케이스 화인딩(Case-Finding)에 관하여

김동필,박선근,서문자,( Sivert Kvinnsland ) 대한결핵 및 호흡기학회 1969 춘계학술대회 초록집 Vol.28 No.-

낙동정맥 가지산-능동산 구간의 능선부 식생구조

김동필,최송현,신경옥 한국환경생태학회 2003 한국환경생태학회 학술대회지 Vol.2003 No.2

흉부 자창의 임상적 고찰

김동필,고영관,정호성 대한외상학회 1999 大韓外傷學會誌 Vol.12 No.2

Background: Most stab wounds to the chest can be managed successfully with an early tube thoracostomy, blood-volume replacement, and close observation with continuous monitoring of vital signs and serial chest roentgenograms. However, in a small number of patients who are hemodynamically unstable owing to continuous blood loss or who present with penetrating wounds of the heart and the great vessels, the esophagus, and the tracheobronchial tree, prompt and aggressive surgical intervention is needed to prevent or reduce morbidity and mortality. Method: Between January 1, 1995, and December 31, 1998, 54 patients with chest stab wounds were treated at the Emergency Center of Kyung Hee University Hospital and Dong Su Won Hospital. We retrospectively reviewed their medical records. Results : Patients included 40(76%) males and 14(26%) females; their average age was 31.8 years. We found one case of hemopericardium, 15 of pneumothorax, 21 of hemopneumothorax, and 7 of hemothorax; 10 cases were asymptomatic. Twenty-seven(27) patients were successfully treated with tube thoracostomy while 18 patients with a small nonprogressive pneumothorax(less than 20%) were observed without the use of tube thoracotostomy. Ten(10) patients were asymptomatic, and 9 patients required a thoracotomy. One patient had pericardial laceration, 2 patients had a diaphragmatic rupture, and 5 patients were taken to the operating room because of continued bleeding from an intercostal artery, an internal mammary artery, and three lung lacerations. One patient required delayed thoracotomy because of an infected discharge through tube. Two(2) cases required a delayed pneumothorax, and they were successfully treated with a tube thoracostomy. Conclusion: With a thorough understanding of the potential complications associated with stab wounds to the chest, prompt evaluation and treatment can minimize morbidity and mortali-ty. By following specific guidelines, the evaluation and treatment of asymptomatic patients and small nonprogressive pne umothoraces can be safely managed.

열사병 증례보고 : 3예

김동필,김명천,고영관 경희대학교 2000 慶熙醫學 Vol.16 No.3-4

기후변화의 영향과 기업의 사회적 책임

김동필 경남연구원 2014 경남발전 Vol.- No.134

IACLE Student Trial Exam(STE)을 통해 본 한국 안경광학과 콘택트렌즈 교육실태 보고

김동필,Lakshimi A Shinde,Cheni Lee,Shehzad Naroo,Debbie F Sweeney 대한시과학회 2011 대한시과학회지 Vol.13 No.2

목적: International Association of Contact Lens Educators(IACLE)가 실시하는 STE결과를 분석하여 한국에서의 콘택트렌즈 교육 실태를 알아보고자 한다. 방법: 2010년 IACLE에서 주관한 STE에 참여한 12개 대학 안경광학과 학생들의 시험성적을 분석하여 대학 및 국가간 비교를 실시하였다. 결과: 12개 대학의 평균은 100점 만점을 기준으로 하여 54.01점이었으며 평균 합격률은 62.75%였다. 문항을 주제별로 7개 부류로 나누어 분석한 결과 평균 점수는 각각 전안부 해부 및 생리 48.73점, 콘택트렌즈 디자인 및 관리 46.14점, 콘택트렌즈 피팅원리 49.08점, 환자 검사 및 콘택트렌즈 처방 73.37점, 콘택트렌즈 관리 및 유지 66.12점, 콘택트렌즈에 대한 안구 반응 55.45점, 콘택트렌즈 착용으로 인한 부작용 52.54점으로 나타났다. 교육기간에 따라 2,3년제 대학과 4년제 대학을 비교해 본 결과 2,3년제 대학의 평균 점수가 53.35점, 4년제 대학의 점수가 54.94점으로 큰 차이를 보이지 않았다. 국가간 비교에서는 중국, 인도, 프랑스, 독일에 비해 한국 학생들의 점수가 다소 낮은 것으로 확인 되었다. 결론: 평균점수와 합격률에 있어 학교 및 과목 사이에 편차가 확인 되었다. Purpose: To demonstrate contact lens educational statue in Korea through analyzing IACLE STE 2010. Method: STE results of 522 students from 12 schools were analyzed, then comparison inter-schools and nations was performed. Results: Overall mean score of 12 schools was 54.01/100 and pass rate was 62.75%. Score of each categorized section was 48.73 in Anatomy and physiology of the anterior eye, 46.14 in Design and management of contact lens, 49.08 in Principles of contact lens fitting, 73.37 in Patient examination and delivery of contact lens, 66.12 in Care and maintenance of contact lens, 55.45 in Ocular responses to contact lens, 52.54 in Complications resulting from contact lens wear, respectively. Mean score of 2,3yr college and 4yr university was 53.35 and 54.94 respectively. There was no significant difference between two groups. Mean score of Korea was lower than those of China, India, France and Germany. Conclusion: It was found that there is variation of mean score and pass rate among schools and categorized theme.

시판되는 어 .패류에 대한 Listeria 속균의 조사연구

김동필,조배식 한국식품영양학회 2001 韓國食品營養學會誌 Vol.14 No.6

본 연구에서는 이 지역에서 유통되고 있는 해수 및 어패류를 직접 채취하여 Listeria spp.를 분리 하였으며, 각각의 검체에 대한 균종별 분리율, 생화학적시험과 표준균주를 사용한 pH에 대한 시간별 균의 생육관계를 조사하였으며, L. monocytogenes에 대한 마늘, 향신료, 녹차 등의 농도에 따른 시판용 TSB(0.6%ye, pH 7.3)에서의 시간별 균의 생육관계를 조사하였고, 또한 항균제 10종에 대하여 감수성 시험을 하여 다음과 같은 결과를 얻었다. 1. 총 검 체 200건에서 Listeria spp.가 검출된 것은 32건으로 분리율 16%이었고, 검체별로는 전어(japanese gizzard shad)에서 37.5%(6/16)로 가장 높았으며, 병어(pomfret)와 새우(metapenaeus shell) 에서 각각 31.3%(5/16). 맛(sinonoracula constricta)과 조기 (yellow tailrunner)에서 각각 18.8% (3/16), 해수(sea water)에서 14.3%(8/56), 바지락(little neck clams)에서 12.5%(2/16)이었으며, 홍합(hard- shelled mussels) 소라(top shell), 꼬막(cockle clam)에서는 검출되지 않았고, 균종별로는 L. innocua가 14.0%(28/200), L. monocytogenes와 L. seeligeri는 각 각 1.0%(2/200)가 분리 되었다. 2. L. monocytogenes를 비롯한 4종의 표준균주 모두는 pH 3.0에서 균의 생육이 정지되었고, pH 10.0에서는 미약하지만 균의 생육이 진행되었으며, 산성보다는 알칼리성에서 균의 생육이 활발함을 알 수 있었으며, pH 7.0∼8.0에서는 균의 생육이 가장 왕성하였고,4종의 표준균주 중 L. seeligeri가 최대의 0.D값인 0.627로 가장 높았다. 3. 마늘, 겨자, 와사비, 녹차 등의 농도에 따른 시판용 TSB(0.6%ye 포함, pH 7.3)에서 1. monocytogenes의 생육은 마늘추출물에서 0.D값이 0.078에서 0.210으로 가장 저해를 받았으며, 겨자와 와사비는 균의 생육에 큰 저해를 주지 못하였으나, 녹차 추출물은 미약하지만 18시간 이후에 균의 생육저해에 관여하고 있음을 알 수 있었다 4. 10종의 항균제 감수성시험에서 L . innocua 16주는 ampicillin, kanamycin, penicillin, trimethopriml/sulfamethoxale, vancomycin에 대하여 모두 100%의 감수성을 보였고, ciprofloxacin과 gentamicin은 각각 43.7%, 97.7%로 감수성 이 나타난 반면, tetracycline (5주, 31.3%), cefotaxime(12주, 75%)은 내성을 나타내었고, 특히 nalidixic acid는 100%모두 내성을 나타내었다. Listeria spp. from sea water, fishes and shellfishes have been troubled in many countries. So we exam ined its distribution rates, biochemical characteristics of a separated strain, growth curve of pH at set times to 4 species of standard strain, and yes or no of growth inhibition for precautionary measure of food poisoning by L. monocytogenes, garlic, mustard, wasabi, and green tea extracts including sensitivity of antibiotics 10 species. As its results, check numbers of its positivity to Listeria spp. were 32 species in total examination body 200 species, and its isolation rates were 16%, L. innocua was 14.0%, L. monocytogenes 1.0%, and L. seeligeri 1.0% by the strain species. All the standard strain of 4 species showed growth inhibition bellow pH 3.0, its pH conditions of the optimum growth at 7.0∼8.0, and its growth was more active in alkali co]tuition than in acid condition. Its growth inhibition examination by garlic extracts had an the worst effects with O.D values of 0.078∼0.210. But the case of mustard and wasabi had weakened effect, and the case of green tea had some effect as the time went by. The results of sensitivity examination of antibiotics 10 species were as fellows. L. innocua of the 16 cases showed sensitivity of 100% in all 5 species, Ampicillin, etc, and Ciprofloxacin showed sensitivity of 43.7% and gentamicin, 93.7%. But tetracycline showed tolerance of 31.3% , cefotaxine. 75%, nalidixic acid, 100%. L. monocytogenes of the 6 cases showed sensitivity of 100% in all 6 species, ciprofloxacin, etc.

과학 학회 성립의 사적 고찰 : 영국의 과학 왕립 학회와 프랑스의 왕립 아카데미 창립을 중심으로

김동필 한국과학교육학회 1978 한국과학교육학회지 Vol.1 No.1

This study is searching for the Historical significance of Background in foundation of London Society and France Loyal Academy. These Academy foundation was contributed for establishing the Basis of Scientific theory, method and thought in late century.

폴리카보네이트의 글리콜첨가분해 / 메탄올첨가분해 복합 해중합

김동필,김보경,조영민,김범식,한명완 한국청정기술학회 2007 청정기술 Vol.13 No.4

폴리카보네이트(PC)의 해중합 방법에는 여러 가지방법이 보고되어 있으나, 기존의 해중합 방법에는 페놀, 톨루엔, 다이옥신 등의 독성물질 사용으로 인한 환경적인 안전문제, 알칼리의 사용으로 인한 2차 분리 문제 등이 있다. 따라서 본 연구에서는 독성물질 및 촉매를 사용하지 않고 에틸렌글리콜(EG)과 메탄올(MeOH)을 사용한 글리콜첨가분해(glycolysis)/메탄올첨가분해(methanolysis) 혼성공정에 의하여 폐PC로부터 비스페놀 A (BPA)를 회수하였다. 글리콜첨가분해는 반응온도 473.15K에서 180 분에 반응평형에 도달하였고, PC의 용해과정이 이 반응의 율속단계로 나타났다. 글리콜첨가분해 이후 메탄올첨가분해를 시행 함으로써 BPA 수율을 높일수 있었으며, MeOH/PC 몰비 1에서 BPA수율은 최대점을 가지고, 반응 온도가 증가할수록 수율이 증가하였다. Several studies regarding depolymerization of polycarbonate waste to get the essential monomer, bisphenol A, have been reported in recent years. However, those methods have some environmental safety problems of using highly toxic organic solvents as well as product separation problem due to the use of alkali catalyst. In this study, we proposed the combination of glycolysis and methanolysis to depolymerize the polycarbonate waste. Glycolysis reaction reached at the reaction equilibrium after about 180 minat 473.15K and dissolution of the polycarbonate was found to be a rate controlling step of the reaction. The yield of BPA was improved with the aid of combination of glycolysis and methanolysis. The methanolysis was carried out at a temperature range of 303.15K ~ 363.15K and MeOH/PC molar ratio 0.5~3. The yield of BPA had a maximum at 1.0 MeOH/PC molar ratio and increased with the reaction temperature.

포도 種實의 脂肪酸 및 Amino酸 組成에 關한 硏究

金東弼 광주보건대학 1980 論文集 Vol.5 No.-

In the graps seed, proximate components and some chemical constants of the oil were determined to promote it's utility. Fatty acid composition of grape seed oil and amino acid composition of grape seed oil meal were analyzed with gas-liquid chromatography and amino acid autoanalyzer respectively. The results are summarized as follows: 1. The grape seed containedl0.72% moisture, 12.89% crude fat, 20.95% crude protein, 1.79% crude ash and 53.65% carbohydrate. 2. The value of acid, saponificationand iodine of the grape seed oil were 4.12, 190.26 and 132.62 respectively. 3. The fatty acids of the grape seed oil were composed in linoleic acid (65.70%), oleic acid (22.34%), palmitic acid (7.88%), stearic acid (2.52%), palmitoleic acid (0.62%) and arachidic acid (0.55%). 4. amino acid composition of grape seed oil meal were quantitatively determined as 2.41% aspartic acid, 0.66% threonine, 1.01% serine, 8.52% glutamic acid, 2.23% glycine, 1.23% alanine, 1.41% valine, 1.33% isoleucine, 1.85% leucine, 0.89% phenylalanine, 1.14% lysine, 0.90% histidine, 2.30 % arginine and 0.37% ornithine.