임상 가검물에서 분리된 균(대장균과 황색 포도균)의 약제 내성

김중명,김재식,김경선,김재룡,전동석,최성만,서상철,김인자,김재숭,이건일,김경숙 慶北大學校 醫科大學 1982 慶北醫大誌 Vol.23 No.2

1981년 1월에서 12월말까지 임상 제료에서 분리한 Escherichia coli (E. coli)와 Staphylococcus aureus (S. aureus) 중에서 무작위로 각 50주 씩 선택하여 원판 확산법과 평판 희섭법으로 그 내성주를 조사하여 다음과 같은 성적을 얻었다. 전체적으로 볼 때에 Teteracyclin (TET), Chloramphenicol (CM) 및 Ampicillin (AMP)에 대한 내성주가 가장 많았고, Amikacin (AMK)에 대한 내성주는 가장 적어다. 이것을 균종별로 보면 E. coli에 있어서는 TET, AMP 및 CM는 원판 확산법으로서 74∼76%, 평판 희석법으로서는 78∼94%가 내성주임을 나타내었고, 또 Cephalothin(CEP)은 원판 확산법에서는 8%가 내성주로 나타났으나, 평판 의석법에서는 52%가 내성주로 나타났다. S. aureus에 있어서는 TET는 원판 확산법으로 82%, 평판 희석법으로서는 78%가 내성주로 나왔고 Penicillin (P)은 원판 확산법에서는 56% 평판 희석법으로는 22%의 내성주가 나왔으며, GM과 CM은 원판확산법에서는 18∼44%, 평판 희석법에서는 56∼58%가 내성주로 나왔다. Each 50 strains of Escherichia coli and Staphylococcus aureus were selected at random out of the stock cultures which were isolated from the clinical materials in the bacteriological laboratory of the department of clinical pathology. Kyungpook National University Hospital from the first of January to the end of December in 1982, and their resistance against eight antibiotics were as follows; Escherichia coli and Staphylococcus aureus had the most resistant pattern against tetracyclin, chloramphenicol, and ampicillin, while they had the most sensitive pattern against amikacin in general. Escherichia coli revealed resistant pattern to tetracyclin, ampicillin, and chloramphenicol 74-76% by the disk diffusion method and 78-94% by the plate dilution method, and revealed resistant pattern to cephalothin 8% by the disk diffusion and 52% by the plate dilution. Staphylococcs aureus disclosed resistant pattern to tetracyclin 82% by the disk diffusion and 78% by the plate dilution, and disclosed resistant pattern to penicillin 56% by the disk diffusion and 22% by the plate dilution, and to gentamicin and-chloramphenicol 18-44% by the disk diffusion and 56-58% by the plate dilution.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

국가예방접종전산등록체계 개발을 위한 민간의료 기관 하부구조 및 환경 조사연구

이무식,김은영,이건세,이석구,홍지영,김건엽,김대경,신의철,이연경,기몽서,나백주,김영택 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

40세 이하 관상동맥 질환자에서 장기적 임상 관찰

이승욱,정명호,박종철,박형욱,조상희,김원,김계훈,이상현,강경태,조장현,김남호,김건형,안영근,조정관,박종춘,강정채 全南大醫大 2001 전남의대학술지 Vol.37 No.2

MgB₄O7 熱螢光體의 특성과 低에너지 X線의 線量測定

김영국,손인호,설정식,채건식,노경석 慶南大學校 附設 基礎科學硏究所 1997 硏究論文集 Vol.11 No.-

To develope the thermoluminescent radiation sensors and low energy X-ray of dosimetry. The TL phosphors of MgB₄O7 are prepared and their physical characteristics are investigated. MgB₄O7 : Tb. Tm. Dy. La. Ho. and Nd phosphors have been prepared by sintering around 580℃ for 2 hours followed by flowing Ar gas. Ar gas. Activation energy and kinetic order of main peak of glow curve were studied by two methods peak shape method and initial rise method. By these methods, the estimated activation energies were 0.76±0.02eV(Tb doped). 0.94±0.03(Tm doped). 0.72±0.02 (Dy doped). respectively. The activation energy frequency factor and kinetic order of thermoluminescent process for each TL phosphors are measured by analyzing the glow curve by initial rise. peak shape. different heating rate. isothermal decay method. And The emission spectra of TL phosphors are also measured. The TL phosphors prepared in this work may be utilized to radiation sensor elements becaue of their high sensitivity to low energy X-ray.

스포츠활동과 골절의 관계분석

김형곤,백경운 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.1

If the treatment of acetabular fractures are not satisfactory, there will be serious complication such as traumatic arthritis of avascrlar necrosis of the frmoral head. There is much continuing discussion as to where conservative or sugical treatment should be used. The authors experienced 33 cases of acetabular fractures, that were treated aut the Department of Orthopaedic surgery, Maryknoll Hospital from May 2002 to 1999. The results of 32 cases who were followed ovwe a 1 year period are as follow: 1. According to Letournel's classification the most common type of elementray fracture was posterior wall(22.3%)and a T-shaped fracture was 11.4% and bitg column fractures were 10.9%. 2. Complication were traumatic arthritis(15 cases), superficial infection(6 cases), ectopic ossification(6 cases), osteomyelitis(2 case), AVN of the femoral head(2 case), and iartrigenic femoral shaft fractusre(nl case). 3. According to matta's assessment, satisfactory results of conservative treament were 36% clinically and 36% radiologically, and by surgical treatment , 70% clincally and 69% radiologically. 4. Surgical treatment in acetabular fractures, such as an anatomical reduction and rigid fixation followed by early joint motion were improved the result and decresed the rate of traumatic arthritis.

우심방과 우심실의 거대 심장 혈관종 1예

김제열,조상호,김건일,허경림,김현숙,조구영,최영진,이원용,임종윤 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Cardiac tumors, especially the primary tumors involving any part of the heart are extremely rare and its relative incidence has been reported to be approximately 0.02%. We report a patient with huge cardiac hemangioma who complained of shortness of breath, general weakness, and dizziness, Imaging study by echocardiography and computed tomography of thorax revealed a huge lobulating mass like a bunch of grapes in the right chamber of heart. The surgical exploration of thorax was performed and a histological diagnosis of spindle cell hemangioma was obtained by microscopy. The patient was treated by surgical resection of the tumor and doing well after surgery. Our experience indicated that prompt diagnosis and treatment of cardiac hemangioma is imperative for patients' prognosis.

맹인·농아 청소년의 개인 및 환경 변인이 주체성 발달에 미치는 영향

김경식,민병근,이길홍 중앙대학교 의과대학 의과학연구소 1984 中央醫大誌 Vol.9 No.3

This study was intended to investigate some variables influencing the identity of Korean adolescent students, to compare the developmental levels of identity among normal, blind, and deaf-mute students and to clarify how handicaptee's personal and environmental variables exercise to influence on the development of different kinds of factors of identity. The data were collected by means of questionnare and interview with their teachers. Subjects served for this study consisted of 1815 adolescent students in Korea, randomly sampled from Korean student population using census method. The students ranged in age from 12 to 21. The actual number of cases put into the analysis was 1607 including 957 normal, 267 blind and 383 deaf-mute adolescents. The data were analyzed by a Prime 750 computer housed in the Hangang Sacred Heart Hospital of Hallym College using SPSS program. The statistical methods employed were x^2 test and simple correlations for personal and environmental variables ; R-type factor analysis for item analysis ; T-tests for comparing the factor scores between normal, blind, and deaf-mute groups ; and stepwise multiple regression analysis to ascertain the relationships between the adolescent's personal and environmental variables and their identity. The results were as follows: 1. The identity questionnaire given to normal adolescent students analysed the following factors in male:'ego-identity(subfactors ; ego-group, ego-affect, self-achievement)' 'self-confidence' 'ego-career' 'gender-identity' 'anticipation of achievement' and 'altruism', and in female:'ego-identity(subfactors ; ego-affect, ego-group)' 'ego-career' 'integrity' 'gender-identity' 'altruism' and 'trust'. 2. The blind, and deaf-mute adolescents, regardless of their sex, had a lower level of development in overall identity than the normal students. 3. Among the male blind adolescents, the subjective difficulties in life and subjective feelings about handicap variables were the most influential to the level of development of overall identity and strongly influenced the strength of the 'ego-identity' 'ego-career' and 'altruism' factors. Secondly, the family expectations of subject and teacher's educational practice were less influential variables but still strongly influential in forming levels of identity. 4. Among the female blind adolescents the teacher's educational practice was the most influential to the level of development for all factors of identity except 'gender-identity' and 'altruism'. Subjective feelings about handicap strongly influenced the formation of all factors of identity, on the other hand, the objective evaluation of seriousness of handicap did least to form the level of development of identity, especially 'gender-identity'. After subjective feelings about handicap, age upon becoming handicapped was the second strongly influential factor in the formation of 'gender-identity'. The 'integrity' factor, which was unique to the female group, was least influenced by family expectations about subject. 'Trust', on the other hand, which was also unique to the female group, was greatly influenced by family expectations about subject. 5. Among the male deaf-mute adolescents, the teacher's educational practice and subjective difficulties in life were the most influential variables on the overall developmental level of identity and on all of its subcategories. The objective evaluation of seriousness of handicap was also strongly influential to the level of development of not all but many factors. 6. In the female deaf-mute adolescent group, the objective evaluation of seriousness of handicap was the most strongly influential of the variables to the development of overall identity. The teacher's educational practice had a strong influence on the developmental level of 'ego-identity' 'ego-affect' and 'integrity' factors. It should be stressed the age upon becoming handicapped variable had a strong negative correlation with the developmental level of identity. Thus the younger the age upon becoming handicapped, the higher the development of identity. Among the female deaf-mute adolescents, the subjective feelings about handicap and the age upon becoming handicapped variables were not so influential to the development of identity. 7. The seven tested personal and environmental variables of blind, and deaf-mute subjects showed significant influence in the formation of identity. The variables significantly influenced the developmental levels of the total identity, 'ego-career' and 'ego-group' in both male and female blind, and deaf-mute groups. And the variables also influenced levels of 'self-confidence' and the 'anticipation of achievement' among the male blind and the male deaf-mute, and influenced the self-perceived 'integrity' of both female handicapped groups. Among the male and female deaf-mute the variables were greatly contributory to the development of overall identity and to each of its subfactors. Each of the personal and environmental variables was also contributory to the developmental level of the different handicapped groups ; teacher's educational practice was influential to the blind, and the deaf-mute among males and females ; subjective difficulties in life was influential to the male blind, and the deaf-mute ; family expectations of subject was influential to the male blind ; age upon becoming handicapped and subjective feeling about handicap exerted influence on the development of identity of the female deaf-mute ; and the objective evaluation was influential to that of the deaf-mute among either males and females, but age starting education was least contributory to their identity.

Polymerase Chain Reaction을 이용한 결핵성 뇌막염의 조기진단

김재우,이상건,하경민,박웅양 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1