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황선철,이창규,윤효숙 高麗大學校 倂設 保健大學 保健科學硏究所 1993 保健科學論集 Vol.19 No.1
Junior college education in Korea started principally as a vocational training program in 1960s mainly for enforcement of industrial intermediate technical manpower. Since first Ministry of Education of Korea approved allied health professional education program with 2-year course started in 1963, the role played by the force at various fields related with medical and health sciences has become one of the indispensable factors to bring up standard of health, and eventually dedicating the nation's improvement of welfare indices. However, the education itself has been staggering in a way because of monopoly policy of the government and self restriction of the educators involved in the junior college level of education, Another reason was that, like in any other countries, higher education, 4-year college, should go ahead of the 2-year program in every respect. Nonetheless, junior college education program has been gradually but very slowly upgraded to meet the standard set by the Ministry, and after 30 years of hard try, the balance of supply and demand of the forces became closely equivalent. Curricula of some fields were extended to 3 years from original 2 years, and even bachelor's degree along with graduate courses have been initiated. Still major working forces engaged in the country' s medical and health professions are junior college graduates with almost no opportunity to transfer for advanced educational institution due to the barrier set by the law for the time being. The restriction made the quality of the entire forces being limited and disadvantageous to cope with the ever developing professional technology of the world. To enrich the educational and vocational programs of the allied health science, the factors mentioned below should be considered seriously. 1. The transfer opportunity for junior collage graduate to higher educational institutions must be open. 2. The educational institutions should be given more liberty to operate and develop their own institutions. 3. To upgrade the quality of the forces, specialty, sub-specialty and grade cerificate system of the profession must be established by the appropriate organizations. 4. Evaluation system of institutions, students, and teaching must be strengthened as one of the means to maintain higher quality of the education. 5. The curriculum development programs for the profession should be based upon the priciple of multidisciplinary program to cover wide range of modern needs. 6. For their recognition and achievement in education, the proper degree should be awarded to the junior college graduates. Presently, only diploma is given to them.
Arbitrarily Primed PCR을 이용한 한국에서 유행하는 황색포도상구균의 분자유전형에 대한 연구
황선철,이창규,이승관,이동호,정수경,최현일,윤건석,정운원,윤효숙 高麗大學校 倂設 保健大學 保健科學硏究所 1998 保健科學論集 Vol.24 No.1
Eighty methicillin-resistant Staphylococcus aureus(MRSA) isolates were typed by applying arbitrarily primed-PCR(AP-PCR) method to clarify their distribution of molecular genetical characteristics. Among 40 gentamicin resistant strains of MRSA(GR-MRSA), 33 isolates drawn on the dendrogram fell into a single cluster at the similarity level of 90% when primer S₁ was used. However, with the primer S₂, 24 out of 40 strains fell into a single cluster at the similiarity 90%. In the meantime, 22 out of 40 strains amplified fell into a single cluster at the similarity of 90% when the primer E₂ was used. From the combined data obtained, it can be statistically said that 65.8% of GR-MRSA isolates are related with genetical characteristics. In 40 gentamycin susceptible MRSA(GS-MRSA) strains, 18, 19 and 13 strains drawn on the dendrogram fell into a single cluster at a similiarity level of 90% with the primers S₁, S₂ and E₂, respectively. From the combined data obtained by the three above AP-PCR profiles, it can be concluded that 41.7% of GS-MRSA isolates showed high relatedness genetically.
기저귀 부위에서 분리된 세균종의 종류와 그 의의에 관한 연구
황선철,김혜순,이도희 高麗大學校 倂設 保健大學 保健科學硏究所 1987 保健科學論集 Vol.15 No.1
Skin normal flora protect the skin by their antimicrobial activity. This activity is affected by moisture, pH, temperature and CO₂content of the skin. When these factors go out of balance either by natural causes or by other reasons such as blockade of air passage or proliferation of pathogenic bacteria, it resulted in decreasing cutaneous resistance. One of the unfavorable factor maintaining the adequate number of skin flora is the wet diaper among infants. Urine or feces can be excellent nourishment for bacterial multiplication particularly the atopic dermatitis causing agents like S. aureus, and eroded epidermic membrane can cause metastatic effect of the inflammation. It was found through the experiment that 22% out of 200 samples from the skin attached diapers and its surrounding areas showed lactose fermenting gram negative bacilli, and 16% of non-lactose fermenting gram negative bacilli which is indicating the contamination by fecal species other than normal micro flora. S, aureus was also identified in 12% of the samples while 8% showed Candida species. When the time of the specimen collection diapers were not wet, and any atopic dermatitis was noticed, however, a few mild diaper rashes were shown. The rate of fecal contamination was very closely related with the resident area, household sanitation and frequency of diaper changing. There was no significant difference in micro flora isolation between diaper itself and the surrounding area.