메티실린 내성 황색포도알균 주사부위 감염 후 발생한 척추추간판염 1예

김진용,김현옥,고광일,김영생,김길현,김수연,박윤수,서일혜,조용균 대한감염학회 2007 감염과 화학요법 Vol.39 No.6

본 증례는 약물남용자가 아닌 환자에서 MRSA에 의한 말초주사부위 감염 후 발생한 화농성 척추추간판염의 첫 보고이다. 최근 MRSA에 의한 원내감염이 증가하고 있는 현실에 비추어 볼 때 말초주사부위 감염 후 MRSA에 의한 화농성 척추추간판염의 발생을 고려하여야 한다. Infections of the intervertebral disc and adjacent vertebrae may present with spondylitis, discitis and spondylodiscitis and are hematogenous origin in most cases. Potential sources of hematogenous infection are skin and soft tissue infection, genitourinary tract infection, infective endocarditis, intravenous drug abuse, respiratory tract infection and infected intravenous injection site. We have experienced a case of pyogenic spondylitis caused by methicillin-resistant Staphylococcus aureus (MRSA) bacteremia with peripheral injection site infection. He was successfully treated with surgical debridement and antibiotics.

The Associations between income, informal social networks, and health among older adults in South Korea: A multi‐group analysis based on the level of age‐friendly environments

Sue‐Lynn Kim,Ju‐Hyun Kim,Kyong‐Hee Ju 한국사회복지학회 2019 Asian Social Work and Policy Review Vol.13 No.3

The aim of the present study was to empirically investigate the role of age-friendly environments (AFE) on the associations between income, informal social networks, and health among South Korean older adults. We used data from the “2017 Age Integration Survey” collected nationally and ultimately analyzed 615 older adults over 50 years of age. Structural equation modeling and multi-group analysis were used to test the hypothesis. Specifically, two groups of perceived levels of AFE (top 25%, bottom 25%) were compared in order to examine the moderating effects. The results indicated that poor income and scarce informal social networks each had a significantly adverse impact on health. However, the effect of income on health was no longer significant for older adults living in environments that were more age-friendly. In both groups, the presence of fewer informal social networks adversely impacted health, although the sizes of the effects decreased when the level of AFE perceived by older adults was improved. Finally, several implications of the study findings were discussed.

성인에서 발생한 폐렴을 동반한 출혈성 수두 1예

김현옥,김진용,고광일,김영생,김수연,박윤수,서일혜,조용균 대한감염학회 2007 감염과 화학요법 Vol.39 No.6

출혈성 수두는 심각한 합병증을 초래 할 수 있으며 사망률이 높은 질환으로 국내에서는 소아에서 발생한 2예 이외에는 성인에서 발생이 보고된 바가 없다. 본 증례에서와 같이 면역이 억제된 성인에서 출혈성 수포가 전신적으로 발생하면서 폐렴이 동반된 경우 치명적이므로 조기에 acyclovir 지속 정주요법 등의 적극적인 치료를 고려해야 한다. 저자들은 면역이 저하된 성인에서 폐렴이 동반된 출혈성 수두가 발생하여 조기에 acyclovir 지속적 정맥 주입요법 시행 후 치명적인 합병증 없이 호전을 보인 예를 경험했기 에 보고하는 바이다. Chickenpox is a common benign childhood disease caused by varicella-zoster virus, typically associated with fever and a characteristic exanthematous vesicular rash. The clinical manifestations in adults are more severe and more commonly complicated with varicella pneumonia. Hemorrhagic varicella, also called malignant chickenpox, is very rare and potentially fatal. Bleeding can occur in the form of hemorrhages within the rash and surrounding skin or within the mucous membrane. We report a case of hemorrhagic varicella complicated with pneumonia in a immunocompromised host. We emphasize on the successful treatment with continuous acyclovir infusion.

水 海洋係 專門大學 通信科 敎育課程 開發 硏究

金永煜,金秀植,高南泳,梁義藏,金圭煥,文建,鄭東洙 군산대학교 1984 群山水産專門大學 硏究報告 Vol.18 No.1

We have studied on the curriculum to develop the communication department of the inter-related fisheries and marine junior college groups and abridged them as follows. (1) A vessel communication has the special characteristics compared with general communication field and also it has an aim to protect the lives and the property from dangerous navigation. For these reasons we must educate many competent graduates who are versed in business and accustom themselves to necessary knowledge of communication and can be adapted them selves to the advanced communication method, techniques and international information on the communication. (2) Training goal and way of thinking of students were rearranged and the occupational cluster in the electronic-communication field was fractionated to develop the curriculum. Especially regarding operator's duty served the above purpose as a occupational cluster, we analyzed their job in accordance with it. (3) International convention on standards of training certification and watchkeeping for seafarers, 1978 was reflected, also international telecommunication convention was referred so that it might be satisfied with the condition to be observed. (4) Developing the curriculum, we responed and analyzed the questions from scientific world, industrial organizations and graduates and provide their advice and suggestions form consultive committee and reflected them to develop the curriculum

인지도 조사에 의한 건국의대 의학과 교육목적 및 교육목표의 평가

박수경,김진국,김소정,김형수,이건세,장성훈 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

This study was conducted to survey the recognition and accuracy for educational goal and objectives of College of Medicine, Konkuk University on students and professors with using 18 items of questionnaire from May 15 through June 30, 2004. The recognition for educational goal of College of Medicine, Konkuk University in participating students and professors were 93-95%. And recognition for 3 objectives of College of Medicine, Konkuk University on participating students and professors were 84-87%, 95% respectively. However the accuracy for detail educational objectives using other college of medicine were 46-59% in first student survey, 44-67% in second student survey and 58-72% in professor survey. Therefore it is need to advertize 3 objectives to students and professors. And it is also necessary to refine the contents of educational objectives to more suggesting directions than broad goal of ideal.

간호사의 이미지에 따른 간호전공만족도

가미정,김수미,김영경,남수진,오루미,육지수,이혜인,최미나,최혜민,허다은 이화여자대학교 간호과학대학 2010 이화간호학회지 Vol.- No.44

Purpose: The purpose of this descriptive study is to examine the correlation between nursing students’ perception of nurses and the level of their satisfaction with the major. Method: The survey was done with the total number of 192 nursing students from 10 different universities in S city selected by a convenience samplingmethod. In order to measure the perception of nurses, the measurement which was invented by Lee(1992) and revised by Jang(1998) was used. Also, the measurement designed by Shim, and modified by Kim(2007) was used for measuring of the students’ satisfaction in their major. The collected data was analyzed by SPSS 17.0. Results: 1.The most decisive factor of the conceptualization of the image of nurses for the nursing college students is their experience of meeting nurses as a patient. 2. Students reconsider the role of nurses by experiencing immediate relationships with nurses in field training. 3. Other factors of the survey such as the students’academic year, religion, the field training situation (individual experience, type of the hospital where they experienced the training, and a relationship with the nurse in charge of the training) or the existence of nurses among their family members do not affect the students’ satisfaction. 4. There is a positive correlation between the image of nurses of nursing college students and their satisfaction with the major(0.66). Conclusion: The positive image of nurses is directly related to the students’ satisfaction in the nursing major, which hugely affects on their academic achievements and decisions of career path. Therefore, there should be more efforts to increase the positive perception of nurses among nursing students.

2개월 남아에서 발병한 Malignant Ectomesenchymoma

황지영,서지현,김점수,김용숙,이수진,박찬후,김유경,박선후,이정희,안인옥,정기현,박병규 대한소아과학회 2001 小兒科 Vol.44 No.8

지역사회획득 메티실린 내성 황색포도알균에 의한 급성 신우신염 1예

김수연,김진용,이희승,박철민,박윤수,서일혜,조용균 대한감염학회 2007 감염과 화학요법 Vol.39 No.2

전세계적으로 지역사회획득 메티실린 내성 황색포도알균에 의한 감염 질환이 증가하고 있으나 아직까지 국내외에서 이로 인한 요로감염의 보고는 없었다. 저자들은 지역사회획득 메티실린 내성 황색포도알균에 의한 신우신염을 진단하고 ciprofloxacin 투여로 성공적으로 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. In the past decade, methicillin-resistant staphylococcus aureus (MRSA) have emerged in the community, causing serious infection in young and healthy persons without established risk factors for MRSA acquisition. This community acquired methicillin- resistant S. aureus (CA-MRSA) has been usually reported to cause the skin and soft tissue infection and necrotizing pneumonia. We have experienced a case of acute pyelonephritis caused by CA-MRSA without health care-associated risk factors. The staphylococcal cassette chromosome mec (SCCmec) typing and multilocus sequence typing (MLST) revealed the ST5- MRSA-IV clone, which showed SCCmec type IV and MLST allelic profile of ST5 (1-4-1-4-12-1-10).

경주지역 여고생의 초경과 체성장간의 관계

김준섭,권오구,박진석,오종수,박정현,박제식,안세한,이용환,서정호,신태섭,최영배,김덕수,이관,박수경 東國大學校醫學硏究所 2002 東國醫學 Vol.9 No.1

본 연구는 경주지역 1개 고등학교 3학년 여고생을 대상으로 초경 시작 전인 초등학교 4학년부터 고등학교 2학년까지의 키, 몸무게, 가슴둘레 수치와 초경 연령을 파악하여 여성의 초경이 빠를수록 체성장 속도의 변화가 있을 것이라는 가설을 기초로 두 요인간의 관련성을 파악하고자 시행되었다. 경주시 1개 여자고등학교 3학년생 총 317명에 대해 ㅊ경 나이, 초경시 심리 상태, 초경이 시작되었을 때의 상담 여부와 상담하였던 사람, 부모 신장과 초경전후의 식사 규칙성, 다이어트 경험, 수면시간, 스트레스, 음주/흡연 여부, 질병력 등에 대한 설문 조사를 시행하였고, 초등학교 4학년부터 고등학교 2학년까지의 키, 몸무게, 가슴둘레에 대한 정보는 건강기록부에서 확보하였다. 상기 대상자 중 건강기록부가 분실된 39명, 초경나이에 대해 응답하지 않았던 29명 및 결석 등으로 조사를 하지 못하였던 42명을 제외한 조사 대상자는 206명으로 선정하였다. 대상자들의 초경연령 평균값(Mean±SD)은 13.0±1.11이었고, 초등학교 4학년부터 고등학교 2학년까지의 초경 이후 신장 성장률은 감소하였으며, 초경연령이 빠른 군이 초등학교 때는 신장에 있어서 우위를 차지하나 고등학교에 오면서 신장은 비슷한 수준이 되었다. 초경후 1-2년 사이에 체중과 흉위의 증가율은 감소하였고, 초경연령이 빠른 군이 초등학교와 고등학교 사이에 체중과 흉위에서 모두 우위를 차지하였다. 본 연구의 결과는, 흔히 이차 성징의 시작 시점 혹은 사춘기의 시작 시점으로 보고있는 초경 연령이 청소년기의 성장과 밀접한 관련성이 있고, 특히 체중과 흉위의 성장 속도와 밀접한 관련성이 있음을 시사한다. To understand the onset of menarche in relation to changes in physical growth that take place during female adolescence, especially the changes in height and weight velocity. The 207 senior in one women high school of Kyongju were investigated in April 3 to 8, 2001. We collected the information, relation in the age at menarche, height & weight of parents, regularity of eating, and obesity diet, duration of sleeping, sickness & stress near age at menarche, by self-recording. The status of height, weight & chest circumference between the 4th grade of primary school and the junior of high school was collected by individual Health Record. The results were followed; The average age at menarche was 12.95±1.11 years old and the most frequent age of menarche is 13 years. After menarche, the velocity of height, weight and chest circumference were decreased. The most rapid group of menarche hold dominant position in height during elementary school. As time passed, they dont hold dominant position in height. The most rapid group of menarche get an advantage in the weight and the girth of chest after elementary school. The height of subjects is directly proportional to the height of their parents. These results suggest that the starting age at menestuation can be closely associated with physical growth and development.

Fly-back Converter의 特性改善에 관한 硏究

金秀植 군산대학교 1988 群山水産專門大學 硏究報告 Vol.22 No.2

In this paper we have described on the characteristics of the fundamental behaviour for the flyback converter running, we tried to research for improvement method of the non-linear differental equations with small signal model, static characteristics and dynamic charaeteristics of transfer function. Experimental results are as follows ; 1. The experimental values of input-output voltage and load in accord with the calculated values nearly, under condition we could be maintained within the sphere of control and obtained characteristics of normal state. 2. On the frequency response for the variation of input voltage Vs output voltage, the cut-off frequency are lower than other converter system and flyback converter gain are larger than the others. 3. On the frequency response for the variation of load Vs output voltage, the cut-off frequency are lower than other converter system and flyback converter gain are larger than others. therefore, it showed clearly that in proportion to the variation of input voltage Vs output voltage could be reduced and improved to characteritics of the flyback converter driving in good condition against troubles and unstable phenomenon.