성인에서 Haemophilus influenzae 감염증의 임상양상과 미생물학적 특성

이종섭,황병연,정희진,김우주,박승철,이도현,이창규,신종희,황규잠,이영희 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.2

목적 : H. influenzae는 성인에서 흔히 호흡기 감염을 일으키는 균주로, 최근 ampicillin 내성 β-lactamase 생성 균주들이 지속적인 증가를 보이고 있어, 이에 국내 성인에서 H. influenzae에 의한 감염의 임상양상과 분리된 균주들의 미생물학적 특성을 조사하고자 하였다. 방법 : 1998년 3월부터 1999년 9월까지 고려대 구로병원에 내원한 환자중에서 H. influenzae가 분리된 68명을 대상으로 임상양상을 조사하고 항균제 감수성 검사를 시행하였다. 분리된 33주에 대해서 혈청형, 생물형, 세포외막 단백분석을 시행하였고, β-lactamase 생성여부에 따른 감염 환자군간 임상상 및 예후의 차이를 비교하였다. 결과 : 환자의 평균연령은 68세였고, 지역사회 획득감염이 전체의 85%를 차지하였다. 폐렴과 기관지염과 같은 하기도 감염이 전체환자의 75%를 차지하였고 분리 검체 역시 객담이 84%로 가장 많았다. 환자의 71%가 기저질환을 가지고 있었으며, 그 중에 만성 폐쇄성 폐질환, 심혈관 질환, 악성종양, 당뇨병이 대부분이었다. 혈청형으로는 nontypeable 형이 68%로 가장 많았고 b형은 한 예도 없었다. β-lactamase 생성율은 63.2%였고, β-lactamase 양성균주의 항균제 내성율이 음성균주에 비하여 높았으나 β-lactamase 생성 여부에 관계없이 cefotaxime, azithromycin, ciprofloxacin에 대하여 100%의 감수성을 나타내었고 cefaclor, cefuroxime에 대해서는 10% 이하의 낮은 내성율을 보여 이들 항균제들이 치료에 효과적일 것으로 사료된다. 세포외막 단백분석에서는 C형과 D형이 전체의 64%로 가장 많았으며, 혈청형과의 유의한 연관성은 보이지 않았다. 결론 : 성인에서 H. influenzae는 주로 만성 기저질환자에서 급성 호흡기감염 또는 만성 폐쇄성 폐질환의 급성 악화를 유발한다. 기존의 보고에 비해 β-lactamase 양성율이 증가하였고, 이에 따른 항균제 내성율도 증가하여 항균제의 선택에 유의하여야 할 것으로 생각된다. 세포외막 단백분석상 특정한 유형의 균주에 의해 감염이 집중적으로 발생하고 있어 향후 역학 조사의 도구로 이용할 수 있겠다. Purpose : H. influenzae is one of the common causative microorganisms of respiratory tract infections in adults. Recently. β-lactamase producing, ampicillin-resistant H. infiuenzae has become worldwide problem as well as in Korea. We studied to investigate the clinical features and microbiologic characteristics of H. infiuenzae infections in adults. Materials & Methods : From March 1998 to September 1999, 68 patients were enrolled in this study. Clinical features of H. infiuenzae infections were investigated, 68 isolates were subjected to the β-lactamase test, and 33 isolates were used for serotyping. biotyping, antibiotic susceptibility and outer membrane protein (OMP) analysis. Results : Mean age of study patients was 68 years-old and the acquisition rate in community was 85%. Pneumonia and bronchitis were the most common type of infection such as 80%, sputum was the most common clinical specimen for H. mQuenzae isolation. 70% of patients had chronic underlying diseases. Non-typeable strains were 68% and β-lactamase producing rate was 63%. There was no difference in the clinical features and prognosis of H. influenzae infection between the β-lactamase positivie and -negative groups. The susceptibility of cefotaxime, azithromycin, and ciprofloxacin was 100% and that of cefaclor, cefuroxime was under 10% in spite of β-lactamase positivity. In OMP analysis, C and D types were dominant (64%). Conclusion : H. influenzae caused acute respiratory infections in adults with chronic underlying disorders. This study shows higher β-lactamase producing rate and antibiotic-resistance rate than that were reported previously. OMP analysis shows that two major types of strains cause clinical infections intensively.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

침 치료가 오십견(五十肩) 환자의 적외선 체열촬영에 미치는 영향

김건형,이로민,남동우,김종인,임사비나,이두익,최도영,이윤호,이재동 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To observe the effect of acupuncture treatment on Digital Infrared Thermographic Imaging(DITI) in frozen shoulder patients. Methods : 17 voluntary patients received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwanand Gyun-joong, twice a week for 4 weeks. The patients were instructed to practice self exercise during their daily lives. Evaluations were made before treatment, after 1 week of treatment, after 2 weeks, 3 weeks and after 4 weeks of treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). DITI was measured before treatment and after 4weeks of treatment. The obtained data was analyzed. Results : CSA, SPADI, VAS, adduction and extension showed significant(p<0.05) improvement. Abduction and flexion both improved after 4 weeks of treatment, but the improvement was statistically insignificant(p>0.05). DITI showed improvement but the improvement was insignificant(p>0.05). Conclusion : 4 weeks of acupuncture treatment significantly improved CSA, SPADI, VAS, adduction and extension in frozen shoulder patients(p<0.05). The improvement of abduction and flexion after 4 weeks of acupuncture treatment was insignificant(p>0.05). DITI results improved after 4 weeks of acupuncture treatment. But the change of thermal difference was insignificant(p>0.05).

제통단이 퇴행성 슬관절염 환자의 삶의 질에 미치는 영향

서병관,류성룡,강중원,우현수,이상훈,이재동,최도영,김건식,이두익,이윤호 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objectives : to evaluate the effects of Jetongdan, the newly developed herbal medicine, on the quality of life in patients with osteoarthritis of knee Methods : Placebo-controlled, randomized clinical trial on the 80 patients with osteoarthritis of the knee was fulfilled. After enrollment, they took medication as they enrolled. And they were asked to answer the questionnaires (Korean Health Assessment Questionnaire (KHAQ), Lequesne's functional index (LF1), visual analogue scale (VAS)) and analysed with the erythrocyte sedimentation rate (ESR) at baseline, after 4 weeks and 8 weeks of medication. Results : Total KHAQ score, some categories of KHAQ like hygiene, activities were significantly improved after 8 weeks of medication. And the change of the KHAQ score was significantly correlated with the change of VAS. But LFI, VAS, ESR level was not significantly improved, and it was considered because of the short medication period and small size of study population. Conclusion : In conclusion, Jetongdan could improve the health-related quality of life in patients with osteoarthritis of knee. Further study in the large population, in long period were recommended.

소형민수헬기 능동진동제어시스템 개발

김남조(Nam-Jo Kim),곽동일(Dong-Il Kwak),강우람(Woo-Ram Kang),황유상(Yoo-Sang Hwang),김도형(Do-Hyung Kim),김찬동(Chan-Dong Kim),이기진(Ki-Jin Lee),소희섭(Hee-Soup So) 한국항공우주학회 2022 韓國航空宇宙學會誌 Vol.50 No.3

헬기의 능동진동제어시스템(AVCS)은 주로터로부터 발생되는 진동을 제어하며, 수동형 진동저감장치 대비 저중량으로 우수한 진동저감 성능을 발휘한다. 본 논문에서는 FxLMS 알고리즘을 기반으로 타코미터 및 가속도 센서 신호를 통해 연산된 제어명령을 하중발생기(CFG)로 전달하여 소형 민수헬기의 진동을 제어하는 소프트웨어 개발 및 검증 내용을 제시하였다. DO-178C /DO-331 표준에 따라 모델 기반 설계 기법을 통해 진동제어 소프트웨어를 개발하였으며, PILS 및 HILS 환경에서 실시간 작동 성능을 평가하였다. 특히, PILS 환경에서는 LDRA 기반 검증 커버리지를 통해 소프트웨어의 신뢰성을 향상시켰다. AVCS를 소형민수헬기에 적용하기 위해 지상/비행시험을 통해 대상 헬기 동적응답특성 모델을 획득하였다. 이를 기반으로 시스템 최적화 분석 및 비행시험을 통해 최적 성능을 발휘하는 AVCS 형상을 결정하고, STC 인증을 획득하였다. Active vibration control system(AVCS) for helicopter enables to control the vibration generated from the main rotor and has the superb vibration reduction performance with low weight compared passive vibration reduction device. In this paper, FxLMS algorithm-based vibration control software of the light civil helicopter tansmits the control command calculated using the signals of the tachometer and accelerometers to the circular force generator(CFG) is developed and verified. According to the RTCA DO-178C/DO-331, the vibration control software is developed through the model based design technique, and real-time operation performance is evaluated in PILS(processor in-the loop simulation) and HILS(hardware in-the loop simulation) environments. In particular, the reliability of the software is improved through the LDRA-based verification coverage in the PIL environments. In order to AVCS to light civil helicopter(LCH), the dynamic response characteristic model is obtained through the ground/flight tests. AVCS configuration which exhibits the optimal performance is determined using system optimization analysis and flight test and obtain STC certification.

殘留應力이 스프링破斷에 미치는 影響

李道衡,金達羽,金明元 淸州大學校 1982 論文集 Vol.15 No.2

The effect of residual stress on the fracture of a coil spring has been examined by measuring residual stress with X-ray stress analyzer. The scanning electron micrographs of the stress rupture specimen have also been examined. The results showed that this failure began at the inclusions where the largest residual stress was measured. Inclusion was acted as a stress concentrator and crack initiator in this fatigue fracture.

충남대학교 캠퍼스내 야생조류의 분포에 관한 연구

이준우,이도한,백운기 충남대학교 환경문제연구소 2000 環境硏究 Vol.18 No.-

This study was conducted to investigate the distribution of wildbird at campus in Chungnam National University. The survey was carried over 5 districts by line transect method from May, 1999 to April 2000, The observed birds were 7 orders 21 families 46 species and 3,057 individuals, these consist of 25 species for residents, 12 species for summer visitors, 5 species for winter visitors, and 4 species for passage migrant. The average density of birds was 12 ea/ha, and main dominant species was Pica pica, Paradoxornis webbianus, Parus major, Aegithalos caudatus, Ixos amaurotis in order. Species richness of bird community showed a maximum value in spring, but density showed a maximum value in winter. Breeding bird community in study area were mainly predominated by hole-nesting guild, canopy-nesting guild and canopy-foraging guild. For the protection of wildbirds at campus, it needs to plant bushes around trails and to control users. Artificial food, water station and artificial nest are needed for the habituation of wildbirds.

재생골재 콘크리트 강도의 조기추정에 관한 실험적 연구 : 마이크로파 가열기법을 중심으로 Focusing on Microwave Method

이민경,박희곤,양동일,김우재,이영도,정상진 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

In many countries a considerable amount of demolition wastes is generated and wastes concrete constitutes a significant proportion of the construction waste. Therefore, the necessity for the use of recycled aggregate in concrete arise and the reuse of a waste concrete may solve the problems of environmental pollution and shortage of natural aggregate. According to this study is to examine the possibility of site adoption microwave-use early strength estimation method. Based on the existed study related the plain concrete, the interrelation between recycled aggregate concrete and microwave-use early strength estimation method is required.

갑천의 조류상

이준우,이도한,백인환 충남대학교 농업과학연구소 2002 농업과학연구 Vol.29 No.2

본 연구는 갑천의 조류상에 관하여 2001년 9월부터 2002년 8월까지 1년간 매월 조사한 것으로 그 결과는 다음과 같다. 1. 조사된 조류는 12목 31과 83종으로 15900개체이었고, 물새는 백로과, 오리과, 뜸부기과, 도요·물떼새과 등으로 38종이었으며, 산새는 딱따구리과, 할미새과, 지빠귀과, 휘파람새과, 박새과, 멧새과, 까마귀과 등 45종이었다. 2. 조류의 이동성에 따라 분석하면 텃새 29종(35%), 여름철새 29종(35%), 겨울철새 18종(22%), 그리고 나그네새 7종(8%)이었다. 3. 천연기념물인 새매, 황조롱이, 붉은배새매가 관찰되었다. 4. 주요 우점종은 외소리, 흰뺨검둥오리, 청둥오리, 왜가리, 까치, 쇠백로 등의 순으로 이 지역은 수면성오리류와 백로류의 서식에 적합한 서식지환경을 가지고 있는 것으로 판단된다. 5. 종수의 월별 변화는 2월(37종)과 12월(36종)에 높게 나타났으며 6월(27종)과 5월(28종)에 낮게 나타났다. 6. 개체수의 월별 변화는 12월과 1월에 높게 나타났으며 5월과 6월에 가장 낮게 나타났다. 7. 월별 종다양도지수(H')는 9월에 2.6207로 가장 높게 나타났으며 다음으로 6월과 8월에 각각 2.5466, 2.5078의 순으로 높게 나타났고 1월에 2.0716으로 가장 낮게 나타났다. This study was conducted to investigate the avifauna of Gap stream in Daejeon metropolitan city from September in 2001 to August in 2002. For the monthly change of bird community, survey was carried at study area per each month, the obtained results could be summarized as follows. 1. The observed birds were 12 orders 31 families 83 species and 15900 individuals, 38 species are water bird as Herons, Dabbling ducks, Diving ducks, Rails Sandpipers & Plovers and 45 species are land bird as Raptors, Woodpeckers, Wagtails, Thrushes, Warblers, Tits, Buntings, Crows. 2. These birds could be divided 29 residents, 29 summer visitors, 18 winter visitors, 7 passage migrants. 3. Among the birds, Chinese Sparrowhawk Accipiter soloensis, Eurasian Sparrowhawk Accipiter nisus, Kestrel Falco tinnunculus are legally protected species as natural monuments in Korea. 4. The major dominant species were Common Teal Anas crecca. Spot-billed Duck Anas poecilorhyncha, Mallard Anas platyrhynchos, Grey Heron Ardea cinerea, Magpie Pica pica, Little Egret Egretta garzetta in order, Gap stream should be appropriate habitats for dabbling ducks and herons. 5. Among the total number of 83 species, the highest number of species was 37 species in February and the lowest number of species was 27 species in June. 6. Among the total number of 15900 individuals, the highest number of individuals was 2899 individuals in December and the lowest number of individuals was 385 individuals in May. 7. Among the monthly species diversity index, the highest number of species diversity index was 2.6207 in September and the lowest number of specie diversity index was 2.0716 in January.

압출성형에 의한 국산 무연탄 활성탄의 세공구조 변화

이송우,문장천,김도한,이창한,최동훈,류동춘,송승구 부산대학교 환경문제연구소 2000 環境硏究報 Vol.18 No.-

The purpose of this study is to investigate the variation of pore size distribution of the coal-based extruded activated carbon. The extruded activated carbon was prepared by extruding the mixture of coal powder and coal tar. Pore size distribution of the extruded activated carbon was compared with that of the extruded coal and the extruded char. Also it was compared with that of the crushed activated carbon, raw coal and char. The extruded coal had coarser surface than that of raw coal. Macropores of the extruded coal were funned near 10,000Å in diameter during carbonization process and steam penetrated easily between particles and were growing between 3,000Å and 20,000Å in diameter during activation process.