서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

한 농촌지역 학교보건의 현왕과 재선방안에 관한 연구

김현주,박항배,최보율,노학재,신영전 韓國學校保健學會 1996 韓國學校保健學會誌 Vol.9 No.1

This research has incorporated a postal survey from the principals, nurse-charging teachers and nurse-teachers of the fiftyfive elementary, middle and high school in Yang-pyeong county area where its supplementary rate nurse-teachers is less than adequate. It is to analyse the current status of the school health service in the area and to come out with a plan to improve the school health program through the participations of the health related experts of the local community. The survey was done in the two months of periods of April to May of 1994. The result of the survey follows. The student population in the Yang-pyeong county area is 13,998 and the school employee population is 904 which counts for about 19.2% of the whole population of the area. However, the supplementary rate nurse-teachers is only 10.8% (4 in 5 schools) which is very low in terms of relativity. School health committee only exist in 17% of the whole number of schools in the area and 50 of school health commitee answered that their activity do not meet the adequate level. Only 54.3% of the whole school numbers has included the shool health finance in their financial plans and the amount set for school health finance is about 500,000 wons (100,000~1,600,000 wons). 64.9% of the schools in the Yang-pyeong county area have the permanent nursing room established in the school. But, often than the equipment for a simple physical examinations, their supply of the health related equipments are less than adequate. Particitations of school doctor in the school health service is at only 67.6% which pretty much include only the physical examinations. Nurse-charging teachers consider their utmost important role is to teach health education but, they answered that they spent most of their times and efforts on physical examinations & immunizations. The average number of students visition to the nursing room is 2.5 persons and complains for basic discomfort as headache, concussion, stomachache and indigestion problems and usual pills used are the analgesics and digestives. Physical examination is done in the most schools every year but, 51.4% of nurse-charging teachers answered the physical examination does not really help. About the emergency treatment ability, 75.7% reports that both manpower & equipment are short. The school food services are present in only 8 schools (21.6%) but, 89.2% of nurse-charging teachers answer that there is a definite need of the food service. The survey says that the utmost important environmental health and safety factors are the traffic accidents followed by improper heat system, lighting, the stools and desks that do not consider the student physical status. The overall evaluation of school health program reports that there are adequate physical examination, immunization, environmental hygiene, and management of safety but, on the other hand, health education, health councelling & management of nursing room are not managed properly. The principals of the survey pool report shortage of public agency support, lack of understanding of school health, shortage of nursing equipments and school health finance as the barrier factors of school health. The nurse-charging teachers report on the same questions as their less than qualitifying expertise, extraload of work upon the nursing affairs, shortage of nursing equipments & school health finance. The head masters & nurse-charging teachers answered that they are desperate for the meetings of nurse-charging teachers, construction of school health councelling system & training education in order to improve school health and if these are available, they will actively participate in them. After the careful analysis of the survey result, it is apparent that through thr relations of the manpowers, establishment of community-oriented school health is definitely in need rural area where there is low supplementary rate of nurse-teachers and poor school health environment.

암의 유전자 치료

金周恒 대한의사협회 1998 대한의사협회지 Vol.41 No.8

變壓器油의 絶緣破壞에 미치는 針電極의 曲率半徑의 影響

金容柱,李興圭 충주대 산업과학기술연구소 1998 産業科學論文集 Vol.6 No.-

In this paper, we investigated the breakdown characteristic of Transformer Oil according to applied voltage and tip radius. Electrode system was point-plane geometry. The tip radius of needle was 5, 10, 15, 20 and 25㎛, respectively. Applied voltage source was AC and DC. We measured breakdown voltage for each tip radius with increasing electrode gap, 2mm to 10mm. Under nonuniform electric field, breakdown strength was higher when needle was negative than when needle was positive. Because it is polarity effects due to space charge. And the more sharp tip radius, whether we applied AC or DC, the higher breakdown strength. As tip radius increase, breakdown strength decreases exponentially.

해외 공동구의 방재성능분석을 통한 국내 공동구에 적합한 방재대책에 관한 연구

박형주,김상욱 한국화재소방학회 2001 한국화재소방학회논문지 Vol.15 No.4

현재 국가기간망의 주요 핵심인프라시설로서 급격히 증가하고 있는 지하공동구의 화재발생에 따른 피해 및 그 영향이 심각함에 따라 국내외의 공동구 화재의 유형을 분석 후에 선진국의 공동구의 화재안전을 위한성능기준을 국내의 성능과 비교하여 문제점을 발췌하였다. 발췌한 문제점에 나타난 핵심요소를 선진국과 비교하여 국내 공동구에 시급히 필요한 구비성능을 제시하되 국내의 공동구 관리운영 및 공동구에 수용되는 시설물의 설치기준에 적합한 방안을 연구하여 제시하였다. The pipes and cables buried below ground which may have helped to improved city landscapes, is becoming direct and indirect cause for various disaster in Korea due to potential possibility of fire. Various types of fire in utility tunnels should be analysed in order to improve its fire safety level, therefore mail problems and shortcomings are checked out as a result of this analysis. By performing both tunnel fire risk analysis and fire safety level comparison in advanced countries, effective measure and approach to required standardization may be presented to bath tunnel structure and its containing cables in order to diminished up to a desirable rate in a near future. Keywords : Utility tunnel, Fire safety, Analysis, Measeure

양극성 정동장애와 혈청 Inositol-1-phosphatase 활성도 변화

조현주,김영철,우행원,연규월,조기승 대한생물치료정신의학회 1998 생물치료정신의학 Vol.4 No.2

Objects : Several lines of possibilites have been oroposed about the etiology of bipolar attective disorder in biological, genetic and psychosocial aspect. The purpose of this study is to inspect the etiology of bipolar affective disorder in biological aspect by measuring the changes of serum inositol-1-phosphatase activity and investing a causal relationship between clinical symptoms and serum inositol-1-phosphatase activities in patients with bipolar affective disorder. Methods : The subjects were 18 inpatients who met DSM-IV diagnostic criteria for bipolar I affective disorder, manic episode and 15 normal controls. Inositol-1-phosphatase activities were measured in serum by using spectrophotometer. Clinical symptoms of patients were assessed by YMRS at admission day and after 2 weeks lithium treatment. Results : 1) Inositol-1-phosphatase activities of the patients were increased to about 2 times as compared with those of normal controls. And the activity levels were decreased gradually to the normal at 14 days. 2) Young's Mania Rating Scale(YMRS) scores were decreased significantly by lithium treatment. 3) Statistical significance could not be found between the change of YMRS scores and the levels of inositol-1-phosphatase activity. Conclusion : In this study, statistical significance could not be found between clinical improvement and inositol-1-phosphatase activities, but the fact that lithium treatment improve the clinical manifestation shown by YMRS score changes, and reverse the increased inositol-1-phosphatase activities suggests the strong association between pathophysiology of bipolar affective disorders and inositide metabolism.

食道 및 氣道異物의 統計的 考察

柳恒熙,姜炳吉,秋淵秀,朴載勳,金春吉,朱良子 대한이비인후과학회 1976 대한이비인후과학회지 두경부외과학 Vol.19 No.4

국내 고층건물의 피난성능확보를 위한 급기가압방연(제연) 시스템의 제도개선연구

박형주,김상욱 한국화재소방학회 2001 한국화재소방학회논문지 Vol.15 No.4

화재시 특별피난계단의 부속실의 연기침입을 방지하기 위해 적용하고 있는 급기가압방연시스템의 효능에 대한 논란이 증가하고 있는 바, 국내 고층 건축물의 특별피난계단에 설치운용중인 급기가압시스템의 설계시 핵심요소인 가압공간의 누설틈새, 계단실과 부속실 또는 부속실과 거실공간사이의 출입문을 통한 방연풍속과 출입문의 자동폐쇄를 보장하는 도어 개폐장치등에 대한 문제점을 조사연구하여 실질적인 효과를 보장할 수 있는 기준을 설정하고, 안전성확보를 보장하면서 경제성을 고려한 설계안을 세부적인 사례를 들어 구체적으로 제시하였다. There have been the current controversy over effectiveness of the pressurized smoke control systems, which are inst리led within escape shaft to provide 'smoke-free' access for escaping peoples. Therefore, many effective measures were given in this paper by means of the production of a design guide for various types of escape routes used in domestic buildings. The solutions were established on basis of both an investigating current door closing device application in existing facilities and global standardization for pressurized smoke control system, especially in British Standard. Finally, the design guidance for open door air velocity with introduction to three door protection clauses was presented on the basis of consideration of the safety and economical factor. Keywords : High-rise building, Escape, Smoke control

만선신부전 환자에서 관상동맥조영술 소견에 관한 연구

한대희,김성구,박상호,김성한,조원영,방덕원,조윤행,정의룡,은영근,권영구 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background : Patients with chronic renal fialure have a substantially elevated risk of death from cardiovascular diseases than do the general population. the patients with chronic renal failure are at significantly increased freqeuncy of hypertension, hyperlipidemia, and diabetes mellitus which are known to the risk factors of the coronary artery diseases, and the prevalence of the coronary artery diseases in chronic renal failure patients is highly associated with the hemodynamic disorder and metabolic abnormalities. therefore we expected that the coronary angiographic findings in patients with chronic renal failure should be different from the general population (control groups) and investigated the risk factors contributing to coronary artery diseases. Method : we have retrospectively compared the coronary angiographic findings of 44 patients with chronic renal failure on hemodialysis with that of 88 patients in the general population and investigated the factors contributing to the development and acceleration of coronary artery diseases in patients with chronic renal failure Result : Hypertension and diabetes mellitus which is risk factors for coronary artery disease is significantly increased in patients with chronic renal failure, in coronary angiographic finding the severity of the lesion is worse. the incidence of PCI or CABG of patients with chronic renal failure is more than that of control group but statistically no difference between patients with chronic renal failure and control group. the sex, the duration of disease, the duration of dialysis, serum creatinine in patients with chronic renal failure have no correlation to the prevalence of coronary artery disease and severity of lesion. hyperglycemic patients with chronic renal failure have high incidence of coronary artery disease and are worse in the severity of lesion Conclusions : There is significantly increased the pevalence and severity of involving multiple coronary artery diseses in hyperglycemic patients with CRF.

Helicobacter pylori 양성인 소화성 궤양 및 위염 환자에서 Helicobacter pylori 제균에 대한 판토프라졸 포함 삼제 요법의 임상효과 및 내약성에 대한 연구

서영호,이완식,주영은,김현수,최성규,유종선,김행재,서순팔,김세종 최신의학사 2000 最新醫學 Vol.43 No.11-12