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.

암석 슬러지를 이용한 건자재 개발

이필호,이구연,전철수,연규석,이윤수,인교진 강원대학교 부설 석재복합신소재 제품연구센터 2000 석재연 논문집 Vol.5 No.-

본 연구는 1993년부터 춘천시 신동면 형돌리 산 62번지 내에서 흑운모 화강암 및 편마암 암석을 원자재로 사용하여 건설기초재료인 쇄설골재 및 인공모래를 생산하는 업체로부터 제품 생산 후 발생하는 토양 스러치 케익이 연간 약 10만 입방정도 발생한다는 사실에 기초하여 석산에서 채취된 페잔토(석분)의 화학적, 물리적, 역학적 특성을 조사하여 석분의 이용 가능성을 확인하기 위한 실험으로 단위 시멘트량을 400kg, 잔골재율을 45% 그리고 물-시멘트비를 65%로 고정하고 잔골재 중 석분을ㄹ 0%, 10%, 20%, 30%, 40%, 50% 및 60%로 치환하여 제조된 콘크리트의 기초적 성질을ㄹ 시험하였다. 그 결과 석분의 치환율이 높을 수록 공기량은 증가하고 슬럼프값이 감소하였는데 이는 미세한 입자인 석분을 잔골재의 일부로 치환함으로써 비표면적이 증가하였기 때문인 것으로 사료된다. 압축강도와 휨강도는 모두 석분의 치환율이 증가할수록 압축강도와 휨강도는 다소 감소하는 경향을 나타냈으나 큰 성능차이는 보이지 않는 다는 것을 알 수 있었다. 이상의 실험을 통해 석분을 시멘트 콘크리트에 사용했을 경우 약간의 성능저하는 있지만 잔골재로의 활용이 가능하다는 것을 알 수 있었다. 그러므로 앞으로 건조수축, 균열, 크리이프 특성 및 내구성에 과한 연구가 더욱 심도있게 이루어져야 폐자원인 석분의 이용이 가능하리라 판단된다. This study aims to make cement concrete using crushed stone fines which are produced at Chuncheon city, Hyuldongri and find it's applications. According to the experimental results, when ratio of crushed stone fines was increased, air contents were increased and slump values were decreased. Also, the compressive strength and flexural strength were decreased when ration of crushed stone fines was increased. Although these strengths are decreased, the crushed stone fines can be used to construction materials because the decreased amounts are not so much.

Composites of silica aerogels with organics: a review of synthesis and mechanical properties

Kyu‑Yeon Lee,Dinesh B. Mahadik,Vinayak G. Parale,박형호 한국세라믹학회 2020 한국세라믹학회지 Vol.57 No.1

Aerogels are considered as outstanding future materials owing to their wide surface area and three-dimensional network of silica particles, low density, low-thermal conductivity, high porosity, and low dielectric property. Their outstanding characteristics represent excellent potential applications in thermal insulation systems, aeronautical domains, environmental clean-up and protection, as heat storage devices, transparent windows, thickening agents in paints, etc. Among these applications, thermal insulating materials can play a vital role in living systems and for saving energy in various domestic and industrial processes. However, native silica aerogels are fragile and sensitive to relatively low pressures, which limit their application. More robust aerogels with higher strength and stiffness can be obtained by compounding silica networks with organoalkoxysilanes, polymers or using porous scaffolds as supports. This paper presents a review on the approaches for mechanical reinforcing methods for silica aerogels and recent achievements toward improving the strength of native silica aerogels. In addition, various characteristics derived from composite aerogels are analyzed synthetically.

제조에 對한 文獻的 考察

안태규,최병렬,송기철,이용연,유화승,서상훈,최우진,조정효,이연월,손창규,조종관 대전대학교 한방병원 2001 惠和醫學 Vol.10 No.1

In the literatual study on Holotrichia, the results were obtained as follows ; 1. Holotrichia is larva of Holotrichia diomphalia Bates etc. powder or liquor of Holotrichia is used medically. 2. Appearance of Holotrichia is shape of kidney, yellowish color. 3. The oriental characters of Holotrichia is warm, toxicant, salty. 4. The significant efficancy of Holotrichia is breaking the stagnant blood. 5. Holotrichia can be applied to the diseases related to thrombosis, and recover the demage of liver. 6. Holotrichia avails Liver diseases such as Hepatitis, Liver cirrhosis, Hepatosplenomegaly, Hepatoma etc.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

Polystyrene Beads를 사용한 경량 폴리머 시멘트 모르타르의 기초적 성질

연규석,신영수,이윤수,이기원,황진하 강원대학교 부설 석재복합신소재 제품연구센터 2000 석재연 논문집 Vol.5 No.-

polystyrene beads를 사용한 경량 시멘트 모르타르의 성질을 개선하기 위해 EVA혼화용 폴리머를 첨가한 모르타르를 제조하여, 물리ㆍ역학적 성질을 살펴보았던 바 polystyrene beads 골재 재부의 공극 때문에 높은 공기량을 보였고, 플로우 값은 폴리머-시멘트비 10%에서 가장 높은 값을 나타냈다. 또한 폴리머-시멘트비가 증가할수록 압축강도와 휨강도는 증가하였고, 시멘트-경량골재비가 낮을수록 압축강도는 증가하였으나, 휨감도에는 크게 영향을 주지 않았다. The objective of this study was to improve performance of lightweight polymer cement mortars by treating with redispersible polymer powders. Lightweight polymer-cement mortars were prepared with respect to different polymer-cement ratios, and tested for water absorption, specific gravity, flexural and compressive strengths, workability and freeze-thaw resistance. Manufactured lightweight polymer-cement mortars in this study showed lower specific gravity and lower thermal diffuseness than ordinary cement mortars. Water absorption, specific gravity, flexural, compressive strengths and workability were measured according to appropriate KS test methods. As a results, the optimum mix ratios for cement-aggregate, polymer-cement, and water-cement were found to be 1:3, 10% and 30%, respectively.

골반염증성 질환과 질염을 가진 환자의 진단과 추적관찰에서 Chlamydia trachomatis의 검출을 위한 이중 중합효소 연쇄반응의 적용

이진우,조현철,최규연,배동한,김휘준 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Objectives : PCR has generally been more sensitive than the conventional microbiological test for the detection of C.trachomatis which has been a leading cause of sexually transmitted disease. The purpose of this study was to evaluate the prevalence of C.trachomatis infection in the patients with pelvic imflammatory disease(PID) and the usefulness of nested PCR as a follow-up test in patiens with C. trachomatis infection after administration of antibiotics. Methods: Cervical swab specimens were obtained from 187 patients with PID and vaginitis attending the Soonchunhyang Chunan Hospital. From the C. trachomatis positive patients, cervical swab specimens were obtained once a week after treatment until PCR tested negative. We performed the nested PCR with Chlamydia-CR kit(Bioneer, Korea.) Results: From 6(5.8%) of 187 cervical swab specimen, C. Trachomatis was detected by nested PCR. These patients were treated with doxycycline and metronidazole for 7 to 14 days. All of 6 C. trachomatis positive patients revealed PCR-negative immediately after the completion of antibiotics treatment. Conclusions: With the above results, the nested PCR is a relatively simple, fast, and practical tool for the detection of C. trachmatis and may be a useful follow-up test for monitoring the treatment effect.

통합심리치료의 인지분화훈련이 정신분열병 환자의 기초 인지기능에 미치는 영향

이희상,현명호,조현상,이연희,김태용,장순아,노규식,정기립,이만홍,유계준 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

연구목적 : 정신분열별 환자들을 대상으로 통합심리치료의 소프로그램인 인지분화훈련을 실시하여 실행기능, 개념형성능력, 언어능력 및 추론력에 대한 훈련이 보다 더 하위단계의 인지기능인 주의력, 기억력, 반응시간 등을 호전시킬 수 있는 지를 알아보고자 하였다. 연구방법 : DSM-IV상 정신분열병으로 진단된 24명의 입원환자를 무작위로 양분하여 한 군은 인지분화훈련군으로 다른 한 군은 대조군으로 나누었다. 훈련군은 4주동안 1주일에 3회(매회 60분간)로 총 12회의 통합심리치료의 인지분화훈련을 받았으며 대조군은 동일한 시간동안 정신건강교육을 받았다. 훈련전후에 훈련군과 대조군을 대상으로 개정판 Wechsler 기억검사로 주의집중력, 장·단기 기억력을 측정하였고 Vienna test system중 결정반응시간검사로 반응시간, 반응결정시간, 반응운동시간을 평가하였다. 연구결과 : 1) 주의집중력에서는 훈련군과 대조군사이에 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 2) 단기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=10.46. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 3) 장기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=15.09. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 4) 반응시간에서는 상호작용 효과(F(1,24)=5.18, p〈.05)가 있었다. 5) 반응운동시간에서는 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 6) 반응결정시간에서는 상호작용 효과(F(1.24)=6.00, p〈.05)가 있었다. 결 론 : 통합심리치료의 인지분화훈련은 정신분열병 환자에서 하위단계의 인지기능 중 반응시간(특히 반응결정시간)을 단축시키는 효과가 있었다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training of Integrated Psychological Therapy(a training program of executive function, concept formation, language, and abstraction) on micro-level cognitive function such as attention, memory and reaction time in patients time in patients with schizophrenia. Methods : Twenty-four inpatients diagnosed as schizophrenia using DSM-IV were randomly assigned to 2 groups. The training group went through a total of 12 sessions of cognitive differentiation training for 4 weeks. The control group received psychoeducation program during the same period. Wechsler Memory Scale-Revised and Decision-Reaction Timer of Vienna Test System were administered to all patients, both before and after the training program. Results : 1) In the attention and concentration scores of Wechsler Memory Scale-Revised, between group, within group and interaction effects of training were not significant. 2) In the short-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=10.46, p〈0.05), but the between group and interaction effects did not reach significance. 3) In the long-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=15.09, p〈0.05), but the between group and interaction effects did not reach significance. 4) In the reaction time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=5.18, p〈0.05). 5) In the motor time scores of Decision-Reaction Timer, between group, within group and interaction effects of training were not significant. 6) In the decision time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=6.00, p〈0.05). Conclusion : Our findings suggest that cognitive differentiation training of Integrated Psycho-logical Therapy is partly effective on improving micro-level cognitive functions such as reaction time(especially, decision time) in patents with schizophrenia.

참깨에 있어서 作畦方法이 生育, 收量構成要素, 收量 및 잎마름病 發生에 미치는 影響

李徹熙,朴然圭 충북대학교 농업과학기술연구소 1991 農業科學硏究 Vol.9 No.2

This experiment was conducted to study the effect of several ridging methods under vinyl mulching and vinyl exclusion at flowering period on growth, yield components, yield and occurrence of leaf blight caused by Corynespora cassiicola in sesame. The results obtained are summarized as follows ; 1.On vinyl mulching and ridging method of 75cm (40×13cm) plot, plant height, fresh weights of leaves, stem and root were increased. 2.On vinyl mulching and ridging method of wide ridge and row space, no. of total and fresh leaves were higher, and high fresh leaves ratio was maintained in maturation period. 3.Length of capsule setting, no. of total leaves and no. of matured capsule in vinyl mulching and ridging method of 75cm (40×13cm) was increased. 4.On vinyl mulching, grains of capsule per plant in high part of capsules was higher, and maturation ratio was increased 10-20% than vinyl exclusion plot, and on ridging method of narrow ridge and row space was increased than that of other. 5.There were significant positive correlations between yield of seed and other agronomic characteristics such as length of capsule setting(r=0.42*), fresh weight of leaves(r=0.45*), fresh weight of root(r=0.81**), and no. of matured capsules(r=0.47*). 6.Yield of seed on vinyl mulching plot was increased 8% (92kg/10a) than vinyl exclusion at flowering period, and on ridging method of 75cm(40×13cm) plot was increased 3% (92kg/10a) than conventional ridging method of 150cm(50×10cm). 7.On vinyl mulching and ridging method of 75cm(40×10cm), occurrence of Corynespora blight was reduced, and there were high significant negative correlations between occurrence of Corynespora blight and other agronomic characteristics such as fresh weight of leaves(r=-0.58**), fresh leaves ratio(r=-0.78**), no. of matured capsule(r=-0.58**), and yield of seed(r=-0.64*).

카드뮴에 폭로되지 않은 일부 한국인의 혈중, 요중 카드뮴 농도

연유용,안규동,이병국 大韓産業醫學會 1992 대한직업환경의학회지 Vol.4 No.1

In order to identify the normal range of blood and urine cadmium levels in Korean, blood cadmium (Cd-B) and creatinine adjusted urine cadmium (Cd-U (Cr)) and specific gravity adjusted urine cadmium (Cd-U (SG)) were analized in 403 Koreans (male : 160, female : 243) who were not occupationally exposed to cadmium by atomic absorption spectrophtometry using Zeeman effect background correction. The summarized results were as follows : 1. Sample distribution patterns of blood and urine cadmium levels in 403 who were not occupationally exposed to cadmium were log-normal distribution. 2. While the Cd-B, Cd-U(Cr) and Cd-U(SG) of males were 0.18±0.10(GM : 0.16)ug/dl of Cd-B, 1.56±1.26 (GM : 1.19) ug/g creatinine of Cd-U(Cr), 1.60±1.20(GM : 1.28) ug/l of Cd-U (SG), those of females were 0.15±0.07 (GM : 0.14) ug/dl of Cd-B, 2.68±2.19(GM : 1.87) ug/g creatinine of Cd-U(Cr), 1.95±1.42(GM : 1.48) ug/l of Cd-U(SG), respectively. There was a statistically significant difference of three indices between sexes (p<0.01). 3. Cd-B, Cd-U(Cr), and Cd-U (SG) of both sexes were increased with increase of age. There were significant increase of Cd-B, Cd-U (Cr) and Cd-U (SG) by the increase of age. 4. While Cd-B (GM) and Cd-U (Cr) (GM) in smoker and nonsmoker of males were 0.17ug/dl, 1.21ug/g creatinine and 0.13ug/dl, 1.14ug/g creatinine, those of females were 0.18ug/dl, 3.79ug/g creatinine 0.14ug/dl, 1.71ug/dl. 1.71ug/g creatinine. There was statistically significant difference of theree indices between sexes(p<0.001). 5. There was significant increase of Cd-B, Cd-U (Cr) and Cd-U (SG) in smoking males by the increase of calculated pack year. 6. In stepwise multiple regression analysis, using Cd-B, Cd-U (Cr) and Cd-U (SG) as a dependent variables and age, sex, smoking and blood pressure as an independent variables, smoking habits, age and sex were contributed to Cd-B, significantly(p<0.001), age and sex were contributed to Cd-U(Cr) and Cd-U(SG) significantly(p<0.001).