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나미향 권윤희 청주대학교 학술연구소 2009 淸大學術論集 Vol.14 No.-
The purpose of study is research on breast shape and suitable bressiere for middle aged women. For this purpose, numerous antropometric measurements and other related data 200 subjects were analyzed by various statistical methods. Changes in the somatotype of the upper body were studied according to age group through classifying middle aged women into three age categories of Aged 35 to 44, Aged 45 to 54, Aged 55 to 64 and the measured anthropometry. It appears that the physical stance of the aging female becomes more bent and their body structures become smaller due to the bending and stretching of upper body during the process of ageing of each somatotype. The results of the comparative analysis of anthropolatric data from three groups(Groups Ⅰ: Aged 35 to 44, Group Ⅱ: Aged 45 to 54, Group Ⅲ: Aged 55 to 64)show that getting older, breast heights are decreased significantly and widths, depths and bust girths are increased. Various length measurements related to the drooping degree of breast are increased.
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나미향,권윤희,김미선 청주대학교 학술연구소 2007 淸大學術論集 Vol.9 No.-
This study is aimed at analyzing and comparing the real state of wearing brassiere between youth and mid-aged woman. The result is as follows. 1. In bust type and shape, the rate of wearing conical type in youth is estimated high at 34%,, and in mid-aged woman, that of wearing droopy type is high at 55%. Also it reveals that busts of mid-aged woman are less elastic, compared with those of youth, and bust shapes are gradually open to widen the gap between nipples. It found that mid-aged women feel more shaking their busts, when not wearing brassiere, and the larger the cup of brassiere is, the more shaking of bust they felt. Youths are more likely to wear the size 80A, 75A, and mid-age women are to wear the size 85A, 80A, 75A. And the girth under bust increases due to the obesity of back and bust parts, according as they are turning middle age. In the size of cup, the rate of wearing Cup A(73.6%) is high in youth, and in more than Cup B, the rate of mid-age women is 33.3%, higher than that of 26.4% of youth. 2. It is surveyed the reason for youths and mid-age women to wear brassiere is to prevent from the exposure of bust and its shaking, to bust up droopy breasts, or to wear a kind of habit. The rate of respondents in mid-aged women wearing brassiere to bust up droopy breasts is high, compared with that of youths. 3. Wearing brassiere confirmed the function of bust-up by 50.7%, whose rate in mid-aged women is higher than that of youth. 4. The shift of position at the bands under bust and shoulder was being felt. According to age bracket, the inconvenience of shoulder band was rated high in youths, and in the mid-aged, the shift of position at the bands under breast was high. The complaint on uneasiness was voiced because of the sense of pressure tightened by shoulder band and lateral part of armpit, and the feeling of choking at the due center of bust in which brassiere wire is inserted was complained. The rate of which was high in the mid-aged than that of youths.
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열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구
배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2
Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.
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하은희,조수헌,김선민,주영수,한상환,하미나,권호장,홍윤철,김창엽 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.1
Group occupational health service programme started in 1990 is one of the measures to cope with limited human and financial resources in occupational health. The programme has expanded rapidly to include 52 institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. This study has aims to develop the criteria to assess the quality of newly developed group occupational health service programme, and to investigate the quality of institutions, and finally to develop policies for the quality improvement. 1) Criteria development : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, followings are included as core elements of qualitative occupational health programme; accessibility, continuity, comprehensiveness, technical quality, intersectoral collaboration, emphasis on preventive services, community participation, and adequacy. Again each element is divided into five major components of national health system infrastructure developed by the World Health Organization; development of health resources, organized arrangement of resources, delivery of health care, economic support, and management. In turn, each component is categorized into three aspects of quality assessment, structure, process and outcome. Expert panel selected several criteria for each category to evaluate the programme. Criteria were modified according to each group of interviewees, to produce two sets of questionnaire, one for chief operating officer and another for nurses in the institutions, and the chief operating officer and workers in the workplace. 2) Subject : Of all 52 institutions, 25 voluntarily participated in the survey. At individual institution, chief operating officer and practicing nurses were interviewed in depth. After intensive education for interviewees, every interviewees, every interview was performed with standardized guideline and questionnaire. The quality of the 'Group occupational health service programme' was found to be lower than expected. Especially in continuity, comprehensiveness, technical quality, community participation and adequacy, lower quality in structural aspect was commonly identified throughout all the institutions,. Quality in terms of accessibility and continuity highly varied among institutions., To improve quality of the programme, more comprehensive and systematic programme such as accreditation has to be introduced. In addition, human resources, governmental fund and information systems for individual workers are to be developed. As a long range plan, integration of occupational health services into the national health systems and pooling of financial resources and planned allocation should be considered.
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김형렬,김철우,홍윤철,전형준,김치년,김현수,이지나,신주연,고동희,노재훈 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.2
목적 : TDI는 직업성천식을 일으키는 대표적인 물질로 알려져 있다. 과거 TDI에 노출된 작업자들의 천식 발생률을 5~6%가량 보고하였고, 국내에서도 2-20%에 이르는 유병율을 보고한바 있다. 작업환경이 많이 개선되고, 노출량이 감소된 최근에도 TDI에 의한 직업성천식에 대한 보고가 많이 이루어지고 있어, 이에 대한 적극적인 조사와 진단과정을 통해 유병율을 구하고 질병발생의 변화양상을 파악해 보고자 하였다. 방법 : 인천지역에서 특수건강진단을 수행하는 2개 기관의 TDI 노출 근로자 400여명 중, 사업장의 규모가 50인 이상이며 사업주가 연구진행을 허락한 사업장에서 근무하는 근로자 중 직접적으로 TDI에 노출되는 작업에 종사하는 근로자 170명을 연구대상으로 하였다. 이들에 대해 설문지와 산업의학의사의 면담을 통한 작업관련성 평가를 근거로 정밀대상자를 선정하고 이들에 대해 메타콜린 유발시험, TDI 유발시험 등을 수행하여 직업성천식을 확인하였다. 결과 : 설문조사 결과 11명이 직업과 관련하여 천식증상을 보이는 것으로 나타났고(6.9%), 이중 7명에서 메타콜린 유발검사 양성소견을 보였다. TDI에 의한 특이유발시험 결과 1명에서 양성반응이 나타나, 이 집단에서 TDI에 의한 직업성천식의 유병율은 0.58%였다. 결론 : 과거 국내연구에서 TDI에 의한 직업성천식의 유병율이 2~20%에 이르렀던 데 비해, 본 연구에서는 0.58%로 나타났다. 이는 국외 논문에서도 나타나는 경향으로 작업장 노출량 감소로 점차 발생률이 감소하는 양상을 보이고 있다. 그러나 이미 증상이 나타난 근로자들이 부서를 옮기거나, 직장을 그만둠으로 인해 그 유병율이 과소평가되었을 가능성도 있다고 판단된다. Objecdives: This study was carried out to estimate the prevalence of isocyanate-induced occupational asthma in toluene diisocyanate (TDI) exposed workers. Methods: We examined 170 workers who had been directly exposed to TDI through a medical questionnaire, physical examination, and pulmonary function test. Based on screening examination, workers with suspected occupational asthma were selected for further evaluation such as methacholine and TDI challenge tests. Results: Eleven (6.9%) among 170 workers complained of symptoms of occupational asthma. and 7 among these 11 symptomatic workers showed positive responses to the methacholine challenge test (4.1 %). One spray painter was confirmed as having the TDI induced occupational asthma following a positive response to TDI challenge test. Conclusions: The prevalence of TDI-induced asthma was at 0.58% was lower than that for former studies (2-20%). Improved workplace environment, lower level of TDI exposure compared to the past, and the healthy workers effect may have contributed to this low rate of asthma prevalence in workers with TDI exposure.
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LEOPARD syndrome combined with neurofibromatosis type 1
( Na Hee Kim ),( Hee Sun Lim ),( Jee Bum Lee ),( Seong Jin Kim ),( Seung Chul Lee ),( Young Ho Won ),( Sook Jung Yun ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1
LEOPARD syndrome is a rare multisystemic disorder, inherited as an autosomal dominant trait, and is an acronym, for the major features that characterize the syndrome: multiple lentigines, electrocardiographic conduction defects, ocular hyperteloism, pulmonary stenosis, genital abnormality, retardation of growth, and sensorineural deafness. Neurofibromatosis (NF) type 1 is diagnosed in the presence of at least two of the following symptoms: axillary or inguinal freckling, lisch nodules, optic glioma, and typical osseous findings and family history. A 21 year-old female presented with multiple lentigines, cephalofacial dysmorphism, skeletal abnormality, multiple cafe´-au-lait spots, neurofibromas, lisch nodules since birth. So our patient fullfill the diagnostic criteria for both NF1 and LEOPARD syndrome. Signs of NF type 1 and other distinct autosomal dominant disorders, can occur together. Most of cases LEOPARD syndrome combined with NF Type 1 had been thought in connection with gene mutation. Therefore, we screened genes, including PTPN11, NF1, TGFBR2, MAP2K1, RAF1, BRAF, and COL5A1, but couldn’t detect any those genes’ mutations. Further genes are under screening now. We report a rare case of combined features of LEOPARD syndrome and NF1.
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