서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1994)

김재홍,안진균,정성재,김영태,김중환,김시영,이석종,이홍렬,서호석,김경훈,권혁진,정우권,고우석,이용석,안필수,오준규,오용섭 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.1

Background : In recent years gonorrhoea has been panendemic and remains one of the most common Sexually Transmitted Diseases in the world, especially in developing countries. Objective & Method : For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria Gonorrhoeae(PPNG), Ive have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1994, 168 strains of N. gonorrhoeae were isolated, among which 109 (64,9% ) were PPNG. Conclustion : Our results suggests that the prevalence of PPNG in Seoul is still increasing.

선행 제왕절개술 후 질식 분만: 성공의 예측인자들

동서연 ( Seo Yun Tong ),김여홍 ( Yeo Hong Kim ),최영준 ( Young Jun Choi ),김소라 ( So Ra Kim ),이보연 ( Bo Yon Lee ),이선경 ( Seon Kyung Lee ),허주엽 ( Chu Yeop Huh ),김승보 ( Seong Bo Kim ) 대한주산의학회 2003 Perinatology Vol.14 No.4

목적: 선행제왕절개 후 질식분만을 시도한 산모들 중 성공군과 실패군을 비교하여 성공을 예측할 수 있는 인자를 알아보고자 하였다. 방법: 1997년 3월부터 2003년 2월까지 경희대학교 의과대학 산부인과에서 선행제왕절개 후 질식분만을 위하여 내원한 환자중 질식분만의 금기가 아닌 경우 위험요소 등에 대하여 충분히 상의한 후 분만을 시도한 382명의 환자를 대상으로 하였다. 대상군의 의무기록을 통하여 분만당시 산모의 나이, 분만력, 제태연령, 신생아 몸무게, 입원시 자궁경부 상태 및 Bishop score, 분만의 진행과정, 결과 및 합병증을 조사하여 성공군과 실패군의 차이를 비교분석 하였다. 결과: 292(76.5%)명이 질식분만에 성공하였다. 여러 인자 중 태아의 몸무게(odds ratio, 0.2 ; 95% confidence interval (CI), 0.1-0.4), 입원시 Bishop score(odds ratio, 1.8 ; 95% CI, 1.5-2.1), 질식분만의 과거력(odds ratio, 3.6 ; 95% CI, 1.1-11.6)이 VBAC의 성공과 관련이 있었다. 또한 선행제왕절개시 적응증이 태위이상인 경우에 성공률이 높은 것으로 나타났다(odds ratio, 3.2 ; 95% CI, 1.2~8.6). 입원시 Bishop score로 VBAC의 성공을 예측할 수 있는 지 알아보기 위하여 receiver-operating characteristic curve 분석을 시행하였고, 5점을 cut-off로 하였을 때 47.4%의 민감도와 87.6%의 특이도를 보였다(AUC, 0.765 ; p<0.05). 결론: 출생체중, 질식분만의 과거력, 입원시 Bishop score가 선행제왕절개 후 질식분만을 고려하는 경우 성공의 예측인자로서 유용하게 사용되어 질 수 있을 것이다. Objective: The purpose of this report is to determine the predictable factors for successful vaginal birth after cesarean (VBAC). Methods: In this study, 382 women who attempted VBAC at Kyung-Hee university hospital were included. The medical records of them were reviewed retrospectively. Informations was collected about demographics, medical history, obstetric history, neonatal birth weight, complications, treatment, and outcome of the index pregnancy. Results: The overall success rate was 76.5% (292 cases). Among variables, neonatal birth weight (odds ratio, 0.2; 95% confidence interval, 0.1-0.4), Bishop score at admission (odds ratio, 1.8; 95% confidence interval, 1.5-2.1 ; p<0.05), and history of vaginal delivery (odds ratio, 3.6 ; 95% confidence interval, 1.1-11.6 ; p<0.05) were significant. The Bishop score showed most significant relationship with successful VBAC. The Bishop score 5 at admission had a sensitivity of 47.4% and a specificity of 87.6% in the prediction of successful VBAC. Malpresentation as indications of previous cesarean delivery showed more tendency to succeed than others. Conclusion: Several factors such as birth weight, Bishop score at admission, and history of vaginal delivery may be used to predict the success of VBAC.

서울 서남부지역 노인 인구에서 비만증 유병률과 고지혈증과의 상관성

최경묵,조영직,김경오,김동림,김난희,백세현,안정천,서홍석,오동주,최동섭 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

자연휴양림 이용자 요구사항 및 만족

서경석 ( Kyung Seok Seo ),윤성훈 ( Sung Hun Yoon ),김갑열 ( Gab Youl Kim ) 한국감정평가학회 2011 감정평가학논집 Vol.10 No.2

The research was studied about measure how each element affect to recreational forest visitors. And I can provide the useful information for the strategic decision-making to make value-up through characterization and differentiation of recreational forest. Those who use recreational forest were studied. Survey area was divided into five regions; Kyung-gi province, Kang-won province, Chung-chong province, Kyung-sang province and Jeon-ra province. And then national and local governments, individuals were classified as operating principals. Empirical analysis were analyzed by applying the Kano model. The questionnaire was analyzed by statistical methods; for data processing, along with a test of reliability in the measuring tools, frequency analysis. Human services and nature management components of recreational forest were classified as one-dimensional quality. Most users are more concerned about these elements. Recreational forest visitors are more concerned about quality associated with software components rather than hardware components. Recreational forest visitors with high interests and a high level of satisfaction about recreational forest has more concerned about the quality.

그람양성구균에 대한 Teicoplanin과 Vancomycin의 시험관내 항균력

최태열,김경숙,전용관,서일혜,김정욱,이웅수,안정열,김홍석,정재용,최효선,김덕언,유진우 대한감염학회 1994 감염 Vol.26 No.1

An increasing frequency of methicillin resistant S. aureus(MRSA), methicillin resistant coagulase negative staphylococci(MRCNS) and Enterococcal infection have been observed in recent years. Teicoplanin is a new glycopeptide antibiotic obstained from the Actinoplanes teicomycetius. The molecular structure and spectrum of antimicrobial activity of teicoplanin is simillar to those of vancomycin, and has been reported to have an excellent in vitro and in vivo effect against various gram-positive infections. Therefore, we evaluated the in vitor susceptibility of gram positive cocci, such as, S. aureus, coagulase negative Staphylococci(CNS), and Enterococci to teicoplanin and vancomycin. The total 253 strains consisted of MSSA(40), MRSA(53), MSCNS(47), MRCNS(48), and Enterococci(65). They were assayed by disc diffusion and agar dilution. During the study, 57% of S. aureus and 49% of CNS showed resistance to methicillin. The inhibitory diameter of teicoplanin was 15-20mm in MSSA, 12-19mm in MRSA, 13-24mm in MSCNS, 11-23mm in MRCNS, and 15-22mm in Enterococci respectively, and showed sensitivity in all but 8 strains(3.2%). The range of the minimum inhibitory concentration (MIC) of teicoplanin to MSSA, MRSA, MSCNS, MRCNS and Enterococci were 9.12-2.0㎍/ml, 0.25-2.0㎍/ml, & 0.25-32㎍/ml, 0.12-1.0㎍/ml respectively. One case of S. haemolyticus was resistant to teicoplanin (32㎍/ml) by the agar dilution method. Eight minor (3.2%) and one major(0.4%) error was observed when the MIC and disk diffusion data were correlated with teicoplanin. As for vancomycin the inhibitory diameter was 17-21mm in MSSA, 15-21mm in MRSA, 18-26mm in MSCNS, 18-25mm in MRCNS, and 16-22mm in Enterococci respectively. The range of the MIC of vancomycin to MSSA, MRSA, MSCNS, MRCNS, and Enterococci were 0.25-1.0㎍/ml, 0.25-4.0㎍/ml, 0.5-2.0㎍/ml and 0.5-2.0㎍/ml respectively. One minor error (0.4%) was seen with the vancomycin disk. The MIC90 of MSSA and MRSA exhibited the same results in teicoplanin (1.0㎍/ml, 1.0㎍/ml), and vancomycin(2.0㎍/ml, 2.0㎍/ml). MSCNS and MRCNS exhibited greater MIC90 with teicoplanin(4.0㎍/ml, 8.0㎍/ml) than vancomycin(2.0㎍/ml, 2.0㎍/ml). Incontrase Enterococci were more susceptible to teicoplanin(0.5㎍/ml) than to vancomucin (2.0㎍/ml). Results from this analysis indicated that both teicoplanin and vancomycin were very excellent for gram positive infections, especially those resistant to methicillin.

WHO 침구임상 지침서 개정을 위한 국제회의 보고

박히준,서정철,김세현,김상우,안경애,임사비나,김용석,최도영,강성길 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

The Working Group on the revision of Clinical Research Methodology for Acupuncture met in Seoul, Republic of Korea from 24 to 26 August 2005. The main objectives of the meeting were to review the regional publication guidelines for Clinical Research on Acupuncture, to make necessary revisions in the guidelines, to make recommendations on further collaboration and activities in the field of research on acupuncture, and to discuss scientific evidence-based approaches in the clinical research on acupuncture. Fourteen members from the eight Member States, one secretariat staff from the WHO Regional Office for the Western Pacific and ten observers from the Republic of Korea attended the meeting. The members presented their papers to review the current status of clinical research on acupuncture. The drafts of proposed revision to the previous guidelines for clinical research methodology on acupuncture were discussed extensively. The issues covered during the discussion included: the definition of the new terms; reorganization of clinical research design; revision and update of contents (e.g., control group); introduction of Institutional Review Board (IRB) on the section of ethical approval; additional outcomes including health-related quality of life (HRQOL), qualitative measures, etc. In the course of these discussions, the working group developed the revised guidelines for clinical research on acupuncture and made recommendations for promoting the dissemination of the revised guidelines.

측두엽 간질의 선택적인 후대뇌동맥 Sodium Amytal 검사 2예

이경열,김옥준,서범천,이병인,김원주 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1

고령 환자에서의 간 절제술

김병철,서거정,김경종,장정환,김성환 조선대학교 2003 The Medical Journal of Chosun University Vol.28 No.1

Hepatic resection for removal of lesion of the liver may be necessary for a wide variety of conditions. Partial hepatectomy for liver disease have become more common This reports describes a review of our experience for hepatic resection and an analysis of potential risk factors affecting the morbidity and the mortality in a hepatectomy methods : Between Jan 1,997 and Mar.2,001, we performed 112 cases of partial hepatectomy and retrospectively analyzed clinicopathological features of the presented. cases Results : The most common disease was intrahepatic duct stone(31.8%). The mean operative time was 324 minutes. The overall In-hospital mortailty an morbidity rates were 6.8%(3/44) and 59%(27/44), respectively, Various posmiddleerative complications developed, including 14 cardiopulmonary complications(53.8%), 8 wound Infections(30.7%), 2 Bile leakage(7%), 1 intraabdominal abscess(3.8%), 1 hepatic failure(38%), 1 posmiddleerative bleeding(3.8%). The old had more cardiopulmonary complications. The significant risk factors for perioperative mortality were high preoperative serum bilirubin level(above 2.0mg/dl), size of resection, massive operative bleeding(above 2,000cc), concomitant diseases, but cirrhosis was not a significant risk factor. Comparison of young age patients, the old had more complications, but it was not significantly Conclusion : Although the old patients had more cardiopulmonary complications but their operative mortality were not much different than younger patients significantly. Hepatic resection can be performed in over 60 years old with acceptable morbidity and mortality rates.

창작지도 방법에 관한 고찰 : 국민학교 음악교육을 중심으로 Chiefly on music Education in Elementary School

金瑞慶 釜山敎育大學 1986 부산교육대학 논문집 Vol.22 No.1

The Teaching in Creating Ability in Elementary School is not limited only to the composition activity, but it contains comprehensively the process before the composition: The realms of a learning including the various contents of the process of experience until leading to the composition. And the aim of education in creating ability lies in deepening the creative experience in music, and tasting its pleasure through the learning activity of a personal expression of feeling. In order to complete these aims, therefore, we must grasp correctly the following points of education, and make efforts to be able to realize them equally. The nature of music, that is the learning about the components of music should be ahead of the learning in creating ability. (In other words, we must get used to the components of music.) For we do not expect an individual self-expression until we sense physically nd understand the movement, characteristics, and role of time, rhythm, melody, harmony, phrase, form, tonality and pitch and so on. All these abilities can be illuminated only when they are closely connected with the various basic functions in music education. Accordingly, ad the education in creating ability is not independent, it should be accomplished continually through the entire realms. The learning in creating ability in music must be an experienced activity of learning by a real sound. We must always bear in mind that music is a learning by sound. offer the materials befitting Elementary School Children's abilities, and take the proper teaching methods. In doing so, they can exclude their sense of resistance about the creating ability, and follow such processes that express freely their own rhythms or really the creating ability in music. Therefore, such activities are the most important thigs that make elementary School children use all their possibile methods of expression, namely, songs or musical instruments, express their rhythms and sing their melodies through a real sound improvisatarily or intentionally.

Music Ed Ventures의 교수·학습 원리에 관한 고찰

김서경 부산교육대학교 초등교육연구소 1997 초등교육연구 Vol.10 No.-

Music Ed Ventures is based on the Mary Helen Richards' E.T.M(Education Through Music) approach. She is the first man who applied "Kodaly" concept to this approach in English area. Currently this approach is the one of the latest teaching and learning theories that is evaluated highly through experiment and verification at the education institutions and many universities in U.S.A. Students can accumulate the foundations related to singing as music activities in class through the seven principle that is presented in Song Works, literature of teaching method of Music Ed Ventures. So these foundations can promote participation, reciprocal action and fusion. People can characterize such foundations as playful things from the view of relation between music and play, development and sincerity. Teacher who would like to employ these foundations have to investigate how to guide and teach activities that students are encouraged to participate and cooperate. They should respect students' dignity, students' contribution and achievement. And also teachers have to make them realize their movement and need to investigate their musical experience in order to make them realize their linguistic, educational, and potential musicality in it. Sing is the core factor of the Music Ed Ventures teaching activities. The ideological basis on the educational value is investigate, survey, and exploit the activities that can induce the students to participate in singing experience consisted of singing game and movements. Play in these activities is the model of participation, reciprocal action and the whole learning experience. Activities is described by various method in the Music Ed Ventures. These methods aren't considered as the only method that can move the teaching and learning principles to actions but rather they describes important theme of the principles. In fact, I think it is more important to consider these activities as playful foundation that can recognize responsibility of tescher and students, liberty and structure, leading and following, individual work and cooperation, movements and thoughts.