한국인의 항파상풍 항체 역가

구홍두,최옥경,장석준,정구영,이정운,김승호 대한응급의학회 1993 대한응급의학회지 Vol.4 No.2

Inspite of immunization, TETANUS remains a disease with a high morbidity and mortality rate. Tetanus has been still occurred more frequently in developing countries where immunization programs are inadequate. In Korea, there is a routine immunuzation schedule with diphtheria, pertussis, and tetanus(DPT) vaccines at 2,4,6 month after birth at 18 month. But further prophylactic programs are not exist. Moreover, we have usually used only passive immunization, tetanus antitoxin, as a prophylactic regimen for injured patients instead of guidelines of Center for Disease Control. The purpose of this study was to assess the baseline tetanus immunity state and to suggest the proper immunization schedule and adequate prophylactic guideline for injured patients in Korea. One hundred thirty one trauma patients from emergency department of Severance hospital from September to November of 1993 were included. Antietanus antibody titers of the patients were analyzed by ELISA assay. The mean antitetanus antibody titer was 0.728 ±0.236IU/mL. The titers were diminished rapidly with age. In pediatric group(age under 15), the mean titer was 3.251 ±0.426 IU/mL and in geriatric group(age over 64), the mean titer was 0.007 ±0.002 IU/mL which was below the minimal protective antibody titer(0.01 IU/mL). While all of the pediatric patients have protective antibody titer, only 69.2% of young adults(15-39, n=65), 56.7% of adults(40-64, n=30), and 57.2% of geriatrics(>65, n=14) have protective antibody titer. Our results suggest that tetanus prophylaxis is unnecessary in the age under 14. In other age groups, however, our data strongly support the need of prophyulaxis.

고객지향적 행정 : 이념적·실천적 과제 the Issue of Public Ideology and Practice

전준구 全北行政學會 2000 全北行政學報 Vol.14 No.2

공공부문에서 '고객지향성'은 많은 한계를 지니고 있음에도 불구하고, 80년대 이후 신자유주의와 신공공관리론에 편승하여 행정개혁의 중심적인 목표로 자리잡아가고 있다. 이 글에서는 최근 공공부문에서 행정개혁의 목표로 '고객지향성'을 도입하는데 따른 이념적 측면과 실천적 측면에서 의문점을 살피는 데 목적이 있다. 우선 이념적 측면에서 첫째, 고객지향성이 과연 서비스의 질을 향상시키면서 공익과 일치할 수 있는 방안이 되는가 하는 의문이고 둘째, 그런 의문에 긍정적인 답변을 얻는다고 하더라도 고객의 선택기회가 현실적으로 제한 당할 가능성이 적지 않게 존재한다는 것이다. 다음으로 실천적 측면에서 첫째, 누구를 고객으로 할 것인가 하는 고객범위에 대한 문제와 둘째, 그 고객에 대한 서비스의 질을 어떻게 보장할 것인지에 대한 의문이다. 아울러 '고객지향성'은 '공공성'이 훼손되지 않는 범위 내에서 신중히 도입되어야 함을 살피고 있다.

아·태지역에서 위성서비스 연구

강민구,임종태,차준섭 호남대학교 정보통신연구소 1995 정보통신연구 Vol.4 No.-

최근 급격히 성장하고 있는 아·태지역에서 위성통신과 방송의 진출방향의 모색을 위해 현재 서비스중인 위성통신과 방송시스템의 현황을 파악한다. 이를 바탕으로 하드웨어 측면은 이지역에서 위성중계기의 수요·공급을 분석하고, 소프트웨어 측면은 이들 지역에서 다자간 공동 위성방송을 위한 시장특성 조사 및 문화교류의 연수를 통해 위성분야에서 우리나라의 진출방안을 논한다. In this thesis, the satellite services in the asia-pacific area are analyzed for the co-operation and development of satellite communication. By the estimation of satellite transponder's need, the trend of satellite technology and the Koreasat planning is expected for the enhancement of our technical position in this area. Through the analysis of the asia-pacific cultural characteristics to satellite broadcasting, new securable strategies against the foreign unprotectable satellite culture and realizable approaches for co-work with asia pacific countries under the ApⅡ (Asia-Pacific Information Infrastructure) are proposed.

국외여행인솔자 업무와 자격 인증제의 효율적 운영에 관한 연구

이훈구,이준호 기전여자대학 2000 論文集 Vol.20 No.-

The Korean Culture & Tourism Ministry has strengthened the qualifications for tour conductors in order to contribute to the establishment of sound outbound tours and to facilitate professional training institutions for tour conductors. Simultaneously it launched the outbound tour conductor licence program and the tour conductor retraining Program effective since Dec. 2. 98. However, these steps by the government could be considered as a poor plan that ignores the current environment of the travel industry. Under the IMF as well, there has not been an effective distribution of human resources. Consequently, the travel industry has complained that the implementation of these systems has been a Failure. Therefore, the objectives of the study were to identify the existing problems of the tour conductor retraining program and to suggest new approaches for effectively operation the systems related to the travel industry. The following five suggestions should be considered to make the government and the travel industry more successful. First, more stronger controls by the government are required. The Ministry of Justice announced that 'the simplification of enter and leave of group tour' will begin in May, 2000, which proposes to decrease immigration procedures and to achieve an advanced tourism country status. For instance, when the group travellers' lists are submitted to the Immigration Bureau for inspection a day in advance before departure, the Immigration Bureau cooperating with the Ministry of Justice, should only allow qualified people to guide outbound travel by groups by submitting the T/C's name and his/her licence number along with the travel groups. Second, flexible training programs are required. Tour conductor trainees should be required to retake courses that already finished at the University, which may result in financial loss. Thus, it would be necessary for them to omit some required courses in the tour conduct training program. Third, re-education will be required. It would be necessary for licensed tour conductors to be educated once a year, with the contents of lectures being a focus on developing the whole person throughout one's life. Fourth, it would be better for land-agents to have a T/C licensing. The relevant law acts including the 'land-operations' should be modified so that they can be admitted as an essential component of the travel industry. Besides, the guide license that is acquired in a foreign country must be admitted as T/C license in the domestic country. Fifth, internationalization of licensing is necessary. The license can be marked by both Korean and English so that it can be easily used in foreign countries. In addition, the design of license could be accommodated to meet international standards.

대학 건축공학과의 실습학기제에 관한 연구

이승준,한인웅,정구용,조방현,한기원,박재호,김진원 三陟大學校 2000 論文集 Vol.33 No.2

In order to solidify the architectural education in university, we should enlarge the opportunity of field training and develop the field training course system as a part of industry-scholastic cooperation. And we should develop new educational process to bring up potent engineers adaptable to the training affairs, faithful to the educational object of the industrial university.

J.J. Rousseau의 哲學과 體育思想의 理解

金隆吉,孫俊丘 대구대학교 인문과학연구소 1994 人文科學硏究 Vol.12 No.-

purpose of this paper are to understand J.J Rousseau, as a pioneer of modern liberal education, and his profound philosophy and physical education, to compare modern physical education to this theory, and to review the present sports problems. In order to these, preferencialy Roussear's lifetime and idea are analized, and reviewed the making process of his philosophy, then understanded true educational theam in the view of physical education philosophy. Therefore, it can be perceived the following in order to surmount the confussion of substances and the aim of sports, and overcome present situation that issubstandcial distortion or the loss of humanism. First, Rousser emphasised on a physical trainning for thinking faculty and ethnic usefulness. It shoud be perceived the coordinates that might be perceptional transition of physical value and the trend of present education, because of the aims of present education might be the entrance into a school of higher grade and neglect the intercorelation among inteligency, vitue, and physique as if they are all. Second, another purpose of physical trainning of naturalism emphasises the disciplinsm that could be perceived the key point of physical trainning and health for present people in industrialized society, also it coud be reperceived its value and teaching instruction. Third, it shoud be received as warnin for spreading the neglected juvenile's personality. interest, and development stage. As result of "everything according to nature ······" Roussreu's instruction method of juvenile development stage in the view of his basic philosophic creed is the mean that changed the situation which everone only concerns of a result and a uniform instruction. Last, according to Rousseau's philosophy as ideal educational standard for fighteous humanism, that is, "natural man" means true health and sportsmanship, it shoud be received the severe article that deep comprehension and love between teacher and student is extincted. the pursuit of learning and personality are divied. and there exsist only transaction and loss of humanism between them.

산업대학 건축공학과 교육과정 개발에 관한 연구

김진원,한인웅,이승준,박재호,조방현,정구용,한기원 三陟大學校 1999 論文集 Vol.32 No.2

Education of technology should renew itself according to the demand of the change of times. Especially college of industrial technology is encouraged to develop diverse educational methods and continual educational process for the purpose of offering life-time educational opportunities, bringing up professional technicians, and re-educating the work-forces in the industry sector. Therefore, to make the education of architectural engineering substantial, the department of architectural engineering is working to develop a practical educational process by taking the following several things into consideration: job analysis of industrial society, development of educational process in the line of special necessities of college of industrial technology, actualization of subject course, industrial-academic cooperation secure of training equipment, readjustment of educational period.

산업대학 건축공학과 교육과정 개발에 관한 연구

임응찬,한인웅,이승준,박재호,조방현,서형수,정구용,한기원,김진원,임상규,이재윤 三陟大學校 1996 論文集 Vol.29 No.2

By impproving the educational program of the Department of Architectural Engineering and studying the theory of learning and the applied method necessary for the development of nation and society, we should develop a satisfying course of education to meet the demand and skill in the industralized society for the purpose of cultivating men of baility with great personalities and creative minds. Therefore, this study focused on classifying several kinds of occupations in the prart of architectured related to what graduates from the department of Architectural Engineering go with into the society. Accordingly after choosing some works adequate to each occupation by the proposed curricula, we tried to establish the scope of education and courses corresponding to the jobs and thus and develop a satisfying curriculum.

기능성 소화불량증환자에서 Winstal® 투여에 관한 임상경험

이창형,김영탁,금민수,권중구,안병철,윤영미,권영오,김성국,최용환,정준모 慶北大學校 醫科大學 1994 慶北醫大誌 Vol.35 No.3

목적 : 기능성 소화불량증은 소화, 흡수등 장관의 기능적인 이상과 관련되어 있을 것으로 생각되며 복합소화효소제(Winstal®)를 투여하여 그 임상효과를 평가하고자 본 연구를 실시하였다. 대상 및 방법 : 1994년 3월 부터 6월까지 경북대학교병원 내과를 방문한 기능성 소화불량증을 호소하는 환자 20명을 대상으로 Winstal®을 1회 1정씩, 1일 3회 식후 30분내에 경구로 2주간 투여하였다. 결과 : 소화불량증의 증상은 복부불쾌감, 복부팽만감, 식욕부진 및 오심, 복부동통, 공기연하증, 고창 및 구토순이었으며, 증상의 개선은 복부불쾌감이 76.4%(13/17)로 가장 높았으며, 그 다음으로 복부팽만감 및 공기연하증이 66.5%(10/15, 6/9)이었고, 오심 61.5%(8/13), 식욕부진 53.8%(7/13), 복부동통 41.6%(5/12), 고창 37.5%(3/8)이었다. 각 환자별 종합적인 증상의 개선도는 현저한 개선이 2예(10%), 중등도 개선이 3예(15%), 약간개선이 11예(55%), 불변이 4예(20%)이었으며 종합적인 유효율은 80%(16/20)이었다. 부작용은 한 예에서도 관찰되지 않았다. 결론 : 본 제제는 기능성 소화불량증 환자의 증상개선에 추천할 만한 유효한 약제로 생각된다. Dyspepsia is a common symptom in gastroenterologic practice and trigger for numerous consultations with physician. The treatment of chronic functional dyspesia is unsatisfactory. This study was performed to evaluate the efficacy of the digestive compound (Winstal®) on 20 functional dyspepsia patients. On open trial, all patients were given 6 tablets daily for 2 weeks and we evaluated the efficacy of this preparation according to the degree of the improvement. The improvement of symptoms was 76.4%(13/17) in abdominal discomfort, 66.5%(10/15, 6/9) in abdominal distension and aerophagia, 61.5%(8/13) in nausea, 53.8%(7/13) in abdominal pain, and 37.5% (5/12) in flatulence, respectively. Overall effectiveness of subjective symptoms was 80% (16/20) and there were no untoward effects of the preparations during this study. As a result, We think that this preparation is an effective one to relieve symptoms of functional dyspepsia.

응급실 자의퇴원환자의 요인분석

김승환,김옥준,장석준,정구영,김승호 대한응급의학회 1993 대한응급의학회지 Vol.4 No.2

Discharge against medical advice(AMA) in the emergency department is a frustrating, painful event to both patients and emergency physicians and emergency physicians. A retrospective chart review of 347 consecutive AMA patient from our emergency department from December 1992 to May 1993. Among them, 185 patients were interviewed with our researcher about primary cause of AMA through telephone contact. The results were as follows : 1. Total 9,705 patients visited our emergency department during 6-months period and there was 347 AMA patients(3.6%) 2. The main reasons for 185 AMA were ; 1) patients' or family's own problem in 114 cases(61.6%) 2) changes in patient condition(terminal case, improvement) in 56 cases(30.3%). 3) dissatisfaction to medical services in 15 cases(8.1%) 3. During same period, there was 117 cases of drug intoxication mainly due to suicidal attempt and 18 AMA was noted. Among 18 AMA cases, 16 patients discharged against medical advice due to patients' own problem(mainly due to economical problem) but none of them revisited OPD or emergency department. 4. Eight of 40 AMA patients with symptom improvement were managed in OPD, emergency department or other hospital but none of them admitted. In conclusion, we noticed that the main cause of AMA is non-medical problem in Korea and there should be continuous effert to improve our medical insurance system, emergency medical services system. Only through the judicious use of AMA, it can be used as a tool of determining patient satisfaction and quality improvement in emergency medical field.