• 월간산업보건
• /
• s.105
• /
• pp.16-25
• /
• 1997

직업성 피부질환은 1988년 미국 전체 직업성 질환중 20%에 해당된다(미 노동부 자료 참고). 그 비율은 주에 따라 크게 달라지기도 한다. 피부질환은 어떤 주에서는 보상되는 직업성 질환의 대다수를 차지하기도 한다; 예를 들어, 캘리포니아와 플로리다주에서는 농작물에 의한 접촉성 피부염이 흔하다. 접촉성 피부염은 직업성 피부질환으로 보고되는 가장 흔한 피부질환이다. 이러한 사례의 4/5는 유기용제, 절삭유, 세척유, 알칼리, 산 등과 같은 자극성 화학물질에 대한 노출과 관련이 있다. 자외선은 어떤 화학물질(예를 들면, 코울 타르, 크레오소오트)과 반응하여, 이 화학물질 및 빛에 노출되는 부위에 자극성 접촉성 피부질환을 유발하기도 한다. 1/5의 사례는 에폭시 수지, 크롬, 식물 수지, 그 밖의 많은 것 등 특수 접촉 감광제와 관련될 수 있다. 강한 자극제에 노출되어 발상하는 화학적 화상은 비교적 흔하게 일어난다. 백반과 유사한 피부탈색은 드물게 일어나며 피부 접촉을 통하여 야기하는 특수 화학물질과 관련될 수 있다. 여드름과 모낭염은 기름 및 유지들과의 피부 접촉을 통하여 생겨날 수 있다. 10대 여드름과 구별되는 염소성 여드름이라고 불리는 질환은 여러 종류의 염화 탄화수소들(예를들면 다브롬화 디페닐, 다염화 디페닐, 디옥신)에 노출되어 발생되기도 한다. 신체적인 손상으로 반복되는 외상부위에 가골이 형성되기도 한다. 여러 종류의 일에 특징적인 것(예를 들면 바이올린 연주자의 목에 가골)이 소위 "직업적인 표지" 이다. 전기톱 작동 기술자, 분쇄기 작동기술자, 지하 광산 암석 천공 기술자에게서 발생하는, 손 - 팔 부위의 진동은 오랜기간 혹은 심하게 노출된 노동자에 있어서 - 손에 혈관수축질환 - 진동장애 백색 수지질환을 일으킬 수 있다. 피부암은 직업과 관련이 있다고 할 수 있다. 하지만 몇몇 사례가 산재 관련 기관에 보고외어 있지만, 암등록소에 보고는 불완전하며, 피부암으로 인한 사망은 드물기 때문에 피부암의 발생률은 알 수 없다. 예방적인 방법은 개인보호구(장갑, 구두 등), 기계공학적 통제, 노동자 교육, 피부에 노출되는 것을 피하기 위해 주어진 일을 맡는 노동자들의 교대와 같은 관리적인 통제가 있다. 이러한 방법들은 화학적 화상, 알러지성 접촉성 피부염과 같은 피부염, 진동장애, 직업관련성 질환(예를 들면, 건선, 단순태선, 백반)을 예방하는데 도움이 된다. 만성 자극성 접촉성 피부염은 아직 잘 이해하고 있지 못하여 현재 예방하는 방법은 아직 만족스럽지 못하다.

• Korean Journal of Head & Neck Oncology
• /
• v.2 no.1
• /
• pp.13-22
• /
• 1986

Nasal fossae 의 암이란 비강과 부비동들에서 발생하는 것으로서 환자를 가장 괴롭히며 또한 가장 믿을수 없는 악성종양들중의 하나이다. 비록 본 예수병원 암환자 등록부에 의하면 전 암환자의 2.2% 발생빈도로서 주요한 발생빈도를 보이지는 않지만, 이 부위의 암을 치유하는데는 세심하고 철저한 모든 진단적 검사와 과감한 외과 및 치료방사선의 병합치료가 요구된다. 저자들은 지난 22 년간 비강 및 부비동 (Nasal fossae) 에서 발생한 원발성 악성종양중 치유목적의 근치수술을 시행한 68 예를 임상고찰 하였다. 근치수술을 시행했던 68 예중 91% 에서 제 3 병기 또는 4 병기의 진행된 경우 이었다. 외과적 수술은 한예의 사골동 (篩骨洞) 종양적출술 및 부분상악동(上顎洞)절제술 한 예를 제외한 66 예 모두에서 전상악동(全上顎洞)절제술 (total maxillectomy) 또는 확장 전상악동(全上顎洞)절제술 (extended total maxillectomy) 을 시 하였다. 저자들은 역학적(疫學的), 병리학적(病理學的), 병기(病期) 및 치료, 재발율과 생존율들을 분석 고찰하였으며 3가지 치료형태를 서로 비교하였다. 즉 수술만 시행한 군, 수술전 방사선 치료 및 수술병합군, 수술과 수술후 방사선치료 병합 군으로 나눴다. 저자들의 예비적 (preliminary) 관찰 결과는 2 년간 무병생존율 (disease-free 2-year survival) 만을 볼때, 수술만 시행한 군에서 40%로써 통계학적으로는 가장 좋았으나 실제는 수술만 시행한 군에서는 단지 40%만이 제 4 병기(病期)의 진행된 경우였으나 수술전 방사선치료 또는 수술후 방사선치료등의 병합치료에서는 제 4 병기(病期)의 진행된 상태가 무려 60 %나 되었다. 전체적인 재발율 (Overall recurrence rate) 은 68.2%로써 무서울 정도로 높았으며 전체적인 2 년 무병율은 23.7%였다. 저자들은 이 분야에서 실패의 원인분석과 치료방법의 선택등에 대한 지침을 제시하고저 한다.

• The Inventors News
• /
• no.54
• /
• pp.1-16
• /
• 2007

한국여성경제단체연합, 여성경제계 위해 공식 출범/발행인 칼럼/'마드리드 출원제도' 적극 활용 상표 침해 줄여라/일본 특허출원 심사기간 단축된다/기업.연구소 신입사원75%, 특허 관련 지식 전무/'주몽'이계인 씨 산자부 홍보대사 위촉/특허등록세, 신청 다음날 내도 된다/특허청, 6시그마 공공부문 혁신 주도/아듀 2006 한국여성발명협회 결산/자문위원 칼럼/로봇시장에도 브랜드 선점 열풍/농산물도 발명특허 상표 등록 시대/도소매업도 서비스업으로 출원 가능/기름대신 물 사용한 자동차, 항공기 현실화/반도체 배선 기술 특허 출원 상승세/자동차는 모바일 엔터네이너/'적외선 감지기술' 우리 생활속으로/서울반도체.바론테크, 일본 특허분쟁 승소/하나TV, 특허권 침해 피소/삼성전자, 분쟁.경쟁 대응위해 특허조직 통합/신한다이아몬드 일본 MDI 특허분쟁 승소/미니인터뷰/나노기술 응용한 디스플레이 특허출원 급증/미국의 두 배인 '휴면 특허', 대책 마련 시급/특허법원 "사용횟수 적다고 상표취소 못해"/종자번식 유전자 변형식물도 특허출원 가능/변리사 1차 시험 합격자 대폭 축소/역사 속의 발명품/하루 10분 발명교실/특허Q&A/신년인터뷰/화장하는 방법도 특허 받는다/'취업에서 결혼까지' 올인원 시스템 화제/아이디어 착상 및 발명 기법/아줌마의 힘이 발휘될 때까지 발명 또 발명/버뱅크의 식물 품종 개량/미국 청년, 몸짱 선탠용 티셔츠 발명/스위스, 국가경쟁력 1위의 비밀/저지방식,'유방암' 제발 위험 감소/서울대, 세계최초 암캐 복제 성공/국가 R&D 특허조사, 전체 R&D 부처로 확대/전국 초.중생 발명 글짓기.만화현상 공모전/특허청, 공공부문 성과주의 대통령상/한국여성발명협회 회원사 발명품 가이드

• Journal of Hospice and Palliative Care
• /
• v.2 no.2
• /
• pp.109-113
• /
• 1999

Purpose : Because we don't have inappropriate health care system for the terminal cancer patients, there were abnormal behavior patterns of health care utilization. So, There were needs to develop the comprehensive care for terminal cancer patients. Increased attention is being paid to the futility of life-sustaining treatment and high cost of management of terminal cancer patients Materials and Methods : This study was performed on cancer patients, registered in 1996 Central Cancer Registry, who were as insured person of Korea Medical Insurance and died from January 1997 to June 1998. We studied the day of medical care and medical expenses of 151 cancer patients evaluable. Results : The mean day of inpatient care was 39 days, and the mean days of outpatient care was 14 days in study subjects. Mean expenses per day of medical care, day of inpatient, and day of outpatients care were 85,392 won, 105,908 won, and 40,173 won. 95% of medical expenses is paid to the general hospital, and 85% of medical expenses was paid for inpatient care. About half of all medical expenses in th last 6 months were incurred in the last 60 days of life, and about 30 percent were incurred in the last 30 days. Expenses of outpatients care increased between 6 month and 3 months, after which they decreased. Expenses of inpatients care increased during all last 6months Conclusion : The distribution or medical expenses during the last 6 months in our study is similar to the distribution of American Medicare costs. We need to study medical expenses during the last year of life with large scale and details in order to develop the plan about the management of terminal cancer patient.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.1
• /
• pp.197-207
• /
• 2020

The purpose of this study was to identify the predictors of death anxiety among community-dwelling elderly cancer survivors in Korea. This study was a descriptive correlation study with 216 elderly cancer survivors who live in the jurisdiction of community health centers in Chugbuk province. Data of this study were collected from February 27 to March 15 2019 by a structured questionnaire. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. In the results, the mean score of death anxiety was 2.47±0.39 out of 4.0, while that of ego integrity was 2.60±0.29, depression 6.35±4.0, and awareness of a good death 2.97±0.35. Based on the hierarchical multiple regression analysis, subjects' awareness of a good death had the greatest impact on death anxiety (β = 0.255, p < .001), followed by depression (β = 0.185, p = .020) and religion (no= 1; β= 0.148, p = .021). These factors explained 16.4% of death anxiety (F=8.04, p<.001). Therefore, the results of this study are expected to be utilized as basic data for developing an intervention program that will be designed to reduce the death anxiety in elderly cancer survivors.

• Journal of Hospice and Palliative Care
• /
• v.7 no.2
• /
• pp.169-178
• /
• 2004

Purpose: The aim of the study was to assess changes of the attitudes and opinions about disclosure of cancer diagnosis to patients. Methods: We analyzed the attitudes and opinions of in-patients with metastatic cancer, their families, physicians, nurses, medical students, nursing students. Three questionnaires were used for in-patients, families, and surroundings in hospital. Data was collected in the St. Mary hospital for 3 months from October, 2002. We investigated the preference of disclosure, the reason the patients should be informed of disclosure, when, how and who to tell the cancer diagnosis to patients. 242 persons participated in these questionnaires (50 in-patients, 50 their families, 51 physicians and nurses, 41 medical students, 50 nursing students). Only 34 in-patients with metastatic cancer were enrolled, and so 16 in-patients with lymphoma were added. All in-patients were undergoing anticancer chemotherapy. Results: 89.3% of the participants wanted to be told about disclosure of cancer and terminal illness (in-patients 98.0%, their families 88.0%, physicians and nurses 90.2%, medical students 73.2%, nursing students 94.0%, in-patients with metastatic cancer 97.1%). 79.8% of the respondents hoped that the moment to tell the truth was immediately when the disease was diagnosed (in-patients 94.0%, their families 80.0%, physicians and nurses 68.6%, medical students 68.3%, nursing students 86.0%). 64.4% of all prefered to be told the truth once for alt including patients' diagnosis, present status and prognosis (in-patients 81.6%, their families 66.0%, physicians and nurses 56.0%, medical students 48.8%, nursing students 70.0%). Most indicated the first reason to be told the truth was the possibility to participate in treatment design. 86.4% responded that physicians were the proper persons to disclose the diagnosis. Conclusion: Not only in-patients, families but also physicians, nurses, medical students and nursing students all preferred the disclosure of cancer diagnosis. This preference was increased compared with the previous papers. The first reason to be told the truth was the possibility to participate in treatment design. Most of the participants wanted to be told the truth once for all.

• Journal of the Health Care and Life Science
• /
• v.8 no.2
• /
• pp.83-93
• /
• 2020

In this study, a practical model for health information management education using the EMR education system at universities for nurturing health care information managers was studied. Currently, there is no practical training course for health care information management in the standards for evaluation and certification of health care information management education introduced to strengthen the job competency of health care information managers. Accordingly, the program was constructed so that the practice program suggested as an educational environment in the Health and Medical Information Management Education Evaluation and Certification Manual can be practiced in the EMR education system. In addition, a practical model that can be performed according to the on-site practice guidelines for health and medical information management for each program was studied. Using the health care information management education EMR system, master data management, patient registration, doctor prescription, medical cost calculation, health insurance claim management, form management, discharge registration, cancer registration, unrecorded management, health care data management, health care statistics, A practice model was studied so that practice on information protection/security management can be performed. It will be possible to play a role as a health care information management expert by raising the quality level of health care information management education through systematic and standardized health care information management practice courses at universities. Accordingly, it is necessary to cultivate health care information management experts who develop and manage medical services based on medical data analysis through practical training of health care information managers.

• Journal of agricultural medicine and community health
• /
• v.26 no.2
• /
• pp.59-78
• /
• 2001

Data on reported cancer mortality in the Gyeongsangbuk- do province from 1991 to 1998 were collected and analyzed using the existing mortality reporting system as well as the public health network to furnish accurate data on reported cancer death and to collect data to establish a high quality district health plan. The overall crude death rate in Gyeongsangbuk province in 1991 was 74.56 deaths per 100,000-person but this rate increased to 79.22 in 1998. Among the deaths, the overall death rate of cancer was 16.7% in 1991, which increased to 19.3% in 1998; specifically the death rate of men increased from 19.4% in 1991 to 22.3% in 1998 while that of women increased from 12.4% in 1991 to 15.5% in 1998, showing a more increase among women. The types of cancer and associated death rates in 1991 were gastric cancer(41.5%), followed by liver cancer (28.8%), and lung and bronchogenic carcinoma(8.7%) and in 1998, gastric cancer (24.7%), followed by liver cancer(22.7%), lung and bronchogenic carcinoma(19.3%), showing the same order. For men and women, gastric cancer(40.2% and 44.7%, respectively) was the most common cancer death, followed by liver cancer(33.7% and 16.7%, respectively), and lung and bronchogenic carcinoma(10.2% and 5.0%, respectively) in 1991. However, in 1998, gastric cancer(27.8%) was still the most common type among both men and women, followed by liver cancer (18.5%) and lung and bronchogenic carcinoma(12.7%), showing the most decrease in gastric cancer but most increase in lung and bronchogenic carcinoma. The age- adjusted mortality rates by gastric cancer, hepatoma, laryngeal carcinoma were decreased in both male and female, and also uterine cancer was decreased in female. The age- adjusted mortality rates by lung and bronchogenic carcinoma, pancreatic cancer, rectal cancer were increased in both male and female, and also breast cancer was increased in female. The calculated overall age-adjusted death rate based on the 1995 population was 84.25 in 1991, which decreased to 77.67 in 1998. Male death rate decreased significantly from 119.81 in 1991 to 101.82 in 1998 while the female death rate increased from 48.64 in 1991 to 53.80 in 1998. A census of cancer death rate using accurate death records is important for the establishment of proper and high-quality district health and medical plan and policy. The effort to improve the accuracy of death reports using the health facility network, as had been attempted by this study, can be continued. Furthermore, there must be a way for the Health and Welfare Department to use the death reports to improve the present reporting system. Lastly, additional studies need to be conducted to investigate how much the accuracy was improved by the supplemented death reports in this study.

• Journal of Hospice and Palliative Care
• /
• v.12 no.2
• /
• pp.61-71
• /
• 2009

Purpose: The purpose of this study was to develop a CD program of applied logotherapy for psycho spiritual care of late adolescents with terminal cancer. Methods: Keller & Song's ARCS theory and a model for developing learning materials was applied to develop this program composed four distinct phases: planning, designing, developing, and evaluation stages. Results: This program was entitled 'Finding meaning in my life' and consisted of 5 sessions and its educational contents were made up as follows: "First Secret" is 'learning three natures of the human mind', "Second Secret" is 'learning creative values first method to find meaning of life', "Third Secret" is 'learning experiential value as second method to find meaning of life', "Fourth Secret" is 'learning attitudinal value as third method to find meaning of life', and "Fifth Secret" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'Opening mind', 'Learning'. 'Laughing Song', 'Experiencing'. Conclusion: This CD program applied logotherapy with flash animation technique as an emotional and spiritual nursing intervention program for easier and more scientific application in pediatric oncology and hospice care area.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.2
• /
• pp.1292-1303
• /
• 2015

Jeju province is the highest area about obesity(1st), alcohol consumption(2nd) and male smoking(2nd) among sixteen Korean provinces by the report of Statistics Korea: 2013 community health survey. Therefore, it is assumed that the incidence rate of colon, liver, lung and breast cancer can be high. The purpose of this study is to test these cancer's incidence and mortality trends and compare comparability with national average. The Joinpoint regression model and permutation tests for identifying changes and parallelism in trend were used to test registered data at Jeju Regional Cancer Registry from 1999 to 2012. In male colorectal cancer, Average Age Percent Change(AAPC) of Age-Standardized incidence Rate(ASR) was 8.4% per year(p-value<.000) and the hypothesis of parallelism with Korean male average was rejected because of steep increasing of Jeju male patients' AAPC(p-value=.047). In male liver cancer, AAPC of ASR was -2.98 % per year(p-value<.000) and parallelism with Korean male average was rejected because of sluggish decreasing of Jeju(p-value=.026). In male lung cancer, the ASR parallelism with Korean male average was rejected(p-value=.009) because Jeju patients APC(4.37% per year) was increased during 2006~2012. This study demonstrates that AAPC and Trends of male colon, male lung and male liver were difference from national average. Further studies are needed to understand its causes.