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      • 도시공원의 이용후 평가에 기초한 공원의 개발지표 설정 : 부산광역시 암남공원을 사례로 Case Study of Amnam Park in Busan City

        박승범,김승환,남정칠,강영조,이기철,김석규 동아대학교 환경문제연구소 1999 硏究報告 Vol.22 No.2

        The purpose of this study is to investigate the prime factors that affect to user postoccupancy evaluation of activities and facilities in urban parks, to classify those factors, to find out factors about them, and then to suggest important indicators in the urban park planning, design, and development. The survey research was done using the self-administered questionnaire method by 435 peoples in the Busan City who participated in recreational activities in the Amnam Park. The Analysis of the data primarily consists of two phase: The first analysis was dealt an exploratory factor analysis which identified major factors involved in user postoccupancy evaluation with reacreational activities and facilities in Amnam Park by the SPSS(Ver.6.0) program and the second analysis was used to investigate the factors affected to user postoccupancy evaluation in the urban park by the Regression Analysis. According to the factor analysis, user postoccupancy evaluation of facilities in urban parks concerning the 20 variables, 5 prime factors by the staistical values were considered. The factor analysis showed that user postoccupancy evaluation of activities in urban parks concerning the 11 variables, 3 prime factors by the staistical values were analysed. Postoccupancy evaluation in the urban park by the Regression Analysis suggested that the two varlables as 'the directions of park development' and 'companies with the personal specific characteristics' are significant in addition to the some variables presented in user postoccupancy evaluation with reacreational activities and facilities in Amnam Park by the factor analysis. Furthomore the analysis models were identified as having significant effects on the factor and regression analysis. Overall fits of both models were very good. These significant relationships indicate important factors and variables that should be considered in planning, design, and development of the urban parks. Therefore, development direction of the h a m park has to be analyzed as significant factors concerning user postoccupancy evaluation in a systematic way, recognized as important variables for planning process. The urban park has to be fully designed and established in the planning process not by the decision-maker's subjective evaluation but by user postoccupancy evaluation.

      • Development of a Mobile Application, "Wild Flowers of Bukhansan National Park (version 1.0)", for Identification of Plants in Bukhansan National Park

        Kim, Sang-Tae,Lee, Seung-Yeon,Kim, Seung-Chul,Byun, Hye-Won,Lee, Sang-Tae,Kim, Mu-Yeal,Hong, Seok-Pyo,Chung, Young-Jae,Park, Ki-Ryong,Lee, Chung-Hee,Lee, Joong-Ku,Heo, Kyeong-In,Lee, Ji-Ye,Lee, Eun-Je National Science Museum of Korea 2011 Journal of Korean nature Vol.4 No.3

        We developed the educational purpose mobile application, named "Wild Flowers of Bukhansan National Park (version 1.0)", aiming for easy identification of wild flowers for students and visitors in the park. When visitors find a flower or part of plant in the park, visitors can search for its name utilizing the pictures and characters provided in their own smartphone mobile devices or tablet PCs. The application provides pictures of wild flowers in the park and character-based searching system based on 12 diagnostic features (e.g., growth form, leaf arrangement, flower symmetry, petal color, petal number, sepal number, etc). We adopted the complete floristic survey of Chung and Lee (1962) and added species that we confirmed their distribution in the park during the development of this application. In summary, number of vascular plants in this park was estimated to be 428 taxa including 100 families, 280 genera, 327 species, 1 subspecies, 50 varieties, and 5 formas. We provided a total of 588 pictures representing 358 taxa and each taxon includes multiple pictures in many cases. Included identification quizzes can be an efficient educational tool as well as fun activity for students and visitors who are learning plant species in Korea. Our next step will include GPS function in the application for indicating visitor's location and for providing previously reported sites of the species that we interested in the map of the park. The future application which includes GPS function will be a valuable tool for the monitoring of rare plants, plant researches related to the climate changes, etc. We currently provide Korean iPhone version only, and English version and both of android versions will be serviced soon.

      • KCI등재

        한국 국립공원 산림생태계의 수목 탄소저장량 평가

        이상진,박홍철,박관수,김현숙,이창민,김진원,심규원,최승운,Lee, Sang-Jin,Park, Hong-Chul,Park, Gwan-Soo,Kim, Hyoun-Sook,Lee, Chang-Min,Kim, Jin-Won,Sim, Gyu-Won,Choi, Seung-Woon 한국환경복원기술학회 2022 한국환경복원기술학회지 Vol.25 No.3

        The purpose of this study is to quantitatively evaluate the amount of carbon storage for trees in forest ecosystem to support the foundation for carbon neutrality implementation in Korea National Park. It targeted 22 national parks designated and managed as national parks in Korea, and conducted research on forest trees in the terrestrial ecosystem among various natural and ecological carbon sink. The survey and analysis method followed the IPCC guidelines and the National Greenhouse Gas Inventory in Korea. The amount of tree carbon storage in the forest ecosystem of Korea National Park was confirmed to be about 218,505 thousand CO<sub>2</sub>-ton and the amount of carbon storage per unit area was 570.8 CO<sub>2</sub>-ton per hectare. Compared to 299.7 CO<sub>2</sub>-ton per hectare, the average carbon storage per unit area of the entire Korean forest, it was found that about twice as much carbon was stored when assuming the same area. In other words, it means that the tree carbon storage function of the national park is about twice as high as that of the average tree carbon storage function of entire Korean forest. It has great implications in Korea National Park not only provides biodiversity promotion and exploration services as a national protected area, but also performs excellent functions as a carbon sink.

      • 파트너십에 의한 지하철 입구 공간의 쌈지공원 설계 및 시공

        김승환,강현우,손용욱,박승범,남정칠,이기철,차민준 東亞大學校 建設技術硏究所 2009 硏究論文集 Vol.32 No.2

        A pocket park is valued in securing green space in downtown and improving urban view in the aspect of natural and environmental values, and it signifies a lot as the center of local residents’ community and harmony as well. Since subway exits and surroundings that have high portions in taking up street space due to lack of green space in downtown aren't made full use of, valuable pocket park place. Dangni Pocket Park of subway exits is a park completed with cooperative works and partnership by students, specialists, administrative organizations, businesses and civilian organizations, etc. without support of special budget. The study site was finally chosen to the space between exit No.1 of Dangni subway station, after analyzing the surrounding circumstances, availability and accessibility of the space among the several subway station exits of Saha, Dangni, and Hadan Station in Busan Metropolitan city. For the designing process, The Citizens organization for Million Amenity Park performed the planning and project proceeding, and 19 design drafts were proposed during the class of landscape architecture in Dong-a University. Design review panel members discussed to select the best draft in practical and authentical, and the related experts reviewed and revised to present the final design plan. The construction was conducted was performed under the cooperation between the civil, authorities, and industrial organizations, among which Saha District office managed for the waste treatment and maintenance matters. The graduates of landscape architecture department of Dong-a University and related industrial enterprises supplied landscape materials and related labors, were supported by 20 members of GPM, one of clubs of Dong-a University volunteered durig the most of construction progress, completing the Pocket Park of subway exits through partnership.

      • KCI등재

        국립공원 3개 저수지에 서식하는 생태계교란 어종의 서식양상과 먹이생물, 어류상에 미치는 영향

        박승철 ( Seung-chul Park ),이광열 ( Kwang Yeol Lee ),최광식 ( Kwang-seek Choi ),한미숙 ( Mee-sook Han ),고명훈 ( Myeong-hun Ko ) 한국어류학회 2021 韓國魚類學會誌 Vol.33 No.2

        본 연구는 국립공원 내 생태계교란 어종 배스와 블루길의 도입에 따른 영향을 파악하기 위해 2020년 금계지, 삼가지, 내장지에서 조사를 실시하였다. 금계지에서는 7과 11종 1,221개체가 채집되었고, 배스는 우점종 (96.3%), 블루길은 소수 (0.3%) 서식하고 있었고, 배스는 주로 밀어 (IRI, 37.2%)와 잠자리목(25.6%), 뱀잠자리목 (11.6%), 배스 (7.0%) 등을 섭식하였다. 삼가지에서는 5과 10종 854개체가 채집되었고, 배스는 우점종(60.8%)으로 주로 새우류 (33.6%)와 잠자리목 (34.4%), 밀어(21.2%), 피라미 (6.1%) 등을 섭식하였다. 내장지에서는 7과 13종 1,075개체가 채집되었고, 블루길은 우점종 (38.1%), 배스는 우세종 (9.5%)으로 나타났으며, 블루길은 주로 물벼룩류 (IRI, 77.5%)와 파리목 (9.8%), 새우류 (4.0%) 등을 섭식하였고 배스는 주로 밀어 (73.3%)와 새우류 (21.2%) 등을 섭식하였다. 금계지와 삼가지의 배스는 10여 년 전에 도입된 것으로 추정되고, 도입 이후 대부분의 어류는 개체수가 급격히 감소하였다. 내장지의 블루길은 20여 년 전에 도입된 것으로 추정되며, 도입 이후 상대풍부도가 점점 증가하여 40%대에 도달하였고, 배스는 5~6년 전에 도입되었고 도입 이후 자생 어류의 종수와 개체수가 급격히 감소하였다. 마지막으로 국립공원 내 배스와 블루길의 서식현황 및 관리방안에 대해서 논의하였다. This study was conducted to elucidate the impact of invasive species, Micropterus salmoides and Lepomis macrochirus in Geumgyeji, Samgaji and Naejangji reservoirs of National Parks, Korea in 2020. In the Geumgyeji, 1,221 individuals of 11 species in 7 families were collected including M. salmoides (relative abundance, 96.3%) and L. macrochirus (0.3%), M. salmoides fed mainly on Rhinogobius brunneus (IRI, 37.2%), Odonata (25.6%), Megaloptera (11.6%), and M. salmoides (7.0%). In the results of Samgaji showed that 854 individuals of 10 species in 5 families were collected including M. salmoides (60.8%), and M. salmoides fed mainly on Decapoda (shrimp, 33.6%), Odonata (34.4%), R. brunneus (21.2%), and Zacco platypus (6.1%). In the Naejangji showed that 1,075 individuals of 13 species belonging to 7 families were collected including L. macrochirus (38.1%) and M. salmoides (9.5%), and L. macrochirus fed mainly on Branchiopoda (77.5%), Diptera (9.8%), Decapoda (4.0%) and M. salmoides fed mainly on R. brunneus (73.3%), Decapoda (21.2%). M. salmoides of Geumgyeji and Samgaji were apparently introduced more than a 10 years ago. The fish population declined rapidly since the introduction of M. salmoides. L. macrochirus of Naejangji was introduced more than 20 years ago, which increased its relative abundance to 40%. M. salmoides was introduced five to six years ago, and the fish species and population declined rapidly since the introduction of M. salmoides. Finally, we discussed the inhabitat status and management of M. salmoides and L. macrochirus in the National Park.

      • 암남공원의 식물상과 삼림식생에 관한 연구

        남정칠,박승범,김승환,강영조,이기철,이정아 동아대학교 환경문제연구소 1999 硏究報告 Vol.22 No.1

        The objective of this study is to analyze the flora and forest vegetation of Amnam urban natural Park. 10 transects of quadrat of 10×10m were selected for the experiment. They were surveyed from January to October 1997. The obtained results were summerized as follows ; 1. The flora of plants distributed in Amnam Park was 88 families, 245 genus, 374 species. Dicotyledom in an angiosperm was 81.3% of total percentage was 73 families, 194 genus, 304 species, Monocotyledonous plant was 13.9% of total percentage was 7 families, 38 genus, 52 species, Gymnospermous plant was 2.1% of total percentage was 4 families, 5 genus, 8 species. Pteridophyta was 2.4% of total percentage was 3 families. 7 genus, 9 species, Shave grass was 0.3% of total percentage was 1 family, 1 genus, 1 species. 2. The representative wood plants of Amnam Park were Pinus thunbergii, Machilus thunbergii, Camellia japonica, Quercus spp., Celtis sinensis, Morus bombysis, Prunus sangentii, Sorbus alnifolia, Albizzia julibrissin, Juniperus rigida, Platycaya strobilacea, Lespedeza spp., Zanthoxylum piperitum, Zanthoxylum schinifolium, Rhus spp., Carpinus coreana, Mallotus japonicus. Ficus erecta, Pittosporum tobira, Eurya japonica. Elaeagnus macrophylla. 3. The area of plant community in Amnam Park was 84.29% in Pinus thunbergii community. 6.7% in Quercus dentata-Celtis sinensis community, 1.5% in Pittosporum tobira-Eurya japonica community, 1.4% in Quercus aliena-Prunus sargentii community, 1.29% in Pinus thunbergii-Pittosporum tobira community, 1.27% in Pinus thunbergii-Eurya japonica community.

      • KCI등재

        GIS 를 이용한 산불 진화용 저수탱크 적지 분석에 관한 연구

        이기철(Gi Chul Yi),김승환(Seung Hwan Kim),남정칠(Jung Chil Nam),박승범(Sung Burm Park),강영조(Young Jo Kang),옥진아(Jin A Ok) 한국지리정보학회 1998 한국지리정보학회지 Vol.1 No.2

        이 논문의 주요 목적은 지리정보체계의 지도모델링 기법을 이용하여 소규모 산림의 산불 진화용 저수 탱크의 적지 분석에 있다. 부산광역시 서구에 위치한 암남 도시자연공원을 대상으로 산불진화 모델에 필요한 산불 진화 시설, 지형 등의 수치 지도 데이터베이스를 만들었다. 암남공원에 현재 설치되어 있는 산불 진화 시설에 근거해 조기진화가 가능한 지역과 산림의 산불 진화 효과를 밝히기 위해 지리정보체계를 이용한 서술적 지도모델링 기법을 적용해 현재의 저수 탱크 시 The objective of this paper is to develop a cartographic model for water tank suitability for small forest fire extinction using GIS. Various digital maps were created using CAD & GIS for Amnam urban park. which is located in Seogu, Pusan city. The park h

      • 도시공원녹지의 계절별 토양특성이 곰솔의 생육에 미치는 영향

        김석규,박승범,남정칠,김승환,이기철 東亞大學校 建設技術硏究所 2006 硏究論文集 Vol.29 No.2

        The purpose of this study is to clarify correlations between soil environments and the growth of trees in urban park and green areas and thereon analyze effects of seasonal changes in such environments on such growth. To determine seasonal factors of soil affecting the vitality of Pinus thunbergii, first of all, the study designated the vitality as a dependent variable and soil hardness, moisture, pH, K, Na, Mg and Ca as independent variables. Then the study performed Pearson's coefficient analysis. Based on findings from the analysis, the multiple regression analysis were carried out. The result of the study can be described as below; When correlations between the independent and dependent variables were examined using Pearson's correlation analysis, it wa found that the vitality, soil hardness, K, Na, Mg and Ca were significant at the level of 5%. Among those significant variables, the vitality and Mg were most correlated with the coefficient of 0.415, while K and Mg were least correlated with that of -0.235. Considering findings from the coefficient analysis, this researcher performed multiple regression analysis to determine soil factors influencing the growth of Pinus thunbergii. As a result. it was found that the growth was most influenced by Mg, followed by soil hardness and Ca in order. To clarity what soil factors influence the growth of Pinus thunbergii in spring, the researcher carried out multiple regress ion analysis to find that the growth was most influenced by pH. followed by soil hardness. Then the researcher applied multiple regression analysis to determine soil factors influencing the growth mentioned above in summer. The analysis showed that no soil factors affected the vitality at the significance level of 5% for t. Concerning relative importance based on the standard regressive coefficients, or β, K had the coefficient of 0.437 suggesting it was relatively more influential comparing to the other independent variables. Soil factors which influence the growth of Pinus thunbergii in fall were determined through multiple regressive analysis to find that the growth was influenced by soil hardness in the same season. Also such factors as affecting the growth mentioned above in winter were clarified using multiple regressive analysis to show that the growth was most influenced by soil hardness, followed by Mg, pH and Ca in order. In conclusion soil hardness had effects on the growth of Pinus thunbergii throughout four seasons except summer. Thus soil hardness is the most important factor for the growth of Pinus thunbergii. 본 연구는 도시공원녹지의 토양환경과 수목생육과의 상관관계를 구명하고, 계절별 토양 특성의 변화가 수목의 생육에 미치는 영향을 분석하고자 하였다. 곰솔의 수목활력 도에 영향을 미치는 계절별 토양인자를 알아보기 위하여 수목활력 도를 종속변수로 지정 하고 토양경도, 토양수분함량, 토양 pH , K, Na, Mg,Ca함량을 독립변수로 지정하여 Pearson 상관 분석을 수행한 후, 그 결과를 이용하여 다중 회귀분석을 실시하였으며 그 결과는 다음과 같다. 1) 각 변수들 간의 Pearson 상관분석을 실시한 결과, 유의확률 값 5%수준에서 유의한 변수는 수목활력도와 토양경도, K, Na, Mg Ca로 나타났다. 유의한 변수들 중 에서 수목활력도와 Mg가 상관계수 0.415로서 상관성 이 높게 나타났고 K와 Mg가 상관계수 - 0.235 로 상관성이 가장 낮게 나타났다. 2) 상관분석 결과를 바탕으로 곰솔의 생육에 미치는 조사지의 토양인자를 알아보기 위해 다중 회귀 분석한 결과, 경도, Mg, Ca가 수목활력 도에 유의적인 영향을 미치는 것으로 판단할 수 있었으며, 곰솔의 생육에 영향을 미치는 토양인자는 Mg, 토양경도, Ca 순으로 나타났다. 3) 곰솔의 생육에 영향을 미치는 봄철의 토양특성은 pH, 토양경도 순으로 나타났고, 곰솔의 생육에 영향을 미치는 여름철의 토양 특성은 없는 것으로 나타났으며, 곰솔의 생육에 영향을 미치는 가을 철 의 토양특성은 토양경도로 나타났고, 곰솔의 생육에 영향을 미치는 겨울철의 토양특성은 토양경도, Mg,pH, Ca 순으로 나타났다. 본 연구의 결과, 곰솔의 생육에 영향을 미치는 토양특성 중에서 토양경도는 여름을 제외한 모든 계절에 영향을 미치는 중요한 토양인자로 나타났다.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • 병원과 지역사회에서 메티실린 내성 황색 포도상구균(methicillin-resistant Staphylococcus aureus) 감염의 임상 분자역학 연구

        박정원,이종섭,송준영,김철현,엄중식,정희진,김우주,박승철 대한화학요법학회 2002 대한화학요법학회지 Vol.20 No.2

        목적 : 국내에서 1990년대 이후 중요한 병원균으로 대두되고 있는 methicillin-resistant S. ureus(MRSA)는 주로 입원환자에서만 분리되는 것으로 알려져 있으나, 최근들어 지역사회에서도 퍼져있는 것으로 알려지기 시작하였다. 이에 병원획득 및 지역사회획득 MRSA의 임상역학 및 분자역학적 연구를 통하여 획득요인, 병원과 지역사회 획득 균주간의 교류 양상등을 규명하고자 하였다. 방법 : 1998년 1월부터 12월까지 고려대 부속 구로병원에서 임상검체로부터 분리된 S. aureus 균주중에서 MRSA 균주의 빈도를 구하였고, 이중 1998년 10월 1개월 동안 분리되었던 42균주에 대하여 지역사회획득 균주와 병원획득 균주로 나누고, 임상역학적 조사를 하였다. 지역사회 획득 18주와 병원획득 22주에 대하여 PCR 방법으로 mecA 유전자를 확인하였고, PFGE를 시행하여 균주의 클론형(clonal type)을 결정하고 이 결과에 준하여 덴드로그램 분석을 시행하여 분자적 친밀도를 결정하였다. 결과 : 1998년 1년간 분리된 총 1,587주의 S. aeureus 균주중 73.8%(1,163주)가 MRSA 였다. 1998년 10월 1개월 동안 임상자료의 고찰이 가능하였던 MRSA 감염환자 42명 중 20명이 지역사회획득 환자였고, 병원획득 환자가 지역사회획득 환자보다 항생제사용 과거력(17 vs 5, p=0.001), 기저질환의 존재(18 vs 8, p=0.002) 등이 통계적으로 의미있게 높았다. 지역사회획득환자가 이루(7/20[35.0%] vs 2/22[9.1%] ; p=0.041)와 밀접한 관계가 있음도 확인하였다. 분자생물학적연구가 진행된 40주의 MRSA 균주는 모두 mecA 유전자 양성이었고, 18주의 지역사회획득 균주에서 총 8가지의 PFGE 클론형이 존재하였으며 A형이 가장 많았다(7/18, 38.8%). 22주의 병원획득균주에서는 6가지의 클론형이 존재하고 A형이 가장 많았으며(15/22, 68%), 15주의 지역사회획득 균주(83.3%)가 21주의 병원획득균주와 공통적인 클론형을 공유하고 있었다. 결론 : 지역사회 획득 MRSA는 주로 이루나 창상부위에서 많이 분리되는 반면 병원획득 MRSA는 객담에서 많이 분리되고 또한 당뇨병을 가진 환자에서 감염을 잘 일으키는 것으로 밝혀졌다. PFGE 분석 결과 원내감염은 단일균주에 의한 유행양상을 보였고, 지역사회에서도 같은 형의 균주에 의한 감염빈도가 가장 높음을 보여 MRSA 균주가 지역사회로 유입되어 지역사회내 MRSA 감염의 발생에 기여했을 것으로 사료된다. Background : Until recently, methicillin-resistant Staphylococcus aureus (MRSA) infection has been acquired primarily in hospital settings. During the late 1990s, the incidence of community-acquired MRSA infections has been increased in this university hospital. This retrospective study evaluated the clinical features and risk factors for community-acquired MRSA infection compared with hospital-acquired MRSA infection; and molecular relatedness of MRSA strains determined by pulsed-field gel electrophoresis(PFGE). Method: MRSA isolates collected from patients during October of 1998 were classified as community-acquired("community') or hospital-acquired("hospital") cases. MRSA infections were defined as hospital-acquired if organisms were isolated > 48 hours after admission to the hospital or isolated from patients with a history of admission to a hospital within the last 3 months. A comparative analysis of risk factors for community MRSA compared with hospital MRSA was performed. mecA gene PCR and PFGE of MRSA isolated was used as a tool of strain identification and molecular typing. Result : During one month, there were 42 patients with MRSA infection or colonization. Of 42 patients with MRSA isolates, 22(52%) were hospital cases and 20(48%) were community cases. Previous exposure to antibiotics(17 vs 5, p = 0.001) and presence of underlying diseases (18 vs 8, p = 0.002) were more common in hospital cases than in community cases. MRSA were more frequently isolated in otorrhea specimens from patients with otitis media in community cases compared with hospital cases. Of the 40 MRSA isolates subjected for PFGE typing, 18 were community isolates and 22 were hospital isolates. There were 8 distinct PFGE types among the 18 community isolates and type A was the most common clonal type (7/18, 38.8%). 22 hospital isolates were of 6 distinct PFGE types, and type A was dominant clonal type (15/22, 68%). PGFE subtyping indicated that 15(83.3%) of 18 community MRSA strains were clonally related with that of 21 hospital MRSA strains. Conclusion : Our results suggest that hospital MRSA strains may have disseminated in the community setting. PFGE subtyping support the finding that MRSA is circulating beyond nosocomial settings in the regional community.

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