몽골여행 선택 고려요인에 대한 한국인, 러시아인, 중국인의 인식 비교

남시현(Nam, Si-Hyun),유정민(Yu, Jung-Min),서용건(Suh, Yong-Kun) 한국관광레저학회 2016 관광레저연구 Vol.28 No.6

특수건강진단에 대한 근로자의 인식과 태도에 영향을 미치는 요인

남시현,감신,박재용,Nam, Si-Hyun,Kam, Sin,Park, Jae-Yong 대한예방의학회 1995 예방의학회지 Vol.28 No.2

특수건강진단에 대한 근로자들의 태도에 영향을 미치는 요인들을 조사하기 위해 대구지역의 29개 사업장에서 특수건강진단 수검근로자들에게 자기기입식 설문조사를 실시하여 그중 779명을 대상으로 하여 분석하였다. 건강믿음모형을 일부 변형하여, 특수건강진단에의 자발적 수검 여부와 필요성 인지를 최종적인 종속변수로 한 새로운 연구모형을 만들어서 이들에 영향을 미치는 요인들을 분석하였다. 특수건강진단에 대한 필요성 인지율은 77.2%, 자발적 수검율은 79.2%로 나타났다. 자발적 수검 여부에는 특수건강진단에 대한 필요성 인지, 유익성, 행동계기가 주요 영향요인으로 제시되었으며, 특수건강진단에 대한 필요성 인지에는 직업병에 대한 감수성 및 심각성, 특수건강진단에 대한 지식, 회사의 지지도가 통계적으로 유의한 영향을 미쳤다. 직업병에 대한 감수성 및 심각성에는 성, 연령, 학력, 직업경력, 보건교육경험이, 특수건강진단에 대한 지식에는 연령, 학력, 직업경력, 질병통제위가, 특수건강진단에 대한 유익성에는 연령, 질병통제위, 건강자부심, 보건교육경험이 유의한 영향을 미치는 변수로 나타났다. 이러한 결과로 미루어 볼 때 특수건강진단에 대한 자발적 수검률과 필요성 인지율을 높이기 위해서는, 직업병 판정을 받은 사업장에서는 그 사실을 널리 알려 직업병에 대한 경각심을 높여야 하며, 특수건강진단의 결과를 근로자 본인에게 바로 통보하여야 하고, 회사의 적극성을 높이기 위해 회사간부 대상의 홍보 및 교육 프로그램이 필요할 것으로 생각된다. 보건교육 경험이 특수건강진단에 대한 지식과 유익성, 직업병에 대한 감수성 및 심각성에 영향을 미치는 것으로 보아, 앞으로의 보건교육은 여성, 저연령, 저학력, 저경력자 위주로 이루어져야 하고, 교육 실시 횟수를 늘이고 직업관련 내용을 더 많이 포함하여야 할 것으로 생각된다. 더불어 특수건강진단의 결과로 인해 근로자 본인에게 불이익이 돌아가지 않도록 배려되어야 할 것이다. To investigate the factors influencing workers' perception and attitude toward special periodic health screening test for workers, a survey with self-administered questionnaires was performed on 779 workers who had special periodic health screening test from September 1 to October 15, 1994. A study model was developed by modifying the health belief model. The end and intermediate response variables of the model were the voluntary participation and necessity perception on the special screening for workers. The result of analysis was consistent with the study model. Rates for the necessity perception and voluntary participation on the special screening for workers were 77.2%, 79.2%, respectively. Factors influencing on the voluntary participation were necessity perception, benefit of special screening for workers, and cue to action. And on the necessity perception were susceptibility and severity to occupational disease, knowledge to special screening for workers, and support of company. General and occupational characteristics influencing on the susceptibility and severity to occupational disease were sex, age, educational level, work duration, and health education. On the knowledge to special screening for workers were age, educational level, work duration, and locus-of-control. On the benefit of special screening for workers were age, locus-of-control, pride on health, and health education. Therefore, to increase the voluntary participation and necessity perception on the special periodic health screening for workers, 1) if a worker is judged as occupational disease, the judgment should be widely known in his workplace, 2) the screening result forms should be directly sent to the workers themselves, 3) for the positivity of employers, the campaign and education program subjected to them should be planned, 4) health education should give the first consideration to the younger, lower educational level, and newly employed women, and its frequency should be increased and it should be more frequently dealt with occupation-related subjects, and 5) the employers should have a careful concern in not being disadvantageous to workers due to result of screening.

일부 담배 재배농에서 담뱃잎농부병의 유병률 및 위험 요인

이관,남시현,임현술,Lee, Kwan,Nam, Si-Hyun,Lim, Hyun-Sul 대한예방의학회 2004 예방의학회지 Vol.37 No.1

Objectives : This study was carried out to understand the prevalence and risk factors of green tobacco sickness (GTS) among Korean tobacco harvesters. Methods : The authors conducted a questionnaire among the tobacco harvesters (1,064 persons from 555 out of 723 tobacco harvesting households) in Cheongsong-gun for 4 days from May 7 to 10, 2002. Results : The study subjects were 550 males and 514 females. The recognition and experience of GTS up until 2001 were 96.4% and 61.9%, respectively. The prevalence of GTS in 2001 was 42.5%, and was significantly higher in females than in males (59.0% vs. 26.6%, p<0.01). The incidence density of GTS according to the number of workdays in 2001 was 12.3 spells/100 person..days. The GTS symptoms reported by the tobacco harvesters in 2001 were dizziness in 441 cases (97.6%), nausea in 414 (91.6%), headache in 349 (77.2%) and vomiting in 343 (75.9%). The use of gloves, hat and wristlets, sweating at work and the number of working hours significantly increased the prevalence of GTS (p<0.05). Multiple logistic re- gression analysis was used to determine the factors significantly associated with GTS. Odds ratios for smoking, working over 10 hours and sweating at work were 0.26 (95% CI:0.19-0.35), 1.64 (95% CI:1.26-2.14) and 1.60 (95% CI:1.14-2.25), respectively. Of those who reported GTS in 2001, 311 cases (68.8%) underwent treatment from their local medical facilities. Conclusions : In Korea, there are many tobacco-harvesting households, and most may be stricken with GTS. More extensive epidemiological studies, including the incidence and associated risk factors, are expected and a surveillance system including measurements of cotinine in urine should be conducted.

도시 가계의료비 지출의 추이와 예측

박재용,남시현,Park, Jae-Yong,Nam, Si-Hyun 대한예방의학회 1995 예방의학회지 Vol.28 No.2

The increase of health care expenditures is an important problem in the almost countries. Also, suppression of the health care expenditures is an important problem in the health field of Korea since the national health insurance for total people in 1989. Thus, it is very important to grasp the change of the health care expenditures of family and proportions of the health care expenditures to total expenditures of family, because they are the basis of national health care expenditures in Korea. While the health care expenditures of urban family were increased during 1980-1993 by 12.8% annually, the total expenditures of urban family were increased by 14.8% annually. Consequently, the proportions of health care expenditures to total expenditures were decreased from 5.98% to 4.76%. The proportions of health care expenditure for 3 years to come were predicted to 4.75% in 1994, 4.67% in 1995, and 4.63% in 1996 by the time-series analysis. That is, it was predicted that they would be decreasing slowly. The product elasticity of health care expenditure was less than 1 in the multiple regression analysis. so the health care is normal good rather than superior good. Therefore, it seems that the household economy is able to bear the expense pursuing the improvement of quality of health care by actualizing the medical insurance fee.

한국 정상 성인 남자에서의 혈청 총 쿨레스테롤치 변화에 관한 최근 5년간 추적조사 - 포항 지역 거주 직장인을 대상으로 -

김경현(Kyung Hyun Kim),이재성(Jae Seung Lee),박태규(Tae Gyu Park),김희식(Hee Sik Kim),하영준(Young Jun Ha),남시현(Si Hyun Nam),김종연(Jong Yeun Kim) 대한내과학회 1999 대한내과학회지 Vol.56 No.2

N/A Objectives : The serum total cholesterol is supposed to be increased as dietary pattern is westernized recently in our country. We studied the longitudinal change of serum total cholesterol levels in normal adult Korean male workers and analyzed the influence of lifestyle on change of serum total cholesterol levels. Methods : The 7677 healthy adult male workers were studied during recent 5years(1992 and 1997). Those who suffered from hypertension, diabetes mellitus, ischemic heart disease, nephritis were excluded. Those who ingested antilipidemic drugs were also excluded. Serum total cholesterol were measured by the same enzymatic method and their levels were analyzed during fasting state. Data on lifestyle were obtained using self administered questionnaires. Results : 1) The serum total cholesterol levels increased by 9.45±23.99mg/dl(1.89mg/dl per year) between 1992 and 1997 surveys. 2) The increment of serum total cholesterol levels was most prominent in the twenties (3.45mg/dl per year) and less prominent in 5th, 6th decades. 3) A change of 1kg/m2 in body mass index contributed a change of 3.449mg/dl in serum total cholesterol. 4) The change of body mass index(BMI) was most significantly correlated with that of serum total cholesterol levels among the influencing variables.( =3.449 p=0.0001 r2=0.035) 5) The changed value of serum total cholesterol levels was significantly correlated with smoking and exercise, however, was not significantly correlated with the amount of alcohol ingestion. Conclusion : The serum total cholesterol levels increased by 9.45mg/dl(1.89mg/dl per year) during recent 5 years. The increment of serum total cholesterol levels was more prominent in younger age group. The changed value of BMI was most strongly correlated with that of serum total cholesterol levels of all influencing variables.

경산시의 공중 비산화분의 상황과 알레르기성질환 처방 환자수와의 연관성에 관한 연구

석귀덕 ( Kui Duk Suk ),남시현 ( Si Hyun Nam ) 한국위생과학회 2004 한국위생과학회지 Vol.10 No.2

담뱃잎농부병 환자의 요중 코티닌 농도

이관(Kwan Lee),임현술(Hyun-Sul Lim),김헌(Heon Kim),남시현(Si-Hyun Nam) 대한직업환경의학회 2004 대한직업환경의학회지 Vol.16 No.4

불안정형 관동맥질환 환자에서 주요 심혈관 사건의 예측 인자로서의 심근 Troponin 1 및 Myoglobin 에 관한 연구

허재웅(Jae Woong Hur),김경현(Kyung Hyun Kim),하영준(Young Jun Ha),박찬수(Chan Su Park),서우종(Woo Jong Seo),조영재(Yeong Jae Cho),차경우(Keung Woo Cha),남시현(Si Hyun Nam),김종연(Jong Yeon Kim) 대한내과학회 2001 대한내과학회지 Vol.61 No.5

N/A Background: Patients with unstable angina or non Q wave myocardial infarction still have an elevated risk for subsequent cardiac events. Therefore early assessment of the risk of future cardiac events is important. In this study, prognostic value of troponin I and myoglobin was evaluated and compared with other known early available risk indicators. Methods: Serum troponin I and myoglobin were measured at presentation and 8 hours, 16 hours, and 24 hours thereafter in 126 patients with unstable angina (n=70) or non Q myocardial infarction (n=56) from Jan 1998, through Feb 2000. Echocardiography was performed with calculation of wall motion score index. The incidence of cardiac death or myocardial infarction was compared between patients with normal troponin I, myoglobin and abnormal ones, respectively. Results: (1) At 6 months, 1 death (2.2%) and 1 myocardial infarction (2.2%) occurred in the 45 unstable angina patient s with normal troponin I compared with 3 deaths (12.0%) and 8 myocardial infarctions (32.0%) in the 25 unstable angina patient s with elevated troponin I. (2) At 6 months, 1 death (1.7%) and 3 myocardial infarctions (5.2%) occurred in the 58 unstable angina patients with normal myoglobin compared with 3 deaths (25.0%) and 6 myocardial infarctions (50.0%) in the 12 unstable angina patient s with elevated myoglobin. (3) When the analysis was limited to patients with normal baseline troponin I (≤0.4 ng/ dl: n=45), increased myoglobin level remained significantly associated with increased incidence of cardiac deaths or myocardial infarction compared with normal myoglobin level (16.7% vs 0%). (4) Together with age, diabetes, wall motion score index, troponin I and myoglobin levels were identified as independent prognostic variables for myocardial infarction or cardiac death in a multivariate logistic regression analysis. (5) The maximal troponin I and myoglobin value obtained during the first 24 hours provides independent and import ant prognostic information regardless of whether the patient is classified as having unstable angina or non Q wave myocardial infarction. Conclusion: The maximum troponin I and myoglobin obtained during the first 24 hours provides independent and important prognostic information in patients with unstable angina or non Q wave myocardial infarction. (Korean J Med 61:496- 505, 2001)

폐암환자의 치료순응도와 관련요인

감신,박재용,채상철,배문섭,신무철,예민해,남시현,Kam, Sin,Park, Jae-Yong,Chae, Sang-Chul,Bae, Moon-Seob,Shin, Moo-Chul,Yeh, Min-Hae,Nam, Si-Hyun 대한예방의학회 2002 예방의학회지 Vol.35 No.1

Objectives : To investigate the therapeutic compliance and its related factors in lung cancer patients. Methods : The subjects of this study comprised 277 patients first diagnosed with lung cancer at Kyungpook National University Hospital between Jan 1999 and Sept 1999. Of these, 141(50.9%) participated in the study by properly replying to structured questionnaires. The data was analyzed using a simplified Health Decision Model. This model includes categories of variables covering therapeutic compliance, health beliefs, patient preferences, knowledge and experience, social interaction, sociodemographic and clinical characteristics. Results : The therapeutic compliance rate of the 141 study subjects was 78.0%. An analysis of health beliefs and patient preferences revealed health concern (p<0.05), dependency on medicine (p<0.05), perceived susceptibility and severity (p<0.05) as well as preferred treatment (p<0.01) as factors related to therapeutic compliance. Factors from the sociodemographic characteristics and clinical factors that were related to therapeutic compliance were age (p<0.01), monthly income (p<0.05), histological type (p<0.05) and clinical stage (p<0.05) of cancer. Conclusions : In order to improve therapeutic compliance in lung cancer patients it is necessary to educate the aged, low-income patients, or patients who have small cell lung cancer or lune cancer of an advanced stage for which surgery is not indicated. Additionally, it is essential for medical personnel to have a deep concern about patients who have poor lifestyles, a low dependency on medicine, or a high perceived susceptibility and severity. Practically, early diagnosis of lung cancer and thoughtful considerations of low-income patients are important. By means of population-based education in a community, we may promote attention to health and enhance the early diagnosis of lung cancer.

백혈구 감별계산을 위한 자동혈구분석기 Sysmex SE-9000의 평가

남시현,채석래,차영주 중앙대학교 의과대학 의과학연구소 2000 中央醫大誌 Vol.25 No.1

Leukocyte differential counting and flags performed by hematoma autoanalyzer(Sysmex SE-9000) were evaluated in 726 specimens and compared with manual leukocyte differential counting. The results were as follows. 1. The correlation cofficient between the leukocyte proportion of automated and manual differential counting was 0.970,0.986,0.667,0.927 and 0.379 for neutrophil, lymphocyte, eosinophil, and basophil, respectively. In 100 healthy blood there were no significant differences between the results of automated and manual differential counting expect basophil. 2. One or more flags were pronted out in 480 specimens in which 217(45.2%) "Left shift", 142(29.6%) "Aty/Abn lympho", 138(28.8%) "Immature Gran", 109(22.7%) "Blasts" and 81(16.9%) "NRBC" could be observed. 3. Almost all of the false negative cases, for examples, 18 of 22 "Left shift", 10 of 11 "NRBC", and all 9 "Immature Gran" and 2 "Aty/Abn Lympho" have another kind of one or more flags instead, and were not regarded as false negative because they could be reviewed by another way. 4. False negative rate, false positive rate, negative predictive value, positive predicitive value, sensitivity, specificity and efficiency was 0.7%,22.4%,98.2%,64.4%,98.4%,61.7% and 76.9% respectively for the WBC suspect flags. In conclusion, the differential counting ability of Sysmex SE-9000 was acceptable for detecting abnormal or immature cells, and considered to be very useful for screening test.