응급실에 내원한 국내 간질중첩증 소아의 발생율과 특성

신은주(Eun Ju Shin),황세희(Se Hee Hwang) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.1

Purpose: Status epilepticus (SE) is the most common life-threatening neurological condition in childhood. To clarify the incidence and outcome, we have evaluated the epidemiological and clinical characteristics of SE patients in Korea. Methods: In evaluating data from the National Emergency Department Information System (NEDIS), we retrospectively analyzed patients, and classified them by age and sex distribution, body temperature, time on arrival, seasonal variation and treatment outcome. The patients were under 8 years old who visited 111 general hospital emergency rooms in Korea between 2007 and 2013. Results: There were 4,257 total patients enrolled in our study. The ratio of males to females was 1.11:1. The incidence of SE in Korean children was 14.5/100,000 in 2010, and the highest incidence was seen in patients 1 to 2 years old. We could not find a seasonal variation. Febrile patients with temperatures over 38 °C accounted for 1,901 patients(44.7%). Peak time on arrival was 6 p.m. to midnight for 1,301 patients (30.5%). 3,356 patients (78.8%) were admitted immediately for proper treatment, while 678 patients(15.9%) were allowed to go home after emergency treatment. Unfortunately, 4 patients (0.1%) died despite first aid. Conclusion: The most common age in SE is 1 to 2 years. Regarding the correlation of fever with SE, patients who exhibit fever accounted for almost half of the patients with SE. In our study, the mortality rate in emergency room was 0.1%. Therefore, anyone who is suspected to have SE should be immediately transferred to a general hospital with ICU facilities for intensive treatment under the direction of medical experts.

흰쥐 Kupffer 세포에 대한 Propofol의 작용

박세훈,지대림,성언기,김희선,송인환,박희영,김준수,이덕희,박대팔 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

Background: Propofol has an antioxidant capacity and can be used for ischemia-reperfusion injury of the liver. However, the effects of propofol on the Kupffer cells have not been establisked. Methods: Kupffer cells were isolated and cultured from male Sprague-Dawley rats. The effects of propofol on the Kupffer cells were evaluated by a phagocytosis assay, TNF-α gene expression, and superoxide anion release after administering propofol in different concentrations on the cultured Kuprrer cells. Results: The latex bead phagocytosis by the Kupffer cells was suppressed when the Kupffer cells were exposed to propofol irrespective of concentrations. Higher propofol concentrations decreased the loss of Kupffer cells after latex bead phagocytosis. Propofol induced TNF-α mRNA expression in the Kupffer cells, but the mRNA expression level after 50㎍/ml of propofol decreased. The pattern of TNF-α mRNA expression induced by propofol was different to that induced by LPS: TNF-α mRNA was expressed continuously in the propofol-treated cells until 16 hours after exposure to propofol, whereas the level of TNF-α mRNA expression induced by LPS was evident after 2 hours and was not found thereafter. TNF-α production after propofol treatment was not higher than that of the control. Formazan presipitation did not show any qualitative differences between cells untreated or treated with propofol concentrations of 0.5, 5.0, and 50 ㎍/ml. Conclusions: These results showed that propofol might inhibit Kupffer cells. This suggests that propofol and be used for patients with ischemia-reperfusion injury of the liver. (Korean J Anesthesiol 2002; 43: 475~484)

동·서양 고전에 나타난 도덕적 통념에 관한 비판적 해석 -『논어』와 『에우티프론』에 나타난 아버지를 고발한 아들의 사례를 중심으로-

임명희 ( Lim Myung Hee ),김세원 ( Kim Se Won ) 동양철학연구회 2017 東洋哲學硏究 Vol.89 No.-

The aim of this study is to examine an issue of moral beliefs and moral conceptions in the Eastern and Western Classics. This paper focuses on the texts with one specific common material. That is the son who accused the father in the Analects(Lunyu) and the Plato`s Euthyphron. Confucius has a conversation with his follower about `Zhi(直)` and Socrates makes dialectical arguments with Euthyphron about a definition of `piety(to hosion)`. The philosophers critically examine opinions of the opposing parties to support the accusation. Other papers studied on aspects of moral dilemma(the private or the public, Physis and Nomos) or relation of religion and philosophy. But the important problem is relation between rightness(or justice) and honesty. In conclusion, this paper illuminates that the philosophers emphasize personal moral beliefs and their reflective attitudes toward one` own and lives, rather than the dilemma`s solution or the definition of moral ideas per se. Also, it is necessarily that the reflective courses involve a conversation with others.

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang, Oliver,Choi, Eun-Kyung,Kim, Im-Ryung,Nam, Seok-Jin,Lee, Jeong Eon,Lee, Se Kyung,Im, Young-Hyuck,Park, Yeon Hee,Cho, Juhee Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

특수 언어발달 장애 환아의 임상 및음향음성학적 특성연구

김연희,박세훈,신용일,김찬양,김현기,김정수 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.1

비진료방문이 미취학 아동의 불안에 미치는 영향에 관한 연구

오세영,김대업,이광희 大韓小兒齒科學會 1995 大韓小兒齒科學會誌 Vol.22 No.1

The purpose of this study was to measure preschool children' anxiety about educational dental visit. This study was undertaken in 511 preschool children, 241 with educational dental visit and 270 without educational dental visit,whose age ranged from 3 to 7 years old. Preschool children during educational dental visit observated dental enviornment, directly touched dental instrument, and were surveyed oral condition. After they had gone to their preschool, they drew dentist. Drawings were analyzded using Human Figure Drawing Scoring System developed By Sonnenberg and Venham. The results were as follows ; 1. The anxiety score of group with educational dental vfisit was higher than that of group without dental visit(P<0.01). 2. The anxiety score was 9.28 in 4 year old, 6.78 in 5 year old, 4.79 in 6 year old, and 3.57 in 7 year old. There were significant difference in each groups(P<0.01). 3. The anxiety score of boys was higher than that of girls(P<0.05). 4. The anxiety score of untreated preschool children was higher than that of treated preschool children(P<0.01). 5. There was not the effect of relation between age and educational dental visit, between gender and educational dental visit, between treatment experience and educational dental visit(P<0.05).

한국의 대소련정책

유세희 경북대학교 평화문제연구소 1989 평화연구 Vol.14 No.-

다이아몬드 필름의 비열

박세일,채희백 순천향대학교 기초과학연구소 1996 순천향자연과학연구 논문집 Vol.2 No.1

화학증착법으로 합성한 다이아몬드 필름의 비열을 80 - 400 k사이에서 AC Calorimetry를 사용하여 측정하였다. 합성할 때 반응로내의 메탄가스의 농도를 7.5%와 10%로 하였다. 다이아몬드필름내에 주상구조의 낱알경계가 관찰되었다. 열전도도 측정과 광학현미경관찰을 한 결과 point defects, extended defect, dislocation 및 void 등의 불순물이 필름내 존재함이 확인되었다. 이들 defects들은 열에너지 운반자 -포논과 충돌을 일으키는 scattering center가 되며 결정도를 떨어뜨리는 원인이된다. 또한 이들은 결정의 경도를 떨어뜨리게되며 결과적으로 비열을 증가시킨다. 측정된 비열데이터를 디바이모델로 해석하여 디바이온도를 구하였다.

한우와 유우 도체 B2 등급 및 D 등급육의 품질특성에 대한 비교연구

문윤희,강세주 慶星大學校 1998 論文集 Vol.19 No.1

This study was conducted to investigate to quality characterestics on the beef quality of carcass grade B2 and D obtained from Korean native beef and Holstein for cold storage 2 days and 11 days. Korean native beef B2 carcass grades had higher marbling score crude fat, non protein nitrogen, saturated fatty acid, free amino acid, lower monounstaurated fatty acid, the ratio of monounstaurated fatty acid to saturated fatty acid(MUFA/SFA) than Holstein B2 carcass grade after slaugher 2 days. Korean native beef D carcass grade has higher marbling score, crude fat, unsaturated fatty acid, free amino acid, lower tenderness, non protein nitrogen, MUFA/SFA than Holstein D carcass grade after slaugher 2 days. Korean native beef and Holstein B2 carcass grade had better marbling score, myofibrillar fragmentation index, palatability, worse ash, hardness , MUFA/SFA, than Korean native beef and Holstein D carcass grade. Korean native beef and Holstein after slaughtering 2 days had higher pH, hardness, polyunsaturated fatty acid lower lactic acid myofibrillar fragmentation index, non protein nitrogen free amino acid, than after slaughtuering 11 days regardless of carcass grade. In case of same carcass grade, palatability had no significant difference, grade B2 carcass had better palatability than D carcass grade, regardless of species and aging.

각-관 열교환기의 냉각능력 향상에 관한 연구

이대희,조헌노,원세열,이영민 인제대학교 1999 仁濟論叢 Vol.14 No.3

본 연구에서는 변압기 냉각용 각-관(Shell and Tube) 열교환기의 성능을 실험적으로 테스트하여 열교환기의 냉각능력을 향상시키는 기술을 개발하고자 하였다. 예열수조 2개를 항온조와 함께 사용함으로써 열교환기 입구에서와 온수의 초기온도를 60℃로 유지하고, cooling tower를 이용하여 입구에서 냉각수 온도를 20℃로 유지하였다. 냉각수 유량변화(5ℓ/min, 10ℓ/min, 15ℓ/min)에 따른 baffle의 형태(Single-segmental baffle, Double-segmental baffle, Disk & Doughnut baffle, Helical baffle)와 baffle의 개수(7개에서 5개) 및 tube의 개수(26개에서 18개)를 변화시켰을 때 열교환기의 냉각능력을 각각 실험하였다. 온수와 냉각수의 입ㆍ출구에서의 온도변화를 측정하기 위하여 Thermocouple을 온수와 냉각수 관의 입ㆍ출구에 하나씩 설치하였다. 실험결과 Disk & Doughnut, Helical baffle, Double-segmental baffle의 열전달률이 Single-segmental baffle보다 5.3%, 5.5%, 11.8% 높고, Double-segmental baffle의 경우 Tube 수의 감소율이 35%일 때 열전달률의 감소율은 14.3%임을 알 수 있었고, baffle의 수가 5개에서 7개로 증가했을 때 열전달률이 12.1% 증가함을 알았다. An experimental study to enhance the cooling capacity of the shell and tube type heat exchanger has been carried out. The initial temperature of hot water in the heat exchanger is maintained at 60℃, using two preheating water baths and one constant temperature water bath, while the coolant temperature is maintained at 20℃ by way of the cooling tower. For the coolant rates of 5 ℓ/min, 10 ℓ/min, 15 ℓ/min, the experiments to determine the heat exchanger cooling capacity have been performed using the various types of baffle(Single- segmental baffle, Double-segmental baffle, Disk & Doughnut baffle, Helical baffle), the number of baffles(from 7 to 5) and number of tubes(from 26 to 18). Thermocouples are installed in the inlet and outlet of hot-water and coolant tube to measure the temperature difference. It was found that the heat transfer rates for Disk & Doughnut baffle, Helical baffle, Double-segmental baffle are 5.3%, 5.5%, 11.8% higher than the Single-segmental baffle, respectively. When the number of tube is reduce by 35%, the 14.3% decrease in the heat transfer rate occurs, while when the number of baffle increases from 5 to 7, the 12% increase in the heat transfer rate occurs.