Mycobacterium mageritense에 의한 당뇨병성 족부 감염증 1예

김충종,김낙현,김문석,김계형,전재현,박문석,박경운,박완범,박상원,김홍빈,김남중,오명돈,최강원 대한감염학회 2008 감염과 화학요법 Vol.40 No.6

Diabetic foot infection is one of the important complications in patients with advanced diabetes mellitus. Limb threatening infections such as osteomyelitis, abscess, and necrotizing fasciitis are frequently accompanied by the disease. Non-tuberculous mycobacterium (NTM) is a rare causative organism of diabetic foot infection. Thus, if one is not suspicious or meticulous, infection due to NTM will be easily overlooked and this will result in delayed diagnose and treat. Therefore, it is necessary to consider NTM as the causative organism if the wound does not respond to the conventional antibiotic treatment and the culture from the adequately obtained specimen reveals atypical acid-fast bacilli. We present a case of diabetic foot infection with osteomyelitis and abscess due to Mycobacterium mageritense, one of the rapid growing mycobacteria, that was successfully treated with surgical debridement and appropriate antibiotic treatment.

금궤요략 증상에 근거한 진료기록부 작성에 대한 제언

김상운 ( Sang-un Kim ),정현종 ( Hyun-jong Jung ) 대한한의진단학회 2015 大韓韓醫診斷學會誌 Vol.19 No.1

Objectives This study intends to present the writing of standardized medical records based on Korean medicine on the basis of Geum-gwe-yo-ryak symptoms. Methods 1. Excluding the sentences unrelated to the Geum-gwe-yo-ryak symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. 4. The above results were compared with the results of existing similar study on Sang-han-ron(『傷寒論』) symptoms Results Conclusion 1. Resulting from the analysis on all sentences in Geum-gwe-yo-ryak, a total of 1486 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 12.4%, that related to sweat did 3.8%, that related to thirst did 3.8%, that related to edema did 3.4%, that related to musculoskeletal system did 6.9%, that related to breathing did 8.6%, that related to chest and hypochondrium did 6.2%, that related to abdomen did 9.5%, that related to digestive system did 9.6%, that related to stool did 6.4%, that related to urination and urinary system did 5.7%, that related to mouth, eye, ear, nose, throat did 5.3%, that related to skin did 4.5%, that related to language, mind, sleep and emotion did 6.7%. 3. Compared with Sang-han-ron, Edema appear only in Geum-gwe-yo-ryak. Therefore, edema may be a characteristic symptoms of miscellaneous disease.

고혈압 환자에서 경동맥 신전성의 변화

허영선,김학진,송영빈,안지현,임성훈,이왕수,김상욱,김태호,김치정,류왕성,유언호 중앙대학교 의과대학 의과학연구소 2000 中央醫大誌 Vol.25 No.3

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.

고혈압 환자에서 운동부하 심폐기능 검사로 측정한 Anaerobic Threshold와 VO₂max의 변화

허영선,송영빈,안지현,이상엽,김상욱,이광제,김태호,김치정,류왕성,유언호 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.1

피부미용실 고객의 미에 대한 자기인식 및 메이크업 만족도

김언정,옥치상 고신대학교 보건과학연구소 2002 보건과학연구소보 Vol.12 No.-

The collected data(172 samples) by questionnaire were calculated by mean(SD), % and tested using F-test and correlative analysis with the SPSS 7.5 window package. Based on the results, overall view of self-awareness of beauty follows the following order, beauty shouldn't be unnatural or should have comfortable attitude, should have a healthy body, should have interior beauty. Overall view of self-awareness of the body shape of belle were the following order; a little bit tall(3.69%), medium weight(3.08%), oval shape face(2.82%), slender body(4.12), unflat nose(3.48), clear double eye lid(3.76%), bright skin color(3.81%), little bit above the average level of breast size(3.38%), about 170cm of heights(39.1%), about 165cm of heights(30.4%), about 50kg of weight(44.0%) and about 48kg of weight(20.2%). And overall view of self-awareness of the charm were the following order; medium charm(3.12%), agreement of makeup(4.19%), face lifting and plastic operation(3.13%), agreement of exercise(4.53%), agreement of diet(3.62%), agreement of travel(3.79%), agreement of reading(4.12%), agreement of some artistic activity or viewing(4.25%), agreement of quite meditation(4.09%), agreement of fashion sensitivity(3.71%), following up the new fashion(3.71%), a religious life(3.25%), agreement of humble attitude(3.97%) and agreement of self satisfaction(3.88%).

不姙施術 經驗者들에 對한 社會醫學的 調査硏究

金光星,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

This study was carried out for the evaluation of the socio-medical characteristics of 580 persons who had taken vasectomy and laparoscopic tubal sterilization at the PPFK, Chungju clinic, from January 1984 to December 1984. The results obtained were as follows: 1. The most predominant age of Vasectomized group consisted of 30-34 years as 57.8%, but that was 25-29 years as 48.1% in Lapasoscopic tubal Sterilized group. An average age of theirs was 29.9 years 2. The ratio between urban resideuts and rural residents was 55.7 : 44.3. That was 60 : 40 in Vasectomized group, but that was 52 : 48 in Laparoscopic tubal sterilized group. 3. The rates of Vasectomized was incresed with the educational level become higher, but that was reversed in Laparoscopic tubal sterilized group. 4. The average number of living children at the time of sterilization was 2.4 in Vasectomized group, but that was 2.3 in Laparoscopic tubal sterilized group. 5. The average duration of marital life before the sterilization was 6.2 years in Vasectomized group and 6.8 in Laparoscopic tubal sterilized group. The most frequent years of marital life was 6 years in Vasecotomyed group but was 9 years or more in Laparoscopic tubal sterilized group. 6. The most common motive of accepting the sterilization was Family Planning Worker's solicite as 44.2%, next common motive was influence of Mass Communication as 30.2%. there was no significant difference between Vasectomized group and Laparoscopic tubal sterlized group.

개질 결합재의 노화 특성이 아스팔트 콘크리트의 강도특성에 미치는 영향

김광수,안경애,김성운,이상범,이순제 강원대학교 석재복합신소재제품연구센터 2001 석재연 논문집 Vol.6 No.-

아스팔트의 노화 진행 과정의 특성과 아스팔트 혼합물의 노화 특성과의 관계에 대한 국내에서의 연구는 거의 전무한 실정이다. 따라서 본 연구에서는 결합재인 아스팔트의 노화가 아스팔트 혼합물의 특성에 미치는 영향을 분석하였다. 결합재로 사용된 폴리머 3종류와 골재 두 종류, 두 가지 입도, 두 종류의 아스팔트를 사용하여 32종류의 혼합물을 제조하고, 이를 다시 노화 전, 단기노화, 장기노화 처리하였다. 각각의 개질ㆍ비개질 아스팔트혼합물의 노화 과정의 특성을 분석하기 위하여 회복탄성계수실험(MR)과 간접인장강도실험(ITS)을 수행하였고, 추출ㆍ회수 후 바인더 특성시험(침입도, 동점도, 절대점도, GPC)을 수행하였다. 이를 다시 SAS를 이용하여 통계 분석하였다. 혼합물 시험에서 노화가 진행되어 감에 따라 회복탄성계수 및 간접인장강도는 크게 증가했다. 그리고 밀입도가 갭입도보다 강도 특성에서 크게 나타났고, 폴리머간의 비교에서 송진을 개빌한 바인더를 사용한 혼합물의 특성이 가장 우수하게 나타나 상온에서 가장 효과적인 개질재임을 알 수 있었다. 바인더 시험에서 골재 종류가 노화시 물성에 심각한 요인임을 알 수 있었고, 입도는 점도변화에 큰 영향을 미치는 것으로 나타났으며 폴리머는 아스팔트 자체의 노화에 영향을 미치지 않는 인자임을 확인할 수 있었다. 또한 GPC를 이용한 LMS 측정으로 추출ㆍ회수없이도 바인더 물성을 어느 정도 예측 할 수 있는 가능성을 나타냈다. 본 연구 결과 아스팔트 혼합물의 노화특성은 골재 종류, 입도, 개질재의 종류, 바인더의 종류 등의 다양한 요인에 의해 영향을 받는 상태에서 바인더의 특성 변화만으로 혼합물의 강도 특성 변화를 추정하는데는 어려움이 있음을 알 수 있었다. Asphalt concrete is a mixed product of asphalt binder and aggregates. Asphalt binder characteristics in asphalt mixture are changed due to aging of binder. Since asphalt mixture becomes stiffer and brittle due to age hardening of binder, mechanical properties of asphalt concrete are also a function of binder characteristics. However, the correlation of mixture mechanical property with asphalt (binder) property is not well known. This study dealt with evaluation of physical properties of asphalt binder, including polymer modified asphalt (PMA), and mechanical properties of asphalt mixture. The measured physical properties included absolute viscosity, kinematic viscosity, penetration, and LMS (large molecular size). The mechanical property included resilient modulus, indirect tensile strength and stiffness index. Statistical analyses were carried out to find out the factor(s) having a significant effect on change of physical and/or mechanical properties of asphalt mixture due to aging. A relatively high correlation was found from each physical property with stiffness index.

피부과적 시술 시 플라스틱 실린더를 이용한 지혈

김성준,이운하,이용석,전덕규 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.4

Dermatologists frequently perform a number of procedures without the aid of an assistant and have sometimes difficulty to obtain hemostasis during the biopsy or other minor surgery. A flat plastic cylinder made of a disposable syringe effectively stops bleeding and procedures are easily carried out with a clean surgical field. It is believed to be inexpensive, durable and easy to be sterilized. (Korean J Dermatol 2003;41(4) : 499~501)

수돗물과 정수기물의 미생물학적 수질

김철호,조용운,김홍출,이상원 진주산업대학교 1999 論文集 Vol.38 No.-

The author examined microbiological water quality in Chinju National University. Water temperature was lowest at site 1 as 9.45℃, and highest at site 7 as 26.11℃ on average. pH was neutral being in the range of pH 6.28∼7.75. There was a little relationship between sampling sites and sampling time. General bacterial number exceeded the standard of water quality in every sites. And not a few bacteria were detected in the purified water. Coliform bacteria were detected at every sites and the number increased after rainfall. These results suggest that the water quality should be appropriately managed, although the present microbiological water qualigy is not so serious a problem.