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.

대한방사선종양학회지 게재 논문의 통계적 오류 현황

박희철(Hee Chul Park),최두호(Doo Ho Choi),안성복(Song-Vogue Ahn),강진오(Jin Oh Kang),김은석(Eun-Seog Kim),박원(Won Park),안승도(Seung Do Ahn),양대식(Dae Sik Yang),윤형근(Hyong Geun Yun),정은지(Eun Ji Chung),지의규(Eui Kyu Chie),표홍렬( 대한방사선종양학회 2008 Radiation Oncology Journal Vol.26 No.4

목 적: 본 연구는 대한방사선종양학회지 게재 논문의 통계 오류 현황을 파악하고 이에 근거한 문제 제기를 통해 학회지의 학술적 발전에 기여하고자 하였다. 대상 및 방법: 2006∼2007년 사이에 대한방사선종양학회지에 게재된 총 77편의 논문을 연구 대상으로 하였다. 각각의 논문에 적용된 통계 방법론의 적정성 평가는 통계점검표를 활용하였다. 통계점검표에는 연구의 종류, 통계기법의 사용 범위, 각 논문에 적용된 통계 기법의 종류, 통계적 기법 적용의 타당성 항목이 포함되었다. 통계 오류는 ‘생략의 잘못’과 ‘시행의 잘못’ 항목으로 나누었다. 한 논문에서 서로 다른 항목이 여러 가지 관찰된 경우 각각 횟수로 측정하였다. 같은 항목이 2회 이상 측정된 경우 1회로 횟수를 측정하였다. 통계 전문가가 개별 논문을 대상으로 통계점검표를 작성하였다. 일차 평가자가 방사선종양학 전문가가 아닌 것에서 올 수 있는 평가 오류가 있을 수 있으므로 개별 통계점검표는 간행위원회에서 한 차례 더 세부 점검을 하였다. 작성된 통계점검표의 통계 분석은 SAS (version 9.0, SAS Institute, NC, USA) 소프트웨어를 이용하였고 빈도분석을 시행하여 각 항목의 빈도와 백분율을 산출하였다. 결 과: 총 77편 중 원문을 다운로드 할 수 없었던 4편을 제외한 73편의 게재 논문을 대상으로 평가하였다. 증례보고는 5편, 원저 논문은 68편이었다. 대상 논문 중 46편의 논문에서 통계적 추론을 사용하였고, 16편의 논문에서 단순한 기술통계를 사용했으며, 11편의 논문에서는 통계적 기법을 사용하지 않았다. 추론통계를 사용한 46편의논문에서 사용된 추론통계의 횟수는 각각 분할표분석 17회(37.0%), 비교통계분석 23회(50.0%), 회귀분석 7회(15.2%), 상관분석 5회(10.9%), 생존분석이 27회(58.7%)였다. 통계 기법을 활용하여 연구 결과를 분석할 때 통계적용의 오류가 없는 논문은 19%였다. ‘생략의 잘못’은 34편(50.0%)의 논문에서 총 50회 관찰되었다. ‘시행의 잘못’은 35편(51.5%)의 논문에서 총 47회 관찰되었다. ‘생략의 잘못’과 ‘시행의 잘못’이 모두 발견된 논문은 21편 (30.9%)이었다.결 론: 대한방사선종양학회지에 게재된 논문에서 통계 분석 과정의 다양한 영역에 걸쳐 크고 작은 통계적 오류가 있음을 확인하였다. 향후 대한방사선종양학회지 투고 논문의 심사 과정에서 통계 오류에 관한 적절한 심사를 추가하는 것이 필요하다고 판단된다. Purpose: To improve the quality of the statistical analysis of papers published in the Journal of the Korean Society for Therapeutic Radiology and Oncology (JKOSTRO) by evaluating commonly encountered errors. Materials and Methods: Papers published in the JKOSTRO from January 2006 to December 2007 were reviewed for methodological and statistical validity using a modified version of Ahn’s checklist. A statistician reviewed individual papers and evaluated the list items in the checklist for each paper. To avoid the potential assessment error by the statistician who lacks expertise in the field of radiation oncology; the editorial board of the JKOSTRO reviewed each checklist for individual articles. A frequency analysis of the list items was performed using SAS (version 9.0, SAS Institute, NC, USA) software. Results: A total of 73 papers including 5 case reports and 68 original articles were reviewed. Inferential statistics was used in 46 papers. The most commonly adopted statistical methodology was a survival analysis (58.7%). Only 19% of papers were free of statistical errors. Errors of omission were encountered in 34 (50.0%) papers. Errors of commission were encountered in 35 (51.5%) papers. Twenty-one papers (30.9%) had both errors of omission and commission. Conclusion: A variety of statistical errors were encountered in papers published in the JKOSTRO. The current study suggests that a more thorough review of the statistical analysis is needed for manuscripts submitted in the JKOSTRO.

지역사회 연계를 고려한 진주종합경기장 활용방안 연구

강석진(Kang, Seok-Jin),안재우(Ahn, Jae-Woo),김지희(Kim, Ji-Hee),이현진(Lee, Hyun-Jin) 대한건축학회 2013 대한건축학회 학술발표대회 논문집 Vol.33 No.2

경막 내 colistimethate 투여로 치료한 다제 내성 cinetobacter baumannii 뇌실염

홍유아,유진홍,김진진,모은영,안건희,정희경,김진석,이현정,정미향,윤승배 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.

Shock로 發生한 成人 Respiratory Distress Syndrome

安喜淳,張連珍,金仁世,趙裕永,金晟烈 순천향의과대학 1978 Journal of Soonchunhyang Medical Science Vol.1 No.1

The adult respiratory distress syndnome was originated from acute hemorhagic and septic shock in 3 patients after operation. All patients recovered with active management (PEEP,albumin,diuretics,and steroid) and various intensive therapies. Etio-logical, Pathophysiological and therapeutic points in A.R.D.S. were discussed with review of articles.

北韓山 森林群落의 植物社會學的 硏究

진희성,김광래,안봉원 경희대학교 부설 식량자원개발연구소 1982 硏究論文集 Vol.3 No.-

The vertical distribution of the canopy trees in Mt. Bukhan was studied by quadrat method. In this mountain, there were distributed about 126 species of main trees and forest communities consist of Quercus mongolica, Pinus densiflora, Alnus hirsuta var. sibirica, Acer pseudo-sieboldianum var. koreanum, Sorbus alnifolia, Quercus acutissima and so on. The change of forest communities according to the elevation of this mountain was not conspicious. As the elevation heightened of this mountain, the importance value and summed dominance ratio of Fraxinus rhynchophlla and Acer pseudo-sieboldianum var. koreanum increased, while those of Quercus variabilis lowered. Through all the area of this mountain, mean importance value of Quercus mongolica was high. There appeared difference type of vegetation between valley and ridge area but no directional recognize in the kind of plant species though very few species were limited in a limitted part, such as Celtis aurantica of the ridge area, and Quercus acutissima × variabilis of Jeongnung valley. In each study area, Pinus densiflora on the floor was abundant and the summed dominance ratio of Sorbus alnifolia, Quercus serrata and Quercus aliena were high to the elevation range for 250-350m. As the elevation hghtened, the mean of total base value of soil samples in study area was high but the mean of O,M. and available phosphate value of those did not show a fixed tendency. The relationship of the importance value of Fraxinus rhynchophylla and the mean of total base value of soil in study area showed a significant and positive correlation. The index of similarity of the forest communities to the valley and ridge area, and to the southeast and northwest side of Mt. Bukhan were 63.7, 67.7% respectively.

廢 EPS 再生 잉고트의 輕量 굵은骨材 活用方案에 관한 實驗的 硏究

안재철,안진봉,정민수,강병희 동아대학교 건설기술연구소 2000 硏究報告 Vol.24 No.1

This study is to investigate the possibility of using recycled EPS ingot as coarse aggregate and to set basic data of the efficient mixing design for making lightweight concrete. The condition of the most efficient mix design for making lightweight concrete is that under the replacement ratio of over 60%, if cement content is 400㎏/㎥ W/C ratio is 55%, if cement content is 450㎏/㎥ W/C ratio is 50% and 55%. From the result of the experiment under conditions, we could make the concrete whose qualities are slump value of over 18.0㎝, unit weight of less 1.99t/㎥, and compressive strength of over 216.39㎏f/㎠ when the cure duration is 28 days.

축산 폐수의 효율적 처리를 위한 광합성 미세조류인 Spirulina platensis 배양 공정의 최적화

안주희,김성수,김태호,이준엽,오상집,이진하,이현용 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

돈분 폐수의 효율적인 처리를 위해 6 W/㎡, 12 W/㎡와 24 W/㎡의 조도 하에서 온도를 15℃에서 40℃까지 각각 변화시켜, 광합성 미세 조류인 Spirulina platensis의 생육에 관한 최적 생육 조건 결정에 관한 실험을 하였다. 균체의 비생육속도는 30℃까지는 온도 증가에 따라 증가하였다. 균체의 생육에 있어서 온도의 영향을 설명하기 위해서 Arrhenius 식을 이용하여서 얻은 활성화 에너지 값은 13.5kal/mol이었다. 순수 배지에서 배양된 균체의 비생육속도가 0.31(1/day)인 반면 30% 돈분 첨가 배양시 얻은 균체의 비생육속도는 0.24(1/day)였다. 폐수내의 총 질소량과 이의 제거속도로 균체의 폐수 처리 능력을 평가할 수 있었다. 돈분 농도를 달리 첨가한 회분배양에 있어서 70~93%(PO_4^3- -P), 67~93%(inorganic nitrogen), 80~90% (COD) 그리고 37~56%(organic nitrogen)의 감소율을 보였다. 총-질소와 총-인의 1차반응 감소 속도 상수는 각각 0.17(1/day)와 0.14(1/day)로 계산되었다. 20% 돈분을 첨가하는 연속배양에 있어서 회석률이 0.20(1/day)일 때 최대 균체농도가 1.52(g/L)를 유지했다. 돈분처리 후 얻은 균체의 성분은 단백질이 58.7%, 지방 11.0% 그리고 회분이 15.6%였다. The kinetics of growing microalga, Spirulina platensis was investigated to treat swine wastes with optimum growth conditions. Temperature was varied from 15 to 40℃ at three different light intensities, 6 W/㎡, 12 W/㎡ and 24 W/㎡. The specific growth rate was increased as temperature increased up to 30℃. The activation energy was estimated as 13.5 kcal/mol by an Arrhenius relationship. 0.24(1/day) of specific growth rate was obtained from batch cultivation with 30% swine wastes, compared to 0.31 (1/day) from clean culture. It was found that Spirulina platensis was able to reduce 70~93% of PO_4^3- -P, 67~93% of inorganic nitrogen, 80~90% of COD and 37~56% organic nitrogen by adding various concentrations of swine wastes for 12 days of batch cultivation. Rate constants for removing nitrates and phosphates in treating swine wastes were estimated as 0.17 (1/day) and 0.14 (1/day) in the first order reaction, respectively. 1.52(g/L) of maximum cell density was maintained at 0.20(1/day) of dilution rate in continuous culture, adding 20% swine wastes for 30 days. The chemical composition of the biomass obtained from the process showed 58.7% of protein, 11.0% of lipid and 15.6% of ash.

北漢山 森林群落의 植物社會學的 硏究

진희성,김광래,안봉원 慶熙大學校 1982 論文集 Vol.11 No.-

The vertical distribution of the canopy trees in Mt.Bukhan was studied by quedrat method. In this mountain, there were distributed about 126 species of main trees and forest communities consist of Quercus mongolica, pinus densiflora, Alnus hirsuta var. sibirica, Acer pseudo-sieboldianum var. koreanum, Sorbus alnifolia, Quercus acutissima and so on. The change of forest communities according to the elevation of this mountain was not conspicious. As The elevation heightened of this mountain, the importance value and summed dominance ratio of Fraxinus rhynchophlla and Acer pseudo-sieboldianum var. koreanum increased, while those of Quercus variabilis lowered. Through all the area of this mountain, mean importance value of Quercus mongolica was high. There appeared difference type of vegetation between valley and ridge area but no directional recognize in the kind of plant species though very few species were limited in a limitted part, such as Celtis aurantica of the ridge area, and Quercus acutissima x variabilis of Jeongnung valley. In each study area, Pinus densiflora on the floor was abundant and the summed dominance ratio of Sorbus alnifolia, Quercus serrata and Quercus aliena were high to elevation range for 250-350m. As the elevation hghtened, the mean of total base value of soil samples in study area was high but the mean of O,M. and available phosphate value of those did not show a fixed tendency. The relationship of the importance value of Fraxinus rhynchophylla and the mean of total base value of soil in study area showed a significant and positive correlation. The index of similarity of the forest communities to the valley and ridge area, and to the southeast and northwest side of Mt.Bukhan were 63.7, 67.7% respectively.

흉추부 신경병증에서 체성감각 유발전위검사의 임상적 유용성

안경회,오진주,김희상,이종하,정용설 대한근전도전기진단의학회 2003 대한근전도 전기진단의학회지 Vol.5 No.1