전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.

상악 매복 견치와 관련된 석회화 치성낭

윤숙자,김영희,이재서 대한구강악안면방사선학회 2000 Imaging Science in Dentistry Vol.30 No.3

A 35-year-old man was referred to the department of Oral and maxillofacial surgery of Chonnam university hospital for the chief complaint of asymptomatic swelling on the buccal vestibule of upper right canine area. Radiographs revealed that the upper right canine was impacted and there was a well-circumscribed pericoronal radiolucency related with the canine. Multiple radiopaque foci were scattered in the radiolucent lesion, and the roots of the lateral incisor and the first premolar related to the lesion showed external resorption. The radiographic features of this lesion were typical of adenomatoid odontogenic tumor, but considering the gender and age of the patient, the tentative diagnosis was made as calcifying odontogenic cyst. Microscopically this lesion was diagnosed as calcifying odontogenic cyst, Because calcifying odontogenic cyst has no pathognomonic feature of radiographs, to consider radiographic features with clinical findings is necessary in order to establish more correct diagnosis.(Korean J Oral Maxillofac Radiol 2000; 30: 223-227)

내연기관 배기 계통의 유동 해석 모델에 관한 연구

윤건식,윤영환,서문진 국립7개대학공동논문집간행위원회 2003 공업기술연구 Vol.3 No.-

This paper presents the examination of the various simulation models to represent the flow through the exhaust system in the internal combustion engines. Three models - adiabatic pressure loss model, sudden enlargement and sudden contraction model and the constant volume model - have been examined theoretically and experimentally to represent the flow through the catalytic converter and the muffler. This study shows that the combination of the sudden enlargement-sudden contraction model for the catalytic converter and the constant volume model for the muffler gives the best results.

아크릴계 박리혈 점착제의 제조와 특성에 관한 연구

서영옥,윤주섭,설수덕 동아대학교 생산기술연구소 2001 生産技術硏究所硏究論文集 Vol.6 No.1

In order to improve the disadvantages of the copolymers and the terpolymers for PSA uses, quarterpolyrners were synthesized and crosslinked. Poly(butyl acrylate-co-2-ethyl hexyl acrylate-co- methyl methacrylate-co-2-hydroxy ethyl methacrylate) (BA/2-EHA/MMA/2-HEMA) and Poly(butyl acrylate-co-2-ethyl hexyl acrylate-co-methyl methacrylate-co-acrylic acid) (BA/2-EHA/MMA/AA) have superior PSA properties compared to the copolymers and the terpolymers. The best performances of BA/2-EHA/MMA/2-HEMA as a PSA were measured when benzoyl peroxide initiator was used with the reactant mixture comprised 80% of BA and 2-EHA, 15% of MMA, and 5% of 2-HEMA. The optimum reaction temperature and time were 80℃ and 8 hours, respectively. For BA/2-EHA/MMA/AA, the best performances were obtained when the polymerization was performed at the monomer composition of BA and 2-EHA, 15% of MMA, and 5% of AA. BPO was used as initiator and the optimum reaction temperature and time were identical to those of BA/2-EHA/MMA/ 2-HEMA. Isocyanate and melamine were used to crosslink BA/2-EHA/MMA/2-HEMA and BA/2-EHA/MMA/AA, respectively. No effect of type of cross-linking agent on the peel adhesion was observed with aging. The quarter-polymers crosslinked with melamine left residues on the counter surface after weathering resistance test whereas the polymers crosslinked with isocyanate did not.

골아세포 MC₃T₃-E₁의 증식과 기능에 Insulin Like Growth Factor Ⅰ, Ⅱ 및 부갑상선 호르몬이 미치는 영향

윤현구,정호연,양인명,김성운,김진우,김광원,김영설,최영길,서광식 대한내과학회 1992 대한내과학회지 Vol.42 No.1

MC₃T₃-E₁골아세포군을 이용하여 IGF-Ⅰ과 Ⅱ를 투여하고 DNA합성과 골아세포기능을 측정하기 위해 PTH에 대한 C-AMP반응정도, alkaline phosphatase 활성도를 측정하여 다음과 같은 결과를 얻었다. 1) IGF-Ⅰ과 Ⅱ는 모두 DNA합성이 어느 농도까지는 증식효과를 나타내지만 그 이후에는 억제되는 양상을 보였다. 2) PTH에 대한 골아세포의 C-AMP반응으로 증가되었지만 IGF-Ⅰ과 Ⅱ의 투여시 농도변화에 따른 의미있는 변화는 없었다. 3) 본 실험의 조건에서 alkaline phosphatase 활성도는 증가되지 않았다. 이상의 결과로 MC₃T₃-E₁ 골아세포에 IGF-Ⅰ과 Ⅱ는 세포의 증식을 자극하여 PTH는 C-AMP생성을 촉진하는 효과가 있었다. The effect of insulin-like growth factor (IGF) Ⅰ and Ⅱ on cloned MC₃T₃-E₁ cells that had osteoblastic activity was examined by [³H] thymidine incorporation into DNA, cyclic AMP responsiveness to parathyroid hormone (PTH), and alkaline phosphatase activity. IGF Ⅰ and Ⅱ stimulated the growth and proliferation of osteoblastic cells at 20ng/㎖ and 50ng/㎖, respectively. We next examined the effect of IGF-Ⅰ and Ⅱ on the expression of osteoblastic activity. Adenylate cyclase response of PTH to IGF-Ⅰ and Ⅱ-treated cells showed maximal stimulation at 10 and 50㎚PTH, respectively, but IGF Ⅰ and Ⅱ induced limited activity of osteoblastic function. In conclusion, IGF-Ⅰ and Ⅱ were potent stimulators to the growth of osteoblastic cells but did not have an immediate effect on expression of osteoblastic function in this experiment.

수종의 레진 모노머가 우식 유발성 세균의 활성에 미치는 영향

서영주,국중기,윤정훈,김수관,이난영,이상호 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

이전의 연구에서 레진 재료를 포함한 여러 수복재료에서의 유출물이 우식 유발 세균의 성장에 영향을 줄 수 있다는 보고가 있었다. 이번 연구의 목적은 대표적인 우식 유발 세균인 Streptococcus mutans와 Streptococcus sobrinus의 성장에 대하여 레진을 구성하는 모노머들(Bis-GMA, TEGDMA, EGDMA, UDMA, HEMA, Camphoroquinone)이 어떠한 영향을 줄 수 있는지에 대하여 알아보고자 하는 것이다. 결과는 다음과 같다. 1. S. mutans와 S. sorbinus의 성장률은 6가지 레진 모노미 모두에서 0.03 m㏖/L의 농도에 서 유의할 만하게 감소되었다. 2. S. mutans의 성장률은 0.01 m㏖/L 농도의 UDMA의 0.005 m㏖/L, 0.01 m㏖/L 농도의 Camphoroquinone에서 대조군에 비하여 유의할만하게 감소되었다. 3. S. sorbinus의 성장률은 0.01 m㏖/L 농도의 HEMA. UDMA와 0.005 m㏖/L, 0,01 m㏖/L 농도의 Camphoroquinone에서 대조군에 비하여 유의할만하게 감소되었다. 4. S. sorbinus의 성장률은 0.001, 0.01, 0.03 m㏖/L 농도에서 대조군에 비하여 유의할만한 감소를 보였으며 각 실험군들 간에도 통계학적으로 유의할만한 차이를 보였다. 이상의 결과를 종합하면 레진 모노머를 적용한 모든 군에서 적용하지 않은 양성 대조군에 비해 두 세균의 증식률이 감소되었으며, 세균의 성장을 촉진하지 않은 것으로 사료된다. The purpose of this study was to examine the effects of resin composite monomers (Bis-GMA, TEGDMA, EGDMA. UDMA. HEMA, Camphorquinone) on the growth of the two cariogenic bacteria, Streptococcus mutans and Streptococcus sobrinus. We obtained the following results : 1. The growth rate of S. mutans and S. sobrinus was decreased significantly in the group of all composite resin monomer at a concentration of 0.03mmoI/L(P〈0.01). 2. The growth rate of S. mutans in the group of UDMA at a concentration of 0.01 mmol/L and the group of CQ at a concentration of 0.005 mmol/L, 0.01 mmol/L 1%-as decreased significantly compared to the control group(P〈0.01). 3. The growth rate of S. sobrinus in the group of HEMA. UDMA at a concentration of 0.01 mmol/L and the group of CQ at a concentration of 0.005mmol/L. 0.0lmmol/L was decreased significantly compared to the control group(P〈0.01). 4. The growth rate of S. sobrinus in the group of EGDMA at a concentration of 0.001, 0.01. 0.03mmol/L was decreased significantly compared t o the control group (P〈0.01) and were showed to be statistically significant difference between experimental groups(P(0.01).

호남지역 역도 선수들의 스포츠 상해에 관한 연구

윤오남,위승두,서영환 한국스포츠리서치 2001 한국 스포츠 리서치 Vol.12 No.4

This study aims to present basic data for prevention of injuries and improvement of competitive power in weight lifting. For this, 42 high school lifters and 50 university lifters were inquired about injuries and the results were analysed as follows : 1. The injuries are caused by chronic fatigue(51.86%, highest), weather, intensity of physical activities, and technical characteristics . 2. Most injuries are caused when lifters are sitting(43.1%) in pulling up. In clean and jerk, sitting causes many injuries. In reinforcement, squat causes 43 injuries, the highest. 3. Consider injured part of lifters : 226 injuries o f(85.28 %) shoulder joints, 58 cases (45.31%) of muscular inflammation of elbow part, 205 cases(82.66%)of lumbago on waist part, 232 cases(88.55%)of pain on the knee, 40 cases(33.90%) of muscular cramp on the leg and 85 injuries(57.82%) of the ankle. 4. Consider the frequency of injuries : 10.00 times of sprains of shoulders, 2.00. times of bruise of the elbow, 3.33 times of lumbago of the waist, 3.39 times of pains of the knee and 10.50 times of ankle fractures. 5. As for first aid for injuries, there are 52 cases(55.91%)of putting PAS. Lifters with injuries usually went to hospital for treatment(50 cases and 5.76%). The period of treatment is one through five days(31 cases and 33.3%). Finally, lifters consider sound rest for prevention of injuries after treatment of injuries(61 cases and 65.59%). Lifters and relevant staff should concentrate on establishment of safety countermeasure and should examine types and parts of injuries to reduce injuries. Lifters with injuries should see professional doctors for proper treatment which would prevent aftereffects and bring complete recovery.

효과적인 하중운반체계의 동역학적 연구

서국웅,양점홍,윤양진,황영성,이중숙,김용재,유경복 釜山大學校 附設 體育科學硏究所 1994 體育科學硏究所 論文集 Vol.10 No.-

The purpose of this study was to get the quantitative data of effect of two different load carrying system on Kinematics and Kinetics. The subjects for the research were 2-adults. The mechanism of each load carrying pattern was measured by a motion analylizer, a forceplatform and EMG system. The conclusions were get from Kinematics variables and Kinetics variables. 1. It was not effected at the vertical reaction force(Fz) of left, right foot according to the big value the 1st peack of 10kg, 15kg fore, back-pack carrying system, 20 kgw, 30 kgw back-pack carrying system in walking. But it was effected at the vertical reaction force(Fz) on 30 kgw back-pack carrying system in walking. 2. It was not effected at the Anterior-Posterior reaction force(Fx) of left, right foot according to high value of the 1st peack on 10 kgw, 15 kgw fore, back-pack carrying in walking. But, it was effected on the 20 kgw, 30 kgw only back-pack carrying in walking. 3. It was effected at the left-right reaction force(Fy) of left-right foot according to the big value of the 2nd peak on 10 kgw, 15 kgw fore-backpack carrying system in walking. It was more effective than 20 kgw, 30 kgw back-pack carrying system in walking. There was not disorder force(Fx) on 10 kgw, 15 kgw fore-backpack carrying system in walking. 4. Analysis of computer graphic, on the pack carrying system in walking. It was efficient in 10 kgw, 15 kgw fore-backpack carrying system in walking. But, it was efficient on 20 kgw, 30 kgw backpack carrying in walking. Castrocnemius, Tibialis anterior, Vastus lateralis, Vastus medialis, are stressed to bend their body foreward. So it occurred fatigue fast, injured muscles and joints. 5. Extension anyles and flection angles of the knee joint and the hip joint on 10 kgw, 15 kgw fore-backpack carrying system in walking showed less than those on 20 kgw, 30 kgw backpack carrying system in walking. It was efficient on the 10 kgw, 15 kgw fore-backpack carrying system in walking. 6. Magnitudes of EMG of Castrocnemius, Tibialis anterior, Vastus lateralis, Vastus medialis, were increased according to increasing weight road and were decreased on the 20 kgw, 30 kgw back-pack carrying system in walking.

테니스 포핸드시 밀어치기와 때려치기 타법의 운동학적 분석

윤양진,정미라,서국웅,이훈식,황명숙,강영택,윤길환 釜山大學校 附設 體育科學硏究所 1999 體育科學硏究所 論文集 Vol.15 No.-

This study consists in clarifying the meaning of various angles and velocity, and two types of the stroke of a pushing shot and hitting shot through the three-dimensional image analyses among the factors of exercise. To attain the purpose of such studies, the result of experiment and analysis for each of three athletes of boys and girls in high school and three persons in general came to the conclusion as follows; 1. The last motion of a group of A having a command of a follow shot showed greatly, compared with two groups of B and C, and this showed that a group of A took a rectilinear motion greatly to gain power and two group of B and C took a rotary motion greatly to gain speed. 2. A group of A having a command of a pushing shot move body weight forward from behind and give the first consideration to a rectilinear motion, and two groups of B and C having a command of the stroke of hitting shot used the turning of the shoulder and the waist and gave much weight to a rotary motion than a rectilinear one. 3. The position of the hitting point of a group of A having a command of a pushing shot turned out to be the waist, and that of the hitting point of two groups of B and C, the chest, and namely this showed that the position of the hitting point was decided according to the form of the stroke and pictures of various kinds. 4. In impacting, the speed decreased, for the power was controled to keep an accurate timing of stroke just before impacting

운동선수들의 영양 섭취와 체중조절에 관한 이론적 연구

윤오남,서영환,최근기 조선대학교 스포츠과학연구소 2001 스포츠科學硏究 Vol.12 No.-

For strength and competence of athletes, nutrition is the primary thing to be taken care of followed by the process of training. However, some athletes and coaches focus only on strength, techniques and reinforcement of mental strength whereas they do little care about nutrition. It is desirable that athletes should have a proper knowledge about nutrition, which can help proper training of weight control. To achieve the purpose within limited time, courses that provide training of nutrition and educational materials to increase educational effect should be developed. 1. Education about nutrition in our country is hardly available at schools except students of food and nutrition in universities. 2. People who are interested in weight control focuses on risks of health so that the consider what should be and necessity of weight control. 3. For enhancement of ㎈ory effectiveness, a small quantity of food intake several times per day is recommended for meals. 4. Athletes and coaches must have a full understanding of three performancerelated components such as carbohydrate, fat and protein among six essential nutrients : carbohydrates, fat, protein, vitamin, mineral and water. 5. Weight control through sauna may cause disorder is organism if it goes too far. 6. Coaches must provide regulations that weight control is performed through consistent training and more studies with experiments are necessary. 7. Tonic, vitamin tablets, ginseng, and pepper paste that have been considered to contribute to enhancement of competence have no significant and direct effect on competence. 8. For athletic competition, weight control by reducing body fat is recommended for athletes.