한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

축구선수의 Detraining과 Retraining이 혈청지질 및 호르몬농도에 미치는 영향

정정화,박재현,채종훈,성혜련,황지인,윤미숙,노금선,윤종관,윤영학,노순덕,정경숙,박일규,김은희,박현태,박상갑 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

The purpose of this study was to investigate the effects of detraining and retraining on serum lipid and hormones in soccer players. Subjects were seven male high-school soccer players. V˙O_2max was determined for each subjects by administering a treadmill test(initial speed: 90m/min, grade: 5%, increasing speed per 3 min: 30m/min). Serum lipid(T-C, TG, HDL-C LDL-C) and hormones(epinephrine, norepinephrine, growth hormones, cortisol) were assayed pre and post detraining in 10, 20, 30 days after retraining. The repeated ANOVA was used to determine significant differences. The 0.05 level of significance was as critical level for the study. The results of the study were as follows: 1. V˙O_2max(ml/min) were 3576.3±204.2ml/min pre detraining, 3234.1±198.9 ml/min post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/min) were 3601.4±170.9 ml/min. There were significantly(p<.05) increased in retraining periods. 2. V˙O_2max(ml/kg/min) were significantly(p<.05) decreased from 62.3±2.9 ml/kg/min to 55.9±4.7 ml/kg/min in detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/kg/min) were 62.4±3.4ml/kg/min, 62.7±2.3ml.kg/min, 67.3±7.2ml/kg/min respectively. There were significantly(p<.05) increased in retraining periods. 3. T-C were significantly (p<.05) increased from 166.6±8.5mg/dl to 175.3±10.3 mg/dl in detraining. In 10, 20, 30 days after retraining, T-C were 160.1± 3.2mg/dl, 156.7±3.7mg/dl, 140.3±9.0mg/dl. There were significantly(p<.05) decreased in retraining periods. 4. HDL-C were 61.4±6.6mg/di pre detraining, 5.3±6.6mg/dl post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, HDL-C were 56.9±7.1mg/dl, 56.4±9.2mg/dl, 57.7±9.1mg/dl respectively. There were no significant difference in retraining periods. 5. The hormones(epinephrine. norepinephrine, growth hormone, cortisol) were changed as same patterns. Epinephrine were 26.0±7.0[g/ml pre detraining, 24.6±3.2pg/ml post detraining. In 10, 20, 30 days after retraining, epinephrine were 26.9±5.6pg/ml, 30.6±6.2pg/ml, 29.4±5.6pg/ml respectively. There were no significant difference in retraining periods. In conclusion, HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were decreased, T-C, LDL-C and TG were increased in detraining. But HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were increased, T-C, LDL-C and TG were decreased in retraining.

이상적인 측정환경이 아닌 장소에서 Headphone Audiocup의 부착유무가 현장 근로자의 청력검사에 미치는 영향

채경석,구정완,이원철 가톨릭대학교 산업의학센터 2000 韓國의 産業醫學 Vol.39 No.4

The purpose of this study was to assess the effect of headphone audiocup. The subjects were composed of workers of noise-exposed population. The noise level of workplace was over 85 dB. They were examined otoscopic test and audiometry of 1,000 Hz and 4,000 Hz. The data were analysed according to wearing audiocups for 612 subjects in -59 years of age and major results are as follows : 1.Hearing thresholds of group audiocups were significantly decreased than that of non-audiocups in -19, 20-29, 40-49 and 50-59 years of age on left ear of male workers and in -19, 20-29 years of age on left ear of female for 1,000 Hz. 2.Hearing thresholds of group audiocups were significantly decreased than that of non-audiocups in 20-29, 40-49 and 50-59 years of age on right ear of male and in -19, 20-29 and 40-49 years of age on right ear of female for 1,000 Hz. 3.Hearing thresholds of group audiocups were significantly decreased than that of non-audiocups in 20-29, 30-39 and 40-49 years of age on left ear of male worriers and in 20-29 years of age on left ear of female for 4,000 Hz. 4.Hearing thresholds of group audiocups were significantly decreased than that of non-audiocups in 20-29, 30-39 and 50-59 years of age on right ear of male and in 20-29 and 40-49 years of age on right ear of female for 4,000 Hz.

평형각을 이용한 양안 시차의 최적 제어

정남채,장경성 초당대학교 초고속정보화센터 2002 초고속정보화센터논문집 Vol.3 No.-

본 논문에서는 카메라로 얻어진 화상을 근거로 계산된 속도분포를 시각정보로 이용하였으며, 이것으로부터 얻어진 대상물의 속도에 시선속도를 일치시켜 실험하였다. 즉 외란을 받은 환경에서도 안정된 화상을 얻기 위해서 외란이나 카메라 자체의 운동에 의해서 발생한 두부의 운동을 보상할 수 있는 눈의 운동이 필요하게 된다. 또한 외란이 있는 환경에서 인간의 시선제어법 즉 시각과 평형각이 융합된 시선제어 알고리즘을 제안하고, 그에 대한 실험 결과에서 시각과 평형각이 융합된 시선제어가 시선제어만을 한 것과 비교하여 위치편차가 적다는 것을 확인하였다. 이것은 카메라 받침대의 움직임이 각속도 센서에 의하여 보상되어 겉보기 속도가 감소되므로 속도의 추정오차도 감소되는 효과가 있기 때문이다. In this treatise, calculated velocity distribution was used to visual information by image that is obtained from camera. The visual velocity of object that is obtained from this visual information were fused and experimented. That is, need motion of eye that motion of head that happen by external disturbance or move of camera itself to get stable image in environment that receive external disturbance can be compensated. And algorithm that control gaze which vision and sense of equilibrium are fused in environment with external disturbance proposed, and thing that compare with that it controls gaze only that control gaze which vision and sense of equilibrium are fused in the experiment result and position deflection is few confirmed. This was because action of camera prop is effect that record conclusion error of the speed is decreased because the appearance speed is decreased being compensated by angular velocity sensor.

치료 저항성 환청을 나타내는 만성 정신분열병 환자에서 측두두정부 반복 경두개자기자극의 효과

정경희,최충식,박진수,이규항,함웅,이승환,채정호 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : It has been reported that repetitive transcranial magnetic stimulation (rTMS), which stimulate the focal region of brain may relieve auditory hallucination in patient with schizophrenia. This study was aimed to evaluate the effect of rTMS on left and right temporopahetal cortex in schizophrenic patients with treatment-resistant auditory hallucination. Methods : Twenty-six patients with chronic schizophrenia with treatment -resistant auditory hallucination were randomly a1-located to rTMS group on left and right temporoparietal head regions. The rTMS was applied to TP3/4 region by EEG 10-20 international system at 1 Hz for 20 minutes per day for 101reatment days. A Figure of eight TMS coil with a solid core was used for rTMS at 100% of individual motor threshold. Efficacy was evaluated with Auditory Hallucination Rating Scale (HRS), Positive and Negative Symptoms Scale (PANSS), Clinical Global Impression (CGI) Scale on 5 and 10 days of treatment. Results : Ten days administration of l-Hz rTMS to temporopahetal cortex significant improved frequency (p<0.001) and attentional salience (p=0.038) of auditory hallucination, Positive (p<0.001) and negative symptom (p=0.02), and CGI-impro-vement (p<0.001). There were no significant differences between right and left side stimulations. Conclusion : These results suggest that the low frequency rTMS on temporopahetal cortex may be useful in treating Schizo-phrenic patients with treatment-resistant auditory hallucination and it could be a useful novel treatment option.

CBAM 모형에 근거한 가정과 교사의 ICT 활용수업 평가 : 관심도와 실행 수준을 중심으로 on Concerns and Implementation

채정현,황선경 한국 가정과 교육 학회 2002 한국가정과교육학회지 Vol.14 No.2

This study was made on the concerns and implementation of the ICT(Inormation and Communication Technology)-utilized lesson by home economics teacher. The objective of this study is to investigate the stages of concern and the level of use of the ICT-utilized lesson by home economics teachers in Kyunggi Province through the concerns based adoption model(CBAM) and to provide assistance for ICT-utilizing lesson to be efficiently adopted to home economics. This study made selected 200 schools by random sampling among 23 middle schools which have two or more home economic teachers and 21 or more classes in Kyunggi Province which has a total of 395 middle schools and mail-surveyed on 400 home economics teachers by means of questionnaire. The stages of concern, the levels of use and the types of implementation were used as instruments in this survey. The results of this study on the stages of concern, the levels of use and the type of implementation of the ICT-utilized lesson by home economics teachers in Kyunggi Province were as following: First, the highest point of the concern of home economics teachers of ICT-utilized lesson was the stage of awareness, the second highest point was the stage of management, the 3rd stage, and the stage of information, the 1st stage. Second, the highest level of implementation of ICT-utilized lesson by home economics teachers was the level of mechanical use, the 3rd stage(30.4%), which followed by the level orientation, the 1st stage(22.5%), and the level of nonuse(16.7%), the level of rountine use, the 4th stage(13.7%), the level of integration, the 5th stage(11.8%), the level of preparation 2(3.9%), and the level of renewal, the 6th stage(1.0%). Third, information search was the most in the type of ICT-use and in the course of lesson CD-ROM was used the most.. During ICT-utilized lesson, most of teachers used computer one to two hours a week mainly in the lessons of clothing life and eating lift. Home economics teachers took the most training of how to use word-processor(68.6%) during computer education, and 60 teachers(66.0%) gave positive response about the effect of computer education on teacher's learning. Finally, the biggest problem with ICT-use in the teacher's learning was the long preparation time for lesson, and problem with ICT-utilized lesson was the burden of time and effort spent to buy needed materials and to recompose the existing materials for the lesson. Therefore, so as to adopt ICT-utilized lesson efficiently into school it is needed that active promotion for the lesson should be made to teachers, training teachers to raise their ability to use computer and various kinds of software should be expanded, ad school authorities' financial and administrative assistance should be given for the smooth proceeding of the lesson.

이질아메바에 의한 인체 대장상피세포주 HT-29에서의 interleukin-8 유전자의 발현

김정목,정현채,임경일,조양자,김정룡 INSTITUTE OF TROPICAL MEDICINE YONSEI UNIVERSITY 1995 YONSEI REPORTS ON TROPICAL MEDICINE Vol.26 No.1

이질아메바에 의한 장염 환자의 조직 또는 이질아메바를 실험적으로 감염시킨 동물의 조직 검사에서 호중구의 침윤이 특징적으로 관찰된다. 그러나 이와같은 호중구의 침윤을 설명할 수 있는 기전에 대한 연구는 매우 미흡하다. 따라서 본 연구자들은 아메바 감염 초기에 인체 대장상피세포에서 interleukin-8(IL-8)이 유도되어 호중구 침윤과 같은 염증반응이 유발될 것이라는 가설을 설정하였다. 이를 위하여 인체 대장상피세포주인 HT-29에 이질아메바 영양형을 실험적으로 노출시킨 뒤 발현되는 IL-8 mRNA를 역전사 중합효소법(reverse transcriptional polymerase chain reaction, RT-PCR)으로 검사함과 동시에 발현된 IL-8 mRNA를 인공적으로 합성시킨 표준 RNA와 RT-PCR법을 이용하여 정량하였다. 실험 결과 이질아메바 영양형에 노출된 30분 후 부터 IL-8 mRNA가 발현되기 시작하였다. 그리고 그 발현 분자수는 노출 시간의 증가에 따라 계속 증가하여 3시간 대에는 3.1×10(7) molecules/㎍ total RNA를 나타내었다. 동시에 IL-8 mRNA의 발현은 노출시킨 이질아메바 영양형의 수에 비례하였다. 즉, HT-29/아메바 영양형의 비율이 10:1인 경우 IL-8 mRNA의 발현 분자수는 1.2×10(7) molecules/㎍ total RNA로 나타났다. 이와같은 IL-8 mRNA의 발현은 IL-8 단백질 분비로 이어짐을 ELISA 검사로 확인할 수 있었다. 한편 이질아메바 파쇄액(lysate)도 대장상피세포주인 Caco-2에서 IL-8 mRNA발현을 유도하였다. 결론적으로 본 실험은 이질아메바 감염 초기에 대장상피세포로 부터 IL-8이 발현되며 이에 의하여 염증반응이 촉발될 가능성이 있음을 시사해 준다. The protozoan parasite, Entamoeba histolytica, is one of major causative agents of intestinal disease all over the world. In acute experimental infection, the early host response to E. histolytica is characterized by an infiltration of neutrophils. However, the chemotactic signal for this response is not well known. Based on the finding that human epithelial cells produce the potent neutrophil chemoattractant and activator, interlukin-8 (IL-8), IL-8 gene expression was examined thoroughly in human colon epithelial cells exposed to E. histolytica trophozoites. Cellular RNAs were extracted from HT-29 or Caco-2 human colon epithelial cells exposed to E. histolytica trophozoities for 30 minutes. 1 and 3 hours. IL-8 mRNA transcripts were measured by reverse transcriptional polymerase chain reaction (RT-PCR) using synthetic standard RNA. The number of IL-8 mRNA molecules increased from 30 minutes to 3 hours of exposure period, reaching 3.1×10(7) molecules/㎍ of total RNA. Expression pattern of IL-8 mRNA transcripts was parallel to the amounts of IL-8 protein measured by enzyme-linked immunosorbent assay (ELISA). Lysates of E. histolytica also induced expression of mRNA for IL-8 in colon epithelial cells. These results suggest that acute inflammatory reaction by E. hisstolytica may be initially triggered by proinflammatory cytokines such as IL-8 secreted from epithelial cells of the colon.

미용사들의 이직욕구에 관한 연구 : 직무스트레스, 근골격계 증상을 중심으로 Focusing on Musculoskeletal Symptoms and Occupational Stress

서은경,문덕환,박명희,김정원,황용식,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : This study was conducted to prepare the fundamental data on desire of job transfer in hairdresser and prevent the health impairment of hairdresser due to occupational stress and musculosketetal symptoms. Methods and Material : The author surveyed the desire of job transfer and muscurlosketetal symptoms and occupational stress with self-reported questionnaire to 105 hairdresser who were working in beautyshop of Busan area and also 121 student in department of cosmestology as control group. Results : The results were as follows: 1. The rates of self reported symptom were 81.0% for shoulder, 72.4% for back, 67.6% for knee, 58.1% for hand in hairdresser, and 79.3% for shoulder, 71.9% for back, 66.9% for neck, 64.5% for hand and knee in student. 2. The rate of musculoskeletal symptom by NIOSH criteria was 36.2% in hairdresser, it was higher than student group(24.8%)(p<0.1). Occupational stress of the groups by occupational stress category was high as decision latitude, skill discretion, psycological job demand, decision authority in order. 3. The results of logistic regression of related varibles with desire of quitting job by logistic regression were statistical bordline significance between desire of quilting and social support(p<0.1). Conclusion : As above results, the author suggest to prepare the preventive program an musculoskeletal symptoms in hairdresser, especially shoulder, and also to control the occupational stress to hairdresser in beauty shop because occupational stress can be a factor of desire of quitting job.

Mg₂SiO₄: Tb, Nd, Dy 열형광선량계에서 활성제 농도가 Glow Curve에 미치는 영향

노경석,채근식,오재근,김영국,이은숙,설정식,손인호 慶南大學校 附設 基礎科學硏究所 1996 硏究論文集 Vol.8 No.-

The Mg₂SiO₄: Tb, Nd, Dy thermoluminescent phospher has been prepared by sintering Mg₂SiO₄after doping the transition elements Tb, Nd and Dy. The heating rate is 10℃/sec at this thermoluminescent phospher are heated. From the results of this study, the following conclusions were obtained. The maximum peaks are found in the measured Mg₂SiO₄: Tb, Nd, Dy, and TL glow curve at 289℃, 252℃ and 220℃ when the 1wt.% ∼ 5wt.%. Glow curve of TLD increased TL intensity and temperature of peak appears to the high temperature when the heating rate is 10℃/sec∼25℃/sec. The activation energy of the main peak has been estimated by the peak shape method. The estimated activation energies are 1.26 eV, 0.53 eV and 0.80 eV respectively. The thermoluminiscence process in Mg₂SiO₄: Tb, Nd, Dy are found to the 2nd order when the main peak of the glow curve is analyzed by peak shape method. The Mg₂SiO₄: Tb thermoluminescent phosphor is the most sensitive to X-rays among the other materials. The dose responses of Mg₂SiO₄: Tb, Dy TLD are linear up to intensity of X-ray.

소아에서의 Nd : YAG Laser를 이용한 치은착색제거술 YAG Laser in children

모경희,박헌동,박종휘,김효석,정현구,설재헌,이병채 조선대학교 구강생물학연구소 2003 口腔生物學硏究 Vol.27 No.1

Melanin is normally found in the skin of all people, and normal pigmentation of the intraoral tissues is a relative frequent finding. Gingival hyperpigmentation may cause esthetic problems and embarrassment, especially in patients with a gummy smile. Melanin pigmentation is related to etiologic factor such as hormon, systemic factor, drug, smoking and gingival inflamation. Depigmentation procedure can be Performed by gingival epithelium removing procedure, gingivectomy, free gingival graft, laser therapy, dry ice, Vitamin C and phenol-alcohol method. We could obtain favorable esthetic results by procedures such as Nd: YAG laser. The Nd:YAG laser was set at 4 watt, 50mJ, 80 pulse per second. The procedures were performed with contact mode in all pigmented areas by using a handpiece with a 320㎛ diameter fiber optic. Ablation of the gingival hyperpigmented gingiva appeared healthy, pink, and firm. No recurrence of hyperpigmentation had been found in 6 months of follow-up.