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.

러시아 법인세의 건전성과 효율성에 관한 연구

성원용, 이백희 연세대학교 동서문제연구원 2000 유라시아연구 Vol.1 No.1

이 글은 체제전환기 러시아 법인세의 구조, 성격, 특징과 한계 등을 살펴보고, 이와 함께 법인세가 러시아 조세체계에서 차지하는 위치와 의미에 대해 재검토하는 것을 그 목적으로 한다. 체제전환 10년이 지났지만 러시아의 조세제도는 아직도 자기완결적인 체계를 갖지 못한 채 '형성' 단계에 머물러있고, 또 그 안에는 수없이 많은 결점들과 자기모순적인 성격이 내재하고 있다. 구체적으로 법인세의 경우 기업의 실제이윤에 대한 과세가 아니라 기업의 이윤을 비정상적으로 과도하게 징수하는 착취형 과세구조를 고 있다. '조세포탈 방지'라는 취지아래 만들어 놓은 법인세 선불지불규정, 정상적인 손금처리를 엄격하게 제한하는 갖가지 제한규정, 고정자산의 실제 내용연수를 무시한 강제적인 감가상각 규정 등이 그 예라 할 것이다. 기업 재무구조의 건전성과 효율성을 제고하고 기업의 현실을 반영하기 위해서는 보다 과감한 법인세 구조의 개혁이 요구된다. 무엇보다도 기업회계 방식을 수용하여 기업회계와 세무회계간의 차를 줄이고 이를 통해 기업의 납부비용과 세무당국의 행정비용을 축소해야 할 것이다. 법인세 자유화의 중요한 본질은 결코 세율 인하에 있는 것이 아니라 새로운 법인세 산정 방식에 있고, 따라서 제품의 생산 및 판매에 지출된 비용 인식, 감가상각 계산, 적자기업에 대한 관계 등에 새로운 접근이 절실하다.

이하선 종양에 관한 임상적 연구

백승,오희균,박홍주,유선열,김원재 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.3

This is a clinical study on 113 patients, who were treated for parotid tumors at Chonnam National University Hospital over a period of 5 years from January 1996 to December 2000. The results were as follow, 1. The mean ages were 42.6 years old (12~73 years) for benign parotid tumor patients and 43.9 years old (2~74 years) for malignant patients. 2. The ratio of male to female was 1:2 in malignant parotid tumors, but there was no difference in sex distribution of benign tumor. 3. There was no difference in mean mass size and duration of illness between benign and nalignant tumor patients. 4. The combined use of fine needle aspiration biopsy and computed tomograph was common as the diagnostic method of parotid tumor 5. The parotid tumors were commonly located in the superficial lobe(69%). 6. The ratio of benign and malignant tumors was 4:1. The most common benign tumor was pleomorphic adenoma (72% of benign tumor), followed by Warthin's tumor and monomorphic adenoma. The most common malignant tumor was rnucoeplderrnoid carcinoma(45% of malignant tumor). followed by adenoid cystic carnoma. carcinoma ex pleomorphic adenoma, and adenocarcinoma. 7. The most common operations were superficial parotidectomy (72%) for benign parotid tumor and total parotidectomy (45%) for malignant tumor 8. The most common postoperative complication was temporary facial nerve weakness (82%), followed by Frey's syndrome (14%) and permanent facial palsy (4%). 9. Postoperative radiation therapy was done in 12 patients and the mean radiation dose was 5550±620cGy. 10. Of 113 cases. tumor recurrence developed in 12 cases (10%). These results suggest that the successful management of parotid gland tumors needs adequate surgical treatment on the basis of knowledge of parotid gland anatomy and preoperative diagnosis.

동자개(Pseudobagrus fulvidraco)의 난모세포 성숙과 배란에 대한 스테로이드와 HCG의 in vitro효과

백혜자,한창희,임창구 동의대학교 기초과학연구소 1998 基礎科學硏究論文集 Vol.8 No.1

The aim of this study was to determine the effect of steroids and human chorionic gonadotropin(HCG) on in vitro maturation and ovulation of oocyte in Pseudobagrus fulvidraco. Oocytes were incubated in the media Leibovitz L15 supplemented with the various concentration of 17α, 20β-dihydroxy-4-pregnen-3-one (17α20βOHP), 17α-hydroxyprogesterone (17αOHP), progesterone(P₄), estradiol-17β(E₂)and HCG. After 60 hours incubation, the maturation ability of oocyte was assessed by the appearance of germinal vesicle breakdown (GVBD). GVBD was significantly enhanced by the addition of 17α20βOHP, 17αOHP, P₄and HCG(P$lt;0.05). The highest GVBD was observed when 17α20βOHP and HCG were supplemented to media. When oocytes were cultured for 16hours in media containing 10∼1,000 ng/ml 17α20βOHP, 17αOHP and P₄, the rate of GVBD in oocytes cultured in the medium supplemented with 100ng/ml 17α20βOHP (65%) was significantly higher than that with 17αOHP(40%) and P₄(35%). The effects of 17α20βOHP and HCG on GVBD were assessed by various concentration of these hormones. When oocytes were cultured for 60 hours in various media containing 1∼1,000 ng/ml 17α20βOHP or 5∼1,000 IU/ml HCG, the GVBD of oocytes was significantly increased in the medium with 10∼100 ng/ml 17α20βOHP and 500 IU/ml HCG. When oocytes were cultured in the various media supplemented 1∼1,000 ng/ml 17α20βOHP or 5∼1,000 IU/ml HCG for 60 hours, the media with 1∼100 ng/ml 17α20βOHP or 50∼1,000 IU/ml HCG significantly increased in the rate of ovulation. However supplementation with 1,000 ng/ml 17α20βOHP or 5 IU/ml HCG did not improve the rate of ovulation compared to controls. This results indicate that supplementation of steroid and HCG except E₂can improve the in vitro maturation and ovulation of oocyte in P. fulvidraco; HCG and 17α20βOHP may be more effective than other steroids on oocyte maturation and ovulation in P. fulvidraco.

이하선 종양에 관한 임상적 연구

백승,하주원,오희균,유선열,김원재 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.5

This is clinical study on 113 patients who were treated for parotid tumors at Chonnam National University Hospital over a period of 5 years from January 1996 to December 2000. The results were as follows ; The mean ages were 42.6 years old (12∼73 years) for benign parotid tumor patients and 43.9 years old (2∼74 years) for malignant patients. The ratio of male to female was 1:2 in malignant parotid tumors, but there was no difference in benign tumors. There was no difference in mean mass size and duration of illness between benign and malignant tumor patients. The combined usage of fine needle aspiration biopsy and computed tomogram was common as the diagnostic methods of parotid tumor. The parotid tumors were commonly located in the superficial lobe (69%). The ratio of benign and malignant tumors was 4:1. The most common benign tumor was pleomorphic adenoma (72% of benign tumor), followed by Warthin's tumor and monomorphic adenoma. The most common malignant tumor was mucoepidermoid carcinoma (45% of malignant tumor), followed by adenoid cystic carnoma, carcinoma ex pleomorphic adenoma, and adenocarcinoma. The most common operations were superficial parotidectomy (72%) for benign parotid tumor and total parotidectomy (45%) for malignant tumor. The most common postoperative complication was temporary facial nerve weakness (82%), followed by Frey's syndrome (14%) and permanent facial palsy (4%). Postoperative radiation therapy was done in 12 patients (60%) and the mean radiation dose was 5550±620 cGy. Of 113 cases, tumor recurrence developed in 12 cases (10%). These results suggest that the successful management of parotid gland tumors needs adequate surgical treatment on the basis of knowledge of parotid gland anatomy and preoperative diagnosis.

자기연마재의 입도 변화가 STS 304 튜브 내면 연마에 미치는 영향

김희남,최희성,김상백 명지대학교 산업기술연구소 2005 産業技術硏究所論文集 Vol.24 No.-

In this paper deals with behavior of the magnetic abrasive using Sr-ferrite on polishing characteristics in a new internal polishing of seamless stainless steel tube applying magnetic abrasive polishing. The magnetic abrasive using Sr-ferrite abrasive grain WA used to resin bond fabricated low temperature. And Sr-ferrite of magnetic abrasive powder fabricated that Sr-ferrite was crused into 200 mesh. The previous research have made an experiment in changes of the magnetic flux density, polishing velocity, feedrate, pass numbers is nevertheless in the other variables. In this paper, We could have investigated into the changes of the magnetic abrasive mesh. In reference to this result, we could have made the experiment which is set under the condition of the magnetic flux density, polishing velocity, feedrate accoring to the changes of the magnetic abrasive mesh.

영원한 젊은이 : 남성의 모성 콤플렉스의 치유와 변환

이상백,김계희 용인정신의학연구소 2009 용인정신의학보 Vol.16 No.1

Puer Aetemus is the name of a god of antiquity. We use it to indicate a certain type of young man who has an outstanding mother complex and who therefore behaves in certain typical ways. It seems to us that the problem of the puer aetemus is becoming increasingly actual, and Dr. Jung spoke of one cure, "work". The Little Prince by Antoine de Saint Exupery shows the typical form of the puer aetemus and we can understand the characteristics of the puer aetemus through him. A strong mother complex develops when the mother has been the more impressive parent. It is important to understand that every man has a mother complex, so it is nothing pathological, but a very strong mother complex may be pathologic and problematic. She appears in men as an element of romantic, unreal, mostly sexual fantasies. When the mother complex is overcome, the man is freed to develop the feminine side his nature. This side jung called anima, and it is essential for psychic growth that the anima be detached from the mother. When the separation dose take place, the son may then go on to establish a mature relationship with a woman. What makes us feel alive and the way that we understand ourself are the contact with that flow of the unconscious psyche. That's why dreams are so important.

Nitinol 형상기억합금 전해가공의 전해액 영향분석

김백겸,신태희,백승엽,이은상 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

Electro-chemical Machining, the anodic dissolution process is able to achieve wanted a sharp shape and high quality surface without contact with workpiece and low heat effect using electrochemical reaction between anode and cathode. In hence this process useful to apply micro structure. A shape memory alloy for micro-structure and micro industrial technique, Nitinol is composed of approximately 55% Nikel and 45% Titanium by weight. This material is able to function as to transform specific shape from a certain deformation when the alloy is heated. Therefore Nitinol is used for several industries such as a medical industry, a aerospace, electrical application on a part of micro structure. In this paper, effect of electrolyte is studied on electrochemical machining for Nitinol shape memory alloy, copper is used for electrode, diameter and depth are measured as a extent of processing using optical microscope.

냉기치료후 슬관절강내의 온도변화

백승석,최기섭,박시복,이상건,김영호,양길태,장윤희 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.2

Ni-Ti 형상기억합금의 전해가공을 이용한 미세 그루브 가공 특성연구

김백겸,신태희,백승엽,이은상 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

Electrochemical micro machining, the anodic dissolution process is considered to effective advantaged micro machining method which possess several advantages on electrically conducting and difficult to machine materials. Ni-Ti SMA(Shape Memory Alloy) is composed of approximately 56% Nikel and 44% Titanium by weight. This material is able to function as to transform specific shape from a certain deformation when the alloy is heated. However, Ni-Ti SMA is easily to loss characteristic that shape memory as a traditional machining process by reason of generating heat at contacting area between material and tool. Therefore Ni-Ti SMA is suitable electrochemical machining that needless contact a tool to material. In this paper, characteristics of micro groove process are studied on electrochemical machining to change tool diameter and distance between material and tool electrode.