Helicobacter pyloir 양성 소화성 궤양에서 lansoprazole 포함 삼제요법의 제균율 및 제균판정에 있어서 요소호기검사의 유용성

정혜경,곽재진,유민아,배기선,권정미,이종수,김도영,문일환 대한감염학회 2003 감염과 화학요법 Vol.35 No.3

목적 : 본 연구는 Helicobacter pylori (이하 H. polyri) 양성인 소화성 궤양 환자에서 lansoprazole 포함 삼제요법의 제균율을 알아보고, 제균 치료 후 제균 판정에 있어서 요소 호기 검사(Urea breath test, 이하 UBT) 및 신속요소분해(rapid urease test, 이하 RUT test)와의 일치율에 대하여 알아보고자 하였다. 방법 : 상부위장관내시경 검사에서 H. polyri 양성인 소화성 궤양환자에서 lansoprazole 60㎎+amoxicillin 2g+clarithromycin 1g의 약제를 2회 분복하여 1주간 복용하는 삼제요법을 실시하였다. 최소 4주후 추적 상부위장관내시경을 실시하였고, 전정부와 체부에서 각각 RUT를 실시하였으며 UBT(5분, 20분)를 시행하였다. 결과 : 대상환자는 총 46명으로 남자 34명(48±13세), 여자 12명(53±14세)이었다. LAC 삼제요법의 제균율은 40/46명(87.0%)이었고, 궤양의 치유율도 42/46명(91.3%)이었다. RUT와 20분 UBT 결과가 모두 음성이었던 경우는 41예, 모두 양성이었던 경우는 4예로 RUT와 UBT는 97.8% (45/46)의 일치율을 보였고, 1예는 UBT는 음성이었으나 체부에서 시행한 RUT가 양성이었다. 5분 UBT 검사가 양성이었던 예는 14/34 (41.2%) 이었고, 이 14예 중 12예(85.7%)는 20분 UBT 검사 음성, RUT 음성이었다. 결론 : Lansoprazole과 amoxicillin, clarithromycin 1주일 병합요법은 H. polyri 양성인 소화성 궤양 환자에서 87.0%의 제균율을 나타내어 우수한 효과를 보였고, 요소호기검사는 제균 치료 후 제균 판정에 유용한 비침습적인 방법임을 확인할 수 있었다. Background : There are only a few studies on Helicobacter pylori (H. pylori) for its eradication rates of lansoprazole-based triple therapy in Korea, and the results are controversial. Therefore, we undertook to investigate the eradication rate of lansoprazole-based triple therapy, and compare the concordance rate of urea breath test (UBT) and rapid urease test (RUT) in evaluating H. pylori eradication. Methods : Patients with acute peptic ulcer who were H. pylori-positive were recruited by prospective, consecutive manner. They received lansoprazole 30 ㎎ b.d., amoxicillin 1 g b.d. and clarithromycin 500 ㎎ b.d. for 1 week. Upper endoscopy was performed after 4 weeks to check for ulcer healing, and UBT and RUT were performed to evaluate H. pylori eradication status. Results : A total of 46 patients were recruited, and they were all compliant. H. pylori eradication rate was 87.0% (40/46) and ulcer healing rate was 91.3% (42/46). Forty one patients showed negative in both UBT and RUT, and 4 patients revealed positive in both tests, therefore, the concordance rate of UBT and RUT was 97.8% (45/46). Conclusion : Our study showed that 1-week lansoprazole-based triple therapy was effective in H. pylori eradication and ulcer healing. UBT can be an effective, noninvasive method for evaluating H. pylori status after H. pylori eradication.

MANET 라우팅 프로토콜 QoS 지원서비스의 성능평가에 관한 연구

鄭燦赫,金鉉郁,李光培,姜景仁,朴京培,劉忠烈,吳世德,裵振勝,趙榮泰 明知大學校 産業技術硏究所 2004 産業技術硏究所論文集 Vol.23 No.-

In this paper, we evaluated two main QoS supporting routing protocol on wireless ad hoc network. At presence, wireless mobile communication focuses on how to efficiently support mobility of users more than QoS guarantee. However, in order to satisfy requirement of various applications which have been or will be served, QoS support service between source and destination becoming a very important issue. Of all routing protocols, DSR and AODV are very important routing protocol in MANET. So we simulated DSR and AODV QoS Routing Protocol Through simulation evaluation tool NS(Network Simulation) based on various environments.

요로결석 환자에 대한 응급실에서의 진단방법

유지영,최옥경,유진현,정구영 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

Nephrolithiasis is one of the most common disease seen in the Emergency Department. Among the patients who visited in the Emergency Department with acute abdominal pain, many people were suspected urolithiasis. Because of limitation of diagnostic method on Emergency Department we planned this study in order to confirm the our accuracy of diagnosis and the possibility of misdiagnosis. During 5 months from April 1996 to August 1996, the 189 patients was suspected the urolithiasis. Among this patient, 51 cases was excluded due to incomplete study. After performing P/Ex, U/A, KUB in the Emergency Department, they were followed out patients department of Urology and perfomed Intravenous Pyelogram. The sensitivity and specificity for KUB were 84.5% and 94.0%, respectively. The positive predictive value was 93.8%, the nagative predictive value was 93.8%. Diagnostic accuracy of urolithiasis in our Emergency Department is 89.1%. There was no relationship between urinary occult blood and KUB or IVP. There was no relationship between degree of occult blood and diagnosis of urolithiasis. For differential diagnosis of urolithisis, emergency ultrasound and IVP will be available. So combination of this diagnostic methods will improve accuracy and safty of diagnosis and treatment of urolithiasis.

자폐스펙트럼 장애아동의 의사소통 기술 향상에 관한 단일대상연구의 문헌 분석

정유진,윤현숙 이화여자대학교 특수교육연구소 2014 특수교육 Vol.13 No.1

이 연구는 2007년부터 2013년까지 이루어진 자폐스펙트럼 장애아동의 의사소통 기술 향상을 위한 연구들을 조사하여, 일반적인 특징과 동향을 알아보고, 단일대상연구 증거기반 실제(evidence-based practices: EBP)의 기준이 되는 Horner 등(2005)이 제안한 질적 지표를 기초로 중재방법에 대한 문헌 분석을 실시하였다. 연구 결과, 첫째, 자폐스펙트럼 장애아동의 의사소통 기술 향상을 위한 단일대상연구들의 일반적인 특징을 분석한 결과, 연구대상 측면에서는 3명 이상으로 실시된 연구들이 절반 이상이었고, 연령은 주로 초등연령에서 이루어져 왔으며, 장애정도는 경증-중간 자폐에서부터 중도 자폐에 이르기까지 고르게 이루어져 왔다. 연구환경은 여러 기타 외부 환경에서 이루어진 연구들이 절반을 차지하였고, 실험설계는 주로 중다 기초선 설계와 중다 간헐 기초선 설계를 많이 사용했다. 독립변인으로는 다양한 중재방법들이 사용되었으며, 이 중 4편 이상의 논문에서 실시된 중재로는 상황이야기 중재, 보완대체 의사소통 중재가 있었다. 다음으로 종속변인으로는 의사소통 기능 증진의 효과를 본 연구들이 절반 이상을 차지하였다. 둘째, 자폐스펙트럼 장애아동의 의사소통 기술 향상을 위한 단일 대상연구들의 증거기반 실제의 기준이 되는 질적 지표 충족 정도를 살펴본 결과, 질적 지표의 영역별 평균 충족률은 종속변인 96%, 기초선 94%, 대상자 및 환경 91%, 실험통제 및 내적 타당도 91%, 독립변인 78%, 사회적 타당도 64%, 외적 타당도 62% 순으로 나타났다. 또한 각 논문별로 질적 지표의 충족여부를 살펴본 결과 21가지 질적 지표 중 90%에 해당되는 19가지의 질적 지표를 모두 충족시키는 경우는 6편(23%)인 것으로 나타났다. In this study, we investigated literatures done through 2007 to 2013 about the improvement of communication skill in children with autism spectrum disorder. We examined general feature and trends, and performed qualitative analysis based on quality indicator which can be a standard for evidence-based practice(EBP) in single subject research suggested by Horner et al.(2005). In the view of general feature and trends, we first found that more than half studies were performed with three or more children in terms of subject of study, and mainly carried out in the age before 13. Severity of disability was identified evenly from mild and moderate to severe autism. From the side of research environment, more than half studies were performed in many different environments, mostly using multiple baseline design and multiple probe design. Various interventions were conducted as independent variable. Social stories intervention and augmentative and alternative communication intervention(AAC) were employed in more than 4 literatures. In dependent variable, it was confirmed that more that half of studies showed the significant improvement in communication skill. In the analysis of satisfaction level in quality indicator, the average level of areal satisfaction in quality indicator was respectively 96% in dependent variable, 94% in baseline, 91% in subjects and environments, 91% in experimental control/internal validity, 78% in independent variable, 64% in social validity, and 62% in external validity. Besides, among all literatures examined by satisfaction level in quality indicator, 6 literatures (23%) fulfilled the requirements of 19 out of 21 quality indicators.

가족 내의 위험 요인이 ADHD 아동의 행동 문제에 미치는 영향

유희정,김진희 대한소아ㆍ청소년정신의학회 1999 소아청소년정신의학 Vol.10 No.2

반복적인 급성 신부전을 유발한 호산구성 장염 1 예

정혜진;김현태;김유선;정현걸;강윤경;문정섭 인제대학교 2011 仁濟醫學 Vol.32 No.-

Eosinophilic gastroenteritis is a rare disorder of unknown etiology characterized by presence of gastrointestinal symptoms, eosinophilic infiltratio n of one or more parts of gastrointestinal tract without involvement of other organs and absence of parasitic infestation. The clinical presentation depends on the extents and depths of eosinophilic infiltration. Mucosal involvement may result in abdominal pain, nausea, vomiting, diarrhea and weight loss. We report a case of eosinophilic enterocolitis in a 55-year-old female presented with abdominal pain and watery diarrhea resulting in recurrent acute renal failure.

건설 프로젝트에서 D-virus가 안전에 미치는 영향에 관한 기초적 연구

송진우,표영민,진유나,이상범,김정길 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

Construction site has contributed to construction productivity improvement by utilizing information, simplification, and standardization concept. Also it has contributed to quality and productivity improvement by standardizing design and construction process, using them to a fair decision-making process by organizing diverse data in construction process. However, construction process has diverse variables and uncertain case due to particularity in construction. These parts have an effect on construction process. To use unorganic construction information and knowledge properly has become the factor to project success. Therefore, this study analyzes that D-virus of the uneasy factors has an effect on safety control of construction industry. That is to say, aim of the study is to suggest the solution to remove those after confirming for these factors to have certain effect in construction process through fact finding survey and retesting the factors of D-virus to refer in business management in a constructive position.

제주도 해안선주변 1개정점(용두암 근처)에서 부유성갑각류 현존량의 일주변화

고유봉,신희섭,정용진 제주대학교 해양연구소 1989 해양자원연구소연구보고 Vol.13 No.-

Planktonic crustacean samples and hydrographic data were obtained seasonally at intervals of two hours for one day at one station(near the Dragon Head Rock) around the coast line of northern part in Cheju Island from 1987 to 1988. Seasonal average individuals were low in February (307 indv./㎥) and October (282 indv./㎥), and highest in August (3.459 indv./㎥). Most of individuals were small animals retained on fine mesh(90μm mesh) net, composing over 91% of the total crustaceans. Range of seasonal average biomass was 3.0~20.5㎎/㎥. Generally, individuals and biomass of small planktonic crustaceans were higher during the daytime than those at night. whereas those on medium or large organisms were remarkably higher during the nighttime, Daily mean production, and ratio of daily production to biomass(P/B ratio) were highest in August and lowest in February, showing the larger the number of individuals and water temperature. the greater daily production and P/B ratio.

인천 인현동 호프집 화재 피해자 분석

최정태,안무업,안희철,최영미,정재봉,서정열,유기철,이삼우,박석현,조준휘,김성환,김아진,송근정 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Purpose : This study was conducted to develop field triage, transportation, distribution, and prehospital care at a fire disaster by analyzing the victims of the fore that broke out at a bar in Incheon. Method : We analyzed the cases of the victims of a fire in Incheon in Oct. 1999. We determined the primary care hospital, the arrival time, the burn size, the outcome, and the injury type from the medical records, the concerned organ records, and interviews with concerned persons. Result : The total number of victims was 137: 56 prehospital deaths, 1 hospital death, and 80 survivals. The Pearson correlation coefficient between the burn size and the severity was -0.175. There were 121(89.6%) cases of inhalation injury, 59 (43.7%) cases of flame burns, 66 (48.9%) cases of hypoxic brain damage, and 16 (11.9%) cases involving other types of injury. Conclusion : The causes of death of the fire victims were inhalation injury and hypoxic brain damage due to CO poisoning and other toxic inhalants. We propose the use of a simple triage and rapid treatment(START) system and a reassessment the delayed category in fire disasters.

쓰기에서 독자 고려의 의미

박정진,유상희 한국초등국어교육학회 2008 한국초등국어교육 Vol.37 No.-

지금까지 우리의 작문 교육에서는 ‘독자’에 대하여 매우 고정적인 존재로 보아왔다. 독자는 필자에 의해 분석이 가능한 존재였다. 그런데 실제 쓰기에서는 분석하기 힘든 다양한 독자들을 접하게 된다. 즉 쓰기에서 독자는 고정적인 존재가 아니라,맥락에 따라 변화가 가능한 존재라는 것이다. 이 연구는 독자의 개념이 이렇게 확장되면서 독자를 고려한다는 것의 의미는 어떻게 변화했는지에 대하여 살펴보았다. 쓰기에서 독자를 고려한다는 것은 독자의 배경을 분석하는 것부터 주제와 관련하여 독자의 의견과 태도를 분석하는 것, 쓰기의 사회적 맥락과 관습을 분석하는 것, 독자와 필자의 관계를 분석하고 필요에 따라 적절히 상정하는 것 등을 포함하는 매우 넓은 의미를 나타낸다. 이 연구에서는 쓰기에서 독자 고려가 쓰기의 성공을 좌우하는 매우 중요한 요인임을 드러낼 것이다. So far, we have regarded ‘the reader’ as a fixed existence in field of writing education. The reader have been a existence that can be analyzed by writer. But we always meet various readers in the process of real writing. So to speak, the reader is a changeable and pluralistic concept that is affected the context. So I would like to suggest the term of ‘audience’ that is involving the reader. This study investigated changing of the meaning of considering the audience according to that of the reader. This study was focused on the audience who was constructed by the writer. The audience is not a simple object but the complex concept. This study was intended for searching approaches according to various perspectives about the audience. Considering the audience include ‘reader analysis’ that means the reader's knowledge, attitude, need, and environment. But that is not whole aspect rather a part. Actually, considering the audience is related to the custom surround the read er and the relation between the read er and the writer. Finally, I can conclude that considering the audience is a very important factor that can make a good writer. So we have to consider various aspects of audience that is constructed by writer in field of writing education.