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.

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.

가족성 정신분열병 환자에서 임상 특성의 가족내 연관성

최경숙,이유상,장용이,조은영,전현옥,김창현,김상욱,홍경수 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : This study aims at examining familial associations of symptoms and clinical characteristics in affected sibling or relative pairs of schizophrenia as an effort to identify genetically homogeneous phenotypes. Methods : Forty-seven relative pairs with DSM-IV diagnosis of schizophrenia from thirty-five Korean families multiply affected with schizophrenia were ascertained. Direct interviews were done using the Korean version of Diagnostic Interview for Genetic Studies (DIGS). The Krawieka Rating Scale and the Schedule for the Deficit Syndrome were also applied for further evaluation of psychopathologies. Intra-familial concordances and correlations of clinical characteristics and symptoms were tested using χ² -test and Spearman's correlation. Results : Significantly high concordance rate within relative pairs was found for the diagnosis of paranoid vs. non-paranoidsubtype (χ²=7.623, P=0.006, df=1). Deficit vs. non-deficit syndrome also showed significant concordance (χ² =3.850, p=0.0497, df=1). Among single symptom items in DIGS, only 'auditory hallucination' showed significant concordance rate ( χ² =5.503, P=0.019, df=1). Factor analysis for symptoms items in the Rrawiecka Rating Scale indicated three symptom dimensions ; negative, psychotic and affective, Psychotic (P =0.442, P=0.003) and affective dimension scores (p =0.427, P=0.004) showed significant intra-familial correlations. Age at onset of recognized psychotic symptoms showed significant correlation only within the male sibling pairs. Conclusion : Familial factors, Possibly genetic factor contribute to the phenotypic characteristics of paranoid vs. non-para-noid subtype, deficit vs. non-deficit syndrome, auditory hallucination, and affective syndrome, It supports their use in the delineation of homogeneous subgroups for future genetic studies.

성인학습원리 기반 웍샵에 의한 사회의학 교육평가의 시도

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

Background: For effective education of social medicine, new and more efficient means of education are needed because social medicine consist of diverse background academics . Metohods: Workshop based lecture was carried out twice in social medicine class for medical students and was assessed with questionnaires survey. Results: Half of the students were satisfied with workshop-based learning and required more discussion time and pre-information. Conclusions: With some improvements, workshop-based adult learning method is expected to bring effectiveness in social medicine education.

28-Day Oral Toxicity of Cadmium Selenide in Sprague-Dawley Rats

Yong Soon Kim,Moon Yong Song,Jin Sik Kim,Dae Sik Rha,Yong Joon Jeon,Ji Eun Kim,Hyeon Yeol Ryu,Il Je Yu,Kyung Seuk Song 한국독성학회 2009 Toxicological Research Vol.25 No.3

This study was performed to evaluate the toxicity of cadmium selenide for a period of 28 days in Sprague-Dawley rats. Each of 10 healthy male and females rats per group received daily oral administration for 28-day period at dosage levels 30, 300 and 1,000 ㎎/㎏ of body weight. Mortality and clinical signs were checked, and body weight, water intake and food consumption were also recorded weekly. There were no dose-related changes in food consumption or urine volume. All animals survived to the end of study with no clinical signs or differences in body weight gain observed when compared with the control group. At the end of study, all animals including control group, were subjected to necropsy. Blood samples were collected for hematology tests including coagulation time and biochemistry analysis. Blood coagulation time and relative organ weight were unaffected by all received doses. White Blood Cell (WBC) counts significantly increased in the 300 ㎎/㎏ administered male animal group when compared to the control. Monocyte (MO) value were also increased significantly in both 300 and 1,000 ㎎/㎏ male animal group. However, Mean Corpuscular Volume (MCV) were significantly decreased compared with the control in the 1,000 ㎎/㎏ dose groups for male and female animals. Mean Corpuscular Hemoglobin (MCH) decreased significantly for female in the 300 and 1,000 ㎎/㎏ group compared to the control. Blood biochemical values of Inorganic phosphorus (IP) were significantly increased in both the 300 and 1,000 ㎎/㎏ dose groups in male animals when compared to the control. Creatinine (CRE) levels indicated significant increase in kidney function for the female, 30 ㎎/㎏ dose group when compared with control. There was a significant decrease in thymus absolute organ weight in the female, 1,000 ㎎/㎏ dose group when compared with control. Histopathological findings revealed no evidence of injury related to cadmium selenide except for one case of focal hepatic inflammation in the high dose (1,000 ㎎/㎏) group. One case of lung inflammation was also seen in the control group. Basis on these result, the No Observable Adverse Effect Level (NOAEL) of cadmium selenide was determined to be more than 1,000 mg/kg/day for male and female rats under conditions in this study.

28-Day Oral Toxicity of Cadmium Selenide in Sprague-Dawley Rats

Kim, Yong-Soon,Song, Moon-Yong,Kim, Jin-Sik,Rha, Dae-Sik,Jeon, Yong-Joon,Kim, Ji-Eun,Ryu, Hyeon-Yeol,Yu, Il-Je,Song, Kyung-Seuk Korean Society of ToxicologyKorea Environmental Mu 2009 Toxicological Research Vol.26 No.3

This study was performed to evaluate the toxicity of cadmium selenide for a period of 28 days in Sprague-Dawley rats. Each of 10 healthy male and females rats per group received daily oral administration for 28-day period at dosage levels 30, 300 and 1,000 mg/kg of body weight. Mortality and clinical signs were checked, and body weight, water intake and food consumption were also recorded weekly. There were no dose-related changes in food consumption or urine volume. All animals survived to the end of study with no clinical signs or differences in body weight gain observed when compared with the control group. At the end of study, all animals including control group, were subjected to necropsy. Blood samples were collected for hematology tests including coagulation time and biochemistry analysis. Blood coagulation time and relative organ weight were unaffected by all received doses. White Blood Cell (WBC) counts significantly increased in the 300 mg/kg administered male animal group when compared to the control. Monocyte (MO) value were also increased significantly in both 300 and 1,000 mg/kg male animal group. However, Mean Corpuscular Volume (MCV) were significantly decreased compared with the control in the 1,000 mg/kg dose groups for male and female animals. Mean Corpuscular Hemoglobin (MCH) decreased significantly for female in the 300 and 1,000 mg/kg group compared to the control. Blood biochemical values of Inorganic phosphorus (IP) were significantly increased in both the 300 and 1,000 mg/kg dose groups in male animals when compared to the control. Creatinine (CRE) levels indicated significant increase in kidney function for the female, 30 mg/kg dose group when compared with control. There was a significant decrease in thymus absolute organ weight in the female, 1,000 mg/kg dose group when compared with control. Histopathological findings revealed no evidence of injury related to cadmium selenide except for one case of focal hepatic inflammation in the high dose (1,000 mg/kg) group. One case of lung inflammation was also seen in the control group. Basis on these result, the No Observable Adverse Effect Level (NOAEL) of cadmium selenide was determined to be more than 1,000 mg/kg/day for male and female rats under conditions in this study.

한국형 e-Navigation 해사 메시징 서비스의 국제 호환성 지원 방안에 관한 연구

전용식(Yong-Sik Jeon),권해경(Hae-Kyoung Kwon),김푸름(Pu-Reum Kim),유용현(Yong-Hyeon Yu) (사)한국CDE학회 2018 한국CDE학회 논문집 Vol.23 No.4

The Maritime Connectivity Platform(MCP) is communication framework that is currently international cooperation development in e-Navigation project such as SMART-Navigation of Korea, Efficiensea2 of Denmark, Sea Traffic Management(STM) of Sweden. It has emerged to support the efficient and reliable exchange of information within e-Navigation. SMART-Navigation is currently leading the development of Marine Message Service(MMS) within MCP. MCP supports the message exchange without loss in the multi-band communication environments through MMS. MMS supports only the exchange of information within e-Navigation, which requires separate actions on service provider servers or vessel client. Unlike the services of SMART-Navigation, services of international e-Navigation projects are developed without consider use of MMS, a separate measure is required. However, these projects are preceded the SMART-Navigation, so taking separate actions against the services developed in these projects is a hassle. In this study, we suggest a method that RESTful services among the services of these projects can be used MMS.