분자역학적 방법을 이용한 부산시내 대형건물 냉각탑수의 레지오넬라균의 형별 분류

김정만,정석훈,서대영,박은희,송은주,최재철,이은엽,장철훈 대한임상미샐물학회 2004 Annals of clinical microbiology Vol.7 No.1

濟生腎氣丸 煎湯液이 家兎 腎臟機能에 미치는 影響

宋峰根,李彦政,柳志允 圓光大學校 韓醫學硏究所 1991 원광한의학 Vol.1 No.1

Shen(腎) plays an important role in the body fluid regulation in Oriental Medicine. Malfunction of Shen(腎) has been claimed to cause edema. The function of Shen(腎) includes renal function. Body fluid regulation in the kideny is dependent on the renal function, which is influenced by renal, neural, humoral and physical factors. Jesaengsinkeehwan (JSH) has been applied for the treatment of edema and recently of chronic glomerular niphritis, renal failure and hypertension etc. This study was carried out to evaluate the effects of JSH on the renal function and the renin and aldosterone release. Intravenous administration of JSH water extract in the unanesthetized rabbit caused significant increase in urine volume, glomerular filtration rate free water clearance, electrolyte excretion and renal plasma flow. The JSH water extract infusion resulted in significant decrease in plasma renin activity and plasma aldosterone concentration. Mean arterial blood pressure showed significant increase after administration of 0.1㎖/㎏ of JSH water extract, the effect being restored to the original state, but decreased remarkably after administration of 0.4㎖/㎏. These results suggest that JSH has diuretic effect resulted from renal hemodynamic change and reduction of plasma renin activity and plasma aldosterone concentration.

복식 전자궁적출술후 절단부에 발생한 난관탈출증 1예

송은석,이해혁,김태희,김정식,남계현,이권해,고은석 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Prolapse of the fallopian tube into the vaginal vault after hysterectomy is a rare complication. Since most of cases may resolve before detection or remain undiagnosed, the exact incidence is still unknown. Though most common sign of tubal prolapse is tender friable tissue in vaginal cuff, with the simptoms of lower abdominal pain, dysparenunia, vaginal discharge, or postcoital spotting. The definitive diagnosis should be confirmed histologically Recently, we experienced a case of fallopian tube prolapse after abdominal hysterectomy in a 41-year-old woman and report with a brief review of the literature.

문항 반응 이론에 의한 학습자 평가 시스템 설계 및 구현

송은하,박복자,하태령,정영식 한국컴퓨터교육학회 2003 컴퓨터교육학회 논문지 Vol.6 No.2

기존의 학습자 평가 시스템은 교수자의 주관적인 관점과 견해에 의해 각 문항의 난이도가 결정되는 단점을 가지고 있다. 본 논문에서는 학습자의 개별 능력 평가가 가능하고 개인별 학습 수준에 적합한 문항을 난이도, 변별도 및 추측도를 이용하여 학습자에게 제공함으로써 개인별 문항 평가가 가능한 학습자 평가 시스템을 개발하고자 한다. 본 연구의 학습자 평가 시스템은 CAT 기법의 문항 반응 이론 중 3-모수 로지스틱 모델을 이용하여 개발한다. In existing the learner testing system, it has a weak point to determine differently the difficulty of each question which has been estimated by teacher's view and the subjective stand point. In this paper, we develops the learner testing system which supports the estimation of the individual ability of learner, provides the questions for suitable to the individual learner level, and able to estimate the question of individual that used by three parameters such as the difficulty parameter, discrimination parameter, and guessing parameter. Also, it is applied to three-parameters logistic model of IRT(Item Response Theory) for using CAT(Computer Adaptive Testing) technique.

Helicobacter pylori의 생육과 각종 유기산의 식품 보존료로서의 효과

송재철,조은경,박현정,신완철,최석영 울산대학교 2002 생활과학논문집 Vol.3 No.2

Helicobacter pylori의 생육과 각종 유기산의 식품보존료로서의 효과를 검토하였다. 우선 보존료로 현재 식품첨가물로 사용되고 있는 소르빈산(sorbic acid), 프로피온산(propionic), 안식향산(benzoic acid) 등의 H. pylori에 대한 항균능력을 검토한 결과 소르빈산, 프로피온산, 안식향산의 H. pylori에 대한 항균효과가 관찰되었으며 안식향산은 소르빈산이나 프로피온산과 비교했을 때는 별로 큰 효과를 나타내지 못하였다. 보존료의 조합에 대한 H. pylori의 생육억제효과는 0.5% 소르빈산과 0.5% 프로피온산을 조합하는 경우 나타났으며 다른 조합군과 비교할 때 큰 차이를 나타내지 못하였다. 유기산과 H. pylori의 생육관계에서는 단독 첨가시에는 항균력이 크게 나타나지 않고 조합하는 경우에만 좋은 항균력을 나타내었다. 유기산, 보존료와 H. pylori 생육관계는 유기산류는 어떤 보존료와 혼합하여도 항균력에 상승효과가 있는 것으로 나타났다. 특히 구연산의 경우 소르빈산과 조합한 경우에는 H. pylori생육이 많이 억제되었으며 그 다음이 구연산+안식향산, 구연산+프로피온산 순으로 균에 대한 항균력이 감소되었다. 또 사과산과 숙실산은 구연산과 비슷한 경향을 나타내었다. The purpose of this study was to examine the effect of various organic acids as food preservatives on the growth of Helicobacter pylori(H.pylor). The antimicrobial effects of sorbic acid, propionic acid and benzoic acid currently used as food preservatives were examined in light of the growth of Helicobacter pylori. Each of them was observed to have positive antimicrobial effect on Helicobacter pylori. However, benzoic acid wasn't higher than sorbic acid and propionic acid in antimicrobial effect. As for the combination of preservatives, antimicrobial activity of H. pylori was shown in the combination of sorbic acid(0.5%) and propionic acid(0.5%). However, its effect was not significantly different in comparison with other combinations. In the relationship of organic acids and H. pylori's growth, organic acid had no effect on antimicrobial activity when it was used alone, whereas antimicrobial effect was shown to be better in case of combination. If intermix of organic acids and preservatives and addition to the medium for suppression of H. pylori growth were achieved, organic acid exhibited synergistic effect on suppression of H. pylori's growth, even in combination of any other preservatives. In particular, in combination of citric acid and sorbic acid, the growth of H. pylori was shown to be remarkable suppression. And the effectiveness on suppression of H. pylori's growth was lowered in order of citric acid + bezoic acid and citric acid + propionic. acid. It was also found that the antimicrobial effects of malic acid and succinic acid were similar to those of citric acid.

한국인에서 Vancomycin의 치료적 약물농도 평가

송영구,김혜경,노은경,이서영,안보숙,김정호,박민수,윤희정,김준명 대한감염학회 2004 감염과 화학요법 Vol.36 No.5

목적 : 상용화된 PK simulation software를 이용하여 vancomycin의 치료적 약물농도 측정(Therapeutic Drug Monitoring, 이하 TDM)이 의뢰된 환자에서, 측정된 vancomycin 혈청농도와 평균 약동학 지표를 이용하여 계산된 예측농도를 비교하고, 실측 농도와 예측 농도 사이에 차이를 나타내는 요인이 무엇인지를 알아보고자 하였다. 재료 및 방법 : 2001년 3월부터 2002년 9월까지 188명으로부터 vancomycin TDM이 의뢰된 239건의 결과를 분석하였다. Vancomycin을 투여하기 30분 전에 측정된 최저 농도로 CAPCIL^(R) (Simkin Inc.) 프로그램에서 single-point linear 방법으로 약동학 지표(분포용적 : Vd_(m), 청소율: Cl_(m), 반감기 : T_(1/2m))와 이에 따른 실측 농도(ECm, 이하 실측치)를 구하였다. 또한 CAPCIL^(R) 프로그램에서 이들 환자의 평균 약동학 지표(Vd_(p), Cl_(p), T_(1/2p))를 이용한 예측 농도(EC_(p), 이하 예측치)를 계산하였다. 먼저 전체에서 실측치와 예측치의 평균에 차이가 있는지 비교하였으며 신기능 및 체중에 따라 실측치와 예측치의 차이가 있는지 알아보았다. 다음으로 예측 최저 농도를 기준으로 실측 최저 농도와 차이(%dEC=(EC_(m)-EC_(p))/EC_(p))를 세 그룹으로 나누어서 각 그룹 간에 차이를 나타내는 요인이 무엇인지 알아보았다. 통계는 SAS 프로그램을 이용하여paired t-test, ANOVA, multiple regression 등으로 처리하였으며 P<0.05를 유의한 것으로 간주하였다. 결과 : Vancomycin TDM이 의뢰된 188명중 남자 1ll명, 여자 77명이었다. 총 239건에서 실측 최저 농도는 예측 최저 농도보다 유의하게 낮았고(11.9±9.9 ㎍/ml vs. 19.2±19.5 ㎍/ml), 약동학 지표 중 청소율과 분포용적은 예측한 값보다 유의하게 높았다. 신기능 및 체중에 따른 각각의 군에서도 비슷한 양상을 보였다. 예측 최저 농도와 실측 최저 농도의 차이에 따라 구분한 세 군간에 농도 차이를 나타낸 요인으로는 몸무게, 나이, 키, IBW, BUN, Ccr이었으며, 이중 다변량 분석에서 나이, 몸무게, BUN이 실측치와 예측치의 차이에 영향을 주는 요인으로 나타났다. 결론 : 신기능이 저하되었을 경우와 저체중, 고령인 경우 실측 농도에 비해 더 높은 농도로 예측하는 경향으로 나타나 최적의 치료 농도를 유지하기 위해서는 이와 같은 환자에서 특히 vancomycin TDM이 필요하다고 생각된다. Background : We measured plasma vancomycin concentrations as a part of therapeutic drug monitoring (TDM) consultation and compared and analyzed the estimated plasma steady-state therapeutic drug levels of vancomycin obtained on the basis of measured concentrations and by population PK parameters using a PK simulation software in Korean patients to find the factors influencing the discrepancies that lie between these estimates. Materials and Methods : We analyzed the PK parameters of the 188 patients for whom vancomycin TDM was done for 239 episodes between March, 2001 and September, 2002. The trough vancomycin plasma concentrations were measured from plasma samples that were drawn 30 minutes before a vancomycin dose. Based on the measured concentrations, we estimated the steady-state therapeutic levels (EC_(m)) and PK parameters (apparent volumes of distribution, Vd_(m); clearance, Cl_(m); and half life, T_(1/2m)) using the single-point linear method utilized in CAPCIL (Simkin, Inc.) software program. We compared these with the steady-state levels and PK parameters estimated based on population PK database supplied by the software (EC_(p), Vd_(p), Cl_(p), and T_(1/2p)). We stratified and compared the values based on the patients' renal functions, body weights relative to ideal body weights, the magnitude of differences between EC_(m) and EC_(p). Multiple logistic regression using SAS software package was done to analyze factors that significantly influence the discrepancies. Results:One hundred and eleven were males, and 77 were females. The mean ECm were significantly lower than the mean ECp (11.9±9.9 μg/ml vs. 19.2±19.5 μg/ml). Clm and Vdm were higher than Cl_(p) and Vd_(p), respectively. The same patterns could be applied to the subclasses of patients based on renal functions and body weights. The factors that contribute to the differences in EC_(m) and EC_(p) were body weight, age, height, IBW, BUN, and Clcr, of which age, body weight, and BUN were found to be most significant by multiple regression analysis. Conclusions : Significant sizes of discrepancies between the estimated plasma steady-state therapeutic drug levels of vancomycin obtained on the basis of measured concentrations and by population PK parameters using a PK simulation software in Korean patients necessitate adjustment of dosage and confirmation of steady-state levels by follow-up TDM. We emphasize the need for obtaining vancomycin population PK database in Korean patients.

전신성 홍반성 루푸스 환자에서 병발된 Coxsackievirus B3 심근염 1예

송봉근,임병관,김민형,신성철,정재홍,김동희,김정환,박건우,고은미,전은석 대한순환기학회 2003 Korean Circulation Journal Vol.33 No.12

보험심사간호사가 지각한 사회적 지지가 소진에 미치는 직접효과 및 완충효과

정순임,이은남,송영선 대한간호행정학회 2006 간호행정학회지 Vol.12 No.3

Purpose: The purposes were to survey the level of work stress, social support, burnout of insurance review nurses and to measure the main & buffering effect of perceived social support on burnout. Method: The samples were 285 insurance review nurses who were registered in Review Nurses Association of Korea at the period of 25 July and 12 August in 2005. Data were analyzed by using of t-test, Pearson's correlation, stepwise multiple regression, two-way ANOVA. Results: There were significant differences of burnout according to the work experience, position, and work satisfaction of insurance review nurses. Among the variables explaining the level of burnout of review nurses, the most significant variable was work stress, followed by current work satisfaction, social support, position and total variance explained was 40.8%. For the analysis of the buffering effects of perceived social support on work stress and burnout, the interaction between work stress and social support was not significant. Conclusions: It is necessary to construct the social support system and to reduce the work stress in order to reduce the level of the burnout of insurance review nurses.

전하 제어법을 이용한 압전 액추에이터의 이력저감

정순종,이대수,송재성,홍원표,강은구,최원종 한국공작기계학회 2005 한국공작기계학회 춘계학술대회논문집 Vol.2005 No.-

This paper presents a method to reduce hysteresis in multilayer ceramic actuator by connecting the actuator with a capacitor in a series circuit. The change in hysteresis with respect to the capacitor was examined. 0.2Pb(Mg_(1/3)Nb_(2/3))O₃-0.8Pb(Zr_(0.475)Ti_(0.525)) O₃ ceramic material was used as a piezoelectric material for the actuator. Displacement of the actuator was measured in a capacitive gap sensor measuring system. In case of inserting a capacitor in a total circuit, hysteresis became dramatically decreased, and then finally the hysteresis value can be reduced below 0.2%. It was found in this present study that reducing the hysteresis in the actuator is dependent upon the characteristics of the capacitor in total circuit and also operating frequency

차량용 산소발생기의 성능 측정

송근호,유진호,김정은,장화익,이광래 江原大學校 産業技術硏究所 2005 産業技術硏究 Vol.25 No.A

Auto exhausts and air pollution can become trapped in the cabin of vehicle, reducing the amount of oxygen available for breathing. Driver may feel sleepy, headaches, nausea, confusion, dizziness and lower levels of oxygen can damage the driver's general health. Consequently, oxygen generator purified oxygen into the car to help driver get the oxygen driver's body needs. In this study, in order to evaluate the oxygen generator performance, the samples that the various conditions(humidity(50%, 100%), flow and oxygen concentration) were examined. There were three types of oxygen generator; sample 1(2.5ℓ/min, 36%0₂), sample 2(4.5ℓ/min, 41%0₂) and sample 3(5ℓ/min, 39%0₂). As the humidity increased from 50% to 100%, the oxygen concentration of the sample 1(36%), 2(41%) and 3(39%) was reduced 31%0₂, 38%0₂ and 38%0₂, respectively. Also, the each sample measured that effect of human in car on oxygen concentration, if the oxygen concentration is one person in car, each sample of oxygen concentration was 20.8%0₂, 23.7%0₂ and 21.2%0₂. From the above results, it was shown that oxygen generator for car, if the oxygen concentration is increased, effect of humidity is reduced, and that in the sample of supplying a high-rate of oxygen, the oxygen concentration is increased. It was suggested that effect of humidity on oxygen generator for car can be reduced according to the supply of oxygen.