Solar urticaria in Korean patients

( Sung Min Kim ),( Young Ah Cho ),( Ji Su Lee ),( Ji Youn Hong ),( Jin Hee Kim ),( Joo Ran Hong ),( Hye In Cheon ),( Yang Won Lee ),( Yong Beom Choe ),( Kyu Joong Ahn ) 대한피부과학회 2020 대한피부과학회 학술발표대회집 Vol.72 No.1

Background: Solar urticaria (SU) is an uncommon type of photodermatoses characterized by erythematous wheal with pruritus after sunlight exposure, which shows a female predominance. Only a few studies to analyze the clinical features of SU were reported in Asia. Objectives: We aimed to analyze the clinical and photobiological characteristics of SU in Korea. Methods: We retrospectively investigated the medical records of patients with SU who visited the department of dermatology, Konkuk university medical center from January 2005 to January 2020. Results: Of a total of 44 patients, 36 (81.8%) were male and 8 (18.2%) were female. The mean age at onset was 17.6 years (range, 5-47) and the mean threshold time was 19.7 minutes. Among 32 patients who underwent phototesting, the action spectrum most commonly implicated was ultraviolet (UV) A only in 12 (37.5%), and then visible light (415nm) only was responsible for SU in 8 (25.0%). Three patients (9.4%) were induced by both UVA and visible light (415nm). Even 4 patients (12.5%) were triggered by only natural sunlight. Serum immunoglobulin E levels were measured in 33 patients, and 17 (51.5%) showed values higher than normal. The treatment most widely used were oral antihistamine (43.2%), followed by phototherapy (13.6%). Conclusion: SU is a rare photodermatosis in Korea, which shows a male preponderance. In this study, UVA and visible light (415nm) were predominant action spectrum of SU.

Variation in clinical usefulness of biomarkers of acute kidney injury in young children undergoing cardiac surgery

Baek, Hee Sun,Lee, Youngok,Jang, Hea Min,Cho, Joonyong,Hyun, Myung Chul,Kim, Yeo Hyang,Hwang, Su-Kyeong,Cho, Min Hyun The Korean Pediatric Society 2020 Clinical and Experimental Pediatrics (CEP) Vol.63 No.4

Background: Acute kidney injury (AKI) is one of the most significant postoperative complications of pediatric cardiac surgery. Because serum creatinine has limitations as a diagnostic marker of AKI, new biomarkers including neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and interleukin-18 (IL-18) are being evaluated to overcome these limitations and detect AKI at an early stage after cardiac surgery. Purpose: This study aimed to investigate the clinical usefulness of these biomarkers in young children. Methods: Thirty patients with congenital heart diseases who underwent cardiac surgery using cardiopulmonary bypass (CPB) were selected, and their urine and blood samples were collected at baseline and 6, 24, and 48 hours after surgery. Serum creatinine and blood urea nitrogen levels as well as NGAL, KIM-1, and IL-18 levels in urine samples were measured, and clinical parameters were evaluated. Results: Of the 30 patients, 12 developed AKI within 48 hours after cardiac surgery. In the AKI group, 8 of 12 (66.6%) met AKI criteria after 24 hours, and urine KIM-1/creatinine (Cr) level (with adjustment of urine creatinine) peaked at 24 hours with significant difference from baseline level. Additionally, urine KIM-1/Cr level in the AKI group was significantly higher than in the non-AKI group at 6 hours. However, urine NGAL/Cr and IL-18/Cr levels showed no specific trend with time for 48 hours after cardiac surgery. Conclusion: It is suggested that urine KIM-1/Cr concentration could be considered a good biomarker for early AKI prediction after open cardiac surgery using CPB in young children with congenital heart diseases.

자연친화 숲 프로그램을 활용한 자유놀이가 유아 창의성에 미치는 효과

김수희 ( Su Hee Kim ) KNU기업경영연구소 2021 기업경영리뷰 Vol.12 No.3

본 연구는 자연친화 숲프로그램을 활용한 자유놀이가 유아의 창의성에 미치는 효과를 살펴보는데 목적이 있다. 김수희 외(2015)가 개발한 자연친화 숲프로그램을 활용하여 개정누리과정에서 강조하는 자유놀이를 중심으로 서울시 S구에 위치한 교육기관 만 5세 유아 22명(실험집단 11명, 통제집단 11명)을 대상으로 실시하였다. 검사도구로는 전경원(2000)이 개발한 유아용 창의성 측정도구를 이용하였다. 실험집단과 통제집단의 프로그램 실시전과 후를 살펴보는 설계방식으로 하여 자연친화 숲프로그램을 활용한 자유놀이의 효과를 검증하였다. SPSS 22.0 프로 그램을 사용하여 T검증을 실시한 결과 첫째, 만 5세 유아의 언어창의성에서는 유의미한 효과가 있었으나 둘째, 만 5세 유아의 동작창의성에서는 유의미한 효과가 나타나지 않았다. The purpose of this study is to examine the impact of free play on the creativity of infants using nature-friendly forest programs. Using the nature-friendly forest program developed by Kim Su-hee and others (2015), the program was conducted on 22 5-year-old infants (11 experimental groups and 11 control groups) located in S-gu, Seoul, focusing on free play in the revised Nuri process. As an inspection tool, a child creativity inspection tool developed by Jeon Kyung-won (2000) was used, and the effectiveness of free play using nature-friendly forest programs was verified by the experiment and control group pre-post inspection design. The T-test using the SPSS 22.0 program showed significant effects on language creativity in infants aged 5 years old, but not sig-nificant effects on behavior creativity in infants aged 5 years old.

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.

조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

Selective hydrogen oxidation reaction catalysts approach to enhance the durability of PEMFC for FCEV under the condition of SU/SD and fuel starvation

Su Won Yun(윤수원),Ki Woong Park(박기웅),Tae June Kim(김태준),Byung Il Park(박병일),Gwon Goo Yeo(여권구),Hoon Hee Lee(이훈희),Bum Wook Roh(노범욱),Yong Tae Kim(김용태) 대한기계학회 2016 대한기계학회 춘추학술대회 Vol.2016 No.4

통신서비스 시장획정의 해외사례와 융합추세에 따른 주요 이슈 : Cases and Issues

김희수,김형찬,이상규,김민철,김정현 정보통신정책학회 2004 정보통신정책연구 Vol.11 No.1

최근 들어 유무선 통합 서비스 등 다양한 융합 서비스가 등장함에 따라 서비스간 경계가 모호해지고 있어 전통적인 시장분류 방신의 변화가 요구되고 있다. 본 논문은 해외 규제기판에서 채택하고 있는 시장회정의 방법론과 실제 회정 사례를 살펴보고 국내 시사점온 제시한다. 시장획정 방법론은 비판적 국가간 차이 없이 잘 수립되어 있어 원칙적으로 국내 도입에 큰 어려움이 없을 것으로 보이나 다양한 정량적, 정성적 지표에 대한 종합적 판단이 필요하고 새로운 융합형 서비스도입을 반영하는 실증적 방법론의 개발이 필요하므로 정책당국의 전문적 판단력 강화와 정책결정 과정의 공개화가 중요한 과제가 될 것이다. As a series of new services emerge recently as part of the convergence/integration phenomena, the traditional way of defining market boundaries in a mechanical manner needs to be changed. This paper reviews the methods of economic analysis for market definition adopted by the foreign regulatory authorities and its applications to telecommunications regulation. We find that the methods are well established without much difference among the regulatory authorities, thus implying little difficulty ahead in institutionalizing the market definition framework in Korea. But we also find that the telecommunications regulator of Korea needs to have more capability to make correct decisions out of a huge set of quantitative and qualitative data, particularly taking account of the impact of newly emerging services. Making a formal process of hearing public comments is deemed crucial as well.

전기화재 원인 분석 및 EMTP를 통한 1선 지락사고 분석

남희수,한은희,김민영,김병호,김홍래 순천향대학교 부설 산업기술연구소 2021 순천향 산업기술연구소논문집 Vol.27 No.2

Everyday, we use electricity from the moment we wake up to the moment we go to bed. Not only it is closely interlinked with our everyday lives, but electric power is also an indispensable source as it is literally the fuel for sustaining industrial and economic development. Against this backdrop, electrical accidents are hazards that not only impose an inconvenience to people, but can also become a disaster that causes substantial loss to a country. Many of factors simultaneously contribute to the occurrence of an electrical fire, but in this paper, we specifically conducted research on line-to-ground faults. As single line-to-ground faults occur the most frequently in the distribution system, we analyzed earth fault currents that occur from the single line-to-ground fault. Moreover, we used the Electro-Magnetic Transient Program(EMTP) to model and simulate OCR (Over Current Relay) during inverse time which can separate fault sections in the distribution system to prevent accidents from spreading into an electrical fire.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

정신훈련 프로그램의 실시에 따른 체육수업 참여유형 비교연구

김원배,김정수,정청희,노희덕,홍준희 師範大學 體育硏究所 1998 서울大學校 體育硏究所論集 Vol.19 No.1

The purpose of this study was to identify the student participation styles in elementary school physical education classes. To identify the student participation styles, the factors such as subject, teacher, parents, the level of family economy and classroom environments were investigated. To achieve the purpose of this study was observed during 3 months in 1997. Educational ethnography was used in order to collect qualitative date. The subjects were 40 students on grade 4 in Chang Soe elementary school. Student participation styles were categorized six domains based on classroom teacher's observation and evaluation about them for 4 months. This styles included 'enthusiastic students', 'officious helpers', 'modifiers', 'ball girl-ball boys', 'timid paragons', and 'halfway students' Enthusiastic student was characterised by learning ability and attitude in his classroom, Officious helper by interference in other students in classes, Modifiers by the his tendency of exchange and execuse about the teacher-assigned-task, Ball girls-ball boys by yield their opportunity to participation in games and took peripherial position as by-hnaders, Timid paragons by work his task only when the teacher let him ordered and listen to teacher's explanation attentively, Halfway students by very bad learning attitude and made distribute the learning circumstances by their mischief. The result of this study were as follows;