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      • KCI등재SCOPUS
      • KCI등재

        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.

      • KCI등재

        건강, 교육, 취업 현황에 대한 여성장애인의 인식과 성인지적 관점에서 본 욕구 : 사회단체 회원인 여성장애인을 대상으로 focused on health, and employment

        성정현,이영미 한국장애인재활협회 2003 재활복지 Vol.7 No.1

        본 연구에서는 장애인 실태조사에서 나타난 건강, 교육, 취업영역의 성별 통계의 차이를 여성장애인이 어떻게 인식하고 있는지 알아보고 이와 같은 격차를 해소하기 위해 우선적으로 충족되어야 할 여성장애인의 욕구를 파악하고자 하였다 이를 위해 6명의 여성장애인과 면접을 실시하였으며, 여성장애인 164명을 대상으로 설문조사를 실시하였다. 연구결과, 여성장애인은 건강, 교육, 취업에서의 성별 통계의 차이를 가부장적 관념과 남성중심의 사회구조에서 비롯된 차별로부터 기인하며, 차별은 취업과 교육, 건강의 순으로 심각하다고 인식하였다. 성별로 인한 차이를 해소하기 위해 건강분야에서는 일상적인 건강과 관련된 가사, 육아도우미 서비스의 제도화와 산후조리서비스, 임신 및 출산문제에 대한 지원과 같은 전통적인 성역할과 관련된 실질적인 욕구를 갖고 있었으며, 그와 함께 건강교육 및 정보제공, 전문병원의 설립, 건강비용의 감면 등을 통해 이동의 제한이나 경제적 어려움이 남성장애인보다 더 큰 현실을 근본적으로 해소해줄 것을 원했다. 교육에서도 성별을 고려한 취업교육과 이동권을 보장을 원했으며, 학업을 중도포기하는 여성장애인이 다수인 점을 고려한 검정고시반 설치를 원한다. 또한 이동의 문제를 고려한 취업직종의 개발과 직원의 인식개선, 여성상담원의 배치에 대한 욕구가 높게 나타났다. 이와 같은 건강, 교육, 취업에서 여성장애인들은 일관되게 비전통적 인 성역할을 지향할수록 욕구가 높아지는 것으로 나타나 여성장애인의 의식과 행동에 성역할 태도가 중요한 변수임을 확인할 수 있었다. Women with disabilities face a double discrimination due to their gender and disabilities. To monitor and evaluate the impact of policies on disabled women, it is important to seek perspectives of women with disabilities. The purpose of this study is to describe the understanding of the real situations of Korean women with disabilities and investigate the need for gender mainstreaming. The three main policies for women with disabilities were reviewed: health, education ,and employment. The study combines analysis of focus group interview data and survey questionnaires. The study reveals the following results: first, more than 50% of the disabled women in this study experienced discrimination.; second, women with disabilities in this study feel the need of the gender sensitive policies; disabled women who have modern sex role attitudes demand more need than those who have traditional sex role attitudes.

      • KCI등재후보

        감염된 가축과의 직접 접촉 없이 발생한 브루셀라증 환자1례와 축산 부산물 시장에서의 역학조사 : Sero-epidemiology Study on Market, by-product, Stock-raising

        정성주,김성범,박대원,정혜원,기세윤,권정아,박만석,박미연,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        브루셀라증은 전 세계적으로 발생하는 인수공통 전염병중에 하나로서, 본 증례는 국내에서 감염된 가축에 대한 노출력이 없는 집단에서 현증 브루셀라증이 발생한 첫 증례이기에 문헌 고찰과 함께 보고한다. 또한 환자가 근무하였던 축산물 부산물 시장에서 역학 조사를 실시하여, 현증환자 및 기감염자를 발견하여 축산물 부산물 시장 근무자에서 현증 브루셀라증이 발생할 위험성을 평가하였다. 역학 조사 결과 축산물 부산물을 다루는 일을 하는 사람들에서 감염된 가축과의 직접 접촉이 없이도 브루셀라증이 발생할 수 있음을 알 수 있었다. Brucellosis is a world-wide zoonotic disease. We report the first case of brucellosis in South Korea that is not related to direct contract with intected cattles. The patient had been working in the market of by-product, stock raising for twenty years and complained of 1-month history of fever, chill, and intermittent epistaxis. We confirmed brucellosis by anti-brucella antibody test and PCR. After 6 weeks' treatment with rifampicin and doxycycline, fever and chilling subsided, and, generalized weakness and oral intake improved. We performed seroepidemiology study against workers who were working in the same market as the patient. However, we couldn't find out other cases with seropositivity. We concluded that although the workers of by-product market have a risk of getting brucellosis, the risk is low.

      • RAPD와 핵 리보솜 DNA ITS2 염기서열에 의한 한국산 전나무속 식물의 유전적 변이 및 계통유전학적 분석

        정용환,한상현,오유성,고미희,고석찬,김문홍,오문유 濟州大學校 基礎科學硏究所 2001 基礎科學硏究 Vol.14 No.2

        We analyzed the genetic variation and phylogenetic relationship among fourteen taxa of GenusAbies distributed in Korea using random amplified polymorphic DNA (RAPD) and internal transcribed spacer (ITS) 2 sequences of the nuclear ribosomal DNA (rDNA). RAPDs were used for identification of selected taxa by amplification using single 10-mer primers of arbitrary sequence. Fourteen taxa were clearly classified with 10 arbitrary primers, which generated 102 useful polymorphic bands that were evaluated according to the presence or absence of the fragments of equal size. The genetic distance between A. koreana for. chlorocarpa and A. koreana for. rubrocarpa was 0.127, showing the closest among any other pairs. By comparing the base sequences in the ITS2 region of the nuclear rDNA, genetic relationship was assesed among selected taxa. It showed twenty six sites of point mutation (base substitution) in 243 base pairs (bp) of ITS2 region. The G+C contents of ITS2 region were ranged from 58.3% to 61.7%. The value of nucleotide divergence among selected taxa was ranged from 0.4% to 9.8%. These results showed that RAPD and ITS2 sequence analysis was a useful tool for elucidating phylogenetic relationship and selection of specific marker in Abies species.

      • 급성 간염 후에 발생된 재생불량빈혈 1례

        이대성,이정현,박재선,김미향 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

        Aplastic anemia following acute hepatitis with or without acute hepatic failure is an uncommon and known to have a poor prognosis. We experienced a case of aplastic anemia following acute hepatic failure in a 13 year-old boy. He had been admitted because of jaundice and lethargy for 2 weeks and clinical findings of acute fulminant hepatitis. Serum studies for antibodies and antigens related to hepatitis A, B, C viruses and cytomegalovirus, Ebstein-Barr virus, and, parvovirus B19 were negative. He had been recovered and discharged. He was readmitted because of lethargy and stuporous mentality 5 months later. Laboratory finding showed pancytopenia in peripheral blood smear and hypocellularity of all hematopoietic elements in bone marrow biopsy. Patient had been treated by s teroid and oxymetholone for a month before he died of sepsis

      • KCI등재

        폐쇄성 수면 무호흡 환자의 측모 두부방사선계측사진 및 치아모형 연구

        정미라,황상희,남기영,김종배,권오원 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.3

        폐쇄성 수면 무호흡증이란 수면도중 주기적으로 호흡이 멈추는 증상을 말한다. 상악과 하악이 후퇴되어 있거나 하악이 작으며 수평적으로 기도 폭경이 좁고 혀가 후방에 위치하는 등 폐쇄성 수면 무호흡 환자의 전후방적인 악골 및 연조직 특성에 대한 평가는 많았으나 치열 및 악궁에 대한 평가가 부족하여 폐쇄성 수면 무호흡증 환자의 골격적 특징과 악궁의 폭경과 구개깊이와 수면무호흡지수와의 상관관계를 알아보고자 하였다. 계명대학교 의과대학 동산의료원 수면클리닉에 수면장애를 주소로 내원한 환자 중 수면다원검사와 측모 두부방사선계측사진과 치아모형이 갖추어진 38명의 남자를 대상으로 하여 치아모형과 측모 두부방사선계측사진, 수면무호흡지수와 체질량지수를 비교하였다. 수면무호흡지수와 악궁의 횡폭경, 구개깊이, 수직피개량 및 수평피개량과는 상관관계가 없었으며 수면무호흡군에서 상기도 폭경은 좁고, 하기도 폭경은 넓은 경향이 있었다. 수면무호흡지수와 상기도 폭경은 미약한 음의 상관관계를 가졌으나 하기도 폭경은 미약한 양의 상관관계를 가졌고, 수면무호흡지수가 클수록 하악 하연으로터 설골까지의 거리도 멀었다. To evaluate the cephalometric and dental characteristics of obstructive sleep apnea (OSA) patients, 23 OSA patients and 15 control, non-OSA, patients who visited the Sleep Disorder Clinic Center, Keimyung University were investigated. Patients who suffered from apnea-hypopnea episodes over 10 times per hour were diagnosed as having OSA after polysomnograph testing. Impressions were taken with alginate. Cephalometric radiographs were taken at maximum intercuspation. The dental cast measurements, including transpalatal width, intercanine width, intermolar width and palatal depth did not differ between the control and OAS groups and did not have a positive correlation with the apnea-hypopnea index (AHI). Upper airway width was statistically narrower than the control group. Upper airway width had a low negative correlation with AHI, but, lower airway width had a low positive correlation, and, the higher the AHI score, the longer the mandibular border to hyoid distance.

      • 일부 외래 환자의 병원선택 요인과 간호 서비스 이미지에 관한 연구

        성미혜,최수정,강미옥,조승희 인제대학교 2008 仁濟論叢 Vol.23 No.1

        Purpose : The purpose of this study was to identify the factor to choice hospital and image of nursing services in outpatients. Method : The subjects were 142 outpatients of the three general hospitals with more than 450 beds. The data was collected using structured questionnaires from May 14, to June 1, 2005. The data was analyzed by the SPSS(ver 1O.0)program, and it included descriptive statistics, and cross tabulation. Result : The rank of construct factors hospital choice which were thought important by subjects was the first 'convenience facilities', the second 'thrust to physician', the third 'kindness of nurse and staff'. The rank of construct factors nursing service image which were thought important by subjects was the first 'kindness', the second 'neat feature', the third 'accuracy', the fourth 'responsibility'. As for the analysis that the nursing service image affected the choice of hospital, 'It affected the choice the hospital' took 87.3%, and it was higher than the 22.7% as 'It did not affected the choice the hospital'. Conclusion : These results suggested that to recognize the merits and demerits of hospitals and to develop their original service area are very important. therefore, these findings give useful information for constructing an effective marketing strategies in hospitals.

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