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.

트레드밀 운동시 흡기근 테이핑이 폐활량에 미치는 영향

김민지,신수영,송월섭,조수진,최동락,황미진,황진규,박진현,김경,Dennis W. Fell 대구대학교 특수교육재활과학연구소 2011 再活科學硏究 Vol.29 No.1

이 연구는 트레드밀 운동과 키네시오 테이핑의 효과에 따른 폐활량의 변화를 알아보기 위해 26명의 비흡연자가 참가하였으며 키네시오 테이핑을 적용하지 않은 그룹과 키네시오 테이핑을 적용한 두 그룹으로 무작위로 배정하고 각 군들을 주 3회 6주간의 트레드밀 훈련을 실시하였다. 실험 전과 후, 스파이로미터를 사용하여 키네시오 테이핑의 적용 따른 폐활량 변화 효과를 측정하였다. 이 연구의 결과를 종합해보면 키네시오 테이핑을 적용 그룹에서 적용하지 않은 그룹에 비해 FVC, FEV1에서 유의한 증가를 보였다. 이러한 결과는 건강한 성인에서 키네시오 테이핑을 적용한 경우 키네시오 테이핑을 적용하지 않고 트레드밀 운동을 한 경우보다 폐활량의 향상에 효과적이라고 생각되어진다. The purpose of this study was to investigate the variation of vital capacity(VC) according to the effects of kinesio taping with treadmill exercise. Twenty-six non-smokers were participated in this research and these subjects were randomly assigned into two groups. To measure the VC variation effects of kinesio taping, spirometer was used. The collected data were analyzed statistically by using a paired Mauchly test and repeated measure ANOVA. The results of this study were as follows; A group: treadmill with kinesio taping B group: treadmill without kinesio taping. Between A and B, there were significant differences. In the case of A group, there was 11.66% increase of VC, during 3 weeks experiment(p<.01). In the case of B group, there were significant differences, 3.35% increase of VC, during 3 weeks taping intervention(p<.01). After 6 weeks experiment, the improvement of VC shown a significant difference with intergroup (p<.05). From this result, it was revealed that treadmill exercise with kinesio taping was effective to improve VC to healthy adult than treadmill exercise without kinesio taping.

충남대학교병원 마취발전의 경향에 관한 분석 : 1967년부터 - 1996년까지 from 1967 to 1996

최세진,김상수,정규돈,윤석화,신용섭,손수창,이원형,김혜자,이정은 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

To evaluate the specificity and historical trends of the anesthesia in Chungnam National University Hospital, anesthetic experiences of 83,572 in total performed at Chungnam National University Hospital from January 1967 to December 1996 were analyzed statistically and clinically according to age, sex, surgical department, physical status, elective and emergency surgery, premedicants, IV anesthetics, anesthetic methods, inhalational anesthetics, muscle relaxants. The results were as follows : 1. The number of cases has been steadily increased year by year. 2. The ratio of male to female was 52.8% : 47.2%. 3. According to the age, There were 44,905 cases (54%) in the group of 13-45 years. 4. According to the ASA classification of physical status, most of the cases were belonged to the class 1 & 2 (72.5%). 5. The ratio of elective to emergency was 79.4% to 20.6%. 6. Recently, glycopyrrolate has been used increasingly. 7. Thiopental sodium has been mainly used for intravenous induction agent. 8. General anesthesia has been used mainly. 9. Enflurane is the most common inhalational anesthetic agent. but Isoflurane has been used increasingly. 10. Most of muscle relaxants are Pancuronium & Vecuronium(84.5%).

소양호 상류유역의 비점오염원 유출특성에 의한 원단위 산정

최한규,박수진,김진수 강원대학교 산업기술연구소 2005 産業技術硏究 Vol.25 No.B

메세지 전송을 이용한 클럭 동기화에 관한 연구

최용락,박진섭,하수철 大田大學校 1988 論文集 Vol.7 No.1

독거미 Psalmopoeus cambridgei에서 추출한 거미독 펩타이드 독소의 항말라리아 특성

최수진 서울여자대학교 자연과학연구소 2011 자연과학연구논문집 Vol.23 No.-

Two antimalarial peptide toxins, PcFK1 and PcFK 2, isolated from the venom of the tarantula Psalmopoeus cambridgei were reported to inhibit the intra-erythrocyte stage of Plasmodium falciparum, the causative agent of malaria in vitro. In the present study, their selectivity and specificity to the intra-erythrocytic parasite was further investigated. Two peptide toxins were determined to have no significant effect on microorganisms, intracellular parasitic bacterial pathogen Chlamydia trachomatis, and human cervical epithelial cells. Both PcFK1 and PcFK2 did not induce hemolytic effect on red blood cells (RBCs), while they rapidly inhibited the growth of the intra-erythrocyte parasite by inducing its abnormality within 1 hr without affecting the morphology of RBCs. These results suggest that PcFK1 and PcFK2 have specific effect on P. falciparum- infected RBCs and will provide basic information to determine their mode of action for the rational development of novel antimalarial drugs. Key words:Antimalarial peptide, tarantula toxin, Plasmodium falciparum, intra- erythrocyte stage.

응급실내에서 발생한 폭력의 실태

최웅지,조남수,조수형,김성중,박광철,박진실 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Background and Objectives: The objective of this study was to obtain circumstances about violence providers and cause of the violence in emergency room. Materials and Methods: Reports were provided to emergency department doctors, nurses and emergency medical technicians working in Chosun University Hospital Emergency Center during the sixty days from 26 May 2003 to 24 July 2003. Report form consisted of the degree of violence, the reason for the violence, dermographic information about violence providers, outbreak time of violence and response of emergency personnels. Results: SixtyUeight case of violence in the emergency department were reported. Almost all of the violence was due to the male gender and high incidence in third and fourth decade. The violence occured mostly in the night shift. 55.9% of violence was done by patient and 41.2% was done by patient's guardians. The leading cause of violence were alcohol drunken and delay of laboratory test and treatment. Verbal abuse and threats were the most concern form of violence, Conclusion: It is necessary to solve the problems faced in the emergency department not only administrative and financial aid but also regular preventive education and further study.

Hurdle Technology방법에 의한 식품저장

최수진,노봉수 서울여자대학교 자연과학연구소 1995 자연과학연구논문집 Vol.6 No.-

Hurdle technology에 의한 방법으로 식품을 저장하는 방법이 논의되었다. 이 방법은 다른 처리방법과 함께 사영하거나하여 미생물이 성장하는데 장애가되는 저해 요인들을 유도하여 한 가지 방법이 아니라 여러방법에 의해 가공 처리하는 방법이다. 이 방법은 냉장이나 냉동 없이도 안정하게 유지되며 가벼운 처리 가공방법이 적용되므로 관능면이나 영양가면에서도 매우 우수한 것으로 나타났다. 이에 기초를 둔 대표적인 식품으로는 F-SSP, A-SSP, pH-SSP, Combl-SSP, IMF 그리고 방사선조사 식품에 다른 처리를 한 것등이 있다. 이 기술방법은 주로 육류제품, 유가공제품, 해산물등에 응용되고 있으나 이를 다른 분야에 적용하는 방안을 앞으로 모색하여 나아가야할 것이다. The concept of hurdle technology is reviewed. This technique is the intelligent use of combinations of different preservation factors or technique in order to achieve multitarget, mild but reliable preservation effect. Hurdle-preserved foods are F-SSP, A_wSSP. pH-SSP, combi-SSP,IMF and irradiated foods with other treatments. This technology is mainly applied meat products, fish, and dairy products. Recently qualities of irradiated foods have been improved by combination of irradiation with other treatments such as cryogenic temperature or heating. The future work for application to various foods is discussed.

마취분야에서 Atropine과 Glycopyrrolate의 비교 연구

최세진,손수창 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2

When antagonism of nondepolarizing neuromuscular block is required, atropine has been used as an anticholinergic drug to counteract the muscarinic actions of neostigmine. Glycopyrrolate is a potent, long-acting anticholinergic agent and recently it has been recommended as a suitable alternative to atropine. This study was undertaken to determine whether glycopyrrolate does offer any difference from atropine in heart rate, arrhythmia, blood pressure, and oropharyngeal secretion. On 40 patients anesthetized with balanced techniques, the neuromuscular block produced by pancuronium was reversed with (Group I) atropine-neostigmine (1.0mg : 2. 5mg) or (Group II) glycopyrrolate-neostigmine (0. 4 mg : 2.5mg) mixture. The results are as follows : 1. The safety and effectivenss of both groups in antagonizing the muscarinc actiosn of neostigmine were demonstrated. 2. Glycopyrrolate group was superior to atropine group in producing less increased heart rate. 3. Glycopyrrolate group was superior to atropine group in producting lower incidence of bradycardia. 4. Glycopyrrolate was superior to atropine in the antisalivary action. 5. There were no significant differences on the incidence of arrhythmias in both groups. It is concluded that glycopyrrolate is an effective antimuscarinic agent and could be safely used as an alternative to atropine.

農村 靑少年의 家庭生活에 관한 價値觀

崔敏浩,鄭址雄,金性洙,李洛薰,金鎭模 서울大學校 農科大學 1985 서울대농학연구지 Vol.10 No.2

The purposes of the study were to investigate the values of the rural youth in relation to family living, and to compare changes in the values with the similar study of the reseacher of 1970 in Korea. Data were collected by undergraduate and graduate students of the Seoul National University from randomly selected 993 rural youths of 13 to 24 years of age through questionnaire method. The data were analyzed by HP 3000 Computer in the College of Agriculture, Seoul National University. Major statistical techniques used for the study were frequency, percentile, chi square test. Statistical significance was tested at 0.05 level. The major findings of the study were as follows; 1. It was revealed that values on family living were changed into modern democratic ideals from traditional Confucian values 2. The view of respondents that the first son should take care of parents has decreased from 32.8% in 1970 to 23.8% in 1984. The Respondents who think that one of sons should take care of parents has increased from 45.8% in 1970 to 60.8% in 1984. 3. The rate of respondents claiming that the head of a family should govern the family with authority and dignity has increased from 61.1%in 1970 to 68.3% in 1984. 4. The respondents claiming that the head of a family should decide the important things of family living dogmatically has decreased from 16.9% in 1970 to 8.1% in 1984. 5. The rate of respondents claiming that father should respect mother's opinion in family has increased from 78.6% in 1970 to 90.5% in 1984. 6. The rate of respondents claiming that fathers should understand the things of children with maximum degree has increased from 86.8% in 1970 to 93.8% in 1984.