2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

The Evolving Policy Debate on Border Closure in Korea

Su-Jin Kang,Jihyun Moon,Heewon Kang,Heekyoung Nam,Sangwoo Tak,Sung-Il Cho 대한예방의학회 2020 Journal of Preventive Medicine and Public Health Vol.53 No.5

302 Copyright © 2020 The Korean Society for Preventive Medicine J Prev Med Public Health 2020;53:302-306 • https://doi.org/10.3961/jpmph.20.213 The Evolving Policy Debate on Border Closure in Korea SuJin Kang1, Jihyun Moon2, Heewon Kang1, Heekyoung Nam3, Sangwoo Tak1, Sung-il Cho1,3 1Institute of Health and Environment, Seoul National University, Seoul, Korea; 2Samsung Advanced Institute of Health Science and Technology, Sungkyunkwan University, Seoul, Korea; 3Department of Public Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Korea Brief Report Objectives: In this paper, we aimed to investigate the evolving debate over border closure in Korea during the coronavirus disease 2019 (COVID-19) pandemic, to address the main themes associated with border closure, and to discuss the factors that need to be considered when making such decisions. Methods: We collated and reviewed previously conducted review studies on border closures during infectious disease outbreaks to derive relevant themes and factors. Results: According to our systematic review on border closures and travel restrictions, the effects of such containment efforts are limited. We suggest considering the following factors when determining whether to impose border closure measures: (1) disease characteristics, (2) timeliness of implementation, (3) transmission delay and the basic reproduction number, (4) globalization and pandemics, and (5) social and economic costs. Conclusions: Our assessment indicates that the effects of border closures are at best temporary and limited. Alternative measures must be contemplated and implemented to suppress the spread of COVID-19 in particular and infectious diseases more broadly.

근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

고온가스냉각로(HTGR) 열전달 연구를 위한 상사실험 방법론 개발

문덕원,고상혁,정범진 제주대학교 공과대학 첨단기술연구소 2005 尖端技術硏究所論文集 Vol.16 No.2

Increasing interests on hydrogen, as a future alternative energy source, have led activities concerning the production, transportation, and use of hydrogen. As an activity to produce hydrogen using the nuclear heat, the development of HTGR(High Temperature Gas-cooled Reactor) are in progress. The gas phase coolant in the HTGR results in the coupling of buoyancy effect and increased radiation effect to most of heat transfer phenomena. In order to overcome those difficulties in the heat transfer study of gas phase coolant, an analogy experiment methodology was developed using analogy concept between heat transfer and mass transfer. The electroplating system with the limiting current technique is adopted to simulate heat transfer systems. Two typical heat transfer problems of Poiseuille flow and laminar and turbulent natural convections with well-known heat transfer correlations, were simulated. The test results show close agreements between heat transfer and mass transfer, which is encouraging indication of the validity of the analogy experiment methodology.

식육처리기구 및 신선돈육의 위생적 처리방법에 관한 연구

문점동,진상근,박태선 진주산업대학교 농업기술연구소 1998 農業技術硏究所報 Vol.11 No.-

식육처리시 사용되는 실내의 공기, 도마, 칼, 장갑, 육절기 등의 위생적인 살균방법 및 지육, 정육을 가공용수(온수, 냉수), 알콜(70%), 유기산(acetic acid, citric acid, lactic acid, formic acid, chloride)을 처리하여 식육의 초기오염도를 조사한 결과는 다음과 같다. 70% 알콜 및 온수를 이용하여 식육처리기구의 오염원을 제거하기 위한 효과는 두 방법 모두 처리구가 대조구에 비하여 우수한 것으로 나타났으며, 온수와 70% 알콜의 처리방법은 온수가 뛰어났다(P<0.05). 지육의 처리는 온수처리를 통하여 오염원을 최소화할 수 있었다. 정육의 처리는 70% 알콜 처리로 총생균, 대장균의 증식을 억제할수 있었다. 유기산 처리를 통한 돈육의 오염원 최소화는 전체 처리구 모두 대조구에 비하여 우수한 경향을 나타내었으며, 이중 젖산균이 가장 우수한 것으로 나타났다. 유기산 처리시 육색은 차이를 나타내지 않았으며, 유기산 처리 후 관능검사에서는 생육, 가열육의 경우 모두가 차이를 발견할 수 없었다. 이상 본실험에서 온수, 알콜을 통한 소독과 유기산을 통한 정육의 처리는 오염최소화를 시킬 수 있는 방안으로 나타났다. This study was determine the effects of sanitary treatments that air conditioning, kitchen board, knife, glove, slicer, carcass and pork meat were treated water(hot and cold), alcohol(70%), organic acid(acetic acid ; AA, citric acid : CA, lactic acid : LA, formic acid ; FA) and chloride(200ppm). This study results obtained were summarized as follows ; Treatments of water and 70% alcohol were superior to control in the effect of removing contamination of carcass equipments. Hot water treatment was better than the other treatment(P<0.05). Carcass treatment gives the lowest contamination for Hot water. Pork meat was repressed all total plate count and E. coli by 70% alcohol. Pork meat treatment treated organic acid for the lowest contamination was better than control. Lactic acid was remarkable superior. Change o meat color by organic acid treatment did not take. Sensory evaluation by treatment of organic acid did not show difference in both of raw and cooked meat. Treatment of pork meat by disinfection of hot water, alcohol and organic acid was the way for the least contamination.

影島産 昆蟲群의 醫昆蟲學 및 保全生物學, Ⅲ. 송장벌레科 (딱정벌레目)

文太暎,李星珍 고신대학교보건과학연구소 1999 보건과학연구소보 Vol.9 No.-

영동에서 기록된 송장벌레들은 2아과 4속 4종으로 부산 전체에서 기록된 2아과 5속 5종의 대부분을 차지한다. 이는 면적상 넓지 않고 생태적 질이 높지 않은 녹지를 유지하는 상황에서도 남아있는 녹지에 대하여 큰 간섭이 없는 것이 송장벌레의 당양성을 유지하게 해주는 요인임을 시사하고있다. 분포지역에서도 봉래산과 공원족지를 중심으로 기록되므로 자연생태계의 유기물 분해를 촉진시키고 노양의 질소 순환을 촉진시키는 중요한역할을 담당하는 셈이다. 그러므로 생태적 건강성과 보건위생을 유지하는 자연적인 분해자로서의 역할을 고려하여 생물자원으로서 활용할 가치가 있다. Four species belonging to 4 genera and 2 subfamilies in Silphidae were recorded at the Islit Youngdo. It covers the major component of taxonomic diversity recorded in Pusan that are representer as 5 species belonging to 5 genera and 2 subfamilies. The beetles were recorded largely at the Mt. Bongrae and the linked woody parks. It may imply that the less-disturbed green areas support the more diversity of Silphidae at the Iselet Yongdo where Mt. bongrae has taken the role of a biological source, although neither the ecological quality nor the size of the green areas is enough to support a broad spectrum of biodiversity in overall. Therefore, they are of value and of use to be conserved as a biological resource maintaining ecological equality and public health as a natural decomposer, in terms that they facilitate to resolve organic materials and to supply nitrogen to soils.

密陽 얼음골의 夏季結氷 現象에 關한 硏究

文勝義,黃水鎭 釜山大學校 師範大學 1977 교사교육연구 Vol.4 No.2

There are f reezing phenonena in summer at so called "Ice-valley" in the south-eastern part of the Korean peninsula. The purpose of this paper is to examine the causes of this ice-forming phenomena which can be explained by following causes. (1) As the valley is very deep and is toward the North, the insolations to the "Ice-valley" are very little through the year. Therefore, the under ground (15m from the surface) temperatures maintain about 6°C in summer. (2) The upper capillary zone is considered as a adiabatic situation because this zone is insulated from the solar radiation by the Talus having very large boulders(50-20G<* in dia.) (3) As the defferences of saturated vapor pressure between upper capillary zone and outside of the Talus are very high, the evaporization will be occur on the upper capillary zone. (4) Consequently, water is frozen by the loss of evaporization heat due to the evaporation at the upper capillary zone.

터널해석에 있어서 적정 하중분담율의 결정 연구

문홍득,설진성 진주산업대학교 1999 산업과학기술연구소보 Vol.- No.6

3-D structure is created at the tunnel face in all tunnelling. Accordingly, the ground around the tunnel under construction shows three dimensions deformational behavior due to the transverse and longitudinal arching effects. In order to obtain the realistic results of these the tunnel behavior from the numerical analysis, actual construction measures and their sequence must be taken into account. In particular, the excavation and installation of support and lining are important tunnel construction parameters. Despite these three dimensionalities encountered in tunnelling, a three-dimensional analysis is often not necessary. Instead, a two-dimensional model can be substituted because of the size and complexity associated with a 3-D model and calculation times to perform a 3-D analysis. The simulation of 3-D conditions by a 2-D model requires experience and the understanding of the relationship between theses two models. Load distribution ratio is used to the 2-D analysis for the consideration of the effects of the tunnel advance in three dimensions in Korea. However, constant load distribution ratios have been assigned for 2-D analysis even if the conditions for tunnel design are different. This paper presents the results of the evaluation of load distribution ratios through a three-dimensional tunnel analysis for the different ground formation and compares the cases of load distribution ratios applied actual tunnel design in Korea.