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.

급성 심근허혈에 의해 윤발된 승모판 폐쇄부전의 기전에 관한 실험적 연구

강덕현,송현,송재관,김현숙,이재환,임희영,이재원,박성욱,박승정,송명근 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.8

서초동(서울시 서초구)의 거미상

김주필(Joo Pil Kim),정혜리(Hye ri Jeong),김대희(Dae Hee Kim),박동우(Dong Woo Park),서재웅(Jae Woong Seo),이현우(Hyun woo Lee) 한국거미연구소 2017 한국거미 Vol.33 No.1

2016년 3월 31일부터 7월 31일까지 서울특별시 서초구 서초동에 위치한 서울고등학교 교정 일대를 서울고등학교 환경생물부 부원들이 채집 조사한 결과 20과 43속 53종의 거미가 조사 연구되어 이에 보고하는 바이다. From March 31st to July 31st in 2016, members of an environmental biology club at Seoul High School located in Seocho-gu, Seoul, Dae-Hee Kim, Dong-Woo Park, Jae-Woong Seo and Hyun-woo Lee, collected 20 families 43 genera 53 species of spiders and report the result of the study here.

복강경을 이용한 대장 부분 절제 시행 1예

박재갑,서경석,정회원,김선회,오용석,송인성,박용현 대한대장항문학회 1993 Annals of Coloproctolgy Vol.9 No.1

경련유발자극이 흰쥐 뇌에서 heat shock protein72 유전자발현에 미치는 영향

김현,김창미,강윤희,유임주,박재현,서영석 대한해부학회 1999 Anatomy & Cell Biology Vol.32 No.4

강황과 울금 항염중 효과 연구

김영훈, 배덕성, 김정화, 윤현정, 남인영, 김민선, 신희찬, 차현정, 황방연, 이재권 충북대학교 교육개발연구소 2011 한국교육논총 Vol.32 No.3

-본문참고-

소아에서의 Nd : YAG Laser를 이용한 치은착색제거술 YAG Laser in children

모경희,박헌동,박종휘,김효석,정현구,설재헌,이병채 조선대학교 구강생물학연구소 2003 口腔生物學硏究 Vol.27 No.1

Melanin is normally found in the skin of all people, and normal pigmentation of the intraoral tissues is a relative frequent finding. Gingival hyperpigmentation may cause esthetic problems and embarrassment, especially in patients with a gummy smile. Melanin pigmentation is related to etiologic factor such as hormon, systemic factor, drug, smoking and gingival inflamation. Depigmentation procedure can be Performed by gingival epithelium removing procedure, gingivectomy, free gingival graft, laser therapy, dry ice, Vitamin C and phenol-alcohol method. We could obtain favorable esthetic results by procedures such as Nd: YAG laser. The Nd:YAG laser was set at 4 watt, 50mJ, 80 pulse per second. The procedures were performed with contact mode in all pigmented areas by using a handpiece with a 320㎛ diameter fiber optic. Ablation of the gingival hyperpigmented gingiva appeared healthy, pink, and firm. No recurrence of hyperpigmentation had been found in 6 months of follow-up.

벤젠系 溶媒를 利用한 廢 EPS 도막 防水材 開發에 관한 基礎的 硏究

김현수,안재철,강병희 동아대학교 건설기술연구소 1999 硏究報告 Vol.23 No.2

This study is to investigate whether the solution which EPS Waste is melted by Toluene and Xylene in has the feasibilities as the water proofing materials. The tests with the times of absorption, permeability, bond strength, tensile strength in accordance with times of application and the rate of solution were performed and analyzed. In conclusion, the suitable soluble rate of EPS Waste is 50% and the best times of application is 3 times when it was compared with the existing waterproofing materials. there were no differences in the quality, so it has potential feasibilities to be used as waterproofing materials in the field in the futures.

고등학생의 인터넷 사용정도와 학교적응, 친구관계에 대한 연구

이현주,김미연,이희재,권소영,김민정,김민주,방은혜,이경희,김수지,이자형 이화여자대학교 간호과학대학 2004 이화간호학회지 Vol.- No.38

Today, almost all families are quipped with computers. At the same time, we can find lots of side-effects because of computers. If young students, who tend to be unable to control their impulses once they are immersed in internet, the problem will be more serious. It could be happened that the young students can't distinguish the real from the image. Therefore, it is important to grasp the actual condition of juvenile Internet addicts and their practical life, and to come up with basic materials necessary for working out countermeasures. This study surveyed 339 high school students from three high schools in the area of Seoul. Data collection were collected from 22nd of December, 2003 to 27th of December 2003. The collected data were analyzed by SPSS program using T-test, ANAVA and Pearson correlation coefficient. The results were as follows: First, of the 333 respondents 9.61% of them were high-risk internet using group, 15.02% of them were potential-risk internet using group. 25% of then were identified as addicted group. Second, the more addicted the subjects are, the lower their level of school adjustment becomes. For the addicted group, it is difficult to adjust their school and to have a good relationship with friend. Third, the more addicted the subjects are, the lower their level of friendship becomes. The subordinate areas of friendship have same results as the level of Internet addiction and the extent of friendship. If students are addicted to Internet, it is difficult to find friends who can give them encouragement in practical life. Firth, there was a negative relationship between Internet addiction and school adjustment, and, there was a negative relationship between Internet addiction and friendship. Through this study we have seized the relationship between Internet addiction and school adjustment and friendship. As a result, the more addicted, the more difficult to adjust to school. And for the students who were addicted, it is difficult to make a friend.

안동호의 수역별 영양상태와 평가방법간 상관성 비교

박재충,박정원,김대현,신재기,이희무 한국육수학회 2005 생태와 환경 Vol.38 No.1

안동호를 5~10km 구간으로 분할한 5개 지점에 대하여 2002년 6월부터 2003년 6월(13개월)가지 총 21회에 걸쳐 지점별 물리 화학적 수질특성과 TSI, TSIm, LTSI로 수체의 영양상태 평가 및 평가방법간의 상관성을 비교 분석하였다. TSI와 TSIm은 평가항목(TP, Chl-α, SD)에 따라 지점별로 빈영양-중영양-부영양상태로 다양한 결과를 보여 개별 항목으로 수역의 영양상태를 평가하는 것은 곤란하였으나 댐 저수지의 상류에서 하류로 진행하면서 영양도가 낮아지는 결과는 세 평가방법이 동일하였다. 평가방법 간의 상관성은 수심이 깊고 연중 안정된 수질상태를 보이는 하류보다 수심이 얕고 수질변동 폭이 큰 상류수역에서 상대적으로 높았으며, 영양지수의 평균값에 의한 상관은 r=0.9117~0.9909 범위로 조사되어 상호 보완적인 적용은 가능한 것으로 나타났다. LTSI는 TSI와 TSIm에 비해 댐 저수지의 구간별 수질특성을 잘 반영하였으며 영양상태 평가의 간편성과 주관적인 평가 오류의 최소화에 보다 효과적이라 사료된다. Using TSI, TSIm and LTSI, we compared physico-chemical water quality and trophic state of 5 stations in Lake Andong from June 2002 to June 2003 and examined the correlation of them. It is difficult to evaluate trophic state of waters by each parameter, TP, Chl-α and SD, because TSI and TSIm in each section show different results, oligo-, meso- and eutrophic state. But three methods, TSI, TSIm and LTSI, show the same result that trophic degree lows as it goes to a lower area of the lake. The correlation among them is closer in the upper shallow waters than in the lower deep waters. The reciprocal application of trophic state indices is possible because the coefficient of mean correlation ranges 0.9117 to 0.9909. In conclusion, it seems that LTSI reflects a characteristic of water quality in each section better than TSI, TSIm and is very effective to simplify trophic state evaluation and minimize researcher's subjectivity.