다산부에서 자간전증의 임상적 고찰

이주롱,이석민,한효상,이해혁,이임순,이권해 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

목적 : 전자간증 산모에서 초임신부와 다산부 각각의 임상적 특징을 조사하여 비교 분석하고자 하였다. 연구방법 : 1998년 1월부터 1999년 12월까지 2년간 순천향대학 서울병원에서 입원 분만한 임신성 고혈압성 질환 환자중 초임신부 106명과 다산부 50명, 총 150명을 대상으로 임상통계학적으로 조사 분석하였다. 결과 : 분만까지 임신기간의 비교시 초임신부에서는 33-36주에서 17.9%였고 다산부에서는 34.0%로, 다산부에서 조기분만의 예가 의의있게 많았다. 신생아 체중이 2500g 미만인 군이 초임신부군에서는 36.8%였고 다산부군에서는 62.0%로 다산부군에서 더 많았다. 임신성 고혈압성 질환의 중등도를 보면 중증자간전증의 초임신부에서 35.8%와 다산부에서는 44.0%로, 초임신부에 비해 다산부군의 중증 자간전증의 비율이 많았다. 결론 : 중증 임신성 고혈압성 질환이 다산부군에서 더 많았으며 적은 주수에서 제왕절개술을 시행해 출생아의 체중이 초임신부군에 비해 더 작았고 Apgar 점수도 더 낮았다. Objective : To study the clinical differences of primiparous and multiparous preeclamptic patients. Methods : We statistically analyzed 106 primiparous and 50 multiparous preeclamptic patients who were admitted to the Soonchunhyang University Hospital from January 1998 to December 1999. Results : It was statistically found that multiparae were more likely to give premature birth than primiparae: Thirty four percents of multiparae gave birth in the period between the 33rd and the 36th gestational weeks while 17.9% of primiparae did in the same period. Sixty two percents of the newborn babies of multiparae weighed less than 2500g. Among primiparae, the ratio was 36.8%. In addition, more multiparae(44.0% vs. 35.8%) suffered from severe preeclampsia. Conclusion : severe preeclampsia was found more frequently among multiparae. Since they gave birth earlier by cesarian section than primiparae, their babies weighed less and had lower apgar scores.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

산재지정병원 이용 후 산재요양환자에 대한 만족도 조사

이화평,임형준,주영수,권영준,강희태,김정민,조성식,이태경,윤종완 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.3

석면관련 폐질환의 진단에 있어서 흉부고해상도전산화단층촬영검사(HRCT)의 유용성

이현재,손지언,,홍영습,,이영일,예병진,유창훈,정갑열,김상훈,임형준,장은철,김정만,김준연 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

목적: 석면에 노출된 근로자에서 석면관련 폐질환의 양상을 분석하고 진단에 있어 HRCT의 유용성을 연구하여 석면에 대한 의학적 감시프로그램의 개발에 기여하고자 하였다. 방법: 석면에 직접 노출되는 작업자 68명과 간접 노출되는 작업자 94명 등 총 162명에 대해 OSHA 석면 표준, 의학적 감시 프로그램에 따라 단순 흉부방사선검사, 폐활량검사 및 우리나라 실정에 맞게 일부 수정한 의학적 설문지를 통해 면접조사의 방식으로 환자에 관한 정보를 수집하였으며, 자료의 신뢰성을 확보하기 위하여 면접조사는 1달 이상의 기간을 두고 2차례에 걸쳐 실시된 후 확인, 수정하였다. 또한, 석면관련 폐질환을 확진하기 위하여 HRCT를 추가적으로 실시하였다. 결과: HRCT결과 석면관련 폐질환의 유병율은 162명의 근로자중 17명으로 10.5%였는데, 직접 노출군에서 10명 (14.7%), 간접 노출군에서 7명 (7.4%)이었다. HRCT와 비교할 때 단순 흉부방사선검사의 민감도와 특이도는 각각 70.6%와 98.6%이었고, 양성 예측도와 음성 예측도는 각각 85.7%와 96.6%으로, HRCT는 단순흉부방사선검사에 비해 민감도가 높아 초기 석면관련 폐질환을 진단하는데 효과적이었다. 석면관련 폐질환의 진단에 있어 HRCT와 폐활량검사 사이에 유의한 관련성이 관찰되었다. HRCT 결과 석면관련 폐질환의 유무와 의학적 설문조사 결과의 빈도분석을 실시한 결과, 유의한 변수는 작업기간, 흡연량, 호흡기질환의 과거력, 기침, 호흡곤란이었다. 결론: HRCT는 석면관련 폐질환의 진단에 있어 단순 흉부방사선검사와 비교하여 민감도가 높아 초기 진단에 유용하므로 단순 흉부방사선선검사 결과 석면관련 폐질환소견을 보일 때뿐만 아니라, 정상소견을 보이더라도 폐활량 검사결과와 근무력, 흡연력, 호흡기질환의 과거력, 기침, 호흡곤란 등의 호흡기 증상을 참고하여 HRCT검사를 고려해야 한다. 또한, 본 연구에서 관련성이 없었던 요인들에 대해서도 향후 연관성을 규명하는 광범위한 전향적 연구가 필요하다. Objectives: This study was carried out to improve the medical surveillance program of workers exposed to asbestos by examining the usefulness of High Resolution Computed Tomography (HRCT) in the diagnosis of asbestos-related lung disease. Methods: The study subjects comprised 162 workers in a ship-repairing yard, 68 of whom had been directly exposed to asbestos and 94 indirectly exposed. The 'Occupational Safety & Health Administration (OSHA) asbestos standard, medical surveilance program' and HRCT were conducted to analyze the aspects of the asbestos-related lung disease. The OSHA asbestos standard, medical surveilance program consists of simple chest x-ray, spirometry and medical questionnarie. Results: Seventeen (10.5%) of the 162 subjects, 10 (14.7%) directly exposed and 7 (7.4%) indirectly exposed, revealed asbestos-related lung disease on HRCT. The sensitivity and specificity of simple chest x-ray for asbestos-related lung disease were 70.6% and 98.6%, and the positive and negative predictive values were 85.7% and 96.6% respectively, as compared with HRCT, HRCT was an effective diagnostic tool especially to detect early asbestos-related lung disease. The study results indicated a relative significant association between the results of spirometry and HRCT. The variables significantly associated with asbestos-related lung disease on HRCT were work duration, smoking history (pack-years), past history of respiratory disease, cough and dyspnea. Conclusions: In the diagnosis of asbestos-related lung disease, HRCT should be considered not only for workers with positive findings on simple chest x-ray, but also workers with specific findings on spirometry, occupational history, smoking history, and past history of respiratory disease, or with respiratory symptoms such as cough and dyspnea.

한·미 양국의 학교행정의 비교 : (Texas주 중심으로)

李壬相 慶尙大學校 1991 論文集 Vol.30 No.2

The purpose of this study to compare the middle/junior high school administration of the United States with emphasis on the State of Texas and that of Korea. For the purpose of this study, the researcher concentrated on the school administration procedures of the Independent School District of Austin, Texas. Literature analyses and interviews with educational administrators of Austin, Texas were conducted in this study. Major findings of this study were summarized as followes: 1. Philosophy of middle/junior high school education in Texas was based on the American pra-gmatisim. 2. home Room program was conducted for te enhancement of students' civil ethics and individ-ual development. Parents involvement in this program was emphasized and the parent's rig-hts and responsibilities of the program were clearly prescribed. 3. Texas middle/junior high schools' academic schedules were composed of 175 school days in a year, 50 minutes one class hour, and five minutes break betwen classes. Theae are different from those of Korean middle schools. 4. Number of courses opened in the curriculum of Texas middle/junior high schools were more than those of Korean middle school curriculum. The Texas middle/junior high school's curriculum was managed by focusing the student's individual characteristics and performances. One of the special features of the curriculum was honor program which was provided for meeting the student's academic aspirations and for stimulating his(her) intellectual curiosity. 5. Evaluation of student educational performances was conducted to promote teaching-learning feedback effect by doing every six week. 6. The school in Texas ofened various supplementary programs for academic retarded students, and firmly regulated student behaviors such as attendence, cheating, drug abuse,etc,. 7. Students' extra-curricular activities were provied variously and each activity was carried out with clear rules and regulations. The principal's veto rights on the student's extra-curricular activities were athorized. 8. Regulations of the student behavior in Texas middle/junior high school were more strict than those of Korean middle schools. Particularly student's plagiarism of copying of others was strictly prohibited. This fact implicatates something to Koream schools in terms of edu-cational integrity. 9. In sum, although middlle/junior high school administration in Texas education was imp-lemented through strict regulations, it focused upon enhancing student freedom and indivi여-ality.

관동대학교 간호학과 현장실습교육 교과과정 개선을 위한 기초조사(Ⅱ)

成英熙,金福子,李成恩,任東湜 관동대학교 2000 關大論文集 Vol.28 No.2

The practical apprenticeship training is important and takes part in 19.5% of curriculum in university nursing education(Lee. 1997). The quality and quantity of prcatical training influences the quality of nursing student ability. This study has planed to find out the actual condition of practical apprenticeship training and develop the reform measures for nursing education of Kwandong University. The questionnaires were sent for the clinical instructors of one municipal hospital. two university hospitals in Seoul, public health centers and schools who were directly in charges of training for nursing students of Kwandong University. The results were as follow : 1. The mean age of the clinical educators was 37.6 years. The proportion who have bachelor degree was 57.7% and the mean experience of field teaching was 4.8% years and the mean carrier as a nurse was 14.5 years. 2. The actual hours of field teaching (7.1 hours) was higher then the ideal hours(6.6 hours) 3. The score of students attitude(3.8 point) was showed the highest score among the abilities of the nursing students for practical apprenticeship training. There were statistical differences in the scores of students attitude(F=12.7 p=0.000 ) and level of practice (F=4.96 p=0.01) among 3 training fields. 4. Nursing unit orientation was showed the highest coherence rats between the actual contents and the ideal contents for field teaching (difference in score was 0.05) To improve the actual condition of training apprenticeship for nursing education in Kwandong University several recommendations are necessary. For example to improve students ability in nursing terminological knowledge and bedside nursing skills. the accreditation system like checklist is helpful and the regular academic meetings will do important parts for the communication between nursing faculties in university and nursing staffs in nursing fields.

대기오염과 천식증상에 의한 응급실내원과의 연관성에 관한 환자교차연구

임형준,이상윤,윤기정,주영수,강대희,조수현 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : This study, using case-crossover design, search a relationship between changing levels of air pollutants and asthma attack in asthma patients. Methods : We searched the daily total number of asthmatic patients at hospital's emergency room in Seoul, Korea by investigating total 49 general hospital's emergency room records. Otherwise, We investigated medical records of asthmatic patients at one of the 49 hospitals we have searched. We investigated addresses that they are living, diagnosis, smoking history, whether respiratory infection or not, medications. We analyzed the data by 1:m conditional logistic regression used when matched case-control study is analyzed. Control periods were chosen by bidirectional paired matching technique 7, 14 days before and after case periods. Results : the relative risk of asthmatic attack by 100 ppm ozone increase between June and September were 1.348(95 % CI = 1.010∼1.619). Between November and February, the relative risk by 100 ㎍/㎥ TSP increase, 100ppb sulfur dioxide and nitrogen dioxide were respectively 1,278(1.010∼1.619), 1.237(1.019∼1.502), 1.285(1.006∼1.640). In stratified analysis, the relative risk were significant when the asthmatic patients were children aged 15 years or below, when there were respiratory infection, and when the patients took medications irregularly Conclusions : There was statistically significant association between ambient levels of air pollutants and asthmatic attack. So, we have to exert our efforts to minimize the air pollution effectively, to protect public health from air pollution.

복부대동맥류를 동반한 환자의 위아전절제술 마취경험

임의재,이동준,김문철,이상준,김명화 인제대학교 2009 仁濟醫學 Vol.30 No.-

Abdominal aortic aneurysms rarely occur with cancerous lesion but occasionally with gastrointestinal malignancy, and need absolute blood pressure control to prevent rupture. A 71 year old male who complained dizzness and hematochezia. He has been managed for hypertension, stable angina and abdominal aortic aneurysm which diagnosed 2months ago. He was diagnosed as advanced gastric adenocarcinoma and subtotal gastrectomy was performed. General anesthesia was scheduled and epidural catheterization was performed to controll intraand post operative pain and minimize hemodynamic change to prevent aneurysmal rupture 37.5mg of Ropivacaine was injected through epidural catheter before anesthesia and infusion of remifentanyl and propofol was performed during general anesthesia. The blood pressure was maintained between 95/50 and 145/95 and did not significantly increased. The general-epidural combined method was successfully performed and we are report this case with a brief review of the literature.

핸드오프로 인한 TCP 재전송 타이머의 타임아웃 방지 방안

이상연,임행빈,정충교 강원대학교 정보통신연구소 1999 정보통신논문지 Vol.3 No.-

It will be occurred unacceptably long pause and intermittent disconnection states due to handoffs under the mobile computing environment. The current TCP interprets these handoffs as network congestion and excutes the congestion avoidance algorithms which degrade TCP performance. To prevent degrading TCP troughtput due to the unnecessary timeout problem of source retransmitter timer caused by handoffs, we propose EHN(explicit handoff notification) message algorithm which resets the value of retansmission timer. By adapting EHN, the TCP source can maintain the pre-handoff' congestion window size after handoffs and prevent the abrupt decrease of congestion window size caused by timeout. Therefore, this scheme improves the TCP performance more than the current TCP implementations during handoffs. With the computer simulation, we compare our EHN scheme with the current TCP scheme and fast retransmission scheme and prove the validation of EHN.

中學校學生들의 女敎師에 대한 役割期待 및 役割遂行의 知覺

李壬相 慶尙大學校 1985 論文集 Vol.24 No.1

Purpose of the study: This study was aimed at finding out the ways of improving middle school systems faced with the teacher's feminization in Korea. More specifically, This study investigated; 1. Whether there were differences between boys' and girls' school, public and private school, region, grade, and school credit in terms of role expectation for female teachers. 2. Whether there were differences between boys' and girls'school, public and private school, region, grade, and school credit in terms of role performance of female teachers Method: 1. Population of this study was all middle school students in Korea, 2278 students were sampled by regional stratification. 2. Collected data were tested by ANOVA using SPSS program at the Gyeong Sang National University Computing center. Finding: 1. Role expectation side; 1) There was a significant difference(p<.01) between boys' and girls' school, public and private school in terms of teaching activity, guidance, and classroom management. 2) There was a significant difference(p<.05) among town, city and great city in terms of teaching activity. 3) There was a significant difference(p<.01) among town, city and great city in terms of guidance and classroom management. 4) There was a significant difference(p<.05) among 1st, 2nd and 3rd grade in terms of classroom management. 2. Role performance side : 1) There was a significant difference(p<.05) between boys' and girls' school in terms of guidance. 2) There was a significant difference(p<.01) between boys' and girls' school in terms of classroom management. 3) There was a significant difference(p<.01) between public and private school in terms of teaching activity and guidance. Purpose of the study: This study was aimed at finding out the ways of improving middle school systems faced with the teacher's feminization in Korea. More specifically, This study investigated; 1. Whether there were differences between boys' and girls' school, public and private school, region, grade, and school credit in terms of role expectation for female teachers. 2. Whether there were differences between boys' and girls'school, public and private school, region, grade, and school credit in terms of role performance of female teachers Method: 1. Population of this study was all middle school students in Korea, 2278 students were sampled by regional stratification. 2. Collected data were tested by ANOVA using SPSS program at the Gyeong Sang National University Computing center. Finding: 1. Role expectation side; 1) There was a significant difference(p<.01) between boys' and girls' school, public and private school in terms of teaching activity, guidance, and classroom management. 2) There was a significant difference(p<.05) among town, city and great city in terms of teaching activity. 3) There was a significant difference(p<.01) among town, city and great city in terms of guidance and classroom management. 4) There was a significant difference(p<.05) among 1st, 2nd and 3rd grade in terms of classroom management. 2. Role performance side : 1) There was a significant difference(p<.05) between boys' and girls' school in terms of guidance. 2) There was a significant difference(p<.01) between boys' and girls' school in terms of classroom management. 3) There was a significant difference(p<.01) between public and private school in terms of teaching activity and guidance. 4) There was a significant difference(P<.05) between Public and Private school in terms of classroom management. 5) There was a significant difference(p<.01) among town, city and great city, and 1st, End and 3rd grade in terms of teaching activity, guidance and classroom management. 6) There was a significant difference(p<.05) among upper, middle and low school credit in terms of teaching activity and guidance. 7) There was a significant difference(p<.01) among upper, middle and low school credit in term of classroom management. Conclusion: 1. It is desirable that female teachers perform teaching activity, guidance and classroom managent in the girls' school. 2. Female teachers try to educate more positively in terms of guidance and classroom managent in private school and teaching activity in public school. 3. Female teachers working at the great city school try to educate more positively in terms of teaching activity, guidance and classroom management, 4. It is desirble that female teachers educate 3rd grade students, as well as 1st and End grade students. 5. It is needed that female teachers try to satisfy curricula needs of upper level students in school credit.