노인의 가족부양과 모녀 관계 고찰

金兌玄,田吉良 誠信女子大學校 生活文化硏究所 1992 生活文化硏究 Vol.6 No.-

This study explores explanations for family services for the elderly and adult daughters' relationships with their mothers. Reserach on families and older adults has consistently documented that families. especially adult children, are the predominant services and health care providers to the elderly parents. In our socity, to say "providers" is usually to mean the eldest son. Demographic trends and changes of family structure. however. suggest that the future availability of sons to serve as primary care-givers to their older parents may be limited. For example, the trend towards smaller families, the increase in the proportion of women in later market. the decrease of birth rate, attitudinal change with regard to responsibility for care of aged parents and revision of family law have influence on relationship between elderly parents and adult children. Adult daughters are specialty perceived to be and perceive themselves as emotionally closer to their parents than are sons. Therefore. when daughters have high affectional solidarity to their mothers and women survive their husbands. to examine adult daughters relatinships with their mothers is very important.

《金匱要略·瘧病脈證幷治弟四》篇에 대한 文獻的 考察

金雲吉,朴陽春 대전대학교 한의학연구소 2001 한의학연구소 논문집 Vol.10 No.1

From this book,《GeumGueyoryak·Hakbyeongmaekjeungbyeongchi(금궤要略·학病脈證井治)》, I finally got these conclusions of symptoms and pathology of Hakbyeong(학病). 1. Hakbyeong(학病) has main symptoms of repetition of chillness and fever and its main pulse is pulse of Hyeon(弦) and position is in the middle of inside and outside. 2. Change in shape of pulse caused by Hakbyeong(학病) can have shape of pulse of Sak(數), Jee(遲), Kin(緊), Dae(大) and more kinds depending on patients constitution, the cause of disease, or whether he/she has been poisoned by other kinds. 3. After 15 days of symptoms, As Cheonki(天氣) and Inki(人氣) get stronger and Saki(邪氣) gets weaker, Jeongki(正氣) can be more recovered and the disease can be disappeared. But if the disease dose not get away after another 15 days of showing symptom, that disease can be treated as cutting the Jingha(징하) under side of him/her. 4. The type of Hakbyeong(학病) which is diseased by the keeping the Haksa(학邪) for long time, can be classified as Hagmo(학母) which has symptoms of chillness and fever outside, and of Jinggha(징하) inside, Danhag(단학) which has symptoms of difficulty with breathing, chest discomfort - caused by fever in the lung at ordinarty times -, fever of extremities and nausea and that would make people worn out and thin after all, Onhag(溫학) which has main symptoms of fever and Mohag(모학) which has symptoms of less fever and more chillness. 5. In this thesis it has been described, the Byulgabjunhwan(鼈甲煎丸), Baekhogagaejitang(白虎加桂枝湯), and Chokchilsan(蜀漆散) is the respective prescription for treatment of Hagmo(학母), Onhag(溫학), and Mohag(牡학). From this conclusion, if the more research about the cause of disease, pathology and prescription of the each symptom from 《GeumGueyoryak(금궤要略)》 hereafter, I could say more effective prophylaxis and treatment of epidemic disease like todays Hakbyeong(학病) can be found.

정신분열병과 N-Methyl-D-Aspartate 수용체 유전자와 연관된 VNTR 표지자인 D9S158 다형성의 연합

김종원,채영규,정은기,김길숙,박강규,이영호,최인근,양병환,한진희 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

정신분열병과 NMDA 수용체와 연관된 D9S158 유전적 표지자와의 연관성을 알아보기 위해 75명의 정신분열병 환자군과 87명의 정상대조군을 대상으로 중합효소연쇄반응을 이용하여 연합연구를 시행하여 다음과 같은 결론을 얻었다. D9S158 유전좌위에는 모두 8개의 대립유전자가 있었고, 각 대립유전자는 cytosine-adenine염기가 반복되는 217염기쌍에서 233염기쌍의 형태였다. 먼저 정신분열병 환자와 정상대조군의 대립유전자의 빈도를 비교해 본 결과 통계적으로 유의한 차이를 보이지 않았다(p〉.05). 환자군을 좀 더 동질적으로 만들기 위해 정신분열병의 가족력 유무, 음성 및 양성증상, 연성신경학적 징후, DSM-IV 임상아형에 따라 환자군을 나누어 대립유전자의 빈도를 비교해 본 결과, 특정 임상양상과 관련이 있는 대립유전자를 발견하지 못하였다. 결론적으로 본 연구에서는 D9S158 유전좌위와 정신분열병의 연관성을 입증하지 못하였으나 NMDA 수용체 유전자주위의 다른 표지자나 좀 더 유전적으로 동질한 환자군을 대상으로 한 추후연구가 필요할 것으로 생각된다. An association study with Korean schizophrenic patients(N=75) and normal controls(N=87) was performed to find the relationship between D9S158 polymorphism and schizophrenia using polymerase chain reaction. Eight different alleles of a dinucleotide polymorphism on D9S158 locus were observed in both group. When we compared the frequencies of alleles between schizophrenics and normal controls, there was no significant difference between two groups. To increase homogeneity of schizophrenic group, we divided schizophrenic group by clinical phenotypes such as family history, negative and positive symptoms(PANSS), soft neurologic signs(NES-K) and DSM-IV diagnostic subtypes. Then we compared the frequencies of alleles among subgroups of clinical phenotypes, and there were no significant differences between subgroups(p〉.05). Although our findings fail to provide an evidence of association between schizophrenia and D9S158 locus, further investigation of other loci that are linked to NMDA receptor gene may be needed in genetically homogeneous subgroups of schizophrenia.

유화제 첨가량이 MMA/BA 합성 라텍스 폴리머 시멘트 모르타르의 특성에 미치는 영향

형원길,조영철,장성주,김완기,소양섭 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

The purpose of this study is to clarify the effect of the emulsifier ratio on properties of the polymer modified mortar using methylmethacrylate-buthyl acrylate(MMA/BA) latexes, and to obtain basic data necessary to develope appropriate latexes for cement modifiers. Polymer modified mortars using MMA/BA latexes are prepared with various monomer ratios, and tested for air content, flexural and compressive strengths. From the test results. we knew that the water-cement ratio is decreased with an increase in the amount of emulsifier. And the air content is increase with an increase in the polymer cement ratios. In general, the superior compressive and flexural strength of polymer-modified mortars using MMIA/GA latexes is obtained ant a bound MMA content of 80 percent and a emulsifier ratio of 6 percent.

三黃瀉心湯이 ACONITINE 投與 흰쥐의 血壓 및 血淸 酵素活性度에 미치는 影響

沈良洙,文炳淳,金世吉 圓光大學校 韓醫學硏究所 1994 원광한의학 Vol.4 No.1

In order to study the effect of Samhwangsasimtang(三黃瀉心湯) on the blood pressure and serum enzyme(LDH, CPK, GOT and GPT) activities of the rats treated with aconitine, this experiment was conducted. Experimental groups divided into four groups, Normal, Control, Sample I and sample Ⅱ. The control group treated with aconitine by 0.05㎎/㎏ I.P. injection. The sample groups treated with aconitine same as control and administrated 6mg/100g(Sample I) and 60mg/100g(Sample Ⅱ) of Samhwangsasimtang extract. The blood pressure and rectal temperature measured at pre-treat(0), 30, 60, 120 and 180 mins after the aconitine injection and the serum LDH, CPK, GOT and GPT activities evaluated by biochemically. The results were obtained as follows: 1. In changes of the blood pressure the 6mg/100g of Samhwangsasimtang was not effective, and the 60mg/100g of Samhwangsasimtang was significantly effective on the changes of blood pressure induced by aconitine at 30, 60 and 120 mins after administration. 2. In changed of the rectal temperature, the 6mg/100g of Samhwangsasimtang was not effective, and the 60mg/100g of Samhwangsasimtang was significantly effective on the increase of rectal temperature induced by aconitine at 60mins afer administration. 3. In serum LDH activity, and inhibitory effect was shown by the 6mg/100g of Samhwangsasimtang, and significant inhibitory effect was shown by the 60mg/100g of Samhwangsasimtang on the increase of serum LDH activity induced by aconitine. 4. In serum CPK activity, and inhibitory effect was shown by the 6mg/100g and the 60mg/100g of Samhwangsasimtang on the increase of serum CPK activity induced by aconitine. 5. In serum GOT activity, the 6mg/100g of Samhwnagsasimtang was not effective, and an inhibitory effect was shown by the 60mg/100g of Samhwangsasimtang on the increase of serum GOT activity induced by aconitine. 6. In serum GPT activity, the 6mg/100g and the 60mg/100g of Samhwangsasimtang were not effective on the increase of serum GPT activity induced by aconitine.

모노머비에 따른 MMA/EA 합성 라텍스 폴리머 시멘트 모르터의 성질

형원길,김완기,소양섭 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

The purpose of this study is to clarify the effect of the monomer ratio on properties of the polymer-modified mortars using methyl methacrylate-ethyl acrylate latexes, and to obtain basic data necessary to develop appropriate latexes for cement modifiers. This paper deals with the effect of the monomer ratio on the typical properties of polymer-modified mortars with methyl methacrylate-ethyl acrylate latexes. The polymer-modified mortars using MMA/EA latexes are prepared with various polymer-cement ratio, and tested for strengths, water absorption, and chloride-ion penetration depth. The test results indicate that the monomer ratio is very important factors to characterize the strength properties of polymer-modified mortars, but the water absorption and chloride-ion penetration depth are influenced by polymer-cement ratio rather than monomer ratios.

정보사회의 노인과 가족

전길양,김태현 성신여자대학교 생활문화연구소 2001 生活文化硏究 Vol.15 No.-

This study is focused on the importance of the aged and family life according to social change have been affected by information telecommunication technology. Korean society has been rapidly changing to the aged and information society. In our society, the aged person needs for money, health, psychological solitude, and leisure to keep the successful family life and aging. The telecommunication technology may apply to a lot of fields in the aged life. In particular, the surpass of time and space limit by the telecommunication could supply on-demand service for the acted needs. But, the strategies for enhancing information of the aged are insufficient in our society. Therefore, for enhancing the quality of living of the aged, It is needed to develop internet slues and contents which are focused on the population.

산업재해로 인한 척추환자의 실태조사

서용길,김양옥 大韓産業醫學會 1991 대한직업환경의학회지 Vol.3 No.1

This analytical study was performed on 403 patients with spinal injuries by industrial accidents treated in a Labor Provinces area from Jan. 1987 to Dec. 1988. 1. Of the parients, 125 ones the largest number, were belong to transportation industry. 2. One hundred and sixteen patients(29.6%) were occurrd within one month after employment. 3. The largest number of the 403 patients was 242 ones(60.0%) with spinal sprain and strain in 1 region, and those of 463 injuries of the patients were 274 sprain and strains in nature(59.2%) and 368 injuries on lumber area in spine level(79.5%) respectively. 4. There were 16 patients with delayed diagnosis after 113 days on average following to failed diagnosis in the first medical institutes. 5. "The Additional Loss by Delayed Diagnosis" phenomenon was found in comparing 6,406 persondays for treatments of the patients with delayed diagnosis(15% of 43,921 persondays for overall patients) to number of 16 patients(4% of overall 403 patients), and 403.4 days per the patient with delayed diagnosis to 109.0 days per one of overall patients. 6. The medical institutes which the patients had treated most frequently at the first were the orthopaedician's clinics(126 patients) and the highest rate of failed diagnosis was 7% of general practitioner's clinics, and the highest diagnosis sensitivity of HNP at the first was 1.0 of general hospitals and neurosurgeon's clinics.

그라인더(grinder) 사용에 의한 Hand-Arm Vibration Syndrome(HAVS)의 6예

임상혁,김록호,양길승,양정인,김상섭,전형준,박시복 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 수지증상이 있는 진동공구 작업자 8명에 대해 객관적이고 체계화된 진단방법을 이용하여 수지진동 증후군을 진단하고자 시행하였다. 방 법 : 과거병력, 가족력 등의 문진과 혈액 및 소변, 방사선 검사를 통해 다른 원인에 의한 레이노씨병을 배제하였고, 공구 측정 결과를 이용하여 작업과의 관련성을 보았으며, 냉수 침지검사와 근전도 검사를 통하여 수지진동 증후군을 진단하고자 하였다. 결 과 : 수지증상이 있는 진동공구 작업자 8명에 대해 과거병력, 가족력, 약물복용 및 과거 직업력 등 레이노씨병을 유발하는 요인에 대하여 조사하였고 특이점은 발견하지 못하였다. 다른 원인에 의한 레이노씨병을 배제하기 위해 혈액 및 소변, 방사선 검사를 하였고 8명 모두에서 특이 소견을 발견하지 못하였다. 위의 문진과 검사결과로 다른 원인에 의한 레이노씨병을 배제할 수 있었다. 해당사업장의 진동 공구 측정결과를 근거로 피검자의 공구가 ISO의 허용기준을 초과함을 알 수 있었다. 냉수 침지검사와 근전도 검사를 이용하여 피검자 8명중 6명이 말초 혈액순환 장해와 말초 신경염이 있는 것으로 진단되었다. 위의 내용을 근거로 6명은 진동에 의한 수지 진동 증후군으로 진단할 수 있었다. 결 론 : 수지증상이 있는 진동공구 작업자 8명에 대해 객관적이고 체계화된 진단방법을 이용하여 수지진동 증후군을 진단하였다. 해당 사업장의 진동 공구 작업자의 진동에 대한 검진이 필요할 것으로 생각된다. Objectives : To confirm the HAVS In workers exposed to hand-arm vibration with using the objective diagnostic methods. Methods : Several tests were used to help substantiate a clinical diagnosis of HAVS. Some other diseases were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was evaluated for considering HAVS. Peripheral vascular changes were examined by a cold provocation test. An electromyography was implemented to ascertain the peripheral neural changes. Results : 8 workers with symptoms in hands & fingers, exposed to hand-arm vibration were examined. Some other diseases (primary Raynaud's disease, secondary Raynaud's disease in not occupational origin) were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was 7.9 m/sec2. The recovery time of a skin temperature followed finger cooling was significantly prolonged in 6 workers with HAVS. The nerve conduction velocity was reduced in 6 workers with HAVS. Conclusions : So we report 6 cases of HAVS in grinding workers exposed to hand-arm vibration diagnosed objectively by an exclusion of some other disease, hand- arm vibration acceleration level, cold provocation test, electromyography.

레이온회사 퇴직근로자에서 이황화탄소에 의한 건강영향평가 : 직업병 인정여부에 따른 자각증상과 관련 요인 Subjective Symptoms and Related Factors According to Compensation for CS_2 Poisoning

이경재,김주자,최현림,양길승,김호,임상혁,이윤근 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.2

목적: 이 연구는 이황화탄소 취급 사업장에서 근무한 경력이 있는 퇴직 근로자들을 대상으로 이황화탄소에 의한 건강영향을 조사함으로써, 이황화탄소 노출 후의 건강영향 파악 및 이황화탄소 노출 근로자에 대한 건강관리 기준 마련 등에 중요한 기초자료를 제공하고자 하였다. 방법: 이 연구는 우리나라 모 레이온회사에 근무한 경력이 있는 퇴직 근로자 중에서 1998년 12월까지 직업병 여부를 확인하기 위해 건강진단을 신청한 1,702명 중에서 이미 사망한 40명을 제외한 1,662명을 대상으로 하여 이 연구 목적에 대한 설명문을 우편으로 발송하여 참여 의사를 밝힌 258명을 면접대상으로 하여 최종적으로 177명을 분석 대상으로 하였다. 결과: 연구대상자는 남자가 147명, 여자가 30명이었고, 평균 연령은 55.4세이고 입사시 연령은 29.1세였다. 근무부서별로는 고폭로부서에 근무한 군이 156명으로 88%를 차지하였으며, 인정받은 군이 103명(58.2%), 받지 못한 군이 74명(41.2%)이었다. 평균 총폭로지수는 38.96(±31.18)이었고, 인정받은 군에서 받지 못한 군 보다 유의하게 높았고 (p=0.000). 고폭로부서군에서 저폭로부서군보다 높게 나타났다(p=0.000). 퇴사전후 시간에 따른 호소 증상들을 분석한 결과, 퇴사전후 시간 흐름에 따라 호소하는 증상들이 차이는 있지만 호소하는 증상들이 퇴사전과 퇴사후 5년 이내에 비해 퇴사후 5~10년인 경우에는 인정받은 군과 받지 못한 군 간에 유의한 차이를 보이는 호소 증상들이 적어지는 경향을 보였다. 그러나 퇴사 10년 이상인 경우에는 퇴사후 5~10년 이내에 비해 오히려 호소하는 증상들은 많아진 반면, 인정받은 군보다 받지 못한 군에서 유의하게 높았다. 따라서 이는 퇴사후 10년 이상이 되면 그 이전 기간에 비해서 호소하는 증상들은 직업병 인정에 올바른 영향을 미치지 않을 수도 있다고 생각되고 이러한 결과에 영향을 미칠 수 있는 여러 가지 요인들을 생각해 볼 필요가 있다고 생각된다. 인정받은 군에 대해서 직업병 인정시점을 기준으로 인정전후에 호소 증상의 변화를 비교한 결과, 대부분 직업병 인정전에 비해 인정후에 호소하는 증상이 감소하는 경향을 보이고 있어 직업병 인정후에 의료기관으로부터 증상관리가 이루어지는 것이 증상호소를 줄이는 데 기여한 것으로 생각되며 이밖에도 직업병 인정으로 인한 심리적인 보상도 영향을 미칠 수 있을 것으로 생각된다. 직업병 인정여부에 영향을 주는 요인에 관하여 분석한 결과, 총폭로지수와 퇴사후 최종 건강진단을 받을 때까지의 시기가 유의한 요인으로 나타났으며, 퇴사후 직업병 인정을 받을 때까지의 시간에 대한 Cox의 비례위험 회귀분석을 한 결과, 총폭로지수와 입사연령, 고폭로부서의 근무여부가 의미있는 요인으로 나타났다. 결론: 이 연구를 통하여 이황화탄소 취급 사업장에서 근무한 퇴직 근로자들을 대상으로 직업병 인정에 따른 호소 증상을 분석하고 직업병 인정에 영향을 주는 요인을 분석해 봄으로써 이황화탄소 노출에 의한 건강영향을 파악하고 폭로 이후의 증상변화를 예측 관리할 수 있는 자료를 마련하고자 하였으며 이는 이황화탄소 노출 근로자들에 대한 건강관리에 기초자료로 의미를 가질 것으로 생각된다. Objectives: To investigate the chronological subjective symptoms and related factors in exworkers who were occupationally exposed to Carbon disulfide. Methods: One hundred and seventy-seven subjects(147 males and 30 females) were randomly selected among ex-workers and interviewed by well trained doctors, who filled out a structured questionnaire developed by authors on the subjective symptoms. The questionnaire was composed of symptoms in the head and neck, and those of the neuro-psychological, respiratory, endocrine, musculoskeletal, and reproductive systems. Other factors such as general and occupational characteristics including work department, work duration, duration since cessation of exposure, and compensation for occupational disease were also investigated. Results: The mean subject age was 55.4 years. The mean cumulative exposure index (CEI) was 38.96±31.18. CEI was significantly higher in the compensated group(47.61±32.51) than in the non-compensated group(26.81±24.75)(p=0.000). Symptom complaints were significantly higher in the compensated group in all organ systems, and their incidence increased gradually until 10 years after cessation of work, and then decreased. The mean duration for cessation of exposure at the time of compensation was 10.97 years. The significantly different factors between the compensated group and the non-compensated group were total cumulative exposure index and the time interval between the cessation of work and the time of compensation. Conclusion: Our findings suggest that total cumulative exposure index and the time interval between the cessation of work and the time of compensation may be important factors affecting the compensation for occupational disease. Therefore, further studies will be necessary.