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.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

A Study on Protection of Maternal Antibody against Hantavirus in Rats

우영대,--,--,--,--,-- 대한의생명과학회 2005 Biomedical Science Letters Vol.11 No.1

The etiologic agents of haemorragic fever with ranal syndrom (HFRS) in Korea are Hantaan and Seoul virus in the genus Hantavirus, family Bunyaviridae. In order to elucidate the role of maternal immunity to Hantavirus infection in rats, the protective effect of the maternal antibody were studies by using rats experimentally infected with Seoul virus strain HR80-39. Antibody titers of sera and viral antigen against Seoul virus were investigated by indirect immunofluorscence antibody technique (IFA). The dam sera had IFA antibody titers ranging from 1:128 to 1:1,024 after parturition. In fetuses, IFA antibody titers ranged from 1:16 to 1:64 just after birth, increased to peak titers ranged from 1:256 to 1:1,024 in the 2nd week after birth. Challenged newborn rats had IFA antibody titers ranging from 1:64 to 1:1,024 after inoculation. No viral antigen was detected in lungs or other organs of the newborn rats. The maternal antibody to Seoul virus was transferred prenatally through placenta and postnatally via colostrum from immune dams to their offspring. These results demonstrated that maternal antibody to Seoul virus was quite effective in protecting newborn rats against same virus infection.

超短波治療의 效率性에 關한 臨床檢討

文錫哉,羅相孝,金宇煥 圓光大學校 漢醫科大學 1984 圓光漢醫大論文集 Vol.- No.2

This study is investigated to examine how efficiently the ultra short wave-cure utensil would be helpful to acupuncture treatment. Through investigation, we abtained the following consequences in result of ultra short wave cure [with acupuncture treatment in the causes of 15 patients (44.12%)] to 34 cases of patients who had come receive treatment in Kwang Ju oriental medical Hospital for 2 months from July to August, 1984 ; 1) According to the proportion of males to females, the number of female patients [21 cases (61.76 %)], is more than that of male patients [13 cases (38.24 %)], and in age the ages between 10 and 29 os the highest in th rate. 2) In term of onset of disease, the cases of 10 days period formed 41.18 %(14 cases) of the total and over 2 years period were second 14 cases (29.41 %). 3) In the frequency of treatment, 10-20 times was 88.24 %(30 cases) of the total and in term, 20-40 days was necessary in treatment. 4) More of abjects were patients in motornervous system. 5) In spite of chronic patients in most objects, significant efficiency was abtained in 70.59 %(24 cases).

[논문]통합 건설관리 환경하에서의 일괄된 정보처리 체계

문성우 釜山大學校生産技術硏究所 2004 生産技術硏究所論文集 Vol.63 No.-

경제·사회적 개발에 투자할 수 있는 한정된 국가자원을 고려했을 때 공공사업을 위해서 투입되는 자원은 효과적으로 관리되고 배분되어야 한다. 건설관리는 이와 같은 시대적 요구사항에 따라서 건설사업의 최적화라는 개념으로 도입되고 있으며, 통합 건설관리 환경은 정보화 환경의 구현으로 건설관리를 선진화 시킬 수 있는 기틀을 제공한다. 본 논문은 감독원과 시공사가 계약 상의 업무를 추진할 때 생성되는 정보를 통합적으로 관리하는 통합 건설관리 환경의 개발 방안을 제시하는 것을 목적으로 한다. 통합 건설관리는 건설 CALS에서 목표로 하는 발주처, 시공사, 용역사 등을 포함한 건설 e-비즈니스를 구현함으로써 건설사업의 추진 시 정보 처리의 효과를 높이고f 일원화된 정보 처리로 자원의 효과적인 관리가 가능하게 된다. 특히 라이프싸이클 각 단계에서 생성되는 건설정보를 일괄되게 관리하기 위 해서 XML을 증심으로 한 데이터의 조회와 저장이 가능하도록 고려해야 하며, 향후 예상되는 건설 B2B 환경에 대응해야 한다. 한국수자원공사의 수자원 건설통합정보관리시스댐에서 보여주는 바와 같이 통합 건설관리 환경은 기간 시스템과의 유기적인 연결을 통해서 전략적 기간 시스템으로 설계·구현펼 수 있다. 국내 건설사업이 시공 분야에 있어서 갖고 있는 장점을 극대화하기 위해서는 건설관리의 고도화가 필요한 바 통합 건설관리 환경의 도입을 통해서 경쟁력의 획기적인 발전을 도모해야 하겠다.

배·급수 시스템에서 부식방지제의 적용 평가 연구

우달식,문정기,구성은,최종헌,김주환,문광순 대한상하수도학회 2003 상하수도학회지 Vol.17 No.5

This study evaluated the effect of the corrosion inhibitors on the corrosion control performance in drinking water distribution system. A phosphate-zinc based inhibitor formulated was for the efficient corrosion control in drinking water distribution system. In a continuous-circulation test, 99% reduction in corrosion rate was achieved. The optimum concentration of the corrosion inhibitor was found to be 2.2㎎ PO₄/L. The effect of the corrosion inhibitor was significant for the pipes of carbon steel, galvanized steel and copper, but less for that of stainless steel. The corrosion inhibitor can be an effective cure for corrosion and red water problems by prevention the old pipes from further corrosion. Tap water in Mokpo and Kwangyang were more corrosive than the water in the rest of 4 other regions(Seoul, Pohang, Pusan, Puyeo). Tap water in Pusan was high in various ionic concentrations in general. The corrosion inhibitor reduced the corrosion rate by 76-94%, depending on the origin of the tap water.

마케팅자료에서 특성점들을 이용한 군집방법

문숙경,김우성 한국품질경영학회 2004 품질경영학회지 Vol.32 No.4

We got the growth distance curve by spline smoothing method with observed marketing data and the growth velocity curve by the derivation of the growth distance curve. Using this growth velocity curve, we defined the several characteristic points which describe the variation of marketing data. In this paper, to specify several patterns of marketing data, we suggested characteristic function by using these characteristic points. In addition, we applied characteristic function to the seventeen brands of electric home products data.

Kangaroo와 정치소설의 형식

문우상 서울대학교 교양과정부 1972 論文集 Vol.4 No.-

이 소설에는 지루한 군말, 부주의하게 쓰인 부분이 많지만 Lawrence가 처음 목표한 바가 무엇인지를 옳바르게 파악하지 못한 결과 많은 부분을 졸열한 것으로 판단하고 있다. 그는 무엇보다 정치 소설을 쓸려고 노력하였으며 그가 해결하려든 문제는 정치소설이 당면한 문제였다. 전통적인 소설의 형식이 정치의 새로운 면을 어떻게 다룰수 있을까? Kangaroo는 혁명적인 것 Diggers가 제시하는 결국 실패로 돌아간 거짓 혁명과 Somers가 모색하고 있는 개인의 의식의 혁명을 다루고 있다. Somers가 추구하고 그의 이름으로 Struthers와 Kangaroo의 인습적인 정치적 호소를 물리치고 있는 혁명적인 'dark god'가 이 소설에서 결코 실현되지 않는다는 사실은 이 소설의 한가지 실패라고 하겠으나 이것은 이 소설이 혁명의 탐구를 결코 부정하고 있는 것은 아니다. 이 소설에는 유동과 변화, 변천하는 사상 Somers가 싸우고 있는 가치의 상대성이 소설의 형식으로 표현되고 있다. 이 소설에서 시도한 실험이 성공하였다고 말할 수 없겠으나 정치소설이 당면한 여러 문제점과 소재에 충실하고 그것을 일정한 plot나 형식에 맞추려고 손질함이 없이 원상을 유지하려는 어려움이 무엇인가를 추구하는 사람에게 크게 도움이 될 것이다.

노인외상환자의 예후 인자

문철규,전정민,최성혁,문준동,이성우,홍윤식 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: It has been documented that certain prognostic factors may affect the outcomes of the old aged victims by trauma. Considering that trauma is the sixth most common cause of death in people over the age of 65 years and there is a rapid growth of elderly population, it is paramount to understand the prognostic factors when dealing with geriatric trauma patients. Hypothesis and Goals: It can be hypothesized that the prognostic factors should be determined independently between populations being consisted of different races, countries, socio-economic states, cultures, or so on. Thus, the study was designed to evaluate the factors affecting the outcomes of elderly Korean trauma patients. Methods: One hundred forty six patients aged over 65 years were retrospectively reviewed, who visited the Emergency Center of Korea University from January, 1997 to June, 1998. Of 146 patients, 7 were excluded due to discharge against advice or transfer to the other hospitals. Parameters analyzed were age, sex, mechanism of injuries, body region injured, Injury Severity Score (ISS), previous medical illness, hospital morbidity, duration of hospital stay, and cost. Each patient was classified into improved or not-improved group depending on the outcomes, and young-old or old-old group depending on the age. The factors affecting the hospital stay in improved patients were analyzed in the parameters of previous medical illness, hospital morbidity, multiple injuries, ISS, and age. All statistical tests were conducted with two-tailed levels of 0.05. Results: Of 139 patients, the mean age was 74±7.1 years, mean ISS 9.3±7.26, mean hospital stay 27±27.1 days. Most commonly injured body region was the extremities due to fall from a level surface. Rate of previous illness showed 0.94 medical diseases per person and were aggravated after trauma in 39 patients (60.9%). Hospital morbidity rate was 0.46 incidents per person. There were no differences in age and duration of hospital stay between the improved and the not-improved group. Substantial differences were noted in affected body region, incidence of previous illness, and hospital morbidity between the groups (p=NS). Not-improved group had higher ISS(p<0.05). ISS, previous illness and hospital morbidity affected the duration of hospital stay in the improved group. Hospital stay was 40±25.1 days in patients with ISS over 6 while 6±8.6 days in those with ISS 5(p<0.05). Hospital stay in the improved was 26±26.9 days while 31±24.8 days in the improved old-old group (p=NS). Hospital stay in the young-old minor trauma (ISS5) patients with previous illness and hospital morbidity was 26±10.1 days while 4±7.3 days in those without previous illness and hospital morbidity (p<0.05). Conclusion: Previous medical illness and hospital morbidity, not age, are predictive of outcomes of geriatric trauma patients with respect to hospital stay. As most of the hospital morbidity was a trauma-induced aggravation of previous medical illness and hospital morbidity contributing poor outcomes can be potentially avoidable, routine aggressive care for the geriatric trauma patients with previous medical illnesses is needed.

기하학적으로 대칭인 세 점의 움직임 벡터를 이용한 카메라 움직임 추정 기술

문성헌,한성우,박영민,장주석,윤영우 영남대학교 공업기술연구소 2001 工業技術硏究所論文集 Vol.29 No.1

This paper proposes a global motion estimation technique that utilizes the special relations of motion vectors of geometrically symmetrical triple points of frames. The proposed technique calculates several kinds of the parameters, such as panning, tilting, rolling, and zooming of camera motions at once by applying the proposed equation sets to the motion vectors only once, and avoids the trial and error method which the existent works have used. Moreover it discriminates against the foreground region and effectively reflects only the background region into the calculation of motion parameters, thus making the calculation more accurate and fast enough to accommodate MPEG-4 requirements. Experimental results on various types of sequences show the validity and the broad applicability of the proposed technique.