국내 다기관에서 조사한 지역사회획득 메티실린내성 황색포도알균의 빈도와 임상적 특성

송진수,최평균,송경호,조재현,김성한,방지환,이창섭,박경화,박경운,신수,최희정,김의석,김동민,이미숙,박완범,김남중,오명돈,김의종,김홍빈,최강원 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

목적 : 최근 전세계적으로 지역사회획득 메티실린내성 황색포도알균(community-associated methicillin-resistant Staphylococcus aureus, CA-MRSA)의 보고가 증가하고 있다. 하지만, 우리나라에서는 CA-MRSA 감염증에 대한 증례보고만 있을 뿐 아직까지 체계적인 연구결과가 없는 실정이다. 저자들은 국내에서 CA-MRSA의 빈도, 감염증의 임상적 양상, 분리된 균주의 항균제내성 양상을 조사하였다. 재료 및 방법 : 2005년 1월부터 2005년 6월까지 7개 병원에서 MRSA가 분리된 환자의 명단을 파악한 후 의무기록지와 건강보험심사평가원의 자료를 검토하였다. 외래나 응급실에서 혹은 입원 후 72시간 이내에 균주가 분리되고 MRSA 획득과 관련된 위험인자가 없는 경우 CA-MRSA로 정의하였으며, 분리된 균주의 임상적 의미에 따라 원인병원체(pathogen), 집락화(colonizer), 미결정(undetermined)으로 분류하였다. Penicillin과 oxacillin을 제외하고 3개 이상의 다른 계열 항균제에 내성이면 다제내성으로 정의하였다. 결과 : 연구기간동안 총 3,251주의 황색포도알균이 분리되었으며, 이 중 MRSA는 1,900주(58.4%)였다. MRSA 가운데 CA-MRSA는 114주(6.0%) 였으며, 이들이 분리된 부위는 귀(62주), 비뇨기계(14주), 피부 및 연부조직(11주), 호흡기계(10주), 혈액(3주) 등이었다. CA-MRSA 균주 가운데 집락균은 22주, 원인병원체는 22주였으며, 나머지 균주에 대해서는 그 임상적 의미를 결정할 수 없었다. 항균제 감수성 검사를 시행한 73균주 중 47주(64.4%)는 다제내성이었다. CA-MRSA 감염증 22예 중 피부 및 연부조직 감염(9예)과 중이염/외이도염(9예)이 가장 흔하였다. 침습적 감염증(invasive infection)은 4명(원발성 균혈증 3예, 감염성 관절염 1예)에서 확인되었지만, CA-MRSA 감염증으로 사망한 환자는 없었다. 결론 : 병원내 감염증에서는 MRSA가 심각한 문제이지만, 아직까지 지역사회 감염증에서 CA-MRSA는 흔하지 않았다. Background : Methicillin-resistant Staphylococcus aureus (MRSA) infection has emerged in patients who do not have the established risk factors. In Korea, little is known about the epidemiology and clinical features of community-associated MRSA (CA-MRSA). Material and Methods : Clinical microbiology laboratory databases of 7 hospitals were reviewed to identify the patients from whom MRSA was isolated during the period of January to July 2005. Only one isolate per patient was enrolled. In order to identify the risk factors of MRSA acquisition, the medical records and the Health Insurance Review Agency databases were reviewed. CA-MRSA was defined as MRSA isolated from patient without established risk factors. We analyzed patient demographics, underlying medical conditions, characteristics of infection, and antimicrobial susceptibility profiles. Results : Of total 3,251 S. aureus isolates, 1900 (58.4%) were MRSAs. Of the MRSA isolates, 114 (6.0%) were CA-MRSA. Of 114 CA-MRSA isolates, 22 (19.3%) were colonizers, 22 (19.3%) were pathogens, and the clinical significance of remaining 70 (61.4%) could not be determined. Median age of the 22 patients with CA-MRSA disease was 47 years. Nine patients had skin and soft tissue infections, 9 ear infections, 3 bacteremia, 1 septic arthritis. Seven patients had underlying medical disease. None died of the CA-MRSA infections. Of the 73 isolates of CA-MRSA, 47 (64.4%) were resistant to more than 3 classes of antibiotics besides β-lactams. Conclusion : Although MRSA is highly prevalent among hospital-associated S. aureus infection, CA-MRSA infections are not common.

원자로압력용기장 용접열영향부의 미세조직 변화가 Magnetic Barkhausen Noise 거동에 미치는 영향

김주학,윤의박,문종걸,박덕근,홍준화 韓國非破壞檢査學會 1998 한국비파괴검사학회지 Vol.18 No.4

최근 자기적 특성의 변화가 재료의 미세조직적 상태에 민감하다는 보고가 있다. 재료의 미세조직은 상(phase), 결정립의 크기, 석출물 등의 다양한 인자로 구성되며, 본 연구에서는 이러한 인자들을 이용하여 재료의 특성과 Barkhausen noise(BN)의 관계를 연관시키기 위한 시도를 하였다. ASTM A 508 Gr.3 원자로압력용기강을 대상으로 용접열영향부의 미세조직적인 변화를 일곱가지 대표적인 영역으로 구분하였고, 각 영역에서의 미세조직과 기계적특성의 변화를 파악한 후, 각 조건별로 BN을 측정하였다. 통상의 보자력이나 잔류자화 같은 자기적 성질은 큰 변화가 없었지만, BN은 미세조직의 상태에 따라 현격한 변화를 보였다. 결정립과 석출물의 크기가 증가함에 따라 BN은 증가하였고, tempered martensite 보다는 tempered bainite 조직에서 높은 BN을 나타냈다. Recent study has demonstrated that some magnetic properties are sensitive to the microstructural state of material. The ASTM A 508 Gr. 3 reactor pressure vessel steel has various microstructural changes including martensitic and bainitic phases, and various sizes of grain and precipitates in the weld heat-affected zone (HAZ). To correlate the microstructural state with Barkhausen noise (BN), specimens were prepared through simulating various weld thermal cycles using a thermal simulator. The conventional magnetic properties, i.e. coercive force, remanence and maximum induction, did not change significantly. whereas the BN amplitude and energy during a magnetization cycle changed markedly with microstructural state. The BN increased with increasing grain and carbide sizes, and the tempered bainite structure showed higher BN parameter than tempered martensite.

Magnetic bead capture 를 이용한 염색체 띠 7q11, 7q22 에 위치한 cDNA 선별

김영수,김의숙,강윤희,전용혁,김현,박선화 고려대학교 의과대학 1997 고려대 의대 잡지 Vol.34 No.3

Recently, surmountable amounts of genes are being cloned and it has become neccessary to develope new techniques for discovering genes with known chromosomal location and their possible functions. We have developed one such a method and applied it to search for genes that may play a functional role during the development of the central nervous system. To observe the distribution of 18 weeks old fetal brain cDNAs on the chromosome, fluorescent in situ hybridization (FISH) was performed with biotin labeled 18 weeks old fetal brain cDNAs. Among the chromosome bands showing strong hybridization with the cDNAs, 7q11 and 7q22 were microdissected and amplified by PCR. Each band-specific probe pool was confirmed by FISH and band specific cDNAs were selected by magnetic bead capture method. Selected cDNAs were subcloned to plasmid vectors and the nucleic acid sequences were analysed. As a result 41 different clones from 7q11 and 43 different clones from 7q22 were obtained. They were categorized as 25 clones of well characterized genes, 22 clones showing low homology with known genes, 13 clones of simply registered uncharacterized human cDNAs, and 24 clones of unknown genes. From these results, it may be suggested that our technique is very useful to clone the genes expressed in the developing human brain with confirmed chromosomal location. In addition, this cloning technique can be used to discover the new genes related with neural development in combination with functional screening methods.

훈련용 유도 人形의 개발에 관한 연구

김의환,최청삼,안병화 한국운동역학회 1994 한국운동역학회지 Vol.4 No.2

The purpose of this study was to develop a judo doll applicable to throwing (Nage-waza) and grappling technique(Katame-waza) training in judo. The height of the doll is 170cm and its weight is 50kg. The weight of the doll can be adjusted by lead belts having various weights that can be attached to the trunk or lower extremities. a judo doll was made of iron steel for skeletal structure vand coil spring for artiualation as similar to the human being in its shape as possible. The skin of the doll was made by soft rubber to be like human skin and protect the doll from an impact exerted during falling down by attack. Judo uniform(Judogi) is worn to the doll like as real human being. The knee angle can be flexed up to 35 degrees backward, torso 30degrees and doll itself 15degrees forward. The electric magnet plate was installed on the floor to keep the doll standing-together(Kumi-kata) the basic natural - position(Shizen-tai) and exert a certain amount of resistive force against an attacker to maximize training effect. Its magnetic force interacted through the iron feet of the doll can be varied by a control system. A structural frame having electric motor and control unit was constructed to automatically put the fallen doll back up to its original Kumi-kata and Shizen-tai after attack. Practicing with this doll has some advantages. It can be used to practice and train alone in such a way to prevent human parter from possible severe injuries. Also it is possible to use biomechanical analyses of judo skills more effectively with the attachment of sensors in the proper location

태권도 대학선수들의 찍어차기에 대한 운동학적 특성 분석

김의환,윤상화,조동희,권문석 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

The purpose of this study was to analyze toe kinematic variables of Jigeochagi in Taekwando with three dimensional analysis technique and show the kinematic characteristics of it. The subjects of the experiment were Taekwondo players who have been attending in Yong-in university(YIU), and Jigeochagi is their favorite technique, the kicking form was filmed on 16㎜ video camera(30f/s). Kinematic variables were temporal, posture and angular velocity. The mean values were obtained and used as basic factors for examining characteristics of Jigeochagi in Taekwondo. The results of this analysis were as follows, 1. The total time elapsed(TE) of Jigeochagi were 1.45, 1.56 sec. 1ph was fastest in performance showing then 2ph, 3ph. 2. In performing of Jigeochagi, the ankle, knee angle of supporting foot and the ankle, knee angle of attacking foot flexed to MKA then extened to IMP 3. The ankle, knee, hip angular velocities of attacking foot showed negative value to TO and then positive value to MKA and then showed negative value to IMP.

강편 빌레트의 건식 자분 탐상

이의완,김구화,임종수 韓國非破壞檢査學會 1996 한국비파괴검사학회지 Vol.16 No.3

본 연구는 강편 빌레트의 표면 결함을 검출하기 위한 건식 자분 탐상에 관한 것으로 자분 탐상능을 대상체에 흘리는 자화 전류, 대상체의 온도, 자분의 총 분사량 등에 대하여 평가하였다. 선재 제품의 등급에 따라 필요로 하는 몇까지 강종을 선택하여 강종별 자기적 특성을 평가하였으며, 이를 입력자료로 하여 유한 요소법에 의한 자기 해석을 행하였고, 그 결과를 직류 자화 전류에 의한 누설 자속 측정 결과와 비교 분석하였다. 교류 자화 전류에 의한 건식 자분 탐상능을 직류 자화 전류에 의한 탐상능과 비교하여 강종 및 자화 전류의 유형에 따른 자화 전류치를 결정하였다. 직류 자화 전류에 의한 자분 탐상 결과를 유한 요소법에 의한 계산과 비교하였고, 빌레트의 표면과 표면 결함 부위에서 측정한 누설 자속으로 비교 결과를 평가하였다. 각 강편재의 경우 직류 자화 전류에 의한 표면 자장은 그 형상에 의한 영향으로 코너 부위에서는 면 중앙의 표면 자장치에 비해 30% 정도였으며, 교류 자화 전류에 의해서는 그 비율이 70%정도였다. 교류 자화 전류는 코너로부터 면중앙으로 10mm 되는 영역을 제외하고는 전 면에서 균일한 표면 자장을 발생하엿다. 대상체의 온도에 따른 자분의 흡착은 대상체의 온도 150℃까지는 큰 변화가 없으나 자분의 고착에 있어서 60℃ 이상의 고온재에 대해서는 융착 용매로 메틸렌 크로라이드를 사용하는 것이 부적합하였다. 자분의 총분사량은 자분 탐상능에 상당히 큰 영향을 미침을 확인하였고 이에 대한 정량적 평가를 행하였다. Dry magnetic particle inspection(MPI) was performed to detect the surface defects of steel ingot cast billets. Magnetic properties of several materials were characterized by the measurement of the B-H hysteresis curve. The inspection results were evaluated in terms of the magnetizing current, temperature, and the amount of magnetic particles applied to billets. Magnetic flux leakage near the defect site of interest was measured and with the results of calculation by the finite element method in the case of direct magnetizing current. Direct and alternating magnetizing currents for materials were deduced by the comparison of the inspections. Results of the magnetic particle inspection by direct magnetizing current were compared with those of finite element method calculations, which were verified by measuring magnetic leakage flux above the surface and the surface defects of the material. For square rods, due to the geometrical effect, the magnetic flux density at the edges along the length of the rods was about 30% of that at the center of rod face for a sufficiently large direct magnetizing current, while it was about 70% for an alternating magnetizing current. Thus, an alternating magnetizing current generates rather uniform magnetic flux density over the rods, except for the region on the face across about 10 mm from the edge. The attraction of the magnetic particle by the magnetic leakage field was nearly independent of the surface temperature of the billets up to 150℃. However, the temperature should have been limited below 60℃ for an effective fixing of gathered magnetic particles to the billet surface using methylene chloride. We also found that the amount of applied magnetic particles tremendously affected the detection capability.

운항승무원의 직업스트레스, 건강신념 및 건강행위

조의영,이영휘,김화순 성인간호학회 2002 성인간호학회지 Vol.14 No.4

Purpose: The purpose of this correlational study was to identify relationships among job stress, health beliefs and health behaviors of aircrews and contributing factors to aircrew's health promoting behaviors. Method: Two-hundred twenty-four aircrew members completed questionnaires. The questionnaires were composed of a demographic form, health behavior scale, self-efficacy scale, perceived benefit scale, perceived barrier scale, job demand scale, and latitude scale. Result: The subject's health behavior has shown significant correlations with self-efficacy, benefit, and barrier. Significant negative correlations were found between job stress and self-efficacy. Relationships between job stress and barriers were also statistically significant. In demographic features, statistically significant difference were found between subject's rank and job stress score. Also, there was a significant difference between health behavior and the subject's age. Conclusion: Future efforts should focus on the development of a program to consider aircrew's perceived benefits, perceived barriers and self-efficacy to the compliance of health promoting behaviors.

전산화단층촬영술을 이용한 만성중이염 환자 측두골에 대한 고찰

남승일,고의경,이창헌,김유찬,구수권,이상화,전경명 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.7

Azoloquinoxaline類의 간편한 合成에 관한 硏究 : 第1報

郭美玉,南順花,金恩慶,金眞姬,韓盛旭,李萬佶,朴義煥,金浩植 고신대학교 자연과학연구소 1993 고신대학교 자연과학연구소 논문집 Vol.3 No.-

The reaction of 2, 6-dichoroquinoxaline with m-chloroperbenzoic acid gave 2, 6-dichloroquinoxaline 4-oxide, whose reaction with sodium azide provided 7-chlorotetrazolo[1, 5-a]quinoxaline 5-oxide and not the isomeric azide. The structures of the synthesized compounds were confirmed on the basis of IR, ¹H-NMR, elemental analysis and mass spectral data.

Rapid Selection of Multiple Gene Integrant for the Production of Recombinant Hirudin in Hansenula polymorpha

Kim Hwa Young,Sohn Jung Hoon,Kim Chul Ho,Rao K. Jagannadha,Choi Eui Sung,Kim Myung Kuk,Rhee Sang Ki The Korean Society for Biotechnology and Bioengine 2000 Biotechnology and Bioprocess Engineering Vol.5 No.1

For the rapid selection of higher recombinant hirudin producing strain in a methylotrophic yeast Hansenula polymorpha, a multiple gene integration and dose-dependent selection vector, based on a telomere-associated ARS and a bacterial aminoglycoside 3-phosphotransferase (aph) gene, was adopted. Two hirudin expression cassettes (HV1 and HV2) were constructed using the MOX promoter of H. polymorpha and the mating factor $\alpha$ secretion signal of S. cerevisiae. Multiple integrants of a transforming vector containing hirudin expression cassettes were easily selected by using an antibiotic, G418. Hirudin expression level and integrated plasmid copy number of the tested transformants increased with increasing the concentration of G418 used for selection. The expression level of HV1 was consistently higher than that of HV2 under the similar conditions, suggesting that the gene context might be quite important for the high-level gene expression in H. polymorpha. The highest hirudin producing strain selected in this study produced over 96 mg/L of biologically active hirudin in a 500-mL flask and 165 mg/L in a 5-L fermentor.