여가활동 유형이 여가만족에 미치는 영향

김의영,김의영,김영숙,윤대중,이병기 龍仁大學校 武道硏究所 2002 武道硏究所誌 Vol.13 No.1

This research is designed to make a comparative analysis of the types of leisure activities and the degree of leisure satisfaction by demographic background variable and to present basic materials necessary for the development of programs for local policies on leisure in accordance with the local autonomous system with a view to determining the relationship between leisure and life satisfaction by type of leisure activity. The following are the findings. First, the survey on testing the difference of leisure satisfaction by gender failed to test the difference in psychological and physiological satisfaction, but there were a statistically significant difference in educational, social and relaxation satisfaction at a level of 1 percent. And the survey failed to test the difference in psychological satisfaction by age, but there was a statistically significant difference in leisure satisfaction by society, education, job, monthly income, and health. Second, the survey on the influences of the types of leisure activities on leisure satisfaction revealed that there was a statistically significant influences in all the subordinate variables of leisure satisfaction.

대장내시경 전처치제로서 Sodium Phosphate 와 Polyethylene Glycol 용액의 전향적 비교 분석

이헌경,김승용,홍원선,민영일,정훈용,김해련,정성애,김석균,심기남,양석균,박의련,조문경 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.3

Background/Aims: Although some authors have suggested that sodium phosphate (NaP) is more effective than polyethylene glycol (PEG) in bowel cleansing, there has been no crossover study proving the superiority of NaP over PEG in bowel cleansing and patients' compliance. The aim of this study was to compare the two solutions for colonoscopy, PEG and NaP, through crossover design with regard to patients' compliance, cleansing ability and side effects. Methods: Thirty patients underwent two separate colonoscopies for colonic polyp(s) with PEG and NaP, respectively. Before and after bowel preparation, blood pressure, body weight, and serum biochemical parameters were measured in all patients. In addition, a detailed questionnaire was used to assess side effects and the patients' preference. The presence of bubbles, types of residual stool, and overall quality of colon cleansing were assessed by one endoscopist blinded to the type of preparation used. In each colonoscopy, two biopsy specimens were taken at rectum. Results: In the NaP group, but not in the PEG group, there were significant changes in several biochemical parameters including sodium (+3.0±3.0 mEq/L), potassium (-0.3±0.3mEq/L), calcium (-0.5±0.5 mg/dL), phosphorus (+3.9±2.2 mg/dL) and osmolarity ( +10.1±9.3 mOsm/kg) after bowel preparation. In addition, the degree of body weight change was greater with NaP (-2.2±2.3 kg) than with PEG (-1.2±2.0 kg) (p=0.06) and the formation of bubbles that disturb luminal observation was more frequently found in the NaP group (p$lt;0.01). There was no difference, however, in the type of residual stool and the overall quality of bowel preparation between the two groups and no significant mucosal change was noted after bowel preparation in both groups. Moreover, PEG was found to be more difficult to take than NaP (p$lt;0.05) and among the 30 patients, 26 (87%) preferred NaP, while only two favored PEG (p$lt;0.01). Conclusions: We conclude that NaP can replace PEG at least in patients with good general condition. Further studies to decrease the incidence of bubbles and to establish subgroups suitable for NaP are needed.

국내 다기관에서 조사한 지역사회획득 메티실린내성 황색포도알균의 빈도와 임상적 특성

송진수,최평균,송경호,조재현,김성한,방지환,이창섭,박경화,박경운,신수,최희정,김의석,김동민,이미숙,박완범,김남중,오명돈,김의종,김홍빈,최강원 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

목적 : 최근 전세계적으로 지역사회획득 메티실린내성 황색포도알균(community-associated methicillin-resistant Staphylococcus aureus, CA-MRSA)의 보고가 증가하고 있다. 하지만, 우리나라에서는 CA-MRSA 감염증에 대한 증례보고만 있을 뿐 아직까지 체계적인 연구결과가 없는 실정이다. 저자들은 국내에서 CA-MRSA의 빈도, 감염증의 임상적 양상, 분리된 균주의 항균제내성 양상을 조사하였다. 재료 및 방법 : 2005년 1월부터 2005년 6월까지 7개 병원에서 MRSA가 분리된 환자의 명단을 파악한 후 의무기록지와 건강보험심사평가원의 자료를 검토하였다. 외래나 응급실에서 혹은 입원 후 72시간 이내에 균주가 분리되고 MRSA 획득과 관련된 위험인자가 없는 경우 CA-MRSA로 정의하였으며, 분리된 균주의 임상적 의미에 따라 원인병원체(pathogen), 집락화(colonizer), 미결정(undetermined)으로 분류하였다. Penicillin과 oxacillin을 제외하고 3개 이상의 다른 계열 항균제에 내성이면 다제내성으로 정의하였다. 결과 : 연구기간동안 총 3,251주의 황색포도알균이 분리되었으며, 이 중 MRSA는 1,900주(58.4%)였다. MRSA 가운데 CA-MRSA는 114주(6.0%) 였으며, 이들이 분리된 부위는 귀(62주), 비뇨기계(14주), 피부 및 연부조직(11주), 호흡기계(10주), 혈액(3주) 등이었다. CA-MRSA 균주 가운데 집락균은 22주, 원인병원체는 22주였으며, 나머지 균주에 대해서는 그 임상적 의미를 결정할 수 없었다. 항균제 감수성 검사를 시행한 73균주 중 47주(64.4%)는 다제내성이었다. CA-MRSA 감염증 22예 중 피부 및 연부조직 감염(9예)과 중이염/외이도염(9예)이 가장 흔하였다. 침습적 감염증(invasive infection)은 4명(원발성 균혈증 3예, 감염성 관절염 1예)에서 확인되었지만, CA-MRSA 감염증으로 사망한 환자는 없었다. 결론 : 병원내 감염증에서는 MRSA가 심각한 문제이지만, 아직까지 지역사회 감염증에서 CA-MRSA는 흔하지 않았다. Background : Methicillin-resistant Staphylococcus aureus (MRSA) infection has emerged in patients who do not have the established risk factors. In Korea, little is known about the epidemiology and clinical features of community-associated MRSA (CA-MRSA). Material and Methods : Clinical microbiology laboratory databases of 7 hospitals were reviewed to identify the patients from whom MRSA was isolated during the period of January to July 2005. Only one isolate per patient was enrolled. In order to identify the risk factors of MRSA acquisition, the medical records and the Health Insurance Review Agency databases were reviewed. CA-MRSA was defined as MRSA isolated from patient without established risk factors. We analyzed patient demographics, underlying medical conditions, characteristics of infection, and antimicrobial susceptibility profiles. Results : Of total 3,251 S. aureus isolates, 1900 (58.4%) were MRSAs. Of the MRSA isolates, 114 (6.0%) were CA-MRSA. Of 114 CA-MRSA isolates, 22 (19.3%) were colonizers, 22 (19.3%) were pathogens, and the clinical significance of remaining 70 (61.4%) could not be determined. Median age of the 22 patients with CA-MRSA disease was 47 years. Nine patients had skin and soft tissue infections, 9 ear infections, 3 bacteremia, 1 septic arthritis. Seven patients had underlying medical disease. None died of the CA-MRSA infections. Of the 73 isolates of CA-MRSA, 47 (64.4%) were resistant to more than 3 classes of antibiotics besides β-lactams. Conclusion : Although MRSA is highly prevalent among hospital-associated S. aureus infection, CA-MRSA infections are not common.

John Dewey의 과학적 도덕 교육론

김의석 대구산업정보대학 1995 논문집 Vol.9 No.1

Dewey is generally regarded as the individual most responsible for establising "fuctionalism" as a movement in American Psychology and Education. His thought of moral is base on the proposition of value judgement of practical moral.His theory is summerized as fallowes : First, Dewey is in the position of "practicalism" and "instrumentalism". His philosophical commitment to practicality in the study of human functioning led to the development of his theory of "instrumentalism" in education, populary known as learning by doing. Dewey gave emphasis to is usefulness of real life of human thought and knowledge. Second, Dewey's thought is base on the scientific experimental judgement. He maintained that we can make use of the experimental methods of natural science in the domain of moral value judgement. Third, Dewey suggested that the ends-means is the continium.

南ㆍ北韓 高等敎育의 發達過程 考察

金義碩 대구산업정보대학 1997 논문집 Vol.11 No.1

By analyzing and comparing a high educational system in North and South Korea, recovering Korean homogenecity and establishing a peaceful reunification from heterogenicity for the past 50 years. In South and North Korea, they established national systems and dissolved national educational passion from foundation and expansion of higher education system depending upon each social characteristics after independence from Japan. And they have a policy for enlargement of opportunity in higher educational system. South Korea education system was developed for higher educational system for autonomy depending upon economic development. But, North Korea education system was developed for socialist indoctrination. These differing systems have fostered on open soeiety in the South and a closed one in the North. In the industrial field junior colleges in the South educate students for employment. North have educated sudents for scholarship and theory. Universitiey in the North educate students for elite but in almost college except Kim, Il-Sung University, they educated students for scholarship and skill. Conclusively, The South's education system's are influenced by economic factors and the North's influenced by political factors. But both nations respect higher education as important to the national development index and commonly their peoples have a higher desire for education. Each education system was developed according to that nation's social characteristics and functions having elite education and people-education. so both nations have a different higher education system. There have been too many limitations between the South and the North due to ideology and political parallelism to discuss North Korea until now. But recently we have obtained some chances for deep discussions about the Norths education system. So comparing and analysing the education systems which have many diffenenes, is a very careful and difficult job. And promoting each merit from 2 sides are encouraging to understand each other's situation after unification of South and North. And there are not same things for showing a mode of unification. South suggested that depending on democratic philosophy, one people, one nation, one system and one government, on the other hand, North, one people, one nation, 2 systems and 2 governments, focusing on social classes, especially Kim II Sung's dictatorship. So anyway we can also easily find different educational goals between South and North. the nationalism is important for the South but a method of governing and establishing a socialist nation for North. After unification, we should concretely make a new education system for unifying whole Koreans through working and studying together. And both sides should prepare more concrete schedules and programs which are mutually desirable and acceptable for a developing single nation.

상피세포 종양에서 bcl-2 표출에 관한 연구

김의한,정현,이종석,이성열,조명구 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Background : The bc1-2 protein, contrast to p53, has been shown to be suppress the apoptosis, and overexpression of the bc1-2 protein has been reported in several malignant tumors. Although how the bc1-2 protein takes part in tumorgenesis has not been proved, the bc1-2 positive tumors appeared to have good prognosis in some malignant tumors. The expression pattern of the bc1-2 in keratinocyte originated skin tumors have not been well known. The authors analyzed immunohistochemically expression of the bc1-2 protein to invastigate the role of the bc1-2 protein in developing skin tumors. Method : 21 squamous cell carcinoma, 19 basal cell carcinoma, 9 keratoacanthoma 11 seborrehic keratosis and 9 Bowen's disease were immunostained with anti-bc1-2 monoclonal antibody. Results : 1. The bc1-2 negative reactions were seen in all cases of sqaumous cell carcinoma, keratoacanthoma and Bowen's disease. The basal layer in keratoacanthoma and Bowen's disease shown to be intense positive reaction in bc1-2, whch suggested of the protected barrier function from tumor cell invasion into the dermis. 2. The bc1-2 were positive in all basal cell carcinoma. 3. In seborreheic keratosis, 9 cases were negative and 2 cases were positive. The positive cases appeared to be resulted from invagination of the basal cells in the epidermis. Conclusion : The bc1-2 protein did not appear to express in full matures cell, but positive reaction are seen in proliferating activity cells. The bc1-2 positive cells are rahter not abnormal cells than have function of protection of tumor cell proliferation by the prolongation of survival time normal cell.

고등교육 학제에 관한 연구 : 남·북한을 중심으로

김의석 대구산업정보대학 2001 논문집 Vol.15 No.-

In the South and North Korea, they established national system and dissolved national educational passion from foundation and expansion of higher education system depending upon each social characteristics after independence from Japan. And they have a policy for enlargement of opportunity in higher educational system. But they were different from ideology. So in South Korea educational system, they developed higher educational system for autonomy depending upon economic development. But, South Korea education system has been developed for higher educational system for autonomy depending upon economic development But, North Korea education system has been developed for socialism construction. This fact in South and North Korea education system means openness in South and closeness in North. In higher education system, junior college in South have a relatively educated students joining with industrial field and North have educated students for scholarship and theory. In university of North they educated students for elite but in almost college except Kim 11-Sung University, they educated students for scholarship and skill. A research method for comparing changed processes through printed matters is comparing both sides by checking openness, diversity, productivity and effectiveness by establishing authority cited In the openness aspect, South education system have a system with higher reality value, North have a special closeness in the excellence aspect and South students are different from each university. North students are not different from excellence since they took a serious view of skill-education. In the diversity aspect, both nations have commonly different education. Conclusively, South education system are influenced by economic factors and North influenced by political factors. But both nations respect higher education as important national development index and their peoples have commonly a higher desire for education. Each education system was developed according to its social characteristics and functions having elite education and people education. so both nation have a different higher education system. There have been much limitation between South and North due to ideology and a political parallelism for discussing North Korea until now. But recently we can get some chances for deep discussion about North education systems. So comparing and analysing education systems which are much differences between both sides is very careful and difficult job. And promoting each merit from 2 sides are encouraging to understand each other's situation after unification of South and North. And there are not same things for showing a mode of unification. South suggested that depending on democratic philosophy, one people, one nation, one system and one government, on the other hand, North, one people, one nation, 2 systems and 2 governments, focusing on social classes, especially Kim II Sung's dictatorship. So anyway we can also easily find differences of educational goals from South and North. True nationalism is important for South but a method of governing and establishing a socialist nation for North. After unification, we should concretely make a new education system for unifying whole Koreans through working and studying together. And both sides should prepare more concrete schedules and programs which are mutually desirable and acceptable for developing a single nation. This study is undertaken to indicate a kind of directions for developing education system of each nations after unification, even though there were much difficulties for collecting data and analyzing due to limited information just only from secondary sources such as refugees from North and printed related researches. From now on strong government's support and interests toward reunification of Korea will be required.

사망 진단서(시체 검안서) 작성의 문제점

김규석,임용수,이중의,서길준,윤여규,어은경,염석란,정연권,이윤성 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: This study was conducted to analyze the current problems in completing death certificates and to identify the correct method for completing death certificates Methods: We reviewed 262 death certificates in three hospitals from March 1 to April 30, 2000, and 119 death certificates in one hospital from March 1 to 31, 2000. We identified major and minor errors and analyzed and compared them retrospectively. Results: A total of 381 death certificates were reviewed: 59 in Seoul National University Hospital,101 in Ewha Woman's University Hospital, and 102 in Gachon Medical College Hospital, which has no education program for completing death certificates in postgraduate training, and 119 in Samsung Medical Center which has an education program for completing death certificates. 358 certificates(94.0%) had at least one error. There were only 23 death certificates(6.0%) without an error. In 182 cases(47.8%), there was one major error. In 321 death certificates(84.3%), there were more than two errors. A comparison of Samsung Medical Center with the other hospitals showed that the number of total errors was statistically different(p=0.001). Conclusion: There were few death certificates without an error in this study. In a hospital which has postgraduate training in completing death certificates, there are fewer errors than in other hospitals which have no training course. Emergency physicians actually certify many deaths, so they must know the correct method of completing death certificates for statistics on morbidity and mortality.

TiC 被覆한 SiC纖維(Nicalon)의 알루미늄 基地에 對한 適合性

金錫胤,南勝義,金政根 弘益大學校 1983 弘大論叢 Vol.15 No.2

The interaction between SiC fiber and coated aluminum layer of commercially available SiC fiber vacuum-deposited by aluminum was studied at temperatures between room temperature and 700℃. In order to suppress the reaction between the SiC fiber and aluminum layer, thermodynamically stale TiC was precoated on the SiC fiber by activated reactive evaporation process prior to aluminum coating and the compatibility of TiC coated SiC fiber with aluminum have been investigated. Then the interaction of the SiC fiber and the coated aluminum layer was also studied between room temperature and 700℃. The fiber coating with TiC is ecpected to be effective for fabricating a sound composite in this system. The fiber coating with TiC is expected to be effective for fabricating a sound composite in this system. The wettability between SiC fiber and liquid aluminum was improved by the TiC coating. Aluminum coated SiC fiber heated at 650℃ was black and brittle, while no black and brittle was TiC and aluminum coated SiC fiber heated at the same temperaturer. It was, therefore, concluded that the TiC pre-coating on the SiC fiber was effective in suppressing the interation of the SiC fiber and the coated aluminum layer.

SM-101외 12종의 항생물질에 대한 항균력 시험

김의종,석종성 대한화학요법학회 1992 대한화학요법학회지 Vol.10 No.1

SM-101, SP-102, SA-103, SB-104, SC-105, and SD-106, Korean products, were tested for its antimicrobial effect I comparison with those of ampicillin, amoxicillin, cefazolin, cefamandole, cefotaxime, sulbactam, and piperacillin. Minimal inhibitory concentrations of total 286 clinical isolates were determined by microdilution broth method and all of antimicrobials were tested at concentration from 0.125 to 128 ㎍/ml. Ninety percent of coagulase-negative staphylococci were inhibited at 4 ㎍/ml of SB-104, SM-101 and SB-104 showed relatively lower MIC range against methicllin-susceptble Staphylococcus aureus. Ninety percent of ampicillin-susceptible E. coli were inhibited at 2 ㎍/ml of SP-102 and SC-105. Fifty percent of P. aeruginosa were inhibited at 8㎍/ml of SP-102 and SC-105. Compared to ampicillin, cefazolin, cefotaxime, and sulbactam, SM-101 and 5 other antimicrobials showed higher activities against Bacteroides spp, and SA-103 showed the lowest range of MIC against Bacteroides spp. Among 6 antimicrobial products, SD-106 showed the highest MIC range against all of clinical isolates.