회장에 장폐색을 유발한 Anisakiasis 1예

박수헌,서정민,문인성,백남종,심규식,김부성 대한소화기내시경학회 1990 Clinical Endoscopy Vol.10 No.2

Anisakiasis refers to the infestation of humans by species of marine nematode larvae belonging to the subfamily Anisakiae. An acute abdominal symptom may occur after ingestion of raw marine fish containing nematode larvae of the genus Anisakis. Migration of the parasite into the wall of gtomach, small intestine or, less commomly, the colon elicits a striking eosinophilic granulomatous tissue response. A 39 year old man was visited St. Vincent Hospital because of abdominal distension and tenderness. The plain abdominal X-ray showed ileus pattern suggesting intestinal obstruction. Hence we presented a case of intestinal Anisakiasis combined with intstinal obstruction.

아시아 지역 폐렴 구균의 항균제 내성 현황 및 변화 양상 : Asian Network for Surveillance of Resistant Pathogens (ANSORP) Study

정숙인,김나영,손준성,기현균,고관수,서지연,장현하,김연숙,오원섭,백경란,이남용,송재훈,항생제 내성 감시를 위한 아시아 연합 (ANSORP) 대한감염학회 2004 감염과 화학요법 Vol.36 No.1

목적 : 1980년대부터 페니실린을 비롯한 β-lactam 계열과 비 β-lactam 계열 항균제에 대한 폐렴구균의 항생제 내성이 급격하게 증가하여 국내 뿐 아니라 세계적인 문제로 대두되고 있다. ANSORP 에서는 아시아 지역에서 폐렴구균의 항균제 내성과 그 변화 추이, 내성의 기전 및 위험인자를 분석하고자 본 국제 공동 연구를 시행하였다. 재료 및 방법 : 1999년 11월부터 2001년 8월까지 아시아 지역 12개국의 14개 기관에서 폐렴구균 감염증 환자의 임상 검체로 분리된 침습성 폐렴구균을 대상으로 액체배지 미량희석법을 이용하여 16개 항생제의 MIC를 구하였다. 위험인자의 분석을 위하여 폐렴구균 감염증 환자를 대상으로 의무기록지를 조사하였다. Quellung 반응을 통해 혈청형을 결정하였다. 결과 : 총 685균주 중 52.4%가 페니실린에 대하여 비감수성(중등도 내성 22.9%, 내성 29.5%)을 보였고, 그 빈도는 베트남(92.1%), 스리랑카(85.7%), 홍콩(67.9%), 한국(64.5%)의 순이었다. Erythromycin에 대한 비감수성 비율은 베트남(92.1%), 대만(87.7%), 한국(80.6%), 홍콩(76.8%) 등에서 높게 나타났고, 베트남, 대만, 한국, 홍콩 등의 erythromycin의 MIC_(90)이 32㎍/mL를 넘는 고도내성을 보였다. 홍콩, 싱가포르, 대만, 인도에서는 fluoroquinolone에 대한 내성 균주가 출현하였다. 전체 균주 중 다제내성 균주의 비율은 47.7%였다. 혈청형은 19형과 23형이 가장 많았고, 그 외 6형, 14형 등이 있었다. 페니실린 비감수성 감염증의 위험인자로는 5세 미만(OR=1.7; 95%, CI, 1.2-2.4; P=0.002), 기관지폐질환(OR=2.0; 95%, CI, 1.3-3.1; P=0.003), 악성종양(OR=2.3; 95%, CI, 1.2-4.6; P=0.015), 스테로이드의 사용(OR=2.8; 95%, CI, 1.1-7.4; P=0.032)이 확인되었다. 결론 : 침습성 폐렴구균 균주를 대상으로 한 본 연구의 결과 아시아 국가들에서 페니실린, β-lactam 및 macrolide에 대한 폐렴구균의 내성률 및 내성 정도가 급증하고 있음을 확인하였다. Background : Emergence of pneumococcal resistance became a global issue since 1990s. According to the ANSORP studies with clinical isolates and carriage isolates between 1996 and 1999, some Asian countries showed alarmingly high prevalence of resistance to penicillin and other antimicrobial agents. To investigate the changing trends of pneumococcal resistance, ANSORP study group has performed a multinational surveillance study with invasive pneumococcal isolates from Asian countries. Methods : All isolates from various invasive pneumococcal diseases were prospectively collected from 14 centers in 12 countries between November 1999 to August 2001. Broth microdilution tests with 16 antimicrobial agents were performed according to the NCCLS procedures. Serotyping was performed by means of Quelling reaction with use of group-specific antisera. Results : A total of 685 isolates were collected. Overall, 52.4% of invasive isolates from Asian countries were not susceptible to penicillin (intermediate (1), 22.9%, Resistant (R), 29.5%). Vietnam showed the highest prevalence of penicillin non-susceptibility (1 20.6%, R 71.4%) followed by Sri Lanka (1 71.4%, R 14.3%), Hong Kong (1 24.1%, R 76%) and Korea (1 9.7%, R 54.8%). China (I 19.8%, R 23.4%) and Malaysia (1 9.1%, R 29.5%) also showed remarkable increase in penicillin resistance compared with previous ANSORP data, which were less than 10%. Vietnam (92.1%), Taiwan (87.7%), Korea (80.6%), and Hong Kong (76.8%) showed high prevalence of erythromycin resistance. MIG_(90)S for ciprofloxacin were 4 ㎍/mL (Hong Kong) and 2 ㎍/mL (11 Asian countries except Hong Kong), respectively. Conclusion : Compared with previous data from ANSORP studies, antimicrobial resistance among invasive pneumococcal isolates has markedly increased in Vietnam, Sri Lanka, Taiwan, China, and Malaysia. Continuous surveillance of pneumococcal resistance in Asia is strongly warranted.

Magnetron sputtering법으로 제조된 Al-1%Cu/Tungsten Nitride 다층 박막

이기선,서수정,김장현,김남철 공주대학교 자원재활용신소재지역협력센터 2000 2차년도 센터 사업 성과집 Vol.2000 No.1

표면 탄성파 디바이스의 전극재료로 사용되는 Al-1%Cu(4000Å)/tungsten nitride 박막을 magnetron sputtering법으로 제조하고 전기저항을 평가한 결과 비정질상의 tungsten nitride 박막을 제조할 수 있었고, 비정질 형성을 위해서 질소비 (R = N2/(Ar+N2))가 10∼40% 정도 필요하였다. Tungsten nitride 박막의 잔류응력은 비정질이 형성되면서 급격히 감소되었다. 이러한 비정질 박막위에 Al-1%Cu합금막이 형성되었다. 다층막은 453K에서 4시간 동안 열처리함으로써 3.6μΩ-cm의 저항를 나타냈는데, 이는 박막내 결정립 성장과 결정 결함의 감소에 기인하였다. As a power durable-electrode in SAW filter. Al-1%Cu/tungsten nitride multi-layer thin film was fabricated by magnetron sputtering process. Tungsten nitride films had the amorphours phase at the nitrogen ratio, R, ranging from 10~40%. The amorphization could be controlled by nitrogen ratio. R = N2/(N2+Ar) as a sputtering process parameter. Residual stress in tungsten nitride abruptly decreased with the formation of amorphous phase. Al-1%Cu thin film was deposited on the amorphous tungsten nitride. After the multi-layed thin film was annealed for 4 hours at 453K, the resistivity decreased as 3.6 μΩ-cm, which was due to grain growth and reduced crystal defects.

국내에서 유행하는 HIV의 전파 경로에 따른 Subtype 분포

이주실,남정구,김성순,강춘,최병선,김옥진,박미선,성봉모,서순덕,전수경,변승옥,신영오,조해월 대한감염학회 2001 감염 Vol.33 No.5

Background : Previous data have been reported that subtype B is prevalent in South Korea, but neither the extent nor the proportion of subtypes could be evaluated. This study was designed to analyze the distribution of HIV-1 subtypes, temporal instructions and transmission dynamics between epidemiological groups. Methods : 1,280 Koreans had been diagnosed as HIV seropositive during the period 1985 to 2000. Among them, 134 individuals were selected for this molecular epidemiological study. 134 DNAs were isolated from uncultured or cultured peripheral blood mononuclear cells. V3-V5 (0.7 kb) fragment of HIV-1 env gene was amplified by nested polymerase chain reaction and was sequenced. Results : HIV-1 isolates from thirty-seven homosexuals were all subtype B (100%). On the other hand, 66 isolates from 94 heterosexuals were subtype B (70%) and 28 were non B subtypes (30% : 13 A, 4 C, 2 D, 8 E , 1 G). Only subtype B strains were isolated from 73 males who were infected with HIV inside Korea while 16 B and 20 non B subtype strains were isolated from 36 males who were HIV infected outside of Korea. However, B and non B strains were isolated half and half from females who were infected inside Korea except one. Conclusion : The HIV-1 subtype B strains are prevalent in Korea from the early HIV infection until present in both homo and heterosexuals. Non B strains have been transmitted from men who were infected outside Korea to their spouses and casual partners. So, we need further study to monitor subtype B and non B HIV transmission in epidemiological groups of Korea, (Korean J Infect Dis 33:311∼318, 2001)

CV黑鉛鑄鐵의 黑鉛型態 및 機械的 性質에 미치는 Ni첨가 효과에 관한 연구

許甫寧,金水泳,南泰運,徐弘三,金學權 慶尙大學校 1985 論文集 Vol.24 No.1

In this study, an easy production method of CV (Compacted/vermicular) graphite cast iron with small addition of a Ni which is known as the element of the graphitization was investigated. And so, the effects of fading (holding) time and of Ni addition after the treatments with spheroidizer (Fe-Si-Mg-Ca-Al-Ti-Ce) were also investigated. The results obtained are as follows. 1. According as Ni contents in CV molten cast iron increase, the graphite No. and CV radio were increased. And so, graphite form and the distribution of the graphite were homogenized. 2. When the addition treated with Ni, the tensile strength were increased, and the effect of fading time were decreased.

STABILITY OF SULFIDATION-TREATED GaAs SURFACE WTIH ${(NH_4)}_2S_X$ SOLUTION AFTER AIR-EXPOSURE

Suh, Kyung-Soo,Kang, Min-Gu,Kim, Chan-Ho,Lee, Jae-Gin,Nam, Kee-Soo 한국재료학회 1995 Fabrication and Characterization of Advanced Mater Vol.2 No.e1

Cleaved GaAs surface under ultra high vacuum was analyzed using X-ray photoelectron spectroscopy. Sulfidation-treated GaAs surface resulted in the formation of S-Ga, O-Ga, S-As, and O-As bonds. For characterizing the suface treated GaAs, the cleaved sample was used as a controlled sample. The evolution of Ga 2p3 and 3d peaks in the cleaved, HCI-treated, and sulfidation-treated GaAs were monitored with exposing time to the air. After exposure for 10 days, the oxidation of GaAs surface seemed to be almost saturated. With the sulfidation treated sample, the increases of Ga-O and As-O bonds resulted from the decomposition of sulfur bonds. The exchang of sulfur with Oxygen bonds was in good accordance with the results obtained from the sample exposed in the air.

A Knowledge-Based Expert System Using EXSYS for Decision Aids in Organizations

Suh, Nam-Soo 대한산업공학회 1989 대한산업공학회 춘계학술대회논문집 Vol.1989 No.5

A Knowledge-Based Expert System Using EXSYS for Decision Aids in Organizations

Suh, Nam-Soo 한국경영과학회 1989 한국경영과학회 학술대회논문집 Vol.- No.1

This paper presents a practical kowledge-based expert system using an expert system shell EXSYS, as a decision aid in implementing management science/operations research in organizations. This system can be run on microcomputers. The paper first describes the concepts of artificial intelligence, expert system and EXSYS. The concept of decision making in organizations is also outlined. Then, the paper describes the structure of the developed expert system in greater detail. Three hypothetical examples are presented to demonstrate the applicability of the system to real-world problems.

EXPERT SYSTEM AND ITS PERSPECTIVE

Suh Nam-Soo Military Operations Research Society of Korea 1990 한국국방경영분석학회지 Vol.16 No.1

Expert systems are in an early evolutionary phase, but it already has significant impacts on business operations. More and more organizations are becoming interested in applying expert systems as solutions to their business problems. This paper describes how systems started, what is their current situation, and what are their application areas. It outlines what is expert system and how to develop an expert system. And it analyzes expert system shells and shows some current available expert system shells. Lastly, it concludes and predicts the main attributes of the future expert systems.

A Bayesian Approach for Solving Goal Programs Having Probabilistic Priority Structure

Suh Nam-Soo Military Operations Research Society of Korea 1989 한국국방경영분석학회지 Vol.15 No.1

This paper concerns with the case of having a goal program with no preassigned deterministic ranking for the goals. The priority ranking in this case depends on the states of nature which are random variables. The Bayesian approach is performed to obtain the nondominated set of rankings.