양측성 알도스테론 분비 선종 1 예

김동규,김규태,이상조,신형식,김학양,유재영,배수동,임성희,김병태,김종혁,송숙희 대한내과학회 1991 대한내과학회지 Vol.41 No.5

Primary aldosteronism is a condition in which chronic aldosterone excess exists independently or semiindependently of the renin-angiotensin system, resulting in hypertension and hypokalemia. The most common cause of primary aldosteronism is unilateral aldosterone-producing adrenal cortical adenoma. The indiopathic aldosteronism showing bilateral adrenocortical hyperplasia accounts for the bulk of the remaining cases. Only rare cases of primary aldosteronism are known to be due to multiple aldosterone-producing adrenocortical adenoma. We report a case of primary aldosteronism due to bilateral adenomas, which was diagnosed preoperatively by abdomen CT and then confirmed by operation and pathological findings.

통계 영역 수행평가 문항개발

김래선,강신조,박정희,최용철 전주대학교 교육문제연구소 2000 敎育論叢 Vol.15 No.-

原價會計를 위한 JIT 시스템에 관한 考察

김신조 진주여자전문대학 1998 論文集 Vol.21 No.-

The Just-In-Time system is a kind of Zero Inventory production system, Which carries on producing required quantity in the required time in manufacturing operations. The JIT system consists of factors: smoothness of production operations, elasticity and diversity in processing, standardization of operations, and kanban system. The JIT system is used for operating a factory continuously without hindrance It also reduces throughput time and improves productivity and quality. The cost management in JIT system includes cost planning, cost reduction, and cost control. A long term or ideal objective should be presented in JIT cost management, which indicates removing non-value-added operation and reducing cost Furthermore, continuous effort to reduce resources for value-added operation should be made once the JIT system is introduced, the accounting system should be simplified. The conventional standard costing system contains product costing method, using sequential tracking in cost, and generates relatively high cost. On the other hand, backflush costing system contains cost accumulation method, which is used for reduction in cost, and it is primarily applied for the JIT system costing. In the JIT system, the Work-in-process is minimized, and raw materials and work-in-process account is integrated into raw-in-process account. Actually the costing is possible in JIT when it is given input point in time and journalizing in the final completion point in time.

原價의 集計와 配分에 관한 硏究

김신조 진주여자전문대학 2000 論文集 Vol.23 No.-

It's not only necessary to understand basically cost flow of each cost factor and cost accumulation for more accurate cost accounting but also important to return reasonably occurred cost to cost unit. Direct costs of cost tracking possible in cost flow, accumulation and cost allocation are insignificant, but indirect costs are based on artificial allocation base owing to their no rationality of cost tracking accumulation and economical efficiency. Besides, establishment of cost allocation base should exclude from artificial and subjective decision and be more objective allocation base to grasp cost and cost driver. In this thesis, I can search for comprehension of cost flow in each cost factor to perform effectively cost control and for all indirect cost allocation in relation to cost accumulation and cost allocation in the center of cost allocation base.

監査危險이 監査標本規模에 미치는 影響에 관한 硏究

金鐘涉,金信助 진주여자전문대학 1998 論文集 Vol.21 No.-

The purpose of this paper put an economic model to relate auditors' risk with sample size and then analyse the problem to decide the α-risk and the optimum β-risk. This paper analyses that how they deside audit risk, when they do the prove of audit, as it makes auditor the economic decision maker model and put auditors' problem on minimizing audit cost. This paper is to investigate several variables affecting optimum the α-risk and β-risk decision and study how each of variables affect optimum the α-risk and β-risk. But there are the limitations of this study. first, it is assumption that we can estimate the audit cost of auditors' risk. second, it is assumption that we prepare financial ststement of corporation statistically. third, when we decide audit risk, we analyse only the statistical risk. It exists not only statistical risk but also non-statistical risk in this auditors' risk, this non-statistical risk was affected from non-numerical prove to collect from the prove of audit.

국내 대학병원에서 정주용 Ciprofloxacin 사용의 적정성 평가

김신우,박효정,오원섭,김연숙,장현하,정숙인,정두련,이혁,염준섭,기현균,손준성,백경란,우건조,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

목적 : 국내 병원에서의 정주 ciprofloxacin 사용의 적정성을 평가하고자 하였다. 재료 및 방법 : 2003년 9월 25일부터 8개의 대학병원에서 정주 ciprofloxacin을 받았던 290명의 연속적으로 모집한 성인환자를 대상으로 약제사용 평가(DUE)를 전향적으로 수행하였다. 이 연구에 사용된 DUE 기준은 미국병원약사회의 기준을 국내 실정에 맡게 수정하여 사용하였으며 1) 사용의 정당성에 관한 항목, 2) 사용 시 준수되거나 시행되어야 할 사항에 대한 항목, 3) 부작용에 대한 항목, 4) 치료 효과에 대한 항목으로 나누어 조사하였다. 결과 : 환자의 평균 나이는 54세였다. 33예(26.9%)에서만 약제 사용의 적정성 측면에서 기준을 만족하였고 91예(73.1%)에서는 사용이 적절하지 않았다. 정주 cipro-floxacin의 부적절한 사용의 흔한 원인은 수술 전후의 예방약 사용, 비뇨기계 처치 전의 예방적 사용, 열성 질환에 대한 경험적 사용 등의 순이었다. 사용 시 준수사항 의 측면에서는 사용 전 배양검사(73.8%)와 사용 중 배양검사(68.6%)가 낮은 수행 정도를 보였으나 그 외는 비교적 높은 적정성(82.4-100%)을 보여주었다. 정주 ciprofloxacin사용의 합병증은 드물었다. 치료 효과의 면에서 치료반응은 93.3%였다. 결론 : 약제 사용의 정당성 기준에 따른 정주 cipro-floxacin의 부적절한 사용은 연구에 포함된 대학병원에서 매우 흔하였다(73.1%). 그러므로 적절한 항생제 사용에 대한 교육과 제도적 장치가 매우 필요한 것으로 판단되었다. Background : To evaluate the appropriateness of intravenous (IV) ciprofloxacin usage in university hospitals in Korea. Materials and Methods : We prospectively evaluated the appropriateness of drug usage in 290 consecutive adult patients who received IV ciprofloxacin in eight teaching hospitals during the period from September 25, 2003 to November 15, 2003. Drug use evaluation (DUE) in this study was based on the modified standard by the American Society of Hospital Pharmacy with regard to the justification of drug use, critical and process indications, complications, and outcome measures. Results : Average age of the patients was 54 years. The use of IV ciprofloxacin was appropriate only in 33 cases (26.9%). Common reasons for inappropriate use of IV ciprofloxacin include perioperative uses or prophylactic injection before urologic procedures, and empirical therapy for febrile episodes. Most of the "critical indications" and "process indications" showed high rate of appropriateness (82.4-100%). However, the rate of taking culture and sensitivity test before (73.8%) and during ciprofloxacin use (68.6%) were low. Complications with ciprofloxacin use were rare. In 93.3% of cases, ciprofloxacin treatment was clinically effective. Conclusion : Use of intravenous ciprofloxacin is frequently inappropriate in tertiary care hospitals in Korea. Implementation of education program and antibiotic control system is critical in improving the appropriateness of antimicrobial use.

유희활동과 무용의 교육적 가치에 관한 연구

신길수,김조은 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.2

Dance have related with human beings since the beginning of human history and its power on human beings has the same importance in the past and present. Human history and leisure have coexisted. Leisure in ancient times is closely related with the manners of religious service, festivals, arts. It is expressed as a biological drive and instinct in dance and has been standardized as a systematic art with aesthetic elements. Based on the above background, obtained the conclusions as follows. First, the aspects of time and space in leisure coexist. The aspect of space in leisure agrees to the simultaneous aspect of dance in vertical aspect which is from the ancient times to the present or static aspect which offers a stage for a performance art. Second, leisure affected human beings directly through a sense of religious ceremonies or a sense of medical treatment, or personal or group dance and, as a result of, human beings could overcome anxiety or difficult reality and enter into a hopeful world. Third, dance, as the result of leisure instinct, is closely related with music which used repeated rhythm standardized and developed as a means of aesthetic expression with an artistic form of dance in all creative activities. Fourth, from an educational view, present dance offers students artistic experience in intellectual, emotional, creative aspects rather than practical utility such as physical development or enhancement of sports function and enables them to regard it as an educational means contributing to the establishment and cultivation of model image of man. Considering the history of dance, we can expect the best unfoldment of its past beauty and form, and an educational value contributes to the revival of remarkable artistic dance and to the establishment and cultivation of the model image of man.

會計情報의 모형

김신조 진주여자전문대학 1997 論文集 Vol.20 No.-

The objection of accounting information system model is quickly to furnish accounting information users with a useful information, to offer discrimination whether or not management straregy selected by manager of organization can arrive at a desirable purpose. Those models furnish decision of manager with a useful and managemental information on and aid decision about financial complicaton(drafting) of the budget and gosl establishment in enterprise. In this research, we examined the first financial plan model of accounting information system, accounting application plan of on-line model and construction ability of DSAIS model. In practicable step of these models, friction is able to occur between DEP in charge and accounting in charge, between financial management in charge and department of enterprise in charge, general controller, therefore manage have to meditate in order to support solution of discord and model practice. As for our country, sphere of application in accounting information system stop still at simple information processing step by electronic date processing system, and in the fufure need to introduce new accounting technique such as DSAIS and applicate to enterprise management. Gradual growth of accountlon information system furnish decision of manager with a useful and accurate management information, thus cause it to be efficient dsecision about enterprise management.

Listeria monocytogenes Scott A 의 성장과 열저항성에 미치는 유기산의 영향

이신호,조현순,김순희 대구효성가톨릭대학교 식품과학연구소 1994 식품과학지 Vol.6 No.-

유기산(acetic, tartaric, propionic, citric 그리고 lactic acid)에 의한 L. monocytogenes Scott A의 성장과 열저항성에 미치는 영향을 겸토한 결과 각 유기산 0.1%를 첨가한 경우 배양 48시간 동안 대조구에 비해 뚜렷한 성장억제현상이 관찰되었으며, 배양중 pH는 대수적 증식 말기인 12시간째 대조구 5.17, propionic acid첨가구 5.57인 반면 그외 유기산 첨가구의 pH는 4.60~4.88였다. 0.2%의 유기산을 첨가한 경우 acetic acid 또는 propionic acid 첨가구에서는 배양 48시간 동안 성장이 거의 일어나지 않았다. 각 유기산으로 pH 5.0과 6.0으로 조절한 TSB를 기질로 사용하여 65℃에서 1분간 처리하여 열저항성을 비교한 결과 pH 5.0에서는 유기산의 종류에 따라 열처리 효과는 상이하였으며, citric acid 또는 propionic acid 처리구의 log reduction이 각각 1.56, 1.79로 열처리 효과가 가장 높았으며 pH 6.0에서 열처리효과는 유사한 경향을 나타내었다. 각 유기산을 사용하여 pH 5.0과 6.0으로 조절한 0.1M sodium phosphate를 열처리 기질로 사용한 경우 pH 5.0에서 propionic acid처리구와 lactic acid의 처리구의 열처리효과가 가장 높았다. TSB에 유기산을 첨가하여 pH 5.0으로 조절한 후 65℃에서 adherent microlony의 열저항성을 검토한 결과 propionic acid처리구의 log reduction은 1.21을 나타내어 열처리효과가 가장 높은 것으로 관찰되었으며, adherent microcolony는 planktonic cell에 비해 강한 열저항성을 나타내었다. The effects of organic acids on growth and heat resistance of Listeria monocytogenes Scott A were investigated. The growth of L. monocytogenes was inhibited in Tryptic Soy Broth(TSB) with 0.1 or 0.2% of acetic, tartic, propionic, citric and lactic acid at 35℃, respectively. The growth of L. monocytogenes did not occur in TSB with 0.2% of acetic acid or propionic acid during 48h of incubation. The heat resistance of L. monocytogenes was affected by kind of organic acid, pH and heating substrate. L. monocytogenes showed more heat resistant in TSB with various organic acids than in 0.1M sodium phosphate with the same organic acids. Heat resistance decreased as pH of heating substrate decreased. Surface-adherent microcolony was more heat resistant than planktonic cell of L. monocytogenes. Propionic and lactic acids more affected on heat resistance of L. monocytogenes than acetic, tartaric and citric acids.

만성 화농성 중이염의 세균학적 고찰

윤신의,문문만,김승찬,박희완,나한조,최봉남 朝鮮大學校 附設 醫學硏究所 1991 The Medical Journal of Chosun University Vol.16 No.1

The chronic suppurative otitis media is one of the most common disease in the otologic field. And the works on bacterial distribution of chronic suppurative otitis media were studied by many otologist, but there is some difference. The bacteriologic study was done on 126 cases of chronic suppurative otitis media who visited the Department of Otolaryngology, Chosun University Hospital between January 1989 and December 1989 and the following conclusions were obtained. 1) In sex distribution, the male had higher incidence rate than female (M: 56.3%, F:43.7%). 2) In age distribution, 3rd decade (34.1%), 2nd decade (34.1%), were most prevalent. 3) In duration of the disease, the hightest frequence was below 5 years duration 4) Among 126 cases, 98 cases(77.8%) were unilateral (right ear was 47 cases(37.3%) and left ear was 51 cases(40.5%))and 28 cases(22.2%) were bilateral. 5) The 136 cases(88.3%) showed the positive results under culture, but 18 cases(11.7%) didn't growthed. Among 136 cases 95 cases(61.7%) had single infection and the 41 cases(26.6%) had mixed infection. 6) The most frequently isolated bacteria was staphylococcus(38 strains, 27.9%) and next were proteus(27 strains, 19.9%) and pseudomonas (22 strains, 16.2%). 7) The Staphylococcus was sensitive to cephalothin(94.7%), amikacin(78.9%) and resistant to penicaIin(63.2%). 8) The Proteus was sensitive to amikacin(92.6%), cephalothin(88.9%) and resistant to minocycline(81.5%) and gentamicin(70.4%). 9) The Pseudomonas was sensitive to amikadn(86.4%), gemtamicin(59.1%) and resistant to minocycline(90.9%), ampicillin(86.4%) and cephalothin(86.4%).