대전지역 살모넬라증 환아에 대한 임상적 연구(1994~1999년)

전성수,이경일,이형신,김상용,한지환,허재균,황경태,Chun, Jung-Soo,Lee, Kyung-Yil,Lee, Hyung-Shin,Kim, Sang-Yong,Han, Ji-Whan,Her, Jae-Kyun,Whang, Tyung-Tai 대한소아감염학회 2000 Pediatric Infection and Vaccine Vol.7 No.2

목 적 : 장티프스와 세균성 위장염의 주된 원인인 살모넬라 병원체는 우리 나라에 토착화되어 있으며 최근 장티프스의 발생 수는 줄고 있으나 살모넬라 위장염은 계속적으로 증가하는 추세이다. 살모넬라증 환아의 연도별, 계절별 발생 례를 분석하고 임상양상과 검사실 소견을 분석하고자 하였다. 방 법 : 1994년 1월부터 1999년 12월까지 6년간 가톨릭대학교 대전성모병원 소아과에 급성위장관염으로 입원한 환아 중 살모넬라균이 대변에서 배양된 83명의 환아의 입원기록지를 후향적으로 분석하였다. 결 과 : 1996년부터 1999년 사이의 발생수는 14~23례로 최근 4년간 증가한 경향을 보였으며 여름철에 45.8%, 가을철 32.5%가 발생하였다. 남아가 48명(57.8%)으로 남녀비는 1.4 : 1을 보였고, 5세 이하가 64명(77.1%)으로 대부분을 차지하였으며 1세 이하의 영아에서 18명(21.7%)이 발생하였다. 임상증상은 설사가 80례로(96.4%) 가장 흔한 증상이었으며 발열(91.6%), 구토(49.4%), 혈변(42.1%), 복통(40.1%), tenesmus(12.0%), 두통(7.2%), 경련(3.6%), 기면(2.45%) 등의 순으로 관찰되었다. 살모넬라균의 혈청학적 아군(serogroup)은 전체 83례 중 A군 0%, B군 41.0%, C군 3.6%, D군 51.8% 및 E군 3.6%이었다. Widal 검사에서 B, C 및 E군 37례에서 O titer 1 : 80 이상은 5례(13.5%), 1 : 320 이상은 1례(2.7%)가 있었으며, D군 36례 중 O titer 1 : 80 이상은 19례(52.7%), 1 : 320 이상은 9례(25.0%)에서 관찰되었다. 항생제 내성율 검사에서 ampicillin, trimethoprim-sulfamethoxazole과 chloramphenicol의 내성율은 각각 23.2%, 10.1%와 51.4%로 나타났으며, aminoglycoside계 및 3세대 cephalosporin계에 대한 내성은 거의 없는 것으로 나타났다. 결 론 : 최근 소아 위장염 환아 중 살모넬라 감염이 흔히 관찰되며 특히 학동기 이전의 소아에서 호발하는 것을 알 수 있었다. 또한 장티프스의 정확한 진단을 위해서는 대변 배양검사를 통한 균의 동정이 필요하며, 살모넬라 위장관염의 치료에서 항생제 치료의 적응증을 엄격히 적용하여 다약제 내성균의 발생을 방지하는데 노력해야 할 것이다. Purpose : Salmonellosis including typhoid fever is still prevalent in Korea. Recently it has been reported that the incidence of salmonella gastroenteritis is increasing with a reduction of typhoid fever. We studied the clinical and laboratory features of salmonellosis. Methods : We evaluated the clinical records of 83 patients with salmonellosis who had been confirmed by stool culture from 1994 to 1999. Results : Annual incidence of salmonellosis showed an increasing tendency during recent 4 years. Seasonally, summer(45.8%) was the most prevalent, followed by fall(32.5%). Male to female ratio was 1.4 : 1. In age distribution, 64 cases(77.1%) were under 5 year-old, and 18 cases(21.7%) were younger than 1 year-old. Clinical features included diarrhea(96.4%), fever(91.6%), vomiting(49.4%), bloody stool(42.1%), abdominal pain(40.1%) and tenesmus(12.0%). In serogroups, there was no group A and group B, group C, group D(including 2 cases of S.typhi) and group E were in 41.0%(34 cases), 3.6%(3 csaes), 51.8%(43cases) and 3.6%(3 cases), respectively. In Widal test, 5 cases(13.5%) and 1 case(2.7%) of group B, C and E(total 37 cases) were observed the O titer above 1 : 80 and 1 : 320, respectively. However, in 36 cases of group D, 19 cases(52.7%) and 9 cases(25.0%) were above the O titer 1 : 80 and 1 : 320, respectively. Antibiotics resistant rates to ampicillin, trimethoprim/sulfamethoxazole and chloramphenicol were 23.2%, 10.1% and 51.4%, respectively. Conclusion : Salmonellosis has become a common cause of gastroenteritis in children, especially under the pre-school age. Isolation of salmonella is neccessary for accurate diagnosis of gastroenteritis and typhoid fever. A careful attention of the use of antibiotics is needed to reduce the muilti-drug resistant strains.

Module Design of Artificial Reefs

전성수 ( Chun Sung Su ) 한국기초조형학회 2018 한국기초조형학회 작품집 Vol.2018 No.1

산업DESIGN의 학문적 위상정립을 위한 고찰

전성수(Sung-Su Chun) 한국디자인학회 1992 디자인학연구 Vol.- No.5

SMART 격납건물 압력 및 방사능 저감계통의 설계압력 및 열제거능 평가

강경준(Kyung Jun Kang),전성수(Seong Su Jeon),홍순준(Soon Jun Hong),전지한(Ji-Han Chun),강한옥(Han-Ok Kang) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.4

캔형 피동격납건물냉각계통 개념 설계 및 열수력 해석

강경준(Kyung Jun Kang),김영인(Young In Kim),전성수(Seong Soo Chun),홍순준(Soon Joon Hong),박현식(Hyun Sik Park),강한옥(Han Ok Kang),전지한(Ji Han Chun) 대한기계학회 2016 대한기계학회 춘추학술대회 Vol.2016 No.4

인터랙티브 스토리텔링에 기반한 모바일 제주관광문화콘텐츠

윤미진(Youn, Mi-Jin),김도경(Kim, Do-Kyoung),허치훈(Hur, Chi-Hoon),고재호(Ko, Jae-Ho),김주영(Kim, Ju-Young),유민영(Yoo, Min-Young),정문익(Jung, Mun-Ik),전성수(Chun, Sung-Su),조정원(Cho, Jung-Won) 한국산학기술학회 2006 한국산학기술학회 학술대회 Vol.- No.-

좁은 국토와 한정된 자원, 주변 국가와의 외래 관광객 유치 경쟁의 심화 등의 이유로 관광산업의 지속적인 발전이 힘들다는 전망이 대두되고 있다. 따라서 날로 다양해지는 관광소비자의 욕구를 정확하게 분석하고, 국내외 관광시장의 흐름을 파악해야 하며, 이러한 관점에서 분석한 결과, 국내 관광지에는 관광객을 유혹할만한 정보를 얻기 힘들고, 이미 통용되고 있는 관광정보 또한 기본적이고 단순한 정보에 지나지 않음을 알 수 있었다. 이에 본 연구는 이야기가 있는 관광지의 정보를 제공하여 보다 흥미 있는 관광정보를 제공하고, 여행자 개개인의 적극적 참여를 유도하기 위해 콘텐츠에 이야기, 애니메이션 및 게임을 제공하고, 주변상점과의 제휴를 통해 상호작용이 가능한 콘텐츠를 개발하였다. 또한 모바일 기기를 기반으로 하여 칼라코드, SMS등의 이용으로 보다 흥미롭고 사용이 편리한 콘텐츠를 개발하고자 노력하였으며, 캐릭터를 개발하여 과학적인 마케팅 전략의 수립으로 지속적인 제주관광발전을 도모하고자 하였다.

어린이 미술에 대한 觀點과 特徵 考察

전성수 서울敎育大學校 初等敎育硏究所 1993 韓國敎育論叢 Vol.6 No.-

外傷性尿崩症에 關한 臨床的 觀察

田成穗,朱寅秀,鄭福秀,金淳都 中央醫學社 1970 中央醫學 Vol.19 No.5

5 cases of Diabetes Insipidus following head injuries were reported. he conclusions are as follow: 1) 2 patients of the 5 cases sustained basal skull fracture. Others, I subdural hematoma, 1 subdural hygroma and another was cerebral laceration. Diabetes insipidus was recovered in 2 basal skull fracture spontaneously and others all expired with gradual deterioration. 2) Appearance of the diabetes insipidus was 10 days to 6 weeks following the head, injuries. 3) Spontaneous recovery could be expected in less severely traumatized occasions and the diabetes insipidus would be permanent in cases of severe head injuries. 4) Antidiuretic hormone was the only effective medicine for the post-traumatic diabetes insipidus.

頭蓋骨에 發生한 原發性 Ewing’s Sarcoma : 症例報告 Report of A Case

鄭福秀,田成穗,金昞駿 中央醫學社 1972 中央醫學 Vol.22 No.2

Ewing's sarcoma is a malignant tumor of the bone which is common in the long bone and pelvic bone but is very rare in the skull. The authors have had a primary Ewing's sarcoma of the skull on a 7 years old girl. 7 years old girl happened to notice the small elastic hard mass on the right parietal region since about 3 months prior to admission which grew gradually without any pain or other symptoms. On admission, physical examination revealed T:37.5'C, P:94/min and B.P: 100/80mmHg, and there was small egg sized mass on the right parietal region. Except it, there was no abnormal neurological and physical findings. The laboratory data revealed WBC:8, 800(Neurto.; 68%, Lympho.; 27% and Eosino.; 5%), hemoglobin: 9. 0Gm% blood Alkaline Phosphatase: 9. 0 Bodansky Units, and urinalysis and stool examinations were within normal limits. X-ray findings: All long bone and pelvic bone check revealed no abnormalities. Skull showed soft tissue swelling on the right parietal region and sun-burst appearance of the skull at the area. Operation: The patient underwent second stage surgery on the tumor(First time biopsy and second time total excision). Tissue pathology revealed decalcified osteoid bone which shows osteolytic changes, which has evidence of infiltration of indistinct nucleoli and cytoplasmic border of anaplastic cells having with round and oval shaped of cell all throughout at around blood vessels. Also tumor mass contains abundant vascularity and associated with fibrous septal formation. The patient was discharged from hospital 10 days after second surgery but did not receive radiation therapy and was reported she succumbed 3 months after the second surgery.

急性硬膜下血腫에 對한 臨床的考察

鄭福秀,田成穗,金昞駿 中央醫學社 1972 中央醫學 Vol.22 No.2

Acute Subdural Hematoma is the one which neurosurgeons encounter commonly in severe head injuries and needs emergency surgery. But the fact that the mortality of it is still very high (60-90%), inspite of the recent improvement of the technique of anesthesia, transfusion, and the use of drug which could reduce the intracranial pressure such as mannitol and steroids, is disheartening to all neurosurgeons. In my country, the acute subdural hematoma has been recognized and treated since the 1950th, by neurosurgeons and sporadic reports for the subdural hematomas which included acute, subacute and chronic forms has appeared. Nevertheless, the report of the collected acute subdurall hematomas is rarely seen. The reason is felt that the illness is quite common around us but the mortality is so high to make the report be delayed. The authors have treated 40 cases of surgically confirmed acute subdural hematomas during 18 months from April 1969 to Sept. 1970 and as observed clinically. Followings are the results. 1) The sex incidence showed Male, 3 to Female 1, and age incidence ranged 5 years of age to 70 years. But it was most common in 3rd decade to 5th decade. 2) Most common mode of injury was traffic accident(27 cases) and there were 8 cases of falling accident and 5 cases of direct batting over the head by blunt materials. 3) There were no lucid intervals in 3/4 of the cases but in 11 cases, the lucid interval could he seen. Most common pupillary change was ipsilateral mydriasis(28 cases). Bilateral mydriasis were in 2 cases and others showed miotic or normal pupils. Bilateral positive Babinski's signs were noted in 22 cases and there were 3 cases of positive unilateral Babinski's sign. 4) Site of the hematoma: Most common site of the hernatoma was temporo-parietal region. but there were 2 cases of confined frontal pole lesions and 2 cases of posterior fossa lesion. In 34 cases of 40, the site of hematoma was confirmed by carotid angiography and on the rest, direct surgery was performed without carotid angiography. There were 2 cases of bilateral: acute subdural hematomas. 5) Mortality 20 cases of 40, have survived. The age, level of consciousness, bilateral positive Babinski's sign, and intracranial and/or extracranial associated injuries were felt to be the influencing factor to the mortality. In 5 cases of 20 which expired, have died one month after surgery and the cause of death were intractable diabetes insipidurs, septicemia, pneumonia, acute renal failure and intractable convulsive seizure. In survivors, hemiplegia, hydrocephalus, aphasia and mental deteriorations were observed which improved gradually except the 5 cases and 15 cases of 20 which have survived could remain to return to his usual daily activity.