Mycobacterium mageritense에 의한 당뇨병성 족부 감염증 1예

김충종,김낙현,김문석,김계형,전재현,박문석,박경운,박완범,박상원,김홍빈,김남중,오명돈,최강원 대한감염학회 2008 감염과 화학요법 Vol.40 No.6

Diabetic foot infection is one of the important complications in patients with advanced diabetes mellitus. Limb threatening infections such as osteomyelitis, abscess, and necrotizing fasciitis are frequently accompanied by the disease. Non-tuberculous mycobacterium (NTM) is a rare causative organism of diabetic foot infection. Thus, if one is not suspicious or meticulous, infection due to NTM will be easily overlooked and this will result in delayed diagnose and treat. Therefore, it is necessary to consider NTM as the causative organism if the wound does not respond to the conventional antibiotic treatment and the culture from the adequately obtained specimen reveals atypical acid-fast bacilli. We present a case of diabetic foot infection with osteomyelitis and abscess due to Mycobacterium mageritense, one of the rapid growing mycobacteria, that was successfully treated with surgical debridement and appropriate antibiotic treatment.

DBD(Dielectric Barrier Discharges)에서 플라즈마 발생 해석

김종봉,신명수,김종호,김성영,이혜진 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

DBD(Dielectric Barrier Dischages) plasma is often used to clean the surface of semiconductor. The cleaning performance is affected mainly by plasma density and duration time. In this study, the plasma density is predicted by coupled simulation of flow, chemistry mixing and reaction, plasma, and electric field. 13.56 MHz of RF source is used to generate plasma. The effect of dielectric thickness, gap distance, and flow velocity on plasma density is investigated. It is shown that the plasma density increases as the dielectric thickness decreases and the gap distance increases.

필리핀 여행 후 발생한 쯔쯔가무시병 1예

김계형,김낙현,김문석,김충종,전재현,박완범,장원종,박상원,김익상,오명돈,최강원 대한감염학회 2008 감염과 화학요법 Vol.40 No.6

Infectious diseases imported from other countries have increased as more and more Koreans are going abroad for various purposes. Tsutsugamushi disease from other endemic area such as Southeast Asia is important, because it can occur in any season and eschar may be absent. We report a case of imported tsutsugamushi disease acquired in the Philippines. A patient presented with fever, headache, and maculopapular skin rash. However, eschar was absent. Polymerase chain reaction (PCR) for 56-kDa gene of Orientia tsutsugamushi using buffy coat was positive. Serum indirect immunofluorescent antibody assay was initially negative but became positive with a titer of 1:320 at follow-up, Sequencing analysis revealed the strain to be 100% identical to the TW73R strain identified in Taiwan. After the patient received doxycycline, body temperature normalized in 12 hours. Tsutsugamushi disease is one of the differential diagnoses that should be included for patients with fever who have recently returned from Southeast Asian countries. PCR for O. tsutsugamushi using patient's buffy coat was useful for early diagnosis.

동종골수이식 환자에서 발생한 지역사회발생 Parainfluenza virus 3형 폐렴 1예

신종욱,조요한,강철인,김성한,이상윤,김의석,오명돈,이환종,박선양,김병국,최강원 대한감염학회 2002 감염 Vol.34 No.5

반복적인 부비동염으로 내원한 Good 증후군 1예

송경호,김계형,김충종,박경운,전상훈,김홍빈,김남중,오명돈,최강원 대한감염학회 2007 감염과 화학요법 Vol.39 No.5

Good 증후군은 흉선종과 면역결핍이 동반되는 질환으로, B세포의 감소로 인한 범저감마글로불린혈증과 CD4^(+)T세포의 감소로 인한 세포성 면역저하가 동시에 나타나는 것을 특징으로 한다. 본 증례는 18개월 전부터 발생한 반복적인 부비동염을 주소로 내원한 43세 남자 환자로, 내원 1년 전 흉선종절제수술을 시행받았으며, 면역학적 검사상 범저감마글로불린혈증과 T세포의 감소 등의 이상 소견이 발견되었다. 정주 면역글로불린과 경험적 항생제(amoxicillin/clavulanic acid) 사용 후 부비동염이 호전되었으며, 예방접종과 정기적인 면역글로불린 투여 후 특이 합병증없이 경과 관찰 중이다. Good's syndrome is the association of thymoma with immunodeficiency, characterized by hypogammaglobulinemia, B-cell lymphopenia and variably defects in cellular immunity with CD4^(+) T-cell lymphopenia and an inverted CD4^(+):CD8^(+) T-cell ratio. We report a 43-year-old male patient who presented with a 18-month history of productive cough and postnasal drip. One year ago, he underwent the operation for resection of a thymoma. Despite of appropriate management, sinusitis relapsed multiple times. He was found to have hypogammaglobulinemia with nearly absent B cells(4/μL). The CD4^(+) T-cell count was 554/μL with an inverted CD4^(+):CD8^(+) T-cell ratio of 0.6. His symptoms and signs improved with antibiotic treatment and monthly administration of intravenous immunoglobulin (IVIG, 400 mg/kg).

경연 대회를 통한 초ㆍ중고생의 창의력 신장 효과에 관한 연구

이희복,육근철,류해일,김현섭,김희수,박달원,유병환,김선효,김여상,서광수,변두원,서명석,배성효,박종석,심규철,이성희 공주대학교 과학교육연구소 2001 과학교육연구 Vol.32 No.1

미래 사회를 대비하기 위한 개인의 개성을 존중과 창의적인 능력을 지닌 인간을 양성을 목적으로 충청남도 지역의 초 ㆍ 중고등학생들을 대상으로 한 창의력 경연대회가 공주대학교 과학교육연구소에서 개최되었다. 충청남도 초 ㆍ중 ㆍ 고등학생들을 대상으로 실시한 창의력 경연대회는 창조적 아이디어를 내어 스스로 문제를 해결해 나갈 수 있는 교육 프로그램을 제공하는 좋은 기회였음이 확인되었으나, 일부의 팀에서만 참신하고 재미있는 아이디어들이 제안되었다. 여학생의 참가자 수가 상당히 증가하였으며, 대체적으로 입상권의 학생들의 상당 부분이 여학생이라는 것이 특이할만하다. 학년이 올라감에 따라서 창의적인 아이디어를 내는 양이나 질에 있어서 뒤떨어지는 것으로 분석되었으며, 토론 학습의 적응력이 미흡하고 발표력 및 청취력에 있어서도 떨어지는 것으로 나타났다. 따라서 중 ㆍ고등학교의 학교교육에서도 학생들에게 프로젝트형 탐구학습 프로그램의 적용은 물론 토론식 수습을 통한 학생들의 사고의 전환의 기회를 제공해야 할 것으로 사료된다. The creativity competition was held to foster the creativity of elementary and secondary school students in the Institute of Science Education, Kongju national University. It was found that the creativity competition effected on the improvement of inventing creative ideas and problem solving activities. But, only some competitors participated in semifinal and final contests, presented original and interesting ideas. More female students participated in competition than last year. More female participants were awarded a prize than males. Totally, participants were defective in discussion and communication, and presentation and listening ideas. Increasing grades correlated inversely with creativity and originality. There is need of inquiry project teaming programs and presenting opportunities of conversion of thinking by discussing instructions in school

Spiro유도체의 화학적 성질에 관한 연구

金明建,許永德,金鍾珪 단국대학교 1994 論文集 Vol.28 No.-

The effect of solvnets upon the absorption spectra of open forms of spiroanthraoxazine and spiro-6-nitropyran have been examined. For the case of spiroanthraoxazine, the visible absorption maximum shifts to longer wavelength as the polarity of the solvent is increased(i.e., positive solvatochromism). The open structure of spiroanthraoxazine, may be considered the quinoid type. In spiro-6-nitropyran, a hypsochromic shift os observed as the polarity of solvent is increased (i.e., negative solvatochromism). It is likely that the open structure of spiro-6-nitropyran is the zwitter ion type. The enthalpy changies between the closed form and the open form of spiroanthraoxazine, and spiro-6-nitropyran were measured. Wiht increasing polarity of solvent, the enthalpy changies of spiroanthraoxazine, and spiro-6-nitropyran decrease.

3-isoamyl-ethyl-amino-6-methyl-7-anilino fluoran(S-205)의 열 변색 현상에 관한 열역학적 연구

김명건,허영덕,김종규 단국대학교 1999 論文集 Vol.34 No.-

Absorption spetra of thermochromic of 3-isoamylethyl-amino-6-methyl-7-anilino fluoran(S-205) was investigated. The S-205 exists as a colorless lactone in aprotic solvents. However, the S-205 exists in the form of an equilibrium mixture of a colored zwitter-ion and a colorless lactone in protic solvents. In order to understand the interaction between the S-205 and the solvent, absorption spectra of the S-205 in various solvents were measured. The systematic increase of the λ_max of the S-205 correlate with the solvent polarity of the solvent in protic solvent and aprotic solvent. The enthalpy changes of the S-205 has also been investigated. From the variation of absorbance with temperature, the standard enthalpy changes △H_0 the equilibrium between the lactone and the zwitter-ion in various solvents have been determined. The standard enthalpy change △H_0 is approximately -7 kJ/㏖ in protic solvents. In acidic solution, the standard enthalpy change is measured to be to zero in protic solvents within the experimental error. When the carboxylic group is protonated in acidic solution, a poor interaction between the dye and the solvent is expected.

상피세포 종양에서 bcl-2 표출에 관한 연구

김의한,정현,이종석,이성열,조명구 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Background : The bc1-2 protein, contrast to p53, has been shown to be suppress the apoptosis, and overexpression of the bc1-2 protein has been reported in several malignant tumors. Although how the bc1-2 protein takes part in tumorgenesis has not been proved, the bc1-2 positive tumors appeared to have good prognosis in some malignant tumors. The expression pattern of the bc1-2 in keratinocyte originated skin tumors have not been well known. The authors analyzed immunohistochemically expression of the bc1-2 protein to invastigate the role of the bc1-2 protein in developing skin tumors. Method : 21 squamous cell carcinoma, 19 basal cell carcinoma, 9 keratoacanthoma 11 seborrehic keratosis and 9 Bowen's disease were immunostained with anti-bc1-2 monoclonal antibody. Results : 1. The bc1-2 negative reactions were seen in all cases of sqaumous cell carcinoma, keratoacanthoma and Bowen's disease. The basal layer in keratoacanthoma and Bowen's disease shown to be intense positive reaction in bc1-2, whch suggested of the protected barrier function from tumor cell invasion into the dermis. 2. The bc1-2 were positive in all basal cell carcinoma. 3. In seborreheic keratosis, 9 cases were negative and 2 cases were positive. The positive cases appeared to be resulted from invagination of the basal cells in the epidermis. Conclusion : The bc1-2 protein did not appear to express in full matures cell, but positive reaction are seen in proliferating activity cells. The bc1-2 positive cells are rahter not abnormal cells than have function of protection of tumor cell proliferation by the prolongation of survival time normal cell.

한·중·일 체육전공 대학생의 스포츠 상해에 관한 실태 분석

김영명,김종동 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

This study analyzed the status of sports injury occurring in the university students of Korea, China, and Japan vino major in athletics. The survey questionnaire was collected from 1,017 students majoring in athletics at 4-year universities located in Busan Korea and 478 students majoring in athletics at 4-year universities in Kyushu, Japan. Also 856 university students in athletics-related majors in Beijing and Shanghai, China, answered the questionnaire. The research results are as follows: 1. The rate of experiencing sports injury and handicap before entering university was found to be the lowest in Korean students. On the other hand, the rate of healing after sports injury and handicap was the highest in China. Chinese students experienced Less sports injuries and handicap than Japanese students. This shows that China has better environment to treat and care sports injuries. 2. After entering university, Japanese students and Chinese students experienced sports injuries and handicap in similar frequencies(67% for Japan and 61% for China). Korean students had lower rate of 51% than their counterparts in China and Japan. Compared to before and after entering university, students of all three countries had Less sports injuries and handicap experiences after they entered university than before they entered university. 3. Sports injuries and handicap rates by the month were found higher between March and May in Korea and between April and October in China and Japan. This result implies that sports injuries have something to do with the school opening seasons and sports season of each country as well as the cold weather. 4. The body parts which had higher rates of sports injuries were knee joints, ankle joints and legs in all three countries. Also students suffered back pain a lot (especially in case of women regardless of country). The rate of sports injuries increased as students want into a higher grade. Therefore a regular exercise program to strengthen the body parts susceptible to injury and an aftercare treatment following games are necessary.