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      • 일개 대학병원에서 일년간 분리된 반코마이신 내성 장구균의 임상 분자역학적 연구

        송진영,김창억,김성욱,우흥정,김미란,이규만,이란,장미화,정희진,김우주 대한화학요법학회 2001 대한화학요법학회지 Vol.19 No.4

        목적 : 한강성심병원에서는 2000년 3월 반코마이신내성 장구균이 처음 분리되어, 원내전파를 막기 위한 노력을 하였으나, 분리가 지속되었다. 따라서 이에 대한 좀더 자세하고 객관적인 자료를 얻기 위해 본원에서 분리된 반코마이신내성 장구균에 대한 임상분자 역학적 연구를 시행하게 되었다. 방법 : 2000년 3월부터 2001년 2월까지 한림대학교 한강성심병원에서 분리된 장구균을 대상으로 디스크 확산법, 최소발육억제 농도등의 측정을 통해 반코마이신 내성여부를 확인하였으며, 반코마이신내성 장구균을 대상으로 PFGE를 시행하여 형별 분석을 하였다. 결과 : 분리된 균주는 총 32균주로 모두 E. faecium이었다. 항생제 내성 검사 결과 모두 Van A형이었다. PFGE 결과 1a형이 8검체, 1b형이 5검체, 2a형이 4검체, 2b형이 4검체, 3a형이 2검체, 3b형이 5검체였고, 그 외 4, 5, 6형이 각각 1검체씩이었다. 총 32균주 중 56%(18/32)의 균주가 같은 시기, 같은 병실에서 동일한 PFGE 형을 보이면서 분리되었다. 결론 : 반코마이신내성 장구균의 PFGE 분석 결과 여러 종류의 반코마이신내성 장구균이 유행하였음을 알 수 있다. 그러나 같은 기간, 같은 병실에서 분리된 균주의 PFGE 형이 같은 것이 상당수 있었다. 이는 반코마이신내성 장구균의 원내 전파가 있었음을 의미한다. 따라서 반코마이신내성 장구균의 전파의 발생 및 전파 방지를 위해서는 보다 효과적인 감염관리 활동이 필요할 것으로 생각된다. Background: Vancomycin-resistant enterococci(VRE) have been a rising problem worldwide. In March 2000, VRE was first isolated from a patient in Hangang Sacred Heart hospital. Although efforts to prevent transmission of VRE were performed, isolations continued. So molecular epidemiological study of VRE was done. Method : The minimal inhibitory concentration(MIC) to vancomycin and teicoplanin, and pulsed field gel electrophoresis(PFGE) pattern of VRE isolated from March 2000 to February 2001 were evaluated. Results : 32 VRE were isolated. All of the VRE were Enterococcus faecium and showed Van A resistance phenotype. We found out that a significant number of VRE isolated during same period and in same room, were same PFGE patterns. (18 cases/ 32 isolates= 56%) Conclusion: This study demonstrated the spread of VRE of same PFGE patterns. It suggests the nosocomial spreads of VRE.

      • KCI등재후보

        인지적 도제 모델을 활용한 글쓰기 지도법 연구 : 소설의 얼개 짜기를 중심으로 Focused on Planning Stories

        이미란 현대문학이론학회 2003 現代文學理論硏究 Vol.0 No.19

        The study aims at presenting an instructing method of planning story courses, based on the model of cognitive apprenticeship widely used in the social-cognitive theory of writing. Though a literary writing is a typical way of showing its writer's own experiences, it must also be in a farm of the systematic containers, so-called genre, in which human life common to all is contained. So it can not escape from the characteristics of the community's discourses. In this view point the sociocognitive writing theory can present an effective instructing method in story writing. In 'modeling' step, the first step of cognitive apprenticeship, the principles for choice of materials, mindmapping, outline making, theme defining, outline modifying and pattern making, plotting are explained and presented by instructors with appropriate examples to each activity. At this time the writings of existing writers' working courses and experiences can be effectively used. In this paper one of my stories, www.soriso.com, is used for the writing experiences. For the second step, 'discussion' step, while learners are finding materials, mindmapping and making outlines, the instructors answer the question from them or develop the learners' level with more level-up questions than they are in. After course the learners step into the oral writing, theme defining, outline modifying and pattern making, and plotting. The final step for the learner is title naming with his complete plot and presenting it to his colleague learners, In this course he can step into stage of performing self-planning stories automatically internalized. The first problem for learners of writing stories is 'what to write'. After finishing the course for planning stories by the social-cognitive theory of writing learners will be expected to start writing confidently with their complete and specific plots. Instructors' presentations and language-using assistances, and the experiences and ideas from the writing community through discussions with colleague learners will be expected to lessen the physical burden of writing story considerably, and to help the learners' creative writing by stimulating their imagination.

      • KCI등재후보

        창작론적 비평 방법에 관한 연구 : 이승우의 「도살장의 책」을 중심으로 Focused on Lee Seung-woo's <The Butcher's Book>

        이미란 현대문학이론학회 2005 現代文學理論硏究 Vol.0 No.24

        This paper aims, through critical methods based on fiction writing theory, at finding the reason why <The Butcher's Book>, written by Lee Seung-woo, cause an unhandy communication with readers. Good novel in terms of creative writing theory means that the writer's intention communicates fully with readers in an aesthetic completion as a literary work. If an analysis on a work is hard or impossible, it is because the text understanding is interrupted by the discrepancy between the writer's language and the readers' understanding. In <The Butcher's Book>, written by third person limited point of view and having almost not any distance between narrater and character, character's speech accords with nan-ater's, and that is also writer's. So it's not difficult to find the writer's intention. The writer intends to perform sacrificial rites. In spite of the writer's clear intention this work can not communicate easily with readers. It derives from the tensive relation between writer's presentation and his speech through writer's excessive desire. The first reason of the difficult communication with readers is from the discrepancy of the character 'Chonpyon' between the writer's desired and created in the work. The motive of this character, being distressed by dying books in the library and performing sacrificial rites by kidnapping and raping librarian, is not obvious. The second reason is that writer asks the character for improbable actions to realise his desire. `Chonpyon' has no reason to be a priest and his motive of raping goat-like girl has nothing to do with books' revival as well. The third reason is that the narrater's speech has no distance from the character to release writer's desire. The narrater having no distance from nconvincing character makes the character's action cooked up and makes readers feel coercion. The title in <The Butcher's Book>, its theme, and its background are so well matched. But the writer's excessive desire makes the work disunited and the communication with readers difficult by overwhelming the character, his action, and narrater's speech.

      • KCI등재후보

        중년여성 브랜드를 통한 기본 스커트의 치수실태 및 패턴분석

        이정순,구미란 한국의류산업학회 2004 한국의류산업학회지 Vol.6 No.6

        The purpose of this study is to analyze of size and patterns of ready to wear basic skirts for middle age women. For this purpose, I select 9 brands and analyze the basic skirts size system marketed in 2002 spring in Korea. To study the actual size system, I have compared size labeling, which I researched, with Korean Industrial Standard Size Chart. And I also have compared body measurement with the product size. To study the pattern, I have classified the composition of the skirt into 24 items. The different result shows between this study and Korean Industrial Standard Size Chart. The waist circumference is smaller than it should be, and the hip circumference is larger than it should be. As I have examined the body measurement and the product size, variability of the waist circumference depends on the location of the waist line. For the hip circumference, I have found that both the body measurement and the product size are same, or the product size is smaller than the body measurement. Both cases have been found to be over 67%. I have classified the analysis of the pattern into four components; circumference, relevance to waist line, dart, and length. For the waist circumference, the same size of the front and the back is 44.4%, and making the front larger is 44.4% also. In the hip circumference, the identical size of the front and the back is 66.7% and the larger size of back is 22.2%. Regarding darts placement, it is moved to the side lines from the middle of 1/2 of waist lines, dart intake was 1.3?3.2 cm, the length of darts is 7.2?12.7 cm.

      • 공간 데이터베이스에서 질의 최적화를 위한 공간 분할 기법

        이미란,황환규 강원대학교 정보통신연구소 2002 정보통신논문지 Vol.6 No.-

        It is important to calculate the query result size for query optimization in spatial databases. When processing queries to the database, the computing cost of the query result size satisfying query conditions is so expensive. To solve the problem, the query result size estimation based on the summary data approximating the distribution and characteristics of the spatial data is very efficient. In this paper, we propose a spatial partitioning technique based on Maxdiff(V,A) whose performance is evaluated very efficient in one dimensional database. This paper proves the proposed partitioning technique is superior to previous ones through experiments.

      • KCI등재

        학동기 손자녀에 대한 조모의 역할수행 : 취업모가족과 비취업모가족 비교

        이미숙,조병은,강란혜 대한가정학회 2004 Family and Environment Research Vol.42 No.4

        The purpose of this study was to compare the grandmothers role performance toward their grandchildren in the elementary school between working and nonworking mother families. The subjects were 274 grandparent-grandchild pairs. The sbuctured questionnaires, from both grandmothers and grandchildren were collected in 2001. Using statistical technique such as factor analysis, t-test, Pearson's correlation, and multiple regression analysis, the major findings were as follows: 1) The level of the grandmothers' role performance is moderate in general. However, the grandmothers in working mother families perform surrogate mother roles more strongly than the grandmothers in nonworking mother families. 2) While contact between grandmother and grandchild is associated with the grandmother's role performance in working mother families, the grandmother's age and the closeness between grandmother and mother are related to the level of the grandmother's role performance in nonworking mother families. In conclusion, the grandmothers' role performance in working mother families was found to be more important in the supporting system than in nonworking mother families.

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