국소성 분절성 사구체 경화증의 완전 관해 후 발병한 IgA 신병증 1예

임현민,김현정,박민석,주혜원,최원,김상현,박원도 인제대학교 2006 仁濟醫學 Vol.27 No.-

We report a rare case of primary glomerular disease with IgA nephropathy in a 43-year old man. 7-years ago, he was diagnosed with minimal change nephrotic syndrome. After treatment with steroid for 1-year, azotemia and proteinuria were improved. But, nephrotic range proteinuria was relapsed within 1 week after cessation of steroid. Renal biopsy revealed focal segmental glomerulosclerosis, and achived a complete remission with the use of steroids and cyclophosphamide. Then, he was followed up with normal renal function for 4-years. On admission, the patient showed generalized edema and marked proteinuria. In 3rd renal biopsy, mesangial proliferative glomerulonephritis with diffuse global sclerosis was observed. Electron microscopy showed electron-dense deposit on the mesangium with slight mesangial proliferation, and immunofluoroscence microscopy showed granular deposits of IgA and IgM. These features were consistent with IgA nephropathy, different from results of previous biopsies. The pathogenesis of IgA nephropathy occurred with primary FSGS is not clear, as well as treatment. Now, proteinuria is improving, steroid and cyclophosphamide are probably useful for the disease.

가축의 장내용물에서 Listeria 속균의 분포도 조사

정병열,임현숙,김봉환 한국수의공중보건학회 2003 예방수의학회지 Vol.27 No.1

We surveyed the prevalence of Listeria spp. in cecal contents of pig and chicken collected from abattoirs. only 4 L. lnnocua isolates were detected in a total of 100 pig samples. From the 100 chicken samples, 47 were confirmed positive for Listeria spp. Twenty eight of these 47 positive samples contained only L. lnnocua; 15 contained both L. monocytogenes and L. lnnocua; 4 contained only L. mnocytogenes. No other Listeria spp. were detected in this study. Listeria spp. were detected in 471115 (40.9%) blackened Fraser broth samples and in 4/85 (4.7%) samples in which Fraser broth did not blacken. Fourteen (73.7%) L. monocytogenes isolates were recovered after 48 h, not 24 h, Fraser broth secondary enrichment.

모 대학병원 입원환자의 직업력 기록에 관한 조사

임현술,김지용,정철 동국대학교 경주대학 1998 東國論集 Vol.17 No.2

From January 9, to January 27, 1996, we surveyed medical records for the occupational history of 352 admitted patients in university hospital located in Pohang city. Also, we interviewed the study subjects about their occupational histories to search for occupational related cases. The results obtained are as follows. The number of males were 205 cases and the number of females were 147 cases. The age and sex distributions of study subjects were not significant (p>0.05). Internal medicine (50.3%), orthopaedics (19.6%), general surgery (8.8%), neurosurgery (5.7%) and obstetrics & gynecology (3.7%) were the major admitted departments of the study subjects. The records of occupational history by doctors were only 9 cases (2.6%) but by nurses were 197 cases (56.0%). And then, there were no detailed descriptions for occupations by doctors and nurses. We would suspect that 18 cases (5.1%) were related to the occupations, of which 13 cases (3.7%) were in occupational injuries and 5 cases (1.4%) were in occupational diseases. It should be emphasized in medical education that the occupational and environmental histories were thoroughly investigated to make a correct diagnosis and appropriate treatment and that the standard forms for occupational history taking should be developed.

TV유아프로그램의 음악적 활용에 대한 연구

임현정 이화여자대학교 교육대학원 2003 이화교육논총 Vol.13 No.-

This study analyzed the music applied to children's hours of main 3 TV broadcasting stations, by component, function, and genre. 10 programs of each TV broadcasting company, 30 TV programs in total, which were broadcasted from February to March in 2002 were selected at random for analysis research. The examination results tell about the frequency and the continuation period of Music/Non-music Segment, instrumental music/vocal music, analysis on music's functions, and so on. Then, the applied music that functions as structural prompt was analyzed in the sides of melody, lyric lines, and tempo. The analysis result tells that the music segment occurs 565 times in total, which means 18.83 times' frequency per program in average, and that the continuation period of time was 30.27 seconds in average, which indicates 92%'s confidence coefficient(reliability). Non-music segment occurred 289 times in total, 9.63 times per program in average, and the mean continuation period of non-music was 30.56 seconds, which signified 92%'s confidence coefficient(reliability). 335 pieces of instrumental music were used in 30 programs in total, the instrumental music pieces were used 11.17 times per program. The vocal music pieces were used 230 times in total, and the average frequency rate was 7.67 times per program. The music that adopted structural prompt occurred 187 times in total; the music pieces included into the learning area occurred 19 times in total, the mean frequency rate was 4.63 times per program. The music pieces belonging to the social area occurred 23 times in total, the mean frequency rate was 0.83 times per program. Finally, The music pieces belonging to the body area occurred 25 times in total, the mean frequency rate was 0.83 times per program. The music applied for the purpose of discriminative stimulation occurred 77 times in total, the mean frequency rate was 2.57 times per program. The number of music pieces used as background music was 301, the mean frequency rate was 10.03 times per program. The music pieces that applied structural prompt were analyzed by lower ranked factors such as melody, lyric lines, and tempo. The analysis results are as follows; the occurrence frequency of the music pieces that adopted the existing structural prompt was 64 times in total(2.13 times per program in average), and the occurrence frequency of the music pieces that adopted the newly created structural prompt was 123 times in total, which means 4.10 times' occurrence per program in average, and the rate of 66.78%. The number of vocal music pieces that deliver their lyric lines at the first time was 177 in total. So the number of vocal music pieces whose lyric lines ware clearly conveyed was 5.9 per program, which means 94.65% 's occupation rate out of the whole frequency rate of the music pieces that applied structural prompt On the contrary, the number of vocal music pieces whose lyric lines were not conveyed was 10 in total(the occupation rate of 5.35%). The music pieces that applied the same melody repeatedly occurred 187 times in total, which means an occupation rate of 84.49% out of the whole structural-prompt-music's percentage. Similarly, the number of music pieces that used the same lyric lines repeatedly was 168, which signifies 89.84%'s occurrence rate With respect to voice colors, the most frequently used one was children's voice, secondly used voice color was that of adult/children, and the next order was male adult solo, female adult solo, adult group, and male children solo. As for the range of Melody, the most frequently used range was 8 degree range(1Octarve), which was used 66 times in total. The next order was 7 degrees, 6 degrees, 9 degrees, and 5 degrees. The degrees of below 4 or over 10 occurred rarely. As for the tempo range, the tempos of 121∼140 was used most frequently, 75 times in total. The next frequency order was 141∼160 range (67 times in total), then 161∼180 range and 101∼120 (19 times in total). Next, a slower range of 80∼100 occurred 6 times, and a very fast one of 180∼200 occurred I time I total. This study analyzed the structural and functional sides of the music pieces applied for children's educational programs on TV. Based on the results obtained this thesis, the main characters of the applied music were examined. Furthermore, the additional aim of this study is to offer basic materials for music therapy that can be used for children in the desirable and useful directions.

코우크로스로의 방출물에 노출된 근로자에서 발생한 폐암 증례

임현술,최정근,권은혜,김헌 大韓産業醫學會 2002 대한직업환경의학회지 Vol.14 No.1

목 적 : 소세포성 폐암으로 진단받은 56세 남자에대하여 과거 21년간 코우크스로에서 근무한 작업력과 폐암과의 관련성을 파악하고자 하였다. 방 법 : 증례에 대한 의무기록가 흉부컴퓨터단층촬영 및 조직검사, 세포검사를 검토하였다. 증례의 작업 내역, 공것 작업환경 측정 결과를 파악하였고 작업환경 측정과 동료근로자에 대한 역학조사를 실시하였다. 작업환경측정은 산업안전보건연구원에서 모든 근로자를 대상으로 2회 반복 측정하였으며, 측정시간은 근로자의 작업시간 전체를 포함한 1일 8시간으로 하였다. 시료채취 및 분석방법은 미국 국립산업안전보건연구소의 공정시험법과 미국 노동부 산업 안전보건청의 공정시험법을 이용하였다. 측정결과의 정확도를 높이소 오차를 줄이기 위하여 측정 전후에 적적한 보정을 실시하고 현장 공시료를 포함하였다. 동료 근로자 40명에 대하여 역학조사를 실시하였고 COEs의 노출정도를 평가하기 위하여 PAHs의 대사산물인 1-OHP와 2-naphthol을 소변에서 분석하였다. 결 과 : P제철 부속의원에서 1996년부터 1999년까지 COEs에 대하여 측정한 결과는 0.01-0.39 ㎎/㎥ 범위로 후발성 콜타르피치물질에 대한 노동부의 노출기준인 0.2 ㎎/㎥르 적용할 때 초과하는 경우가 있었다. 1999년 산업안전보건연구원에서 작업환경을 직접 측정한 결과 전체 측정 건수 136건 중 45건 (33.1 %)이 노출기준을 초과하였다. 동료 근로자 40명에 대한 역학조사에서 특별한 COEs에 의한 건강장해를 발견하지 못하였다. K업체와 S업체의 근로자에 대하여 충북대학교 의과대학 예방의학교실에서 측정한 요중 1-OHP와 2-naphthol은 대조군인 대학생에 비하여 유의하게 높았다(P<0.01). 결 론 : 중례는 21년간 코우크스 제조공정에서 COEs에 노출되었으며, 현재 작업환경측정 결과로 판단할 때 노출기준을 초과하여 노출되는 경우도 있다고 추정되며, 흡연은 COEs가 폐암 발생을 가중시키는 요인으로 작용하였다고 추정된다. 그러므로 증례의 폐암은 코우크스 제조공정에서 노출된 COEs와 관련이 있다고 생각하여 직업성암으로 판단하였다. Objectives : We report a case of lung cancer (small cell carcinoma) occurring in a worker exposed to coke oven emissions. Methods : We examined the chest CT and pathologic findings of the patient. We reviewed previous environmental measurements for coke oven emissions at the workers place of employment. Also we measured the airborne concentrations for coke oven emissions and total polycuclic aromatic hydrocarbons in the work area. Finally, we analyzed the 1-hydroxypyrene and 2-naphthol concentrations in the subjects urine and compared this with student controls. Results : This case was a 56-year-old male who had worked in a coke oven plant within a steel manufacturing factory for 21 years (1977-1998). The airborne concentrations of coke oven emissions at the worksite were above the permissible exposure level (0.2 ㎎/㎥) in 45 cases (33.1%) among 136 workers. The concentrations of 1-hydroxypyrene and 2-naphthol in the subjects urine were statistically significantly elevated as compared with those of controls (P<0.01). Conclusions : We confirmed that the lung cancer occurring in this patient was as an occupational disease due to exposure to coke oven emissions. To prevent occupational cancer in coke oven plant workers, we must remodel the engineering procedure, begin comprehensive medical surveillance, educate workers on risks and the benefits of smoking cessation, and increase awareness of safety regulations in the workplace.

활옷(豁衣)에 나타난 색상과 문양의 상징성에 관한 고찰

임현정,조오순 창원대학교 생활과학연구소 2003 생활과학연구 Vol.- No.7

Dress and ornament are native products of culture that can reflect certain and emotion of each times, particularly wedding dress is most brilliant and had variety implications in general. Woman's marriage ceremony puffer who wear in wedding is having very important meaning. Can lift Haw-Ot that is fortune of representative traditional wedding of our country. Among those wedding dresses for women in the public class, in the study, Hawl-Ot is discussed. Hwal-Ot is has beauty of peculiar form, color, pattern ect... and have each symbolism. Hwal-Ot was designed with patterns representing the very significance of wedding and those wishing worldly blessings more children and more sons, longevity and prosperity. Beyond just depiction or decoration of natural things, symbolic expressions were made into patterns based on a belief that there are spelling power in the wold to exert the absolute power unable of bing compared with human more ability.

유리섬유에 의한 피부질환 및 임상적 진단

임현술,김정란,정해관,김수근 大韓産業醫學會 1999 대한직업환경의학회지 Vol.11 No.2

This study was conducted to evaluate the health hazards and to develop diagnostic methods of glass fiber workers. We examined 40 male glass fiber workers(exposure group) and 57 male non-glass fiber workers (reference group) with a questionnaire, physical examination, chest x-ray and pathological examination in Mar, 1997. Also we examined 65 male glass fiber workers(exposure group) and 42 male non-glass fiber workers(reference group)with the same methods also we did some energy-dispersive x-ray analyses with a scanning electron microscopic examination in Sep, 1997. Most of the clinical symptoms were significantly more frequent among the exposure group than the reference group. Coughing(32.5%), itching of the nose(30.0%), irritation of eyes(27.5%), irritation of the nose(25.0%) and sputum(22.5%) were the major symptoms among the exposure group in Mar, 1997. Only itching of the nose was significantly more frequent in Sep, 1997. No cases of pneumoconiosis were observed among the groups and there were no differences in chest abnormalities between the exposure group with the reference group on both examinations. The prevalence of dermatosis among the exposure group was 20.0% (8cases) and the cumulative prevalence was 72.5%(29 cases) in Mar, 1997. The prevalence of dermatosis among the exposure group was 23.1% (15 cases)and the cumulative prevalence was 58.5%(38 cases) in Sep, 1997. Onset of dermatosis among the exposure group was most frequent within one month after handling. The frequent sites of skin lesions were the hands and arms on both examinations. Glass fiber induced skin lesions can be diagnosed by the scotch tape method or KOH mount and then can be examined under the light, polarizing and phase-contrast microcopies. Glass fibers can be identified by some energy-dispersive x-ray analyses with a scanning electron microscopic examination.

한국, 미국, 중국 청소년의 의복 행동에 관한 연구

임숙자,이지현,문정미,장춘희 이화여자대학교 생활환경대학 인간생활환경연구소 2002 인간생활환경연구소 논집 Vol.- No.1

The purposes of this study were to determine similarities and diferences in the clothing behavior of Korean, American and Chinese Adolescents. Photographs and questionnaires were conducted for this study and the results are as follows. 1) By analyzing the questionnaire survey, Korean adolescents considered their friends advise more when purchasing clothing while Chinese adolescents depended on their parents. In clothing elements, American adolescents considered attractiveness to other sex more than other two countries. 2) For the Photograph analysis, Many bright and vivid color clothing were seen from Chinese adolescents and dull achromatic colored clothing was noticeable from Koreans. Jeans were favored by all three countries but chino pants were only noticeable from Korean adolescents. Even though it is said 'It is one world ond market', this study shows that it is very important to consider the cultural differences among countries.

인터넷을 활용한 초등 영어 수업의 구어 능력 향상에 관한 연구

임정완,구현정 大邱大學校 師範大學 附設 敎育硏究所 2009 學校敎育硏究 Vol.5 No.1

본 논문은 초등 영어 의사소통 능력의 향상에 그 초점을 맞추어 언어의 4가지 영역 듣기, 말하기, 읽기, 쓰기 영역 중에서 의사소통능력과 가장 관련 깊은 듣기, 말하기 부분 향상연구 방안에 초점을 맞추어 보았다. 총 72명의 초등학교 학생들이 본 연구에 참여하였으며, 각각 36명씩 통제반과 실험반으로 나뉘어 약 20주간 실험 관찰되었고, 실험 결과는 SPSS 12.0 으로 분석되었다. 각 과의 내용과 이에 부합하는 인터넷 자료 등을 통해 여러 번의 실험 수업을 거친 결과 학생들의 듣기, 말하기 실력이 향상되는 것을 지켜볼 수 있었다. 듣기와 말하기 실력의 향상 정도는 듣기가 말하기보다 조금 더 유의도에서 의미가 있었다. 즉 듣기가 말하기보다 실력 향상에 있어 조금 더 효과가 있음을 알 수 있었다. 학생들은 다른 매체들에 비해 쉽게 노출되고 또 그만큼 쉽게 즐길 수 있는 매체가 인터넷이라 보다 적극적인 자세로 수업에 임했다. 아직 저학년인 학생들이므로 지금의 영어에 대한 흥미도가 평생의 영어 실력을 결정 할 수 있는 만큼 이 시기의 흥미도는 절대적으로 중요하다는 것을 고려 해볼 때, 학생들이 흥미를 느끼며 동시에 실력까지 향상되어간다는 사실은 주목해 볼 필요가 있다. It is widely known that the Internet-based English teaching can be useful for students since it is not only a way of providing joy for them, but also a means of consolidating and extending their knowledge of the language. The purpose of this study is to investigate the effectiveness of the Internet-based English Teaching for Korean elementary schools students. For this purpose, a review of related literature was carried out to analyze various teaching methods using the Internet. Then the analysis of the elementary school students and curriculum that was performed in English classes was carried out. A total of 72 elementary school students participated in this study and they were divided into one comparison group and one treatment group, consisting of 36 students each. They were observed over 20 weeks and surveyed on their interests about learning English after the treatment was over. Before and after the treatment, students' spoken English ability in each group was also measured and analyzed by the use of SPSS 12.0. The findings of the study were as follows: First, the treatment group showed higher spoken English ability than the control group, especially in terms of listening ability. By being exposed to the Internet-based class activities, the treatment group had more opportunities to listen to and speak in English than the control group. Second, the students' interests about learning English significantly increased after being taught by the Internet-based class activities. In conclusion, it is recommended to design and apply the Internet-based English class that plays a positive role to improve oral English ability for Korean elementary school students.

성게 가시에 의해 유발된 수지의 육아종성 염증 2예

김정란,김동훈,장태정,이종임,임현술,이현경,배성한 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.1