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

相變換에 의한 三相誘導電動機의 1/3, 2/3 速度制御에 관한 연구

金樹運 울산대학교 1983 연구논문집 Vol.14 No.1

3상, 4극, 동기속도 1000rpm의 농형유도전동기가, 제3고조파 성분의 起磁力의 합성과 相變換에 의하여, 쉽게 1200, 600rpm의 동기속도로 변환될 수 있었다. 이 구동방법은 일반적인 3상농형유도전동기가 單相電源에 의해서 정격출력의 馬力수를 낼 수 있었다. 또한 권선형 유도전동기는 2차저항에 의하여 경부하에서 300~1,800rpm의 가변속도변화범위를 얻을 수 있었으며 극수변환법과 비교하여 여러 운전특성에 큰 장점을 갖고 있었다. The synchronous speed, 1800rpm, of the 3ø, 4pole, induction motor is easily converted to the 1200 and 600rpm by composition of the 3rd harmonic mmf(magnetomotive force)and phase conversion. This driving method makes it possible the 3ø, induction motor to be operated in the 1ø power source with the equivalent horse powers and rated phase currents. And the wound-rotor induction motor can be controlled to the variable wide speed ranges, 300~1,800rpm, by this operation, and have more advantages in some characteristics than conventional ople changing method.

성관련 강좌가 대학생들의 성지식에 미치는 효과

김영순,손수경 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: The purpose of this study was to confirm the effects of lectures on sexuality and investigate changes in students' sexual knowledge and consciousness. Method: The subjects in this study were 50 students at K University in Busan, and the research period was from the 8^(th) of March to the 7^(th) of June 2004. This study was designed to be one-group pretest-posttest. Data were analyzed by frequencies, percentages, means, standard deviations, paired t-test and x^(2)-test using the SPSS 10.0 program. Results: 1. The score of sexual knowledge increased from 14.48 before the education to 15.70 after and the difference was statistically significant (t=3.926, p<.001). 2. Significant differences of sexual consciousness were observed in 'the extent of sexual behavior’ (x^(2)=12.584, p<.05), 'the meaning of intercourse’ (x^(2)=46.014, p<.001), 'the self attitude of premarital purity’ (x^(2)=84.686, p<.001), 'the premarital intercourse’ (x^(2)=75.323, p<.001), 'the definition of purity’ (x^(2)=23.770, p<.001), 'the general premarital purity attitude’ (x^(2)=32.305, p<.001), 'the conception of love, sex and marriage’ (x^(2)=38.452, p<.001) and ‘the premarital sex experiences’ (x^(2)=50.210, p<.001). Conclusions: This study showed that a sexuality course has effects on increasing sexual knowledge and changing the consciousness in university students.

16S rRNA 유전자 염기서열 분석에 의해 확인된 Acinetobacter spp. 가성요로감염 유행

김수연,김진용,강지혜,박신영,이희승,박윤수,서일혜,조용균 대한감염학회 2007 감염과 화학요법 Vol.39 No.4

목적 : 본 연구는 일개 대학병원의 한 병동에서 16SrRNA 유전자 염기서열 분석을 통해 확인된 Acinetobacter spp. 가성요로감염 집단 발생에 대한 조사이다. 재료 및 방법 : 일개 대학병원의 일반병동에서 2005년 9월 23일부터 26일까지 5명의 환자에서 Bordetelta bronchiseptica 세균뇨가 동시에 분리되었다. 해당 환자들에 대한 입원 진료 기록을 확인하고, 이학적 검사를 시행하였고, 의료진 면담 등의 역학적 조사와 의심되는 전파원의 환경 감시배양을 시행하였다. 또한 다섯 균주들의 상동성 확인을 위해 pulsed field gel electrophoresis (PFGE)를 하였고, 정확한 균 동정을 위해 16S rRNA 유전자 염기서열 분석을 하였다. 결과 : VITEK system에 의해 B. bronchiseptica로 보고된 다섯 균주들은 거의 유사한 항생제 감수성을 가지고 있었다. 유행조사에서 요로감염의 증상이나 균혈증을 보인 환자는 없었고, 환경 감시배양에서 공통의 전파원은 증명되지 않았다. 또한 PFGE와 16S rRNA 유전자 염기서열분석에서 상동성을 가진 동일 Acinetobacter spp.로 확인되어 이에 의한 가성요로감염의 유행으로 결론지었다. 결론 : 역학적 조사와 함께 PFGE와 16s rRNA 유전자염기서열 분석과 같은 분자생물학적인 조사를 시행하는 것은 희귀한 균에 의한 병원감염 유행조사에 도움이 될 것이다. Background : Acinetobacter spp. is increasingly implicated in hospital-acquired infections. We experienced a pseudooutbreak of Bordetella bronchiseptica bacteriuria identified with biochemical tests, that was later identified as Acinetobacter spp. by using 16S rRNA gene sequence analysis. Materials and Methods : Five in-ward patients were found to have B. bronchiseptica bacteriuria without symptoms of urinary tract infection between September 23 and 26 of 2005. We conducted pulsed field gel electrophoresis (PFGE) of the bacteria and epidemiological investigation of this pseudooutbreak. In addition, 16S rRNA gene sequence analysis was performed for the verification of the strains. Results : All 5 isolates were identified as B. bronchiseptica with similar antibiogram by VITEK system. There was no evidence of any symptom or sign of urinary tract infection. The source of this pseudooutbreak was not detected even after performing environmental culture and interviews with healthcare workers. We could not get the appropriate results from the first PFGE with XbaI restriction enzyme. B. bronchiseptica is an unusual organism in human so we conducted 16S rRNA gene sequence analysis for verification. The analysis of 16S rRNA gene sequence with 5 isolates demonstrated 99-100% similarity to a sequence of Acinetobacter spp. (AU1523). According to the results of 16S rRNA gene sequence analysis, we performed the second PFGE with SmaI restriction enzyme, which showed indistinguishable pattern among the all 5 isolates. Conclusion : This investigation suggests that the combined method of 16s rRNA gene sequence analysis and PFGE would be helpful for investigation of outbreak caused by unusual organisms.