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.

술후 동통에 대한 케토프로펜 주사의 효능

황병연,박명식,이준모,송경진,이강욱,이승환 최신의학사 1993 最新醫學 Vol.36 No.2

[논문]자연신체활동 프로그램의 실태 및 인식 조사

진성욱,황해익 부산대학교 교육연구소 2011 교육혁신연구 Vol.21 No.2

본 연구에서는 교사-유아 간 애착안정성 정도에 따라 유아의 스트레스 정도 및 유아의 스트레스 대처행동에 어떠한 차이가 있는지 알아보고자 하였다. 연구 문제에 따른 연구 결과는 다음과 같다. 첫째, 교사-유아 간 애착안정성 정도에 따른 유아의 스트레스 정도에는 통계상 유의미한 차이가 없었고, 유아 스트레스 하위 영역인 교사, 또래, 학습 환경에서도 통계상 유의한 차이가 없는 것으로 나타났다. 다만 학습 활동영역에서 교사-유아 애착안정성이 낮은 유아 집단이 높은 집단보다 스트레스를 더 많이 받는 것으로 나타났다. 이러한 결과는 교사-유아 애착안정성 정도에 따라 교사, 또래,학습 환경 요인과 관련된 유아 스트레스에 차이가 없으며, 교사-유아 애착안정성이 높을수록 유아가 학습활동 요인과 관련된 스트레스를 덜 받는다는 것을 알 수 있다. 둘째, 교사-유아 간 애착안정성 정도에 따른 유아의 능동적, 수동적, 신비적 스트레스 대처행동 양식에서 통계상 유의한 차이가 나타났다. 교사-유아 간 애착안정성 정도가 높은 집단이 능동적 대처를 더 많이 하고, 교사-유아 간 애착안정성 정도가 낮은 집단이 수동적 대처와 신비적 대처를 비교적 더 많이 한다는 것을 알 수 있다. Due to lack of systemic program regarding physical activity in children, the study is to identify the constitution and development of the Natural Physical Activity Program by offering environmentally friendly elements such as wind, sun, mountain, sea, river, tree, flower, field for children. We expect children to learn the relation with nature, respect for life, understanding and love, importance of working together, and etc. The research questions for the purpose of this study are as followed: First, this study is going to identify the overall awareness and its needs of the Natural Physical Activity Program among preschool teachers. Second, we will look over how we can develop such program for preschool teachers. And a direction proposal on Natural Physical Activity Program. About 250 preschool teachers resided in Busan and Gyug-nam province were urged to participate in a research questioning their awareness and needs of the program. Among 250 preschool teachers, we choose 20 of them to interview about the goal, plan and development direction of the program. The result of the study is following as: First, most of the preschool teachers have a positive view on the Natural Physical Activity Program, and they agree that the program is highly needed to use. However, it is urge that overall education environment need to be improved to achieve its goal of the program. Second, the interview on the development direction is categorized as need, development direction, teaching method, evaluation method, activity, problem, improvement, solution, and etc. and, Third, the contents of the program include environmentally friendly elements such as wind, sun, mountain, river, sand, tree, flower, field to induce children’s interest and whole-person education. The contents of the program are expected to deliver hands-on experience for children. And also, the program includes physical activity using a nature object. Based on the potential problems we identified, a next study is expected to deal with following points. First, more empirical research is needed to prove the effectiveness of the program in a broad way by proposing a program that can be applicable at child-education center. Second, the study developed contents to make children feel enjoyable about nature. Unfortunately, in-depth research and development of such program is not sufficient. In this respect, more continuous research on Natural Physical Activity Program is required and need to be widely established.

점액성췌장 낭종 1예

황석주,김영운,오성광,김대영,임선재,박승욱,이두용,이헌영 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

Pancreatic cystadenoma is very rare, slow growing tumor and generally preoperative differential diagnosis may be difficult. A 43-year-old female was admitted to our hospital with the complaint of abdominal discomfort in the epigastrium for about preceeding 5 years. Ultrasonography and Computed tomography were performed. When endoscopic retrograde cholangio-pancreatogram was performed, displacement of distal pancreatic duct by huge mass was noted and injected dye was drained irregulary into the cavity of mass. Distal pancreatectomy was performed with splenectomy. The mass size of distal pancreas was 7X4cm, and the cyst contained with yellowish thick mucoid fluid. Diagnosis was confirmed the mutinous cystadenoma of the pancreas on histologic examination.

서울 강서지역 1개 대학병원에서 성인 급성 신우신염의 원인균과 항생제 감수성

황병연,이재갑,박대원,이연주,김성범,엄중식,손장욱,정희진,김우주,김민자,박승철 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

목적 : 3년간 서울시 강서지역의 1개 대학병원에서 입원치료를 받은 성인 급성 신우신염 환자를 대상으로 원인균과 항생제 감수성을 조사하고, 향후 급성 신우신염의 초기 경험적 치료 항생제를 제안하고자 하였다. 방법 : 1999년 1월부터 2001년 12월까지 3년간 고려대학교 의과대학 구로병원에 상부요로감염으로 내원한 16세 이상 환자 229명의 의무 기록을 검토를 통하여, 인구학적 특성, 원인균, 항생제 감수성, 초기 항생제 사용 양상과 입원기간을 조사하였다. 결과 : 연구에 포함된 229명을 118명의 단순 신우신염군과 111명의 복잡 신우신염군으로 구분 하였다. 단수 신우신염의 평균 발생 연령은 38.2세와 복잡 신우신염 56.1세로 복잡 신우신염 환자의 연령이 유의하게 높았다(P<0.001). 양군 모두에서 원인균 중 E. coli의 분리율이 가장 높았으며 항생제 감수성 결과 ampicillin, trimethoprim-sulfame-thoxazole에는 높은 내성률을 보였고, ciprofloxacin, gentamicin, cefotaxime에 대한 감수성은 비교적 높았으나 복잡 신우신염의 경우 단순 신우신염에 비하여 ciprofloxacin, gentamicin에 대한 감수성이 다소 낮은 것을 확인할 수 있었다. 평균 입원 기간, 항생제 투여 기간에 있어서도 복잡 신우신염군에서 유의하게 길었다. 결과 : 본 연구의 결과 서울의 강서 지역에서 대학병원급에 치료 의뢰되는 단순 급성 신우신염의 치료에 있어 1차 항생제로 3세대 cephalosporin, aminoglycoside, quinolone 중 한가지를 초기 경험적 치료제로 사용을 고려하여야 할 것으로 사료된다. Background : The purpose of this study is to recommend the initial therapeutic regimen for adult patients with acute pyelonephritis (APN) according to the changes of antimicrobial susceptibility patterns of causative microorganisms isolated from patients with APN. Methods : We reviewed medical charts of 229 APN patients, who had been treated at Korea University Guro Hospital from 1st of January. 1999 to 31st of December, 2001. We investigated the demographic data, clinical findings, durations of hospital treatment, antimicrobial susceptibility patterns of the causative microorganisms and initial antibiotic regimens in patients with APN. Results : In this study, 229 adult patients with APN were classified into simple APN patients (118 patients, 51.5%) and complicated APN patients (111 patients, 48.4%). Mean age of patients with simple APN was 38.2±14.1 years old and that of patients with complicated APN was 56.1±14.9 years old. Mean age of patients with complicated APN was significantly higher than that of simple APN patients (P<0.0001). Escherichia coli was the most common microorganism both in simple APN (96.7%) group and in complicated APN (90.6%) group. Antimicrobial susceptibility of E. coli was at the low level of ampicillin (31%/20%) and trimethoprim-sulfamethoxazole (42.6%/34.2%) in each group. In contrast, ciprofloxacin (11.5%/22.7%), gentamicin (16.4%/22%) and cefotaxime (0%/8.2%) resistance remained at relatively lower level. In comparison of simple APN with complicated APN, ciprofloxacin and gentamicin resistances were higher in complicted APN group. Average duration of hospitalization (5.9±2.3 days/8.2±4.6 days) and duration of antibiotic use (12.1±3.9 days/15.3±10.0 days) were significantly longer in complicated APN. Conclusions: The results of this study suggests that 3rd cephalosporin, aminoglycoside or quinolone antibiotic would considered as one of the initial therapeutic regimen for patients with simple APN in southwestern Seoul.

제주도 고등학교 학생들의 비만 유병률과 심혈과 위험인자

황승욱,김현주,홍성철,이상이 제주대학교 생명과학연구소 2002 제주생명과학연구 Vol.5 No.6

연구배경 : 최근 청소년 연령층의 비만이 급격히 증가하고 있으며, 비만 청소년들에 있어서 고혈압, 당뇨, 고지혈증이 조기에 발현될 뿐 아니라 성인비만과 성인병 발생의 주 원인이 되고 있다. 본 연구는 제주도내 고등학생들의 비만 유병률과 청소년 비만과 심혈간 위험인자인 혈압, 총콜레스테롤, 공복시혈당의 관련성을 알아보고 소아비만과 청소년 비만의 관련성을 조사하였다. 방법 : 연구대상은 제주도내 22개 고등학생 1학년 6,064명을 대상으로 하였고. 체격조사는1999년도 학교 신체검사 자료와 병원 건강검진 자료를 이용하였다. 비만에 대한 평가는 대한소아과학회에서 발행한 1998년도 한국소아표준치와 체질량 지수 두가지를 이용하였다 심혈관 위험인자로는 총콜레스테롤 수축기 혈압, 이완기혈압 공복시 혈당으로 하였으며, 배상자중 646명에 대해 과거 건강기록부를 열람하여 초등학생 때의 비만실태를 조사하였다. 결과 : 제주도 고등학생의 비만 유병률은 표준체중에 의한 비만 산출법으로는 남, 여학생 각각 12.6%, 13.3%이었고 체질량 지수에 의한 비만 위험군 및 비만 학생이 남, 녀 각각 12.7%, 13.4%로 나타났다. 지역에 따른 비만 유병률은 남학생의 경우 시 지역 12.9%, 군 지역 10.3%로 시 시역에서 비만 유병률이 유의하게 높았으며, 여학생의 경우 시·군지역 각각 12.9%, 14.2%이었으나 통계적 유의성은 없었다. 고등하교 계열에 따른 비만 유병률은 남학생의 경우 인문계 13.9%, 실업계 10.1%로 인문계가 유의하게 높았으나, 여학생의 경우는 통계적 유의성은 없었다. 비만 정도에 따른 심혈관 위험인자와의 관련성에서 남학생의 경우 수축기와 이완기혈압, 공복시혈당, 총콜레스테롤 수치가 비만 정도에 따라 유의한 차이를 보였으며(P<0.05), 여학생의 경우 공복시혈당을 제외한 나머지 변수에서 유의한 차이를 보였다. 체질량지수와 심혈간 위험인자간의 상관관계에서 남학생은 혈압, 공복시혈당 총콜레스테롤이 유의한 양의 상관관계를 보였으며, 여학생의 경우 공복시혈당 외에 다른 수치에서 유의한 양의 상관관계를 보였다. 연구대상자 중 646명에 대해 초등학교 1학넌 때의 비만실태를 추적한 결과 초등학생 비만이 고등학생 비만에 미치는 비교위험도가 남녀 각각 3.77, 2.16으로 유의하게 나타났다(P<0.05). 결론 : 제주도지역 고등학생들의 비만 유병률이 상당히 높게 나타났고, 청소년 비만과 심혈관 위험인자간의 관련성을 알 수 있었다. 또한 소아비만이 청소년 비만으로 상당수 이행되었으므로 소아 및 청소년기에 적절한 비만관리 프로그램이 요구된다. Background: Recently, adolescent obesity was increased and tended to become obese adults, facing increased risk for diabetes, cardiovascular disease. Even vefore reaching adulthood, adolescent, obesity already was experiencing hypertension, dyslipidemia, and diabetes mellitus. The purpose of this study was to find prevalence of obesity of high school students in Jeju island and association between obesity and cardiovascular risk factors and association between childhood obesity and adolescent obesity. Method: The study subjects were 6,064 students of twenty-two high school in Jeju island and health survey data was gathered from high school health examination data and hospital health examination data from Aug. 1999 to Dec. 1999. Adolescent obesity was evaluated by ideal body weight method in 1998 and body mass index. Cardiovascular risk factors were checked total cholesterol, systolic and diastolic blood pressure, fasting blood sugar. In 646 students, obesity at primary school is checked by primary school health record. Results: Prevalence of obesity in Jeju island high school students was 12.6% in male students, 13.3% in female students by ideal body weight method and Prevalence of obesity risk and obesity was 12.7% in male students, 13.4% in female student by body mass index. Prevalence of obesity of male students in city area and district area of Jeju island were each 12.9%, 10.3% and that of male students in city area was significantly higher. Prevalence of obesity of female students in city area and district area of Jeju island were each 12.9%, 10.3% and that of male students in city area was significantly higher. Prevalence of obesity of female students in city area and district area of Jeju island were each 12.9%, 14.2% and not significantly different. Prevalence of obesity of male students in general and commercial school group were each 13.9%, 10.1% and that of general school group was significantly higher. In female students, Prevalence of obesity general and commercial school group was not significantly different. Total cholesterol, systolic and diastolic blood pressure were significantly associated with degree of obesity in male and female students(P<0.05) and fasting blood sugar was only significantly associated with degree of obesity in male students (P<0.05). In 646students, Relative risk of obesity at primary school and that at high school in male and female students were 3.77, 2.66 and was significantly associated. Conclusion: Prevalence of obesity of high school students in Jeju island is very high and adolescent obesity was significantly associated with cardiovascular risk factors. Mostly childhood obesity tended to become adolescent obesity and program of control of obesity at childhood and adolescence is required.

미맹출 영구 견치 및 소구치 근원심 폭경 추정에 관한 연구

황민성,김정욱,장기택,이상훈 大韓小兒齒科學會 2002 大韓小兒齒科學會誌 Vol.29 No.1

본 연구는 서울시 치과의사횡에서 주관한 건치아동 선발대회 후보의 경석고모형 162쌍을 분석하여 성별에 따라 하악 영구 4전치 근원심 치관 폭경합의 계측치에서 상악 및 하악의 편측 영구 견치 및 제 1, 2 소구치 근원심 폭경합을 추정하는 회귀방정식과 확률표를 구하였다. 그리고 성별간 차이를 비교하여 다음과 같은 결과를 얻었다. 1. 남자와 여자 모두 동일한 악궁 내에서 좌우측 영구 견치 및 소구치의 폭경합은 유의한 차이가 없었다.(p>0.05). 남녀간의 상하악 좌우측 영구 견치 및 소구치의 폭경합의 계측치(x)에서 상악 및 하악의 편측 영구 견치 및 제 1, 2 소구치의 근원심 폭경합(y)을 추정하기 위한 회귀 방정식은 다음과 같았다. 남자 상악 영구 견치 및 소구치 폭경합 : y=10.45+0.53x 남자 하악 영구 견치 및 소구치 폭경합 : y=10.07+0.51x 여자 상악 영구 견치 및 소구치 폭경합 : y=12.65+0.42x 여자 하악 영구 견치 및 소구치 폭경합 : y=11.70+0.42x 남자+여자 상악 영구 견치 및 소구치 폭경합 : y=11.01+0.50x 남자+여자 하악 영구 견치 및 소구치 폭경합 : y=9.87+0.51x The purpose of this study was to establish regression equations and probability charts for predicting the summ of mesiodistal crown diameters of unerupted unilateral canine and premolars from the sum of mesiodistal crown diameters of four mandibular incisors in Korean male and female. The plaster casts of 162 children(75 boys and 87 girls) among the contestees in 1994-2001 Healthy Dentition Contest in Seoul were measured. Sex differences are compare and the following results were obtained: 1. Bilateral comparison of sum of widths of permanent canine and premolars showed no significant differences for either sex(p>0.05). Sum of widths of permanent canine and premolars of male were significantly larger than that of female(p<0.01). 2. Regression equations for the prediction of sum of widths of permanent canine and premolars in each sex were as follows: Male ∑ Maxillary 345 : y=10.45+0.53x Male ∑ Mandibular 345 : y=10.07+0.51x Female ∑ Maxillary 345 : y=12.65+0.42x Female ∑ Mandibular 345 : y=11.70+0.42x Male+female ∑ Maxillary 345 : y=11.01+0.50x Male+female ∑ Mandibular 345 : y=9.87+0.51x

이방향성 형상기억합금을 이용한 공동 주택용 방화 댐퍼 설계 연구

황성태,이찬희,장진수,변창수,히식수렝,이상욱 순천향대학교 산업기술연구소 2022 순천향 산업기술연구소논문집 Vol.28 No.2

The purpose of this paper is to redesign, compare, and study using bi-directional shape memory alloy spring to compensate for the shortcomings of the existing fire damper performance. Through the spring constant measurement experiment, using the difference in force between the coil spring and the shape memory alloy spring, the damper closes when the set temperature is reached, and opens again when the temperature is lowered. In addition, the internal structure was redesigned through smoke leakage experiments. As a result, semi-permanent usable dampers were modeled.

도재면 전처리 방법이 도재-레진간 접착에 미치는 영향

황성욱,김교한 대한치과기재학회 1996 대한치과재료학회지 Vol.23 No.2

The present study investigated the effectiveness of several surface pretreatment methods on the bonding of resin to dental porcelain. We used the BIS-GMA adhesive resin without the silane coupling agent. the #1,000 SiC pater ground porcelain specimens were treated with 9.5% hydrofluoric acid(HF) etching(Group Ⅰ), 50㎛ Al₂O₃sandblasting (Group Ⅱ), and diamond bur surface roughening(Group Ⅲ). The HF etching group showed the most irregular and retentive surface pattern, and micro-holes and micro-channels. The diamond bur surface roughening group showed a similar surface pattern to the sandblasted group, but it had relatively macroscopic irregularities. The HF etching group showed the highest shear bond strength, followed by the diamond bur surface roughening group and the 50㎛ Al₂O₃sandblasting group. The majority of the specimens showed cohesive porcelain fracture regardless of their shear bond strength. The relationships among the surface pretreatment methods. the fractured surface finding, and shear bond strength were examined. It were revealed that the residual stress which was porcelain cohesive fracture. As a result, we understand that the residual stress which was generated by surface pretreatment procedure easily created micro-cracks under the lower external force, so the porcelain layer fracture cohesively under lower external stress.

Epoxy-Amine-PGE系의 力學的 性質

황의훈,김상욱 서울市立大學校 1985 論文集 Vol.19 No.-

epoxy수지와 함께 경화제로는 ethylene diamine(EDA), hexamethylene diamine(HDA), diethylene triamine(DETA)등을 사용하였다. 한편 첨가제로 phenyl glycidyl ether(PGE)를 사용하여, 이의 함량변화에 따른 각 hardner system의 力學的 性質에 대한 效果를 實驗하였다. 이를 위해 여러 가지 경화조건과 혼합비율에 따라 인장특성과 충격강도등을 측정하여 이들의 함수관계를 알 수 있었고 또한 이 composites의 역학적 성질이 최적화되는 조건을 고찰하였다. The purpose of this study is to research into the effect of PGE(Phenyl Glycidyl Ether) on mechanical properties of Epoxy-Amine-PGE system. For measurement of the mechnical properties, tensile properties and impact strengths are measured in accordance with an ASTEM method. Mechanical properties of Epoxy-Amine-PGE system have been investigated as a function of PGE content. The properties of the network structure are predominantly controlled by appropriate choice of PGE content. Results are as follows; 1. In three amine hardener systems, tensile properties increased but impact strengths somewhat decreased as a PGE content was increasing. This result may be due to effect of PGE which decreases system cross-linking density as "chain stopper". 2. Tensile strengths of Epoxy-HDA-PGE system were higher than those of Eposy-EDA-PGE system as a whole. This result may be due to decreasing of cross-linking density in system with increasing of molecular weight of hardener. 3. In Epoxy-DETA-PGE system, tensile strength had a maximum value and impact strength had a minimum value at PGE-12 phr.