사망진단서(사체검안서) 상의 선행사인으로부터 사망통계의 원사인이 선정되는 비율 : 3개 대학병원에서 교부된 사망진단서를 중심으로

박우성,박석건,정철원,김우철,탁우택,김부연,서순원,김광환,서진숙,부유경 한국의료QA학회 2004 한국의료질향상학회지 Vol.11 No.1

Background : To exatnine the problems intolved in writing practice of death certificates, we cotnpated the determination of underlying cause of death for wital statistics using recorded underlying cause of death in issued death statistics. Methods : We collected 688 rnortality certificates issue in year of 2,000 from 3 university hospitals. And we also collected vital statistics from ministry of statistics. The causes of death were coded by experienced medical record wpecialists. And causes of death determined at ministry of statistics for national vita statistics were mapped to causes of death recorded at each death certificates. The rate that underlying causes of death for vital statistics were derived from underlying causes of death recorded at issued death certificaties sere analysed. Results : 64.5% of underlying cause of death for could be derived from underlying cause of death recorded at issued death certificates, 8.6% derived from intermediate cause of death, and 3.9% derived from direct cause of death. In 23% of cases, underlying cause of death could not be derived using issued death certificates. The rate that underlying cause of death for vital statistics could be derived from underlying cause of death recorded at death certificates was different between 3 university hospitals. Ane the rate was also different between death certificates and postmortem certificates. We classified the causes of death using 21 major categories. The rate was different between diseases or conditions tha caused death too. Conclusion : When we examined the correctness of death certificate writing practice using abpve methods, cortectness of writing could not be told as satisfactory. There was difference in correctness of writing between hospotals, between death certificates and postmortem certificates, and between diseases and conditions that caused death. With this results, we suggested some strategy to improve the correctness of death certificate writing practice.

유아의 사회적 능력에 따른 창의성의 변화 비교

우수경(Soo Kyeong Woo),김호(Ho Kim),박숙희(Sook Hee Park) 한국열린유아교육학회 2015 열린유아교육연구 Vol.20 No.1

본 연구는 유아의 사회적 능력 수준에 따른 창의성의 변화를 비교하기 위하여 T광역시 소재 유치원의 만 4세 유아 147명을 대상으로, 우수경(2002)의 유아 사회적 능력 검사와 전경원(2001)의 유아 도형 창의성 검사를 실시하였다. 연구 결과, 첫 째, 사회적 능력이 높은 유아들이 낮은 유아들보다 창의성이 높은 것으로 나타났다. 그리고 사회적 능력과 창의성 측정 시기 간에 상호작용 효과가 있는 것으로 나타나, 사회적 능력이 높은 유아들의 창의성은 측정 시기마다 점점 증가한 반면, 사회적 능 력이 낮은 유아들은 창의성이 증가했다가 다시 감소하였다. 둘째, 창의성 하위요인별 로 볼 때, 유창성, 독창성, 개방성은 사회적 능력에 따라 차이가 있으나, 민감성은 차 이가 없었다. 그리고 창의성 하위요인 중 독창성은 사회적 능력과 독창성의 측정 시 기 간에 상호작용 효과가 있는 것으로 나타나, 사회적 능력이 높은 유아들의 독창성 은 측정 시기마다 점점 증가한 반면, 사회적 능력이 낮은 유아들은 독창성이 증가했 다가 다시 감소하였다. This study investigates the relationships change process between young children``s creativity and social competence. Participants consist of 147 kindergarten children in T-city. The instruments are Woo``s(2002) Children``s Social Competence Scale and Chon``s(2001) the Korean Figural Creativity Test for Young Children. The main findings of this study are as follows. First, a child’s creativity differs according to the child’s level of social competence. Children displaying high social competence demonstrate, as time goes by, increased creativity. Second, a child’s fluency, originality, and openness differ according to the child’s level of social competence, though no difference is observed regarding sensitivity. An interaction effect is found in originality and social competence such that a high level of social competence is associated, as time goes by, with an increase in originality.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

지문과 정신분열증

우숙희,정국동,최송표,조근자,양은진,김수일,박경란,이영호,김원식 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Fingerprint patterns of 333 schizophreniacs who met with the diagnostic criterias of International Pilot Study of Schizophrenia except items associated with chronicity in exclusion criteria were studied, and the following results were obtained. 1. The frequency distribution of the fingerprint patterns in the 333 schizophreniacs was ulnar loop, whorl, twinned loop, arch, radial loop in order in both control and schizophrenia groups. 2. Finger ridge counts of both sexes were decreased significantly in schizophrenia group. 3. Dissociation of fingerprint pattern in the schizophrenia group was 51.1%, which was far greater than 6.25% of control group. Number of dissociation was greatest in the thumb, followed by index, middle, ring, and little finger in order. According to the above results, it is considered that both the number of finger ridges and degree of dissociation of fingerprint patterns were closely related with schizophrenia. Analysis of fingerprints and palmprints with the aid of chromosomal analysis would contribute the early diagnosis and prevention of schizophrenia.

국내 시판 분말형식품의 영양구성 및 식품이용 빈도에 대한 실태조사

우자원,최숙희 우석대학교 부설 기초과학연구소 1996 기초과학연구소 논문집 Vol.1 No.-

This study was carried out in order to find out the nutrient composition and the frequency of the food used in the commercial powder-type foods. Twenty kinds of powder-type foods, being used as supplementary foods for infants and adults, were investigated in this study. 1. The nutrient composition was calculated based on the food composition table. The water contents of these powder-type foods were adjusted to 12%. The calory contents of these foods were 344-407Kcal per 100g of the food. Protein, lipid, carbohydrate, fiber, calcium, iron, vitamin A, B_1, B_2 and C contents per 100g of these foods were calculated. 2. The nutrient content per 100g of these powder-type foods as the % of RDA were calculated. And the relative nutrient content of these powder-type foods as the % of RDA were calculated on the supposition that RDA of energy were 100% supplied from these foods. In this case the protein and thiamin contents were above the level of RDA, respectively. Vitamin A and C contents were extremely low in the powder-type foods composed only of cereals and grains, legumes, and seeds and nuts. 3. The result on the frequency of the food used in these powder-type foods were as follows: brown rice, barley and glutinous rice were the basic food used in these powder-type foods. Cereals and grains, legumes, and seeds and nuts were the major food groups used in these and the average content of these food groups were 73.22%, 11.39% and 7.89%, respectively. And the average content of vegetables, fruits, fishes and shellfishes and sea weeds were 3.07%, 1.1%, 0.96% and 1.20%, respectively. 4. In these powder-type foods the correlation between the number of food group and the kinds of food used, and the nutrient content showed that the number of food group used and the content of vitamin A, B_1, B_2 & C were in positive correlation, and the kinds of food used were correlated soley with the content of vitamin C.

최소자승법을 이용한 분말형 식품의 단백질의 질적 상승을 위한 최적 가상배합 연구

우자원,최숙희 又石大學校 1996 論文集 Vol.18 No.-

This study was to investigate the quality of protein through optimum food combination in powder-type foods. The optimum combination of foods using the least square method based on FAO/WHO(1973) provisional score pattern was computerized and 371 food combinations in total were investigated. In the optimum combination of cereals, the proteins of buckwheat and rye were effective in the enhancement of protein quality of other cereals. The Korean principal foods of cereals and grains, and secondary foods of starchy roots, legumes, seeds and nuts were combined for optimum protein quality. The first limiting amino acid for these food combinations was threonine and Met + Cys.

나노크리스탈 약물 전달 기술

황우신,황성주,박정숙,조정원 충남대학교 약학대학 의약품개발연구소 2012 藥學論文集 Vol.27 No.-

Nanotechnology affects on various aspects including medicine and pharmaceutics. This nanocrystal technology which transforms to nano-sized material is able to develop the innovational formulation strategy for poorly water-soluble drugs due to the change of physicochemical properties of drug. Scale-up methods using pearl milling or high pressure homogenizer was described and commercialized products based on nanotechnology were introduced in this manuscript.

沙蔘의 化學的 成分에 關한 硏究

백숙은,우상규,김만욱 漢陽大學校 韓國生活科學硏究所 1991 韓國 生活 科學 硏究 Vol.- No.1

The proximate composition, free sugar, crude saponin fatty acid and minerals of wild and cultivated Codonopsis lanceolata and wild Adenophora triphylla were analyzed. The Condonopsis lanceolata (C.L.) had higher contents of crude fat and reducing sugar, smaller contents of crude protein and ash as compared with Adenophora triphylla (A.T.). In the free sugar content, C.L. had higher content of fructose as compared with A.T. Cultivated C.L. and wild A.T had higher contents of sucrose as compared with wild C.L. Maltose was detected only in the cultivated C.L. and its level was 0.18%. The content of crude saponin were 1.31% in the wild C.L., 1.58% in the cultivated C.L., and 0.55% in the wild A.T. The main fatty acid in the C.L. and the A.T. was linoleic acid and followed palmitic acid, linolenic acid. Unsaturated fatty acid in cultivated C.L., and wild A.T. was 63.76%, 57.93%, and 69.58% respectively. The richest mineral in C.L. and A.T. was K and followed by Ca. Wild C.L. and wild A.T. had higher contents of Na, Ca, Mg, Fe, Zn, Cu as compared with cultivated C.L.

국내 5개 3차 병원의 β-lactam계 항생제 사용 실태 및 Klebsiella pneumoniae의 항생제 내성과의 상관 관계

정숙인,박경화,권기태,고관수,오원섭,정두련,백경란,염준섭,장현하,김신우,손준성,송재훈 대한감염학회 2007 감염과 화학요법 Vol.39 No.4

Background : This study was performed to evaluate the prescribing pattern of β-lactam antibiotics and the relationship between antimicrobial resistance and antimicrobial use in 5 tertiary care hospitals in Korea. Materials and Methods : Data on annual patient-days and annual consumption (defined daily dose (DDD) per 100 patient-days) of β-lactam antibiotics from 2003 to 2005 in 5 tertiary hospitals were analyzed. To determine the antimicrobial resistance in K. pneumoniae, broth microdilution test and double disk synergy were performed according to the CLSI performance standards. Spearman's correlation coeffient was used to determine the relationship between antibiotic consumption and resistance. Results : The prescription of β-lactam antibiotics in 5 tertiary hospitals markedly varied. In two hospitals, increase in consumption of β-lactam antibiotics was more than 30% during recent 3 years. The higher consumption of β-lactam antibiotics significantly correlated with the higher rate of antibiotic-resistant K. pneumoniae in 5 tertiary care hospitals. Conclusion : Continuous surveillance of antibiotic use is needed to encourage appropriate prescribing of antibiotics and to reduce antibiotic resistance. 목적 : 항생제의 오남용으로 인한 내성균의 발현 및 급속한 확산이 전세계적으로 문제시 되고 있다. 특히 병원은 항생제 내성의 중심점에 있는 것으로 여겨진다. 본 연구에서는 최근 3년간 국내 5개 3차 병원의 β-lactam계 항생제의 사용량을 조사하고, 각 병원별 항생제 사용량과 K. pneumoniae의 항생제 내성률과의 상관관계를 알아보고자 하였다. 재료 및 방법 : 국내 5개 3차 병원에서 2003년 1월부터 2005년 12월까지 병원 입원 환자를 대상으로 연도별 재원연인원수와 각 β-lactam계 항생제의 총사용량을 수집하여 DDD (defined daily dose) per 100 patient-days로 환산하여 비교하였다. 2005년 6월부터 8월까지 각 병원의 임상검체에서 동정된 K. pneumoniae를 수집하여 액체배지미량희석법으로 항생제 감수성 검사를 시행하였고 ESBL(extended-spectrum β-lactamase) 생성 여부는 double disk synergy test를 시행하였다. 항생제 사용량과 내성의 상관관계는 Spearman 상관관계 분석을 시행하였다. 결과 : 5개 병원 중 3개 병원에서는 연도별 β-lactam계 항생제 사용량이 비슷하게 유지되었으나, 2개 병원에서는 2003년에 비해 2005년에 항생제 사용량이 30% 이상 증가하였다. β-lactam계 항생제 중 제제별 비율은 각 병원마다 차이가 있었으나, 3세대 cephaosporin의 사용이 가장 많았고 2세대 ceaphlosporin, β-lactam/β-lactamase inhibitor, 1세대 cephalosporin 순이었다. 경구용 β-1actam계 항생제의 사용량(r=0.900, P<0.037)과 2세대 cephalosporin의 사용량(r=0.900, P<0.037)은 각각 K. pneumoniae의 ESBL 생성과 양의 상관관계가 있었다. Ceftazidime의 사용량은 K. pneumoniae의 ceftazidime 내성률과 양의 상관관계가 있었다(r=0.900, P<0.037). 반면 imipenem의 사용량은 piperacillin/tazobactam 내성과 음의 상관관계가 있었다(r=-0.900, P<0.037). 결론 : 최근 3개년간 항생제 사용량은 병원별로 차이가 있으나 일부 병원에서는 증가하였다. β-lactam계 항생제의 사용량은 K. pneumoniae의 항생제 내성과 상관관계가 있었다. 항생제 사용을 줄임으로써 항생제 내성을 감소시킬 수 있을 것으로 기대되며, 병원별로 항생제 사용에 대한 지속적인 감시가 필요할 것이다.

산화철이 포함된 Kideco슬래그가 온도에 따라 크롬계 내화물의 침식에 미치는 영향

吳明淑,朴佑晟 弘益大學校 科學技術硏究所 2005 科學技術硏究論文集 Vol.16 No.-

The effects of temperature on the refractory corrosion by coal slag under gasification conditions were studied using chromia type of refractory. Static experiments were carried out at temperatures between 1380 -1550℃. The coal slag contained added iron oxides. Added iron oxides did not dissolve completely at temperatures under 1450℃, and the complete dissolution was observed only 1550℃. At 1380℃, the layer of chromite formed at the slag and refractory interface was only 0.2mm thick, and very clear interface was observed. The thickness of the chromites layer was increased to 0.9mm at 1550℃, and the interface was indistinguishable.