성인에서 Haemophilus influenzae 감염증의 임상양상과 미생물학적 특성

이종섭,황병연,정희진,김우주,박승철,이도현,이창규,신종희,황규잠,이영희 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.2

목적 : H. influenzae는 성인에서 흔히 호흡기 감염을 일으키는 균주로, 최근 ampicillin 내성 β-lactamase 생성 균주들이 지속적인 증가를 보이고 있어, 이에 국내 성인에서 H. influenzae에 의한 감염의 임상양상과 분리된 균주들의 미생물학적 특성을 조사하고자 하였다. 방법 : 1998년 3월부터 1999년 9월까지 고려대 구로병원에 내원한 환자중에서 H. influenzae가 분리된 68명을 대상으로 임상양상을 조사하고 항균제 감수성 검사를 시행하였다. 분리된 33주에 대해서 혈청형, 생물형, 세포외막 단백분석을 시행하였고, β-lactamase 생성여부에 따른 감염 환자군간 임상상 및 예후의 차이를 비교하였다. 결과 : 환자의 평균연령은 68세였고, 지역사회 획득감염이 전체의 85%를 차지하였다. 폐렴과 기관지염과 같은 하기도 감염이 전체환자의 75%를 차지하였고 분리 검체 역시 객담이 84%로 가장 많았다. 환자의 71%가 기저질환을 가지고 있었으며, 그 중에 만성 폐쇄성 폐질환, 심혈관 질환, 악성종양, 당뇨병이 대부분이었다. 혈청형으로는 nontypeable 형이 68%로 가장 많았고 b형은 한 예도 없었다. β-lactamase 생성율은 63.2%였고, β-lactamase 양성균주의 항균제 내성율이 음성균주에 비하여 높았으나 β-lactamase 생성 여부에 관계없이 cefotaxime, azithromycin, ciprofloxacin에 대하여 100%의 감수성을 나타내었고 cefaclor, cefuroxime에 대해서는 10% 이하의 낮은 내성율을 보여 이들 항균제들이 치료에 효과적일 것으로 사료된다. 세포외막 단백분석에서는 C형과 D형이 전체의 64%로 가장 많았으며, 혈청형과의 유의한 연관성은 보이지 않았다. 결론 : 성인에서 H. influenzae는 주로 만성 기저질환자에서 급성 호흡기감염 또는 만성 폐쇄성 폐질환의 급성 악화를 유발한다. 기존의 보고에 비해 β-lactamase 양성율이 증가하였고, 이에 따른 항균제 내성율도 증가하여 항균제의 선택에 유의하여야 할 것으로 생각된다. 세포외막 단백분석상 특정한 유형의 균주에 의해 감염이 집중적으로 발생하고 있어 향후 역학 조사의 도구로 이용할 수 있겠다. Purpose : H. influenzae is one of the common causative microorganisms of respiratory tract infections in adults. Recently. β-lactamase producing, ampicillin-resistant H. infiuenzae has become worldwide problem as well as in Korea. We studied to investigate the clinical features and microbiologic characteristics of H. infiuenzae infections in adults. Materials & Methods : From March 1998 to September 1999, 68 patients were enrolled in this study. Clinical features of H. infiuenzae infections were investigated, 68 isolates were subjected to the β-lactamase test, and 33 isolates were used for serotyping. biotyping, antibiotic susceptibility and outer membrane protein (OMP) analysis. Results : Mean age of study patients was 68 years-old and the acquisition rate in community was 85%. Pneumonia and bronchitis were the most common type of infection such as 80%, sputum was the most common clinical specimen for H. mQuenzae isolation. 70% of patients had chronic underlying diseases. Non-typeable strains were 68% and β-lactamase producing rate was 63%. There was no difference in the clinical features and prognosis of H. influenzae infection between the β-lactamase positivie and -negative groups. The susceptibility of cefotaxime, azithromycin, and ciprofloxacin was 100% and that of cefaclor, cefuroxime was under 10% in spite of β-lactamase positivity. In OMP analysis, C and D types were dominant (64%). Conclusion : H. influenzae caused acute respiratory infections in adults with chronic underlying disorders. This study shows higher β-lactamase producing rate and antibiotic-resistance rate than that were reported previously. OMP analysis shows that two major types of strains cause clinical infections intensively.

태국 군주시대 여성의 지위(1238년-1932년)

황규희 부산 외국어 대학교 1999 外大論叢 Vol.19 No.3

The main purpose of this study is to analyse the traditional values which has affected the status of Thai women in the Monarchy Period(Sukhothai period-Before the Democratic period). For this purpose, the study adopts a cultural and historical approach. From the Sukhothai period to before the Democratic period, traditional Thai law decreed that women were merely regarded as chattlels of men. Women were considered part of a men's assets and hence were subjected to male overlordship. The patriarchal values especially is derived from the absolute monarchy. While men were directly linked by the king's order, women continued to be subservient to men whom she was associated with. This fact segregated men from women of equal relationships legally. Women's role were limited to the familial domain. On the other hand, men could extend their role from family into the more prestigious professions such as monks, courtiers, soldiers, or artists. Moreover, Buddhism justifies the power hierarchy. Under the sustem of absolute monarchy, the monarch had played a role as the "Lord of Life", but the "Righteous King". For the purpose of protecting and continuing Buddhism, women would be totally excluded from the monastic order for the fear that women could lead "holy men"astray. According to the views of Buddhism, such prejudice has become the basis on which men used to rationalize their claim to superiority over women: the monkgood itself is a "field merit", yet female a "polluting agent" to field of merit; therefore, women must be prohibited from entering the monastic order to protect the field of merit. As a result, the inferior the status of Thai women are affected by the interaction of patriarchal values and Buddhism in the Monarchy Period.

간호대학생이 지각하는 임상실습지도자의 교수효율성과 임상실습만족도의 관계

황현아,김희진,김예지,이규희,이영롱,박성희,손수빈 이화여자대학교 간호과학대학 2012 이화간호학회지 Vol.- No.46

Purpose: The purpose of this study was to investigate the relationship between teaching effectiveness and clinical practice satisfaction among nursing students. Method: The subjects of this study were 107 junior and senior nursing students in E university. Data were collected using self-reported questionnaire including general and practicum related characteristics, teaching effectiveness of clinical instructors and clinical practice satisfaction from September 12 to September 21, 2011. Collected data were analyzed by SPSS 19 program using t-test, ANOVA with Scheffe test, and Pearson`s correlation coefficients. Result: The mean score of teaching effectiveness was 3.35(±.51), and mean of clinical practice satisfaction was 3.19±.47. There were significant differences of teaching effectiveness of clinical instrutor by satisfaction of overall clinical practicum(F=8.332, p<.001), satisfaction of practice hour(F=3.230, p=.044), and satisfaction of major(F=9.883, p<.001). There were significant differences of clinical practice satisfaction by grade(t=2.274, p=.025), motive of choosing nursing science as a major(F=3.329, p=.007), satisfaction of overall clinical practicum(F=17.437, p<.001), satisfaction of practice hours(F=9.925, p<.001), and satisfaction of nursing major(F=12.748, p<.001). Relationship between teaching effectiveness of clinical instructor and clinical practice satisfaction showed positive correlation(r=.704, p<.001). Conclusion: In this study, teaching effectiveness of clinical instructor was related with clinical practice satisfaction. Therefore, we should consider improving teaching effectiveness of clinical instructor to improve clinical practice satisfaction.

태국의 싸릿정권에 관한 연구

황규희 부산정치학회 1991 부산정치학회보 Vol.1991 No.3

선천성 수근관 증후군 1례 보고

이규훈,황치문,김민석,김희상,안경회 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.3

고속전철 추진 시스템의 미끄럼 방지 제어기법에 관한 연구

황돈하,김동희,노채균,심광열,조규판,정원영 영남대학교 공업기술연구소 1999 工業技術硏究所論文集 Vol.27 No.2

Induction motor drive with PWM inverter control has been developed for Korean High Speed Railways. To improve traction performance, the anti-slip control(ASC) to recover adhesion must be considered. This paper describes a novel hybrid anti-slip control method for the induction motor drive. By introducing the vector control for drive system, quick response of the motor torque can be achieved when wheels are going to slip. A hybrid control scheme by mixing two conventional control methods (slip velocity feedback control and slip detection pattern control) for wheel slip and re-adhesion is proposed. This control method is simulated by motor drive, train load, and friction-creep models. The train running simulation results based on induction motor vector control with PWM inverter show that good re-adhesion characteristics are obtained.

農民所得增大를 위한 고구마의 栽培와 利用에 관한 硏究

黃鍾奎,梁熙天,崔定植,權涌周 全北大學校 1977 論文集 Vol.19 No.-

New varieties of sweet potato Sinmi and Hwangmi were cultivated in the reclaimed hilly area of four kinds of soil series in Jeonbug province and their growth conditions such as cutting time, row spacing, application of fertilizers and plant growth regulators and covering effect were investigated. Besides these studies on cultivation of sweet potatoes, experiments on the change of chemical components of sweet potato tubers, adaptibility for storage and drying of sliced sweet potato tubers were carried out. The results are summarized as follows : 1. The early cutting of May 20, alley of 90 X 20cm, application of potassium(28kg/10a)and covering produced the high yield of sweet potatoes. The apllication of OED green did not increase the yield of sweet potatoes, 2. The yield of Hwangmi was higher than that of Sinmi. These two varieties of sweet potatoes grew well in all the test soil series except Bansan. By early cutting of May 20, the highest yield of Hwangmi was obtained in Songjung series soil and the highest yield of Sinmi was in Yesan. 3. Starch content was higher in Sinmi than in Hwangmi while yield of starch per unit area was high in Hwangmi because of its high yield of sweet potato tubers. Both Hwangmi and Sinmi showed very high water content of more than 70 per cent. The highest yield of total solid matter from Sinmi was on September 15 and that from Hwangmi on September 30. Sinmi and Hwangmi harvested on September 30 showed the highest starch content. 4. Variation in water content, starch, soluble sugar, protein and fat content during storage was minimum in the sweet potatoes stored in the temperature controlled storage chamber and was maximum in those stored in the cave under ground. As a result, percent of grade A sweet potatoes remaining was highest in the temperature controlled storage chamber and lowest in the cave under ground. 5. Hwangmi was more susceptible to Rhizopus nigricans than Sinmmi, especially under the humid condition. 6. Shape and thickness of slice did not affect the yield of dried sweet potatoes but affected the time needed for drying. Depending on the thickness and the shape of slice, variations of 36 hours and 12 hours in drying time were observed respectively. Drying table was most effective in drying of sweet potatoes and drying rack was also effective and required 2 days less time than mat. Dipping in water did not show any effect on drying time but improved the color of dried sweet potatoes.

원발성 두개강내종양 2,616례의 통계학적 연구(1976-1995)

황승균,정희원,오창완,양희진,남도현,이상형,정영섭,김동규,왕규창,한대희,최길수,조병규 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.7

가스 검출장치를 이용한 변압기 절연유중 수소 가스 감지에 관한 연구

이동희,황규현 水原大學校 2004 論文集 Vol.22 No.-

In oil-filled equipment such as transformers, partial discharge or local overheating will make insulating material(oil, kraft paper, proclain and wood) be stressed and generate many sort of gases(CO, CO₂. H₂, C₂H₄) which are dissolved in transformer oil. The ratio of this gas can make diagnostic techniques of the lifetime of transfomer so, it is important to monitoring H2 gas continuously. This paper developes a system of detecting about H₂ gas by using H₂ gas sensor, and we describe operation and performance of this system

서지보호소자의 설치방식에 따른 기기의 뇌보호효과 검토

이동희,이영일,황규현 수원대학교 산업기술연구소 2004 산업기술연구소논문집 Vol.19 No.-

Lightning surge damages of low voltage equipments in building are increasing due to increase in electrical and communication networks in the information-oriented society. And electronic equipments contained electrical circuits with semiconductor are very weak against lightning surge. The surge protective devices for electronic circuit in electronic equipments and AC power lines are becoming more widely. To achieve effective method of surge protection, there are needs for correlation between lightning surge protective effect of electronic equipment and Installation method of surge protective device. This paper describes as a result of experiments for correlation between lightning surge protective effect and installation method of surge protective device.