중풍후(中風後) 언어장애(言語障碍)에 대한 침구치료(鍼灸治療)의 문헌적(文獻的) 고찰(考察)

김재수,이재동,최도영,박영배,고형균,안병철,박동석,김창환,강성길,이윤호,최용태,Kim Jae-Soo,Lee Jae-Dong,Choi Do-Young,Park Yeong-Bae,Koh Hyung-Kyun,Ahn Byoung-Choul,Park Dong-Seok,Kim Chang-Hwan,Kang Sung-keel,Lee Yun-Ho,Choi Yong-Tae 대한침구의학회 1998 대한침구의학회지 Vol.15 No.2

Purpose ; This Investigation was aimed to find out the Acupuncture therapy of verbal disturbance after stroke in Oriental Medicine. Methods ; We surveyed the oriental medical books which are from <Neiching> to recent published books that have articles about verbal disturbance. Results ; It is used on Acupuncture points: Yomchon(CV23), Amun(GV15), Chondol(CV22), Tongni(HT5), Pungnyung(ST40), Pungbu(GV16), Crugu(TE6), Yongchon(KI1), Hapkok(LI4), Paekoe(GV20), Kokchi(LI11), Puryu(KI7), Shinsu(BL23), Kumjin-okaek, Chohae(KI6). Conclusions ; The concept of phonation organ in Neiching is same as that of modern physiology. Verbal disturbance includes aphasia, dysarthrosis, aphonia, etc. The acupuncture treatment of verbal disturbance after stroke could be effective. Verbal disturbance of central nervous disease is relative with Sul-um(舌?) and that of periperal nervous disease is relative with Hu-um(侯?) in oriental medicine. From the above research, we could conclude that the acupuncture therapy on verbal disturbance should start from finding out the proper acu-points and theories in ancient oriental books and recent books and we will apply those acu-points and theories in clinic. We also concluded that the more research on clinical part should be performed.

Non-hemolytic, Mucinous, Coagulase Negative MRSA Isolated from Urine

김재수,최규태,정보경,김종완,김가연,Kim, Jae Soo,Choi, Qute,Jung, Bo Kyeung,Kim, Jong Wan,Kim, Ga Yeon Korean Society for Clinical Laboratory Science 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2

An 84-year-old woman presented to the emergency department with a chief complaint of pressure sores of the anus. She had a urine catheter when she showed pyuria three times but had no fever. A microscopic examination revealed many grapevine-like Gram positive strains and neutrophils. After 24 hours of urine culture on blood agar, non-hemolytic mucous colonies were found and further enlarged after 48 hours of culture. The capsules were identified after India ink stain. The catalase was positive, but the tube coagulase and latex coagulase were both negative. The S. aureus was identified by Vitek-2 and mass spectrometer Vitek MS V-3 IVD. The strain was confirmed by 16S rRNA gene sequencing and multilocus sequence typing (MLST). The phenotypically atypical MRSA found in the tube coagulase and latex coagulase were both negative. MRSA often show no beta hemolysis as in this case but are rarely latex coagulase-negative. We report a woman whose urine culture showed non-hemolytic, tube coagulase-negative, and latex coagulase-negative MRSA. 84세 여성이 항문까지 욕창이 번져 응급실에 내원하였다. 그녀는 근처의 요양기관에서 전원되었고, 입원시 소변 도뇨관을 달고 있었으며 열은 없었다. 그람염색에서 많은 수의 포도상구균과 >25의 호중구 (${\times}1000$배 렌즈)가 관찰되었다. 24시간 배양한 혈액한천배지에서 용혈이 없는 점액성의 집락이 관찰되었으며 배양 48시간에는 점액성이 더욱 확대되었다. India ink로 염색하여 협막의 모습을 관찰하였으며, 카타라제 양성, 라텍스법 혈액응고효소 음성, 시험관법 혈액응고효소 음성소견을 보였다. Vitek-2와 질량분석기인 Vitek MS V-3 IVD에서 S. aureus로 나타났으며, 16S rRNA 유전자 염기서열 분석 및 Multilocus sequencing typing (MLST)에서 S. aureus로 표준균주인 ATCC 29213과 99.9% 일치를 보였다. 본 증례는 용혈성이 없고, 점액성이 강하며, 라텍스법 혈액응고효소 음성, 시험관법 혈액응고효소 음성소견을 보이는 MRSA를 동정하여 이를 보고한다.

자율탐색 로봇 설계를 위한 M&S(Modeling & Simulation) 환경 연구

김재수,손현승,김우열,김영철,Kim, Jae-Soo,Son, Hyun-Seung,Kim, Woo-Yeol,Kim, R. Young-Chul 한국군사과학기술학회 2008 한국군사과학기술학회지 Vol.11 No.6

An autonomous reconnaissance ground robot performs its duty in various different environments such as mountain-scape, desert and under-water through changing its shape and form according to the environment it is working in. Making a prototype robot for each environment requires extra cost and time. It is also difficult to modify the problem after production. In this paper, we propose the adoption of M&S(Modeling & Simulation) environment for the production and design of the autonomous reconnaissance ground robot. The proposed method on the M&S environment contributed to the more effective and less time consuming production of the robot through the Pre-Modeling and Pre-Simulation process. For example, we showed the design and implementation of the autonomous reconnaissance ground robot under the proposed environment and tools.

최근 8년간 혈액배양에서 분리된 미생물의 항균제 감수성 양상: 2010~2017

김재수,공소영,김종완,임인수,김가연,Kim, Jae Soo,Gong, So Young,Kim, Jong Wan,Rheem, Insoo,Kim, Ga Yeon 대한임상검사과학회 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2

검사는 2010년부터 2017년까지 162,551 검체중 11,233 검체(6.9%)가 배양 양성이었으며, 이중 11,865 균주가 배양되었다. 배양된 균종 중 그람양성구균이 47.8%, 그람음성간균 38.8%, 그람양성간균 4.2%, 진균 6.8%, 혐기성균이 2.3%를 나타냈다. 배양결과를 성별로 비교하면 남성에서 분리된 균이 55.0% (2,732/4,969)로 여성에서 분리된 45.0% (2,237/4,969) 보다 많았다. 또한 연령별로는 70대가 28.7% (1,426/4,969)로 가장 많이 분리되었으며, 10대의 1.2% (62/4,969)와 많은 차이를 보였다. MRSA에 대한 내성률은 2016년 66.7%에서 2017년에는 46.8%로 많은 감소를 보였으며, E. faecium의 vancomycin 내성률은 35.0% (48/137)로 나타났다. 한편 장내세균에서 E. coli의 ESBL 양성률은 2010년 17.2%에서 2017년 28.8%로 증가하였으나, K. pneumoniae에서는 오히려 양성률이 감소하였다. P. aeruginosa의 MRPA는 11.8% (14/119), A. baumannii에서의 MRAB는 64.3% (161/252)로 높은 내성을 나타내었다. 혈액 검체에서 분리되는 미생물의 균종과 항균제 감수성 양상은 시기, 지역 및 대상환자 등에 따라 다르므로 병원균을 주기적으로 분석하고 이에 대한 항균제 감수성 정도의 변화양상을 파악하는 것이 병원에서 내성균의 감독과 조절에 큰 도움이 될 것으로 판단된다. During the time period from 2010 to 2017, out of 162,551 blood specimens, 11,233 (6.9%) specimens were positive for culture and 11,865 strains were cultured. Among the isolates, 47.8% were Gram positive cocci, 38.8% were Gram negative rods, 4.2% were Gram positive bacilli, 6.8% were fungi and 2.3% were anaerobes. When the culture results were compared according to gender, 55.0% (2,732/4,969) of the isolates were found in males and 45.0% (2,237/4,969) were isolated in females. In addition, when categorized according to age group, people in their 70s were the most separated by 28.7% (1,426/4,969) and this showed a great difference from 1.2% (62/4,969) of people in their teens. MRSA decreased significantly from 66.7% in 2016 to 46.8% in 2017. The vancomycin resistance rate of E. faecium was 35.0% (48/137). The ESBL positive rate of E. coli in intestinal bacteria was increased from 17.2% in 2010 to 28.8% in 2017, but the positive rate decreased for K. pneumoniae. 11.8% (14/119) of multidrug-resistant P. aeruginosa (MDRPA) of P. aeruginosa and 64.3% (161/252) of MDRAB of A. baumannii showed high resistance. Because the microbial susceptibility and antimicrobial susceptibility patterns of the blood specimens isolated from all the blood specimens differ according to the time period, region and patients, periodic analyses of different pathogens and understanding the changes in the degree of susceptibility to antimicrobial susceptibility have been conducted in hospitals.

구안와사(口眼喎斜) 환자(患者)의 Gadolinium-DPTA enhanced MRI 소견(所見)에 대한 임상적(臨床的) 고찰(考察)

김재수,최우석,김용석,고형균,강성길,김창환,Kim, Jae-Soo,Choi, Woo-Suk,Kim, Yong-Suk,Koh, Hyung-Kyun,Kang, Sung-Keel,Kim, Chang-Hwan 대한침구의학회 2000 대한침구의학회지 Vol.17 No.3

This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

Cross-sectional Study on Recurrence of Bell's Palsy

김재수,김지훈,김용석,고형균,강성길,김창환,Kim, Jae-Soo,Kim, Ji-Hoon,Kim, Yong-Suk,Koh, Hyung-Kyun,Kang, Sung-Keel,Kim, Chang-Hwan Korean AcupunctureMoxibustion Medicine Society 2000 대한침구의학회지 Vol.17 No.3

이 연구는 안면마비의 재발환자에 대한 한의학적인 원인 및 발생빈도, 나이분포, 재발기간, 가족력, 당뇨와의 관계를 파악하고자 한 것이다. 안면마비는 한방병원을 찾는 환자의 주요한 질환의 하나로서 침치료에 의해 좋은 효과를 보여왔으며 이에 대한 많은 연구가 있었으나 그 재발율에 대한 구체적인 연구는 없었다. 이에 본 연구에서는 경희의료원 한방병원 침구과에 내원한 안면마비 외래환자를 대상으로 초발, 동측재발, 대측재발로 나누어 단면적 분석연구를 시행하였다. 통계처리는 SPSS 8.0를 이용하였으며 chi-square test를 시행하였다. 544명의 외래환자중 7.4%의 재발율을 나타냈으며 동측재발과 건측재발은 통계상 유의성은 없었다. 또한 재발환자의 남여비에 대한 비율은 통계상 유의성이 없었다. 재발된 환자의 평균나이는 46.8세 이었고 재발기간은 8.74년이었다. 재발된 확률은 40세에서 59세 까지 높게 나타났다. 재발된 원인으로는 과로가 가장 높은 빈도를 보였으며 풍한, 정신적인 원인, 음주순으로 나타났다. 안면마비가 재발된 환자중에 당뇨병의 기왕력이 있는 자는 22.5%였으며 안면마비의 가족력은 42.5%의 높은 비율을 나타내었다.

봉독약침(蜂毒藥鍼)이 백서(白鼠) 대퇴동맥(大腿動脈)의 혈관연축(血管攣縮)에 미치는 영향(影響)

김재수,김형환,최호영,김창환,Kim, Jae-soo,Kim, Hyung-hwan,Choi, Ho-young,Kim, Chang-hwan 대한침구의학회 2003 대한침구의학회지 Vol.20 No.1

In order to study the effect of Bee venom(BV) on the subarachnoid hemorrhage animal model, the autologous whole blood was applied to the vicinity of the sprague dawley rat right femoral artery. Following periarterial application of autologous whole blood(PAB) and intraperitoneal injection of BV(1:5,000 nd 1:500), the vasomotor responses to BV(from 1:500,000 to 1:500) were identified and the histological changes, neovascularized blood vessel were observed. We have shown that alterations in vasomotor and histological findings are elicited following application of periarterial blood and i.p. injection of BV(1:5,000 and 1:500) induced heavy vasospasm and neovascularization on the subarachnoid hemorrhage like model form peripheral artery.

기업의 정보자원관리(情報資源管理)를 위한 정보(情報) 매핑

김재수,Kim, Jae-Soo 한국과학기술정보연구원 과학기술정보센터 1992 Journal of Information Science Theory and Practice Vol.23 No.4

정보(情報) 매핑을 사용하면 조직이 실제로 사용하고 있는 다수의 정보공급원(情報供給源) 및 서비스, 시스템들을 발견할 수 있고, 중요하지 않거나 중복되어 있거나, 불필요한 정보(情報)가 무엇인지를 발견할 수 있다. 이러한 정보자원(情報資源) 발견과정을 통하여 기업은 정보의 질(質), 접근성(接近性), 성능(性能), 유용성(有用性), 효율성(效率性)에 있어서 기업의 장점 및 약점에 연관된 문제점들과 적합성을 규명할 수가 있다. Using information mapping methodology we will discover which of the multitude of information sources, services and systems used by corporation are actually resources and which are less important, redundant, or unnecessary. The discovery process of information resources will illuminate problems and opportunities related corporation's strengths and weeknesses in information quality, accessibility, performance, use, and effectiveness.

표제(標題)와 초록(抄錄)의 색인성(索引性)과 정보량(情報量) 분석(分析)

김재수,남영준,Kim, Jae-Soo,Nam, Young-Joon 한국과학기술정보연구원 과학기술정보센터 1992 Journal of Information Science Theory and Practice Vol.23 No.2

본(木) 연구(硏究)에서는 자동색인(自動索引)의 색인어(索引語) 추출(抽出)에 있어 주요한 색인원(索引源)이 되는 표제(標題)와 초록(抄錄)등의 색인성을 비교 분석하였다. 결과는 표제만을 혹은 초록(抄錄)만을 색인원(索引源)으로 선정할 경우에 적절한 색인어(索引語)를 추출할 수가 없었으며, 표제(標題)와 초록(抄錄)을 동시에 색인원(索引源)으로 선정할 경우가 좀 더 적절한 색인어(索引語)를 확보할 수가 있었다. This study intends to measure the indexibility and the information quantity in title and abstract. The result of analysis was that when the source was title or abstract, result was not good. But when it was the title and abstract, the result was better.

사내 정보관리시스템 "TIMS"

김재수,권이남,Kim, Jae-Soo,Kwon, Yee-Nam 한국과학기술정보연구원 과학기술정보센터 1999 Journal of Information Science Theory and Practice Vol.30 No.3

산업기술정보원이 자체 개발한 사내 정보관리시스템인 TIMS의 구성과 주요특징, 제공기능 등에 대하여 설명하고, TIMS를 활용한 기업의 정보관리모델을 제시함으로써 기업의 정보관리 활동에 도움을 주고자 하였다. It is purposed to give an explanation of the constitution, major distinction and providing function of TIMS(Technology Information Management System) developed by KINITI(Korea INstitute of Industry and Technology Information). And, it is intended to help companies to manage information effectively by providing the model of information management of company.