한국인에서 일광 노출의 유해성에 대한 인지도와 일광 차단제의 이용 행태에 대한 연구

김상태,김기호,오선진,이승철,강세훈,윤재일,김진준,박석범,김홍용 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.6

Background: Although deleterious effects of sunlight have been increased recently, the surveillance of the attitudes toward sun-exposure and the behavioral aspect of using sunscreens in Koreans has hot been carried out. Objective: Our purpose was to evaluate the attitude toward the harmfulness of sun-exposure and behaviors of using sunscreens in Korea. Method: Five hundred and fifty-two subjects were surveyed to assess the attitude toward sun-exposure, as well as the subjects knowledge about, and the use of sunscreens. Underlying data including demographic data, skin colors, skin types, occupation, and sun-exposure, were obtained. Results: Fifty-four percent of subjects believed that sun-exposure is bad for their skins, but, on the contrary, 12.5% believed it to be beneficial. Fifty-two percent of subjects used sunscreens. Almost all subjects(93.8%) knew why to use sunscreens but 62.7% of subjects did not know the meaning of sun protective factors(SPF). Women, indoor workers, subjects less than 40 years old, with less sun-exposed, fair colored skin, or with skin type I, II, III tended to know the deleterious effects of sunlight and the meaning of SPF and used more sunscreen. Conclusion: High risk population-men, outdoor workers, subjects oider than 40 years old, with more sun-exposed, dark colored skin, or skin type VI, V could be targeted with campaigns that promote attitudinal and behavioral changes.

Combustion characteristics of gaseous inverse O₂/H₂ coaxial jet flames in a single-element model combustor

Kim, Tae Young,Choi, Sun,Kim, Young Hoo,Ahn, Yeong Jong,Kim, Hee Kyung,Kwon, Oh Chae Elsevier 2018 ENERGY Vol.155 No.-

<P><B>Abstract</B></P> <P>To effectively design hydrogen (H<SUB>2</SUB>)/oxygen (O<SUB>2</SUB>) liquid rocket engines through understanding the combustion characteristics of H<SUB>2</SUB>/O<SUB>2</SUB> bipropellants, fundamental studies for the bipropellants in different phases are needed. This study is focused on the combustion characteristics of inverse gaseous O<SUB>2</SUB>/H<SUB>2</SUB> coaxial jet flames in a single-element model combustor as a preliminary step for succeeding studies of injection at different phases in the combustor, visualizing flame structure by direct imaging, OH<SUP>∗</SUP> chemiluminescence and OH planar laser-induced fluorescence. With increasing Reynolds number (Re), the frequency of occurrence of the local flame extinction increases and the length of the disconnected OH reaction zone is extended. The OH layer thickness increases downstream, while it is almost constant where the local flame extinction occurs and decreases with increasing Re due to the enhanced strain and scalar-dissipation rates. The excessive flame wrinkledness increases the local flame strain rate and results in the local flame extinction, exhibiting the tendency of increasing and then decreasing flame surface density with increasing Re. The probability density function of OH intensity quantifies the fluctuation intensity of OH radicals and the possibility of the local flame extinction. A useful database is provided for modeling the combustion of H<SUB>2</SUB>/O<SUB>2</SUB> bipropellants under different phases.</P> <P><B>Highlights</B></P> <P> <UL> <LI> A useful database for modeling the H<SUB>2</SUB>/O<SUB>2</SUB> bipropellant combustion is provided. </LI> <LI> Local flame extinction frequently occurs at high Reynolds number (<I>Re</I>). </LI> <LI> OH probability density function indicates the possibility of local extinction. </LI> <LI> Flame surface density increases and then decreases with increasing <I>Re</I>. </LI> <LI> Strong burning of O<SUB>2</SUB>/H<SUB>2</SUB> causes laminar-like combustion near the injector lip. </LI> </UL> </P>

Comparison of Melanoma Subtypes among Korean Patients by Morphologic Features and Ultraviolet Exposure

( Hong Sun Jang ),( Jee Hung Kim ),( Kyu Hyun Park ),( Jae Seok Lee ),( Jung Min Bae ),( Byung Ho Oh ),( Sun Young Rha ),( Mi Ryung Roh ),( Kee Yang Chung ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.4

Background: Genetic alterations have been identified in melanomas according to different levels of sun exposure. Whereas the conventional morphology-based classification provides a clue for tumor growth and prognosis, the new classification by genetic alterations offers a basis for targeted therapy. Objective: The purpose of this study is to demonstrate the biological behavior of melanoma subtypes and compare the two classifications in the Korean population. Methods: A retrospective chart review was performed on patients found to have malignant melanoma in Severance Hospital from 2005 to 2012. Age, sex, location of the tumor, histologic subtype, tumor depth, ulceration, lymph node invasion, visceral organ metastasis, and overall survival were evaluated. Results: Of the 206 cases, the most common type was acral melanoma (n=94, 45.6%), followed by nonchronic sun damage-induced melanoma (n=43, 20.9%), and mucosal melanoma (n=40, 19.4%). Twenty-one patients (10.2%) had the chronic sun-damaged type, whereas eight patients (3.9%) had tumors of unknown primary origin. Lentigo maligna melanoma was newly classified as the chronic sun-damaged type, and acral lentiginous melanoma as the acral type. More than half of the superficial spreading melanomas were newly grouped as nonchronic sun-damaged melanomas, whereas nodular melanoma was rather evenly distributed. Conclusion: The distribution of melanomas was largely similar in both the morphology-based and sun exposure-based classifications, and in both classifications, mucosal melanoma had the worst 5-year survival owing to its tumor thickness and advanced stage at the time of diagnosis. (Ann Dermatol 26(4) 485~490, 2014)

HDPE 폐비닐 개질 아스팔트 혼합물의 강도 및 공용 특성 연구

김광우 ( Kim Kwang Woo ),이기호 ( Lee Gi Ho ),권오선 ( Kwon Oh Sun ),조문진 ( Cho Mun Jin ) 한국농공학회 2004 한국농공학회 학술대회초록집 Vol.2004 No.-

본 연구는 폐비닐 펠렛을 도로포장재료로 재활용하여 자원절약 및 아스팔트 혼합물의 품질향상을 위한 연구이다. 이를 위하여 폐비닐의 첨가량별 배합설계를 수행하여 적정 폐비닐 첨가량과 최적 아스팔트 함량으로 편마암과 화강암 2가지 골재와 폐비닐인 RHDPE의 함량을 4가지로 혼합물을 제작하여 8종류의 개질 혼합물과 2종류의 무개질 혼합물을 제작하였다. 그리고 이 공시체에 대하여 마살안정도, 간접인장강도 및 Kim test와 반복주행시험 등 실내시험을 통하여 혼합물의 특성을 분석하였다. 폐비닐 첨가량은 RHDPE가 8%일 때 안정도와 간접인장강도 모두 가장 우수한 것으로 나타났고 취성도 나타나지 않았다. RHDPE를 첨가한 혼합물에 대하여 Kim test를 수행한 결과 DR과 DS 모두 높은 상관성을 보였다. 그리고 반복주행시험에서는 RHDPE를 첨가한 혼합물이 일반 혼합물보다 우수하였다. 향후 많은 실험을 통해 RHDPE의 우수성을 입증한다면 소성변형 저항성에 우수한 재료로 이용될 수 있을 것이다. This study is a fundamental research for recycled high-density polyethylene (RHDPE) in asphalt mixture for improving roadway pavement. Mix design was conducted by RHDPE content and optimum asphalt content (OAC) was determined for dense-graded surface course mixture. Marshall stability test, indirect tensile strength (ITS) test, wheel tracking test and Kim-test were carried out to measure the characteristics of RHDPE-added asphalt concretes. From the results of this study, RHDPE in asphalt mixture is possible. It could be considered that adding too much RHDPE in asphalt mixture is not proper. The optimum content of RHDPE was appeared to be 8%. In Kim-test, Statistical analysis were performed for each loading head and aggregate to find out correlation between SD values and each rut parameter. The analysis result showed that SD had very high coefficient of determination on the average with rut parameters.

모델연소실 내 GCH₄/GO₂ 및 GH₂ /GO₂ 동축류 제트화염의 연소특성 기초 연구

최선(Sun Choi),김태영(Tae Young Kim),김희경(Hee Kyung Kim),권오채(Oh Chae Kwon) 한국추진공학회 2016 한국추진공학회 학술대회논문집 Vol.2016 No.12

로켓 엔진의 차세대 액체이원추진제로서 각광을 받고 있는 메탄(CH₄)/산소(O₂) 이원추진제의 기초연소특성 및 연소 안정화의 고유특성 확인을 위해 수소(H2)/산소 이원추진제 연소특성과 비교 연구를 수행하였다. 기초 연소특성 연구를 위한 모델연소실 내에서 기체 메탄(GCH₄)/기체 산소(GO₂) 및 기체수소(GH₂)/GO₂의 동축류 제트화염의 연소안정한계와 직접 사진, OH<SUP>*</SUP> 자발광 이미지를 측정한 결과, GCH₄/GO₂와 GH₂/GO₂ 모두 산소-연료 모멘텀비((O/F)mom)가 감소함에 따라 연소안정한계는 확장되는 경향을 보였으나 GH₂/GO₂ 화염에 비해 GCH₄/GO₂ 화염은 좁은 연소안정한계가 측정되었고, 또한 GCH₄/GO₂ 화염은 이론당량비 조건에서, GH2/GO₂ 화염은 연료과농 조건에서 최대 OH* 강도가 측정됨을 OH<SUP>*</SUP> 자발광 가시화를 통해 확인하였다. Liquid methane (CH₄)/oxygen (O₂) bipropellants have been recently considered as a next-generation propellant due to eco-friendly and non-toxic properties, low cost and high performance. To investigate the unique features of CH₄/O₂ bipropellants, the fundamental combustion characteristics of gaseous CH₄/O₂ and H₂/O₂ coaxial jet flames in a model combustor are investigated through measuring the combustion stability limits and visualizing flames. Results show that the combustion stability limits of GCH₄/GO₂ flames are reduced compared with the GH₂/GO₂ flames. The maximum OH<SUP>*</SUP> intensity of GCH₄/GO₂ flames is observed at near-stoichiometric condition, while the GH₂/GO₂ flames at fuel-rich condition.

Properties of inverse nonpremixed pure O₂/CH₄ coflow flames in a model combustor

Choi, Sun,Kim, Tae Young,Kim, Hee Kyung,Koo, Jaye,Kim, Jeong Soo,Kwon, Oh Chae Elsevier 2015 ENERGY Vol.93 No.1

<P><B>Abstract</B></P> <P>In order to evaluate the potential of oxy-combustion of inverse nonpremixed coflow flames using a clean fuel to improve the combustion and emission characteristics compared with the normal coflow flames using air, the fundamental properties of inverse nonpremixed pure oxygen (O<SUB>2</SUB>)/methane (CH<SUB>4</SUB>) coflow flames in a model combustor are experimentally investigated. The combustion stability (extinction) limits, structure and nitrogen oxide (NO<SUB>x</SUB>) emissions of the inverse coflow flames in the quartz-windowed combustion chamber with a single shear coaxial injector and a fully opened exhaust nozzle are measured using OH<SUP>∗</SUP> chemiluminescence, a schlieren imaging system and a gas analyzer. Results show four distinct stability regimes and limits: the attached flame regime, the near-blowout flame regime, blowout limits and blowoff limits. The direct flame and OH<SUP>∗</SUP> chemiluminescence images confirm the cooling effects of chamber walls that cause no steady liftoff flame and only the near-blowout flame. The extinction limits of the inverse CH<SUB>4</SUB>/O<SUB>2</SUB> coflow flames are extended compared with the normal CH<SUB>4</SUB>/air coflow flames and reasonable levels of NO<SUB>x</SUB> emissions are observed, which supports that oxy-combustion of the inverse nonpremixed coflow flames using the clean fuel is acceptable for practical application, providing a useful database for modeling the flames in the confined chamber.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Extended stability limits of inverse nonpremixed O<SUB>2</SUB>/CH<SUB>4</SUB> coflow flames are found. </LI> <LI> Stable, attached flames and oscillating, near-blowout flames are observed. </LI> <LI> Direct flame and OH<SUP>∗</SUP> chemiluminescence images indicate no steady liftoff flame. </LI> <LI> Reasonable levels of NO<SUB>x</SUB> emissions are observed. </LI> <LI> Inverse nonpremixed O<SUB>2</SUB>/CH<SUB>4</SUB> coflow flames are acceptable for practical applications. </LI> </UL> </P>

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.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

하천의 자연도 평가 및 활용에 관한 연구 : 진주시 지방하천을 대상으로

김종오,김옥선,김선혜 경상대학교 생산기술연구소 2001 工學硏究院論文集 Vol.1 No.-

The purpose of this study was to develop the environmental management strategy of streams based on the quantified evaluation method for the stream environment. The six streams in Jinju City flowing into the Nam-River were selected for case study. The stream environment evaluation was performed considering the following three independent field surveys. First, the stream naturalnesses considering 20 evaluation elements were investigated for each unit section of the streams having the length of 500m and the width of 100m, and then were evaluated into 5 grades. Second, water qualities of the steams were evaluated into 5 grades based on eight times of water quality survey for the period from July 2000 to September 2001. Third, the landuse patterns of the stream basins were evaluated into 5 grades according to the residential area ratio. Finally, the stream environments were classified into 5 grades considering the above three subfactors - stream naturalness, water quality, and residential landuse. According to the evaluation results of stream environments, the three environmental management strategies of streams were suggested. As the results of the case study, Panmun stream and Ghajwa stream were evaluated to forth grade that need active environmental restoration, and Nabul stream was evaluated to third grade that need partial environmental restoration while Youngchun river and Dogsan stream were evaluated to first grade showing the desirable stream environmental condition. The above environmental evaluation results for each stream will be an important reference for further stream restoration or management plan.