부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

고령자 남녀와 20대 남녀에 있어서 다양한 등속수축중 최대 모멘트의 비교

金智源(Ji-Won Kim),金相佑(Sang-Woo Kim),文基旭(Ki-Wook Moon),嚴光文(Gwang-Moon Eom),李泳揆(Young-Gyu Lee),南貞淑(Jung-Sook Nam),朴寬龍(Kwan-Yong Park),金耀翰(Yo-Han Kim),洪廷和(Jeong-Hwa Hong),朴炳奎(Bung-Kyu Park) 대한전기학회 2008 전기학회논문지 Vol.57 No.10

In this paper, we investigated the maximum ankle joint plantarflexion moment (MPM) of young and elderly subjects during various modes of isokinetic contractions with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (14 males: 22.7±2.5yrs, 13 females: 20.5±1.3yrs) and the elderly subjects (17 males: 65.8±10.5yrs, 26 females: 71.4±5.2yrs). The MPM was normalized by each subject's body weight. The MPM of elderly females was the weakest among the groups, particularly, at the eccentric contractions. The male-to-female ratio of MPM was greater in the elderly than in the young and the young-to-elderly ratio of MPM was greater in female than in male, both during the eccentric contractions. The result suggests that the decreased muscle force per body weight, especially at the eccentric contraction, may be one reason for the more frequent fall of the elderly female than the elderly male.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

영일만에 출현하는 부유성 난과 자치어의 종조성 및 계절변화

한경호,홍지선,김영섭,전경암,김영숙,홍병규,황동식 한국어류학회 2003 韓國魚類學會誌 Vol.15 No.2

경상북도 영일만 연안에서 2001년 2월, 5월, 8월 및 11월에 계절별로 채집된 부유성 난과 자치어의 종조성 및 계절변화를 연구하였다. 채집된 부유성 난은 총 9개 분류군으로, 멸치가 출현량의 63.4%로 가장 우점하였고, 다음 까나리는 23.7%를 차지하였으며, 나머지는 7개 분류군이 12.9%를 차지하였다. 자치어는 총 7목 28과 37개의 분류군이 출현하였는데, 그 중 32개 분류군은 종 수준까지, 3개 분류군은 속 수준까지, 2개 분류군은 과 수준까지 동정하였다. 2월에는 2목 7과 12종, 5월에는 3목 5과 7종, 8월에는 6목 18과 21종, 11월에는 6목 14과 16종이 출현하였다. 주요 출현종으로서는 까나리가 자치어 출현량의 22.7%를 차지하여 가장 우점하였으며, 다음은 멸치가 16.7%, 동갈양태속 어류가 14.1%를 차지하였고, 노래미와 쥐노래미가 각각 5.7%와 5.5를 차지하였다. The ichthyoplanktons in coastal waters of Yongil Bay were sampled during four different months (February, May, August and November 2001) to study their distribution. The collected fish eggs were identified as belonging to nine species. The most dominant species Engraulis japonicus accounted for 63.4% of the total fish eggs, followed by Ammodytes personatus (23.7%) and Sardinops melanostictus (9.2%). The collected larvae and juveniles were identified into 37 taxa (28 families, 7 orders). Of these, 32 were identified to species, three were identified to genus and two were identified to family level. The dominant species Ammodytes personatus accounted for 22.7% of the total larvae and juveniles, followed by Engraulis japonicus (16.7%), and Repomucenus sp. (14.1%). These three taxa constituted 53.5% of the total collected larvae and juveniles.

대량의 각혈로 사망한 장티푸스 1예

한상우,유진홍,권순석,김성훈,박지찬,홍은정,최경성,박용완,장준희,안지원,박유경,강지영,박상미,신완식 대한감염학회 2004 감염과 화학요법 Vol.36 No.5

We experienced a 25 year-old male patient with typhoid fever complicated with massive hemoptysis. Pulmonary complication in typhoid fever is very rare and to our knowledge, there has been no report of hemoptysis as a main cause of death with this disease. We herein report a rare case of typhoid fever.

Mirtazapine 사용과 연관된 고혈당증 환자 1례

홍영재,박지도,김정기 대한신경정신의학회 2001 신경정신의학 Vol.40 No.1

Mirtazapine은 고전적 우울증 치료제의 부작용과 독성을 감소시키기 위한 시도로 개발된 여러 가지 약제들 중 하나로 α2-noradrenergic 자가수용체와 이종수용체에 대한 길항작용을 함으로써 norep-inephrine과 serotonin의 신경전달을 항진시켜 항우울 효과를 나타내며 흔히 진정, 체중증가, 현기증등의 부작용을 나타내는 것으로 알려져 있다. 저자들은 Mirtazapine 사용과 연관되어 고혈당증이 발생하였다가 약물투여 중지이후 혈당이 정상으로 회복된 1례를 경험하였기에 보고하는 바이다. 향후 고혈당증이나 당뇨병을 일으킬 수 있는 약물을 투여하는 환자에서는 당뇨병에 대한 전반적인 검사 및 약물투여 기간 동안에 혈당에 대한 주의 깊은 추적검사가 시행되어져야 할 것으로 생각한다. Mirtazapine- a newly developed drug with reduce adverse effects and toxicity of original antidepressants- has been known to have antidepressant dffect by enhancing the transmission of norepinephrine and serotonin via blockade of α₂-noradrenergic autoreceptor and heteroreceptor and to have common side effects such as sedation, weight gain, and dizziness. We report a case of 50 years old female depressive patient who developed mirtazapine-associated hyperglycemia during treatment with mirtazapine and returned to normal glucose level after stopping the usage of mirtazapine. In patients who receive drugs with the risk of hypergly cemia and diabetes mellitus, we should consider the evaluation for diabetes mellitus and follow it up carefully in the future.

장중첩증을 동반한 맹장 지방종 1예

홍의실,나병규,김민옥,유일영,채지영,채희복,윤세진,이상전,송형근,박길선,정현용 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.2

대장 지방종은 주로 우측 결장에 호발하고 특히 회맹판 부위와 맹장 부위에 호발한다. 또한 50~60대에 빈도가 높고 증상이 있는 환자에서 장중첩증이 높게는 40~50%에서 보고되고 있어 성인 장중첩증의 원인으로 중요한 비중을 차지한다. 특히 성인 장중첩증 및 장폐쇄의 중요 원인인 악성 종양과 임상 양상이 유사하여 감별진단이 중요하다. 저자들은 반복적인 복통을 주소로 내원한 환자에서 맹장의 4×5㎝의 점막하 지방종이 말단 회장부위와 반복적인 장중첩중이 발생했던 1례를 부분 절제술로 치료하여 양호한 임상 경과를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Lipomas are one of the most common benign nonepithelial tumors of the colon which are often detected incidentally by radiologic investigation or on operation. These tumors are usually without specific symptoms. Colonic lipomas occur most often in the right colon, particularly in the ileocecal valve and the cecum. Most patients are asymptomatic. but tumors larger than 2 cm tend to produce a change in bowel habit. abdominal pain. rectorrhagia and complications including luminal obstruction or intestinal intussusception. Diagnosis can be made by colonoscopy abdominal CT. MRI, or barium enema. We report a case of lipoma of the cecum that originated in the submucosa and presented as a intussusception in a 50-year-old woman with a brief review of the literature.

순환학습모형을 적용한 토의 수업이 중학생의 힘과 운동 개념변화에 미치는 효과

홍지영,김영민 부산대학교 사범대학 과학교육연구소 1999 科學敎育硏究報 Vol.26 No.-

The purpose of this study was to investigate middle school student's conceptual change about force and motion through the debating work based on the learning Cycle model. Misconceptions about physics concepts are hardly changed into scientific ones. Therefore, teachers have to guide in order that the students have scientific concepts for themselves through cognitive conflict if they have misconceptions. The debating work based on the Learning Cycle model was developed after the analysis of student's misconceptions and implemented to them. 20 students were tested before and after learning through the debating work. The test tools have two kinds of questions, one is asking about the direction of force acting on th ball thrown in the air when it is rising, when at the top, and when falling, the other is asking about the magnitudes and directions of forces acting on a car when it is accelerating, when in uniform velocity, and when decelerating. The results are as follows : In case of vertical motion, 3 students(15%) had scientific conceptions before learning, but after learning 17 students (85%) have scientific ones. In case of horizontal motion, only 1 student(5%) had scientific conceptions before learning, but after learning 11 students (55%) have scientific ones.

개별화학습지원-학습객체모델에 기초한 교수설계모형 개발

홍지영,송기상,이태욱 한국컴퓨터교육학회 2003 컴퓨터교육학회 논문지 Vol.6 No.4

일반적인 코스웨어에서는 단순한 분기 수준에서 학습자료를 제시하는 것 이외의 개별화에 관한 노력을 찾아보기 힘들다. 이러한 문제의 원인은 다양한 측면에서 찾아볼 수 있지만, 코스웨어 자체가 융통적이지 못하고 재사용이 불가능한 하나의 고정된 구조로 구성되어 있으며 개발하는 데 있어 많은 비용과 시간이 소모된다는 것이다. 소프트웨어 개발 방법에서 객체지향개념이 등장한 것과 같은 맥락으로 코스와 컨텐트 개발에서는 학습객체라고 하는 개념이 대두되어 이를 통한 융통적인 코스 설계의 가능성을 보여주고 있다. 하지만 학습객체를 활용한 개별화학습 구현에 대한 노력은 아직 미비하다. 본 연구에서는 기존 학습객체를 확장하여 개별화학습을 지원할 수 있는 개략적인 개별화학습지원-학습객체모델을 제안하며, 이를 기초로 개별화된 학습경로를 제시해 줄 수 있는 교수설계모형을 ADDIE 모델을 기초로 설계해 보았다. It’s difficult to find efforts for individualization other than suggesting simple, branching level learning materials among the developed courseware. The reason is primarily attributed to the facts that the courseware itself is not flexible, a fixed structure which is not reusable, and numerous costs and time should be consumed to develop one. In the same context of the appearance of the object-oriented concept in the method of software development, the concept of ‘learning object’ has appeared in the development of courses and contents, paving the way toward the possibility of designing versatile courses through the learning object. In the learning object-based course design, however, it still has similar shape and structure to the existing courseware, and the effort to realize the individualized learning by utilizing the learning object is not sufficient, as well. In this study. I suggest a outlined learning object model which can support the individualized learning by expanding the existing learning object, and based on this model, design a instructional model that can show an individualized learning path, based on the ADDLE model.