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.

청간소요산으로 호전된 설통 환자 3례

김연진,양승보,김정화,이상화,조승연,박성욱,박정미,고창남,Kim, Yeon-jin,Yang, Seung-bo,Kim, Jeong-hwa,Lee, Sang-hwa,Cho, Seung-yeon,Park, Seong-uk,Park, Jung-mi,Ko, Chang-nam 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.4

Objectives: This clinical study reports the effects of Cheonggansoyo-san (CSS) on three patients with glossodynia. Methods: Three patients with glossodynia were treated with CSS (i.e., an herbal medicine) and acupuncture. Numeric rating scales (NRSs) for glossodynia and dry mouth and hwa-byung questionnaire scores were evaluated, and the results from heart rate variability (HRV) evaluations were analyzed. Results: After treatment with CSS, three patients' glossodynia symptoms, such as burning sensations, tingling, and numbness of the tongue, were improved. NRS ratings for glossodynia and dry mouth and the hwa-byung questionnaire scores also improved, and HRV parameters were closer to the normal range. Conclusion: Cheonggansoyo-san could be used to treat glossodynia.

急性 骨髓性 白血病 患者 1例에 對한 臨床報告

조정효,유화승,최우진,이용연,서상훈,이연월,손창규,조종관 대전대학교 한방병원 2000 惠和醫學 Vol.9 No.2

AML is the most common type of leukemia in adults. AML(acute myeloid leukaemia) is characterised by a rapid accumulation of abnormal white blood cells in the blood and bone marrow, resulting in severe anemia, and possibly infection, and hemorrhage during the course of the disease. In general the prognosis of patient with relapsed AML is poor. At this time, however, the only potentially curative therapy for relapsed patients is allogeneic BMT(bone marrow transplantation). This clinical study were carried out 1 case of female patient aged 44 with relapsed AML treated by herb medicine. At the time of admission, she complained of mild fever, nausea, vomitting, abdominal pain, anorexia and no sign of bleeding. For the 10 days of admission, she was treated with Oriental-Western medicine and all the symptoms were disappeared. After that, the syptoms were aggravated because of secondary infection. Anyway, above result showed the possibility of Oriental therapy as Supportive Care in AML.

減壓貯藏이 Tomato果實의 着色에 미치는 영향

趙來光,崔鍾旭,孫泰華 COLLEGE OF AGRICULTURE KYUNGPOOK NATIONAL UNIVERSI 1984 慶北大農學誌 Vol.2 No.-

This experiment was conducted to observe the effect of subatmospheric pressure storage on the coloration of tomato fruits. Tomato fruits(Lycopersicon esculentum Kang Lyuk Misu), which were cultured on field, were havested at the mature green stage on June 16, 1976 and stored 10℃ under normal atmospheric pressure (NAP) and sub-atmospheric pressure (SAP). Furthermore, the treatment at SAP was subdivided into CO_(2) 0%(SAP-O), CO_(2) 5% (SAP-5) and CO_(2) 10%(SAP-10) concentration, respectively. The results obtained were as follows : The chlorophyll content was rapidly decreased for 10 days, whereas the content of chlorophyll in SAP treatment was retained 2㎎% after 40 days. The lycopene content in NAP-5 was 5㎎% after 20 days. On the other hand, that in SAP-10 was 3㎎% art after 40 days. The red color development was retarded for 30 days in SAP-10. Comparing with the formation of lycopene, that of carotene was less inhibited by storage conditions (carbon dioxide, temperature, pressure) and increased more slightly in SAP than in NAP. The ripening of tomato fruits in NAP was retarded for about 30 days as compared that in SAP. The intensity of respiration in SAP was weaker than that in NAP. Also the peak of respiration in SAP was delayed compared to that of NAP. The content of reducing sugar and titratable acidity in SAP were retained more than in NAP up to 30 days tested.

朝鮮後記 관찰사 및 守令의 官職利用 刊本 -嶺南地方을 中心으로-

조정화 한국문헌정보학회 1996 한국문헌정보학회지 Vol.30 No.1

官職利用 刊本이란 관찰사 및 守令이 관직을 이용하여 약간의 行下만 지급하고 官의 物資를 사용해서 私的으로 刊行한 典籍을 말한다. 이들 간본들의 분석을 위하여 <鏤板考> 등 冊板目錄에 수록되어 있는 책판을 대상으로 現存本과 對査하고 이어 序文 跋文의 刊印記錄을 조사하였다. 그 결과에 의하면 八道 중 嶺南地方에서, 대개는 관찰사나 守令의 赴任地에서, 그들 조상의 문집들이 가장 많이 간행된 것으로 나타났다. 이는 그당시 嶺南地方 社會性格의 一面을 반영하고 있다고 하겠다 This study is to purposed to analyze the publications printed by some provincial governors during their government positions at Young Nam province in the late Chosun Dynasty. To examine the characteristics of the publications, the data used are some original transcripts and the related materials that include publication information in their prefaces from currently usable original transcripts and woodblock catalogs such as Lupango(鏤板考). The results showed that the publications were most commonly printed in the Youngnam Province and the reason of the publication was to collect their ancestors' works at their posts. From the fact, we can recognize the social situations and backgrounds in the Young Nam Province during the time

수림가장자리의 경관생태적 특성분석

조현주,나정화 慶北大學校農業科學技術硏究所 2007 慶北大農學誌 Vol.25 No.-

The aim of this research is to set improvement guidance a character analysis of woodland edge to cope with the ecological dysfunction of woodland which was caused by massive development project and thoughtless development in country areas. The summary of research result are as follows. 1) From the result of landscape ecology characteristic analysis of woodland in all seven research sites, to begin with, in proportion of appearance by vegetation layer and condition of composition, site 5 showed to be most satisfactory. 2) A width of woodland edge was revealed 7.5m as a minimum, 17.0m as a maximum, and 11.4m as a average and minimum edge was set as 10m according to integrated analysis on each example place. 3) As a result of flexibility analysis, site 1, 2 and 5 was shown high value 3, and it is thought that curve rather than linearity should be maintained in order to increase the ecological function. Also, a phenomenon of straight was prominent, and as a woodland edge, green network and buffering system showed to be somewhat unsatisfactory. 4) Based on the result of character analysis of landscape ecology, main guidelines for improvement of woodland edge were categorized into five in parallel structure and three in vertical structure respectively. The guidelines for improvement of woodland edge suggested by the research has a deep meaning in that it is used as a basic material to induce for controling more systematically or landscape-friendly the defamed forest problems caused by road construction, various development projects, and enlargement of agricultural lands.

경작지 내 소규모 수림의 경관생태적 특성 분석

조현주,나정화 경북대학교 농업과학기술연구소 2008 慶北大農學誌 Vol.26 No.-

This research put most emphasis on setting the guidelines for improvement through character analysis of landscape ecology to cope with ecological malfunction of the woodland surrounded in cultivated areas. The results are as follows. 1) As a result of character analysis of the woodland in cultivated area in point of landscape ecology in five case sites, the size of case site 3 is the largest as 3,000㎡ and it is shown that a colony of pine trees which is valuable in terms of ecological, scientific, historic and cultural senses. 2) As a result of analysis on expansibility of woodland in cultivated area, case site 1 is 0.25, the lowest, flexibility is 4, the highest, In order to improve ecological function in woodland, it is regarded that maintaining curve form rather than straight one. 3) As a result of analysis of morphological diversity , case site 5 shows 1.3, the highest. However, the condition of vegetation and emergence frequency of species indicates low value degree. 4) Based on the result of analysis of landscape ecological character like above, the number of guidelines for the woodland in cultivated area is three and vegetation is four.

Bis(triphenylphosphine) copper(1) tetrahydroborate에 의한 4-Bromophenyacetylchloride의 환원반응

조성동,김두화,박정환,김인경,조재흥 조선대학교 기초과학연구소 1991 自然科學硏究 Vol.14 No.1

4-Bromophenylacetylchroride was reduced to 4-bromophenylacetaldehyde in good yield by bis(triphenylhosphine) copper(1) tetrahydroborate.

Web상에서 통계자료분석 시스템 구축

조병엽,이정화 朝鮮大學校 社會科學硏究所 2001 社會科學硏究 Vol.22 No.1

In this paper, constructed statistical data analysis system that the user can analyze its data on the web. We implemented statistical data analysis system that the user select a data analysis method and input data on the web browser, and then can see analysis results of the data through the statistical software in the server on the web. Statistical Data Analysis System is system able to analysis of data through interface statistical software using the data on the web. and that is consisted of the SAS(Statistical Analysis System) for statistical package and interface between web server and statistical software is implemented by ASP(Active Server Pages).

抗癌丹을 投與한 各種 癌患者 320例에 對한 考察

曺政孝,兪和承,李淵月,孫彰奎,趙鍾寬 대전대학교 한의학연구소 2004 혜화의학회지 Vol.12 No.2

The purpose of this study was to investigate the effects of Hangamdan(抗癌丹). The clinical study was carried out 320 cases of patients with cancer treated by Hangamdan(抗癌丹) from May 1st 1998 to September 1st 1999. The results were summarized as follows; 1. The effects of improvement in the symptoms with traditional oriental cancer therapy(47.6%) were higher than combined treatment of western and oriental therapy(37.4%). 2. In the analysis of hematology, maintenance and increasing of WBC(86.2%), Hgb(87.2%), Platelet(97.6%) RBC(81.1%) were Observed. In the analyses of tumor marker, maintenance and decreasing of CEA(76%), CA19-9(88.8%), AFP(69.2%) were observed. 3. In the analysis of safety, maintenance and decreasing of AST(93.1%), AL.T(95%), BUN(92.2%), Creatinine(93.6%) were observed. 4. In the analysis of QOL attached by cancer, combined treatment of western and oriental therapy(maintenance and improvement; 91.8%) was higher than traditional oriental cancer therapy(maintenance and improvement; 79.3%) 5. In the analysis of survival in patients with terminal cancer, above 6 months(46.3%), 12 months( 19.2%). 6. In the analysis of antitumor effects, combined treatment of western and oriental therapy(maintenance 71.6% improvement 12.8%) was higher than traditional oriental therapy (maintenance 66.7% improvement 9.5%). 7. In the analysis of curative evaluation, combined treatment of western and oriental therapy(maintenance 40.4% improvement 41.8%) was higher than traditional oriental therapy (maintenance 23.8% improvement 46.1%). 8. In the analysis of IL-12 and IFN-γ attached by cancer, increasing of IL-12(32.3%), IFN-γ(41.5%) were observed. From the above results, it is suggested that Hangamdan has significant effects of antitumor and immune activity, also could be usefully applied for cancer patients by combination with western therapy or alone.