Bacteriology of chronic suppurative otitis media : a multicenter study

YEO, SEUNG GEUN,PARK, DONG CHOON,HONG, SEOK MIN,CHA, CHANG IL,KIM, MYUNG GU WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

Conclusions. Bacterial predominance and antibiotic sensitivity have changed over time, making continuous and periodic surveillance necessary in guiding appropriate antibacterial therapy. Objectives. With the development and widespread use of antibiotics, the types of pathogenic microorganisms and their resistance to antibiotics have changed. Knowledge of the species and resistance rates of current pathogens is important for determining the appropriate antibiotics for patients with chronic suppurative otitis media. We investigated the current bacteriology of chronic suppurative otitis media. Subjects and methods. This was a retrospective study of 1102 patients with chronic suppurative otitis media seen at six hospitals in Korea from January 2001 to December 2005. Results. The most commonly identified pathogenic bacterial species was Pseudomonas, with the next most prevalent being methicillin-resistant Staphylococcus aureus (MRSA).

전기화학적 방법을 이용한 수소제거에 관한 연구

박창규,김재홍,김정구,안승호,박진석,김종성,진태은 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.3

Hydrogen embrittlement (HE) mitigation on the low alloy steel was studied using electrochemical technique. This method can be applied to reduce HE susceptibility. Hydrogen induced cracking (HIC) characteristics of the low alloy steel was investigated in aerated and deaerated borate buffer solution (0.3M H₃BO₃ + 0.074M N₂B_(4)O_(7), pH 8.4). The electrochemical properties of the low alloy steel showed passive behavior in this environment. By performing galvanostatic and potentiostatic test, hydrogen was charged and discharged to specimens respectively. By applying the potential of +630 mV_(SCE), the accumulated hydrogen was eliminated electrochemically. A specimen discharged for 24h indicated the efficiency of the hydrogen discharge up to 99.9%. Slow strain rate tests (SSRT) results showed that a specimen with higher hydrogen concentration revealed inferior mechanical properties such as shorter time to fracture, lower elongation, ultimate tensile strength and yield strength values. Furthermore, SEM fractographs revealed that the higher the hydrogen concentration is, the more probable the features of brittle fracture are. (Received July 26, 2004)

플라즈마 산화 처리된 65/35황동의 산소 분압별 부식특성에 관한 연구

박창규,안승호,김정구,정윤모,한전건 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.4

Brasses are the most widely used copper-based alloys because of the good corrosion resistance, formability, high strength and excellent hot-working properties. However, dezincification occurs when one or more components of an alloy are more susceptible to corrosion than the rest and, as a result, are preferentially dissolved. In order to enhance the corrosion resistance, the oxide film was deposited on the 65/35 brass by pulsed dc plasma oxidation with various pressure. The corrosion behavior of plasma oxidized brasses with various oxygen pressure was investigated by electrochemical methods (potentiodynamic polarization test, potentiostatic test, electrochemical impedance spectroscopy) and surface analyses (x-ray diffraction, scanning electron microscopy, auger electron spectroscopy, electron probe micro analyzer). Particular attention was paid to the effects of oxygen pressure and oxide thickness on the coating properties related to the corrosion behavior. From the results of electrochemical test, it was found that the oxidized brass under condition of 1.5 Torr oxygen pressure was effective in improving corrosion resistance. It was attributed to the protective oxidized layer (ZnO). Finally, an optimized oxidation condition for corrosion protection was found to be 1.5 Torr oxygen pressure and 1 pun thickness. (Received September 3, 2004)

정신과 외래에서 향정신성약물을 복용 중인 환자에서의 하지불편증후군

지구덕,한승희,양명성,양창국 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.4

Objectives : The purpose ofthis study was to investigate the clinical characteristics and incidence of restless legs syndrome (RLS) in outpatients with psychiatric iltness. Methods : 146 adult patients (male 52, female 94) wcre selected from those who visited a psychiatric outpatient clinic. RLS was evaluated through an interview method using diagnostic criteria and a severity rating scale for RLS developed by the Intemational RLS Study Group (IRLSSG). The authors also applied Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), the Pittsburgh SleeP Quality Index, Bames Akathisia Rating Scale and neurological examination. Rcsults : Thirty-four (23.3%) among 146 subjects were diagnosed as having RLS. Fifteen (44.1%) among those 34 RLS patients reported to have developed their RLS after starting their psychotropic agents and only 4 patients (11.7%) had Cu-rrently been receiving treatment for their RLS. The RLS group showed higher BDI and BAI scores (p<0.01) and lower sleep quality (p<0.01) compared to those of non-RLS. The RLS group also showed a significantly higher co-morbidity of Pa-rasomnias (χ²=8.5, P<0.01) and peripheral neuropathy (χ²=5.2, P<0.05). Conclusion : The results from this study suggest that a substantial proportion of outpatients with psychiatric illness are suffering RLS. Our data suggest that clinicians should pay attention to the possible presence of RLS among their patients who are taking psychotropic agents.

Cu-6Ni-4Sn 합금에서 Cr 첨가에 따른 전기화학적 특성에 관한 연구

박창규,김정구,안승호,한승전 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.3

Corrosion characteristics of Cu-6%Ni-4%Sn-x%Cr alloys in a acid-chloride solution (0.1M H₂SO₄+ 0.0056M NaCl) at pH = 6, were studied as a function of chromium addition. Three kinds of Cu-6%Ni-4%Sn-x%Cr alloys were prepared by melting, and casting, followed by thermomechanical treatments. The corrosion behavior of Cu-6%Ni-4%Sn-x%Cr alloys was investigated by electrochemical corrosion tests (potentiodynamic polarization test, electrochemical impedance spectroscopy) and surface analyses (optical microscopy, electron probe micro analysis, scanning electron microscopy). Cr additions were found to prevent the localized corrosion behavior. This is the reason that the small addition of Cr promoted the decomposition behaviors of the supersaturated solid solution a in Cu-6%Ni-4%Sn alloy, i.e., the number of like-Sn-rich carbide impurities (LCI), which increased the galvanic effect between the matrix and the LCI, decreased with increasing the Cr addition. (Received September 8, 2004)

전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.

도농간 교육격차 해소를 위한 농촌지역 유형별 교육혁신 추진과제 탐색

나승일,정철영,구자억,박행모,장호순,김진구,마상진,조단비,문세연 한국농업교육학회 2007 농업교육과 인적자원개발 Vol.39 No.1

이 연구는 교육혁신에 대한 이론적 고찰을 토대로 농촌지역 교육혁신 성공요소를 도출하고, 농촌의 지역특성을 고려하여 도농간 교육격차 해소를 위한 농촌지역 유형별 추진과제를 제시하는 데 목적이 있었다. 연구목적 달성을 위해 문헌고찰 및 사례연구를 실시하였고, 연구결과의 타당성 확보를 위해 전문가협의회를 실시하였다. 농촌지역 교육혁신 성공요소는 마을공부방 운영 등 26개가 최종적으로 도출되었다. 또한 농촌지역 교육혁신모형을 개발하여 목표와 전략을 수립하고, 이를 기초로 농촌지역 유형별 추진과제를 제시하였다. 농촌지역 교육혁신의 비전은 "도농간 교육격차 해소를 위한 교육혁신 실현으로 살고 싶은 농촌지역 구현" 으로 설정하고, 이를 달성하기 위한 목표는 도시수준의 교육기회 제공, 농촌형 수월성 교육 추구, 지역 인적자원개발로 설정하였다. 농촌지역 유형별 중점적으로 추진해야 할 과제는 발전 농촌지역은 마을 공부방 운영 및 학습도우미 지원, 중간수준 농촌지역은 교육환경 개선, 장학금 지원 및 다양한 교육기회 제공, 저개발 농촌지역은 기존 지원 유지, 적극적 학습 지원 및 교원의 근무여건 개선, 도농복합 농촌지역에서는 교통편의 제공, 학습기회 개선 및 학부모의 교육참여 유도 등이 선정되었다. 그리고 농촌지역 유형별 중점 추진과제에 대한 단계별 로드맵과 이를 적용하기 위한 정책적 제언을 제시하였다. The purpose of this research was to derive success factors and explore actions plan for the education innovation of rural areas for releasing education gaps between urban and rural areas. For the purpose, the researcher carried out literature reviews and case analysis were conducted, and experts council were executed. As a result, 26 success factors for the education innovation of rural area were derived. And, this study suggested the education innovation model of rural area including goals and strategies to identify action plan for the education innovation by types of rural areas. The vision of the education innovation model was making the place pleasant to live in by doing education innovation for releasing education gaps between urban and rural areas. The goals of the education innovation model were to provide urban-level educational opportunities, to pursue rural-customized education for excellency and to develope local human resources. This study identified several core tasks corresponding to each rural area: additional establishment and operation of village study-rooms and support for learning assistant system for highly-developed rural areas; improvement of educational condition and provision of scholarship and various educational opportunities for middle-developed rural areas; maintenance of existing support, active learning-support and improvement of teachers' working conditions for lowly-developed rural areas; provision of traffic convenience, improvement of learning opportunities and promotion of parents' educational participation for urban-rural complex areas. Moreover, this study suggested roadmap according to action plan divided by types of rural areas, and political proposal for effective actualization of that.

Draping simulation of carbon/epoxy plain weave fabrics with non-orthogonal constitutive model and material behavior analysis of the cured structure

Han, Min-Gu,Chang, Seung-Hwan Elsevier 2018 Composites. Part A, Applied science and manufactur Vol.110 No.-

<P><B>Abstract</B></P> <P>The aim of this study is to estimate the mechanical behavior including material failure of cured draped structures. Based on the basic tests for representative mechanical properties of woven fabric prepregs, non-orthogonal constitutive VUMAT code for draping simulation was developed. To calibrate the simulation code, experimental validation was carried out. The local shear deformation of the plain weave fabric draped onto the hemispherical structure was simulated, and the results showed that the simulation successfully followed the actual draping behavior with very low level of errors in the deformation of the prepregs and it predicted the shear angles in local area of the draped structures accurately. The deformation behavior with material failure of the cured hemisphere under compression was estimated with consideration of the local property changes. By using the above analysis technique, the initial mechanical behavior and the failure mode of the hemisphere were accurately estimated using the simulation technique.</P>

리브를 가진 장섬유 복합재료 커버 플레이트의 최적설계

한민구 ( Min Gu Han ),배지훈 ( Ji Hun Bae ),이성우 ( Sung Woo Lee ),장승환 ( Seung Hwan Chang ) 한국복합재료학회 2017 Composites research Vol.30 No.1

일방향 탄소섬유 복합재료는 복잡한 성형 공정과 낮은 드레이핑능을 보여 비교적 단순한 형태의 구조물 제작에 제한적으로 사용되어 왔으나, 최근 이를 해결하고자 성형성과 생산효율이 우수한 장섬유 복합재료(Long Fiber Prepreg Sheet; LFPS)가 제안되었다. 본 연구에서는 단순한 성형 공정과 높은 성형 정밀도를 갖는 LFPS를 활용하여 전자 기기용 커버 플레이트 설계를 수행하였다. 설계에 앞서 리브 구조가 적용되는 대상 구조물을 8-inch 태블릿 PC 제품의 뒷 커버로 선정하였다. 해당 구조물에 평판에 적용되는 대표적인 하중 조건을 선정하여 유한 요소해석에 적용하였고, 이를 활용하여 리브 구조물의 패턴과 리브 형상 변화에 따른 구조물의 구조 강성을 확인하였다. 해석 결과 제한된 부피 내에서 최적의 리브 패턴과 형상을 확보하였으며, 리브 폭이 균일하지 않은 경우가 균일한 경우에 비해 6~10% 처짐량이 감소함을 확인하였다. Carbon fiber reinforced composites have light weight and high mechanical properties. These materials are only applicable in limited shape structure cause by complex curing process and low drapability. To solve this problem, Long Fiber Prepreg Sheet (LFPS) has been proposed. In this research, electric device cover plate was selected and designed by using LFPS. Before the design process, we analyzed the target structure to which the rib structures were applied. And 8-inch tablet PC product was selected. For FE analysis, simple loading and boundary conditions were applied. Stiffness of rib structure was investigated according to the rib pattern and shape changes. Rib pattern and shape were selected based on fixed volume condition analysis results. And uneven rib width model was selected for the best case whose deflection was reduced 6~10% than uniform rib model.

내시경적 점막절제술로 치험한 식도 과립상 세포종 1례

강혁주,김성욱,최석진,이중현,장재식,서영범,윤병구,박건욱,김성자,김용섭,강승완,이구,양창헌,이창우,김욱년,이광헌,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

과립상 세포종은 Schwann 세포 기원으로 생각되며 인체에 비교적 드물게 발생한다. 과립상 세포종은 전신 어느 곳에서나 발견될 수 있으나 주로 혀, 구강, 피부 혹은 유방 등에서 호발하며 드물게 위장관에서 발견된다. 위장관에서는 식도에서 가장 호발하며 다음으로 위, 대장 순이다. 과립상 세포종은 대부분, 특히 위장관에서는 양성이며 소수의 악성 병변이 보고되었다. 이러한 이유와 함께 수술 전의 진단이 어렵기 때문에 과립상 세포종에 대한 근본적인 치료는 현재까지 외과적 절제술이다. 최근에 시도되는 치료방법들로는 내시경적 레이저 치료, 용종절제술, 내시경적 점막 절제술 등이 있다. 저자들은 상부 소화관 내시경검사를 시행하여 식도 과립상 세포종을 진단하고 내시경적 점막 절제술을 시행하여 합병증 없이 퇴원하여 현재 재발없이 경과 관찰중인 1례를 경험하였기에 보고하는 바이다. Granular cell tumors, which occur infrequently, are probably of Schwann cell origin. They can occur almost anywhere in the body but usually affect the tongue, oral cavity, skin, or breasts and are rarely found in the gastrointestinal tracts. The esophagus is the most frequent gastrointestinal site, followed by the stomach and the colon. Granular cell tumors are generally benign, especially in the gastrointestinal tract, some malignant lesions have been reported. For this reason, and also because preoperative diagnosis is difficult, the standard treatment for granular cell tumor has until now been surgical excision. In recent years, other therapeutic methods is endoscopic laser therapy (ELT), polypectiomy, endoscopic mucosal resection (EMR). We report a case of esophageal granular cell tumor which was diagnosed by an endoscopy and managed using an endoscopic mucosal resection without complication.