0.00015 mm/min. The results of the uniformity test showed a tendency for uniformity in both the plating methods. The results of this study suggest that electroless plating of the wire is closer to the ready-made wire than electroplating wire in terms of the physical property. However, the length of plating time needs further consideration for the clinical application of electroless plating.

분말야금법으로 제조된 2124AI 합금의 빠른변형률속도 초소성 거동

金祐塡,張勝彦,南勝義,金亨駿 弘益大學校 科學基術硏究所 1999 科學技術硏究論文集 Vol.10 No.2

Ceramic whisker or particulate reinforced aluminum based metal matrix composites show high room temperature strength, but their low formability makes it difficult to form into desired shapes. By superplastic deformation, their formability can be improved and it is possible to produce complex parts for automotive aerospace simultaneously instead of many near-net-shape forming operations. This study has been carried out to investigate the high temperature mechanical and superplastic properties in 2124Al alloy. SRC(Strain Rate Change) tests show that the value of n(stress exponent) is around 3 at high strain rate and above 5 at low strain rate. It was turned out that 212Al matrix alloy exhibited reasonably high tensile elongation above 250% with the broad range of temperature and strain rate. Especially, at 550℃, both materials showed very high elongation failure up to 700% for 2124Al alloy. The strength comparison is lower strength then 2124Al composites were obtained that the composite is lower strength than 2124Al alloy at superplastic region.