기저질환이 없는 사람에서 발생한 Campylobacter fetus에 의한 재발성 심내막염 1예

전재범,정진원,김성혜,송문희,오형철,안성기,최상호,김남중,김양수,우준희,류지소 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

C. fetus 심내막염은 드물게 발생하는 질환으로 주로 면역능이 저하된 환자에서 발병하고 대동맥판을 침범하는 경우가 많으며 적절한 치료가 되지 않을 경우 치사율이 높다. 저자들은 기저질환이 없던 69세 남자에서 C. fetus 심내막염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 발열로 내원하여 시행한 혈액배양 검사상 C. fetus가 동정되었고 경식도 초음파 검사상 삼첨판에 증식증이 발견되어 심내막염 진단하에 ceftriaxone에 이어 meropenem으로 총 4주간 항생제를 투여받고 호전되었다가 한달 후 다시 재발하였고 판막부전 소견 진행하여 삼첨판 치환술을 시행받고 전신상태 호전되어 퇴원하였다. Campylobacter fetus is a rare cause of endocarditis. To date, only about 30 cases of C. fetus endocarditis have been reported mainly in the elderly with chronic underlying illnesses. Most cases showed tendency to involve aortic valve. This report describes a case of native tricuspid valve infective endocarditis in a 69-year-old man without any underlying disease. Despite adequate antibiotic therapy for 4-weeks, endocarditis recurred and leading to surgical valve replacement.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

포토몽타쥬에 나타난 미스 반 데 로에의 기술인식

김형준 제주대학교 공과대학 첨단기술연구소 2006 尖端技術硏究所論文集 Vol.17 No.2

Mies van der Rohe was attracted to the spreading effect of the modern media-work on culture from beginning of his career, and utilized it systematically throughout his life. It includes image buildup works such as photo-montage, documents fabrication, modeling, publications, exhibitions and so on. In the early stage of the work, he had concentrated on the notification of specified messages even than the realization of the projects. But his strategy was different from those employed by other avant-gardes, since it entailed a symbolization of modern man's disintegrated life and its recovery rather than a fragmentation of meaning which results from the destruction and reproduction of the object. About the time of 1930', he had strengthened the relationship of the composition elements and spatial integration for the rationalization of system as a whole. As a consequence of it, birdeye-view and interior perspective was widely used and human entered on the stage. And with These mutations, his view moved from outside to inside and formed the theme of 'the exterior structure and the inside surface'. After 1940', he had struggled to acquire the constructivity of architecture which combines the essence-supplement, the structure-ornament, and finally arrived at the peak of paradoxical project which aimed to overcome the fragmentation and disjunction of modern life. So, his work is elucidated as an cons-tructional strategy for the reconstruction of modern world and in this point it passed over the mere virtual world.

음식물 쓰레기의 퇴비화에 관한 연구

전기일,김형갑,정병윤 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

The purpose of this study were the food wastes composting, this study was carried out in the batch reactor with sawdust as bulking agent. The sample of food wastes for this study were collected fron the restaurant in our University. We obtained the results as follows : 1) During composting process, the highest temperature in the batch reactor was 55.8℃ after 5 days of experiment. 2) During composting process CO_2 and NH_3 were generated, after 6 days of experiment their concentrations were 20% and 640ppm respectively. 3) The volume of sample was reduced to one third in experimental period.

사이클로이드 감속기구의 역전 방지에 관한 연구

김형준 서울産業大學校 2000 논문집 Vol.51 No.1

The overcentrode cycloidal gearing system has found application in planetary gear trains with difference of number of pinion gear teeth equal to one. This system is used in various application because of its compact size, less backlash, and high efficiency. But the manufacturing of the tooth profile of equidistant curve of epicycloid requires special machining technique. The use of special tooth profile such as trapezoid shape in the cycloidal gearing system makes possible mass production with the fine-blanking press technology. This gearing system with the simple tooth profile requires self-locking for its application, for example automobile seat back control system. This study finds the self-locking conditions and the transmission efficiency of the cycloidal gearing system with the trapezoid shape tooth profile by kinematic analysis and static force analysis.

운동거리이상의 정량적 평가

이경무,김재욱,이태수,김헌,황준,이주연 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.2

자궁탈의 임상적 고찰

김동원,노형균,안태규,최상준,송창훈,정혁 조선대학교 부설 의학연구소 1999 The Medical Journal of Chosun University Vol.24 No.1

The purpose of this study was to evaluate clinical aspects of prolape uteri. This clinical and statistical study was attempted to analyze 369 cases of uterine prolapse(328 cases -operated, the other cases - not operated) from Jan. 1994 to Dec. 1998 at the Department of Obstetrics and Gynecology, Chosun University Hospital. The results were as follows. 1. The incidences of uterine prolapse was 0.62% of the total admitted gynecologic patients during the study period. 2. Age distribution at the time of operation showed that 184 cases(25.6%) were 60 to 65 years of age, and 62 cases(18.2%) were 56 to 60 years of age. 3. Age distribution at the time of development of prolapse uteri showed that 134 cases(36.3%) were 21 to 30 years of age, 126 cases(34.1%) were 31 to 40 years of age. 4. 228 cases(61.7%) were those who had suffered from uterine prolapse for more 11 years and the mean durations were 15.6 years. 5. The degree of prolapse uteri showed that 281 cases(76.1%) were 3rd degree and 61 cases(16.5%) were 2nd degree. 6. The parity showed that 297 cases(80.2%) were over 4 times and 2 cases(0.27%) was nullipara. 7. The delivery place was at home in 318 cases(86.1%) and in hospital in 51 cases(13.9%). 8. The main symptoms comprised prolapse in 311 cases(84.2%), urinary frequency in 259 cases(70.1%), and bearing down sensation in 242 cases (65.8%). 9. An operation in 328 cases was carried out of 369 cases of prolapse uteri, 301 cases were treated by the vaginal hysterectomy with either anterior &osterior repair or posterior repair, 23 cases were treated by anterior &osterior repair. 10. The postoperative complications were urinary tract infection in 7 cases(2.1%), urinary retention in 4 cases(1.2%), vaginal vault prolapse in 2 cases(0.6%). 11. The indwelling foley catheter was kept for 7 days in 279 cases and the average postoperative hospitalization was around 9 days. 12. The postoperative pathologic findings were chronic cervicitis in 211 cases(67.8%), squamous metaplasia of the cervical gland in 98 cases(31.5%), adenomyosis in 69 cases, leiomyoma in 47 cases, and dysplasia of cervix, cervical polyp, endometrial polyp were also resulted. In conclusion, clinical features of uterine prolapse were studied. The clinical evaluation of uterine prolapse include age, parity, degree of prolapse, delivery site, age of onset, symptomatology, type of operation, complications, the results of histopathological examinations. Further study is necessary before these aspects can be implicated in the clinical evaluation of uterine prolapse.

구조물의 안전진단을 위한 충격파의 주파수 영역 탐사에 관한 연구

김형준,이상철,서백수 강원대학교 산업기술연구소 2005 産業技術硏究 Vol.25 No.B

Impact seismic wave method is a method for non-destructive testing of concrete structure using of stress wave which is propagate and reflected from internal flaws within concrete structure and external surface. In this study, we performed frequency domain method using impact seismic wave test for safety diagnosis of civil engineering structure. And reflection method which is used for one-dimensional target such as tunnel lining and transmission method are compared with each other.

Descriptor 시스템 모델링 밍 극배치 제어기 설계

김정주,이준형,강진식 濟州大學校 産業技術硏究所 1999 산업기술연구소논문집 Vol.10 No.1

Many of the engineering systems such a s electrical circuits. communication networks. power systems, aerospace systems and singular systems can be modelled by a descriptor system which is similar to the state space representation of the system. In this paper, we present a control algorithm for the descriptor system by using eigenstructxe assignment. When the number of poles of the system changed due to the parameters variation, the system can be modelled by two subsystems a s the one is static system and the other is dynamic. And two systems are connected serially by the manner that the one system output is connected to the input of the other system. The controller presented in this paper, designed by eigenstructure assignment, can treats such a singular system easily. To show the suggested controller has a good feature, we apply the presenied controller to the inverted pendulum system.

분말야금법으로 제조된 2124AI 합금의 빠른변형률속도 초소성 거동

金祐塡,張勝彦,南勝義,金亨駿 弘益大學校 科學基術硏究所 1999 科學技術硏究論文集 Vol.10 No.2

Ceramic whisker or particulate reinforced aluminum based metal matrix composites show high room temperature strength, but their low formability makes it difficult to form into desired shapes. By superplastic deformation, their formability can be improved and it is possible to produce complex parts for automotive aerospace simultaneously instead of many near-net-shape forming operations. This study has been carried out to investigate the high temperature mechanical and superplastic properties in 2124Al alloy. SRC(Strain Rate Change) tests show that the value of n(stress exponent) is around 3 at high strain rate and above 5 at low strain rate. It was turned out that 212Al matrix alloy exhibited reasonably high tensile elongation above 250% with the broad range of temperature and strain rate. Especially, at 550℃, both materials showed very high elongation failure up to 700% for 2124Al alloy. The strength comparison is lower strength then 2124Al composites were obtained that the composite is lower strength than 2124Al alloy at superplastic region.