의료기사의 누적 외상성 증후군 증상에 관한 조사

박찬호,리갑수,이성수,안규동,이병국 순천향대학교 산업의학연구소 2001 순천향산업의학 Vol.7 No.1

The cumulative trauma disorder is a disease group of musculoskeletal systems developed by repeated work, which became greate concern in occupational health problem in Korea recently. Many paramedicals working in the department of Laboratory, Radiology, and Rehabilitation of the hospital have been engaged in the simple repetitive hard works causing cumulative trauma disorder. This is the study on the cumulative trauma disorder in those medical technicians. Total 285 (180 male, 105 female) medical technicians and office workers working in the hospital were surveyed with the self-administered questionnaires. They included the questions such as age, sex, marital status, education, height, weight, smoking and drinking history as a general characteristics and work department, kind of work, work duration, work conditions as a work characteristics. And also subjective symptoms related with the work in each region of body area were questioned. Among the work conditions, there were significant differences between medical technicians and office workers (e.g., high in medical technicians) in daily works lifting patients or heavy equipments, works moving continuously and rapidly, works with uncomfortable position, works keeping neck and upper arms in uneasy position. Complained rate of subjective symptoms was significantly higher in physical therapist and in the group of work duration over 10 years. The significant symptoms were pain, abnormal sensation, burning sensation. The significant factors affecting the subjective symptoms were female and work duration over 10 years for wrist area, female and current smoking for knee or ankle area, physical therapist, work duration between 6 and 9 years for lumbar area, female and radiologic technicians and work duration over 6 years for shoulder area. None was significant for neck area.

고요산혈증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이종은,이준숙,이찬구,이한정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : Serum uric acid has now been identified as a marker for a number of metabolic and hemodynamic abnormalities. The aim of this study is to evaluate risk factors which influence hyperuricemia in the citizens of Asan. Method : The study design was cross-sectional and research subjects were 1086 citizens of Asan. General characteristics, cigarette smoking, alcohol consumption, and past history were obtained by interview using a structural questionnaire. Also, we measured height, weight and blood pressure, and serum uric acid of the subjects. Results : The mean serum uric acid level was 5.27 ㎎/㎗ in men and 4.01 ㎎/㎗, in women, In the multiple logistic regression analysis, statically significant risk factors of hyperuhcemia were gender, body mass index, blood lead concentration, and serum creatinine. Conclusion : Our results suggest that gender, body mass index, blood lead concentration, and serum creatinine might be the most important risk factors of hyperurcemia. Education program as well as routine check-up for serum uric acid was highly recommended for the effective prevention of hyperuricemia.

만성신부전 환자에서 Recombinant Human Erythropoietin(rhEPO)의 피하주사시 생체이용율

김경수,이경훈,이영수,김광호,김용식,신상구,박찬웅 大韓臨床藥理學會 1993 臨床藥理學會誌 Vol.1 No.1

기존 트랙터 로터리날의 운동분석

이현동,김기대,김찬수,김성환 충남대학교 농업과학연구소 2004 농업과학연구 Vol.31 No.1

In this study, motion characteristics and power requirement of rotary tilling according to shape of conventional rotary blade were measured This study was performed to establish factors which needed to develop energy saving rotary blade. Starting point of edged curve of imported rotary blade was faster than that of domestic rotary blade after measuring and analyzing edged curve of rotary blade. So domestic rotary blade tills much soil than imported rotary blade. In analyzing motion of rotary blade, Rotary blade of A, D type was begun to contact at part 3. Analyzing back surface of rotary blade which contact to soil at critical λ results in contacting at e-f part. In measuring power requirement of rotary blade, specific torque and specific work of rotary blade are 160~170 kgf·m/m², 3,700 kgf·m/m³. It shows power requirement of rotary blade according to shape of rotary blade are very different.

항공기 세로운동에 대한 가변구조모델추종제어시스템의 설계에 관한 연구

李康態,黃壽贊 한국항공대학교 1992 論文集 Vol.30 No.-

항공기의 세로운동에 대한 가변구조모델추종제어기를설계 하였다. 슬라이딩모드에서 발생하는 채터링의 크기를 최소로 하는 다변수제어 알고리즘을 제시하고 그 타당성을 컴퓨터시뮬레이션을 통하여 보았다. A variable structure model-following controller is designed for the longitudinal motion of an aircraft. The proposed multivariable control law reduces the magnitude of the chattering in sliding mode. Simulation results show the performance of the control system.

초등학교 5학년 실과 『우리 생활과 전기·전자』 단원의 ICT활용 교수-학습과정안 개발

이찬웅,김진수 韓國實科敎育硏究學會 2002 實科敎育硏究 Vol.8 No.1

The purpose of this study was to raise the effectiveness of learning and teaching through developing lesson plans based on ICT for electrical · electronic units in elementary practical arts of 5th grade at elementary school in the 7th national curriculum. This study was conducted by dividing into four stage(the analysis stage, the design stage, the development stage, the evaluation stage) for this purpose. For the analysis stage, after the units required to develop were selected and teaching objectives were identified, objects that lesson plans based on ICT were applied to and teaching-learning setting were grasped and the learners' final behaviors were described in detail and the content analysis were systematized. For the design stage, teaching guidance based on ICT for accomplishing learning objectives was made and its application to elementary practical arts education was invested. For the development stage, Power-Point 2000 as the writing tool which is easy to make out, correct, and edit their presentation was used. For the evaluation stage, After self evaluation and expert evaluation were conducted to identify the problems and content's errors of the developed lesson plans based on ICT, lesson plans were corrected, made up for, and completed by their results. The results of this study tested by the experts were as follows : As these lesson plans were gotten the positive marks more than the average in the three domains of the teaching plan domain, the teaching process domain, and the evaluation & the rest, it showed that they were effective materials giving a high learning drive. According to this, lesson plans based on ICT as materials to raise teaching-learning effectiveness are required.

화학공학 전공 학생의 취업을 위한 복합 STC 운영

이명섭,한정태,이근복,김노수,조찬휘 永同大學校 1997 硏究論叢 Vol.3 No.1

우리 영동대학교에서 1998년 이후 지금까지 진행하여 온 특별 주제 학습과정인 STC(Special Topics COurse)프로그램을 기존의 운영틀에서 탈피하여 한층 더 발전시킨 복합STC로 활용하고자 하였으며, 특히 이를 졸업생의 취업 및 진학의 방법으로 최대한 활용하고자 계획·운영하였다. 그 결과 취업 및 진학과 같은 진로 확립은 물론 전공지식의 확대, 자격시험 대비능력의 향상, 학생과 교수간의 유대강화 등과 같은 괄목할 만한 성과를 얻을 수 있었으며, 교수들의 산업체 방문을 통한 산학협동의 계기 마련에도 커다란 성과를 얻었다. We have upgraded the STC(Special Topics Course) program, which has been carried out in our university since 1995, to more structured program so that we could train our chemical engineering students better. This program was geared to help students find better jobs and enter well-recognized graduate schools. Consequently, we had most students successful in job searches as well as entrance exams for graduate school; besides, those who actively participated in our STC program were able to attain better professional knowledge and acquire various professional engineers certificates. On top of that, this program allowed us to build up closer relationships with our students. We also made university-industry cooperation possible through our visits to industries nearby.

소세포 폐암의 갑상선전이 1예

장리라,최영식,박요한,문대성,김자경,김성은,최인수,유찬희,남성진 고신대학교 의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Metastasis to the thyroid gland is usually considered uncommon. The most frequent sites of the primary tumor include the kidney, breast and lung. Its presence often indicates poor prognosis. Metastases represent the advanced stage of the tumors and fine needle aspiration cytology is and important way of diagnosis in thyroid metastasis. we experienced a case of Metastatic Small cell Lung Carcinoma to the Thyroid Gland. A 58-year-old man with Graves' disease diagnosed pulmonary nodule in the left upper lung field on his chest X-ray film. The patient's thyroid gland was diffusely swollen, and elastic to hard. A thyroid ultrasonography showed 1cm sized hypodense nodule on the left thyroid gland. The patient underwent a ultrasonography guided fine needle aspiration cytology of the mass. Cytological diagnosis was a metastatic small cell carcinoma. Then Chemotherapy was administered to the patient. The authors report this rare case of metastatic small cell lung carcinoma to the thyroid with literature review.

분뇨처리장의 공정개선에 의한 처리효율 향상에 관한 연구

이찬원,김승현,김창수,문성원,전홍표,윤종섭 한국환경과학회 2004 한국환경과학회지 Vol.13 No.6

There is a need to improve the efficiency of the existing sanitary treatment facilities, because the effluent standard becomes more stricter and septic sludge increased. Thus, operating processes of sanitary treatment system in M city changed with installation of additional facilities. Process modifications were as follows: Dilution water was added to the next process after primary aeration tank. Some secondary sedimentation sludge was recycled to primary aerator so that most of the organics were stabilized in primary aeration tank under automatic control of dissolved oxygen. The line of effluent from dewatering process flowing to the activated sludge tank was changed to the primary aerator. The primary sedimentation sludge line was linked to a thickener. Polymer was added to the activated sludge tank. The effluent of primary aerator and aerobic digester was recycled from the 5th to the 1st sector. As consequencies of above process modifications, the improvement of removal efficiency was achieved as BOD 54%, COD 42%, SS 61%, T-N 39%, and T-P 12%, respectively.

어류에 발생하는 Mycobacterium 속 세균성 질병에 대하여

이덕찬,김도형,박수일 한국어병학회 2001 한국어병학회지 Vol.14 No.3

Mycobacterium 속 균은 일반적으로 Gram 양성 및 음성균의 세포벽에서 관찰되는 구조 및 성분과 차이가 나며, 장시간 동안 배양해야 하는 등의 특성이 있다. Mycobacterium속 세균의 세포벽에는 다량의 mycolic acid가 함유되어 일반 염색법으로느 염색이 잘되지 않으나 일단 염색되면 산이나 알칼리에 탈색되지 않는 성질을 가지고 있으므로 항산성균이다. 그람 양성 간균, 비운동성, 호기성이며 아포는 없고 발육이 느리다. 그러므로 이러한 균의 배양, 분리 그리고 동정에는 Gram 양성 및 음성균에서 수행하는 일반적인 생화학 및 생리학적 방법 외의 다양한 시험들이 필요하다. Atexander(1913)에 의하여 'piscine tuberculosis'로 보고된 후 어류에 피해를 주는 여러 종류의 Mycobacterium 속의 세균군이 보고되었다. 최근까지 해수어와 담수어 40과 151종 이상의 어류에서 감영 가능성이 보고되어 있으며 특히, 열대성 담수어와 해수어, 온대성 담수어류 및 관상어류 등에서 주로 보고되었다. 어류에 감염을 일으키는 균으로는 M. marinum, M. chelonae 및 M. fortuitum이 잘 알려져 있으나, 최근 어류뿐만 아니라 양서류, 파충류 및 갑각류 등에서 M. simiae, M. scrofulaceum, M. poriferae, M. kansasii 및 M. peregrinum 등과 미국의 Chesapeake 만의 자연산 sea bass에서 Mycobacterium chesapeake sp. nov.이 보고되었다. 어류의 mycobacteriosis는 오염된 먹이나 수중 부유물질에 부착된 병원체의 어체 상처 접촉에 의하여 수평적으로 확산될 수 있다. 감염된 어류는 먹이 섭취 불량, 운동성 저하, 복수 저류로 인한 복부팽만 등의 외부증상과 신장, 비장 및 간 등의 육아종 형성 등 전신적, 만성적 그리고 진행성 병변을 보인다. 어류에 질병을 일으키는 Mycobacterium sp는 65kDa과 <14kDa의 분자량을 가진 ECP를 생산하며, 세균 종에 따라 mucinase, lipase 또는 RNase를 생성한다. M. marinum에 의하여 생성된 ECP에 의한 독작용은 Vibrio anguillarum이나 Aeromonas hydrophila ECP에 비하여 약하며, 무지개송어와 나일틸라피아에 대한 LD_50은 400μg fish^-이다. 이들 병원균에 의한 감염증 발생 후 항생제를 사용하면 어류의 폐사는 줄어들지만 완전한 치료는 어려우므로 예방 조치가 필요할 것이다. 그리고 어류에 감염을 일으키는 Mycobacterium sp.에 의한 인체감염이 전세계적으로 보고되 있으며, 국내에서도 환경이나 사람의 객담(喀痰, sputum)으로부터 M. marinum과 M. fortuitum complex가 분리 보고되고 있으므로 앞으로 어류로부터의 감염에 대한 많은 연구가 필요하다. Bacteria of the genus Mycobacterium ard generally rod-shape, gram-positive, nonspore-forming, non-motile and acie-fast. They are quite different from the structures and compounds in common bacteria. The bacteria are not decolorized with acid-alcohol because of the cell walls composed of mush mycolic acis. The bacteria are relatively fastidious, growing very slowly on only a few special media. Therefore many kinds of experimental methods should be needed to isolate and identify mycobacteris besides physiological and biochemical methods commonly used. Serveral bacteria of the genue Mycobacterium have been reported after Alexander(1913)described piscine tuberculosis to refer to fish mycobacteriosis. Probablility of infection from 40 families, 151 species of fich to human hsd been reported until recent year, particularly including tropical freshwater and marine fishes, temperate frashwater fishes and aquarium fishes. The causative agents of the fish mycobacteriosis involve M. marinum, M. chelonae and M. fortuitum. Currently M. simiae. M. scrofulaceum, M. poriferae, M. kansasii and M. peregrinum have aldo been found in amphibians, reptiles and crustaceans and M. cheapeaki sp. nov. was isolated from wild sea bass in the gulf of Chesapeake, the US. The most probable route of transmission for fish mycobacteriosis is oral or through injuries of the skin which can be exacerbated by external parasites. Mycobacteriosis is a chronic progressive disease, with various clinical signs, including lack of movement coordination, abdominal swelling, inappetence, emaciation and inflammation of the skin. Interally greyish white nodules develop on various organs, particularly the liver, kidney and spleen. ECP from virulent Mycobacterium sp. has two different proteins, a 65 kDa and <14 kDa, and the ECP may contain mucinase, lipase or RNase depending on the kinds of bacteria. The ECP of M. marinum, with the LD_50 dose equated to 400㎍ fish^-1 for rainbow trout and Nile tilapia, is more toxie than those of Vibrio anguillarum and Aeromonas hydrophila. Prevention of the disease is perhaps the single most economical means to combat mycobacteriosis, since infected fish cannot be completely cured althouth the mortality may be reduced by application of antibiotics. It may be difficult to ruld out the possibility of human infection by Mycobacterium sp. which is virulent to fish, as the related reports have been described worldwide and also reported domestically on isolation of M. marinuma and M. fortuitum complex from the environment and sputum.