2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

NDRG2 is one of novel intrinsic factors for regulation of lL-10 production in human myeloid cell

최승철,김광동,김종태,오상석,윤선영,송은영,이희구,조영경,최인표,임종석,김재화 Sookmyung Women's University Research Institute of 2010 여성과 건강 Vol.6 No.1

EndoVac과 EndoActivator를 이용한 근관세척법의 Enterococcus faecalis 제거 효율 평가

송승곤,박세희,조경모,김진우 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.5

이 실험의 목적은 EndoVac과 EndoActivator를 이용한 근관세척시 근관 내 접종된 Enterococcus faecalis의 제거 효율을 기존의 irrigation needle을 이용한 방법과 비교 평가하고자 함이다. 발거된 70개의 단근치를 사용하였으며 .04 taper ProFile #40까지 근관형성 후 치아를 멸균하고 근관에 E. faecalis를 접종하고 배양하였다. 치아는 근관세척 방법에 따라 20개씩 3개의 실험군과 2개의 대조군으로 나누었다. 2.5% 치아염소산나트륨을 사용하여 근관세척 시행 후 일차 표본을 채취하였고, 다시 근관 내에 배양액을 채우고 24시간 동안 배양 후 이차 표본을 채취하였다. 표본은 colony forming units (CFU) 값을 얻기 위해 BHI agar plate에 배양하였다. 일차 표본 결과에서는 모든 실험치아 중 기존의 근관세척 방법을 이용한 하나의 근관에서 양성 배양을 보였다. 이차 표본 결과에서는 EndoVac실험군에서 가장 적은 양성 배양을 보였으며, 기존의 근관세척 방법과 비교시 통계적으로 유의한 차이를 보였다. 실험 결과에 따르면 EndoVac은 근관 내 접종된 E. faecalis의 제거에 있어 기존의 근관세척 방법보다 더 좋은 효율을 보였다. The aim of this study was to evaluate endodontic irrigation methods with EndoVac and Endovactivator in the elimination of Enterococcus faecalis from the root canals. Extracted 70 human single-rooted teeth were used. The canals were instrumented by a crown-down technique with .04 taper ProFile to ISO size 40. After the teeth were autoclaved, the canals were inoculated with E. faecalis and incubated for 48 h. The teeth were randomly divided into three experimental groups of 20 teeth each according to canal irrigation methods and two control groups as follows: group 1 - EndoVac ; group 2 - EndoActivator ; group 3-Conventional needle irrigation method. After canal irrigation using 2.5% NaOCl. first samples (S1) were taken using sterile paper point. And the canals were filled with sterile brain heart infusion (BHI) broth and incubated for 24 h, then second samples (S2) were taken. The samples were cultured on BHI agar plate to determine the numbers of colony forming units (CFU). In first sampling (S1), only one canal of conventional method among the all experimental groups was positive cultured. In second sampling (S2), EndoVac group showed the least positive culture numbers of E. faecalis. There was statistically significant difference between the EndoVac and conventional needle irrigation methods in the mean value of Log CFU. According to the results of this study, showed better efficacy than conventional needle irrigation method in the elimination of E. faecalis from the root canal.

경구면역을 통한 항원 특이적 IgA 항체 합성에 있어 Cholera Toxin과 Alginate-Microsphere의 효과

송민형,유진수,권명상,성승룡,김용희,권익찬,정서영,양재명,김평현 大韓免疫學會 1996 大韓免疫學會誌 Vol.18 No.3

Secretory (S-IgA) isotype antibody (Ab) is known to play an essential role in the primary defense against various infectious agents in mucosal tissue. However, it has been mostly unsuccessful in the induction of antigen (Ag)-specific IgA Ab response in this site by peroral vaccination. In the present study, we investigated the effect of cholera toxin (CI) as a mucosal adjuvant and alginates-microspheres as a carrier on BSA-specific IgA Ab response in gut-associated lymphoid tissue`(GALT). Peroral immunization of BSA plus CT conferred a great BSA-specific IgA response but IgG response on intestinal fluid (IF). In contrast, intraperitoneal immunization of BSA with Freund's adjuvant readily induced BSA-specific IgG response but IgA response in IF. Further, number of CT specific IgA-secreting cells was substantially increased in mesenteric lymph node when CT-encapsulated-VI alginates-microspheres was administered perorally. Taken together, these results indicate that peroral immunization of soluble antigen in combination of CT or microspheres significantly enhances antigen-specific IgA response in GALT.

경동맥 내막 절제술 후 발생한 과관류 증후군 1예

송희정,박광열,정진상,조수진,이순정,허승,김동익,이광호,이병붕 대한신경과학회 1999 대한신경과학회지 Vol.17 No.2

복어중독에 의한 가사 상태에서 소생한 1예

송승찬,신진호,강석우,박경남,최호순,박근태,문희식,기춘석,이성희,윤병철,노우균,조균석,이민호 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.3

Tetrodotoxin is a neurotoxin produced by about 90 species of puffer fish and causes paralysis of central nervous system and peripheral nerves by blocking the movement of all monovalent cation. Ingestion of tetrodotoxin produces clinical manifestations such as paresthesias(within 10-45 min), vomiting, lightheadedness, salivation, muscle twitching, dysphagia, difficulty in speaking, convulsion and death that expressed by cardiopulmonary arrest with loss of brain stem reflex sometimes. Tetrodotoxin prevents or delays ischemia induced neuronal death by way of following 3 mechanisms. Firstly, it reduces the energy demand of the brain tissues. Secondly, it delays or even prevents anoxic depolarization. Finally, it deminishes ischemia induced cell swelling and cerebral edema. We report a case of puffer fish poisoning which presented with cardiopulmonary arrest and loss of brain stem reflex, but completely recovered by aggressive cardiopulmonary resuscitation.

치성 각화성 낭종에 대한 고찰

송승희,이선재,조갑주,서영진,고부일,유기준,박영주,안병근 한림대학교의료원 1994 人間科學 Vol.18 No.11

기름골의 품질관련 특성 평가 : Cyperus esculentus L., var sativus Boeck

송진,방진기,박희운,이승은,박남규 한국국제농업개발학회 2002 韓國國際農業開發學會誌 Vol.14 No.4

기름골의 일반적인 이화학성분과 기름을 추출하여 기름의 특성을 평가한 결과를 요약하면 다음과 같다. 1. 기름골의 일반성분 중 조지방과 조섬유의 함량은 각각 22.4%, 13.3%이고, 총 아미노산 함량은 6,882.4㎎%로 cystein과 isoleucine의 함량이 1,572㎎%, 905㎎%로 가장 높았다. 2. 기름골 전분의 아밀로스 함량은 46.9%였고, RNA 측정결과 최대, 최저 및 최종점도는 각각 451, 280 및 375RNA였다. 3. 기름골 기름의 산가와 과산화물가는 2.1, 6.2meq/㎏이며 지방산 함량은 oleic acid가 70%를 차지하였다. 4. 기름골 기름의 토코페롤 측정결과 α, β, γ, δ가 모두 검출되었고, 그 중 α-tocopherol이 약 15㎎%로 가장 많이 함유되었다. 5. GC/MS를 이용하여 향기성분을 분석한 결과 주된 향기성분은 2.5dimethyl pyrazine으로 약30%를 차지하였다. The objective of this study were to evaluate quality characteristics of the chufa tuber and its oil. The results are summarized as follows : Crude fat, crude fiber and total amino acid were 22.4%, 13.3% and 6.882㎎% of the chufa tuber, respectively. Amylose content of chufa starch was 46.9% and maxium. Minimum and final viscosity of amylogram characteristics in chufa starch were 451, 280 and 375 RVA, respectively. The acid value of oil was 2.1 and peroxide value was 6.2meq/㎏. The content of oleic acid, a major fatty acid in chufa oil, was 70%. Four type of tocopherol were detected and α-tocopheral was shown to be the major tocopherol. The volatile component was measured by GC/MS. 2.5-Dimethyl pyrazine was the dominant volatile component in the whole chufa oil.

관동맥연축의 진단을 위한 Ergonovine Echocardiography의 안전성 및 임상적 유용성

송재관,박성욱,강덕현,조구영,나득영,이내희,이철환,홍명기,김재중,박승정 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

NDRG2 is one of novel intrinsic factors for regulation of lL-10 production in human myeloid cell

최승철,김광동,김종태,오상석,윤선영,송은영,이희구,조영경,최인표,임종석,김재화 Sookmyung Women's University Research Institute of 2010 여성과 건강 Vol.6 No.1