급성 백혈병 환자에서 수두양 피부병변을 보인 파종성 Fusarium 감염 1예와 국내 파종성 Fusarium 감염증에 대한 고찰

오수진,정희선,김준성,김태석,조병식,최수미,김명신,이연수,이석,신완식 대한감염학회 2007 감염과 화학요법 Vol.39 No.5

최근 면역저하환자의 증가와 함에 국내에서도 점차 침습성, 파종성 Fusarium 감염증 보고가 증가하고 있다. Fusarium 감염은 아스페르길루스 감염과 유사한 임상양상을 보이지만 특징적인 피부병변을 동반하고 혈액배양에서 균이 분리되는 경우가 더 많다. 저자들은 급성 림프구성 백혈병으로 진단받고 치료중인 30세 남자 환자에서 중증의 호중구 감소 상태에서 비특이적인 피부병변을 동반한 파종성 Fusarium 혈류감염을 경험하였기에 국내 증례 고찰과 함께 보고하는 바이다. 환자의 초기 피부병변은 구진에서 시작하여 주로 소포성 병변과 일부 통증을 동반한 결절 등 여러 형태로 나타났고, Tzank 도말검사 양성으로 비정형 수두로 오인되었다. 이후 피부병변은 농포로 변하였고, 혈액배양 및 피부 조직검사에서 파종성 Fusarium 감염으로 진단받았다. 환자는 liposomal amphotericin B, voriconazole 병합요법과 G-CSF 투여, 과립구 수혈을 받았으나, 호중구 감소증에서 회복하지 못하고 급성 호흡곤란증후군과 다장기 기능부전으로 사망하였다. 본 증례는 파종성 Fusarium 감염의 경우에도 수두양 병변으로 비특이적인 양상으로 나타날 수 있으므로, 감별진단을 위해 적극적으로 혈액배양과 피부조직검사를 시행해야 함을 보여준다. Recently, we experienced a case of disseminated fusarial blood stream infection with varicelloid skin eruptions, who had suffered from persistent neutropenic fever after salvage chemotherapy for relapsed acute lymphocytic leukemia (ALL). Neutropenia continued in spite of G-CSF and granulocyte transfusion, and he failed to respond to conventional amphotericin B initially, and then liposomal amphotericin B and voriconazole combination therapy. Disseminated fusariosis can be diagnosed by blood cultures in 50% of patients and present skin lesions in more than 80% of patients. So, typical skin lesions are important clue to diagnose of the disseminated fusariosis. However, many skin lesions in immunocompromised hosts are due to various infectious and non-infectious causes. So, this case shows that it is important to obtain biopsy specimens of skin lesions for histopathologic examination, culture and staining. Here, we present our case with the review of the literatures reported in our country, so far.

간호대학생들의 대인가치관과 가치관변화에 대한 연구

이강오,장수현,나덕미 朝鮮大學校 附設 醫學硏究所 1989 The Medical Journal of Chosun University Vol.14 No.1

The purpose of this study is to determine interpersonal values and value change of the four year course nursing students. The survey was conducted against 217 students of a department of nursing, from all classes (freshman, sophomore, junior and senior). This study was conducted during the period of 7th through 15th of march 1987 in accordance with the Lee Kyung-Hye and Hawang Eung-Yun's "Survey of Interpersonal Values (STV)." The results of the study were as follows: 1. Those nursing students surveyed show that conformity (18.32) took the highest place and leadership (8.64) lowest in the general value orieUtaiton. In accordance with the Lee and Hwang's SIV, those of other woman college students indicate 32~63% tile, respectively. 2. Changes in values by class were significant difference. (P<.05) Accordingly, the hypothesis 1 of this study has been supported. 3. Significant variation has been shown by each class in each factor such as conformity and leadership but no variation has been indicated in benevolence, independence, support and recognition. 4. There was significant difference in values between higher class (junior and senior) students with clinical experience and starting class (freshman and sophomore) students without clinical experience. (P<.05) The study indicates the values of higher class students is lower than that of starting class students. Therefore, the hypothesis 2 of this study has been supported. 5. There was no significant difference in values between entering students and graduating students. (P>.05) Thus, the hypothesis 3 of this study has been rejected. The results of the study show that there is no positive influence curricuium and clinical practice in forming the value for the students. Thcrefore, it is concluded that new strategy of clinical practice and special education program should be established for fromation of the right values for the nursing students.

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.

소아 감염성 질환에서 경구용 Cefixime(Suprax^�)의 임상 효과에 관한 연구

정수미,오만택,최재각,김종덕 圓光大學校 醫科學硏究所 1994 圓光醫科學 Vol.10 No.1-2

The effect of cefixime was evaluated clinically from March 1 to April 30, 1994. The drug was administered orally to the 30 pediatric patients of acute pharyngo-tonsillitis, pneumonia and urinary tract infections. We compared the result with the other 30 pediatric patients of same diseases whom were administered intrave-nousely augmentin and gentamycin or augmentin and cefotaxime. The results are as follows : 1. The clinical improvements of the cefixime administered group is similar to the control group. 2. The abnormal laboratory findings, such as leukocytosis and elevated ESR and pneumonic infiltrations on chest x-ray were normalized in both groups. 3. Clinically observed cure rate of acute pharyngotonsillitis was 100%, pneumonia 84.6%, UTI 100% respectively on cefixime administered group. 4. The adverse drug reaction was noticed on cefixime administered group as follows; diarrhea were two cases and vomiting one case.

간호사의 이미지에 따른 간호전공만족도

가미정,김수미,김영경,남수진,오루미,육지수,이혜인,최미나,최혜민,허다은 이화여자대학교 간호과학대학 2010 이화간호학회지 Vol.- No.44

Purpose: The purpose of this descriptive study is to examine the correlation between nursing students’ perception of nurses and the level of their satisfaction with the major. Method: The survey was done with the total number of 192 nursing students from 10 different universities in S city selected by a convenience samplingmethod. In order to measure the perception of nurses, the measurement which was invented by Lee(1992) and revised by Jang(1998) was used. Also, the measurement designed by Shim, and modified by Kim(2007) was used for measuring of the students’ satisfaction in their major. The collected data was analyzed by SPSS 17.0. Results: 1.The most decisive factor of the conceptualization of the image of nurses for the nursing college students is their experience of meeting nurses as a patient. 2. Students reconsider the role of nurses by experiencing immediate relationships with nurses in field training. 3. Other factors of the survey such as the students’academic year, religion, the field training situation (individual experience, type of the hospital where they experienced the training, and a relationship with the nurse in charge of the training) or the existence of nurses among their family members do not affect the students’ satisfaction. 4. There is a positive correlation between the image of nurses of nursing college students and their satisfaction with the major(0.66). Conclusion: The positive image of nurses is directly related to the students’ satisfaction in the nursing major, which hugely affects on their academic achievements and decisions of career path. Therefore, there should be more efforts to increase the positive perception of nurses among nursing students.

치과용 접착제가 복합레진 인레이와 레진시멘트의 결합력에 미치는 영향

송미혜,박수정,조현구,황윤찬,오원만,황인남 大韓齒科保存學會 2008 Restorative Dentistry & Endodontics Vol.33 No.5

본 연구는 레진시멘트의 레진인레이에 대한 접착 시 접착제 혹은 primer의 사용이 결합력에 영향을 미치는지 평가하기위해 시행하였다. 직경 5 mm,높이 4.5 mm의 원기둥 형태로 제작한 레진인레이(Tescera, Bisco, USA)의 표면을 1000번,1500번 그리고 2000번 사포로 주수 하에서 연마하여 평편한 면을 형성한 후 레진인레이의 표면에 sandblasting을 시행한 후 표면에 1분 동안 silane을 도포하였다. 2군으로 나누어 한 군은 대조군으로,다른 한 군은 표면에 동일한 제조사의 접착제나 프라이머를 도포한 후 중합하였다. 레진인레이 상에 3 mm 직경의 구멍이 형성된 아크릴판을 고정하고,구멍에 레진 시멘트를 주입하여 경화시켰다. 레진 시멘트는 Panavia-F(Kyrary), Varolink-II(Ivoclar-Vivadent), RelyX Unicem (3M ESPE),Duolink (Bisco)와 자가중합형인 Multilink(Ivoclar-Vivadent)를 사용하였다. 제작된 시편을 만능물성시험기에 위치시고 전단결합강도를 측정하였다. 측정 결과 접착제나 프라이머를 도포한 군은 대조군에 비해 전단결합강도가 증가하였다 (p < 0.05). 하지만 Variolink-II와 Panavia-F는 전단결합강도의 차이를 보이지 않았다. 대조군에서는 각 레진 시멘트 간에 전단결합강도의 유의한 차이를 보였으며 (p < O.O1),Variolink-II가 가장 높은 결합강도를 보인 반면,자가중합형인 Multilink가 가장 낮은 결합강도를 보였다. 하지만,접착제나 프라이머를 도포한 군에서는 각 제품 간에 전단결합강도의 차이를 보이지 않았다. 이상의 결과 이원중합형이나 자가중합형 레진시멘을 이용하여 레진인레이 부착 시 silane 처리 후 접착제나 프라이머의 도포가 결합 강도의 증가를 위해 필요하리라 사료된다. This study analyzed the influence of dental adhesive/primer on the bond strength between indirect resin composite and the resin cement. Seventy disc specimens of indirect resin composite (Tescera Dentin. Bisco) were fabricated. And bonding area of all specimens were sandblasted and silane treated for one minute. The resin cements were used with or without application of adhesive/primer to bonding area of indirect resin restoration: Variolink-II (Ivoclar-Vivadont): Exite DSC, Panavia-F (Kuraray): ED-Primer, RelyX Unicem (3M ESPE): Single-Bond. Duolink (Bisco): One-step. Mulitlink (Ivoclar-Vivadent): Multilinh Primer. Shear bond strength was measured by Instron universal testing machine. Adhesive application improved shear bond strength (p < 0.05). But Variolink II and Panavia-F showed no statistically significant difference according to the adhesive application. With the above results. when resin inlay is luted by resin cement it seems that application of dental adhesive/primer is necessary in order to improve the bond strength.

<디자인과 마케팅>융합을 통한 출판사 협동조합 'POOM' 개발 -그래픽 디자인, 제품 디자인, 공간 디자인을 중심으로-

주서역,오연수,유로운,이진민,장미정,전찬희,정인희 숙명여자대학교 디자인연구소 2017 숙명디자인학 연구 Vol.23 No.-

본 연구는 한국인의 독서 장려와 보다 효율적인 독서문화 전하를 위해 출판협동조합 브랜드 'POOM'을 개발하는 일련의 과정들을 밝히는데 그 목적이 있다. 연구의 대상은 2016년 3-6월 15주간 숙명여대 환경디자인학과 <브랜드스페이스마케팅> 수업에서 진행도니 수업의 결과물로써 4개 팀 중 1개 팀의 작업물을 정리한 것이다. 연구 범위는 4개의 주제 중 물의 'product'로 한정하였다. 연구 결과, '늘 내 품에 지닐 수 있는 책' 이라는 상징 개념으로 '품(POOM)'이라고 브랜드 네이밍하였다. 그래픽 디자인은 심플함과 속도감을 나타내는 레드 컬러로 얇은 책을 형상화한 형태를 로고에 적용, 제품 디장니은 휴대하기 편한 패키지디자인 개발, 공간디자인은 지하철 2,3,9호선으로 선정하고 각 호선의 특성을 기반으로 브랜드 컬러로 하여, 각 호선에 맞는 공간과 경유하는 지역의 특성을 통합적으로 브랜딩 하였다. 끝으로 본 연구는 출판협동조합의 아이덴티티를 개발함에 있어서 디자인과 마케팅을 융합하여 좀 더 체계화된 GI, PI, SI의 통합 브랜드 메뉴얼을 만드는 것에 의의가 있으며, 향후 협동조합의 통합 브랜드 디자인 개발에 있어서 그 자료로 활용될 것으로 기대한다.

임신과 동반된 외음부 상피내 종양 1례

김윤숙,김미영,전섭,김종수,최승도,선우재근,배동한,오미혜 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

..

남자대학생의 흡연태도와 행동에 관한 연구

강경진,김정미,민혜영,안소진,오경숙,은경희,이현,이희선,홍주미,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

There have been so many researches about problems of cigarettes and relation of smoking and heath since 1950's and generally known that smoking is one of the worst factor of increasing disease and mortality. No matter what such many proofs about various problems of smoking have been researched, smoking rate of current male collage students has not been decreased. Besides, most of the researches about cigarette use and its addiction have been focused on the adolescent or adult women smokers or adult male, not male collage student. Therefore, the subject of this study is about smoking attitude and smoking behavior of male collage students by general features. Smoking attitude was analyzed by modifying 'Guidelines for the content of tobacco smoking surveys of the general population'(WHO, 1982). Two hundred of male collage students participated to the distributed questionnaire for one week in May. The smoking attitude was categorized into duration of smoking and number of cigarette per day(CPD), and nicotine dependency, investigated by Fagerstrom Tolerance Questionnaire(FTQ) (Fagerstorm & Schneider, 1989). All statistics were performed by procedure of SAS according to number, percentage, mean, standard deviation, and ANOVA. The results are as follows: 1. Smoking attitude level was mean 25.73±5.15 marks, ranging from 13 to 39 marks of the total 40 marks. 2. Duration of cigarettes, number of cigarette per day, and nicotine dependency were mean 5.14±2.84 years, 12.88±6.85 pieces, and 4.78±1.69, respectively. 3. Smoking attitude showed significance according to general features such as marital state and allowance, but the significance according to marital state is not valuable because the numerical difference is so big between married one and single that they cannot be compared with each other. 4. Duration of smoking was significant according to general features such as age and allowance. 5. Smoking amount showed significance the factors of age only. 6. ll1ere was no significance in nicotine dependency according to general features. As a result, smoking attitude of male collage student in this study shows moderate level. Smoking attitude and duration is significant according to allowance, and smoking amount is significant according to age. Nicotine dependency according to general features is not significant but comparing with the preceding study about adult male, male collage students in this study are respectively more nicotine-dependent than adult male smokers. In conclusion, the right allowance usage strategies and effective heath education focused on the young are needed. In addition, helpful programs and information spreading strategies are necessary for establishing higher level of smoking attitude. At last, systemic regulations in daily living for ""anti-nico-dependent"" and perspective reforming of male university student are needed for reducing nicotine dependency.

대학생의 식행동과 음식 기호도

김운주,백수진,박수영,박정숙,오미자 충북대학교 교육생활연구소 2001 생활과학연구논총 Vol.4 No.-

The purpose of this study was to investigate the eating behaviors and food preferences of university students. The survey was carried out through questionnaire and the subjects were 250 students in Chungbuk National University. Results showed that eating behaviors and food preferences of university students were concerned with general status. And most of the lodgers and the cooking food for themselves showed that their eating behaviors were irregular. As the result, It is necessary that university students were taught eating behaviors and food preferences right.