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.

음성 인식 헬스케어 시스템

신진우,조우승,조성빈,김재훈,정지은,사예지,백경동,박동규 순천향대학교 부설 산업기술연구소 2021 순천향 산업기술연구소논문집 Vol.27 No.2

As modern people's interest in health grows, wearable healthcare-related technologies that can collect biometric information and receive health-related services regardless of time and place are developing. This paper proposes the healthcare system based on voice recognition function. Unlike conventional wearable healthcare systems, the proposed system provides real-time telemedicine and diagnosis and the direct connection with doctors is possible through it. And almost all functions of the application in it are operated with voice commands to lower user access barriers. Because it deals with personal information including medical information, encryption algorithms have been applied between all data movements. Finally, the healthcare system proposed in this paper is expected to increase convenience in health care and reduce the medical gap.

고추 탄저병 저항성 중간모본 ‘원예 100005호 ’,‘원예 100006호’ 육성

양은영,김수,채영,채수영,조명철,문지혜,박태성,이우문,곽정호 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.2

Owing to frequent heavy rain due to abnormal weather, the occurrence of pepper anthracnose has recently increased, which affects the supply and demand of pepper. As a result, the price of red pepper powder in 2011, for example, increased three times compared to the average year. Although anthracnose of pepper plants has been controlled by fungicides until now, it is important to develop new resistant cultivars because of the reduction of the labor force in rural area and occurrence of new anthracnose strains resistant to fungicides. National Institute of Horticultural and Herbal Science developed two pepper lines, ‘Wonye 100005’ and ‘Wonye 100006’ that are resistant to pepper anthracnose. These lines were developed by continuous selection of progenies from a cross between ‘Wonye AR1’, which were developed from interspecific hybridization and ‘TF68’. The anthracnose resistance level of the two lines was higher than that of commercial cultivars and similar to check varieties showing highest level of anthracnose resistance.

국민건강증진을 위한 보건교육전문인력 활용방안

정영일,남은우 韓國保健敎育學會 1997 보건교육건강증진학회지 Vol.14 No.2

This study is aimed to devise a development and utilization of health educator in Korea. Health education activities should be a matter of the highest priority in the health promotion program. However the health education program able to establish effectively through utilizing health educator. The histories of health education program both private and public sector in Korea was compiled in this paper. The regulations of health educators in developed countries such as U.S.A, Japan and other European countries was contemplated in terms of their roles, qualities and working sites. This study proposed positively to develop new national license of health educator in consideration of the working places and roles in Korea. The former is placed to five fields such as health center, industry, health insurance corporation, school, hospital and other health related institions, and the latter is working with high quality of planning, excuting and evaluating health education program.

개에서 발생한 신우신염 증례

유건우,이선희,임수정,박형진,김태신,송은식,송근호 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2009 動物醫科學硏究誌 Vol.16 No.1

A 6 years old Schunauzer dog (7.2kg, intact female) with history of hematuria for two days was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. Complete blood cell count showed no significant abnormalities and serum chemistry profile showed increased phosphate profile. On urinanalysis, there was evidence of bacterial infection. On ultrasonographic evaluation, irregular renal contour and increased echogenecity, pelvic and uretral dilation, and thickening of urinary bladder wall were observed. Based on these finding, the dog was diagnosed as pyelonephritis. The dog was treated with antibiotics based on antimicrobial susceptibility test results, then successfully resolved after 8 weeks of treatment.

거짓행동에 대한 부모의 태도 분석

우남희,이은정 동덕여자대학교 2003 생활과학연구 Vol.8 No.-

본 연구는 서울 시내 한 초등학교에 재학 중인 1, 3, 5학년 자녀를 둔 학부모 163명을 대상으로, 부모들이 자신이나 자녀의 거짓행동에 대하여 어떠한 인식과 태도를 취하고 있는지를 분석하였다. 이를 위하여 14가지의 에피소드를 만들어 자녀의 거짓행동에 대한 부모의 평가와 태도를 물었으며, 설문지를 마련하여 부모 자신들의 거짓행동에 관한 질문을 하였다. 연구 결과, 첫째, 아동의 거짓행동에 대하여 부모들은 의도가 있는 거짓행동을 의도성이 적은 거짓행동보다 더 부정적으로 평가하고 있었다. 특히, 의도가 많으면서 개인적인 상황이나 대인적인 상황에서 적극적으로 행한 거짓행동을 가장 나쁘게 평가하였다. 부모들이 가장 해도 괜찮은 것으로 평가한 거짓행동은 의도가 적으면서도 소극적인 거짓 행동이었다. 둘째, 부모들은 아동이 거짓행동을 하였을 때 언어적인 벌을 가장 많이 사용할 것이라고 하였으며, 의도성이 많으면서 개인적 사태에서의 적극적인 거짓행동을 하였을 때 신체적인 벌을 가장 많이 줄 것이라고 하였다. 셋째, 자녀의 거짓행동에 대한 부모의 평가가 부모들의 행동과 관계가 있는지를 거짓유형별로 분석한 결과, 부모들은 모든 유형의 거짓행동에서 부정적인 평가를 할수록 언어적인 벌이나 신체적인 벌을 더 주는 것으로 나타났다. 넷째, 부모들은 일상생활에서 발생할 수 있는 거짓 행동들에 대하여 부정적인 평가를 함에도 불구하고 실제는 많은 거짓행동의 경험을 가지고 있었다. 다섯째, 거짓행동에 대한 부모의 허용도를 분석한 결과, 장난의 거짓행동을 가장 해서는 안 되는 것으로 평가하였고 선의의 거짓행동을 가장 해도 되는 것으로 평가하고 있었다.

老人의 園藝活動參與에 따른 餘暇 및 生活滿足度의 關係

정재은,이광우,심우경 한국식물인간환경학회 2001 인간식물환경학회지 Vol.4 No.1

This study was designed to probe the relation between participation in horticultural for all activities and leisure and life satisfaction of the older adults. A total of 388 older adults over the age of 60 were included as subjects of the study, The subjects of this study were divided by two groups: 250 participants in horticultural activities and 138 non-participants. The data collected from the questionnaires designed for this study were consisted of responses to items constructed to represent each variable. For data analysis, t-test, anova, frequency and answer tree were used. The major findings resulted from this study were as following; First, it found that participants in horticultural activities of the older adults showed greater leisure satisfaction than non-participants. Second, the longer than 20 years in participating horticultural activities and attending the least 30 minutes horticultural activities a day, the higher leisure satisfaction. Third, participants in horticultural activities of the older adults showed greater life satisfaction than non-participants. Fourth, the attending time of horticultural activities a day and duration of participation in horticultural activities do not effect the life satisfaction. Fifth, there existed significant relation among daily participation in horticultural activities of the older adults, leisure satisfaction and life satisfaction. It was also found that participation in horticultural activities of the older adults facilitated the leisure satisfaction, it finally leaded to the life satisfaction.

심전도에서 조기재분극을 보인 특발성 심실세동

이정은,함효주,이관용,노지웅,유진석,정우백 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.2

Early repolarization is a common electrocardiographic (ECG) feature found in young adults, men and athletes, and has been considered to be a benign feature for the last several decades. But recent studies suggest that early repolarization may be related to idiopathic ventricular fibrillation and sudden cardiac death. We report a young man, 35 years old, who had life threatening ventricular fibrillation and sudden cardiac arrest. He was evaluated for cardiac causes of ventricular fibrillation. There was no explanation other than that his ECG showed an early repolarization pattern so we treated him with implantable cardioverter defibrillator. Thus, we suggest that early repolarization may be related with life threatening ventricular arrhythmia.

생태놀이를 활용한 유아환경교육 프로그램이 유아의 환경 친화적인 태도에 미치는 효과

정은우,최경희 이화여자대학교 사범대학 교과교육연구소 2013 교과교육학연구 Vol.17 No.4

This study attempted to provide a foundation for the promotion of regular eco-play based on an early childhood environment education program and to provide effective management of the environment education program for kindergarten. The study investigated how the children's environmental education, which is based on eco-play from the early childhood environment education program, influences children's pro-environmental and environment-preservation attitudes. These are a subcategory of three-year-old children's environmental education. The participants were twenty children aged three at A kindergarten located in Eun-Pyung-Gu, Seoul. The children were exposed to eco-play based on an early childhood environment education program once a week for ten weeks. The analysis tool for the children's environment-friendly attitudes was CATES-PV (the Children's Attitudes Toward the Environment Scale, Preschool Version). The results of the study were as follows. First, the children who experienced the eco-play based on an early childhood environment education program showed improvement in their environment-friendly attitudes. Second, the children who experienced the eco-play based on an early childhood environment education program improved their nature-friendly attitudes. Third, the children who experienced the eco-play based on an early childhood environment education program improved their environment conservation attitudes. 본 연구의 목적은 유아를 대상으로 정기적인 숲 방문을 통하여 생태놀이를 활용한 유아 환경교육 프로그램을 실시하는 것이 환경친화적인 태도에 어떠한 효과를 미치는지 알아보는 것이다. 본 연구의 대상은 서울 은평구에 소재하는 A 유치원의 만 3세 유아 20명이다. 본 연구의 실험 처치는 2012년 4월부터 10주간 진행되었으며 한 주에 한 가지씩 주제를 정하여 생태놀이를 활용한 유아 환경교육 프로그램을 실시하였다. 연구는 사전검사, 프로그램 실시, 사후 검사의 순서로 진행되었으며, 연구의 효과를 측정하기 위하여 CATES-PV(The Children’s AttitudesToward the Environment Scale-Preschool Version)를 번역하여 유아들이 이해하기 쉬운 문장으로 재구성하여 사전․ 사후 환경친화적인 태도를 측정하였고,t-검정을 실시하여 분석하였다. 연구결과, 생태놀이를 활용한 유아 환경교육 프로그램의 실시로 유아의 환경친화적인 태도가 향상되었으며, 유아의 환경친화적인 태도의 하위 영역인 자연친화적인 태도가 향상되었다. 또한 유아의 환경친화적인 태도의 하위 항목인 환경보전태도가 향상되었다

항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구

김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.