가족력이 있는 알코올 의존환자의 자기지각 및 충동성

전현수,박용천,김석현,양병환,이정식 漢陽大學校 精神健康硏究 2000 精神健康硏究 Vol.19 No.-

급성 포름알데히드 가스 흡입에 의한 흰쥐 후각상피의 형태학적 변화

백선용,전재기,문용석,황승영,노환중,고의경,왕수건 대한해부학회 1998 Anatomy & Cell Biology Vol.31 No.3

부산지역 일부 종합병원의 컴퓨터 단말기 작업을 하는 여성 원무업무종사자들에 있어서 누적외상성장애에 대한 조사

전만중,유병철,고광욱,이용환 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

registration system were organized, computerized, and simplified. Especially the workers for the hospital registration desk were almost used computer all the working time. Therefore we assessed cumulative trauma disorder of registration desk workers related to computer use of general hospital. Methods: 62 women computer users who worked for registration desk of general hospitals in Busan were assessed from March to August, 2007. The workers were checked general characteristics(age, educational level, and marital status), work related characteristics, and symptoms by self-administered questionnaires. Results: Significantly decreased prevalences for cumulative trauma disorder were observed for subjects who had more educational level, the prevalence of cumulative trauma disorder was 69.2% among high school graduates, 38.2% among junior college graduates, and 20.0% among college graduates. Significantly increased prevalences for cumulative trauma disorder were observed for subjects who had more duration of computer use, the prevalence of cumulative trauma disorder was 56.5% for those who had used computer for more than 8 hours, 32.1% for those who had used computer for 4-7 hours, and 27.3% for those who had used computer for less than 3 hours. And Significantly increased prevalences for cumulative trauma disorder were observed for subjects who had more maximun daily computer use time without break, the prevalence of cumulative trauma disorder was 66.7% for those who had used computer for more than 7 hours, 38.1% for those who had used computer for 3-6 hours, and 21.7% for those who had used computer for less than 2 hours. Multiple logistic regression showed that subjects who had more maximum daily computer use time without break was more likely to report patient. Conclusion: Therefore these findings suggest that preventive interventions on hospital registration desk worker related to computer use were needed

당뇨병 환자의 사례관리 실시 전후 혈당 및 자가관리 이행수준 변화

최용우,이용환,전만중,유병철 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background : Diabetes mellitus is one of the common chronic disease in Korea. As most chronic diseases need continuous cares and behavioral controls, one of the effective managements for diabetes is maintenance healthy life style which is based on correct medical knowledge. So, we conducted this study to assess change of blood sugar levels and self-management behavior of diabetic patients following the case-management program enforced by National Health Insurance Corporation (NHIC). Methods : We conducted this study during the period from January 2006 to December 2006, 29 case managers performed the case management program for 672 diabetic patients in the districts of Busan, Woolsan, and Gyeongnam. We evaluated the effectiveness of the case management program based on the changes of blood sugar level, knowledge for diabetes and self-management behavior of diabetic patients. Data analysis was performed with t-test, paired t-test, McNemar X2-test and correlation analysis using SPSS program(ver 12.0). Results : After the case management program, smoking rate was reduced from 22.3% to 21.4% and exercise rate was increased from 65.0% to 80.2%(p<0.05). The knowledge standard of diabetics on 10-point scale revealed considerable increase from 6.05 before the management to 8.69 after the case management(p<0.05). All of diabetic self-management behaviors including nutrition management, self-test on blood sugar level, foot care, oral care and diabetic medication showed considerable improvement; the overall behavioral change, on a 5-point scale, improved from 3.25 to 3.75(p<0.05). The FBS level was improved from 138.4mg/dl to 131.5mg/dl and the blood sugar level 2 hours after a meal was improved from 203.7mg/dl to 183.5mg/dl(p<0.05). Conclusion : From the above results, we concluded that the case management program enforced by the NHIC showed positive behavioral changes on smoking and exercise, increased knowledge about diabetes as well as the level of nutrition management and also demonstrated decline of blood sugar levels. So, we need research of customized information for every patients rather than generally summarized information on diabetes and a self-dependent group formations for sustaining improved self-management after case management as well as development of education and training programs for case managers.

부산지역 강하먼지 중 불용성 중금속 함유량

이용범,황용식,이창희,박명희,이채관,강동묵,김정원,전병일,문덕환 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.1

■ Objectives The purpose of this study was to estimate qualitatively various bulk deposition flux of insoluble heavy metal components by applying regional and seasonal distribution. our institution from January 1980 to December 31th, 2001. ■ Materials and Methods Dustfall particles were collected by the modified American dust jar (wide inlet bottle type) at 6 sampling sites in Pusan area from March, 1999 to February, 2000. Five chemical species (Cd, Cr, Mn, Ni and Pb) were analyzed by AAS(Perkin-Elmer 4100ZL). ■ Results The mean values of each heavy metal concentrations were Cd for 3.947 g/㎢/month, Cr for 0.191 ㎏/㎢/month, Mn for 0.375 ㎏/㎢/month, Ni for 0.176 ㎏/㎢/month, and Pb for 0.823 ㎏/㎢/month. ■ Conclusions Insoluble heavy metal amount of regional variations were found in order of industrial zone, coastal zone, commercial zone, agricultural zone and residential zone.

다발성 골수종으로 이행한 단일형질세포종 1예

정재용,모성환,기장도,문철호,김창욱,전용준,박유환,정춘해,오윤경 조선의대 1995 The Medical Journal of Chosun University Vol.20 No.2

회맹장 및 대장을 침범한 장 결핵에 있어서 바륨을 이용한 방사선 이중조영촬영 소견에 대한 연구

진용현,전혜정,이용근,강철호,조성범,김윤환,박철민,차상훈,김일영,이혜경 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

To determine the characteristic double contrast barium enema findings of ileo-cecal and colonic tuberculosis and to make differential diagnosis from other bowel inflammatory disease. Sixty-seven patients confirmed as ileo-cecal and/or colonic-tuberculosis in six hospitals were evaluated retrospectively. The diagnosis was proven by endoscopic biopsy, surgery, and clinical follow up. Nine of 67 patients were excluded because radiologic findings were normal though endocopic biopsy examinations resulted in tuberculosis. Histopathological diagnosis were madein 58 cases as follows: endoscopic biopsy(n=29), operation(n=12), follow up examination(n=14), tissue culture(n=1), laparoscopic biopsy(n=2). There were 30 men and 28 females. The mean age were 36 yrs(range:16-67), 34 patients were in the second and third decade. The distribution of lesions, morphological characteristics, mucosal changes, ulcer shape and depth, associated with other tuberculous lesion, multiplicity were retrospectively analyzed in the findngs of double contrast barim enema. The commonest clinical symptoms were abdominal pain(n=35, 60%) and diarrhea(n=18, 31%). The chest radiography revealed association of pulmonary tuberculosis in 39 cases. Tuberculous lesions of other organs except chest were present in five cases. Double contrast barium enema findings showed a thickening and irregularity of intestinal mucosal fold(n=29, 50%), bowel contraction and/or shortening(n=26, 45%). There were small, nodular, superficial ulcers in the case of ulcer depth less than 2 mm in the depth. As many as 39 cases(67%) in this series had two or more lesions in the intestinal tuberculosis. The involved segment revealed symmetrical feature(n=21, 36%). Inflammatory pseudopolypoid lesions were noted in 30 cases(52%). The ileo-cecal region was involved in 38 cases(66%). The ascending colon(n=25, 43%) was the second commonest site with or without contiguous cecal involvement. Lesions in terminal ileum, ileo-cecal valve, transverse colon, descending colon and appendix were seen in 19, 18, 18, 12 and seven cases, respectively. Among 18 cases of ileo-cecal valve lesions, there were incompetency in nine cases(16%) and wide gapping in four cases(7%). In 14 cases, tuberculous enterocolitis was diagnosed by clinical follow-up and double contrast barium enema study. 12 out of 14 cases, the findings of double contrast barium enema of tuberculous enterocolitis were normalized after anti-tuberculous medication. However, two cases showed more aggravated state than before due to inappropriate treatment. Double contrast barium enema plays an important role in the diagnosis of tuberculous enterocolitis, determines the type, site and extent of the involvement and helps in treatment guide by using sequential studies.

경상남도 일부지역 농업인의 농약관련 인지도 및 실행도 결정요인

김정민,전만중,고광욱,유병철,이용환 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Background : The amount of pesticide to be produced and consumed have rapidly growed in Korea and the evidences for pesticide intoxication to human body, natural environment and consumers have evoked. But the studies concerned to pesticide intoxication are inactive. So, we conducted this study about the determinants of awareness and performance for prevention of pesticide intoxication. Methods : The study conduced during the period from July to August 2007 with population consisted of 111 farmers. The toolkit was produced through referencing previous studies. Data analysis was performed with t-test, ANOVA and multiple linear regression analysis using SPSS 14.0K program. Results : The mean awareness score was 3.07 ± 0.75, the mean of total performance score was 2.72 ± 0.69, mean of subtotal performance score for keeping safety guideline was 2.72 ± 0.69 and mean of subtotal performance score for wearing protective equipments was 2.43 ± 0.83. Awareness score was associated with sex, age and family income. Female, older people and people with high income were tend to show low awareness score. Performance score was associated with sex, family income and educational level. Female, people with low education and high income were tend to show low performance score. Conclusion : We concluded that educational effort for noticing the harmful affects of pesticide, the importance of keeping safety guideline and wearing protective equipments to farmers especially female, older people, people with low education and high income were significant factors for prevention of pesticide intoxication.

여성 간호직 근로자의 노인부양의식

이미정,전만중,유병철,이용환 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Background : The purpose of this study was to provide the fundamental data for developing appropriate policies and programs for the elderly and reducing relevant problems through the analysis of female nurses' awareness of supporting the elderly. Method : We conducted a questionnaire survey during the period from August 2007 till October 2007. The data was collected from questionnaires filled out by 220 female nurses working at three hospitals located in Busan City. Collected data were analyzed descriptive analysis, t-test, one-way ANOVA and dummy variable regression analysis using SPSS Win(ver 12.0k) program. Result : The mean score for awareness of supporting the elderly in female nurses was 3.56 ± 0.51. Awareness of supporting the elderly was high in groups of 20-29 years group, experience of voluntary service, living together with their parents, lived with progressive home education environment and lived with harmonic family, respectively. Awareness of supporting the elderly female nurses was influenced by experience of voluntary service, living together with parents, type of parent's education, family harmony and age. Conclusion : This study showed that the level of supports displayed by female nurses was influenced by the factors such as the educational environment, the experience of living with parents and volunteer works, and harmony of family. In order to provide substantial assistance for the elderly, we need national-wide welfare system for the elderly, cultural backgrounds for volunteer work and social programs for family harmony.

저소득 독거노인의 생활만족도 관련요인

강지연,전만중,유병철,이용환 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Background : To access the influential factors of life satisfaction in low-income and living alone old people for solving the problem of the estranged elderly. Method : We conducted a questionnaire survey during the period from June 2007 till September 2007. Investigation subjects were 152 elderly people registered in two welfare centers in Busan. We measured life satisfaction of low-income and living alone old people and analyzed with descriptive analysis, t-test, one-way ANOVA and dummy variable regression analysis using SPSS Win(ver 12.0k) program. Result : The mean score of life satisfaction in low-income and living alone old people was 2.52 ± 0.56. Life satisfaction in low-income and living alone old people was relatively high in groups of 65-69 years old, elementary school graduates, subjectively healthy, exercise, hobby or leasure activity, regular repast, 3 times repast per day and income satisfaction. Life satisfaction in low-income and living alone old people was influenced by age, religion, satisfaction of income, subjective health conditions and regular repast. Conclusion : From the result, we can concluded that life satisfaction in low-income and living alone old people was low and influenced by various social and economic factors. Therefore, methods for improving life satisfaction level of low income and living alone old people are required for discerning our society's equality and healthiness.