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명준표,김경연,임 영 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.2
배경: 카플란증후군은 다발성 폐결절(multiple pul monary nodules). 류마티스성 관절염 (rheumatoid arthritis),탄광에서 일하였던 직업력이 있을 때 진단된다. 하지만 국내에서 카플란증후군 증례에 대한 보고는 매우 드물고,특히 규폐증 환자에게서 발생한 카플란증후군이 보고된 바 없어,이에 증례를 보고하고자 한다. 증례: 49세 남자환자는 25년간 석재 공장에서 석공으로 일하였던 직업력과 더불어 흉부방사선 검사 결과를 통해 규폐증 진단 받았으며,류마티스성 관절염 역시 확진되어 카플란증후군으로 진단되었다. 고찰: 국내의 카플란증후군의 보고는 외국에 비해 매우 적은 실정이다. 따라서 진폐증 환자를 치료하는 지방 산재의료원들의 환자에 대한 연구가 필요하다. 또한 카플란증후군 뿐만아니라 진폐증에 대한 완치법이 없으므로 질환 발생의 예방을 위해 사업장에서 분진농도의 허용기준 이하 관리,호흡보호구의 착용,진폐증에 대한 교육,체계적인 건강관리 등을 통하여 환자 발생의 예방 및 환자를 조기 발견하고 작업 전환을 시키는 방안이 필요하다. Background: Caplan originally described a condition, now reffered to as Caplan's syndrome or Caplan's disease, where progressive massive fibrosis was exhibited by coal miners with multiple pulmonary nodules, and rheumatoid arthritis. This syndrome is very rare in Korea. Case report: The patient was a 49-year old male, with occupational history as a stonemason for 25 years. Silicosis was diagnosed by chest X-ray, while rheumatoic arthritis was diagnosed by immunological examination. Caplan's syndrome was confirmed based on these findings, occupational history, and clinical symptoms. Discussion: The authors report on the patient's Caplan's syndrome, with a particular focus on his silicosis.
한 전자제품 연구소 남자 종사자들의 생활습관실천과 대사증후군의 관련성
명준표,김형렬,김용규,구정완,박정일,Myong, Jun-Pyo,Kim, Hyoung-Ryoul,Kim, Yong-Kyu,Koo, Jung-Wan,Park, Chung-Yill 대한예방의학회 2009 예방의학회지 Vol.42 No.5
Objectives : The objectives of this study were to determine the relationship between lifestyle-implementation and metabolic syndrome in an electronics research and development company, and to provide a foundation for health providers of health management programs for setting priorities. Methods : From July 1 to July 16, 2008 we carried out a descriptive cross-sectional survey. Consecutive workers of one R & D company in Seoul, Korea (N=2,079) were enrolled in study. A checklist for lifestyle (from the National Health Insurance Corporation) consisted of questions regarding diet, drinking, smoking and exercise. After the survey, researchers obtained data from health profiles for metabolic syndrome(waist-circumference, triglycerides, HDL cholesterol, blood pressure and fasting blood sugar level). Lifestyle was recorded as good or not good. Statistical analysis of metabolic syndrome and the lifestyle of subjects was done using multiple logistic regression analysis. Results : The prevalence of metabolic syndrome in our study gropu was 13.3% (N=277). After adjustment for age, the adjusted odds ratios (odds ratio, 95% confidence intervals) for metabolic syndrome increased in proportion to the number of bad habits: two (1.72, 1.23-2.44), three (2.47, 1.73-3.56), and four (3.63, 2.03-6.34). Relative to subjects eating both vegetables and meat', the OR for 'meat' eaters was 1.66 (1.18-2.31). Compared with 'nonsmokers and ever-smoker', the OR for 'current-smoker' was 1.62 (1.25-2.10). Compared with 'Healthy drinker', the OR for 'unhealthy drinker' was 1.38 (1.05-1.83). Conclusions : Poor lifestyle was associated with an increased likelihood of metabolic syndrome. These findings suggest that lifestyle-based occupational health interventions for young employees should include a specific diet, smoking cessation, and healthy-drinking programs.
명준표,정정임,윤형규 대한결핵 및 호흡기학회 2017 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.124 No.-
연구목적: 석면피해구제법 시행이후, 석면폐증, 악성중피종, 폐암, 미만성흉막비후는 피해에 대하여 구제받고 있다. 악성중피종과 같은 질환은 진단 이후, 관련성평가가 단순하여 바로 피해구제를 받는 반면, 폐암은 원인확인이 아렵고, 임상의들의 관심이 저조하여, 인정비율이 낮은 상태이다. 연구방법: 2015.12.16∼2016.12.15일까지 가톨릭대학교 서울성모병원에서 C34(폐암) 상병으로 신규진단 받은 690명의 흉부컴퓨터단층촬영 판독결과를 바탕으로, 흉막반, 석면, 석면폐증 등의 키워드가 확인된 대상자를 분류하여, 최종적으로 폐암 환자 중 석면폐암의심자를 확인하였다. 연구결과: 연구기간 동안 서울성모병원에서 C34로 총 3160건의 외래와 입원 진료시 시행한 CT 촬영 건수를 확보하였고, 중복제거한 결과 총 690건의 신규 폐암진단 건수를 확인하였다. 690명의 흉부CT 판독결과를 리뷰하였고, 이중 흉막반, 석면폐증, 석면의 내용이 포함된 석면관련 폐암진단자는 총 18건(2.6%)으로 파악되었다. 구체적인 진료과로는 호흡기내과 9건, 흉부외가 5건, 종양내과 4건 순이였다. 결론: 주로 초진 시행하는 호흡기내과에서 노출력 및 관련성에 대한 파악을 위하여 직업환경의학과와의 협진이 필요하다. 또한 석면관련 폐암을 발굴하기 위하여 본 연구에서 사용된 발굴 모델을 확대한 전향적 석면관련 폐암 발굴이 필요하다.
명준표,김형렬,구정완,박정일 대한의학회 2013 Journal of Korean medical science Vol.28 No.4
Recent studies in Western countries have reported a significant association between glomerular filtration rate (GFR) and bone mineral density (BMD) in the absence of dialysis among the general population. However, there have been few studies regarding renal function and BMD among Korean or Asian subjects with moderate to severe (stage 3 or 4)chronic kidney disease (MS-CKD). The aim of the present study was to investigate the association between MS-CKD and BMD in the general Korean population. BMD, serum creatinine and other measures were obtained from 3,190 subjects (1,428 males and 1,762females; the fourth Korean National Health and Nutrition Examination Survey). GFR was estimated using the Cockcroft-Gault formula, with adjustment for body surface area. After adjustment for all variables, multiple regression analysis showed that BMD in the femur neck, total femur and lumbar spine were positively associated with eGFR in both males and females. Additional analysis showed that MS-CKD was also significantly associated with osteoporosis in both males and females (odds ratio [OR] 2.20, 95%confidence interval [CI] 1.15-4.20 in males; and OR 1.96, 95% CI 1.33-2.88 in females). Individuals with MS-CKD may be at higher risk of osteoporosis even among Asians.