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2002년 서울시 대기오염과 출생 자료를 이용한 저체중아 환경보건감시체계 연구
서주희,김옥진,김병미,박혜숙,임종한,홍윤철,김영주,하은희,Seo, Ju-Hee,Kim, Ok-Jin,Kim, Byung-Mi,Park, Hye-Sook,Leem, Jong-Han,Hong, Yun-Chul,Kim, Young-Ju,Ha, Eun-Hee 대한예방의학회 2007 예방의학회지 Vol.40 No.5
Objectives: The principal objective of this study was to determine the relationship between maternal exposure to air pollution and low birth weight and to propose a possible environmental health surveillance system for low birth weight. Methods: We acquired air monitoring data for Seoul from the Ministry of Environment, the meteorological data from the Korean Meteorological Administration, the exposure assessments from the National Institute of Environmental Research, and the birth data from the Korean National Statistical Office between January 1, 2002 and December 31, 2003. The final birth data were limited to singletons within $37{\sim}44$ weeks of gestational age. We defined the Low Birth Weight (LBW) group as infants with birth weights of less than 2500g and calculated the annual LBW rate by district. The air monitoring data were measured for $CO,\;SO_2,\;NO_2,\;and\;PM_{10}$ concentrations at 27 monitoring stations in Seoul. We utilized two models to evaluate the effects of air pollution on low birth weight: the first was the relationship between the annual concentration of air pollution and low birth weight (LBW) by individual and district, and the second involved a GIS exposure model constructed by Arc View 3.1. Results: LBW risk (by Gu, or district) was significantly increased to $1.113(95%\;CI=1.111{\sim}1.116)\;for\;CO,\;1.004(95%\;CI=1.003{\sim}1.005)\;for\;NO_2,\;1.202(95%\;CI=1.199{\sim}1.206\;for\;SO_2,\;and\;1.077(95%\;CI=1.075{\sim}1.078)\;\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was significantly increased to $1.081(95%\;CI=1.002{\sim}1.166)\;for\;CO,\;1.145(95%\;CI=1.036{\sim}1.267)\;for\;SO_2,\;and\;1.053(95%\;CI=1.002{\sim}1.108)\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was increased to $1.003(95%\;CI=0.954{\sim}1.055)\;for\;NO_2$, but this was not statistically significant. The air pollution concentrations predicted by GIS positively correlated with the numbers of low birth weights, particularly in highly polluted regions. Conclusions: Environmental health surveillance is a systemic, ongoing collection effort including the analysis of data correlated with environmentally-associated diseases and exposures. In addition. environmental health surveillance allows for a timely dissemination of information to those who require that information in order to take effective action. GIS modeling is crucially important for this purpose, and thus we attempted to develop a GIS-based environmental surveillance system for low birth weight.
국내 3-7세 어린이의 혈중 납, 수은, 카드뮴 농도와 관련요인
서주희,김병권,김유미,김록범,정진용,홍영습,Seo, Ju-Hee,Kim, Byoung-Gwon,Kim, Yu-Mi,Kim, Rock-Bum,Chung, Jin-Yong,Hong, Young-Seoub 한국환경보건학회 2014 한국환경보건학회지 Vol.40 No.4
Objectives: Children are more susceptible to heavy metal toxicity than adults. The purpose of this study was to evaluate heavy metal concentrations in the blood of Korean preschoolers and investigate the association between metals in blood and related factors. Methods: A total of 512 subjects from 36 to 83 months of age were sampled. A questionnaire survey was performed and the levels of lead, mercury and cadmium were measured in the blood samples of all subjects. Their parents were interviewed in order to obtain information on basic characteristics, dietary patterns, socio-economic factors, and indoor/outdoor environment of the preschoolers. Multiple linear regression was used to analyze the association between the above factors and lead, mercury or cadmium concentrations. Results: The geometric mean concentrations of lead, mercury and cadmium in the blood were $1.45{\pm}1.58{\mu}g/dL$, $2.14{\pm}1.74{\mu}g/dL$ and $0.23{\pm}1.91{\mu}g/dL$, respectively. Results from multiple linear regression analysis showed that blood lead levels were associated with birth weight and paternal smoking status. Daily mercury intake from food and maternal education were also shown to influence mercury concentrations in blood. Also, blood cadmium concentrations were associated with maternal age and having a bus garage near the place of residence. Conclusion: This study suggests that smoking status, dietary patterns and the environmental status near the residence should be considered as important factors for preventable sources of heavy metal exposure in preschoolers.
한방음악치료가 정신적 스트레스를 가한 정상 성인의 심박변이도에 미치는 영향
김진이 ( Jin Yi Kim ),김수정 ( Soo Jung Kim ),서주희 ( Joo Hee Seo ),유춘길 ( Chun Gil Ryu ),윤인애 ( In Ae Yoon ),박은영 ( Eun Young Park ),성우용 ( Woo Yong Sung ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.1
Objectives: This study was conducted to assess effects of oriental medicine music therapy on heart rate variability(HRV) in normal subjects under mental stress. Methods: 34 healthy volunteers(control group:17, experimental group:17) participate in this study. The volunteers were randomly allocated into two groups. After 10-minutes rest period and instrumentation, both groups performed a mental stress test for 12-minutes. HRV was recorded before and after the mental stress. And then the experimental group applied oriental medicine music therapy for 10-minutes. In the control group, they rested for 10-minutes. And HRV was recorded. Results: After giving mental stress stimulation to both groups, LF and LF/HF ratio were significantly increased and HF, mean HRV were decreased. In experimental group, LF, LF/HF ratio were significantly decreased and HF, SDNN were significantly increased after applying oriental medicine music therapy. In control group, LF was significantly decreased. And LF/HF ratio was decreased and HF, SDNN were increased, but it was not significant. Conclusions: This results show that oriental medicine music therapy could be relatively useful to decrease sympathetic activity and prevent the alteration of autonomic nervous system due to mental stress.
주거용 아파트 엘리베이터의 미생물 오염도와 영향요인 조사
심원보,서주희,이채원,정명진,김정숙,김형갑,정덕화,Shim, Won-Bo,Seo, Ju-Hee,Lee, Chae-Won,Jeong, Myeong-Jin,Kim, Jeong-Sook,Kim, Hyoung-Kab,Chung, Duck-Hwa 한국환경보건학회 2013 한국환경보건학회지 Vol.39 No.5
Objectives: The aim of this study was to investigate the microbial contamination levels in elevators in apartment buildings and to provide information on such microbial contamination. Methods: A total of 144 samples, including from the exterior buttons, interior buttons, elevator handrails, walls, ventilators and airborne bacteria were collected in the morning and afternoon from July to August 2013 for six different elevators. The samples were used to detect sanitary indicator bacteria (total bacteria, coliform, and Escherichia coli), pathogenic bacteria (E. coli O157, L. monocytogenes, Salmonella spp., B. cereus, S. aureus) and fungi. Results: Contamination levels of total bacteria were 0.3-3.8 and 0.0-2.4 log CFU/100 $cm^2$ in the morning and afternoon, respectively. In the case of coliform bacteria, the levels were 0.0-3.7 log CFU/100 $cm^2$ in the morning and 0.0-0.3 log CFU/100 $cm^2$ in the afternoon. However, E. coli was not detected among all samples. Bacillus cereus, pathogenic bacteria, was only detected in 13 (11%) among 144 samples. E. coli O157, L. monocytogenes, Salmonella spp. and S. aureus were not detected among all samples. Comparing the samples collected in the morning and afternoon, we could confirm that the samples in the afternoon were cleaner. Conclusions: This study indicates that the samples in the afternoon were cleaner because these samples were collected following routine cleaning. Also, the levels of contamination in the elevators were low and the sanitary conditions were comparatively well-managed. Therefore it is deemed necessary for elevators be cleaned regularly to provide good conditions for people using elevators.
백회혈(百會穴) 자침(刺鍼)이 스트레스 상태에서의 가속도맥파에 미치는 영향
이진환 ( Jin Hwan Lee ),김진이 ( Jin Yi Kim ),김수정 ( Soo Jung Kim ),서주희 ( Joo Hee Seo ),성우용 ( Woo Yong Sung ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.3
Objectives: This study was designed to report the effect of acupuncture at GV 20(Baihui) evaluated by the second derivative of photoplethysmogram waveform(SDPTG) under stress. Methods: 15 healthy volunteers participated in this study. 1. After 5 minutes rest, mental stress was provided for 5 minutes. And then subjects rested for 15 minutes. SDPTG was recorded before and after mental stress and after 15 minutes restness. 2. After 5 minutes rest, mental stress was provided for 5 minutes. And acupuncture at GV 20 remained for 15 minutes. SDPTG was recorded before and after mental stress and after 15 minutes acupuncture. Results: 1. Mental Stress didn`t make significant change at SDPTG. 2. In a comparison of pre-acupuncture and post-acupuncture at the GV 20, b/a ratio(P<0.05) and Sano aging index(P<0.05) was decreased significantly. Conclusions: We concluded that acupuncture at the GV 20 may be effective method to recover vascular function.
한방치료와 Rogers의 인간중심적 상담요법으로 호전된 뇌졸중 후 우울증 치험 2례
김진이 ( Jin Yi Kim ),이진환 ( Jin Hwan Lee ),김수정 ( Soo Jung Kim ),서주희 ( Joo Hee Seo ),윤인애 ( In Ae Yoon ),박은영 ( Eun Young Park ),성우용 ( Woo Yong Sung ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4
Objectives: This study was designed to report the effect of korean traditional treatment and person-centered counseling for poststroke depression Methods: We treated two patients who scored 37 point and 32 point at Beck`s depression inventory each, and 23 point and 22 point at Hamilton rating scale for depression each by korean traditional treatment and person-centered counseling. Results: After treatment, the clinical symptoms were improved and Beck`s depression inventory, Hamilton rating scale for depression score were decreased. Conclusions: The result suggest that korean traditional treatment and person-centered counseling is effective in patients with poststroke depression.
한의학적 정신치료와 M&L 심리치료를 통한 전환장애 환자치험 1례
이희정 ( Hee-jung Lee ),민백기 ( Baek-ki Min ),진준수 ( Joon-soo Jin ),서주희 ( Joohee Seo ) 대한한방신경정신과학회 2018 동의신경정신과학회지 Vol.29 No.3
Objectives: Conversion disorder is combination of clinical symptoms and can be promoted until diagnosis is confirmed. In this case, we used Korean medical psychotherapy, M&L therapy, and Korean traditional medicine for treating a conversion disorder patient. Methods: The patient was diagnosed with conversion disorder, and main complaints were lower limb dysesthesia, and anxiety. We used BAI, BDI, HRV, CSEI-S, MMPI, Drawing room of mind for assessment. We treated the patient with Korean medical psychotherapy with M&L therapy, and Korean traditional medicine including acupuncture, moxa and herbal medicine. Results: After treatment, clinical symptoms improved to 40% compared with first visit and the BAI, BDI, HRV, CSEI-S scores decreased, especially scores for anxiety and depression. Conclusions: Korean medical psychotherapy and M&L psychotherapy can be effective for treating conversion disorder.